election 2008: health care

i chose an issue near and dear to my heart to be the first in my election 2008 series. despite being in the trenches of the health care battlefield, i'm by no means an expert in health care policy. my attitudes towards socialized medicine sometimes change by the day, depending on the kind of day that i'm having. when i see a system struggling to keep afloat, and grow more skeptical by the day that anything can save it, it's hard for me to align with any philosophy on reform.

bookkeeping item: all information in this series about the candidates' plans and positions will come from their websites or links that they themselves provide. a few additional links may be placed just for fun or clarification. additionally, since i'm now finding these will be long posts, i'll going to do one candidate's position at a time, alternating who goes first. today, it's mccain.

mccain gives a somewhat brief outline on his health care policy, expanded upon in this speech from april. his plan to help uninsured americans involves a direct tax credit for those who either opt out of their employer's health plan or who are self-employed. he claims there will be no repercussions for those with pre-existing conditions, yet his policy abides by the HIPAA rule stating, as mccain puts it, that "if you remain employed and insured you will build protection against the cost of treating any pre-existing condition." many americans who will be using his plan will have a period where they will be either unemployed or uninsured, thus exposing them to cost liability.

he also proposes a "guaranteed access plan" for those who are the worst of the worst- people with illness who can't get coverage. it establishes a guideline system for states to provide the services with some federal support- basically, a "best of" medicaid system, taking advice and policies from states where things are working well.

to cut health care costs, he and obama both propose supporting disease management programs, with mccain pledging research dollars towards primary care, and they both pledge support of electronic medical record systems. sounds nice. mccain also plans to support "walk-in clinics in retail outlets". (ouch- that's hitting below the belt for a primary care guy like me.) lastly, he supports tort reform for medical malpractice, specifically pledging to eliminate suits against doctors who follow guidelines and "best practice" plans. how he'll do that, he doesn't say.

overall, nothing truly groundbreaking. mostly status quo, with the republican carrot of tax credits dangled as the bait for his plan. the plan moves almost all responsibility away from the federal government (a point mccain seems to celebrate in the speech above), either delegating to the states, the individuals, or the private sector. good? i'm not sure. but leaves him as president with little to blame if things don't go well.

tomorrow, obama, and my overall assessment of the issue.