Political process
After 1962 all popular participation and representation in the political process were through the Arab Socialist Union (ASU). In 1976, however, the ASU was split into three “pulpits”: left, centre, and right. Other political parties soon formed and were recognized by a law adopted in June 1977. Having been eclipsed by the new political parties by 1978, the ASU was officially abolished by constitutional amendment in 1980.
Until 2011 the National Democratic Party (NDP), formed by Pres. Anwar Sadat in 1978, served as the official government party and held nearly all the seats in the People’s Assembly. Officially unrepresented were the communists, the Muslim Brotherhood, and the extreme religious groups. However, dozens of candidates who were elected as “independents” in the 2005 election for the People’s Assembly were actually members of the Muslim Brotherhood. Following Mubarak’s resignation in 2011, the NDP was dissolved. A variety of political groups, including some that had previously been banned, began to organize political parties and seek official recognition. The Muslim Brotherhood launched its political party, the Freedom and Justice Party, in early 2011. The party outperformed all others in legislative and presidential elections in 2011 and 2012 and operated freely until July 2013, when Morsi was deposed by the military and a massive crackdown against the Muslim Brotherhood was undertaken. Constitutional amendments that were passed in early 2014 restored a pre-2011 ban on political parties based on religion.
Security
Egypt maintains one of the largest and strongest military forces in the region. Roughly three-fourths of its overall military strength is in the army. The remainder is divided between the air force (including the air defense command) and navy. The army is equipped with large numbers of state-of-the-art main battle tanks along with field artillery and other armoured equipment. The air force has several hundred high-performance combat aircraft, and the navy has a small fleet composed mostly of coastal patrol craft, but that also includes frigates, destroyers, and submarines. Most importantly, the country is one of the few in the region with its own military industrial complex. Egyptian firms connected with the government manufacture light armoured vehicles and missiles (short and medium range) and assemble some of their heavy armoured vehicles under contracts with foreign firms. The officer corps has traditionally played a prominent role in politics. As part of the peace process with Israel, the United States has provided the country with large amounts of military aid.
There are a number of paramilitary units, which are mostly responsible for internal security. The largest of these, the Central Security Forces (CSF), reports to the Ministry of the Interior and maintains troop strength nearly as high as the army. Much smaller are the National Guard, Border Guard Forces, and the Coast Guard. As is the case with many countries of the region, the intelligence services are ubiquitous and play an important role in internal security.
Both the military and paramilitary services rely on conscription to fill their ranks, with the service obligation for males beginning at age 18. An additional period of service in the military reserve is generally required after discharge. Living conditions, particularly for members of the CSF, are poor and pay is low. A short rebellion by members of the CSF in the mid-1980s led to several hundred deaths.
The Ministry of the Interior has direct control and supervision over all police and security functions at the governorate, district, and village levels. At the central level, the deputy minister for public security is responsible for general security, emigration, passports, port security, criminal investigation, ministerial guards, and emergency services. The deputy minister for special police is responsible for civil defense, traffic, prison administration, tourist police, and police transport and communications.
Health and welfare
The budget of the Ministry of Health has reflected an increasing expenditure on public-health programs, especially since the 1990s. The numbers of government health centres, beds in public hospitals, doctors, and dentists have increased significantly. An important aspect of health-care development in Egypt always has been the expansion of facilities in the rural areas. In the mid-20th century, rural people had access to health care primarily through a local facility that functioned simultaneously as a health centre, school, social-welfare unit, and agricultural extension station. By the early 21st century, hundreds of hospitals and thousands of smaller health units were serving rural communities. The quality of these facilities was often low, however, prompting many rural residents to seek treatment at Islamic health care centres, which were generally superior to those of the government.
Well-trained physicians and specialists are available in large numbers in the cities and larger towns. The medical profession has prestige, and only the better qualified high school graduates are accepted into medical schools.
Significant efforts have been made to promote preventive medicine. Compulsory vaccination against smallpox, diphtheria, tuberculosis, and poliomyelitis is enforced for all infants during their first two years. Schistosomiasis, a parasitic disease that is widespread among the rural population, presents a serious health problem. All health centres offer treatment against it, but reinfection can easily occur. Epidemics of malaria have been eliminated, but the disease still exists in endemic form, mainly in southern Egypt. Treatment for malaria is provided at all health centres, and the spraying of houses in mosquito-breeding areas is carried out regularly. Attention has also been given to the problem of tuberculosis; centres have been established in every governorate, and mass X-ray and immunization campaigns have been carried out.
The government has attempted to socialize medicine through such measures as nationalizing and controlling pharmaceutical industries, nationalizing hospitals run by private organizations and associations, and expanding health insurance. Since the 1970s, however, private hospitals and clinics have outstripped the quality of state-run facilities. A health insurance law, passed in 1964, provides for compulsory health coverage for workers in firms employing more than 100 persons, as well as for all governmental and public employees. Poorer Egyptians often seek medical care at clinics or hospitals run by Islamic groups.