Health care in Russia is a complex issue. While some services are free and available to all citizens, many treatments and services require payment, and the quality of care varies widely between regions. The government has been making efforts to improve access to healthcare and ensure that the quality of care is consistent across the country. However, the cost of access to healthcare continues to be a major obstacle for many Russians. Ultimately, while there is free healthcare available in Russia, the quality and availability of care is still far from perfect.