How to reply to this. The remnants of the old U.S.S.R. would seem to be a poor example of how to run government. Lets try Sweden instead. There you would not only get your hip replacement for less than 4000$ but you would; at the age of 80, have a nice comfortable place to live and the knowledge that all your years of work were respected and honored and that some silver-spoon baby wasn't living like King Midas on the backs of your working relatives. While you worried wether the local doc-in-the-box would give you a couple free samples of medication so you wouldn't need to dip into your food budget to pay for medicine.
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