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Health and social welfare in Communist Czechoslovakia Health and social welfare in Communist Czechoslovakia 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