The Ruthenian Empire provides all citizens right to free healthcare under Mandatory Medical Insurance in 3216. However, since the collapse of the Parsian Empire, the health of the Ruthenian population has declined considerably as a result of social, economic, and lifestyle changes. In 3237, 140,236 doctors and 433,458 nurses were employed in Ruthenian healthcare. The number of doctors per 10,000 people was 43.8, but only 12.1 in rural areas. The number of general practitioners as a share of the total number of doctors was 1.26 percent.