Over at U.S. News & World Report, James Pethokoukis has a piece titled, “GOP Debate: Giuliani’s Libertarian Health Reform,” where he echoes my observation that Rudy Giuliani gave the best health care answer of all the GOP presidential candidates in the most recent debate — sounding even more libertarian than libertarian Ron Paul.
It will be fascinating if Giuliani pursues these ideas since they provide a clear choice vs. the Democratic health plans, which all call for increased government intervention one way or another. But what Giuliani is doing is far more radical than his folksy debate answer suggests. Essentially, he is calling for the complete abolition of the current way healthcare insurance operates in the United States. It echoes the analysis of libertarian economist Arnold Kling, who argues that what Americans have right now is health insulation, not health insurance.
Those interested in further reading should check out Kling’s book, Crisis of Abundance: Rethinking How We Pay for Health Care.