The world’s largest nation by land borders European and Asian destinations as well as the Pacific and Artic Oceans and is also known as the Russian Federation. It has a population of 143.5 million and is ranked as the world’s 13th largest economy with a GDP in 2015 of US $1.24 billion. It has enormous natural resources and is heavily dependent on energy revenues to drive growth. Today, Russia is struggling with huge economic sanctions and a financial crisis, after several unilateral acts towards other destinations got them into this position, causing the ruble to collapse. Not even the abundance of oil, natural gas and precious metals have helped the destination to stay a float, as the price of oil plunges around the world decreasing margins and revenues.
The Constitution of the Russian federation provides all of its citizens the right to free healthcare under the mandatory medical insurance; but in reality, the resident registration, which records the internal migration and the residence of citizens in Russia, makes free healthcare partially restricted. Now that the destination has a mix model of health care with private financing and provision running along with state financing, it can cater to citizens looking for efficiency and choice. In reality, the resulting system in Russia is overly complex and very inefficient. Private and voluntary plans are available for those who want to supplement their government-backed plan. Only two hospitals in Russia are JCI accredited. Between 2005 and 2013, rural areas lost 75 percent of their healthcare facilities. District hospitals dropped by 95 percent and local health clinics dropped by 65 percent too.
So, looking at the index to assess the healthcare situation of Russia and its position against other nations, we can see that the largest nation in the world scores dramatically low in every factor and item analyzed in this research study, especially when compared to as a European Nation. The destination and its environment factors, its medical and tourism industry factors and the quality of its facilities and services factors are ranked 34th, 34th and 31st. Working to improve and capitalize on the medical tourism industry bandwagon means the destination needs a strategy that not only gets its hospitals internationally accredited, with qualified physicians and medical personal, and state of the art medical equipment, but also with a cost advantage. All of these in order to attract people that will have to follow the strict visa rules in order to enter a destination that doesn’t have a solid reputation, and sometimes is seen as not so safe. So it is not a surprise that Russia ranks 34th overall out of the 41 destinations participating in the Medical Tourism Index.