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To Be Determined - not all the details seem to be out or clear, just yet, as far as I can tell.

There are a few things of note:

1) the NHIA proposes an entirely new national carrier to Medicare;
2) there are two separate tracks: a) for small business, self-employed and uninsured; and b) that restructures the insurance market (how, we don't yet know);
3) the currently "usual" promises of access to your own medical records, among other rights;
4) it is yet unclear whether the NHIA will be a mandate or voluntary and at what level;
5) it is unclear how standards will be set (who qualifies, who doesn't, whatever).

Bottom line: Sen. Obama appears to be exercising caution in releasing great detail about his national health care proposal. This is either brilliant politics, forcing other candidates to stumble over each other, or he's still trying to work it out rationally and realistically.

Sen. McCain's proposal does not include a mandate, but it also doesn't guarantee coverage. He looks at coverage as a matter of choice.

Let's get real: a national health care insurance initiative will be difficult to construct and probably a nightmare to administer, even if we did get one in place. Big "if," in my humble opinion.

April 10, 2008 - 7:02pm

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