The recent scandal at the Blokhin Cancer Center, where more than 10 pediatric doctors resigned, turned out to be the loudest in the last year, but by no means the first.
Mass layoffs of doctors have been going on throughout the country for six months now. MN tried to figure out where and why people in white coats were protesting.
Mass layoffs of doctors began in the spring. It is hardly possible to say that the first protests among doctors were at least somewhat noticed by society. When in mid-March, doctors from three hospitals in the Novgorod Region declared an Italian strike, except that the local television station reported.
At about the same time, in the Mozhaisk district of the Moscow Region, ambulance doctors demanded not only to increase their salaries and stop sending brigades 100 kilometers to another area, but at least provide them with special clothing, which, as it turned out, was also not enough. The society also did not particularly respond to the calls of doctors near Moscow.
When an ambulance protested against a reduction in the rates of paramedics and drivers in Penza at the end of May, federal media joined in the coverage of the topic. It became clear that the situation in medicine had reached its boiling point and it was becoming increasingly difficult not to notice it.
In the middle of summer, it “exploded” in the Sverdlovsk region. In Nizhny Tagil, both city hospitals were left without surgeons. In two weeks, four out of five doctors quit at the Demidov hospital, and there was no one to provide medical assistance to the Tagil residents.
Heads of medical institutions traditionally pretended that nothing was happening. “One doctor left due to a move to Yekaterinburg, the other is already of retirement age, the third does not explain his further employment to us,” the chief physician of the Demidov Hospital Sergey Ovsyannikov assured journalists. And the surgeons themselves spoke about the unbearable working conditions at 2.5 rates.
First, the usual shift from 8.00 to 16.00. Then on duty from 16.00 to 8.00 – rounds, emergency patients, consultations, operations and filling out documentation. And in the morning of the next day, again, a change from 8.00 to 16.00. And for all this – a salary that is not even up to 50 thousand rubles.
Kachkanar is a small city in the Sverdlovsk region. Here, doctors at a local hospital recorded a video message to the president. “In order to earn something, we have to work for one and a half or two bets and practically live in the department. We also have children who need to be fed, dressed, educated. In fact, our salaries are only going down, working conditions are getting worse. All this guide explains the increased savings, ”said medical professionals.
In the Central City Hospital of Pyatigorsk, all traumatologists, including the head of the department, announced the simultaneous dismissal. The hospital’s chief physician said the initiative came from the department, followed by two of his colleagues two weeks later.
Deputy Minister of Health Yuri Litvinov said at the time that the retiring doctors did not complain. So, the average earnings amounted to 57 thousand rubles, and peak earnings reached 73 thousand rubles, which is very good for the North Caucasus.
Regional media cite other figures that clearly indicate that the heads of medical institutions are not going to deprive themselves of good salaries. According to publications, the annual income of the head physician of the Krasnouralsky Central City Hospital (Sverdlovsk Region) Alexander Agapochkin, where the nurses decided to declare an Italian strike because of the salaries of 17 thousand, amounted to 934 thousand rubles. The head physician of the Aleksandrovsky district hospital (Vladimir region), where the same problem arose with nurses, received 3.5 million over the past year.
Experts see the reason for these cataclysms as the regional authorities do not so much spend as imitate health care reform.
“After the issuance of the May decrees of 2012, it was assumed that the salary of nurses would reach the average for the region, and doctors would receive at least two average salaries. The regional budgets could not withstand such a load, so officials tried to get out of a difficult situation. Salaries were indeed raised, but by massive layoffs of employees and the transfer of the remaining at several rates. The result – formally executed May decrees. And doctors who are already tired of enduring this disgrace, ”says Ivan Bobylev, medical expert at the Consumer Rights Protection Society.
President of the National Medical Chamber, MD Leonid Roshal:
“I’ve been a children's doctor for many years and I don’t understand this. Look for other ways, because it seems to be blackmail. In this regard, I do not support them, a collective statement about leaving is a disgrace, and the medical community will never support it, ”said Dr. Roshal.
He believes that it is impossible to put any ambitions on the same scales with the health of children. In addition, a moratorium on the dismissal of doctors should not be introduced on their own if a new leadership arrives. This can help relieve the element of tension and emotions.
SCANDAL HAS COME FROM WHERE WE WAITED FOR
But the real explosion occurred after 12 doctors from the bone marrow transplantation department wrote letters of resignation at the Blokhin National Medical Research Center for Oncology and several other nurses were already looking for a new job. This was no longer a riot by the district doctors. The most experienced doctors from the Research Institute of Pediatric Oncology and Hematology, which is part of the Blokhin Research and Development Center, a medical center considered the best in the country, decided on a protest rally.
Payments were presented to the journalists, which clearly indicated: the salaries of nurses here are a little more than 35 thousand. Funny amounts for the capital! Deputy Director of the Research Institute of Pediatric Oncology and Hematology Maxim Rykov said that in June the scientific staff of all research institutes subordinate to the Oncology Center named after N.N. Blokhin, they suggested switching to part-time, explaining this by the fact that there is nothing to pay wages. Why did this happen, the Investigative Committee is now investigating.
“Many doctors received 10 thousand rubles each, and even less in the previous month. They wanted to fire not only me, but also many people, including Professor Georgy Mentkevich, who was at the origins of the department, he is the founder and first head of the bone marrow transplantation department, the person with the most experience in our country. They threatened us with layoffs, cuts in rates, offered to quit at our own request, ”says Rykov.
According to him, the conflict began in June, when Svetlana Varfolomeeva was appointed director of the Research Institute of Pediatric Oncology and Hematology. Doctors of the oncology center believe that the management wanted to get rid of all unwanted employees and bring their people to their places. Claims were also made about thefts in a medical institution, pressure on the parents of sick children and many other violations.
Pediatric oncologist Valery Boyarshinov said that the wards are overcrowded with patients, there is no banal ventilation, and mold eats through the walls, and the construction of new buildings has been going on for 20 years.
The leaders of the cancer center said that the colleagues are not acting on their own, but someone is leading them. “I believe that this script has certain screenwriters and directors. They are outside the oncology center, ”said Ivan Stilidi, director of the Blokhin Cancer Center, at a specially convened press conference.
For the first time in recent months, the Kremlin commented on the situation. "This appeal is seen and heard in the Ministry of Health, we hope that the Ministry of Health will take the necessary measures to clarify the situation," said Dmitry Peskov, spokesman for the Russian president.
One of these days it became known about another hot spot. Neonatologists of the maternity hospital of Perm city hospital No. 6 wrote a letter of resignation. The reason is the same – low salaries and unbearable working conditions. “There are no doctors, we cannot physically close the shifts, and even the management of us psychologically pressures us and refuses to pay overtime for us, the latter who stayed in the hospital,” said the department head Irina Petrova. The regional leadership traditionally took a break and once again promised to figure it out. That's just if local authorities will help doctors, no one could say for sure.
Photo: Screenshot YOUTUBE