ОХ, В ГОРЕ ЖИТЬ – НЕКРУЧИННУ БЫТЬ
(Old Russian folk song, collected by Kirsha Danilov)
А и горя, горе-гореваньица!
А в горе жить – некручинну быть,
Нагому ходить – не стыдитися,
А и денег нету – перед деньгами,
Появилась гривна – перед злыми дни,
Не бывать плешатому кудрявому,
Не бывать гулящему богатому,
Не отростить дерева суховерхова,
Не откормить коня сухопарова,
Не утешити дитя без матери,
Не скроить атласу без мастера.
А горя, горе-гореваньица!
А и лыком горе подпоясалась,
Мочалами ноги изапутаны!
А я от горя – в темны леса,
А горя прежде век зашол;
А я от горя – в поче[ст]ной пир,
А горя зашел, впереди сидит;
А я от горя – на царев кабак,
А горя встречает, уж пива тащит,
Как я наг-та стал, насмеялся он
Continuing with this piece by Viktoria Fedotova, on the crisis of the Ukrainian healthcare situation.
Putting aside the controversial and (in my view) odious personality of Ulana Suprun and the other American carpetbaggers who run the Ukrainian government like a Willa Wonka factory that feeds candy only to themselves, Fedotova addresses more important and larger issues about the crisis as a whole. Meanwhile, real Ukrainian doctors and medical professionals, the soldiers in the trenches, attempt valiantly to deal with this actual tsunami of Misfortune that has come crashing down on them.
Oh Grief! Grief! We have no money!
The bald man cannot grow hair.
The dead tree cannot be resurrected.
The motherless child cannot be comforted…
The Coming Of the Carpetbaggers
Ulana Suprun was born in the United States. Her pro-Nazi parents raised her to be a true Ukrainian patriot, in the Banderite sense. She attended a Ukrainian church (of the Uniate brand, of course), and joined the Ukrainian/Banderite girl-scout organization “Plast” which promulgates the un-democratic Banderite political ideology to youth and maintains affiliates all over Canada and the U.S. [In a nutshell: The Banderite political ideology dismisses inclusive and multi-ethnic democracy in favor of a national/ethnic authoritarian Leader who will get rid of other ethnic groups and lead the remaining nation to military glory.]
When she grew up, Ulana received her medical training at the University of Michigan and (according to Fedotova) is an actual Doctor of Medicine, who served her residency in Oakwood. She worked in New York for a time, but her career only took off when she moved to the Ukraine in 2013 (with her husband, both eager to help out with the Maidan revolution).
After arriving in Kiev, Suprun created the organization “Defense of Patriots”, which was meant to give medical aid to Ukrainian soldiers (fighting against the Separatists). Her ideological fanaticism and (dubious) credentials earned her the prize job: She was selected by the American curators of the Maidan to reform Ukrainian health care.
Not that it wasn’t badly in need of reforms, after 20 years of disintegrating statehood and rampant corruption. Medical standards had dropped behind those of the civilized world. Providers received miserably low salaries. Hospitals were lacking in modern equipment.
But Ukrainian doctors, blunt like all post-Soviet people, openly call the healthcare reforms “chaos”. With the reforms are in the hands of American state-builders, these guys don’t know any better than to build an American-type system that resembles a poorly-run and very sharkey HMO. For example, every patient is required to have a Primary Care Provider (PCP), one of the requirements, I might add, which has driven many employed Americans, including myself, to choose the more expensive POS (Point of Service) type plan instead. On the other hand, American docs are at least pretty good about observing HIPAA (privacy) rules, but not so much in the Ukraine, where the concept of medical privacy is unknown. In fact, Fedotova reports, the doctors of the Lvov Oblast are so disgusted with the reforms, that they have declared a medical boycott, and will continue to operate under the old rules.
According to the reforms, each patient only gets 15 minutes with their PCP. Doctors are no longer allowed to visit patients in their homes. A right that was taken away from patients, is the right (as was common in Soviet times) to walk into a free clinic for a preliminary check-up and diagnosis. Removing this right makes it harder to catch problems ahead of time, since the patient now has to wait for their official (15-minute) PCP visit. The end result of all of these “reforms” is to reduce medical services available to the population, while candy-coating this anti-human process as a “reform” that will bring bliss to each and all — hmm, this really does sound like an American HMO!
But even more scandalous is the way that the Ukrainian government has decided to deal with patients stricken by cancer. In a word, it might have been more humane to simply toss these people out on the street and call for hay truck to cart them away. Which, by the way, is what it will come to, mark my words, even in “advanced” capitalist countries, if something isn’t done to curb the greed of the Medical-Industrial-Insurance complex. Bottom line: Neither governments nor insurance companies want to pay a dime to keep you healthy, nor to cure you of a disease. Not if you are just an ordinary working person. Not unless you are a member of the blessed elite!
[to be continued]