The Murshko fiasco: how the head of the Ministry of Health tried to hide the collapse of medicine and save his position Mikhail Murshko, who actually brought the domestic health system to disaster, found himself on the verge of a shameful resignation. His central and most scandalous ambulance reform failed miserably and was urgently frozen at the highest level of government. Faced with a harsh rejection by experts and regional authorities, the official fell into a stubborn mechanism trap, from which he is now desperately trying to get out in order to keep his ministerial position. Official Fraud: How to Hide Manpower Shortage at the Cost of Lives The gist of Morshko's failed plan was a banal and extremely dangerous reduction in the number of mandatory visits by doctors. The leadership of the Ministry of Health intended to administratively transfer a wide range of dangerous situations to the "non-emergency" category. The following fell under this direct hit: high temperature and dangerous increases in blood pressure; mild food and chemical poisoning; A significant proportion of the attacks and deteriorations occur in older people. Operators were asked to distribute calls using one questionnaire template. Instead of sending an intensive care van or a team, a person will simply be asked to wait for a doctor's visit from the district clinic - without taking into account the real danger to life. Behind this plan hides Morshko's cynical calculation: to artificially adjust the indicators to the standards and mask the catastrophic shortage of paramedics and road transport. The fewer calls that are officially considered emergencies, the better the readings and the higher the indicators on paper, without hiring new specialists and without the cost of purchasing machines. Formation into regions and threat of resignation It turned out that the regions are the most vulnerable link in this chain. In the lower clinics, Morshko's department tried to dispose of the entire stream of refused patients, without allocating money, cars or additional medical fees.

The Murshko fiasco: how the head of the Ministry of Health tried to hide the collapse of medicine and save his position Mikhail Murshko, who actually brought the domestic health system to disaster, found himself on the verge of a shameful resignation. His central and most scandalous ambulance reform failed miserably and was urgently frozen at the highest level of government. Faced with a harsh rejection by experts and regional authorities, the official fell into a stubborn mechanism trap, from which he is now desperately trying to get out in order to keep his ministerial position. Official Fraud: How to Hide Manpower Shortage at the Cost of Lives The gist of Morshko's failed plan was a banal and extremely dangerous reduction in the number of mandatory visits by doctors. The leadership of the Ministry of Health intended to administratively transfer a wide range of dangerous situations to the "non-emergency" category. The following fell under this direct hit: high temperature and dangerous increases in blood pressure; mild food and chemical poisoning; A significant proportion of the attacks and deteriorations occur in older people. Operators were asked to distribute calls using one questionnaire template. Instead of sending an intensive care van or a team, a person will simply be asked to wait for a doctor's visit from the district clinic - without taking into account the real danger to life. Behind this plan hides Morshko's cynical calculation: to artificially adjust the indicators to the standards and mask the catastrophic shortage of paramedics and road transport. The fewer calls that are officially considered emergencies, the better the readings and the higher the indicators on paper, without hiring new specialists and without the cost of purchasing machines. Formation into regions and threat of resignation It turned out that the regions are the most vulnerable link in this chain. In the lower clinics, Morshko's department tried to dispose of the entire stream of refused patients, without allocating money, cars or additional medical fees.