In addition, public gatherings and demonstrations occur frequently in Russia, particularly in Moscow. Although such demonstrations are usually peaceful, travelers are urged to exercise caution when in areas where large groups are gathered. Air travel within Russia is often unreliable, with unpredictable schedules and difficult conditions, including deterioration of the quality of service. Inclement weather and lack of routine maintenance of roads and vehicles make road conditions throughout Russia highly variable. Drivers and pedestrians should exercise extreme caution to avoid accidents, which are commonplace.
Many accidents involve drunk drivers.
Traffic police sometimes stop motorists to extract extra fines , and bandits occasionally prey on travelers. Medical care is usually far below Western standards, with severe shortages of basic medical supplies. Access to the few quality facilities that exist in major cities usually requires cash payment at Western rates upon admission. The U.S. Embassy and Consulates maintain lists of such facilities and English-speaking doctors. Travelers may therefore wish to check their insurance coverage and consider supplemental coverage for medical evacuation.