Equality for All In 1917, like everything else, medical services were nationalized by the new socialist government. Gradually, small medical practices disappeared and a network of big, factory-like hospitals and out-patient clinics were established all around the country. Everyone was registered in both out-patient clinics and hospitals according to their government-assigned residence. Patient choice was completely taken away by the Soviet State, which took full responsibility for centrally planning each individuals medical expenses and health care. With the elimination of private expenditures for health services, the form and amount of medical care were now dependent upon the budgetary priorities of the State. All members of the medical industry were put on low fixed monthly salaries and were mandated to examine and treat an overwhelming daily quota of patients. Medical research became dependent upon inadequate annual budgetary allocations from the government. Doctors and nurses incomes no longer depended on their professional skills or the number of patients they treated. Total unionization of the medical profession made it practically impossible for anyone to be fired. Without markets and prices determining the value and availability of health care, the government imposed a rationing system for medical services and pharmaceutical products. Specialized services (mammograms, ultrasounds, and so forth) were available only in a few select hospitals where the doctors were supposed to treat patients as well as participate in research. For example, in the case of brain or cardiovascular surgery and treatment, there were only a few specialized hospitals available in the entire country. People sometimes died waiting in line to be admitted for these treatments. Socialized Health Care: The Communist Dream and the Soviet Reality | Foundation for Economic Education The problems here should be self evident, if this is the utopia that you are seeking with "Universal Healthcare" then this is what you are going to get. All statistics from the W.H.O. aside, when you look at Canda, the U.K. and several other countries with socialized medicine they all have one common theme. That theme is more coverage less service. So if the goal here is to have a medical system that provides poor quality medical care at the expense of covering everyone then that is what it will achieve.