title: Republicans advocate change in the U.S. health care system including greater use of home and community-based care.
abstract: Senator John McCain is determined to implement changes to the U.S. health care system by making it more efficient and more responsive to consumers. Like the 50 state governors who on average see one fifth or more of their budgets taken up by Medicaid (their largest single expense), he has asserted that there is a crisis coming in the form of long-term care. Like the National Governors Association, he believes that moving from institutional care to home and community-based care is a large part of the answer. However, he favors bundling of health care services, and cash and counseling models which would give money to those in need, allowing them to hire their home care services directly. In respect to these ideas, he differs from his Democratic opponent. This is also true with respect to Senator McCain's belief that any changes in the health care system should be done through the private insurance market instead of expanding public insurance programs such as Medicare.
authors.forename: Aaron G
authors.initials: AG
authors.lastname: Marsh
mesh_terms: D019058:Community Networks / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006699:Home Care Services / Q000706:statistics & numerical data*; D011057:Politics; D014481:United States