Ezra Klein on Rudy Giuliani on Health Care: He Is Shrill!
Ezra Klein is not pleased, not pleased at all:
A Man With a (Non-)Plan: I'm supposed to be writing about Rudy Giuliani's health care plan today. And I would, if Rudy Giuliani had a health care plan. But Rudy Giuliani doesn't have a health care plan. What he has is a pretext with which to attack the Democrats. Indeed, just about all you need to know about Giuliani's thoughtfulness on the issue can be summed up by the following: In the speech introducing and detailing his new health care proposal, Giuliani refers to the "Democrats" six times. "Single-payer" is said eight times. "Socialized medicine," or some variant thereof, makes nine appearances. "Uninsured" is never uttered -- not once.
But we'll get to the speech in a moment. First, it's worth wondering why anyone is even crediting Giuliani with a health care plan. The New York Times headlined their story "Giuliani Seeks to Transform U.S. Health Care Coverage," before telling us, in the tenth paragraph, that "Mr. Giuliani's speech offered very little in the way of specifics. He said his goal was to outline his 'vision,' with more details to come in the fall." I guess the headline "Giuliani Seeks to Transform One-Seventh of Economy, Couldn't Be Bothered to Offer Details on How" wasn't snappy enough?
Failure of the press aside, let's examine this "vision." What Giuliani offered is this: A tax exclusion of up to $15,000 for families, and $7,500 for individuals, to help pay for health care. What Giuliani is relying on is people reading those numbers -- $15,000 and $7,500 -- without noticing that they don't denote the amount of money he's offering them, but the amount of money he's not taxing them on. And when we plug it into my magical Rudy Translation Machine (constructed with the help of friendly neighborhood economist, Dean Baker), we can watch how $15,000 can easily become... zero....
Don't get me wrong, some families will save a few bucks. If you make $50,000, Giuliani's exclusion will save you $1,220. And if you make $70,000, you'll get a whopping $2,250. And the higher up the income ladder you go, the more our hypothetical family unit will save. Meanwhile, here's the kicker: According to the Kaiser Family Foundation, in 2006, premiums for family coverage amounted to, on average, $11,480. Giuliani's giveaway barely makes a dent.
So it's no surprise that Alan Cohen, head of Boston University's Health Policy Institute, looked at Giuliani's "vision" and said, "I don't think it's likely to increase coverage of people to any great extent, and I don't think it's going to get a handle on health care cost inflation in this country."...
But of course, the "plan" is not the point. It's the pretext. As NBC reported, "Giuliani laid out few specifics on an actual health care plan today in New Hampshire, and instead took shots at Democrats and Michael Moore on the topic." Lucky listeners were treated to such cutting bon mots as "Hillary, and Barack, and John Edwards are on an airplane headed to France," and "Michael Moore wants to take you to Cuba for your health care. Anyone want to sign up? I didn't think so. Maybe the Democrats will sign up."
Giuliani's plan exists to facilitate those attacks, not reform health care...
The New YorK Times reporter who waited until paragraph ten to tell us that Giuliani had no plan is Marc Santora. Remember that name.
