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Giuliani & health care


From NBC's Domenico Montanaro and Andrew Merten
Giuliani will unveil an outline of his healthcare plan tomorrow as one of his "12 Commitments" in a speech in New Hampshire. The campaign held a conference call with reporters, rolling out a cadre of conservative health care policy advisers from Mark McClellan to fellows at the Hoover Institution, Manhattan Institute and Pacific Research Institute, including two anti-universal health care Canadians.

One of the advisers, Sally Pipes, head of the Pacific Research Institute, acknowledged the problem of the 45 million uninsured in the United States, but contends, in part, that they are uninsured because they cannot afford insurance, and they will be able to afford it when "mandates" and "regulations" on employers and health insurance companies are removed.

"Unfortunately, there's another vision out there, which is being espoused by governors, mayors, political presidential candidates, which is trying to solve the problem of the uninsured by introducing the concept of universal coverage, which means individual and employer mandates," Pipes said. "And that is the wrong way to go.… By putting an individual mandate in place … it will not solve the problem of the uninsured."

More, "Mandates intrude on health care decisions and intrude on the market place," said Dr. Scott Atlas, another adviser and chief of neuroradiology at Stanford University Medical School. "They are one of the main parts of the entire problem."

None of the handful of campaign staff or policy advisers would address any specifics of a potential Giuliani plan, saying they'll, for now, leave that to the candidate.