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 i