If we have no healthy people, we have no economy. It's very easy to understand. Incomprehensible political changes have left people feeling cut adrift from the familiar moorings of the all-encompassing state system. Doctors and nurses are poorly trained and abysmally paid.
Hospitals lack modern equipment and drugs.
Those short-sighted policies practically ensure that Russia will continue to suffer losses in economic productivity. If we have no healthy people, we have no economy. But that process is likely to take years under even the the most optimistic forecasts. In Russia today, the only certainty is that huge numbers of men, women and children are relentlessly marching straight to an early death.