Due to lack of resources, the government had to set limits to health benefits which created discontent among citizens. It was still determined to provide universal health coverage to its citizens without soviet support. Ukraine maintained the fundamental health system under the USSR with a few changes made later on. There was a dire need for healthcare but the country had limited resources available. Ukraine gained its independence from the USSR in 1991 and experienced a harmful process of economic restructuring and social instability. The 1970s and 1980s had increased specialized care facilities, consulting rooms in polyclinics, and conversion of general medicine units to specialized care. By the early 1970s, the life expectancy increased to 70 years. There was a rapid expansion of this health system which provided universal access to health services and improved population health significantly. The period after the war focused on rebuilding the health care system and addressing the concurrent epidemics. During World War II, Ukraine suffered detrimental consequences with many health facilities destroyed again and many health professionals were killed or deported. Planning of resources and personnel, among other healthcare decisions, was highly centralized with little autonomy for regional and local governments. The health system in Ukraine was under strict control of the central government in Moscow. This concept declared state responsibility for health care, universal health coverage, high quality care and prevention of disease. In 1918, the People’s Commissioner of Health, Semashko, introduced Soviet health care. After World War I the USSR faced immense epidemics and other health problems with much of the healthcare infrastructure destroyed.
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