by Galina Stolyarova, Transitions Online, Czech Republic - For too many Russians who get sick, a piece of paper will decide their fate.According to the nongovernmental Russian League for the Protection of Patients, every year more than 50,000 people die and many more become disabled as a result of sub-par medical help. Even state-employed experts, including the country’s chief lung specialist, Alexander Chuchalin, admit the country’s health-care system is in trouble and that on average every third diagnosis is wrong.