One Ruble

Here is a joke that describes somewhat the reason for some of my trepidation for going back to school:

A Russian walks into a bar and orders a beer. "That will be one ruble," says the bartender.
"One ruble!" the customer protests, "last week it was only fifty kopeks!"
"Well," replies the bartender, "it's fifty kopeks for the beer and fifty kopeks for the perestroika."
Reluctantly, the customer gives the bartender a ruble, and is surprised when the bartender gives him back fifty kopeks and says, "We are out of beer."

Ruble = Time (fifty kopeks) and money (fifty kopeks)
Perestroika = Healthcare system reforms
Beer = Satisfaction