Top thematic table of contents
Thematic table of contents (Medical stories)
One of the troubles that befell the national health care is the impoverished doctors. Tired, twitched, sleeping on the go and, to be honest, for the most part losing the necessary professional level. Technologies and drugs in modern medicine are changing very quickly, the half-life, during which the set of drugs changes by half - about 5 years, and in case of overload, combined with a shortage of not only time, but also money, it is not up to self-education. About mandatory periodic cycles of professional development and reluctance to talk - a profanation.
A joke that has ceased to be a joke - that a doctor works for one and a half rates, since if he works for a rate, then there is nothing, and if he works for two, then there is no time. In reality, the doctor works even more, since in addition to the one and a half rates, he also takes night shifts.
At the same time, a balance of doctors and bosses was established. Since many doctors fled from the profession, a bunch of gaps formed, which were filled with internal and external part-time jobs. On the other hand, one and a half bets gave the doctor some way to make ends meet. But this plugging of holes is not good for healthcare, doctors, and patients. A tired doctor who has not read special literature for 10-20-30 years is a bad doctor. And there are no others, if this one leaves, the new one will be even more tired.
But recently in Moscow (we are talking only about it!) The situation has changed radically. Moscow spends on health care a much larger part of the budget than the regions (and the whole country, if anything, travels here to be treated according to its policies and directions from the Ministry of Health and other unsecured pieces of paper). In recent years, she not only tried to somehow rectify the situation with the equipment, but also fed the doctors with Luzhkov supplements. Sobyanin continued the tradition. And so, this year the average salary of a Moscow doctor was 72 thousand rubles. Yes, of course, with one and a half rates and shifts, of course, this includes the lion's share of the salaries and bonuses of the bosses, but still ...
And here, as in the well-known aphorism: when the wolves were fed and the sheep were safe, the question arose - how to feed the sheep?
The salaries of doctors were raised to an amount lower than the average in Moscow - up to 40 thousand. At one and a half rates and with shifts, on average, they reached more than 70. Now, instead of a hungry, ragged, tired and sleepy illiterate doctor, we see a well-fed, well-dressed, tired and sleepy illiterate doctor. I'm glad for a doctor, but what about a patient?
Previously, the doctor worked an abnormally long time to make ends meet, now - because they pay well for it. So what to do next?
In most countries, a reasonable system has developed, when doctors, on the one hand, are highly paid specialists, and on the other, they face strong competition for places and must monitor their professional level. But the vicious system that has developed in our country cannot be broken overnight. Firstly, there is simply no required number of doctors. Secondly, if we start to create a system of objective assessment of the level of training of doctors in their competition ... with our fursenki from education, armed with the most advanced Unified State Exam ... with a very peculiar structure of the population of Moscow, when many hospitals and clinics have become practically mono-national one aul ... In general, I feel that I will have something to write about for a long time ...
This is the head of the central clinical hospital of Khimki
The richest head physician of the Moscow region was calculated by the specialists of the regional branch of the ONF, having studied the income statements of doctors who manage regional and regional medical institutions. It turned out to be the chief physician of the Khimki Central Clinical Hospital, whose monthly salary was about 750 thousand rubles.
As it became known to "MK", the activists checked the information on the income of 277 Aesculapians. It turned out that the average salary of the head physician in the Moscow region last year was about 200 thousand rubles. More than 100 top-level medical workers received 150 thousand rubles a month last year. The income of 57 people amounted to 190 thousand rubles a month, 26 - 230 thousand, the salary of 11 chief doctors reached almost 300 thousand, five - 380 thousand, two - almost 600 thousand rubles a month and two more - more than 700 thousand. “It is worth noting that the average salary of doctors, according to Rosstat data, is 48,000 rubles,” said Alexei Maly, co-chairman of the regional headquarters of the All-Russian People's Front. - It turns out that the salaries of the heads of district hospitals are several times higher than that of the ordinary staff. ONF activists will send a request to the Ministry of Health of the Moscow Region in order to obtain a justification for such high incomes of chief doctors in hospitals in the region. "
In addition to the chief physician of the Khimki Central City Clinical Hospital, the richest physicians in this rating were the chief physicians of the Reutov city clinical hospital, the Lytkarino dental clinic and the Lyubertsy regional hospital. And the most modest incomes went to the chief physicians of the Podolsk blood transfusion station, the Moscow regional TB dispensary, the Klin dermatovenerologic dispensary and the Royal Children's Psycho-neurological Sanatorium.
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Doctors in many Western countries are among the richest and most respected people.
For example, in the United States, a doctor has an annual income of $ 200-400 thousand, and an hourly wage of $ 100-200 with a daily rate of a dozen patients is no surprise here.
In this rating, the Richest Lifestyle experts will tell you about the 10 richest doctors in the world who have amassed multimillion-dollar fortunes thanks to their professional or acting skills, entrepreneurial talent and Mrs. Luck.
10th place: Dr.Robert Rey, $ 15 million.
Robert Miguel Rey Jr., a famous plastic surgeon who has appeared on American television screens more than 100 times in various incarnations, participant in the reality show “Dr. 90210 ". One of the best plastic surgeons in Beverly Hills. 
9th place: Dr. Leonard Hochstein ($ 20 million).
Dr. Leonard Hochstein is considered one of the best and most popular plastic surgeons in Miami, specializing in breast augmentation. Has a successful private practice. 
8th place: Dr. Terry Dubrow (Terry Dubrow), a fortune of $ 30 million.
A popular plastic surgeon in Orange County, California specializes in cosmetic and reconstructive surgery. Author of well-known publications. Has appeared on the big screen in television shows such as Real Housewives and Orange County. 
7th place: Dr. James Andrews ($ 30 million).
James Andrews has made a name for himself in the field of orthopedic surgery. Dr. Andrews hosts renowned athletes and runs his own Andrews Sports Medicine and Orthopedic Center. 
6th place: Dr. Phil (Phil), a fortune of $ 280 million.
Thanks to Oprah Winfrey, Dr. Phil is a very rich and famous person today. Dr. Phil was hired by Oprah in 1995 as a consultant. He became a guest of The Oprah Winfrey Show and was very fond of viewers, so they began to invite him to the program on a weekly basis. 
It even went so far that Oprah gave Dr. Phil the opportunity to host her own talk show, which is still on the air (Dr Phil Talk Show). Dr. Phil's annual income is estimated at $ 80 million. He is a Doctor of Psychology and prior to his televised debut, he made an excellent career in this field.
5th place: Dr. Gary Michelson ($ 1.35 billion).
Dr. Michelson made a fortune with his Medtronic company, which specializes in high-tech medical devices. Dr. Michelson holds over 250 patents. A great animal lover, he established the Michelson Prize for inventing a non-surgical method for neutering cats and dogs. 
4th place: Wu Yiling and his family, $ 1.8 billion.
A self-taught traditional Chinese medicine practitioner, Wu Yiling can rightfully be called Lady Luck's favorite. After several years of successful practice, in 1992 he created his own pharmaceutical company, which produces herbal medicines based on ancient oriental recipes. The company is doing great, and this year, Forbes magazine estimated his personal fortune at almost $ 2 billion. 
3rd place: Dr. Phillip Frost, $ 3.7 billion.
78-year-old American physician and entrepreneur Philip Frost is the chairman of the board of directors of the pharmaceutical giant Teva Pharmaceuticals. In 1987 he founded Ivax (who remembers Stopangin throat spray?), Which he later sold for $ 7.8 billion. 
2nd place: Dr. Thomas Frist Jr. (Thomas Frist, Jr.) and family, $ 7.9 billion
Thomas Freist Jr. worked as a military surgeon, after which he founded a conglomerate of hospitals with his father. Today Thomas Freist Jr. can safely be called the shark of the medical business. The doctor is engaged in buying and selling hospitals - his company earns $ 29 billion annually from this business. 
Dr. Freist is one of the key founders of the Affordable Care Act in the United States and has tremendous influence on American health policy.
1st place: Dr. Patrick Soon Shiong, $ 13.1 billion.
Dr. Patrick Sun-Shiong is an American surgeon born in South Africa. A prominent businessman, medical researcher, philanthropist, lecturer at the University of California at Los Angeles. Has interests in the pharmaceutical business. 
Known to have revolutionized cancer therapy by thoroughly examining several of the most common types of cancer, including lung and breast cancers. As a researcher, Dr. Sun-Shiong has worked to address the rising cost of medical services in the United States.
Dr. Patrick Sun-Shiong is the wealthiest person with a medical degree on the planet. Forbes magazine also named him the richest man in Los Angeles.
: Master of Pharmacy and Professional Medical Translator
“Our Berdsk is one hundred thousandth city. Readers often write to us that they cannot get to a gynecologist, a therapist, or a pediatrician. The city is provided with doctors by only 50%. Why? Because they quit because of low wages, - says the editor-in-chief of the Kurier. Wednesday. Berdsk ”Galina Komornikova. - A couple of years ago, my doctors and I held an action “Tell me about your salary”. On condition of anonymity, they published receipts with the salaries of our doctors. Not a single doctor who worked at two rates earned double the salary. "
What's next? And then the editors collected the doctors' papers and sent them to the Ministry of Health of the Novosibirsk Region. In response, the regional health care system sent several vouchers with a salary of 80 thousand rubles. Journalists, aren't you ashamed of composing? Everything is fine in our medicine. And the salaries of doctors are growing regularly!
GLITTER AND POVERTY OF CHIEF DOCTORS
IN RUSSIA AND THE USA THE DOCTORS GET THE SAME
“According to the Forbes rating, the first place in terms of annual income in the United States is occupied by surgeons with an indicator of $ 219,000; second place - anesthesiologists with 212,000; third place - maxillofacial surgeons with 211,000; fourth place - orthodontists with 206,000; fifth place - obstetricians-gynecologists with 204,000; sixth place - therapists with 183,000; seventh place - other doctors with 174,000; eighth place is a general practitioner with $ 169,000, - writes the co-founder of the ProDoctors project Sergey Fedosov. - And only in ninth place are executive directors with $ 167,000.
Now let's convert from dollars to rubles and get more than 5 million rubles a year, or about 450 thousand rubles a month. Now let's compare the salaries of the executive director in Russia and the USA - they are almost the same! " The chief physician is called the executive director in the States ...
HOW MEDICINES DID NOT AGREE WITH THE MINES
Galina Komornikova turned to Russian President Vladimir Putin with a proposal to regulate the difference between the salaries of a specialist doctor and a chief doctor.
“The solution is simple enough,” the president replied. "The manager can receive a salary no higher than the average for the institution by a certain percentage." Right? From the point of view of a doctor who treats patients - more than. From the point of view of a managerial employee, it all depends on the percentage, which should not be too small.
“If the salary of a miner is taken as a“ unit ”, then a line engineer and technical worker (ITR) receives no more than“ two, ”and the salary of a top-level engineering and technical worker (mine management, chief specialist) is at the level of a“ troika ”. I personally insisted that such a ratio be in the budgetary sector: for doctors, teachers ... We tried to resolve the issue at a tripartite commission between trade unions, entrepreneurs and the administration, recalls Ivan Mokhnachuk, chairman of the Russian Independent Trade Union of Coal Industry Workers. - We were convinced that it was wrong, illiterate. After all, leadership is a big load! And the ratio should be higher. Then we found a compromise at the level of the “five”. But then we were told that “five” is also not enough. You need at least eight. Some especially gifted people can have it indefinitely. Remember when the manager had a monthly salary of almost 3 million rubles? "
DOCTOR'S PUNCHES
“I have a salary of 20 thousand,” explains a doctor from Moscow. - And how much do you think I get a month? Sixty! Everything else is a premium. For experience, I have it for more than 30 years, and stimulating from the head physician, about 17 thousand. " Incentive payments are like a bonus. They can be canceled at any time if the doctor is guilty of something in the eyes of the management. For example, he will publish on the social network a bright photo from working days.
On the website of the project "Real Salary of a Medical Worker", doctors leave their salary stubs. They are published without names, surnames and other personal data. The numbers are impressive. Today, the average medical salary in a specialty is 19,219 rubles 37 kopecks. With taxes - 22 091 rubles 23 kopecks. The salary for one bet is 14,992 rubles 94 kopecks. In an hour, the "arithmetic mean" doctor receives ... 99 rubles 47 kopecks. Although he works more than he should be - at 1.28 rates.
Approximately 45% of a medical worker's salary is his salary. Slightly more than that of the Moscow doctor with its one-third. You still have to live up to thirty years of experience. For the salary of a doctor. The project "The real salary of a health worker" is constantly being written. Here is some new information.
Endoscopist from the Sverdlovsk region. Salary - 6,997 rubles. The salary for a bet is 15 698 rubles 34 kopecks. As well as the entire salary per month.
X-ray laboratory assistant from the Vladimir region. Salary ... 4,413 rubles 20 kopecks. The salary for a bet is 5,998 rubles 18 kopecks. The difference is only a thousand rubles. That's all the monthly salary.
Paramedic in an ambulance, Astrakhan region. Salary - a little more than that of a roentgenographer. 4985 rubles 25 kopecks. The salary for a bet is 11,506 rubles 93 kopecks. A month, for saving lives ... 14 346 rubles! And thirty kopecks to boot.
Endocrinologist from the Ulyanovsk region. Salary - 6,782 rubles 60 kopecks. The salary for a bet is 10,851 rubles 51 kopecks. The same amount per month.
Another paramedic on the ambulance, Republic of Buryatia. Salary ... 3464 rubles! The salary for a bet is 17 930 rubles 58 kopecks! For a month - 27,432 rubles 25 kopecks.
It turns out that human life in our time is not valuable?
AT LEAST A LITTLE ...
“When you said that next year funding for health care will be 'a little, a little' lower, I sank into a chair. We need a little bit higher. Because the burden on the budget is growing with the same medical equipment, ”Leonid Roshal, director of the Research Institute of Emergency Pediatric Surgery and Traumatology, addressed the president as“ children's doctor of the world ”. - Previously, health care did not have ultrasound, CT, or MRI. Now we have it all. Laboratories are equipped, many reagents are in stock ... Please don’t reduce funding next year! And at least a little, but raise it. "
As for salaries ... Is it worth convincing chief doctors to “moderate appetites”? Perhaps the problem will be solved by an order that will establish the "miner's" coefficients?
P.S. To the head physician - 450 thousand? OK! But then the therapist, the neurologist, and the endocrinologist - 150 thousand rubles a month.
P.P.S. From myself: At this moment, in the medical institution of my small provincial town, there are not enough 19 doctors!
