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« Clear Think About The Overmedicated/Undermedicated Controversy | Main | Can Scientists Dance? »

Socialized Medicine No Longer Pejorative

Category: MedicinePublic Health
Posted on: March 2, 2008 8:21 AM, by Joseph j7uy5

One of the darker chapters in the history of the AMA is their historical opposition to universal, single-payer health care coverage.  The term socialized medicine came into use in the post-World-War-II period, in an attempt to falsely conflate such a health care plan with the menace of Communism.  

Evidently, many people did not bother to discern the distinction between socialism and Communism; nor did they appreciate the fact that we have a mixed economy anyway.  

I recall those days.  That is, I recall the days when the invocation of Communism functioned as a cognitive stop sign: the emotions conjured by the term were so strong, that the process of actual thought simply stopped.  It was the end of the discussion.  

In fact, I distinctly recall conversations with other doctor's kids at Greenhills Middle School.  The others had been indoctrinated, such that any mention of a Medicare-for-all style program would immediately elicit the response: "but you can't do that, because it would be like Communism."  

Greenhills was, and is, a very good school.  But I did not care for the social environment at the time.

Anyway, the point is, that even some fairly intelligent people were taken in by this slick piece of propaganda.  Now, according to a study by Robert Blendon, Professor of Health Policy and Political Analysis, the phrase seems to be losing its power.  

The LA Times reports:

'Socialized medicine' loses much of its stigma
Most people no longer fear the term that has turned people off since the days of FDR.
By Susan Brink, Los Angeles Times Staff Writer
February 25, 2008

THE term "socialized medicine" may be losing its boogeyman status, according to a survey of voting-age adults. Long uttered in warnings against any sort of government involvement in healthcare, today the term has largely lost its scare power.

That's according to a study led by Robert Blendon, professor of health policy and political analysis at the Harvard School of Public Health.

"This is a term from the 1940s," Blendon says. "We wondered if anyone even knew what it meant anymore." To find out, his team, along with pollsters at Harris Interactive, asked more than 2,000 people in two surveys what they knew about the term.

* Of the respondents, 67% said they understood what "socialized medicine" meant. Of those, 79% said the term means that the government makes sure everyone has health insurance. Only 32% said it means that the government tells doctors what to do.

* Of those who said they understand the term, 45% said that if America had socialized medicine, the health care system would be better, while 39% said it would be worse...


The article clarifies an important point: 70% of Democrats think socialized medicine would be an improvement; 70% of Republicans think it would makes things worse; independents are split.  45% of independents say that socialized medicine would be an improvement, with 38% saying it would be worse than the current system.

One thing I notice is that the numbers do not convey as strong as an impression as the title of the LA Times article.  Clearly things have changed quite a bit, but not as much as the title implies.  Blendon's web page has a link to a report on the same study. Interestingly, the title there is less forceful: Poll Finds Americans Split by Political Party Over Whether Socialized Medicine Better or Worse Than Current System.  Unfortunately, the page with that report is not available at the moment.

I'd like to think that this study is an indication that people are no longer so strongly influenced by pejorative labels, and that the tendency to conflate related concepts is not so strong.  Not much chance of that, though.  It's just that the old bogeyman is forgotten when a new one takes its place.  

I wonder if left-wing nut is ever going to point out that the health care system advocated by the Republicans would be "like the Taliban:"  if you can pay for it yourself, go ahead.

No, that would be a ridiculous comparison.  No one would fall for that.

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Comments

Greenhills?? Jeez, you, Brayton, Parrot Girl, etc...are there any bloggers who aren't from Michigan?

I know I think about single payer a lot, as I watch all my patients being layed off. With auto companies spending so much on benefits, and foreign auto companies not directly doing the same, and with benefits shrinking for auto workers that still have jobs, it's a very real issue 'round here.

Posted by: PalMD | March 2, 2008 10:35 AM

If public police, fire brigades and disaster prevention is a good idea, how can public medicine not be? Opponents of "socialized medicine" ought to be just as opposed to having "socialized police" or "socialized fire brigades" unfairly outcompeting private security and fire companies. Let everybody buy the police and fire services they feel they need instead of imposing the same single tax-financed solution on everybody.

Posted by: Janne | March 2, 2008 7:23 PM

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