Why did they start depriving sick people of disability in Russia? Rules and procedure for assigning permanent disability

Russian citizens who have certain health problems that meet certain criteria prescribed by law have the right to officially register a disability of group 2 in order to receive benefits established by the legislation of the country. The list of diseases, the presence of which in the anamnesis will serve as the basis for recognizing a person as disabled, is determined for each category of disability by acts of the Ministry of Health and Social Development Russian Federation.

In this publication we will consider issues related to the conditions and procedure for registering disability of the second group. Let us touch upon aspects of the degree of working capacity of a person with disabilities when assigning him the 2nd disability group.

List of diseases for obtaining 2nd disability group

Let's look at the disability criteria for designating the second group. If we turn to the legislation, then in accordance with the Order of the Ministry of Health and Social Development of the Russian Federation dated December 23, 2009 No. 1013n, group 2 disability can be established if a citizen has a history of impaired body functions medium degree expressiveness.

From the list of such disorders we can highlight:

1. Limitation of self-care ability. In other words, it is difficult for a person to independently fulfill physiological needs, perform sanitary and hygienic care, and perform standard household tasks. If a citizen has a second degree of disorder, then this implies the need for some help from other persons, as well as the use of auxiliary means.
2. Limitation of orientation ability. This means that a disabled person of group 2, without resorting to the help of strangers, cannot determine his location, real time and maintain an adequate perception of the reality around him.
3. Limited ability to move. In other words, without outside help a person has limited ability to maintain balance, move in space, and use public transport. If a citizen moving around has a disorder of this type of moderate severity, then this indicates a need for partial assistance from other persons.
4. Limitation of ability to communicate. This is expressed in the fact that when establishing contact with others, while transmitting or receiving information, a disabled person of group 2 needs some help from other citizens.
5. Limitation of the ability to exercise control over one’s own behavior in society. This implies a decrease in objective criticism of the environment and one’s own behavior. There are situations when only with constant help from other people it becomes possible to correct the behavior of a group 2 disabled person.
6. Limitation of ability to exercise labor activity. This means that a disabled person can work only if there are specially created conditions at the workplace that provide the opportunity to use any technical means. In other words, a disabled person will be able to work only if he is regularly assisted by third parties.
7. Limitation of the ability to acquire knowledge (learning). This means that a disabled person of group 2 is able to remember information, assimilate new knowledge and reproduce it, and acquire practical skills only in specialized institutions. When using assistive technology, it is possible to train a disabled person at home.

Important! Only disabled people of the 1st group are not able to carry out work, and the 2nd group of disabilities is working.

Diseases leading to disability

There is a list of diseases that affect citizens recognized as group 2 disabled people. Among them are:

1. Speech dysfunction resulting from stuttering, dysfunction of voice formation.
2. Deviation of mental functions.
3. Damage to circulatory functions.
4. Sensory disorders - disorder visual function, tactile sensitivity.
5. Disorders associated with physical deformities. These include non-standard sizes of body parts and head deformation.

Which conditions necessary to recognize a person as a disabled person of the second working disability group? This disability group can be issued to a citizen if his normal life activities are limited due to health reasons; there are disorders of certain body functions caused by defects, disease and injury; there is a need for rehabilitation or measures to social protection person.

Can a disabled person of group 2 work?

Please note that each disability group has several degrees; they are assigned by decision of the ITU. The 1st degree assumes that a disabled person is able to carry out work activities, provided that his qualifications are reduced and the performance of work duties does not require significant efforts of a person with disabilities. 2nd degree of II disability group provides that a person can work if a special conditions and provide assistive technology in the workplace. Citizens (men or women) who have been assigned one of these degrees are assigned II working group disability and they can officially work.

The procedure for recognizing a citizen as a disabled person of group 2

First, you need to collect a package of documents established by law. If a person wishes to obtain the status of a group II disabled person, then he must undergo a medical and social examination, in accordance with Article No. 7 of the Federal Law “On Social Protection of Disabled Persons in the Russian Federation” No. 181-FZ. After which, the relevant commission will determine the needs of the examined person for social protection measures, including rehabilitation, based on an assessment of the limitations in life activity caused by a persistent disorder of health and body functions.

Before you go to medical institution, you need to prepare the necessary documentation, in particular:

1. Take a referral for an examination prescribed by your attending physician. The paper must contain information about:
   - State of human health;
   - The state of the compensatory capabilities of his body;
   - The degree of impairment of body functions.
   - A list of rehabilitation measures that were carried out previously in order to restore the affected body systems and organs.
   - A person can receive such a referral from the social protection authorities or the pension authority. To receive a referral, you must have medical documents that indicate the presence of health problems.
   - It may happen that the pension authority, medical institution and social security authorities did not want to issue this referral to the citizen. In this case, he can independently come to the office that is engaged in conducting medical examination. Doctors will examine the applicant and determine whether he or she actually has limitations in his or her life activity.
2. Certificate of income of the applicant.
3. Passport – original and photocopy.
4. Citizen's outpatient card.
5. Self-completed application for medical examination. If the applicant is unable to do this himself, then this right is transferred to the legal representative.
6. Employment history. Required if the applicant has ever worked.
7. If the applicant has undergone training, then it is necessary to have a characteristics filled out by the head of the educational institution.
8. For citizens who previously worked, you will need to have a reference from your employer.
9. If the cause of lost health is a disorder associated with work injury or occupational disease, you need to have the corresponding act on hand.

How does a medical and social examination (MSE) work?

If a citizen needs to undergo MSA, then he should contact one of the institutions conducting MSA located at his place of residence, and if the applicant cannot personally come to the place, this procedure can be carried out at home. The examination consists of the following stages:

1. Examinations of the applicant.
2. Studying the everyday and social conditions of his residence.
3. The examination of the disabled person itself.
4. Studying his labor capabilities.
5. Analysis psychological characteristics applicant.

In the process of conducting the examination, an appropriate protocol is drawn up, the standard form of which is enshrined in the Order of the Ministry of Labor of Russia dated October 17, 2012 No. 322n.

What information does the medical and social examination protocol contain?

During the medical and social examination, specialists fill out a protocol that contains the following information:

1. Date of the procedure.
2. Date of application for MCE.
3. Time for examination of an applicant applying for disability status.
4. Information about the citizen being examined, in particular:
   - FULL NAME;
   - Citizenship;
   - Floor;
   - Date of Birth;
   - Address of the place of residence;
   - Passport details;
   - Contact details;
   - Place of registration.
5. Social data. We are talking about the applicant’s marital status, the number of family members, and the characteristics of the family itself. Information is also required about the availability of housing for the applicant who is undergoing examination.
6. Data on the procedure for conducting a medical examination, in particular:
   - Place where the survey is carried out;
   - The grounds that prompted the inspection of the applicant;
   - Purpose of the examination;
   - Duration of disability;
   - Data regarding the secondary conduct of MTU;
   - Information about the results of the medical examination.
7. The conclusion that was made during the ITU.
8. Information regarding the applicant's education.
9. Reasons that caused disability.
10. Information about the professional data of the person undergoing the examination.
11. Clinical and functional information that was established during the examination.

Each specialist who took part in the examination, as well as the head of the expert bureau, must put their full name and signature on the protocol. The document must bear the seal of the office carrying out the procedure.

How to draw up a medical and social examination report

After the procedure, the specialists who took part in the examination express their position regarding the applicant. The final decision will be made based on the opinion of the majority of doctors - it will be brought to the attention of the applicant, who has undergone the examination procedure.

Based on the results of the ITU, a report must be drawn up. In accordance with the Order of the Ministry of Health and Social Development of Russia dated April 17, 2012 No. 373n, this document must display the following data:

1. Information about the applicant who is applying for disability.
2. Corresponding Solution federal institution medical and social examination, which recorded:
   - Conclusion on the degree and types of disability;
   - The reason that caused the disability;
   - Type and degree of health disorder;
   - The date when the next examination of the citizen will be carried out;
   - The degree of loss of professional conduct of work;
   - The disability group that was approved or a note that the citizen was denied recognition as a disabled person;
   - Information on recognition of disability without a deadline.

Recognition of group 2 disability - what is the re-examination period?

The determination of the disability group is directly influenced by the degree of limitation of a person’s life activity. Disability of the second group is established for 12 months, and after the end of this period the person is obliged to undergo a re-examination, the purpose of which is to re-determine the state of his health.

What to do if your disability recognition is refused?

An applicant who has received a refusal to approve a disability has the right to appeal it within 1 month. The citizen or his legal representative will need to draw up a corresponding application and send it to the bureau that carried out the examination.

Based on the application, the citizen is assigned a second MSA, and based on its results, the main bureau has the right to make a decision on assigning the desired status of a disabled person.

In the event that the main bureau also decides to refuse approval of disability, the applicant has the right to appeal to the Federal Bureau. The deadline for appeal is 1 month from the date of the negative decision. The Federal Bureau will order a re-examination.

Citizens undergoing an examination should be aware that the decisions of all the above-mentioned bodies that were involved in the examination procedure can be appealed in court.

What are the payments for disabled people of group 2?

EDV for disabled people of group 2

the federal law 181-FZ “On social protection of disabled people in the Russian Federation” guarantees monthly cash payments to disabled people of group 2. Monthly payments(EDV) are paid from the funds of the Pension Fund of the Russian Federation. To receive payments, a disabled person will need to contact the territorial office of the state pension authority at their place of residence, having in hand a package of title documents established by law. From April 1, 2016, the amount of the monthly allowance for disabled people of the second group is set at 2240.74 rubles, it is indexed annually.

Social disability pension 2 groups

In addition to monthly cash payments, disabled people are entitled to a social disability pension - it is one of the types of state pensions. The social pension for disabled people of group II - at the beginning of 2016 is 4769.09 rubles, and is indexed annually.

What are the benefits for disability group 2?

Benefits for medicines for people with disabilities

Group 2 disabled people who do not work, according to the Decree of the Government of the Russian Federation of July 30, 1994 No. 890, have the right to apply for benefits when purchasing medicines prescribed by a doctor. The purchase of medicines at a reduced price is carried out according to the prescribed prescription, and a number of products medical purposes may be provided free of charge.

Travel ticket for disabled people of group II

Right to free pass disabled people of group 2 who have the appropriate certificate have it - this applies to all types of urban public transport. A disabled person has the right to use transport services free of charge within the administrative district of his place of residence.

In addition, persons with registered disabilities are provided with discounts when purchasing tickets:

• For travel by rail;
• For air transport;
• For river transport.

Benefits for training for disabled people of group II

Upon admission to educational institutions disabled people of group 2 have certain privileges - they get the opportunity to enroll without competition. A group 2 disabled person will only need to successfully pass the entrance exams.

Benefits for sanatorium treatment for disabled people of group II

Disabled people of group 2 received the legal right to receive free vouchers to sanatoriums, rest homes and health resorts. The issuance of vouchers is carried out by social protection authorities. To provide a trip to Spa treatment a basis is required - this is a conclusion issued by specialists from a medical institution in which a group 2 disabled person is observed.

So, citizens applying for the status of group 2 disabled person must know the procedure passing the ITU, based on the results of which disability will be established. Citizens who have received the appropriate status have the right to count on numerous social benefits and a number of payments.

Persons with disabilities physical capabilities In our country, one of three disability groups is assigned. To confirm it, you must annually visit a special commission, which assesses the health status of the disabled person and either extends the assigned group or removes it. However, there are exceptions to this rule. If, for example, a person is terminally ill, and there is no progress in better side is not expected, he may be assigned a lifelong disability.

Can such an indefinite 2nd group of disability be removed? We will answer this question a little later, but for now we will talk in detail about the procedure for assigning lifelong disability. This information will be useful to those persons with disabilities whose condition does not allow them to undergo annual re-examination.

In connection with what diseases is permanent disability established?

To receive a lifelong 2nd disability group without specifying any terms for re-examination, you must first check the list of diseases given below that give the right to such disability:

• complete lack of vision;
• malignant tumors at any stage;
• acquired or congenital dementia;
• incurable diseases nervous system;
• respiratory failure and related respiratory diseases;
• limb deformities or amputation;
• benign tumors of the brain or spinal cord, recognized as incurable;
• deafness in both ears;
• pathological changes or serious brain damage;
• neuromuscular diseases that can develop due to heredity.

If one of these diseases is present, the patient can be assigned to group 2 for life and do without an annual visit to the commission. But current legislature also establishes a number of additional conditions under which permanent disability is assigned.

Deadlines for establishing a life group

Indefinite 2nd disability group is assigned within the periods listed below:

• no later than two years after the person was recognized as disabled. This rule works for both children and adults. But for the first unlimited group established before reaching the age of 18 years. After this, additional examination will be required to confirm that no health improvements have occurred;
• no later than four years after the establishment of the 2nd disability group. If, in the process of undergoing rehabilitation measures, doctors determine the presence of an incurable disease, then this rule applies to the disabled person. It also applies to children with disabilities;
• no later than six years after assigning group 2 to a disabled child. This item is intended only for children who have been diagnosed with malignant tumors, chronic or acute leukemia, as well as serious illnesses if the course is complicated by oncological manifestations.

In the absence of positive dynamics of treatment, an indefinite group can be established even when a person is initially recognized as disabled. To do this, you must obtain a certificate confirming the presence of an incurable disease.

Documents required to establish a permanent disability group

Assignment of lifelong disability is carried out on the basis of relevant papers from a medical institution. In addition, it will also be necessary to submit for consideration to the medical and social expert commission whole line other documents:

• a statement written by the patient using a special form;
• results of your most recent doctor's examinations;
• the latest test results;
• referral to a medical and social expert commission, which is issued to the patient by the attending physician.

If a person is assigned an indefinite 2nd disability group, this does not mean that in the future he will not have to undergo any examinations and deal with doctors. Required condition is to undergo maintenance therapy (at least 2-3 times a year), and submit its results to MSEC.

After establishing the 2nd group of disability, it is necessary to obtain an appropriate certificate, which gives the right to free travel in transport, a discount on utilities, vouchers to sanatoriums and other benefits from the state.

In what cases can you remove a group?

Despite the fact that an indefinite disability group is established without specifying the timing of re-examination, the medical and social expert commission is still able to remove it. The legislation provides following reasons for this:

• Representatives of the Federal Bureau of Control over the Activities of ITU have the right to remove the disability and cancel the decision on its indefinite duration. The grounds in this case may include violations in determining the deadlines, the absence of any justification for assigning a disability group;
• identification of forged documents in the file of a disabled person, papers with corrections or erasures, manipulation of facts or unreliable information about a person with disabilities. IN in this case the consequences will be very unpleasant for the falsifier - not only can his disability be removed, but also criminal prosecution for fraud may be opened.

• if the next survey falls within the above-mentioned period;
• disabled people of groups 1 and 2, whose health status has not changed or worsened over the past fifteen years;
• disabled at the age of 50 (women) and 55 (men) years, provided:

• 1st category appointments;
• lack of positive dynamics over the past five years;

• veterans of the Great Patriotic War who received the group due to injuries or illnesses;
• participants in more modern combat operations, provided that the disability is determined due to the consequences of such.

Hint: belonging to beneficiaries (participant of the Second World War or military operations) must be indicated by submitting the appropriate certificate to the ITU.

The main factors for assigning permanent disability in 2018

In addition, labor preferences are relevant for this segment of the population. They are:

• the employer is obliged to provide them with:
  • comfortable workplace;
  • separate work schedule (if necessary);
• Dismissal of employees with disabilities is carried out without compulsory service;
• they are entitled to additional leave.

Attention: the amount of social pension increases if the recipient has dependents. For example, a category 3 disabled person with three dependents will receive 7,207.66 rubles.

Can disability groups assigned indefinitely be deprived?

Attention

This condition the patient is monitored, and even if she is listed in indefinite status, with the slightest improvement in the medical examination indicators, it is quite possible to remove the group. This may also be affected by:

• false documents were installed;
• inaccuracy of test results, etc.;
• violation of deadlines on the part of the patient.

The Medical Bureau strictly controls all indicators, monitors the correct implementation of all standards when conducting and establishing a disability group. In group 2, the reason for removing the second disability group may be based on similar grounds as in the third group.

In what cases is an indefinite disability group given?

• complete lack of vision;
• malignant tumors at any stage;
• acquired or congenital dementia;
• incurable diseases of the nervous system;
• respiratory failure and related respiratory diseases;
• limb deformities or amputation;
• benign tumors of the brain or spinal cord that are considered incurable;
• deafness in both ears;
• pathological changes or serious brain damage;
• neuromuscular diseases that can develop due to heredity.

If one of these diseases is present, the patient can be assigned to group 2 for life and do without an annual visit to the commission. But current legislation also establishes a number of additional conditions under which permanent disability is assigned.

Can a group 2 disability be removed for an indefinite period?

In addition, you will also need to submit a number of other documents for consideration by the medical and social expert commission:

• a statement written by the patient using a special form;
• results of your most recent doctor's examinations;
• the latest test results;
• referral to a medical and social expert commission, which is issued to the patient by the attending physician.

If a person is assigned an indefinite 2nd disability group, this does not mean that in the future he will not have to undergo any examinations and deal with doctors. A prerequisite is to undergo maintenance therapy (at least 2-3 times a year) and submit its results to the MSEC.

Rules and procedure for assigning permanent disability

Info

Respiratory diseases associated with respiratory failure. 13. Lesions of the spinal cord or brain. 14. Deformations and defects of the lower and upper limbs, including cases of amputation. In which cases permanent disability can they take it off? Can a permanent disability group be removed? Can only in following cases: 1) when during an inspection of an expert medical file, forged (forged) documentation, erasures, uncertified corrections in diagnoses, analyzes and so on are identified, which are crucial for making an expert decision on the cause, period and group of disability; 2) during the implementation by the Federal Bureau, the main bureau of control over decisions that were made in accordance with the rules of the bureau (if, in the basis of the expert medical case, gross violations were found regarding the establishment of the period, cause and group of disability).

Permanent disability - can it be removed?

• congenital or acquired (as a result of injury, for example) dementia;
• the larynx is missing after its removal;
• lack of vision in both eyes;
• diseases of the nervous system that progress;
• nervously - muscle diseases, which were inherited;
• complete lack of hearing;
• neurological disease of the brain;
• diseases that are associated with blood pressure;
• cardiac ischemia;
• diseases of the respiratory system;
• complete defeat;
• complete damage to the brain or spinal cord;
• the upper and lower limbs are damaged and deformed, including amputation.

Legislative framework Law of the Russian Federation No. 805 “On Amendments to the Rules for Recognizing a Person as Disabled” provides explanations for when disability can be established and the timing.

Medical and social examination

The social pension for this category of citizens is set at 5,109.25 rubles. Hint: Social security benefits for disability are subject to annual indexation. In 2018, it will be held as planned on February 1st. Beneficiaries who are unable to work due to medical reasons are provided with a social supplement towards their pension.

It is calculated individually based on the initiative application of the applicant. Hint: the maintenance of a disabled person is brought to the minimum subsistence level:

• around the country;
• by region;
• is chosen by the applicant.

Accruals and preferences for the third category The majority of people with the third group of disabilities are able to work. However, they are also provided with a social package and can use public transport on preferential terms.

They are provided with a pension payment of 4,343.14 rubles. (for 2017).

The following documents are usually required by law (there may be additions):

• application for an indefinite disability group;
• a certificate with the results of the treatment for the period requested by the doctor;
• test results;
• directly, the referral itself to the ITU.

If the patient was nevertheless assigned a disability group without re-examination in the future, this does not mean that he will no longer have to undergo commissions and tests. This procedure actions should be carried out at least 2-3 times a year. At least in order to control the course of the disease and prevent complications, to maintain the condition with therapeutic procedures.

Each disabled person is issued an appropriate certificate, which authorizes its owner to a number of benefits and allowances. Can it be removed? A previously established disability group can be removed.
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Can they deprive a disability group assigned indefinitely?

This usually occurs with positive dynamics towards the patient’s recovery. A periodic time period is established for the medical commission to visit the patient, during which the dynamics of the course of the disease are determined. Based on the results from the ITU, the outcome is decided - assignment of a group, possibly even on a permanent basis (usually with the first group) or temporary (with re-examination). Refusal to assign a disability group may be granted in the following cases:

• insufficient grounds for issuing it. The patient recovered, etc.;
• There were fraudulent actions on the diagnosis on the part of the patient.

Each disability group has its own conditions for establishing and refusing. With group 3, several factors may serve as grounds for removing indefiniteness from the third group of disability.
The Ministry of Health is constantly reviewing regulations on this matter.

Pension fund - a way to save

A dignified old age?

All the recent pension reforms have not solved the problems assigned to them, and the very idea of ​​a funded system turned out to be only conceptually unfounded - but also poorly designed.

Conceptually, its depravity was that the very right to a decent pension, written in the Constitution from RIGHT, that is, the obligation of societies and the sovereign to provide a worthy final stage of life to a person who spent his working life with dignity - turned into his obligation to save money for himself for that time when he finds it difficult to work.

This idea in itself is essentially hypocritical: because the right to save money is already quite difficult to take away. The percentage that a person can receive from savings in the pension system is, according to the original rules, less than the percentage that he can receive from the same savings placed in a bank. With the difference that no matter what his “white income” is and no matter how much his savings fund is, he cannot receive a pension more than a predetermined amount - today about 12,000 rubles. That is, in Soviet terms - approximately 60 rubles of that time, approximately two times less than what a pensioner could receive in the 70s and 80s.

At the same time, as Medvedev admitted, it turned out that a person who is included in the funded system based on the year of his birth receives a smaller pension than someone who is not included in it. And the Pension Fund lives with a growing deficit. Today we are talking about the scale of the latter being approximately one trillion rubles.

From the point of view of normal logic, a subject that does not have enough funds to fulfill its financial obligations is looking for ways to earn them. That is, to produce and sell something, ensuring an increase in value. People who exercise economic power in Russia, in principle, do not think in terms of “produce.” They think in categories: “sell”, “borrow”, take away” and “divide”. And especially the “reduce costs” category.

But the official public policy requires social payments, including raising pensions.

Then, given the existing flawed logic of the economic authorities. Need either more money either collect from anyone or increase payments per person, but reduce the number of those to whom they need to be paid. Hence, in particular, the idea of ​​increasing retirement age: pay fewer people and for, in practice, a shorter period of time, and in addition - while they work - collect taxes from them.

So far, this cannot be done. But I want to cut costs. The question arises of how to reduce the number of those without officially revising anything. who needs to pay. It is not possible to reduce the number of age pensioners. But there is a category of disability pensioners. In Moscow, for example, according to available data, there are 1,200 thousand people. Moscow is ten percent of the country's population. Then there are about 12 million in the country.

With a pension of, say, 10,000, this already amounts to 120 billion. In addition, a disabled person has the right to free medicines, free travel, sanatorium services, benefits on utility bills. Together this gives an amount comparable to the amount of the pension itself.

Reducing the number of disabled people by at least 10% is already about 20 billion rubles a year. Another 10% - another 20 billion.

It is impossible to deprive a person of his old age pension. It is possible to deprive a person of his disability pension if he is declared healthy.

There are no clear criteria for granting disability. Formally, there are three of them: limitations in the ability to perform work activities, limitations in the ability to move, and limitations in the ability to self-care.

Whether a person objectively has such limitations as a result of his illness or not is decided by the Bureau of Medical and Social Expertise. Formally, the system is three-level: local Bureau, Main Bureau for the subject of the federation, federal bureau.

The bureau employs experts who are formally considered doctors. But today these are not doctors who are professionally involved in treatment and have the competence to assess health. Most of them are not related to medical practice, and they currently have nothing to do with healthcare and the Ministry of Health itself - these are officials of the Ministry of Labor, professionally - and with skills. And bureaucratic discipline associated with the process of “determining working capacity”: in a situation where there are no unambiguous criteria for determining it - perhaps they cannot exist - the decision must be made by a doctor who understands the patient’s health status and how this disease may affect the limitations of his life.

But the Bureau cannot have fifty experts. As a result, a person who defended a dissertation on the topic “Social-hygienic and clinical-functional foundations for solving the problems of disability, medical and social examination and rehabilitation of disabled people with consequences of fractures” lower limbs» - assesses the degree of working capacity of a cardiac patient. And a person who defended a dissertation, say, on the topic “On the mechanism of changes in the content of catecholamines in the mucous membrane of the esophagus and stomach when removing the main salivary glands and stress” – makes a decision on granting disability to a stroke survivor.

They have no medical obligations to patients and the treating institution. But they have official obligations to their superiors. That's why they don't care about the patient's condition. that if the doctor is responsible for the results of treatment, they are not responsible for it. Will the patient get worse after their conclusion or not. Will he die as a result of their imprisonment - say, being forced after two strokes to go on a long journey as a driver of a heavy truck, or simply falling on the subway rails while getting to work, will happen to him hypertensive crisis during a lecture, if he is a teacher, they are not responsible for this in principle.

But they can say a wonderful phrase: you have diseases. And there are several of them. And they are heavy, but we don’t find any limitations in your ability to work.”

Because it is their right: to decide whether it exists or not - simply based on their expert opinion. And it is quite natural that the more honest of them can make a favorable decision, the less honest ones will fulfill the requirements coming from their superiors. And since the task of their superiors is to save money. Instructions from the authorities, which are not formalized, and the presence of which no one will confirm, but which everyone knows about - save money. That is, if possible, new disabled people should not be recognized as disabled; old ones should either have their disability removed altogether or have their disability group reduced – which also saves some money from the budget and the pension fund.

In Moscow, say, this process is controlled by the chief expert of the Main Bureau for the city of Moscow - Galina Vasilievna Lapshina, for this type activities even earning the title of Honored Doctor of the Russian Federation.

In the lower Bureaus - which in the city are numbered with three-digit numbers at least up to Bureau number 196 - there are other appointees. For some reason Lately immigrants from Tyumen began to appear among them. The name could be quite Slavic, let’s say. Veronica Matveeva - but her appearance does not resemble either Slavic or Caucasian.

At the same time, the examination of lower-level bureaus generally takes place in a unique way. A person who applies for an examination comes on the day appointed for him, having previously undergone an examination by the doctors of his clinic and presenting a hospital report if he was treated there.

At this stage, he is examined by specialists specialized in his diseases, who give opinions regarding his health. But the final decision on the granting or confirmation of disability - it must be confirmed every year for five years after the first grant - the final decision is made by this ITU Bureau.

Formally, it consists of several people who must jointly carry out an inspection and familiarize themselves with the available conclusions medical institutions and make your decision.

In fact, everything is different. First, they may not carry out an inspection; if they do, it will mean nothing. A person will come back after kidney surgery and their blood pressure will be measured. But if it turns out to be elevated, he will say: “Nothing, we were worried.”

Secondly, there may not be any commission - the examination will be carried out by the chairman of the Bureau, who will later sign his report from the members of the commission who were not present at the inspection.

Third, all the findings from medical institutions will not play a special role at all: no matter what is written there: stroke, heart attack, renal failure- the “expert” with a grin has the right to say: I don’t find any restrictions in my life. And the attending doctors are incompetent to install it.”

You can put aside the fact that before the examination, one of the bureau employees will take you to a utility room located next door, close and have a long, expectant conversation on strange topics - for example, he will offer to buy a kitten from him - you don’t even need to talk. But when you don’t respond to the offer of a kitten, you will be released and you will be denied disability

Formally, you have the right to appeal his decision - you will be immediately given a form at your request and within three days the case, along with the appeal, will be transferred to the Main Bureau for the same Moscow.

But here the work of the Main Bureau and its head G.V. Lapshina begins - their professional task, observing all necessary procedures- try to confirm the conclusion of the grassroots Bureau and justify its chairman.

And here everything will be more decent: unlike the lower Bureau, no one will be openly rude. The examination will actually be carried out by several doctors. Although it’s over, they will do everything to whitewash their lower-ranking colleagues.

If you already use a cane, they will try to get you to say that the street is slippery and will say with satisfaction that you are using it only because it is slippery. If you say what kind of operation you had, they will try to squeeze out of you the words that now you are better - that is, you are cured. If you complain about shortness of breath and dizziness when walking, they will reconcilely state that this is quite natural - everyone who experiences stress experiences shortness of breath and increased heart rate, and so on.

One detail: when the experts in white coats work, a young man in civilian clothes will be present. Who, if asked, will introduce himself as a lawyer, but who will restrainedly but authoritatively cut off the experts if they try to admit that the patient still has problems with his ability to work. He, of course, will not resemble an employee of the Ministry of Internal Affairs - rather a financial inspector controlling the expenditure of funds.

Here, too, you can appeal the decision - they will immediately issue a form and take the case to the ITU Federal Bureau within three days... But the system is clear - savings will be ensured.

The government demands a reduction in the number of social security providers - the bureaus comply with the authorities' demands.

And in any case, the most wonderful thing is this. whether a person is disabled or not is determined not by those who treat him and are responsible to him - but by employees of a completely different department. whose task is not to treat – but to save. Appealing to their conscience or medical ethics simply means making them laugh. You can sue them. But in modern Russia courts never protect a person if the government demands otherwise.

Only then will everyone wonder why suddenly one day another “Russian Breivik” brought to the point of hysteria will come to such a humane institution as the Bureau of Medical and Social Expertise.

This item is intended only for children who have been diagnosed with malignant tumors, chronic or acute leukemia, as well as serious illnesses if the course is complicated by oncological manifestations. In the absence of positive dynamics of treatment, an indefinite group can be established even when a person is initially recognized as disabled. To do this, you must obtain a certificate confirming the presence of an incurable disease. Documents required to establish a permanent disability group. Assignment of lifelong disability is carried out on the basis of relevant papers from a medical institution.

Permanent disability - can it be removed?

Attention

The following documents are usually required by law (there may be additions):

• application for an indefinite disability group;
• a certificate with the results of the treatment for the period requested by the doctor;
• test results;
• directly, the referral itself to the ITU.

If the patient was nevertheless assigned a disability group without re-examination in the future, this does not mean that he will no longer have to undergo commissions and tests. This action procedure should be carried out at least 2-3 times a year.

Can it be removed? A previously established disability group can be removed.

The main factors for assigning permanent disability in 2018

• in the case where the citizen is a WWII veteran and has been assigned the 1st or 2nd group of disability, or in the case of receiving disability before the war;
• in the case where the citizen is a WWII veteran and the 3rd disability group is established, or received disability even before the war during the Defense of the Motherland, and over the past 5 years this group has been constantly established and extended;
• is required in the event that a citizen is a participant in hostilities and has received a combat wound, the consequences of which have led to disability.

Or you got sick during your service, medical examination which is assigned after reaching age: For men 55 years old For women 50 years old Registration rules When establishing a permanent disability group (without re-examination), registration is no different from the standard procedure.

Medical and social examination

When disability is granted for an indefinite period Lifelong disability can be recognized without a period of time upon the initial establishment of this diagnosis, when a citizen is recognized as disabled. If no improvement was found during treatment. In this case, the medical institution that carried out the treatment must draw up a supporting document indicating that there was no positive dynamics in restoring health.
After how many years can they be assigned? According to the Law of the Russian Federation No. 805 “On Amendments to the Rules for Recognizing a Person as Disabled,” permanent disability can be granted within the following period: After the first diagnosis of disability, no more than two years should pass This condition applies to both adults and minors.

Cancellation of permanent disability group

The procedure is as follows:

• undergo a medical examination;
• prepare all the necessary documents;
• visit the ITU commission to establish a solution.

Passing a medical examination is not a one-day process, everyone knows about it. After being referred by his attending physician (local doctor), the patient begins to run to different offices, take tests, etc. All that remains is to be patient. As a rule, this procedure cannot be done by one doctor. The impact of the disease for which a disability group can be established is influenced by a multiple number of factors affecting the functioning of the whole organism.

Info

After everything, when the commission has been passed and the documents have been transferred to ITU, a meeting will be scheduled with ITU representatives within 30 days to make a final decision. If the patient cannot attend the meeting (due to illness) in person, then indicate this in advance in the application.

Can a disability group be canceled if it was indefinite?

Important

This usually occurs with positive dynamics towards the patient’s recovery. A periodic time period is established for the medical commission to visit the patient, during which the dynamics of the course of the disease are determined.

Each disability group has its own conditions for establishing and refusing. With group 3, several factors may serve as grounds for removing indefiniteness from the third group of disability. The Ministry of Health is constantly reviewing regulations on this matter.

Can a group 2 disability be removed for an indefinite period?

The algorithm of work of the local clinic is as follows:

1. Doctors give their reports.
2. They are collected by the treating doctor.
3. He prepares a comprehensive certificate and goes with it to the chief doctor.
4. Based on the results of the research, the patient receives a referral for examination.

Job ITU Commission begins interaction with the patient immediately upon receipt of documentation. The tasks of the government agency include analysis of:

• the patient's condition;
• dynamics of the disease;
• correctness of treatment;
• consequences of its implementation;
• social conditions of human living.

In addition, the ITU schedules an appointment with the patient.

Specialists are required to conduct visual inspection, as well as conduct an interview with the applicant. Every little detail is important.
The procedure for obtaining a life certificate The methodology for assigning a life category does not differ from a regular examination. The applicant’s algorithm of actions is as follows:

1. Collect the necessary information (list below).
2. Passing a mandatory medical examination at the clinic.
3. Obtaining a referral to a medical and social examination.
4. Working with specialists.

Attention: if the patient cannot come to the ITU, this circumstance is indicated in a separate application. Doctors will come to your home. Passing a medical examination The procedure for working with doctors is no different from usual. You need to start with your doctor. The specialist will issue referrals to other doctors who work in related fields. To confirm incapacity for work, sometimes the conclusions of several doctors are required. But this is individual.

Rules and procedure for assigning permanent disability

This function is indeed provided for by current regulations. Download for viewing and printing: Federal Law of November 24, 1995 No. 181-FZ “On Social Protection of Disabled Persons in the Russian Federation” Conditions for assigning lifelong disability When studying a patient’s case, a medical and social examination (MSE) takes into account certain circumstances. They are:

• the impact of physical limitations on general vital activity person;
• the degree of limitation caused by the disease;
• theoretical possibility of correcting the situation using:
  • high-tech treatment;
  • rehabilitation means;
  • prosthetics and other specialized devices.

Attention: during the initial determination of disability, a permanent certificate may be provided to children with certain incurable chronic illnesses.

Can an indefinite disability group be canceled?

Persons with disabilities in our country are assigned one of three disability groups. To confirm it, you must annually visit a special commission, which assesses the health status of the disabled person and either extends the assigned group or removes it.

However, there are exceptions to this rule. If, for example, a person is terminally ill, and no progress for the better is expected, then he may be assigned a lifelong disability. Can such an indefinite 2nd group of disability be removed? We will answer this question a little later, but for now we will talk in detail about the procedure for assigning lifelong disability.

This information will be useful to those persons with disabilities whose condition does not allow them to undergo annual re-examination.