That said, some time ago, a Russian 89-year-old grandmother level surgeon went viral, netizens have praised her great, full of positive energy, but on the other hand, the back of this also exposed the lack of talent in the Russian medical, medical environment is poor.
Mentioning the state of medical care in Russia, I recalled a rumor article that went viral a few years ago. However, there are really people who still take the paragraph as the truth until today, as long as the domestic reports on the difficulties of visiting the doctor, someone will pop up, copy and paste the following paragraph.
Well, that's how Russia is supposed to be, and I probably went to a fake Russia.
Baidu, it turns out that other countries are like this, the people of the world are living in paradise, only the people of mainland China are living in dire straits.
If it's so good, why are more and more Russians coming to China for medical treatment in recent years?
You may ask: What? Isn't health care free for all in Russia?
Giving up free medical care to see a doctor in China?
Russia's "free" medical care is not the same as not spending a penny, "free" medical care is actually a universal medical insurance system, Russia is currently implementing the "free" medical care is actually a successor to the "free" medical care. "Medical is actually inherited from the Soviet Union period, the Soviet Union period, free medical services are mainly state budget allocations, after the collapse of the Soviet Union, Russia, although inherited the tradition of "free" medical, but in view of the limited economic strength, the main source of funds changed to the health insurance fund, since 1994 Since 1994, Russia has implemented a mandatory health insurance system in which all permanent residents of Russia are required to participate in mandatory health insurance and purchase insurance based on a percentage of their salary, and the premiums they pay are incorporated into the health insurance fund, which constitutes the main source of funding for the provision of health care services to the citizens of the country.
It's not so easy and convenient to get "free" medical care
If you want to get "free" treatment from your health insurance, you need to go to a public hospital, and it's divided according to your address, so you have to go to a designated hospital. Hospitals to enjoy the health insurance, to make an appointment in advance, registration, queuing, depending on which day the doctor has time, it is generally difficult to the same day treatment, may wait a few days or even a few years, because the treatment of serious illnesses each year, only a few "free medical" indicators, so you need to queue up, if you can't wait, then only to go to private hospitals, compared to public hospitals, where the equipment is new but expensive. The new equipment is new but expensive.
In public hospitals, if you have a common cold or fever, you don't need to spend money on medical fees, but you need to pay for your own medication, and the doctors don't recommend taking medication, so they recommend that you take care of yourself. In Russia, the separation of medicine is implemented, the doctor will give you a list, and then go to the pharmacy to buy drugs. The Russian "free" medical care has been quoted as saying that if your condition is not so serious that you are going to die, you will not necessarily be cured immediately".
Additionally, it should be emphasized that free medical care is only available for outpatient, emergency, and inpatient treatment, and that cosmetic surgery, dentistry, drug rehabilitation, and medication are not part of the free medical services.
It is also this kind of healthcare system that has led to long queues at public hospitals and low salaries for doctors.
What is the current situation of doctors in Russia? The headline of this article on the website from February 15 of this year sums it up perfectly.
"Medical staff are leaving hospitals because of intolerable working conditions"
The article begins with a few simple sentences about the current situation in Russian hospitals: the number of medical staff is seriously insufficient, at 50%, especially internists, a phenomenon that will be even more pronounced in the event of a sudden outbreak of influenza.
A public hospital internist in the article cites himself as an example of an experienced, hard-working, lifelong physician who has left his hospital since the implementation of the optimization of health care institutions. 2013-2014 there were nearly 20 internists in 24 districts, but now there are only 8, some of whom have been forced to resign, some of whom resigned of their own accord, because of the worsening working environment, the number of patients, and the shortage of doctors. more and not enough doctors. And the online registration system, because of technical flaws, has no one to detect the fact that a doctor has to take 10-15 patients at once an hour before the end of his shift, and allows 10 people to register at the same time.
There are times when doctors with too many patients from other departments will also fill the internist's office, and then the internist will need to work overtime because there will be seriously ill patients. The shortage of medical staff forces doctors to make a choice between leaving work at the end of the day and not being able to treat everyone, as they are required to do, or sacrificing themselves by sticking around until the last patient is seen. In addition, after hours, the internist has to take on 5 more house calls before he or she is actually off duty, and this is partly unpaid so-called overtime. If there is a flu or something, it's even worse, and the result is that two of the eight people who are left now are already planning to leave. The hospital now has no funds to bring in more experienced specialists, and the doctors who quit have no other place to go, some retiring when they reach retirement age, some going to private hospitals, and some just changing careers because they don't intend to put up with the conditions any longer.
Russian doctors are really quite underpaid, with the average salary for medical workers across Russia at 48,000 rubles in 2015, compared to 35,900 rubles in 2012. So in response to this, Putin wrote a special article in 2012 emphasizing the need to raise the professional level of doctors and nurses, as well as to ensure the level of salaries for medical workers, and said that by 2018, the salaries of medical staff should reach 200% of the average annual salary in the region.
So, is this the envy of free healthcare?
Can free healthcare for all solve the problem?
Not only can it not, but it will make it even more difficult to see a doctor.