The sad statistics
Number of TB-cases | Number of oncological diseases | Number of venereal diseases | |||||||
Syphilis | Gonorrhea | ||||||||
Abs. numb. | For 100 thous. | Abs. numb. | For 100 thous. | Abs. umb. | For 10 thous. | Abs.Numb | For 10 thous. | ||
Ternopil oblast | 3201 | 27.41 | 22021 | 189.21 | 4171 | 3.5841 | 4341 | 3.731 | |
Totally in Ukraine | 27100 | 54.6 | 754400 | 1525 | 566800 | 11.5 | 26100 | 5.26 |
1 – data for 9 months of 1999
Birth rate, mortality rate, natality of population (for 1000 of population)
1990 | 1996 | 1997 | 1999 | |||||
Terno-pil obl. | Ukraine | Terno-pil obl. | Ukraine | Terno-pil obl. | Ukraine | Terno-pil obl. | Ukraine | |
Total birth rate | 14.2 | 12.7 | 11.5 | 9.1 | 10.9 | 8.7 | 9.6 | 7.8 |
Total mortality | 12.8 | 12.1 | 13.9 | 15.2 | 14.3 | 14.9 | 14.3 | 14.8 |
Natality | 1.4 | 0.6 | -2.4 | -6.1 | -3.4 | -6.2 | -4.7 | -7.0 |
Mortality of new-born | 11.4 | 12.8 | 13.3 | 14.3 | 12.5 | 14.0 | 13.3 | 12.8 |
The analysis of these data leads to pessimistic conclusions. It is good the bulletin Prava ludyny touched the topic of the right for medical aid. I agree with I. Sukhorukova that the society treats the problem with an inadmissible flippancy. I reckon that the government position in the questions of medical aid may be characterized as amoral and even criminal: the financing is lower than any reasonable minimum, there is no strategy at all of leading the branch out of the collapse, even serious discussions are not held. It seems that the authorities have taken off responsibility for the lot of unhealthy people, in fact are proposed to die quietly. The former Soviet system of health protection may certainly be criticized, yet no one can affirm that there was no system: it was imperfect, but actually working. The motto Pay, if you want to survive could be put now on the facades of todays hospitals.
The medical public organizations The pulse of Ukraine, that was created during the election campaign by ex-minister Raisa Bogatyriova, turned to Ukrainian MPs with the request to hand the application to the Constitutional Court concerning the interpretation of a somewhat vague Article 49 of the Ukrainian Constitution about the free medical aid. As such, this application may be sensible: there must exist an official interpretation of this article. As to me, the very text of this article must be changed to become more concrete. The most important meaning, which can be read between the lines of this appeal, is the conviction (and obedient consent) that no budget money will be given for medicine by the authorities! So, the load of financing on the medical reform is suggested to put on tax-payers shoulders, and the medical part of the public does not object.
Yet, if someone proposes me to sign this appeal, I will do it to make the medical problems to be at last publicly discussed in the Parliament. I agree with the creation of the joint funds for financing, I am for the development of medical insurance. Yet, I believe that one must be a complete idealist to hope that all this will start working rather soon, thus supporting the drowning system of health protection. Nobody else, but our very modest in such affairs state, must take the main part of expenses for the financial, material, personnel, informational, etc. provision of the necessary minimum of the free medical aid. This minimum must be officially delimited, be financed from the state budget and be guaranteed to everybody – from the President to a hobo. All the rest must be paid from the municipal, insurance and private financing. It is obvious that the state will give money for the provision of this more or less accessible minimum only under the condition, if the society, public and Church demand it.
So this problem must be permanently stirred up to acquire any decent priority. It must be also done on Prava ludyny pages.