New Legislation Mandates Work in Public Healthcare for Young Medical Graduates in Russia | World | london-news-net.preview-domain.com

New Legislation Mandates Work in Public Healthcare for Young Medical Graduates in Russia

November 18, 2025

On Monday, President Vladimir Putin enacted a law mandating that students in state-sponsored residency programs at medical universities must complete a work placement at public healthcare facilities for a duration of up to three years. This initiative is designed to address the ongoing shortage of personnel within the country’s healthcare system.

The legislation, which partially reinstates a practice from the Soviet era, stipulates that students entering or currently participating in state-funded residency programs are required to undergo a period of “mentorship” at a state or municipal clinic that is part of Russia’s mandatory health insurance network.

Students who choose a government-supported residency position at a medical university or college must now sign a contract committing them to work at a designated healthcare facility, typically a regional clinic or hospital. If they opt out of this requirement, they may pursue their training on a fee-paid basis, contingent upon the availability of spots at their institution.

This law, which received unanimous approval in the State Duma last week after minor procedural adjustments, is set to take effect on March 1, 2026, impacting graduates from that year onward.

Vyacheslav Volodin, the speaker of the State Duma, mentioned last week that the overburdened staff in hospitals and the overwhelming number of patients beyond the recommended limits are straining Russia’s public health system, resulting in diminished quality of care. He referenced statistics indicating a shortfall of approximately 23,300 doctors and 63,600 mid-level healthcare workers anticipated by early 2025.

The work requirement legislation was approved unanimously by the lower house of parliament last Tuesday, according to independent journalist Farida Rustamova, who also noted that some lawmakers expressed concerns that these work obligations might deter young medical professionals from finishing their residencies, particularly if they were required to relocate to rural or remote regions without assurance of housing or other social support.

In the Soviet healthcare framework, newly graduated doctors were assigned to specific hospitals or clinics for a commitment period ranging from three to five years.

Correction: An earlier version of this article inaccurately suggested that the new law would impact all medical school graduates. It has been corrected to indicate that the legislation specifically affects students in state-funded residency programs.

‘Plush Troops’: The Pro-War Children’s Toys Taking Over Russia’s Online Marketplaces Текст: “In this strategy game, you lead a battalion aiming to liberate Ukraine from Nazi rule,” reads the description of Russia’s first board game about the war in Ukraine. The game,called“Special Operation on the Outskirts,” sells for about 1,600 rubles ($20) on Russian online marketplaces. Inspired by Monopoly and designed for two to six players, the game challenges participants to occupy as many Ukrainian cities as possible. Instead of Monopoly money, players use a fictional currency featuring the faces of President Vladimir Putin, Foreign Minister Sergei Lavrov and former General Sergei Surovikin. In the fourth year of the full-scale invasion, toys and merchandise featuring the pro-war Z symbol have become increasingly common on Russian marketplaces and social media. Listings include everything from car dashboard decorations to toy soldiers for children. “The plot grabs you from the first minutes. It’s great that part of the proceeds go to support participants of the special military operation. The perfect gift for patriots!”writesYekaterina, a recent buyer. Other reviewers share that they gave the game to their sons on Defenders of the Fatherland Day. Another board game, “Couch Expert,” promises to educate players about the invasion. Players have 30 seconds to answer questions about the progress of the “special operation.” Questions range from the late ultranationalist politician Vladimir Zhirinovsky’s position on the war to the roles of figures like Elon Musk and propagandist Olga Skabeyeva in shaping сoverage of the invasion. “I ordered 11 of them for school as gifts for the boys. But I got lucky — the boxes came wrapped in film, so it’s not embarrassing to give them. Thanks,”writesa woman named Natalia in a review. These toys span all price ranges, from an acrylic Z-minionto aroly-polytoy bearing the pro-war slogan “You can’t knock us down.” The latter sells for about 500 rubles ($6). “The idea to create a patriotic roly-poly toy came five years ago, when the Russian team was banned from competing under the national flag at the Olympics in Korea,”saysDmitry Zavidov, director of the Kotovsky Roly-Polies company. On VKontakte, Yulia from Moscowsells“knitted fighters” shaped like a tiger, mouse or dog. Each animal, stitched with a Z or V,costs1,500 rubles ($18). For an extra 250 rubles, Yulia offers to embroider a soldier’s callsign on the toy’s flak vest. “Any other inscription of your choice is also possible (price depends on the size),”readsthe product description. On some marketplaces, similar toys arepricedat around 1,100 rubles ($14). Another item on the market is a stuffedraccoonmarked with the Z symbol, a reference to the raccoon that Russian troops infamously stole from a zoo during their retreat from the southern Ukrainian city of Kherson. Sellers alsoofferstuffed bears in military uniforms with Z and V insignia. In some cases, the toys arehandmadeby widows of Russian soldiers. For younger children, “patriotic”coloring bookssell for about 300 rubles ($3.73). “My child is four. He liked it,” says one mother in a review. Some parents post videos of their children coloring tanks and other Russian military equipment. For about the same price, sellers alsooffera set of toy soldiers called the “Special Operation Recon Soldiers Set.” “Toy figures of the Russian Armed Forces will delight children with their quality and design. They’re perfect for role-playing games and help develop creativity and imagination,” the manufacturer claims. War-related games and toys may hold particular appeal for children,explainspsychologist Michael Brandl, a member of the German toy evaluation group Spiel Gut. One reason for their appeal, he says, is that they offer positive reinforcement of the media and propaganda messaging that children encounter daily. “From these sources, children form an image of a person they then try to imitate and act out in roleplay. Weapons and how to use them become part of the child’s perceived reality and a key attribute of the supposed image of the ‘ideal’ man,” Brandlwrote. A child psychologist from Russia, whose name has been withheld for safety reasons, voiced a similar view. “This is a protracted war, so the state and Vladimir Putin need boys, even from kindergarten, to already be preparing for the future battlefield,” the psychologist told The Moscow Times. “First, the state turns poor women into mothers who buy these toy soldiers. Then this Z-patriotism is nurtured with a mother’s milk. They’ll buy it without even noticing the Z, especially if it’s on sale.” Marketplaces also offer stuffed cat car decorations in camouflage colors that cost about 500 rubles ($6.20). In addition to a toy with the Russian tricolor and the letter Z, the manufacturer alsooffersa version bearing the Wagner mercenary group’s skull emblem. “You sent me a female cat, apparently — no male features and no Z. I specifically needed a male cat with a Z on it! I refused the order at pickup,”complainsa buyer named Elena. Other buyers note that the toy’s tail fell off quickly. Even toy robots are marked with the Z symbol. A set of these toys costing 784 rubles ($9.70) includes a robot with a Russian flag and weapons. For an extra 200 rubles, itcomeswith a glow-in-the-dark Z. “Satisfied with the purchase. Russia will win! Russia always wins!”saysMaria, who bought the Z-robot for her son, in her review.

rimmaruslan98@gmail.com June 13, 2025

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