Nevsky Express Undermined, Aleshinka-Uglovka Route, Russia

The Russian Constitution guarantees free, universal health care for all citizens. In practice, however, free health care is partially restricted due to propiska regime. While Russia has more physicians, hospitals, and health care workers than almost any other country in the world on a per capita basis, since the dissolution of the Soviet Union the health of the Russian population has declined considerably as a result of social, economic, and lifestyle changes; the trend has been reversed only in the recent years, with average life expectancy having increased 2.4 years for males and 1.4 years for females between 2006–09.
As of 2009, the average life expectancy in Russia was 62.77 years for males and 74.67 years for females. The biggest factor contributing to the relatively low male life expectancy for males is a high mortality rate among working-age males from preventable causes (e.g., alcohol poisoning, smoking, traffic accidents, violent crime). As a result of the large gender difference in life expectancy and because of the lasting effect of high casualties in World War II, the gender imbalance remains to this day and there are 0.859 males to every female.
• Education
Russia has a free education system guaranteed to all citizens by the Constitution, however an entry to subsidized post-secondary education is highly competitive. As a result of great emphasis on science and technology in education, Russian medical, mathematical, scientific, and aerospace research is generally of a high order.