How Many Americans Do Not Have Affordable Health Insurance Coverage
McCains health care plan would eliminate the tax forsumption for health care plans, and replace it with a “refundable” tax credit for everyone.
Heres what it means:
Right now, group health coverage benefits are exempted from tax, which means you dont pay taxes on the evaluate of the health insurance plan you receive from your employer (assuming you are among the fewer and fewer citizens who still receive health insurance benefits from your employer).
Under McCains plan, that exemption would disappear. You would be taxed on the value of your health insurance benefits.
In bring in, he would offer you a tax credit at a fixed, universal value. It would be the same for everyone. And everyone — the theory goes — could go out shopping to buy their own health insurance on the open market. In theory, as “consumers” hit the “market” for insurance, competing corporations would lower prices, improve their protection indemnity, and give better service and benefits overall.
Sounds good.
It would be, if insurance and health services worked in the same way the market for cars works.
A group of four well-respected scholars have concluded in a new white paper that McCains problem would result in less and worse health insurance coverage. Heres why:
First, insurance companies who sell group plans cannot subtract individuals from the group plans. When a company hires someone with diabetes, and that person comes under the companys purchased health insurance plan, the insurance company cant legally exclude the new worker with diabetes. As somebody knows who has tried to buy health insurance individually, insurance companies can and do exclude individuals who have chronic health problems.
That defeats the objective of health insurance — until you believe that the purpose of health insurance is to make wealth for insurance companies.
A second problem is that McCains designed tax credit is structured to keep up with the rising costs of health insurance. unengaged market proponents may argue that health insurance, and necessarily health care costs one anotherselves, would subsided rather than raise under a McCain plan. Supply and demand, they would argue. competition in the marketplace. But they would find no acute tactic experts to agree with them.
To the contrary, policy experts tend to agree that a typical “consumer” approach to health care and health care insurance does not work on a supply-demand principle. all-purpose sense backs them up. The diabetes patient who is denied coverage, or who is presented coverage at an unaffordable price, can tell you that no matter how much “demand” she may feel for the medical support necessary to keep her healthy, she cannot find a realistic “supply.”
The white paper abstract sums it up in this way:
Moving toward a relativelyunregulated nongroup market will tend to raise costs, reducethe generosity of benefits, and exit people with fewer consumerprotections. [Health Affairs 27, no. 6 (2008): w472-w481 (publishedonline 16 September 2008; 10.1377/ hlthaff.27.6.w472)]
The authors of that report are not political hacks. And they have criticized the Obama health care plan as well. So youll have some context in which to examine the foregoing quotation, Ill paste in here the names and credentials of the four scholars who authored the study:
1 Tom Buchmueller is the Waldo O. Hildebrand Professor of wager Management and Insurance in the Ross School of Business, University of Michigan, in Ann Arbor.
2 Sherry Glied is a professor and chair of the peculiarity of Health Policy and Management, Mailman School of Public Health, Columbia University, in New York City.
3 Anne Royalty is an associate professor of economics, Indiana University–Purdue University at Indianapolis (IUPUI).
4 Katherine Swartz is a professor of health economics and policy in the Department of Health Policy and Management, Harvard School of Public Health, in Boston, Massachusetts.
Corporate workers and others who may still benefit from group-based health insurance plans stand to lose the most. Theyll lose the tax exemption for those plans. as a replacement theyll be given a tax credit and an intimidating research assignment: go out and find yourself a good deal on health insurance. By yourself.