This descriptive research contains of objectives are 1. To analyze Russia’s health care system from the Russian Empire to the present time as well as the future plan. 2. To analyze the relationship between politics and economy which have affected the formation and policies of their health care system from each period in time of Russian history. 3. To analyze the Russians’ health status in each period of time and 4. To analyze Russian’s medical service demand in Thailand. This research has gathered information from books, documents and websites concerning the medical healthcare services in Russia since the Russian Empire, the Soviet Union, until the Russian Federation in 2011 with semi-final interview structure method to Russian who use health services in Thailand then collecting information from each period, it will be analyzed in order to interpret the relationship of politics and economy to the health care system polices. The result of research shows that at first Russians relied on traditional medicine until they started to use the modern medicine in the Russian Empire. During the Soviet Union period, the health care system was the government-supervised services so everybody could access to the same standard of services. Also, the vaccine distribution was a success to control epidemic outbreaks. After the collapse of USSR and the transformation to the Russian Federation under the liberal democratic regime, the government still kept the equal opportunity health care services for the Russian population but give opportunity to treatment from private hospitals. As for the present government, the health care services have become one of the priorities for the national policies until 2020 as the strategy is improving the organization of structure, medical facilities, as well as the budgeting. Results of interviews revealed that Russian confidence in the quality of health services and facilities under the impression the property is worth, but there are still obstacles of shortage the personnel who has skilled in Russian language and the publicity of Thailand's health care service in Russia.