Health and social welfare in Communist Czechoslovakia

Last updated

Characteristics

In the 1980s, Czechoslovakia had a comprehensive and universal system of social security under which everyone was entitled to free medical care and medicine, in theory at least. National health planning emphasized preventive medicine. Factory and local health care centers, first aid stations, and a variety of medical clinics supplemented hospitals and other inpatient institutions. The ratio of physicians to inhabitants has improved steadily, climbing from 1 per 745 in 1954 to 1 per 278 in 1985, although there were shortages of doctors in rural areas. The shift in the distribution of health resources in the 1960s and 1970s was dramatic; facilities were improved, and the number of health care personnel in Slovakia and rural areas increased in general. Despite the improvements, about 40% of all the medical equipment was obsolete, facilities were outdated and in short supply, the bureaucracy was excessive, and small bribery was widespread.

Spas

Spas in Czechoslovakia were part of the health care system. In 1985 more than 460,000 people (5% of whom were children) stayed at the 35 spas in the Czech lands and 23 spas in Slovakia. Many spas had existed for centuries, such as Bardejov (since the 13th century) in Slovakia and Karlovy Vary in the Czech lands. Many of them specialized in the care and treatment of particular kinds of ailments. All had either mineral or hot springs, and some also offered mud treatments. In bygone days, the spas were frequented by European royalty and the wealthy, but in the 1980s they were open to all, including foreign tourists (who made up 10% of the patients in 1985). A number of people visited spas on vouchers provided by their trade unions.

Life expectancy

In 1984 life expectancy in Czechoslovakia was 67 years for men and 75 years for women. In 1950 women's life expectancy was approximately 4.6 years longer than men's; by 1983 this difference had increased to nearly 7.5 years. Infant mortality stood at 10.5 per 1,000 live births in 1984, down from 15.6 per 1,000 in 1975. As with medical care, the gap in life expectancy between the Czech lands and Slovakia was narrowed during this period.

Pensions

In 1985 slightly more than one-quarter of the Czechoslovak population received some kind of pension; the elderly, the disabled, widows, and orphans were all entitled to assistance. Social security benefits (primarily retirement and disability) were equal for all wage earners. The average pension was less than Kcs1,000 per month (workers received an average pension of about Kcs 1,130, cooperative farmers about Kcs880, and independent farmers about Kcs720); this put pensioners among the lowest income earners. A substantial minority of the retired (23%) took up employment again to supplement their pensions.

Maternity and childcare benefits

Women workers had a full complement of maternity and childcare benefits. Maternity leave (at 90% of full pay) was twenty-six weeks in the 1980s; an additional nine weeks were available for single mothers or for mothers having multiple births. Employers could not deny a woman's request for an additional year of unpaid leave for child rearing (without loss of job seniority). A system of child allowances and maternity grants also assisted women who took unpaid leave. Women were allowed three days of annual leave in case of illness within the family. There were substantial family allowances, in addition to direct grants, to single parents or families with handicapped children. An unmarried mother, widow, or divorced mother could not be fired if she had a child under three years of age; if she had children between three and fifteen years of age, her employer had to find her another job before dismissing her.

Facilities for younger children

Nursery facilities for younger children were in very short supply; in 1984 they could accommodate less than 10% of children under five years of age. Beyond the sheer lack of space, nurseries were poorly distributed and were often concentrated in older centers rather than in new housing developments where young families were likely to reside. Kindergartens were in better supply, and a much higher percentage of children between the ages of three and six years attended these schools.

Birthrate and abortion rate

High employment of women and inadequate services contributed to the decline in Czechoslovakia's birthrate in the 1960s. Live births during the decade averaged 16 per 1,000 inhabitants, a significant drop from the 1950s. By 1968 the fertility rate was under 2 children per woman (in comparison with almost 3 in the 1950s); at this rate the population would not replace itself. In the Czech lands, the population growth rate stood at its 1930s low; in Catholic Slovakia, it was the lowest on record. The government adopted a variety of explicitly pronatalist policies in the 1970s. Family allowances increased, especially for second and third children. By 1973 a family with three children received roughly one-third the average worker's salary in allowances. Birth grants doubled so that they were the equivalent of two to four weeks of family income. Low-interest loans to newlyweds were designed so that a portion of the principal was canceled with the birth of each child (Kcs 1,000 for the first and Kcs4,000 for each subsequent child). All told, the financial incentives were substantial. In addition, couples with children had priority on apartment waiting lists and were entitled to larger living quarters, no small inducement in the face of Czechoslovakia's chronic housing shortage. Pronatalist policies appear to have had a strong influence on population growth during the 1970s. The birthrate climbed from its 1968 low (14.9 per 1,000 inhabitants) to a peak of 19.9 per 1,000 inhabitants in 1974—one of the highest rates among industrial nations. Perhaps a quarter of this increase reflected the increase in the number of women of child-bearing age in the 1970s. After 1974, however, the birthrate steadily declined, falling to 14.5 by 1985. Figures indicated that a trend toward one-child families was emerging. The message seemed to be that after one decade the government's aid program was ineffective.

A major factor influencing the birthrate was the abortion rate. The number of abortions fluctuated between the 1950s and 1980s, dropping in the early 1960s and the early 1970s. In 1985 there were reportedly 144,712 abortions, or 39 abortions per 100 pregnancies (33.5 per 100 in the Slovak Socialist Republic and 42.1 per 100 in the Czech Socialist Republic). It has been suggested that abortion has remained one of the most favored means of birth control, despite the risks involved. A 1986 change in the abortion law (eliminating the panel needed to approve a request for an abortion) suggested that the regime was giving up in its efforts to reverse at least this aspect of the adverse demographic trends.

Housing

Since statistics did not always provide a comparison between the numbers of households and existing housing units, the housing deficit remained difficult to gauge. A comparison of the number of marriages annually and construction of new 1 housing units between 1960 and 1975 shows that construction exceeded marriages only in 1975. The deficit was most acute in the 1960s, when an average of housing units was built for every 10 marriages; in 1985 the ratio rose to an average of 8.8 units per 10 marriages.

This approximation underestimated the housing deficit: it ignored divorces, the number of extended families living together who would have preferred separate housing, and the decay of old housing . Even waiting lists underestimated how inadequate housing was in the 1980s. Separate housing for single adults had such a low priority with planners that single adults found it difficult even to get on a housing list.

One of the factors contributing to the housing shortage was the low construction rate of rental housing. Major reasons for this were high inflation, high construction costs, and low (heavily subsidized) rents. In 1985 the average building cost for apartments rose to Kcs2,523 per square meter, and the average monthly rent—for the seventh consecutive year—was Kcs358. Construction of individual homes peaked in 1977 at 40,107 and decreased to 29,608 in 1985. Building a home privately was possible, but acquiring labor and materials was difficult and sometimes risky; it often meant borrowing machinery illegally or paying bribes for materials.

Despite substantial gains in the 1970s, Czechoslovakia entered the 1980s with a housing shortage that was likely to take years to remedy. In 1986 the government announced a slight cutback in new housing construction for the 1986–90 housing plan, further aggravating the situation.

Related Research Articles

<span class="mw-page-title-main">Czechoslovakia</span> Country in Central Europe, 1918–1992

Czechoslovakia, was a sovereign state in Central Europe, created in 1918, when it declared its independence from Austria-Hungary. In 1938, after the Munich Agreement, the Sudetenland became part of Germany, while the country lost further territories to Hungary and Poland. Between 1939 and 1945 the state ceased to exist, as Slovakia proclaimed its independence and the remaining territories in the east became part of Hungary, while in the remainder of the Czech Lands the German Protectorate of Bohemia and Moravia was proclaimed. In 1939, after the outbreak of World War II, former Czechoslovak President Edvard Beneš formed a government-in-exile and sought recognition from the Allies.

Czechoslovakia, of all the East European countries, entered the postwar era with a relatively balanced social structure and an equitable distribution of resources. Despite some poverty, overall it was a country of relatively well-off workers, small-scale producers, farmers, and a substantial middle class. Nearly half the population was in the middle-income bracket. It was a balanced and relatively prosperous Czechoslovakia that carried nationalization and income redistribution further than any other East European country. By the mid-1960s, the complaint was that leveling had gone too far. Earning differentials between blue-collar and white-collar workers were lower than in any other country in Eastern Europe. Further, equitable income distribution was combined in the late 1970s with relative prosperity. Along with East Germany and Hungary, Czechoslovakia enjoyed one of the highest standards of living of any of the Warsaw Pact countries through the 1980s.

<span class="mw-page-title-main">Birth rate</span> Total number of live births per 1,000 population divided by the length of a given period in years

The birth rate for a given period is the total number of live human births per 1,000 population divided by the length of the period in years. The number of live births is normally taken from a universal registration system for births; population counts from a census, and estimation through specialized demographic techniques. The birth rate is used to calculate population growth. The estimated average population may be taken as the mid-year population.

<span class="mw-page-title-main">Total fertility rate</span> Number of children a woman is expected to have barring select circumstances

The total fertility rate (TFR) of a population is the average number of children that would be born to a woman over her lifetime if:

  1. she were to experience the exact current age-specific fertility rates (ASFRs) through her lifetime
  2. she were to live from birth until the end of her reproductive life.
<span class="mw-page-title-main">Sub-replacement fertility</span> Total fertility rate that (if sustained) leads to each new generation being less populous

Sub-replacement fertility is a total fertility rate (TFR) that leads to each new generation being less populous than the older, previous one in a given area. The United Nations Population Division defines sub-replacement fertility as any rate below approximately 2.1 children born per woman of childbearing age, but the threshold can be as high as 3.4 in some developing countries because of higher mortality rates. Taken globally, the total fertility rate at replacement was 2.33 children per woman in 2003. This can be "translated" as 2 children per woman to replace the parents, plus a "third of a child" to make up for the higher probability of males born and mortality prior to the end of a person's fertile life. In 2020, the average global fertility rate was around 2.4 children born per woman.

Social security in Sweden is an aspect of the Swedish welfare system and consists of various social insurances handled by the National Agency for Social Insurance, and welfare provided based on need by local municipalities. Social security is the main conduit for redistribution of approximately 48% of the Swedish GDP in the form of taxed income.

<span class="mw-page-title-main">Czechoslovak Socialist Republic</span> Republic in Central Europe between 1948 and 1990

The Czechoslovak Socialist Republic, formerly known from 1948 to 1960 as the Czechoslovak Republic or Fourth Czechoslovak Republic, was the official name of Czechoslovakia from 1960 to 29 March 1990, when it was renamed the Czechoslovak Federative Republic. On 23 April 1990, it became the Czech and Slovak Federative Republic. From 1948 until the end of November 1989, the country was under Communist rule and was regarded as a satellite state in the Soviet sphere of interest.

<span class="mw-page-title-main">Family in the Soviet Union</span>

The view of the Soviet family as the basic social unit in society evolved from revolutionary to conservative; the government of the Soviet Union first attempted to weaken the family and then to strengthen it.

The commemorative coins of Czechoslovakia were minted by State Bank of Czechoslovakia. They were legal tender not only in Czechoslovakia but in 1993–2000 in the Czech Republic too.

Social welfare has long been an important part of New Zealand society and a significant political issue. It is concerned with the provision by the state of benefits and services. Together with fiscal welfare and occupational welfare, it makes up the social policy of New Zealand. Social welfare is mostly funded through general taxation. Since the 1980s welfare has been provided on the basis of need; the exception is universal superannuation.

Abortion in Romania is currently legal as an elective procedure during the first 14 weeks of pregnancy, and for medical reasons at later stages of pregnancy. In the year 2004, there were 216,261 live births and 191,000 reported abortions, meaning that 46% of the 407,261 reported pregnancies that year ended in abortion.

A baby bonus is a government payment to parents of a newborn baby or adopted child to assist with the costs of childrearing.

<span class="mw-page-title-main">Abortion in Russia</span> Overview of the legality and prevalence of abortions in Russia

Abortion in Russia is legal as an elective procedure up to the 12th week of pregnancy, and in special circumstances at later stages.

A two-child policy is a government-imposed limit of two children allowed per family or the payment of government subsidies only to the first two children.

<span class="mw-page-title-main">Welfare in Finland</span> Overview of welfare in Finland

Social security or welfare in Finland is very comprehensive compared to what almost all other countries provide. In the late 1980s, Finland had one of the world's most advanced welfare systems, which guaranteed decent living conditions to all Finns. Since then social security has been cut back, but the system is still one of the most comprehensive in the world. Created almost entirely during the first three decades after World War II, the social security system was an outgrowth of the traditional Nordic belief that the state is not inherently hostile to the well-being of its citizens and can intervene benevolently on their behalf. According to some social historians, the basis of this belief was a relatively benign history that had allowed the gradual emergence of a free and independent peasantry in the Nordic countries and had curtailed the dominance of the nobility and the subsequent formation of a powerful right wing. Finland's history was harsher than the histories of the other Nordic countries but didn't prevent the country from following their path of social development.

<span class="mw-page-title-main">Population planning in Singapore</span> Two distinct phases of the population planning in Singapore

Population planning in Singapore spans two distinct phases: first to slow and reverse the boom in births that started after World War II; and second, from the 1980s onwards, to encourage parents to have more children because birth numbers had fallen below replacement levels.

Abortion in Afghanistan is affected by the religious constraints from the national religion, Islam, and by the extremely high birthrates. Afghanistan has one of the highest fertility rates, but its levels are decreasing since the fall of the Taliban, as aid workers can now enter the country to help with fertility and decrease mortality rates. Afghan law is influenced by Islamic law, which comes from the Qur'an.

The benefit cap is a British Coalition government policy that limits the amount in state benefits that an individual household can claim per year. The benefit cap was introduced in 2013 at £26,000 per year which was the average family income in the UK. For single people with no children it was set at £18,200 per year. The level of the benefit cap was subsequently lowered following an announcement in the July 2015 United Kingdom budget. From Autumn 2016 it was reduced to £20,000, except in London where it was reduced to £23,000.

<span class="mw-page-title-main">Socialist perspectives on abortion</span>

Socialist perspectives on abortion vary. In the first world, some socialist individuals believe in the legalisation and right to abortion on demand as a public service, whereas others do not believe abortion should be legal in any circumstances for a number of reasons. In Third World, there are discussions regarding traditionalists, Natalists, Malthusianists, and economics factors within society.

<span class="mw-page-title-main">Aging of South Korea</span> Overview of aging in South Korea

In South Korea, aging refers to an increase in the proportion of senior citizens to the total population. The term "senior citizens" include those aged 65 or older. According to Article 3 no.1 of the Framework Act on Low Birthrate of an Aging Society, the term "aging population" refers to the increasing proportion of elderly people in the entire population.

References

PD-icon.svg This article incorporates text from this source, which is in the public domain . Country Studies. Federal Research Division.