medicine

What will change from July 1: pensions, utilities, payments for children

by

Housing and utilities rates will rise

Housing and communal services will rise in price from July 1 by 2.4-6.5% depending on the region. Tariffs will grow most strongly in the North Caucasus: in Chechnya – by 6.5%, in Kabardino-Balkaria – by 5.4%, in Dagestan – by 5.2%.

The minimum increase threshold is planned in the Nenets Autonomous Okrug – by 2.4%. However, on average, tariff growth in all regions will be 4% and will not exceed inflation. Legislative authorities considered the idea of ​​“freezing” communal prices due to the deterioration of the material situation of Russians during the pandemic. However, the government rejected the initiative, taking the side of resource companies that, without tariff indexation, would face underfunding.

Electricity meters will be replaced for free

There is good news from utilities. From July 1, installation, repair, maintenance and replacement of electricity meters will be carried out at the expense of energy companies. Moreover, the obligation will be valid for guaranteeing suppliers in apartment buildings, and for network companies in the case of the private sector, cottages and legal entities. As explained in the Ministry of Energy, residents will only have to monitor the safety of meters.

Self-employed tax will be introduced everywhere

In a recent appeal to citizens, President Vladimir Putin proposed extending the tax regime for the self-employed throughout the country. Since 2018, he acted in test mode, first in 4 regions, and then in 23 constituent entities of the Russian Federation. Moreover, the regions will be able to decide for themselves whether to join the project or not. Another innovation – as self-employed it will be possible to register from 16 years old, and not from 18 as before.

Freelancers and entrepreneurs who are not employed by the employer and do not have the status of individual entrepreneur or legal entity can become self-employed. With the help of the My Tax mobile application, they can legalize their income and pay 4% tax (for a client – an individual) and 6% (if a client is a legal entity or individual entrepreneur) instead of the usual personal income tax of 13%. According to the Ministry of Finance, more than 741 thousand taxpayers have become self-employed.

Repeated payout for children

In July, families with children will receive one more lump sum payment of 10 thousand rubles for each child. These funds will be additionally provided for a monthly payment of 5 thousand rubles for children under 3 years old and will be automatically charged by the June lump sum payment for children from 3 to 16 years old. A new application for financial assistance is not necessary: ​​money will be paid based on the data already available to the FIU. According to Prime Minister Mikhail Mishustin, it is planned to allocate more than 270 billion rubles for these purposes.

Pensions of elderly guardians will increase

The indexation of insurance pensions will be renewed for foster parents and retirees and guardians of minor children. Previously, they were equated with working pensioners due to the fact that they are engaged in raising children under the contract and receive remuneration for this. At the same time, the amount of remuneration was small: 4-5 thousand rubles. Now they will be annually indexed the size of the insurance pension and a fixed payment to it. Recalculation of pensions will take place without a request: no need to apply to the FIU. According to government estimates, the measure will cover 45.8 thousand adoptive parents-pensioners.

The transfer of pension payments to MIR cards will end

By July 1, banks must complete the transfer of pensioners to the cards of the MIR payment system. However, until October 1, the Central Bank allowed not to punish banks if they continue to transfer pensions to cards of other payment systems. Thus, Visa and MasterCard cardholders will be able to use them for another three months.

Microcredit tighten again

Starting July 1, new rules are introduced for the microcredit market. For microcredit companies with simplified regulation, the minimum amount of equity is set at 1 million rubles. Microcredit companies are also required to disclose information on the structure and composition of their shareholders.

Shoes, cigarettes and medicines are marked

The list of goods subject to mandatory digital marking is expanding. Information on all drugs imported into the country will have to be entered into the drug movement monitoring system. At the same time, the sale of unlabeled drugs that went on sale before July 1 will be allowed until the expiration date.

Starting July 1, the circulation of unlabelled tobacco products in the country should be completely stopped. Becomes mandatory and marking shoes. Products without special codes cannot be sold after July 1. Buyers will be able to check the legality of the product in the “Honest Sign” application: all information about the movement of a pair of shoes from the manufacturer to the buyer will be displayed there. Shoes already delivered to stores can be marked by September 1.

Tourists will be offered domestic holidays

Since July 1, the holiday season opens almost in full mode. Hotels and resorts across the country are starting to operate, restrictions on interregional trips are being removed, beaches, parks and embankments are opening. For a month now, the sanatoriums of the Krasnodar Territory have been working with a medical license, now all hotels, camp sites and children’s camps will officially join them. At the same time, Rospotrebnadzor obliged the resorts to observe security measures, including social distance. Regions have also introduced their own rules. Somewhere the maximum occupancy rate of hotels is being introduced, in some regions there are restrictions on entry. Before planning a trip, it is worth examining information about the limitations and epidemiological situation of the region.

From July 15, international air traffic partially resumes. Borders will be opened with the countries of the EAEU and the CIS. Europe and foreign countries are still closed to Russians.

You don’t have to prove disability

From July 1, it is not required to provide a disability certificate to receive payments and public services. The necessary information will be requested by the authorized bodies in the framework of electronic interaction between departments. Previously, because of bureaucratic delays, disability payments were often delayed: they had to collect documents on their own, write a statement to the FIU, and wait for confirmation of examinations. Now applying for the benefits of people with disabilities will be simplified.

Another innovation awaits disabled car owners. From July 1, an identification mark with a picture of a stroller is no longer required. Information about a car driven or transporting a disabled person must be placed in the federal registry, and signs will not be issued. To obtain the right to free parking, people with disabilities or their legal representatives must submit an application to the PRF to register the vehicle. This can also be done at the MFC or at the State Services portal. For disabled people, there should be at least 10% of privileged places in public parking lots.

Declarations of civil servants will be converted into electronic form

Civil servants will fill out income statements only using the special software “Help BC”. This service is available on the official website of the President of Russia. Such certificates are required to fill out about 2 million people, including deputies and employees of state funds. “Help BC” will automatically check the correctness of filling out the document, will store data and update them.

Workers will be asked to choose a workbook format

The government has postponed the period for notifying an employee about electronic work books. Employers had until July 1 to collect employee information about which format of the workbook remains for them – electronic or paper. The term was extended until October 31.

Universities introduce mandatory practice

Practical training of students will become an indispensable part of training for all specialties in universities, colleges and schools. Such a norm existed in the Soviet educational system, and in modern Russia there are only four areas left: aviation and rail transport, medicine and pharmaceuticals.

The geographical indication will be fixed by law

Starting July 27, a new object of intellectual property appears in Russia – a geographical indication. The norm will concern manufacturers of products, wine, and other goods. For regional manufacturers, the procedure for registering goods with a reference to a geographical object is simplified. For example, earlier the “Adygea cheese” was to be made exclusively from Adyghe milk and ripen in special baskets of plum twigs. At the same time, 80% of Adyghe cheese was produced outside Adygea. Now cheese can officially be called Adyghe if at least one of the stages of its production was in the locality of the same name.

Expert Comments

Alexey Krichevsky, expert at the Academy of Finance and Investment Management: “One of the most interesting and positive innovations of July is the spread of the self-employed regime throughout the country. This will gradually lead people working without registration and in private, out of the shadows. After the project is distributed throughout the country, the number of self-employed will increase by 1.5-2 times already this year, and tax deductions may well exceed 3 billion rubles. The state will ensure that companies do not transfer employees to self-employment for the sake of favorable tax conditions. For this, a transitional period of six months is introduced when the self-employed does not have the right to conclude a contract with the company from which he quit.

The introduction of electronic workbooks will allow you to no longer worry about the experience and the sudden loss of a workbook – all data will be stored on the Internet.

Regarding the indexation of housing and communal services tariffs, against the background of a total decline in household incomes, it was more logical to either cancel it completely or to postpone the period of raising the cost of housing and communal services for the next few years, increasing indexation by 1-1.5% during the “compensation” period. ”

Petr Pushkarev, TeleTrade chief analyst: “Definitely good news will be the repeated payment in July of 10 thousand rubles for each child under 16 years of age. Any social payments can stir up almost “dead” consumer demand. This means that this money will help business as well.

The long-awaited topic is the opening of domestic tourism with free trips between regions. The main thing is that vacationers should not be tortured with certificates and checks. It’s not a fact that citizens will go on a massive trip: it’s worth going to a hotel, where one of the guests will find a virus, all the tourists there will be sent to self-isolation. In the conditions of restrictions, the “wild” rest with renting apartments and private houses will be in demand rather.

Many Russians were waiting for a chance to become legally self-employed. It is good that the option will be available to the most active youth from 16 years old. It is perhaps bad that the decision to introduce a self-employed regime was left at the mercy of the regions, which could be delayed with changes in regional legislation. They still need to convince citizens to legalize and convince that in a few years the authorities will not turn off the benefits and will not “cut” the tax press in full.

The normal procedure for indexing pensions to pensioners-guardians of children will be restored: equating them with working pensioners was clearly a misunderstanding. The good thing is that with Mir cards, pensioners were allowed not to follow new ones during the epidemic, and were allowed to use the old ones until the fall. ”

See also: The expert criticized the increase in the retirement age: the hole in the budget of the Pension Fund increased

.

What will change from July 1: pensions, utilities, payments for children

by

Housing and utilities rates will rise

Housing and communal services will rise in price from July 1 by 2.4-6.5% depending on the region. Tariffs will grow most strongly in the North Caucasus: in Chechnya – by 6.5%, in Kabardino-Balkaria – by 5.4%, in Dagestan – by 5.2%.

The minimum increase threshold is planned in the Nenets Autonomous Okrug – by 2.4%. However, on average, tariff growth in all regions will be 4% and will not exceed inflation. Legislative authorities considered the idea of ​​“freezing” communal prices due to the deterioration of the material situation of Russians during the pandemic. However, the government rejected the initiative, taking the side of resource companies that, without tariff indexation, would face underfunding.

Electricity meters will be replaced for free

There is good news from utilities. From July 1, installation, repair, maintenance and replacement of electricity meters will be carried out at the expense of energy companies. Moreover, the obligation will be valid for guaranteeing suppliers in apartment buildings, and for network companies in the case of the private sector, cottages and legal entities. As explained in the Ministry of Energy, residents will only have to monitor the safety of meters.

Self-employed tax will be introduced everywhere

In a recent appeal to citizens, President Vladimir Putin proposed extending the tax regime for the self-employed throughout the country. Since 2018, he acted in test mode, first in 4 regions, and then in 23 constituent entities of the Russian Federation. Moreover, the regions will be able to decide for themselves whether to join the project or not. Another innovation – as self-employed it will be possible to register from 16 years old, and not from 18 as before.

Freelancers and entrepreneurs who are not employed by the employer and do not have the status of individual entrepreneur or legal entity can become self-employed. With the help of the My Tax mobile application, they can legalize their income and pay 4% tax (for a client – an individual) and 6% (if a client is a legal entity or individual entrepreneur) instead of the usual personal income tax of 13%. According to the Ministry of Finance, more than 741 thousand taxpayers have become self-employed.

Repeated payout for children

In July, families with children will receive one more lump sum payment of 10 thousand rubles for each child. These funds will be additionally provided for a monthly payment of 5 thousand rubles for children under 3 years old and will be automatically charged by the June lump sum payment for children from 3 to 16 years old. A new application for financial assistance is not necessary: ​​money will be paid based on the data already available to the FIU. According to Prime Minister Mikhail Mishustin, it is planned to allocate more than 270 billion rubles for these purposes.

Pensions of elderly guardians will increase

The indexation of insurance pensions will be renewed for foster parents and retirees and guardians of minor children. Previously, they were equated with working pensioners due to the fact that they are engaged in raising children under the contract and receive remuneration for this. At the same time, the amount of remuneration was small: 4-5 thousand rubles. Now they will be annually indexed the size of the insurance pension and a fixed payment to it. Recalculation of pensions will take place without a request: no need to apply to the FIU. According to government estimates, the measure will cover 45.8 thousand adoptive parents-pensioners.

The transfer of pension payments to MIR cards will end

By July 1, banks must complete the transfer of pensioners to the cards of the MIR payment system. However, until October 1, the Central Bank allowed not to punish banks if they continue to transfer pensions to cards of other payment systems. Thus, Visa and MasterCard cardholders will be able to use them for another three months.

Microcredit tighten again

Starting July 1, new rules are introduced for the microcredit market. For microcredit companies with simplified regulation, the minimum amount of equity is set at 1 million rubles. Microcredit companies are also required to disclose information on the structure and composition of their shareholders.

Shoes, cigarettes and medicines are marked

The list of goods subject to mandatory digital marking is expanding. Information on all drugs imported into the country will have to be entered into the drug movement monitoring system. At the same time, the sale of unlabeled drugs that went on sale before July 1 will be allowed until the expiration date.

Starting July 1, the circulation of unlabelled tobacco products in the country should be completely stopped. Becomes mandatory and marking shoes. Products without special codes cannot be sold after July 1. Buyers will be able to check the legality of the product in the “Honest Sign” application: all information about the movement of a pair of shoes from the manufacturer to the buyer will be displayed there. Shoes already delivered to stores can be marked by September 1.

Tourists will be offered domestic holidays

Since July 1, the holiday season opens almost in full mode. Hotels and resorts across the country are starting to operate, restrictions on interregional trips are being removed, beaches, parks and embankments are opening. For a month now, the sanatoriums of the Krasnodar Territory have been working with a medical license, now all hotels, camp sites and children’s camps will officially join them. At the same time, Rospotrebnadzor obliged the resorts to observe security measures, including social distance. Regions have also introduced their own rules. Somewhere the maximum occupancy rate of hotels is being introduced, in some regions there are restrictions on entry. Before planning a trip, it is worth examining information about the limitations and epidemiological situation of the region.

From July 15, international air traffic partially resumes. Borders will be opened with the countries of the EAEU and the CIS. Europe and foreign countries are still closed to Russians.

You don’t have to prove disability

From July 1, it is not required to provide a disability certificate to receive payments and public services. The necessary information will be requested by the authorized bodies in the framework of electronic interaction between departments. Previously, because of bureaucratic delays, disability payments were often delayed: they had to collect documents on their own, write a statement to the FIU, and wait for confirmation of examinations. Now applying for the benefits of people with disabilities will be simplified.

Another innovation awaits disabled car owners. From July 1, an identification mark with a picture of a stroller is no longer required. Information about a car driven or transporting a disabled person must be placed in the federal registry, and signs will not be issued. To obtain the right to free parking, people with disabilities or their legal representatives must submit an application to the PRF to register the vehicle. This can also be done at the MFC or at the State Services portal. For disabled people, there should be at least 10% of privileged places in public parking lots.

Declarations of civil servants will be converted into electronic form

Civil servants will fill out income statements only using the special software “Help BC”. This service is available on the official website of the President of Russia. Such certificates are required to fill out about 2 million people, including deputies and employees of state funds. “Help BC” will automatically check the correctness of filling out the document, will store data and update them.

Workers will be asked to choose a workbook format

The government has postponed the period for notifying an employee about electronic work books. Employers had until July 1 to collect employee information about which format of the workbook remains for them – electronic or paper. The term was extended until October 31.

Universities introduce mandatory practice

Practical training of students will become an indispensable part of training for all specialties in universities, colleges and schools. Such a norm existed in the Soviet educational system, and in modern Russia there are only four areas left: aviation and rail transport, medicine and pharmaceuticals.

The geographical indication will be fixed by law

Starting July 27, a new object of intellectual property appears in Russia – a geographical indication. The norm will concern manufacturers of products, wine, and other goods. For regional manufacturers, the procedure for registering goods with a reference to a geographical object is simplified. For example, earlier the “Adygea cheese” was to be made exclusively from Adyghe milk and ripen in special baskets of plum twigs. At the same time, 80% of Adyghe cheese was produced outside Adygea. Now cheese can officially be called Adyghe if at least one of the stages of its production was in the locality of the same name.

Expert Comments

Alexey Krichevsky, expert at the Academy of Finance and Investment Management: “One of the most interesting and positive innovations of July is the spread of the self-employed regime throughout the country. This will gradually lead people working without registration and in private, out of the shadows. After the project is distributed throughout the country, the number of self-employed will increase by 1.5-2 times already this year, and tax deductions may well exceed 3 billion rubles. The state will ensure that companies do not transfer employees to self-employment for the sake of favorable tax conditions. For this, a transitional period of six months is introduced when the self-employed does not have the right to conclude a contract with the company from which he quit.

The introduction of electronic workbooks will allow you to no longer worry about the experience and the sudden loss of a workbook – all data will be stored on the Internet.

Regarding the indexation of housing and communal services tariffs, against the background of a total decline in household incomes, it was more logical to either cancel it completely or to postpone the period of raising the cost of housing and communal services for the next few years, increasing indexation by 1-1.5% during the “compensation” period. ”

Petr Pushkarev, TeleTrade chief analyst: “Definitely good news will be the repeated payment in July of 10 thousand rubles for each child under 16 years of age. Any social payments can stir up almost “dead” consumer demand. This means that this money will help business as well.

The long-awaited topic is the opening of domestic tourism with free trips between regions. The main thing is that vacationers should not be tortured with certificates and checks. It’s not a fact that citizens will go on a massive trip: it’s worth going to a hotel, where one of the guests will find a virus, all the tourists there will be sent to self-isolation. In the conditions of restrictions, the “wild” rest with renting apartments and private houses will be in demand rather.

Many Russians were waiting for a chance to become legally self-employed. It is good that the option will be available to the most active youth from 16 years old. It is perhaps bad that the decision to introduce a self-employed regime was left at the mercy of the regions, which could be delayed with changes in regional legislation. They still need to convince citizens to legalize and convince that in a few years the authorities will not turn off the benefits and will not “cut” the tax press in full.

The normal procedure for indexing pensions to pensioners-guardians of children will be restored: equating them with working pensioners was clearly a misunderstanding. The good thing is that with Mir cards, pensioners were allowed not to follow new ones during the epidemic, and were allowed to use the old ones until the fall. ”

See also: The expert criticized the increase in the retirement age: the hole in the budget of the Pension Fund increased

.

very cheap and long-known drugs help save the lungs with coronavirus

by

Cloving hospital on the basis of the Medical Scientific and Educational Center (ISSC) Moscow State University named after M.V.Lomonosov took the first patients on April 21 and completed his work on June 13. It turned out that it was possible to achieve the best treatment results for COVID-19 in Moscow. Over the entire period, 4 patients died, and among severe patients who got mechanical ventilation, the mortality rate was less than 14% (for comparison, the average for the city and the world was up to 70 – 80%). Eighteen doctors out of 220 employees of the hospital were infected with coronavirus, there were no deaths among the medical staff.

What approaches were used at the University Hospital of Moscow State University to achieve such results? We continue the conversation with the head. Department of Therapy, Faculty of Fundamental Medicine, Moscow State University, Head of the Department of Age-Associated Diseases, Medical Scientific and Educational Center, Doctor of Medical Sciences, Cardiologist Yana Orlova.

MEDICINE FOR COUGH FOR 80 RUBLES

– Most of those who are ill or are afraid to get sick are worried about fibrotic changes in their lungs. They say that you have developed special therapy that can reduce the risk of developing fibrosis. Is it possible?!

– Yes, we launched an appropriate clinical study. There are no final results yet, but we have developed clinical practice.

“What did you do to save the lungs?”

– We used a combination of bromhexine and spironolactone (both are long-known very cheap drugs. – Ed.). Bromhexine is an expectorant that has been prescribed to patients with pneumonia and cough for many years. At the same time, experimental data showed that this drug can block a specific enzyme and impede the penetration of coronavirus into cells. True, it was on this effect that we counted to a lesser extent in inpatients, since such an effect is important mainly in the early stages of the disease. But the expectorant effect of bromhexine really helps patients with COVID. I heard that our colleagues in Peter launched a study of bromhexine for prophylactic purposes. We will wait for the results.

Coronavirus infected 18 doctors from 220 employees of the hospital, there were no deaths among the medical staffPhoto: Ivan MAKEEV

FIBROSIS OBSTACLE

– The second drug – spironolactone – is traditionally widely used in cardiology for the treatment of heart failure, severe hypertension. It has a small diuretic, magnesium and potassium-preserving effect, continues Yana. Orlova. – It has several mechanisms through which it can be useful in coronavirus infection.

Firstly, a mechanism that prevents the development of fibrosis in general in the body. There are works that, in particular, show that spironolactone reduces fibrosis in the heart. At the same time, it is known that the tendency to fibrosis is not local, but systemic – where there is more inflammation, there will certainly be fibrosis. And we see, of course, fibrotic changes in the “covide” in our patients. Therefore, we prescribed spironolactone as a drug for the prevention of this process.

Secondly, this drug blocks sex hormone receptors, in particular testosterone. Some published studies suggest that “high-testosterone” men suffer from “covid” more often and develop more severe fibrotic changes. Therefore, blocking these receptors for several weeks during COVID treatment may be useful in reducing the severity of complications. We are not talking about a longer intake, since male patients are unlikely to agree with a decrease in testosterone levels in the long term.

And perhaps the most important point. In almost all of our patients, we observed hypokalemia (a decrease in potassium levels. – Ed.). With coronavirus infection, potassium is intensely excreted from the body, and scientific articles even suggest that hypokalemia serves as the trigger for a cytokine storm. So spironolactone has a real chance to reduce the risk of this dangerous complication. But the main thing, in my opinion, is that lowering the level of potassium in the body is extremely harmful to the heart and triggers life-threatening rhythm disturbances, increasing the risk of sudden death. We, like all others, replenished potassium with droppers, but it was more effective to retain it in the body with the help of spironolactone.


Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than patients without excess weight Photo: Ivan MAKEEV

Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patientsPhoto: Ivan MAKEEV

WHEN PRESCRIBED PATIENTS

– Yana Arturovna, how many patients did you have on average?

– About 10 – 14 days. But someone and 50 days.

– Have you noticed signs by which it can be assumed that the disease in the person brought is likely to go the hard way?

– Such studies were carried out in the world, our clinical practice confirmed them. Men certainly get worse than women; the elderly are heavier than the young; overweight people are heavier than overweight patients. Men with a classic male type of baldness, a lot of facial hair, we can say brutal men get sick harder.

– Under what conditions did you discharge patients?

– We acted as close as possible to the recommendations Ministry of Health: so that the temperature for three days was not higher than 37.5 degrees; so that C-reactive protein (an indicator of inflammation) is lower than 10 mg / l, and saturation, that is, the level of oxygen in the blood, is higher than 96%.

“HEAD OF EPIDEMIOLOGY DEPARTMENT OF ITSELF WORKED AT SANPROPUSNIK”

– How often do you get sick doctors and nurses?

– In the first month no one got sick at all. We have a very powerful epidemiological service. The head of the sanitary-epidemiological department, a senior researcher, correctly organized the whole process, and for the first two weeks she personally worked in the sanitary inspection room at the exit from the “red zone” and helped doctors and nurses who were exhausted after the shift safely remove protective clothing.

Then both people’s fatigue and viral load accumulated. By the middle of the second month, sick people began to appear. There were no seriously ill patients. We treated part of the staff in our observation, part of it was treated at home. In total, 18 people were infected from the medical staff (less than 10%).

– Doctors take something for prevention? Vitamins C, D, Zinc?

– I saw the recommendations of American nutritionists, they speak out positively about taking zinc, melatonin and vitamin C. There were somewhat conflicting data on vitamin D. But we did not give any such recommendations to our employees. We have all the prevention was associated with minimizing contacts and other measures of epidemiological safety.

Physicians are the heroes of our time.“If you think that you are special and that a pandemic will not affect you, you are deeply mistaken,” listen to what the doctors who are fighting with coronavirus say

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Pandemic has become a litmus test for the Russian elite

by

He became a deputy, for decades he was in various senior positions. True, he did not win special laurels, but still in the leading clip, he continues to pull the excessive burden of the “servant of the people.” From his spiritual bond, only a round and well-fed … turnip remained.

In this story there is no fiction, allegory or libel on the bright image of the national guardian. On the contrary, I do not call him by name just because I want to spare the nerves of the simple-minded people who at one time gave sympathy to a visiting political guest performer. Our deputies, candidates, senators, officials only out of necessity and for a short time descend to the ground, “showing concern” for a simple person. Then, in a private plane, fly away to your villas and yachts, where in the quiet of the splashing sea it is easier to relieve the stress of meeting an alien “remote place” for them, to erase unpleasant images of general neglect and poverty from memory.

The social gap between the government and the people has always existed among us: that under Ivan the Terrible, that under Nicholas II, that under Stalin and further on the list. We admit honestly that the tsar, neither the emperors, nor the Bolshevik or democratic leaders, the well-being of the common man was a priority. The state and its interests are everything, but man is almost nothing! However, today’s stratification in the country, the gigantic wealth of some and the hopeless poverty of others, even against such a historical background, look glaring.

The so-called Russian elite does not even know how things are outside the two capitals. How millions of citizens of small towns and villages survive – the most humble part of the country, the inhabitants of that very province, the outback, about which the elites allegedly bake.

In fact, they are all “terribly far from the people,” as Lenin noted, alluding to the fact that the Bolsheviks will be much closer when they come to power. For they themselves come from the thick of the people.

But Vladimir Ilyich, having become the master of the Kremlin, did not change historical traditions, having settled together with his wife in an 11-room apartment in the Senate Palace, with two elevators and a summer terrace for relaxing and walking.

In a word, it doesn’t matter which century is in the yard – everything happens according to one scenario. New elites break into power under the slogans of protecting the interests of the people, and then isolate themselves from the common man and his worries in order to focus on solving more “ambitious” tasks. So they come off gradually from reality, cease to understand the life of ordinary citizens.

And if someone says that this happens to high-ranking officials around the world, then I will not agree. Not so long ago, British Prime Minister Boris Johnson arrived at a regular store in the immigrant area of ​​London at the wheel … of a bicycle. Recognizing him, people came up to say hello by the hand and take a selfie. Having finished communication, Johnson unhooked the lock from the frame, got on his bicycle and drove off into the bourgeois Piccadilly.

I cannot imagine Johnson’s Russian colleague in the same role – at least the present, at least any of the past – personally I can’t, at least crack! Although one of them would take such a walk in the midst of a street crowd, renting a bike and going for bread to the bench, he probably could have learned a lot of new and interesting information about people’s lives, first hand. You see, this knowledge would help in the preparation of some important government decisions …

Ideologies or systems are changing, and the nature of power is never! And most of today’s problems are a consequence of that very isolation and split. Hence the inadequate response of the authorities to many internal events, challenges and aspirations.

Maybe this would have continued, if not for the sudden pandemic, which had fallen like snow on his head, exposing all the drama and depth of Russian problems.

To be fair, the government promptly took the necessary and important measures to protect the population. In a short period of time, hospitals and clinics were redesigned into coronavirus control centers, provided with protective equipment, thanks to which massive losses were avoided. And the appearance of Vladimir Putin in Kommunarka, communication with specialists of the medical center and the support of doctors became almost a balm for the soul – which means that not everything is so bad!

However, millions of ordinary citizens, being isolated, alone with their fear, fears, phobias, experienced total stress, which they are unlikely to quickly and without consequences get rid of. New and unfamiliar words appeared: saturation, virulence, alveolus, on which the lives of their loved ones now depend. In a literal sense. The pandemic caused tectonic shifts and psychological trauma in people’s minds. It seems that such confusion and absolute misunderstanding of what to do, how to be saved, people have never had, perhaps even during the Great Patriotic War, where the enemy was terrible, but understandable and visible. It was especially hard for the elderly contingent, which was initially identified as a hopeless “risk group”.

Deputies, ministers, heads of regions, territories frankly skated about the excitement of people. They had nothing to say or simply did not consider it necessary – this is not an election campaign! Especially to rush off somewhere, spend money and risk your health. It is much safer to jump out to the provinces on a Gelendvagen for a couple of days, throwing a sweatshirt with earflaps and pickaxes in the trunk to seduce the electorate.

We did not see the proper support of the business community. Not a single oligarch was seen in volunteer actions or financial support for hospitals. None of them ran to withdraw money from accounts to help those in need.

Each time we are convinced that we should not wait for male, and simply humane, human actions from our Forbes regulars. Although they have been scooping billions of dollars for decades in those very deceived remote places, polluting nature for hundreds of kilometers, which is why the population is gradually dying out.

We did not hear the voices of representatives of official medicine, whose words would help people calm down. As a result, psychosis reached such heights that even doctors refused to replace whole teams. And you can understand them, because few people want to risk the health and lives of loved ones and relatives for a penny.

The pandemic and all the events associated with it caused only discontent and distrust of the authorities. When half a century ago, Moscow artist Alexei Kokorekin, who returned from India, fell ill with smallpox, the entire population of Moscow (6 million people) was completely vaccinated within 19 days. And no one blundered why and for what they are vaccinated! Because they were one hundred percent sure – everything is done for their health and good.

The outbreak was localized, only three people died. So Soviet medicine coped with typhoid, plague, tuberculosis, smallpox, polio and other epidemics using its own vaccines.

Today, one hint of the need for vaccines causes the majority of anxiety and protest. Perhaps fears are exaggerated and have no soil. But people no longer believe anyone. Too often they have been deceived and continue to deceive.

They do not know how to work differently. Maybe they would like to, but they don’t know how!

See also: Why Rosstat data often do not correspond to the real state of affairs

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Pandemic has become a litmus test for the Russian elite

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He became a deputy, for decades he was in various senior positions. True, he did not win special laurels, but still in the leading clip, he continues to pull the excessive burden of the “servant of the people.” From his spiritual bond, only a round and well-fed … turnip remained.

In this story there is no fiction, allegory or libel on the bright image of the national guardian. On the contrary, I do not call him by name just because I want to spare the nerves of the simple-minded people who at one time gave sympathy to a visiting political guest performer. Our deputies, candidates, senators, officials only out of necessity and for a short time descend to the ground, “showing concern” for a simple person. Then, in a private plane, fly away to your villas and yachts, where in the quiet of the splashing sea it is easier to relieve the stress of meeting an alien “remote place” for them, to erase unpleasant images of general neglect and poverty from memory.

The social gap between the government and the people has always existed among us: that under Ivan the Terrible, that under Nicholas II, that under Stalin and further on the list. We admit honestly that the tsar, neither the emperors, nor the Bolshevik or democratic leaders, the well-being of the common man was a priority. The state and its interests are everything, but man is almost nothing! However, today’s stratification in the country, the gigantic wealth of some and the hopeless poverty of others, even against such a historical background, look glaring.

The so-called Russian elite does not even know how things are outside the two capitals. How millions of citizens of small towns and villages survive – the most humble part of the country, the inhabitants of that very province, the outback, about which the elites allegedly bake.

In fact, they are all “terribly far from the people,” as Lenin noted, alluding to the fact that the Bolsheviks will be much closer when they come to power. For they themselves come from the thick of the people.

But Vladimir Ilyich, having become the master of the Kremlin, did not change historical traditions, having settled together with his wife in an 11-room apartment in the Senate Palace, with two elevators and a summer terrace for relaxing and walking.

In a word, it doesn’t matter which century is in the yard – everything happens according to one scenario. New elites break into power under the slogans of protecting the interests of the people, and then isolate themselves from the common man and his worries in order to focus on solving more “ambitious” tasks. So they come off gradually from reality, cease to understand the life of ordinary citizens.

And if someone says that this happens to high-ranking officials around the world, then I will not agree. Not so long ago, British Prime Minister Boris Johnson arrived at a regular store in the immigrant area of ​​London at the wheel … of a bicycle. Recognizing him, people came up to say hello by the hand and take a selfie. Having finished communication, Johnson unhooked the lock from the frame, got on his bicycle and drove off into the bourgeois Piccadilly.

I cannot imagine Johnson’s Russian colleague in the same role – at least the present, at least any of the past – personally I can’t, at least crack! Although one of them would take such a walk in the midst of a street crowd, renting a bike and going for bread to the bench, he probably could have learned a lot of new and interesting information about people’s lives, first hand. You see, this knowledge would help in the preparation of some important government decisions …

Ideologies or systems are changing, and the nature of power is never! And most of today’s problems are a consequence of that very isolation and split. Hence the inadequate response of the authorities to many internal events, challenges and aspirations.

Maybe this would have continued, if not for the sudden pandemic, which had fallen like snow on his head, exposing all the drama and depth of Russian problems.

To be fair, the government promptly took the necessary and important measures to protect the population. In a short period of time, hospitals and clinics were redesigned into coronavirus control centers, provided with protective equipment, thanks to which massive losses were avoided. And the appearance of Vladimir Putin in Kommunarka, communication with specialists of the medical center and the support of doctors became almost a balm for the soul – which means that not everything is so bad!

However, millions of ordinary citizens, being isolated, alone with their fear, fears, phobias, experienced total stress, which they are unlikely to quickly and without consequences get rid of. New and unfamiliar words appeared: saturation, virulence, alveolus, on which the lives of their loved ones now depend. In a literal sense. The pandemic caused tectonic shifts and psychological trauma in people’s minds. It seems that such confusion and absolute misunderstanding of what to do, how to be saved, people have never had, perhaps even during the Great Patriotic War, where the enemy was terrible, but understandable and visible. It was especially hard for the elderly contingent, which was initially identified as a hopeless “risk group”.

Deputies, ministers, heads of regions, territories frankly skated about the excitement of people. They had nothing to say or simply did not consider it necessary – this is not an election campaign! Especially to rush off somewhere, spend money and risk your health. It is much safer to jump out to the provinces on a Gelendvagen for a couple of days, throwing a sweatshirt with earflaps and pickaxes in the trunk to seduce the electorate.

We did not see the proper support of the business community. Not a single oligarch was seen in volunteer actions or financial support for hospitals. None of them ran to withdraw money from accounts to help those in need.

Each time we are convinced that we should not wait for male, and simply humane, human actions from our Forbes regulars. Although they have been scooping billions of dollars for decades in those very deceived remote places, polluting nature for hundreds of kilometers, which is why the population is gradually dying out.

We did not hear the voices of representatives of official medicine, whose words would help people calm down. As a result, psychosis reached such heights that even doctors refused to replace whole teams. And you can understand them, because few people want to risk the health and lives of loved ones and relatives for a penny.

The pandemic and all the events associated with it caused only discontent and distrust of the authorities. When half a century ago, Moscow artist Alexei Kokorekin, who returned from India, fell ill with smallpox, the entire population of Moscow (6 million people) was completely vaccinated within 19 days. And no one blundered why and for what they are vaccinated! Because they were one hundred percent sure – everything is done for their health and good.

The outbreak was localized, only three people died. So Soviet medicine coped with typhoid, plague, tuberculosis, smallpox, polio and other epidemics using its own vaccines.

Today, one hint of the need for vaccines causes the majority of anxiety and protest. Perhaps fears are exaggerated and have no soil. But people no longer believe anyone. Too often they have been deceived and continue to deceive.

They do not know how to work differently. Maybe they would like to, but they don’t know how!

See also: Why Rosstat data often do not correspond to the real state of affairs

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Occupational medicine, a profession that feels unloved

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The occupational physicians have they deserted in full ” war ” against the coronavirus ? This is what suggest the 158 deputies of the majority in a column published on 15th may by the Sunday newspaper. “Companies have found themselves alone and feeling helpless for several days, which, in a climate of anxiety, has contributed to penalize the maintenance of economic activity in certain sectors “, judge elected, reviving the discussion around a “major reform of the health at work “ expected in 2021.

→ TO READ. The reform of the medicine and the work revived by the crisis of the sars coronavirus

A critical harm experienced by the profession, on the contrary very active during the crisis, according to Thibaut Fleury, the director-general Efficiency health at work, an occupational health service, located in the Île-de-France. “In this period unprecedented, we are suited to assist companies on a daily basis : we have called our clients to offer them solutions adapted to their activity, organized webinars and tele-consultation, set up a toll-free number… “ lists there.

“A service that is costly to the leaders “

“This kind of attacks against the profession is chronic. Who wants to drown his dog accuses him of rage “, reacts to his side Jean-Michel Sterdyniak, the secretary-general of the national Union of health professionals at work. The doctors would they be at this point disliked ?

According to Marc Sanchez, secretary general of the Union of freelancers, they are often poorly perceived by business managers, particularly smaller ones. “This is a service that is costly to the leaders, between 80 and 110 € per year per employee, but they don’t see the benefits “summarizes-t-he severely.

A situation of numerical disadvantage

“The problem comes in large part from their situation digital “says Jorge Munoz, a lecturer in sociology of work at the university of western Brittany. In France, there are about 5,000 doctors work for more than 18 million employees.

Difficult, in this context, to ensure a close monitoring, especially as the expectations have changed. “Since the asbestos crisis, we ask them especially to manage the psychosocial risks, a mission is commendable, but to which they have very low “, says the sociologist. Especially as the doctor’s work has mainly an advisory role and does not have the right to prescribe (1).

A relationship of trust difficult to establish

On the side of the employees, the medical examination, which is mandatory, has often been a constraint. “Establish a relationship of trust is not easy when one is taxed to the employee “notes Roman Da Rocha, president of the national Association of internal medicine of the work.

“Drawn and quartered “ between a hierarchy to which he must report and accounts of the employees for whom it must ensure the well-being, the doctor of work is by nature “in an ethical position precarious “raises Roman Da Rocha. Because what is good for the health of the employee is not necessarily that of the company, and vice versa.

Of what to do with it “a business cannot “, according to dr. Jean-Louis Zylberberg, who shall exercise it yet since 1996, in the CONSTRUCTION industry. “We are in a balance of power social standing, relève-t-il. It is one of the reasons why students do not want to commit to it. “

The number of internal, if it is stable, is modest. “Today, the majority of recruitment takes place among doctors older that is to convert “reports Roman Da Rocha. In question, in particular, a lack of recognition. “This is part of the specialties traditionally considered” less noble “the tip Jorge Munoz.

The return of the thought hygienist ?

If this lack of attraction is not new, the evolution of management in the business confronts the doctors of the work of new difficulties. “We told the employees how to eat, sleep, relax. With the idea that if there is a problem, this is not because of the organization of the work, but because they did not follow our advice “laments Roman Da Rocha, who fears “a return of the thought of the hygienist, in order to optimize the performance of companies. ”

A drift which “it puts the responsibility on the shoulders of the physicians of the work, so that it is specific to the system “, writes Jorge Munoz, for whom the stakes of the reform is to first examine the meaning of prevention, in the heart of the mission of these doctors is not quite like the other.

———————–

A role exclusively preventive

Occupational medicine was born with the law of 11 October 1946, that requires employers
to arrange medical surveillance for their employees.

Placed under the control of the ministry of labour, this specialty exclusively preventive for the preservation of the health of workers.

Since 2002, we no longer speak officially of occupational medicine, but health in the workplace. The medical doctors may practice in occupational health services-employer, common to several societies ; or in self-help services for large enterprises.

Since 2011, the follow-up of employees is based on a multidisciplinary team, involving doctors nurses and stakeholders in prevention of occupational risks.

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Regenerative medicine: developed gel printable inside the body

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The new technology, “Intravital 3D (I3D) bioprinting”, developed by researchers at the University of Padua and Vimm, opens the way for the creation of new techniques of non-invasive surgery

From Italy comes a new frontier in the field of regenerative medicine.

A team of researchers at the University of Padua and Vimm (venetian Institute of Molecular Medicine) has developed a new technology that allows you to print 3D tissues within living organisms. Called “Intravital 3D (I3D) bioprinting”, is based on a new gel is photosensitive which solidifies when exposed to a laser beam and is able to pass through the body tissues without damaging them.

Possible applications

By injecting the gel in liquid form in the living tissue, and checking the status of biogel with the infrared light, it would be possible to generate a tissue, able to adapt and connect to the surrounding ones. The new technology opens the way to new frontiers in regenerative medicine and could lead to the development of innovative techniques for non-invasive surgery, which are useful to repair and rebuild organs of patients suffering from rare diseases and complex. Since this biogel can be used as ink organic to “print” the different fabrics in the desired shape, its potential application to strategies of cellular therapy and custom “precision medicine” in the field of regenerative medicine.

The study in detail

To develop the new technology, described in detail on the pages of the specialist magazine, Nature, the experts have initially combined the gel with the unit cell donors, selected according to the type of fabric on which to intervene.

Using a simple syringe, then injected the biogel obtained in the area of interest. Focusing a light of a specific wavelength in the area where you inserted the gel are then able to make it solidify. In doing so they have developed a fabric that is 3D-printed that contains the cell donor and can adapt to the surrounding environment.

“The most innovative bioprinting 3D require direct access to the tissue of the pen for the biostampa three-dimensional, as a result, the control of the shape and structure of the printed fabric is limited to parts of the body easily accessible as

the skin”, commented Nicola Elvassore, coordinator of the study. “We’re really thrilled that our technique

(that we have named intravital 3D bioprinting) allows to visualize with high resolution the part of the anatomy of

interest and to “print” tissues in the position and shape you want”.

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HISTORY : Hippocratic Oath | Read to believe…

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Oath. Law. Testament, of Hippocrates,
 translated by Jacques Jouanna,
ed Les Belles Lettres, 200 p, 19 €.

A review published in the number 233 in the World of the Bible

In his treatise of the Winds, Hippocrates wrote : “The physician sees terrible things, touches things horrible, and harvesting, on the occasion of the suffering of others, misfortune personal. “The formula is well-known and based, to a large extent, the heroism that we honor the disciples of Hippocrates. Sixty of the writings which are attributed to the famous physician of the Fifth century bc J.-C., a native of the island of Cos, situated in Thessaly.

The best way to teach

This book, sober and elegant, and published in the beautiful series of the centenary of the editor, presents the French translation by Jacques Jouanna, professor at Paris IV, and a member of the Institute, the famous Oath, as well as versions of christian prose and verse. He is also deputy to the treaty of the Act, which sets out the best way to teach a medical practice is not regulated and the new Testament of Hippocrates.

For my part, the interest has been even greater to read the introduction scholar, the translator of these texts in the Greek. With clarity and strength, the professor recounts what is known of the life of Hippocrates and his famous family, doctors, and practices of this art in ancient Greece, up to the need which impels a teacher to claim its students are doctors sworn to an oath.

Benoît de Sagazan
>Read also : Judaism : A medicine for body and spirit

la-Croix.com

Related topics

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The reform of the medicine and the work revived by the crisis of the sars coronavirus

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At the end of August 2018, the member LREM Charlotte Lecocq made public a report on health at work. The goal : to simplify its organization and, above all, strengthen the prevention. ” If we consider the budget of 13 billion euros allocated to stops working and stops diseases, only 4% are oriented towards prevention. The institutions are acting when it is too late. More France will invest in prevention, the less it will cost to repair “, stressed the mp, when questioned by “The Cross” in August 2018.

→ MAINTENANCE. Health at work, how to strengthen the prevention

Put to sleep, the debate has been aroused by the crisis of the sars coronavirus. A trigger, a column published last may 15 at the JDD, in which 158 members of the majority – in which the head of The Republic on Stanislas Guerini – called” a major reform of the health at work “. They expressed clearly that the occupational health services had not been competent enough in managing the health crisis :” Companies have found themselves alone and feeling helpless for several days, which in a climate of anxiety, has contributed to penalize the maintenance of economic activity in some sectors. “

Ongoing negotiations

To insert the nail, in a report published at the beginning of June, it is the general Inspection of social affairs (Igas), which assessed a lack of effectiveness of occupational health Services to business (SSTI), which are distinguished from health Service to self-employment (STTA). As noted by the national Institute of research and safety (INRS), a company or institution may choose to organize a SSTA when his numbers reach or exceed 500 employees. When the staff of employees is less than 500 employees, the employer must adhere to a SSTI.

It is in this climate that, on Monday 15 June, the negotiations have started between trade unions and employers, two days after he received a letter of guidance from the ministry of labour. ” It was in the nick of time ! “judge Serge Legagnoa, present to the negotiations for Force Ouvrière.

Thursday, June 18, the president of the Medef Geoffroy Roux de Bézieux went to the CMIE (Centre medical interentreprises Europe), a service of health at work in paris. Created in 1964, this association following more than 350 000 employees, is one of the largest health services in France and is part of the networks SSTI – on which the Medef has the hand for the most part – rightly pointed out by the Igas and the report Lecocq.

Sustainability of tele-consultation

At this meeting, Claudine Sulitzer, the president of CMIE has highlighted the role that his centre had been during the health crisis. In particular, on the use of tele-consultation with employees followed. The containment has, according to it, permit” remove a lock “because the tele-consultation are little used by the physicians of the work (the argument of medical confidentiality are often placed on the table).

The director would like to see the temporary authorization, granted by the ministry of labour for the containment, perpetuates. Just as the use of questionnaires pre-visit, that the employee completes on his / her computer or smartphone, before the medical visit. Two applications to which the president of the Medef was indicative of his support.

Impossible to track an employee changing from department

Beyond the crisis of the coronavirus, Claudine Sulitzer has detailed other dysfunctions, which, to her, prevent the full effectiveness of the system. The SSTI does not have, for example, not have the freedom to choose their place of anchorage. They must have a approval geographical, granted by the Direccte (regional Directorates of companies, competition, consumption, labour and employment).

→ FORUM. Health reform at work : employees and enterprises be the winners ?

” This certification is obsolete “judge Claudine Sulitzer. His association has an agreement on all the arrondissements of Paris but can be present partially in other departments of the Île-de-France and has none in the Yvelines (78). ” So if an employer or an employee changes department, it is not necessarily possible to follow “, she says.

The next negotiations between trade unions and employers will take place on the 23rd of June, and then the debate will resume on 3 September, at which time a bill must be tabled in Parliament. “ It has a bit the impression of working under a sword of Damocles, regrets Serge Legagnoa. It is necessary to allow time for the social partners to negotiate in order not to succumb to the emotion of the epidemic. All the problems are not there. There are structural considerations, such as the shortage of occupational physicians, which also explain the inefficiencies. “

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“No agreement with the Government, go to court”

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“On Monday 15 June we had the meeting with the ministers the Ball, Gualtieri and Hope, but there was found an agreement for the establishment of the degree course in Medicine and surgery in Treviso. The Region does not draw back an inch, and then go to court: in front of the Constitutional Court”. To say it is the president of the Veneto region, Luca Zaia, in the course of the usual point and print Tuesday, 16th June.

“My hope is that you find a solution, but we’re going to go ahead anyway because, remember, it is a course of 60 seats degree Course in Medicine, in agreement with the university of Padua, and who wants to give a response to the requests of the territory, also in view of the construction of the new hospital of Treviso, a thousand beds, with wards of high level of specialization and in need of medical graduates to high specialization,” concluded the governor.

The mayor, Count: “Attitude is incomprehensible”

“We do not understand the attitude of the Government that is denying the Veneto, in Treviso, and to the hundreds of aspiring doctors the opportunity to train in the Brand”. So the mayor of Treviso, Mario Conte, after the position of the Government against the regional law establishing the Degree course in Medicine and Surgery, confirmed the outcome of the meeting yesterday between the Veneto Region and representatives of the Ministry of Finance and the education ministry. “We are at the side of the Region and of the President Zaia in this game: the University represents a great opportunity of development for Treviso in his new university dimension as well as the venue perfect for a center for academic and research excellence which will be the new Citadel of Health”

The Pd: “the Degree to Treviso is an accessory”

“Even before the degree course in Medicine, which programming as you know from the rector of Padua is established at the national level, what is needed is to increase the seats in the specialized schools, the only ones able to ensure the training of doctors who are. Of this the Veneto region has a need as bread. The degree course in Medicine in Treviso is an accessory element on which it is urgent to find an alternative solution for resources: we do not subtract funds to the support of the people because we are talking about universities and not of the health service. This is Zaia knew this and knows this well. We are available to return to the Board to change the rule, financial because going forward with the litigation are not able to open the classrooms in September”. This is according to the the parent company of the Democratic Party: Stefano Fracassowith regard to the legal challenge by the Government of the Pdl relating to the degree course in Medicine and Surgery at the azienda Ulss 2, and the appeal announced by the Region.

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“The course is a partial response to the formation and for this last April, we voted with conviction in favour of it; there is a great need to train new medical students, but we can not fund it with the funds dedicated to health and hospital services, is clearly a contradiction. The Government has the right and the hold-ups of Zaia are spurious. Open the dispute before the Constitutional Court will not facilitate the start of the course next fallbut it will serve to lengthen the time to get defeated in Court, which in this sense has been expressed several times. If the goal is to increase the number of students in medicine – the appeal of the parent company dem – do together with little effort. If, instead, you search for a reason of conflict with the Government, for use in electoral campaign, the road of the appeal is the right time to go to beat, even if the outcome in the fullness of time only after the September elections. But it will not lead to any result for the health of the veneto”.

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