the next speaker is vladimirovich vlasov for the chairman of the all-russian union of public associations of patients, doctor of medical sciences yan vladimirovich, a new member of the board and i am sure that he will strengthen the direction of work in terms of healthcare in terms of the right to health. yan vladimirovich please thank you very much, not so long ago we did a study on one significant issue, namely, how are the presidential decrees implemented regarding. uh, the state of the medical staff in the part that captures wages doctors? why did we come up with this question every year every six months, in fact, we conduct research among the patient community as well. ah, what is the quality of medical care for the population and, uh, the most important problem

today is the lack of narrow specialists of doctors in the primary medical care, and when is the question? uh, why do we seem to have a large number of students graduating from institutes , a large number of young doctors are graduating. why do we always have such gaps, because about uh, 60% of patients. they say that they do not see a doctor of a narrow specialty in the primary link. and when we go into the territory. we see that we do not have enough doctors to eat their territories, that we have almost 60% of such doctors there in rural medicine. we first asked the doctors themselves what, in fact, hinders you from working in the healthcare system and saw

several main topics. especially for young people, who within three years, 30% of young doctors leave the specialty. it's a lot that we saw in the first place, low wages in second place negative uh negative connotations within the medical community itself negative mentoring, so to speak in third place and in third place. this is a problem with raising one's professional level. you know, after we began to investigate this problem, we saw that on average in the russian federation, well, we don’t take it, moscow petersburg, the salary of a doctor is approximately 52,000 rubles. this is a survey of doctors of more than one and a half thousand people in sixty regions. these are line doctors. that is,

these are those who directly work with the patient, and not the head doctors, which means good. and how much for a rate a for a rate in one state institution, a doctor receives about 20,000 rubles. this is very little. and when we ask a question. and how many bets do you need to get these 52,000 rubles. we see that more than 30% of doctors work more than two positions more than 30%. this naturally leads to professional burnout and after research with a state corporation rusatom regarding the burnout of doctors in fomba, and in some other small towns we can say that more than 80% of doctors have some degree of professional burnout. and somewhere around seven percent are people who irrevocably leave the healthcare system and order. sorry six

and sixty percent. this is the average degree. now that's professional burnout. thus. we're losing these people and uh hmm related question. how, after all, a doctor to leave the specialty to protect him from those external problems, including, do you remember at one time there were attacks on doctors, then minister veronika skvortsov said, let's equate the ministry of internal affairs in order to attack such a person on duty. in general, he corresponded to a certain criminal prosecution. now we are raising another issue. let's equate them to the military so that, uh, the doctor has a basic salary, not a salary. let it be four minimum wages let it be six die, but this is a remedy that doctors can receive anywhere in the russian federation on the basis of e, a common grid and

already from them to count additional funds there, some kind of experience, and so on and so on and so forth difficulties there, uh, climatic and that would probably be right, because doctors really are. this is also a matter of national security. and now, at the moment, this, of course, is not the only problem for a doctor, the second problem is this - this is a question of how the education of doctors is going on now, that is, we are moving to the main thing in doctors is his education, because doctors who do not study already not a doctor. here to she studied all the time, so he must have e, that is, he constantly has a post of advanced training. well, and most importantly, what is it now in our higher school that the professorial staff helped you to say that today the professorial staff are no longer doctors, in fact, since they are deprived of medical experience. that is

, it turns out that while teachers of higher education in a medical institution of a higher educational institution of a medical professor are conditional, maybe this is an academician. well he has no medical length of service and not the salary of doctors of universities 30-35.000 e sorry, professors 335.000. of course, they also leave the specialty, we are destroying our educational school for doctors, and we must also do something about this, and in terms of amrots, we propose, which means tying teaching to 6-8 companies. in higher education institutions, this is our proposal, which we have been preparing. that's it. uh, this is, uh, an important point, well, as for the large number of doctors who went to work now, uh, are returning in their own way. well

these are people, in my opinion, heroically unconditionally. we need to work with them now. they also need psychological help. but the fact that we are talking directly about medical care in its first place is not enough for us. and it is not enough for average specialists in the field of field medicine to raise field medicine. the medical academy is fighting better than anyone else knows how to do it imitated further there are not enough dressing bags. that is, there is such a huge expenditure of this. consumables for dressings, that it is simply not enough and uh actually. uh, no medicines, no medicines in these regions, they will not be superfluous. they need to be supplied, and, if possible, there is nowhere to hand them over to give some kind

of order from the region. after all, a huge number of drugs of dressings are in the warehouses of pharmaceutical companies with expiring expiring dates. uh, use. that is, until another six months, please, use it, they go there with a bang, to provide them. and, of course, you need to teach himself instructors in the work of bandaging and first aid, because the doctors take out. excuse the tourniquets one and a half meters from the wound and do not understand why it does not heal. she has been mishandled and needs to be taught. these are the questions, and hmm , it would be great, of course, if we could more actively help on the ground by training our colleagues, er, including in the republics. thank you for the questions you raised, they are all of great importance without any

exaggeration. i'll start, uh, with, uh, what you're on completed their presentation training personnel, especially for military field surgery and field medical activities. well , of course, uh, the ministry of defense believes that, in general, they have, uh, works at the proper level, nevertheless, cultivating the leadership of the ministry of the minister himself on the issues that you raised, and if necessary, do something additional. e, they will set them up unconditionally and ensure that this is done, e, they will set up their colleagues for this work, betrayal of the defense and will ensure that it is completed the first. the second e is about consumables , including those that are possible, as you said, they are in the warehouses of various organizations and companies, especially since they have not yet expired, of course, they are needed. it will be a must see too. uh, i’ll tell about this not only to the minister of defense, but also to the minister of

health and tatyana alekseevna golikova, they have the whole uh, so they have everything in front of their eyes and see what can be used there and how we will do it. it is necessary. especially if something lacks. so now about the system. e as a whole in the improvement of the system of medical education. in my opinion. we have it quite serious, so thorough, probably, in modern conditions in the modern world. uh, everything needs constant attention and constant improvement. it goes without saying, of course , because life is developing very quickly , new ones appear at a pace. capacities technological capabilities we constantly talk about it and it is constantly in the field of view of the ministry health e. if here you think of something you need to additionally take additional steps to take, including, this also applies to communication practices. uh, practicing healing activities with uh,

getting theoretical knowledge then, then, of course, you, uh, i will ask you for it. submit your thoughts. well, in a concrete form, i promise you directly that they issued this as an instruction to both the ministry of health and the government as a whole, colleagues will definitely work on it, which means, uh, about training retraining of personnel, uh, promotion qualifications. well, in the ministry of health, entire systems for advanced training have been built. uh, i want to say again, uh, if you clearly see, vladimir vladimirovich, that there is something here, eh? not organized properly and you have specific suggestions. how to fix it? how to improve this work? i will be very grateful to you. if you issue this as some kind of official note, but in this case purely official, well, some kind of note that could also be put on the basis of my instructions to the government.

we will definitely do this. uh, so yes, there is, probably, there is a separation of some teachers from real life from reality from clinical practice, but i know a lot of examples when people teach not their own , are engaged in practical activities, they themselves perform operations. well, for sure, you know there are a lot of such specialists among us. e, clean and praise and god grant them health, so that they create their own schools and develop them, of course, they must be supported. yes now uh about what you uh uh why you actually started this is the wage level. well yes, i agree. this is especially true for primary health care. there definitely absolutely need to improve this payment system . and, well, the government. there is such a task to develop common approaches, e to all territories of the russian federation there, to the basic principles. uh, so the wages were

lined up accordingly here. i totally agree. yes, of course, not in different regions of the russian federation hmm uh, subsistence uh, at least different. well bearing in mind that the cost life is different. well, the salary is completely different not only in the healthcare sector, but also in other areas. this, of course, must be taken into account, but on the whole , of course, we must strive, and to ensure that an experiment that will manifest itself has already begun to be carried out to equalize the level of income. all seven sides of storage so that it is not forgotten. this is for the future. but now i can't help but agree with you. i am vladimirovich in what is needed, now just do not put it off indefinitely , take some steps aimed at in order to support the medics, and in this regard, i instructed the government to prepare an appropriate proposal. here i would like to inform you that we have agreed. i supported these proposals

from the government. e, s. uh, so you need to start, of course, with primary health care. here is from january next year. i asked the government to start additional payments to doctors working in this primary health care system emergency medical care additional experience from four and a half to 18.5 thousand rubles, well, depending, of course, on, uh, what a medical worker does, what is their position there? what functions does it perform? i asked the organizers to carry out the work in such a way that these payments would start accruing directly from january 1 of the next year. well, if it takes some time to make bureaucratic decisions, then,

probably, from january 1, they will not have time to do it. today we are almost in the middle of december, but uh, all the same, in the first quarter, we need to close all technical issues, and accrue these additional payments retroactively from january 1, 2023. please director of the international information agency of russia today, uh, cyrillic, once experienced, and what is human rights in ukrainian, vladimir vladimirovich , remember, he probably spent a year in a ukrainian prison. for your journalistic activities, fortunately, you managed to get him out of there, please. thank you so much. ah, good afternoon, vladimir vladimirovich good afternoon, colleagues. e, vladimir vladimirovich, you spoke about the

activities of international human rights organizations. eh, i generally agree with her. i can only add specific examples of how these people are. uh, these structures did not notice everything that was happening in ukraine, not only this year. well, throughout. well, at least i've been communicating with them since the nineteenth year. and i just have a lot of examples, i don’t want to just take time, but take my word for it, perhaps the only organization that has just begun to pay attention to ukraine and somehow react. this is uh the institutions connected here, as people would say, are very small. they do this by reacting, including, first of all, to horrendous war crimes that can no longer be overlooked. this is, perhaps, the only structure that somehow reacts to this, but i want to talk about something else, but about the fact that we clashed this year. with what was, in principle, always. well, maybe it never was. uh, a striking phenomenon, or at least, so to speak, was not frankly demonstrated. we faced, not even with

wave with such a ninth wave of russophobia, primarily in europe, not so long ago i met with colleagues, uh, who uh, well, by virtue of his life position, coordinates actively engaged in the development of the immortal movement, including in the territory of uh, european countries and more was said not about how to organize this procession by may 9, about what our compatriots abroad are facing today, so, for example, i just have a quote from a letter on the official letterhead, from the mayor’s office of the polish city of bialystok, which, since spring this year throw out uh our association. uh, for example, an organization of our compatriots, uh, a publication in which, in accordance with the search for the constitution, they have the right to create their own platform for , uh, support for compatriots living in poland , so, uh, the city administration writes that they are expelling these people publications only because they are

russian, but the city of bialystok strongly objects to any activity that propagandizes the state. here the second very important thing is the people who are the aggressor. that's it. eh, here the wording itself, the people being the aggressor. what is it like? it seems to me that it fits so poorly in my head, but nevertheless. these people allow themselves such things. uh, t- in general, the masses of the history of history related to children in the first place, which are here in sweden, uh, in one of the districts of stockholm, uh. how such an active propaganda information campaign began is apparently connected with sweden's accession with the possibility of sweden joining nato. sorry, that means, uh, such was a massive information campaign about that russia threatens and in the classroom the teacher began to tell how to behave in the event of a russian threat while reading one of the girls from russian. on the family she actually left the class in tears, because she was hounded by her classmates, she came home to her mother in tears and said that we are russians. are we the aggressor and are we

the whole people? yes, in general, i repeat the history of such a mass and this suggests a simple thought. here, uh, russophobia. like, uh, the way we see it in europe today. it's essentially become a political technology. fight against russia and in general, so to speak, well, some kind of social mobilization of europeans. and you know, this is very serious and strongly reminiscent of, uh, the technologies that nazi germany used anti-semitism, which was also called upon at one time. here, uh, somehow rally. uh, the germans of hitler's germany you know about this. it 's not my assessment, it's like such a popular place. e even appeared such a black humor anecdote about how two old men in jerusalem flipping through newspapers. e european today's looks and they say. we are all no longer needed. now the russians are to blame for everything. and this, unfortunately, you know , such, as it were, unpleasant humor, but nevertheless a very sober assessment of what is happening, but by and

large. i would even return e not only to anti-semitism, i would also remember the genocide of the soviet people, to whom we have recently begun to speak. we have court decisions in this regard. and today's rasophobia russophobia. yes, maybe it's a different phase. uh, in the beginning, but what, in fact, uh, what is the big fundamental difference between the two these phenomena, because in due time. uh, the nazis, when they actually practiced the genocide of soviet territory here, they started with centuries of communists who were accused in all places, and then they stole and killed just soviet people , you know, they went beyond, uh, the framework of some political and class assessments. it's just that the entire soviet people was subjected to genocide, so it seems to me that the time has passed only for political ones. assessments related to russophobia, it seems to me that, well, i have been talking about this for more than a year. it seems to me, that it is time to give some kind of legal assessment. you know

i, uh, prepared for this. well, i'm not a lawyer, although you know, as they joke in prison, everyone who has been in prison is already a little familiar with the code, and this means some kind of legal wording. therefore, i believe that it would be worthwhile to introduce either an addition to a certain article into the criminal code of the russian federation, or to qualify an article on russophobia in general. this phenomenon of the legal field determine the world of responsibility. e seems to be e looks a little naive. yes but who frightened, so to speak, there in paris or berlin of our court and our estimates, but, nevertheless , exist. uh, a huge number of interstate legal aid agreements, and you know, there have already been several cases when, after nasheeds passed, uh, a decision was made against citizens. the european union, for example, had a famous case in the vilnius case, when several of our former servicemen were sentenced to serious terms of imprisonment for participating

in the execution of an order in the ninety-first year during the vilnius events. and that's when the investigative committee here gave the appropriate qualifications for the month e and the judges who made a knowingly unjust decision were declared an international wanted list, these judges very quickly paid and requested diplomatic passports for e, of the lithuanian type, knowing perfectly well what e can say will end here an announcement in international wanted. it seems to me that this is, well, a demonstration of the fact that we are not completely powerless in the legal field if we make efforts. it seems to me that these efforts make sense eh? i suggest here i will gladly pass the specific wording to the administration so that it can, so to speak, become the basis for the work of a lawyer, because i repeat once again, i am a lawyer, but i would ask you to give him an instruction from you, uh, to the legal department and since you have a

legislative initiative to submit, perhaps to the state duma, and something else. what i would like to say, you know, over the past few years, we have faced a huge number of criminal cases that are initiated in ukraine against our citizens, and for their, uh, journalistic public legal position, uh, and in ukraine, it's just the number of these cases. well, as if just well, like a snowball. well, at least i get the impression that and this is in fact, because the violation of the rights of our citizens puts pressure on them. yes. e, it seems to me that we did not give a proper legal assessment of this practice in ukraine, and although it would seem that now is not the time, but nevertheless. it seems to me that a legal assessment is never superfluous. uh, because it is always a fact of legal reality. and we actually want, of course,

to live within the framework of the law and understand that this, as it were , corresponds, including international law. therefore, i would like to ask you to give instructions to the investigative committee to somehow analyze this practice of ukrainian law enforcement agencies and also give an appropriate legal assessment to the extent of their competence. thank you very much ugh. uh, if i may , i'll use your speech to re-emphasize. uh, that's what because the war had begun. you know this much better than anyone, the other e is not us, but in 2014 after the coup d'état. in ukraine, it was started by, uh, the ukrainian authorities then came, uh, into the corridor of this power with the help of this very coup d'état to suppress the

will of the phenomenon of people who lived at the moment and then when, in the same fourteenth year, three foreign ministers more than uh , germany and france came to kiev and signed the documents. uh, conciliation document between uh, between action and then in ukraine, the authorities and the opposition signed it as guarantors of a peaceful development of events, because when it was committed, it was time after that. the guarantors forgot that they are the guarantor and should have done what to return everything to the legal field and call everyone to carry it out. uh, general elections and a peaceful solution to this internal political crisis. no, after all, nothing of this was done, everything seemed to have been forgotten about this document. now when i remind my colleagues, including on the phones of conversations about

everyone is silent, there is nothing to answer. after that , hostilities began in the donbass with the use of heavy equipment and heavy weapons aviation. that's when we could have arisen, including in some european countries in north america, uh, the mood is not russophobic, but uh, other fop moods regarding those who used force against civilians of the civilian population nothing of the kind happened nothing similar, but on the contrary, happened that all these years. uh, the interests are the legitimate interests of the people who there lived and the laws of russia's interests in protecting these people were ignored on all our demands in response, we received only spitting in the face. this is a hidden form of russophobia. she has always been. unfortunately, in some uh, some circles in the

west there or our neighbors. yes, i mean, the nationalist circles of the same ukraine. she has always been present in your programs. you are very clear about this. i have e time sometimes happens by accident or what? but sometimes i see your programs, they are very convincing and profound. behind i want to say a special thank you to you, but uh, in fact, uh, this is what our interests are, the interests of the people who live in these territories. that's what it is. ah, russophobia. it’s just that now they turned everything upside down, they don’t say that they didn’t fulfill their obligations, as the guarantors of the agreement between the government and the opposition in ukraine in 2014, they don’t say that they trampled on these agreements, they don’t say that the ukrainian authorities who came to this power with the help of power coup started fighting do not talk about the killing of civilians. and they don’t

say anything in the donbass, they just started this whole story from the moment about the special military operation, and it arose only because they didn’t leave us any more chances to resolve this situation, peace on the way and continue further this state in which everything was just absolutely impossible, but uh. well, it was used as an excuse to stir up these very anti-russian anti-russian sentiments. nothing amazing here vision. uh, the history of russia has often encountered, uh, with plots of this kind, with regard to, uh, the authorities of some of our neighboring countries of poland, well, you know this too, as a former resident of ukraine well, there nationalist elements with a heel see their so-called historical territories i.e. pick up. uh, the western territories that ukraine received as a result of stalin's decision and everything after

the second world war. uh, from poland, as you know, they took these territories and gave them to soviet ukraine. well , of course, the nationalist element in poland with the fifth sees the return of these territories. e to poland and they will strive for this. whatever and whoever says it. we see this even from their literature, from their reasoning from speeches. eh, this is what they will eventually lead to in this. i have some doubts. i have already said and want to repeat the only real guarantor of the territorial integrity and sovereignty of ukraine within its current borders. it could be russia that helped ukraine take these territories sometime after the second world war. received stalin's decision of course, that's it, but that's the point. uh, the ukrainian politicians themselves, uh, not the future, of course, current politics, in my opinion, little is understood about this and they don’t think about it. although some. it seems to us that this is already beginning to be thought about.

uh, means any uh, any more active participation of their western. uh, with uh an ally today and a neighbor in ukrainian affairs. ultimately, it will be aimed at tearing away the ukrainian territories of the western part of ukraine e. it would be nice if they thought about it, uh, and understood about it that happens, but god bless them is their repeat to do, so uh about your proposal. i agree with this. let's work it out and thank you for putting it this way. but separate elements are elements of this russophobia, including the impact on children and so on. well, what's surprising here, if we know that in some western countries. uh, an animal in a zoo in front of children is killed butchered and so on. this is completely inconsistent with ours.