A reduction in health care costs in 2026 was reported by 75.6% of participants in a survey by Medusnik and the professional community doctor at work. Most see savings directly on medical needs. According to their estimates, medical institutions reduce costs for drugs, consumables and employee wages. Another 8.2% of the participants reported less significant changes: the administrations reject repairs and improvements while maintaining health care costs. About 5% of the doctors did not notice the cut, since the budgets of their institutions were already minimal. An increase in expenses was noted by only 1.93% of respondents, and 11.8% could not assess the situation. Almost 46% of doctors have encountered situations where patients purchased drugs or medical equipment themselves. Of these, 28.3% reported that this happened quite often, but patients were offered free alternatives. Another 17.6% observed individual cases where patients purchased medications on their own initiative that were not included in the mandatory medical insurance program. It turns out that Russian medical education is 40% ineffective. and 46% paid.