“Socialized medicine is the keystone to the arch of the socialist state.”

Fabricated quote from The Voluntary Way is the American Way (1949) by PR firm Whitaker and Baxter. According to The Heart of Power by David Blumenthal and James Morone (pp. 91-92)
: Whitaker and Baxter published a fifteen-page pamphlet of questions and answers entitled The Voluntary Way is the American Way, which, deep in the Q&A, concocted a quotation from Lenin:
:: Q: Would socialized medicine lead to socialization of other phases of American life?
:: A: Lenin thought so. He declared: socialized medicine is the keystone to the arch of the socialist state.
: Senator Murray asked the Library of Congress to track down the quote and, as expected, they found nothing like it—most scholars assume Whitaker and Baxter dreamed it up.
Alternate form: "Socialized medicine is a keystone to the establishment of a socialist state."
Misattributed

Adopted from Wikiquote. Last update June 3, 2021. History

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Vladimir Lenin 336
Russian politician, led the October Revolution 1870–1924

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