 The Russian health care system has achieved moderate levels of financial risk protection with low incidences and intensities of catastrophic health care expenditures. Despite the economic downturn from 2014 to 2016, the impoverishing effects of out-of-pocket health care payments remained relatively low. Additionally, the study found that households were able to cope with the crisis by delaying or foregoing medical care, which suggests that further efforts must be made to extend coverage for pharmaceuticals and dental care, as well as address financial barriers to accessing health care. This article was authored by Slako Nikoloski, Jane Cheatley, and Elias Masialos.