Origin and Rise of Compulsory Medicine
by Melchior Palyi
hat tip: Mises Daily
Wednesday, March 31, 2010
[Excerpted from chapter 2 of Compulsory Medical Care and the Welfare State (1950)]

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.
Corruption and Foreign Aid
Hat tip: Mises Daily
by Mark Thornton
Thursday, November 14, 2002

For a few billion dollars you might expect to be able to bribe some small third world country into cleaning up its act, to defend the property rights of its citizens, to provide a stable currency, and to establish a non-interventionist economic and foreign policy.
With little Switzerlands and industrial revolutions developing around the globe, the U.S. could provide the examples that would establish a classical liberal world order within one generation with less than 1% of the federal budget.
Alas, Americans are united in their opposition to foreign aid—and with good reason! Foreign aid, military aid, debt relief, economic development assistance, and even disaster assistance money—all with “strings attached” to ensure proper behavior—are associated with “fraud, waste, and abuse.”
U.S. aid designed to bring about peace in the Middle East is an ideological seedbed of hatred, war, and terrorism. The big players in foreign aid, the International Monetary Fund and the World Bank, are more likely to bring about economic meltdown and social calamity than economic stability.
Ludwig von Mises pointed out (Planning for Freedom) that foreign aid doesn’t create friends in foreign lands, it creates ideological enemies who wish to do us harm:
The United States, they think, is aiding them because its people have a bad conscience. They themselves pocket this bribe but their sympathies go to the socialist system. The American subsidies make it possible for their governments to conceal partially the disastrous effects of the various socialist measures they have adopted.
Mises is here referring to our “friends” in Europe, but the same could be applied to the Middle East, Africa, the Western Hemisphere, and Asia, with the only possible exception being countries like Vietnam and Australia who receive limited or no foreign aid from the United States or the international organizations that we control.
The fraud and failure of foreign aid is now so obvious that it has ended up in the pages of the American Economic Review!