As part of its ongoing effort to inform debate about health care issues in the 2008 presidential election, the Kaiser Family Foundation has released an interactive online tool to compare the health care proposals of presidential candidates. The tool, 2008 Presidential Candidate Health Care Proposals: Side-by-Side Summary, summarizes positions in four overall categories of access to health care coverage, cost containment, improving the quality of care and financing.

The online tool allows users to customize side-by-side comparisons by selecting as many as four candidates for comparison that can then be formatted into a printer-friendly format. Users will also be able to print out documents comparing all the Democratic candidates and all the Republican candidates.

The candidates' summaries were prepared by Foundation staff with the assistance of Health Policy Alternatives, Inc. They are based on information appearing on the candidates' websites and supplemented with information from candidate speeches, the campaign debates and news reports. The sources of information are identified for each candidate's summary (with Internet links). Information will be updated regularly as the campaign unfolds.

The new tool is part of health08.org, a website operated by the Foundation providing analysis of health policy issues, regular public opinion surveys, and news and video coverage from the campaign trail. For further information on the side-by-side comparison or other health08.org efforts contact us at health08web @ kff.org.

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EMBARGO FOR RELEASE
12:01am, Wednesday, September 19, 2007

CONTACTS:
Dave Lemmon, Families USA
(202) 628-3030 dlemmon@familiesusa.org

Richard Coorsh, Federation of American Hospitals
(202) 624-1527 rcoorsh@fah.org

Rakesh Singh, Kaiser Family Foundation
(202) 654-1313 rsingh@kff.org

FAMILIES USA/FEDERATION OF AMERICAN HOSPITALS ANNOUNCE "HEALTH CARE 2008: PRESIDENTIAL CANDIDATE FORUMS"

WASHINGTON, D.C. - Two of Washington, D.C.'s most prominent health policy organizations announced today that they are organizing "Health Care 2008: Presidential Candidate Forums" - a series of Presidential Forums that will allow each Presidential candidate to discuss in detail his or her vision about health reform and the uninsured with a panel of leading health journalists from "The NewsHour With Jim Lehrer," ABC News, National Public Radio, and The Wall Street Journal.

The Forums are being organized by Families USA and the Federation of American Hospitals, produced by MacNeil-Lehrer Productions and hosted by the Kaiser Family Foundation in its Barbara Jordan Conference Center. The Foundation's health news and information site, kaisernetwork.org, will webcast each forum live and archive them for viewing.

Seating is extremely limited and is restricted to invited guests and members of the media.

The first Forum will take place on Monday, September 24 at 11am Eastern Time and will feature former Senator John Edwards (D-NC). The remaining Forums will take place through the end of the year.

"Not since 1992 has there been such a focus in the Presidential campaign on health care," remarked Chip Kahn, President of the Federation of American Hospitals. "These Forums will provide what I predict will be the campaign's best conversation with the candidates on health care. They should enable Americans to thoroughly assess each candidate's vision for our health care future."

"Health care is the top domestic issue for America's voters, and the forums will enable the public to understand the different approaches presidential candidates bring to this growing concern," said Ron Pollack, Executive Director of Families USA. "Rather than brief and meaningless sound bites, the forums will allow the candidates to explain how America's health care system will change if they are elected in 2008."

"We know from our Kaiser tracking poll that health care ranks as the number one domestic issue Democrats, Republicans, and independents want to hear the candidates talk about," said Drew Altman, president and chief executive officer of the Kaiser Family Foundation. "These forums can make a meaningful contribution to understanding the views of the candidates in depth, and we are pleased to be able to bring them live to people around the country through our health news and information service, kaisernetwork.org."

The Forums are being funded by The California Endowment of Los Angeles, California and the Ewing Marion Kauffman Foundation of Kansas City, Missouri.

Each Forum will be structured identically, last exactly one hour, and feature just one candidate. After introductions, candidates will be asked an initial question, followed by two to three follow-up questions, after which each will have five minutes to present his or her views about health reform. During the remaining time, each candidate will respond to questions from an on-stage panel of four of the nation's most distinguished journalists with expertise in health policy.

The members of the media panel are Susan Dentzer of "The NewsHour With Jim Lehrer" (PBS) (moderator); Julie Rovner of National Public Radio; Laurie McGinley of The Wall Street Journal; and Timothy Johnson, M.D., of ABC News. During the Forums, only the on-stage media panel will ask questions of the candidates.

Families USA and the Federation of American Hospitals have extended invitations to participate to all of the Presidential candidates from both major parties. Scheduling for the Forums is based upon the availability of each candidate. As of September 19, 2007, the following candidates are confirmed:


September 24
11 am
Senator John Edwards (D)

October 25
8:30 am
Representative Dennis Kucinich (D-OH)

October 25
11:30 am
Senator Joe Biden (D-DE)

October 31
10 am
Senator John McCain (R-AZ)

November 1
11 am
Senator Christopher Dodd (D-CT)

TBD
Senator Hillary Clinton (D-NY)

TBD
Governor Mike Huckabee (R)

TBD
Governor Bill Richardson (D-NM)

TBD
Representative Ron Paul (R-TX)

Additional information is available electronically at a website developed by the Kaiser Family Foundation for the Forum series. The URL is: http://presidentialforums.health08.org.

Families USA is the national organization for health care consumers. It is nonprofit and nonpartisan and advocates for high-quality, affordable health care for all Americans.

The Federation of American Hospitals is the national representative of investor-owned or managed hospitals and health systems. Our members include general community and teaching hospitals in urban and rural areas as well as rehabilitation, long-term acute care, cancer, and psychiatric hospitals.

The Kaiser Family Foundation is a non-profit, private operating foundation dedicated to providing information and analysis on health care issues to policymakers, the media, the health care community, and the general public. The foundation is not associated with Kaiser Permanente or Kaiser Industries.

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AFL-CIO Announces Campaign To Expand Health Insurance to All U.S. Residents by End of 2009

The AFL-CIO on Wednesday at events in several cities nationwide announced a campaign that seeks to expand health insurance to all U.S. residents by the end of 2009, the Louisville Courier-Journal reports. The campaign seeks to help elect presidential and congressional candidates that support such proposals.

According to the AFL-CIO, which did not endorse specific candidates or proposals, the U.S. health care system should reduce "rising and irrational" costs; provide comprehensive, high-quality care to all residents; and continue to allow residents to select their physicians (Howington, Louisville Courier-Journal, August 30, 2007). AFL-CIO President John Sweeney said that the union likely will not endorse a specific presidential candidate during the primary season, although all the unions will hold all candidates accountable for their health care positions. Under current rules, a candidate would have to obtain support from two-thirds of AFL-CIO members to receive an endorsement from the union (Swanson, The Hill, August 29, 2007).

American Public Media's "Marketplace Morning Report" on Wednesday reported on the campaign. The segment includes comments from Heather Booth, director of the campaign, and David Burda, editor of Modern Healthcare (Hobson, "Marketplace Morning Report," American Public Media, August 29, 2007). Audio and a transcript of the segment are available online.

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By ROBIN TONER New York Times July 6, 2007

WASHINGTON, July 5 - There is no better measure of the power of the health care issue than this: Sixteen months before Election Day, presidential candidates in both parties are promising to overhaul the system and cover more -- if not all -- of the 44.8 million people without insurance.

Their approaches are very different, reflecting longstanding divisions between the parties on the role of government versus the private market in addressing the affordability and availability of health insurance. Republicans, by and large, promise to expand coverage by using a variety of tax incentives to empower consumers to buy it themselves, from private insurers. Conservatives warn, repeatedly, of Democrats edging toward the slippery slope of "government-controlled health insurance," as former Mayor Rudolph W. Giuliani of New York puts it, and promote the innovation and choice offered by private insurers.

The major Democratic candidates propose strengthening the private-employer-based system, through which most working families get their coverage. But many Democrats also see a strong role for government, including, in some plans, new requirements that individuals obtain insurance and that employers provide it, along with substantial new government spending to subsidize coverage for people who cannot afford it.

Still, while they argue over solutions, both parties acknowledge the problems and their political urgency. Republicans, whose primaries usually turn on other issues, often wait until the general election to roll out detailed health plans; this time they are plunging into the debate far earlier. Democrats are competing furiously among themselves over who has the bigger, better plan to control costs and to approach universal coverage, a striking change from the party's wariness on the issue a decade ago after the collapse of the Clintons' health care initiative.

And both parties are closely watching the action in the states as potential blueprints for a centrist compromise, especially in Massachusetts, which just began a major plan intended to require that every individual have insurance.

In short, says Jonathan Gruber, an economist, health expert and Clinton administration veteran, the times are "radically different."

In fact, when Senator Barack Obama of Illinois unveiled a plan intended to cover tens of millions of uninsured Americans, but not requiring coverage for all, some Democrats in rival campaigns argued that he had not gone far enough. Senator Hillary Rodham Clinton, once vilified as overreaching on health care, is now more often faulted in her party as moving too slowly. Mrs. Clinton's 1994 plan, attacked at the time from the left, right and center, is presented in the new Michael Moore documentary, "Sicko," as a tragic missed opportunity.

This amount of attention, this early, comes in response to the growing anxiety among voters — and much of American business - about the cost of health care. Premiums for family coverage have risen by 87 percent since 2000, according to the Kaiser Family Foundation. The number of Americans without insurance has grown steadily, to what the Census Bureau estimates as nearly 45 million, from 37 million when the Clintons first confronted the issue.

Businesses say that health costs are a huge liability in their struggles to compete in a global economy, most vividly in the auto industry. And health care is now rated the top domestic issue in some recent polls among Democrats, independents and voters over all. Among Republicans, it was surpassed only by immigration in June, according to the latest Kaiser survey. A Democratic pollster, Geoffrey Garin, says: "There are a bunch of issues that candidates can take a pass on. This is not one of them."

On the Republican side, few candidates have been better prepared to deal with the issue than former Governor Mitt Romney of Massachusetts, who helped push through that state's health plan with bipartisan support. But Republican primary voters tend to be leery of new government requirements, and, arguably, of Massachusetts as a role model. Mr. Romney, on the campaign trail, talks generally about getting "everybody inside the health care system," through "market reforms" state by state to make private insurance cheaper and more available. But not, he says, "with a government takeover."

Sally Canfield, policy director for the Romney campaign, says that Mr. Romney is proud of his record, but "the Massachusetts plan was crafted for Massachusetts," and that a national plan would be different. For example, aides said he did not support a federal version of the Massachusetts requirement that individuals obtain insurance.

Mr. Romney's rivals are casting themselves as equally committed to improving the health care system, but even more determined to use free-market principles to do so, which they hope will prove them more attuned to the Republican base. Mr. Giuliani plans to produce a major proposal in the next month, aides say, that will elaborate on his commitment to "affordable and portable free-market solutions."

Mr. Giuliani says he wants to give individuals more control over, and responsibility for, health insurance, encouraging them to buy their own coverage on the private market and giving them "a very big tax deduction" to do it. Right now, most Americans under 65 get their coverage through their employers, who have the benefit of significant tax advantages, pooled risk and group rates.

Mr. Giuliani's approach echoes President Bush's call for an "ownership society," which was popular with economic conservatives but widely criticized as putting too much risk on individuals. "Every one of the Democrats wants government-mandated health insurance," Mr. Giuliani said recently. "We have to go in exactly the opposite direction."

Senator John McCain, Republican of Arizona, will also outline a health care plan this summer, aides said. They said it would be intended to make coverage "affordable and available," using tax credits and the expansion of programs like the State Children's Health Insurance Program, but would include no new mandates on individuals.

Analysts say the Democrats are clearly drawing lessons from the health care battles of 1993-4, when a similar public groundswell for change collapsed in a matter of months. The 1,342-page Clinton plan at that time was bewilderingly bureaucratic and easy for opponents to characterize as something that would actually worsen the status quo for many insured Americans.

This year, the major Democratic proposals - including Mr. Obama's, one from former Senator John Edwards of North Carolina and a plan expected from Mrs. Clinton - are arguably ambitious and costly, but do not try the wholesale reinvention of the system, or move explicitly toward the government takeover Republicans so often predict.

"There's not a lot of untested political ideas out there," said Robert Blendon, a professor in health policy at Harvard.

The major Democratic plans announced so far try to cover nearly everyone by shoring up the employer-based system, creating new public insurance options and establishing new health insurance purchasing pools that offer a variety of private and public plans to people who cannot get coverage through work. People who could not afford coverage would get subsidies. Given those supports, some Democrats (including Mr. Edwards and -- it is widely expected but not yet announced -- Mrs. Clinton) back the idea of requiring every individual to obtain insurance.

Mr. Edwards and Mr. Obama call for financing their plans with revenue from ending the Bush tax cuts for the wealthiest Americans; those cuts are set to expire in 2010.

Diane Rowland, executive vice president of Kaiser, said candidates were responding not only to recent failures, but also to recent successes, notably in Massachusetts and potentially California.

"To get something enacted, you need a lot of people who think they will gain from it," Ms. Rowland said. "It's a new way of talking about health reform, because it shows people with health insurance what they could gain. These proposals are not just about the haves versus the have-nots."

Few have taken that advice more to heart than Mrs. Clinton, who is rolling out her proposals to control costs and improve quality before her ideas for covering the uninsured, which are expected in the next few months. She recently, for example, proposed a "Best Practices Institute" to assess the most effective treatments and procedures.

Another hallmark of this year's plans, in both parties, is a reliance on better health information technology and disease management to hold down costs -- not the more rigorous regulatory structures proposed in 1994, which critics asserted would soon lead to rationing.

By the time Election Day rolls around, polls indicate that the issue will be front and center, setting the stage for another great battle to overhaul the system under the next president. Veterans of the Clinton administration say it all feels familiar.

"If the Democrats win, it will be very hard not to take this issue on," said Mr. Gruber, who is helping to carry out the Massachusetts plan. "It will be as promising as it was in the early 1990s."

Edith. M. Prentiss

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