Experts Predict the Closure of All Rural Hospitals by 2023
December 9, 2016
If the number of social welfare institutions continues to decrease at the same pace, there will be no hospitals in rural areas within seven years. Experts argue that all rural schools and medical clinics could be closed within seventeen to twenty years.
Due to “optimization” processes, over the past twenty years, rural areas have lost much of their social infrastucture, experts at the Center for Economic and Political Reform (CEPR) have concluded. In report entitled “Russia, Land of Dying Villages,” they note the numbers of hospitals, schools, and clinics in rural areas will continue to decline in the coming years. RCB has a copy of the report.
Based on Rosstat’s data, the CEPR has calculated that, over the past fifteen to twenty years, the number of rural schools had shrunk by nearly 1.7 times (from 45,100 in 2000 to 25,900 in 2014), the number of rural hospitals by four times (from 4,300 to 1,060), and the number of rural clinics by 2.7 times (from 8,400 to 3,060).
The upshot is that all rural hospitals could close in seven years, while all rural schools and clinics could close in seventeen to twenty years, claims the report.
“It is clear that this is not possible and that all ‘optimizations’ have their limits. However, there are fears that social welfare institutions will continue to close in the countryside in the coming years, albeit at a much less impressive pace,” write the report’s authors.
The optimization of schools and hospitals is often justified by decreases in population, although it is socio-economic problems that facilitate flight to the cities. The experts argue the government has deliberately pursued a policy of depopulating rural areas and has deprived the countryside of its “last hope for the future.” They call the current circumstances a vicious circle. Optimization of social welfare facilities has proceeded at a much faster rate than rural depopulation and the abandonment of villages.
According to the report, the rural population has been in constant decline over the past twenty years. This has happened due both to migration outflows and the fact that the death rate has exceeded the birth rate. The number of deserted villages increased by more than six thousand from 2002 to 2010, to 19,500. Moreover, less than one hundred people live in more than half of all rural settlements.
The experts note that while the number of depopulated villages has continued to grow in Central Russia and the north, rural areas have been developing vigorously in the south. In 2016, the North Caucasus Federal District had the largest population in terms of percentages (50.9%), while the Northwest Federal District had the lowest (15.8%).
The study underscores that the main causes of depopulation in the countryside are social and economic problems. The standard of living is low in rural areas, while unemployment is relatively high, and this has spurred a growth in the crime rate. The experts note that prices in rural areas are high, so country dwellers spend more money on food than city dwellers do.
Population outflow has also been due to the poor quality of utilities and housing. According to the CEPR, only 57% of rural housing stock is supplied with running water, while only 33% of houses have hot water. The condition of the water mains in the countrsyide has constantly grown worse: only 54.7% of residents are supplied with safe drinking water. The experts note that only 5% of villagers have sewers. (This figure has not changed since 1995.) However, the provision of natural gas is relatively better. According to Rosstat, approximately 75% of the rural housing stock is supplied with pipeline or liquefied gas.
The CEPR’s researchers write that the government policy has concentrated capital, jobs, and people in the large cities, while attempts to maintain the rural population have failed, because there are no conditions for developing the villages. The experts believe that comprehensive socio-economic reforms are needed to solve the problem. Otherwise, the number of deserted villages will have increased by the time of the next census.
Translation and photo by the Russian Reader
See some of my previous posts on life in the Russian countryside:
- “Krasnodar Farmer Kills Himself after Land Seized,” October 3, 2016
- “Wayward Pines,” September 24, 2016
- “Russian Farmers Have No Friends,” September 9, 2016
- “Uneven and Combined Development,” July 9, 2016
- “Gleb Astafiev: Trampled by the Madding Herd,” June 11, 2016
- “Don’t Mess with Irina Iskorneva,” March 31, 2016
- “Arseny’s Childhood,” November 27, 2015
- “The Silence of the Lambs,” April 13, 2015
- “Victoria Lomasko: A Village School in Russia,” September 25, 2014