Tuesday, September 30, 2008

The Problem With Tax-Breaks for Healthcare - or - McCain's Healthcare Plan: Don't Get Sick


I think as a nation that we've largely overcome the hump of getting everyone on board with the notion that we need some sort of nationalized health care. Even the most conservative people I know believe health care should be a right, not a privilege. I may be wrong on this general consensus, but I'm going to believe in it because I want to believe that there's a general will to do the right thing out there.

That being said, I'd be remiss if I let this week go by without laying out exactly where a national health care plan should go and what it should do. Though I have my disagreements with Obama's plan (e.g., not a mandate or universal coverage, but rather coverage for those whose employer does not provide it and incentives for employers to provide it or enroll in the national plan) and I believe that whatever national health care plan does eventually make its way to the people will look different from what is proposed, I cannot stand idly and not comment on McCain's complete failure to address the problem.

So to break it down, here's why McCain's Health Care Plan is a massive failure:

  • It does not mandate coverage. Under Obama's plan, flaws and all, every American will be covered by a plan, one way or another. That's not true under McCain's plan. McCain's plan offers tax incentives to getting coverage, but does not make it even more available than it is now and doesn't require every person to be covered and every insurer to accept you regardless of medical history. In other words, you're on your own. And as anyone who has shopped for alternative coverage can tell you, you are screwed.
  • It encourages "free market" policies to take advantage of Americans. Instead of being insured under group policies, every person would be insured by an individual policy. McCain calls this being responsible for your own health care. McCain's solution to the insurance issue: "An important part of his plan is to use competition to improve the quality of health insurance with greater variety to match people's needs, lower prices, and portability. Families should be able to purchase health insurance nationwide, across state lines." That's a direct quote. Here's a translation: big companies are still going to make money off of a basic service, something we know doesn't work. Furthermore everyday Americans will be lucky if they can even find coverage because competition does not provide basic safeguards. If anyone needs a lesson about that, they need look no further than the current financial meltdown.
  • It taxes those whose employer does provide benefits. That's right Joe Blow--now your company-provided health care will now count towards your income and be taxable. So much for cutting taxes to help the economy. In other words, since health care benefits for a family equal about the equivalent of $12,000, those who need the break the most--working families--will instead be taxed at a higher level for benefits they receive. Of course, they'll get a tax break...in amount much less than the increased taxed income they'll be charged for. In other words, the plan isn't so much of a plan to encourage coverage, it's a plan to encourage people to go out into the "free market" to get insurance--even if that insurance is not as good--because there are greater tax benefits to do so. Surely, such a policy is absurd to anyone. At least, I thought that. Meanwhile companies will be greater encouraged (as if they needed more encouragement) to lower benefits to their employees and basically strip the American Worker (the 'fundamentals of the economy') of any chance of breaking even.
The end result of McCain's plan is this: not only is the American Worker screwed, he's screwed without a kiss. A good resource to review these policies substantively is the Economists for Obama site. There is also a narrative comparison of the effect either plan would have on ordinary Americans. Another good source is a straight-talkin' break down of what McCain's plan truly brings to the table.

The choice is pretty clear--there is a choice between coverage for all and coverage for the elite few who probably don't need it anyhow. I'll take the former any day of the week.

Tuesday, June 5, 2007

Busy as a Beaver

I've had a very busy past two days. I've been sworn in to the State Bar of Michigan. I had an interview this morning. And most importantly, I finally sent in my health insurance premium. Sending in my premium always makes me wonder why we are the only civilized country without a national health care plan. I mean, can a hoe get a doctor's visit up in here.

Here are two sites regarding national health care. Check them out:
Physicians for a National Program
HealthCare-Now!

It's just amazing. I remember talking to my French host family FIVE years ago about this issue. They paid (at the time) $20 for a doctor's visit, $18 of which was covered by the government. And there was a big issue at the time because they wanted to raise the price of a visit to $22. I wish doctor's visits were $22 here. And don't even get me started on prescriptions.

 

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