REYNOLDSBURG, Ohio, Oct. 9, 2008
Obama And McCain On Health Care
CBS Evening News: How The Candidates' Proposals Would Affect Your Community
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Where They Stand: Health Care
John McCain plans on driving down costs to make health care more affordable, while Barack Obama wants to increase access to health care for Americans. Seth Doane has more on "Where They Stand."
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Waitress/bartender Lisa Martensen says it's a stretch to pay her $260 monthly health insurance premium, but she does it so that her 3-year-old daughter is covered. (CBS)
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Photo Essay
Barack Obama
The junior senator from Illinois is making his name known.
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Photo Essay
John McCain
Some call him a hero, some a maverick. Will Americans call him Mr. President?
The sixth installment of the series examines where each candidate stands on reforming health care and insurance.
- Would provide a tax credit for small businesses to provide insurance for employees.
- Would require larger companies to provide insurance or pay into a national pool to provide options for the uninsured.
- Under his plan, individuals would pay taxes on employer provided health care and receive a tax credit of $2,500 or $5,000 per family to allow consumers to buy their own plans.
- Believes his plan would spur competition among insurance providers and create more options.
Click here to see Where They Stand on more of the issues.The Issue
It's the barbeque that draws customers to The Hickory House just outside Columbus, Ohio.
"Award-winning ribs, that's for sure!" said Randy Wolfe, the restaurant's general manager.
But the employees keep coming back, too. The staff has worked here an average of 15 years.
"Keeping these employees, keeping this consistency is important ... and health insurance is part of that?" Doane asked.
"Yes," Wolfe said.
But health-care benefits may soon be off the menu for Hickory House employees, and their boss.
In 1990, the restaurant picked up the check for the full cost of medical benefits for everyone. Now, the staff must pay half themselves, and only three of the 35 workers participate.
"What we do to make it affordable for us - is we keep raising our deductible," Wolfe said. "Which, again, means more out-of-pocket for the employees."
That's more out of 25-year-old bartender Lisa Martensen's pocket - when she's already feeling the pinch.
Making less than $17,000 a year, Martensen stretches to pay her $260 monthly premium. But she does it for one reason - so that her 3-year-old daughter, Madison, is covered.
Can she continue to pay for health care?
"Right now I'm saying yes … but if it continues to go up, then I say no," she said.
Lunchtime server Candy Cooper had to say no years ago.
She says she makes about $22,000 a year and can't afford the $400 a month the company health insurance would set her back.
"I've checked into this and I can't swing it - I can't do it," she said.
Doane asked: "Does that frustrate you? Does that worry you?"
"Very frustrating," she said.
Cooper is one of the 45 million Americans who simply go without insurance. When she recently got dizzy at work, an ambulance was called - but she didn't get in.
"I didn't want to go to the hospital due to the medical costs," she said.
And that worries her boss, who is counting on the next president to find a solution.
"I don't have the answers. That's why we're hoping they do," Wolfe said.
The Candidates
Both Sens. Barack Obama and John McCain agree that health care costs are out of control - but they have radically different ideas on how to fix them.
McCain's approach is all about driving down costs to make it more affordable.
Under his plan, individuals would pay taxes on the health insurance benefits they receive from their employer. To offset that new cost - or to encourage people to go buy insurance on their own, McCain would provide a tax credit that could only be used for health care: $2,500 for individuals - double that for families.
"I will give every family, every family in America, a $5,000 credit to buy their own health insurance policy and let them choose their own doctor," McCain said. "This will make insurance affordable to every American."
Though today, the average family plan is worth $12,000. But McCain thinks these tax credits would spur market competition - as insurance companies vie for their piece of the tax credit money, cheaper health insurance options would be created.
Obama's emphasis is on increasing access. He would give small businesses a tax credit to ease the burden of offering health insurance to their employees. And larger companies would be required to either provide insurance or pay into a national fund, called the "Health Insurance Exchange," which could offer more affordable options to those currently uninsured.
"I will finally keep the promise of affordable, accessible health care for every single American," Obama said. "You'll be able to get the same kind of coverage that members of Congress give themselves."
The Impact
So, what's the potential impact of these proposals?
CBS News checked in with a healthcare consultant at Towers Perrin to see how Martensen, Cooper and the Hickory House would fare under these plans.
"I think Candy and Lisa are more alike than they are different - both of them are lower-wage employees who are currently finding health care unaffordable in its current state," the consultant, Ron Fontanetta, said.
Though each candidate tackles the problem in different ways, both would give each of them a number of cheaper options.
Under Obama's proposal, they would be able to choose from an array of plans through the National Exchange, and may qualify for subsidies as lower-income workers.
Under McCain's proposal, both women could use their tax credit to buy healthcare on the open market.
"Does the idea of having a tax credit seem appealing to you, where you could go out and buy your own insurance?" Doane asked.
"It seems kind of scary, I think, really," Cooper said. "I just wouldn't know what I was choosing, what I was picking, whose policy I'm getting into."
But Martensen likes the idea of more choices.
"If you could have a scaled-down plan, which would cover you in case of emergency - but would cost a lot less each month, would you take that?" Doane asked.
"If there was a way I could pay less and have less coverage for me, but maybe pay a little more and have coverage for her, I would do it," she said.
But the biggest change may be for the Hickory House itself.
"Under either proposal it really begs the question - does the Hickory House need to provide coverage any more? Both proposals obviate the need for a small employer - like the Hickory House - to be in the health care business at all," Fontanetta said.
You'd think that'd be a relief to Wolfe.
"I would like to go ahead and to be able to help the employees through our business with health insurance," he said.
"Even though you spend a lot of time thinking, worrying about healthcare, you still want to be … part of offering it?" Doane asked.
"I would still like to - I would like to have that option," he said.
It's likely that larger employers, under both candidates' proposals, would stay in the health care game - to attract and retain good employees. But the only hope for the Hickory House is that a new president makes health care the first order of business.
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See all 98 Commentssecond item. Where does Obama''s plan cut off small business and large business? I hear him and Biden throw around $250,000 a year That is very low and not realistic for many businesses. Do the math!!
I am cosidered a small business and for me to pick up the bill on 15 employees is going work and put a huge financial crunch on my small business.
Signed,
Fellow owner of a bar and grill
Joel in Minnesota
"I will give every family, every family in America, a $5,000 credit to buy their own health insurance policy and let them choose their own doctor," McCain said. "This will make insurance affordable to every American."
Though today, the average family plan is worth $12,000. But McCain thinks these tax credits would spur market competition - as insurance companies vie for their piece of the tax credit money, cheaper health insurance options would be created.
The problem is this under the McCain plan the tax credits are paid directly to the insurance companies not the individual or family. Under the McCain plan some employers will drop insurance coverage they offer employees and the issue of pre-existing conditions is not addressed. If you have a pre-existing condition it will be difficult to get quality health insurance and many people will be denied coverage. Also many companies already have out of state insurance; Cigna, United Healt Care etc. that cover thousand of people who do not reside in the state where the insurance company is based.
It makes no sense for the working person. VOTE OBAMA in 08
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Posted by thatone1 at 07:55 PM : Oct 09, 2008
Bingo!! And the Insurance companies will try and impose restrictions, they will put many clauses for non-covered conditions, treatments and medications. Group plans can negotiate and guard against some unethical insurance pratices and mediate when claims are denied. If you have to go buy your own insurance good luck you are on your own and you better make sure you look at the fine print.
mccain = economy failure is his plan
mccain = erratic
mccain = 73, ol'' coot, angry, senile = MR. GRUMPY
mccain = arrogant and out of touch
mccain = oblivious to 99 % of the country%u2019s citizens and their problems
mccain = NO HEALTHCARE = or in his words = trade $12,000 for his $5,000 = SAY WHAT????
Posted by obbcbs at 08:14 PM : Oct 09, 2008
Yes very correct. What will happen is this. More uninsured people because many will be dropped from employer plans. Pre-existing conditions for manuy so millions more with real health issues that will not be able to afford quality health insurance. Because frankly $5000 for a family is absurd, go find a insurance policy for a family of 4 for $5000. You have to pay and that $5000 goes to the insurance company and you pay the rest. So millions without insurance-some of who will be sick. They will forgo treatment on conditions until it is critical. They will go the the hospital, that has to treat them. They will not be able to afford the bills, many will have to declare bankrupcy. The hospital won''t be able to collect the money. Then this burden is shifted to those with insurance. Meaning higher bills, higher premiums, deductibles and out of pocket expenses. Thus making it more expensive for those middle class people who have insurance.
Most of my physician friends are appalled by this plan.
Have you ever had to deal with an insurance company that does not want to pay a bill. Good luck!
Health care is a right of all individuals, a RIGHT NOT A RESPONSIBILITY.
second item. Where does Obama''''s plan cut off small business and large business? I hear him and Biden throw around $250,000 a year That is very low and not realistic for many businesses. Do the math!!
I am cosidered a small business and for me to pick up the bill on 15 employees is going work and put a huge financial crunch on my small business.
Signed,
Fellow owner of a bar and grill
Joel in Minnesota
Posted by hallsy2008
right - and I still want to know ow BO is gonna fund everyone who can''t afford it? Because dems never raise taxes or take your money to pay for abused programs...right?
Posted by benighse at 08:35 PM : Oct 09, 2008
Yes- you hit the nail on the head. McCain''s plan is basically deregulation of health insurance.
God help us all.
Many employer based plans are from companies already outside of the state; Cigna, United Health Care etc. these companies corporate offices are not in the states that the insured employer is located.
Posted by thatone1 at 07:55 PM : Oct 09, 2008
The real win for insurance companies is being able to relocate to states with the least regulation and reduce your coverage or deny your critical health care needs while being protected under the laws of another state less stringent than the one you may live in. This out of state protection would probably require you to hire an out of state lawyer with the associated delays at times of critical need.
Posted by mairin27 at 08:49 PM
But they must at this time operate in accordance with and under the regulation of the state in which the policy is ISSUED -- meaning the state of the INSURED. McCain shifts the regulatory control to the state of the company and not the insured.
McCain calls for what our government stands for, democracy and equality, not helping those that don''t help themselves. Socialism anyone? Why go to school for that many years to become a doctor if your gonna make the same as the burger flipper?
OBAMA will restore the inheritance tax. How does this affect you? Before the tax was repealed many families have lost businesses, farms and ranches, and homes that have been in their families for generations because they could not afford the inheritance tax. Those willing their assets to loved ones will not only lose them to these taxes....read on...
NEW TAXES BEING PROPOSED BY OBAMA: * New government taxes proposed on homes that are more than 2400 square ft. *New gasoline taxes (as if gas weren''''t high enough already!) *New taxes on natural resources consumption (heating gas, water, electricity). *New taxes on retirement accounts and last but not least....*New taxes to pay for socialized medicine so we can receive the same level of medical care as other third-world countries!!! Change . . . What will be left in your pocket after Obama is finished with you! So, go right ahead and vote for Obama and don;t come whinning to me because you will have to wait in line for handouts...
Posted by boycot-china,
Interesting name for someone who is supporting McCain. If we elect McCain its going to be tough boycotting China since thats where McCain will let all bigshots export our jobs with a tax credit to boot!
Also, your numbers are totally out of line. I suggest you go to Obamas website and read his plan. If you make less than 250K like I do, we will pay less taxes under Obamas plan.
If you do not beleive me, check it out at factcheck.
It is bad enough now that people with NO, ZERO, NIL, medical training, pencil pushers- make medical decisions on your coverage-who look at nothing but the bottom line and not the human life. Many of you will know of a family member, friend etc. who has been denied coverage of medical care or life saving care for one lame reason after another.
Deregulating Health care will make this worse. Physicians are feed up dealing with insurance companies who care more about the bottom line than the human life.
You think deregulation of health care will make this better or worse? Airlines were deregulated and the consumer complaints have what, gone up or down?
Under deregulation you will be a commodity. Choices that should be made between you and your physician
will be regulated by non-physician pencil pushers.
McCain has no worries, he has the best health care coverage our money can buy. We, you and me pay for his and his families health care coverage for the rest of their lives.
Under McCain''s own plan with his history of melanoma if he were dropped from an employer based insurance plan and he was a middle class citizen he would be hard pressed to find affordable coverage.
I understand you completely. You worked hard, you got blessed and somehow you landed on a 250k salary job. Unfortunately, some of us work hard and still get stuck with 30k. You see, even if you are taxed a bit more, you still can afford certain luxuries many of us cannot afford. Even after taxes, you make thrice the money compared to the majority of the country. While you enjoy your wealth, we are in NEED of certain commodities, such as HEALTH INSURANCE, MORTAGE PAYMENTS, GASOLINE and so on.
No, Obama''s approach is not socialism, at the least. He is helping the issues the MAJORITY of America is facing. If you still have your 250k job, I doubt you will feel a dent during Great Depression Two while the MAJORITY of us will.
Under deregulation you will be a commodity. Choices that should be made between you and your physician
will be regulated by non-physician pencil pushers.
...
Posted by mairin27 at 11:03 PM
One significant adjustment please
...regulated by OUT OF STATE non-physician pencil pushers AND OUT OF STATE REGULATIONS ADMINISTERED BY OUT OF STATE REGULATORS
Do you know McCain will borrow the money from China to pay for his tax cuts?
High Noon for Democracy
Millions of people will attempt to vote for Barack Obama,
thousands of Republican lawyers will attempt to stop them.
Sounds great, except that it WON''T make insurance more affordable. Anybody who has to buy individual health plan knows that it''s much, much more expensive than a group plan. The whole idea of a group plan is to use the economies of scale to lower cost for everyone in the plan. Buying individual plans defeats that purpose. You''re basically throwing taxpayer money at something that''s already more expensive. That''s not to mention the real possibility that insurers will just raise premiums to pick up the slack.
Paying for a public bailout,ignoring subpoenas, then supporting airhead females for VP and championing pregger teens indeed--what were those conservative values again? Hypocrites.
www.YouTube - BTW I''m Voting For Mccain / Palin
Paying for a public bailout,ignoring subpoenas, obstructing investigations, then supporting airhead females for VP with secessionist party spouses and championing pregger teens indeed--what were those conservative values again? Hypocrites.
Respectfully -- McCain said he would take money directly from one taxpayer to subsidize another. Obama on the other hand to me indicated an employer contribution to healthcare would be required -- and it could be provided to the employee by the employer or the government to assist people to get health insurance.
Reminder as constructed McCain''s Mortgage bailout will provide banks that use the Republican Insurance option that McCain got inserted into the original bailout in combination with his new plan to make the banks whole in their transactions regardless of misconduct. Assuring the high flying CxOs their salaries and golden parachutes they would have to give up under the other bailout bill. It is clearly a Republican attempt to recreate the worst bailout bill possible sticking the taxpayers with all the losses from the misconduct in the financial markets and protecting their CxO buddies just like McCain''s actions in the Keating Five but on a significantly larger scale for considerably more money.
Reckon there exists sufficient numbers of these hyphenated-Americans to get this neo-Marxist elected to the White House??
Is America really ready for a ride on NObama''''s new age pinko train??
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Posted by NObama_SWD at 09:25 AM : Oct 10, 2008
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It is this mentality that is what is making this "once great" country harder to run and maintain. Racist remarks have no place in our time.
Your comments are offensive and unrelated to the original content of the article. Presenting a thoughtful, logical argument about an issue is one thing. It''s unacceptable and UNNECESSARY to slander an individual in the ignorant, racist fashion you are using. Why don''t you rejoin the conversation when you are capable of participating in an INTELLIGENT manner?
A nation health plan will most assuredly result in a shortage of physicians. If Americans who currently have no insurance are suddenly given free or low-cost insurance (subsidized by the taxpayer), they will certainly seek medical care %u2013 and there will not be enough doctors to go around. To control medical costs, the federal government will impose limits on fees for service. Reducing physician incomes is, of course, a good way to discourage young people from choosing the medical profession. After a few years of additional cost-cutting, a fair number of students will switch from pre-med to pre-law. There will also be a shortage of hospitals, and few new ones will be built because of reduced payments made necessary by the federal government%u2019s need to slow down escalating costs.
Lastly, under a national health plan like Obama proposes, it is a guaranteed certainty that a substantial number of Americans who are working %u201Conly for insurance%u201D will quit their jobs and go on public aid. This group includes the people who are currently too young for Medicare, but who go to work only because their employers provide group health insurance. They may be eligible for early retirement pensions, but their pensions may not include health care. Many people in that category will quit their jobs or retire as soon as they know they have health coverage from an %u201CObama plan.%u201D That will place an even greater burden on a national plan, as those people move from high-paid group insurance to the federal plan. Worse yet, those people will tend to have health problems, all of which will be added to Obama%u2019s tax-subsidized national health care system.
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