Russians spent for paid medical services is almost 600 billion rubles in 2017 In 2017, the public health system of Russia earned on paid services 591 billion rubles, which is 8% more than last year. In an interview with RBC said Deputy Prime Minister Tatiana Golikova at the St. Petersburg international economic forum. According to the Vice-Premier, the difficulty lies in the fact that the paid and free services “is not differentiated”. Rather, they are delineated by law, and all the law describes, and there seems like nothing needs to be corrected, but on the other hand, in specific hospitals a clear separation does not occur. And hence, perhaps, including there is a discontent of citizens, the citizens do not understand that today is a fee and what free.Tatiana Golikova Prime Minister She said that the law “About health protection of citizens” services is well defined, however the government needs