The Soviet system with clinics and high schools at every village is not sustainable. Nothing stops people from moving from places with poor infrastructure for better places.
I think some time ago we discussed it in a topic regarding Russian road infractrusture. I think I explained why a region the size of Texas sparsely housing third the population of Austin can’t have the same road system as Texas.
The same principle applies to health care and education.
SOVIET propagandists during the cold war were trained in a tactic that their western interlocutors nicknamed “whataboutism”. Any criticism of the Soviet Union (Afghanistan, martial law in Poland, imprisonment of dissidents, censorship) was met with a “What about...” (apartheid South Africa, jailed trade-unionists, the Contras in Nicaragua, and so forth).
read more:https://www.economist.com/node/10598774
I was not talking about remote areas nor every village it was about Russia in total:
"Specialists say that “if the authorities continue to close hospitals at the current rates, by 2021-2022, the number of medical institutions in the country will fall to 3,000, that is to the level of the Russian Empire in 1913”