In the name of allah, the most merciful, the most merciful, hello and good night, dear viewers of the news channel , we present to you tonight , we are at the service of dr. Raiszadeh, the head of the medical System Organization, considering that tomorrow is the annual general meeting of the medical system. It is a good excuse to review the performance of this organization tonight, and we said hello to gapo regarding the actions and issues that fall within the scope of this organizations mission. I am at your service, sir, and all the dear viewers of this program. I wish to say hello and politely and have a good night. We, who are the representatives of the board of directors of the medical system of all the cities , are present and according to the schedule from 8 00 a. M. To about 4 50 p. M. There will be an intensive program to examine issues related to the organization of the medical system. What is the main agenda of the meeting tomorrow . Well, there is the annual report of the head of the organization that should be read. The report of the presiding board of the Supreme Council of the presiding board is the general collection and the report of the inspectors of the organization, which during a year examines the activities of the organization in the whole organization and in the city of humans , and the election of the presiding board of the assembly, which is two how long have these past two years been for the next 2 years and in the afternoon, there is a discussion and exchange of opinions about the issues of the medical community and in a way an open platform with the presence of the countrys health officials, the challenges we had last year from the previous series to now what we think what is important, you see, we have four major challenges in the field of health in the country, and many of these challenges are permanent challenges, which means that they have not been solved since that year. The main challenge that we have in the health field of the country, which is being discussed by friends, is the nonimplementation of the upper documents and related laws in the field of the countrys health. This is the root of many of the problems that we have in the field of health in the country, that is, as it should be, the upper level documents, especially the document issued by the Supreme Leader regarding General Health policies in 2013 , it is now almost 10 years old , and we are approaching 10 years. This has not been implemented and other clauses related to the Health Sector in the budget laws for years, in the countrys permanent decrees law, in the 5year plans law, this is a challenge. This is the second challenge that we have, which will definitely be addressed in both the previous years collection and this years assembly. There is the field of health and treatment it is also clearly being imposed against the laws that i mentioned to you, and this has actually led to many problems for our people in the field of health care, which is one of our very serious discussions, the third challenge of the discussion of illegal interventions in the field of medicine and interventions of individuals. It is illegal, and it is harming Peoples Health a lot, the weakness of the laws, the lack of laws preventing the daily increase of illegal advertising sites in the health field , which actually misleads people and leads to harmful interventions for the people, is another one of the challenges. We are very serious about advertising the field of health is a major discussion and the last challenging area that we have is the discussion of the state of the medical community and its coverage in the media, which in the last three meetings that the honorable president has in the health field programs, both in the opening of the ghadir hospital and in the opening of the childrens hospital. Hakim and in the ceremony of the doctors day. In fact, at the beginning of his fame, he emphasized that the media and tribunes are the reason for the existence of some violations in the medical community in all societies , they should not make the medical Community Look like a giant and destroy the mutual trust between the people and the medical community. Frankly speaking he is also the Supreme Leader, these are the four challenges that we are facing in the field of the countrys health right now, next to him are discussions related to taxes, discussions related to the requirement of contracts with insurances, discussions related to medical capacities, discussions related to the capacity in the field the status of our assistants, the Living Conditions of our assistants in the superspecialized specializations, the recent discussion regarding the release of the documents of our colleagues in various medical fields, these are the major challenges that will definitely be discussed in this forum, and our friends will ask questions. They will say that we should sit together and Exchange Opinions one of the topics that is part of the russian news is the issue of palestine and qadar. I want to continue the discussion from here, considering that our medical community has announced that they are ready to provide services. You also apparently wrote a letter to the head of the world health organization. You corresponded about your own assessment of the state of health and treatment, what is delivered as news and what International Organizations are providing services, if they are providing them, what is your analysis, what is the latest news you have . See, what we are facing in gaza is an issue beyond genocide the world is facing a phenomenon beyond genocide and mass killings , that is, a borderless crime in gaza in front of the eyes of the world. Well, you know that the Geneva Convention is the most Central International treaty in the world. It is a list of International Treaties and agreements. Of course, talking about International Conventions is ridiculous for the qassim regime like the zionist regime. It means that it does not have much relevance , but the Health Care System and treatment of the wounded in gaza is practically not at all. Collapsed means we have another structure to deal with this huge amount of we dont have anything to do with it, to the extent that due to the lack of anesthetics or even the lack of a suitable place, many of the injured are forced to be treated on the street without anesthesia by our colleagues in the gaza medical center. I believe that the high numbers are actually children and women who have been martyred in an unprecedented disaster, and the possibility that our other colleagues in the world, not only iran and islamic countries, can go to help gaza and provide aid is practically not provided. Even sending medical aid as it should it may not be possible. Hospitals are facing a very severe shortage, they are facing a shortage of water and electricity , and practically the United NationsHealth Structure is unable to fulfill their responsibilities , and they do not have that serious will, and there is really no way to implement these duties and help. Well, our medical community , which held a very grand gathering in palestine square last wednesday , was the main concern of the Health Sector of the red crescent, the ministry of health, the organization of the military service, the nursing system, the armed forces, the healthcare of the armed forces, and the declaration of readiness. To attend in gaza, helping the muslims and the insane there is beyond the capacity that even we have to send, which means we have no problem in this regard. There is a hundred preparations in kash our treatment. The main problem is that there is no way to send colleagues and send services, neither in gaza nor in the country. Egypt, we make this request to the ministry of foreign affairs, which we have made very good moves in the past, to really provide the ground for the presence of medical aid forces in gaza or in the border areas, because if it is possible , these injured people will be transferred to your neighboring countries. You know, facing a very high volume of injuries will be beyond the management capacity of even the neighboring countries, so now it is very important that we in the neighboring countries prepare the supplies , prepare the Health Hospitals , prepare the treatment mechanisms, so that if one day this opportunity is provided, we will be able to do this as soon as possible injured care. Your correspondence has also received an answer from the side that we dont have. Finally, the honorable minister of health has also corresponded, we have also corresponded, both the academy and other organizations have responded. We have requested all the countries of the world, according to the oath that they remember to protect human lives in all circumstances, to declare settlement , to be present in the areas near gaza, to this Global Demand , that the answer you think is the answer that we do not expect. The past shows that they are not present in the field as they should be, although they have made some efforts and expressed good opinions, but unfortunately we have not seen any Practical Action from the organizations. Well, let me make a report as the first report together. Lets see the discussion of the license and the office and come back we will continue our conversation with dr. Raiszadeh. For 10 months now, young doctors have been demanding to facilitate the issuance of their medical licenses. The education of young doctors is our private business. The ministry of Parliament Says that if this education takes place , deprived areas will be devoid of doctors. Where are the shares that are empty or will remain empty . Many young doctors like mr. Mohsenifar have asked the ministry of health to remove the banndindi privilege from their medical profession. Deprived areas is a code name because private hospitals they can continue to employ young doctors illegally and pay them small amounts of money because you do not have a license. According to note 4 of article 1 of the law on issuance of Business Licenses , it is prohibited to impose any restrictions and obstacles in the way of issuing licenses. Butterfly descent it should be separated from the license of the office so that young doctors who are so capable can work and we allow them to work. However, earlier, the Vice President of the ministry of health said that the issuance of the medical license is subject to the internal directives of the ministry of health, and with the removal of those deprived areas, the required doctors will be empty. Some people are saying that some doctors are not allowed to practice medicine. This is completely wrong. When a doctor graduates, he gets a diploma or a certificate. This is as a doctors certificate , while the head of the medical System Organization says that simply by requiring doctors to earn points to obtain a practice license, they cannot be kept in deprived areas. Lets not fool ourselves with strictness in the issue of Office Licensing to think that we are solving the problem of underprivileged areas by doing this, the statistics do not say this. It means that we dont have much profit there, but here we have Business Space for young people we make it difficult for the medical community. End. These news indicate that this request of young doctors is again on the agenda of the Business EnvironmentImprovement Center and it should be seen that despite the law facilitating the issuance of licenses and the president s explicit emphasis on benefiting from the elite Human Resources in the health field, this request when will the results come to the young doctors, morteza azani, a News Reporter of the radio and television, well, we mentioned this issue in your interview , but the answer would be more complete and more social if for this goal, we all have in the Health Organizations in the parliament. In the ministry of health in the organization of the medical system, the issue of improving the Business Environment for young doctors or other young medical graduates is that i have all these worries. Now , opening a practice in the Current Conditions is almost not impossible for our young people, for many reasons, because previously the issue of licensing and the practice license was mentioned, so the solution to this concern is that we issue a medical license to young doctors who graduate and pass the obligations of the straw coefficient and their deprived areas. I want to go to private Government Centers or institutions in fact public, nongovernmental, to serve in hospitals and clinics, this can be a medical license. Until now, all of these were known as medical licenses. The same medical license was also a medical license. This is for us to facilitate, and the medical license must have its own privileges. Ok, for example, in big cities , 255 points, which is 360 points, but if someone wants a medical license, not our offices license, if they pass the k coefficient and obligations to them , they will actually have a medical license without restrictions. The main point of the story is that the reason why i came forward is to provide a Business Environment for young colleagues, and this is waiting for points to be earned after their commitment period, for example, well, these friends who are in favor of this story, on the other side of the issue , the friends who disagree say that if we talk about earning points, the points depend on the length of service in the less privileged areas. Or this side collected its points during the sour period, if not, it should cooperate again in the same areas with the networks related to the ministry of health and the Health Network to get the necessary points, the reason is that if we allow them without points, these are actually in centers who want to cooperate, then our deprived areas will be empty, i. E. That young colleague who after his plan again, they have to stay in the deprived area until their privileges are completed. Well, this is not enough. They come to the biggest city and are busy with negotiations, and the deprived areas have problems. Both of them are full of people, that is, they are full of people who go to school, study, pass their time, want to have a Business Space, god forbid, dont immigrate, god forbid , dont move to another job for their livelihood , that is, we dont have less hands in deprived areas. So the concern of both sides is the concern of the health of the country. It means no one who has a personal discussion. In the meantime, after all, the arguments are different and the statistics are also different. It is a very simple story. We are talking about determining how many of our young colleagues remain in disadvantaged areas after their project period. If this number is a significant number , it is important for deprived areas. But if this number is not a significant number and is not very decisive in covering the deprived areas, then we will remove the difficulties so that friends can reach their work more easily. Now, in fact, the main difference is over the answer to this problem and the answer to this this is a question that i think our friends in the ministry of health can determine very easily if we see that a large number of our colleagues read, they will be deprived of points and they will serve. Well, we have to think of another mechanism, but if we see that the statistics are not significant, we will think again. In addition, i said that the solution is really to cover the deprived areas and increasing the access of people in less privileged regions to the doctor, these methods are not mandatory, they do not work very well, what is your suggestion, before we see what positive and encouraging methods we should actually consider so that our colleagues are interested in those areas. Stay is one of the easiest lets pay the demands of these colleagues in those areas on time, sir. I mean, my demands wont be paid on time, definitely not possible. After all, the party means that his presence in the area is not deprived, nor are there any other fringes. Those who are being observed are very willing to stay in those areas and serve because there is space in the big cities. Business is more difficult , well, when we dont leave the hands of the ministry of health open as it should be, so that it can provide friends according to the efforts they make and Insurance Companies are delaying payment of claims due to the problems they are having, and we actually impose dozens of restrictions on the same claims. Well, our colleague is counting the days until the period of his plan is over , he will actually run away from that area and go somewhere else. Well , lets go to solve this problem. We should design positive ways of incentive packages so that our colleagues will be willing to stay there, not at all, because the expression towards big cities caused us to have a very disproportionate explanation in the field of specialists in the country. 42 of our experts in 5 they live in the metropolis, so why do we have to be like this . Now, for example, what is the mechanism you have for the distribution of specialists in the underprivileged area, what kind of mechanism do we have at all . Their living facilities are better, the conditions for performing the service are more suitable for you. In a city, the equipment needed for surgery may not exist, the hospital or clinic where you have to provide that service, or our colleague may not have a good payment or the number of patients that he can actually provide. Its all over the region remains deprived, well, we must compensate for this. If it is compensated , this explanation will be appropriate, or do they think that the solution to this problem is that , for example, we just increase the capacity, for example, we increase the number so much that our specialist has to go somewhere far away . Really, this will not be the answer. If you do answer, it will be in the long term and the quality will be very low. Quality is not the way to go. The way to go is to Pay Attention to the things that are the real requirements of the problem. Not many people want to listen to this, which means it is difficult for them. You mean, he resorts to other methods it is the ministry of home affairs, not the ministry of home affairs, which along with our opinions, the ministry should finally be provided with the resources that are foreseen in the law , and its hands should be open to meet the needs of the people in the region , so who were you addressing . The government tells the friends who give wrong statistics and information to the officials in other places, they are making wrong policies , and all of this is against the different clauses of the more official notification policies, for example, the medical System Organization, where can you see more official statistics . Both the medical system and the ministry of health are the academy we also wrote letters to the officials of the Health Commission that we, as specialized bodies in the field of health , are of the opinion that you should pay the demands correctly, provide the budget that should happen , and this will be correct, but your opinion is correct. Gentlemen, you dont read these things, either they are difficult or they cant solve them. You dont care about this scoring and the issues that exist now. You dont have to deal with this. My opinion is that this doesnt work, that is, except for a few of my friends who need points. The areas of the deceased are serving, and i said to you you spread this idea, we are fooling ourselves , its really not like we think that because of the privileges of our friends, going to stay there and solving the problem of the deprived area is not like this. We should actually pay the demands of our colleagues in the underprivileged logic, we should consider incentives enough to create an incentive for our colleagues to stay in a certain area and serve the people. Zero border areas have outstanding experts they serve the people. One of the ministers of health said that i told the leader that in a certain border city , we have an orthopedist there, for example, we have a radiologist. For example, they said that i did not exercise there for many years, but now a highquality specialist doctor is providing services there, and this service is being done, but i would like to say that we do not follow the law, we do not want to obey the law, and then look for other paths. We are leaving, which will definitely make the problem more complicated my address to my dear friends is in the parliament, in the organization of the buje program, in the cultural revolution council, in the media, and with the medical community. I have said many times that you cannot wrestle with the medical community. I want to use this interpretation because if we use the medical community, we should make them polite, we should make them people, these interpretations are used, and specialist opinions are not really paid the attention they should be. Could it be that just yesterday we had a congress on the special challenges of childbirth that our colleagues in the community of experts organized mr. Khosravi, let me just give you a statistic. This statistic is enough for the pride of our country and our medical community. You see, one of the most important indicators in every country is the Maternal Mortality rate. The best and sweetest memory of every family is the birth of another child. Well, this is it. If the facilities, personalization, capabilities and conditions of a country are not good, it can become the saddest and most bitter experience of a family, which is the death of a pregnant mother. Statistics also say that the death of a pregnant mother occurs mainly in women between 30 and 35 years old, that is, a young mother , mainly in her first delivery. See how much this incident it can be earned. The statistics in the world are over 20 deaths and. Mir is alive at birth, at 10,000 births, 10,000 births, 20 deaths in the world. They planned several times to bring this to 70. For example, once they designed a Millennium Development plan that all countries help to bring this death to 70 by 2016. They could not do it again. By the year 20 , this number will be increased to 70 in our country by the year 5657. This number is 20 deaths of pregnant mothers in 10 thousand imitations. In our country, this number is now 20 deaths per 10,000 births, which means that out of what the world wishes for 20 planets, we are one third, third, 18. Now, it has gone up and down in the years of corona. Some of the numbers of the United States of america, which actually has the largest share of health in gdp, are one of the largest. The statistics are increasing. Among the industrialized countries , it has the highest rate of death of pregnant mothers. It is difficult to access insurances and because of the Racial Discrimination they have, for example, the number of blacks is 3 times that of whites. The midwife of the country during these years having that more than 95 in our country is done by specialized personnel , the statistics are very proud. All of them worked hard to help. This statistic reached 20 deaths per 1,000 births. Decrease in the acceleration of the decrease. We are one of the first , so see how hopeful this can be for a family and how valuable it is for the country. Therefore, we are safe. Our delivery is done by specialists and midwives. It is done in hygienic conditions. Our colleagues are capable of reopening the congress. To update their capabilities just yesterday, wednesday, late in the morning, in fact, there were birth challenges. I believe that this one statistic is enough to make the medical community of our country proud , while there are hundreds of such statistics. What are the requirements that have brought us here . I am very sorry. Sometimes i see that some of our friends and colleagues in different places do not Pay Attention to this, that is , the very people who caused these honors actually appear to be indebted, while they themselves are in debt because they did not implement the rules themselves because they dont supervise because they themselves dont hold accountable. My question is the policies announced by the Supreme Leader in the Health Sector. The General Health policies are a very valid document. Who should supervise that this document is implemented . Who should implement it, who should ask why it has not been implemented . These same people address the medical community on the podium, in the media, in various programs , and are creditors of the medical community. It has come in the policies that the share of health should be from the resources of the Gross National product and the Public Resources of the country be higher than the average of the region and this has not been achieved and we have faced problems in the field of islam. And we kept this and we had a low order attitude, then anomalies will be created in the relations between the medical community and the people. The medical community is to blame or the person who did not comply with this law. For years and years , there have been violations in the discussion of health tariffs and treatment. Between nine and one violations, at least three violations yes, i have said many times, why doesnt the chlorine Inspection Organization deal with these violations, of course, why now mr. Khodayan and mr. Masoudi, who are responsible, are in charge, but in the past years, why did the Insurance Companies, who should fulfill their obligations , and of course i also have restrictions, so why dont they fulfill their obligations on time . According to the insurance law, they are required to make 70 claims one month after providing services, and the rest until 3 months later. Well, this is not implemented. Why is it not implemented . The Insurance Companies say that we do not have enough resources. If enough is given to them, a problem will arise. Our colleague has been there for 8 months then what should be given to him will be paid, so the price of that money is 89, what will happen to him later , you know now that his life will not go on , he will migrate later. Then we will address why we migrate. Dude, you are moving to another job that is not your area of expertise. We blame you for not doing your own work. Or he does something in his office that turns the office around, we dont approve the tariff correctly, then we blame him, why do you run the office like this. You see, when the structure and the infrastructure collide, it is not possible to determine a point in the middle of the fight. This is what i mean. Follow the rules of the wing