Homeless People in Petersburg Can Receive Pensions and Medicines Without Residence Registration

Members of Nochlezhka’s staff in the charity’s courtyard, 2019. Photo courtesy of their website

Court Rules in Favor of Nochlezhka: Homeless People in Petersburg Can Receive Pensions and Medicines Without Residence Registration
Takie Dela
March 30, 2021

On March 30, the St. Petersburg Charter Court upheld the right of homeless people without residence registration [propiska] to access social support from the city. The court recognized that the city government’s current provision, according to which assistance is provided only to people with residence registration, should be abolished. Takie Dela was informed about the ruling by Vitaly Isakov, a lawyer with the Institute of Law and Public Policy.

“Lack of registration is no longer an excuse for turning down a person who wants to register with the welfare agencies and receive benefits. The Charter Court’s decision is generally binding from the moment it was announced, and is not subject to appeal,” Isakov said. “The city government should abolish the regulations that the court found inconsistent with the city’s charter. In particular, they should remove the wording that requires residence registration.”

The lawyer also stressed that in the event of a legal conflict, Petersburg courts would not be able to enforce the current procedure for registering for social benefits, in which providing proof of residence registration is mandatory. “If a homeless person asks to be registered for benefits, but he is refused, he has the right to cite the Charter Court’s decision,” Isakov said.

The homeless charity Nochlezhka filed an appeal with the court in September 2020. The organization noted that among their clients there were those who did not have permanent residence registration in Petersburg. Because of this, they could not obtain the special social welfare registration and count on social benefits from the city.

Nochlezhka said that they had written appeals to city officials and defended the interests of clients in the courts, but had received refusals over the past five years. Subsequently, they decided to submit a request to the Charter Court, which makes sure that the city’s laws and bylaws comply with the city’s charter.

Since only the governor, a group of five legislative assembly deputies, or municipal districts can submit such requests, Nochlezhka turned to Petersburg parliamentarians and found deputies who agreed to sign the request. They also engaged lawyers from the Institute of Law and Public Policy, who drafted the request and, along with Nochlezhka’s lawyers, submitted it to the Charter Court.

Translated by the Russian Reader. Mandatory residence registration, known as propiska, is a relic of the Soviet era that was ruled unconstitutional by Russia’s newly minted Constitutional Court in the mid-1990s.  The ruling, however, sparked fierce resistance from such regional leaders as Yuri Luzhkov, then mayor of Moscow, who claimed that it would provoke widespread “emigration” from rural and poor areas to wealthy cities like his, thus flooding and disabling their social services. The court’s ruling was thus never enforced, meaning that Russians are still obliged to register their domiciles with the authorities, even when renting a flat. Consequently, a person’s ability to do a variety of important things — from applying for a job, a loan or a library card to receiving welfare benefits and getting married — depends on having a propiska in the city or town where they live and thus need to do those things. As a volunteer with Nochlezhka in the 1990s, I saw with my own eyes how the lack of a propiska prevented homeless people from getting help and restarting their lives, especially finding gainful employment and a place to live.

Sorry, We Have No Medicine

Unlike life-saving prescription drugs, hashish and other narcotics are easy to come by in Russia. Photo by the Russian Reader
Unlike life-saving prescription drugs, hashish and other narcotics are easy to come by in Russia. Photo by the Russian Reader

Sorry, We Have No Medicine
Alfia Maksutova
Takie Dela
November 24, 2016

What doctors and officials do to avoid giving patients the free drugs they have coming to them

“You’re not ill.”

“You don’t have that.”

“You don’t need that drug.”

“You need that drug, but a cheaper substitute will also do.”

“You need the drug, but we’re out of it, so you’ll have to wait.”

This is how doctors and officials respond to thousands of people who, by law, are supposed to receive subsidized medicines. They trick them. They know these people are ill, and they know what drugs they need. According to rough estimates, however, the state now lacks 45 billion rubles for providing drugs to the populace. In certain regions, only 10% of applicants can be supplied with subsidized medicines. Officials and doctors turn down patients in such a way that it is as difficult as possible to prove they have broken the law. The Health Ministry and the health care regulator Rosdravnadzor regularly report that things are stable when it comes to preferential drug provision in Russia. The figures underpinning the reports bear no relation to reality. The true scale and brutality of the war between patients and the state is striking.

***

“Every time, they say, ‘Sorry, we have no medicine. There is nothing we can do about it.’ But by law I am supposed to get them. If they are out of them today, the state should purchase them tomorrow. Isn’t that right?”

Veronika has repeated the question over and over, but her voice still sounds surprised. When she speaks, her hands, with their long, elegant fingers, tremble slightly, as if they too are incapable of coping with the surprise. She has used hormonal inhalers for fifteen years. Without them, she cannot breathe. She has asthma, a host of related ailments, and official status as a disabled person. She is entitled to get the necessary dose at the pharmacy for free, but the medicine has not been issued for a year and a half now.

“It was always given out intermittently,” says Veronika. “You had to find out ahead of time the day when the drug would show up and run to the clinic when it opened to be in time to get it. If you were late, they would tell you they had run out, and it was your problem. But it was only last year I had to deal with the medicine not being available for months at a time.”

Then, after waiting six months, Veronika first turned to the Moscow Health Department for help. It was enough to file an application and the inhaler, which the pharmacy did not have in stock in the morning, turned up in the evening. But the magical effect of phoning the health department did not last long. A couple of months later, the drug was once again no longer available. When Veronika called the health department this time, she was told the situation was complicated. She could file an application, but no one knew when the drugs would arrive. The same day, the pharmacy called her and said her request was pointless: the drugs would not be available. Currently, relatives have been paying for her inhalers to the tune of several thousand rubles a month. According to Veronika, many of the people queued up to see the pulmonologist could not afford to pay this amount. The phrase “we are out of drugs” is tantamount a death sentence to them.

Veronika’s case is one of thousands. It suffices to peruse the regional press for the past month to read a dozen such stories. In Mordovia, the pharmacies not only have no prednisolone for patients entitled to the free drugs benefits, but no iodine or bandages, either. In Oryol Region, a woman suffering from lymphoma managed to get medicine only after local media wrote about her case. In Khakassia, the Audit Chamber will be investigating the problems with subsidized medicines due to the large numbers of complaints by patients. Organizations involved in protecting patients’ rights talk constantly about the growing number of pleas for help. The Movement against Cancer, for example, has noted an uptick. In September of this year, there had been so many cases of cancer patients turned down for subsidized drugs that the Prosecutor General’s Office investigated legal violations in a number of regions. According to online monitoring data for September 2016, done by Alexander Saversky, head of the League of Patients, over 80% of those surveyed had trouble obtaining subsidized drugs. Only 35% of those people had managed to get a prescription for the drugs in question without problems. Similar figures were adduced in a survey done last year by the Russian People’s Front: half of the patients surveyed were not issued the medicines they requested on time.

A 2016 government report stated the subsidized drugs provision program was suffering a shortfall of 45 billion rubles [approx. 660 million euros]. This was no surprise. The standard cost per person receiving free drugs has dropped from 849 rubles a month, in 2011, to 758 rubles, in 2016. According to Rosstat, however, the price of drugs has increased this year by 24%. In 2015, the government allocated an additional 16 billion rubles to alleviate the situation, but, unexpectedly, they were not used. The Health Ministry has said that all necessary drugs have been purchased. Roszdravnadzor regularly monitors the supply of drugs nationwide and has remained satisfied with its results. According to the reports issued by these agencies, around 98% of beneficiaries in Moscow Region, for example, receive their drugs, and the situation in other regions is stable. The Health Ministry’s ability to force public health officials to bend reality for reporting purposes has amazed even the president. Continue reading “Sorry, We Have No Medicine”