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
Member of the Bundestag: Member of the Bundestag: "Eastern Partnership" EU is not directed  against a third country
With the assistance of Beeline, a book on the history of the Armenian  Academic Opera and Ballet Theater after A. Spendiarian  is issued With the assistance of Beeline, a book on the history of the Armenian  Academic Opera and Ballet Theater after A. Spendiarian  is issued 
Rostelecom Armenia launches a New Year promotionRostelecom Armenia launches a New Year promotion
Forecast: Realizing the impossibility of staying in the current state  and in the future, Armenia is forced to become a partner of the  United StatesForecast: Realizing the impossibility of staying in the current state  and in the future, Armenia is forced to become a partner of the  United States
Yerevan: Armenia became  from the consumer country of peace and  security  a supplier stateYerevan: Armenia became  from the consumer country of peace and  security  a supplier state
In the UN World Happiness Index, Armenia ranks 122ndIn the UN World Happiness Index, Armenia ranks 122nd
Analyst: Karabakh issue is preserved in international agendaAnalyst: Karabakh issue is preserved in international agenda
David Petrosyan: We demand an apology from the leadership of YSU for  unreasonable slanderDavid Petrosyan: We demand an apology from the leadership of YSU for  unreasonable slander
The recognition of the Armenian Genocide by Israel does not depend on  Middle East dynamics The recognition of the Armenian Genocide by Israel does not depend on  Middle East dynamics 
Switalski: Increasing the role of civil society in Armenia is  necessary to expand social entrepreneurshipSwitalski: Increasing the role of civil society in Armenia is  necessary to expand social entrepreneurship
Forecast: Israel`s recognition of the Armenian Genocide is real, but  it will not happen nowForecast: Israel`s recognition of the Armenian Genocide is real, but  it will not happen now
Students who oppose the law Students who oppose the law "On military service and the status of  serviceman" resumed their hunger strike
Stepanakert: Baku`s test of drones is dangerous, but this does not  mean that we do not take adequate measures to confront this threatStepanakert: Baku`s test of drones is dangerous, but this does not  mean that we do not take adequate measures to confront this threat
VTB Bank (Armenia) opened a new branch of VTB Bank (Armenia) opened a new branch of "Pushkin"
The Center of the Goethe Institute is opened in YerevanThe Center of the Goethe Institute is opened in Yerevan
Beeline launches New Year campaign for subscribers of Neo Max and  Quatro packagesBeeline launches New Year campaign for subscribers of Neo Max and  Quatro packages
NATO`s deputy secretary: settlement of the Karabakh conflict will  positively affect the situation in the South Caucasus regionNATO`s deputy secretary: settlement of the Karabakh conflict will  positively affect the situation in the South Caucasus region
Weather forecasters expect precipitation in most regions of ArmeniaWeather forecasters expect precipitation in most regions of Armenia
Aznavour sharply criticized the Armenian authorities: I do not spare  them, I say what I thinkAznavour sharply criticized the Armenian authorities: I do not spare  them, I say what I think
Artsakh President: Establishing and developing relations with  political parties in Europe is one of the priorities of our foreign  policyArtsakh President: Establishing and developing relations with political parties in Europe is one of the priorities of our foreign policy
From December 10th to December 16th, adversary gave  2300 shots to  Artsakh positionsFrom December 10th to December 16th, adversary gave 2300 shots to Artsakh positions
From 2012 to 2017 years "deviators" have replenished Armenian budget by 4 billion AMD
The National Security Service of Armenia started organizing the years  supplying the Ministry of Defense with margarine in the form of  butterThe National Security Service of Armenia started organizing the years supplying the Ministry of Defense with margarine in the form of butter
ARDSHINBANK SIGNS $25 MILLION TRADE FINANCE FACILITY WITH CITI AND ADBARDSHINBANK SIGNS $25 MILLION TRADE FINANCE FACILITY WITH CITI AND ADB
"Organic Agricultural Development" 2017-2018 program winners are revealed
Sharmazanov in Riga: Latvia fell into Sharmazanov in Riga: Latvia fell into "traps" of Azerbaijani propaganda
Superior of the Constantinople diocese of the AAC expressed concern over the events unfolding around JerusalemSuperior of the Constantinople diocese of the AAC expressed concern over the events unfolding around Jerusalem
US Embassy in Armenia interacts with Armenian law enforcers in the  case of preparation of terrorist attacks on the territory of Armenia  by an American citizenUS Embassy in Armenia interacts with Armenian law enforcers in the case of preparation of terrorist attacks on the territory of Armenia by an American citizen
The head of the State Service of Social Security of Armenia and the  director of the International Association of Pension and Social Funds  discussed the issues of cooperationThe head of the State Service of Social Security of Armenia and the director of the International Association of Pension and Social Funds discussed the issues of cooperation
The members of the Security Council of Armenia discussed the issues  of development of the military- industrial complex of Armenia, as  well as the fight against terrorismThe members of the Security Council of Armenia discussed the issues of development of the military- industrial complex of Armenia, as well as the fight against terrorism
Sharmazanov to the Secretary of State of the Ministry of Foreign  Affairs of Latvia: Sharmazanov to the Secretary of State of the Ministry of Foreign Affairs of Latvia: "Statements of Latvia that contradict the official position of the EU are unacceptable"
Serzh Sargsyan: We have a program due to which, in the near future,  any encroachments of Azerbaijan will be excludedSerzh Sargsyan: We have a program due to which, in the near future, any encroachments of Azerbaijan will be excluded
Serzh Sargsyan admits that corruption and protectionism took place at  conscription Serzh Sargsyan admits that corruption and protectionism took place at conscription
Armenian President does not want to declassify his further political  plansArmenian President does not want to declassify his further political plans
Ankara accused Nalbandyan of distorting the truth about the Zurich  protocols and trying to mislead the international communityAnkara accused Nalbandyan of distorting the truth about the Zurich  protocols and trying to mislead the international community
Leader of Israeli party Yesh Atid called on Israeli authorities to  recognize Armenian GenocideLeader of Israeli party Yesh Atid called on Israeli authorities to  recognize Armenian Genocide
Deputy Minister of Foreign Affairs of Lithuania: Agreement on  comprehensive and expanded partnership between Armenia and the  European Union is a historicalDeputy Minister of Foreign Affairs of Lithuania: Agreement on  comprehensive and expanded partnership between Armenia and the  European Union is a historical
Armenia announced the launch of cooperation with FacebookArmenia announced the launch of cooperation with Facebook
Orientalist: Recognition of Jerusalem as the capital of Israel is a  new challenge for which Yerevan should respond with calls for peaceOrientalist: Recognition of Jerusalem as the capital of Israel is a  new challenge for which Yerevan should respond with calls for peace
The Czech Embassy will allocate 4.6 million AMD for the  popularization of ecological thinking and lifestyle among the  population of the Armavir regionThe Czech Embassy will allocate 4.6 million AMD for the  popularization of ecological thinking and lifestyle among the  population of the Armavir region
The first candidate for the presidency of Armenia is known: the  opposition The first candidate for the presidency of Armenia is known: the  opposition "Elk" intends to nominate the candidate Artak Zeynalyan
Ex-speaker of parliament: Republican party reigns enviable unanimity  over candidacy of future prime minister - they will be Serzh SargsyanEx-speaker of parliament: Republican party reigns enviable unanimity  over candidacy of future prime minister - they will be Serzh Sargsyan
VTB Bank (Armenia) has started receiving contactless MasterCard  PayPass cards in outletsVTB Bank (Armenia) has started receiving contactless MasterCard  PayPass cards in outlets
Armenia will receive a partial cancellation of the New Year holidays  in 2019Armenia will receive a partial cancellation of the New Year holidays  in 2019
The Iranian: The status quo around Artsakh and the Iran-Artsakh  border comes from the interests of TehranThe Iranian: The status quo around Artsakh and the Iran-Artsakh  border comes from the interests of Tehran
Sharmazanov called on Latvia and Estonia to follow the example of  Lithuania in recognition and condemnation of the Armenian Genocide in  Ottoman TurkeySharmazanov called on Latvia and Estonia to follow the example of  Lithuania in recognition and condemnation of the Armenian Genocide in  Ottoman Turkey
US citizen preparing terrorist acts in ArmeniaUS citizen preparing terrorist acts in Armenia
Lawmaker: The laws of the Lawmaker: The laws of the "stagnated West" and vaccinations corrupt  the Armenian youth, push girls to debauchery and destroy the national  values of Armenia
The trade representative of Russia in Armenia does not have any  facts, about illegal levies from Armenian drivers at the Upper Lars  checkpointThe trade representative of Russia in Armenia does not have any  facts, about illegal levies from Armenian drivers at the Upper Lars  checkpoint
Sharmazanov to Vice-Speaker of Lithuania: Artsakh and Armenia build  democracy, meanwhile authoritarianism is flourishing in AzerbaijanSharmazanov to Vice-Speaker of Lithuania: Artsakh and Armenia build  democracy, meanwhile authoritarianism is flourishing in Azerbaijan
Edward Nalbandian: What is happening in the Middle East proves the  importance of the Convention on the Prevention and Punishment of the  Crime of GenocideEdward Nalbandian: What is happening in the Middle East proves the  importance of the Convention on the Prevention and Punishment of the  Crime of Genocide
The Australian Green Party recognized the Republic of ArtsakhThe Australian Green Party recognized the Republic of Artsakh
Converse Bank revised the terms of the shares on loans secured by  goldConverse Bank revised the terms of the shares on loans secured by  gold
Yerevan: As soon as Baku returns to the constructive channel, it will  be possible to change the status quoYerevan: As soon as Baku returns to the constructive channel, it will  be possible to change the status quo
Deputy General Secretary of NATO to visit Armenia on December 18Deputy General Secretary of NATO to visit Armenia on December 18
Rosaria Puglisi: NATO sees no challenges in relations with Armenia Rosaria Puglisi: NATO sees no challenges in relations with Armenia 
Beeline: Beeline offices to work on weekends and holidaysBeeline: Beeline offices to work on weekends and holidays
Deputy Chairman of the State Duma Committee: Approval of candidatures  of foreign diplomatic representatives in Azerbaijan is reduced to  seeking out the Armenian rootsDeputy Chairman of the State Duma Committee: Approval of candidatures  of foreign diplomatic representatives in Azerbaijan is reduced to  seeking out the Armenian roots
A look from Moscow: The real addressees of Sargsyan`s and  Nalbandyan`s statements about the possibility of A look from Moscow: The real addressees of Sargsyan`s and  Nalbandyan`s statements about the possibility of "surrendering  territories" are the mediating countries and Baku
The Armenian parliament adopted a package of laws aimed at preventing  family violenceThe Armenian parliament adopted a package of laws aimed at preventing  family violence

Interview
Masis Mailyan: Artsakh absence at the negotiation table  impacts negatively  their productivityMasis Mailyan: Artsakh absence at the negotiation table  impacts negatively  their productivity
Arman Melikyan: Russia does not desire at all to share  the resolution of Karabakh issue with Turkish partArman Melikyan: Russia does not desire at all to share  the resolution of Karabakh issue with Turkish part
Alexander Iskandaryan: It is impossible to take pre-electional  bribes and hope for a revolutionAlexander Iskandaryan: It is impossible to take pre-electional  bribes and hope for a revolution
Ruben Shugharyan: Internationalization of the human conscience in respect to  Artsakh needs to be scaled upRuben Shugharyan: Internationalization of the human conscience in respect to  Artsakh needs to be scaled up
Manvel Sargsyan: For 25 years people have realized step by step that they are engaged in nonsenseManvel Sargsyan: For 25 years people have realized step by step that they are engaged in nonsense
Levon Altounyan: We are building a new architecture of Armenian medicineLevon Altounyan: We are building a new architecture of Armenian medicine
Any compromise with Artsakh and Armenia is equal to political suicide for Ilham Aliyev Any compromise with Artsakh and Armenia is equal to political suicide for Ilham Aliyev 
Andrey   Areshev:  It`s not enough to talk about reaching agreements on Karabakh, it is important and it is necessary to implement themAndrey   Areshev:  It`s not enough to talk about reaching agreements on Karabakh, it is important and it is necessary to implement them
Hovhannes Igityan: Armenia looks back at Moscow too oftenHovhannes Igityan: Armenia looks back at Moscow too often
Ilgar Velizade: It is no longer possible to ignore the political reality that is being raised  everywhere in the world by the specter of separatismIlgar Velizade: It is no longer possible to ignore the political reality that is being raised  everywhere in the world by the specter of separatism
Avigdor Eskin: Due to referendums in Kurdistan and Catalonia, pressure on Armenia in Karabakh issue may weakenAvigdor Eskin: Due to referendums in Kurdistan and Catalonia, pressure on Armenia in Karabakh issue may weaken
Gagik Harutyunyan: Russia, Iran and China remembered their great past in  largely thanks to the United States Gagik Harutyunyan: Russia, Iran and China remembered their great past in  largely thanks to the United States 
Maxim Suchkov: The qualitative and systematic implementation of Russian projects for the development of Armenia will exclude Moscow`s nervous reaction to the fact that Maxim Suchkov: The qualitative and systematic implementation of Russian projects for the development of Armenia will exclude Moscow`s nervous reaction to the fact that "the Americans have planned there"
Zardusht Alizadeh: Ilham Aliev does not need Sechin in AzerbaijanZardusht Alizadeh: Ilham Aliev does not need Sechin in Azerbaijan
One should not rule out  Yerevan being under Moscow pressure may reject  EU agreementOne should not rule out  Yerevan being under Moscow pressure may reject  EU agreement
Timur Urazaev: As  members  of EEU, either Armenia and  Kazakhstan  are Timur Urazaev: As  members  of EEU, either Armenia and  Kazakhstan  are "a priori"  factors for their partners in other EEUcountries.
Aghasi Yenokyan:  Anti Russian sanctions of USA both bring negative to Armenia and positiveAghasi Yenokyan:  Anti Russian sanctions of USA both bring negative to Armenia and positive
The Metsamor NPP functions under the control of the IAEA and   everything is said with that.The Metsamor NPP functions under the control of the IAEA and   everything is said with that.
GeoProMining - ten years of work for the benefit of the country, at the forefront of gold miningGeoProMining - ten years of work for the benefit of the country, at the forefront of gold mining
Edward Abrahamyan: The Edward Abrahamyan: The "Armenian" policy of Trump’s  administration is mostly  shaped by Yerevan reaction to Washington`s investment proposal 
Avigdor Eskin:  for Israel, the constructive relations between Armenia and Iran  are not a minus, but a plusAvigdor Eskin: for Israel, the constructive relations between Armenia and Iran are not a minus, but a plus
Alexander Krylov: Georgia gave up the role of democracy spotlight, the regional political center relocated to Armenia.Alexander Krylov: Georgia gave up the role of democracy spotlight, the regional political center relocated to Armenia.
Alexander Tsinker: Trump’s  team  hints upcoming renaissance of Big Mid East ProjectAlexander Tsinker: Trump’s  team  hints upcoming renaissance of Big Mid East Project
Vitali Naumkin: Russia  does not deal with Baku and Yerevan running with hare and hunting with hounds  Vitali Naumkin: Russia  does not deal with Baku and Yerevan running with hare and hunting with hounds  
Thomas Graham : Karabakh  situation will  smudge and burn  for a pretty   long timeThomas Graham : Karabakh  situation will  smudge and burn  for a pretty  long time
View from Berlin: Karabakh conflict settlement is up to future generationsView from Berlin: Karabakh conflict settlement is up to future generations
Russian General: Russian armaments shipments to Armenia and Azerbaijan is a part of  deeply planned Russian policy at Caucasus.Russian General: Russian armaments shipments to Armenia and Azerbaijan is a part of  deeply planned Russian policy at Caucasus.
New Karabakh war will end with annihilation of Armenia and AzerbaijanNew Karabakh war will end with annihilation of Armenia and Azerbaijan
Russian Deputy Foreign Minister: Greeting Iranian initiatives, we expect for consideration of our course as wellRussian Deputy Foreign Minister: Greeting Iranian initiatives, we expect for consideration of our course as well
Timur Urazaev: we should think of being pragmatic, so that state tools should work in benefit to our nationals and public societyTimur Urazaev: we should think of being pragmatic, so that state tools should work in benefit to our nationals and public society
Commented
Erdogan brought Armenia to Georgia as an example of cooperation with  neighbors Erdogan brought Armenia to Georgia as an example of cooperation with neighbors
Standing Commission of the Parliament rejected the project of the Elk  faction on Armenia`s withdrawal from the EAEUStanding Commission of the Parliament rejected the project of the Elk  faction on Armenia`s withdrawal from the EAEU
The Armenian delegation to the PABSEC left the meeting room in  protestThe Armenian delegation to the PABSEC left the meeting room in  protest
The ruling party of Armenia keeps silent about the accusations of the  Russian Defense Ministry`s channel in the RPA`s commitment to fascismThe ruling party of Armenia keeps silent about the accusations of the  Russian Defense Ministry`s channel in the RPA`s commitment to fascism
Sharmazanov to his Belarusian colleague:  Ignoring the Armenian  Genocide provoked  Hitler`s fascismSharmazanov to his Belarusian colleague:  Ignoring the Armenian  Genocide provoked  Hitler`s fascism
Sharmazanov to Azerbaijani colleague: To draw parallels between  Karabakh, Kurdish and Catalan processes is illogical and illiterateSharmazanov to Azerbaijani colleague: To draw parallels between  Karabakh, Kurdish and Catalan processes is illogical and illiterate
Edmond Marukyan: Armenia has regressed in various areas without  signing an agreement with the EU in 2013Edmond Marukyan: Armenia has regressed in various areas without  signing an agreement with the EU in 2013
Sharmazanov: If the world does not recognize the self-determination  of Artsakh, then it should not recognize the self-determination of  the Soviet republicsSharmazanov: If the world does not recognize the self-determination  of Artsakh, then it should not recognize the self-determination of  the Soviet republics
Head of the State Food Security Service of Armenia considers it  inappropriate to implement GMO products on the territory of the  RepublicHead of the State Food Security Service of Armenia considers it  inappropriate to implement GMO products on the territory of the  Republic
Armenia will start vaccination of girls at the age of 13 from  papillomavirus from December 2017Armenia will start vaccination of girls at the age of 13 from  papillomavirus from December 2017
Analyst: Delivery of Artsakh territories as a result of Putin-Erdogan  deal is incapable to ensure long-term implementation of Armenian  interests Analyst: Delivery of Artsakh territories as a result of Putin-Erdogan  deal is incapable to ensure long-term implementation of Armenian  interests 
Expert: Our goal is not to fight GMOs, but to adopt laws that protect  the interests of Armenian farmers and consumersExpert: Our goal is not to fight GMOs, but to adopt laws that protect  the interests of Armenian farmers and consumers
Sharmazanov: Baku`s attempts to give Karabakh conflict religious character are  unacceptable for ArmeniaSharmazanov: Baku`s attempts to give Karabakh conflict religious character are  unacceptable for Armenia
Armenian parliamentarians prevented Pakistan from another attempt to participate n the session of CSTO PA as an observerArmenian parliamentarians prevented Pakistan from another attempt to participate n the session of CSTO PA as an observer
Yerevan once again advised Erdogan to stay away from the Karabakh  problemYerevan once again advised Erdogan to stay away from the Karabakh problem
Forecast: Signing of the Agreement with the EU will allocate Armenia among the countries of the EAEC, the CSTO and the CISForecast: Signing of the Agreement with the EU will allocate Armenia among the countries of the EAEC, the CSTO and the CIS
The bill on the abolition of postponement from military service was the subject of sharp debate in the Armenian parliamentThe bill on the abolition of postponement from military service was the subject of sharp debate in the Armenian parliament
David Harutyunyan: The law against domestic violence in Armenia is an  urgent necessityDavid Harutyunyan: The law against domestic violence in Armenia is an  urgent necessity
Head of the National Congress of Western Armenians: Turkey will not handover to Azerbaijan 4 representatives of the intelligentsia who visited ArtsakhHead of the National Congress of Western Armenians: Turkey will not handover to Azerbaijan 4 representatives of the intelligentsia who visited Artsakh
Forecast: The example of Azerbaijan indicates that as a geopolitical  project Kurdistan may well ariseForecast: The example of Azerbaijan indicates that as a geopolitical  project Kurdistan may well arise
USA will help Armenia assess damage from firesUSA will help Armenia assess damage from fires
Armenia to participate in the training Armenia to participate in the training "Combat Commonwealth 2017"  within the framework of the CIS against the backdrop of refusal to  participate in NATO exercises
September 17-22, Armenia will host the first international  Russia-Armenia festival - Friendship Bridge <To serve to Homeland>  named after A.BabajanyanSeptember 17-22, Armenia will host the first international  Russia-Armenia festival - Friendship Bridge   named after A.Babajanyan
In Armenia, the number of smokers by 2020 will be reduced by 3-5%In Armenia, the number of smokers by 2020 will be reduced by 3-5%
Results are carried out of six-day business forum Sevan Startup  Summit 2017Results are carried out of six-day business forum Sevan Startup  Summit 2017
Claims of Miram CJSC at the beginning of geological exploration work  at the Shekakhbyur polymetallic deposit are illegalClaims of Miram CJSC at the beginning of geological exploration work  at the Shekakhbyur polymetallic deposit are illegal
ARF Dashnaktsutyun is not going to exit from governmental coalitionARF Dashnaktsutyun is not going to exit from governmental coalition
Edward Abrahamyan: The Edward Abrahamyan: The "Armenian" policy of Trump’s  administration is mostly  shaped by Yerevan reaction to Washington`s investment proposal 
Citizens of Armenia will be able to travel to Poland for seasonal  work in light conditionsCitizens of Armenia will be able to travel to Poland for seasonal  work in light conditions
Armenian plenipotentiary structures do not respond to scandal in  Israel, related to the diplomas of Armenian medical universitiesArmenian plenipotentiary structures do not respond to scandal in  Israel, related to the diplomas of Armenian medical universities
Search by date