Transcript Two Distinct Approaches to Overall Reform

Two Distinct Approaches
to Overall Reform
John McCain
Expanded coverage through individual insurance market with:
• Tax incentives
• Changes to tax exemptions for employer-sponsored
insurance
• Deregulation of state markets
The Democrats
Universal 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
Obama
Universal
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
Health IT
McCain
Clinton
Obama
X
X
X
X
X
X
X
X
X
X
X
Direct government
negotiation of drug
prices
Transparency—
Price, Quality
X
Insurance national
exchange
Nationwide sale of
insurance
X
Promotion of alt.
healthcare providers
X
Chronic Care
Coordination
X
HSA Promotion
X
Candidates and Costs
6/3/2008
Cost Containment Tools (cont’d)
McCain
Clinton
Obama
Comparative
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
X
X
Direct Gov’t
negotiation of drug
prices
Candidates and Costs
6/3/2008
Polls: Health Care Important to Voters,
Economy More Important
(% "Very Important")
90
85
80
75
70
Economy
Education
Jobs
Health Care
Pew Research Center Poll, May 21-25, 2008
Candidates and Costs
6/3/2008
Top Economic Concerns
Ms. Magazine
30
25
(%)
20
15
10
5
0
Health Care
Cost of Gas
Women
Budget
Higher Taxes
Men
LRP/Tarrance Group Battleground Survey, December 9-12 2007
Candidates and Costs
6/3/2008