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Free healthcare costs too much. This fact can be confirmed by thousands of patients who are treated under a compulsory health insurance policy (CHI). Services should be provided free of charge, but patients constantly pay extra for something: for complex tests, additional examinations, more effective medications, and even for a place in a hospital. Is this legal? Insurance companies say no. We analyzed the most common cases of medical “extortion” and clarified how to behave in each situation.

Long wait for diagnosis

Anna went to the clinic with severe headaches, for which pills did not help. The doctor ordered an MRI scan, but all the dates were scheduled a month in advance. The girl was offered to go to the diagnostic center and sign up for a paid procedure. Anna borrowed the required amount and underwent an MRI within two days.

How to be

When prescribing such studies, the doctor is obliged to inform where they are carried out free of charge. An alternative is to issue a direction to a specific center. If they tell you there is a long line, call your insurance company and ask to check the log book. Most often there are free places. Otherwise, there should be a record in your medical record that you wanted to be diagnosed as soon as possible, but were refused. If the disease worsens while waiting, doctors can be held accountable.

The law provides for maximum waiting times for examinations. Check this information with your insurance company.

Additional payment for consumables

Irina took her son to the orthodontist to correct his dental bite. Before installing the plate, the doctor said that I needed to purchase some additional parts. The woman went to the manager and found out that everything she needed was available. Only the quality leaves much to be desired, so the doctor immediately gives a list of what needs to be purchased.

How to be

Free procedures under compulsory medical insurance do not involve any additional costs. If you are asked to pay for materials, sending tests to another institution, or deciphering the results, complain to the insurance company. Running out of time? Then go through the procedures for a fee or purchase what you need, keeping all receipts and receipts. A medical institution that refuses free care will have to compensate you for the amount you spent. The exception is situations when you are offered a choice of two options: use compulsory medical insurance materials or purchase more expensive and high-quality ones.

Carefully check the contract you sign at the clinic. There should not be a clause stating that you refused free services due to a long wait and agreed to a fast, but paid option.

Refusal to issue a referral to a specialized medical institution

Anton is fighting cancer. The clinic sent him to the Institute of Colonoproctology, where the man is undergoing chemotherapy and is being observed by a specialist. Free prescriptions based on received prescriptions are written by the district oncologist. During the last visit, the doctor announced to Anton that the clinic was no longer providing referrals to a specialized medical institution. Treatment will be carried out on site.

How to be

First of all, you need to submit a written application to the head physician of the clinic. If he also refuses to issue a referral, ask him to record this decision in the medical record. The next step is to call or visit the insurance company. There they will have to check how legal the actions of the medical institution are. If the refusal is found to be unfounded, you can go to court for compensation for physical and moral harm.

If you cannot interrupt treatment during the examination and continue to visit doctors for a fee, be sure to collect all contracts for the provision of medical services, checks and receipts in case of litigation.

Denial of hospitalization

Igor went to the clinic with an exacerbation of a chronic disease. Usually, in such a situation, the doctor gave a referral to a hospital, and after a couple of weeks of treatment, health returned to normal. This time the man was told that there was no room in the hospital, and was offered three options: stand in line, be treated at home, or go to a commercial ward. Igor feared further deterioration of his condition, so he agreed to paid treatment.

How to be

Request a written refusal to hospitalize with a precise indication of the reason. Most often, such a request is enough for a free place to be found. If you had to go to a paid hospital, collect financial documents and contact your insurance company. In such cases, a medical examination is carried out to determine the need for urgent hospitalization. Based on the results of the investigation, compensation is paid.

Failure to provide medical care in emergency situations threatens doctors not only with an administrative fine, but also with criminal penalties.

Lack of medications in the hospital

Inna was luckier - there were free beds in the hospital, and she was immediately sent to the ward. But after the examination, the doctor gave out a whole list of medications necessary for treatment. The girl had to spend a considerable amount on medicine.

How to be

Show the names of the medications to the insurance company representative, and he will check whether they are covered by the government guarantee program. The list of free medicines and consumables is determined by the Government of the Russian Federation; the regional administration can supplement it, but not reduce it.

Sometimes doctors honestly warn that free medicine is not as effective as its paid counterpart. In such a situation, you can choose the treatment method yourself. The main thing is that the doctor does not insist on specific tablets, which can only be purchased at a certain pharmacy.

How to protect your rights

You can send a complaint to:

• management of the medical institution;
• to an insurance company;
• to the territorial Compulsory Medical Insurance Fund;
• to the Department of Health;
• to court.

Insurance companies are authorized to evaluate the quality of medical care provided, conduct examinations, organize consultations with independent experts and issue referrals to specialized clinics. They are not subordinate to the Department of Health, so their opinions are most often objective. The problem is that many patients are unaware of their rights and therefore rarely seek help from insurance companies.

If you are faced with the inaction of doctors or were forced to pay for treatment in a public hospital, please contact our medical lawyers for advice. Specialists will study your situation, negotiate with the insurance company, help you obtain compensation for costs, or defend your interests in court.

Our affairs on the topic

If you have a similar case, you can consult by phone

1. Write an application for a replacement doctor or a complaint addressed to the head physician.

2. If it doesn’t help

Contact the city (district) Department of Health or call the hotline, indicating the name of the doctor, medical institution, your contacts and insurance policy number.

3. If there is no answer

File a complaint with the Federal Compulsory Health Insurance Fund.

You should immediately complain to the insurance company if:

• you are offered to pay for medical care in state and municipal institutions;
• you have already paid for some services that should have been provided to you for free;
• you cannot be assigned to a clinic or change your attending physician.

If the situation is urgent

1. Are you being denied medical care or medication, and the chief doctor has not solved the problem?

Contact the local police department or the prosecutor with a request to issue a proposal to eliminate the violated right or with a statement to initiate a criminal case under Art. 124, 125, 293 of the Criminal Code of the Russian Federation.

2. Nothing helped?

Go to court. It is enough to attach an extract to the claim - the court can request the rest itself.

If a doctor extorts money for treatment

File a complaint with the internal affairs authorities. For this:

• indicate the organization to which you are sending the complaint and your contact details;
• indicate the details of the doctor or other employee;
• Briefly and without emotion, state the details of the incident and your demands.

It should also be remembered that doctors are responsible under Article 124 of the Criminal Code of the Russian Federation for failure to provide assistance to a patient. Depending on the severity of the consequences resulting from their inaction, they face liability ranging from a fine to imprisonment for up to 4 years with deprivation of the right to engage in medical activities or hold a position in a medical institution for up to 3 years.

How they extort money in clinics

Why go far - I was recently examined by a surgeon at a district clinic and said that I had a hernia and I urgently needed surgery to remove it. Serious business. And of course, he advised me to do this in a certain hospital with a certain doctor. For money. They say they will do it well and not as expensive as everywhere else.

Extortion of doctors

Be sure to make your application in writing, as you will need to receive a copy of your application with a registration mark in a special register. You also have the right to know who is assigned to deal with your application and what action is being taken. But if you decide to agree to the conditions set, then before agreeing to a paid examination, call your insurance company or the 24-hour federal helpline of the Compulsory Medical Insurance Fund and find out whether the procedure offered to you is really not included in the list of free medical services. Don't be afraid to ruin your relationship with your doctor. Practice shows that legally savvy patients discipline the doctor.

Voronezh doctors face arrest for extorting money from a veteran

— The veteran was scheduled for an operation, for which his relatives were offered to pay, citing the fact that in this case the risk of not recovering from anesthesia would be significantly reduced. After refusing a paid operation, they tried to discharge the veteran from the hospital, but left him in the medical facility only after public intervention. In addition, in the hospital, 200 rubles were stolen from the veteran’s clothes, the press service of the Investigative Committee of the Investigative Committee said.

Alexey Sachkov: Doctor's rudeness

I never demand gifts. According to the law, a doctor, like any civil servant, has no right to receive financial gratitude. There are situations when the doctor carefully hints that it would be nice to thank him at some stage, even later. In any case, this is extortion and is unacceptable. Now there is another law, I read just recently in the summer, which allows civil servants to accept material assets after completing work in conditions where there are no obstacles. A very unclear law, frighteningly frank.

Extortion of doctors

Certainly, extortion of a bribe by traffic police officers is the most common type of corruption in our country. Almost any driver who was stopped more than once by a traffic police inspector for a violation left him an N-th amount as a fine, limiting himself from fussing with the protocol or a higher official fine. What can we say when it comes to major violations that entail deprivation of rights. In most cases, extortion occurs according to the same pattern: having pointed out a violation, the traffic cop does not draw up a protocol for a long time, but dangles it in front of the driver’s face and talks about terrible prospects, inflating even a minor violation into a huge problem.

Bribes to doctors

Grateful testimony does not always serve a good purpose. From time to time they provide an opportunity to avoid criminal conviction and punishment. It is necessary to make good use of all the tools provided by the criminal and criminal procedural law. The sin provided for in Part 1 of Article 290 of the Criminal Code of the Russian Federation is an atrocity of moderate gravity. In this regard, under certain circumstances, the criminal case may be terminated due to proactive repentance. It is necessary to take into account that the court should not dismiss the case due to proactive repentance, this is its right, and the court cannot be forced to use this right, therefore it can prosecute and impose punishment even for receiving a bribe in the form of a completely small currency amount, as in your case. case.

Extortion of doctors

Two doctors from the Apatitsko-Kirov City Hospital were detained for extorting a large bribe. Doctors tried to get money from a local resident, who some time ago was taken to the hospital after being poisoned with counterfeit vodka and registered with drug treatment, the Khibininformburo portal reports.

Extortion of money - Article 163 of the Criminal Code of the Russian Federation: definition, corpus delicti, liability

IMPORTANT! This point No. 13 needs to be known and understood by bank debtors who constantly receive calls from collection agencies or from the bank demanding the return of an overdue loan and interest for use. Such a requirement is legal, therefore there is no qualification under Art. 163 of the Criminal Code.

How to understand that a doctor is extorting money

Well strange! She offers the doctor a bribe, the doctor refused (suddenly he turned out to be honest and he is satisfied with his salary), and she is also indignant. There is no need to give anything to anyone, you only corrupt them yourself, and then believe that doctors are extortionists. And they really become like this with your help. So, dear Lyalya, then don’t be offended when, God forbid, you get seriously ill and you run into an extortionist doctor in the ambulance who won’t take a single injection to the hospital and won’t inject you without a handout, and suddenly you don’t have any money? What then, die?

To prevent surgeons from extorting money from patients for operations

Those who went to the hospital for surgery (not those who were brought in in an unconscious state and immediately operated on, they were lucky in this regard) with the compulsory medical insurance pole, probably encountered a situation where surgeons or anesthesiologists began to demand money from the patient or his relatives, hinting at ensuring the success of the operation on their part.

In Russia, doctors take the most bribes

Doctors call salary reform and labor optimization by deception. The decree was issued, but money for salaries was either not given at all or not enough. The bosses solved the problem simply: they fired some of the employees, raised the salaries of the remaining ones, and at the same time forced them to work for themselves and for those fired. The decree is talking about actual earnings, not about the rate. The doctor may earn the stated 35-40 thousand, but at the same time he works at one and a half to two times the salary. An employee working two hours is counted as one person. The paid salary is divided among all employees, the average statistics for the institution turns out to be cheerful. At the same time, the salary of a paramedic in the region is 7-10 thousand rubles. Until the problem of low wages is really solved, and not on paper, doctors will take bribes. And don't blush at the same time. Because I want to eat.

Doctors will be punished for extortion - thanks

“The punishment offered is lower than for giving or receiving a bribe, for official crimes. We propose to punish with multiple fines and a ban on holding certain positions. In case of refusal to pay the fine, it will be replaced with a real term of imprisonment,” the Izvestia newspaper quotes Ilya Kostunov.

Extortion of money by doctors

In Khabarovsk, the Transport Police opened six criminal cases against doctors at the Road Clinical Hospital, who are suspected of fraud and extorting money from patients. Doctors, according to investigators, demanded money from patients in order to operate on them with new equipment. In case of failure, operations were carried out on the old one.

If doctors extort money

When training doctors in Soviet healthcare, there was a rule: if after a conversation with a doctor the patient did not feel better, then he was a bad doctor. Now, in Russian healthcare, with all its projects and reforms, it is also becoming easier, but the truth is for the patient’s wallet.

A gynecologist from one of the private clinics in St. Petersburg spoke in a private conversation about how exactly they make money off of us. He asked that his name not be used - otherwise dismissal would be inevitable.

Rule No. 1. Not a doctor, but a seller

In commercial medical clinics there is a clear plan for each patient who comes. This is... an average check. It can be different: in small clinics - 5-10 thousand. In large, specialized or dentistry - 50-100 thousand rubles. and higher.

To increase interest in collecting money, when hired, each doctor is given a very small salary, comparable to what is paid in public clinics.

But at the same time, a high percentage of commissions is determined for the doctor for each client, for each service. In our clinic, in my specialty, the doctor must receive at least 30 thousand rubles from the client. for a course of treatment. At the same time, my salary is only 15 thousand. But from each appointment I receive 20% of its cost. The more often each patient comes to me, the more I earn. For referral to a specialist - 5% of the cost of admission, for each analysis - 8%. I do it myself, for which I receive up to 20% of the price of this research. So on average I get up to 250-270 thousand per month.

Rule No. 2. Please your boss

My manager, in response to all my initial attempts to explain that sometimes it is immediately obvious that a person is healthy and that he should not be sent to a laboratory for tests or to colleagues’ offices, but straight home, always objected: “If a person wants to be treated and he has the money for it , you can’t refuse him. Otherwise, he will go to competitors or even go abroad for treatment.”

When I came with a similar thought again, the boss became seriously angry and gave a whole lecture: “Hippocrates died a long time ago, and not in poverty. And you and I want to live some more, and live well. Who are you making worse? You check on your friend to see if he really has anything other than nerves.” And he unequivocally hinted: if my conscience torments me, there is nothing for me to do in their clinic and there will not be a third such conversation, but there will be dismissal.

One of my colleagues, in order to somehow ease the pangs of conscience, secretly from the management on weekends goes to nursing homes and treats grandparents there for free.

The bosses know about this weirdo of his, they call him Doctor Chekhov behind his back, but since he regularly fulfills and exceeds the plan for collecting money, he turns a blind eye to these voyages. And to discourage others, he begins every morning meeting with the words: “Dear colleagues, you and I live in a time when the ruble rules the world. So let’s help our patients get rid of their rubles so that they have more incentives to earn new rubles.”

This is how we live - desperately trying to please our native leadership.

Rule No. 3. There can never be too many analyzes

Most of my patients are exalted, wealthy ladies. Therefore, it is not difficult to prescribe a whole bunch of different tests for them, just by knitting your eyebrows and fearfully wondering if they have some kind of problem - from fibroids to.

In some clinics, the results are simply faked by entering data out of thin air. Our clinic maintains its reputation, so we conduct all tests scrupulously. But we always (!) identify at least some minimal deviation from the norm. Which we immediately begin to diligently treat, and at the same time the patient has to take tests again and again.

Rule No. 4. Lying is honorable

New patients of our clinic always carefully study the honor board, which contains photographs of the best doctors of our clinic. But the criterion for selecting the best workers of the month is unknown to them. But these are, in fact, the best salespeople. That is, those who brought the maximum amount of money to the cash register.

For example, over the years of work I have become more adept at using hints, sighs and various grimaces depicting confusion on my face to make the most seasoned and experienced people worry. Because upon entering my office, even a lady minister becomes just a timid patient. As a result, I personally very often find myself on the honor roll, because I bring the clinic up to 3 million rubles a month. income.

Rule No. 5. Don't be ashamed

My best patient is a fan of reading medical sites. She comes with a ready-made diagnosis. And we begin to courageously look for all the ailments she has invented for herself. It is important not to dissuade her, but also not to agree with her, to try to delay the process as much as possible. Let her measure her rectal temperature for a week and observe her mood during menopause, then take all possible hormones, do ultrasounds several times on different days of the cycle, and so on and so forth.

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