He wants voters to think he is going after health care cost inflation. In reality, he wants to dismantle the employer-provided system that now covers over 60 percent (or about 158 million) of non-elderly Americans, forcing millions of us who now get fairly decent health insurance on the job to instead buy whatever they can find on the individual market controlled by unregulated and predatory insurance companies. And he would drive health care costs upward, not downward.
This is truly amazing: McCain and his handlers knew they had to say something about health care.
So they turned to their friends (and financial supporters) in the health care industry and the conservative think tanks. And they have adopted the most extreme right-wing ideological approach, premised on the idea that the big problem in health care is that Americans have too much insurance – in their words, we don’t have enough “skin in the game” – and that only when we have to buy health care with money that comes directly out of our own pockets will consumers force doctors, hospitals and insurance companies to become more efficient.
So that’s the theory. But it is contradicted by the facts. Most of us already pay part of our premiums out of our own pockets, and we increasingly have to shell out for co-pays in order to get to see a doctor. The result–in practice–is that most people, even those with good insurance, now think twice or three times about even getting regular preventive health checkups. Having lots of “skin in the game” has meant that millions of Americans don’t get health care they need–and that’s one of the big problems in U.S. health care driving costs up, not down.
But McCain, like George Bush, pays more attention to ultra-conservative theory than he does to the facts. So McCain wants to tax workers’ health care premiums that are paid for by employers. Ask any expert, conservative or liberal, and they will tell you the result will be companies will stop providing health care as an employee benefit. Fortune Magazine quotes one of their experts on the impact of McCain’s plan: “I predict that most companies would stop paying for health care in three to four years,” says Robert Laszewski, a consultant who works with corporate benefits managers.
Now keep this in mind: McCain and his corporate advisers don’t dispute this. The massive upheaval that would result – millions of families losing their health coverage on the job and then having to try to find an insurance company that would sell them a new policy that would cover their families–that’s not an unintended consequence of his proposal. That chaotic loss of health security is exactly what McCain intends to happen. He wants us all to buy insurance not as part of a group–like an employee group or a co-op–that can negotiate for better coverage at lower premiums, but as individuals, at the mercy of the private insurance companies.
And get this: McCain wants to abolish the regulations that currently exist in most states that require companies to insure people with pre-existing conditions, provide benefits that don’t exclude some medical conditions, and prevent them from charging huge premiums for crumby benefits. How would he do this? By “giving people the freedom” to buy insurance in other states with weaker regulations. You can bet that most of the big insurance companies are now shopping around for the state that wants to become the corporate headquarters state for the new deregulated health insurance industry – if President McCain wins. Delaware? Mississippi? Arizona?
But, but, but . . . I can hear some people saying, McCain does give people refundable tax credits to help pay for health insurance. And that is part of his package. But his whole philosophy is that too many millions of American’s are getting health care benefits that are too rich, and you certainly can’t say that about the level of tax subsidy he would provide–$2,500 per year for individuals and $5,000 for a family, according to the McCain for President website. Last year the average yearly cost of the most popular type of insurance plan offered by employers hit $11,765, according to a Kaiser Family Foundation study. So the average person with a family would end up paying $11,765 minus the $5,000 tax credit, or $6,765–about double the $3,226 Kaiser tells us the average employee paid for his or her share of premiums.
Again, this is NOT unintentional. McCain and his corporate advisers think it is good for individuals and families to pay more because it makes them think twice before seeking health care, and–in theory–they will shop around for cheaper care. And if they can’t cover the costs of real health insurance with McCain’s tax credit, the insurance industry will sell you lower-cost plans with big holes in coverage or costly co-pays–that is, if you are not already sick and you aren’t too old for them to see you as profitable… [emphasis added]
Inserted from <TPM>
Add to this that in order to get the full tax credit a family would need to have an adjusted gross income of $33,333.33 or more. which works out to about $45,000 – $50,000 in wages. Families at or near the poverty line would get virtually nothing. That’s fine with McConJob and the GOP. So the net effect of this plan is for those without health coverage now to stay without, for millions more with health coverage through work to lose their coverage, and for those who retain it to pay twice as much for less coverage. Is this a McConJob or what?
All articles cross-posted from Politics Plus