Rudy Giuliani Mike Huckabee Duncan Hunter Alan Keyes. July 31, 2007 April 24, 2007 No formal announcement No formal announcement

Transcription

1 CHART #3: SIDE-BY-SIDE COMPARISON OF 2008 REPUBLICAN CANDIDATES HEALTH PLANS () By Susan J. Blumenthal, M.D., Yi-An Ko, Beth Louise Hoffman, and Melissa Shive* Rudy Giuliani Mike Huckabee Duncan Hunter Alan Keyes Health Care Plan Release Date July 31, 2007 April 24, 2007 No formal announcement No formal announcement Stated Goals for Coverage Implementation Timeline Mandatory Requirement to Obtain Insurance & Structure of Coverage Employer Mandate Emphasizes providing individuals with more control and responsibility for their health insurance 1 Proposes moving tens of millions of people from employer-based health insurance to the individual marketplace as a way of giving people more choices 2 Allow residents to purchase health insurance from any state, regardless of their place of residence 3 Will work with private sector, Congress, health care providers and other concerned parties to lead a comprehensive overhaul of the health care system 4 States that Americans should have more control of their health care options 4 Proposes a shift from employerbased to consumer-based health care 4 Proposes making health care more affordable 4 Shift focus from treatment to prevention 5 Advocates market-based health care 6 Allow people to buy health insurance across state lines 7 Supports tax-deductible medical savings accounts combined with catastrophic insurance 8 Opposes Federal mandate requiring all individuals to purchase health insurance 9 Proposes moving people from employer-based health Opposes universal health care mandate by Federal edict 4 Proposes shift from employerbased to consumer-based health Opposed to governmentsubsidized universal health care 6 Believes that if health care is paid for by the government, consumers will not have motivation to reduce health care costs 6

2 insurance to the individual marketplace as a way of providing more choices 2 care 4 Costs of Plan How Costs are Covered Estimated Savings Provide a tax deduction up to $15,000 for working or selfemployed couples ($7,500 for singles) who do not receive medical insurance from employers 14 Create transparency of price, provider qualifications, and risk-adjusted procedure outcomes to expand competition and motivation for reducing costs 10 Expand access to health savings accounts, which enable people to save money tax free to use on health care costs 14 Proposes a Health Insurance Credit for low-income Americans that can be coupled with other revenue sources such as Medicaid and employer contributions 10 Advocates policies that will encourage private sector to seek innovative ways to reduce costs and increase free market options for health care services 4 Proposes reforming medical liability, adopting electronic record keeping, making health insurance more portable, expanding health savings accounts to everyone, and making health insurance tax deductible for individuals and families 4 Low income families would get tax credits instead of deductions 4 Make health insurance tax deductible for individuals and families 4 Aims to reduce health care costs from 17% to 11% of GDP 12 $700 billion/year 4 2 Encourage more private sector efforts to lower costs, rather than use public programs 11 Insurance Pools New Federal/Public Plans Offer block grants to states to encourage innovation, reduce health costs, enroll eligible uninsured, and solve adverse selection issues 10 Eliminate taxes for Medicare and Social Security, to be replaced by a "Fair Tax" (a consumption tax on all things but necessities) 20 Require hospitals and other health care providers to place their fee schedules on line or otherwise make them readily accessible for potential consumers 7 Bring innovation back to hospitals 7 Establish four deregulated test hospitals that will safely implement new procedures and

3 Veterans Health Care Initiatives State Flexibility Medicaid No Information found Offer block grants to states to encourage innovation, reduce health costs, enroll eligible uninsured, and solve adverse selection issues 10 Reform Medicaid through block grant program to states, providing local governments flexibility to spend funds for health services as needed 14 Proposes a health insurance credit to low-income Americans that can be coupled with other revenue sources such as Medicaid and employer contributions 15 Supports mandatory rather than discretionary mechanism for funding Veterans' health care 13 Veterans have a right to obtain full explanation of all benefits and assistance in obtaining these benefits 13 Veterans claims processed within six months 13 Veterans have the right to obtain state-of-the-art treatment for traumatic brain injuries 13 Provide disabled veterans with both their military retirement and VA compensation 13 Provide wounded Reserve troops with the same treatment as their active duty counterparts until their claims have been processed 13 Allow states to act as laboratories for new marketbased approaches for coverage 4 cost saving measures in order to gather information to implement system-wide protocol improvements 7 No Information found No Information found Coverage for 3

4 Children Health Insurance Regulations/ Eligibility Public Reporting & Transparency Improving Quality and Performance of Health System Health IT** For more information Regulation must not deny access to affordable coverage; if state mandates prevent affordable coverage, citizens should be allowed to purchase through interstate markets 10 Encourage price transparency 14 Create visibility of price, provider qualifications, and risk-adjusted procedure outcomes 10 Provide comparative data on costs to patients, providers, and insurers 14 Permit Americans to buy health insurance across state lines 16 Emphasizes the need for greater cost transparency for patients 17 Adopt electronic medical records 14 Foster public-private partnerships to improve and set standards for health IT without too much regulation 10 Adopt electronic medical records 4 Create portable medical records managed by individual patients 5 Malpractice/ Professional Liability Increasing Drug Availability and Reducing Their Costs Commitment to end frivolous malpractice lawsuits 10 Set caps on non-economic damages in malpractice cases without limiting compensation for real economic loss 14 Increase accountability and efficiency to the FDA evaluation process for new drugs 10 Reform medical liability 4 Limit the amount of damages that can be awarded in medical malpractice lawsuits 5 Believes a truly free-market system will drive down drug prices 20 Does not support the importation or re-importation of prescription drugs 20 Reduce malpractice burdens (the high insurance premiums) in order to promote primary care 18 Cap medical malpractice awards at $250, Cap malpractice awards 19 Promotes the use of generic drugs 21 Permit the importation of lower cost prescription drugs from Canada and Europe 8 Disease Prevention Propose new initiatives to promote healthy lifestyles and wellness programs 10 Emphasizes prevention 4 Create incentives for food stamp recipients to buy 4 Include information about the importance of diet and health 8

5 Link Medicaid payments to a state's success in promoting preventive care and tracking childhood obesity 10 nutritious food 20 Provide incentives for healthy lifestyles to lower health insurance costs (just as safe drivers get lower rates) 22 Believes employers should permit exercise breaks during the workday 22 Employers should allow days off to be used for any reason, so that healthy employees aren't penalized by getting less time off 22 Health insurance should cover smoking cessation plans 22 Supports a nationwide ban on smoking in public places 20 Emphasizes chronic disease Emphasis on chronic disease management to control costs 4 management 21 Chronic Disease Management Long Term Care Mental Health and Substance Abuse Services Eliminating Health Disparities Health Workforce Issues Research Investments*** For more information Reduce drug abuse by decreasing the supply and demand for methamphetamine; improve anti-drug education; and increase school drug testing for children engaged in extracurricular activities 14 Sustain drug-prevention funding 14 Supports loosening restrictions on Federal funding of embryonic stem cell research 23 Supports federal funding of research using existing stem cell lines 24 Supports umbilical cord stem cell research 23 5 Would ban the creation of embryos for research 11 Deny Federal support for research using human embryonic stem cells 11 Provide Federal funds for stemcell research that does not use embryos 11 Against research involving embryonic stem cells 21

6 Special Disease Initiatives: Cancer Special Disease Initiatives: HIV/AIDS**** For more information Special Disease Initiatives: Autism Encourage innovations in medical technology to provide access to cutting edge methods for early diagnosis of cancer 25 Provide access to information about cancer screening, quality of care, and outcomes 25 Will develop a plan to fight global HIV/AIDS 26 Would continue and expand the current Administration s efforts to help eradicate AIDS in Africa 27 Assist Africa by increasing trade and commerce between the United States and African nations 30 Will provide assistance to Africa to build self-sufficiency in addressing HIV/AIDS 26 Give cancer patients more access to experimental therapies 20 Waive deductibles and co-pays for early detection screenings (such as mammograms, colonoscopies and PSA tests) 22 Supports $150 million for the Department of Defense Peer- Reviewed Breast Cancer Research Program 22 Enact the Breast Cancer Environmental Research Act 22 Supports preservation of the Medicaid Breast and Cervical Cancer Treatment Program 22 His Administration will establish an overarching strategy for dealing with HIV/AIDS in the U.S. 28 Strategy will create partnerships between the public and private sectors 28 Increase funding for HIV/AIDS research, including research at the NIH 28 Expand Medicaid to cover HIV+ individuals 28 States that a priority must be ending the disproportionate impact of AIDS in minority communities 28 Supports abstinence until marriage sex education and HIV/AIDS domestic prevention programs 29 States that the U.S. has both a strategic interest and a moral obligation to lead the global fight against HIV/AIDS 28 6

7 Public Health Preparedness Initiatives Global Health Will provide funds to fight malaria 30 See AIDS initiatives above *Rear Admiral Susan Blumenthal, M.D. (ret.) is the Distinguished Advisor for Health and Medicine at the Center for the Study of the Presidency in Washington, D.C. and a Clinical Professor at Georgetown and Tufts University Schools of Medicine. She served for over 20 years in health leadership positions in the Federal government including as Assistant Surgeon General of the United States and the first Deputy Assistant Secretary of Women's Health within the U.S. Department of Health and Human Services, and as Chief of the Behavioral Medicine and Basic Prevention Research Branch at the National Institutes of Health. Yi-An Ko, a recent graduate of Harvard University, Beth Louise Hoffman, a recent magna cum laude graduate of Brown University, and Melissa Shive, a Fulbright scholar and honors graduate of University of Pennsylvania, are health policy fellows at Center for the Study of the Presidency. ** For detailed information on the Presidential candidates health information technology plans, please see U.S. Presidential Candidates' Health Plans: Incorporating Information Technology to Provide 21st Century Care by Susan Blumenthal, M.D. et al. *** For detailed information on the Presidential candidates medical and scientific research plans, please see U.S. Presidential Candidates' Health Care Plans: Scientific and Medical Research Proposals by Susan Blumenthal, M.D. et al. **** For detailed information on the Presidential candidates HIV/AIDS plans, please see U.S. Presidential Candidates' Health Care Plans 2008: HIV/AIDS Proposals -- A Time for Leadership by Susan Blumenthal M.D., et al. While efforts have been made to make these charts on the Presidential candidates proposals on HIV/AIDS as comprehensive as possible, this information is intended to be used as a non-partisan reference only and does not necessarily represent the opinions of sponsoring organizations. 1 Toner, Robin Candidates Vow to Overhaul Healthcare The New York Times. 6 July < 2 Giuliani Health Plan Seeks Individual Coverage. 7 June Reuters. 27 November < 3 Republican Presidential Candidate Giuliani to Announce Health Insurance Proposal with Focus on Individual Coverage Market. Medical News Today. 10 June < 4 On the Issues: Health Care. Mike Huckabee: The Exploratory Committee 5 July < 5 Mike Huckabee on Health Care. On the Issues. 29 October < 6 The Presidential Candidates on Health Care. The New York Times. 6 July < 7 Core Principles: Health Care. Duncan Hunter for US President in Oct < 8 List of Issues: Healthcare. Alan Keyes for President. 29 October < 9 Giuliani ad targets Hillary health care. 30 October The Washington Times. 27 November < 7

8 10 Commitment: Empower Patients and Families, Not the Government. 30 July Join Rudy Sept < 11 Candidate Profile: Duncan Hunter. WebMD. 29 October < 12 On the Issues: Health Care. Mike Huckabee: The Exploratory Committee. 5 July < 13 Issues: Veterans Bill of Rights. Mike Huckabee for President. 3 December < 14 Candidate Profile: Rudy Guiliani. WebMD. 29 October < 15 Commitment: Empower Patients and Families, Not the Government. 30 July Join Rudy Sept < 16 Republican Presidential Debate. CNN Live Event/Special. Transcript. 5 June < 17 Candidates: Mike Huckabee. 27 September All-American Presidential Forums on PBS. 1 November < 18 Duncan Hunter on Health Care. On the Issues. 22 October < 19 Alan Keyes on Health Care. On the Issues. 29 October < 20 Candidate Profile: Mike Huckabee. WebMD. 29 October < 21 Candidate Profile: Alan Keyes. WebMD. 29 October < 22 Mike Huckabee. National Breast Cancer Coalition. 3 December < 23 The Candidates on Stem Cell Research, 1 August The Pew Forum on Religion and Public Life. 28 Sept < 24 Issues: Sanctity of Life. 1 August Mike Huckabee for President. 28 Sept < 25 Rudy Giuliani. National Breast Cancer Coalition. 3 December < 26 Giuliani Says He Would Continue PEPFAR Program, Attempt To 'Dramatically' Increase Trade With Africa. 14 November Kaiser Daily HIV/AIDS Report. 14 November < 27 The 2008 Presidential Candidates on HIV/AIDS. 3 August AfricaAction.org. 21 November < 28 Blog: AIDS Statement. 19 November Mike Huckabee for President. 10 December < 29 Mike Huckabee Compares Safe Sex to Domestic Violence and Drunk Driving. 25 October Out for Democracy. 2 November < 30 Clinton to Offer an AIDS Policy, Joining Her Main Rivals. 27 November The New York Times. 27 November < 8