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US Health Care System

US Health Care Funding - Public Opinion

Project: US Health Care System
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The cover to the AMA album featuring Ronald Reagan.The cover to the AMA album featuring Ronald Reagan. [Source: Larry DeWitt]The American Medical Association (AMA) releases an 11-minute spoken-word album (LP) featuring actor and promising conservative politician Ronald Reagan. Reagan speaks against what he and the AMA call the “socialized medicine” of Medicare, currently being considered in Congress as part of legislation proposed by Democrats Cecil King and Clinton Anderson; many refer to the legislation as the King-Anderson bill. The AMA, along with most Congressional Republicans and a good number of Democrats, has been fighting the idea of government-provided health care since 1945 (see 1962).
Socialism Advancing under Cover of Liberal Policies - Reagan begins by warning that as far back as 1927, American socialists determined to advance their cause “under the name of liberalism.” King-Anderson is a major component of the secret socialist agenda, Reagan says. “One of the traditional methods of imposing statism or socialism on a people has been by way of medicine,” he says. “It’s very easy to disguise a medical program as a humanitarian project.” No real American wants socialized medicine, Reagan says, but Congress is attempting to fool the nation into adopting just such a program. It has already succeeded in imposing a socialist program on the country by creating and implementing Social Security, which was originally envisioned to bring “all people of Social Security age… under a program of compulsory health insurance.” Reagan, following the AMA’s position, says that the current “Eldercare” program, often called “Kerr-Mills” for its Congressional sponsors, is more than enough to cover elderly Americans’ medical needs. (Author Larry DeWitt notes that in 1965, Kerr-Mills will be superseded by Medicaid, the medical program for the poor. He will write, “So Reagan—on behalf of the AMA—was suggesting that the nation should be content with welfare benefits under a Medicaid-type program as the only form of government-provided health care coverage.”) King-Anderson is nothing more than “simply an excuse to bring about what [Democrats and liberals] wanted all the time: socialized medicine,” Reagan says. And once the Medicare proposal of King-Anderson is in place, he argues, the government will begin constructing an entire raft of socialist programs, and that, he says, will lead to the destruction of American democracy. “The doctor begins to lose freedom,” he warns. “First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then doctors aren’t equally divided geographically. So a doctor decides he wants to practice in one town and the government has to say to him, you can’t live in that town. They already have enough doctors. You have to go someplace else. And from here it’s only a short step to dictating where he will go.… All of us can see what happens once you establish the precedent that the government can determine a man’s working place and his working methods, determine his employment. From here it’s a short step to all the rest of socialism, to determining his pay. And pretty soon your son won’t decide, when he’s in school, where he will go or what he will do for a living. He will wait for the government to tell him where he will go to work and what he will do.” DeWitt will note that this is far more extravagant than any of the Medicare proposals ever advanced by any lawmaker: “It was this more apocalyptic version of Medicare’s potential effects on the practice of medicine that Reagan used to scare his listeners.”
Advocating Letter-Writing Campaign - Reagan tells his listeners that they can head off the incipient socialization of America by engaging in a nationwide letter-writing campaign to flood Congress with their letters opposing King-Anderson. “You and I can do this,” he says. “The only way we can do it is by writing to our congressman even if we believe he’s on our side to begin with. Write to strengthen his hand. Give him the ability to stand before his colleagues in Congress and say, ‘I heard from my constituents and this is what they want.’”
Apocalypse - If the effort fails, if Medicare passes into law, the consequences will be dire beyond imagining, Reagan tells his audience: “And if you don’t do this and if I don’t do it, one of these days you and I are going to spend our sunset years telling our children, and our children’s children, what it once was like in America when men were free.” Reagan is followed up by an unidentified male announcer who reiterates Reagan’s points and gives “a little background on the subject of socialized medicine… that now threatens the free practice of medicine.” Reagan then makes a brief closing statement, promising that if his listeners do not write those letters, “this program I promise you will pass just as surely as the sun will come up tomorrow. And behind it will come other federal programs that will invade every area of freedom as we have known it in this country, until, one day… we will awake to find that we have socialism. And if you don’t do this, and if I don’t do it, one of these days, you and I are going to spend our sunset years telling our children, and our children’s children, what it once was like in America when men were free.” [Larry DeWitt, 9/2004; TPMDC, 8/25/2009]

Entity Tags: Cecil King, Ronald Reagan, American Medical Association, Larry DeWitt, Clinton Anderson, Medicare

Timeline Tags: Domestic Propaganda

Category Tags: History of US Health Care System, US Health Care Polls, Medicare, Medicaid

American Medical Association logo.American Medical Association logo. [Source: American Medical Association]The American Medical Association (AMA), in conjunction with many Congressional Republicans and some Democrats, attempts to beat back attempts to create a new government-run program to provide medical care for the elderly, to be called “Medicare.” The AMA and its political allies have fought the idea of a government-provided health care program for senior citizens since 1945, when then-President Harry Truman first suggested universal health care for all Americans.
Minimal 'Eldercare' Considered Too Much - Currently, a modest health care program for senior citizens, called “Eldercare,” is the only government coverage American seniors have. It is based on a compromise proposal written by conservative Democratic Senator Robert Kerr (D-OK) and Representative Wilbur Mills (D-AR) and signed into law by President Dwight Eisenhower. Eldercare provides government benefits only for senior citizens who can demonstrate economic need, and states that choose not to participate in the program can opt out entirely. However, the AMA considers even this truncated program far too invasive, and fiercely opposes the more sweeping “Medicare” proposal, called King-Anderson after its main authors, Senator Clinton Anderson (D-NM) and Representative Cecil King (D-CA). The legislation is mired in Congressional committees. [Time, 2/19/1965; Larry DeWitt, 9/2004]
WHAM - The opposition to King-Anderson is led by the Women’s Auxilary of the AMA, which is given the task of coordinating the WHAM program—Women Help American Medicine. WHAM is directly dedicated to defeating the King-Anderson bill in Congress, “a bill which would provide a system of socialized medicine for our senior citizens and seriously curtail the quality of medical care in the United States.” The public campaign consists of the usual rallies and advertisements, most funded by corporate lobbyists working for the AMA and other health care firms. WHAM accuses King-Anderson proponents of being “socialists” and warns of federal bureaucrats violently invading “the privacy of the examination room.” WHAM coordinates an extensive grassroots effort under the rubric of “Operation Hometown,” enlisting local medical societies to speak out against King-Anderson, and providing pamphlets, reprints of press releases and articles, and talking points to local physicians.
Operation Coffeecup - Operation Coffeecup is a less visible, but just as important, element of the WHAM campaign. It centers around a series of “coffee klatches,” or “impromptu” get-togethers in kitchens and living rooms across America, hosted by WHAM members. WHAM members are told to downplay the significance of the events. One instruction tells them to portray the events as nothing more than “spontaneous” neighborhood get-togethers: “Drop a note—just say ‘Come for coffee at 10 a.m. on Wednesday. I want to play the Ronald Reagan record for you.’” The attendees are shown how to write equally “spontaneous” letters to members of Congress opposing the King-Anderson bill. The letters are carefully constructed to give the appearance of real, unsolicited missives written by concerned Americans, not the product of an orchestrated lobbying effort. Each WHAM member uses a 10-point checklist to ensure that the letters cover the points needed to make the argument against King-Anderson, and are not full of boilerplate, obviously copied-over material. The program is deliberately kept quiet, for fear that the media will portray it as an attempt to manipulate public opinion.
Reagan on Vinyl - The centerpiece of the Operation Coffeecup material is a vinyl LP entitled Ronald Reagan Speaks Out Against Socialized Medicine (see 1962). The album is a 19-minute recording featuring an 11-minute address by Reagan, followed by an eight-minute follow-up by an announcer. WHAM members are assured that Reagan’s work for the organization is unpaid and voluntary, though they are not told that his father is a top AMA executive. Instead, they are told Reagan is motivated entirely by his sincere political convictions. The hope is that Reagan’s message will inspire legions of housewives to write letters demanding that King-Anderson be defeated. The AMA claims that Operation Coffeecup prompts a “legion” of responses. [Larry DeWitt, 9/2004]
Exposed - In June 1962, investigative reporter Drew Pearson exposes Operation Coffeecup in his newspaper column. Pearson writes: “Ronald Reagan of Hollywood has pitted his mellifluous voice against President Kennedy in the battle for medical aid for the elderly. As a result it looks as if the old folks would lose out. He has caused such a deluge of mail to swamp Congress that congressmen want to postpone action on the medical bill until 1962. What they don’t know, of course, is that Ron Reagan is behind the mail; also that the American Medical Association is paying for it.… Reagan is the handsome TV star for General Electric.… Just how this background qualifies him as an expert on medical care for the elderly remains a mystery. Nevertheless, thanks to a deal with the AMA, and the acquiescence of General Electric, Ronald may be able to outinfluence the president of the United States with Congress.” [Larry DeWitt, 9/2004; TPMDC, 8/25/2009]

Entity Tags: American Medical Association, Cecil King, Clinton Anderson, Operation Coffeecup, Drew Pearson, Women’s Auxilary of the AMA, Operation Hometown, Ronald Reagan, Women Help American Medicine, Medicare

Timeline Tags: Domestic Propaganda

Category Tags: History of US Health Care System, US Health Care Costs, US Health Care Polls, Medicare

Representative Tim Bishop (D-NY) holds a “town hall” meeting in Setauket, New York, to attempt to discuss the White House’s health care reform package. However, the town hall is disrupted by a large number of angrily shouting conservatives, there to protest the reform proposals. The protesters hound Bishop throughout the meeting, shouting him down when he attempts to speak, and accusing him of “selling out” the country through his positions on the White House’s energy, economic, and health care policies. The mob becomes so threatening that five police officers are forced to escort Bishop to his car for his own safety. In part because of the incident, Bishop will suspend further town hall meetings until August 2009. Bishop has held over 100 such meetings since his election to Congress in 2002. [Politico, 7/31/2009; MSNBC, 8/4/2009]

Entity Tags: Tim Bishop, Obama administration

Timeline Tags: Domestic Propaganda, US Domestic Terrorism, 2010 Elections

Category Tags: Obama Health Care Reform, US Health Care Polls

President Obama, in a televised “town hall” event held in the White House to discuss health care reform, suggests that one way to trim medical costs might be to cease performing expensive and futile treatments—“extraordinary measures”—on terminally ill patients who do not want such interventions and would not benefit from them. Currently, doctors who have no particular instructions will perform “extraordinary measures” to stave off a terminally ill patient’s death, even for a matter of hours, no matter how intrusive or expensive the procedure. Obama tells his listeners that families need better information so they don’t unthinkingly approve “additional tests or additional drugs that the evidence shows is not necessarily going to improve care.” In some instances, he says, “Maybe you’re better off not having the surgery, but taking the painkiller.” He notes the experience of his recently deceased grandmother, Madelyn Dunham, was diagnosed with terminal cancer and given less than nine months to live. When she broke her hip, she and her family had to decide whether to put her through a long, expensive, and painful hip-replacement procedure. “[A]nd the question was, does she get hip replacement surgery, even though she was fragile enough they were not sure how long she would last?” he says. [Los Angeles Times, 6/25/2009] Obama is not advocating that life-extending treatments be forcibly denied to terminally ill or elderly patients (see July 23, 2009 and July 23, 2009), but his remarks will be misconstrued as advocating just such a position (see June 25, 2009, July 10, 2009, July 16, 2009, July 17, 2009, July 21, 2009, July 23, 2009, July 23-24, 2009, and July 24, 2009, July 28, 2009, July 28, 2009, July 28, 2009, July 31, 2009 - August 12, 2009, August 7, 2009, August 10, 2009, Shortly Before August 10, 2009, August 11, 2009, and August 12, 2009).

Entity Tags: Madelyn Dunham, Barack Obama

Timeline Tags: Domestic Propaganda

Category Tags: Obama Health Care Reform, US Health Care Polls

Top “tea party” and other conservative organizers, taking part in a private conference call, discuss their primary goal for health care reform: blocking any kind of compromise entirely, and ensuring that no health care reform package of any kind is passed. An AFL-CIO organizer manages to get involved in the call, and his notes are provided to, first, the union itself, and then to the Washington Post’s Greg Sargent. The call consists of representatives of powerful lobbying and “grassroots” organizations (see April 14, 2009, April 15, 2009, May 29, 2009, July 27, 2009, August 4, 2009, August 5, 2009, Before August 6, 2009, August 6, 2009, and August 6-7, 2009) such as the American Liberty Alliance, the “Tea Party Patriots,” and RecessRally.com (see August 5, 2009). [Plum Line, 8/11/2009] The conference call is sponsored by the “Tea Party Patriots,” which labels itself the “official grassroots American movement.” The group is sponsored and organized by, among other organizations, FreedomWorks (see April 14, 2009). When the “Tea Party Patriots” organized a trip to Washington in July, FreedomWorks provided the members with prepared packets of information and briefed them on how a visit to Capitol Hill works. [MSNBC, 8/12/2009] Sargent writes: “It’s certain to be seized on by [Democrats] to argue that organized tea party opposition to [President] Obama has no constructive intentions and is fomenting public ‘concern’ about Obama’s plan solely to prevent any reform from ever taking place. GOP officials would argue that they don’t share these goals.” The moderator on the call tells participants that bipartisan compromise on the Senate Finance Committee, where senators are holding talks, must be stopped at all costs. Organizers are told to pressure Republican senators seen as likely to compromise with Senate Democrats, including Chuck Grassley (R-IA), Mike Enzi (R-WY), and Olympia Snowe (R-ME), to stop the negotiating. “The goal is not compromise, and any bill coming out this year would be a failure for us,” the moderator says. He adds that “the Democrats will turn even a weak bill from the Senate Finance Committee into Canadian-style single-payer through underhanded implementation.” Single-payer, or a system of government-only health care, is not in any versions of the legislation in either house of Congress. Another organizer says, “The purpose of tea parties is not to find a solution to the health care crisis—it is to stop what is not the solution: Obamacare.” A spokeswoman for the American Liberty Alliance later acknowledges that comments like the ones noted by the AFL-CIO source were likely made, and that the organization’s specific goal is to prevent the current legislation in Congress from becoming law. No audio of the call exists, she claims. A “tea party” organizer later denies that his organization has any intention of “politically ‘accepting’ or denying legislation.” [Plum Line, 8/11/2009]

Entity Tags: Greg Sargent, American Liberty Alliance, AFL-CIO, Barack Obama, FreedomWorks, Senate Finance Committee, Charles Grassley, Olympia Snowe, Mike Enzi, Tea Party Patriots, Recess Rally

Timeline Tags: Domestic Propaganda

Category Tags: Obama Health Care Reform, US Health Care Polls

Opponents of health care reform lead the debate during a speech and followup session by Senator Mike Enzi (R-WY), one of the so-called “Gang of Six” who are helping to write the Senate Finance Committee’s health care reform proposal. Around 500 people attend the event, held in a high school gym in Gillette, Wyoming. Enzi lambasts Senate Democrats and the White House for not engaging in what he calls “bipartisan collaboration” on reform, and calls for “market-based” health care solutions. Enzi says he has no use for a so-called “public option,” which would mandate a government-run alternative to private health care. “A government option is a monopoly, and it’s no option,” Enzi says, earning a strong round of applause. State Representative Timothy Hallinan, a Gillette Republican, earns more applause when he urges Enzi to pull out of negotiations with Senate Democrats and oppose any reform bill. When urged to do so by an audience member who identifies himself as a Republican, Enzi claims: “If I hadn’t been involved in this process as long as I have and to the depth as I have, you would already have national health care.… Someone has to be at the table asking questions. If you’re not at the table, you’re on the menu.… It’s not where I get them to compromise, it’s what I get them to leave out.” Some pro-reform members of the audience note the large amounts of campaign contributions Enzi has taken, and argue for the public option. Enzi retorts by claiming two government-run medical programs, Medicare and Medicaid, are “going broke,” and a public option program would suffer the same fate. [Associated Press, 8/25/2009]

Entity Tags: Mike Enzi, Timothy Hallinan, Senate Finance Committee, Obama administration

Category Tags: Obama Health Care Reform, US Health Care Polls, Medicare, Medicaid

Fox News host Glenn Beck, touting his “Plan” for government entitlement spending, tells his viewers: “Tomorrow, we’re going to roll up our sleeves and begin. We’re going to cut health care. Right now, Medicare, Medicaid, and Social Security are 40 percent of our budget. They’re going away. It’s going to be ugly, a lot of crying, but America needs a cure.” [Media Matters, 4/12/2010; Media Matters, 9/7/2010]

Entity Tags: Glenn Beck, Fox News

Timeline Tags: Domestic Propaganda

Category Tags: US Health Care Polls, US Health Care Problems, Medicare, Medicaid

Presidential candidate Rick Santorum (R-PA) reiterates his long-held belief that individual states should have the right to outlaw the use and availability of contraception if they so choose. “The state has a right to do that, I have never questioned that the state has a right to do that,” he tells an ABC News reporter. “It is not a constitutional right, the state has the right to pass whatever statues they have.” Think Progress’s Igor Volsky notes that Santorum has long stated his opposition to the 1965 Supreme Court ruling that invalidated a Connecticut law banning contraception, and has promised that he would entirely take away federal funding for contraception if elected president. Volsky cites data noting that 99 percent of American women between the ages of 15 and 44 have used contraception, and contraceptive devices are mainstays in the effort to prevent unwanted pregnancies and reduce the spread of sexually transmitted diseases. According to the Guttmacher Institute, without federal funding through Medicaid and Title X, “abortions occurring in the United States would be nearly two-thirds higher among women overall and among teens; the number of unintended pregnancies among poor women would nearly double.” [ABC News, 1/2/2012; Think Progress, 1/3/2012]

Entity Tags: Igor Volsky, Rick Santorum, Guttmacher Institute

Category Tags: Abortion controversy & violence, Medicaid, Obama Health Care Reform, US Health Care Polls

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