Mr. Holtz-Eakin said the plan is accurately described as budget neutral because it assumes enough savings in Medicare and Medicaid spending to make up the difference. He said the savings would come from eliminating Medicare fraud and by reforming payment policies to lower the overall cost of care. (Emphasis supplied.)

That sounds to me like McCain is planning on having Medicare and Medicaid pay less for benefits.

Like Obama says, McCain's plan is a "shell game."

Sen. Obama is focused on Sen. McCain's plan to offer a new tax credit of $2,500 per person and $5,000 per family toward insurance premiums. This would allow people to buy health coverage on the open market, where they may have more choices and might look for a better bargain.

In exchange, the government would begin taxing the value of health benefits people get through work. If an employer spends $10,000 to buy a worker health insurance, the worker would pay taxes on that money.

"It's a shell game," Sen. Obama told an outdoor rally of 28,000 people Sunday in Asheville, N.C. "Sen. McCain gives you a tax credit with one hand -- but raises your taxes with the other."