No, it is not an island. 
 The health care system of Tajikistan ranks among the poorest and most underdeveloped in the world. It has severe shortages of medical supplies despite efforts by the government to improve and expand the system. 
 Is theirs a Free Health Care system 
 maybe another time. have a good day and Thank you again. 
 Is Tajikistan an island and the bridge connects it to the mainland?
No, it is not an island.