http://online.wsj.com/article/SB122343823408914411.html?mod=special_page_campaign2008_mostpop

For someone running as the tribune of "change," Barack Obama showed again in
last night's 
debate<http://online.wsj.com/article/SB122343890280614449.html?mod=article-outset-box>that
he sure is comfortable with the status quo on health care. He
continued
his recent assaults on John McCain's health reform even though it is
precisely the kind of plan that someone of Mr. Obama's professed convictions
ought to support.

The attacks include swing-state TV spots and Joe Biden's multiple
distortions, though the most over-the-top come from the candidate himself.
Over the weekend, Mr. Obama called the McCain plan "radical," "out of line
with our basic values" and, in case he wasn't clear, "catastrophic for your
health care." Since Mr. McCain offered only a once-over-lightly defense of
his plan, allow us to give it a try.

Perhaps Mr. Obama is so agitated because Mr. McCain's proposal is highly *
progressive*. The Republican wants to readjust the subsidies that Congress
channels into health coverage for business so that lower- and middle-wage
workers aren't shortchanged, as they are now. Currently, people who get
insurance through their employers pay no income or payroll taxes on the
value of the benefit. This is revenue the government forgoes to encourage
certain behavior. If those losses were direct spending, the tax exemption
would have cost more than $246 billion in 2007.

But all that money props up only employer-provided insurance. For reasons of
historical accident and lobbying clout, individuals who buy policies get no
tax benefits and pay with after-tax dollars. Mr. McCain is proposing to make
the tax benefits available to everyone, regardless of how they purchase
their insurance.

He would offer a refundable tax credit of $5,000 for families, $2,500 for
individuals, and the benefit isn't dependent on where people work or what
they earn. Some would stick with their current job-based coverage. Given the
option, others -- especially the uninsured, armed with new health dollars --
would decide to buy coverage on their own. That in turn would stimulate a
market for more affordable insurance.

Mr. Obama doesn't want to let people make this choice. He even claims it
would amount to "taxing your health-care benefits for the first time in
history," which is a wild distortion. His point seems to be that because
companies wouldn't have to pay for health care, they could raise wages and
thus taxes would also increase for workers on those higher incomes. But
doesn't Mr. Obama want higher wages?

All in all, workers would come out ahead with the McCain plan. According to
the left-leaning Tax Policy Center, the average taxpayer would see his tax
bill drop by $1,241 in 2009. On average, lower-wage workers have more
limited coverage as part of their compensation, mostly from small- or
medium-size businesses. But the more generous the employer health plan, the
more the tax subsidies increase. According to the Joint Committee on
Taxation, the current employer benefit is only worth between $600 and $3,000
for people making under $100,000. The upper-income brackets save between
$4,000 and $5,000.

The most affluent -- i.e., the top quintile of earners -- would be slightly
worse off after 2013 under the McCain plan, though they'd still have plenty
of options. Even as he routinely promises to raise taxes on "the rich," Mr.
Obama is leaping to their unlikely defense here only to frighten everyone
else. The McCain plan is fairer than the status quo, which subsidizes the
most expensive employer (and union) insurance plans.

But don't take our word for it. Mr. Obama's chief economic adviser agrees
with the McCain critique of the current system, or at least he once did.
"This massive program of tax breaks is ineffective and regressive, wasting
money on those who have health insurance while doing little for those who
can barely afford it and nothing at all for those without it," wrote Jason
Furman in 2006 in the journal Democracy. Before he joined the Obama
campaign, Mr. Furman championed a health reform that relied on many of the
same tax tools as Mr. McCain's.



In contrast to Mr. McCain, the Obama plan is all about expanding government
health care. Mr. Obama is proposing a "public option" that is similar to
Medicare but open to everyone of any age. With this new taxpayer-funded
entitlement, private insurers would be crowded out as the government
gradually paid all of the country's health-care costs.

Yet according to the Congressional Budget Office, federal spending on
Medicare and Medicaid already takes up 4% of GDP today and will rise to an
unsustainable 9% over the next two decades. Mr. Obama wants to add even more
costs to this taxpayer balance sheet. The inevitable result as spending
explodes would be price controls and rationing.

On choice, portability, quality and especially equity, the McCain health
plan is far superior to Mr. Obama's. The Democrat is merely offering Canada
on the installment plan.


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