Media Matters for America

UPDATED REPORT: Conservative media push 75-year-old "socialized medicine" smear against health care reform

August 19, 2009 4:00 pm ET

In discussing health care reform this year, conservative media figures have revived the "socialized medicine" smear to undermine the efforts of President Obama and congressional Democrats, most recently by promoting Ronald Reagan's 1961 attacks on a legislative precursor to Medicare. In light of this trend, Media Matters for America is updating and republishing its March 5 report documenting that health care reform opponents have baselessly smeared at least 16 previous progressive reform proposals as "socialized medicine" over the last 75 years.

"Socialized medicine" smear is false

Progressive reform is not socialized medicine. The Urban Institute wrote in an April 2008 analysis that "socialized medicine involves government financing and direct provision of health care services," and explained that recent progressive health care reform proposals do not "fit this description." The analysis also noted, "Similar rhetoric was used to defeat national health care reform proposals in the 1990s and, with less success, to argue against the creation of Medicare in the 1960s."

Obama has not proposed socialized medicine, single payer, or nationalized health care. As PolitiFact.com noted in a March 5 post, "Obama's plan leaves in place the private health care system, but seeks to expand it to the uninsured," and "the plan is very different from some European-style health systems where the government owns health clinics and employs doctors." And during a March 26 online town hall, Obama explicitly rejected the notion of implementing a health care system "the way European countries do or Canada does," explaining that what "we should do is to build on the [employer-based] system that we have."

Congressional Budget Office: More enrollees in employer-provided insurance under House, Senate legislation than under current law. In both its July 26 analysis of the House tri-committee draft bill and its July 2 preliminary score of the Senate health committee bill, CBO found that more people would be enrolled in employer-based insurance under the bills than under current law in every year CBO examined following the legislation's implementation.

Conservative media predictably cry "socialized medicine" about 2009 reform

Conservatives cite Reagan's anti-"socialized medicine" recording to fearmonger about health reform. On August 14, the Drudge Report, Rush Limbaugh, and O'Reilly Factor guest host Laura Ingraham featured a recording of Ronald Reagan speaking in 1961 against "socialized medicine" for the American Medical Association's "Operation Coffeecup" campaign. Neither Drudge, nor Limbaugh, nor Ingraham, however, noted that Reagan was speaking out against a legislative precursor to Medicare, which has become very popular since it was enacted 44 years ago, or that Reagan's dire predictions of curtailments of freedom were never realized.

Conservative media figures repeatedly invoke socialism in stating their opposition to health reform. Numerous conservative media figures have revived the "socialized medicine" smear or raised the specter of socialism in their discussions of Democratic health care reform proposals. Examples include:

Numerous media figures baselessly link Obama's reform efforts to Canadian, British health care systems. Despite Obama's explicit rejection on March 26 of implementing health care systems like those of Canada or the United Kingdom, media figures have continued to link Democratic reform efforts to such systems. Examples include:

Opponents have used "socialized medicine" smear for 75 years

Smear dates back to 1930s. A Media Matters analysis found that dating as far back as the 1930s -- with respect to at least 16 different reform initiatives -- conservatives have attempted to smear those proposals by calling them "socialized medicine" or a step toward that inevitable result. These reform efforts include President Franklin Delano Roosevelt's consideration of government health insurance when crafting the 1935 Social Security bill; President Lyndon Johnson's 1965 amendment to the Social Security Act establishing Medicare; President Bill Clinton and first lady Hillary Clinton's health-care initiative in 1993 and 1994; the creation of the State Children's Health Insurance Program (SCHIP) in 1997, as well as its 2007 reauthorization and 2009 expansion; Barack Obama's and Hillary Clinton's health-care proposals during the 2008 presidential campaign; health information technology provisions included in the American Recovery and Reinvestment Act of 2009; and health-care provisions included in President Obama's fiscal year 2010 budget blueprint.

Roosevelt's consideration of government health insurance when crafting the 1935 Social Security bill

Truman's health-care reform proposal (the Wagner-Murray-Dingell bill)

Kennedy's health-care reform proposal (the Anderson-King bill)

Johnson's 1965 amendment to the Social Security Act establishing Medicare

Clinton's 1992 campaign health-care proposal

The Clintons' 1993 health-care initiative

Creation of SCHIP in 1997

Gore's 2000 campaign health-care plan

2001 Patients Bill of Rights

Kerry's 2004 campaign health-care plan

MD's 2005 proposal requiring Wal-Mart to pay increased health benefits

2007 SCHIP reauthorization

2008 campaign health-care proposals by Obama and Clinton

2009 SCHIP expansion

Health information technology provisions in 2009 economic recovery package

Obama's 2010 budget blueprint

&mdash M.W.

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