-
Build on the current employer-based health insurance system
-
Expand access to Medicaid and the state children’s health insurance program
-
Require large employers either to offer coverage or contribute a portion of payroll to its cost
-
Require that all children have health coverage
-
Require health insurers to accept all applicants regardless of any preexisting conditions they may have
-
Introduce a Medicare-like government-administered plan similar to the one available to federal workers that would compete with private health plans in a new market called the National Health Insurance Exchange
-
Create a new tax credit to encourage small businesses to provide coverage to their workers
-
Lower family health premiums by $2,500 through projected cost savings
Obama is likely to incorporate some pieces of McCain’s proposals into his own — even with a Democratic Congress on his side — in order to forge a consensus around the plans he has outlined, much the way Massachusetts went bipartisan to enact its statewide health reform in 2006, said Paul Ginsburg, president of the Center for Studying Health System Change, a think tank in Washington.
Economists have long eyed the tax exclusion as a potentially rich source of funding for health-reform efforts, Ginsburg said. While McCain proposed to eliminate the tax exclusion for everyone, Obama along with a Democratic Congress would be more likely to impose a cap on the amount not subject to taxes to better target people receiving the most benefits
Other McCain proposals such as encouraging people to buy coverage on the individual market and letting them buy policies across state lines are far less likely to be included in a compromise plan because of concerns about eroding risk pools, spiraling costs and loss of consumer protections.
The weakness of the Obama plan is that it doesn’t require individuals who don’t have coverage to buy it, making it difficult to force insurers to take all comers, Nichols said. “Without a mandate it will be hard to get private insurers to compete how he wants them to.”