Fascist state.
Take a look at Nazi-Germany and how successful that was, excluding the fact that Hitler went a bit overboard with the whole 'declare war on the world' thing. Before WWII he was widely respected as the man who brought Germany back to it's former strength from WWI.
In a communist state, no one wants to work hard. Look at China's economy for an example; before the capitalist movement that's been happening in the past decade, Chinese goods were low quality and cheap as the workers were all paid similar wages and they had no incentive to produce better work since their extra effort goes unrewarded. And for the people talking about how neurosurgeons would become neurosurgeons just because they want to, no they obviously would not. People are inherently lazy or 'efficient', so naturally the majority of would be surgeons would avoid doing that kind of extremely intense work if they could get the same reward for being a professional gamer or something.