When deciding to vote for a candidate, there are numerous topics to research. Most Americans scrutinize the topics they consider personally important, or that would significantly influence their culture, lifestyle and habits. When I approached the candidates from a health care perspective, it became very confusing. This topic directly affects my future career as a nurse. Health care problems are being addressed through several different policies, according to each candidate’s position. Yet since I agree with a couple of policies from each candidate, it was necessary to sort through which policies I consider important and effective for the problems.
Health care for everyone is fundamental in my worldview. I desire for all people of all ages to have access to healthcare. McCain specifically states that every American deserves healthcare, including alternate treatment settings and cost-effective measures. Obama stresses healthcare for the underprivileged and children, requiring mandatory health insurance for minors in particular.
Regulation of healthcare safety is also a concern. Obama emphasizes hospital responsibility with compulsory federal regulations, including RN/patient ratios. McCain emphasizes consumer knowledge on treatment options and outcomes, and providing Medicare payments for diagnostic visits and disease prevention measures.
Healthcare would only be effective if it were affordable. Obama revealed a detailed plan for affordable healthcare that incorporated national public health insurance with income-related subsidies called the National Health Insurance Exchange. Also, he desires to expand Medicaid, and would require employers to offer an insurance program to all employees. McCain addressed the issue through a Guaranteed Access Model that is state-based, with financial assistance for lower-income peoples and premium-limitations on insurance companies. McCain’s approach to employer insurance is to drop favorable tax treatment of businesses, and instead provide a tax refund to individuals and families for private insurance coverage.
In considering healthcare professionals education, Obama supports loan-repayments, reimbursements, training grants, and $4000/yearly tuition credit for all student nurses. Although tuition credit would be a great assistance to student nurses, I consider it an inequitable neglect towards other students who are pursuing engineering, biology, chemistry, and other fields that contribute directly to healthcare in our nation.
When deciding which candidate’s policies would be best for nursing only, Barack Obama demonstrates the most supportive policies for the nursing profession. However, the majority of his healthcare strategy incorporates a national infrastructure that requires enormous government funding. Obama does not address how this funding will be obtained, presumably from increased federal taxes.
When considering the candidates’ political policies regarding general healthcare, I am supportive of McCain’s course of actions. Limiting insurance premiums, emphasizing prevention of disease through testing and education, providing state insurance plans, and a tax refund for private insurance coverage are the strategies I wish to see implemented. These would allow for freedom of individual responsibility with support for the underprivileged, without the formation of a national healthcare insurance set up.
References:
American Nurse’s Association (2008, August 18). Documents. ANA Policy and 2008
Presidential Candidates Obama & McCain. Retrieved http://nursingworld.org/MainMenuCategories/ANAPoliticalPower/Election2008/2008Presidential/PresEndorseProcess/ANAPolicyand2008PresidentialCandidates.aspx
McCain, John (2008, October 12). Healthcare. Straight Talk on
Health System Reform. Retrieved
http://www.johnmccain.com/content/default.aspx?guid=8475c713-a541-4b97-a2aa-800e35da37bb
Obama, Barack (2008, October 12). Healthcare. Obama-Biden Health Care Plan.
Retrieved http://www.barackobama.com/pdf/issues/HealthCareFullPlan.pdf
-K R
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2 comments:
Very thoughtfully done and well written. As a fellow healthcare professional, I agree whole heartily.
I disagree completely.
The 5k tax credit as provided by a McCain administration is a slap in the face to those who would need individual coverage; the national average per year for family coverage is 10-12k.
Just a few months ago, Chris and I were paying over $400 a month for health insurance. If we had any children it would have been over $800 a month. We were only making 20k a year at the time - so that's almost half of our yearly income in health insurance ALONE. 5k wouldn't come near to covering that.
I don't agree with the giant amounts of bureaucracy needed to support giant government systems really, but I'm happy to pay more taxes if it means better lives for american citizens, and it would.
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