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Putin’s State of the Nation, Part VII – Healthcare

Healthcare is the Holy Shell Game in America. President Putin is working to make this a reality in his own country, and at far less cost.

Seraphim Hanisch

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Healthcare is a major hot-button issue in the United States, most particularly among the socialist-minded and liberal ideologues in the country. They have often gone on record decrying the United States’ refusal to grant free healthcare as a right to all citizens, and often the best-looking models of socialist western nations, such as Sweden, are brought to represent examples of such systems working.

While the Internet is full of horror stories about Russian healthcare and hospitals, to assess that the whole country is a medical hellhole is simply ridiculous. Many facilities are in fact state of the art inside, even while the edifices of many hospitals could definitely use some remodeling. However, to the mind of many in Russia, what is inside the walls is far more important than the exterior facade. An average hospital in Moscow built in the Soviet times, now has modern equipment, computer networked records that are very efficient, and beautiful churches (yes, churches!) for both patients and visitors to pray and reflect in.

President Putin’s State of the Nation address discussed the matter of healthcare in Russia, and while it is true that there are elements of what we might call “socialized medicine” in the system, this is largely a misnomer. Healthcare is provided at various levels, but it is not free to the public. This is a part of the socialist myth that is promulgated in the West, and as far as a country like Russia is concerned, it is simply not true.

However, it is the truth that healthcare services in the Russian Federation are also nowhere near as expensive as in the USA, and the quality and technology available in many hospitals is remarkably consistent with the best of 21st century standards. Health insurance is very inexpensive, running on the order of perhaps less than US $700 per year per person in some cases, yet Russia is working on special medical complexes where the most advanced experts – doctors, surgeons and the like – in the world may come to work.

As we examine this part of President Putin’s speech, we may find some interesting surprises. The socialists in the US are apparently not aware of the enormous difficulty in revamping a national medical system away from the blend of market and frankly, legal, forces governing the triad of industries involved in American healthcare: the doctors and the medical practitioners themselves, insurance companies, and attorneys.

As long as they refuse to examine this issue honestly, socialists in America will only make an already burdensome and expensive system worse. President Obama did precisely that, while spinning a massive lie about the easing of costs that would come under his plan.

Russia is doing it differently. As we can see from the President’s speech, there are problems, but there are also solutions and progress:

Healthcare

The next important subject is healthcare. I know that, on the one hand, its current state seems to be improving, and medical treatment is becoming more accessible. Nevertheless, many people are not satisfied. It is easy to understand the reasons for this. As a rule, people judge the healthcare system by its primary component, that is, outpatient clinics and paramedic stations. People voice complaints with regard to their work. Quite often, they have to wait many days to see a specialist, and it is impossible to quickly undergo the required tests free of charge. People in remote communities are even having trouble getting appointments with medical personnel. Yes, the number of paramedic stations and mobile medical units continues to increase, but people in areas where there are no such facilities care nothing about the overall statistics.

I want to emphasise that medical treatment should become accessible for everyone by the end of 2020 in all populated areas across Russia without exception and for all citizens, regardless of their place of residence. For your information, an additional 1,590 outpatient clinics and paramedic stations are to be built or renovated in 2019–2020, and I hope that this will be accomplished.

Today, a number of regions are implementing the Thrifty Outpatient Clinic project. As a result, the waiting time to get an appointment and see a doctor is reduced three or four times over, on the average. I have visited such outpatient clinics, and they are operating very well. Much better conditions are created for people with disabilities and for parents with children. Unfortunately, there are very few such outpatient clinics so far; they are rather an exception than the rule all across the nation.

Considering the best regional practices , and, I repeat, there are such practices, I hereby instruct the Government to approve the high standards of thrifty outpatient clinics by the end of the year and their certification regulations. Next year, you have to team up with the regions to introduce mechanisms incentivising managers and medical personnel to improve the quality of their work. First of all, we have to completely convert all paediatric outpatient clinics to new standards already in 2021. Please note that the sign “Thrifty Outpatient Clinic” is not what counts. Most importantly, people should at long last perceive the state’s respectful and truly considerate attitude towards their health.

Improving IT penetration in healthcare will make it more accessible. Online links between medical institutions, pharmacies, doctors and patients must be streamlined over the next three years. Let me add that social security medical assessment boards must be finally included into this digital network in order to free elderly people, people with disabilities and families with children from waiting lists and the need to produce various certificates that are often useless.

Primary care is understaffed. To address this matter, comprehensive efforts to develop medical education should be accompanied by initiatives that produce immediate results. In this connection, I propose removing age restrictions for the Country Doctor programme so that professionals over the age of 50 can also receive a one-time payment when moving to a rural area or a small city: 1,000,000 rubles for doctors and 500,000 rubles for paramedics.

In a modern hospital in Russia.

The most complex surgery is currently performed not only at federal, but also at regional clinics and centres using the most advanced equipment. At the same time, patient recovery is also critical. We have never had a system of this kind, but we have to start with something. A lot has to be done in this area. Let us begin by creating at least two world-class recovery facilities for children, just as we did with perinatal centres, and proceed from there.

This next section is interesting in that it seems to echo US President Donald Trump’s own identical call to fight cancer:

In my last year’s Address, I proposed a programme for fighting cancer. At least 1 trillion roubles will be allocated to this effect over the next six years. This is about providing timely, effective and accessible treatment, using advanced technologies that are effective in most cases and enable people to overcome this dangerous disease. Today, the leukaemia recovery rate for children exceeds 80 percent, and for certain types of cancer, more than 90 percent of patients recover. Not that long ago, in the mid-1990s, this disease was almost untreatable and only 10–20 percent of children could be saved. Russia lacked both the technology and capabilities at the time. In many cases, the only option was to turn to foreign clinics. Those who could afford it did so.

We were aware of how tragic this situation was, which prompted us to focus on improving cancer treatment for children, developing oncohaematology, using the capabilities offered by our research institutions, the healthcare system, and worked proactively with our foreign partners (some doctors simply moved from Germany to Moscow, and spent a lot of time here, and probably still do), which yielded results.

We will continue working to overhaul the system of cancer care. Early detection is of crucial importance. In fact, we have revived the system of health screening and regular medical check-ups. These have to include cancer screening. It has to be made obligatory. People must have the opportunity to make appointments remotely, to choose a suitable time for visiting an outpatient clinic, including in the evening or at the weekend, so that the check-up can be carried out without any additional formalities.

Next, over the next few years we must create a number of new areas combining healthcare with social services. Thus, we must overhaul the system of assistance for people who need long-term help at medical facilities or at home, adjust this system to the needs of specific families and individuals, support people with their everyday needs by assigning district nurses or carers, or training relatives in medical or other necessary skills. The application of these recipient-oriented principles of assistance began last year in Volgograd, Kostroma, Novgorod, Pskov, Ryazan and Tula regions. We must introduce them throughout the country within a timeframe of four years.

Palliative care is a matter of not only medical but also of social, public and moral concern. According to the available information, some 800,000 people need this assistance, and volunteers have told me that the figure is around one million. As you know, in January I visited a children’s hospice in St Petersburg, where we discussed this matter. I know that yesterday the State Duma adopted in the second reading amendments to the legislation on palliative care. I would like work on this law to be completed as soon as possible. We will then monitor its application so we can promptly make amendments, taking into account the opinions of volunteers, whom I have mentioned, doctors, carers, members of the public and religious associations and benefactors, that is, everyone who have long been providing heartfelt palliative care.

To conservatives in America, this probably appears a great deal like the feared and ridiculed “nanny state” of socialism as Americans have been taught to see it. While there are certainly aspects of socialism in play here, Russia is not trying to advance the ideological banner of socialism; rather, it is trying to deal with the reality of life “on the ground,” and some of the mechanisms that are in place now are derived from not only the Communist model, but even from the Imperial models of Tsar Nicholas II that preceded communism.

It is perhaps important to note that nowhere in President Putin’s speech does he talk about the “economy” of the health care “industry.” He instead talks about the needs that the country and her people have and he offers solutions to deal with this. Many of these solutions derive from a model in which there are federal and “state run” hospital facilities around the nation. This is part of Russia’s inheritance. Mr. Putin is simply trying to make what works now so that it works much better and with much greater reach.

In this, Putin, like his American counterpart, are interested in solutions, in solving problems that are affecting the citizens of the country. Ideology does not come into this. For President Putin, it is the state of the Russian people themselves he seems to be most concerned about.

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Olivia Kroth
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Healthcare has greatly improved in Russia. Bravo, President Putin!

JNDillard
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JNDillard

I find this inspirational. It is indeed non-ideological, practical, and responsive to the voices of those actually involved in the day-to-day operation of the healthcare industry at many different levels, programs, and regions. Putin is clearly advancing these changes because they are what the people want and the country needs, not because of any political agenda. This sort of non-political emphasis by a professional politician is, if you stop and think about it, amazing, for those of us used to asking, “Which lobby is pushing this change and who is going to profit at the expense of what other groups?”… Read more »

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US continues to try to corner Russia with silence on Nukes

Moscow continues to be patient in what appears to be an ever more lopsided, intentional stonewalling situation provoked by the Americans.

Seraphim Hanisch

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TASS reported on March 17th that despite Russian readiness to discuss the present problem of strategic weapons deployments and disarmament with its counterparts in the United States, the Americans have not offered Russia any proposals to conduct such talks.

The Kremlin has not yet received any particular proposals on the talks over issues of strategic stability and disarmament from Washington, Russian Presidential Spokesman Dmitry Peskov told TASS on Sunday when commenting on the statement made by US National Security Adviser John Bolton who did not rule out that such talks could be held with Russia and China.

“No intelligible proposals has been received [from the US] so far,” Peskov said.

Earlier Bolton said in an interview with radio host John Catsimatidis aired on Sunday that he considers it reasonable to include China in the negotiation on those issues with Russia as well.

“China is building up its nuclear capacity now. It’s one of the reasons why we’re looking at strengthening our national missile defense system here in the United States. And it’s one reason why, if we’re going to have another arms control negotiation, for example, with the Russians, it may make sense to include China in that discussion as well,” he said.

Mr. Bolton’s sense about this particular aspect of any arms discussions is correct, as China was not formerly a player in geopolitical affairs the way it is now. The now all-but-scrapped Intermediate Range Nuclear Forces Treaty, or INF, was a treaty concluded by the US and the USSR leaders Ronald Reagan and Mikhail Gorbachev, back in 1987. However, for in succeeding decades, most notably since the fall of the Soviet Union, the US has been gradually building up weaponry in what appears to be an attempt to create a ring around the Russian Federation, a situation which is understandably increasingly untenable to the Russian government.

Both sides have accused one another of violating this treaty, and the mutual violations and recriminations on top of a host of other (largely fabricated) allegations against the Russian government’s activities led US President Donald Trump to announce his nation’s withdrawal from the treaty, formally suspending it on 1 February. Russian President Vladimir Putin followed suit by suspending it the very next day.

The INF eliminated all of both nations’ land based ballistic and cruise missiles that had a range between 500 and 1000 kilometers (310-620 miles) and also those that had ranges between 1000 and 5500 km (620-3420 miles) and their launchers.

This meant that basically all the missiles on both sides were withdrawn from Europe’s eastern regions – in fact, much, if not most, of Europe was missile-free as the result of this treaty. That is no longer the case today, and both nations’ accusations have provoked re-development of much more advanced systems than ever before, especially true considering the Russian progress into hypersonic and nuclear powered weapons that offer unlimited range.

This situation generates great concern in Europe, such that the UN Secretary General Antonio Guterres called on both Moscow and Washington to salvage the INF and extend the Treaty on Measures for the Further Reduction and Limitation of Strategic Offensive Arms, or the New START as it is known.

“I call on the parties to the INF Treaty to use the time remaining to engage in sincere dialogue on the various issues that have been raised. It is very important that this treaty is preserved,” Guterres said at a session of the Conference on Disarmament in Geneva on Monday.

He stressed that the demise of that accord would make the world more insecure and unstable, which “will be keenly felt in Europe.” “We simply cannot afford to return to the unrestrained nuclear competition of the darkest days of the Cold War,” he said.

Guterres also urged the US and Russia to extend the START Treaty, which expires in 2021, and explore the possibility of further reducing their nuclear arsenals. “I also call on the United States and the Russian Federation to extend the so-called New START Treaty before it expires in 2021,” he said.

The UN chief recalled that the treaty “is the only international legal instrument limiting the size of the world’s two largest nuclear arsenals” and that its inspection provisions “represent important confidence-building measures that benefit the entire world.”

Guterres recalled that the bilateral arms control process between Russia and the US “has been one of the hallmarks of international security for fifty years.”

“Thanks to their efforts, global stockpiles of nuclear weapons are now less than one-sixth of what they were in 1985,” the UN secretary-general pointed out.

The Treaty between the United States of America and the Russian Federation on Measures for the Further Reduction and Limitation of Strategic Offensive Arms (the New START Treaty) entered into force on February 5, 2011. The document stipulates that seven years after its entry into effect each party should have no more than a total of 700 deployed intercontinental ballistic missiles (ICBM), submarine-launched ballistic missiles (SLBM) and strategic bombers, as well as no more than 1,550 warheads on deployed ICBMs, deployed SLBMs and strategic bombers, and a total of 800 deployed and non-deployed ICBM launchers, SLBM launchers and strategic bombers. The new START Treaty obliges the parties to exchange information on the number of warheads and carriers twice a year.

The new START Treaty will remain in force during 10 years until 2021, unless superseded by a subsequent agreement. It may be extended for a period of no more than five years (that is, until 2026) upon the parties’ mutual consent. Moscow has repeatedly called on Washington not to delay the issue of extending the Treaty.

 

 

 

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Trump witch hunt dots connected: CNN to Steele to John McCain (Video)

The Duran Quick Take: Episode 110.

Alex Christoforou

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The Duran’s Alex Christoforou and Editor-in-Chief Alexander Mercouris discuss documents released which show that Christopher Steele admitted to using posts by ‘random individuals’ on the CNN community website ‘iReport’ in order to back up his fabricated Trump dossier.

President Trump took note of Steele’s use of CNN citizen journalist posts, in a twitter tirade that blasted the British ex-spy for running with unverified community generated content from a now now-defunct ‘iReports’ website as part of his research.

Trump the proceeded to rip into late neocon Arizona Senator John McCain, tweeting that it was “just proven in court papers” that “last in his class” McCain sent the Steele’s dossier to media outlets in the hopes that they would print it prior to the 2016 US election.

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Via The Daily Caller

A federal court unsealed 43 pages Thursday of a deposition that former British spy Christopher Steele gave as part of a lawsuit over his infamous anti-Trump dossier.

To the disappointment of many observers, the full deposition was not unsealed in Thursday’s motion. Instead, portions of Steele’s interview, which he gave in London on July 13, 2018, were unsealed in separate court filings submitted in the lawsuit.

Steele’s full deposition totaled 145 pages. The portions published Thursday focus mainly on questions about the dossier’s claims about Aleksej Gubarev, a tech executive who Steele alleges took part in the hacking of Democrats’ computer systems.

Gubarev has vehemently denied the claim and sued Steele and BuzzFeed News, which published the dossier on Jan. 10, 2017.

U.S. District Court Judge Ursula Ungaro, who handled the lawsuit, ordered a slew of previously sealed documents to be made public Thursday. Ungaro dismissed the lawsuit on Dec. 19 but did not weigh in on whether the dossier’s claims about Gubarev were accurate.

It is unclear whether Steele’s entire deposition will be released. A source familiar with Steele’s interview tempered expectations of any bombshells in the document, saying that Steele avoided going into detail about his efforts to create the dossier and his sources.

A deposition given by former State Department official David Kramer was perhaps the most enlightening document contained in the dump.

Kramer, a longtime associate of late Arizona Sen. John McCain, was BuzzFeed’s source for the dossier. Kramer shared the dossier with at least 11 other reporters, including CNN’s Carl Bernstein. (RELATED: John McCain Associate Gave Dossier To A Dozen Reporters)

Kramer obtained the dossier in late November 2016 after visiting Steele in London. Steele acknowledged that Kramer and McCain were picked as conduits to pass the dossier to then-FBI Director James Comey. McCain met with Comey on Dec. 9, 2016 and provided all of the dossier’s memos that had been written up to that point.

“I think they felt a senior Republican was better to be the recipient of this rather than a Democrat because if it were a Democrat, I think that the view was that it would have been dismissed as a political attack,” Kramer said in the deposition when asked why Steele and his business partners at Fusion GPS wanted McCain to meet with Comey.

Via Washington Examiner

Former British spy Christopher Steele admitted that he relied on an unverified report on a CNN website for part of the “Trump dossier,” which was used as a basis for the FBI’s investigation into Trump.

According to deposition transcripts released this week, Steele said last year he used a 2009 report he found on CNN’s iReport website and said he wasn’t aware that submissions to that site are posted by members of the public and are not checked for accuracy.

web archive from July 29, 2009 shows that CNN described the site in this manner: “iReport.com is a user-generated site. That means the stories submitted by users are not edited, fact-checked, or screened before they post.”

In the dossier, Steele, a Cambridge-educated former MI6 officer, wrote about extensive allegations against Donald Trump, associates of his campaign, various Russians and other foreign nationals, and a variety of companies — including one called Webzilla. Those allegations would become part of an FBI investigation and would be used to apply for warrants under the Foreign Intelligence Surveillance Act.

During his deposition, Steele was pressed on the methods he used to verify allegations made about Webzilla, which was thought to be used by Russia to hack into Democratic emails.

When asked if he discovered “anything of relevance concerning Webzilla” during the verification process, Steele replied: “We did. It was an article I have got here which was posted on July 28, 2009, on something called CNN iReport.”

“I do not have any particular knowledge of that,” Steele said when asked what was his understanding of how the iReport website worked.

When asked if he understood that content on the site was not generated by CNN reporters, he said, “I do not.” He was then asked: “Do you understand that they have no connection to any CNN reporters?” Steele replied, “I do not.”

He was pressed on this further: “Do you understand that CNN iReports are or were nothing more than any random individuals’ assertions on the Internet?” Steele replied: “No, I obviously presume that if it is on a CNN site that it may has some kind of CNN status. Albeit that it may be an independent person posting on the site.”

When asked about his methodology for searching for this information, Steele described it as “what we could call an open source search,” which he defined as “where you go into the Internet and you access material that is available on the Internet that is of relevance or reference to the issue at hand or the person under consideration.”

Steele said his dossier contained “raw intelligence” that he admitted could contain untrue or even “deliberately false information.”

Steele was hired by the opposition research firm Fusion GPS to investigate then-candidate Donald Trump in 2016. Fusion GPS was receiving funding at the time from the Clinton campaign and the DNC through the Perkins Coie law firm.

The series of memos that Steele would eventually compile became known as the “Trump Dossier.” The dossier was used in FISA applications to surveil Trump campaign associate Carter Page.

When asked whether he warned Fusion GPS that the information in the dossier might be “Russian disinformation,” Steele admitted that “a general understanding existed between us and Fusion … that all material contained this risk.”

Steele also described his interactions with Sen. John McCain’s aide, David Kramer, whose own deposition showed that he provided BuzzFeed with a copy of the dossier and had spoken with more than a dozen journalists about it.

“I provided copies of the December memo to Fusion GPS for onward passage to David Kramer at the request of Sen. John McCain,” Steele said. “Sen. McCain nominated him as the intermediary. I did not choose him as the intermediary.”

When asked if he told Kramer that he couldn’t “vouch for everything that was produced in the memos,” Steele replied, “Yes, with an emphasis on ‘everything.'”

When asked why he believed it was so important to provide the dossier to Sen. McCain, Steele said: “Because I judged it had national security implications for the United States and the West as a whole.”

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Trudeau’s Top Bureaucrat Unexpectedly Quits Amid Growing Corruption Scandal

In a scathing letter to Trudeau, Wernick said that “recent events” led him to conclude he couldn’t hold his post during the election campaign this fall.

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Via Zerohedge


Since it was exposed by a report in Canada’s Globe and Mail newspaper earlier this month, the scandal that’s become known as the SNC-Lavalin affair has already led to the firing of several of Trudeau’s close advisors and raised serious questions about whether the prime minister was complicit in pressuring the attorney general to offer a deferred prosecution agreement with a large, Quebec-based engineering firm.

And according to the first round of polls released since the affair exploded into public view…

…it could cost Trudeau his position as prime minister and return control to the conservatives, according to the CBC.

Campaign Research showed the Conservatives ahead with 37% to 32% for the Liberals, while both Ipsos and Léger put the margin at 36% to 34% in the Conservatives’ favour.Since December, when both polling firms were last in the field, the Liberals have lost one point in Campaign Research’s polling and four percentage points in the Ipsos poll, while the party is down five points since November in the Léger poll.

Meanwhile, as the noose tightens around Trudeau, on Monday another of the key Canadian government officials at the center of the SNC-Lavalin scandal has quit his post.

Michael Wernick, clerk of the privy council, the highest-ranking position in Canada’s civil service and a key aide to Justin Trudeau, announced his retirement Monday. Trudeau named Ian Shugart, currently deputy minister of foreign affairs, to replace him.

In a scathing letter to Trudeau, Wernick said that “recent events” led him to conclude he couldn’t hold his post during the election campaign this fall.

“It is now apparent that there is no path for me to have a relationship of mutual trust and respect with the leaders of the opposition parties,” he said, citing the need for impartiality on the issue of potential foreign interference. According to Bloomberg, the exact date of his departure is unclear.

As we reported in February, Canada’s former justice minister and attorney general, Jody Wilson-Raybould, quit following allegations that several key Trudeau government figures pressured her to intervene to end a criminal prosecution against Montreal-based construction giant SNC. Wernick was among those she named in saying the prime minister’s office wanted her to pursue a negotiated settlement.

Wernick has since twice spoken to a committee of lawmakers investigating the case, and during that testimony both defended his actions on the SNC file and warned about the risk of foreign election interference, as “blame Putin” has become traditional Plan B plan for most politicians seeing their careers go up in flames.

“I’m deeply concerned about my country right now, its politics and where it’s headed. I worry about foreign interference in the upcoming election,” he said in his first appearance before the House of Commons justice committee, before repeating the warning a second time this month. “If that was seen as alarmist, so be it. I was pulling the alarm. We need a public debate about foreign interference.”

Because somehow foreign interference has something to do with Wenick’s alleged corruption.

Incidentally, as we wonder what the real reason is behind Wernick’s swift departure, we are confident we will know soon enough.

Anyway, back to the now former clerk, who is meant to be non-partisan in service of the government of the day, also criticized comments by a Conservative senator and praised one of Trudeau’s cabinet ministers.

Wernick’s testimony was criticized as overly cozy with the ruling Liberals. Murray Rankin, a New Democratic Party lawmaker, asked the clerk how lawmakers could “do anything but conclude that you have in fact crossed the line into partisan activity?” Green Party Leader Elizabeth May said he seemed “willing to interfere in partisan fashion for whoever is in power.”

Whatever Wernick’s true motives, he is the latest but not last in what will be a long line of cabinet departures as the SNC scandal exposes even more corruption in Trudeau’s cabinet (some have ironically pointed out that Canada’s “beloved” prime minister could be gone for actual corruption long before Trump). Trudeau had already lost a top political aide, Gerald Butts, to the scandal. A second minister, Jane Philpott, followed Wilson-Raybould in quitting cabinet.

Separately, on Monday, Trudeau appointed a former deputy prime minister in a Liberal government, Anne McLellan, as a special adviser to investigate some of the legal questions raised by the controversy. They include how governments should interact with the attorney general and whether that role should continue to be held by the justice minister.

As Bloomberg notes, the increasingly shaky Liberal government hasn’t ruled out helping SNC by ordering a deferred prosecution agreement in the corruption and bribery case, which centers around the company’s work in Moammar Qaddafi’s Libya. Doing so would allow the company to pay a fine and avoid any ban on receiving government contracts. That decision is up to the current attorney general, David Lametti; of course, such an action would only raise tensions amid speculation that the government is pushing for a specific political, and favorable for Trudeau, outcome.

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