By the mid-century, the numbers of officials increased in order to make the management of the city more professional and to ensure the state-controlled trade.
Long-term treatments, especially those that involve semi-permanent hospitalization, and also disability costs such as wheelchairs, are covered by a state-controlled mandatory insurance.
The opponents claimed that the poll was organized under anti-democratic conditions with widespread propaganda from the state-controlled media in favour of a pro-federation vote.