Comparison of the number of medical professionals in the U.S. and USSR 1970-1987

Throughout the 1970s and 1980s, the Soviet Union consistently had more physicians per 100,000 population than the United States, with the U.S. having roughly two thirds the number of doctors per capita that the USSR had. In real numbers, there were 1.05 million physicians in the Soviet Union in 1985, compared with 0.58 million in the U.S.. In contrast, the U.S. had more dentists per capita than the Soviet Union in these years (which had notoriously bad overall dental care), while the share of nurses was higher in the Soviet Union in the 1970s, but higher in the U.S. in the 1980s.

Healthcare in the Soviet Union

Despite this relatively large difference in the number of doctors, the death rate in the Soviet Union increased greatly in these years, while it fell in the U.S.. Until the 1970s, healthcare in the Soviet Union had been a centralized system, among the most competent and reliable in the world, and it oversaw significant improvements in the living standards of Soviet citizens while maintaining developmental pace with the west. This system was overhauled in the 1970s, however, and the economic downturn of the following two decades meant that the Soviet healthcare system then deteriorated. Internal standards dropped, less time was spent on patients, and access to medicines (particularly antibiotics) and equipment fell. The supposedly "free" system also became increasingly dominated by under the table payments, where citizens could be expected to pay 500 rubles (2.5 times the average monthly salary) for an operation or baby delivery.

While the number of physicians and hospital beds increased in the 1970s and 1980s, the lack of training saw an overall decline in the standard of healthcare provided. In these decades, a private healthcare system also opened for Soviet elites, and a disproportionate amount of healthcare professionals defected from state-run hospitals. Following Soviet dissolution in the 1990s, attempted reforms in successor states often failed due to economic mismanagement, and the quality of healthcare dropped even further in many areas, before gradually improving in the past two decades.