“When you say “decent”, what exactly do you mean, doctor?” you might inquire. I mean highly qualified and altruistic doctors whom you would want to find for love or money. As a person who worked in a state hospital for a few years, I can tell you they’re as rare as gold dust. And the reason is that it’s hard for them to survive there.
But even a professional state-employed doctor can either help, or pass the patient on to the hospital or to another doctor, depending on circumstances. Almost any doctor, however, will do their best if they receive additional motivation.
It’s common knowledge that for a state general practitioner the main sources of income are his salary and extra “rewards” for medical certificates or spravkas – such as sick leaves – and the patients’ little extras. This second component of their income is often much higher than the official salary.
The doctors, who for various reasons work in the state medical sector, have evolutionary developed ways to make money, as well as various personal insurance methods against the “difficult” patients. They have ways to pass on the patients who give them too much of a headache.