To prove they are alive and unfreeze their pensions, elderly people in Turkmenistan must travel to a family doctor and three separate government offices, knowing that the process could be different next time.
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Periodically sending a proof of life is common in many pension systems. Usually not required for citizens, since the government already has the data. But if you have earned a pension in one country and reside in another you will be required to send a paper proving that you’re still alive.
What is so unusual with this? I live in an european country and, granted, though arcaic and unnecessary, it is still a common procedure.