Firstly, there is a persistent feeling that this is largely a speculative story, in which some funds that are not clean on hand exploit the myth of the backwardness of Russian medicine (not health care as an institution, but medicine as a sum of competences). something for selfish reasons. Perhaps it is easier to collect money for treatment somewhere else, than to collect it for treatment in Russia, where, in the opinion of most donors, the state should pay. But this is only a version.
Secondly, this is often caused not by the lack of proper competencies, but by the lack of state quotas for the provision of high-tech medical care, which is just a problem of the national health care in general. I remember that a few years ago the quotas ended somewhere in the middle of the year. Which put both hospitals and patients in a stupor.
Thirdly, there really are treatment technologies that are not used in our country, but these are, as a rule, the most innovative technologies that appeared no more than 3 years ago, and are connected it is with the idiotic system of registration of medical devices and drugs in Russia. This is an extremely expensive, long and bureaucratic procedure, which often lasts for these same 3 years.
Firstly, it is worth distinguishing when they really go abroad from charitable foundations, and when donations are collected for treatment in Israel / Germany / underline the necessary in VK or FB so-called. "private collectors" for the treatment of a friend's father / brother / sister. In the information field, you can hear more of these private collectors, while the amounts they require for treatment can reach up to 200K dollars. Most of this amount will go to fraudulent firms, laying between the patient and the clinic, while the collectors themselves, who are often just relatives of the dying person, will not know about it. Here is a canonical case of how this happens in Israel, with all the evidence, very exciting (it may seem incredible, but the overpayment can be more than tenfold): a link to Varlamov's LiveJournal.
The reason why private donors want to receive treatment abroad is because they believe in miracles. If you are given a disappointing prognosis and they say that nothing else can be helped, then the dying person begins to grab at straws, and some clinics use this, offering surgery at home. In fact, this will not work: you can remember the celebrities who, with a lot of money and connections, left for treatment in foreign clinics. Alexander Abdulov, Mikhail Kozakov, Raisa Gorbacheva, Zhanna Friske - not a single one has been miraculously cured. Why donating to private collectors is fundamentally WRONG and NOT NECESSARY was explained in great detail by Nosik (who has been closely involved with this problem for many years) in his LiveJournal: link.
Secondly, in addition to Russians, there are also millions of former residents of the USSR , permanently or temporarily residing in Russia now. The Ministry of Health has no quota for them at all - just like the authorities of Israel, Germany and India have no quota for the treatment of children from Russia. And these children are in any Moscow and St. Petersburg clinic, in the same ward with the locals. For doctors, they are the same patients, the doctor does not divide people according to the color of the passport, and he, of course, needs the child to be able to receive the prescribed treatment. Of course, those funds, the charter of which does not specify restrictions on the citizenship of the wards, come to the rescue here. And, please, there is no need to tell them that let them go back to their Belarus and get treatment there. The accounts of Russian charitable foundations receive quite tangible sums from foreign donors - not only from our former fellow citizens, but also from people who do not even speak Russian, just know about our troubles, and consider it appropriate to help. Read: Nosik again, interview on Echo of Moscow
Thirdly, although in some methods of treatment Russian clinics outperform their foreign colleagues, you need to understand that not all countries are able to treat all diseases. In order to adequately perceive the level of medicine in different countries, I suggest reading this article by oncologist Pavel Popov: link to article. What is really bad in Russia is prevention, brochures are usually handed out and that's it. In Germany, due to voluntary medical examination, statistically moreDetected cancer at an early stage, and the highest percentage of remissions for stomach cancer in Japan - they buy a gastroscope for a family. Do you know people who would go to the doctor, regularly undergo gastroscopy, colonoscopy, bronchoscopy? Therefore, Russians should be more engaged in health prevention (you can even in private clinics, if you don’t like public ones: in some private clinics you can be accepted for FREE under the compulsory medical insurance policy, you just need to clarify). In the early stages, in most cases, cancer can be successfully treated in Russia.
For the same reason, why, in general, Russian science lags behind foreign ones in many areas.
It began in the USSR, where the state was the only customer for the development of scientific research. However, the state was not interested in the development of medicine, because medicine, especially high-tech medicine, is expensive and time-consuming and does not pay off in anything other than the comfort of citizens. However, the USSR was concerned not about the comfort of its citizens, but about geopolitical advantages, defense power, primacy in space and the like. Therefore, Soviet rocket engines are still being supplied to America, they even made an exception from the sanctions, they are fighting with Soviet weapons all over the world, and Russian citizens go to Israel, Germany or even India to treat especially serious diseases.
Moreover, after the collapse of the USSR, devastation and decline engulfed the post-Soviet space for a long time, and while the rest of the world was researching cancer and looking for genetic causes of aging, Russia survived.
My stepfather is an oncologist-surgeon. He said that with his experience of almost 30 years, it is not difficult to determine how much a person is left and whether there is any sense for him to continue to be treated, no matter how hard it sounds. For this, there are centers to provide such patients with a calm and painless death, instead of waiting and enduring. And I don't even want to know how it can be. He said that such patients die peacefully in the bosom of their families on their own bed in their sleep, without any euthanasia, with the proper course. And taking a seriously ill person is a big expense in an ineffective case, no matter how inhumane it may be.
Because medicine is taught by "old-fashioned methods". Moreover, none of the people who would like to become doctors / scientists in the future can afford this, because it is much more profitable to work as a secretary, they are paid more. But in fact, everything is very sad, science has ceased to be considered something- something prestigious in Russia since the USSR.