the importance of elections in electing a strong parliament , the key is in the hands of the people, iranian coach sharaf iran. now telegram is playing with the whole country , why is there no pricing in these 6 months? your question is an interesting question. we don't want the manager of the football player to pay his insurance according to what he does. we do not agree , higher than any world, higher today, wherever we are.

especially for the higher program of the leadership, in one of their recent meetings , they called the real competition one of the important pillars of the election, which means that the square be open to the presence of different economic, political and cultural views and tendencies so that everyone can participate in the big competition. participate in elections and form a real competition. one of the topics on which there is a difference of opinion in the views of experts is the issue of the mandatory presence of doctors in deprived areas, the same as the passport plan. we want to talk about it in tonight's special program and check the opinions of the pros and cons. be with us. tonight and in the upper studio, mr. saleh, the secretary of the office of planned physicians

of the country's medical system, is present, as well as mr. rasouli , a member of the faculty of tehran university of medical sciences. hello and god bless to both guests of the program , before we start our discussion , i would like to invite you to go see the report prepared by our colleagues and come back and start our conversation according to the directives of the ministry of health for young doctors after graduation. and of course, before getting a medical license, they must serve the people of deprived areas for a period of time, and this requirement has both supporters and opponents. karimi, deputy medical director of the ministry of health, the issuance of medical licenses is subject to the directives of the ministry of health, and by removing those deprived areas, there will be no doctors. monet raeeszadeh, the head of our medical system organization. strictness in the issue of office

licensing, let's not be fooled into thinking that we are solving the problem of underprivileged areas , the statistics do not say this, which means that we do not have much negativity there, and here we are making the business environment difficult for the youth of the medical community, with the non- vice president of the ministry of health, our new approach. in this period, it is to use more native people in the field of general medicine and specialty and sub-specialty , in fact, to select natives. the intention of the ministry of health is to train native people so that they are less witnesses . if it happens, deprived areas will be without doctors so, with the quota for underprivileged areas that has been implemented in the last several years, where are the graduated doctors with that quota, which is empty or will it remain empty ? prevents in deprived areas and until time.

that there is this shortage, there must be a plan , the claimant doctors say, if you use article 27 and reduce the plan by 6 months for each child , we will no longer give you a license and permission to practice medicine or leave for nine months take another as we don't accept the plan. well , we saw the input report of the program together, mr. rasouli. i will start with you and this question, what is your opinion? do you think this requirement should exist or not ? in the name of allah , the most merciful. the macro level of maintaining health and improving the health of people in society is what happened because of that.

deprivation in the ends of the country laws were approved in the national council in 1352. people who farooq they study in the fields of medicine and doctor's profession. compulsory service for 24 months in deprived and underprivileged areas. this law was approved in 1352. after the revolution, due to the shortage of doctors in 1358 , this was approved again by the council of cultural revolution and has continued until now. one of the reasons for the continuation of this plan, in fact. the problem of lack of access to specialist and general doctors in deprived areas is naturally those who participate in the national entrance exam and are accepted in special fields are generally from a special class and this has caused

them to be unable to attend due to their presence in certain areas. the system and the ministry of home affairs are forced to do it. due to its lack, due to its commitment to the general public, it has to do the explanation on the basis of compulsion, and so far it has not been able to solve this problem , although it has been solved by the law passed by the islamic council in 1392, which is 30% admission to the entrance exam and the general entrance exam and specialized courses is from individuals. it seems that in the not too distant future, with the injection of these forces , naturally, the 7-8-year course of general medical training and the four-year specialized course are promising. with the arrival of these forces, we can

to make up for that shortcoming, the natives of the same region should serve the citizens of the same region, but this law is still too far because of this gap. it is clear and it seems that if they do not create the necessary incentives for the presence of doctors, doctors and doctors, it will only be forced for 2 years . the longevity of doctors in these areas will not be sustainable. dear viewers, as well as you and mr. doctor , i think i should give a brief explanation about the discussion of doctors in general before entering this topic. you see, one problem that exists is that during this recent period, we

have heard a lot of things through the media and at your service, tv shows, tv jokes about doctors, because we are talking now, there are more people , i will tell you, and in the relationship with the doctors has been talked about in this way. maybe these words are true for very few people, but many times and many times , but one of its problems is that this issue has been repeatedly discussed on the radio and in the media. it has been discussed, but it has not solved the problem. now the problem of the health system is not exactly these things, but exactly those things we have come here to talk about it and to tell you

what the result of this model that has come forward so far has been that many doctors are actually harming themselves. now, many suicides. now , when i say immigration, i have a definition regarding the immigration of doctors. when i talk about it, one of the parts is immigration from the country, but you consider the migration from a medical job to another job, from the profession, in fact , medical specialty. beautifully, in other cases, all these are considered immigration, well, these are all the problems that have arisen for doctors and a a very big issue that exists now is the vacancy of specialized residency seats in the country. now i will give you the statistics, more than 800 seats are empty this year. this is 800 for now , because many specialized students

may drop out within a year, and this number will increase again. well, these are the livelihood problems that doctors are involved in. to tell the truth, sometimes some people think that they are following. the lives of lecturers are really busy in providing the basic needs of many of these young doctors that we are talking about now. well, something that at the moment, it is harming the health system . it is what i said at the beginning , that is , the discussions that have come up in the media that have not solved the problem . in order for us to go towards solutions, it creates oppositions or in the relationship. with my insistence, i will now go ahead and tell you, if we want

to fix all the cases by force, sometimes now it is our management, the management is actually forced or we call it a term, we say that we are creating a health police. the cases are planned once by the doctor's compulsion, when he finishes his general medicine, we only have one appointment for the doctors for each stage . we create a plan for general practitioners . if the general practitioner has gone to the plan, the plan will be passed . after he gets a specialist , they will take a notarized commitment from him once again to be a guarantor for your service. they must be young employees , that means it is such an important issue, mr. d. continue. thank you , mr. rasouli. what is your answer? look at the story of coercion, or i should say it more easily, mr. d. the discussion is inevitable. it means the system or the government to supply the force, now

you have to see this happening, it has turned to this law that the parliament has passed. from a legal point of view , the parliament has come to oblige the government to do this because of the same shortage of doctors that you see because of this shortage of doctors. in principle 29, the government is obliged to guarantee the health of the people and to provide health services to the lower and upper middle classes , to guarantee this health to all the general public and to make it available, to have fair access , to have ease, this requires that we we have enough power, but there is a problem here we have raised niro, we are sending him to a place where he is far from his family and cannot be properly financed, the physical environment and living conditions that exist are not suitable. i will send to a place where immigration is from that place, that is, natives

will migrate there, instead of a better place, i want to create a reverse migration for a doctor, if normal conditions are not created for a native to live there, why are we migrating from small, why are we migrating from small towns , now we force our doctor to go there, we accept the problems of the system. but if the system is in in fact , the policy maker should not create proper, logical and sustainable incentives by force . we can cover two years. if stable conditions are not created for me, i will definitely not do this , it is natural. i will give you an example . what are the stable conditions? look at the stable conditions

. those are the minimums of an average life . we don't have that right now. you can calculate. i am my colleague. i am 18 years old. i will give a simple example. farouk is 18 years old. i studied from high school without any breaks . it takes 7 and a half to 8 years of general medicine, it depends on the entrance of the university, whether it is the first semester or the second semester. at the age of 28, he just finished his doctorate without any breaks. until he turns 28 , whose pocket is his family , he can't do anything. very well, it's a difficult course, sensitive , and difficult to speak. if you want to be a good doctor, you have to take the time. we plan to go for 2 years now. just now , i was talking to our colleague mr. dr. bakhtiari . my colleague in the village earns an average of 18 million a doctor who is not a significant number of 18 million doctors in rural centers, in rural centers, that is, you

have to count. i am afraid that many things happened to him. now this person is living healthier for 4 years. he must be read. he is 34 years old. this will happen, where will this person go when he is 36 years old, with the conditions that have been created from the economic point of view, we are not talking about the top 5% of the share, 95% of our doctors are the normal share that exists, their livelihood is below the average of the society because they have to wait for 34 years to work. resen is a place where they say, sir, you work.

our mother is applying to enter the seat.

for example, because the wells of the ministry of oil are in very deprived areas of the desert, in order to provide manpower there, except for using coercion, the plan , for example, is a satellite, 14 days, 14 days, 15 days, 15 days with a higher payment in in fact, these things have happened and, for example, in other places , see how to fix this problem. now, i will go back to our previous discussion about management that should only be by force. now, mr. doctor said what should we do? well, it is true that the manager is in the position of management in order to solve these problems. solve it, but by force, well, we have several deprived areas, we also have a series of experts who

are seeking expertise, so what should i do, i will leave these. i will get a guarantee, i will go and get a notarized commitment , and then i will forcefully send these , and then you will send nothing. when you send a person to a place that is deprived, far from the family, you must create favorable and suitable living conditions . i mean, i could not bring him here. the photo of the film from the residence of experts in this country, believe me, i am sure there is no one in this country. look at these pictures and videos and don't be sad about the problems you are facing now it has come again , i will say it again, i will repeat it because it is very important that the seats are empty

. what is the reason? pediatric anesthesia. we have always had a shortage, and we still have it. well , the capacity was increased, what happened? no , i will give you an example. for example, in 2016 , there were about 250 people and 240 people in anesthesia. i am in my field, which i know, and i will tell you what i have now. i am talking about this year, i think around 300,390 it has a capacity of up to 400 people, now what happened in 2016, out of that 250 people, more than 200 people entered. this year, when there are 400 seats , there are less than 100 seats. can you believe it? well , now you tell us, we will increase the capacity. when the situation is over , we will not create the conditions for proper and real work. this is how it will be. now, i say, make 400. so far, it's very interesting to tell you

, well, there were 400, then what happened, it wasn't filled , what to do? they said, well, sir, those general doctors who take the residency exam, even if they don't get a passing grade in the exam, can take these courses. you should look at the management. they said that they can go. what happened ? again, nothing happened. then they said, "you didn't take the exam at all . you didn't take the exam at all. you are a general practitioner. if you want, you can come and go to these fields of specialization. again , what happened? again, no one came." the news i am giving you is 23 10. the part of his letter has been notified, now he has gone back and said that the intern can be for 15 months, that is, someone who has not yet completed his general medical degree, this is very interesting. someone who has not finished his general medicine yet says that you can go to emergency medicine without any tests and such. anesthesiology and pediatrics, pay attention to your

fields, major fields are very important, i have a question, i have a question for the officials who make this decision, are they really willing to send their own families, their own relatives to these doctors who enter with these conditions really like these fields. mr. rasouli, mr. selahshor , pointing out that now you have mentioned the deficiency and shortage of doctors, and if you give some tips, the answer is yes , see, i want to take the issue further to the ministry of health. from officials going back to the ministry of health, the ministry of health is in charge of health, but i say that sometimes it is not the decision -maker in the cultural revolution council in the parliament. it will be taken. the cultural revolution council will come and pass a resolution. i agree, but a resolution has been passed to increase the number of general practitioners by 20% per year. 20%

to increase the capacity of specialists. a 34-year -old doctor has sacrificed his life from his parents' pockets. the slave does not imagine a future career for himself, this doctor of mine prefers to work in a beautiful environment he does not have legal responsibility , he does not have work stress and pressure in his mother's fields. you know that there is a discussion that, for example , i just want to say in parentheses that according to the words of the parliament, those in favor agree, those who oppose disagree . why, because the health system is forced, it means taking the health system to the ministry of home affairs , taking it to the corner of the ring, they are putting pressure on the minister

, they are putting pressure on the vice president of medicine, the same representative is putting pressure on him, and he is going to approve a law that is not right. create a doctor's life in underprivileged areas this doctor wants to be that. work so that you don't create these stable conditions , it won't be done by force . from that side, you came to a society, the ministry of health will calculate its budget for you. above 10% we have 12. this is not possible. logic says this by saying. it will not be possible by force, you must create these conditions, facilitate them, if you are working for the fair access of the people, the policy makers

of our parliament, our legislators must implement justice in the case of the executive and the doctor. just as i said, the rights of a doctor should be recognized, the minimum standards of a doctor should be recognized, and it should be seen and raised. they should not be short-sighted, i said, they should not bring an index of the medical group as an example, put it in front of the table and decide that 95% of that share should be considered. if this does not happen, in the near future , there will be doctors in our deprived areas. may it not be sometimes, now i am still in these fields with 100 graduates and useless education, even if it is compulsory , how can we fill 300,400 hospitals ? yes, how do we want to fill them? put pressure on the ministry of health again

. there is no entry because there is a discrepancy in the payments . there is no entry for specialized and lucky courses. it will not be done by force. he is doing it. the ministry of home affairs comes and says, in fact , correct the payment of the doctor, the insurances will be changed from 45 to 45, which is at least 20% inflation . it is normal for a ministry that does not have money to give, what to distribute to the poor, and it cannot be distributed to the poor. myself in myself my university has 5 faculty members out of a group of 30 people , 5 of them immigrating is something that will be determined in the future . saying if you don't read this

discussion, it is a very specialized discussion. with media propaganda , decisions will be made with the concern of the public. now we have increased your capacity , but there is no demand. we have increased the capacity , but i don't have a class to teach this. this is what i want to say to you , let's respect the justice of the times. i will come back to you , mr. selshu. well, i agree with the part of the doctor's speech that there is pressure on the ministry of health. you see , our dear representatives in the parliament pass laws themselves, which sometimes they do not implement, as you can see, because in order to build a hospital in a place , it is necessary that the population there is of one number.

there have been times when a representative just doesn't know why, now i don't enter the reason why but he has forced the ministry to build a hospital in a place where there is no such amount of population, then these hospitals are supposed to be filled.

it has several characteristics: it is more incomprehensible , it is more complex, so that it can be interpreted in different ways, so that the relevant managers in universities and hospitals can interpret it as they want . in fact, the doctor is more economical than the doctor. i will give some examples for you to see. the health reform plan came into being in 2013. at that time, we had several plans permanency of residency was a permanence for disadvantaged areas, that is, the ministry of home affairs said that we will write a contract with a specialist doctor, which is an incentive, the same word as an incentive for the permanence of a doctor , this is the case that we have the problem of sitting around the table, we are talking to him in 2019, incentive it was what it is now. i am talking to you

, according to the latest instruction of the ministry, which was required to be implemented from mehr this year , it is necessary to write and sign the contract of longevity. then what did the longevity contract say ? is it human, for example, if it was a robot , it would really get into trouble after a while. what kind of creature is it that is forced to sign this contract and is required to stay in the area for 23 days and nights ? from that point of view, it does not have suitable living conditions for welfare issues. in terms of facilities, the place that is provided is an old, worn-out place, used facilities, which maybe

no one uses those facilities. after that , there is an expectation that this specialist doctor will stay in the region in relation to your issue, and his plan , which is over, the mandatory plan, again, this feeling exists. mr. rasouli, mr. selesho said that i am sorry, mr. selesho said some of the points you said about the ministry of health and said that you are the ones who are in charge of treatment, in a way , in the field of treatment. let me give you an explanation about durability. we have 3 packages , there is a question of permanence, there is a question of residency, and the question of ankali is naturally a question of permanence in deprived and underprivileged areas. this name has already been written, it has been implemented for years, and it is actually an incentive package, see my doctor, if this plan is not permanence of 44 hours in the week should be in be there, yes, they have to fill 44 hours a week there, of course