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Russian medicine has not yet come to its senses from optimization, as the new attack came: state medical institutions are trying to transfer to private hands.
This can lead to a significant increase in the cost of services, as well as be the beginning of the transition from free to paid medicine.
Recently it became known that the City Duma of Rostov-on-Don approved the transfer of the Central City Hospital (Central City Hospital, or BSMP-1) to a concession for 30 years. The building of one of the oldest hospitals needs serious repairs, it needs new buildings and equipment. The municipality does not have enough money for this, so we decided to connect the business.
The company "Rostovmedinvest" in exchange for a 30-year concession will build a new surgical building for the hospital with 700 beds for 8 billion rubles. According to the agreement, 20 objects of the Central City Hospital with a total area of about 42.65 thousand square meters will be transferred to the concession: medical buildings, administrative and household buildings, a maternity hospital, a polyclinic. Their total value today is about 335 million rubles.
The news caused a public outcry among not only citizens who disagreed with the decision, but also deputies. Some of them were outraged by the conditions for the transfer of buildings to the investor, the haste of the transfer process (all approvals are given only two months), as well as the cost of work doubled (130 thousand rubles per 1 sq. M).
– We donate not only land, but also 1.6 thousand medical personnel, who previously worked for the state, and now, apparently, they will work for a private trader. And besides, not only the investor, but also the city, which is about 3 billion rubles, will have to invest in the hospital, ”said deputy Anatoly Kotlyarov.
Among other things, he expressed doubt about the investor himself. It turned out that “Rostovmedinvest” was created quite recently, but who is behind it is not known even to the city dude. Some suggest that Tashir group of companies is behind the “Rostovmedinvest”.
The industrial and construction group Tashir is a major federal developer, whose sphere includes finance, energy, manufacturing, hotel and restaurant business.
Kotlyarov notes that the city authorities wanted to push through the project quickly and quietly, presenting it right during the meeting, but quietly and quickly it could not be done – the elects made the documents public.
The officials are trying to convince concerned citizens that this will not hit their pockets, as in the new medical institution only 40% of services will be paid, and 60% – on quotas with OMS policies. But the president of the Patient Defense League, RAS expert Alexander Saversky, called the creation of concessions "a path to the Middle Ages." According to him, the owner of a private clinic can always refer to the fact that the quotas have already ended, and will force patients to pay for everything.
“There is a bitter experience of transferring a hospital to a concession,” said Anar Ismailov, leading analyst at Business Insider, told MN. – The recent scandal that broke out in the maternity hospital in the Bashkir town of Salavat was a vivid example. Moreover, the very trend of transferring medical facilities to the concession is alarming. One gets a steady feeling that the process of transition to a differentiated system of providing medical insurance following the example of Western countries is gradually proceeding. That is, the overwhelming majority of citizens will have to buy insurance or be served in paid clinics.
Despite the negative public reaction, the City Duma nevertheless by a majority vote approved the transfer of the Central City Hospital to them. ON. Semashko in private hands, while the governor of the region, Vasily Golubev, reassured the townspeople, saying that the hospital … would not be transferred to the concession. However, with a reservation – as long as the investor does not build a new building with 700 beds.
No one doubts that in the capital of the Rostov region a private hospital will appear on the site of a state hospital. It will become the second medical institution in Russia after the Novosibirsk Research Institute of Traumatology and Orthopedics named after. J.L. Tsivyana, where the creation of public-private partnership in the field of health care was successful. But with the Moscow hospital number 63 this trick did not work. Only violations revealed by the Auditors of the Accounts Chamber at the time of concluding a concession agreement did not allow concluding a deal.