As for healthcare in the U.S. I have a modest proposal that Carey could carry out, if you want to have an Obama-equivalent in the 2000s who substantially overhauls healthcare. Instead of universal healthcare or a public option, how about ‘Careycare’ being a four pronged attempt to give healthcare to millions.
1. Raise Medicaid Eligibility to cover those making 125% of the poverty line or less. Poverty line in 1981 was $9,287 ($31,172.14 in 2023 money) so an increase to 125% would be: $11,608.75 ($38,965.17 in 2023 money).
2. Lower Medicare enrollment age from 65 to 63, with people able to “buy in” at 62.
3. Allow insurances to cross state lines. This won’t really do much but it looks good and is something Republicans harp on a lot so it can defang them of that by saying the Democratic controlled Congress is appeasing the GOP. And who knows, maybe the inter-state competition between insurance companies could drive costs down.
4. Insurance companies can’t turn away people with pre-existing conditions.
5. If possible get rid of HMO plans that are referral based and replace them with the PPO system. If everyone’s plan is a PPO I would think it could keep prices steady, maybe slightly higher than HMO but hopefully not by much. That way anyone can go anywhere to get their healthcare instead of being limited to certain hospitals/doctors/institutions.
6. Establishment of tax deductible Health Savings Accounts capped at $300 per year ($1,006.96 in 2023 money) to help cover out-of-pocket healthcare costs.
7. Expand medical tax deductions/tax credits. Any and all medical expenses higher than 3% of Adjusted Gross Income in any given year can be tax deductible. This lowers it from 7.5% AGI to 3%, allowing more people to claim their medical expenses on their taxes to lower tax burden.
I know Carey has to be careful with the economy as the ESA is his big focus, but the government could pay for this while the economy recovers. Maybe a tax of junk food/tobacco and cigarettes to help pay for it while simultaneously trying to make the average American a smidge healthier.
@KingSweden24 I completely overhauled my post, just in case you want an Obama equivalent to do universal healthcare or public option. Maybe even have Carey do CHIP healthcare but that would be cool to see a Republican president do in the 1990s, or at the very least a variation of it with it being expanded upon to match what we have now by a Democrat president in the 2000s.