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Health Maintenance Organization

Book of Ron Paul


Health Maintenance Organization
The Patient Privacy Act
21 July 1998    1998 Ron Paul 82:1
Mr. PAUL. Mr. Speaker, I rise to introduce the Patient Privacy Act, which repeals those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans. This identifier would then be used to create a national database containing the medical history of all Americans. Establishment of such an identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizens’ record simply by entering the patient’s identifier into the national database.

Health Maintenance Organization
Patient Protection Act of 1998
24 July 1998    1998 Ron Paul 84:4
Mr. Speaker, I am also pleased that Congress is addressing the subject of health care in America, for the American health care system does need reform. Too many Americans lack access to quality health care while millions more find their access to medical care blocked by a “gatekeeper,” an employee of an insurance company or a Health Maintenance Organization (HMO) who has the authority to overrule the treatment decisions of physicians!

Health Maintenance Organization
National Provider ID
8 October 1998    1998 Ron Paul 115:1
Mr. PAUL. Mr. Chairman, I am sorry that under the rule my amendment to the Labor-HHS-Education Appropriations bill is not permitted. This simple amendment forbids the Department of Health and Human Services from spending any funds to implement those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans. This identifier would then be used to create a national database containing the medical history of all Americans. Establishment of such an identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizen’s record simply by entering the patient’s identifier into the national database.

Health Maintenance Organization
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999    1999 Ron Paul 103:4
In today’s system, it appears on the surface that the interest of the patient is in conflict with the rights of the insurance companies and the Health Maintenance Organizations. In a free market, this cannot happen. Everyone’s rights are equal and agreements on delivering services of any kind are entered into voluntarily, thus satisfying both sides.

Health Maintenance Organization
Quality Care For The Uninsured Act
6 October 1999    1999 Ron Paul 104:2
Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure, rather they represent the failure of government policies which have destroyed the health care market. In today’s system, it appears on the surface that the interest of the patient is in conflict with rights of the insurance companies and the Health Maintenance Organizations (HMOs). In a free market this cannot happen. Everyone’s rights are equal and agreements on delivering services of any kind are entered into voluntarily, thus satisfying both sides. Only true competition assures that the consumer gets the best deal at the best price possible, by putting pressure on the providers. Once one side is given a legislative advantage, in an artificial system, as it is in managed care, trying to balance government dictated advantages between patient and HMOs is impossible. The differences cannot be reconciled by more government mandates which will only makes the problem worse. Because we are trying to patch up an unworkable system, the impasse in Congress should not be a surprise.

Health Maintenance Organization
Quality Health-Care Coalition Act of 2000
June 29, 2000    2000 Ron Paul 61:1
* Mr. Chairman, I am pleased to take this opportunity to lend my support to H.R. 1304, the Quality Health Care Coalition Act, which takes a first step towards restoring a true free-market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs.

Health Maintenance Organization
SOCIAL SECURITY NUMBER CONFIDENTIALITY ACT OF 1999
17 October 2000    2000 Ron Paul 87:7
* While much of the discussion of identity theft and related threats to privacy has concerned private sector criminals, the major threat to privacy lies in the power uniform identifiers give to government officials. I am sure I need not remind my colleagues of the sad history of government officials of both parties using personal information contained in IRS or FBI files against their political enemies, or of the cases of government officials rummaging through the confidential files of celebrities and/or their personal acquaintances, or of the Medicare clerk who sold confidential data about Medicare patients to a Health Maintenance Organization. After considering these cases, one cannot help but shudder at the potential for abuse if an unscrupulous government official is able to access one’s complete medical, credit, and employment history by simply typing the citizens’ ‘uniform identifier’ into a database.

Health Maintenance Organization
Blame Congress for HMOs
February 27, 2001    2001 Ron Paul 15:2
* Mr. PAUL. Mr. Speaker, I highly recommend the attached article, “Blame Congress for HMOs” by Twila Brase, a registered nurse and President of the Citizens’ Council on Health Care, to my colleagues. Ms. Brase demolishes the myth that Health Maintenance Organizations (HMOs), whose power to deny Americans the health care of their choice has been the subject of much concern, are the result of an unregulated free-market. Instead, Ms. Brase reveals how HMOs were fostered on the American people by the federal government for the express purpose of rationing care.

Health Maintenance Organization
Blame Congress for HMOs
February 27, 2001    2001 Ron Paul 15:9
Only 27 years ago, congressional Republicans and Democrats agreed that American patients should gently but firmly be forced into managed care. That patients do not know this fact is evidenced by public outrage directed at health maintenance organizations (HMOs) instead of Congress.

Health Maintenance Organization
Blame Congress for HMOs
February 27, 2001    2001 Ron Paul 15:19
In 1972, President Richard M. Nixon heralded his desire for the HMO in a speech to Congress: “the Health Maintenance Organization concept is such a central feature of my National Health Strategy.” The administration had already authorized, without specific legislative authority, $26 million for 110 HMO projects. That same year, the U.S. Senate passed a $5.2 billion bill permitting the establishment of HMOs “to improve the nation’s health-care delivery system by encouraging prepaid comprehensive health-care programs.”

Health Maintenance Organization
Blame Congress for HMOs
February 27, 2001    2001 Ron Paul 15:21
[Page: E227] GPO’s PDF U.S. Representative Harley O. Staggers, Sr., of West Virginia said, “I rise in support of the conference report which will stimulate development of health maintenance organizations. ..... I think that this new system will be successful and give us exciting and constructive alternatives to our existing programs of delivering better health services to Americans.”

Health Maintenance Organization
Blame Congress for HMOs
February 27, 2001    2001 Ron Paul 15:22
In the Senate, Kennedy, author of the HMO Act, also encouraged its passage: “I have strongly advocated passage of legislation to assist the development of health maintenance organizations as a viable and competitive alternative to fee-for-service practice. ..... This bill represents the first initiative by the Federal Government which attempts to come to grips directly with the problems of fragmentation and disorganization in the health care industry. ..... I believe that the HMO is the best idea put forth so far for containing costs and improving the organization and the delivery of health-care services.” In a roll call vote, only Senator Herman Talmadge voted against the bill.

Health Maintenance Organization
THE PATIENT PRIVACY ACT -- HON. RON PAUL
July 24, 2001    2001 Ron Paul 65:2
* Establishment of such a medical identifier, especially when combined with HHS’s misnamed “federal privacy” regulations, would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizens’ record simply by entering the patient’s identifier into a health care database.

Health Maintenance Organization
H.R. 4954
27 June 2002    2002 Ron Paul 63:1
Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 4954 or the alternative allow seniors the ability to control their own health care. Instead both plans give a large bureaucracy the power to determine what prescription drugs senior citizens can receive. The only difference is that alternative puts seniors under the control of the federal bureaucy, while H.R. 4954 gives this power to “private” health maintenance organizations and insurance companies.

Health Maintenance Organization
Quality Health Care Coalition Act
12 March 2003    2003 Ron Paul 32:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs.

Health Maintenance Organization
Crisis In Healthcare
13 March 2003    2003 Ron Paul 35:2
Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all ilncentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Health Maintenance Organization
Comprehensive Health Care Reform Without Socialized Medicine
March 27, 2003    2003 Ron Paul 40:2
Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Health Maintenance Organization
Repeal the So-Called “Medical Privacy Rule”
April 9, 2003    2003 Ron Paul 49:2
Establishment of a uniform medical identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, as explained in more detail below, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizen’s records simply by entering an identifier into a health care database.

Health Maintenance Organization
Medicare Funds For Prescription Drugs
26 June 2003    2003 Ron Paul 71:1
Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 1 nor the alternative allows seniors the ability to control their own health care. Both plans give a large bureaucracy the power to determine which prescription drugs senior citizens can receive. Under both plans, federal spending and control over health care will rise dramatically. The only difference is that the alternative puts seniors under the total control of the federal bureaucracy, while H.R. 1 shares this power with “private” health maintenance organizations and insurance companies. No wonder supporters of nationalized health care are celebrating the greatest expansion of federal control over health care since the Great Society.

Health Maintenance Organization
Introducing The Comprehensive Health Care Act
27 June 2005    2005 Ron Paul 75:2
Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Health Maintenance Organization
Introducing The Quality Health Care Coalition Act
27 June 2005    2005 Ron Paul 78:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs.

Health Maintenance Organization
Genetic Information Non-discrimination Act
25 April 2007    2007 Ron Paul 44:3
The best way to address the sponsors of H.R. 493’s legitimate concerns is to put individuals back in control of the health care dollar. When individuals control the health care dollar they, not their employers, insurance companies or Health Maintenance Organizations, can make all health care decisions, including whether or not to share individual genetic histories with a potential employer, insurer, or other third party. Therefore, instead of creating more Federal regulations and bureaucracies, my colleagues should increase individual control of health care by passing legislation expanding Health Savings Accounts and individual health care tax credits and deductions.

Health Maintenance Organization
Introducing The Quality Health Care Coalition Act
2 August 2007    2007 Ron Paul 84:1
Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs.

Health Maintenance Organization
Introducing The Comprehensive Health Care Act
2 August 2007    2007 Ron Paul 86:2
Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Health Maintenance Organization
COMPREHENSIVE HEALTH CARE REFORM ACT
March 12, 2009    2009 Ron Paul 28:2
Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Health Maintenance Organization
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009    2009 Ron Paul 29:1
Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. For over a decade, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs.

Health Maintenance Organization
Statement on Comprehensive Healthcare Reform Act
March 26, 2009    2009 Ron Paul 39:2
Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician.

Texas Straight Talk


Health Maintenance Organization
Medical costs can be cut with freedom
14 December 1998    Texas Straight Talk 14 December 1998 verse 11 ... Cached
To deal with the ever-rising costs, consumers feel forced to relinquish more control to insurance companies and health maintenance organizations (HMOs). At the same time, doctors are forced into the systems so that the burden of regulatory paperwork can be lifted from them.

Health Maintenance Organization
A flood of bills of rights
16 August 1999    Texas Straight Talk 16 August 1999 verse 13 ... Cached
Contrary to the claims of advocates for increased government regulation of health care, the problems we face do not represent market failure, but rather the failure of government policies that have destroyed the health-care market. While it appears on the surface that the interest of the patient is in conflict with the insurance companies and the Health Maintenance Organizations (HMOs), in a free market this cannot happen. But when one side is given a legislative advantage in an artificial system, as with managed care, merely making an effort to balance government dictated advantages between patients and HMOs is impossible. The differences cannot be reconciled by more government mandates; because we are trying to patch an unworkable system, the impasse in Congress over this -- or any such issue -- should not be a surprise.

Texas Straight Talk from 20 December 1996 to 23 June 2008 (573 editions) are included in this Concordance. Texas Straight Talk after 23 June 2008 is in blog form on Rep. Paul’s Congressional website and is not included in this Concordance.

Remember, not everything in the concordance is Ron Paul’s words. Some things he quoted, and he added some newspaper and magazine articles to the Congressional Record. Check the original speech to see.



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