THE FIRST PRESIDENT TO ENDORSE NATIONAL HEALTH INSURANCE,
HARRY TRUMAN CHARGES THAT THE “PROGRAM HAS POWERFUL ENEMIES
WHO ARE NOT ABOVE MISREPRESENTING ITS AIM AND PURPOSE,”

BUT “I AM CONVINCED THAT WE MUST CONTINUE TO MOVE FORWARD
IN PROMOTING THE PRINCIPLES OF NATIONAL HEALTH INSURANCE...
TO MEET THE DANGEROUS LACK OF ADEQUATE MEDICAL CARE
AMONG A LARGE PROPORTION OF OUR POPULATION”

HARRY S. TRUMAN. Typed Letter Signed as President, Washington, DC, 31 January 1951. 1 page, 10½” x 7¾”, on White House stationery.

The first President to call for national health insurance writes to a supporter about his proposal.

On November 19, 1945, in a special message to Congress, Harry Truman called for a program of national health insurance, making him the first President to publicly recommend such a plan. He continued to endorse the idea in several State of the Union messages, in his 1948 re-election campaign, and as part of his Fair Deal program of domestic reforms. Truman writes here to a supporter of national health insurance, alluding to several obstacles hindering Congressional approval of the program but affirming his own belief in it.

“I hope you do not think that my failure to make earlier acknowledgment of your thoughtful letter re national health insurance indicates any lack of appreciation on my part,” Truman opens. “As you can readily understand, we are all working under an unusually heavy pressure here these days and even important matters have to wait their turn.

“I am more grateful than I can tell you for this assurance of your continued loyal support of the national health insurance program. As you so frankly indicate, that program has powerful enemies who are not above misrepresenting its aim and purpose, in fact its fundamental principle.

“Despite all obstacles it has been my observation that in the nearly two years since we met to discuss the program, understanding and appreciation of its merits have shown steady increase. I, too, believe that its further development is inevitable,” Truman insists.

“There is no doubt but that legislation to meet the present national emergency must necessarily take precedence in national consideration at this time. Nevertheless, I am convinced that we must continue to move forward in promoting the principles of national health insurance and of other health measures proposed by the administration to meet the dangerous lack of adequate medical care among a large proportion of our population. Certainly the need for more doctors is very real. It is in fact vital at this time.

“I desire, therefore, to assure you once more of my continued appreciation of your support of the health program. Your letter was very heartening.” He has signed, “Harry S Truman.”

Initially, a conservative Congress and hostility from the American Medical Association were the main barriers to passage of national health insurance legislation. But by 1951, the Cold War was undermining virtually all of Truman’s domestic reform agenda. Communists had taken over China; the Soviet Union had developed an atomic weapon; and the Korean War had broken out. An anti-communist crusade at home not only diverted attention from domestic reforms, but allowed foes of national health insurance to attack it as a form of “socialized medicine”. Despite his expression of support in this letter, Truman was forced to abandon his efforts to get national health insurance through Congress at about this time.

However, Truman’s proposal had publicized the issue of health care, and it helped pave the way for later federal action. When Medicare, providing national health insurance for the aged, was adopted in 1965, President Lyndon Johnson signed the bill into law at the Truman Library in Independence, Missouri, with Harry Truman present for the ceremony, as a tribute to his pioneering work for such legislation. Not long afterwards, Johnson presented Harry and Bess Truman with Medicare cards number one and two.

The letter has some toning, matburn, and occasional spotting, all due to prior framing. However, it has been professionally deacidified, and is now in good, sound condition.

Letters by Truman on the issue of national health care are quite scarce. $3000.00

Please note that this image omits some of the outer blank margin of the letter.

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