Giuliani Right on Health Care

Sentora, M. (2007). Giuliani seeks to transform U.S. health care coverage. New York Times. August 1, 2007. Available online:

Neither his plan nor the article covering it are perfect, but hard not to like this:

Rudolph W. Giuliani on Tuesday called for transforming the way health care coverage is provided in the United States, advocating a voluntary move from the current employer-based system to one that would grant substantial tax benefits to people who buy their own insurance.


And to help the poor or others struggling to afford health insurance, Mr. Giuliani said he would support vouchers and tax refunds, but he gave no details about how he would pay for them.

Mr. Giuliani’s vision stands in stark contrast to the plans offered by the leading Democratic candidates. Both Senator Barack Obama of Illinois and former Senator John Edwards of North Carolina have proposed bolstering the employer-based system by requiring corporations to buy insurance for their workers, and raising taxes or rolling back tax cuts to increase subsidies for health care for the poor.

Corporatism, the idea that companies should be simultaneously protected by the government but expected to fund welfare societies for their workers and dependents, is one of those bad ideas that are just hard to killed. From China’s State-Owned Companies to Detroit’s dinosaurs, too many enterprises and too many workers have been dragged down because governments made the stupid prediction that large companies cannot possibly go bankrupt.

There needs to be some form of universal healthcare, and it should be at least funded by the government through the income tax. Calls for “employer-based healthcare,” like from the junior Senator from Illinois and former junior Senator from North Carolina, are steps in the wrong direction.

5 thoughts on “Giuliani Right on Health Care”

  1. Ironically, a lot of the motivation for Edwards' and Obama's use of employer-based probably stem from avoiding conflicts with conservatives who DON'T like the notion of Universal Care.

    You are in a minority on this subject in your wing of the body politic. You realise that don't you?*grin*

    Keep this up, maybe we can talk you over to the dark side yet. . .

  2. I'm against corporatism, whether in its American form (propounded in “The New Industrial State” [1] and criticized in “Atlas Shrugged” [2]), or any of its international variants.

    If it's in society's interest to socialize risk, as it can be (even Hayek [3] supports this, giving the example of a hurricane!), then the risk should be socialized from general tax revenue.

    Socializing medicine at the corporate level is neither conservative nor progressive. Neither protecting the rights of men nor the general welfare, it's an idea that could only have come from Europe.


  3. My neighbor in Dallas was elderly doctor who had been a Navy corpsman with my father in the Solomons – a serendipitous link that made for some amazing conversations between two old medical warriors.

    My neighbor once told me that the American health insurance system was created in Dallas.

    I found this on the internet:

    As the demand for hospital care increased in the 1920s, a new payment innovation developed at the end of the decade that would revolutionize the market for health insurance. The precursor to Blue Cross was founded in 1929 by a group of Dallas teachers who contracted with Baylor University Hospital to provide 21 days of hospitalization for a fixed $6.00 payment. The Baylor plan developed as a way to ensure that people paid their bills. …

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