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On a political spectrum, the term libertarian should relate to anti-authoritarian. So, I can see how the case can be made against socialized healthcare for them. It's not really about true freedom or liberty. And in the US anyway, it's largely just facade co-opted by the ~~fascist~~ [authoritarian and wealthy] right wing, ironically.
The word "Libertarian" in US has less relation to the dictionary definition than "Republican" and "Democrat". These are names of parties over here, even if they have a namesake of governmental mechanisms.
Examples:
Ron Johnson said in a single breath that he was a libertarian and opposed the legalization of marijuana.
Find the average "libertarian" policy position on border policies.
US politics is unfortunately entrenched in tribalism rather than searching for the right tool to match a job or solve a problem and maximize outcomes, the libertarians over here are no exception.
Big L little l.
Big L is the party - and yeah, it's just Republicans in a different T-shirt.
Little l is the ideology, which in many ways matches up with what I think, but to get there you need so many social programs to put people on even ground that we should have but don't. Universal healthcare being only one of so, so, so many.
Edit: And just to add, I think Rand was just a precursor to the Big L Libertarians, and little to nothing to do with the little l. You can have true individual liberty without the protections and support to enable those liberties.
What's your definition of liberty here? Just the absence of constraints? As in to be free from sth., opposed to being free to do sth.?
If it is, then sure you can have individual liberty. It's just (almost) utterly useless. Or do I not get your point here?
I think you're missing my point, yes.
Equality in the law, freedom of association, civil liberties, etc., etc. while technically in the US we "have" these freedoms, in reality we do not - we are subject to capitalism with regulatory capture, fines that unfairly punish the poor, so on. I'm on a phone, so I'm not typing out a dissertation.
Probably the best reference would be libertarian socialism or libertarian communism. The right wing Libertarian movement (which is dominant in the US) is really anarchi-capitalism, which is the complete opposite direction of left libertarianism (which is anti-capitalist).
Anyway, yes, there are a variety of ways freedoms are limited by simply being unable to afford things, or even being put into a position where you don't have the time to dedicate to those things. To me, that's fundamentally wrong.
That's what I summarised, aside from the us-centric references. I still don't quite understand the emphasis on "true individual liberty", what that should entail and the meaning of it for the discussion. I agree with everything else you said, that part just isn't clear to me.