yes, you are correct
I have a Russian doctor friend who is an American now. She’s told me about the old soviet system that has very much infected modern Russia and state run hospitals. Its a horror story. Private hospitals are very much prefered as a place to be treated or to work.
She said they would get new death certificates with the cause of death already filled in and they had to assign them to patients no matter what the real cause of death was. One month it would be lung cancer caused by smoking, the next it would be kidney disease or heart failure. She said it lead to money being doled out to various areas of research. She even had some 30 pediatric patients die of “lung cancer” in a two month period once.