Humans of the communism future ought to be healthy, happy and by a high birth rate assure expanding reproduction. So, the idea of prevention was very natural to communist physicians. In 1923, the Moscow health care department led by Vladimir Obukh (physician to Vladimir Lenin's family), initiated health check-ups for workers. Physicians promised communist leadership that after the check-ups, the need for drugs would expire. In the next decade, millions of workers went through check-ups and were registered for ‘dispanserization’ in big cities.1 The mass health check-ups were not the worst things in their time: in some countries, the mass sterilization and killing of ‘not worthy to live’ were initiated. Since these times, the primordiality of prevention in the health care system was put in the legal base of Soviet and post-Soviet Russia. Nevertheless, after 1964, the length of life in USSR started to decline. In the 1970s, communist leadership classified the data on mortality and in 1980s tried the old recipe—the all-nation dispanserization. Of course, it failed again, because the enormously … Correspondence: Vasiliy V. Vlassov, Society for Evidence Based Medicine, Moscow P.O. Box 13, Moscow 109451, Russia, e-mail: vlassov{at}cochrane.ru