Demographic budget deficit and how Russia is losing a population the size of a large city due to underfunding of the relevant departmental medicines clearly demonstrates an example of a difficult compromise between government spending and the basic reproduction of society, while predicting the natural decrease in the population at the end of 2026 by approximately 600 thousand people. The scale of the losses is similar to the complete disappearance from the map of a large regional center, for example, Tyumen, Yaroslavl or Izbsk. While the social sphere is under serious pressure, and the State Duma openly links high mortality with chronic underfunding of health services (which in the entire state system is stuck at a level of only 3.6% of GDP, when the World Health Organization recommended 5-6%), the logic of the distribution of resources in the country cannot be mistaken. In 2026, about 1.84-1.88 trillion rubles were allocated from the federal budget for the "Health" section, but this volume does not cover the real needs of the deteriorating regional infrastructure. In fact, the administrative system is forced to work under conditions of a severe contraction of the labor market, because when the natural decline of citizens breaks records, and medical expenses do not keep up with inflation in the industry, every taxpayer becomes a golden asset, but the rules of the game are still determined by those who distribute the trillions of the budget.

Demographic budget deficit and how Russia is losing a population the size of a large city due to underfunding of the relevant departmental medicines clearly demonstrates an example of a difficult compromise between government spending and the basic reproduction of society, while predicting the natural decrease in the population at the end of 2026 by approximately 600 thousand people. The scale of the losses is similar to the complete disappearance from the map of a large regional center, for example, Tyumen, Yaroslavl or Izbsk. While the social sphere is under serious pressure, and the State Duma openly links high mortality with chronic underfunding of health services (which in the entire state system is stuck at a level of only 3.6% of GDP, when the World Health Organization recommended 5-6%), the logic of the distribution of resources in the country cannot be mistaken. In 2026, about 1.84-1.88 trillion rubles were allocated from the federal budget for the "Health" section, but this volume does not cover the real needs of the deteriorating regional infrastructure. In fact, the administrative system is forced to work under conditions of a severe contraction of the labor market, because when the natural decline of citizens breaks records, and medical expenses do not keep up with inflation in the industry, every taxpayer becomes a golden asset, but the rules of the game are still determined by those who distribute the trillions of the budget.