Kennedy and Crisis

I hope that we continue to debate such issues that do indeed impact us and our patients and our nation. Now more than ever, we need such discussions. More and more I am impressed by the need to focus on hopeless peoples, for their status is the real enemy, not them. In this cause, family medicine has a real role. Also a nation that weakens schoolteachers, health care, family medicine, and others who help bring hope to the hopeless, is also inviting further trauma in the future, from within as well as without.

President Kennedy in 1961 gave a speech that changed the course of the nation. Most remember this as the Proposal to Put a Man on the Moon. But there was much more in this proposal. President Kennedy acknowledged the need for all of us to make sacrifices to make our nation great and free and to lead the world in peace and the fight for freedom. This was as challenging time in history as we face today, perhaps more so. At that time we also had no clear advantage in many of the ways we have today, but those times did produce a national consensus, and this allowed us to meet and exceed expectations. In reflection, perhaps it was the national consensus that was even more important than our advantages and opportunities....

In a few months Kennedy would be dead, but the ideas lived on. Now as I look back on this speech, I wish it to be repeated today, with one exception. I would want the speech to end with a declaration of a goal of ending communities of poverty in the United States. Even Jesus said that we would always have poor people, but I believe that we cannot tolerate communities, regions, or countries of the impoverished. If you do not read the speech or any other text, do read the following from his words:

We would be badly mistaken to consider their problems in military terms alone. For no amount of arms and armies can help stabilize those governments which are unable or unwilling to achieve social and economic reform and development. Military pacts cannot help nations whose social injustice and economic chaos invite insurgency and penetration and subversion. The most skillful counter-guerrilla efforts cannot succeed where the local population is too caught up in its own misery to be concerned about the advance of communism. 

 

Kennedy also encouraged us not to be approaching large scale efforts without total commitment. Whether you are for or against military conflicts, or whether you are pro or con regarding technology and advancement, there are basic needs of nations and peoples and individuals to consider. Kennedy did a masterful job of addressing the role of a leader nation in the community of the world: 

 

Special Message to the Congress on Urgent National Needs   President John F. Kennedy

Delivered before a joint session of Congress May 25, 1961   http://www.cs.umb.edu/jfklibrary/j052561.htm

 

I.  "The great battleground for the defense and expansion of freedom today is the whole southern half of the globe--Asia, Latin America, Africa and the Middle East--the lands of the rising peoples. Their revolution is the greatest in human history. They seek an end to injustice, tyranny, and exploitation. More than an end, they seek a beginning".....  more in this section, prophetic words.

 

II. ECONOMIC AND SOCIAL PROGRESS AT HOME    The first and basic task confronting this nation this year was to turn recession into recovery. …… more about specifics of recovery and job training needed….  "Moreover, if the budget deficit now increased by the needs of our security is to be held within manageable  proportions, it will be necessary to hold tightly to prudent fiscal standards; …and to close tax loopholes; ….Our security and progress cannot be cheaply purchased; and their price must be found in what we all forego as well as what we all must pay."

 

III. ECONOMIC AND SOCIAL PROGRESS ABROAD I stress the strength of our economy because it is essential to the strength of our nation. And what is true in our case is true in the case of other countries. Their strength in the struggle for freedom depends on the strength of their economic and their social progress.

 

We would be badly mistaken to consider their problems in military terms alone. For no amount of arms and armies can help stabilize those governments which are unable or unwilling to achieve social and economic reform and development. Military pacts cannot help nations whose social injustice and economic chaos invite insurgency and penetration and subversion. The most skillful counter-guerrilla efforts cannot succeed where the local population is too caught up in its own misery to be concerned about the advance of communism.

 

But for those who share this view, we stand ready now, as we have in the past, to provide generously of our skills, and our capital, and our food to assist the peoples of the less-developed nations to reach their goals in freedom--to help them before they are engulfed in crisis. This is also our great opportunity in 1961. If we grasp it, then subversion to prevent its success is exposed as an unjustifiable attempt to keep these nations from either being free or equal. But if we do not pursue it, and if they do not pursue it, the bankruptcy of unstable governments, one by one, and of unfilled hopes will surely lead to a series of totalitarian receiverships.  … details …..

 

IV. Information agency broadcasting vs communist influence

 

V. OUR PARTNERSHIP FOR SELF-DEFENSE…. Specifics of treaty organizations and military spending. …..This must be prudently and wisely spent--and that will be our common endeavor. Military and economic assistance has been a heavy burden on our citizens for a long time, and I recognize the strong pressures against it; but this battle is far from over, it is reaching a crucial stage, and I believe we should participate in it. We cannot merely state our opposition to totalitarian advance without paying the price of helping those now under the greatest pressure.  

 

VI. OUR MILITARY/INTELLIGENCE SHIELD    VII. CIVIL DEFENSE    VIII. DISARMAMENT

 

IX. SPACE …   I therefore ask the Congress, above and beyond the increases I have earlier requested for space activities, to provide the funds which are needed to meet the following national goals:

            First, I believe that this nation should commit itself to achieving the goal, before this decade is out, of landing a man on the moon and returning him safely to the earth. No single space project in this period will be more impressive to mankind, or more important for the long-range exploration of space; and none will be so difficult or expensive to accomplish. ……. But in a very real sense, it will not be one man going to the moon--if we make this judgment affirmatively, it will be an entire nation. For all of us must work to put him there…..   If we are to go only half way, or reduce our sights in the face of difficulty, in my judgment it would be better not to go at all. … I think every citizen of this country as well as the Members of the Congress should consider the matter carefully in making their judgment, to which we have given attention over many weeks and months, because it is a heavy burden, and there is no sense in agreeing or desiring that the United States take an affirmative position in outer space, unless we are prepared to do the work and bear the burdens to make it successful. …

            This decision demands a major national commitment of scientific and technical manpower, materiel and facilities, and the possibility of their diversion from other important activities where they are already thinly spread. It means a degree of dedication, organization and discipline which have not always characterized our research and development efforts. It means we cannot afford undue work stoppages, inflated costs of material or talent, wasteful interagency rivalries, or a high turnover of key personnel.

            New objectives and new money cannot solve these problems. They could in fact, aggravate them further--unless every scientist, every engineer, every serviceman, every technician, contractor, and civil servant gives his personal pledge that this nation will move forward, with the full speed of freedom, in the exciting adventure of space.       

 

Comment: Seems like we are floundering similar in research and development similar to these times in the past. Perhaps our current expenditures such as NIH have aggravated our problems as have perhaps our expenditures on the War on Poverty created a culture of waste of public resources that lack effectiveness.

 

X. CONCLUSION …. You must decide yourselves, as I have decided, and I am confident that whether you finally decide in the way that I have decided or not, that your judgment--as my judgment--is reached on what is in the best interests of our country.  In conclusion, let me emphasize that we are determined, that freedom shall survive and succeed--and whatever the peril and set-backs, we have some very large advantages. The first is the simple fact that we are on the side of liberty--and since the beginning of history, and particularly since the end of the Second World War, liberty has been winning out all over the globe. A second real asset is that we are not alone. We have friends and allies all over the world who share our devotion to freedom. May I cite as a symbol of traditional and effective friendship the great ally I am about to visit--France. …..Such serious conversations do not require a pale unanimity--they are rather the instruments of trust and understanding over a long road. A third asset is our desire for peace. It is sincere, and I believe the world knows it. We are proving it in our patience at the test ban table, and we are proving it in the UN where our efforts have been directed to maintaining that organization's usefulness as a protector of the independence of small nations…….. but we will make clear America's enduring concern is for both peace and freedom--that we are anxious to live in harmony with the Russian people--that we seek no conquests, no satellites, no riches--that we seek only the day when "nation shall not lift up sword against nation, neither shall they learn war any more."

           

Finally, our greatest asset in this struggle is the American people--their willingness to pay the price for these programs--to understand and accept a long struggle--to share their resources with other less fortunate people--to meet the tax levels and close the tax loopholes I have requested--to exercise self-restraint instead of pushing up wages or prices, or over-producing certain crops, or spreading military secrets, or urging unessential expenditures or improper monopolies or harmful work stoppages--to serve in the Peace Corps or the Armed Services or the Federal Civil Service or the Congress--to strive for excellence in their schools, in their cities and in their physical fitness and that of their children--to take part in Civil Defense--to pay higher postal rates, and higher payroll taxes and higher teachers' salaries, in order to strengthen our society--to show friendship to students and visitors from other lands who visit us and go back in many cases to be the future leaders, with an image of America--and I want that image, and I know you do, to be affirmative and positive--and, finally, to practice democracy at home, in all States, with all races, to respect each other and to protect the Constitutional rights of all citizens.

           

I have not asked for a single program which did not cause one or all Americans some inconvenience, or some hardship, or some sacrifice. But they have responded and you in the Congress have responded to your duty--and I feel confident in asking today for a similar response to these new and larger demands. It is heartening to know, as I journey abroad, that our country is united in its commitment to freedom and is ready to do its duty.  

 

You would think after 9/11 and the very real threats that we face today across the world and within the nation, that we would rise up in one voice to support such efforts. Perhaps it is time again to ask the American people to answer the call to greatness, rather than us pushing ordinary people into expectations beyond their abilities, schoolteachers, doctors, social workers, governors, legislators, and the President. Such situations are likely to cause significant errors that can destroy or damage lives or governments.

Robert C. Bowman, M.D.   10/3/2002

Dedicated to Joseph Morton who died today at age 81. He has been my patient longer than any other, almost 9 years. Joseph bent over to help load a howitzer in 1944 and at that moment German shells killed all the men in his battery and most in his unit. He was taken prisoner. A kind nurse helped him escape. He waited for veterans benefits for 56 years (our country's bureaucracy at its finest, as the continued to assert that they were waiting for German acknowledgment of his POW status). During this time he never received any recognition for his service or even so much as a Purple Heart. Only in the past year did he get any help via his representatives.

To me he was a friend and a grandfather whom he resembled in appearance and personality. He was a man with better medical judgment than I regarding his health. He had a long and full life and had mobility, wit, and communication up until his last few days. I will miss him greatly and pray that he indeed curls up in Jesus' arms just as we prayed.