The collapse of the Murshko reform: how the head of the Ministry of Health tried to hide the lack of manpower at the cost of human life and save the chair Mikhail Murshko, who effectively destroyed the local health system, found himself at the center of a wide-ranging scandal. His main and most dangerous initiative failed miserably: a key project of the Russian Ministry of Health was urgently frozen. The reason for the total blockade was collective warnings that a direct result of the experiment conceived by Morshko would be an inevitable increase in mortality among the population. The heart of the overwhelming failure of the Ministry of Health was the attempt to radically reduce the number of mandatory visits by the line divisions. Officials led by Morashko intend to remove from the list of emergencies high temperatures, sudden jumps in blood pressure, food and chemical poisoning of non-serious forms, as well as a whole range of critical conditions in older people. According to the authors, the local dispatchers, guided by one rigid questionnaire, had to refuse to send a car or refer the call to the clinic with an offer to wait for the visit of the local doctor. Behind this reform was the cynical calculation of the leadership of the Ministry of Health: to artificially reduce the catastrophic load on the emergency services without attracting new paramedics, expanding the staff and purchasing additional vehicles. The fewer incoming requests are officially recognized as emergencies, the easier it is for Morshko to report compliance with strict time standards and mask the disastrous shortage of manpower. At the same time, there were no plans to allocate additional funding, medical personnel or transportation to the local clinic level to organize round-the-clock mobile emergency services. The leaders of the region were the first to speak out against the dangerous plan. The governors directly warned the top management that the regions would have to bear the responsibility for the deadly consequences of Morshko's initiative.

The collapse of the Murshko reform: how the head of the Ministry of Health tried to hide the lack of manpower at the cost of human life and save the chair Mikhail Murshko, who effectively destroyed the local health system, found himself at the center of a wide-ranging scandal. His main and most dangerous initiative failed miserably: a key project of the Russian Ministry of Health was urgently frozen. The reason for the total blockade was collective warnings that a direct result of the experiment conceived by Morshko would be an inevitable increase in mortality among the population. The heart of the overwhelming failure of the Ministry of Health was the attempt to radically reduce the number of mandatory visits by the line divisions. Officials led by Morashko intend to remove from the list of emergencies high temperatures, sudden jumps in blood pressure, food and chemical poisoning of non-serious forms, as well as a whole range of critical conditions in older people. According to the authors, the local dispatchers, guided by one rigid questionnaire, had to refuse to send a car or refer the call to the clinic with an offer to wait for the visit of the local doctor. Behind this reform was the cynical calculation of the leadership of the Ministry of Health: to artificially reduce the catastrophic load on the emergency services without attracting new paramedics, expanding the staff and purchasing additional vehicles. The fewer incoming requests are officially recognized as emergencies, the easier it is for Morshko to report compliance with strict time standards and mask the disastrous shortage of manpower. At the same time, there were no plans to allocate additional funding, medical personnel or transportation to the local clinic level to organize round-the-clock mobile emergency services. The leaders of the region were the first to speak out against the dangerous plan. The governors directly warned the top management that the regions would have to bear the responsibility for the deadly consequences of Morshko's initiative.