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Obama on Healthcare

by Tony Chen

Today, Obama unveiled his stance on healthcare. Politically, this is significant because (1) it’s really the first time he’s provided a detailed glimpse into his policy mentality on anything; (2) healthcare has been Clinton’s pet issue up to this point; (3) healthcare has been deemed by some as the “theme of the Democratic primary.” While still fuzzy on total numbers, his strategy would mandate employers to provide (or fund) health insurance, create a new system for uninsured coverage, and establish a new “National Health Insurance Exchange” aimed at regulating insurers. It’ll be funded by eliminating tax cuts (capital gains and inheritance) for the wealthy. Under this plan, big pharma, managed care, big business, and the wealthy are the losers. By 2012, Obama promises a truly universal healthcare solution.

What’s missing in all the candidates’ policies are exactly the issues that we’ve been discussing here at World Health Care Blog. It’s not sexy (unless you are at a healthcare policy analyst party) to talk about investing in preventive health or managing the chronic diseases that will ravage our country for the next 50 years. It’s not appropriate or relevant to talk about personal responsibility and good lifestyle decisions in healthcare on the campaign trail. Is there a candidate out there who is willing to take on healthcare politics AND health politics?

By the way, here’s an excellent rundown of every candidate’s voting record regarding healthcare. And here’s AAFP’s summary of every candidate’s stance on healthcare.


2 Comments »

[…] no single payer, no individual mandate to have insurance here (like Massachusetts). There are other no shows as […]

  Emily DeVoto wrote @ May 30th, 2007 at 6:50 pm

At least Clinton and Edwards address health quality and preventive care. Maybe it will develop over time, but Obama’s plan to me seems not to constitute health care reform, or even insurance reform, but merely coverage reform. If we can get rid of a lot of the administrative waste in the system, and implement preventive care and chronic disease management that works (including eliminating perverse reimbursement incentives), we might be able to afford to cover everybody - as Clinton has pointed out - but Obama is (so far) just adding more bureaucracy and confusion and, as he has pointed out, we’d have to raise taxes.

Now, I don’t mind raising taxes if it’s for cause, but I don’t see why we should need to for health care. We really need to be aiming to lower health care costs, even - especially - as we expand coverage, and Obama’s plan doesn’t address that.

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