The medical unit in troops B is currently in the following situation. To provide assistance to those suffering from illness, the military territory is divided into medical stations, each of which has one local doctor and an emergency room with a paramedic. Each station has two medical paramedics and four midwives for the entire army. Lazardetov i-antek in the army of the NFT. Sick Cossacks are treated, except in the emergency rooms, in the Orenburg local infirmary and city hospitals, whereby the treatment and maintenance of men is paid from military sums at taxes, and women are treated at their own expense. For each local doctor there are 4-5 villages with a population of over 45,000 people of both sexes, and for each paramedic there are about 7,000 souls. The population is scattered in many places. (from 30 to 50) villages located at a fairly considerable distance from each other. The total size of the medical area in space is approximately equal to an area of 200 versts in length and up to 20-40 versts in width. A local doctor receives 120 rubles from the army. per year of medicines, of which, in turn, the village paramedics receive a portion. The primary quarters are maintained at the expense of public funds. In addition to the allowances released from the troops by medical paramedics, in some cases additional
— 98 stanichny sums of $ how much (5-7 rubles) in MB: a thousand and an apartment in kind.
In addition to monitoring the areas, military doctors also perform other duties, such as, for example, during monthly camp training, they alternately attend camp areas for one month, participate in the commission for examining the Cossacks in villages and at assembly points before sending them to priority units, In total, no more than two months a year, and they perform the duties of Federal Inspectorate doctors in the field of forensic medicine and forensic police, depending on the need.
Thus, the local doctor is allowed to act in areas from 4,000 to 8,000 square meters with a population of 45,000 people.
Under such conditions, only a very small number of Cossacks living in villages with them can use the medical aid of local doctors, and the majority must be content with the healing forces of nature alone, or home remedies with the help of their own healers and healers. It is not surprising after this that the population does not like doctors at all, seeing them not as their friends, as one might expect, but as officials, who, in the opinion of the Cossacks, don’t do any good, but only burden them with carts. It goes without saying that the figures for reports on the provision of medical benefits to the population, given this situation, have very little significance in a statistical sense, since the mass of patients treated with home remedies remains unknown.
The situation in the department of obstetric care is in an even worse situation: for the entire army, almost half a million. population, there are only four midwives! If the male population of the army, which, by virtue of its special purpose, is under the special control of the military authorities, is often crippled by various “potions” of healers and healers, sometimes turning not only into those incapable of service, but often also incapable of work, due to the lack of proper medical care in the villages, then its female half is entirely in the hands of the ignorant The “midwife” who talks to women in labor sometimes reveals things, the mere story of which sends chills down your spine.
It is necessary to come to the aid of the population and in order to do this, let us take at least the following measures: d) Increase the number of local doctors, as opposed to the existing one. And in this case, their areas will be very significant both in space and in population. 2) Provide doctors with sufficient quantities of medicine, so that they truly are doctors of the living, and not doctors of the dead, which they mostly are now, performing autopsies on demand. 3} Do not distract local doctors with various business trips; Why should we have special doctors at the departmental administrations, one or two for each department, on whom to entrust all the tasks related, for example, to the examination of lower ranks in the villages, commands when seconded to active service, returning due to inability from the primary units, sanitary departments often from
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