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I'm not a Libertarian, but I sympathize with some of their economic viewpoints -- significantly more so than tends to be welcome here. Unlike some of you, I don't speak to the motives and attitudes of all libertarians, only my own. I'm not a Republican. I don't smoke pot. I did vote for Jo Jorgensen in 2020. I do give a flying fuck about liberty. I don't confirm or deny being a myopic cunt.
Oddly enough, I do support some form of public healthcare. I'm well aware that most libertarians don't. A hundred years ago, maybe even 50 years ago, I wouldn't have either. The problem is that medical science has advanced to where a free market insurance model doesn't work as well as it used to. Health insurance used to be a luxury when lung cancer would kill a rich man almost as quickly as it killed a poor man. That's no longer the case, and the costs have accelerated to where the treatment can bankrupt an uninsured middle class man.
The real sinker however is pre-existing conditions. You can't insure a house that's already on fire, and we don't ask homeowners policies to do so. Waiting periods for costly conditions sometimes almost work, except for patients born a pre-existing medical condition. If the insurer had the choice, they'd just refuse to write the policy, even if treatment is cost-effective from a public policy standpoint.
So I support free market solutions where they exist. Health insurance may be one of the few situations where it doesn't.
I always assumed it was impossible for a free market to exist in healthcare. One important tenant of a free market is being able to freely enter and exit the market at will. Exiting the healthcare market is impossible. You can't reasonably choose to leave the market when life is forcing you to engage in it, or choosing to leave the market would lead to death. It's the equivalent of having a gun put to your head.
Exactly. To me all the basics of life, the bottom tiers of Maslow's pyramid can't be privatised. Healthcare, utilities, education, infrastructure, social safety nets, you need those things as a PREREQUISITE to participation in the market. The market can't provide its own prerequisites. If you don't provide these things you simply cannot have a competitive free market in the first place.
The main issue with healthcare, imo, is that it is a leonine contract. Because of that, it is incompatible with capitalism.