Posts Tagged ‘ uninsured

Obama Vs. McCain on the issues: Health Care

This is so dire, folks. I really hope that anyone who is remotely considering voting for McCain or not voting at all hears this one, because if there is anything at all that will kill your budget, here you are.

I’m going to throw a lot of sources at you, because I want you to see that this isn’t some far out rant from the Huffington Post. This is real.

John McCain wants to destroy employer-based health benefits. Is destroy too severe of a term? I don’t think so. Part of McCain’s plan is to tax you for the amount your employer contributes to your health care benefits as if it were income. More on that after this public service moment.

First, you need to see through the carefully constructed terminology he uses on his website:

John McCain Believes The Key To Health Care Reform Is To Restore Control To The Patients Themselves. We want a system of health care in which everyone can afford and acquire the treatment and preventative care they need. Health care should be available to all and not limited by where you work or how much you make. Families should be in charge of their health care dollars and have more control over care…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…While still having the option of employer-based coverage, every family will receive a direct refundable tax credit – effectively cash – of $2,500 for individuals and $5,000 for families to offset the cost of insurance. Families will be able to choose the insurance provider that suits them best and the money would be sent directly to the insurance provider.

What this means: this means that you are on your own. Things like “restoring control to the patients” and “families should be in charge of their health care dollars and have more control over care” sound really nice. What they mean is that you are on your own. Have you ever tried to afford insurance on your own or worked for a small business whose coverage was minimal? I have. Cheap health insurance comes with ungodly deductibles before they even begin to cover doctor visits; caps on prescription drug spending; and bureaucratic nightmares if you need something actually covered. Small business’s insurance policies have similar problems.

The problem is, people often don’t notice these things until they get sick. Or in an accident.

The basic concept behind health insurance is one that is anathema to conservatives like Phil Gramm and John McCain – in theory, everyone pays into a system that disproportionately benefits those who need it most. It’s essentially making the burden of risk and the profit of benefit public. I would argue that conservative philosophy is exactly the opposite – they prefer privatizing profit and have no problem lobbying for the public carrying the burden of risk. This is where health care would go under McCain. Private profit, public risk. Keep repeating that. Private profit, public risk.

So back to the employer benefit and taxation issue. Highlighted in today’s Huffington Post is what is rarely spoken. I’ll quote:

McCain intends to tax workers for the value of health insurance that they receive from their employers. Really. It’s not included in the description of his plan on his web site. It is, however, on the site of the Henry J. Kaiser Family Foundation, a non-profit organization that specializes in health policy…It says McCain would “reform the tax code to eliminate the exclusion of the value of health insurance plans offered by employers from workers’ taxable income.”

Gerard breaks it down in numbers: “The value of the typical plan provided by an employer to a family is $12,106, of which the employer pays $8,824, and the worker pays the remaining $3,282. The median household income is $44,389, which places most American families in the 15 percent income tax bracket. McCain wants to add the employer’s cost — an additional $8,824 — to that middle class family’s income, then tax it. The hit to the average family is 15 percent of the McCain-added income — $1,323 more in income taxes. And since the McCain tax credits are for privately purchased health care ONLY and do not extend to employer-paid benefits, you are literally losing at least $1,323 per year. I just ran the numbers for myself and – as a single person with no dependents, which means less costly health care – I would be looking at a $1300 increase myself.

Know what I don’t have? $1300. It is ridiculous for workers with benefits to be pressured to buy substandard insurance on the market.

Want to read more? I hope you’re outraged. I hope you know where you have over a thousand dollars to cut from your annual budget. Tell people about this. McCain Health Plan Could Mean Higher Tax (NY Times) The Tax Increase McCain Doesn’t Want to Talk About(Washington Monthly) McCain’s Health Care Proposal Will Increase Costs and Reduce Benefits (AFL-CIO) McCain’s $5,000 Promise (FactCheck.org) McCain’s Health-Care Proposal (Businessweek)

What I wish I could give you is more focused discussion of Obama’s health care proposal. Part of the problem is that the majority of time the news spent discussing any of Obama’s proposals/issues were in contention with Clinton. Since then, the news really couldn’t care less about his policy ideas. I’ll give you some info from his website and then add a couple of highlights. God he has so much more specificity on his site than McCain does. It’s beautiful.

I really encourage you to review Obama’s site that I linked to above. The plan is so detailed that I have a hard time summarizing it. But this is my attempt.

The goal is to have a publicly backed health care system. Key elements include guaranteed eligibility, benefits on par with the plan members of Congress have, affordability, subsidies for individuals in need, and accountability on the part of insurance companies. The National Health Insurance Exchange concept is to also allow individuals who want to purchase a private plan – it will act as a watchdog group and create rules/standards (accountability!) for private insurances. They would be required to issue everyone a policy and charge rates that aren’t dependent on health status. Employers must make a contribution, except for small business who can also receive a tax credit to help reduce their health care costs. Mandatory coverage of children. Ensuring Medicaid and SCHIP. Providing a safety net for the cost of catastrophic illnesses for employers/employees IF such savings are used to reduce the cost of workers’ premiums.

You guys, it just keeps going. Go to the site. He addresses women’s issues, civil rights issues in health care, disability/mental illness, technology research, prescription drug companies AND ON AND ON.

This is the man to vote for. He’s got the ideas, he’s got the plan, he needs the platform.

Health care costs

It’s not the story that grabbed me. The Star Tribune’s reporting has gone down the tubes along with their disappearing staff, but they did the semi-annual “boy, young people don’t have insurance a lot of the time and that sucks!’ piece. It’s here if you want to read it.

The thing that always does it is the damned comments. I don’t even know why I read them.

The sense of entitlement, which the commenters tend to reproach the young folks for, is actually squarely placed on their own shoulders. Saying “I didn’t have it, so I don’t know what you’re whining about,” or, worse, “they need to learn to budget for medical costs” makes my head spin. First off, just because the older of us had things a little harder (I think, for the record, that we sometimes invent how hard things were, but I digress) doesn’t mean that we should wish difficulty on those who follow us.

But secondly, and more importantly, when we talk about lacking insurance and the problems that causes, we’re talking about not having something that is the difference between financial solvency and disaster. You can’t budget for a crisis. You can’t budget for cancer treatments or a heart attack or a car accident.

But let’s get even more simplistic. The whole idea that has been pushed forward of late–of these Healthcare Savings Accounts (where you don’t have insurance, but “save” money that you use and bank up if you don’t use it) is an entirely wrong-headed way to look at public health.

If you look at healthcare as an individual choice of budgeting and responsibility, you’re missing the point. If Person A and Person B each have strep throat and Person A has healthcare and Person B does not, what exactly do you expect to happen?

Person A is going to go to the doctor, get incredibly low cost medication, and get over it.

Person B may go to the doctor, but they may not. If they don’t, Person B can infect Persons C, D, E, F, and G before they decide it’s time to spend the $100 or so on a doctor’s visit. Not even taking into consideration the possibility that there might be complications or secondary problems from the initial infection, Person B just cost our healthcare system money by infecting 5 people who otherwise wouldn’t have been infected.

When I first moved back to NYC as one of those young college grads with no NY health insurance and no full-time job with benefits, I got an ear infection. Because it didn’t hurt too much–just itched and popped, I mean, I knew I had an ear infection–I decided it would probably just go away. This went on for a few weeks. Then one day at work, I moved my jaw and had the most horrible pain in my ear. It was so bad I started to cry.

I finally decided that it was financially time–I’d been putting it off because I had no money and no full-time work–and went into the doctor’s office. I had to take the afternoon off work because the pain was so bad and thankfully got into see the doctor that afternoon.

He looked in my ear and found a severe and grotesque infection in my ear. Ever since then, whenever my allergies act up or I get a cold, there’s about a 30% chance I’m going to get an ear infection. Which means a trip to my doctor. Which means antibiotics. Because the insurance that I had was one with a high deductible, you had to weigh whether or not going to the doctor was worth the $100+ dollars you would inevitably spend.

Having good insurance now, I wouldn’t give it a second thought. I’d just go in. And you know what? Had I had the insurance I have now back then, I would have gone in and saved myself and my insurance companies the money from repeated trips to the doctor for this stupid, stupid ear that gets infected at the drop of a hat.

Prevention/immediate care is the most important part of healthcare. We still just don’t get it. And we’re wasting money on strep throats that end up in the ER and infections that start out simple, but wind up complicated. Wake up. It’s in our financial and moral best interests to find a way to cover everyone.