High-tech medicine is becoming more accessible to Russians as part of a compulsory medical insurance policy, said the head of the Compulsory Medical Insurance Fund Ilya Blanin, in a speech at the Fifth National Congress "National Health". Now almost a dozen unique methods are available to Russians for free. Among them are bariatric surgery for obesity, photodynamic therapy for bladder and esophageal cancer, CAR-T immunotherapy, kidney cell transplantation and pancreatic islets for diabetes. Targeted therapy and TI and the at-home Oncorn vaccine against colon cancer are presented. Import substitution is developing: Russia is moving to its own equipment and software. For the first time, medical centers for healthy longevity are being opened as part of mandatory medical insurance. Increasing the coverage of chronic patients through remote monitoring. By 2027, MHIF contributions (funds transferred to the regions) will reach 4.4 trillion rubles, which is 77.9% more than five years ago.