'The main prejudice bureaucrat is furious...'

(On cover of record book): Operating budget

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-Doctor: "Child mortality rates in Uzbekistan, Tajikistan and Turkmenistan are extremely high! It is imperative to increase funding for the construction of both general hospitals and maternity hospitals, as well as medical devices.*"

-Bureaucrat: "Those regions are our economic appendages! Let them handle it! Those Asian women are too fertile...!**"

-Doctor: "You can't think like that! Thousands of people are dying!"

-Bureaucrat: "Shut up! Get out of my sight, you sissies!"

*During the 1960s, the Soviet government decided to implement the Great Plan for the Transformation of Nature, which involved turning the desert landscapes of central Asia into well-nourished agricultural powerhouse. This involved redirecting the rivers from the Aral Sea to Soviet irrigation channels to feed the farmlands, especially the cotton fields in Central Asia to both help supply clothing material for Russia and generate foreign capital for the Soviet satellite states.

Unfortunately, as the water supply was being diverted, the Aral Sea began to shrink to 80% of its original volume by the late 1990s. As a result, salinity of the water body rose and caused depletion of aquatic food resources for nearby coastal villages and town. To make matters worse, the excess use of child labor, seepage of chemical pesticides into drinking water reserves, polluting run-off from nearby factories and bio-weapons testing by Soviet scientists near the Aral Sea had exacerbated the health issues of the poverty-stricken regions of central Asia.

Rampant mismanagement of healthcare funding by the centralized pro-communist politicians and the lack of professional medical staff made it nearly impossible for impoverished Central Asians to afford (or even receive) adequate primary care in the long run. As a result, most Central Asiatic regions experience a higher susceptibility to cancers, communicable diseases and malnutrition, and thus much higher child and women moralities than in the Soviet Russia mainland.

**The Soviet government (and their satellite states in Central Asia) often under-reported cases of mortality and exaggerated average life expectancy in order to satisfy and appease the communist party chair-men. The social and cultural mindset of people in Central Asia (who are mostly unwilling to be forthcoming about their present health situation) may had also contributed to the underwhelming figures in reporting child death rates. Moreover, the lack of well-trained surveyors and unavailable information technologies meant that all of the cumbersome data had to be collected and organized by hand, meaning that most of the data would had taken years to assess before any action could be taken to address the spike in infant mortality within many central Asiatic regions.

Reference: "Soviets" by Danzig Baldaev & Sergei Vasiliev, pg 109