This year’s “declaration season” was opened by the head of the Ministry of Property, Margarita Magomedova, and the Minister of Education and Science of Buryatia, Bair Zhalsanov. Soon they were joined by the new head of the Ministry of Health, Dambinima Sambuev.
According to data published on the department’s website, last year the official earned 2 million 772 thousand 339 rubles. Sambuev has a land plot with an area of 779 square meters. m. and a residential building of 193 square meters. The wife does not own real estate, but she declared two cars - Toyota Platz and Toyota RAV 4. The minister's wife replenished the family budget by 555 thousand rubles.
Let us remember that Dambinima Sambuev headed the Ministry of Health in December last year. He took part in an open competition for a ministerial position. The selection consisted of several stages: the first - acceptance and consideration of applications, the second - interview and defense of programs and, finally, testing. Its results were assessed by specialists from the Russian Presidential Academy of National Economy and Public Administration (RANEPA). The new head of the department beat out 18 other applicants. Before that, he was the director of the territorial compulsory health insurance fund.
Sambuev's predecessor, Valery Kozhevnikov, while still a minister, earned 2.9 million rubles a year earlier. At the end of September, he left the position he held for no less than 15 years. He was appointed deputy head of the plenipotentiary representative of Buryatia to the President of Russia. And in November it became known that Kozhevnikov resigned from his position in Moscow, returned to his homeland and officially began working at the Republican Oncology Center.
This fall, after 15 years of work as Minister of Health, Valery Kozhevnikov left his post of his own free will. The ex-minister, and now the chief physician of the republican oncology clinic, spoke to a correspondent of the Vostok-Teleinform news agency in an exclusive interview about the reason for this, about his new place of work and about the situation in the field of oncology.
Valery Veniaminovich, why, after 15 years of working as the Minister of Health of the Republic, did you decide to leave it of your own free will? After all, unlike other ministers, there were no special complaints about your work.
In any work there comes a time when you need to sum up some results. Working in this position, and I have already said more than once that it is not sugar, but really a firing squad, I realized that it was time for a new person with a fresh look to come to this post. You always need to move forward. After 15 years of working as a minister, even though it is an interesting and very responsible position, you get tired. I can say that I was lucky, since the government of the republic and the Russian Federation and the first president of Buryatia, and then its two heads, supported me in all endeavors in the healthcare industry.
As for the negative aspects, of course, there were those too. First of all, they were related to the material and technical base, medical equipment. Of course, there were also problems with human resources. I started working as a minister in 2002, but it was only in 2013 that the whole system became a managed structure. It was very difficult to achieve this, because each region of the republic has different opportunities, personnel potential, plus a different territory, has its own characteristics. Nevertheless, I think we managed to create the backbone of healthcare, which is working today. Thanks to this, we were able to fulfill the tasks set by the government of Buryatia, Russia, and the Ministry of Health of the Russian Federation. I can honestly say that there is a result. The only indicator that has not yet been achieved is to reduce morbidity and mortality from malignant neoplasms. Even if it does not depend globally on our actions, it remains quite high in Buryatia, although lower than in the country as a whole. So, in the Russian Federation it is 214 cases per 100 thousand population, here in Buryatia it is 182. At the same time, I would like to note that malignant and benign neoplasms are now based on the same statistics, hence these numbers.
- And yet, after 15 years, you have probably become accustomed to this way of life. Now, having changed it, do you regret it?
I went to medical school to help people. And, despite the fact that I worked for many years as a healthcare organizer, I have always been attracted and attracted to working in a practical level. I could never imagine myself without practice. For me, the relationship between administration and my professional activities has always been a priority, even if it was self-training or certification cycles, I have always believed that a good doctor is, first of all, one who systematically studies, reads, and improves. And now there are more and more opportunities for this. You can even watch seminars, conferences, and so on via the Internet, live broadcast. And I am deeply convinced that today it has become interesting to work in the practical sector. Having come here, I will bet on human resources. And here, in oncology, highly qualified specialists work.
Today the task is not only to improve work with patients, but also the atmosphere within the team. It is also necessary to improve the quality of stay of patients and medical staff themselves in a health care facility. Because jobs still leave much to be desired, and this can only be done when the material and technical base is built or improved. Therefore, I won’t be bored, there is a lot of work.
- And when you headed the ministry, did you also see patients as a cardiologist?
I accepted people and helped people. Previously, while working at an emergency medical station, I was involved in cardiology, anesthesiology and resuscitation. There were cases when I provided medical assistance, as the Minister of Health, on the roads of the republic when there were accidents. There was a case under the new head of Buryatia, when during a working trip we were in the Bauntovsky district, it so happened that we had to apply our knowledge in practice.
- Can you tell me more about this?
We made a working trip with the government of the republic to the Bauntovsky district. There, in the village of Romanovka, Alexey Tsydenov was supposed to visit a new paramedic and obstetric station and I arrived at the place 15 minutes early. And there I saw that paramedics were providing medical care to a patient; the man had the most acute phase of myocardial infarction. I joined the brigade and just at that time the head came in. I said that I couldn’t leave the patient, but it was necessary to provide assistance in transporting him to the Trans-Baikal Territory, because, as it turned out, it was from there that he came to stay with us in the north. We contacted the Minister of the Territory, disaster medicine and did everything possible to save a person’s life, and this is not the only case. Once we were going on vacation and saw an accident in the Barguzinsky district, there was an accident with young girls. Then I, too, could not drive past, we promptly called a team of doctors from the Pribaikalsky region and provided medical assistance to the victims. Well, then they, these girls, once gave me a cake for the New Year. And it’s not that I’m proud of it, it’s different, it’s my job. And as for consultations, I have always conducted them and will continue to do so, because I really love practical work and cannot live without it.
- Are there, say, three things that you are proud of that you managed to do as minister?
Why only three? (Laughs) Well, firstly, now Buryatia is known and I’m glad that in such a period of time, the Minister of Health of the Russian Federation visited us, it’s great. Secondly, we held the most important symposium, and thirdly, I am grateful that the Russian Ministry of Health has always supported the Ministry of Health of Buryatia in all its endeavors.
- Are there any actions that you are ashamed of or perhaps that you would like to correct?
It’s probably a shame that when I came to work as Minister of Health, I wanted to do everything quickly, but resolving issues requires a certain period of time. And sometimes I made mistakes in my assignments.
- You have already explained why you refused a prestigious position in Moscow, in the embassy, and decided to stay in Buryatia. Tell us why you chose the cancer clinic for further work? Moreover, the clinic was run by your teacher, Alexander Petrovich Perinov?
Yes, we have known Alexander Petrovich for a very long time. When I completed my residency in 1985, he worked in an emergency hospital, that is, really, my teacher. He is a professional in his field and, despite the fact that he excellently managed the dispensary for more than 30 years, continuity was respected between us. There were other proposals, but the task was set to continue the construction of the cancer clinic and find opportunities for this. Because previously the dispensary was not included in any program; we built it with 2 billion 200 million extra-program money. Considering the importance of the oncology service, I decided to come here. Moreover, this year has been declared the year of the fight against malignant tumors.
- What are your first impressions of the new place?
Great team here. I think that now we just need to unite the team with our energy and, perhaps, deeds. I have always believed and will continue to believe that when a new person comes to the team, no matter who he is, and especially a former minister, the team always looks at him with wariness. And in order to become one of your own, you just need to show through your actions how good a leader you are, how much you can stand up for your colleagues and do your best. It is necessary to resolve issues not only with the presence of health workers at their workplace, but also probably some everyday issues, household problems. When, for example, we have specialists who cannot place their children in kindergarten, we definitely need to help, because, as a rule, these are young specialists whom we don’t want to lose at all. And I’m not just talking about doctors now. For example, I have always believed and will continue to believe that the head nurse, head sister and hostess sister are the people who make our patients’ stay comfortable, and their condition directly depends on how they work.
You say that the situation with cancer is difficult in Buryatia. How can a person understand that he has cancer? How to identify it in the early stages? Surely in this case the chances of recovery are much greater?
Firstly, I believe that a person is his own boss and should monitor his own health, because doctors are doctors, and life is his. Meanwhile, despite all the medical examinations that exist, despite the interaction of employers with outpatient clinic services, who are themselves interested in undergoing medical examinations, in most cases people with already advanced diseases come to us. Because they usually go to the doctor when symptoms and discomfort have already appeared, and in this case it is already too late. If astheno-vegetative syndromes appear, that is, weakness, malaise, sweating, and so on, then the person should immediately bring this to the attention of a health care worker.
Today, women over 25 years of age are required to undergo mammography, and the same applies to the prevention of cervical cancer. That is, this is a mandatory check with a gynecologist. If we take men after 30 years of age, then this is the prevention of prostate diseases. Mandatory visit to an andrologist and urologist. If we talk about intestinal diseases, then there is rectal cancer, which means that you need to visit a proctologist for preventive purposes. Lung cancer must be detected by undergoing mandatory fluorography every year. This is especially true for those who work in enterprises with specific production, such as hot shops. Here you need to be examined 100%. As for stomach cancer, those over 35 years old should have their stomach examined for prevention. In any case, there are harbingers.
- To what extent is the republic provided with medicines in the area of oncology today?
There are no problems with drugs at all. There are problematic issues related to high-tech drugs. Unfortunately, it must be said frankly that these medicines, as a rule, are imported; there are no Russian analogues. The cost of such drugs is, of course, high, but in this situation it literally means life expectancy. I am grateful today to the state program and the republican budget that are addressing this issue.
- When will the oncology dispensary be completed?
We are now waiting for the order of the Russian government. We received information that the Ministry of Finance has approved a construction project with funding for the next three years. So, in 2018, the estimated amount that we will be given for construction from the federal budget is 734 million, plus the republic will allocate some part. This is enough for us to complete the construction of the oncology clinic itself. Then in 2019-20, a billion funds will be allocated for the construction of the stationary part. We need to look at how much financial resources will be spent on construction, installation work, how much on medical equipment, and so on. Because there is simply no other money, and there is unlikely to be any more, so the allocated funds need to be distributed as rationally as possible.
- Valery Veniaminovich, how do you treat yourself? Do you see a doctor or do it on your own?
At the Ministry of Health, we also undergo strict medical examinations. In particular, we are now undergoing it in the first clinic. We also vaccinate medical workers, and I, among other things, go there and get vaccinated. I myself am assigned to clinic No. 6 at my place of residence, and I go there if necessary.
Well, let’s say you have a sore throat, dizziness and other symptoms, what do you do in this case?
I think that I can cope with these symptoms, given my work experience. As for the examination, I believe that yes, indeed, we must definitely donate blood for a general analysis and biochemistry. Fluoragraphy and ultrasound should be performed once a year.
- How many children do you have and have they followed in your footsteps?
Not all. My eldest son is a manager, he works in Vladivostok, his name is Evgeniy. My daughter Ekaterina followed in my footsteps and now works in Novosibirsk as an x-ray diagnostics doctor, although she is now on maternity leave. My youngest daughter is now finishing 11th grade, but she won’t follow in my footsteps either. I do not want to impose my point of view, and have never done so, on the issue of choosing a profession. I think that you should love your profession and be fascinated by it. The profession of a doctor is considered beautiful, but at the same time you need to understand what responsibility falls on the doctor’s shoulders. This is a specialty that requires full dedication and constant work.
Alena Ryabova, Vostok-Teleinform.
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This time we will talk about the Ministry of Health. The previous minister Valery Kozhevnikov was at the helm of republican medicine for 15 years.
We will write separately about his “strange return” from the permanent mission of Buryatia in Moscow. In the meantime, let's start analyzing the main candidates for minister of health.
Major Ministry
Healthcare in Buryatia is traditionally one of the leaders in budget financing. In 2016 alone, expenditures on the republican program “Health Development” amounted to almost 11 billion rubles. This amounts to about 20% of all republican budget expenditures. It is no coincidence that there are so many scandals in healthcare, related not only to patient complaints, but also to financial crimes. The head physician of the children's clinical hospital, Bair Balkhanov, is still under house arrest. He was called one of the strongest contenders for the post of minister.
But even without him, 19 candidates applied for this position. The “medical” competition is perhaps the most highly professional compared, for example, with the Ministry of Tourism. Because it is impossible to lead healthcare without specialized education and many years of experience. The “household” of the Minister of Health is very large and troublesome. The Ministry of Health of Buryatia has 59 institutions. It is their leaders who are the main candidates for the vacant ministerial post. 9 chief doctors of state medical institutions are participating in the competition.
Favorite MP
Evgenia Ludupova can be called the favorite of the race.
Evgenia Ludupova
She has been the head physician of the Republican Hospital for 8 years. Before that, she headed the Nizhneangarsk Central District Hospital. It was there that the young doctor won the elections to the People's Khural. Since then she has been a member of the People's Khural Committee on Social Policy. In addition to medical education, he has a degree in Economics and Management of the National Economy. Evgenia Ludupova is famous for constantly learning new things and demanding the same from her employees. It is the many years of experience in managing the largest medical institution in Buryatia and deep knowledge of the problems of the industry that are its main advantage.
Chief doctors
Two more candidates are also saddled with parliamentary credentials: Khural deputy and head physician of the Mukhorshibirsk Central District Hospital Alexander Varfolomeev and Ulan-Ude City Council deputy Natalya Bukholtseva, who heads city clinic No. 6.
Alexander Varfolomeev
Natalya Buholtseva
It’s difficult to call Varfolomeev an independent player. Most likely, he is trying to make room in the Khural for his fellow countryman and “patron” - the former head of the administration of the head of Buryatia, Pyotr Noskov. Buholtseva was openly supported by the mayor of Ulan-Ude, Alexander Golkov, in 2014.
Other chief doctors of regional hospitals are also taking part in the competition: Vyacheslav Maksarov from Kizhinga, Alexander Matskevich from Tarbagatai and Victoria Nikhlanova from Gusinoozersk. Maksarov was previously the head physician of city clinic No. 1, Matskevich worked as the head physician in the Baikal region. And Nikhlanova has experience as first deputy minister of health and even sometimes served as acting minister.
Vyacheslav Maksarov
Victoria Nikhlanova
And finally, the chief physician of the Territorial Center for Medical Disasters, Vyacheslav Timkin, entered the competition. In addition, he is a member of the Public Chamber of Buryatia, elected from the public organization “Medical Chamber of Buryatia”. It is worth noting that at one time the head physician of the medical disaster center was Valery Kozhevnikov.
Vyacheslav Timkin
Moscow experience
As you know, the new government highly values experience in federal structures and connections in Moscow. In this sense, there are few equals to Prinlai Darmaev.
Prinlay Darmaev
In addition to being the husband of the famous Buryat singer Badma-Khanda Ayusheeva, our fellow countryman headed the clinic of the Russian Ministry of Agriculture for many years. Darmaev’s place of work is indicated at the Izumrud treatment and rehabilitation center, which is the successor to the clinic of the Ministry of Agriculture.
Two directors and a surgeon
Another favorite is the director of the Territorial Compulsory Health Insurance Fund, Dambinima Sambueva.
Dambinima Sambuev
Previously, he also worked as the chief physician - first of the Tor district hospital, and then of the Orlik central hospital. Among other things, he also has managerial experience: from 2003 to 2006, he served as head of the Okinsky district. From this position he moved to work as director of the Compulsory Medical Insurance Fund. It is this organization that is dedicated to ensuring that citizens receive affordable and high-quality medical care, paid for by the state.
The director of the Republican Basic Medical College, Bator Budaev, also takes part in the competition.
Bator Budaev
The college is one of the main suppliers of nursing staff. He also has experience of participating in elections, albeit unsuccessfully: in 2015, he lost in the by-elections to the People's Khural in the 31st district in the Bauntovsky and Kurumkansky districts.
Vladislav Saganov submitted an application to participate in the competition.
Vladislav Saganov
He also has diverse experience: he works as a chief specialist in the development of surgical care in emergency hospitals, heads the department of hospital surgery at BSU, and in 2014 received his doctorate.
The highest requirements
Such an abundance of strong candidates for the competition for the Minister of Health distinguishes it favorably from other competitions. But the requirements for the position of Minister of Health at the moment are perhaps the highest. The Ministry of Tourism has just been created, and the new minister will most likely be given time to get going. The spheres of culture and sports have been rocked by scandals in recent years in the absence of any super results. And in any case, the “low base” effect will work. The functions of the Ministry of Economy are partially blurred, and the main responsibility for the economic sector still lies with the supervising deputy chairman.
But the new head of the Ministry of Health will have to work in the “here and now” mode. The issue with personnel is acute: almost half of the doctors are over 50 years old, and there is a catastrophic shortage of new young personnel. This is largely due to low wages. Complaints are heard everywhere about huge queues to see “narrow” specialists. The technical base is very outdated. To solve these problems, the new minister will have to be a politician, diplomat and business executive at the same time. All that remains is to wish him good health!
According to Babr24.com, the Head of Buryatia Alexey Tsydenov, by decree dated September 25, dismissed 10 deputy chairmen and ministers. It was first of all the old-time “Nagovitsyn” officials who were subjected to a large-scale purge. The main figures of the last decade in Buryatia are now relegated to the background. Babr talks in order about all the latest dismissals and appointments in the republican government.
The long-term head of the administration of the head and government of Buryatia, Pyotr Noskov, leaves with the official wording “of his own free will.” Not far away - the “gray eminence” of the republic will continue to work in the status of adviser to the head of Buryatia. And it is not yet entirely clear whether this is an honorary sinecure or a promotion. Traditionally, the title of adviser is awarded for length of service and this does not imply any power, but with Pyotr Noskov everything cannot be so simple.
Petr Noskov
The same fate - transfer to adviser - befell Minister of Economy Zandra Sangadiev. It is still unknown who will replace him, but it seems that it will be economist Aldar Badmaev. Previously, he presented his program for economic development of the region to Alexey Tsydenov, and he highly appreciated it.
Egorov's exodus and Shutenkov's rise
Mastodon official Innokenty Egorov voluntarily retires. He served as first deputy chairman of the government of Buryatia for 13 years, and began working under the first president of Buryatia, Leonid Potapov. Egorov himself is already 67 years old, and he does not fit into the concept of the renewed government.
Innokenty Egorov By the way, Mr. First Deputy Chairman is leaving with a scandal. His nephew also wants to become deputy chairman, this time of the Accounts Chamber. If the appointment happens, we will get an interesting incident - a nepotistic appointment to the anti-corruption body.
The nephew of the first deputy chairman of Buryatia Egorova will deal with corruption
It’s even more interesting that the nephew of the former deputy chairman Egorov will be appointed by the People’s Khural, and the former deputy chairman Egorov himself may become a deputy of the People’s Khural in the coming days. In the 2013 elections, he was second on the United Russia party list after Valery Nazarov. And if he leaves Khural ahead of schedule, Egorov will be the first contender for the deputy seat.
In the meantime, the vacant position of first deputy chairman of the government was taken by Igor Shutenkov, who had served as Minister of Finance of Buryatia since 2007. Babr will talk about his political achievements separately.
Igor Shutenkov Cultural Revolution
The republic's Minister of Culture Timur Tsybikov was also dismissed. The last months of work for the official were accompanied by scandals - deputies of the People’s Khural tried to nip the “Voice of the Nomads” festival in the bud, the move of the Museum of Nature was criticized by all and sundry, and on September 21, cultural figures of Buryatia staged a small putsch for Tsybikov. In one of the shopping centers in Ulan-Ude, they criticized the minister and collected signatures for his resignation.
“We are losing the opera house. Today there is no repertoire,” says Nadezhda Tsybudeeva, Honored Artist of Buryatia. -...There is no one to work with the young shoots. The state of music education is on the brink of collapse. Tsybikov’s team is unprepared people who do not have professional specialization and their own opinion. They are blindly, by touch, leading the culture aground.”
Timur Tsybikov
As a result, the voice of the people was heard: Timur Tsybikov was dismissed, and there is no replacement for him yet. Participants in the “cultural revolt” proposed their candidates: the artistic directors of the Ulger and Baikal theaters - Erdeni Zhalsanov and Zhargal Zhalsanov, respectively, as well as the former head of the Tivikom company Norzhim Tsybikov and the candidate for the head of Buryatia, the scandalous social activist and politician Batodalai Bagdaev.
Bet on tourism
A Ministry of Tourism will finally appear in Buryatia. Since 2015, the industry has been supervised by a committee within the Ministry of Economy, and this was clearly not enough for the Baikal republic. Now “Baikal Harbor” and other regional projects have a chance.
Buryat tourism will rise from its knees
Who else
Deputy Chairman for Social Development Vladimir Mathanov submitted his resignation on September 10, at the same time this was confirmed by the head of Buryatia Alexey Tsydenov. It is expected that Mathanov will try to be elected to the People's Khural and even take the post of head of the committee there. In the government of the republic, he will be replaced by the mayor of the Selenginsky district, Vyacheslav Tsybikzhapov.
Vladimir Mathanov The head of the plenipotentiary representation of Buryatia under the President of the Russian Federation, Anatoly Lekhatinov, was dismissed, and Munkozhap Badmaev took his place. He, in turn, vacates the post of deputy chairman for infrastructure development, which he held for less than six months.
The Minister of Health of Buryatia, Valery Kozhevnikov, is also leaving his post and will help Munkozhap Badmaev as a deputy.
Munkozhap Badmaev In addition, the Minister of Sports and Youth Policy Bair Angurov and the Minister - Head of the Permanent Mission of the Republic of Buryatia in Mongolia Sergei Budazhapov were dismissed.
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What are the new leaders like? When will they take up their duties and what can we expect from the newly appointed ministers? We met with the winners of the competitive selection and talked not only about work.
Soelma Dagaeva is a graduate of the journalism department of Irkutsk State University. 25 years ago, together with her husband, she founded the newspaper “Inform Polis”; today the business has grown into a publishing house. The company will now be led by his son, who previously served as executive director. And the decree on the appointment of the Minister of Culture must be signed before December 5.
Soelma Dagaeva, director of the Inform Polis publishing house: I think everyone doubted it until the last moment. Nobody was sure. It seems to me that even including the head. We all sat, they called us in turn, and when at some point they started inviting the same people, it was clear that the head was choosing between someone and someone. And no one was completely sure of victory.
The new Minister of Health does not drink or smoke. In the past, he was the head physician of a district hospital and the head of the Okinsky district. 12 years - as head of the compulsory health insurance fund. Almost a hundred employees, almost a million insured, and the fund’s budget is more than 12.5 billion rubles. Now there will be other numbers and other tasks.
Dambinima Sambuev, executive director of the compulsory health insurance fund of Buryatia: There is a vision, there is a desire, there is a mood for round-the-clock work. It is clear that before this the team worked, did a serious amount of work, but I have a certain vision, so a new team will be formed.
Vyacheslav Damdintsurunov is a master of sports of Russia in Thai boxing. Mentor of the world champion in combat sambo and MMA fighter Alexey Ivanov, world champion in pankration Vadim Buseev, organizer of the All-Russian tournament in Buryat national wrestling on Red Square.
Vyacheslav Damdintsurunov, coach, head of the department of the Russian State University of Physical Culture, Sports, Youth and Tourism: There are enough problems, as I know. I know there are a lot of complaints from the Ministry of Sports. Deputy for physical education and sports, he is currently absent. At a minimum, a new person will be invited to fill this position. I won’t give my last name yet.
Maria Badmatsyrenova is the sister of the famous social activist Andrei Borodin. She managed to do everything. And give birth to four children - tourism calls the fifth, and gain experience in the city department for tourism development. The new ministry will appear in Buryatia on January 1, 2018.
Maria Badmatsyrenova, head of the tourism development department of the Ulan-Ude administration: For me, the most important thing is to assemble a team of like-minded people, a team that would start working for results from the first days. You cannot build tourism in Buryatia only on Lake Baikal. Here we have a very strong ethnicity, Buddhism, shamanism and healing areas. The Buryat tourism product is much broader than Baikal. It’s just that Baikal is like a motivation to come here, to Buryatia.
And the banker became the Minister of Economy. Alexander Bardaleev has been working in this area for more than 13 years, he has led departments of federal banks in various regions of the country. He received his higher education in St. Petersburg with a degree in Finance and Credit. Now he is handing over his cases to Rosbank. But the main thing is to go through the parliamentary filter - his candidacy must still be approved by the Khural deputies.