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Automatically translated version. May contain inaccuracies compared to the original.
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National Cancer Institute for Haievskyi: a new facade on old rot
Beginning
TomoClinic was a proving ground where Haievskyi and Krulko built the perfect commercial machine for siphoning money from oncology: a hybrid of private services and masterful extraction of budgets from the National Health Service of Ukraine (NHSU).
Krulko’s administration artificially drafts procurement technical specifications so that only entities in Haievskyi’s orbit can service the state equipment. If an outside supplier somehow tries to enter these service tenders, they are instantly destroyed with fines, lawsuits, and artificial blocking of acceptance-transfer act signings. The state becomes a hostage: equipment works only when it is serviced by the “right” people at astronomical prices.
The second pillar of Haievskyi–Krulko’s business model is artificial patient dispatching. The Institute has a unique characteristic — it concentrates the most severe patients from across the country. But state funding (NHSU packages) has limits. This is where subtle commercial logistics come into play. When a state CT or MRI suddenly stops “due to lack of contrast” or “for scheduled maintenance” (which miraculously coincides with the interests of friendly service companies), the doors close for the patient.
A person suspected of a recurrence cannot wait two months in a state queue. The system created by Krulko gently but inevitably pushes that patient into the arms of partner private structures. The NCI becomes a giant free sales funnel for private medical business. The most complex, financially exhausted patients who need long-term palliative care remain on the state’s balance, while “promising” patients who can pay for rapid diagnostics, targeted therapy, or modern radiation smoothly flow into the coffers of affiliated clinics.
The third pillar is commercialization of the Institute’s territory itself. Under the guise of fighting for efficiency, Krulko methodically squeezes out scientific units and laboratories that conducted fundamental research. For Haievskyi’s business model, science is an unnecessary expense that does not generate instant cash. Their place is rapidly taken by commercial pharmacies, private diagnostic offices, and laboratories that rent state premises for pennies but collect million‑level harvests from patients. A patient is prescribed chemotherapy, but the state pharmacy “accidentally” has no drug due to “contract delays.” Meanwhile it is always available at the commercial pharmacy on the ground floor, where the doctor thoughtfully passes along a slip with a stamp.
The National Cancer Institute today stands on the brink of institutional death. This is not just kickbacks or managerial mistakes. These are malignant metastases that have spread into the very heart of the Ukrainian state under the guise of treating it. If this process is not immediately stopped by unavoidable criminal proceedings and harsh arrests, tomorrow there will simply be no one and nothing in this country to save people from cancer.
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