{"id":13404,"date":"2024-08-07T13:37:44","date_gmt":"2024-08-07T11:37:44","guid":{"rendered":"https:\/\/centreua.org\/?p=13404"},"modified":"2024-08-07T13:37:44","modified_gmt":"2024-08-07T11:37:44","slug":"accessible-healthcare-in-rural-areas","status":"publish","type":"post","link":"https:\/\/centreua.org\/en\/monitoring\/accessible-healthcare-in-rural-areas\/","title":{"rendered":"Accessible healthcare in rural areas"},"content":{"rendered":"<p><span style=\"color: #800000;\"><b>Presidential decree <\/b><a style=\"color: #800000;\" href=\"https:\/\/www.president.gov.ua\/documents\/4832024-51509\"><b>483\/2024<\/b><\/a><b> of July 26, 2024<\/b>\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Sponsor:<\/span><\/b><span data-contrast=\"none\"> the President of Ukraine<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Status: <\/span><\/b><span data-contrast=\"none\">in effect since July 26, 2024<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Who is affected: <\/span><\/b><span data-contrast=\"none\">the Ministry of Health of Ukraine, healthcare establishments in rural areas, and medical personnel<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Summary:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"37\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">the President ordered the Cabinet of Ministers to:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span>\n<ul>\n<li><span data-contrast=\"none\">encourage medical workers to work in rural hospitals<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:1080,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">compensate medical personnel who relocate for work for housing purchase, prioritizing filling vacancies in villages<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:1080,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">ensure the delivery of medications by postal operators, including under the Affordable Medicines [Dostupni liky] program<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:1080,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">introduce incentives for utilizing existing (including medical and pharmaceutical) infrastructure<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:1080,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">expand the network of pharmacies and primary healthcare centers providing specialized medications for palliative patients and other patients with serious illnesses. The number of such patients is increasing due to the Russian aggression against Ukraine<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559685&quot;:1080,&quot;335559737&quot;:70,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">the President also ordered oblast state (military) administrations to enter into regional contracts with higher education establishments to arrange training of medical personnel (to allocate money to state-funded education for students of medical specialties at universities).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">What is right: <\/span><\/b><span data-contrast=\"none\">the decree is expected to improve access to medical care and medications in rural areas.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">What is wrong:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">the decree violates the Constitution. The President cannot give orders to either the Cabinet or other central executive bodies, or law enforcement agencies. The powers granted to the President are defined by the Constitution, so he can only issue decrees that are within his or her mandate<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"32\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">the bill violates the balance of powers: the President intrudes into areas outside his authority.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Alternative solution:<\/span><\/b><span data-contrast=\"none\"> this presidential decree is already in effect, and it is impossible to amend it.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">While monitoring decisions made by authorities, the Centre for United Actions has repeatedly pointed out that the President issues decrees concerning jurisdictions that do not fall under his authority. The only way out of this situation is to cease this practice.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:240,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presidential decree 483\/2024 of July 26, 2024\u00a0 Sponsor: the President of Ukraine\u00a0 Status: in effect since July 26, 2024\u00a0 Who is affected: the Ministry of Health of Ukraine, healthcare establishments in rural areas, and medical personnel\u00a0 Summary:\u00a0 the President ordered the Cabinet of Ministers to:\u00a0 encourage medical workers to work in rural hospitals\u00a0 compensate medical [&hellip;]<\/p>\n","protected":false},"author":39,"featured_media":11790,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[259],"tags":[],"level":[],"area":[],"coauthors":[1023],"class_list":["post-13404","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-monitoring"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Presidential decree 483\/2024 of July 26, 2024 Sponsor: the President of Ukraine Status: in effect since July 26, 2024 Who is affected: the Ministry of Health of Ukraine, healthcare establishments in rural areas, and medical personnel Summary: the President ordered the Cabinet of Ministers to: encourage medical workers to work in rural hospitals compensate medical\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta 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