They are used to pay $40 for an aspirin tablet at a clinic and even an ambulance/reanimation is a paid service there. If you break an arm or a leg (need an X-Ray, pain reliever, plaster cast etc) or if you need an appendix to be removed, it will also cost money in the USA. You won't believe it but it's true. I mean the basic things that are free in any country of the world...
Now wait 5 minutes for AIDSwire with his supper duper pictures of poor Russian clinics and an HIV epidemic. What a miserable clown
2AIDSwire: yes, the anti-HIV pills are also free in Russia ;)