Paul
Goble
Staunton, November 6 – “The growth
of mortality among Russians in the first nine months of 2015 is “directly
connected” with the reductions in access to medical care arising from Vladimir
Putin’s euphemistically labelled “optimization” of that sector, according to the
Zdorovye Foundation, which independently monitors health care in Russia.
During
the first three quarters of this year, Rosstat reported that the mortality rate
among Russians had risen by 0.8 percent, from 13.1 deaths per 1000 in the same
period in 2014 to 13.2 per thousand now, the product of larger increases in
infectious diseases and problems with internal organs (fondzdorovie.ru/news/detail_main.php?ID=1827).
Those
increases and the increased mortality they resulted in, the Foundation says,
are “the result of the poorly thought out optimization of health care” which is
being implemented without consideration of its consequences and particularly
about the ways in which shutting hospitals and clinics deprives many in the
population of access to health care.
As
this “optimization” program has been carried out, the experts say, people have
had to wait much longer to get appointments with doctors and specialists,
necessary medical tests, and hospitalization.
Not only has that meant that illnesses are not treated in a timely
fashion but also that once they are hospitalized, they are more likely to
transmit their diseases to others, increasing lethality there.
The
foundation’s experts are especially concerned by Rosstat’s report about
increases in mortality among those Russians diagnosed with cancer. According to the health ministry’s chief
oncologist, some 500,000 Russians are diagnosed with cancer each year, and “more
than 300,000 of them die from it.”
The
reason that the death rates are so high, the Zdorovye experts suggest, is that “more
than 60 percent of the cancers are diagnosed only when they reach the third or
fourth stage, times when there are fewer successful treatment strategies
available. And cancer victims are diagnosed so late, they say, at least in part
to the optimization program as well.
“The
growth in mortality from cancer has sparked large doubts among experts about
the quality of the delivery of health care” under optimization,” the Foundation
says. And it is also disturbing that the
effectiveness of mobile health brigades which were to replace fixed clinics is “extremely
low,” leaving an increasing number of Russians without access to health care.
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