Overview of Presidential Candidate Positions

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Overview of Presidential Candidate Positions

• AMSA 2007
• Universal Healthcare
• Leadership Institute
• Flávio Casoy

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IV. Elections 2008Presidential Candidates Views
on Healthcare

• Republicans agree that
• A market-driven, consumer-based, not public,
  healthcare system is the most effective
• The use of electronic medical records is
  essential in reducing the cost of healthcare

• Democrats agree that
• Individuals should not be denied health insurance
  based on pre-existing health conditions
• Funding for preventive medicine is necessary
• The DHHS should have the right to negotiate
  prices for prescription drugs in Medicare
• The use of electronic medical records is
  essential in reducing the cost of healthcare

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Hillary Clinton (D)
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Hillary Clinton (D)

• Proposes offering people the choice of
• Keeping existing plans, or
• Buying into a plan on the Health Choices Menu
  (which would include one Medicare-like option)
• Supports individual mandates
• Supports income-related tax credits to limit
  premiums to a percentage of ones income
• Proposes providing a tax credit to large
  employers who suffer financial hardships as a
  result of providing healthcare coverage

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Hillary Clinton (contd)

• Plans to mandate that large employers must offer
  coverage
• Would offer tax credits to small employers to
  offer coverage
• Proposes expanding Medicaid and S-CHIP
• Supports minimum stop-loss ratios for insurance
  companies

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John Edwards (D)
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John Edwards (D)

• Envisions the public and private sectors
  competing and a possible single-payer approach if
  individuals and businesses prefer the public
  health plan
• Supports an individual mandate and an employer
  mandate to purchase coverage
• Proposes the creation of regional Health Care
  Markets
• It would include many private plans and at least
  one Medicare-like plan

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John Edwards (contd)

• Proposes Insurance Tax Credits
• Plans on expanding Medicaid and SCHIP to serve
• All adults under the poverty line
• All children and parents under 250 percent of the
  poverty line
• Supports expanding Medicaid to cover people with
  HIV in every state
• Supports restricting direct-to-consumer
  advertisement of recently released prescription
  drugs

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Hillary Clintonvs.John Edwards
Healthcare Reform Proposals
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Basics

• Edwards Plan
• Individual Mandate
• Employer Mandate
• Tax Credits
• Refundable
• Income-based
• Given to those who purchase a plan

• Clintons Plan
• Individual Mandate
• Employer Mandate
• Tax Credits
• Refundable
• Income-based
• Given to those who purchase a plan
• Offered to small businesses

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Pooling Proposals

• Edwards Plan
• Regional Health Care Markets
• Offers plans from private companies
• An economy of scale principle would create low
  premiums
• Offers plans from at least one public program
• Based upon Medicare

• Clintons Plan
• Health Choices Menu
• Offers Plans from private companies
• Large purchasing power would create low premiums
• Offers plans from public programs
• Modeled on Medicare
• Allows states to band together and create
  regional markets

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Details

• Clintons Plan
• Favor expanding Medicaid and S-CHIP
• Require all insurers to charge reasonable
  premiums to anyone regardless of if they are
  sick or an insurer fears they will be
• Requires all insurers on Health Choices Plan to
  cover preventive services

• Edwards Plan
• Favor expanding Medicaid and S-CHIP
• Require all insurers to charge fair premiums to
  everybody regardless of preexisting conditions
• Require all insurers on Health Care Market to
  offer preventive services at little or no cost

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Differences

• Edwards Plan
• Proposes creating a non-profit or public
  organization to research data from Health Care
  Markets and Medicare
• Proposes to restrict direct-to-consumer
  advertising for newly introduced drugs
• Stated that Bush tax cuts would be repealed to
  pay for his proposal

• Clintons Plan
• Offer tax credits to large employers with
  catastrophic expenditures on Healthcare
• Temporarily for baby boom generation
• Stipulates Stop-Loss Ratios
• Offers details on how to pay for her proposal

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Barack Obama (D)
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Barack Obama (D)

• Supports regulation of the private health
  insurance industry
• Proposes a National Health Insurance Exchange
  which will regulate the private insurance
  industry and offer a variety of healthcare plans
  for individuals to choose from
• Plans to lower healthcare costs by increasing
  competition in the insurance and drug markets

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Barack Obama (contd)

• Requires that employers who do not contribute
  toward their employees health insurance must
  contribute a percentage of the payroll toward the
  national health plan
• Proposes an individual mandate for healthcare
  coverage for children
• Supports expansion of Medicaid and S-CHIP

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Joe Biden (D)
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Joe Biden (D)

• In his Four Step Healthcare Plan, he proposes to
  improve healthcare by
• 1) Reducing the cost of healthcare
• Improved management of chronic diseases by
  establishing a Comparative Effectiveness Panel
• Plans to train and put 100,000 new nurses into
  the workforce
• Supports the creation of a Public Health
  Workforce Scholarship Program
• 2) Covering all children
• Expand the State Childrens Health Insurance
  Program to at least 300 percent of the federal
  poverty level
• Allowing all families to buy into SCHIP with
  sliding scale premiums and co-payments based on
  family income
• Extending coverage to at least age 21

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Joe Biden (contd)

• 3) Lowering Healthcare Costs for Employers and
  Provide Catastrophic Coverage
• Establish a federal reinsurance pool to reimburse
  employers, insurers or associations for 75
  percent of catastrophic health costs for active
  and retired employees and their families.
• 4) Encouraging Reform in the Insurance Industry
• Allow insurers that offer individual policies to
  access the reinsurance pool
• Protect against genetic discrimination

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Christopher Dodd (D)
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Chris Dodd (D)

• Proposes establishment of a Universal HealthMart
• Individuals and businesses can choose from a
  variety of health coverage options
• For those who cannot afford insurance, the
  government will subsidize their premium share on
  a sliding scale based on income
• Automatic enrollment in this program will ensure
  universal coverage
• Does not address expansion of federal or
  state-funded programs such as Medicare, Medicaid,
  or S-CHIP

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Mike Gravel (D)
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Mike Gravel (D)

• Supports an individual mandate to purchase
  coverage, but not an employer mandate
• Proposes a federal voucher system to aid
  individuals to pay for insurance
• Proposes to end subsidization of the insurance
  companies
• Plans to phase out public programs, including
  Medicare and Medicaid
• Eventually allowing the private insurance
  industry to be the only payer

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Dennis Kucinich (D)
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Dennis Kucinich (D)

• The only candidate who supports quality,
  affordable healthcare for all, through a single,
  public national health insurance system
• Proposes removing the profit incentive from
  healthcare financing
• Supports a federally-funded program that covers
  all necessary medical, dental, and mental service
  for everyone living in the United States.

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Bill Richardson (D)
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Bill Richardson (D)

• Supports an individual mandate
• Supports an employer mandate
• Proposes a sliding-scale tax credit to make
  insurance more affordable
• Plans to place cost controls on insurance
  companies

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Bill Richardson (contd)

• Plans to expand Medicare eligibility requirements
  by including adults 55 and over
• Supports the formation of integrated health teams
  that include primary care and mental health
  providers to improve mental health services
• Plans to limit overpayments to private Medicare
  Advantage Plans

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Rudy Giuliani (R)
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Rudy Giuliani (R)

• Proposes strengthening the private health
  insurance industry
• Proposes a Tax Code Reform to make insurance more
  affordable
• Does not prohibit insurance companies from
  denying coverage based on pre-existing health
  conditions
• Proposes a Health Insurance Credit to low-income
  Americans, which can be coupled with Medicaid and
  employer contributions
• Does not support the expansion of Medicaid,
  Medicare, or S-CHIP

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Mitt Romney (R)
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Mitt Romney (R)

• Emphasizes deregulation and reform of the private
  insurance industry
• Supports the full deductibility of qualified
  medical expenses
• Plans to give states more responsibility and
  control over their Medicaid programs
• Plans to reform the tax code and expand HSAs
• Has not stated whether he supports an individual
  mandate

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Sam Brownback (R)
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Sam Brownback (R)

• Does not support expansion of Medicare, Medicaid
  or S-CHIP
• Has not addressed regulating the insurance
  industry
• Believes that individuals should be allowed to
  purchase coverage across state lines
• Has not given a specified plan regarding the
  steps necessary to improve access to healthcare

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Mike Huckabee (R)
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Mike Huckabee (R)

• Plans to strengthen the private health insurance
  industry, while making it more affordable, by
• making health insurance tax deductible for
  families
• giving low-income families tax credits instead of
  deductions
• Does not support federal regulation of the
  insurance industry
• Does not address expansion of Medicare, Medicaid,
  or S-CHIP

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John McCain (R)
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John McCain (R)

• Has not yet released a healthcare plan
• In Senate, voted against expanding SCHIP
• It will further erode private health coverage
  for children.

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Ron Paul (R)
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Ron Paul (R)

• Has not yet released a healthcare plan
• In House, recently introduced bill to offer
  refundable tax credits for 100 of medical costs
• In House, voted against expanding S-CHIP

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Tom Tancredo (R)
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Tom Tancredo (R)

• Proposes using Association Health Plans
• Allow small business owners to pool together to
  purchase insurance at reduced rates
• AHPs would improve access to affordable
  healthcare
• Does not address the expansion of Medicare,
  Medicaid, or S-CHIP
• Does not support federal regulation of the
  insurance industry

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Sources

• www.joebiden.com
• www.hillaryclinton.com
• www.chrisdodd.com
• www.johnedwards.com
• www.gravel2008.us
• www.dennis4president.com
• www.barackobama.com
• www.richardsonforpresident.com
• www.brownback.com
• www.joinrudy2008.com
• www.mikehuckabee.com
• www.johnmccain.com
• www.ronpaul2008.com
• www.mittromney.com
• www.teamtancredo.com

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