To be clear, the beneficiaries of Truman’s universal coverage would have been overwhelmingly white, as white people at the time made up 90 percent of the U.S. population. Few Americans, Black or white, had private insurance plans, and the recent notion that employers would provide it had yet to solidify into a nationwide expectation. The pool of national health insurance would have been mainly for white Americans, but the threat of sharing it with even a small number of Black and brown Americans helped to doom the entire plan from the start.

