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Origin and Rise of Compulsory Medicine

by
hat tip: Mises Daily
Wednesday, March 31, 2010

[Excerpted from chapter 2 of Compulsory Medical Care and the Welfare State (1950)]

Dr. Bismarck
Obligatory health insurance started moderately enough — in Prussia. Compulsion under a law of 1845 was left in the hands of municipal administrations, with no government subsidy involved and no contributions from employers. The antisocialist law of 1878 suppressed many of labor’s voluntary associations for sickness benefits. The next step was the governmentalization of the associations’ functions.

Bismarck’s Objectives

It was no mere accident that the ideological forefathers of Nazism, Adolf Wagner and Eugen Dühring, happened to be the “brain trusters” behind Bismarck’s “nationalistic socialism to end international socialism,” using his own terms. When, on January 1, 1884, his compulsory sickness scheme went into operation it literally started a new era — a new age in the history of welfarism.

Bismarck’s role in modern history is rarely spoken of nowadays. Undoubtedly, his political and administrative “genius” has shaped history down to our times. His revolutionary innovation in welfare policy was preceded five years before, in 1879, by the imposition of a protective tariff that started Europe’s internecine commercial warfare which endures to this day. And it was followed by the introduction in 1889 of universal military service covering even the middle-aged manhood. This started a rearmament race leading into total wars with the objective of annihilating entire nations.

The shrewd Iron Chancellor — the dictator in constitutional disguise, quoting M.J. Bonn’s epigram[1] — meant to kill several birds with one stone when he embarked on his program of appeasing labor. The reason, announced in the November 17, 1881, message of Kaiser Wilhelm I, to offer something positive to labor, not merely the repression of socialists by police force, may have been born of genuine worry over the unrest of the working classes due to the long depression that had engulfed Europe since 1875. But the true motive has been pointed out in the penetrating Bismarck biography (Vol. III, pp. 370–71) of Erich Eyck:

To his mind the State, by aiding the workers, should not only fulfill the duty ordered by religion, but it should obtain in particular a claim on their thankfulness, a gratitude that was to be shown by loyalty to the government and by loyal progovernment votes in elections.

In other words, it was the old-fashioned attempt of the monarchy to ally itself with the plebs against the “aristocracy” in between the two. However, the social-insurance legislation did not stop the Marxists from returning in increasing parliamentary strength. The attempt to subdue the socialist movement by appeasement ended in a political fiasco.

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Edward G. Morrow–much like pundits of today

This is SO much like television today. Nothing has changed over the past 50 years at all! Don’t worry, you’re being told everything by O’Reily, Hanity and Beck…Edward G. Morrow is just one who has already had a movie written in his honor. That is the ONLY difference!

(ooops! It’s not April first? Well, forget all that then.)

Transcript:

No one familiar with the history of his country, can deny that congressional committees are useful. It is necessary to investigate before legislating. But the line between investigating and persecuting is a very fine one, and the Junior Senator from Wisconsin has stepped over it repeatedly. His primary achievement has been confusing the public mind as between the internal and the external threats of communism. We must not confuse dissent from disloyalty. We must remember always, that accusation is not proof, and that conviction depends upon evidence and due process of law. We will not walk in fear, one of another, we will not be driven by fear into an age of unreason. If we dig deep into our history and our doctrine, we will remember we are not descended from fearful men. Not from men who dared to write, to speak, to associate, and to defend causes that were for the moment unpopular.

This is no time for men who oppose Sen. McCarthy’s methods to keep silent or for those who approve. We can deny our heritage and our history but we cannot escape responsibility for the result. There is no way for a citizen of the republic to abdicate his responsibilities.

As a nation we have come into our full inheritance at a tender age. We proclaim ourselves as indeed we are, the defenders of freedom wherever it still exists in the world. But we cannot defend freedom abroad by deserting it at home. The actions of the Junior Senator from Wisconsin have caused alarm and dismay amongst our allies abroad and given considerable comfort to our enemies.

And whose fault is that? Not really his, he didn’t create this situation of fear, he merely exploited it, and rather successfully.

Cassius was right, the fault dear Brutus is not in our stars, but in ourselves. Good night, and good luck.