For all its arrogant rhetoric about juche and self-sufficiency, North Korea was utterly dependent on the kindness of its neighbors. The country got subsidized oil, rice, fertilizer, pharmaceuticals, industrial equipment, trucks, and cars. X-ray machines and incubators came from Czechoslovakia; architects from East Germany. Kim Il-sung skillfully played the Soviet Union and China against each other, using their rivalry to extract as much aid as possible.