Nearly 50 years before Sarah Palin gave us "death panels," the American Medical Association was testing the limits of health care scare tactics in the Canadian prairies. During the 1960 provincial election in Saskatchewan, the AMA helped fund an advertising campaign aimed at defeating the Co-operative Commonwealth Federation, a quasi-socialist party whose leader, a former Baptist minister named Tommy Douglas, had promised to introduce universal, government-funded health care in the province.
The AMA, together with Saskatchewan's College of Physicians and Surgeons, warned that if the CCF won, doctors would leave the province in droves. But here was the kicker: As Dave Margoshes writes in his 1999 biography of Douglas, the campaign told voters that if the state were permitted to take over health care, "patients with hard-to-diagnose problems would be shipped off to insane asylums by bungling bureaucrats."
The campaign failed. Douglas won the election, and the CCF government went on to introduce his health care plan in 1962, creating the model that the rest of Canada would later follow. (So far as we know, insane-asylum panels did not come to pass.) But the fight for health care reform in Saskatchewan, which the AMA worried could spark change in the United States, was a precursor to the battle in America today—a mix of populist anger, political opportunism, and disinformation. As Democrats debate whether to pursue health care reform in the face of growing opposition, they might consider the lessons of Saskatchewan.
