Figure ES-1. Features of Leading Candidates’ Approaches to Health Care Reform...
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Figure ES-1. Features of Leading Candidates’ Approaches to Health Care Reform Clinton Edwards Obama Giuliani Huckabee McCain Romney Individual Mandate Yes Yes Children only No No No No Employer Shared Responsibilit y Large firms offer or contribute X% of payroll Offer or contribute 6% of payroll Offer or contribute X% of payroll No No No No Medicaid/ SCHIP Expansion Yes Parents/ children up to 250% FPL; childless adults up to 100% FPL Yes No No No No Private Insurance Markets New group Health Choices Menu through FEHBP with private & public plan options New group regional Health Care Markets with private & public plan options New group National Health Insurance Exchange with private & public plan options Purchase private individual insurance in any state States as laboratories for market- based approaches Purchase private individual insurance in any state Emphasis on private individual markets Subsidies for Low to Moderate Income Tax credit for premium >X% of income Refundable sliding scale tax credit up to 400% FPL Sliding scale premium subsidies Health insurance credit for low-income Tax credits for low- income families Tax credit $2,500 for individuals , $5,000 for families Premium subsidies HIT, Transparency, HIT, Transparency, HIT, Transparency, HIT, thors’ analysis of presidential candidates’ health reform proposals.
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Figure 1. When You Are Deciding Who to Vote for in Next Year’s Presidential Election, How Important Will the Candidate’s Views on Health Care Reform Be? Source: Analysis of the Commonwealth Fund Biennial Health Insurance Survey (2007). Percent of adults who say candidates’ views on health reform will be very/somewhat important
Transcript of Figure ES-1. Features of Leading Candidates’ Approaches to Health Care Reform...
Figure ES-1. Features of Leading Candidates’ Approachesto Health Care Reform
Clinton Edwards Obama Giuliani Huckabee McCain RomneyIndividual Mandate Yes Yes Children only No No No No
EmployerShared Responsibility
Large firms offer or contributeX% of payroll
Offer orcontribute 6%
of payroll
Offer or contribute X%
of payrollNo No No No
Medicaid/ SCHIP Expansion
Yes
Parents/children up to 250% FPL; childless adults up to 100% FPL
Yes No No No No
Private Insurance Markets
New group Health Choices Menu through FEHBP with
private & public plan options
New group regional Health
Care Markets with private & public
plan options
New group National Health
Insurance Exchange with private & public
plan options
Purchase private
individual insurance in
any state
States as laboratories for market-based approaches
Purchase private
individual insurance in
any state
Emphasis on private
individual markets
Subsidies for Low to Moderate Income
Tax creditfor premium
>X% of income
Refundable sliding scale tax
credit up to400% FPL
Sliding scale premium subsidies
Health insurance credit for
low-income
Tax credits for low-income
families
Tax credit $2,500 for
individuals, $5,000 for families
Premium subsidies
Quality and Efficiency Measures
HIT, Transparency,
P4P, Prevention, Comparative effectiveness,
Chronic disease management, Disparities, Malpractice
reform
HIT, Transparency,
P4P, Prevention, Comparative effectiveness,
Chronic disease management, Disparities, Malpractice
reform
HIT, Transparency,
P4P, Prevention, Comparative effectiveness,
Chronic disease management, Disparities, Malpractice
reform
HIT, Transparency,
Prevention, Malpractice
reform
HIT,Prevention, Malpractice
reform
HIT, Transparency,
P4P, Prevention,
Chronic disease
management, Malpractice
reform
HIT, Transparency,
Malpractice reform
Source: Authors’ analysis of presidential candidates’ health reform proposals.
Figure ES-2. Where Leading Candidates Standon Health Care Reform Features
Clinton Edwards Obama Giuliani Huckabee McCain RomneyMost Candidates from Both Parties Agree
Expand coverage Yes Yes Yes Yes Yes Yes Yes
Health IT Yes Yes Yes Yes Yes Yes Yes
Transparency Yes Yes Yes Yes No Yes Yes
Malpractice reform Yes Yes Yes Yes Yes Yes Yes
Prevention Yes Yes Yes Yes Yes Yes No
Some Candidates AgreePay for performance Yes Yes Yes No No Yes No
Candidates DifferUniversal coverage Yes Yes Yes No No No No
Individual mandate Yes Yes Children only No No No No
Employer pay or play Yes Yes Yes No No No No
Changes to employer benefit tax exemption Yes No No Yes Unclear Unclear Yes
Regulation of insurance markets Yes Yes Yes No No No No
Financing source Yes Yes Yes No No No No
Source: Authors’ analysis of presidential candidates’ health reform proposals.
Figure 1. When You Are Deciding Who to Vote for in Next Year’s Presidential Election, How Important Will the Candidate’s Views on Health Care Reform
Be?
62 7747 60
2417
3627
0
25
50
75
100
Total Democrat Republican Independent
Somewhat importantVery important
Source: Analysis of the Commonwealth Fund Biennial Health Insurance Survey (2007).
Percent of adults who say candidates’ views on health reformwill be very/somewhat important
9483 8786
Figure 2. Support for the Proposal That Employers Should Either Provide Health Insurance to Their Employees or Contribute to a Fund That Would
Help Cover Workers Without Health Insurance
81 8873 79
0
25
50
75
100
Total Democrat Republican Independent
Percent of adults who say that employers should eitherprovide health insurance or contribute to a fund
Source: Analysis of the Commonwealth Fund Biennial Health Insurance Survey (2007).
Figure 3. Support for a Health Reform ProposalThat Requires That Everyone Have Health Insurance,
with Government Helping Those Who Cannot Afford It
40 5025 38
2830
2730
0
25
50
75
100
Total Democrat Republican Independent
Somewhat favorStrongly favor
Percent of adults who strongly/somewhat favor a requirementthat everyone have health insurance
80
526868
Source: Analysis of the Commonwealth Fund Biennial Health Insurance Survey (2007).
Figure 4. Who Do You Think Should Pay forHealth Insurance for All Americans?
66 67 66 70
15 20 9 148 511 610 66 3
0
25
50
75
100
Total Democrat Republican Independent
Mostly individualsMostly employersMostly the governmentShared by individuals, employers, and the government
Percent of adults who say health insurancecosts should be paid for by:
Note: Bars do not total to 100% because survey respondentswho refused to answer or answered “don’t know” are not shown.Source: Analysis of the Commonwealth Fund Biennial Health Insurance Survey (2007).
