Optimization of healthcare and pension reform as factors for crowding medical intellectuals out of the public sector of healthcare

This article deals with an issue of crowding medical staff out of the system of public medicine. The author focuses on the two most significant events – the healthcare optimization and pension reform. It is proved that public policy in the field of healthcare regarding the personnel policy regulation is premature and contradictory. on the one hand, the prestige of a medical profession in our country has considerably grown in recent years, but on the other hand, acquiring a limited relevance medical specialty becomes more and more unavailable for most of citizens in Russia. The situation is complicated by the violent and widespread stuff reduction of medical workers in the public medical institutions. As a result today in a number of regions, there is already a considerable shortage of medical personnel, and in rural areas, the indicators on the provision of medical personnel are 40% lower than in the whole country. The social protest which captured Russia and which was provoked by pension reform and the rise in prices and taxes was supported by medical protest that for the first time was expressed like a public actions: doctors began to unite in professional associations and openly claim about their rights violation. State initiatives in optimization of expenses for the healthcare and provision of the citizens pensions became the key threat to availability of medical care in our country.