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McCain vs. Obama: Health Care

With Obama having the nomination all but sewn up, it's time to start debating the issues between these two candidates. First on the chopping block (and sure to inspire lots of commentary, I hope): Health Care.

Here's links to each candidate's position on health care:

McCain - http://www.johnmccain.com/Informing/Issues/19ba2f1c-c03f-4ac2-8cd5-5cf2edb527cf.htm

Obama - http://www.barackobama.com/issues/healthcare/

Whose policy do you prefer, and why?

Obama vs McCain in Health Care

I like John McCain's more, I feel like it gives more freedom to Americans. As I read over the two policies I noticed some different things in each.

Obama’s Health Care
It seemed like in Obama’s there were lots of phrases that said, “Obama will require this and Obama will require that…”. He is going to put more pressure on business and people.
However, there were a few things that I liked from Obama.

1. Young people up to age 25 can continue coverage through their parents' plans. (this should help students)
2. Obama will also repeal the ban that prevents the government from negotiating with drug companies

McCain’s Health Care
I felt like this plan was more open and gave American’s more options. Here are a few things I like:

1. Families will be able to choose the insurance provider that suits them best and then receive tax credits, rather than being forced into employer plans. This would give insurance that follows them from job to job.
2. A national program Promoting The Availability Of Smoking Cessation Programs.

Both talked about antitrust laws to prevent insurers from overcharging physicians for their malpractice insurance and also had ideas to promote new models that reduce the need for malpractice suits. Sounds good to me, I think that if we can keep the doctors an dentists out of the court room they might be able to do more good.

We can chose our own inssurance!

I liked mccains period. These are my top 3 reasons why,

1.While still having the option of employer-based coverage, every family will also have the option of receiving a direct refundable tax credit - effectively cash - of $2,500 for individuals and $5,000 for families to offset the cost of insurance

2. Families should be able to purchase health insurance nationwide, across state lines.

3. We must pass medical liability reform that eliminates lawsuits directed at doctors who follow clinical guidelines and adhere to safety protocols.

I thought Obama had very good points too, however i decided that mccains were better so I thought I would list his winning points.

avoid MORE law

Regulation can be a good thing, but too much is certainly a bad thing.

Thats why I am so against Hillary Care (thank goodness she's outta the picture!).

Obama's plan worries me with over regulation. McCain worries me because he has no grasp on economics.

My solution, tell them to leave the system alone. It needs fixing, but not by them.

As a physician

To those out there who have not REALLY faced health care issues:

Both of their plans are generally useless. They still involve the use of many middlemen. I consider the government a middleman because currently they determine a lot of what is considered necessary based of section XYZ in their big Medicare book. They determine what I'm worth, not people. I would prefer the Ron Paul idea. Individual counties should determine what the costs should be. Large middleman (govt, HMOs...) only lead to forms of monopoly that create big headaches for me and for patients.

The second important thing is rationing care. Care must be rationed. For example, an old person who is on multiple assistance devices (Foley for urination, ventilator for mechanical breathing, feeding tube for nutrition, etc.) should have end of life options considered. It disturbs me that families are allowed to keep these "undead" individuals alive because they can't make the "right" decision. Nursing homes in general disturb me because they seem to make people linger rather than assist in a productive elderly life. Tough issues, Yes. But we need to ration like we do everything else. Our lives are worth something more or less unless you are a blind idealist who never has worked in a hospital.