Send a Quote Enter a brief message. SendOk2 “Socialized medicine is the keystone to the arch of the socialist state.” ~ Vladimir Ilyich Lenin [Vladimir Ilyich Ulyanov] (1870-1924) First Leader of the Soviet UnionSource: No record of Lenin speaking or writing this has been found. The quote first appeared in Lawrence Sullivan's 'The Case Against Socialized Medicine' (1948) and later appeared in a pamphlet circulated in huge quantities by the American Medical Association entitled 'The Voluntary Way is the American Way.'