Jackson & Coker Industry Report
 

2008 Healthcare Professionals' Opinions
on Presidential Candidates' Health Plans

How do you believe the selected candidate will change / improve the US healthcare system? 
Physicians' unedited comments listed below:

All Comments for this Question
 
1. improve

2. most concerned and not tied to the industry

3. I beleive his will be a gradual over-all change even though he plans on implementing certains plans immediately,if elected.

4. none of them has the right plan. they don t understand health delivery. Physciain have distoryed the process. they are greedy and behave like children. until they are pottey trained the system can not be improved.

5. really dont knw if any of them will

6. I do not believe any candidate has a good plan to improve the health care system in this country. In fact, I am puzzled as to why most people believe the government ruins anything it gets involved in, yet always want them to intervien in every little "crisis" that may arise. Where is personal resposibility?

7. ALLOW FREE ENTERPRISE TO IMPROVE THE SYSTEM AND KEEP THE GOVERNMENT OUT OF THE PICTURE. LIMIT AVAILABLITY OF HEALTH CARE DOLLARS FROM GOVERNMENT TO GO TO ILLEGAL IMMIGRANTS AND NEVER-ENDING WELFARE, SPONGING ENTITLEMENT MONGERS. NON-CITIZENS DO NOT DESERVE TO SPONGE FROM THOSE HARD WORKING AMERICANS!

8. Stay out of the private sector

9. More reasonable approach to the uninsured

10. We need to correct the problems with the current system not invent a new one.

11. I seriously doubt any changes will be made - and I don't think a universal system is the answer at all.

12. Will get the government out of healthcare. Charity care reverts to being charity care.

13. Healthcare would be available to all on an affordable basis, without being forced onto the American people who do not wish to enroll for whatever personal reasons.

14. Prevent UH

15. Reduce all costs associated with Healthcare.

16. CArefully and thoughtfully overhaul of healthcare system to make it more equitable and available for all.

17. Government intervention never has made anything better.

18. Access to quality healthcare for everyone

19. private insurance with better access

20. IMPROVE IT

21. would push for less change than the other two candidates

22. He will seek to bring about universal care without forced mandates on all people and bring parties together to adopt a workable plan given the current political and business realities. Ideally, a single payor system would be best to streamline things and make it more workable, but not a polital reality with power of insurance companies right now.

23. n/a

24. maintain some independence for physicians

25. m

26. Hillary Clinton has been working toward universal healthcare for many years and I believe it is not only a belief but a passion. I am in full agreement of universal healthcare and KNOW we need to completely overhaul our healthcare system in order to make beneficial changes. I believe we are far behind other countries that already have this system in place and are really lacking.

27. Personal and political support to US. military and Veterans' Affairs healthcare.

28. Less money would go to big pharma and companies would be required to provide health insurance for their employees with Hilary's system

29. Make US catch up with all the nations that provide universal health care.

30. Make prescription drugs more affordable

31. will integrate quaity and accesability

32. He will try to improve the system by getting all parties together and really putting an effective plan before the Congress

33. She is more determined to do so than the others and although UHC is not ideal, she would be willing to consider taking on the health insurance agencies and push for single payer system than the others.

34. He would help provide coverage to the uninsured while basically leaving the existing infrastructure alone.

35. Senator Clinton has experience in trying to implement such a system ( I worked with President Clinton during his Healthcare Initiave in Bernalillo, New Mexico)

36. Right now our healthcare delivery system is broken. It's based on disease and catastrophic illness. We need a candidate who will not continue business as usual, is not beholden to the insurance or pharmaceutical industry, & is willing to try and make a change. I'm embarassed to say that here in the USA, one of the most industrialized and modern society's we have a higher infant mortality rate that third world countries. It's time to take healthcare away from the huge corporations, as it is now By regulating that they pay for wellness and preventative care, costs would be lowered as our citizens would not wait until their ill health reaches a catastrophic phase , & they are in multiple organ or system failure. I think that Senator Obama would be that instrument for change

37. Whites do not seem to care or understand when it comes to minorities, women or children-the three classes of people who get misdiagnosed the most!!! Barack Obama is a man of color and understands the struggles of minority people and can see really what needs to be done. White America has failed for over 200 years so far!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!1

38. She is the only one advocating universal care.

39. They're all too stupid to grasp what "health care" is all about.

40. Will improve availability of healthcare for the uninsured & poorly insured. Won't let the insurance companies dictate the laws & regulations for their financial benefit.

41. believe health care would be more widely available

42. n

43. They will acknowledge that we already have "universal health care" in the payer sector as Medicare "allowable" dictates coverage after the deductible. all others are at the mercy of the arbitrary & capricious charges of "out of network' providers for those of us who are misled out of the network (yes, I remember the movie) or uninsured.

They will hopefully devise a health care system focused on prevention & disease management for the acutely & chronically impaired & most importantly, for those wounded in this "war".

44. [No Answer Entered]

45. Begin the process of having universal health care for all Americans. This may result in higher taxes and some changes in our expectations, but will be beneficial in that it reduces number of payors and all their rules and regulations. A single payor system works well for every industrialized nation in the world except USA. We need to provide this basic, fundamental need.

46. Universal Health Care

47. I believe that all of them would change the healthcare system for the worse. The areas that government already controls healthcare (VA, MDCR, etc.) are inefficient.

48. single payor system, uniform standard of care, tort resolution along the lines of the British system

49. ?

50. NA

51. NONE SELECTED

52. The main drive of the candidate to lower medical costs included tort reform. No other part of the consumer economy does technology lead to increased consumer costs, but only in medicine. If you look at a hospital bed, it costs almost $16000 due to litigation. Essentially, physicians are ordering the most expensive technological modalities to rule out rarest diseases in order to protect themselves from litigation. Ironically, the entity to benefit from such defensive medicine are hospitals. The equivalent costs of medical care is very heavily weighed toward the facility, i.e. the hospital reimbursement usually dwarfs physician reimbursement. For an inpatient consult that could be in the middle of the night, a physician can expect around $100 to wake up on call and come into the hospital to see the patient. Similarly, a plumber can get reimbursed just that for the first hour to fix a leak. However, the hospital can expect $5-20,000 for that admission based on the diagnosis. Should current cuts in physician reimbursement continue, I would suspect it would be economically not feasible to continue accepting Medicare or government healthcare insurance plans. It would inevitably create a dichotomy on one side public plans with long waiting times to see physicians and on the other hand private healthplans that accomodate able payors (essentially the system in Canada). The current un-insured who now get emergency care are subsidized by write-offs by hospitals would be, in the future of UHC, subsidized by the taxpayor. This would unquivocallly improve income for US hospitals.

53. Will inspire change and show great leadership. Very intelligent.Will have the best advisers.

54. not sure

55. Given her experience trying to ameliorate the process in the past I think she could push the points likely to pass easily more expeditiously than her counterparts.

56. make health care available at a resonable cost to low income and senior citizens

57. Open up coverage to more people without excessive regulation

58. At least with her experience when her husband was president, she has an idea of the complexity of the issue.

59. Of the three -- minimal government interference in health care

60. Unbiased approach to the current system and modify it in better direction

Cut overhead

Eliminate drug restrictions

61. They won't. It's an illusion. A come on to buy votes with other people's money.

62. No one will do anything. The special interest groups will dictate the policy as they always so. I see nothing positive in the future of this except business as usual.

63. this is going to take some time

64. she truly understands the problem and would not just apply a band-aid

65. He has the right and most realistic vision for healthcare and would implement a proposal with sincerity and with the intentions of pleasing all involved.

66. none of the proposals could get through congress

67. prioritize the issue

68. All proposals have a great deal of flaws

69. I don't think any of them will be able to change or improve the US healthcare system during their term/s in office. The system is far too complicated for a quick fix. With their proposed mandate for all Americans to purchase healthcare insurance, all of the candidates will ultimately add more financial burdons and hardships to the already struggling low to middle income Americans who are uninsured. Before imposing mandates on the uninsured to purchase healthcare insurance, the candidates need to overhaul the insurance industry to make healthcare insurance more affordable for everyone. They also need to place mandatory caps on lawsuits in all states to help bring down the cost of medical malpractice insurance for the physicians.

70. more emphasis on healthcare, less emphasis on iraq

71. I don't believe he will,he's just the lesser of three evils.

72. she believes in a universal system covering all citizens with a mandate.

73. no universal healthcare

74. I don't feel any of the candidates will improve the US healthcare system but John McCain will do the least damage.

75. best to allow more private healthcare accounts to help reduce costs

76. Universal care, more affordable coverage

77. unknown just wishful thinking

78. Bring free market forces to bear on the problem. Avoid the trap of an easy "fix" and refuse to be seduced by systems which we know do not work (Canada, UK, Western Europe, Cuba). Address tort reform.

79. Decrease regulation and overhead costs

80. ???????

81. not really sure but better than the other 2

82. I don't think they have a clue about healthcare delivery.

83. Availability

84. I think John McCain will continue Bush's policy by continuing what is going on (i.e. HSA.) Clinton and Obama will create more waste by trying to create a "universal healthcare system."

85. Each of these candidates pander to the electorate, which obviates their plans. What is needed is a candidate that will give the people what they need not what they want.

86. The system is complex. We need someone who can try to bring different people to the table for discussions (Obama), not try and run over them (Clinton or McCain). A lot of the ideas out there sound good, but will have serious unintended consequences, so need to be able to get divers perspectives of can inadvertently create a disaster. All need to accept that to control costs, will need to ration care, which will also decrease incentives for innovation. Given these limits, Obama is right to focus on kids first over all.

87. none will.

88. He does not stand for Socialized Medicine as do the other two

89. The system likely won't change with any of the above.

90. has a clear plan for improving current system

91. The cost will be passed on to those with the highest wages. The affluent will subsidize anyone and everyone that wants and demands any medical/surgical care, especially illegal immigrants.

92. There are many of us who feel we are headed in a downward spiral.

93. Hillary plan with MacCain as president

94. Clinton is most likely to move towards universal health care

95. None will presently. I believe they have all missed the mark.

96. I believe that he will have the greatest chance of building a consensus and crossing party lines to get something done.

97. No improvements from any of them. In order of descending damage McCain, Obama, Clinton

98. now let's see, give me a democrat lawyer and let them tell doctors how to run medicine.

99. some fiscal responsibility

100. Streamline health care & make it more accesible to all citizens.

101. Will provide coverage to those who currently cannot afford health insurance. It is not the ideal plan, but the best of the three.

102. Not UHC, but still trying to improve rate of insured.

103. Slow gravitation to universal care

104. Clinton especially will further ruin the healthcare system. Oboma likely would make it worse as well.

105. I do not believe that this candidate would strongly support UHC.

106. I don't believe he'll improve the system. My concern will be that he may change it in ways that add to the current regulatory/compliance burdens and inhibit free market activity (patient choice and control, business incentives to improve quality, service and innovation).

107. strongly believe

108. He will not raise taxes in order to pay for the system to the point where it becomes not worth it to even work. The other two will tax people who have spent their entire lives getting an education and paying off their debt so that they can buy health care for people who did not do these things and therefore cannot afford health insurance. This is a sweeping generalization of course.

109. It will worsen under most of their plans.

110. better ideas than the others. At least he would try.

111. universal access to insurance is only way to make system fair, currently those without health insurance receive substandard care at higher costs that are unevenly weighted on other participants

112. N/A

113. test

114. Moving toward universal care

115. Provide the broadest coverage with the least cost

116. see above

117. I really don't think any president can "improve" our current healthcare system. However, a republican president will just slow down the crippling process.

118. would not make dramatic negative changes.

119. I think Hillary Clinton's plan is the most realistic and covers the most people.

120. better than the crap we have now

121. obama and clinton would move to implement a UHS. Mcain would work to improve the current system.

122. Listen and move cautiously towards improvement.

123. morepeople will be covered

124. Making significant improvements to the current system without the overly burdensome and costly approach Clinton favors.

125. extend coverage to more patients leading to increases EARLY care and treatment, less acuity.

It is the first step towards streamlining (reducing) admin costs but having an increased percentage of the population in a government-affiliated insurer.

126. He promises much needed insurance reform

127. By bringing changes in the current way USA is managed.

128. expand coverage / control costs

129. They have the same plan. I think that getting rid of all the billing companies, the people that the insurance companies hire to deny billing and actually executing the portability part of the HIPPA act would really free up some cash. I think they also plan to really crack down on people not taking care fo their chronic diseases. However, absolutely none of the savings should come from physician compensation unless someone's going to pay off my students loans. If they do I'm moving to Dubai.

130. He will create a system of affordable health plans for all citizens without forcing them to purchase it.

131. See comment above

132. Keep it the way it is.

133. cover all uninsured Americans

134. It is my understanding John McCain is opposed to universal health care.

135. I am not sure al the proposals are very vague

136. He would implement incremental change without the massive political upheaval that would occur if the entire current system is abandoned. ALL playrers would have to do their part.

137. deregulate.

138. Don't know enough about their plans to know.

139. Personal experiences coupled with his professional views would extend to reach all minorities equally.

140. Insured everyone, allow anyone to buy into the federal employee health insurance program

141. [No Answer Entered]

142. HIS PLAN WILL OFFER AFFORDABLE HEALTH CARE TO PATIENTS WHO WANT HEALTH COVERAGE. I BELIEVE THAT EVERYONE SHOULD HAVE ACCESS TO INSURANCE.

143. The less the government gets involved, the better the system.

144. his current ideas

145. Propose universal health care (universal Medicaid). There will still be options for rich forks who can afford to upgrade their basic health care package or to seek private insurarers.

146. Make it worse.

147. McCain- not clear

Hillary/Obama-will NOT improve healthcare by offering UHC

148. don't know

149. dont know

150. i don't believe that any of the candidates are worth electing

151. I just totally disagree with clinton and obama. There is much that needs to be addressed, but I would agree more with mccain in ability to help our healthcare system. It is my opinion that he wouldn't destroy our system, where as I believe the other two would.

152. Make insurance available to all

153. Long history, and therefore knowledge, looking at healthcare and the issues involved.

154. she will make changes happen; the system can't continue as is.

155. more likely to press for health coverage forthe currently uninsured

156. ensure an equal delivery of healthcare to all citizens, not just the privileged

157. Listen to providers not liberal lobby groups

158. None of the major candidates will improve the US healthcare system. Each and every proposal they make increases the likelihoodo of further government control, price controls, rationing, and destruction of the incentive for progress.

159. Hillary's plan is the o nly viable plan as it removes the adverse selection present in the others. All people must be included to make the system fair and affordable.

If We could get a single payer, universal Health Care system thru congress, the lobbiests, etc.

160. Only modest governmental interference

161. ?

162. I do not believe any one candidate has a good plan.

163. decrease physician payments causing us to leave

164. Make it accessable for all.

165. Allowing people to pay for their own insurance, get what they think they need and perhaps take more responsibility for their health

166. can't get worse

167. Sharing the burden of unfunded patients with all citizens will benefit all health care providers. It will promote preventive medicine by reducing cost barriers to mealth maintenance

168. Plan is all inclusive

169. universal access

170. She has a broader vision and a specific plan for integration

171. I don't know

172. If it aint broke dont fix it

173. More open to real change. More liely to get everyone covered.

174. This is a field where everyone is affected by healthcare and it is an issue that they would all work on. I just don't want my taxes going up to support everyones healthcare. I pay enough of them already. And Democrats would raise taxes to make everyone dependent on them. I'm not a fan of that.

175. I need more time to evaluate this, I am waiting to see who is in the final race

176. She is the least of evils. McCain will give even more power to the insurance companies which are the real source of the current problems. Obama will try to entice people to buy insurance by forcing costs down with draconian price controls.

177. I believe she will try to change access to healthcare by making it available to more people.

178. Healthcare is one of the top priorities moving into 2010. Hilary Clinton has a point to make based on history. She might be the most effective in moving it to a new stage.

179. Physicians and all other health care providers will change it to a more costly less efficient system with all involved wanting their hand in the governments pocket.Stop fee control, let government pay a set amount,and the market place will be free to control fees/cost supplemental to the government coverage.Physicians should be free to determine their fees without having to be in or out of the system that presently exists.

180. I believe he supports Universal Health Care. I also believe we HAVE to do something, the United States is falling behind in every level of medical care.

181. I believe Obama will move toward a universal health care system as he become more informed about the depth of the human crisis in health care

182. providing healthcare for those who are currently uninsured. Making people more responsible for their healthcare. Allowing people more choices when choosing health care insurance. Controlling costs and frivolous law suits.

183. see above

184. No change, unless the Congress is changed to match his beliefs.

185. Less ppl without insurance thus less burden on those with insurance. Less diseases in advanced stages if access isnt an issue

186. Believe in a universal health care system

187. She has more knowledge and she tried hard in past.

188. Hopefully not.

189. Will gradualy move us toward a UHCS for all.

190. More health savings accunts. More competition among providers. Lower overall costs.

191. He's a politician.

There will be no significant change.

192. Won't push for UHC as outlined by the Democrats

193. hopefully less governmental interference

194. Hillary knows congress better than Barak; however, the democratic party for all its inefficiency does try to improve the life of most Americans. So Hillary or Barak would probably result in the same plan.

195. I don't believe that any cancdidate has a real grasp on how radical changes need to be. They are all applying bandaids where tourniquets are necessary.

196. He or she will make it a universal commodity, payed for by higher taxes and on the backs of the caregivers.

197. MAKE IT A MARKET DRIVEN SYSTEM

198. She has supported such a system for years. She is intelligent, hard working and this is high on her agenda. I think she could push it through this time

199. None of them have proposed a good alternative

200. Make health care insurance more affordable,to those who cant afford

Reduce the cost presciption drugs

Govt Insuring everybody even the rich is nonsense

201. Probably not much will change because politicians do not have the balls to make the changes that will salvage the system such as making Medicare need-based instead of Welfare-for-the-rich

202. They would try to improve it and probably make it worse.

203. has been workiing in that direction

204. they will try but it is beyond their scope

205. leave it alone

206. He places more of the responsibility into the patients hands requiring them to be involved in their disease and PREVENTION

207. Tort Reform.

208. Universal health insurance, but not a single plan, with options to purchase supplemental insurance. Vehemently oppose Canadian style must fit all and no option for private pay or supplementary insurance above the base line level provided under universal coverage

209. Make improvements in the system already put in place. Effectively change how managed care companies do business.

210. he would leave it alone

211. Hopefully, by decreasing the amount of government intervention overall and by strengthening the illegal immigrant laws so that government funds that are available will be spent on our citizens and not Mexico's citizens.

212. None have plans for reducing costs and reducing unnecessary procedures. Enforcing Quality measures.

213. Right now they are focusing on access to care, which is important, but the details of how to achieve and still pay for it are unclear.

214. reasonable, allows some option for those who choose not to have health insurance, but available and afordable for those who do

215. Not without a congresssional initiative. They simply have policies, not a plan that is a numbered bill. They tire me.

216. less regulation

217. Senator Clinton has been active in women's & children's issues since early 70's. Has best grasp of h/c issues because of previous work on trying to implement system during BC's administration. Has key people in place ready to go to work on h/c.

218. He will use what we have in existence and improve upon the current problematic areas. For example, he would require all children to have health insurance.

219. universal health care

220. Possibly more debate about tort reform to bring down the total cost of health care

221. Small increment of change playing the speciali interests off against each other.

222. She has a good handle on the nuances and the strong insurance lobby for NO change. She has the savvy to navigate the system if given the authority as President.

223. force competition among health care providers. I am torn between McCain (I like his policy proposal best) and Obama (I think he will be open to real discussions about the issues and will drive the marketplace through competition). Hillary will run the system like the VA and Medicaid system and push the HMO approach to medicine that I hate.

224. I believe that she would come up with a workable solution for all people

I feel Obama will only benefit minorities

I do not feel that McCain will change anything

225. what ever plan is suggested, Barak has better chance to pass thro' the congress and unite the people to back him.

226. I'm skeptical with all of them

227. I don't beleive they will have enough time in office to actually effect change in the 1st 4 years. Given all the current political issues, who ever gets elected will not likely remain beyond that. The president may have great ideas, the real power is in the hands of the senators and congress and none of them seem too interested in any of the plans

228. By simultaneously addressing mandatory coverage with affordibilty

229. Eliminate welfare and medicaid systems to force people to become more responsible for themselves

230. universal coverage;portable;no rejection for pre-existing condition;everyone must have it

231. n/a

232. Build upon current delivery systems without a preconceived notion of going to a single payer system.

233. Looking at moving healthcare from the employer to the patient via tax reform strong interest in cost reductions thru healthy living program and individual responsiblity preventive medicine

234. Hillary Clinton would probably have more government oversight.

John McCain has no new ideas.

Barak Obama will be starting over.

235. Return to a Constitutional based government and free market healthcare system. Current Government regulations restrict this.

236. they do not change or improve the system.

237. She has a well-thought out plan to implement necessary changes to the current healthcare system.

238. Provide coverage for more of the uninsured. Reduce the influence of enterpreneurs, parmaceutical companies, and other special interests that profit from providing "care" that may not be needed.

239. Streamline, standardize and include

240. More pragmatic approach in terms of trying to decrease costs associated with coverage to enable more people to be covered. In reality not much overall difference in the democrats approaches so it may come down to the question of leadership and which candidate has more political coattails regarding congressional elections in November

241. Get rid of pharmaceutical lobby. Reduce insurance company ability to get between doc and patient. Return medical care back to physicians and patients.

242. he will leave it alone

243. by creating more jobs and giving everyone access to group plans

244. I think Obama has a fresh approach that Clinton lacks.

245. Be more inclusive, with, perhaps, less regulation.

246. Won't pour increased taxes into a system that will be run by the gov't.

247. BECAUSE CONGRESS HAS A SAY IT DOESN'T MATTER WHAT THE CANDIDATE TRIES TO DO IF CONGRESS ISN'T ON BOARD

248. by working toward universal health care delivery

249. Hillary's system would hold people accountable

250. Provide insurance to the uninsured and also make insurance more affordable especially to the self employed. I spent almost $18000 for health insurance last year with deductibles of $5000 (1 with $2000) for a family of four.

251. Not try to socialize the medical care.

252. hopefully introduce UHC

253. I don't know

254. By changes to the present system. Decrease in prescription drugs. Better access to physicians for care.

255. Improve efficiencies.

256. If tradition and reality follow suit, there will be much reorgainzation with little real improvement in the first 2-3 years of the term then with a mad scramble the last year with promises of more improvment over the "nest four years", as the promises go.

257. By not having a universal health care system. This is just a nice way of saying socialized medicine, which has failed in every country that has used it and has cut significantly into the personal finances of its citizens.

258. He'll keep UHC & government interference from completely ruining the present system.

259. Contain costs, expand coverage, improve efficiency

260. unsure, but I think Hillary Clinton couldn't get anything passed when her horrible husband was in office, and I think she will try to pass the same bad plan

261. Avoid adding to the Beaurocracy that leads to more expense and less quality.

262. By not drastically changing systems already in place.

263. Streamline the health care system.

264. Insurance coverage must be manditory not optional to work otherwise people will self select based on their disease state.

265. Smart Ideas

266. tort reform

enhance research and development of drugs

less red tope

267. Make few changes WITHOUT going to UHC

268. Provide more access to medical services

269. Only through pressure form voters who are under or uninsured and fro employers who can no longer afford to cover their employees and remain competitive.

270. Honest and fair process. Hillary just used the insurance and pharmaceutical companies to try and strike a deal. She did little to respect the actual providers.

271. Get rid of the idea that only people with money or insurance should be recipients of actual medical care. All humans are worthwhile and deserving of exactly the same care based on the fact that they are members of the genus Homo Sapiens, not how fat their wallets are or whether or not they are legal residents of the USA!

272. Almost any change would be an improvement

273. Most likely will actually create change other than just talk about it

274. Decreasing medical cost by decreasing malpractice.

275. coverage for everyone

276. I think Barak Obama would be the most open to legislation proposed in HR 676

277. ry and get coverage for everyone,not just some

278. Causing less interference than the other two.

279. Public-private competetive model, unfortunately without a mandate to beter distribute costs

280. She is listening closely to small employers who insist that they be allowed to be considered a large group. Thus, the 80% of US employees not currently covered by large employer/large group plans would have more affordable care.

281. is the only one who might have the leadership and vision that is needed to steer the country out of the current health care mess

282. Mr McCain would keep things more as they are.

283. They won't. Nothing will change.

284. Attempt at complete overhaul.

285. He will keep the present system but improve the coverage and availability of affordable prescription drugs.

286. Universal access to primary care and followup for the currently uninsured would relieve some of the burdens on the emergency system, and allow for a more preventative medicine model to be implemented, rather than our current crisis based management.

287. See above.

288. All will change to worse: all are some form of Statist?sicialist?totalitarian.

289. Despite McCain being a more "moderate" republican, of the 3 he will likely not remove much of the capitalism from the healthcare industry which makes it the best in the world.

290. yes

291. mandating insurance coverage for everyone....perhaps similar to massachussetts, where no one is denied for pre-existing conditions, and the insurance is affordable. This is the closest plan to universal healthcare that is proposed from the three cndidates listed. The participation of everyone will spread out the risk to make insurance affoerdable. the government will kick in money to assist, but this is already being spent by government and insurance companies anyway. The extreme cost of serving the uninsured in ER visits for non-emergency conditions adds to the operating costs of hospitals, which is passed on in the form of increased charges overall, and government subsidies. unisnsured can get no treatment outside of an ER....but ER's must see all patients presenting to them, at least to triage.....therefore patients are seen in ER's for many conditions that do not require that level of care.

292. Its hard to say. It is merely rhetoric until they get in office and actuslly put on the shoes

293. May not improve system but more likely not to make it worse.

294. Reduce costs and increase competition which is the only REAL way to improve the current system.

295. TORT REFORM, TORT REFORM.

probably leave the same with minor changes

296. Universal health care paid for by a single payer-- clearly shown by multiple countries around the world to improve care and reduce costs. The evidence is CLEAR, the problem is all the propaganda to the contrary.

297. med.savings accts. uniform ins regs nationally/permit pts to acquire ins from any state with coverage valid in all states under the terms of the indidual pts choice of coverage options/catastrophic ins and self pay high deduct. pt. chooses to do as much or little he and his md deceide.

298. There are many people in our affluent country who have no access to medical care because medical insurance is not provided by their employer and they cannot afford to purchase privately. All people should have access to quality medical care.

299. Would not implement universal health care.

300. not allow united health care

301. I really do not think that it is possible for them to change health care

302. He is not as crooked as most the candidates. I feel all government body should have the same medical care and retirement as the rest of the citizens have.

303. She has tried to tackle it before ,but now is wiser.

304. Government is the PROBLEM, not the solution.

305. Understand the shortcomings of a universal health care program and understand the concept of paying for a program.

306. I feel he has an understanding of the importance of cost-effective available healthcare for all.

307. She has a clearcut idea of how to do it, she knows the healthcare system details very well.

308. by providing it to those without it

309. Good ideals. Most honest. Served country. Not born on foreign soil. Somewhat moderate but not a liberal

310. I think that medicine will be akin to being an auto mechanic, the only diffence being that an auto mechanic is not subject to price and quality regulation. Would you want an auto mechanic to have to churn out double the transmissions fixed at half the price?

311. Not now but with a competent team of advisors.

312. No idea, they don't say

313. With great difficulty.

314. More insured patients

315. He would probably not do much, which would be better than the others, who would do way too much.

316. I believe that the next candidate will need to improve the economic outlook and end the current war, and will not have the support to improve our healthcare system as one of the first tasks. If the economy does not improve within the next four years, the candidate is not likely to be reelected for a second term, and the 2012 other party candidate is not likely to reintroduce healthcare... look at the last 8 (Bushy years)in the past 16 years.

317. LESS GOVERNMENT INVOLVEMENT

318. not sure

319. He will not attempt to over-regulate the system. He will not advocate a government beaurocrat's getting in the way of the healthcare delivery system.

320. I do not believe any of the candidates options is significantly better than anyone else's plan. There are problems with each candidate's plan which would offset any "advantages" that are claimed. Simple legislation cannot even begin to address the complexities of the U.S. healthcare system to results in any meaningful change

321. system is consumer driven

322. Hillary is out for her own agenda. John McCain has had access to the best care in the world through Bethesda Naval Hospital and hasn't received mainstream care in years. Barack O'Bama is too inexperienced to effectively eliminate the burdensome red tape connected with health care. If you really want the system to change, make all of the governmental officials seek health care through the curretn traditional system with no special waivers, access to care or other perks permitted. Have their healthcare costs covered by average HMO and PPO. Once they feel the pain of the ordinary patient, they will understand the frustrations that legal and accounting interventions have caused to disrupt care delivery.

323. Learned from experience in previous attempts to standardize access to healthcare under her husband Bill Clinton. Will to provide realistic goals.

324. I haven't seen enough of either plan to make a valid opinion.

325. Look at the VA as a model of gov run health care

326. NA

327. By not introducing UHC

328. expand coverage hopefully regulate insurance co. to provide uniform benefits

329. Obama would be more open to the necessity of confronting enmeshed profit over efficacy organizations.

330. Obama plans on making healthcare more affordable. I think it is unrealistic to think that we could go from the current healthcare system with high premiums to everyone automatically receiving healthcare. It is going to have to be a gradual change and I think Obama's plan takes this into account, that change will be gradual.

331. UHC could dramatically reduce administrative costs and improve access to the underinsured and uninsured.

This is however not without down side as a single payer system will remove compitition, and set pricesfor services that could have negitive economic effects not responsive to the realities of changing demand, utilization or cost.

332. I believe that Senator Obama will likely be able to improve the healthcare system to the greatest extent on a practical level because he will be willing to bring all

the member components to the table and negotiate a system of healthcare improvement

which will be somewhat palatable to all concerned, rather than alienating any one

group, whether they be the payors, health care providers or leaders in the pharma-

ceutical industry.

333. McCain is least likely to attempt to cheapen healthcare on the backs of physicians.

334. probably very little.

335. By Implementing Universal Healthcare Plan once elected

336. better planning and resource allocation.

337. first of all 3 candidates to propose such a system

338. John McCain wants to insure all through their employers and healthcare insurance vouchers. This would eliminate the 47 million uninsured with the least effect on the quality of our current system.

339. The plan must outline what kind and how much medical care would be authorized.

340. True Universal care through individual mandates and combinations of public and private financing

341. With negotiations required to pass such legislation, it is hard to predict what such a bill would look like.

342. I believe she has a real vison for universal health care in this country. I also believe her experience in government will help her to accomplish this goal.

343. Not going the route of UHC and correcting what we already have.

344. I believe she will attempt to implement universal health care but realistically, this is something that will take years to do. At the very least, perhaps she can start to address some of the most common complaints from both patients (too much out of pocket expense and insurance regulations) and providers (not enough reimbursement and lack of ability to treat for all existing problems.)

345. No candidate thus far has really approached a plan for universal health care with access to all for a minimum level of care.

346. they each wouldn't.

347. all will make it worse

348. Establish a "single payer" system that is NOT run by the US government.

349. He plans to cover most Americans without having the Federal Government administer every facet of health care delivery.

350. by offering universal healthcare to the uninsured, and by going after insurance and big pharmacy interests, curbing obscene profits and forcing them to share the burden more fairly.

351. I believe he calls for not only Universal Health Care, but also responsiblity of those individuals, who are not accountable for their lack of insurance, he wants to make them accountable

352. Not applicable

353. Scrap employer based tax benefit and laterally transfer the benefit to the employee and deregulate the insurance industry.

354. The Government covers half of Americas 3 million citizens now. The Democrats will

use the Medicare system to insure all people. The tax increases will be offset by premium savings. Health care cost will go down through controlled and scrutinized reimbursement procedures.

Republicans will continue market competition. This will continue to restrict health care to many Americans. Costs will continue to escalate and insurance premiums will become unaffordable for most workers and their dependants.

355. not much as long as insurance company is for profit and pharmaceutical companies charge sky-high prices

356. By balancing the Federal Budget, and reducing the trillions of dollars we now

owe. By having smaller government, less taxes, and individual freedom of

choice. People will have more money to purchase insurance.

357. Can not say at this time.

358. I beleive the Democrats offer at least some progress, just not enough for me.

McCain offers nothing.

359. probably would not change it much

360. x

361. He would have newer ideas and is not linked to past systems or failures.

362. see above

363. Make Health care affordable

364. Hopefully would expand coverage. Likely would have to limit low yield, expensive interventions and emphasize prevention.

365. Needs to allow insurance companies to compete across state lines.

366. His platform so far isn't as radical or socialistic as the other two.

367. B0's commitment to a liberal adgenda suggests he would be less wedded to the current insurance market climate versus the other candidates, who are seen as promoting UHC w/in the current profit motivated, patient/illness liability health insurance system

368. He brings to the table a plan that has some real innovations, i.e. allowing importation of medications from oversees in order to decrease costs

369. unsure

370. Prevent socialized medicine

371. I do not feel any of the candidates have enough information to move the present system into an improved system. Each of them will change the system.

372. Return to a market model, remove government insurance programs or highly modify them

373. [No Answer Entered]

374. he is a smoother talker

375. Universal coverage

376. Provide universal access, while maintaining free market system--through HSA and universal catastrophic coverage.

377. He has new ideas for implementing universal coverage, although single payer would probably be more effective and cost effective over all. He is more likely to get changes through Congress.

378. by keeping government out of healthcare

379. Address issues of access

380. He cannot improve the system, because he won't win.

381. Leave it alone

382. she gets the pros and cons of the various models and how they have worked in the other countries where it has been implemented

383. Working with Congress to compromise on a system that has both a buy-in to Medicare and private insurance that is at least equivalent. Possibly allowing bargaining on pharmaceutical prices. Hopefully, paying only for drugs proven effective e.g. Metformin but not thiazolidindiones.

384. more affordable health insurance

385. I feel she learned the mistakes of 1993 and would target the uninsured rather than a total overhaul

386. Any improvement will better than the no improvement to date.

387. Very Familiar with Universal healthcare a proponent for this for many years. Actively pursue changes, mandate changes............get it done!!

388. I think Clinton and Obama will fervently try. I don't know about McCain.

389. I believe her plan for UHC would better utilize mid level practitioners for underinsured abd would hope she could clean up the urrent mess created and maintained by the shift in healthcare from physician providers to the insurance companies. The multiple layers of "oversight" in managed healthcare have driven healthcare costs sky rocketing and caused a severe decline in the numbers of individuals entering the medical and healthcare profession.

390. Absolutely

391. She has the experience and the knowledge since her last efforts to convince the majority to find a middle ground "starting point" to at least getting us closer to covering more people, even if we never get to a full UHC.

392. n/a

393. Every residenrt would be covered at less cost than now/

394. WILL BE OPPOSING UNIVERSAL HEALTH CARE

395. I feel a new type of health care system is needed very soon. I feel the current system is at a crisis and affordable healthcare will be unatainable by the vast majority in the next 5 to 10 years. We are all one illness away from bankruptcy....

396. Uncertain. Hillary's first go around with healthcare was a disaster, partly because it did not involve any input from those in the medical profession who could have helped. She is responsible for the growth of managed care, which has both helped and hurt the system.

397. do not know their plans

398. Hillary has the most experience and background in healthcare. She seems to understand the importance of universal healthcare while balancing the flawed physician payment system that currently punishes those who go into primary care, especially those who serve a large number of Medicare/Medicaid patients and spend more time with their patients.

399. Mrs. Clinton has an excellent understanding of the issues and is aware of how 3rd party payors are the root of spiraling costs, decreasing services, and uninsured Americans by the tens of thousands.

400. He knew that consumer pressure not gov't regulation better drives prices. Patients need to know the Real cost of a visit, not the inflated price so the insurance companies will reimburse the real cost. More incentives for medicine development.

401. She will drive for universal coverage.

402. Work with both sides of the aisle and reach some compromise on how to increase number of insured

403. His plan seems to offer a two tier system, where persons are not mandated to a government regaluated health care plan, but rather health care is made more affordable.

404. help get better health care options passed per congress

405. Not Sure

406. new ideas for streamlining healthcare

407. will do the least to harm the system -- will be less likely to implement expensive and cumbersome regulations

408. The DNC want more government and more social programs which means more taxes.

409. THe other two are too much GIVE GIVE GIVE

410. He won't screw it up as badly as the Democrats who will force a socialistic healthcare system on us and force it to be funded for unfairly.

411. Address problems with rampant insurance gouging of the public to provide less care for more profit in the name of "cost saving"

412. by deviating from current catastrophe

413. Senator Clinton has had significant experience in analyzing our system. She is the only candidate who would make it mandatory, which I feel is the key factor for comprehensive,preventive care.

414. Force everybody in the country into some kind of coverage

415. Hillary clinton made it clear in the 90's she wanted a VA type system. where the government was the only option. Barack will just bankrupt us by giving medicare to all, that I'm sure will be paid for by taking more than the 50% of my salary that is taken now. How ironic, more work more taxes just to stay in the same place. Mccain I doubt will do much to change things.

416. Restricting Ins. Companies Share of the Money Pie.They get most of the Money.

Controle Liability on Doctors, and on Drugs. Tort Reform at Fedral Level.

Fund Rural Health Centers to Provide early Care to all that Need.

417. advocate for universal health care

418. requiring that children be insured

419. He would reduce government by perhaps as much as 60% in order to constrain it to its constitutional functions.

420. More Access

421. If he is sincere/true to his promises of change, he should do it by all means - to be reelected and be his legacy.

422. access to health care for more US citizens

423. I don't think they will have any impact.

424. not sure...i think mccain is still for good coverage if you can afford it..with illegals, i think they should have right to care, but they should have the basic care and nothing extravagant

425. I believe that healthcare is not the responsibility of the those who pay taxes to cover those who do not contribute at all

426. Improve access to care. more willing to make choices that are not politically expedient

427. Clinton recognizes that for any more extensive coverage plan to work all citizens must pay. Partial systems and exempting certain citizens from paying will not result in a good system.

428. change

429. I do not believe that any of the candidates are committed to instituting any plans to affect the current healthcare system.

430. Tort Reform. He is the ONLY one calling for it. We cannot sue our way to greatness. We can not afford to litigate every health care decision.

431. not sure he will improve anything; it is the lesser evil

432. Politicians have many constituencies. This includes big business such as insurance companies and pharmaceutical mfgs. Patients are small cogs in the machine in their view. None have really mentioned the absolute need to institute significant TORT reform in conjunction with any proposed health care reform. Oops, there's that nasty connection to the trial lawyers lobby.......

433. Mr. Obama approaches issues honestly and appears willing to accept incremental improvements while keeping the overall goal as the target. (Not just healthcare)

434. Encourage small business to help with health care costs. The only candidate who will not take healthcare back 50 years.

435. I do not believe health care is the pervue of the federal government

436. move in the direction of single payer system and in the direction of universal coverage, while preserving independence of providers

437. I think all will address the uninsured issue one way or another - I do not expect much more

438. NO

439. Shift over time focus of government spending by eliminating wars of adventure

440. more access to health care, prescrition costs and regulations on the amounts of money pharmaceuticals are spending on marketing for drugs

441. follow through!

442. I have little faith in what Presidents say, since it is the Senate and House thay really determines what gets passed. By some miracle it should be the insurance companies that should get together and make things more affordable and they would have more people that would be able to afford their policies, and therefore they would get more participants to their policies.

443. committed to healthcare

444. will attempt to control costs

445. because she already has insight and knowlege reqarding universal health care

446. Has a better plan as far as coverage and esposibility of it is concened

447. She will make the initial steps for UHC. Then, as the Medicare/government system proves its economy, it will overtake the cumbersome private insurance system with the latter shrinking while the former expands due to its efficiency. A "Medicare for all" system is the one that would trim useless expenses. Funding is easy if you convert premiums into a tax base for healthcare.

448. Make incremental as opposed to wholesale changes. Congress is just as important in affecting change which seems to go unrecognized.

449. change access for patients

450. not universal, only mandates for children, but he'll screw the doctors (everyone does)

451. unknown

452. Getting all people healthcare.

Regulating the cost of pharmaceauticals.

453. DONT KNOW WHICH CANDIDATE WOULD BE BETTER HOWEVER, THEY WOULD NEED TO ASK PRACTICING DOCTORS TO PARTICIPATE... NOT THE RETIRED POLITICAL OPINIONS THEY NOW USE.

454. He would be fair to all Americans and all peoples living in this country

455. all will make it very hard to support my family and my career

456. Make prescription medications more affordable.

457. System broke unable to fix

458. Focusing more on prevention.

459. most realisticless worry about patient coverage and deductibles

460. Obama recommends creating a central "exchange" in which individuals can buy health insurance, with government subsidies for those unable to afford it. I believe this type of system, already in use in the Netherlands, could be helpful in the U.S. I believe the Wyden-Bennett plan may be a good plan; among presidential candidates, Obama's proposal most closely follows the Wyden-Bennett plan.

461. She has a plan. That is where change begins.

462. streamline

463. Health insurance would be mandated for everyone living in the US;thus, giving everyone access to medical care/attention. There would be a focus on prevention, which saves on health care costs

464. From what I know, he plans in improving current system, keeping some good

465. Health care is one of the foremost issues because of failig economy and anticipated reduction of money to pay for it, coupled with anticipated increase in demand from aging population. A candidate, a president can only state a direction and hope to inspire the population to follow. A president, working withn the constitution, cannot make major changes without congress, and the people who elect them.

466. He will tend to protect what already works and improve on needed aspects without adding needless bureaucratic levels to an already cumbersome, inefficient system. The Democratic candidates will throw physicians under the bus to accomplish whatever political goals they might have; and eventually lead to a decline in care.

467. Emphasis on free market system and prevention and less government regulation.

468. I think the Clinton and Obama plans are very close to one another, with Clinton's plan likely applying to a larger portion of the population. My hope is that with a single payor system it will be more like Medicare (which has been at least consistent and timely with reimbursement) and less like the commercial insurances which have been much more arbitrary and very less timely in reimbursement payments.

469. Lobbies will change the nhealthcare systm, not the candidate. Everyone has a lobby. If they do not they will have one.

470. I believe Hillary and Barak's plans would make health care in this country significantly worse, particularly from increased taxes, poorer quality, and rationing of resources. So...John McCain

471. His vast understanding and personal experience with the health care problems on the front line

472. Would work on improving the present system, arguably one of the best in the word.

Would not destroy it by implementing UHC.

473. McCain will do less damage than the rest

474. Institute universal or near-universal coverage, at least as a first step towards a single-payer system.

475. McCain is talking gibberish, no practical ideas for improving access or reducing costs. While UHC is needed, neither Clinton or Obama is focused in that direction. Each has a plan for universal coverage, which, without tort reform, cost control and standization of coverage, cannot work.

476. universal

477. Decrease government mandates

478. He would be willing to listen and build concensus for change

479. I firmly believe that no candidate has a clue what happens in the real world when it comes to healthcare. They have been getting their care for free for so long they are out of touch with the world.

480. N/A

481. Provide affordable health care for the uninsured

482. allow the healthcare insurance industry be the biggest part of the solution rather than a new inefficient goverment program

483. The physicians, economists and communities should sit and work on this.

484. Preventative care is more cost effective. Having everybody receiving regular care would be the most helpful. I hope that Hillary would be able to help the working poor obtain health insurance. Also maybe having only one payor will make it so that I actually get paid for the work I do.

485. Wreck it and start over!

486. Make changes to our current system hopefully improving patient care while decreasing the patient load.

487. Not really sure but I think she has been noted for talking about a Universal system

488. Improvement of the current system, especially reform of the medical liability mess.

489. By trying to improve the present system and not doing things that might bankrupt America

490. imposition of single payer national health insurance

491. They will not improve it, since they obviously have a very limited understanding of what is involved. They will just make things worse!!!

492. By moving in steps towards universal health care. Hillary has tried the all or nothing approach before and learned from it. Her plan has a great back door into universal coverage by offering different insurance "options" for patients. The government option is income-based and is available for everyone.

She also understands improving efficiency by improving technology.

493. by not endorsing a UHC system

494. I believe he knows the importance of this issue. It has to be addressed as there are too many people dying because they can't afford to see a MD when they are sick. When they finally show up in our overburdened ED's they are too far gone to save.

I believe he will do what he can, but it will take more than the President to move Congress.

495. None will improve it.

496. He proposes a Single Payer plan which would cut the profits for the middle man(health insurance companies)

497. they wont

498. Hopefully not intervene to soon without some serious study, which I fear the others will do for publicity.

499. I believe he will work to improve the system we have rather than changing to a whole new system.

500. None of the candidates have a clue as to how to improve healthcare delivery.

501. None of the candidates are capable of dealing with health care in this country.

502. She has done alot of ground work understanding the healthcare system as it is today. I feel she would be the most knowledgable instuting universal coverage.

503. appears to know the limitations imposed by the healthcare industry

504. He's been around the block a time or two and understands what America needs. If Washington would quit playing party politics, I believe we could have much more legislation passed for the betterment of the country. Also, McCain is the only non-attorney running for office. In my opinion, the last person we need looking into healthcare reform is an attorney!!

505. find ways to insure the uninsured

get capitalism that wastes valueable resources out of the health care industry

506. I believe his goals are most realistic.

507. I do not think that any of the above candidates will significantly change or improe the US healthcare system w/o significant input from the state governments and federal court system.

508. probably very little since no one has the ability to change attitudes on entiltlements

509. I hope for greater access to more citizens at a lower cost. Although I have no illusions that the change from the current profit motive would make a huge difference in costs because of governmental inefficiencies.

510. There is no incentive to change the middle class hardworking uninsured don't have a powerful lobbying group

511. not sure how he will improve it. I just feel that what the others propose will be so much worse

512. By leaving it alone, and keeping government out of the capitalist system

513. N/A, I don't have enough of each candidates proposal to make this evaluation

514. Implement a system of universal access to health care

515. trying to influence congress

516. he is on the side of the pt

517. I believe that Hillary Clinton has a better grip on the situation. I am not quite sure how she will change it but I believe that she will ensure quality health care for the country. I hope that she has a plan to keep the better health care givers.

518. Clinton has mandates attached to protocol. Has been through significant debate from 1996Will get it set up, all programs will require adjustments, However, the big move is to walk past the private profiteering medical insurance companies

519. none of them will improve anything

520. Make insurance available to everyone by cost regulation

521. Least amount of government intrusion into private industry. We need LESS government programs, not more.

522. no

523. Not very much. UHC is impossible without tort reform

524. provide more healthcare to more people at an affordable cost. Decrease amount of wasted money supplying healthcare

525. By hopefully not implementing UHC, McCain could allow for change or improvement.

526. He will not destroy what is working. He will keep it in the private sector.

527. Current presidential candidates are clearly unqualified to properly assess or improve healthcare based on their platforms. Universal health care is NOT the answer; improved regulation of health insurance carriers would help. An assessment of their profit margins/executive pay & bonuses would be a good benchmark to start with.

528. His plan is realistic and practical.John McCain only talks about pay for performance which will have debatable impact on healthcare system.Hillary has already messed up healthcare system in 1990s.

529. I have heard Mr Obama speak about the need to have all at thetable when it comes to discussing policy. The pharmaceutical companies and their supporters should not be the only ones at the table. We need doctors and consumers at the table. Medicine is the business of taking care of people and when those of who take care of people cannot do so we have a big problem.

530. universal coverage

531. Improvement cannot be made , only changes.

532. I DON'T

533. all will decrease quality

534. I do not believe they will. Unfortunately, I have very little trust in the US political scene. I hope this is not just an election ploy, used to get votes...

535. She has already done a lot of research and planning for a healthcare change and this is an area she feels is very important. She has wonderful ideas and poss. solutions to our healthcare crisis.

536. She is knowledgeable, honest, trustworthy, approachable, hard worker, and very compassionate to the needs of the people. She puts the welfare of people first.

537. HOPEFULLY she would regulate the pharmaceutical industry that controls medicine at present, especially psychiatry. Physicians have allowed themselves to become pimps and pushers of a scandelous industry that lies almost as much as Blair and Bush lied about Iraq.

538. Reduce the influence of government on the healthcare system.

539. I think they will make some incremental changes within the current system.

540. Any Democrat will change, not likely improve, the healthcare system...will make it more problematic, more regulations, more paperwork, and in the end more costly

541. 1. Expose the insurance companies, and other third-party payers for the big business they are and for their unethical money-making activities which include denying coverage for those eligible, denying claims with the hope physicians won't resubmit them, etc. Every medical office now has to employ many more staff just to deal with the insurance companies. It' s a travesty!

542. Need to get rid of the current malpractice system

543. she will increase health care coverage and decrease spending.

544. get rid of greed

545. None of them have a workable plan, but dMcCain will screw things up the least. The 2 democrats want us to GIVE healthcare away

546. more access

547. good at talking to both sides, and not in bed with the health care management (not clinical ) big-business industry

548. more affordable and more available to all citizens

549. Not sure.

550. I do not believe that healthcare should be married to employment or taxation of the rich. It should be a flat rate for all.

551. He is not proposing a total overhaul of the system.

552. Am not certain.

553. streamline health insurance regulations nationwide

Make health insurance companies accountable for what they offer and not allow them to change coverage in the middle of the year, such as with medicare policies.

Lower the cost of drugs.

Increase utilization of Nurse practitioners and allow them autonamous practice without physician, which will increase competition and provide more care to more people.

Utilization of Nurse practitioners for preventive health care clinics and rural health care clinics at same reimbursement rate as physicians.

554. The only way the current broken system can truly be 'overhauled' is with a UHC policy plan which includes mandatory coverage for all! Hillary Clinton's proposed plan is the ONLY one which provides this (& previously John Edwards').

555. If they provide coverage to poor population with significant federal government contributions for premium payments. I would favore eliminating pre-exisiting condition limitation for personal insurance.

556. He would be less likely to do the damage that Hillary did for Tenn and I just can't go with the liberal ideas of Obama.

557. Eliminate waste. However, I think he will not go far enough.

558. New realistic ideas. Not that same old greasing palms systems by drug companies medical administrations and lobbist. If health care was made the same for all rich and poor it would change alot of things.

559. Making healthcare available and affordable to tge middle class.

560. Development of universal healthcare giving all citizens, resident aliens, and possibly other groups access to medical care.

561. I have little faith that any physician will improve the current system, but Clinton at least seems to call for universal coverage

562. don't know

563. I'm not so sure he can improve it but uhc will be the death of individualized care being provided.

564. remains to be seen

565. Keep the system, as far as further possible, OUT OF THE HANDS OF THE GOVERNMENT ! ! ! !

566. Allow primary care--family medicine doctors to be involved in the process.

567. Private insurance to be expanded to cover the uninsured. THere is tremendous room for improvement with state health systems.

568. I believe that Senator Clinton, as a woman, will understand and have compassion for those who don't receive adequate medical care/coverage and do what it takes to help reform this failing system.

569. Really, I don't hear any candidate giving a useful working solution. Hillary's is worst, followed by Obama's. McCain's isn't good either, It's just the least bad!! The first two haven't been forthright with what it will cost--countries that have some form of "universal Care" also tend to have TAX at 50% or higher, but you don't here the candidates mentioning this!!! Or that in those countries, the system is often so bad and overburdoned, that while many wait, and wait, and wait,thoase with the financial means to do so PAY FOR WHAT THEY NEED OR WANT, either within their country if allowed, or by traveling elsewhere to obtain treatment. Are any of the candidates willing to be honest and say that this is what would have to happen here???

570. Preserving private enterprise and incentive. Reduce regulation.

571. n/a

572. She has looked into a universal health care system beyond all other candidates, and is in a better postition to know what can be implemented if she has the "intestinal fortitude."

573. I don't think any of the candidates understand the current healthcare system or its problems well enough to offer a suitable solution. I think Hillary Clinton has made it more of a priority than the other candidates, but I think her proposals are a bit socialist (though her latest proposal is much better than the one before).

574. change, improve is another matter entirely

575. has the hard facts and figures for implementation

576. offer benefits to all

577. more accessible health care

578. mandated coverage

579. NA

580. I don't know for sure.

I am definitely not impressed w/ Hilary Clinton. Feel apprehensive about Obama.

581. Would not try to implement a Universal Health Care system that has not worked in so many other nations.

582. not sure

583. He wants to put reforms into place that would encourage individuals to make choices in their providers limit frivolous lawsuits, and streamline paperwork.

584. UHC

585. All are founded on unsound economic and clinical principles, so none will make it better.

586. McCain would not promote UHC. UHC would likely turn out to be very similar to the inefficient, burdensome model seen in the UK, Canada or our own VA system.

587. His plan stays within the current model but makes available the same kind of plan members of congress have.

588. The first step would be to have a frank discussion with the front line on the issues they face and get their input and suggestions for improvement. Once the most important and pressing issues have been identified, then a plan would need to be put in place and rolled out in specific areas and re-evaluated frequently, every 3-6 months,then annually. This health care crisis did not happen overnight and will not be fixed overnight. Unfortunately, most Americans feel entitled to every healthcare option available and that is very expensive and in a lot of instances not medically neccessary and some hard decisions would have to be made.

589. Work with what we have. The goverment will not be in charge

590. Would work together with the Republicans to improve the availability and delivery of health care. Would open dialogue regarding access to medical care and those treatments and procedures which would be paid for under UHC by the government. Other modalities would be controlled by the market model.

591. I do not think any of them have a plan

592. she will change but probably not improve the system

593. make it universal with free market

594. Will look for better wellness and not focus on illness

595. People should be required to take responsibility for their own healthcare, on a sliding scale basis. Just as citizens have to pay in to social security and taxes, so should they have to pay for their healthcare. In addition, less reliance on ER visits and hospitalizations should result from greater access to outpatient/preventative care.

596. hopefully less administrative costs & better care for underserved.

597. Less likely to screw up the system and degrade healthcare in the US

598. Keep Clinton's and Obama's ridiculous plans out of being a potential option.

599. He would limit government interference.

600. Clinton knows the issue best. Obama if elected with Dem marjorities in congess will deal with the issue and eventually create a universal coverage program similiar to clinton's. Then costs will continue iunchecked ansd further changes, driven by cost issues will result. McCain will do nothing.

601. bring new perspective to system

602. Undestands that government needs to stay out of healthcare.

603. Preventing health insurance and pharmaceutical industries ripping the system off.

604. i believe what she said about health issues

605. ask her!~

606. I think he is more open minded and will look at the system from all angles and not cave in to the insurance and pharma companies.

607. regulating pharma companies/ educating patients about rights and better compromise with treatments.

608. Trend toward universal coverage

609. Already has been involved with researching the problem

610. Not a proponent of government controlled health care

611. Because they talok most of them of changing the way America is doing businss

612. change America is doing business

613. I do not believe they will as when Hillary tried when her husband was Presidnet

614. More preventive plans covered, uninsured persons plan, persciption plan

615. She is very knowledgeable about healthcare issues---would definitely push for UHC despite opposition.

616. Mandate universal healthcare insurance.

617. She seems to have a plan that would actually include everyone.

618. more experienced person

619. By not making a dramatic overhaul of the current system

620. See above

621. don't know, don't like the other choices

622. Reduce inefficiencies.

623. Provide health care for everybody.

624. by emphacizing an individual mandate supported by subsidies and prevention

625. Better access for those uninsured, but ALL must pay in some way or everyone will over utilize. Everyone must bear some of the burden so they use it only when necessary--it can't be free.

626. halthcare for women nand children

627. Will make it happen

628. Increase regulation of insurers to limit the cost increases and make it more affordable to the masses

629. Mr. Obama has a better overall concept to provide all Americans healthcare than Mrs. Clinton. Mr. McCain favors privatization which has not worked well for patients and doctors alike.

630. none of them will improve it one iota

631. no

632. Will work through the current system

633. Increasing healthcare spending.

634. She most understands the need for healthcare for all

635. Provide practical options for Universal Care without mandating penalties.

636. would begin a process which would lead to overhaul

637. I am an RN and I do not support Universal health care coverage. I believe that the current private system needs alot of improvement but I want the gov't out of health care, that is just another form ofbig gov't.

638. Having learned from past aborted effort has clearer understanding of how to effect health care change. Has clearly interacted with leaders in health care, including the ANA.

639. Prior experience

640. ALL SEEM TO BE PROPOSING HEALTHCARE LIKE CANADA. SO, LONGER WAITS, LESS MEDICINE PROCEDURE INOVATION, DOCTOR AND NURSE SHORTAGES

641. by not endorsing UHC

642. would include more uninsured in medical coverage

643. Only plan that focuses on the rationale for costs in the system presently. Also the only plan that focuses on improvement in the quality of the care. Designs included to monitor the quality.

644. By stopping non medical people from making money from people's illness.

all HMOs closed and we do not need CEOs and MBAs to run health care system.

Business people are squarly responsible for the mess we are in today.

645. If she is able to control Insurance companies.

646. continue with implamantation of personal health record, more health care available for the uninsured and non citizen. Increase equality in health care delivery system to the minority population

647. No

648. reduce government intervention

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