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Presidential Candidates\' Health Care Reform Proposals Karen Davis President, The Commonwealth Fund AcademyHealth 2008 National Health Policy Conference February 4, 2008 [email protected] www.commonwealthfund.org

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presidential candidates health care reform proposals

Presidential Candidates\' Health Care Reform Proposals

Karen Davis

President, The Commonwealth Fund

AcademyHealth 2008

National Health Policy Conference

February 4, 2008

[email protected]

www.commonwealthfund.org

slide2

When You Are Deciding Whom to Vote For In Next Year’s Presidential Election, How Important Will the Candidate’s Views on Health Care Reform Be?

Percent of adults who say candidates’ views on health reform will be very/somewhat important

94

87

86

83

Source: S. R. Collins and J. L. Kriss, The Public\'s Views on Health Care Reform in the 2008 Presidential Election, The Commonwealth Fund, January 2008

health insurance reform and the presidential candidates three distinct approaches
Health Insurance Reform and the Presidential Candidates: Three Distinct Approaches
  • Expanded coverage through individual insurance market with tax incentives, changes to employer benefit tax exemption, and deregulation of state markets (Giuliani, Huckabee, McCain, Romney)
  • Universal coverage through mixed private–public group insurance with shared responsibility for financing (Clinton, Edwards, Obama)
  • Universal coverage through a public insurance program like Medicare (Kucinich)

Source: S. R. Collins and J. L. Kriss, Envisioning the Future: The 2008 Presidential Candidates\' Health Reform Proposals, The Commonwealth Fund, January 2008.

where leading candidates stand on health care reform features
Where Leading Candidates Stand on Health Care Reform Features

Source: S. R. Collins and J. L. Kriss, Envisioning the Future: The 2008 Presidential Candidates\' Health Reform Proposals, The Commonwealth Fund, January 2008.

slide5

Public Support for the Proposal That Employers Should Either Provide Health Insurance to Their Employees or Contribute to a Fund That Would Help Cover Workers Without Health Insurance

Percent of adults who say that employers should either provide health insurance or contribute to a fund

Source: S. R. Collins and J. L. Kriss, The Public\'s Views on Health Care Reform in the 2008 Presidential Election, The Commonwealth Fund, January 2008

slide6

Public Support for a Health Reform Proposal That Requires That Everyone Have Health Insurance, With Government Helping Those Who Cannot Afford It

Percent of adults who strongly/somewhat favor a requirement that everyone have health insurance

80

68

68

52

Source: S. R. Collins and J. L. Kriss, The Public\'s Views on Health Care Reform in the 2008 Presidential Election, The Commonwealth Fund, January 2008

support for features of presidential candidates health care reform proposals
Support for Features of Presidential Candidates’ Health Care Reform Proposals

“To what extent do you favor or oppose the following features of the presidential candidates’ health care reform proposals?”

Implement market regulations against risk selection

86

Mandate health insurance with premium subsidies for low and moderate income

83

Include a public plan option like Medicare in new group insurance “connector”

79

Expand Medicaid and SCHIP to include adults at poverty level or above

78

71

Employer pay-or-play mandate

Set a minimum floor on insurance company medical-loss ratios

62

Allow individuals, small businesses, and associations to buy private insurance across state lines

62

Administer an individual mandate and income related premium assistance through the tax code

52

Eliminate the employer benefit tax exemption and replace it with standard income tax deduction or tax

45

Source: Commonwealth Fund Health Care Opinion Leaders Survey, January 2008.

slide8
Health Care Opinion Leaders Call for Allowing Public Plans Like Medicare to Compete with Private Insurance

“Do you think health care reform should…?

Please select all that apply”

Percent

Source: Shea, K., S. Collins and K. Davis, Health Care Opinion Leaders’ Views on the Presidential Candidates’ Health Reform Plans, Commonwealth Fund, January 2008.

slide9

Seven in Ten Health Care Opinion Leaders Think the Next President Should Simultaneously Pursue Universal Coverage and Improve Quality, Efficiency and Cost Control

“Most candidates’ plans also include provisions that would improve quality, efficiency, and cost control as well as increase coverage. In your view, which of the following provisions should the next president focus on?”

Not sure

3%

Address quality, efficiency and costs first and then work on achieving universal coverage

12%

Universal coverage at the same time as policies to improve quality, efficiency and costs

70%

Universal coverage first, and then address quality, efficiency and costs

14%

Source: Shea, K., S. Collins and K. Davis, Health Care Opinion Leaders’ Views on the Presidential Candidates’ Health Reform Plans, Commonwealth Fund, January 2008.

panel
Panel
  • Gregg Bloche, Obama for America
  • Chris Jennings, Hillary for President
  • Tom Miller, John McCain 2008
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