The latter sounds great, but will it really happen? It's easy to promise health care reform. I lean toward government insuring that we are all taken care of, and I don't mind paying for it, either. We're already paying out the nose for insurance, and I, for one, would appreciate a guarantee that I am covered and will always be covered.
It will be interesting to see (if Obama gets elected and implements his plan) how good the coverage will be in his National Healthcare Plan and what it will cost, both to the people who use it and to the American taxpayer. I think a majority of the people who enroll will be 1) people who can't afford insurance & 2) people who can't insurance. Aside from some modest reforms, Obama really doesn't have a solid plan on how to bring healthcare costs down, all he's doing is shluffing the costs off on government. I think in the end it will be a financial disaster.
McCain has something similar - he plans to expand state systems to cover the the same two groups - payed for by state taxes and federal funding. He also promotes the same modest reforms. Yet another financial disaster in the making.
Neither of these guys seem willing to attack the root of the problem - all of the components that make up the rising cost of healthcare overall. Aside from pushing for some modernization of health records, they really aren't addressing the core problems, they're just wallpapering it over by writing a big fat check, or forcing healthcare companies into charging "reasonable" prices. We all end up paying for the checks they plan to write, and since 85% of what we pay today is made up of costs - reasonable prices have already reached unreasonable levels.
In four years under both these guys, our healthcare system will still have the same problems.