This report describes the 2008 presidential candidates' proposals, examines key differences in their vision of a future health insurance system, and evaluates the proposals against principles outlined by the Commonwealth Fund Commission on a High Performance Health System. Senators John McCain and Barack Obama would place the nation's health system on very different paths, with profound implications for the American people. Obama's proposal for mixed private--public group insurance with a shared responsibility for financing has greater potential to move the health care system toward high performance than does McCain's proposal to encourage individual market coverage through the use of tax incentives and deregulation. According to an estimate discussed in the report, in 10 years McCain's proposal would reduce the number of people who are uninsured by 2 million out of a projected 67 million, while Obama's plan would reduce the number of uninsured people by 34 million.
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