The Russians have endemic problems in all their industries, but the most visible outside of Russia is the Space agency problems. Their solution? Combine all the companies into one and put them under government control. Will that solve the problem. Maybe some, for a short time. But the lack of competition means that they will quickly become outdated and too expensive as competition in the rest of the world surges ahead.
Now think how these same lessons may apply in our medical industry here in the United States. It explains why, under Obamacare costs are going up and care is going down.