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More than 70 years after Gennady Vinogradov was born in the small village of Sheshurino, northwest of Moscow, he just asks for one thing: to be able to die there in dignity.
But news that the authorities will be closing the village's clinic -- the only one for miles around -- has driven him and his neighbours to breaking point.
"If they close this clinic, it will be a catastrophe. We pay our (compulsory) insurance fees and have a right to healthcare," the 76-year-old said, surrounded by two dozen of his neighbours.
It seems as if the government "wants to kill us," he said.
While the consequences of Russia's economic downturn are less visible in the capital, remote rural communities like Sheshurino have been left to fend for themselves as the remnants of state support disappear.
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Lebedeva was recently told "there is no more money" to keep her and her staff of 15, including nurses and care assistants, working in the village.
She expects the facility to close by the end of this year. That means a loss of income for 15 families depending on salaries ranging from under $100 to $200 a month.
Sheshurino, which lies 400 kilometres (250 miles) northwest of Moscow, is quintessential Russia with its scattering of log houses along the edge of a picturesque lake looking much like it did in the tsarist era.
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Russia has 83,000 villages with less than 100 residents, making it difficult to retain doctors there, Health Minister Veronika Skvortsova said in June.
Instead, people could use Skype to consult health professionals, she said.
Such a suggestion brings nothing but anger in Sheshurino, where promises to install a fibre-optic cable seem far-fetched.
"We don't have cellphone coverage here and landline phones only work every couple of days -- if the weather is good," Vinogradov fumed.
The nearest hospital is at least two hours away by car, and when a local resident suffered a stroke recently, the ambulance took five hours to come.
The only bus runs twice a week, while a taxi to the hospital costs more than $50.
The clinic used to have a horse and cart for transport, but the horse was sold for meat last year on orders of regional authorities, who claimed it was too expensive.
