A-Infos (en) Russia, Avtonom: This puts surgeons at high risk of contracting HIV and hepatitis. For example, four surgeons are currently on prophylactic antiretroviral therapy, which has health implications. (ca, de, it, pt, tr)[machine translation]

Highly qualified specialists told us how things stand with medications: 
"The accompanying therapy drugs included in the standard of treatment 
(specialized nutrition, modern antiemetics, anticoagulants, analgesics) 
are not purchased due to savings. The dispensary provides antitumor drug 
therapy only with the cheapest regimens, the drugs are purchased at the 
cheapest, the average cost of a case is 17 thousand rubles." 
"Disinfectants purchased are the cheapest, of dubious production with an 
extremely low alcohol content. It is not surprising that there is a 
rapid increase in postoperative infectious complications in the oncology 
center. As an example, there are 12 deaths registered in April 2024. In 
eight cases the immediate cause was sepsis."

Oncologists can no longer study. With the arrival of the new chief 
physician, advanced training disappeared into oblivion. "During the two 
years of Meilakh's "super-economical reign," almost none of the doctors 
were sent to study," write oncologists. - "Doctors improve their skills 
at their own expense. At a team meeting in April, the chief physician 
said: "You will learn from yourself."

Meilakh also broke and destroyed an excellent operating unit that the 
Germans designed. The surgeons were given instruments directly in the 
operating room, and now they are carried across the courtyard.

The doctors themselves are afraid of Meilakh - the head doctor's 
behavior can hardly be called adequate, he expresses anger and emotions 
to no one without hesitation. Specialists have already begun to quit.

Almost the entire team - the entire medical council, most of the heads 
of departments, operating nurses and others - gave the authorities an 
ultimatum: either Meilakh is removed, or those who signed en masse put 
their resignation letters on the table. "These are all key figures, each 
experts in their field. The dispensary will be completely destroyed with 
the departure of such people," one of the doctors warned.

The team emphasized that it does not intend to enter into negotiations 
with the Ministry of Health. Either the doctors' demand will be 
fulfilled, or Meilakh and a bunch of ministers will rage in a completely 
empty oncology center.

Firefighters
Unfortunately, the examples of collective struggle that the ambulance 
workers in Nizhny Tavda and the Sverdlovsk Oncology Center show us are 
isolated, and for the most part people simply quit one by one. However, 
simply voting with your feet also has an impact on society.

For example, in the Irkutsk region during the fire season, there was no 
one to put out these same fires. Firefighters there, as well as in many 
other regions, quit due to low wages and terrible working conditions.

Currently, a special fire regime is in effect in the Irkutsk region - 
forests are burning in 31 out of 33 districts. The fire is raging in the 
Irkutsk, Kuitun, Bratsk, Tulun and Taishet regions.

"Among the causes of the fire are careless handling of fire, broken 
power lines, and burning of dry grass," said the press service of the 
Ministry of Emergency Situations for the Irkutsk Region. "There have 
already been 275 cases when the forest burned or was completely destroyed."

At the same time, the units of the Ministry of Emergency Situations are 
worse equipped than ever. While the fire is rapidly spread by the winds 
across the region, firefighters are rapidly leaving their jobs - their 
salaries are so low that it is impossible to live on them in the region. 
Low pay is complemented by degrading working conditions. Now in Russia, 
firefighters have begun to quit as actively as doctors and teachers. 
When they quit, they often talk about what it's like to work for them in 
the media. For example, in the Perm region, about 20 employees of the 
Ministry of Emergency Situations quit at once - they were paid 30 
thousand rubles, forced to overwork and created disgusting working 
conditions for firefighters.

"According to the fire department regulations, we must comply with 
sanitary and hygienic standards, including keeping ourselves in order, 
but there is no way to go to the shower or go to the toilet normally. 
The conditions in the fire department are so bad that the water in the 
tankers in the combat vehicles garage freezes. The boys are working, 
they have two jackets on," a former employee of fire station No. 115 in 
Dobryanka told reporters.

According to the man, during two and a half years of work in Dobryanka, 
he saw complete unsanitary conditions in the premises, a lack of basic 
amenities, although, according to documents, money is allocated to 
provide rescuers. The rescuer also said that after the prosecutor's 
check, the hot water disappeared. Firefighters are no longer going to 
tolerate such conditions and risk their lives for low wages.

Meanwhile, in the burning Irkutsk region, they are eager to hire 
firefighters, offering vacancies a salary of about 30 thousand rubles.

Future

By the way, the mass layoff, after which Nizhny Tavda was left without 
ambulance, was noticed even in the State Duma, although somewhat bored. 
Deputy Chairman of the State Duma Committee on Health Sergei Leonov said 
that the collective dismissal of Tyumen doctors does not indicate a 
global problem in the field of labor rights in Russia. According to the 
deputy chairman, this "happens" in Russia, and everywhere, not only in 
medicine. "Conflicts between employees and managers do not arise because 
the laws in our country are bad. Therefore, in this case, I would not 
raise the issue of new laws, new policies," Leonov said.

If Leonov had meant that the class conflict between workers and their 
bosses and owners cannot be resolved by some "magic", "correct" laws, 
then he would have been right. As long as there are bosses, there will 
be no peace with them, but the point is that the bosses have so lost all 
control, have become so incompetent, have become so confident in their 
invulnerability that they have become a direct obstacle to at least a 
normal work process.

It simply became impossible to work with such management. And this 
degradation of leadership occurred precisely because of the lack of 
resistance on the part of hired workers, because of the lack of struggle 
both in the workplace, and, in principle, the absence of political 
struggle in Russian society. And here it's impossible not to remember 
about the criminalization of public actions, sentences for posts on the 
Internet, and so on, so on.

We are talking here about very specific laws that directly impede 
self-organization in society as a whole and specifically among hired 
workers. In this regard, we can recall that in Russia, for example, 
railway workers and civil aviation workers are prohibited from striking, 
and in principle, under the Labor Code, separate legislative acts can be 
adopted prohibiting strikes for other categories of workers. And in 
general, the norms of the Labor Code do not provide the opportunity to 
conduct a strike, observing all legislative requirements.

The point is that Putin's "elites" deliberately built a system without 
any normal feedback, and because of this, this same "elite" completely 
forgot how to govern. By the way, the war with Ukraine also became 
possible due to the virtual absence of class struggle in Russia and the 
widespread degradation of officials. Such a completely insane decision 
could not have been made if society had actively resisted the state. The 
authorities have ruined and will further ruin tens of thousands of 
lives, trillions of rubles and with them the future of the country.

This future, lost for now, depends on whether Russian wage workers will 
be able to join the collective struggle or not. If they cannot, then in 
the end there will be no one to treat, teach, put out fires and do other 
socially significant work, and the Russian working class will be turned 
into cannon fodder and expended in wars with relatives and neighbors.

Do we want such a fate? If not, then it's time to get involved in the 
fight. He who does not fight has already lost.

Well that's all for today! We remind you that in Trends in Order and 
Chaos, members of Autonomous Action and other authors give anarchist 
assessments of current events. Listen to us on YouTube, SoundCloud and 
other platforms, visit our website avtonom.org, subscribe to our social 
networks and e-mail newsletter.

Support the work of Autonomous Action

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