"Every time the state assumes an additional function such as health insurance, child care or benefits for the aged, the need for close family ties becomes weaker."

...the national health insurance movement rose alongside a larger transfer of responsibility from the family to the state: "Every time the state assumes an additional function such as health insurance, child care or benefits for the aged, the need for close family ties becomes weaker."

More provocatively he [Victor Fuchs] says: "It may be that one of the most effective ways of increasing allegiance to the state is through national health insurance."

From Bismarck to Obama