Here are two pieces of McCain's plan:
http://www.factcheck.org/2008/10/health-care-spin-2/
"Give a health insurance tax credit of up to $5,000 for couples and families and $2,500 for individuals. Those who choose to buy insurance on their own would be able to use the credit to pay for their health coverage, with payment going directly from the government to the insurance company. Nobody would be required to buy insurance for themselves or their children, and employers large or small would not be required to offer health insurance as a benefit.
Tax the value of employer-provided health benefits. Employees would pay federal income taxes (but not Social Security or Medicare payroll taxes) on the value of those benefits. The tax credit would offset those taxes. Companies would not be taxed."
How many families can find insurance for $5000? How many single people over 40 (there are tens of millions of these) can find insurance for $2500/year?
Here's one answer for families of four -$16,000
http://www.nbcnews.com/health/healt...e-now-costs-16-000-average-family-f6C10960584
What's even worse is under McCain's plan any company provided benefits would fully taxable.
This is infinitely worse than ACA.
Here's some more from the first article:
"Lewin Group study: There are currently 45.7 million Americans without health insurance, according to the Census. The Lewin Group, a private health care consulting group whose studies have been used in the past by both Republicans and Democrats, projected current trends would lead to 48.9 million uninsured Americans by 2010. The study predicted that Obama's plan would reduce that number by 26.6 million, McCain's by 21.1 million. B
y 2018, when the uninsured would number 59.2 million under current law, Obama's plan would reduce that number by 32.3 million and McCain's would drop it by 21.1 million. It also found that McCain's plan would result in a net cost of $2.05 trillion over 10 years and that Obama's net cost would be $1.17 trillion over the same time period."
rj, I'll provide a personal example. My company provides excellent health insurance for me and my family; it costs the company about $16k, which I don't pay tax on. So here's how I think it would work:
1. Repeal the tax exemption on this amount, causing me to owe tax of (say) $5k on the $16k of taxable income. I'm in a fairly high tax bracket. In the highest bracket you'd pay $8-9k. I think those in the highest bracket can afford it.
2. Provide the $5k tax credit noted above, which for me washes out the tax cost. As of this moment, I'm no better or worse off. Rich guys are out $3-4k; poor have made money at this point since the taxable income didn't cost them much tax.
3. My employer and I no longer need to purchase my insurance this way for tax reasons. They can instead now pay me $16k, which I will use to buy what I want. If I like my plan through the company, I can stay in it - same cost as before.
4. I will use the $16k to buy health insurance that meets my needs. I will likely consider a higher deductible plan, which allows me to save money if my family is healthy. I may buy a policy that costs $12k - so I'm $4k ahead.
5. The higher deductible encourages me to be smart with my medical expenses, not wasting money on stupid things and going to the emergency room with a cold.
6. Less demand = slower rise (or decline) in costs in the industry. Smarter consumers make better decisions about what they need.
I recall that your objection a few years ago was that you think it's preposterous to expect my company to pay me the $16k that they are saving when I opt out of insurance through them. I think your post above supposes this as well - you seem to think that companies will simply get rid of medical insurance and pocket the proceeds, rather than paying employees the extra, thus leaving the poor employee with just $5k to buy insurance. I disagree with you on this, but I suspect there's a way to enforce some rules here to keep it from being abused during the transition period. FRight now, people make decisions about where to work based on pay and benefits, so that would continue to happen and competitive companies would pay more to their employees. Over the long run, it will be simpler, as you will be able to evaluate two jobs without trying to decipher the health care plan differences.
Consider the impact of being in a low tax bracket - my assistant with the same health insurance will have a tax cost of (say)$2,500 but will still get a credit of $5k. She saves money on the taxes alone. The wealthy will end up paying a little more for their health insurance, and the middle class and poor will save a lot.
Finally, the uninsured: $5k won't buy you a great plan, but it will buy catastrophic coverage, and this is a good place to provide a safety net that likely borrows from our current system. You won't get viagra, you won't get every benefit available, but you will get INSURANCE against health problems.
As for the costs listed above - it was entirely based on broad assumptions. I'd be interested in seeing how McCain's plan matches up with the plan that actually was passed. I'm also curious to understand how McCain's plan would cost so much. Perhaps it's the low/middle-class tax break that I illustrated above? If that's the case, I suspect we can overcome that objection since a middle-class tax break is always a political winner.