Paul Goble
Staunton,
December 23 – To support Vladimir Putin’s claims about progress on extending
life expectancy among Russians, health officials in his country have been
falsifying the cause of death in so many cases that now even senior officials
like Deputy Prime Minister Tatyana Golikova have been forced to acknowledge the
distortions.
She,
of course, blames doctors and hospitals for “incorrectly coding” the cause of
deaths; but in fact, the problem is systemic – and the figures were changed on
orders from the top down so that Putin’s claims about cutting deaths from
certain causes might appear to be true (zen.yandex.ru/media/burckina_new/tatiana-golikova-obnarujila-mahinacii-so-smertnostiu
and
In order to push down deaths from
cardio-vascular disease and cancer, Russian health care officials have been
reporting that people in that country are dying not from those disease but from
“old age” and “’other causes,’” since at least 2008, categories that officials
now concede hide the real causes -- cardio-vascular diseases and cancer.
The changes as a result of falsification
have been large, experts say. In 2008, for example, 57 percent of deaths were
blamed on cardio-vascular disease; but in 2017, only 47 percent – figures that appear
to back up Putin’s May 2012 program but that in fact are the result of
manipulation.
Larisa Popovich, head of the Institute
of the Economics of Health Care at the Higher School of Economics, says that there
is clear evidence that the figures are being falsified by officials in order to
try to provide evidence that Putin’s initiatives are working and to bring the
percentages of cause of death in all regions closer to “planned” levels.
“In a significant number of oblasts
where death rates from cancer were lower than the average figures the health
ministry had planned, they began to be raised; but where they were above those
figures, they began to be lowered,” she says. This is a clear indication of “very
active manipulation” of health figures by the authorities.
Popovich adds that it will be hard
to root this out because those responsible for the figures are subordinate to
those who report them to the president and because health care officials in
some areas ship patients about to die to others in the name of curing them but
in fact in order to improve their own statistics.
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