Three years after its invasion of Ukraine, Russia continues to pummel the country with cyberattacks, ruthless propaganda, and Grad missiles. But Ukraine’s dysfunctional institutions, especially its health care system, undermine Ukraine’s national security as well. Policies to reduce the enormous stress on Ukraine’s military and government alone ignore the delivery of core services. Without those services, Ukraine’s citizens remain vulnerable to its enemies, like Russia, who benefit from a weak state.

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