Health care and the US presidential election

Oct 06, 2008

Health care is playing a bigger role in this election than in any presidential contest in the past. "There are now more than 45 million people in America without health insurance for the entire year; almost twice that number lack coverage for at least a month out of the year. Over the last few years, most of the newly uninsured are from the middle class. As unemployment rises, along with gas and food prices, more and more people will be unable to afford health insurance, especially as it gets more expensive each year. The combination of a sagging economy, increasing numbers of uninsured, and a disproportionately affected middle class may make this a tipping point," said Aaron Carroll, M.D, director of the Center for Health Policy and Professionalism Research (CHPPR) and associate professor of pediatrics at the Indiana University School of Medicine.

Established as an independent objective source of health information, CHPPR translates research into practice in a timeframe that satisfies the needs of policymakers and other decision makers.

Is the health care issue part of the larger financial issue that is dominating this campaign? Or is it separate or separable? "I think the two will become more intertwined. We have already seen health care and taxes merged in the vice presidential debate, and as the campaign continues, I expect that one or both candidates will make the point that reforming the American health-care system is essential to improving the economic outlook for average Americans," said Dr. Carroll, a Regenstrief Institute research scientist and a pediatrician who sees patients at Riley Hospital for Children.

Earlier this year, the new center published the results of a national survey of physician opinion on national health insurance in the Annals of Internal Medicine. The largest survey ever of American physicians' opinions on health-care financing, it found that 59 percent of doctors support government legislation to establish national health insurance while only 32 percent oppose it. A similar survey conducted by the IU researchers in 2002 found 49 percent of physicians supporting national health insurance and 40 percent opposing it.

And what do the politicians think? "Senator McCain is looking to make big changes to the way people obtain health insurance in the United States. He plans to eliminate the tax subsidy for employer-based health insurance, and instead offer tax rebates to individuals ($2,500) and families ($5,000) so that they can purchase insurance on their own. He believes that putting the decisions and choices in individuals' hands will make them better consumers and bring costs down. The problem is that this may cause a significant number of people (some estimate 20 million) to lose their employer-paid health coverage, and there are no detailed plans on how individuals with pre-existing conditions will get care," said Dr. Carroll

"Senator Obama wants to keep the current system in place while trying to get additional people coverage. He wants to expand the safety nets, like Medicaid and State Children's Health Insurance Program (SCHIP). He also wants to allow individuals to purchase plans through something like the Federal Employees Health Benefits Program (FEHBP). He also wants to make it impossible for people to be denied coverage for pre-existing conditions. The problem is that many of the plans in the FEHBP are expensive; moreover covering many more people through the existing system will be expensive," said Dr. Carroll.

Source: Indiana University

Explore further: Leicester pioneers introduce new imaging autopsy service to the NHS

Related Stories

US data breach is intelligence coup for China

Jun 13, 2015

The hacking of millions of US government employees is likely part of an effort by Chinese intelligence for long-term profiling—and possibly more nefarious things.

Interactive linguistics tool detects political 'framing'

Jun 11, 2015

As communication strategists gear up for the 2016 presidential campaign – trying to manipulate public opinion with "message framing" – communication researchers are recruiting political news junkies in a nationwide test ...

CareFirst says data breach affects about 1.1M people

May 20, 2015

In the latest disclosure of a cyberattack against a health insurer, CareFirst BlueCross BlueShield says that attackers gained access to a database that included the names of 1.1 million people.

Recommended for you

Drug and device firms paid $6.5B to care providers

14 hours ago

From research dollars to free lunches and junkets, drug and medical device companies paid doctors and leading hospitals nearly $6.5 billion last year, according to government data posted Tuesday.

Running with prosthetic lower-limbs

Jun 29, 2015

Researchers at Bournemouth University have been looking at the impact of lower-limb prosthetics on competitive running, specifically looking at whether athletes with prosthesis are at an unfair advantage when running against ...

User comments : 2

Adjust slider to filter visible comments by rank

Display comments: newest first

Rick69
5 / 5 (1) Oct 06, 2008
Hard to believe! An evenhanded discussion of this topic.
WillB
not rated yet Oct 06, 2008
Need more writers like this.

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.