6/3/2008Candidates and Costs Two Distinct Approaches to Overall Reform John McCain Expanded coverage...
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Transcript of 6/3/2008Candidates and Costs Two Distinct Approaches to Overall Reform John McCain Expanded coverage...
Candidates and Costs 6/3/2008
Two Distinct Approaches to Overall Reform
John McCainExpanded coverage through individual insurance market with:
• Tax incentives• Changes to tax exemptions for employer-sponsored
insurance• Deregulation of state markets
The DemocratsUniversal coverage through:
• Mixed private-public group insurance• Improved private group insurance markets• Financing from government, employers, and individuals
Candidates and Costs 6/3/2008
Where the Candidates Agree(at least in title)
• Expansion of coverage• Health IT• Transparency• Malpractice reform• Prevention• Payment reform for coordinated care• Pay for performance• Comparative effectiveness
Candidates and Costs 6/3/2008
Where the Candidates Differ
McCain Clinton ObamaUniversal coverage
X X
Individual Mandate
X Children only
Employer pay or play
X X
Changes to employer benefit
tax exemption
X X
Regulation of insurance markets
X X
Financing Source
X X
Candidates and Costs 6/3/2008
Cost Containment Tools
McCain Clinton ObamaHealth IT X X X
Direct government negotiation of drug
prices
X X
Transparency—Price, Quality
X X X
Insurance national exchange
X X
Nationwide sale of insurance
X
Promotion of alt. healthcare providers
X
Chronic Care Coordination
X X X
HSA Promotion X
Candidates and Costs 6/3/2008
Cost Containment Tools (cont’d)
McCain Clinton ObamaComparative effectiveness
? X X
Prevention X X X
Payment reforms for value
X X X
Malpractice reform X X X
Drug re-importation X X X
Drug generics promotion
X X X
Direct Gov’t negotiation of drug
prices
X X
Candidates and Costs 6/3/2008
Polls: Health Care Important to Voters, Economy More Important
Pew Research Center Poll, May 21-25, 2008
70
75
80
85
90
Economy Education Jobs Health Care
(% "
Ve
ry Im
po
rta
nt"
)
Candidates and Costs 6/3/2008
Top Economic Concerns Ms. Magazine
LRP/Tarrance Group Battleground Survey, December 9-12 2007
0
5
10
15
20
25
30
Health Care Cost of Gas Budget Higher Taxes
(%)
Women Men