Hungarian health care in the 1930s and 1940s: health care at a crossroads in East Central Europe before World War II

Abstract

ABSTRACT The relationship between the Horthy era (1920–44) and the communist era shows continuities from a social historical perspective. The paper contributes to the reinterpretation of these relations by examining Hungarian health care in the 1930s and 1940s with a focus on the relationship between international transfers and path dependency in forging health care reforms. The author argues that the achievements communists regarded as inventions of socialism in health care and the welfare state had already been developed in the 1930s and 1940s. It was only because of the strict wartime budget of the early 1940s that these welfare reforms had not been realized. With the help of internal affairs documents, essays on health care, official statistics records in the National Archives of Hungary and the Semmelweis Library and Archives of Medical History as well as press material, Cora demonstrates that, even if communists depicted the interwar period as ‘fascist and imperialist’, the health care system of the so-called ‘productive social policy’ showed continuities. Moreover, social policy makers of the 1930s and early 1940s, such as Béla Johan, Ferenc Keresztes-Fischer and Béla Kovrig also designed welfare and health care reforms for the post-war period by both developing already existing Hungarian programmes and selectively adapting foreign welfare models (American management principles, the Alsace scheme and the Beveridge Plan). The study investigates Hungarian health care in view of the theory of path dependency and the macrohistorical convergence thesis developed by Tomka (on East–West convergence). It is within this framework that the paper addresses the issue of health care transfers to better understand the development of twentieth-century European health care systems by identifying similarities and differences in their development as well as to speculate on the trajectory of various political solutions to social challenges, including health care.