As a Ukrainian, it's not "the Ukraine" any more than America is "the America"
I don't know why people started calling it that, but people of that nation find it weird and slightly degrading.
Also, totally agree about their comparatively shitty quality of medicine, life, crime, corruption etc.
Sorry about that, my only experience with Ukraine is via the media, and a few Ukrainian-Americans who virtually never mentioned that country outside of "in my old country".

Edited to fix.