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Compare the health care plans -- Edwards, Obama, Hillary

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JDPriestly Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 01:48 AM
Original message
Compare the health care plans -- Edwards, Obama, Hillary
Sorry Moderators for quoting so much, but I doubt the candidates will mind because this allows people to see the entire plan of each candidate as the candidates present them. I might not represent the plans fairly if I paraphrased. I think I present the plans in the order of the dates the candidates presented them, first Edwards, second Obama and third Hillary. I think that is the order in which they were introduced. Full disclosure: I'm an Edwards supporter. I think Obama's plan is quite good also.

Edwards

Under the Edwards Plan:

* Families without insurance will get coverage at an affordable price.
* Families with insurance will pay less and get more security and choices.
* Businesses and other employers will find it cheaper and easier to insure their workers.

The Edwards Plan achieves universal coverage by:

* Requiring businesses and other employers to either cover their employees or help finance their health insurance.
* Making insurance affordable by creating new tax credits, expanding Medicaid and SCHIP, reforming insurance laws, and taking innovative steps to contain health care costs.
* Creating regional "Health Care Markets" to let every American share the bargaining power to purchase an affordable, high-quality health plan, increase choices among insurance plans, and cut costs for businesses offering insurance.
* Once these steps have been taken, requiring all American residents to get insurance.

Securing universal healthcare for every American will require the active involvement of millions of Americans.
http://johnedwards.com/issues/health-care/
http://www.youtube.com/watch?v=uWbXNUbUj0A&eurl=

Obama

Barack Obama believes we live in the greatest country in the world and that when it comes to health care, America can and must do better. The Obama plan will save a typical American family up to $2,500 every year on premiums by:

1. Providing affordable, comprehensive and portable health coverage for every American;
2. Modernizing the U.S. health care system to contain spiraling health care costs and improve the quality of patient care; and
3. Promoting prevention and strengthening public health to prevent disease and protect against natural and man-made disasters.

The Obama plan both builds upon and improves our current insurance system, upon which most Americans continue to rely, and leaves Medicare intact for older and disabled Americans.

1. Obama's Plan to Cover the Uninsured. Obama will create a new national health plan to allow individuals without access to affordable insurance coverage to buy coverage similar to that available to members of Congress. The Obama plan will have:

* Guaranteed eligibility. No American will be turned away because of illness or pre-existing conditions.
* Comprehensive benefits. The benefit package will be similar to the Federal Employees Health Benefits Program (FEHBP), and cover all essential medical services, including preventive, maternity and mental health care.
* Affordable premiums, co-pays and deductibles.
* Subsidies. Individuals who do not qualify for Medicaid or SCHIP but still need assistance will receive an income-related federal subsidy to buy into the new public plan or purchase a private health care plan.
* Simplifying paperwork and reining in health costs.
* Easy enrollment. The new public plan will be simple to enroll in and provide ready access to coverage.
* Portability and choice. Participants in the new public plan and the National Health Insurance Exchange (see below) will be able to move from job to job without changing their health care coverage.
* Quality and efficiency. Participating insurance companies will be required to collect and report data to ensure that standards for quality, health information technology and administration are being met.

2. National Health Insurance Exchange. Obama will create a National Health Insurance Exchange to help individuals who wish to purchase private insurance. The Exchange will act as a watchdog group and help reform the private insurance market by creating rules and standards for participating insurance plans to ensure fairness and to make individual coverage more affordable and accessible. Insurers would have to issue every applicant a policy, and charge fair and stable premiums. The Exchange will require benefits comparable to those offered in the new public plan. Insurers would be required to justify an above-average premium increase. The Exchange would evaluate plans and provide information about differences between them.

3. Employer Contribution. Employers that do not offer or make a meaningful contribution to the cost of quality health coverage for their employees will be required to contribute a percentage of payroll toward the costs of the national plan. Small employers that meet certain revenue thresholds will be exempt.

4. Mandatory Coverage of Children. Obama will require that all children have health care coverage.

5. Expansion of Medicaid and SCHIP. Obama will expand eligibility for Medicaid and the State Children's Health Insurance Program.

http://www.barackobama.com/issues/healthcare/
Video available at above website

Hillary

The American Health Choices Plan gives Americans the choice to preserve their existing coverage, while offering new choices to those with insurance, to the 47 million people in the United States without insurance, and the tens of millions more at risk of losing coverage.


* The Same Choice of Health Plan Options that Members of Congress Receive: Americans can keep their existing coverage or access the same menu of quality private insurance options that their Members of Congress receive through a new Health Choices Menu, established without any new bureaucracy as part of the Federal Employee Health Benefit Program (FEHBP). In addition to the broad array of private options that Americans can choose from, they will be offered the choice of a public plan option similar to Medicare.

* A Guarantee of Quality Coverage: The new array of choices offered in the Menu will provide benefits at least as good as the typical plan offered to Members of Congress, which includes mental health parity and usually dental coverage.

Americans who are satisfied with the coverage they have today can keep it, while benefiting from lower premiums and higher quality.


* Reducing Costs: By removing hidden taxes, stressing prevention and a focus on efficiency and modernization, the plan will improve quality and lower costs.

* Strengthening Security: The plan ensures that job loss or family illnesses will never lead to a loss of coverage or exorbitant costs.

* End to Unfair Health Insurance Discrimination: By creating a level-playing field of insurance rules across states and markets, the plan ensures that no American is denied coverage, refused renewal, unfairly priced out of the market, or forced to pay excessive insurance company premiums.

Relying on consumers or the government alone to fix the system has unintended consequences, like scaled-back coverage or limited choices. This plan ensures that all who benefit from the system share in the responsibility to fix its shortcomings.


* Insurance and Drug Companies: insurance companies will end discrimination based on pre-existing conditions or expectations of illness and ensure high value for every premium dollar; while drug companies will offer fair prices and accurate information.

* Individuals: will be required to get and keep insurance in a system where insurance is affordable and accessible.

* Providers: will work collaboratively with patients and businesses to deliver high-quality, affordable care.

* Employers: will help financing the system; large employers will be expected to provide health insurance or contribute to the cost of coverage: small businesses will receive a tax credit to continue or begin to offer coverage.

* Government: will ensure that health insurance is always affordable and never a crushing burden on any family and will implement reforms to improve quality and lower cost.

Senator Clinton’s plan will:


* Provide Tax Relief to Ensure Affordability: Working families will receive a refundable tax credit to help them afford high-quality health coverage.

* Limit Premium Payments to a Percentage of Income: The refundable tax credit will be designed to prevent premiums from exceeding a percentage of family income, while maintaining consumer price consciousness in choosing health plans.

* Create a New Small Business Tax Credit: To make it easier-not harder-for small businesses to create new jobs with health coverage, a new health care tax credit for small businesses will provide an incentive for job-based coverage.

* Strengthen Medicaid and CHIP: The Plan will fix the holes in the safety net to ensure that the most vulnerable populations receive affordable, quality care.

* Launch a Retiree Health Legacy Initiative: A new tax credit for qualifying private and public retiree health plans will offset a significant portion of catastrophic expenditures, so long as savings are dedicated to workers and competitiveness.



* Most Savings Come Through Lowering Spending Due to Quality and Modernization: Over half the savings come from the public savings generated from Senator Clinton’s broader agenda to modernize the heath systems and reduce wasteful health spending.

* A Net Tax Cut for American Taxpayers: The plan offers tens of millions of Americans a new tax credit to make premiums affordable-which more than offsets the increased revenues from the Plan’s provisions to limit the employer tax exclusion for health care and discontinue portions of the Bush tax cuts for those making over $250,000. Thus, the plan provides a net tax cut for American taxpayers.

* Making the Employer Tax Exclusion for Health Care Fairer: The plan protects the current exclusion from taxes of employer-provided health premiums, but limits the exclusion for the high-end portion of very generous plans for those making over $250,000.

http://www.hillaryclinton.com/feature/healthcareplan/summary.aspx
http://www.hillaryclinton.com/video/55.aspx

Compare, contrast and choose. I note that none of them mention the problem that insurance companies charge more as you age. At 50 you pay considerably more than you do at 25. And at 64 -- ouch! That should stop. Frankly, none of the health care proposals get rid of the ransom we pay to private insurance executives just for the right to apply for insurance.
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Fridays Child Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 01:49 AM
Response to Original message
1. Marking...
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wildhorses Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:07 AM
Response to Original message
2. thanks for this. k&r
that last paragraph...
shows me that this round of statesmen are not as far thinking as they should be.
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sandnsea Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:08 AM
Response to Original message
3. Obama's Nat Health Insurance Exchange
That's his plan to reform insurance before putting the govt subsidies into it.

I'm not sure everybody is charged the same in it, but it does say it will guarantee fair and stable premiums, and require justification for increases. It also will use his new public plan as the basis to "require benefits comparable to those offered in the new public plan." To my knowledge, he is the only one who includes insurance reform in his health care plan.
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regnaD kciN Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:19 AM
Response to Original message
4. The elephant in the living room...
Edited on Wed Sep-19-07 02:20 AM by regnaD kciN
Although each of the candidates, whether they require everyone to buy a policy (Clinton, Edwards) or not (Obama), promise "affordable" costs to the consumer, none of them specifies what sort of price range would qualify as "affordable." Keeping in mind that, at least here in Washington state, a private (non-employer-based) insurance plan for a family runs upwards of $1,000 per month in premiums, what would be considered affordable? $750? $500 (a whopping "half-off" current prices)? $250?

This is especially important for "individual mandate" policies -- while I couldn't see anyone complaining about having to buy a policy costing $10 a month, I can certainly imagine many among the uninsured who simply could not afford even an additional $200 added on to their already stretched budgets.

Before one decides which plan would be best, one really needs at least a ballpark figure of the eventual price tag for the average American needing a policy. But that's the one thing none of them seem inclined to produce -- and the voter can be forgiven for suspecting that the main reason is that, if the true cost was known before votes were cast, people would be clamoring for single-payer instead.

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Lasher Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 04:08 AM
Response to Reply #4
8. All are a form of individual mandate
Obama would include mandatory coverage, but just for children.
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silverojo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 04:17 AM
Response to Reply #4
9. That's just what I was thinking
There are people who can't afford ANY insurance, yet are also ineligible for Medicaid (read: single people with health problems--only people who reproduce irresponsibly are guaranteed coverage). Who covers them?

::crickets::
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kdmorris Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 05:14 AM
Response to Reply #9
12. WHOA!!!!!
"only people who reproduce irresponsibly are guaranteed coverage"

That's NOT fair and REALLY nasty. I agree with you that it's not right that single people get the shaft when it comes to help from the government, and I will stand by your side to fight for Medicaid to be expanded to people without children.

BUT, that statement is extremely biased. *I* was on Medicaid for several years. I have three children, but I didn't "reproduce irresponsibly". I had three children with an a man I divorced. HE refused to pay child support, even going as far as quitting his job so that he wouldn't have to. NEVER have I gotten even one dollar from him. I ended up on welfare and I worked my ass off to get out of that situation. And I was really lucky to have support from other people to enable me to get out of that situation.

What do you propose that I should have done in that situation? Give my children up for adoption? Let their abusive father take them? Give up? Let them suffer because I couldn't support them at the time?
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JDPriestly Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 10:56 AM
Response to Reply #4
17. Very good point. None of them are as good as the European
coverage my family and I enjoyed for years.
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gateley Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:26 AM
Response to Original message
5. Seriously, why don't these, and most of the other candidates, even allude to
a health plan like Kucinich and Ron Paul propose? They surely can see the difference between just juggling around a few numbers to enable the industry to continue along the same path, and the freedom, security and equity a single payer plan would provide. I'm assuming there would be repercussions I can't imagine if we just locked the doors on all the insurance providers at once, but with the above noted exceptions, I don't think anyone is even willing to allow that a single payer plan is a viable option.

On another thread which provided a link to the plans that are available to government employees, I was dismayed to find it's just more of the same of the system we currently have. More options are available and some premiums are less than I can get through my employer, but we're still faced with deductibles, potentially high premiums, maybe the inability to pay our part of the bill after the insurance company has kicked in its share.

Drastic measures are needed.

What can we do to bring more awareness to this option so voters can let their candidates know this is an avenue we'd like explored? I wrote my candidates and expressed my feelings, but we need a groundswell.

Any suggestions?
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JDPriestly Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 10:58 AM
Response to Reply #5
18. Sorry I left out Kucinich. Please link and copy his plan.
That was a terrible oversight on my part. I apologize.
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Desertrose Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:34 AM
Response to Original message
6. These plans get us nowhere....
Edited on Wed Sep-19-07 02:34 AM by Desertrose
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Truth2Tell Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 03:41 AM
Response to Original message
7. Wow, this post is like the New York Times
it focuses on three health care plans that all mimic each other, and ignores the plan that actually contrasts with them.

I guess there are only three candidates for the nomination. Thanks for your comprehensive review. Now I feel well informed about my choices. Too bad nobody supports anything substantially different. :sarcasm:
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JDPriestly Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 10:59 AM
Response to Reply #7
19. Sorry. I did not realize that others had plans.
I apologize. Please get the plans and post them here so we have a resource for talking about the plans and thinking about the plans and candidates. I will try to do that on my blog also.
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lapfog_1 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 04:41 AM
Response to Original message
10. These aren't health care plans
they are health care INSURANCE plans. Which isn't the same thing.

The insurance industry is all about "for profit" motives and all that that entails.

These plans, to various degrees, layer a government bureaucracy on top of a now horridly bloated private bureaucracy. Let's just go with ONE and try to run it better and NOT FOR PROFIT! Government can work if people try.

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JTFrog Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 04:45 AM
Response to Original message
11. They left out one of Hillary's more important features:
"At this point, we don't have anything punitive that we have proposed," she said. But she said she could envision a day when "you have to show proof to your employer that you're insured as a part of the job interview — like when your kid goes to school and has to show proof of vaccination."
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1776Forever Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 06:32 AM
Response to Reply #11
13. Thank you for pointing this out - with 2 TRILLION being spent aren't we paying enough?
The government spends 2 trillion dollars a year on health care and I have witnessed myself with my son who is in his 30's and developed MS with no insurance coverage the lack of support he received because he did not have any dependent children! The Medicaid doctors and specialist he had to go to almost cost him his life! We had to go to a college run medical school in order to get him stabilized and get the medicines he needed!

The FACTS from the NCHC Site: http://www.nchc.org/facts/cost.shtml

National Health Care Spending

* In 2005, health care spending in the United States reached $2 trillion, and was projected to reach $2.9 trillion in 2009 (2). Health care spending is projected to reach $4 trillion by 2015 (2).
* Health care spending is 4.3 times the amount spent on national defense (4).
* In 2005, the United States spent 16 percent of its gross domestic product (GDP) on health care. It is projected that the percentage will reach 20 percent in the next decade (2).
* Although nearly 47 million Americans are uninsured, the United States spends more on health care than other industrialized nations, and those countries provide health insurance to all their citizens (4).
* Health care spending accounted for 10.9 percent of the GDP in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development (5).
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CTyankee Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 09:11 AM
Response to Reply #11
14. There are already punitive measure in effect NOW.
When I went on Medicare, Part A (hospitalization)was automatic and had no extra cost to me involved. A few months later I got a letter saying it was time to sign up for Part B (drs visits)at the current rate, which would be deducted from my SSI benefit each month. If I didn't do at that time and tried to sign up later I would have to pay more. I called Medicare and explained that I already had coverage under my spouse's policy (which also covered dental and some prescription benefits)and it cost me less per month. They allowed me to do that with no penalty once I no longer had that insurance and had to rely on Part B.

My guess is that Medicare doesn't want people blowing off Part B (for whatever reason, valid or not) and then show up in acute care, which costs the system so much more.

If people are too poor to pay the extra for their health care, Medicaid should be fixed to take care of them. Edwards' plan says "expand Medicaid" and Hillary's says "strengthen Medicaid." I prefer Edwards' "expand" to Hillary's "strengthen" because I don't know what hers means exactly.



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dkofos Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 09:51 AM
Response to Original message
15. I vote for NONE OF THE ABOVE.
Edited on Wed Sep-19-07 09:51 AM by dkofos
Dennis Kucinich is the ONLY candidate with a plan for UNIVERSAL HEALTH CARE.

Come on Dennis make some noise on this one!!
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Ron Green Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 09:54 AM
Response to Reply #15
16. Right you are - SINGLE payer, NOT FOR PROFIT.
Say it loud.
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dkofos Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 11:59 AM
Response to Reply #16
20. And say it often!! SINLGE PAYER, NOT FOR PROFIT!!
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superkia Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-19-07 02:07 PM
Response to Reply #15
21. He was overlooked in the OP. I think his message is overlooked...
way too much. Even if people don't support him, they should definitely at least listen to his message.
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