I was able to sit in on Team McCain’s blogger conference call today where the focus was on the Senator’s health care initiatives.
McCain looks to remedy our health care problems by unleashing the power of innovation that has made this country great as well as keeping the power to make decisions regarding health care in the hands of American Families, not the Federal Government.
Critical aspects of the plan will include an emphasis on HSA’s (Health Savings Accounts) and a $5000 tax credit.
Senator McCain went into detail regarding his plan in a speech at Lee Moffitt Cancer Center & Research Institute at South Florida University.
Here are the key snippets:
1. The Problem is Cost:
In any serious discussion of health care in our nation, this should always be our starting point – because the goal, after all, is to make the best care available to everyone. We want a system of health care in which everyone can afford and acquire the treatment and preventative care they need, and the peace of mind that comes with knowing they are covered. Health care in America should be affordable by all, not just the wealthy. It should be available to all, and not limited by where you work or how much you make. It should be fair to all; providing help where the need is greatest, and protecting Americans from corporate abuses. And for all the strengths of our health-care system, we know that right now it falls short of this ideal.
Underlying the many things that trouble our health care system are the fundamental problems of cost and access. Rising costs hurt those who have insurance by making it more expensive to keep. They hurt those who don’t have insurance by making it even harder to obtain. Rising health care costs hurt employers and the self-employed alike. And in the end they threaten serious and lasting harm to the entire American economy.
2. Government is not the solution to this problem:
There are those who are convinced that the solution is to move closer to a nationalized health care system. They urge universal coverage, with all the tax increases, new mandates, and government regulation that come along with that idea. But in the end this will accomplish one thing only. We will replace the inefficiency, irrationality, and uncontrolled costs of the current system with the inefficiency, irrationality, and uncontrolled costs of a government monopoly. We’ll have all the problems, and more, of private health care — rigid rules, long waits and lack of choices, and risk degrading its great strengths and advantages including the innovation and life-saving technology that make American medicine the most advanced in the world.
The key to real reform is to restore control over our health-care system to the patients themselves.
3. Placing power in the hands of American Families will lower health care costs:
When families are informed about medical choices, they are more capable of making their own decisions, less likely to choose the most expensive and often unnecessary options, and are more satisfied with their choices. We took an important step in this direction with the creation of Health Savings Accounts, tax-preferred accounts that are used to pay insurance premiums and other health costs. These accounts put the family in charge of what they pay for. And, as president, I would seek to encourage and expand the benefits of these accounts to more American families.
Americans need new choices beyond those offered in employment-based coverage. Americans want a system built so that wherever you go and wherever you work, your health plan is goes with you. And there is a very straightforward way to achieve this.
4. Don’t destroy what is right with the current system:
Under current law, the federal government gives a tax benefit when employers provide health-insurance coverage to American workers and their families. This benefit doesn’t cover the total cost of the health plan, and in reality each worker and family absorbs the rest of the cost in lower wages and diminished benefits. But it provides essential support for insurance coverage. Many workers are perfectly content with this arrangement, and under my reform plan they would be able to keep that coverage. Their employer-provided health plans would be largely untouched and unchanged.
5. Give American Families the ability to to invest in a long-term health care solutions that preserve individual freedom:
But for every American who wanted it, another option would be available: Every year, they would receive a tax credit directly, with the same cash value of the credits for employees in big companies, in a small business, or self-employed. You simply choose the insurance provider that suits you best. By mail or online, you would then inform the government of your selection. And the money to help pay for your health care would be sent straight to that insurance provider. The health plan you chose would be as good as any that an employer could choose for you. It would be yours and your family’s health-care plan, and yours to keep.
The value of that credit – 2,500 dollars for individuals, 5,000 dollars for families – would also be enhanced by the greater competition this reform would help create among insurance companies. Millions of Americans would be making their own health-care choices again. Insurance companies could no longer take your business for granted, offering narrow plans with escalating costs. It would help change the whole dynamic of the current system, putting individuals and families back in charge, and forcing companies to respond with better service at lower cost.
It would help extend the advantages of staying with doctors and providers of your choice. When Americans speak of “our doctor,” it will mean something again, because they won’t have to change from one doctor or one network to the next every time they change employers. They’ll have a medical “home” again, dealing with doctors who know and care about them.
6. Market solutions and innovation is the answer for providing coverage to the uninsurable:
Even so, those without prior group coverage and those with pre-existing conditions do have the most difficulty on the individual market, and we need to make sure they get the high-quality coverage they need. I will work tirelessly to address the problem. But I won’t create another entitlement program that Washington will let get out of control. Nor will I saddle states with another unfunded mandate. The states have been very active in experimenting with ways to cover the “uninsurables.” The State of North Carolina , for example, has an agreement with Blue Cross to act as insurer of “last resort.” Over thirty states have some form of “high-risk” pool, and over twenty states have plans that limit premiums charged to people suffering an illness and who have been denied insurance.
As President, I will meet with the governors to solicit their ideas about a best practice model that states can follow – a Guaranteed Access Plan or GAP that would reflect the best experience of the states. I will work with Congress, the governors, and industry to make sure that it is funded adequately and has the right incentives to reduce costs such as disease management, individual case management, and health and wellness programs. These programs reach out to people who are at risk for different diseases and chronic conditions and provide them with nurse care managers to make sure they receive the proper care and avoid unnecessary treatments and emergency room visits. The details of a Guaranteed Access Plan will be worked out with the collaboration and consent of the states. But, conceptually, federal assistance could be provided to a nonprofit GAP that operated under the direction of a board that included all stakeholders groups – legislators, insurers, business and medical community representatives, and, most importantly, patients. The board would contract with insurers to cover patients who have been denied insurance and could join with other state plans to enlarge pools and lower overhead costs. There would be reasonable limits on premiums, and assistance would be available for Americans below a certain income level.
7. Break down the barriers to true freedom of choice:
…cooperation among states in the purchase of insurance would also be a crucial step in ridding the market of both needless and costly regulations, and the dominance in the market of only a few insurance companies. Right now, there is a different health insurance market for every state. Each one has its own rules and restrictions, and often guarantees inadequate competition among insurance companies. Often these circumstances prevent the best companies, with the best plans and lowest prices, from making their product available to any American who wants it. We need to break down these barriers to competition, innovation and excellence, with the goal of establishing a national market to make the best practices and lowest prices available to every person in every state.
8. Tort Reform is an essential part of lowering costs:
Another source of needless cost and trouble in the health care system comes from the trial bar. Every patient in America must have access to legal remedies in cases of bad medical practice. But this vital principle of law and medicine is not an invitation to endless, frivolous lawsuits from trial lawyers who exploit both patients and physicians alike. We must pass medical liability reform, and those reforms should eliminate lawsuits directed at doctors who follow clinical guidelines and adhere to patient safety protocols. If Senator Obama and Senator Clinton are sincere in their conviction that health care coverage and quality is their first priority, then they will put the needs of patients before the demands of trial lawyers. They can’t have it both ways.
April 29th, 2008 at 3:10 pm
All of this seems pretty soon. It is good to see McCain branching out and talking about things besides national security. He will be formidable.
April 29th, 2008 at 3:24 pm
Finally someone mentioning tort reform.
Doctors can be responsible for every possible thing that can be wrong with you.
They should not be held liable when they have followed best practices, and an MRI for everything to make absolutely sure there isn’t anything wrong isn’t best practice.
April 29th, 2008 at 3:29 pm
Good. I don’t know if tort reform will actually help anything outside, say, obstetrics, but its a sure political winner.
April 29th, 2008 at 3:44 pm
Doctors order lots and lots of tests because they want to be protected in case of lawsuits — that runs up the costs significantly.
April 29th, 2008 at 4:56 pm
Polls consistently show that upwards to 80%+ of Americans are satisfied (I hesitate to say “happy”) with their health care coverage. We keep hearing from the pundits and the demogogues that “the health care system is broken,” but for many, it isn’t. “Don’t fix what isn’t broken” should be part of the mindset in health care reform.
April 29th, 2008 at 5:10 pm
“It is good to see McCain branching out and talking about things besides national security. He will be formidable.”
He won’t be seen as a single-issue candidate, but his credibility outside of defense and spending is severely limited - and that could really hurt him.
April 29th, 2008 at 5:15 pm
Many things that used to be handled by the general internist or family doc is now being referred to a specialist simply to avoid lawsuits. And, because the patient is rarely on the hook for the bill they rarely complain they have to go see the specialist. For example, ten years ago the internist would have handled putting in a central line or a chest tube. Now, you get a referral to the surgeon. That has morphed into the ’standard of care’. So, the internists that are still willing to perform central lines or chest tubes open themselves up for a lawsuit if the procedure doesn’t go perfect because the standard of care is for a surgeon to do it. There are dozens and dozens of examples like this. Ingrown toenails are being handled by surgically trained podoitrists, warts are being handled by dermatologists, most family practice docs won’t go anywhere near OB, etc….
April 29th, 2008 at 5:56 pm
I’m uninsured. I appreciate that McCain is addressing this even though I don’t entirely agree with his approach.
April 29th, 2008 at 6:13 pm
How would this $5000 tax credit work? Is this per person, per family? Some families have 10 or 12 people in them, and some have one, yet $5000 for one person is quite high. How does this pertain to the 80% that already have good coverage? Do they get the tax credit also? If not, why not, because they have given up wages in order to have the coverage instead. Whenever the Government gets involved in anything like this, I immediately begin doubting that they will do it in an efficient and fair manner.
April 29th, 2008 at 6:55 pm
Hmmm sounds like McCain is taking a page from Mitt’s plan on # 6
April 29th, 2008 at 7:23 pm
Actually alot of this sound’s like Romney’s plan that he unveiled last year.
April 29th, 2008 at 7:28 pm
I believe it is $5,000 per family or around $417 per month. It is a credit (not a deduction), so every dollar spent on health insurance would be saved in income tax owed to the government. Couple the tax credit with a high deductible HSA plans and you would have a good many people suddenly be able to afford private insurance.
May 4th, 2008 at 12:18 am
If some decide to keep their employer coverage would the employer continue to get a tax credit? If not, wouldn’t they drop coverage and force employees into the McCain plan? As for the pool - if the State is involved and has to work with insurance companies (which are profit making first and foremost) won’t the states have to increase taxes to cover these plans? Assume they, pools, will be mandated to cover ALL those with pre-existing conditions which will be expensive and definitely be costly to the state (i.e. state tax payers) Employers can negotiate rates because they “pool” their employees. Will individuals left to seek insurance get the same rates, or will they have to pay more as individuals?
It is very compled!
May 15th, 2008 at 6:15 am
[...] our health care problems by unleashing the power of innovation that has made this country greathttp://race42008.com/2008/04/29/mccain-unveils-health-care-initiatives/L-L solicitor: Teachers?? labor complaint ???total fiction?? Times LeaderLEHMAN TWP. ?? Lake-Lehman [...]