Healthcare policies of candidates in the United States presidential election, 2008
Encyclopedia
Barack Obama
On January 24, 2007 Obama spoke about his position on health care at Families USAFamilies USA
Families USA is an American non-profit consumer health-care advocacy organization. It was co-founded by attorney Ronald Pollack, its current executive director, and Philippe Villers, the organization's current President....
, a health care advocacy group. Obama said, "The time has come for universal health care
Universal health care
Universal health care is a term referring to organized health care systems built around the principle of universal coverage for all members of society, combining mechanisms for health financing and service provision.-History:...
in America . . . I am absolutely determined that by the end of the first term of the next president, we should have universal health care in this country." Obama went on to say that he believed that it was wrong that forty-six million Americans are uninsured, noting that taxpayers already pay over $15 billion annually to care for the uninsured.
Mitt Romney
Health insurance: As governor of Massachusetts, Romney signed legislation that required that nearly all Massachusetts residents obtain health insurance coverage by establishing means-tested state subsidies for people without adequate employer insurance, by directing funds designated to compensate for the health costs of the uninsured, and also specified penalties for those who fail to obtain coverage. Legislation, effective on July 1, 2007, requires health insurance for all state residents, provided a plan is available to the individual that is deemed affordable according to state standards. Employers with eleven or more employees are mandated to offer approved insurance plans for employees.Romney had vetoed eight sections of the health care legislation, including a $295 per person fee on businesses with 11 employees or more that do not provide health insurance. Romney also vetoed provisions providing dental and eyeglass benefits to poor residents on the Medicaid program, and providing health coverage to senior and disabled legal immigrants not eligible for federal Medicaid. However, the state legislature overrode all of the vetoes.
It remains to be seen if the resulting law can be fully implemented because of conflicts with the Federal Employee Retirement Income Security Act
Employee Retirement Income Security Act
The Employee Retirement Income Security Act of 1974 is an American federal statute that establishes minimum standards for pension plans in private industry and provides for extensive rules on the federal income tax effects of transactions associated with employee benefit plans...
(ERISA) that limits state regulation of employer health insurance.
Ron Paul
Paul has called for passage of tax relief bills to reduce health careHealth care
Health care is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. Health care is delivered by practitioners in medicine, chiropractic, dentistry, nursing, pharmacy, allied health, and other care providers...
costs for families:
He would support a tax credit for senior citizens who need to pay for costly prescription drugs. He would also allow them to import drugs from other countries at lower prices. He has called for health savings account
Health savings account
A health savings account is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a high-deductible health plan . The funds contributed to an account are not subject to federal income tax at the time of deposit. Unlike a flexible spending account...
s that allow for tax-free savings to be used to pay for prescriptions.
H.R. 3075 allows families to claim a dollar-for-dollar tax credit
Tax credit
A tax credit is a sum deducted from the total amount a taxpayer owes to the state. A tax credit may be granted for various types of taxes, such as an income tax, property tax, or VAT. It may be granted in recognition of taxes already paid, as a subsidy, or to encourage investment or other behaviors...
for health insurance
Health insurance
Health insurance is insurance against the risk of incurring medical expenses among individuals. By estimating the overall risk of health care expenses among a targeted group, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to ensure that money is...
premiums.
H.R. 3076 provides a dollar-for-dollar tax credit that permits consumers to purchase "negative outcomes" insurance
Insurance
In law and economics, insurance is a form of risk management primarily used to hedge against the risk of a contingent, uncertain loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for payment. An insurer is a company selling the...
prior to undergoing surgery or other serious medical treatments. Negative outcomes insurance is designed to guarantee that those harmed receive fair compensation, while reducing the burden of costly malpractice
Malpractice
In law, malpractice is a type of negligence in, which the professional under a duty to act, fails to follow generally accepted professional standards, and that breach of duty is the proximate cause of injury to a plaintiff who suffers harm...
litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuit
Lawsuit
A lawsuit or "suit in law" is a civil action brought in a court of law in which a plaintiff, a party who claims to have incurred loss as a result of a defendant's actions, demands a legal or equitable remedy. The defendant is required to respond to the plaintiff's complaint...
s, and without having to give away a large portion of their award to a trial lawyer
Lawyer
A lawyer, according to Black's Law Dictionary, is "a person learned in the law; as an attorney, counsel or solicitor; a person who is practicing law." Law is the system of rules of conduct established by the sovereign government of a society to correct wrongs, maintain the stability of political...
. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation
Lawsuit
A lawsuit or "suit in law" is a civil action brought in a court of law in which a plaintiff, a party who claims to have incurred loss as a result of a defendant's actions, demands a legal or equitable remedy. The defendant is required to respond to the plaintiff's complaint...
. Under HR 3076, individuals who pay taxes can purchase negative outcomes insurance at essentially no cost.
H.R. 3077 creates a $500 per child tax credit for medical expenses and prescription drug
Prescription drug
A prescription medication is a licensed medicine that is regulated by legislation to require a medical prescription before it can be obtained. The term is used to distinguish it from over-the-counter drugs which can be obtained without a prescription...
s that are not reimbursed by insurance. It also creates a $3,000 tax credit for dependent children with terminal illness
Terminal illness
Terminal illness is a medical term popularized in the 20th century to describe a disease that cannot be cured or adequately treated and that is reasonably expected to result in the death of the patient within a short period of time. This term is more commonly used for progressive diseases such as...
es, cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...
, or disabilities
Disability
A disability may be physical, cognitive, mental, sensory, emotional, developmental or some combination of these.Many people would rather be referred to as a person with a disability instead of handicapped...
.
H.R. 3078 waives the employee portion of Social Security payroll taxes
Social Security (United States)
In the United States, Social Security refers to the federal Old-Age, Survivors, and Disability Insurance program.The original Social Security Act and the current version of the Act, as amended encompass several social welfare and social insurance programs...
(or self-employment
Self-employment
Self-employment is working for one's self.Self-employed people can also be referred to as a person who works for himself/herself instead of an employer, but drawing income from a trade or business that they operate personally....
taxes) for individuals with documented serious illnesses or cancer. It also suspends Social Security taxes for primary caregivers with a sick spouse or child.
Paul voted for the Medicare Prescription Drug Price Negotiation Act, which would allow the government to negotiate with pharmaceutical companies to get the best price for drugs provided in the Medicare Part D prescription drug program.
Rep. Paul believes that the more government interference in medicine, the higher prices rise and the less efficient care becomes. He points to how many people today are upset with the HMO system, but few people realize that HMOs came about because of federal mandate in 1973. He also points to the 1974 ERISA law that grants tax benefits to employers for providing insurance but not individuals; he prefers a system which grants tax credits to individuals. He supports the U.S. converting to a free market health care system, saying in an interview on New Hampshire NPR that the present system is akin to a "corporatist-fascist
Corporatism
Corporatism, also known as corporativism, is a system of economic, political, or social organization that involves association of the people of society into corporate groups, such as agricultural, business, ethnic, labor, military, patronage, or scientific affiliations, on the basis of common...
" system which keeps prices high. He says that in industries with freer markets prices go down due to technological innovation, but because of the corporatist system, this is prevented from happening in health care. He opposes socialized health care promoted by Democrats as being harmful because they lead to bigger and less efficient government.
Paul has said that although he prefers tax credits to socialized medicine
Socialized medicine
Socialized medicine is a term used to describe a system for providing medical and hospital care for all at a nominal cost by means of government regulation of health services and subsidies derived from taxation. It is used primarily and usually pejoratively in United States political debates...
, he would be willing to "prop up" the current systems of Medicare and Medicaid with money saved by bringing troops home from foreign bases in places such as those in South Korea
South Korea
The Republic of Korea , , is a sovereign state in East Asia, located on the southern portion of the Korean Peninsula. It is neighbored by the People's Republic of China to the west, Japan to the east, North Korea to the north, and the East China Sea and Republic of China to the south...
.
He opposes government regulation of vitamins and minerals (some proposals he opposes would require a prescription for vitamins).