This surgery (all variants), where ...

This is a surgery (all variants) in need of craft skills; obstetrics gynecology with the problems of reproduction, ie, separation from the flesh of the mother of a new being - the continuation and preservation of information support the species, pediatrics, controlling the parameters of child development before reaching maturity; therapeutic specialty (easy - therapy) - everything else. The concept of Soviet public health: the mass accessibility, free medical care resulting from the declared principles of the society of that time could not be realized in previous versions of medical care on a platform local doctor. The time has come «S», where translational motion is impossible because of the inefficiency of the concept, a different choice - the result is unknown. Point of instability - the bifurcation point (see chart), when the most insignificant is able to push to translate the development of the upper or lower branches. Must bow to genius founders of the Soviet health care for what has been found extremely accurate solution to the organization of the precinct therapeutic services - core health protection. Today, therapeutic office close to the next bifurcation point «S1». In view of the above reasons, it is likely that development can go on the lower branch, where a great danger, due to unforeseen contingencies, rather than regular bifurcation of a progressive development of "dumping" on the line of least resistance at the level of the concept already existed, exhausted and therefore appropriate for so-called underdeveloped countries. The specified path is marked by a dotted line. Fig. 2. The schedule of therapeutic services to a local peasant community of the principle of Soviet public health, the possible ways of further development in the post Soviet era. The dashed line indicates the possible directions that differ from the behavior when a random factor. Is there a more accurate version. You can tell - is. First, once again, for the sustained development requires a concept fundamentally different from that previously existed under the condition when operating has already exhausted itself on the level of stability (horizontal sections in the figure). And here we must note that the disruption of stability can occur as a result of natural causes and man-made when it comes to issues of organization management, as in this case the destruction of the system may occur not because of its imperfections, but because intentionally or unconsciously embedded solutions are illiterate. Until the fruit is not ripe, it is not necessary to pluck - quickly deteriorate and can not be used. While the new concept is not formed, can not destroy is available, because development itself is not through destruction, but through the gradual creation, which occurs with an acceleration in the ascending section, when the idea is understandable to the masses, they have adopted and enthusiastically implemented. Nothing like this in the therapeutic service no.