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Better standards, more honesty

The bigger problem, as far as City Hall is concerned, is the lack of qualified personnel in Moscow - with 300 million rubles now being set aside for sending young doctors to train abroad.

City Hall also plans to introduce a single diagnostics center - where computer data on patient diagnoses will be processed and looked at by additional specialists, in order to slash the numbers of misdiagnosed patients in the capital.

"There will be a team of people offering second opinions," Pechatnikov said. "They can serve as a kind of second line of defense, helping those [doctors] who deal with patients directly."

Irina, an infectious diseases specialist at a Moscow hospital who did not wish to give her last name for fear of reprisal from her bosses, said that City Hall has its work cut out for it as far as improving standards of care is concerned. "You're dealing with a system where many hospital administrators have been corrupt," she said. "These people actually benefit from the health care system being in chaos, and from patients not knowing their rights. Changing their habits will not be easy."

Irina cited the recent scandal that Bolshoi Gorod magazine exposed at a testing lab in the famous Botkinsky hospital, where a former staff member, Fyodor Baranov, accused his colleagues of not maintaining basic sanitary norms and his bosses of forcing staff to process test results more quickly for certain "elite" patients.

"Right away, Baranov was accused of stealing a video camera from the lab," Irina said. "His bosses were trying to intimidate him - they try to intimidate anyone who calls attention to major problems with our work."

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