Military Medical Examinations in Russia: Policy, Fitness Standards, and Process Changes

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Overview of Military Medical Exams and Eligibility in Russia

In the course of medical evaluations for conscripts and volunteers seeking service contracts, the commission frequently identifies health issues that render individuals unfit for military service. In about one quarter of cases, illnesses are detected at the very moment they first appear, according to statements by Andrei Datsko, who leads the Main Center of Military Medical Expertise within the Russian Ministry of Defense, as reported on the television channel Russia 24. This finding underscores the ongoing need for rigorous medical review before any assignment to armed forces duty.

Datsko stressed that such discoveries signal serious medical conditions that contraindicate service. The current Russian rules outline a list of health problems that disqualify a person from military duty. Among these are asthma, active tuberculosis, HIV, severe near-sightedness exceeding six diopters, bilateral deafness, stomach ulcers, congenital heart defects, severe spine deformities, and other significant ailments. The aim is to ensure that service members are physically able to perform demanding tasks and to prevent medical complications during deployment. (Citation: Russian Ministry of Defense)

Recent changes have streamlined the medical examination process. It was announced that the system would move to a single-stage evaluation for contract soldiers, simplifying the previously two-stage procedure. The shift involves consolidating the initial assessment at the municipal military registration office with the regional final examination into one unified process, intended to speed up decision making while maintaining medical standards. The move aligns with broader reforms in how medical clearances are issued for service roles. (Citation: Russian Ministry of Defense)

Background context indicates that discussions around compulsory service have evolved in parallel with policy adjustments. In 2024 there were references to increasing the age for compulsory military service to 30, a change intended to reflect demographic and strategic considerations. The timeline and details around these reforms illustrate an ongoing recalibration of recruitment and eligibility criteria as the military modernizes.

Earlier statements from senior defense leadership suggested that conscripts would continue to be a central element of the armed forces, with the aim of maintaining readiness and operational capability. The emphasis remains on aligning medical eligibility with contemporary military requirements, ensuring that personnel assigned to active duty possess the necessary health and fitness to perform effectively in diverse and challenging environments. (Citation: Russian Ministry of Defense)

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