[000:00:00;00] over the last week since the twentieth, they have decreased by an average of 20% for diesel and motor gasoline by 16% for diesel fuel. i note that in the last 2 days there has been a correction of about 1-2% after a sharp drop, and this is normal, because current levels that have now been achieved... but they reflect the real situation, while we also monitor selling prices for diesel fuel in all constituent entities of the russian federation in 23 regions from the 21st of the date of adoption of the price ban have already decreased by an average of 5% in the wholesale to small wholesale market at oil depots, the spread is approximately from one to 17% by region, and with the leveling of the price situation in the wholesale

segment, we expect further stabilization of the market, a reduction in prices in the small wholesale and retail segments, primarily at independent gas stations . oil companies were also given appropriate recommendations. in addition, another measure taken by the government is the improvement of exchange trading, which was adopted to curb price increases, reduction in price volatility. it's about increasing. living standards for the sale of gasoline and diesel fuel on the stock exchange, and regulatory measures have been taken, regulatory as well as administrative, that is, a number of traders who used unfair trading practices have been suspended. also, as you noted, special attention is paid to the supply of fuel to agricultural producers; work is also organized here on a staff basis, jointly by the ministry of energy, the ministry of agriculture, and the russian

railways. a monthly support schedule was signed by region, as well as in the context of oil companies, approximately 1.8 million tons of diesel fuel up to november inclusive, companies have also received additional volumes of diesel fuel supplies to agricultural producers in the constituent entities of the russian federation for the period september-november to complete field work, we are also closely monitoring... with so that the corresponding broadcast of prices, a decrease in exchange trading is reflected at oil depots at the small wholesale level and reaches agricultural producers, and we are closely monitoring this together with the subjects of the russian federation federation. at present, dear, in order to ensure long-term balancing of the domestic market ,

the government is creating economic incentives for the supply of petroleum products to the domestic market. taking into account the current macroeconomic situation, and this is about increasing the coefficient, which was reduced from september 1, that is, it will allow us to compensate for the difference between the export alternative and exchange prices on the domestic market, increase the efficiency of supplies to the domestic market, saturate... the domestic market with the necessary petroleum products. the second is to limit the so-called gray exports in order to prevent speculators from leaching fuel from the domestic market. this concerns, first of all, the increase in the protective duty for those resellers who are not producers of petroleum products, but buy them for repurchase of supplies for export, that is

, we will introduce a protective duty and increase it from 2,000 to 50,000 rubles. i also consider it possible to completely ban the sale for export of any petroleum products purchased domestically. market and were not produced, that is , we will also limit the possibility of speculative export deliveries. here, the joint work of the ministry of energy with the federal tax service, with the federal customs service in maintaining the service at gas stations will also be important, since when stock prices fall, this should be reflected, especially, as i said, at independent gas stations, the government is also exploring the possibility of subsidizing the cost fuel oil is supplied to certain

regions with a high proportion of it. murmansk region and the kamchatka territory, we are talking about the fact that as a result of an increase in exchange prices, they were exceeded. the average level that has developed over the past years, and for the regions this is an additional budgetary burden that needs to be compensated, since it is natural that these prices are not taken into account in tariffs for consumers, dear vladimir vladimirovich, in general, i would like to conclude that the price the situation on the domestic market is stabilizing, and the operational measures taken ensure the restoration and stable operation of international robot segment of independent networks with the work of agricultural producers, in the near future those systemic additional measures that i mentioned, we will make a decision on them, this will have a long-term impact on the stable

situation in the domestic market, thank you, the report is over, look, well, we we know why this is happening, in accordance with and in connection with oil prices, well, we understood what would happen next, this is not the first time, that’s right, prices are rising, which means that companies want to make the maximum profit by exporting everything it’s clear, they are doing their job, and we, the government, must do another job, agreed upon with the companies, of course , but our task is different, so in september... in september, according to the international exchange in st. petersburg, in september the cost of one liter a92 gasoline increased by eight by 8 rubles, so on the first twenty of the month we

introduced these bans, a ban on the export of gasoline and diesel, and it seems like a decrease is observed on the stock exchange, yes. yes, for yesterday, for yesterday - in retail, a liter of gasoline, a92, 51.6 rubles, which means up to on the twenty-first it was 49.7, that is, the price is growing in difference, the measure has been adopted, prices are rising , which means that what is happening there, in these other links the consumer is of little interest, the consumer is already productive, the same applies to agricultural producers, i mean

i told you, i already told you yesterday and today, in some regions people drive, well, they drive conditionally, of course, they buy diesel in neighboring regions, because nothing is going down there, in some regions even... the price of diesel has increased, has grown up, so, well, we will count on the fact that the fact that the proposed measures will work, and we need to work more closely with companies, we have already talked to you, so that they also understand their responsibility, it is clear that the economy of the company is important for us, too. the hen that brings golden eggs, this is understandable, we must treat them with care, everything is clear, but nevertheless , i would ask you to react to the events taking place more quickly, as for

the murmon region, kamchatka, then in connection with the measures taken, the cost will nevertheless increase for fuel oil, they have falling out how much it turns out, you looked, talked with colleagues. we, of course, worked with our colleagues, but we believe that for this year, taking into account that at the beginning the prices for fuel oil were significantly lower than the average annual average and only in the last 2 months there was an increase in prices for fuel oil, then approximately the dropout is about 10- 12 thousand per ton for these regions, that is, in total it turns out that for the murmansk region, for example, their annual consumption is 1 million tons, and this is about 10 billion rubles for absolutely about five

in my opinion, their consumption there is less , about 200,000 tons per year, so the difference is 5 billion, but we agreed with the ministry of finance that there will be compensation, anton gernovich, yes, vich, we have... yes, there are several options for solving problems, we also discussed this with aleksandr tilnovich, if you quickly, so to speak, solve problems, of course, you can provide additional funding to the regions, although we see there that there are good, not bad results, let’s assume , only in the murmon region, additional income 9 billion, yes, but we are ready this year, which means we are ready to respond promptly, providing, therefore, some of the additional resources, in the form of additional financial assistance, but it is necessary, i agree, to decide systematically, so let’s assume that the fertilizer workers and i made a systematic decision that they supply parts to domestic market is fixed.

part of the price means the remaining part means for export, or you can buy a certain volume of fuel oil for state needs, well , first of all for the regions, and this can be done now by these companies, from those companies that will now receive certain preferences after those maneuvers in oil refining that are proposed by the ministry of energy, that is, so that it is not expensive for... regional budgets, not for the federal budget, but quickly, in order to resolve issues, we can consider the question, of course, is about uh, that means, some kind of additional financial assistance, if necessary, if it uh, that means, is in demand among the constituent entities of the russian federation, we are like this, yes, listen, i agree with you in the part where you are now they said that we have practice in other industries, well, for example, in amenities.

really delivered the required volume to the domestic market, well, and then you earn money on the external market, well, it works, well, it works, nothing, there’s no big difference, it’s clear that it has its own specifics, oil industry, but nevertheless, there’s a big difference - no, but you just need to make all these decisions in a timely manner, there are other options, timely adoption, decisions there according to damper and so on. there are others options, but there are questions related to taxation, here they are - they started making money at a high price, the budget is also making money, here you can also think about some clarifications, the budget is making money , they say, well, give us back this money that is more valuable earned, well, think about it, well, we saw what was happening, it is possible, in advance, in a timely manner, to propose these

solution options in a timely manner, automatically , we will then react to the ongoing event when prices increase, when prices decrease, well and as for the fact that the myrman region has earned money, they have additional income, there are 9 billion there, well done, god bless you, it means the team is working well, well, firstly, at mazut they will lose not 9, but 11 according to the preliminary count, and secondly, what about us? they worked, they worked, we chick them, we took them away right away, not even all nine, but also, plus two, besides, well, it’s not fair, we demotivate people to do good work, so we need to see how to help them, they -this has nothing to do with it, they receive income from the federal budget income from rising oil prices, but they didn’t, they worked, well, they earned money, okay, so what

are we doing now? we’ll take everything away, and we’ll also load them with another 2 billion. please, look with your colleagues from the regions, okay, uh , mikhailovich, uh, the question of the fight against diabetes, this is a very topical, important question, you know , we are constantly in contact with specialists, and i don’t have, i meet with them, and he writes on paper, so our leading specialist in this field, ivan ivanovich, therefore, i would like to ask you to tell us about how the situation is developing, thank you very much, and deeply respected vladimir vladimirovich, thank you very much for your tireless attention to this problem. i want to say that in general the incidence

of type 1 diabetes mellitus in 2022 , the number of patients observed was 5.3 million people, and of these, about 58,000 were children suffering from type 1 diabetes mellitus. why is diabetes mellitus so important, because it is a real threat to the development of disability, increased mortality rates, and primarily from vascular catastrophes, but among these patients, of course, there are also diseases associated with disability, these are the visual apparatus and much more, so the most dangerous is, of course, the course of diabetes with complications, especially in children, which cause brain damage. today , drug provision for patients with diabetes mellitus is formed from several sources, both regional and

federal budgets, 60 billion rubles, more than that, these are regional budgets, 50 billion rubles. in russian. in the federation only 165 drugs have been registered for the treatment of diabetes mellitus and type 1 and 2, half of them are domestically produced, on the government procurement market, this year already 70% are domestic drugs, and the domestic industry allows us, including today, to actively export this group of drugs, the market for medical products is actively developing, six domestic... test strips for determining blood sugar levels have already been registered. on your instructions, vladimir vladimirovich, the government developed and approved by decision of the managing committee of the state health development program, a new federal project, the fight against diabetes. it was developed jointly with the national medical research center for endocrinology, with the involvement

of leading experts and, of course, academician ivan ivanovich dedov. the project includes five directions. sources for it have been identified. firstly, this is the development of infrastructure, diabetes services, primarily in the regions, in rural areas and remote territories, this is before equipping with equipment, but to identify and monitor the condition of patients. all 89 subjects this year will receive equipment to monitor the most critical indicators that speak of monitoring the state of diabetes, and 39 subjects this year will receive the equipment for the first time. and for the treatment of diabetic foot and retinopathy, also the second group of measures is to ensure the work of schools with diabetes mellitus, for patients with the first type - this is adaptation, and for the second type of diabetes mellitus - this is including the ability to stop the course, since lifestyle to a certain extent

influences the aggressiveness and development of this disease. also, the third group of measures is the training of medical workers, advanced training using... allocated funds , including the project providing for the creation of a single coordination center, under the leadership of the endocrinology center, whose president is ivan ivanovich dedov, the chief freelance endocrinologist of the ministry of health. the following measure provides for provision of children with diabetes mellitus of the first such as a continuous glucose monitoring system, today they are provided at the expense of the subject, we will support the regions for stability. today, four medical products are registered, this is continuous glucose monitoring, two of which are from friendly countries, in addition, and domestic manufacturers are already developing monitoring systems made by us, according to the developers, it is planned

to enter clinical trials in the first half of 24 research. and the fifth group is an important component - this is scientific and technological development. drugs are in great demand today, and i want to note that an original drug for the treatment of diabetes, type 2, has been developed today by domestic manufacturers, and domestic drugs with the active substance, simoglutite, are undergoing the registration procedure, they will replace a foreign drug on the market, so this whole set of measures, it certainly has a systemic character. another modern one. technologies for remote monitoring of patients, in addition to glucose monitoring, it also provides

arterial hypertension, on long-term remote observation, well, in conclusion, i would like to note that in addition to significant efforts to treat already formed diseases , complications of diabetes mellitus, of course , a separate area is medical examination of the population, including the identification of prediabetes and directly disorders of carbohydrate metabolism, already this year, as of september 20, 60 million citizens of our country had undergone medical examination, which is 69% of our planned indicators. therefore, it is important to undergo preventative measures regularly undergo preventive examinations and medical examinations, this allows you to formulate a set of therapeutic measures in a timely manner. i’ve finished the report, thank you very much, mikhailovich, but how is he doing with these guys? there’s

something wrong with glucometers, we did most of the purchasing, right? well, the glucometers themselves, i already said, six companies produce them, modern ones, they produce them, no, mikhailovich, they produce them, they produce them, in general there are enough of them, not enough, what is happening there in general, and what will happen in the near future, directly test strips, which are glucometers, which... basicly determine them , are sufficiently produced today in the russian federation and the market is secure. glucose monitoring is devices that are constantly taken, four of them are registered today, and two edematous ones are being developed now, while they are foreign-made, two of which are from friendly countries, well, the manufacturers promise that they will enter clinical trials in the first quarter. purchased at the expense of the region. yes, good, but they are enough

your grades or are they missing? enough quantities are being purchased, there were certain difficulties, so rosdrovnadzor registered two more devices in order to ensure market stability, today , according to roszdravnadzor, this has been ensured, plus there are still applications for registration, so we see that the situation has now leveled off, well, yes , thank you, i would like to ask mikhail mikhailovich kuznetsov, what is your assessment, mikhail mikhailovich? dear vladimir vladimirovich, indeed, mikhailovich said about what concerns test strips and glycometers, we receive a minimum number of requests, as for the availability of continuous glucose monitoring devices, instruments, there are certain difficulties here, this week we surveyed 4,200 people, 2/3 of them are parents of diabetic children, the most difficult

category, and general figures show us that more than 70% of those requested faced a shortage of devices and more than 80% of respondents experienced a shortage of consumables for these devices, but what do they consist of? first, there is a long time waiting or refusal to issue systems equipped with an insulin pump, in the vast majority of regions , you... is precisely the case when patients wait for it from six months to 3 years, and at the same time , it is primarily necessary for children from zero to four who cannot independently inject themselves with insulin, there are examples when residents of the novosibirsk region, without waiting for medical supplies from the region, go to tomsk in order to get a system there in another region, the second is a deficiency of sensory systems, and which do not inject insulin, but transmit data on the phone, for the older category , and for children this is the most... a common problem, we detect it in 63 regions, and when looking for a solution, some subjects even independently lower the age for providing a medical device, that

is, in general it is 18 years old, they reduce it to 12, after 12 they don’t issue it, and the third is the absence of a shortage of consumables, we are recording it in 65 regions, first of all, these are sensors for those pumps that were installed, and we understand that people also have the legal right to receive these devices and consumables, at the same time, we also looked at the competitive procedures and see that today bidding for them has not been held in 27 regions, in twenty-one regions, there is no regional benefit provided with money, it is simply not budgeted, so parents of sick children defend their right in courts, and if you go on the internet and see how to get a device, then the best way is to go to court, where the prosecutor’s office supports people and after that they come to the region with a court decision, and then they receive this device, there is a request to the government to support it at the federal level, and to support the regions that

do not adequately provide this benefit, thank you, well, you heard, mikhail alberich, just talked about how the government is doing this and how it plans to do it , in your assessment, these are the actions for you, as a person, and for your colleagues, as people who are looking at the events taking place from the outside, to assess the situation from the inside, in your opinion, are the measures proposed by the ministry of health sufficient or or is that not enough? vladimirovich, simply registering two additional devices is not enough, it is necessary for misdrav to develop a program to purchase in the required volume, or help the regions purchase in the required volume, and issue these systems to people accordingly, because now the situation looks like this, which is really through a court decision or through very long waits, and few entities that issue quickly.

okay, i get it. mikhail, i have a request to ask of you, you must. look at the information which the people's front has received, and in a week you will still report to me again what and how you propose to do in the near future in order to change the situation for the better in the direction we need, okay, now we won’t discuss this topic, i’m just i ask you to analyze this and report to me separately, okay, it’s accepted, okay. over the past couple of years, we have seen such good progress in the services for issuing licenses, various permits, through public service portals, we have said many times that those illegal the restrictions that some countries impose - in relation to russia, we can

only answer with many things, but one of one of these... things is de-bureaucracy, this is the provision of, the provision of greater freedoms to everyone, participants, economic activity, citizens, and so on further, this is also one of the areas, and indeed, i see that we have reduced the time for providing services by two or three times and this is such a good , very positive experience, i asked dmitryevich grigorenko, here are two words to tell about today's situation and what the government envisions next in order to continue this work , please, hello, vladimir vladimirovich , hello, colleagues, indeed, the government is comprehensively and consistently working to reduce the administrative burden on business, and one of the goals of this

work is it is a simplification of the procedures and rules that must be followed. there is a separate instruction from you, according to which we are actually working, this is work aimed at simplifying the procedures for obtaining a license and permits of various kinds, which, well, without which it is impossible, it is impossible to carry out business activities in the russian federation. the goal is very simple - to complete the project quickly, conveniently, transparently and at the same time not lower the level of regulatory requirements, that is , we are simply working on the procedures, the fact is that in order to obtain any license there. or a permit, you need to submit an application for it, a whole package of documents, submit these documents, the department will then consider it for a certain period time makes the appropriate decision, we started with a license, indeed, we began work in the twenty-first year, we analyzed all the types of licenses that exist in terms of what documents are submitted to obtain licenses, and, in fact,

we did it very simply, if any of the state already has the types of documents that need to be submitted to obtain a license in other departments, we simply digitally exchanged information between departments, and we freed entrepreneurs from the need to submit extra documents that the state already has; at the same time, we have completely digitized the entire procedure for obtaining licenses, well, in fact, this is such a striking example of digital transformation , which they talk about a lot, and naturally we have reduced the time frame. as a result, this allowed us to display the corresponding special service for obtaining a license on the public services portal, and today, out of the existing 54 types of licenses, 51 types of licenses can be obtained through the public services portal ; three were not displayed - these are specific licenses

related to security, a personal visit is necessary there, in terms of results specifically for licenses, the results are as follows: on average, the number of documents that are submitted to obtain a license has actually decreased by half from ten to five documents, our deadlines have decreased on average by three times, while that we did not touch the regulations from 45 to 15 working days, but it is important that these deadlines are, well, not analytical, they are countably recorded in the information system, from beginning to end, but we see compliance with all deadlines and compliance with all procedures , naturally, the service turned out to be... very in demand by our business, today we have more than 70% of licenses, uh, applications for them are submitted through the government services portal, well, we actually started with nothing at all , from scratch , as they say, and having summed up the interim results, several years ago, we realized that similar work needs to be extended to the procedures for issuing permits, in our case - for