Thursday, November 2 2017 15:26
Emmanuil Mkrtchyan

Levon Altounyan: We are building a new architecture of Armenian medicine

Levon Altounyan: We are building a new architecture of Armenian medicine

ArmInfo.The long-awaited comprehensive healthcare reform in Armenia seems to have begun. And, perhaps, it will last for more than one year and will be implemented in stages, accustoming the citizens of the country to the great truth so well described by the authors of the "12 chairs": "the salvation of a drowning man is the work of the drowning man himself". And the famous  quote of Nobel  laureate Zhores Alferov reading  that "anyone who needs such a state, if people, paying taxes, must also pay for education, medical care, independently accumulate on retirement", will remain a purely rhetorical attack. For otherwise - for sure - there will be no education, no medicine, and a normal pension is more than enough. We talked about where and how our medicine will start to talk with the Minister of Health of Armenia, doctor,  insurer and businessman Levon Altounyan.

 

 

Mr. Altounyan, recently you expressed the idea of paying an ambulance. Knowing you for a long time, I'm still far from the opinion that some of my colleagues, who were sensational in sensation, submitted your idea correctly, without bills, without ripping it out of context. Did you mean that the ambulance will be paid for through insurance premiums?

 Of course not.  At a meeting with journalists, I stated unequivocally that the Ambulance Service should be free of charge for both citizens and visitors of the city, but did not rule out the possibility of providing it with a set of paid services. In order that the First Aid to be really fast, that is, it would reach the patient in 5-15 minutes, that is, fit in the standard, we need to calculate the number of urgent emergency cases and divide them by the number of teams. But, very often, these calculated brigades begin to deal with unusual functions, conduct psychological conversations, go on, say, chronic cases, go out, if a person is just scared, then this, sorry, is no good.

 And are there many of such cases registered?

 Real urgent cases registered today are up to 35-40%. All other cases are not urgent.

 And could the understanding of this reality come after the ambulance has been on a call? That is, the patient could not himself assess the severity of his condition.

 We have thoroughly investigated this issue. In cases where a person or his relatives cannot understand, unable to assess the real state of the patient, there are still 15-20 percent. There is no question of this. And it's good when people in such cases just in case pick  up the phone. But if a person knowing that he is a chronic hypertensive person, calls an ambulance every day to keep his hypertensive diary, is this really an emergency service?

 Of course not, but for the sake of justice it is difficult to identify a clear dividing line. Can today not take decisions, but translate such cases into the field of service of insurance medicine, when will it work for us.

 In the framework of general mandatory medical insurance, such cases will certainly not be included. Because keeping a diary of a hypertonic is a function of the patient himself, not of a doctor, especially of an ambulance. This is done either by the patients themselves, or by their relatives, or by social services. So it turns out that almost 40% of cases of ambulance we have are  not  urgent, and   that is because of different reasons. Let's say, fever. That it is possible to tell, if the person of 3 days is sick of a flu, a doctor from an out-patient department goes for that, and in the evening  he arrives fast to make a shot of Dimedrol for the night  so that the patient could fall asleep. Do you want to consider these cases as speedy, unless of course it is not a child or a deeply elderly person, but an adult who called an ambulance at a temperature of 38.2? That's how they do in many countries. An ambulance arrives, serves and leaves. Next, the relevant services are looking at the case itself. If under the protocol this was in fact an early event, then everything is fine, it is credited at the expense of budgetary funds, and if not, these services send appropriate files to the insurance company where the client is insured. Insurance in turn studies whether the case corresponds to insurance coverage. If so, he pays for his First Aid, and, if not, he presents the corresponding account to the citizen. Such a three-step payment system operates in Israel and some other countries, and I think it is absolutely correct. You know, it is much more stupid to try to embrace the vast, diverting money from oncology or cardiology. This is a matter of rational use of available funds.

 I absolutely agree, but how to make sure that First Aid service will not get a  deep temptation to start  earning  money independently? Money has never been  much  to anyone…

It seems to me that with a clear regulation of the issue, there will be no such temptation in the services of the First Aid. Well, on the other hand, if there is a team that stays cool on a standby, why should not have a list of services with appropriate price list and not to go to hypertensive patients?  But for an appropriate  fee.  After all, emergency services also have peak hours, in the morning and in the evening, while in the afternoon. As a rule, many brigades "rest" and this time can be effectively used, providing the population with paid services. Thus, we will have the opportunity to provide additional mobile services to our  population, expand the line of medical services and, in the end, why not, pay extra premiums to doctors. And the range of services can be completely different.

Now I understand why you are accused that you intend to commercialize medicine fully. After all, people have a constitutional right to health care and medical care. And people are perplexed, because our medicine and is deeply commercialized for a pretty long time. Moreover, many of those who privatized Soviet hospitals "for a penny" are doing business today  thanks to the state among others. There are clinics where over half of the proceeds come from state orders. Money and oligarchs from medicine make money on this. If it were not for the existence of a guaranteed state order, I strictly suspect  they would undertake costly repairs of premises and install multi-million-dollar equipment at hospitals. Is this the market for which we are fighting, in the classical sense of it? And thus some clinics become bankrupt. It seems to me that the main reason for these bankruptcies is the availability of relaxing budgetary money and out of control bad management. Although there is another factor - the high cost of services for patients, as we are with you. If you do not mind, we'll talk more about this yet.

 When you say that oligarchs create clinics and sit down on the state budget - this is not entirely true. The best clinics in the country, and large clinics, provide up to 50% of paid extra budgetary services. In this sense, they are paid to the cashier, and from the budget. Another thing is that the statement claiming  commercialized medicine  is initially true, every step in medicine today is money, but take into account that , it's money passing by the cash register and, as a consequence pass around  the budget in the meaning of   taxes. And I subscribe to a study of the world's leading donor financial organizations, which concluded that today's shadow turnover in medical organizations of Armenia is 180% of its official turnover and 250% of the budget. That is, unofficial money in medicine is 2.5 times more than official money. The calculations of our ministry show the same picture. Therefore, we believe that medicine is now commercialized to the limit, and that there is nowhere else to go. There is not a single  service that would be free.

 And here is what we want to do. After all, it is clear that when you pay from one pocket, it is more effective, more targeted and more controllable. That is, we offer to go from a small retail, which is uncontrollable,  to a large wholesale. The state collects this money into one insurance reserve fund and instructs service providers to provide services to the population, pre-bargaining good conditions, good prices and putting quality control in advance. Due to this, it is possible, first of all, to reduce the costs of the population for medicine by 15 to 20 percent, and achieve much better quality, when cheaper, and better, and more. Thus, we will begin to reduce the shadow commercialization of medicine, making it more targeted and rational. Due to this, the population's payments will decrease in many areas. But at the same time, let's not forget that nothing is free, it never happens anywhere. In nature, everything is commercialized, and everything has its price.

 Nobody talks about state charity. The fee is our taxes, so there is no question of something free of charge. We pay taxes for what? In order for our state to fulfill its basic functions, including  protecting  the health of citizens. The taxes are exactly that  payment. And this board has its price. And the state should, it is obliged to  manage our taxes effectively.

 Quite right, and at the expense of taxes, 36 billion drams are now being generated from the budget for medicine, which is only one-third of the needs of   outpatient care and one-seventh of the need for medical services in general.

 Yes, we have a weak economy, and moreover, we have two parallel economies in our country - one formal, which pays taxes and informal, which almost does not pay them. So it turns out a gap. And the one who pays taxes, I think, is not to blame for this state of affairs.

 Yes, but the one who pays taxes must understand – or  he is given 30% of what he needs, or he must pay the remaining 70%.

 Let's talk about 30 for now

Here the state should follow two basic principles - to ensure the maximum workload of medical institutions, and to ensure the principle of temporary availability of the service. If, for example, we are talking about the provision of emergency medical care in the regions, the state is simply obligated within the framework of the adopted standards, that is, for 15-20 minutes in case of emergency, to provide the person with the necessary assistance. That is, emergency services, which are able to provide qualified assistance, should be available within a radius of 40 km. That is, the state is obliged to ensure the availability of a hospital here. In this case, the function of the state can be considered fulfilled. All other types of care, such as complex oncological/cancer, reconstructive and other operations or outpatient studies for which there are no urgent time frames, can be located both in large cities and, naturally, in Yerevan. For example, I will say that 70% of Americans go to Maryland for a liver transplant, where a specialized large clinic is located. So, in our country, the bulk of hospitals, including specialized ones, should be located in large cities, where there is a certain sufficient degree of congestion.

Thus, at the junction of these two principles - maximum workload and temporary availability - we intend to build a new architecture of Armenian medicine. Because spraying  funds and trying   to have a large, well-equipped hospital in every district center, as practice has shown, is senseless, uneconomic, irrational, wasteful and unproductive. Because all these hospital buildings, all this equipment, in fact, remain without doctors. The surgeon can not spend two operations a month. In this case, he goes for  drinks in local restaurants, or becomes an avid gambler and, in the end, loses his qualification, or, at the  best, just escapes.

 Actually, such an architecture lay at the heart of the Russian optimization of medicine. There are certainly huge territories and scales, but judging by the responses and feedbacks, this reform was not so successful. They wanted it better, but they got it as always. Many literate rural doctors were left without work, and patients were deprived of basic medical care. Have you analyzed this Russian experience  not to repeat  such mistakes?

I'm not familiar with the Russian experience, but I want to assure you that unlike the huge Russia, we have everything in the palm of our hand. It is possible to  calculate this efficiency formula in small Armenia correctly. Of course, we will have disputes  and those medical workers, who are underloaded today, will show discontent - and there will be more work and it will be more difficult to get to it.

It's all good, but how does the state intend to fulfill its other function - to do so that it would not be cheated, that is, to reduce to a minimum the level of shadow commercialization in medicine? So that  the money would go into the white cash register, so that doctors would earn a high official income, at least adequate to the level of qualifications? How is it adjusted? Is the insurance medicine capable for assuming the regulatory role?

 To make medicine "white" means to install real prices and control so that the main performers of medical services receive adequate payment. It happens that today we have on a price, let's say, 250 thousand drams for a particular operation, and the doctor is paid 5 thousand for the work done, 2 thousand for the nurse, and for the nurse - miser 500 drams, That is, in fact, this money does not reach the performers , and there is a natural temptation to ask the patient for additional "gratitude". And in the end, it turns out that 250 thousand is a share of the owners of the clinic or head physicians, and the staff is kept at the forage.

I was just talking about exactly this commercialization. You are absolutely right. Nowadays, as a rule, the conflict between the owners of clinics and the personnel lies exactly in this area. Medicine has turned into a super-profitable business of owners and these super-incomes are formed on the basis of savings on doctors and medical personnel, because in the market the offer of doctors often outweighs the demand. Strangely enough, not all clinics present a demand for good professionals, because this is not the main thing for high-paying businesses. Doctors of the average hand, who can be paid a little, are quite fair for  the owners in the context of receiving super profits.

 A much more acute problem is that in the long run, there is no conflict. Doctors and the rest of the staff are quietly patient for this attitude to themselves, to their work, and hope for the generosity of patients. In fact, this is the most sad thing.

 Yes, you are absolutely right. Owners say: "make your money and do not claim even for a percentage". That is, the medicine was turned into a private shop where no laws and regulations work, where informal agreements and rules dominate, for which ultimately the patients pay, both literally and figuratively.

 Yes, they tell the doctors: "do your money, but in a way that  makes  no one  to complain, and if there are complaints - we will take measures."  So  the  staff  gets  between  the rock and the stone .

And the money from the state order and the money that comes to the official in the cash register, weakly reach the doctors. So do doctors have to negotiate with patients?

Quite right, but still I would not talk about this phenomenon today in institutional terms, about everyone. It is possible that there are such clinics, but I do not think that this is a general practice. It was like this about 5-10 years ago. Today the situation is changing for the better. Now doctors receive official salary in the overwhelming majority of clinics, but they receive in absolutely insufficient amount. What is  300 - 500 thousand drams per  month for a good practicing doctor?

 I think that is  nothing for a good doctor. Is it possible to solve this problem by adjusting medicine institutionally, through the introduction of compulsory health insurance?

See what we come to. First, in order to abolish corruption, shadow commercialization, we need to introduce price compliance, that is, we need to calculate both depreciation of equipment, and the profit of clinic owners, and a decent salary for doctors. And after that, we go out to the cost of each patient, the diagnosis or manipulation, in short, to the real price, and the person sees that they take a lot of money from him, and that if he still asks for 3 or 5 thousand drams, he will simply give muzzle. And the one who can potentially ask, also knows and sees it. We came to some rather high prices and in order to make them lifetable for the whole population, the centralization of the funds is needed. Firstly, due to centralization, wholesale buyers always have the opportunity to slightly reduce these prices, and secondly, if the entire population spends 240 billion drams on their medical services per year, then let's divide this sum into 3 million people. And although out of 3 million within a year are treated and receive medical care only 600 thousand, but, nevertheless, sooner or later, it is guaranteed, it will be received all and more than once. This is the essence  of a  general mandatory  medical  insurance.

 And you came out for the sum, that is, as experts say, for an insurance premium of 6 thousand drams per person per month?

Quite right.  But rather, we reached the number of the population from 800 thousand to a million, which will be insured at the expense of budgetary funds. These are those who are included in the social program "Paros" and 100 thousand of our civil servants, for which the state will pay. Although, to be precise, 100 thousand civil servants do not belong here, because the state, like any employer,  also insures its employees. For all the other 2 million people, insurance payments will amount to 6,000 drams per month or 72,000 drams a year under universal compulsory medical insurance. And then the medicine will spread its back, become much more controlled, will feel itself among the developing world's medical people, and the population will not consider themselves infringed.

 Has the MMI mechanism been developed already?  You are talking about the concept.

Since October 1, the mechanism for the social package for civil employees   has already been launched. The mechanism, which will operate for 612 thousand socially unsecured people, has already been developed and will be implemented from April next year. This is a pilot project that will allow, on the principle (law) of large numbers, as they say, "run-in" the program itself. It is another matter that the law on universal compulsory medical insurance (OMI) has not yet been created, it is not in nature, but there is an understanding that everything that has been worked out or already working will be analyzed and extrapolated to 3 million people. We plan to enter the government with the draft law in late 2018. I hope that in 2020 the MMI will work in Armenia.

 How much will the main players who will redistribute money for services, that is, insurance companies, be free in their policy?

Great freedom is not planned. In fact, in this project, insurance companies will have functions not so much of insurers as of service providers. Insurance we delegate as an outsourcing the function of providing the service to the insured and the function of medical examination in terms of the adequacy of assessing the patient's condition and the adequacy of the invoice. All the rest, including the distribution of the market for insurance companies, including the definition of the contract of "insurance company - hospital or medical institution" - all this is determined by the state represented by the State Health Agency. Two things are not yet defined, who will pay insurance premiums - an individual or an employer. In any case, this will be a minus from the wage fund. Secondly, it is not yet determined, it will be a fixed 6 thousand drams a month per person, or a percentage of the salary, which on average will yield the same 6 thousand drams.

 

How do you think the introduction of the MMI will push the market for voluntary medical insurance (VMI)?

I have no doubt. This reform will increase the level of the insurance culture of the population and those who will be able to pay extra for, so to speak, a premium level of medical care, will do it. But voluntary insurance will by no means replace the obligatory.

POST A COMMENT
Input digits     

News
Nikol Pashinyan considers Syunik region to be the core region of  Armenia deserving special attentionNikol Pashinyan considers Syunik region to be the core region of  Armenia deserving special attention
A unique exhibition of world modern art held in A unique exhibition of world modern art held in "Hay Art" Museum of  Contemporary Art renovated by Italians
 ``Night at the Opera ``Night at the Opera" concert will take place in Opera and Ballet  Theater after A.Spendiaryan on October 20 in framework of the 85th  anniversary season 
Kamo Areyan dismissed from post of First Deputy Mayor of YerevanKamo Areyan dismissed from post of First Deputy Mayor of Yerevan
 What does Washington expect  from Bolton`s trip to the Caucasus? What does Washington expect  from Bolton`s trip to the Caucasus?
A criminal case instituted on damage of the cultural and historical  monument at Arami 23A criminal case instituted on damage of the cultural and historical  monument at Arami 23
IDBank to issue the 6th tranche of dollar-denominated coupon bonds in  the amount of $ 5 million on October 22IDBank to issue the 6th tranche of dollar-denominated coupon bonds in  the amount of $ 5 million on October 22
Beeline has announced launch of BeeMoney e-walletBeeline has announced launch of BeeMoney e-wallet
Mikael Melkumyan: I have not heard that the PAP party intends to take  part in parliamentary elections with the Sasna Tsrer partyMikael Melkumyan: I have not heard that the PAP party intends to take  part in parliamentary elections with the Sasna Tsrer party
Armenian-Ukrainian ministerial political consultations held in  YerevanArmenian-Ukrainian ministerial political consultations held in  Yerevan
FAO representative: 9.6% of children under five years old are  undernourished in ArmeniaFAO representative: 9.6% of children under five years old are  undernourished in Armenia
A parliamentary commission approved a draft amendment to ECA parliamentary commission approved a draft amendment to EC
Pashinyan receives participants of meeting of Council of Heads of CIS  Prison ServicesPashinyan receives participants of meeting of Council of Heads of CIS  Prison Services
Glazyev and Giuliani will take part in the Yerevan Eurasian ForumGlazyev and Giuliani will take part in the Yerevan Eurasian Forum
The Alliance Party decided to take part in the elections separately,  with its listThe Alliance Party decided to take part in the elections separately,  with its list
RPA refutes rumors about deciding on participation in December  elections and preparing a proportional list for themRPA refutes rumors about deciding on participation in December  elections and preparing a proportional list for them
The company The company "ROSGOSSTRAKH ARMENIA" recalls - insurance fraud is a  criminal offense
Trump Adviser Rudi Giuliani to arrive in ArmeniaTrump Adviser Rudi Giuliani to arrive in Armenia
Mnatsakanyan: CEPA is an important tool for promoting reforms in  ArmeniaMnatsakanyan: CEPA is an important tool for promoting reforms in  Armenia
Yerevan and Brussels discuss prospects for cooperation in security  and defenseYerevan and Brussels discuss prospects for cooperation in security  and defense
Pashinyan: Echmiadzins have a historical chance for the first time in  the history of the Third Republic by means of free will to choose a  woman as mayor of the cityPashinyan: Echmiadzins have a historical chance for the first time in  the history of the Third Republic by means of free will to choose a  woman as mayor of the city
Tsarukyan: Many have helped Pashinyan, but now they are afraid to  admit itTsarukyan: Many have helped Pashinyan, but now they are afraid to  admit it
Pashinyan responded to Kocharyan`s desire to create a partyPashinyan responded to Kocharyan`s desire to create a party
Pashinyan: A stable operational connection has already been  established between Armenia and AzerbaijanPashinyan: A stable operational connection has already been  established between Armenia and Azerbaijan
Ameriabank outlines retail business priorities for 2019Ameriabank outlines retail business priorities for 2019
Ameriabank announces two new year campaigns for SMEsAmeriabank announces two new year campaigns for SMEs
Osipyan: Operation codenamed Osipyan: Operation codenamed "to put all the guards of high-ranking  officials on the asphalt," continues
Ramkavar Azatakan Party Supports Early Elections in ArmeniaRamkavar Azatakan Party Supports Early Elections in Armenia
Third International Conference of the Institute of Internal Auditors of Armenia kicks-offThird International Conference of the Institute of Internal Auditors of Armenia kicks-off
Beeline joins International Ethics DayBeeline joins International Ethics Day
By decision of ECHR, Masis Ayvazian and Grigor Voskerchyan will  receive compensation from the government on March 1 caseBy decision of ECHR, Masis Ayvazian and Grigor Voskerchyan will  receive compensation from the government on March 1 case
Kocharyan intends to apply to ECHRKocharyan intends to apply to ECHR
Kocharyan: The legitimacy of December electoral processes in Armenia  is doubtfulKocharyan: The legitimacy of December electoral processes in Armenia  is doubtful
Kocharyan intends to create a party for next parliamentary electionsKocharyan intends to create a party for next parliamentary elections
Nikol Pashinyan sents a telegram of condolences on death of Ara GulerNikol Pashinyan sents a telegram of condolences on death of Ara Guler
Sasna Tsrer: The issue of obtaining Armenian citizenship by Zhirayr  Sefilyan is delayedSasna Tsrer: The issue of obtaining Armenian citizenship by Zhirayr  Sefilyan is delayed
Armenian police promise to use Armenian police promise to use "new approaches" during extraordinary  parliamentary elections
Nikol Pashinyan urged to provide financial assistance to the Civil  Contract PartyNikol Pashinyan urged to provide financial assistance to the Civil  Contract Party
Valery Osipyan called decision to appoint Hunan Poghosyan governor of  Syunik region Valery Osipyan called decision to appoint Hunan Poghosyan governor of  Syunik region "right"
Petr Mikiska: The Czech Republic abides by agreement on banning arms  sales to conflicting partiesPetr Mikiska: The Czech Republic abides by agreement on banning arms  sales to conflicting parties
Suren Hovsepyan appointed Permanent Representative of Armenia to the  World Meteorological OrganizationSuren Hovsepyan appointed Permanent Representative of Armenia to the  World Meteorological Organization
FM on US ambassador`s  statement : On the Karabakh issue, Armenia  works and conducts negotiations within the framework of its positionsFM on US ambassador`s  statement : On the Karabakh issue, Armenia  works and conducts negotiations within the framework of its positions
Head of Armenian MFA: Issue of  Yury Khachaturov is strictly domestic  political oneHead of Armenian MFA: Issue of  Yury Khachaturov is strictly domestic  political one
Czech Ambassador: The issue of the return of the territories around  Nagorno-Karabakh is on the agenda of the Madrid PrinciplesCzech Ambassador: The issue of the return of the territories around  Nagorno-Karabakh is on the agenda of the Madrid Principles
Armen Sarkissian expressed his condolences in connection with the  explosion in KerchArmen Sarkissian expressed his condolences in connection with the  explosion in Kerch
Armenian Education Minister visits GermanyArmenian Education Minister visits Germany
Acting PM: The government of Armenia should use pre-election stage  for effective workActing PM: The government of Armenia should use pre-election stage  for effective work
President and acting PM discussed early parliamentary elections and  political situation in country President and acting PM discussed early parliamentary elections and  political situation in country 
Kocharyan`s lawyer filed a lawsuit to recognize second President as a  victim in wiretapping case Kocharyan`s lawyer filed a lawsuit to recognize second President as a  victim in wiretapping case 
Armenia and Artsakh discuss opportunities for cooperation in various  fieldsArmenia and Artsakh discuss opportunities for cooperation in various  fields
Nikol Pashinyan: Do not worry, the Echmiadzin clans are already  beheadedNikol Pashinyan: Do not worry, the Echmiadzin clans are already  beheaded
Maria Zakharova: OSCE Minsk Group Co-Chairs to visit Karabakh  conflict region in the near futureMaria Zakharova: OSCE Minsk Group Co-Chairs to visit Karabakh  conflict region in the near future
Nikol Pashinyan explained the reasons for appointing Unan Poghosyan  to the post of governor of SyunikNikol Pashinyan explained the reasons for appointing Unan Poghosyan  to the post of governor of Syunik
Armen Sargsyan met with Nikol PashinyanArmen Sargsyan met with Nikol Pashinyan
Hayk Marutyan went to Paris on a working visitHayk Marutyan went to Paris on a working visit
Nikol Pashinyan in Armavir: After the revolution only citizens of  Armenia will win in all electionsNikol Pashinyan in Armavir: After the revolution only citizens of  Armenia will win in all elections
Kocharyan: Holding early parliamentary elections in the country may  lead to the establishment of a political monopolyKocharyan: Holding early parliamentary elections in the country may  lead to the establishment of a political monopoly
With the assistance of Beeline, another discussion of Starthub  Offline was held on the topic With the assistance of Beeline, another discussion of Starthub  Offline was held on the topic "Where the technologies are going"
Armenian Foreign Ministry finds out whether there are Armenians or  citizens of Armenia among those killed and injured in the explosion  at the Kerch Polytechnic CollegeArmenian Foreign Ministry finds out whether there are Armenians or  citizens of Armenia among those killed and injured in the explosion  at the Kerch Polytechnic College
Mammadyarov: We have achieved progress in the negotiations on  Karabakh, even with the previous administration of ArmeniaMammadyarov: We have achieved progress in the negotiations on  Karabakh, even with the previous administration of Armenia


Interview
Tevan Poghosyan: None of the political forces act to overcome the challenges facing ArmeniaTevan Poghosyan: None of the political forces act to overcome the challenges facing Armenia
Stepan Safaryan: Va Bank raid  is absolutely unpromising for parliamentary forcesStepan Safaryan: Va Bank raid  is absolutely unpromising for parliamentary forces
Avigdor Eskin: Collapse in Iran is inevitable, as a result of tough US sanctionsAvigdor Eskin: Collapse in Iran is inevitable, as a result of tough US sanctions
Zardusht Alizade: There are no physical walls between Armenians and Azerbaijanis. There are, walls built from the outside, mental and psychologicalZardusht Alizade: There are no physical walls between Armenians and Azerbaijanis. There are, walls built from the outside, mental and psychological
Alexander Iskandaryan: Results of elections in Yerevan will be reflected to early parliamentary elections in Armenia   Alexander Iskandaryan: Results of elections in Yerevan will be reflected to early parliamentary elections in Armenia  
Hovhannes Igityan: Putin will prefer to improve  relations with Pashinyan, rather than drag Kocharyan out of the political dumpHovhannes Igityan: Putin will prefer to improve  relations with Pashinyan, rather than drag Kocharyan out of the political dump
Zornitsa Rusinova: Bulgaria is ready to assist Armenia in the issue of closing special institutions for the maintenance of childrenZornitsa Rusinova: Bulgaria is ready to assist Armenia in the issue of closing special institutions for the maintenance of children
For achieving peace in Karabakh Azerbaijan needs a revolution similiar to Armenian oneFor achieving peace in Karabakh Azerbaijan needs a revolution similiar to Armenian one
Karapet Rubinyan: Total national hatred does not leave Robert Kocharyan any  chances to Karapet Rubinyan: Total national hatred does not leave Robert Kocharyan any  chances to "return"
Constructive dialog with no secret topics is the basis for strengthening relationsConstructive dialog with no secret topics is the basis for strengthening relations
Ruben Melkonyan: Successful maneuvering between Russia and USA is Turkey’s guarantee for further advance in Syria and IraqRuben Melkonyan: Successful maneuvering between Russia and USA is Turkey’s guarantee for further advance in Syria and Iraq
In Moscow they wanted to see Karen Karapetyan in the place of Serzh Sargsyan, but they reconciled with Nikol PashinyanIn Moscow they wanted to see Karen Karapetyan in the place of Serzh Sargsyan, but they reconciled with Nikol Pashinyan
Konstantin Orbelyan: One person can do a lot, especially if he has  such reliable partnersKonstantin Orbelyan: One person can do a lot, especially if he has  such reliable partners
Hrachya Arzumanyan: To complete the fight against the past successfully. Nikol Pashinyan needs experienced politicians, diplomats, analysts and military officersHrachya Arzumanyan: To complete the fight against the past successfully. Nikol Pashinyan needs experienced politicians, diplomats, analysts and military officers
Smbat Nasibyan: State approach can turn Armenian economy`s shortcomings into advantagesSmbat Nasibyan: State approach can turn Armenian economy`s shortcomings into advantages
Smbat Nasibyan: Smbat Nasibyan: "Civil Contract" needs new social contract with Armenian people  
Hovhannes Igityan: Under the pressure of the Hovhannes Igityan: Under the pressure of the "street flows", the Republicans will inevitably give their ok to  the reforms of Nikol Pashinyan
Sergey Markedonov: Any Armenian government is doomed to search for geopolitical equilibrium, including the outlined oneSergey Markedonov: Any Armenian government is doomed to search for geopolitical equilibrium, including the outlined one
Arman Melikyan: If RPA disrupts the election of Nikol Pashinyan as Prime minister,  a tensive  increase  in the Karabakh conflict zone should be expectedArman Melikyan: If RPA disrupts the election of Nikol Pashinyan as Prime minister,  a tensive  increase  in the Karabakh conflict zone should be expected
Manvel Sargsyan: Chaotic geopolitical struggle in Syria is the result of devaluation of the world orderManvel Sargsyan: Chaotic geopolitical struggle in Syria is the result of devaluation of the world order
Manvel Sargsyan : A clear, targeted ultimatum to lawmakers  is the key to the success of Manvel Sargsyan : A clear, targeted ultimatum to lawmakers  is the key to the success of "reject Serzh"
Maksim Suchkov: Refusal to choose between the West and Russia, Iran and Israel gives Armenia more chances for developmentMaksim Suchkov: Refusal to choose between the West and Russia, Iran and Israel gives Armenia more chances for development
Andrei Siniakov : We believe that ACMC was “born” with a silver spoon in his monthAndrei Siniakov : We believe that ACMC was “born” with a silver spoon in his month
Ruben Safrastyan: Russian-Turkish deal on Armenia is possible only if Moscow refuses from the South CaucasusRuben Safrastyan: Russian-Turkish deal on Armenia is possible only if Moscow refuses from the South Caucasus
Neil Macfarlane: Soviet thinking is one of the main obstacles to the Karabakh settlement   Neil Macfarlane: Soviet thinking is one of the main obstacles to the Karabakh settlement  
Thomas de Waal : The Karabakh conflict will be solved only by a generation capable of asking about its need to beThomas de Waal : The Karabakh conflict will be solved only by a generation capable of asking about its need to be
Laurence Broers:The unresolvedKarabakh problem is conditioned by the relations between the authorities and the societies of Armenia and AzerbaijanLaurence Broers:The unresolvedKarabakh problem is conditioned by the relations between the authorities and the societies of Armenia and Azerbaijan
Vagharshak Harutyunyan: Ensuring Armenia`s national security with its own army and alliance with Russia gives no alternative  to the Turkish-Azerbaijani terrorist threat   Vagharshak Harutyunyan: Ensuring Armenia`s national security with its own army and alliance with Russia gives no alternative  to the Turkish-Azerbaijani terrorist threat  
Aram Sargsyan: RPA and Serzh  Sargsyan  phenomenal abilities   allowed them to blur  even the brilliant reputation of the new president of ArmeniaAram Sargsyan: RPA and Serzh  Sargsyan  phenomenal abilities   allowed them to blur  even the brilliant reputation of the new president of Armenia
Saro Saroyan: he cancellation of Armenian-Turkish protocols is directly related to   Fourth president of Armenia entering the officeSaro Saroyan: he cancellation of Armenian-Turkish protocols is directly related to   Fourth president of Armenia entering the office
Commented
RPA refutes rumors about deciding on participation in December  elections and preparing a proportional list for themRPA refutes rumors about deciding on participation in December  elections and preparing a proportional list for them
Czech Ambassador: The issue of the return of the territories around  Nagorno-Karabakh is on the agenda of the Madrid PrinciplesCzech Ambassador: The issue of the return of the territories around  Nagorno-Karabakh is on the agenda of the Madrid Principles
Karen Nersisyan was appointed new artistic director of the Yerevan  Russian Drama Theater named after StanislavskyKaren Nersisyan was appointed new artistic director of the Yerevan  Russian Drama Theater named after Stanislavsky
Mills: Democracy has a bright future for ArmeniaMills: Democracy has a bright future for Armenia
Macron: Aznavour was an Armenian, who fully acknowledged the great  crime, the Genocide, a victim of which he himself wasMacron: Aznavour was an Armenian, who fully acknowledged the great  crime, the Genocide, a victim of which he himself was
Hayk Marutyan: After the end of the pre-election campaign, all  political forces represented in municipality became one teamHayk Marutyan: After the end of the pre-election campaign, all  political forces represented in municipality became one team
Pashinyan: All those who try to ignore the law, opinion and demand of  the people, will be in the Pashinyan: All those who try to ignore the law, opinion and demand of  the people, will be in the "dump of history"
Gagik Tsarukyan: If the people want in December, it means that we  also want in December, I am ready to take all the pain of the peopleGagik Tsarukyan: If the people want in December, it means that we  also want in December, I am ready to take all the pain of the people
Moscow welcomes all positive trends that have emerged in Karabakh  settlement processMoscow welcomes all positive trends that have emerged in Karabakh  settlement process
Babloyan: Today the world has lost a truly outstanding singer, and  Armenia and the entire Armenian people say goodbye to the greatest  ArmenianBabloyan: Today the world has lost a truly outstanding singer, and  Armenia and the entire Armenian people say goodbye to the greatest  Armenian
Hayastan All-Armenian Fund has a new executive directorHayastan All-Armenian Fund has a new executive director
The founding congress of the party of The founding congress of the party of "Sasna Tsrer" was held in  Yerevan: the Party will be managed by a Secretariat of 7 people
Zardusht Alizade: There are no physical walls between Armenians and Azerbaijanis. There are, walls built from the outside, mental and psychologicalZardusht Alizade: There are no physical walls between Armenians and Azerbaijanis. There are, walls built from the outside, mental and psychological
Nikol Pashinyan to UN delegates: Becoming part of Azerbaijan means  total extermination for Karabakh population Nikol Pashinyan to UN delegates: Becoming part of Azerbaijan means  total extermination for Karabakh population 
Republican Party responds to Pashinyan`s statement on low turnout in  Yerevan ElectionsRepublican Party responds to Pashinyan`s statement on low turnout in  Yerevan Elections
Kocharian made a pessimistic forecast concerning the consequences of  the policy of the current Armenian authoritiesKocharian made a pessimistic forecast concerning the consequences of  the policy of the current Armenian authorities
The heads of Armenia and Russia agreed: The relations between the two  states are of a special natureThe heads of Armenia and Russia agreed: The relations between the two states are of a special nature
“Neither old nor new grounds to stop activity of the largest investor’s activities: just a smear campaign”“Neither old nor new grounds to stop activity of the largest investor’s activities: just a smear campaign”
Kocharian announced his intention to participate in early parliamentary electionsKocharian announced his intention to participate in early parliamentary elections
Edward Sharmazanov: RPA ready to cooperate with second Armenian presidentEdward Sharmazanov: RPA ready to cooperate with second Armenian president
NSS Head: expenses of Yerevan fund reached over 2bln AMDNSS Head: expenses of Yerevan fund reached over 2bln AMD
Official Yerevan responds to Moscow`s statementOfficial Yerevan responds to Moscow`s statement
A group of congressmen sent a letter to Donald Trump urging to meet  with Nikol Pashniyan on the sidelines of UN GA Summit A group of congressmen sent a letter to Donald Trump urging to meet  with Nikol Pashniyan on the sidelines of UN GA Summit 
Decision on arrest of second Armenian President Robert Kocharian will  be appealed todayDecision on arrest of second Armenian President Robert Kocharian will  be appealed today
Ara Minasyan was dismissed from the post of director of the medical center Ara Minasyan was dismissed from the post of director of the medical center "St. Grigor Lusavorich"
Expert: Sabotage against Lydian Armenia poses investment risksExpert: Sabotage against Lydian Armenia poses investment risks
Republican Party sees Karabakh motivation in charge against Kocharyan Republican Party sees Karabakh motivation in charge against Kocharyan 
Baku reacted to Pashinyan`s statementBaku reacted to Pashinyan`s statement
Nikol Pashinyan and Paola Severino discussed anti-corruption issuesNikol Pashinyan and Paola Severino discussed anti-corruption issues
Balayan: Statement on conflicts in NATO summit declaration reflects  Armenian side`s approach  Balayan: Statement on conflicts in NATO summit declaration reflects  Armenian side`s approach  
Search by date