The question of the day - for the optimizers from the City Government: why does medicine work "at the limit of strength"?

This applies both to the places in hospitals and ambulance teams, which barely manage to bring patients to health care facilities.

Ivan Petrovsky

I can not help but quote today's post of the famous network analyst Andrei Nalgin :

“Let's just remember that at the end of 2010, when Sergei Sobyanin became mayor of Moscow, there were a total of 82 thousand beds in the capital’s hospitals . And by the end of 2019, there were only 46 thousand . In 10 Sobyanin years in Moscow was reduced one third of "adult" infectious beds, and even a little more - "children's". Accordingly, the medical staff also decreased. Such, in dry numbers, are the results of large-scale “optimization” of Moscow healthcare in favor of ... paving slabs and granite borders. Metropolitan doctors, by the way, then protested, rallied, made petitions ... But who listened to them! And as a result, “optimized” Moscow medicine is working to the limit even when only 3 thousand appeared . additional severe patients. To the 12 millionth city! "

However, Nalgin is clearly underestimating the population of Moscow, using data from the "capital" structure. In fact, there are several million more people in the metropolis - if you count all the comers and all the migrants at the slave construction sites of the world's most powerful construction complex. After all, all of them too - in the case of coronavirus - will become patients in Moscow hospitals.

By the way, it is impossible to find out the exact number of people living in Moscow. The Yandex search engine produces obviously outdated data and tables at best four years ago. In September 2019, NI quoted the journalist Pavel Pryanikov, who believes that the annual growth of Moscow citizens is about 300 thousand:

“About 300 thousand people go by the number of annual population growth in Moscow and the Moscow region (Moscow metropolitan area). I started digging into the source, where the numbers come from. It turned out that the CSR with reference to the Federal State Statistics Service and other departments has a breakdown of the growth into two categories: internal migration (i.e., the overflow of Russian citizens to MA) and foreigners (mainly from the CIS countries, mainly from Central Asia). Here is a plate for internal migration. In 2011-15, the growth was almost 800 thousand (table), or on average 160 thousand people a year. CSR writes that on average in Russia in recent years 320 thousand people have settled, of which about half are in the Moscow metropolitan area, that is, 150-160 thousand people, adding up these two numbers - 160 thousand internal migration and 150- 160 thousand - external, we really get a similar figure of the annual increase in the number of Moscow agglomeration of about 300 thousand people. "

But even if population growth is not proceeding at that pace, then the liquidation of hospitals and doctors in a rapidly growing city looks like an illogical nonsense and managerial absurdity.