Everything is back to normal - the media about the statement of the Crimean Ministry of Health on the provision of paid medical services
Simferopol, February 07 (PolitNavigator, Evgeniy Andreev) – A recent statement by the leadership of the Ministry of Health of the Republic of Crimea about the provision of paid medical services to the population by state medical institutions plunged Crimeans into a stupor.
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The Crimean Telegraph weekly writes about this.
Meanwhile, the head of the Ministry of Health, Alexander Mogilevsky, the publication notes, did not clarify the details of the implementation of his order approving the approximate provisions “on the procedure for the formation and distribution of funds from income-generating activities by state budgetary, government and autonomous healthcare institutions located in the Republic of Kazakhstan.”
And Crimeans have a lot of questions.
“However, even a few “exemplary provisions” already lead the average person to some very unpleasant thoughts, for example: what is income from renting premises? We just dealt with the numerous private pharmacies and equally private clinics on the territory of public hospitals, kicked them out of the gate - and again “Welcome”? So what were they fighting for?
But the concept of paid medical services itself is not given any explanation in the order, that is, it seems that the chief physician of each state hospital will have to establish a list of them himself, and the tariffs are approved by the Ministry of Health of Crimea. By the way, according to the order, “voluntary donations” are returning to our Crimean medicine, for which it already existed in Ukraine. But these donations should appear in envelopes or on hospital accounts—the Crimeans were not specified,” the publication notes.
However, the other day Mogilevsky tried to explain to the population what they would be paying for again, having already stood in line for health insurance policies.
“Paid services do not mean providing medical care to patients for money, as was the case before, in the form of forced collection of “charitable contributions.” All types and volumes provided for by the program of state guarantees for the provision of medical care will be provided to the patient free of charge,” the minister said.
The official, KT adds, tried to answer the most important question: who will pay for what in hospitals and clinics? He said that “paid services, first of all, are contractual relations between medical institutions for the performance of certain types of work and services, for example, laboratory tests, if one of the clinics does not have a laboratory.”
“But what does the personal money of the insured patient have to do with it, if the compulsory medical insurance policy fully covers the treatment (including the necessary diagnostics) of the patient, transferring funds for this to the hospital account? It is the hospital that now has to pay another institution for tests, and not the patient personally,” the weekly asks.
“The treatment of foreign citizens will be paid, which was previously an unbearable burden for Crimean hospitals.” Now, for citizens of foreign countries, stateless persons and persons without compulsory medical insurance, “the state guarantees only emergency assistance for life-saving reasons free of charge.”
“In the past, foreign patients themselves paid for this, preferring, however, to go to private clinics, although conditionally state-owned ones were happy to take on this “overwhelming” but very highly paid burden,” KT is surprised.
However, the publication notes, the minister voiced part of the truth carefully: “Additional treatment conditions may also be paid for at the patient’s own request and capabilities, for example, a luxury ward or an unscheduled appointment with a specialist without a referral.”
The publication focuses on the last fact, which has become an outright element of corruption:
“Since the summer, many patients at various medical institutions have been complaining that their attending physicians have refused to refer them to one or another specialist. So you have to “go” with your own money. And although the leadership of the Ministry of Health of the Republic of Kazakhstan assures that the money collected from patients will go to a good cause - “the funds received from paid medical services will be used to finance medical institutions, to purchase equipment, instruments, to pay medical workers and the costs that face medical institution,” this does not make it cheaper for Crimeans with modest incomes to pay for the promised free medicine, which they only managed to use for a few months. They still remember how in May 2014 the Ministry of Health of the Russian Federation ordered to bring the cost of basic medical services on the peninsula to the Russian level. Now it turns out that the order of the Crimean Ministry of Health on paid medical services contradicts the order of the Ministry of Health of the Russian Federation and returns payment for what was already initially paid for by the patient’s medical insurance policy.”
While patients in Crimean clinics again empty their wallets, the comedy continues with an imaginary fight against extortions:
“I would like to remind you that there are many criminal cases in law enforcement agencies and even directly in the courts, initiated in connection with the illegal provision of medical care by employees of institutions for a fee. So let’s forgive them all and let them go - it’s not them, it’s an order...", concludes Crimean Telegraph.
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