Health Care Delivery System, also abbreviated as HCDS, is a system devised by the state for the proper delivery of health care for their populations.This is a service providing system in which society's health is determined and steps are taken to maintain it. The aim of this article is to compare the healthcare delivery system (HCDS) of Pakistan and Russia. This research article presents the basic concept behind the health care delivery systems of two countries to take notice of the importance of human beings and take steps to maintain and promote the healthy life of the people of the community.Findings show the efficacy of this HCDS varies with the resources, demands and needs of the individuals along with the availability of finances. All the participants of a community receive the healthcare services continuously including health promotion, prevention of diseases, diagnosis and disease management, followed by rehab with palliative care. All of these are delivered at different levels of the system, at different sites of care as per the requirement of the users.