That’s all very well, but how many family doctors would you need? It simply doesn’t fit into the system of a free universal national health service.” “It’ll fit into a universal national health service, but it won’t fit into a free health service,” said Oreshchenkov, rumbling on and clinging confidently to his point. “But it’s our greatest achievement, the fact that it’s a free service.” “Is this in fact such a great achievement? What does ‘free’ mean? The doctors don’t work for nothing, you know. It only means that they’re paid out of the national budget and the budget is supported by patients. It isn’t free treatment, it’s depersonalized treatment. If a patient kept the money that pays for his treatments, he would have turned the ten roubles he has to spend at the doctor’s over and over in his hands. He could go to the doctor five times over if he really needed to.