Obama: "And we created hospital report cards, so that every consumer could see things like the ratio of nurses to patients"
Americans/Westerners are widely seen, referred to, treated as, and labelled as "consumers" the world over. This is common parlance. This is accepted. "Citizen" is becoming synonymous with "consumer" and this is a Very Bad Thing. You're welcome to disagree, and if so, I'm welcome to tell you that I think our education system has failed you.
Do a search in any political speech database for these two words and you'll find they are interchangeable.