Health-Care Contrasts, Pt.9 – What will Mr. McCain’s plan
deliver?
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Detailing Mr. McCain’s plan, the reports comment on the
effect of lowering health insurance standards. Not
surprisingly, this is expected to offer more choices. Even more
choices are being induced by replacing the employer-based
health insurance tax exempt incentive with more general tax
credits which can be used for private-individual health
insurance. This way, the young and healthy can escape the
expense of risk-sharing until they get older or less healthy.
Meanwhile, the older and less healthy will see continual rate
hikes in they health insurance. Eventually more and more will
lose it altogether.
In any case, employees can take the $2,500 tax credit
($5,000 for joint filers), should they owe that much tax, and
apply it toward part of a policy. They will be taxed for health
insurance costs now. If they stay with their employer’s plan,
they will be taxed for it for the first time. Also, because the
‘business advantage’ of offering employee health insurance will
be taken from employers, they would quickly drop health
insurance from their benefits package, according to the report.
A 20-million strong exodus is expected from the
employer-based coverage. In the end, about 21 million new
individual health insurance policies are expected. If these
figures are correct, the 45.7 million figure of Americans
without health insurance may drop to 44.7 million. Over enough
years, an increase up to 5 million may follow, before it drops
off again.
More concerns were voiced in the Health Affairs article.
Because it is known that individual health insurance is less
efficient, the move to this direction will ultimately result in
more expensive policies of less quality.
Also, by lowering health insurance standards, many of the
consumer protection mandates will go away under Mr. McCain’s
plan.
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