In my Secret Goat Town we have family doctors assigned to neighborhoods. They make house calls and also have an office at one of the local hospitals. When ours visited my father-in-law years ago my wife introduced me and she wrote my name down in her ledger. Anytime I need something I can go see her or call her and she will be available ASAP.
This is also how I got registered to vote with PR. My father in law was unable to travel anywhere so the city sent the local elections commission reps over to make sure he was still alive and brought him ballots when was time to vote. My wife asked if I could be registered to vote, I showed my PR...name entered in their register and I have been voting in all elections for the last 9 years (been here 11)....AT the polling stations, stand in line check in sign your name get your ballots vote and drop in box.
So I have not had problems with the doctors, even if I don't trust all of them, but have NOT paid for anything other than drugs, unless I go to one of the private clinics. No problem voting, no one questions my PR when I show it to sign in.
In both cases it was down to simply asking. ASKING means having your UKRAINIAN wife or husband do the asking(in the government offices) and you let them do all the paperwork. If you try to do it on your own you are screwed or end up paying some lawyer to do it for you. I never needed a lawyer to any paperwork for marriage or PR...ever. Why pay when you and your spouse can do it?
Anyway.... my 2r.