we have a collective paranoia based on several totalitarian governments aroundnthe worls throughout history. this fear influences our attitude toward putting government in charge of many things.

we also have strangely intimate relationships to our doctors. we stick with them even when were not sure theyre doing their best for us. we fear an "anonymous" doctor who doesnt know us personally.

these fears are exploited with imagery like "death panels," where faceless government bureacuracies let people with uneconically feasible conditions die untreated.

to reverse this requires stories of success from Europe told without smugness. many memes are tonedeaf humblebragging about euro healthcare that instantly turn off americans.