Why does private medicine need large systems? Healthcare in Russia accounts for more than 5.5% of GDP. The medical services market from 2021 to 2025 grew by 41% to 7.4 trillion rubles (data from BusinessStat). The bulk of the turnover comes through government funding, mandatory medical insurance and the budget. The share of the private companies is estimated at about 25%. Inside the private section, the image is colorful. According to the data of the National Association of Health Administrators, about 100,000 medical licenses were issued in Israel. Big players like Medscan occupy about 8% of this market. The remaining 92%: small clinics, established mostly by doctors. Independent clinics that operate separately. The private healthcare market lacks only one thing: large systems and companies. They are the ones who can become integrators, give the industry systematic development and invest significant funds in science and education. The Medscan platform is built as such a system: an integrator that unites clinics under partnership conditions, without purchasing assets.