Please don’t believe for a moment that the concept of a national health care program was introduced within the last few years or even the last few decades. Way back on November 19, 1945, Harry S. Truman, America’s 32nd President asked Congress to help him usher in a whole new era of health coverage for all Americans. You’ll never guess what happened…
The American Medical Association (AMA) promptly vilified President Truman by implying he was promoting “socialized medicine.” Unfortunately, the political cost of the Korean War prevented Truman from continuing to promote his visionary plan. An aside, the bill was co-sponsored by Democratic senators Robert Wagner (N.Y.) and James Murray (Mont.), along with Representative John Dingell (D.-Mich) — unfortunately, the bill would popularly be referred to as the W-M-D bill. [Sigh.]
From the Truman Library:
On November 19, 1945, only 7 months into his presidency, Harry S. Truman gave a speech to the United States Congress proposing a new national health care program. In his speech, Truman argued that the federal government should play a role in health care, saying “The health of American children, like their education, should be recognized as a definite public responsibility.” One of the chief aims of President Truman’s plan was to insure that all communities, regardless of their size or income level, had access to doctors and hospitals. The statistics in Harry S. Truman’s speech demonstrated the urgent need for such measures: “About 1,200 counties, 40 percent of the total in the country, with some 15,000,000 people, have either no local hospital, or none that meets even the minimum standards of national professional associations. ”
President Truman’s plan was to improve the state of health care in the United States by addressing five separate issues. The first issue was the lack of doctors, dentists, nurses, and other health professionals in many rural or otherwise lower-income areas of the United States. Harry S. Truman saw that “the earning capacity of the people in some communities makes it difficult if not impossible for doctors who practice there to make a living.” He proposed to attract doctors to the areas that needed them with federal funding. The second problem that Truman aimed to correct was the lack of quality hospitals in rural and lower-income counties. President Truman proposed to provide government funds for the construction of new hospitals accross the country. To insure only quality hospitals were built, the plan also called for the creation of national standards for hospitals and other health centers. Harry S. Truman’s third initiative was closely tied to the first two. It called for a board of doctors and public officials to be created. This board would create standards for hospitals and ensure that new hospitals met these standards. The board would also be responsible for directing federal funds into medical research.
The most controversial aspect of the plan was the proposed national health insurance plan. In the November 19th address, President Truman called for the creation of a national health insurance fund, to be run by the federal government. This fund would be open to all Americans, but would remain optional. Participants would pay monthly fees into the plan, which would cover the cost of any and all medical expenses that arose in a time of need. The government would pay for the cost of services rendered by any doctor who chose to join the program. In addition, the insurance plan would give a cash balance to the policy holder to replace wages lost due to illness or injury.
Harry S. Truman’s health proposals finally came to Congress in the form of a Social Security expansion bill, co-sponsored in Congress by Democratic senators Robert Wagner (N.Y.) and James Murray (Mont.), along with Representative John Dingell (D.-Mich). For this reason, the bill was known popularly as the W-M-D bill. The American Medical Association (AMA) launched a spirited attack against the bill, capitalizing on fears of Communism in the public mind. The AMA characterized the bill as “socialized medicine”, and in a forerunner to the rhetoric of the McCarthy era, called Truman White House staffers “followers of the Moscow party line”.* Organized labor, the main public advocate of the bill, had lost much of it’s goodwill from the American people in a series of unpopular strikes. Following the outbreak of the Korean War, President Truman was finally forced to abandon the W-M-D Bill. Although Harry S. Truman was not able to create the health program he desired, he was successful in publicizing the issue of health care in America. During his Presidency, the not-for-profit health insurance fund Blue Shield-Blue Cross grew from 28 million policies to over 61 million. When on July 30, 1965, President Lyndon B.Johnson signed Medicare into law at the Harry S. Truman library, he said that it “all started really with the man from Independence”.
Believe me, I don’t think President Truman was a perfect President nor that this particular plan was ideal, but on this issue, he was way ahead of his time.
I’m concerned that despite the seemingly endless rhetoric expended on this issue, that we don’t have any leaders with a solid plan, the opportunity, the financial and moral independence AND the intestinal fortitude to deliver on such a vision.
I hope I’m wrong.