Chronically ill Ukrainians in occupation face loss of free medication access without Russian citizenship

Russia has announced that, starting in 2025, residents of occupied Ukrainian territories must have Russian passports to receive free prescription medications needed for those with chronic illnesses, according to the Eastern Human Rights Group.

In addition to persecuting pro-Ukrainian locals and resettling large numbers of Russians to alter the ethnic composition and tighten control over occupied territories, Russia has implemented multiple illegal policies forcing Ukrainians to take Russian citizenship, while schools indoctrinate local children with anti-Ukrainian sentiments.

The new rules stipulate that to receive free medications, medical devices, and specialized therapeutic nutrition products, individuals must meet several criteria. These include holding a Russian passport, being registered for medical supervision, and being listed in the registry of citizens entitled to free medication provision. Registration in this registry is carried out at the local polyclinic after a medical appointment and being placed under medical supervision.

Importantly, the policy states that preferential medication provision will not extend to individuals without Russian citizenship. This applies to all privileged categories and medical conditions, including chronic illnesses such as diabetes and bronchial asthma.

To obtain free medications under the new system, residents will need to:

1. Possess a Russian passport
2. Be registered for medical supervision and listed in the registry of citizens entitled to free medication
3. Obtain a prescription from a doctor at their local polyclinic

This policy change raises significant concerns about access to essential healthcare for residents of occupied territories who do not hold or wish to obtain Russian citizenship. Particularly vulnerable are those with chronic conditions that require regular medication, such as diabetes and asthma patients.

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