The Opinions Commentary by Rudy Giuliani, " " target="_new">Let the Consumer Rule
" target="_new">Let the Consumer Rule," (Nov. 12) is a 180-degree turn from the former mayor of New York City.
In 2000, his second term, he proposed "to enroll as many as 1 million more city residents in government health programs to enroll as many children as possible, and added, in a city like ours, if we can do this, becomes a model for the rest of the country. His current stance on consumer rule and empowerment seems to be a convenient new person particularly in light of his heavy-handed, socially insensitive and often legally challenged mayoral actions.
The numerous reforms he proposes are almost all encompassed in the very successful and well-received Medicare program. We hear minimum criticisms by senior beneficiaries. Medicare empowers consumers, is portable, is not state regulated, is price and quality transparent, manages chronic care, is reasonable in cost, etc. While prescription pricing should be addressed in line with the Veterans Affairs Department, this does not seem likely under the Giuliani program.
While Mr. Giuliani is entitled to his personal views, we should look towards universal coverage under government-run, all-payer plan. To accept his opinion we have to recall his numerous performance lapses on personal, personnel and public decisions and seriously question these opinions if he is to be the leader we can trust to restore our integrity, lead our country and make unbiased decisions on healthcare system reform.
Norman RosenfeldConsulting principal, Health/Sciences Group Stonehill & TaylorNew York
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