Tuesday, October 28, 2008

McCain's health care plan would cost more, insure less

The New York Times analyzed the two candidates' health care plans in an editorial Oct. 27. It makes for a bit of a dry read until you get to the meatier second half of the piece.

McCain's plan:

"Mr. McCain correctly recognizes that there are disadvantages to linking insurance to jobs — as thousands of laid-off American workers already are discovering — and that there is an intrinsic inequity in the current tax code that favors those who have employer plans over those buying individual coverage.

The great danger is that Mr. McCain’s plan will fragment the sharing of risks and costs — the bedrock of any good insurance plan — by enticing young, healthy workers to bail out of their employers’ group policies to seek cheaper insurance on their own. Their older or less healthy colleagues would be left behind, which would drive up premiums at work. The rising costs could lead many companies to drop their health coverage entirely...

Some states require insurers to accept all applicants and provide specified standard benefits, and they limit the ability of companies to base premiums on health status. In the name of promoting competition, Mr. McCain’s plan would free companies from those terms. Anyone who lost insurance as a result would have to seek coverage through the high-risk pools."

Obama's plan:

Obama "would require all parents to get coverage for their children and expand Medicaid and the State Children’s Health Insurance Program. He would also require large and midsize companies to offer health insurance to their workers or pay into a kitty to subsidize coverage elsewhere... Mr. Obama says the government would provide subsidies to encourage small employers to offer coverage and to help low-income people buy insurance."

Results:

"The nonpartisan Tax Policy Center estimates that the McCain plan would lower the number of uninsured by a mere two million in 2018, out of a projected 67 million uninsured in that year. The Obama plan would cut the number by 34 million, the center says, but still leave nearly 33 million uninsured... Despite all the Republican warnings about high-spending Democrats, McCain’s plan could be a lot more expensive than Mr. Obama’s, at least in the early years, and possibly in the long term."

Full article here.

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