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President Franklin D. Roosevelt started what is now known as the  welfare program in the United States. It was created in response to  the Great Depression.
In the next 50 years, spurred by socialist theory and the increasing power of organized labor, state-supported social welfare programs grew rapidly, so that by the 1930s most of the world's industrial nations had some type of social welfare program. Not all governments have equally extensive social welfare systems. Great Britain and the Scandinavian countries, often termed welfare states, have wide-ranging social welfare legislation. Britain's National Health Service, for example, was established (1948) to provide free medical treatment to all.