* Very poor households are those with expenditures at less than 50 per cent of the poverty line. Source: Klugman, 1995. p. 7. As the table shows, households with children, or unemployed or invalid members are much worse off, but pensioners do better than the national average. Unbelievably, around 50 per cent poverty is found amongst those employed in agriculture and forestry, i.e., the village population. Another common feature, manifest in Russian and Hungarian household surveys - one that is surely general in countries in transition - is that poverty has not jelled yet, it is not overwhelmingly longterm yet, it is still on the move. [...]
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Country | 1989 | 1990 | 1991 | 1992 | 1993 | 1994 | 1994 data as a percentage of 1989 data |
| Bulgaria | 158.2 | 168.1 | 179.3 | 160.4 | 157.2 | 156.0 | 98.6 |
| Czech Republic | 156.0 | 155.5 | 161.4 | 163.4 | 164.5 | .. | 105.4 |
| Poland | 120.5 | 118.4 | 121.1 | 120.6 | 126.4 | 117.8 | 97.7 |
| Hungary | 112.2 | 110.4 | 102.9 | 106.0 | 98.0 | 92.0a | 82.0 |
| Romania | 157.3 | 158.5 | 145.3 | 146.5 | 159.6 | .. | 101.5 |
| Slovakia | 153.4 | 158.6 | 158.2 | 147.8 | 142.0 | 141.2 | 92.0 |
| Russia | 95.9 | 96.9 | 100.6 | 103.9 | 107.4 | 110.4 | 115.1 |
| Ukraine | 137.7 | 141.0 | 142.5 | 142.5 | 141.0 | 146.0 | 106.0 |
| Bulgaria | 56.7 | 57.1 | 42.7 | 52.4 | 49.7 | 44.1 | 77.7 |
| Czech Republic | 103.4 | 101.9 | 92.2 | 91.2 | 88.8 | ... | 85.9 |
| Poland | 64.3 | 68.9 | 72.1 | 69.5 | 69.8 | 65.6 | 102.0 |
| Hungary | 81.0 | 75.8 | 74.3 | 76.2 | 70.9 | 69.5a | 85.8 |
| Romania | 57.1 | 66.1 | 61.1 | 49.9 | 49.8 | .. | 87.2 |
| Slovakia | 88.5 | 88.4 | 80.8 | 73.3 | 68.7 | 68.2 | 77.0 |
| Russia | 71.7 | 69.8 | 65.3 | 57.9 | 57.3 | 59.0 | 82.3 |
| Ukraine | 68.6 | 68.2 | 65.5 | 53.4 | 46.0 | ... | 67.0 |
| Bulgaria | 132,2 | 136.1 | 114.8 | 92.5 | 83.5 | 82.4 | 62.3 |
| Czech Republic | 259.6 | 256.2 | 242.7 | 214.4 | 190.1 | .. | 73.2 |
| Poland | 133.2 | 124.2 | 117.6 | 114.4 | 111.2 | 107.0 | 80.3 |
| Hungary | 189.6 | 169.9 | 167.9 | 159.7 | 145.1 | 141.1a | 74.4 |
| Romania | 135.9 | 140.1 | 163.3 | 163.7 | 176.9 | .. | 130.2 |
| Slovakia | 253.2 | 226.3 | 211.8 | 193.8 | 170.6 | 166.1 | 65.6 |
| Russia | 388.6 | 378.4 | 348.5 | 294.2 | 305.1 | 294.0 | 75.6 |
| Ukraine | 366.9 | 373.2 | 345.5 | 284.5 | 275.0 | 256.0 | 69.8 |
| Bulgaria | 3269 | 3284 | 2894 | 2801 | 2682 | 2665 | 81.5 |
| Czech Republic | 3234 | 3304 | .. | .. | .. | .. | - |
| Poland | 2891 | .. | 2767 | 2744 | 2667 | 2955 | 102.2 |
| Hungary | 3499 | 3386 | 3218 | 3298 | 3126 | 3052a | 87.2 |
| Romania | 2949 | 3038 | 2832 | 2758 | 2959 | .. | 100.3 |
| Slovakia | 3234 | 3333 | 3276 | 3126 | 3143 | .. | 97.2 |
| Russia | 2603 | 2590 | 2527 | 2438 | 2552 | 2427 | 93.2 |
| Ukraine | 3517 | 3597 | 3445 | 3151 | 2860 | 2895 | 82.3 |
a Hungarian Statistical Pocketbook 95. Budapest, 1996
Source: UNICEF, 1995, pp. 135-137.
* The consumption of biologically important dairy products and meat and meat products is declining. Table 4 shows this to be an unambiguous trend. The only exceptions are milk consumption in Romania and meat in Poland. The first is due to the distribution of land and the larger number of domestic animals kept on household plots in Romania, the latter clearly to the end of an artificially created shortage of meat. The ancien regime had kept meat prices irrationally low, the liberalization of prices put an end to this. As a result the consumption of meat first grew, and then declined.
* The consumption of fruit and vegetables is declining further in the post Soviet states (see OECD, 1995, p. 124). The situation is not as clear in Central Europe. In Hungary, for instance, time sequences published in statistical yearbooks up to 1992 show a slight growth in the consumption of vegetables; the consumption of home grown fruit has clearly fallen, that of tropical fruits has risen. Fruit consumption as a whole has significantly declined compared to 1989. It is likely that in countries to the north of Hungary, an end of import restrictions on fruit and vegetables had an even larger role, but deteriorating income conditions made it impossible - in spite of greater choice - to improve the earlier unsatisfactory state of fruit and vegetables consumption.
[...]
Mortality rates have noticeably risen in the five years of systemic change and life expectancy at birth has fallen. According to UNICEF, 1995, pp. 110-111, mortality per thousand inhabitants has risen by 4.9 and 3 per cent respectively in Russia and the Ukraine between 1989 and 1994. This is a huge difference, and implies a deterioration of 45.8 and 25.6 per cent respectively.
In Central and Eastern Europe mortality figures have only fallen in the Czech Republic and Slovakia, elsewhere they have risen, by 10 per cent in Bulgaria and 9.3 per cent in Romania. At 5.1 per cent the deterioration was smaller in Hungary, or in Poland, where the rise was only temporary, in 1991, and by 1994 the original rate was reestablished. Shock therapy meant accelerated deterioration for both living conditions and vital statistics. The year when shock therapy started appears as a watershed: 1990 in Poland, 1991 in Bulgaria, 1992 in Russia. After that Poland succeeded in stabilizing the processes, Russia did not.
Life expectancy at birth (Table 5) manifests the same interconnections. Here, too, there is a catastrophic shortening in Russia (by six years for men) and in the Ukraine. In Russia life expectancy at birth for men (58.2 years) is below the age of retirement. Here too, the position improved in the Czech Republic and Slovakia. Poland showed in 1991 a significant decline for both men and women; the indices improved later. Unfortunately, the trend is unfavourable in both Bulgaria and Hungary. Life expectancy at birth for men in Hungary is 64.5 years, the shortest in the whole of Central and Eastern Europe, not counting the CIS. In most of the countries the scissors gap between the life expectancy of men and women continues to grow.
UNICEF experts examining mortality and life expectancy figures have established that it was not the children and the aged, i.e., the most vulnerable biologically and socially, who were most at risk during the "transition" but men of working age.
Indeed, the figures show that infant mortality rates (below the age of one) have improved everywhere except for Russia, the Ukraine, and Bulgaria, the same being true for children between one and four. Mortality rates slightly declined everywhere for the 5-15 age group. Deterioration starts with the 15-19 age group, and is greatest in the case of young male adults between 20 and 39. Poland and Slovakia are the only countries which showed any improvement for that age group. The growth of mortality rates is somewhat less steep for men between 40 and 59. For that age group the situation improved not only in Poland but also in the Czech Republic and Slovakia. Unfortunately, mortality rates for that male age group in Central Europe are highest in Hungary, equal to those in the Ukraine.
The leap in the crude death rate in the former socialist countries, lower life expectancy at birth, changes in male and female mortality rates and that of various age groups, are all in some way connected with negative social and economic processes that kicked off or gathered momentum at the time of the change. The list of possible causes is not exhausted by mass unemployment and impoverishment. Law and order, public health and labour safety problems also figure here. There is no space to discuss other relevant processes connected with the dismantling, liquidation or simply the further deprivation of the state health and social services. As a summing up of these negative effects, that is as a part of the social costs, I propose to discuss a computation concerning the loss of human life attributable to the first four years of the transition, from 1990 and 1993.
The computation is the work of UNICEF research staff. The purpose was to discover what proportion of the growth in consolidated crude mortality rates was attributable to the rise in age and gender specific mortality rates, independent of natural changes in mortality rates due to an aging population and changes in the size of the population (see UNICEF, 1994, p. 42). In countries where the mortality rate rose, they took the crude death rate and adjusted it taking account of the above factors. The remainder after the substraction of the natural changes in mortality they called "excess mortality".
Bulgaria and Hungary and male Romanians showed excess mortality for the 1990-1993 period. In these three countries 38,000 excess deaths over four years could be attributed to the transformation. Was this loss small or even negligible compared to a total population of 41.5 million? Be that as it may, there is no doubt, however, that what is happening in Russia, the Ukraine and surely in the other post-Soviet states as well amounts to a demographic catastrophe.
It is shocking that the annual growth in the total number of deaths compared to the 1989 level grew in Russia from 73,300 in 1990 to 545,000 in 1993, in the Ukraine from an annual 28,800 in 1990 to 129,700 in 1993. Combining the two, the excess mortality can be said to be around 842,000 in the four years following the changover. Bearing in mind that this computation only extends as far as 1993 and that the crude mortality rate grew further in Russia in 1994, from an annual 14.5 per thousand to 15.6 per thousand, this could mean an additional loss of close to half a million for Russia alone. There can be no doubt that the situation did not improve in 1995.
| 1989 | 1990 | 1991 | 1992 | 1993 | 1994 | Change between | ||
| 1994 and 1989 | ||||||||
| Bulgaria | men | 68.6 | 68.4 | 68.0 | 67.8 | 67.7 | 67.2 | -1.4 |
| women | 75.1 | 75.2 | 74.7 | 74.4 | 75.1 | 74.8 | -0.3 | |
| Czech Republic | men | 68.1 | 67.5 | 68.2 | 68.5 | 68.9 | .. | +0.8a |
| women | 75.4 | 76.0 | 75.7 | 76.1 | 76.6 | .. | +1.2a | |
| Poland | men | 66.8 | 66.5 | 66.1 | 66.7 | 67.4 | 67.5 | +0.7 |
| women | 75.5 | 75.5 | 75.3 | 75.7 | 76.0 | 76.1 | +0.6 | |
| Hungary | men | 65.4 | 65.1 | 65.0 | 64.6 | 64.5 | 64.8 | -0.6 |
| women | 73.8 | 73.7 | 73.8 | 73.7 | 73.8 | 74.2 | +0.4 | |
| Romania | men | 66.6 | 66.6 | 66.6 | 66.1 | .. | .. | - |
| women | 72.7 | 73.1 | 73.2 | 73.2 | .. | .. | - | |
| Slovakia | men | 66.9 | 66.6 | 66.8 | 66.8 | 68.4 | 68.3 | +1.4 |
| women | 75.4 | 75.4 | 75.2 | 75.3 | 76.7 | 76.5 | +1.1 | |
| Russia | men | 64.2 | 63.8 | 63.5 | 62.0 | 58.9 | 58.2 | -6.0 |
| women | 74.5 | 74.3 | 74.3 | 73.8 | 71.9 | 71.4 | -3.1 | |
| Ukraine | men | 66.0 | 66.0 | 66.0 | 64.0 | 63.0 | 62.8 | -3.2 |
| women | 75.0 | 75.0 | 75.0 | 74.0 | 73.0 | 73.2 | -1.8 |
a 1993 data compared with 1989 data
Source: UNICEF, 1995, p. 111.
Human losses due to the dissolution of the Soviet Empire and the first four years of the systemic change can be compared to those caused by war. The around 600,000 so lost by Russia are almost one and a half times the British military and civilian fatal casualties for the six years of the Second World War. The 842,000 human losses of Russia and the Ukraine combined are far in excess of the joint Second World War losses of Great Britain and the US, whose population at the time corresponded to the present joint population of Russia and the Ukraine. But all this happened at a time of "peaceful transition".
[...]
* When the living conditions of the population are changed, the "past" cannot, and should not, be wiped out. What is needed in this respect is not a radical break but gradual reforms that maintain continuity. Acute social differentiation in a society where average incomes are low and egalitarianism is the accepted attitude will cause unbearable tension and stress, and will marginalize a great many people, who will lose all hope. The figures allow one to discern an interesting paradox. There is no famine in Russia or the Ukraine, nor is there open unemployment. Public utilities operate after a fashion, so do transport and commerce, teaching continues in schools and universities, doctors and nurses care for people, public health authorities exercise control. Yet, people perish at a rate reminiscent of times of war. Quite obviously this must be due either to the nature or the rate of the changes.
An alien social or economic pattern must not be forced on people, if, within the foreseeable future, the change implies sensitive disadvantages or losses for the majority. If this is so, the changes cannot be carried out democratically. The Russian example shows that both democracy and the success of the changes suffered as a result.1
[...]
Wherever they continued to be maintained, health and social services created earlier significantly alleviated the destructive effects of transformation. It is also apparent that the international reputation of a country depends not only on its skill in managing - the monetary base - but also on falling pre-natal and infant mortality rates at a time of economic hardships and impoverish-ment.
It is also clear that major unfavourable structural processes (mass unemployment, pauperization) are not at an end yet, and that people do not regard them as being so. I mentioned above that people generally still dispose over the infrastructural (material and moral) conditions needed by a civilized life-style. If economic policies do not exploit the not so-long period of time available as a moratorium to mobilize these capacities and options, social marginalization - as apparent in the CIS countries - will assume proportions that will create dissatisfaction, apathy, violence and crime on a scale that can no longer be handled. What may then well happen is that the democratic political order itself will become one of the costs or sacrifices of the transformation.
[...]
| Home | Current | Archives | Contact | About | Subscribe | FAQ | Links |

![]() |