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In recent developments, the Medical and Social Expert Commissions (MSEC) in Ukraine are facing significant reforms. The Ministry of Health has canceled 445 MSEC decisions concerning disability status among officials due to fraudulent activities. These issues have prompted President Zelenskyy to sign a law liquidating MSECs as of January 2025, signaling a shift towards a digital, transparent, and efficient disability assessment system. The transformation aims to improve accountability and prevent further corruption in disability determinations. Meanwhile, investigations have revealed severe misconduct, including the former head of Khmelnytskyi MSEC, Tetiana Krupa, facing charges related to violations worth UAH 35 million. Such cases demonstrate widespread malpractices prompting legal actions against various officials and have initiated extensive judicial procedures to ensure justice and integrity within the healthcare system. The MSEC reform is a critical component in restoring confidence and transparency in Ukraine's public health sector.

What is the significance of the MSEC decisions cancellation?

The cancellation of 445 MSEC decisions marks an important step in tackling disability-related fraud among Ukrainian officials. This decision, part of a larger investigation by the Ministry of Health, reflects efforts to ensure honesty and accountability in the system. It also highlights the government's commitment to reforming the process by which disability statuses are granted, ultimately striving for transparency and fairness across the board.

How does the liquidation of MSEC affect the healthcare system in Ukraine?

The liquidation of MSECs, as decided by President Zelenskyy's signed law, aims to dismantle the bureaucratic inefficiencies and corrupt practices prevalent within the current system. By transitioning toward a digitalized, results-oriented mechanism, the government intends to create a more effective and equitable framework for evaluating disabilities, improving patient experiences, and reducing opportunities for corruption.

What charges are faced by Tetiana Krupa, former head of Khmelnytskyi MSEC?

Tetiana Krupa, the former head of the Khmelnytskyi Medical and Social Expert Commission, is embroiled in a scandal involving allegations of corruption. The charges include violations amounting to over UAH 34.8 million, primarily revolving around falsified disability assessments. Legal proceedings are underway as authorities investigate further into this significant breach of trust within the public health infrastructure, with Krupa facing serious legal consequences.

Why are reforms needed in the MSEC process in Ukraine?

Reforms in the MSEC process are imperative due to the rampant corruption and inefficiency that have plagued the current system. Issues like fraudulent disability certifications and bribery have undermined the credibility and functionality of state health assessments. The ongoing reforms aim to introduce a streamlined, transparent process that enhances trust, promotes accountability, and provides fair opportunities for all individuals needing legitimate disability assessments.

What are the implications of the detected fraud in obtaining disabilities?

The exposure of fraud in disability procurement highlights a systemic problem within the Ukrainian public health and social welfare sectors. Such fraudulent activities not only waste resources but also diminish trust in public health services. The implications include a push for stringent checks, legal accountability for involved perpetrators, and a move toward reformative programs designed to safeguard against future instances of deception and ensure support reaches deserving individuals.

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Photo news MSEC

Fraud with disability: two prosecutors and two MSEC officials suspected Illegally received disability: two prosecutors and two MSEC officials suspected. PHOTOS Two district prosecutors and two MSEC officials are suspected of fraud and forgery. 16 818 23

хабар, викриття Cost of "service" is $3,000: in Zaporizhzhia, employees of MSEC and private clinic who issued "disability" to men were exposed. PHOTOS In Zaporizhzhia, law enforcement officers exposed employees of a private clinic and a medical and social commission who were issuing fake disabilities to men of military age for money. The cost of the "service" was three thousand dollars. 1 997 7

Викрито нові схеми для ухилянтів New "schemes for evaders" exposed: 13 people detained, including officials of MSECs and hospitals - SSU. PHOTOS The Security Service and the National Police dismantled three more schemes of evasion from mobilisation and illegal departure abroad men of military age, which operated in Kyiv, Lviv and Odesa regions. 4 304 9

майно лікарки Кіндзерської з Хмельницької МСЕК Family of Khmelnytskyi MSEC doctor Kindzerska owns real estate in Ukraine and Croatia - media. PHOTO The journalists found property of Alla Kindzerska, a doctor from the Khmelnytskyi MSEC, and her family that far exceeded her official income. 11 345 31 Previously in trend: Fighting corruption in Ukraine

Колишня лікарка обіцяла військовому вплинути на МСЕК For $5,000, she promised to influence MSEC officials to obtain disability group: Former doctor exposed in Lviv region. PHOTO A woman from Lviv was exposed and served a notice of suspicion for promising $5,000 to influence regional MSEC officials to make a positive decision on the disability group. 1 382 4

Офіс Генпрокурора проводить обшуки в обласних МСЕК, лікарнях та прокуратурах за фактом Зловживання під час отримання інвалідності Abuse while receiving disability: Searches are being conducted in regional MSECs, hospitals and prosecutors’ offices - Prosecutor General’s Office. PHOTOS As part of the investigation into the facts of unlawful receiving of disability, officials, including prosecutors, are conducting searches of employees of medical and social expert commissions (MSECs), medical institutions where illegal certificates and decisions may have been issued, as well as prosecutors' offices in several regions of Ukraine. 4 897 16

СБУ та Нацполіція ліквідували нові «схеми для ухилянтів» $10 thousand for fictitious medical report: SSU exposes MSEC officials, MMC doctors on bribe. PHOTOS The Security Service of Ukraine and investigators of the National Police have eliminated new schemes of mobilization evasion that operated in Kropyvnytskyi, Dnipropetrovsk and Kharkiv regions. 4 188 2

чиновниця Львівської МСЕК Hid millions in assets: deputy chief doctor of Lviv Regional MSEC caught declaring false information. PHOTO The SBI served a notice of suspicion to a high-ranking official of the Lviv Regional MSEC who concealed millions in assets from declaration. 8 495 24

На Кіровоградщині викрито на хабарі керівницю МСЕК Head of one of district MSECs in Kirovohrad region exposed for receiving USD 2,000 bribe. PHOTO According to Censor.NET, this was reported by the Office of the Prosecutor General. 24 497 43

Затримано посадовицю Центральної МСЕК Official of Central MSEC was detained while receiving a $2,000 bribe - Prosecutor General’s Office. PHOTO The deputy chief physician promised to assist a serviceman in obtaining a group II disability in return for $2,000. She was detained while receiving the bribe. 9 202 39

Лікарям з Рівного оголосили підозру за фальшування діагнозів для інвалідності Fake disability scheme: four more doctors from Rivne are suspected. PHOTOS Under the procedural supervision of the Rivne Regional Prosecutor's Office, 4 doctors were served a notice of suspicion of forgery of documents by a group of persons (Article 366(1), Article 358(3) of the Criminal Code of Ukraine). 3 590 10

Суд відправив під варту організатора схеми оформлення фіктивної інвалідності в одеському обласному МСЕК Corruption in the Odesa Regional MSEC: Organising doctor sent to custody for 2 months. PHOTO The court imposed a pre-trial restraint in the form of detention for two months on the doctor who organised the scheme to establish fictitious disability for conscripts in the Odesa Regional MSEC. 2 738 14

ДБР викрило в одеському обласному МСЕК багатомільйонну схему заробітку на встановленні фіктивної інвалідності військовозобов’язаним In Odesa, doctor, together with officials of MSEC, earned money on establishing fictitious disability for servicemen: more than $80 thousand in cash was seized. PHOTOS SBI officers exposed an organised group of doctors who helped healthy men of conscription age obtain medical documents that allowed the MSEC to declare them unfit for service. Law enforcement officers detained the doctor who organised the criminal scheme. 3 743 14

У керівниці МСЕК на Миколаївщині вилучили 450 тис. доларів США та колекцію ювелірних виробів More than $450 thousand seized from head of MSEC in Mykolaiv region. Her son has Russian passport - SSU. VIDEO+PHOTOS Law enforcement officers conducted searches of the head of the MSEC in Mykolaiv region, during which they seized over $450,000 and a collection of jewellery. 25 357 146