Not a bad episode overall. A good episode that showed that MacGyver wasn't just an action show but could have good acting to lead an episode. Both Mac and Peter are in Moscow where MacGyver learns that one of Pete's friends needs help.
It's also an episode where a guest star (Mr. Dobkin) playing the character of Alexander Karsoff, a Russian patient would later play in the series a completely different character in Professor Ryman, an American professor. LMAO (I always love it when writers to do that sort of switch almost to tell the audience to wipe a previous character from the memory).
As mentioned this episode has a lot to say from my view about mental institutions perhaps implying that people with mental illness aren't better off there as they might be subject to the abuse of crooked doctors and staff.
Richard Dean Anderson actually shows again that he can act by using a Russian accent through half the episode.
Overall it's not bad it may not be as flashy as the other MacGyver episodes but it didn't have to be.