Libertarians are generally the ones making assumptions--that the private sector will provide health care to everyone without government regulation, that the private sector will provide housing, food, and other necessities to the poor and elderly without government assistance, that the private sector will refrain from pumping poisonous substances into the air and water without government regulation, and so forth. There's insufficient empirical evidence that any of this would happen, but it means less taxes and less government so it must be good.
There's a darker strain of libertarians who genuinely don't care whether the congenitally frail receive health care or whether the poor can afford food and shelter, because there's no human right to food and shelter, but there is a human right not to pay taxes. Even most libertarians shy away from this by asserting that somehow private charity will take care of it all, but the empirical evidence is insufficient.
“A healthy, 30-year-old young man has a good job, makes a good living, but decides: You know what? I'm not going to spend 200 or 300 dollars a month for health insurance, because I'm healthy; I don't need it,” Blitzer said. “But you know, something terrible happens; all of a sudden, he needs it. Who's going to pay for it, if he goes into a coma, for example? Who pays for that?
“What he should do is whatever he wants to do, and assume responsibility for himself,” Paul said. ”My advice to him would have a major medical policy, but not before —"
“But he doesn't have that,” Blitzer said. “He doesn't have it and he's — and he needs — he needs intensive care for six months. Who pays?”
“That's what freedom is all about: taking your own risks.,” Paul said, repeating the standard libertarian view as some in the audience cheered.
“But congressman, are you saying that society should just let him die,” Blitzer asked.
“Yeah,” came the shout from the audience. That affirmative was repeated at least three times.
-- LA Times article "Support at GOP debate for letting the uninsured die" [1]
There's a darker strain of libertarians who genuinely don't care whether the congenitally frail receive health care or whether the poor can afford food and shelter, because there's no human right to food and shelter, but there is a human right not to pay taxes. Even most libertarians shy away from this by asserting that somehow private charity will take care of it all, but the empirical evidence is insufficient.