By Vidya Pradhan
Health care has always been the domain of the Democrats, in particular, Senator Hillary Clinton, who got herself in political hot water after her abortive attempts at health care reform during the Clinton presidency. Democrats have always attempted to craft a health care plan that makes it possible for every individual to be covered by offering access to a variety of plans. By contrast, Republicans build their health care plans based on individual choice and personal responsibility. GOP conservatives have traditionally opposed legislation expanding government funded health care on the principle of smaller government. In 1965, when Medicare and Medicaid were signed into law by President Johnson, it was a bitter loss to the Republican fight against a nationalized health care system.
Today there is general consensus that the American health care system is in serious need for reform – on one hand, 47 million Americans do not have any medical insurance; on the other, crippling health care costs are making American industry uncompetitive. The path to reform is where the candidates diverge sharply. While Senator Obama talks about expanding coverage to include most Americans by way of a national health plan, Senator McCain emphasizes Health Savings Accounts, accounts to which families and individuals contribute to save towards medical expenses. The idea is that the burden should be lifted from employers and transferred to the individual, who would take control of his or her own health plan.
UPDATE: An article from the NYT about the McCain Health Care Plan.
UPDATE II: The conservative Wall Street Journal (!) comes out with an article entitled "Why Obama's Health Care Plan is better" An excerpt –
Sen. Obama's proposal will modernize our current system of employer- and government-provided health care, keeping what works well, and making the investments now that will lead to a more efficient medical system.
The McCain plan is a big tax increase on employers and workers. With the economy in recession, that's the last thing America's businesses need.
…Mr. McCain does nothing to bend the curve of rising health-care costs downward. He does not fund investments in learning, rewarding and preventing. Eliminating state coverage requirements will slash preventive service availability.
Here is a chart from the Urban/BrookingsTax Policy Center that breaks down the impact each candidates' plans would have on the uninsured.( H/T to Yglesias at Think Progress)
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