Leonid Pechatnikov. Great health optimizer. - That is, it is not planned to purchase new equipment

It should be admitted that despite the fact that the Russian Federation is called a "superpower", some of its spheres of activity, such as medicine, lag behind other countries that do not bear such a high-profile title. If we compare the medical field of life Russian Federation and the same Sweden or Germany, the difference will be very noticeable. Since the life expectancy in these states is almost several decades higher than the Russian counterparts. Nevertheless, this does not mean that the entire healthcare system in the Russian Federation is terrible. On the territory of the Russian Federation there are many honored doctors who every now and then are fighting to improve the level of medicine in the country.

Khripun and Pechatnikov: who are they and why were they fired?

Residents of the capital of the Russian Federation, namely Moscow, most likely heard about the activities of people like Khripun and Pechatnikov. Until recently, Khripunov was a member of the Moscow Board, and he was also responsible for the entire health care system of the capital of the Russian Federation. Pechatnikov is better known to other residents of the Russian Federation, and all because he is listed among the honored doctors of Russia. He has many scientific works, and until recently served as the deputy mayor of Moscow for social issues.

However, quite recently it became known that both of these social and political figures were fired. Others stated that these figures actually left their posts at will. On this moment their names are not listed in the register of the government of the Russian Federation.

The mayor of Moscow himself, Sergei Sobyanin, said in his personal Internet blog that the initiative to leave Pechatnikov was improvised by Pechatnikov himself, who for a long time did not want to remain in his position for an unknown reason. Instead, Anastasia Rakova took the post of Deputy Mayor for Social Affairs. Little is known about the situation of Khripun's departure at the moment, one should expect the first official statements from the government of the Moscow District itself.

What are the merits of Pechatnikov?

In his post on the Internet blog, Sergei Sobyanin said that Pechatnikov was simply an amazing doctor, who almost all the time thought only about how to improve the level of health care among Muscovites. There were moments when both Sobyanin and Pechatnikov were forced to take desperate steps, but the mayor believes that they were acquitted.

For a long time, the Honored Doctor of the Russian Federation strove to ensure that the level of the fight against cancer in Moscow, and then in the entire state, was extremely high level... He stated that if Russian doctors can learn how to suppress oncology on its early stages, then mortality from this disease will decrease by an extremely decent level.

That is why, in 2018, improvements in the fight against cancer began to be observed in the capital of the Russian Federation.

Khripun's activities

Khripun, in turn, was an extremely important figure in the work of the health care system of the Moscow District. For a long time he was the chief physician of the local Moscow clinic. However, if Pechatnikov was a more scientist, then Khripu is closely associated with administrative and organizational work, which, nevertheless, was no less important.

He has also served as heads of small-scale but important health care organizations that have tried to steer the Russian Federation on the right track.

After posting my previous article on "optimizing" Hospital 62, the phone rang on Monday night:
- Is this Stalik Khankishiev? And I am the vice-mayor of Moscow L.M. Pechatnikov. You wrote there that I will not answer questions, but I specifically found you and am calling to answer.
- Leonid Mikhailovich, I will be grateful to you if we postpone the conversation until tomorrow, in the morning, because now I am receiving guests from Azerbaijan.
- And Polada Bul-Bul-oglu is your guest there?
- The plane of Polad Bul-Bulievich was delayed, and so he planned to come too.

- And you ask him what kind of corrupt person I am!
The last remark seemed strange to me, because I accused Leonid Mikhailovich not of corruption, but of decisions of the Moscow government that were inexplicable from the point of view of common sense.
Let me remind you that by the decision of November 8, the 62nd hospital is transferred to the budget, which will deprive the hospital of the right to buy medicines on its own, at reasonable prices, which are several times lower than what the Moscow Health Department buys.

The next day I did not wait for the call, so in the evening I sent to L.M. Pechatnikov. An SMS asking if he really called me or if the prankers were playing around. Leonid Mikhailovich called back immediately. I thanked him for the decision to respond to my post and offered to arrange a face-to-face meeting under a video camera. L.M. Pechatnikov said:
- Okay, only tomorrow, on Wednesday, I have a clinical and anatomical conference, and on Thursday you can arrange a meeting.
I said:
- I would like to give you the floor so that all my readers know your opinion. This will be more correct.

On Wednesday, I learned that the head physician of the 62nd hospital, A.N. Makhson, received a call from the President's office, Mr. Kiriyenko, and invited him to a meeting:
- We are instructed to figure it out.

This meant one thing: we were heard. We are not Makhson A.N. and me, and all of us. Everyone who read, who was outraged, who reposted my previous articles. We were heard thanks to your reposts, despite the fact that the leading bloggers decided to keep silent - apparently, they think about the ratings. And to hell with them! Here, there you are and you have succeeded!

I assure you that there is nothing to justify the 11-fold increase in the price of medicines. The transfer of the 62nd hospital to the budget can be explained by only one desire - to arrange so that there is only one purchaser and only one seller on the pharmaceutical market. After all, when there are many independently acting buyers and many sellers, market laws begin to work. Consequently, a reasonable, optimal price will be established. And when there is only one buyer and only one seller, then these are ideal conditions for conspiracy and corruption.

Therefore, I took the news that the authorities are going to sort out this issue as our victory. I was ready to put on the trampoline and jump for joy to the ceiling.

Meanwhile, the Minister of Health of Moscow Khripun A.I. suddenly went on legal leave, and vice-mayor Pechatnikov L.M. speaking at the clinical and anatomical conference, he spoke at length to the doctors what, most likely, he was going to tell you, dear readers. He said the same thing to me in the second telephone conversation. Like, Makhson A.N. bought medicines with an expiration date, and only because of this so cheap.
But first, it’s not true. And this is very easy to check. After all, there are invoices, other documents.
Second, the expiring expiration date is not expired. I am sure that if you ask patients whether to treat them with "fresh" medicines, which will not be enough for everyone, or to treat them with good medicines, which will be enough for everyone, then everyone will choose the second option.
Thirdly, I don't understand than the eyes of officials were closed, when the price of drugs in one year suddenly increased 11 times compared to the previous period, when the chief oncologist in Moscow was Makhson A.N.? Or even then, carrying out centralized purchases for all of Moscow, Makhson bought medicines at 518 rubles with an expiring date?

I sincerely don't understand how a decent person, doctor, doctor medical sciences Pechatnikov L.M. can justify with such ridiculous arguments the actions of persons in whom signs of greed and shamelessness are clearly seen? Why does he insist on transferring the 62nd hospital to the budgetary ones, if he himself admits that this hospital is the best in Russia, that Makhson A.N. an excellent head physician, that the hospital staff is unique ?! Yes, he told me so himself, and at the conference he repeated the same thing.

Yesterday, Thursday, I never got a call from Leonid Mikhailovich. The interviewer did not leave me, you will not be able to look our vice-mayor in the face and hear what he wanted to say. But for me personally, everything is already clear. I heard the other side and my opinion was finally formed.

Therefore, this morning I sent a letter to the State Duma. I am publishing it for your information.

Deputy Chairman of the Committee The State Duma on health protection,
Mr. Ogul Leonid Anatolyevich

Dear Leonid Anatolyevich!

I ask you to assist in ensuring the protection of the constitutional rights of Russian citizens to life and health.
I, Khankishiev Stanislav Huseynovich, am the father of a patient of the Moscow City Cancer Hospital No. 62 Khankishieva Karina Stanislavovna.
In my blog, I touched on some of the problems of cancer treatment and rumors about the upcoming "optimization" of the aforementioned hospital. The article caused a huge public outcry. It has been read by hundreds of thousands of people, tens of thousands have posted it on their blogs, and many online media have also published it on their websites.
After the publication of the article, I learned that the reason for "optimization", by and large, is one. Acting autonomously, on the basis of Law No. 223-FZ, the hospital purchased medications five to ten times cheaper than the Moscow Health Department purchased completely similar ones.
I published detailed data in the blog. In this article I wrote that two years ago the chief oncologist of Moscow was Makhson A.N., the head physician of the 62nd hospital.
In 2014, the drug Irinotecan 100 mg was purchased by the Moscow Department of Health at a price of 518 rubles per bottle through auction No. 0173200000513001231.
In 2016, under the new chief oncologist of the capital, the same drug was purchased at a price of 5,844 (five thousand eight hundred forty-four) rubles per bottle through auction No. 0173200000515001479.
At the same time, in the same 2016, the 62nd hospital, which had the right to make independent purchases at the expense of the money earned, buys Irinotecan at a price of 1213 rubles. Such an increase in the price of the drug can be explained by a change in the exchange rate. But how to explain the price increase of more than ELEVEN (!) TIMES for government purchases?
I assumed that Makhson A.N. with his independent purchases he spoiled the whole picture for “businessmen” from pharmaceuticals, clearly showing that drugs for treatment can be purchased several times cheaper. And, perhaps, therefore, on November 8 of this year, a decision was issued to transfer the 62nd hospital to budgetary ones, which would deprive the unique hospital of the right to carry out independent purchases at reasonable prices.
After the publication of the second article, the vice-mayor of Moscow L.M. Pechatnikov called me. In a telephone conversation, Leonid Mikhailovich told me that from January 1, 2017, there will not be a single autonomous hospital in Moscow, all hospitals will become budgetary.
However, I could not independently find a single legislative act on the abolition of the operation of Law No. 223-FZ on the territory of a single city of Moscow. According to L.M. Pechatnikov Hospital 62 is the best. So why is it necessary to "optimize", some changes in the well-organized work of a medical institution? After all, it would be logical to do the opposite, that is, to spread the experience of A.N. Makhson. and set as an example how he is able to save money on the procurement of medicines?
Pechatnikov L.M. said that the 62nd hospital was purchasing expiring drugs and that this alone explains the price difference. According to media reports, the same Pechatnikov L.M. reported and publicly, at the city clinical and anatomical conference held on December 7 in the Moscow government http://www.vademec.ru/article/pochemu_on_otsenil_svoyu_dolzhnost_tolko_v_-1_mln-_nado_u_nego_sprosit-_vidimo-_poschital/
But firstly, this is not so easy to check, and secondly, drugs with an expiration date are suitable for treatment.
Such a difference in purchase prices, and attempts to justify their actions with the help of inaccurate information, in my opinion, indicate possible illegal actions of the relevant authorities in Moscow, directly affecting the rights of cancer patients.
After all, it was after the instruction to the specialized managers of the discrepancy in the procurement prices that the Moscow Government adopted an order dated 08.11.2016 No. 578-RP “On changing the type of State autonomous institution Healthcare of the city of Moscow "Moscow City Oncological Hospital No. 62 of the Department of Healthcare of the City of Moscow", which unmotivatedly replaced the form of organization with a budgetary institution. This deprives the hospital of the opportunity to buy additional medicines and calls into question the preservation of hundreds and thousands of lives.
I ask you, dear Leonid Anatolyevich, to protect the constitutional rights of cancer patients, and, for example:
- send a request to the General Prosecutor's Office of the Russian Federation in order to clarify the degree of legality of purchases, as a result of which the cost of purchased drugs increases significantly in comparison with the market price, as well as in order to resolve the issue of challenging the order issued by the Moscow Government by the prosecutor in the interests of an indefinite circle of persons;
- send a request to the Mayor of Moscow for the purpose of a repeated and more thorough analysis of the justification for changing the status of the Moscow City Oncological Hospital No. 62;
- take the necessary measures to inform the leadership of the city of Moscow about the inadmissibility of excluding the effect of federal legislative norms on the territory of a single city.

Respectfully yours, Stanislav Khankishiev.

When I raise public issues on my blog, some commentators write to me:
- It would be better if you cooked pilaf, you do it better!
Yes, it would be better to cook pilaf and write books. Yes, it's good. Yesterday I learned that all the deputies of the new convocation received my books as a gift. Now they know who I am and that the meaning of my main job is completely different. I repeat once again: I am not a politician, I am not a lawyer, I am not a public figure. But it hurts me because my fellow citizens are deprived of the opportunity to fully heal, that someone out of greed is depriving them of their hope for justice, depriving them of the most important right given by God - the right to life. And I cannot remain silent, although it would be safer and calmer to be silent. Only conscience does not allow!

I ask you, gentlemen, deputies, I appeal to people from the Presidential Administration, who these days understand this issue. I address personally the Minister of Health of Russia Veronika Igorevna Skvortsova. I know that you are already aware of the problem around the 62nd hospital and you understand that this is the problem of all healthcare in Russia.
Soon New Year... Give people a huge gift. Make a fair decision. Give people hope for justice. We want to know that our problems are your problems as well. We want to leave our children a country in which everyone is protected, at least in areas such as medicine. And think about the doctors, too, please. Help these people, return to the proper level the prestige of their noble profession. People are looking at you. Finally, don't forget about God.

PS Once again, I ask for the maximum distribution of this material too. The brighter the light, the more visible who is who.
You should not give the opportunity to blabber the problem. We must help solve this problem even before the New Year.

The conflict that broke out in December between the former chief physician of the Moscow City Oncological Hospital (MGOB) No. 62 Anatoly Makhson and the Deputy Mayor of Moscow for Social Affairs Leonid Pechatnikov entered the phase of discussing purchase prices for cancer drugs. Pechatnikov insists that his purchases of expensive drugs are "more efficient"; Makhson says the hospital bought the drugs much cheaper than the subordinates of the Moscow Healthcare Department, supervised by Pechatnikov. DZM leads Alexey Khripun .

The Vademecum portal provides a summary table of drug prices in the DZM and the 62nd hospital - by most positions the mayor's favorite Sergei Sobyanin the official Khripun spent much more on medicines than the doctor Makhson.

In the leaders of the profile state order from the structures of Pechatnikov and Khripun, the company FK Promotion LLC has emerged, which won, for example, in July a contract in the amount of 298 million rubles for the supply of 66.2 thousand rubles for a package of the drug Gertikad. Its the same, but a month earlier and at 47 thousand rubles per package (that is, almost one and a half times cheaper) was supplied to the department of LLC "SAV-Pharm". The manufacturer of Gertikada - "Biocad" - at the end of the year made a similar delivery at 34.7 thousand rubles per package. According to Vedomosti, Biocard is owned by three shareholders - Millhouse Roman Abramovich(50%), Dmitry Valentinovich Morozov (30%) and Pharmstandard corporation (20%) Victor Kharitonin... Anatoly Makhson made out a significant part of the contracts of the 62nd hospital with Biocard.

In total, FC Progress signed contracts with DZM structures for the amount of 1.3 billion rubles, of which in 2016 for the supply of cancer drugs - for 620.1 million rubles. For comparison, Medipal-Onko (owners - Konstantin Ernstovich Sevryugin, Aleksey Evgenievich Nemtsev, Elena Vladimirovna Yudina) shipped the DZM of the profile nomenclature for 757 million rubles, Biocad-Pharm LLC - for 852 million rubles.

It is important that FC Promotion does not cooperate with other state customers, except for the establishment of Alexei Khripun and Leonid Pechatnikov. The company participated in 18 tenders, won 15 tenders, in 12 of which it was the only participant.

FC Promotion was registered last year by Pavel Viktorovich Fomenko. In April 2016, Sergei Anatolyevich Chushkin became the sole founder, who appointed Sergei Vladimirovich Kuznetsov as director. This summer the company entered its first tender. Chushkin is well acquainted with Alexei Khripun and Leonid Pechatnikov. Until April 2014, the businessman owned Agat LLC, which supplied DZM with a diet for beneficiaries worth 5.8 billion rubles, although after Chushkin's formal exit from the company's capital. Now Agat LLC belongs to Vladimir Vladimirovich Mishura and Natalya Petrovna Yurchenko.

From November 2013 until the end of 2015, Sergei Chushkin owned Soventa LLC. Earlier, Chushkin's share was controlled by the Cyprus offshore Peachtree Developments Limited, Igor Vladimirovich Bondar remained a minority shareholder. In 2014 and 2015, Soventa LLC supplied the department of Aleksey Khripun and Moscow hospitals with medical products worth 1.27 billion rubles. This company ceased to exist at the end of 2015, joining Tagor JSC, which sold medical products for a total amount of 7.4 billion rubles in 2015-2016 to DZM and the capital's hospitals. The general director of JSC Tagor, Ekaterina Fomina, assures that her company has nothing to do with LLC FC Promotion, and refuses to talk about Sergei Chushkin.

Together with Soventa LLC, on the same day, Tagor JSC carried out another merger - with JELN-Invest CJSC, which had supplied medical equipment and medical devices to the Department since at least 2011 (the amount of contracts for 2011-2016 was 7.1 billion rubles). The owners of Tagore have not been disclosed. Before the merger, JLN-Invest CJSC belonged to Leonid Shaiman, Igor Shilov and Chab Balier Lajos, who are considered the owners of the European Medical Center (EMC), one of the largest private clinics in Russia. The "Tagora" and "Agata" mails listed in SPARK are registered on the emcmos.ru domain, which is used by the European Medical Center. The mail of the general director of "Tagore" is registered on the domain tagor.msk.ru - according to Ru-Center, it is served by an administrator with mail This address Email protected from spambots. You need JavaScript enabled to view it. ... The telephone number, which can now be used to reach Tagor, coincides with the number of the Pelageya charity fund, headed by Igor Shilov from EMC.

Leonid Shaiman is the employer of Vice Mayor Leonid Pechatnikov, who before joining the team Sergei Sobyanin was the chief physician of the "European Medical Center". As previously reported in the archive of the agency "Ruspres", after being appointed to the mayor's office, Pechatnikov attracted Shaiman to the shadow schemes for the development of the DZM budget. The daughter of the vice-mayor, Natalya Leonidovna Pechatnikova, works in the structures of Leonid Shaiman.

In the registers, Sergei Chushkin from Prodvizheniya FC is listed as the owner of Laval JSC, which in 2012–2014 entered into contracts with DZM for 2.3 billion rubles for the purchase of ultrasound diagnostic equipment and the creation of a unified radiological service. According to the company's website, it provided IT services to Leonid Shaiman's European Medical Center. "Chushkin has not owned our company for five years," said an anonymous employee who answered the phone at Laval. Irina Mikhailovna Kosheleva is registered as another shareholder of the company according to the registers.

Former chief of staff of Mayor Sergei Sobyanin Anastasia Rakova will now oversee the social direction in the renewed Moscow government. Previously, this post was held by Leonid Pechatnikov - his name does not appear in the current composition of the government.

Sobyanin, whose inauguration took place the day before, on September 18, announced this in his blog. The decree on personnel changes also appeared on the website of the mayor's office. “He [Pechatnikov] is a practical, wonderful doctor, and bureaucratic work was not entirely to his liking, which he told me more than once. I am very grateful to him that he agreed, albeit with great difficulty and reluctance, but nevertheless agreed to work for some time in the Moscow government. Over the years, he has done a lot for the city's health care. The most difficult and sometimes very painful, but necessary changes have passed. As a result, the industry has become more economically stable and better motivated for clients, ”the mayor of the capital wrote, specifying that Pechatnikov’s resignation was also connected with his transfer to another job. At the same time, Sobyanin hopes that Pechatnikov will remain "at least" his advisor.

Anastasia Rakova has headed the Moscow Mayor's Office since 2010. Prior to that, she worked in the Tyumen Region with Sergei Sobyanin, and also held the posts of Deputy Secretariat of the Head of the Presidential Administration of Russia and Deputy Minister of Regional Development.

Leonid Pechatnikov is a graduate of the I.I. THEM. Sechenov, he graduated from the university in 1979. Then in 1981 he completed his residency training in the specialty "Internal Medicine". Until 1994, he worked as the chief therapist of the Central Republican Clinical Hospital of the Ministry of Health of the RSFSR, and from 1994 to 2001 he served as the chief therapist of the medical diagnostic association of the Ministry of Health of the Russian Federation, from where he transferred to the KGB No. 67 of Moscow as the chief therapist. In 2004 he became President of the European Medical Center (EMC).

In 2010, Pechatnikov became the head of the Moscow Department of Health, and two years later he moved to the social block of the Moscow government. In this position, he was repeatedly involved in various scandals - from purchases of medical equipment and drugs to questions about the education of the vice-mayor himself. The name of Pechatnikov is associated with the optimization of the Moscow healthcare system, which began in 2014 and was associated with large-scale redundancies of Moscow doctors and the merger of medical institutions. Pechatnikov himself said that the optimization "ended in good performance", and to the then head of the State Duma Committee on Health, Sergei Kalashnikov, who called the reform "genocide", said: "There is no point in commenting on Kalashnikov's statements. I found the answer to the deputy at Faina Georgievna Ranevskaya: “I blurted out like a puddle of n **** l”.

In late 2016 - early 2017, Leonid Pechatnikov took an active part in the high-profile conflict between the then chief physician of the Moscow City Cancer Hospital No. 62 (MGOB No. 62) Anatoly Makhson and the DZM. The department issued order No. 963 of December 1, 2016, changing the status of MGOB No. 62 from an autonomous to a budgetary institution. Then, by order of December 5, Anatoly Makhson was dismissed from the post of chief physician of the Moscow City State Children's Hospital No. 62.

Makhson made statements to the FSB and the Investigative Committee with a request to check the purchases of the Moscow Health Department and bring officials to criminal responsibility if violations are identified. The statement cited examples of purchases by the department of five oncological drugs and two units of medical equipment, the prices of which were overstated by 217.8 million rubles. Leonid Pechatnikov refuted Makhson's arguments, tried to convict the hospital of illegal business and, in the end, announced that inspections of the procurement activities of the DZM did not reveal any violations.

In 2017, representatives of the Dissernet community Vademecum, which they could not find in the available sources of the vice-mayor's doctoral dissertation. The representatives of the Central Scientific Medical Library at the First Honey and the All-Russian Attestation Commission (VAK) also failed to find it. The Department of Attestation of Scientific and Scientific-Pedagogical Workers of the Ministry of Education and Science responded to a request from Vademecum that “there is no information about the award of a Doctor of Medical Science degree to Leonid Mikhailovich Pechatnikov ... in the registration database of the department”. In response, Leonid Pechatnikov said that he had defended his doctoral dissertation in France, but that his doctoral dissertation could also be found in the databases of the Bibliographic Agency for Higher Education in France, the archives of which contain information about all scientific works defended in the republic.

She will leave the post of head of the government apparatus of the capital of Russia and take up the social block, for which Leonid Pechatnikov was previously responsible. Natalia Sergunina will take her place.

Moscow Mayor Sergei Sobyanin, re-elected on September 9 for a new term, announced a personnel reshuffle. The curator of the social block, vice-mayor Leonid Pechatnikov, is leaving the capital's government. His post will be taken by Anastasia Rakova, who has been in charge of domestic policy in Moscow in the status of vice-mayor and head of the government apparatus. The head of the apparatus will now be Natalya Sergunina, who previously oversaw economic issues. Experts are sure that the transition to a new position does not indicate a weakening of Ms. Rakova's positions. After officially taking office, Sergei Sobyanin announced a reshuffle in the Moscow government. The reshuffle affected primarily the deputy mayors (the rest of the appointments will be made later). Anastasia Rakova, who headed the mayor and government apparatus, will now oversee social policy instead of Leonid Pechatnikov, who is "going to another job." In his blog, the mayor explained that "bureaucratic work was not entirely to his liking" to Mr. Pechatnikov, "about which he spoke more than once." “I am very grateful to him that he agreed, albeit with great difficulty and reluctance, but nevertheless agreed to work for some time in the Moscow government,” wrote Sergei Sobyanin, expressing the hope that Leonid Pechatnikov “will at least remain an advisor.”

The job of Mr. Pechatnikov has not yet been announced, but it is possible that he will return to his former place. Leonid Pechatnikov came to the mayor's office in 2010 from the post of chief physician of the European Medical Center. At first, he headed the Department of Health, and since 2012 he has become the Deputy Mayor for Social Development.

On October 4, 2011, a development program for 2012–2016 was approved with a total funding of 1 trillion 160 billion 488 million 643 thousand rubles. In 2012, three levels of primary health care institutions began to be created in the capital: ordinary polyclinics, outpatient clinics and consultative and diagnostic departments in hospitals. And then the consolidation or optimization of the capital's medical institutions began. It provoked both protest actions by medical workers (held in November 2014) and criticism from Vladimir Putin, who said at the All-Russian Popular Front forum that “it seems that colleagues have not thought of everything and have not finished everything”. Then the criticism of the metropolitan medical reform explained both by its actual content and execution, and by purely political factors not directly related to the optimization of the capital's health care.

As a result, no organizational conclusions followed, and in 2015, Leonid Pechatnikov argued that the optimization took place "with excellent results" and the quality of medical care in the capital "has improved significantly." True, in the same year, the Ministry of Health reported that 80% of complaints about the quality of medical care in the Russian Federation accounted for Moscow. But in the end, the department praised the work done by Moscow. In June 2018, the head of the Ministry of Health, Veronika Skvortsova, said that the authorities had managed to achieve a 35% reduction in the mortality rate of the working-age population in four years, as well as halve hospital deaths from strokes. The head of the League for the Protection of Patients, Aleksandr Saversky, says that in Moscow "there is no disorder in hospitals, everything is fine with medicines, and the ambulance now arrives much faster." But the expert believes that the authorities failed to create "medicine of the European level, as promised": "Because of the three-tier system in polyclinics, a person runs from therapist to specialist and diagnostics in different places in Moscow. Against this background, private medicine has grown like mushrooms. " The head of the League for the Defense of Doctors, Semyon Halperin, on the other hand, calls the reform a "defeat of health care", complaining about the closure of hospitals and the loss of specialist doctors. Anastasia Rakova has been working with Sergei Sobyanin in various positions since 1998. At the mayor's office, she was in charge of domestic policy issues. Under the leadership of Mrs. Rakova, the systems "Our City" and "Active Citizen" were launched. A Kommersant source in the mayor's office claims that now Mrs. Rakova will oversee medicine and education, and the new head of the mayor's office, Natalya Sergunina, who was previously responsible for the economic block, will take over internal politics. Sergei Sobyanin said in a blog that she will oversee a block of issues related to culture (previously cultural issues were part of the social block), business development and tourism. The head of the Civil Society Development Fund, Konstantin Kostin, believes that the transition of Anastasia Rakova to the social block is "a move at the same level." “During the administration of the apparatus, Anastasia Rakova deeply interacted with the social sector, for example, she implemented a successful project - multifunctional centers,” said Mr. Kostin. “The Moscow social sphere has gone through quite painful optimization in the sphere of education and health care for paternalists and state employees themselves,” says Alexander Pozhalov, director of research at ISEPS. “This is still reflected in the results of United Russia in the elections.