Real USSR » soviet states

Myth Busting: Free Medicine, You Say?

eugenia — Wed, 16 Feb 2011 01:56:30 +0000

Mid 1980s. Image courtesy of Life magazine.

Whenever there is a heated argument whether things were better during the USSR times, this statement invariably pops up as a mighty ace: At least they had free medical care in the Soviet Union! This is supposed to bring the opponent to the knees and make them beg mercy and forgiveness for betraying the Great October achievements.

Well well well. Let’s have a close look at what really was free then.

After the events of October 1917, the Bolsheviks chose to nationalise all hospitals and medical practices previously founded by various state and charitable organisations. This would have been a feasible plan, had they not chosen to class all doctors as “rotten bourgeois” which meant that they had to emigrate from the “Red Terror” or face death.

Even Vladimir Lenin in a letter dated of Nov 1918 wrote to an acquaintance: Please go abroad to see a doctor – they have wonderful specialists in Switzerland and Vienna… Our so-called doctors are fools.

In early 1920s various medical experiments became popular and acquired great support of the state: without much of a theoretical base or substantial research, a lot of time and money was poured into genetical experiments to breed a new type of person – of a Socialist kind.

Al in all, the years in which the Bolsheviks were starting off were very tough: the country was in a run-down state after the WWI; there was a severe famine; pandemics of cholera, typhoid, malaria; as well rising numbers of people dying of various infections and malnutrition. From a health perspective, the state of many medical practices and hospitals was borderline catastrophic. The buildings were getting old without any hopes for repair; central heating often failed; medical supplies were insufficient and irregular. The food supplies were often short, and the burial of the dead was an issue as well.

The state spending on medicine was low to start with, and it was gradually declining: it was 3.9% of the total budget in 1927; 3.6% in 1928; 3.5% in 1929 and 3% only in 1930. The severe skill shortages in the health industry were imminent, and there was a strong urban focus in health providers’ locations – given that the supply was already short, the villages were even worse off.

In the late 1920s industrialisation, as per Stalin’s orders, aimed at developing the heavier industrial machinery production – so the times which what was already bad was turning even more foul. Bureaucracy was starting to settle in, while the budget cuts continued (2.5% of the total budget in 1932, 2.7% in 1933). On paper, as often in the USSR, things looked if not rosy but at least decent: the attention was drawn to preventative measures and the importance of the population’s health; whereas in reality it was very ugly.In our old post about the life in the 1920s, the images of those time were indeed scary, if you remember.

During the Second World War, the main beneficiary of medical help was, understandably, the army – the rest of the population, fair to say, was abandoned. Various types of typhoid, TB, dysentery, malaria, cholera and even plague were not uncommon– the diseases were spreading very rapidly due to the poor supply of drugs and increasing numbers of migrants.

When the war was over, the main efforts (as well as financial means) were generated towards rebuilding the towns and getting the economy back up – and as always, there was no room for medicine research and development. The health industry salary bands were among the lowest in the country. In 1940 the doctors were earning 255 roubles per month, as compared with 399 roubles average. In 1955 it was 521 roubles against 711 average. In August 1945 a group of doctors sent an open letter to Stalin describing the abhorrent situation in the health industry. It mentioned the factory workers with high-school qualifications were earning 1300–1400 roubles per month, whereas the hospital manager, a doctor with 8 years of education and years of experience would be fortunate enough to earn 800 roubles.

A paramedic on call.

The change was brought upon by Nikita Khrushchev, who was slowly setting new goals and getting his government to redevelop many facets of Soviet life. But the late fifties were also the times when the famous free Soviet medical care system stopped being free. The doctors became less covert in taking cash from patients in exchange for medical services, for medical supplies, for drugs. The less-qualified medical staff (nurses and caregivers) were making some extra cash by providing extra-nice services to patients – for 10 roubles per night you could have a nurse by your bed taking care of you – obviously, all other patients would have been neglected. Midwives in birthcare institutions were bribing the fathers – one would pay a one off 25 roubles for the girl and twice as much for the boy as to “take them home”.

Among the key problems were:

Alcoholism and drug use – extremely widespread.
Bad ecology – due to heavily exploited plants and factories, many towns were below par – the Southern republics, Moldavia, some parts of Ukraine, industrial central Russia and Siberia.
Food shortages – especially in the rural areas and small towns with the population of less than 100,000 people; as well as the appalling quality of food.
Extremely high rates of abortions (100 for every 1000 women in the age of 15–49; or 200 abortions for every 100 of births). Also, the actual procedure was a very primitive one which lead to the death of a woman in almost 25–30% of cases.
Health and Safety in employment – extremely high industrial accident rates
Road death tolls

Also, in early 1980s the widespread of sexually transmitted diseases started to take its toll. In 1970 more than 12% of women of reproductive age were diagnosed and treated from STD, many of whom suffered from syphilis. In 1987 the first case of HIV was registered, after which the disease had escalated to the point of people panicking.

The Soviet doctors had all the pressure to catch up with their Western counterparts, and they did their best, given the circumstances. The first successful heart transplant attempt did not happen until March 1987, which was almost 20 years after the American debut. Such a significant delay was not just due to the budget cuts and low financing – the appropriate legislative framework was missing, and so was the concept of organ donors.

This is how the free Soviet medicine had met the death of the Soviet state. It almost seems like the 70 years of the 20^th century did not provide any move forward – despite the antibiotics, vaccination and hundreds of thousands of graduate doctors, the overall state of the health industry was just ever so slightly better than at the end of the Tsar times. And then, of course, the typically Soviet traits of doing things: bureaucracy, corruption, the notoriously abhorrent levels of customer service and the low priority that the state would give the health industry.

This does not deny the Soviet doctors their achievements – over the course of 70 years, there would have been plenty – but nothing was easy and nothing was certainly free.

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City of UFA: Then and Now

eugenia — Thu, 02 Sep 2010 12:31:47 +0000

A merchant’s house. Early twenties.

A heritage building now

The city of Ufa, the capital of Bashkiria, is a town with the population of just over a million, at about 1500 km distance from Moscow. It is beautifully set at the confluence of the Belaya and Ufa rivers, on low hills to the west of Southern Urals. The city was founded in 1574 at the orders of Ivan the Terrible, and the name meaning “small” in Turkic. It is a well kept city with lots of greenery, wide alleys, parks and plentiful historic buildings.

Today’s post is a little different from our usual format, as the modern pictures of the city are, well, modern and not of the Soviet epoch. It is still nice to see, however, how the city has been changing over the past hundred years — and the old photographs are still full of life and very easy on the eye.

Building of 8 Floors. Designed and built after WWII by German architects.

Building of 8 floors now.

One of the main streets: Lenin St, Bashkiria Hotel

Old tram. November 1947.

Hotel Bashkiria at night.

Cinema center Rodina

Constantine with Keanu Reeves is on

Old merchants’ houses on a market day

A shopping and entertainment center now. Was rebuilt in early 2000

A former bank

National Museum now

Was fully redeveloped in late 1990s

The events centre, named after Ukrainian Bolshevik and a close friend of Stalin Sergo Ordzhonikidze

Ordzhon, as it is more commonly called.

One of the longest streets in town: in 195os it was called Stalin Avenue

The trams were put in around mid 1970s. The Stalin name got dropped.

Now it is October Avenue.

Opera and Ballet House

Belaya River vista: the small smudge above the forest to the right is the horse statue: see below

The house of Parliament. The horse statue is more visible. Stunning views when you drive into the city

Salavat Yulaev. One of the tallest horse statues in Europe.

A popular photo shoot destination now.

The Soviet Square. 13 April 1964

The Square today — interestingly enough, it still hasn’t been renamed.

City Council

Arguably the most prestigious university in town and among the top ten in the country: the Aviation Industry University.

Its computer science and engineering graduates are among the most sought-after in the world.

For another example of “there and now” see our old post about Novosibirk.

Some images are courtesy of Olga Eigeison aka perebeia.

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May, 1st: Soviet Labour Day.

eugenia — Sat, 01 May 2010 13:22:03 +0000

Parade of 1984, city of Ufa. Photo by N. Marochkin.

Day of International Solidarity of the Working Class, or Labour Day — was celebrated in Russia on May, 1st from 1919 to 1990. A public holiday for each every city, every township or village had a parade organised: flags were carried, posters and banners were up, kids had red ballons and portraits of the governing men were on display. The attendance usually was compulsory, but judging by the photographs now, I don’t think anybody minded: it looks like people had fum there. By May the weather was usually sunny and crisp, and this holiday was a little more that a propagandist activity: it was a unifying event. Please read on to see some faces behind the crowd.

Novosibirsk 1938. Photo from a private collection.

Novosibirsk 1953. Photo from a private collection.

Moscow 1958. Photo from a private archive by S. Buldakov.

Top Army guys. Moscow 1958. Photo from a private archive by S. Buldakov.

Novosibirsk 1958. Photo from a private collection.

Sports Club Marching. Novosibirsk 1972. Photo from a private collection.

Moscow 1978. Photo from a private archive.

City of Ufa 1984. Photo by N. Marochkin.

Toast to solidarity! Moscow 1978, photo from a private collection.

Moscow, late 1970s. Brezhnev is in the middle. Photo from a private collection.

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Good Soviet Kids Go to Heaven? Nope, They Go to Artek!

eugenia — Tue, 06 Apr 2010 02:44:12 +0000

Kids in the traditional uniform.

The most famous PR image of the pioneria of the Soviet Union was a summer vacation camp situated in the Crimea (Ukraine), next to Gurzuf town. Founded as a sanatorium for the kids suffering and recovering from the TB by the Russian Society of the Red Cross, it first opened doors in 1925, June 16th, accommodating about 80 kids from Moscow and the nearest Ukrainian towns.

Then it was just a step ahead of a basic camping ground, with kids sleeping in tents out in the forest. However, it grew rapidly until in early 1930s a few permanent buildings were built. It was then Artek started working all year round due to its mild Mediterranean-like climate.

One of the first lots to arrive, early 1920s

1927. Central — Artek’s founder Soloviev, next to him — GM Shishmarev.

1925. The evidence of tent life.

1928. Arrival from Simpheropol

For a regular Soviet kid, a ticket to Artek did not cost anything – yet it had to be well-earned. Within a school, for instance, only the top students were rewarded by the trip to Artek. During its heydays Artek accommodated about 27 000 kids a year, so from its first days to 1969 about 300 000 kids were able to enjoy the facilities. By then the area of the camp was about 3.2 km², there were more than a hundred bulidings including the sleeping quarters, three medical buildings, a proper school for those visiting Artek during the academic year; a movie pavillion Artekfilm, three swimming pools, a stadium seating more than 6000 spectators at a time as well as a park, a garden and some sporting and play grounds.

One of the permanent blocks on Artek’s territory

After the Collapse of the Soviet Union the popularity of Artek took a swing, due to the lack of funding and the overall mishaps of the Ukrainian country. But it quickly gained its status back and it is a popular vacation site for the kids from all over Russia and Ukraine – despite the fact that now the parents bear the costs of a vacation.

The seaside. Suuk Su Beach, the diver statue

The flag alignment

A typical day at Artek would have a 7 am start, regardless of the season, followed by the morning exercise and bathroom routines. After breakfast kids would go to the beach, be it summer – or to the school quarters in winter, where they’d stay till lunch – sunbathing or studying, depending how lucky they are. After lunch – and this has been reinforced quite seriously from the very early days of the camp – all kids, regardless of age, would have to take a two hour nap. Traditionally the Artek nap has been nicknamed as Absolut – because during the nap the supervisors would require absolute silence – even if one was awake, he could only read quietly in bed, no exceptions. After the nap and a wee snack (a glass of juice/piece of fruit/tea with biscuits) kids split up into their teams and prepare for competitions or concerts till dinner. After dinner – and the food was good! — the whole of Artek would get together. 10Pm was the bed time, and it would be much desired – after such an intense day.

1933. The Big Fire — the symbol of pioneria.

Structurally Artek was a group of ten smaller camps, each accommodating kids according to their age, from 9 up to 16. Each team of kids would have two or three adult supervisors, who typically are students in training to become teachers. The supervisors are responsible for kids safety, entertainment and the nicest memories. Kids would have to defend the honour of their teams in sport, singing, dancing, theatrical plays and so on.

Faces of 1937

Morning exercise.

Morning exercise

Canteen. Most likely, lunch. The reputation of Artek’s food has always been very envious.

Sea voyage. The boat is called Artek

1934. Sailing in the harbour

After the swim. Till late 1940s, there were alternate boys’ and girls’ days, until swimsuits were made compulsory

Circa 1935

Idle time

Chess tournament

Supervisors, late 1920s

A concert.Different coats of arms of different republics. Kids dressed in traditional costumes.

Dance Rehearsal

Dance performance

And now possibly two of the most scary photographs of the entire epoch, which could not even leave the kids’ summers alone. Every time I look at these two pictures below, I feel a pang of guilt — something which we all own to those kids.

The one below is all camp’s gathering. Mind the blank faces — those guys, during the Stalin’s repressions, were announced as public enemies and were executed. Their faces were erased from all photos — so the camp wouldn;t be linked with those names.

1937.

And one more.

A regular outing? It is. The only issue is, it is the morning of June, 22nd, 1941. A few hours later it will be announced that Germany has invaded Russia and the war is upon these kids.

June 22nd, 1941.

To be continued.

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Picturing the Soviet Republics: Moldavia

Stas Kulesh — Thu, 10 Sep 2009 17:29:48 +0000

No doubt photography was a popular art in the USSR. Here and below are pictures taken by the people all over the Soviet state of Moldavia. Today’s set based on the book called “Moldavian Art of photography”, Kishinev (recently renamed to Chisinau), 1985.

Please do not forget clicking the lense icon to see full size images and please follow us on twitter.

Portrait of a Worker by M. Potyrnike

Optimist by V. Gaydash

Eyes by V. Bozhenko

Veterans by A. Simanovsky

Summer-83 by A. Gomonuk

Kickback by A. Grinko

Many thanks to a Russian photographer Liubov Sautina for keeping these fascinating pictures. Please visit her Flickr page.

If you would like to clarify what is on the photos — do not hesitate to question.

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Picturing the Soviet Republics: Ukraine

Stas Kulesh — Thu, 27 Aug 2009 23:29:32 +0000

This time we are traveling to Kiev, the capital of one of the most significant Soviet states — the Ukraine. Below you will find pictures from a book called “Amateur Photographers”, published in Kiev in 1986.

If you would like to clarify what is on the photos — do not hesitate to ask. Click on the magnifying glass icon for a more detailed view of the full sized images. Please follow us on Twitter and stay tuned. Thank you.

An Encounter. (L. Sidorsky).

In the Artek (famous young pioneer summer camp) by V. Narkyavichute

You Get Half and I Get Half (A. Nesterenko)

Son of the Earth (A. Bovkun)

First Time to Watch by a Sickbed (L. Popov)

Future is Waiting by M. Polischuk

Many thanks to a Russian photographer Liubov Sautina for keeping these fascinating pictures. Please visit her Flickr page.

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