Originally published October 24, 2008 at 12:00 AM | Page modified October 24, 2008 at 9:35 AM
Candidates' health plans: What they mean for you
When it comes to health care, the presidential ballots you cast this year could have enormous consequences. Sen. Barack Obama and Sen. John McCain have offered far-reaching — and strikingly different — proposals that could reshape health care for the insured and uninsured alike. Here is a comparison of three real-world scenarios.
Seattle Times health reporter
DEAN RUTZ / THE SEATTLE TIMES
Jody Hall, owner of Cupcake Royale and Vérité Coffee, pays 75 percent of the health premiums for her employees who work more than 30 hours a week. She welcomes reforms that would bring true relief to the uninsured.
Will your health benefits at work become taxable income?
Will all parents be required to buy medical insurance for their kids?
Will insurers be barred from turning away diabetics, cancer survivors or pregnant women?
When it comes to health care, the presidential ballot you cast this year could come back to affect you directly.
Sens. Barack Obama and John McCain have offered far-reaching — and strikingly different — reforms that could reshape health care for the uninsured and the insured alike.
McCain's proposal is arguably more revolutionary.
He wants to shift the country away from employer-provided health plans — the source of medical coverage for two-thirds of American workers — and place the responsibility on individuals instead.
One of McCain's key goals is to eliminate what he considers an unfair tax break for people who get insurance through their work. He also wants to encourage Americans to buy portable coverage that stays with them, not their jobs.
He would discourage reliance on employers by counting any health benefits they provide as taxable wages — a change that would cost a typical family earning $80,000 about $1,350 a year in extra federal income taxes.
To offset the higher taxes, McCain would give every American who's not old enough for Medicare a refundable tax credit — $2,500 to individuals and $5,000 to families.
That would be a windfall for people who have no insurance. But it wouldn't buy generous coverage for almost anyone past their youthful prime.
And if the tax credits prompt some employers to drop insurance benefits, as some experts believe will happen, many workers would find it impossible to replace their lost coverage with the amount of the tax credits alone.
![]()
Obama would leave the employer-centered system largely intact. He would expand it by requiring large employers to either provide "meaningful" coverage or pay to opt out.
For everyone else — including the self-employed, the unemployed and small employers — Obama would create a huge public insurance pool to give them more buying clout. He would also offer premium subsidies to small businesses and to low-income people to buy coverage either through the pool or from commercial insurers.
He would require all children to have coverage and would make more kids eligible for an existing federal insurance program.
Finally, Obama would make it illegal for insurers to deny coverage to anyone with a pre-existing medical problem. McCain's plan would not.
Some experts argue that Obama should make insurance compulsory for everyone, not just children. Others question whether the country can afford the tab for his agenda.
So how would Obama's and McCain's competing platforms affect you, really?
Answer: In more ways than you might realize.
Copyright © 2008 The Seattle Times Company
More Presidential Race headlines...
UPDATE - 11:40 AM
Obama signs order to close Guantanamo in a year
UPDATE - 12:01 PM
Spokesman says Obama is keeping his BlackBerry

nwautos
Turismo upgrade "Gran Turismo 5: XL Edition" for PlayStation 3 has features such as new car-tuning settings, new NASCAR vehicles, better replay video...
Post a comment
- Lakewood cop accused of embezzling $150K meant for slain officers' families
- 3 big health insurers stockpile $2.4 billion as rates keep rising
- Agency set to investigate handling of 911 call about Josh Powell
- Quick decisions: How Washington hired its new football staff
- Historic day for gay marriage as another fight looms
- Justin Wilcox's versatile defensive style is the right fit for Huskies | Jerry Brewer
- It's Terrence Time: Enigmatic Ross leads Huskies
- Social worker recounts minutes before Powell fire
- $25B settlement reached over foreclosure abuses
- Club promoter convicted in brutal 2010 murder of Des Moines prostitute
- Gay-marriage bill passes House, awaits Gregoire's signature
456 - Historic day for gay marriage as another fight looming
352 - 3 big health insurers stockpile $2.4 billion as rates keep rising
239 - Source: NY, California to sign mortgage settlement
228 - Wanted in Seattle classrooms: more teachers of color
226 - Oregon live game thread
155 - Pac-12 picks ... including the UW game
140 - Council members get briefing on arena proposal, minus details
98 - Worker: Josh Powell told son he had 'surprise'
93 - AP Source: Obama to change birth control rule
80
- State Medicaid program to stop paying for unneeded ER visits
- 3 big health insurers stockpile $2.4 billion as rates keep rising
- Wanted in Seattle classrooms: more teachers of color
- One man's audacious pursuit of sailing history
- Darren Berg gets 18-year sentence for Ponzi scheme
- $25B settlement reached over foreclosure abuses
- 'Gauguin and Polynesia': dazzling mix-and-match | Art review
- A wandering gene's destructive path | Book review
- Economy, blogs give survivalists new reason to look to Northwest
- Navy fliers' love-hate relationship with water-crash survival class












