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The obligatory insurance can guarantee worthy payment of doctors only
Конверты: to be or not быть
- The government and society as a whole should realise, that if we will not put up money in medicine, it does not become effective. At least ten years ago our legislators should enter the obligatory insurance and to search for possibilities of the help to the needy.
In the world for a long time there was the system of health service arranging both doctors, and patients in which local features and traditions are considered, level of economy and a population state of health. In all countries work of doctors – one of the most highly paid. After all well-being of the doctor – pledge of physical and moral health of the nation and, as consequence, country prosperity.
At us the problem of the salary of physicians is actually shifted on their shoulders. From here both envelopes, and complaints of patients, and many other things defects of our medicine.
- It not seems to you, what the tradition is not enough to pay to physicians, envelopes and other ways of thanks to doctors go from the Soviet past when the doctor received 120 roubles a month?
- In Latvia doctors thanked always. Medical practice was private, therefore in подношениях to doctors there was nothing immoral. The Soviet medicine formally was free, envelopes to doctors were considered as the illegal. In astable 90 envelopes have helped many doctors to remain with branch, not to leave in trading business. Many on this money had an opportunity to train in West clinics, to raise qualification, to study.
Now medical services patients in the form of the insurance pay plus a payment for visit to the doctor. So the medicine at us though also state, but paid, and, so, the envelopes, which contents is not subject to the account and taxes, are illegal.
Though the sums of payments official медуслуг scanty, all of them equally aloud cost a pretty penny pensioners and low-paid people. It any more to thanks to doctors.
Горькая благодарность
- Half-troubles, if gratitude voluntary: my private affair, I want and I will present to the doctor a new refrigerator. An another matter when the surgeon names the sum for operation. And in hospital there are still sisters and nurses who too wait the share. And, quite naturally, to the one who pays, and sister will approach is more often, and the nurse will take out once again a pot. With it what to do?
- For it it is necessary to punish. In Ministry of Health the commission from representatives of different public organisations, including the Ministries of Finance which discusses the future laws on punishments for any bribes now works. In particular, it is offered to fine for the first illegal payment of the doctor on 200 латов, for the second – on 400.
- Well, penalties of bribes you will not exclude. After all envelopes are opposite to the majority of doctors. And this procedure awfully looks: all it is awkward, both the doctor, and the patient mutter nonsense, the gratitude turns to a real flour. Whether to increase the salary to physicians is easier?
- Certainly, it would be an ideal variant. The salary to all medical staff is necessary for raising, and it is considerable. I had a schoolgirl, which has left in the USA and, before to receive the certificate of the doctor, worked as the nurse. While the husband searched for work, three of them quite tolerably lived only for its salary.
Не it is necessary to be afraid obligatory страховки
- What should be approximately the salary of our doctors?
- 800-1000 латов, depending on a kind of work and qualification. The most demanded and skilled surgeons can apply on 1000 and more. They sometimes make miracles.
- The government explains impossibility to improve position of physicians by absence of money…
- That they were, the obligatory insurance is necessary for us. Unfortunately, support this idea far not all. People disturbs, that it will pour out in the next tax, and doctors will wait all the same for thanks.
- Let’s admit, the medical tax will enter also the salary to physicians will raise. You are assured, what thanks will disappear?
- Certainly, the risk remains. But the obligatory insurance will lower probability of bribes, especially after introduction of the law on punishments for them. However, if salary increase compensates only inflation, to count on its efficiency it is not necessary.
We have a magnificent experience: polyclinic АРС. Here comes to to nobody mind to put to the doctor envelopes, and to doctors – to expect them. The check paid for visit or the insurance – a guarantee of high-grade service.
Last year in Latvia 55 percent of inhabitants were tax bearers. Children and pensioners (514 thousand) taxes do not pay. The pension develops of already paid taxes from former salaries. If it of less living wage, the obligatory insurance can pay the state and self-management. Those pensioners that continue to work, can pay the insurance.
The most part of the population of Latvia is enough works abroad here again taxes does not pay, but they are treated at us during holiday or even specially come. It to pay off with envelopes more cheaply. But if and for them the insurance becomes obligatory, hardly they will want to pay twice.
The problem has ripened for a long time, some parties suggested to enter idea of the medical insurance in 2001, then – into 2003. But both times there was no political will. And then, and now someone tries to present it as business of doctors. And after all this business of all society.
В тему
Тайваньское чудо
- This year group of the Baltic physicians including I, have visited on Taiwan, whose achievements in the field of medicine are phenomenal. In the country in the sizes of less Latvia there lives 23 million person. Forty years ago their medicine was at the worst level, than ours: the population was mown by a malaria and a leprosy. And now they liquidated a malaria, level of disease by a tuberculosis constantly decreases, on is not present leprosy flashes are shown.
And now Taiwan – the leader in a medical science and creation of new medical technologies. The Taiwan doctors carry out the round-the-clock control over an epidemiological situation in the world, provide safety from infectious illnesses not only at home, but also in all region.
In the country general health services and the obligatory insurance since 1995. In the course of its introduction three Ministers of Health have lost work. Here, as well as in each country, there is a level of population, incapable to pay the insurance.
Health service by it pays the state, philanthropists and employers, therefore at each person on Taiwan are the medical insurance. Its size depends on the salary, the worker pays 30 percent, 60 percent pay the employer, 10 – the state.
The state pays for pensioners basically, but monthly they bring 20 dollars. Treatment of children the free. The insurance on Taiwan the unemployed and do not pay what salary below a living wage. The state pays not only treatment, but also preventive programs of strengthening of health.