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Obama vs. McCain: Whose Healthcare Plan Reigns Supreme?
NursingLink
October 28, 2008
Presidential hopefuls, Barack Obama and John McCain, both want healthcare coverage for all Americans, but they have very different ways of going about securing affordable insurance for all. Obama’s plan involves a heavier government hand, including subsidies and coverage of all children. McCain’s plan, on the other hand, relies on individual responsibility.
Which healthcare plan do you think will win over the voters? Check out this overview, and then share your opinion on the discussion board.
Senator Barack Obama – Presumptive Democratic Nominee
Obama’s contention with the current US healthcare system is the lack of coverage for 47 million Americans and the ever-increasing costs of health insurance. In order to combat these trends, Obama plans to initiate “Affordable and Portable Coverage for All.”
• Guaranteed eligibility – No American, regardless of health history, will be turned down.
• Affordable co-pays, deductibles and premiums.
• A benefits package that covers all essential treatments – including mental health and maternity care.
• Those who do not qualify for Medicaid or SCHIP can be provided with federal subsidies to buy into a new public plan or private coverage.
• Ability to move jobs or locations and keep the same insurance (if enrolled in the public plan or the National Health Insurance Exchange).
Source: Creative Commons
• Easy enrollment
• Part of Obama’s plan is the creation of a National Health Insurance Exchange which will help those individuals who want to purchase private insurance plans. This program will monitor insurance companies in order to guarantee affordable insurance for everyone. The Exchange will mandate that all insurance plans are at least as generous as the public health plan. If there are differences between plans, the Exchange will make the differences public.
• Obama’s plan will require that employers make an adequate contribution to their employees’ health coverage. If they refuse, they must contribute a percentage of payroll toward the costs of the national plan. Small businesses will receive a Small Business Health Tax Credit.
• Small Business Health Tax Credit: This credit will be refundable up to 50% on premiums paid by small businesses on behalf of employees.
• Mandatory Coverage of Children: All children must have health coverage.
• Eligibility for Medicaid and SCHIP will be expanded.
• State health plans will not be replaced by the national plan.
A key element of the Obama plan is to lower the cost of health insurance for everyone. He says this can be done by modernizing the system:
• Reduce the cost of major health expenditures by reimbursing employer health plans for a portion of the costs if the savings are used to reduce employees’ premiums.
• Support disease management programs by requiring providers to use disease management programs.
• Encourage team healthcare.
• Full disclosure of quality and cost.
• Ensure providers supply adequate care by promoting patient safety, reward providers based on quality of care, and strengthening anti-trust laws.
• Emphasizing electronic health technology systems.
• Increase competition in insurance and drug markets in order to lower the cost to consumers.
Finally, Obama endeavors to create new initiatives to further the advancement of the healthcare industry:
• Support biomedical research through funding and investment as well improve the efficiency of research by coordinating with the government and other organizations.
• Combat AIDS worldwide through increased investment.
• Strengthen the Americans with Disabilities Act and improve mental health care.
For more information on Senator Obama’s health plan, please visit BarackObama.com.
sandygail
over 4 years ago
8 comments
To CookieMom: I believe that it is one of our rights to voice our opinions on our world and what we think of it. I DON'T believe every nurse that does not promote OBAMA/BIDEN is uncaring or unprofessional. I don't believe I said that. I believe that we as nurses should be promoting action that will provide insurance for those who have been priced out of it. I believe that as nurses we should put healthcare reform at the top of our priority list. I am not ashamed of what I said. I am sorry if it offended you.
PeekAbooICU
over 4 years ago
2 comments
First of all to Emisdad I'd like to say that through Obama's plan it encourages people to be knowledgeable about their risks of disease before progression through Health Promotion tactics. This allows lifestyles to be changed before they develop more serious complications. Whether you as the health care provider agree with their lifestyle or not it is still the patients right of autonomy to choose what they will and will not be compliant with. Regardless if they make poor lifestyle choices they should never be denied basic healthcare in the United States. There are children with obesity and DM whose parents allow them to continue to eat fast food and not have any activity. These same parents would receive the money to provide healthcare to their children through McCain's plan. Yea right!! These type of parents will get that money and pay a bill or do other things with that money. The child would grow up undiagnosed living a sedentary lifestyle and in turn have multiple health problems, having probably never even seen a doctor. I agree that there has to be some type of patient accountability. I'm sure there would be some limitations so that overuse and abuse of the system does not occur. However, children should never be penalized because they do not have choices in such matters. In Obama's plan that comes in to play because people still will have the choice of private insurances. It just ensures that these insurance company's are not taking advantage of people and everything is balanced and fair. It also insures that the children will be insured regardless of the choices of the parents. And I guarantee that if children were insured and parents couldn't use that money on anything aside from insuring the child there would be no people growing up having never seen a doctor.
marybutleruw63
over 4 years ago
8 comments
Thumbs Up. I am a retired school nurse with a degree in Public Health. We need to have a new program to include school nurses to protect the health,growth and development of children pre-school thru 12 th grade. If the federal government increases teacher pay it should also provide funds for school nurse salaries and professional benefits equal to teachers. We promote health.
Ludlow
over 4 years ago
18 comments
Senator McCain wouldn't be able to get insurance under his own plan. Right now the private insurance companies are robbing us blind and then not even covering us when we are sick. Of the 2 plans, Obama's is the better. But the best plan is HR 676, the single payer plan that lets you choose your doctor and choose the hospital you need. We all pay into a trust fund and all care providers are paid out of that trust fund. Everybody's covered, everybody's paid. WE all win. That;s the plan I'd like Congress to pass for Obama to sign. Oh and as an aside to cookiemom who thinks that doctors wouldn't be able to travel abroad to do charity work if we moved to a health care system that covered everybody, let me remind you that Doctors without Borders is FRENCH.
Emisdad
over 4 years ago
2 comments
I'd like to know where the patient accountability part comes into to play for either of them. Are we really expected to pay for and provide 'free care' to those who have CVD or DM but continue to eat fast food 5 times a week and refuse to exercise/lose weight? The patients need to play a role in their health and well being instead of being passive and expecting miracle medicine to 'fix them'. Also, hospitals contry-wide are increasing costs to pay for those who seek care (illegals esp. as well as others, which is gladly provided to them) and have no intention of ever paying a cent because this country 'owes it to them'. We need to be able to correct this.
Account Removed
over 4 years ago
Why do you we need a plan? Government regulation has increased dramatically in the last twenty years and so hasn't medical costs. Coincidence? Maybe.
cookiemom
over 4 years ago
4 comments
Universal Health Care = Socialized Medicine. Period.
Look at the other countries who have it. Canadian, Europeans, etc. We are the only country where everyone around the world is flocking to get medical help. We have many health care professionals who donate their time to help people in disadvantaged countries. Do you think that would be possible once we had Socialized Medicine? No. We need to focus on bringing more people into the health care profession to cover the shortages, especially due to the increasing baby boomer population, not by making bigger government. Obama would take AWAY more from your paycheck as a nurse/doctor and put it into the system to buy pork like million dollar projectors, Greek columns, fancy lobster dinners, 30-minute infomercials, etc.......the money WONT go to the right people!
ARNPtx
over 4 years ago
2 comments
Obama has the better plan. HIs plan encourages tax benefits to employers who are willing to assist the employee with health coverage. He also wants to spend more energy in health promotion and prevention which is what nursing is all about. His "Universal" plan is targeted at groups without insurance or inadequate insurance. Individuals still have the option of "private" insurance. McCains little bit of money will not help my son whose insurance coverage left him with $15,000 of unpaid medical bills after he was hit by a hit and run driver and left for dead. Obama has the better plan !
cookiemom
over 4 years ago
4 comments
To Sandy Gail: I think that it's very sad for YOU to presume that any nurse NOT agreeing with your position or choice of candidate would be any less of a health professional than you. Now THAT is selfish of YOU. We all can have our opinions and still do our jobs professionally. I am confident that any Obama support OR McCain supporter would still treat their patient responsibly.
Shame on you!
sherry3013
over 4 years ago
4 comments
How does McCain plan to keep insurance intact if you take time off of work to raise a family? If you take time off, and are responsible (at least in part) for your premiums, how do you pay? I can't afford my co-pay now. I am not sure if government involvement is the answer, but we sure need help now. As a healthcare professional, it pains me to see the number of uninsured in America at present. Is it only going to get worse?
beginning
over 4 years ago
2 comments
I do nursing social work and work with families who's children receive medicaid. If they are given a large sum of money they will quickly go out and spend it. I see it every year when they get their income tax return regardless of my attempts to teach budgeting and the idea of saving for a "rainy day". These people don't think about saving for a medical emergency. They do without so many things that all they want is that immediate gratification when given some money. I don't see McCain's health care plan working for the people who really need it the most.
kaitlin
over 4 years ago
2 comments
McCain has the the best of the two plans.
RNMissouri
over 4 years ago
8 comments
If you really want to see what government run health care looks like, look at Medicare. It runs beautifully, no insurance company execs taking huge bonuses, simple, easy to understand and no claim forms.
vrdelmar
over 4 years ago
2 comments
Obama's plan sounds good, right? The only problem is that Americans historically have not wanted to pay the ENORMOUS costs that universal health care would require. Does anyone remember Hillary Clinton's attempt at universal health coverage? Also I think anyone who believes that the federal government can efficiently run a universal health care plan is absurd. If you want to see how that looks, go to your local social security office and see how effective that system works. I say put this in the hands of the individual states. We definitely need coverage for all Americans but the federal government running it is the wrong answer.
RNMissouri
over 4 years ago
8 comments
Those of you voting for McCain are just defending your previous position of voting for the worst president ever, or you are prejudiced. Obama clearly has not only a better plan, but the only well-thought out, comprehensive plan. Do you really want Sarah Palin as president? She made rape victims in her state pay for their own rape kits!