If you can explain why it's so bad somebody's medical info gets leaked out, I'm all ears. As far as I can tell HIPAA makes medicine more expensive. That's bad!
What if you could opt in to healthcare that was 20% cheaper, but was only subject to contractual promises of medical privacy, not the HIPAA. Would you take the deal?
Because he suggested that people be allowed to choose between privacy and cost? For some people, 20% might be a significant cost and they don't care about medical details leaking.