McCain vs. Obama Health Care, Pt.6 – The final health
analysis.
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Although Mr. Oberlander seems to admit to the much greater
merit of Mr. Obama’s proposals, he also suggests an element of
uncertainty. Because Mr. O’s plan does not mandate ‘all’
Americans acquire health insurance, his plan still may not
achieve ‘universal health insurance/care coverage’. It will
only deliver ‘universal health insurance/care access’. Mr.
Oberlander does, however, concede good success with the 'new
public and private insurance options’. He also points out that
Mr. O would still have the option of pressing harder for an
adult mandate in the future, if the current plan proves
insufficient.
Mr. Oberlander also points out that, even though Mr. O’s
plan would greatly expand access for affordable and
comprehensive health insurance, there remain some questions
concerning “cost-control mechanisms and a viable financing
source”. The ‘reinsurance’ protections conceded to the private
health insurance sector for high-dollar care, while maybe
necessary, will also cause associated hikes in the government’s
responsibility.
Cost control promises to remain one of the biggest questions
of sustaining a health insurance/care system. The large savings
estimates, tagged from the large-scale improvements of
‘electronic medical records’, much better ‘chronic condition’
management and significant preventive care savings are all
noteworthy. But placing a timetable on the returns remains
aloof, at best. The bottom line will be to slow down the
spending for healthcare. Mr. Oberlander sums it by stating that
in the end, much will depend on “enrollment and the political
willingness to restrain provider payments.”
Massachusetts is dealing with that very issue right now. As
Mitt Romney warns, they have well-achieved their first
initiative of resolving the tremendous ‘uninsured’ problem. But
the next large project is to greatly improve on cost control.
(For more on this issue, please refer to the article series
“Mass. Health, A Creator Explains”.) They are now in the
trenches of facing angry industries who don’t want to give
anything up. The first focus is now on the medical care
industry, But there are serious reverberations that the local
private health insurance industry is having a ‘heyday’ and will
also have to be dealt with.
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