Obama, McCain Make Health Care A Discussion Point

Lost in the economic crisis, the lousy horserace numbers for McCain, and the personal attacks of the McCain camp is the ongoing health care crisis in the United States. With our current system, there remain 47 million without care and millions more who are underinsured. Cost issues exist alongside inequalities of care access. And now, with unemployment rising, the issue is becoming more acute (see What's The Effect Of Recession On The Health Care Safety Net?.)

As I have written before, this is not an easy or simple solution to solve. But one thing is clear: John McCain's idea of a solution, aimed at costs but not quality or access, is a terrible idea.

Paul Krugman:

Conservative Republicans still hate Medicare, and would kill it if they could — in fact, they tried to gut it during the Clinton years (that’s what the 1995 shutdown of the government was all about). But so far they haven’t been able to pull that off.

So John McCain wants to destroy the health insurance of nonelderly Americans instead.

Not good. Obama's idea is different. Today, he signed on to the Health Care for America Now principles, which do not endorse specific legislation, but are compatible with single payer and other approaches. From a press release:

Today, Senator Barack Obama (D-IL) signed the Health Care for America Now statement declaring that he is on the side of quality, affordable health care for all and opposed to leaving Americans on their own with unregulated health insurance.

There's still plenty of room to argue about the best way to get there, but with a recession looming and people in danger of losing their jobs, this is not an issue that can be ignored any more. Expect it to be brought up in the town hall debate tomorrow - unlike the phoney stuff being brought up by McCain's campaign and his increasingly shrill VP candidate, who caters only to the shrinking Republican base, this is an issue that all Americans actually care about.

"Health Care for America Now's goal this year is to get the next President and a majority of Congress committed to the principles of quality, affordable health care for all and opposed to policies that would tax our benefits at work and leave us on our own with the unregulated, bureaucratic private insurance industry," said Richard Kirsch, National Campaign Manager, Health Care for America Now. "With Senator Obama's signature, we are taking a major step towards getting the next President and Congress to make comprehensive health care reform a priority in 2009."

John McCain's plan is anything but acceptable. Since it's all about saving money and nothing else, he proposes, according to the WSJ:

McCain Plans Federal Health Cuts
Medicare, Medicaid Spending Would Be Reduced to Offset Proposed Tax Credit

In the months since Sen. McCain introduced his health plan, statements made by his campaign have implied that the new tax credits he is proposing to help Americans buy health insurance would be paid for with other tax increases.

But Douglas Holtz-Eakin, Sen. McCain's senior policy adviser, said Sunday that the campaign has always planned to fund the tax credits, in part, with savings from Medicare and Medicaid. Those government health-care programs serve seniors, poor families and the disabled. Medicare spending for the fiscal year ended Sept. 30 is estimated at $457.5 billion.

Let's hope we get a chance to discuss the details with the American people tomorrow night. This is something I think they'd be interested in.