U.S. Rep. Ron Paul | medical |
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State Of The Republic
28 January 1998 1998 Ron Paul 2:55
Without honesty in language and budgeting, true reforms are impossible. In spite of the rhetoric, bold new educational and medical programs were started, setting the stage for massive new spending in the future. New programs always cost more than originally projected. The block grant approach to reform did not prompt a decrease in spending, and frequently added to it. The principle of whether or not the Federal Government should even be involved in education, medicine, welfare, farming, et cetera, was not seriously considered.
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State Of The Republic
28 January 1998 1998 Ron Paul 2:78
Clinton’s new health care program for children was accepted by Congress, which will eventually cost billions and further centralize medical care in Washington, while quality of care is diminished. Billions of dollars increased in NIH, AIDS research and preventative health care were also approved.
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State Of The Republic
28 January 1998 1998 Ron Paul 2:80
This is strong evidence that we have not yet learned anything in the past 50 years, and the 1994 revolution has not yet changed things. We can expect more HMO’s and PPO mismanagement, rationing medical service and price control of all medical services. Shortages of quality health care and education will result.
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State Of The Republic
28 January 1998 1998 Ron Paul 2:111
In recent years, freedom of the press has been severely challenged when we are actively involved in military operations. Our young people are threatened as they are needlessly exposed to enemy fire and medical experimentation and there is an economic cost through higher taxes.
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The Bubble
28 April 1998 1998 Ron Paul 39:28
Just as in the 1920’s today’s productivity has fooled some economists by keeping prices down on certain items. Certainly computer prices are down because the price of computer-power has dropped drastically, yet this should not be interpreted as an “absence” of inflation. Innovation has kept prices down in the computer industry, but it fails to do so when government becomes overly involved as it has in other technological areas, such as medical technology, where prices have gone up for services such as MRIs and CAT scans, not down.
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Clean Needles And Risky Behavior
29 April 1998 1998 Ron Paul 40:3
What we are talking about here is lowering costs of risky behavior. We are saying that we will pay for the needles to perform this risky behavior. But there is another much larger element that has not been discussed so far, and that has to do with the concept that all risky behavior be socialized; that is, through the medical system, it is assumed that those who do not participate in risky behavior must pay for the costs of the risky behavior, whether it has to do with cigarettes or whether it has to do with drugs or whether it has to do with any kind of safety.
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Clean Needles And Risky Behavior
29 April 1998 1998 Ron Paul 40:4
So, therefore, the argument is that we have to save money in medical care costs by providing free needles. But there is another position, and that is that we might suggest that we do not pay for free needles and we might even challenge the concept that we should not be paying people and taking care of them for risky behavior, whether it is risky sexual behavior or risky behavior with drugs.
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Federal War On Drugs Bad Idea
5 May 1998 1998 Ron Paul 45:5
In 1937, it was decided that possibly we should restrict marijuana, even for medical use, and even then it was not assumed that this was a Federal prerogative. It was not banned, it was not outlawed. It was still assumed that it was the responsibility of the States to deal with problems of drugs and marijuana and law enforcement.
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Federal War On Drugs Bad Idea
5 May 1998 1998 Ron Paul 45:15
There is one other figure that is astounding that was in the media, recorded in the media here the last couple of days. The medical profession has a responsibility here. It is estimated that we are losing 106,000 people a year. These are reports from 1994; 106,000 a year from drug reactions, legal prescription drugs coming from doctors.
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Wasting Money On War On Drugs
5 May 1998 1998 Ron Paul 46:13
I think education is very important; people who know what is going on. We should, if anything, be emphasizing the educational process. Possibly my medical background influences me into what I am going to say next; and that is, could we conceive of looking at some of this problem of addiction as a disease rather than a criminal act? We do this with alcohol. Maybe that would help the problem.
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Girl Arrested For Rescuing Classmate In Asthma Attack
5 May 1998 1998 Ron Paul 47:2
But prohibition, obviously, when they passed that amendment to the Constitution, recognized that the Congress could not pass laws. And like I mentioned in 1937, when Roosevelt decided that we should attack medical marijuana, that he would do it through raising taxes. So it is only in recent history that we have decided that this is a Federal project. The record is just not very clear it has been very successful.
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The Indonesia Crisis
19 May 1998 1998 Ron Paul 52:12
Errors in economic thinking prompt demands from the masses for more government programs to “take care” of the rapidly growing number of poor. Demands for more socialism and price controls results whether it’s in education, medical care, unemployment benefits or whatever — all programs that Indonesia cannot afford even if they tried to appease the rioting populous.
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The Indonesia Crisis
22 May 1998 1998 Ron Paul 54:12
Errors in economic thinking prompt demands from the masses for more government programs to take care of the rapidly growing number of poor. Demands for more socialism and price controls result whether it’s in education, medical care, unemployment benefits or whatever — all programs that Indonesia cannot afford even if they tried to appease the rioting populous.
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Drug-Free Workplace Act
23 June 1998 1998 Ron Paul 63:3
A Federal Government which reduces the cost of drug use by supplying free needles is one example. But this practice is but a minor example of exactly how the Federal Government has made matters worse by lowering the costs and encouraging the expansion of risky behavior. We must, once and for all, expose the fallacy that problems can be solved simply by cost spreading — in other words, that all risky behavior should be socialized by the government. A Federal Government that accepts responsibility for paying the rehabilitation costs and medical costs of its citizens who act irresponsibly is certain to do only one thing — increase the number of those who engage in such behavior.
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Freedom And Privacy Restoration Act
15 July 1998 1998 Ron Paul 75:3
If this scheme is not stopped, no American will be able to get a job, open a bank account, apply for Social Security or Medicare, exercise their second amendment rights, or even take an airplane flight until they can produce a State driver’s license that is the equivalent of conforming to Federal specifications. Under the 1996 Kennedy–Kassebaum health care reform law, Americans may be forced to present a federally approved driver’s license before consulting their doctors for medical treatment.
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The Freedom And Privacy Restoration Act
15 July 1998 1998 Ron Paul 76:2
If this scheme is not stopped, no American will be able to get a job; open a bank account; apply for Social Security or Medicare; exercise their Second Amendment rights; or even take an airplane flight unless they can produce a state drivers’ license, or its equivalent, that conforms to federal specifications. Under the 1996 Kennedy-Kassebaum health care reform law, Americans may even be forced to present a federally-approved drivers’ license before consulting their physicians for medical treatment!
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Child Custody Protection Act
15 July 1998 1998 Ron Paul 77:3
Having delivered nearly 4,000 babies in my three decades of medical practice and having seen the destructiveness of abortion, I strongly agree that legalized abortion is the most egregious of all current social policies. It clearly symbolizes the moral decline America has experienced in the last 30 years.
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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.
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The Patient Privacy Act
21 July 1998 1998 Ron Paul 82:9
Mr. Speaker, the federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers the constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge my colleagues to join me in supporting the Patient Privacy Act.
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Patient Protection Act
24 July 1998 1998 Ron Paul 83:4
In 1996, the Kennedy-Kassebaum bill allowed for a national identifier and a national data bank to control all our medical records at a national level. This is very dangerous. In a bill that is called the Patient Protection Act, obviously the best thing we can do is protect patient privacy. If we do not, we interfere with the doctor-patient relationship, and this is a disaster.
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Patient Protection Act
24 July 1998 1998 Ron Paul 83:6
I compliment the authors of this bill to prohibit this national medical data bank.
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:1
Mr. PAUL. Mr. Speaker, I appreciate the opportunity to explain why I cannot vote for the Patient Protection Act (H.R. 4250). However, I would first like to express my support for two of the bill’s provisions, relating to Medical Savings Accounts and relating to the proposed national health ID.
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:2
Earlier this week I introduced legislation, the Patient Privacy Act (H.R. 4281), to repeal those sections of the Health Insurance Portability and Accountability Act of 1996 that authorized the creation of a national medical ID. I believe that the increasing trend toward allowing the federal government to track Americans through national ID cards and numbers represents one of the most serious threats to liberty we are facing. The scheme to create a national medical ID to enter each person’s medical history into a national data base not only threatens civil liberties but it undermines the physician-patient relationship, the cornerstone of good medical practice. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor, a trust that would be severely eroded if the patient knew that any and all information given their doctor could be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier.”
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:3
While I was not here in 1996 when the medical ID was authorized, it is my understanding that this provision was part of a large bill rushed through Congress without much debate. I am glad that Congress has decided to at least take a second look at this proposal and its ramifications. I am quite confident that, after Congress hears from the millions of Americans who object to a national ID, my colleagues will do the right thing and pass legislation forbidding the federal government from instituting a “uniform standard health identifier.”
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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!
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:6
Because this problem was created by distortions in the health care market that took control of the health care dollar away from the consumer, the best solution to this problem is to put control of the health care dollar back into the hands of the consumer. We also need to rethink the whole idea of first-dollar insurance coverage for every medical expense, no matter how inexpensive. Americans would be more satisfied with the health care system if they could pay for their routine expenses with their own funds, relying on insurance for catastrophic events, such as cancer.
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:7
An excellent way of moving toward a health care system where the consumer is in charge is through Medical Savings Accounts (MSA’s). I enthusiastically endorse those provisions of this bill that expand access to MSA’s. It may be no exaggeration to say that MSA’s are vital to preserving the private practice of medicine.
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Patient Protection Act of 1998
24 July 1998 1998 Ron Paul 84:11
However, as much as I support H.R. 4250’s expansion of MSA’s, I equally object to those portions of the bill placing new federal standards on employer offered health care plans. Proponents of these standards claim that they will not raise cost by more than a small percentage point. However, even an increase of a small percentage point could force many marginal small businesses to stop offering health care for their employees, thus causing millions of Americans to lose their health insurance. This will then lead to a new round of government intervention. Unlike Medical Savings Accounts which remove the HMO bureaucracy currently standing between physicians and patients, the so-called patient protections portions of this bill add a new layer of government-imposed bureaucracy. For example, H.R. 4250 guarantees each patient the right to external and internal review of insurance company’s decisions. However, this does not empower patients to make their own decisions. If both external and internal review turn down a patient’s request for treatment, the average patient will have no choice but to accept the insurance companies decision. Furthermore, anyone who has ever tried to navigate through a government-controlled “appeals process” has reason to be skeptical of the claims that the review process will be completed in less than three days. Imposing new levels of bureaucracy on HMO’s is a poor substitute for returning to the American people the ability to decide for themselves, in consultation with their care giver, what treatments are best for them. Medical Savings Accounts are the best patient protection.
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Don’t Fast-Track Free Trade Deal
25 September 1998 1998 Ron Paul 103:10
The harmonization language in last year’s FDA reform bill constitutes a perfect example. Harmonization language in this bill has the Health and Human Services Secretary negotiating multilateral and bilateral international agreements to unify regulations in this country with those of others. The bill removes from the state governments the right to exercise their police powers under the tenth amendment to the constitution and, at the same time, creates or corporatist power elite board of directors to review medical devices and drugs for approval. This board, of course, is to be made up of “objective” industry experts appointed by national governments. Instead of the “national” variety, known as the Interstate Commerce Act of 1887 (enacted for the “good reason” of protecting railroad consumers from exploitative railroad freight rates, only to be staffed by railroad attorneys who then used their positions to line the pockets of their respective railroads), we now have the same sham imposed upon worldwide consumers on an international scale soon to be staffed by heads of multilateral pharmaceutical corporations.
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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.
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National Provider ID
8 October 1998 1998 Ron Paul 115:2
My amendment was drafted to ensure that the administration cannot take any steps toward developing or implementing a medical ID. This approach is necessary because if the administration is allowed to work on developing a medical ID it is likely to attempt to implement the ID on at least a “trial” basis. I would remind my colleagues of our experience with national testing. In 1997 Congress forbade the Department of Education from implementing a national test, however it allowed work toward developing national tests. The administration has used this “development loophole” to defy congressional intent by taking steps toward implementation of a national test. It seems clear that only a complete ban forbidding any work on health identifiers will stop all work toward implementation.
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National Provider ID
8 October 1998 1998 Ron Paul 115:6
My amendment forbids the federal government from creating federal IDs for doctors and employers as well as for individuals. Contrary to the claims of some, federal-ID numbers for doctors and employers threaten American liberty every bit as much as individual medical IDs.
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National Provider ID
8 October 1998 1998 Ron Paul 115:7
The National Provider ID will force physicians who use technologies such as e-mail in their practices to record all health care transactions with the government. This will allow the government to track and monitor the treatment of all patients under that doctor’s care. Government agents may pull up the medical records of a patient with no more justification than a suspicion the provider is involved in fraudulent activity unrelated to that patient’s care!
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National Provider ID
8 October 1998 1998 Ron Paul 115:11
Even the process by which the National Identifier is being developed shows disdain for the rights of the American people. The National Committee on Vital and Health Statistics, which is developing the national identifier, attempted to keep important documents hidden from the public in violation of federal law. In fact, one of the members of the NCVHS panel working on the medical ID chastised his colleagues for developing the medical ID “in an aura of secrecy.”
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National Provider ID
8 October 1998 1998 Ron Paul 115:12
Last September, NCVHS proposed guidelines for the development of the medical ID. Those guidelines required that all predecisional documents “should be kept in strict confidence and not be shared or discussed,” This is a direct violation of the Federal Advisory Committee Act, which requires all working documents to be made public. Although NCVHS, succumbing to public pressure and possible legal action against it, recently indicated it will make its pre-decisional documents available in compliance with federal law, I hope my colleagues on the Rules Committee agree that the NCVHS attempt to evade the will of Congress and keep its work secret does not bode well for any future attempts to protect the medical ID from abuse by government officials.
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National Provider ID
8 October 1998 1998 Ron Paul 115:15
Mr. Chairman, all I ask is that Congress by given the change to correct the mistake made in 1996 when they authorized the National Health ID as part of the Kennedy-Kasebaum bill. The federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers the constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge the Rules Committee to take the first step toward protecting Americans from a medical ID by ruling my amendment to the Labor-HHS–Education Appropriations bill in order.
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Medicare Home Health And Veterans Health Care Improvement Act Of 1998
9 October 1998 1998 Ron Paul 118:4
A member of my staff has been informed by a small home health care operator in my district that passage of this bill would allow them only to provide an additional eight visits per year. This will not keep home health patients with complex medical conditions out of nursing homes and hospitals. Congress should implement a real, budget-neutral home health care reform rather than waste our time and the taxpayers’ money with the phony reform before us today.
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Medicare Home Health And Veterans Health Care Improvement Act Of 1998
9 October 1998 1998 Ron Paul 118:5
Mr. Speaker, I also support the language of the bill expanding the health care options available to veterans’ benefits. Ensuring the nation’s veterans have a quality health care system should be one of the governments’ top priorities. In fact, I am currently working on a plan to improve veterans’ health care by allowing them greater access to Medical Savings Accounts (MSAs). However, I cannot, in good conscience, support the proposals before us today because, for all their good intentions, it is fatally flawed in implementation for it attempts to offset its new spending with a tax increase.
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Freedom And Privacy Restoration Act
6 January 1999 1999 Ron Paul 1:2
The Freedom and Privacy Restoration Act halts the greatest threat to liberty today: the growth of the surveillance state. Unless Congress stops authorizing the federal bureaucracy to stamp and number the American people federal officials will soon have the power to arbitrarily prevent citizens from opening a bank account, getting a job, traveling, or even seeking medical treatment unless their “papers are in order!”
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Freedom And Privacy Restoration Act
6 January 1999 1999 Ron Paul 1:7
Mr. Speaker, the section of this bill prohibiting the federal government from using identifiers to monitor private transactions is necessary to stop schemes such as the attempt to assign every American a “unique health identifier” for every American—an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base?
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Congress Relinquishing The Power To Wage War
2 February 1999 1999 Ron Paul 4:39
Although the voters in the 1990’s have cried out for a change in direction and demanded a smaller, less intrusive government, the attack on privacy by the Congress, the administration and the courts has, nevertheless, accelerated. Plans have now been laid or implemented for a national I.D. card, a national medical data bank, a data bank on individual MDs, deadbeat dads, intrusive programs monitoring our every financial transaction, while the Social Security number has been established as the universal identifier.
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Congress Relinquishing The Power To Wage War
2 February 1999 1999 Ron Paul 4:58
He is accurate in quoting the court case, but that does not make it right. Courts do not have the authority to repeal a fundamental right as important as that guaranteed by the Fourth Amendment. Under this reasoning, when applied to our medical records, all confidentiality between the doctor and the patient is destroyed.
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Congress Relinquishing The Power To Wage War
2 February 1999 1999 Ron Paul 4:59
For this reason, the proposal for a national medical data bank to assure us there will be no waste or fraud, that doctors are practicing good medicine, that the exchange of medical records between the HMOs will be facilitated and statistical research is made easier, should be strenuously opposed. The more the government is involved in medicine or anything, the greater the odds that personal privacy will be abused.
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U.S. Foreign Policy and NATO’s Involvement in Yugoslavia and Kosovo
21 April 1999 1999 Ron Paul 29:52
The 1960s crowd, although having a reputation for being anti-war due to their position on Vietnam, has never been bashful about its bold authoritarian use of force to mold economic conditions, welfare, housing, medical care, job discrimination, environment, wages and working conditions, combined with a love for taxes and inflation to pay the bills. When in general the principle of government force to mold society is endorsed, using force to punish Serbs is no great leap of faith, and for the interventionists is entirely consistent. Likewise, the interventionists who justified unconstitutional fighting in Vietnam, Panama, Nicaragua, Grenada, Libya and the Persian Gulf, even if they despise the current war in Yugoslavia, can easily justify using government force when it pleases them and their home constituency.
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Privacy Project Act
24 June 1999 1999 Ron Paul 68:2
If this scheme is not stopped, no American will be able to get a job; open a bank account; apply for Social Security or Medicare; exercise their Second Amendments rights; or even take an airplane flight unless they can produce a state drivers’ license, or its equivalent, that conforms to federal specifications. Under the 1996 Kennedy-Kassebaum health care reform law, Americans may even be forced to present a federally-approved drivers’ license before consulting their physicians for medical treatment!
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Child Custody Protection Act
30 June 1999 1999 Ron Paul 69:2
As an obstetrician of more than thirty years, I have personally delivered more than 4,000 children. During such time, I have not performed a single abortion. On the contrary, I have spoken and written extensively and publicly condemning this “medical” procedure. At the same time, I have remained committed to upholding the Constitutional procedural protections which leave the police power decentralized and in control of the states. In the name of protecting states’ rights, this bill usurps states’ rights by creating yet another federal crime.
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Africa Growth And Opportunity Act
16 July 1999 1999 Ron Paul 77:12
The harmonization language in the last Congress’ Food and Drug Administration reform bill constitutes a perfect example. Harmonization language in this bill has the Health and Human Services Secretary negotiating multilateral and bilateral international agreements to unify regulations in this country with those of others. The bill removes from the state governments the right to exercise their police powers under the tenth amendment to the constitution and, at the same time, creates a corporatist power elite board of directors to review medical devices and drugs for approval. This board, of course, is to be made up of “objective” industry experts appointed by national governments. Instead of the “national” variety, known as the Interstate Commerce Act of 1887 (enacted for the “good reason” of protecting railroad consumers from exploitative railroad freight rates, only to be staffed by railroad attorneys who then used their positions to line the pockets of their respective railroads), we now have the same sham imposed upon worldwide consumers on an international scale soon to be staffed by heads of multinational pharmaceutical corporations.
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Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week
8 September 1999 1999 Ron Paul 94:4
Comprehensive impatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s Disease, Multiple Sclerosis and Gullian Barre.
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Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week
8 September 1999 1999 Ron Paul 95:4
Comprehensive inpatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s Disease, Multiple Sclerosis and Gullian Barre.
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Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week
9 September 1999 1999 Ron Paul 96:3
Comprehensive inpatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s disease, multiple sclerosis and Gullian Barre.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:1
Mr. PAUL. Mr. Speaker, as an M.D. I know that when I advise on medical legislation that I may be tempted to allow my emotional experience as a physician to influence my views. But, nevertheless, I am acting the role as legislator and politician.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:2
The M.D. degree grants no wisdom as to the correct solution to our managed-care mess. The most efficient manner to deliver medical services, as it is with all goods and services, is determined by the degree the market is allowed to operate. Economic principles determine efficiencies of markets, even the medical care market, not our emotional experiences dealing with managed care.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:6
No one can take a back seat to me regarding the disdain I hold for the HMO’s role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion through organized medicine, politicians, and the HMO profiteers in an effort to provide universal health care. No one suggests that we should have universal food, housing, TV, computer and automobile programs; and yet, many of the poor do much better getting these services through the marketplace as prices are driven down through competition.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:7
We all should become suspicious when it is declared we need a new Bill of Rights, such as a taxpayers’ bill of rights, or now a patients’ bill of rights. Why do more Members not ask why the original Bill of Rights is not adequate in protecting all rights and enabling the market to provide all services? If over the last 50 years we had had a lot more respect for property rights, voluntary contracts, State jurisdiction, and respect for free markets, we would not have the mess we are facing today in providing medical care.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:8
The power of special interests influencing government policy has brought us to this managed-care monster. If we pursued a course of more government management in an effort to balance things, we are destined to make the system much worse. If government mismanagement in an area that the Government should not be managing at all is the problem, another level of bureaucracy, no matter how well intended, cannot be helpful. The law of unintended consequences will prevail and the principle of government control over providing a service will be further entrenched in the Nation’s psyche. The choice in actuality is government-provided medical care and its inevitable mismanagement or medical care provided by a market economy.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:11
The problems started early on when the medical profession, combined with the tax code provisions making it more advantageous for individuals to obtain first-dollar health care coverage from third parties rather than pay for health care services out of their own pockets, influenced the insurance industry into paying for medical services instead of sticking with the insurance principle of paying for major illnesses and accidents for which actuarial estimates could be made.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:12
A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands increased because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels became much more involved in mandating health care for more and more groups.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:13
Even with the distortions introduced by the tax code, the markets could have still sorted this all out, but in the 1960s government entered the process and applied post office principles to the delivery of medical care with predictable results. The more the government got involved the greater the distortion. Initially there was little resistance since payments were generous and services were rarely restricted. Doctors like being paid adequately for services than in the past were done at discount or for free. Medical centers, always willing to receive charity patients for teaching purposes in the past liked this newfound largesse by being paid by the government for their services. This in itself added huge costs to the nation’s medical bill and the incentive for patients to economize was eroded. Stories of emergency room abuse are notorious since “no one can be turned away.”
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:14
Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increased benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care; limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the politicians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:15
For anyone understanding economics, the results are predictable: Quality of medical care will decline, services will be hard to find, and the three groups, patients, doctors and HMOs will blame each other for the problems, pitting patients against HMOs and government, doctors against the HMOs, the HMOs against the patient, the HMOs against the doctor and the result will be the destruction of the cherished doctor-patient relationship. That’s where we are today and unless we recognize the nature of the problem Congress will make things worse. More government meddling surely will not help.
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Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:17
The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards. Since the problem with our medical system has not been correctly identified in Washington the odds of any benefits coming from the current debates are remote. It looks like we will make things worse by politicians believing they can manage care better than the HMO’s when both sides are incapable of such a feat.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:18
Excessive litigation has significantly contributed to the ongoing medical care crisis. Greedy trial lawyers are certainly part of problem but there is more to it than that. Our legislative bodies throughout the country are greatly influenced by trial lawyers and this has been significant. But nevertheless people do sue, and juries make awards that qualify as “cruel and unusual punishment” for some who were barely involved in the care of the patient now suing. The welfare ethic of “something for nothing” developed over the past 30 to 40 years has played a role in this serious problem. This has allowed judges and juries to sympathize with unfortunate outcomes, not related to malpractice and to place the responsibility on those most able to pay rather than on the ones most responsible. This distorted view of dispensing justice must someday be addressed or it will continue to contribute to the deterioration of medical care. Difficult medical cases will not be undertaken if outcome is the only determining factor in deciding lawsuits. Federal legislation prohibiting state tort law reform cannot be the answer. Certainly contractual arrangements between patients and doctors allowing specified damage clauses and agreeing on arbitration panels would be a big help. State-level “loser pays” laws, which discourage frivolous and nuisance lawsuits, would also be a help.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:19
In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:21
Mixing the concept of rights with the delivery of services is dangerous. The whole notion that patient’s “rights” can be enhanced by more edicts by the federal government is preposterous. Providing free medication to one segment of the population for political gain without mentioning the cost is passed on to another segment is dishonest. Besides, it only compounds the problem, further separating medical services from any market force and yielding to the force of the tax man and the bureaucrat. No place in history have we seen medical care standards improve with nationalizing its delivery system. Yet, the only debate here in Washington is how fast should we proceed with the government takeover. People have no more right to medical care than they have a right to steal your car because they are in need of it. If there was no evidence that freedom did not enhance everyone’s well being I could understand the desire to help others through coercive means. But delivering medical care through government coercion means not only diminishing the quality of care, it undermines the principles of liberty. Fortunately, a system that strives to provide maximum freedom for its citizens, also supports the highest achievable standard of living for the greatest number, and that includes the best medical care.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:22
Instead of the continual demagoguery of the issue for political benefits on both sides of the debate, we ought to consider getting rid of the laws that created this medical management crisis.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:23
The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that where available and affordable in other parts of the world!
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:24
The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care.
medical
Health Care Reform: Treat The Cause, Not The Symptom
4 October 1999 1999 Ron Paul 103:25
There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many. We should have more faith in freedom and more fear of the politician and bureaucrat who think all can be made well by simply passing a Patient’s Bill of Rights.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:1
Mr. PAUL. Mr. Speaker, as an MD, I know that when I advise on medical legislation I may be tempted to allow my emotional experience as a physician to influence my views, but nevertheless I am acting the role of legislator and politician. The MD degree grants no wisdom as to the correct solution to our managed care mess. The most efficient manner to deliver medical services, as it is with all goods and other services, is determined by the degree the market is allowed to operate. Economic principles determine efficiency of markets, even the medical care market; not our emotional experiences dealing with managed care.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:3
No one can take a back seat to me regarding the disdain I hold for the HMOs’ role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion among organized medicine, politicians, and the HMO profiteers, in an effort to provide universal health care. No one suggests that we should have “universal” food, housing, TV, computer and automobile programs and yet many of the “poor” do much better getting these services through the marketplace as prices are driven down through competition.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:4
We all should become suspicious when it is declared we need a new “Bill of Rights” such as a Taxpayer’s Bill of Rights, or now a Patient’s Bill of Rights. Why don’t more Members ask why the original Bill of Rights is not adequate in protecting all rights and enabling the market to provide all services. If over the last fifty years we had a lot more respect for property rights, voluntary contracts, state jurisdiction and respect for free markets, we would not have the mess we’re facing today in providing medical care.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:5
The power of special interests influencing government policy has brought us this managed care monster. If we pursue the course of more government management — in an effort to balance things — we’re destined to make the problem much worse. If government mismanagement, in an area that the government should not be managing at all, is the problem, another level of bureaucracy — no matter how well intended — cannot be helpful. The law of unintended consequences will prevail and the principle of government control over providing a service will be further entrenched in the nation’s psyche. The choice in actuality is government provided medical care and it’s inevitable mismanagement or medical care provided by a market economy.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:7
The problems started early on when the medical profession, combined with tax code provisions making it more advantageous for individuals to obtain first-dollar health care coverage from third-parties rather than pay for health care services out of their own pockets, influenced the insurance industry into paying for medical services instead of sticking with the insurance principle of paying for major illnesses and accidents for which actuarial estimates could be made. A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels become much more involved in mandating health care for more and more groups.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:8
Even with the distortions introduced by the tax code, the markets could have still sorted this all out, but in the 1960s government entered the process and applied post office principles to the delivery of medical care with predictable results. The more the government got involved the greater the distortion. Initially there was little resistance since payments were generous and services were rarely restricted. Doctors liked being paid adequately for services that in the past were done at discount or for free. Medical centers, always willing to receive charity patients for teaching purposes in the past liked this newfound largesse by being paid by the government for their services. This in itself added huge costs to the nation’s medical bill and the incentive for patients to economize was eroded. Stories of emergency room abuse are notorious since “no one can be turned away.”
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:9
Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increase benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care, limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the policitians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:10
For anyone understanding economics, the results are predictable: Quality of medical care will decline, services will be hard to find, and the three groups, patients, doctors and HMOs will blame each other for the problems, pitting patients against HMOs and government, doctors against the HMOs, the HMOs against the patient, the HMOs against the doctor and the result will be the destruction of the cherished doctor-patient relationship. That’s where we are today and unless we recognize the nature of the problem Congress will make things worse. More government meddling surely will not help.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:12
The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:13
Since the problem with our medical system has not been correctly identified in Washington the odds of any benefits coming from the current debates are remote. It looks like we will make things worse by politicians believing they can manage care better than the HMO’s when both sides are incapable of such a feat.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:14
Excessive litigation has significantly contributed to the ongoing medical care crisis. Greedy trial lawyers are certainly part of the problem but there is more to it than that. Our legislative bodies throughout the country are greatly influenced by trial lawyers and this has been significant. But nevertheless people do sue, and juries make awards that qualify as “cruel and unusual punishment” for some who were barely involved in the care of the patient now suing. The welfare ethic of “something for nothing” developed over the past 30 to 40 years has played a role in this serious problem. This has allowed judges and juries to sympathize with unfortunate outcomes not related to malpractice and to place the responsibility on those most able to pay rather than on the ones most responsible. This distorted view of dispensing justice must someday be addressed or it will continue to contribute to the deterioration of medical care. Difficult medical cases will not be undertaken if outcome is the only determining factor in deciding lawsuits. Federal legislation prohibiting state tort law reform cannot be the answer. Certainly contractual arrangements between patients and doctors allowing specified damage clauses and agreeing on arbitration panels would be a big help. State-level “loser pays” laws, which discourage frivolous and nuisance lawsuits, would also be a help.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:15
In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:17
Mixing the concept of rights with the delivery of services is dangerous. The whole notion that patient’s “rights” can be enhanced by more edicts by the federal government is preposterous. Providing free medication to one segment of the population for political gain without mentioning the cost is passed on to another segment is dishonest. Besides, it only compounds the problem, further separating medical services from any market force and yielding to the force of the tax man and the bureaucrat. No place in history have we seen medical care standards improve with nationalizing its delivery system. Yet, the only debate here in Washington is how fast should we proceed with the government takeover. People have no more right to medical care than they have a right to steal your car because they are in need of it. If there was no evidence that freedom did not enhance everyone’s well being I could understand the desire to help others through coercive means. But delivering medical care through government coercion means not only diminishing the quality of care, it undermines the principles of liberty. Fortunately, a system that strives to provide maximum freedom for its citizens, also supports the highest achievable standard of living for the greatest number, and that includes the best medical care.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:18
Instead of the continual demagoguery of the issue for political benefits on both sides of the debate, we ought to consider getting rid of the laws that created this medical management crisis.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:19
The ERISA laws requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that were available and affordable in other parts of the world!
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:20
The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care.
medical
Quality Care For The Uninsured Act
6 October 1999 1999 Ron Paul 104:21
There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many. We should have more faith in freedom and more fear of the politician and bureaucrat who think all can be made well by simply passing a Patient’s Bill of Rights.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:8
Another thing is this sets up a new agency. For those conservative colleagues of mine who do not like the nationalization of medical care, what my colleagues are looking at here is a new agency of government setting up protocols, educating doctors and hospitals, and saying this is the way palliative care must be administered. My colleagues will have to answer with reports to the Federal Government.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:14
H.R. 2260 makes an effort to delineate the prescribing of narcotics for alleviating pain from that of intentionally killing the patient. There is no way medically, legally, or morally to tell the difference. This law will serve to curtail the generous use of narcotics in a legitimate manner in caring for the dying. Claiming that this law will not hinder the legitimate use of drugs for medical purposes but not for an intentional death is wishful thinking. In fear that a doctor will be charged for intentionally killing a patient, even though the patient may have died coincidentally with an injection, this bill will provide a great barrier to the adequate treatment of our sick and dying who are suffering and are in intense pain.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:15
The loss of a narcotic’s license, as this bill would dictate as punishment, is essentially denying a medical license to all doctors practicing medicine. Criminal penalties can be invoked as well. I would like to call attention to my colleagues that this bill is a lot more than changing the Controlled Substance Act. It is involved with educational and training programs to dictate to all physicians providing palliative care and how it should be managed. An entirely new program is set up with an administrator that “shall” carry out a program to accomplish the developing and the advancing of scientific understanding of palliative care and to disseminate protocols and evidence-based practices regarding palliative care.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:16
All physicians should be concerned about a federal government agency setting up protocols for medical care recognizing that many patients need a variation in providing care and a single protocol cannot be construed as being “correct”.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:17
This program is designed to instruct public and private health care programs throughout the nation as well as medical schools, hospices and the general public. Once these standards are set and if any variation occurs and a subsequent death coincidentally occurs that physician will be under the gun from the DEA. Charges will be made and the doctor will have to defend himself and may end up losing his license. It will with certainty dampen the enthusiasm of the physician caring for the critically ill.
medical
Pain Relief Promotion Act of 1999 (H.R. 2260)
27 October 1999 1999 Ron Paul 111:18
Under this bill a new program of grants, cooperative agreements and contracts to help professional schools and other medical agencies will be used to educate and train health care professionals in palliative care. It is not explicit but one can expect that if the rules are not followed and an institution is receiving federal money they will be denied these funds unless they follow the universal protocols set up by the federal government. The bill states clearly that any special award under this new program can only be given if the applicant agrees that the program carried out with the award will follow the government guidelines. These new programs will be through the health professional schools, i.e. the medical schools’ residency training programs and other graduate programs in the health professions. It will be a carrot and stick approach and in time the medical profession will become very frustrated with the mandates and the threat that funds will be withheld.
medical
Pain Relief Promotion Act of 1999.
27 October 1999 1999 Ron Paul 112:10
The Pain Relief Promotion Act of 1999, H.R. 2260, would amend Title 21, United States Code, for the laudable goal of protecting palliative care patients from the scourge of “assisted” suicide. However, by preempting what is the province of States — most of which have already enacted laws prohibiting “assisted suicide” — and expanding its use of the Controlled Substances Act to further define what constitutes proper medical protocol, the federal government moves yet another step closer to both a federal medical bureau and a national police state.
medical
Pain Relief Promotion Act of 1999.
27 October 1999 1999 Ron Paul 112:13
However, Congress does significantly more damage than simply threatening physicians with penalties for improper prescription of certain drugs — it establishes (albeit illegitimately) the authority to dictate the terms of medical practice and, hence, the legality of assisted suicide nationwide. Even though the motivation of this legislation is clearly to pre-empt the Oregon Statute and may be protective of life in this instance, we mustn’t forget that the saw (or scalpel) cuts both ways. The Roe versus Wade decision — the Court’s intrusion into rights of states and their previous attempts to protect by criminal statute the unborn’s right not to be aggressed against — was quite clearly less protective of life than the Texas statute it obliterated. By assuming the authority to decide for the whole nation issues relating to medical practice, palliative care, and assisted suicide, the foundation is established for a national assisted suicide standard which may not be protective of life when the political winds shift and the Medicare system is on the verge of fiscal collapse. Then, of course, it will be the federal government’s role to make the tough choices of medical procedure rationing and for whom the cost of medical care doesn’t justify life extension. Current law already prohibits private physicians from seeing privately funded patients if they’ve treated a Medicaid patient within two years.
medical
Pain Relief Promotion Act of 1999.
27 October 1999 1999 Ron Paul 112:15
To help the health care professionals become familiar with what will become the new federal medical standard, the bill also authorizes $24 million dollars over the next five years for grant programs to health education institutions. This is yet another federal action to be found nowhere amongst the enumerated powers.
medical
Pain Relief Promotion Act of 1999.
27 October 1999 1999 Ron Paul 112:16
Like the unborn, protection of the lives of palliative care patients is of vital importance. So vitally important, in fact, it must be left to the states’ criminal justice systems and state medical licensing boards. We have seen what a mess results from attempts to federalize such an issue. Numerous states have adequately protected both the unborn and palliative care patients against assault and murder and done so prior to the federal government’s unconstitutional sanctioning of violence in the Roe versus Wade decision. Unfortunately, H.R. 2260 ignores the danger of further federalizing that which is properly reserved to state governments and, in so doing, ignores the Constitution, the bill of rights, and the insights of Chief Justice Rehnquist. For these reasons, I must oppose H.R. 2260, The Pain Relief Promotion Act of 1999.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:19
We still can freely move about from town to town, State to State, and job to job. Free education is available to everyone, even for those who do not want it or care about it. But the capable and the incapable are offered a government education. We can attend the church of our choice, start a newspaper, use the Internet and meet in private when we choose. Food is plentiful throughout the country and oftentimes even wasted. Medical technology has dramatically advanced and increased life expectancy for both men and women.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:25
Mr. Speaker, let there be no doubt. For the true believers in big government, they see this technology as a great advantage for their cause. We are currently witnessing an ongoing effort by our government to develop a national ID card, a medical data bank, a work data bank, “Know Your Customer” regulations on banking activity, a national security agent all-pervasive telephone snooping system called Echelon, and many other programs. There are good reasons to understand the many ramifications of the many technological advancements we have seen over the century to make sure that the good technology is not used by the government to do bad things.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:79
The practice of medicine is now a government managed care system and very few Americans are happy with it. Not only is there little effort to extricate the Federal Government from the medical care business but the process of expanding the government’s role continues unabated. At the turn of the 19th century, it was not even considered a possibility that medical care was the responsibility of the Federal Government. Since Lyndon Johnson’s Great Society programs of the 1960s, the role of the Federal Government in delivering medical care has grown exponentially. Today the Federal Government pays more than 60 percent of all the medical bills and regulates all of it. The demands continue for more free care at the same time complaints about the shortcomings of managed care multiply. Yet it is natural to assume that government planning and financing will sacrifice quality care. It is now accepted that people who need care are entitled to it as a right. This is a serious error in judgment.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:80
There is no indication that the trend toward government medicine will be reversed. Our problems are related to the direct takeover of medical care in programs like Medicare and Medicaid. But it has also been the interference in the free market through ERISA mandates related to HMOs and other managed care organizations, as well as our tax code, that have undermined the private insurance aspect of paying for medical care. True medical insurance is not available. The government dictates all the terms.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:81
In the early stages, patients, doctors and hospitals welcomed these programs. Generous care was available with more than adequate reimbursement. It led to what one would expect, abuse, overcharges and overuse. When costs rose, it was necessary through government rulemaking and bureaucratic management to cut reimbursement and limit the procedures available and personal choice of physicians. We do not have socialized medicine but we do have bureaucratic medicine, mismanaged by the government and select corporations who usurp the decisionmaking power from the physician. The way medical care is delivered today in the United States is a perfect example of the evils of corporatism and an artificial system that only politicians, responding to the special interests, could create. There is no reason to believe the market cannot deliver medical care in an efficient manner as it does computers, automobiles and televisions. But the confidence is gone and everyone assumes, just as in education, that only a Federal bureaucracy is capable of solving the problems of maximizing the number of people, including the poor, who receive the best medical care available. In an effort to help the poor, the quality of care has gone down for everyone else and the costs have skyrocketed.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:82
Making generous medical savings accounts available is about the only program talked about today that offers an alternative to government mismanaged care. If something of this sort is not soon implemented, we can expect more pervasive government involvement in the practice of medicine. With a continual deterioration of its quality, the private practice of medicine will soon be gone.
medical
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:83
Government housing programs are no more successful than the Federal Government’s medical and education programs. In the early part of this century, government housing was virtually unheard of. Now the HUD budget commands over $30 billion each year and increases every year. Finances of mortgages through the Federal Home Loan Bank, the largest Federal Government borrower, is the key financial institution pumping in hundreds of billions of dollars of credit into the housing market, making things worse. The Federal Reserve has now started to use home mortgage securities for monetizing debt. Public housing has a reputation for being a refuge for drugs, crimes and filth, with the projects being torn down as routinely as they are built. There is every indication that this entitlement will continue to expand in size regardless of its failures. Token local control over these expenditures will do nothing to solve the problem.
medical
A Republic, If You Can Keep It – Part 2
2 February 2000 2000 Ron Paul 5:14
Plans are made for a medical data bank to be kept and used against our wishes. Job banks and details of all our lending activities continue to be of interest to all our national policy agencies, to make sure they know exactly where the drug dealers, the illegal aliens, and tax dodgers are and what they are doing, it is argued.
medical
A Republic, If You Can Keep It – Part 2
2 February 2000 2000 Ron Paul 5:19
Probably the most significant change in attitude that occurred in the 20th century was that with respect to life itself. Although abortion has been performed for hundreds, if not for thousands, of years, it was rarely considered an acceptable and routine medical procedure without moral consequence.
medical
A Republic, If You Can Keep It – Part 2
2 February 2000 2000 Ron Paul 5:26
If the location of the fetus is the justification for legalized killing, the privacy of our homes would permit the killing of the newborn, the deformed and the elderly, a direction, unfortunately, in which we find ourselves going. As government-financed medical care increases, we will hear more economic arguments for euthanasia, that is, mercy killing, for the benefit of the budget planners. Already we hear these economic arguments for killing the elderly and terminally ill.
medical
A Republic, If You Can Keep It – Part 2
2 February 2000 2000 Ron Paul 5:72
Standards of behavior of our professional athletes seem to reflect the rules followed in the ring by the professional wrestlers where anything goes. Managed medical care driven by government decrees has reduced its quality and virtually ruined the doctor-patient relationship.
medical
UNNECESSARY SUPPLEMENTAL APPROPRIATIONS AND UNWISE MILITARY ADVENTURISM IN COLOMBIA
March 29, 2000 2000 Ron Paul 20:3
But we should be very cautious about what we are doing today by expanding our involvement in Colombia. We are now moving into Colombia and spending a lot of money and expanding our war in this area. We should not be spending our money on military adventurism. We should be taking this money and spending it to build up our military defenses. We should be using this money to pay our military personnel more money, give them better housing and better education and better medical care.
medical
2000 EMERGENCY SUPPLEMENTAL APPROPRIATIONS ACT
March 29, 2000 2000 Ron Paul 21:5
I had an amendment that was not approved. But what I would have done, if I had had the chance, I would have taken all the money from the overseas spending, Kosovo, Bosnia, East Timor, and the funds now for this new adventure down in Colombia, and put it into building up our military defense. That is what we need. We need better salaries, better medical care, and we need better housing for our military personnel. But here we go spreading ourselves thinly again around the world by taking on a new adventure, which will surely lead to trouble and a lot of expense.
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Amendment No. 5 Offered By Mr. Paul
30 March 2000 2000 Ron Paul 22:17
I would have preferred an amendment that would have struck some of these funds from overseas and placed them into beefing up the military, increasing the pay of our military personnel, giving them better housing and better medical care, as well as having some of those funds spent here at home. That amendment was not permissible under the rule.
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Statement of Ron Paul on the Misuse of the Social Security Number
May 11, 2000 2000 Ron Paul 35:5
Since I introduced this legislation on the first day of the 106th Congress, my office has received countless calls, letter, faxes, and e-mails from Americans around the country who are tired of having to divulge their national ID number in order to get a job, open bank account, or go fishing. The strong public outrage over the federal banking regulators’ “know your customer” scheme, as well as the attempt to turn state drivers’ licenses into a national ID card, and the Clinton Administration’s so-called “medical privacy” proposals all reveal the extent to which the American people oppose the “surveillance state.” These Americans believe that since Congress created this problem, Congress must fix it.
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Statement of Ron Paul on the Misuse of the Social Security Number
May 11, 2000 2000 Ron Paul 35:8
Furthermore, as we have seen with the administration’s so-called “medical privacy protection” proposal, federal “privacy protection laws” can actually undermine privacy by granting certain state-favored interests access to one’s personal information.
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Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220)
May 18, 2000 2000 Ron Paul 38:2
The Freedom and Privacy Restoration Act represents a comprehensive attempt to protect the privacy of individual citizens from government surveillance via the use of standard identifiers. Among the provisions of the legislation is one repealing those sections of the 1996 Immigration Act that established federal standards for state drivers’ licenses and those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier. As I am sure my colleagues know, the language authorizing a national ID card was repealed in last year’s Transportation Appropriations bill and language prohibiting the expenditure of funds to develop a personal medical identifier has been included in the past two Labor-HHS-Education Appropriations bills. These victories where made possible by the thousands of Americans who let their elected representatives know that they were opposed to federally-mandated identifiers.
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Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220)
May 18, 2000 2000 Ron Paul 38:10
I am sure I need not remind the members of this Committee of the sad history of government officials of both parties using personal information contained in IRS or FBI files against their political enemies. Imagine 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.
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Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220)
May 18, 2000 2000 Ron Paul 38:15
Furthermore, as we have seen with the administration’s so-called “medical privacy protection” proposal, federal “privacy protection laws” can actually undermine privacy by granting certain state-favored interests access to one’s personal information.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:4
Mr. PAUL. Mr. Chairman, this amendment says that none of the funds in this appropriation can be used for implementing a uniform medical identifier. It is a privacy amendment. It was in the bill in 1998 and 1999. I think it would be a good idea to have it in this year’s bill.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:5
This comes from authority granted in the Health Insurance Portability Act of 1996 and it was designed to establish a medical data bank. But because many, on both sides of the aisle, have objected to this invasion of privacy to set up a medical data bank, there has been some resistance to this. Although the removal of the authority would be the proper way to solve this problem once and for all, I think that it would be very appropriate to continue the policy of not permitting any Federal funding to be spent on developing this universal medical identifier, which by all indications would be our Social Security numbers.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:6
Many people object to this invasion of privacy. They do not place full trust in the U.S. Congress and in the U.S. Government to protect our privacy. Many say that this would not be an invasion of privacy and there would be some strict rules and regulations about how this medical information would be used, but that is not enough reassurance.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:7
As a physician, I can tell my colleagues that this form of invasion of our medical privacy will not serve us well in medical care. What it leads to is incomplete and inaccurate medical records, because it becomes known to the patient as well as the physician that once this information is accumulated that it might get in the hands of the politicians and used for reasons other than for medical care, I think, it could damage medical care endangered from having a medical data bank set up.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:8
The American people have spoken out strongly in recent years about their invasion of privacy. There was a proposal to implement a know-your-customer bank regulations. These were soundly rejected by the people, and I think that this same sentiment applies to the medical data bank. Also, efforts to establish a national identification card for the American people has not met with a great deal of acceptance with the American people.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:9
So my effort here in limiting this development of a universal medical identifier is to keep the Federal Government out of this business. It is too easy for abuse of this type of information to occur. We have heard that the various administrations over the years have abused records kept in the IRS as well as the FBI. This would just be another source of information that individuals could use in a negative fashion.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:10
I believe it is a fallacy for those who promote the setting up of a universal medical identifier and a universal medical data bank that it is an effort to simplify the process, to streamline the system, to make government more efficient, to facilitate medical research. It has also been said this could be used in law enforcement. But just think about this. If these records can be turned over without the approval of the patient to law enforcement, it really, quite clearly, is a violation of the fifth amendment of self-incrimination. So this idea that this medical bank might be beneficial for law enforcement is rather scary and something that we should prevent.
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Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:11
Already, under authority that was given to Health and Human Services, they have started to draw up regulations which regulate privacy matters, not so much the medical data bank but in other areas. The other thing that concerns me a great deal is these medical regulations that have been proposed not only deal with the privacy of somebody that may be receiving medical care from Medicare but also in the private sector.
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PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000
June 29, 2000 2000 Ron Paul 60:2
H.R. 1304 is the only bill that I have seen in the last 3 years, probably in the last 30 years, that would move us in a proper direction for health care in this country. For 30 years now we have moved in the direction, not toward socialized medicine, we do not have socialized medicine, we have a mess. We have a monster we created called ‘medical management.’ But we have moved toward corporate medicine.
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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.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:2
* Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:3
* As an OB-GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:4
* One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, it, like existing antitrust laws, are an unconstitutional violation of medical professionals’ freedom of contract and association.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:5
* Under the United States Constitution, the federal government has no authority to interfere with the private contracts of American citizens. Furthermore, the prohibitions on contracting contained in the Sherman antitrust laws are based on a flawed economic theory: that federal regulators can improve upon market outcomes by restricting the rights of certain market participants deemed too powerful by the government. In fact, anti-trust laws harm consumers by preventing the operation of the free-market, causing prices to rise, quality to suffer, and, as is certainly the case with the relationship between the HMOs and medical professionals, favoring certain industries over others. In fact, Mr. Speaker, I would hope that my colleagues would see the folly of antitrust laws and support my Market Process Restoration Act (H.R. 1789), which repeals all federal antitrust laws.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:6
* By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. I am quite pleased that this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. Contrary to the claims of some of its opponents, H.R. 1304 in no way extends the scourge of federally-mandated compulsory unionism to the health care professions. While Congress should protect the right of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:7
* Mr. Chairman, it is my hope that Congress will follow up on its action today by empowering patients to control their health care by providing all Americans with access to Medical Saving Accounts (MSAs) and large tax credits for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they found most beneficial to them, the HMO monster would wither on the vine without the imposition of new federal regulations on the insurance industry.
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Quality Health-Care Coalition Act of 2000
June 29, 2000 2000 Ron Paul 61:8
* In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to American’s health care professionals. Antitrust laws are no more legitimate or constitutional in the health care market than they are on the software market. Therefore, I hope my colleagues will not just pass this bill but will also support my Market Process Restoration Act and exempt all Americans from antitrust laws. I also urge my colleagues to join me in working to promote a true free-market in health care by putting patients back in charge of the health care dollar through means such as Medical Savings Accounts (MSAs) and individual health care tax credits.
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THE FAMILY HEALTH TAX CUT ACT
29 June 2000 2000 Ron Paul 62:2
* The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide their employees health insurance. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition, such as cancer or a physical disability, which requires long-term or specialized health care.
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THE FAMILY HEALTH TAX CUT ACT
29 June 2000 2000 Ron Paul 62:7
* Mr. Speaker, this Congress has a moral responsibility to provide low-income parents struggling to care for a sick child tax relief in order to help them better meet their child’s medical expenses. I would ask any of my colleagues who would say that we cannot enact the Family Tax Cut Act because it would cause the government to lose too much revenue, who is more deserving of this money, Congress or the working-class parents of a sick child?
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Child Support Distribution Act Of 2000
September 7, 2000 2000 Ron Paul 71:2
* I am particularly disturbed by the language expanding the use of the National Directory of New Hires, popularly known as the ‘new hires database’, in order to more effectively administer the unemployment compensation system and deny visas and residency to non-citizens who are delinquent in child support payments. Identifying persons who are failing to fulfill their legal obligation to pay child support is a worthy goal, as an OB-GYN who has delivered over four thousand babies in my over thirty year medical career, words cannot express the contempt I hold for those who would refuse to support their children. Similarly, preventing fraud in the unemployment program is obviously important to the nation’s employers and employees whose taxes finance the unemployment insurance system.
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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.
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CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000
October 26, 2000 2000 Ron Paul 92:5
* Mr. Speaker, I also am pleased that this bill extends the Medical Savings Accounts (MSA) program created in 1996. MSAs and generous health care tax deductions are critical to preserving health care freedom. Federal policies removing consumer control over health care dollars inevitably have led to increased decision making by HMOs and federal bureaucrats.
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INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL
Wednesday, January 3, 2001 2001 Ron Paul 1:7
* Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base?
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INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL
Wednesday, January 3, 2001 2001 Ron Paul 1:13
* Perhaps the most outrageous example of phony privacy protection is the Clinton Administration’s so-called “medical privacy” proposal, which allow medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information.
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INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL
Wednesday, January 3, 2001 2001 Ron Paul 1:15
* Mr. Speaker, those members who are unpersuaded by the moral and constitutional reasons for embracing the Identity Theft Prevention Act should consider the overwhelming opposition of the American people toward national identifiers. The overwhelming public opposition to the various “Know-Your-Customer” schemes, the attempt to turn drivers’ licenses into National ID cards, the Clinton Administration’s Medical Privacy proposal, as well as the numerous complaints over the ever-growing uses of the Social Security number show that American people want Congress to stop invading their privacy. Congress risks provoking a voter backlash if we fail to halt the growth of the surveillance state.
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India Disaster Relief
31 January 2001 2001 Ron Paul 5:3
There is also the moral question. We talk about what we are giving today, and it is substantial amounts, and we are substantially increasing it. It could be $10 million. It could be $100 million. But nobody talks about could it cost something. Well, there is a cost to it and it might hurt some innocent people in this country; the people who we do not know about. Somebody might not be able to build a house or get medical care. There may be somebody who will lose a job. There may be an increase in inflation. But we will never see those victims, so they are not represented. I think that if we were more determined to follow the rule of law and do this only in a voluntary manner we would not always place a burden on some innocent people in this country.
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CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:25
In this frantic effort to take care of the economy, promote education, save Social Security, and provide for the medical needs of all Americans, no serious discussion will take place on the political conditions required for a free people to thrive. If not, all efforts to patch the current system together will be at the expense of personal liberty, private property, and sound money.
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CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:63
A similar effort continues today, with central banks selling and loaning gold to keep the price in check. It’s working and does convey false confidence, but it can’t last. Most Americans are wise to the government’s statistics regarding prices and the “no-inflation” rhetoric. Everyone is aware that the prices of oil, gasoline, natural gas, medical care, repairs, houses, and entertainment have all been rapidly rising. The artificially low gold price has aided the government’s charade, but it has also allowed a bigger bubble to develop. This policy cannot continue. Economic law dictates a correction that most Americans will find distasteful and painful. Duration and severity of the liquidation phase of the business cycle can be limited by proper responses, but it cannot be avoided and could be made worse if the wrong course is chosen.
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CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:72
In the 1990s, Wall Streeters thrived, while some low-income, non-welfare, non-homeowners suffered with rising costs for fuel, rent, repairs, and medical care. Generally one should expect the middle class to suffer and to literally be wiped out in a severe inflation. When this happens, as it did in many countries throughout the 20th Century, social and political conflicts become paramount when finger pointing becomes commonplace by those who suffer looking for scapegoats. Almost always the hostility is inaccurately directed.
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CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:129
All addiction — alcohol and illegal drugs — should be seen as a medical problem, not a legal one. Improving behavior, just for the sake of changing unpopular habits, never works. It should never be the responsibility of government to do so. When government attempts to do this, the government and its police force become the criminals. When someone under the influence of drugs, alcohol (also a drug), or even from the lack of sleep causes injury to another, local law-enforcement officials have a responsibility. This is a far cry from the Justice Department using army tanks to bomb the Davidians because federal agents claimed an amphetamine lab was possibly on the premises.
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CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:153
The quality of medical care is slipping, and the benefits provided by government are seen by more and more people to not really be benefits at all. This trend does not make America feel more confident about the future of health care.
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POTENTIAL FOR WAR
February 08, 2001 2001 Ron Paul 10:69
All addiction, alcohol and illegal drugs, should be seen as a medical problem, not a legal one. Improving behavior just for the sake of changing unpopular habits never works. It should never be the responsibility of government to do so. When government attempts to do this, the government and its police force become the criminals.
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POTENTIAL FOR WAR
February 08, 2001 2001 Ron Paul 10:99
The quality of medical care is slipping and the benefits provided by government are seen by more and more people to not really be benefits at all. This trend does not make Americans feel more confident about the future of health care. Let there be no doubt, many Americans are concerned about their future, even though many still argue that the problem is only that government has not done enough.
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The Economy
February 13, 2001 2001 Ron Paul 13:1
Mr. Speaker: Many government and Federal Reserve officials have repeatedly argued that we have no inflation to fear. Yet those who claim this, define inflation as rising consumer and producer prices. Although inflation frequently leads to price increases we must remember that the free market definition of inflation is the increase in the supply of money and credit. Monetary inflation is seductive in that it can cause great harm without significantly affecting government price indices. The excess credit may well go into stock market and real estate speculation with consumer price increases limited to such things as energy, repairs, medical care and other services. One should not conclude, as so many have in the past decade, that we have no inflation to worry about. Imbalances did develop with the 1990’s monetary inflation but were ignored. They are now becoming readily apparent as sharp adjustments take place—such as we have seen in the past year in the NASDAQ.
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The Economy
February 13, 2001 2001 Ron Paul 13:7
Between 1995 and today, the Greenspan Fed increased the money supply as measured by (MZM) by $1.9 trillion or a 65% increase. There is no reason to look any further for the explanation of why the economy is slipping with labor costs rising, energy costs soaring, and medical and education costs skyrocketing, while the stock market is disintegrating. Until we look at the unconstitutional monopoly power the Federal Reserve has over money and credit we can expect a continuation of our problems. Demanding lower interest rates is merely insisting the Federal Reserve deliberately create even more credit, which caused the problem in the first place. We cannot restore soundness to the dollar by debasing the dollar—which is what lowering interest rates is all about—printing more money.
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:6
* The only true solution to the health care problems is to truly allow the private sector to work by restoring control of the health care dollar to the individual through Medical Savings Accounts (MSAs) and large tax credits. In the Medicare program, seniors should not be herded into HMOs but instead should receive increased ability to use Medicare MSAs, which give them control over their health care dollars. Of course, the limits on private contracting in the Medicare program should be lifted immediately.
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:12
Offering “free care” led to predictable results. Because Congress placed no restrictions on benefits and removed all sense of cost-consciousness, health-care use and medical costs skyrocketed. Congressional testimony reveals that between 1969 and 1971, physician fees increased 7 percent and hospital charges jumped 13 percent, while the Consumer Price Index rose only 5.3 percent. The nation’s health-care bill, which was only $39 billion in 1965, increased to $75 billion in 1971. Patients had found the fount of unlimited care, and doctors and hospitals had discovered a pot of gold.
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:18
Introducing the HMO hearings, Kennedy said, “We need legislation which reorganizes the system to guarantee a sufficient volume of high quality medical care, distributed equitably across the country and available at reasonable cost to every American. It is going to take a drastic overhaul of our entire way of doing business in the health-care field in order to solve the financing and organizational aspects of our health crisis. One aspect of that solution is the creation of comprehensive systems of health-care delivery.”
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:24
As patients have since discovered, the HMO — staffed by physicians employed by and beholden to corporations — was not much of a Christmas present or an insurance product. It promises coverage but often denies access. The HMO, like other prepaid MCOs, requires enrollees to pay in advance for a long list of routine and major medical benefits, whether the health-care services are needed, wanted, or ever used. The HMOs are then allowed to manage care — without access to dollars and service — through definitions of medical necessity, restrictive drug formularies, and HMO-approved clinical guidelines. As a result, HMOs can keep millions of dollars from premium-paying patients. HMO BARRIERS ELIMINATED
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:33
The move to managed care has been strongly supported by public-health officials who anticipate that public-private partnerships will provide funding for public-health infrastructure and initiatives, along with access to the medical records of private patients. The fact that health care is now organized in large groups by companies that hold millions of patient records and control literally hundreds of millions of health-care dollars has allowed unprecedented relationships to form between governments and health plans.
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:34
For example, Minnesota’s HMOs, MCOs, and nonprofit insurers are required by law to fund public-health initiatives approved by the Minnesota Department of Health, the state regulator for managed care plans. The Blue Cross-Blue Shield tobacco lawsuit, which brought billions of dollars into state and health-plan coffers, is just one example of the you-scratch-my-back-I’ll-scratch-yours initiatives. Yet this hidden tax, which further limits funds available for medical care, remains virtually unknown to enrollees.
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Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:39
What could be so bad about that? A lot, it seems. Public officials worry privately that patients with power may not choose managed-care plans, eventually destabilizing the HMOs Congress is so dependent on for cost containment and national health-care initiatives. Witness congressional constraints on individually owned, tax-free medical savings accounts and the reluctance to break up employer-sponsored coverage by providing federal tax breaks to individuals. Unless citizens wise up to Congress’s unabashed but unadvertised support for managed care, it appears unlikely that real patient power will rise readily to the top of its agenda.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:1
* Mr. PAUL. Mr. Speaker, I rise to introduce the Medical Privacy Protection Resolution, which uses the Congressional Review Act to repeal the so-called Medical Privacy regulation. Many things in Washington are misnamed, however, this regulation may be the most blatant case of false advertising I have come across in all my years in Congress. Rather than protect an individual right to medical privacy, these regulations empower government officials to determine how much medical privacy an individual “needs.” This “one-size-fits-all” approach ignores the fact that different people may prefer different levels of privacy. Certain individuals may be willing to exchange a great deal of their personal medical information in order to obtain certain benefits, such as lower-priced care or having information targeted to their medical needs sent to them in a timely manner. Others may forgo those benefits in order to limit the number of people who have access to their medical history. Federal bureaucrats cannot possibly know, much less meet, the optimal level of privacy for each individual. In contrast, the free market allows individuals to obtain the level of privacy protection they desire.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:2
* The so-called “medical privacy” regulations not only reduce an individual’s ability to determine who has access to their personal medical information, they actually threaten medical privacy and constitutionally-protected liberties. For example, these regulations allow law enforcement and other government officials access to a citizen’s private medical record without having to obtain a search warrant.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:3
* Allowing government officials to access a private person’s medical records without a warrant is a violation of the Fourth amendment to the United States Constitution, which protects American citizens from warrantless searches by government officials. The requirement that law enforcement officials obtain a warrant from a judge before searching private documents is one of the fundamental protections against abuse of the government’s power to seize an individual’s private documents. While the Fourth amendment has been interpreted to allow warrantless searches in emergency situations, it is hard to conceive of a situation where law enforcement officials would be unable to obtain a warrant before electronic medical records would be destroyed.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:4
* Mr. Speaker, these regulations also require health care providers to give medical records to the federal government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:5
* In addition to law enforcement, these so-called “privacy protection” regulations create a privileged class of people with a federally-guaranteed right to see an individual’s medical
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:6
[Page: E372] GPO’s PDF records without the individual’s consent. For example, medical researchers may access a person’s private
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:7
* Forcing individuals to divulge medical information without their consent also runs afoul of the fifth amendment’s prohibition on taking private property for public use without just compensation. After all, people do have a legitimate property interest in their private information. Therefore, restrictions on an individual’s ability to control the dissemination of their private information represents a massive regulatory taking. The takings clause is designed to prevent this type of sacrifice of individual property rights for the “greater good.”
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:9
* The collection and storage of personal medical information “authorized” by these regulations may also revive an effort to establish a “unique health identifier” for all Americans. The same legislation which authorized these privacy rules also authorized the creation of a “unique health care identifier” for every American. However, Congress, in response to a massive public outcry, has included a moratorium on funds for developing such an identifier in HHS budgets for the last three fiscal years.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:10
* By now it should be clear to every member of Congress that the American people do not want their health information recorded on a database, and they do not wish to be assigned a unique health identifier. According to a survey by the respected Gallup Company, 91 percent of Americans oppose assigning Americans a “unique health care identifier” while 92 percent of the people oppose allowing government agencies the unrestrained power to view private medical records and 88 percent of Americans oppose placing private health care information in a national database. Mr. Speaker, Congress must heed the wishes of the American people and repeal these HHS regulations before they go into effect and become a backdoor means of numbering each American and recording their information in a massive health care database.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:11
* The American public is right to oppose these regulations, for they not only endanger privacy but could even endanger health! As an OB-GYN with more than 30 years experience in private practice, I am very concerned by the threat to medical practice posed by these regulations. The confidential physician-patient relationship is the basis of good health care. Oftentimes, effective treatment depends on the patient’s ability to place absolute trust in his or her doctor. The legal system has acknowledged the importance of maintaining physician-patient confidentiality by granting physicians a privilege not to divulge confidential patient information.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:12
* I ask my colleagues to consider what will happen to that trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database or seen by medical researchers or handed over to government agents without so much as a simple warrant?
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:13
* Mr. Speaker, I am sure my colleagues agree that questions regarding who should or should not have access to one’s medical privacy are best settled by way of contract between a patient and a provider. However, the government-insurance company complex that governs today’s health care industry has deprived individual patients of control over their health care records, as well as over numerous other aspects of their health care. Rather than put the individual back in charge of his or her medical records, the Department of Health and Human Services’ privacy regulations give the federal government the authority to decide who will have access to individual medical records. These regulations thus reduce individuals’ ability to protect their own medical privacy.
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The Medical Privacy Protection Resolution
March 15, 2001 2001 Ron Paul 19:14
* These regulations violate the fundamental principles of a free society by placing the perceived “societal” need to advance medical research over the individual’s right to privacy. They also violate the fourth and fifth amendments by allowing law enforcement officials and government favored special interests to seize medical records without an individual’s consent or a warrant and could facilitate the creation of a federal database containing the health care data of every American citizen. These developments could undermine the doctor-patient relationship and thus worsen the health care of millions of Americans. I, therefore, call on my colleagues to join me in repealing this latest threat to privacy and quality health care by cosponsoring the Medical Privacy Protection Resolution.
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Manipulation Of Interest Rates Cause Economic Problems
20 March 2001 2001 Ron Paul 22:11
The most important aspect of that is the instability it creates in the marketplace. It does not always lead to a CPI increasing at 10 or 15 percent. Our CPI is rising significantly. We have other prices going up significantly, like education costs and medical care costs, housing costs. So there is a lot of inflation even when one measures it by prices.
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Protecting Privacy and Preventing Misuse of Social Security Numbers
May 22, 2001 2001 Ron Paul 37:11
Mr. Chairman, those members who are unpersuaded by the moral and constitutional reasons for embracing the Identity Theft Prevention Act should consider the overwhelming opposition of the American people toward national identifiers. The overwhelming public opposition to the various “Know-Your-Customer” schemes, the attempt to turn drivers’ licenses into National ID cards, HHS’s misnamed “medical privacy” proposal, as well as the numerous complaints over the ever-growing uses of the Social Security number show that American people want Congress to stop invading their privacy. Congress risks provoking a voter backlash if we fail to halt the growth of the surveillance state.
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:1
Thank you for your interest in revising the Department of Health and Human Services’ (HHS) medical privacy regulations. I respectfully urge HHS to revise those sections of the bill that reduce medical privacy by allowing the government increased access to medical records.
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:2
According to a Gallop survey commissioned by the Institute for Health Freedom, 92% of Americans oppose allowing government agencies to have access to medical records without patient consent. The American people are more opposed to government agencies having unfettered access to medical records than they are to any private party, with the exception of financial institutions, having access to their medical history. Yet HHS’s rule increases the power of government agencies to seize medical records without consent!
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:3
HHS should ensure that the regulation complies with the letter and spirit of the fourth amendment by requiring that law enforcement officials obtain a valid search warrant before seizing private medical records. The requirement that law enforcement officials obtain a warrant from a judge before searching private documents is one of the fundamental protections against abuse of the government’s power to seize an individual’s private documents. While the fourth amendment has been interpreted to allow warrantless searches in emergency situations, it is hard to conceive of a situation where law enforcement officials would be unable to obtain a warrant before electronic medical records would be destroyed.
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:4
HHS should also eliminate those sections which require physicians to provide the federal government with personal medical records for purposes of monitoring compliance with the rule. HHS should only collect information if the physicians or the federal government has obtained written permission from the patient allowing HHS to obtain their records.
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:5
HHS should also repeal those sections of the regulations that provide private parties with a right to access private medical records for reasons unrelated to treatment. Particularly offensive are those sections which allow medical researchers to access private records without individual consent. While researchers claim to be able to protect the autonomy of their unwilling subjects, the fact is that allowing third parties to use medical records for research purposes runs the risk of inadvertent identification of personal medical information. I am aware of at least one incident where a man had his identity revealed when his medical records were used without his consent. As a result, many people in his community discovered details of his medical history that he wished to keep private!
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:6
I am also aware that some will make the argument that there is a “social good” in medical research that outweighs the individual’s right to privacy. As a physician, I certainly recognize the value and importance of medical research. However, as a legislator, I also recognize that because people have a property interest in their medical information, forcing individuals to divulge medical information without their consent runs afoul of the fifth amendment’s taking clause, which was designed to prevent sacrifices of individual liberty and property for the “common good.”
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:8
Finally, Secretary Thompson, if HHS is going to collect private medical records, the medical privacy rule should then explicitly forbid the federal government from permanently storing any medical information on a federally maintained or funded database. Previous experience with federal collection of information demonstrates the need for an explicit ban on creating a database. For example, despite repeated assurances they would not do so, the Bureau of Alcohol Tobacco and Firearms is using their authority to conduct background checks under the Brady Law to compile a database of every gun owner in America!
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Letter to HHS Secretary Tommy Thompson Regarding Proposed Medical Privacy Regulation
May 23, 2001 2001 Ron Paul 39:9
In conclusion, I once again respectfully request that the Department of Health and Human Services amend the medical privacy rule to require a search warrant before government officials may seize medical records. I also request that HHS remove all sections of the rule that give private parties (particularly researchers) a federal right to access medical records without consent for purposes unrelated to treatment. Furthermore, if HHS is going to continue to allow the Federal Government to collect medical information for any reason, HHS must explicitly provide that none of the information collected under the authority given HHS, or any other federal agency, will be stored in a federally maintained or funded database. Thank you for your consideration of my views, which, according to the Gallup poll, are shared by the vast majority of Americans.
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Internationalizing SEC
13 June 2001 2001 Ron Paul 41:9
And even if we assume we have a surplus and the money is already in the budget, we still should be concerned because we are making a choice. We are saying that we are going to take this money and take the risk of sending it over there. Maybe it will help. Maybe I am right, maybe it will not do quite as much good as we think, but we make a trade-off. We say today that we will send this money with the hope that it will do good at the expense of a domestic program. Do my colleagues think every poor person in this country has been taken care of, their medical care needs or housing? So we do make choices continuously, but we forget about that.
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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.
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THE PATIENT PRIVACY ACT -- HON. RON PAUL
July 24, 2001 2001 Ron Paul 65:3
* When the scheme to assign every American a unique medical identifier became public knowledge in 1998, their was a tremendous outcry from the public. Congress responded to the public outrage by including language forbidding the expenditure of funds to implement or develop a medical identifier in the federal budget for the past three fiscal years. Last year my amendment prohibiting the use of funds to develop or implement a medical ID unanimously passed the House of Representatives.
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THE PATIENT PRIVACY ACT -- HON. RON PAUL
July 24, 2001 2001 Ron Paul 65:4
* It should be clear to every member of Congress that the American public does not want a uniform medical identifier. Therefore, rather than continuing to extend the prohibition on funding for another year, Congress should simply repeal the authorization of the national medical ID this year.
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THE PATIENT PRIVACY ACT -- HON. RON PAUL
July 24, 2001 2001 Ron Paul 65:11
* Mr. Speaker, the federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge my colleagues to join me in supporting the Patient Privacy Act.
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Stem Cell Research and Human Cloning
July 31, 2001 2001 Ron Paul 68:16
There are some medical questions not yet resolved and careless legislation may impede legitimate research and use of fetal tissue. For instance, should a spontaneously aborted fetus, non-viable, not be used for stem cell research or organ transplant? Should a live fetus from an ectopic pregnancy removed and generally discarded not be used in research? How is a spontaneous abortion of an embryo or fetus different from an embryo conceived in a dish?
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Stem Cell Research and Human Cloning
July 31, 2001 2001 Ron Paul 68:19
For a free society to function, the moral standards of the people are crucial. Personal morality, local laws, and medical ethics should prevail in dealing with a subject such as this. This law, the government, the bureaucrats, the politicians can’t make the people more moral in making these judgments.
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Stem Cell Research and Human Cloning
July 31, 2001 2001 Ron Paul 68:25
We should continue the ethical debate and hope that the medical leaders would voluntarily do the self-policing that is required in a moral society. Local laws, under the Constitution, could be written and the reasonable ones could then set the standard for the rest of the nation.
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LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL
Thursday, August 2, 2001 2001 Ron Paul 70:1
* Mr. PAUL. Mr. Speaker, I rise to introduce legislation which enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option.
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LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL
Thursday, August 2, 2001 2001 Ron Paul 70:2
* Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover non-routine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mamograms, are made by the senior, not by bureaucrats and politicians.
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Patient’s Bill of Rights Undermines Individual Rights
August 2, 2001 2001 Ron Paul 73:5
I think we went astray about 30-some years ago in the direction of medical care when the government, the Federal Government, got involved. The first thing is we changed our attitude and our definition of what “rights” are. We call this a Patients’ Bill of Rights. It has very little to do with rights, because most of what we do in medicine, we undermine individual rights.
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Patient’s Bill of Rights Undermines Individual Rights
August 2, 2001 2001 Ron Paul 73:6
We have a right in society, in a free society, to our life and our liberty, and we have a right to use that liberty to pursue our happiness and provide for our own well-being. We do not have a right to medical care. One has no more right to a service than one has a right to go into someone else’s garage and steal an automobile. So the definition of “rights” has been abused for 30 years, but the current understanding is that people have a right to services. So I think that is a serious flaw and it has contributed to our problem today.
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Patient’s Bill of Rights Undermines Individual Rights
August 2, 2001 2001 Ron Paul 73:7
The other serious flaw that we have engaged in now for 30 years is the dictation of contract. For 30 years now under ERISA and tax laws, we have forced upon the American people a medical system where we dictate all the rules and regulations on the contracts; and it causes nothing but harm and confusion. Today’s effort is trying to clear this up; and, unfortunately, it is not going to do much good.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:2
The proper way to examine health care issues is to apply the same economic and constitutional principles that one would apply to every other issue. As an M.D., I know that when I advise on medical legislation that I may be tempted to allow my emotional experience as a physician to influence my views. But, nevertheless, I am acting in the role as legislator and politician.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:3
The M.D. degree grants no wisdom as to the correct solution to our managed-care mess. The most efficient manner to deliver medical services, as it is with all goods and services, is through the free market. Economic principles determine efficiencies of markets, even the health care market, not our emotional experiences dealing with managed care.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:7
No one can take a back seat to me regarding the disdain I hold for the HMO’s role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion of organized medicine, politicians, and the HMO profiteers in an effort to provide universal health care. No one suggests that we should have universal food, housing, TV, computer and automobile programs; and yet, many of the poor to much better getting these services through the marketplace as prices are driven down through competition.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:10
Disregard for constitutional limitations on government, ignorance of the basic principles of economics combined with the power of special interests influencing government policy has brought us this managed-care monster. If we pursue a course of more government management in an effort to balance things, we are destined to make the system much worse. If government mismanagement in an area that the government should not be managing at all is the problem, another level of bureaucracy, no matter how well intended, will not be helpful. The law of unintended consequences will prevail and the principle of government control over providing a service will be further entrenched in the Nation’s psyche. The choice in actually is government-provided medical care and its inevitable mismanagement or medical care provided by a market economy.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:14
In addition to the Medicare regulations, doctors must contend with FDA regulations (which delay the arrival and raise the costs of new drugs), insurance company paperwork, and the increasing criminalization of medicine through legislation such as the Health Insurance Portability Act (HIPPA) and the medical privacy regulations which could criminalize conversations between doctors and nurses.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:15
Instead of this phony argument between those who believe their form of nationalized medicine is best for patients and those whose only objection to nationalized medicine is its effect on entrenched corporate interests, we ought to consider getting rid of the laws that created this medical management crisis. The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care. This was known up front and was considered an acceptable practice since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB).
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:18
While none of the proposed “Patients’ Bill of Rights” addresses the root cause of the problems in our nation’s health care system, the amendment offered by the gentleman from Kentucky does expend individual control over health care by making Medical Savings Accounts (MSAs) available to everyone. This is the most important thing Congress can do to get market forces operating immediately and improve health care. When MSAs make patient motivation to save and shop a major force to reduce cost, physicians would once again negotiate fees downward with patients — unlike today where the reimbursement is never too high and hospital and MD bills are always at the maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care.
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Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:19
There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many.
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The US Dollar and the World Economy
September 6, 2001 2001 Ron Paul 75:36
Our dollar problem, which affects our financial and budgetary decisions, originated at the Fed with our country’s acceptance of paper money thirty years ago. Federal Reserve officials and other government leaders purposely continue to mislead the people by spouting the nonsense that there is no evidence of inflation, as measured by government-rigged price indices. Even though significant price increases need not exist for monetary inflation to place a hardship on the economy, stock prices, housing prices, costs of medical care and education, and the cost of government have all been rising at very rapid rates. But the true inflation, measured by the money supply, is rising at a rate of greater than 20%, as measured by MZM. This fact is ignored.
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Statement for the Government Reform Committee Hearing on National ID Card Proposals
November 16, 2001 2001 Ron Paul 97:4
Furthermore, the federal government has no constitutional authority to require law-abiding Americans to present any form of identification before engaging in private transactions (e.g. getting a job, opening a bank account, or seeking medical assistance). As we consider how best to enhance the federal government’s ability to ensure the safety of the people, it is more important then ever that Congress remain mindful of the constitutional limitations on its power.
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Stimulating The Economy
February 7, 2002 2002 Ron Paul 5:46
Since we’re moving toward the big correction, we’re going to see a lot more wealth removed from our balance sheets and our retirement accounts. The rampant price inflation that results will erode the purchasing power of all fixed-income retirement funds like Social Security and mean a lower standard living for most people. The routine government response of increasing benefits for living expenses and medical care will never keep up with the needs or demands. Eventually we will have to give up, and a new economic system will have to be devised, as occurred in the Soviet system after 1989.
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Stimulating The Economy
February 7, 2002 2002 Ron Paul 5:61
7. In the area of personal liberty, we face some real dangers. Throughout our history, starting with the Civil War, our liberties have been curtailed and the Constitution has been flaunted. Although our government continued to grow with each crisis, many of the liberties curtailed during wartime were restored. War was precise and declared, and when the war was over, there was a desire to return to normalcy. With the current war on terrorism, there is no end in sight and there is no precise enemy, and we’ve been forewarned that this fight will go on for a long time. This means that a return to normalcy after the sacrifices we are making with our freedoms is not likely. The implementation of a national ID card, pervasive surveillance, easy-to-get search warrants, and loss of financial and medical privacy will be permanent. If this trend continues, the Constitution will become a much weaker document.
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Stimulating The Economy
February 7, 2002 2002 Ron Paul 5:63
9. There is a danger that personal privacy will be a thing of the past. Even before 9-11, there were attacks on the privacy of all Americans- for good reasons, or so it was argued. The attacks included plans for national ID cards, a national medical data bank, and “Know Your Customer” type banking regulations. The need for enforcement powers for the DEA and the IRS routinely prompted laws that violated the Fourth amendment. The current crisis has emboldened those who already were anxious to impose restrictions on the American people. With drug and tax laws, and now with anti-terrorist legislation sailing through Congress, true privacy enjoyed by a free people is fast becoming something that we will only read about in our textbooks. Reversing this trend will not be easy.
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H.R. 476
17 April 2002 2002 Ron Paul 23:2
As an obstetrician of more than thirty years, I have personally delivered more than 4,000 children. During such time, I have not performed a single abortion. On the contrary, I have spoken and written extensively and publicly condemning this “medical” procedure. At the same time, I have remained committed to upholding the constitutional procedural protections which leave the police power decentralized and in control of the states. In the name of protecting states’ rights, this bill usurps states’ rights by creating yet another federal crime.
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AFFORDABILITY OF CHILD HEALTH CARE
June 11, 2002 2002 Ron Paul 54:2
The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide their employees health insurance. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on, parents whose children have a medical condition, such as cancer or a physical disability, which requires long-term or specialized health care.
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AFFORDABILITY OF CHILD HEALTH CARE
June 11, 2002 2002 Ron Paul 54:7
Mr. Speaker, this Congress has a moral responsibility to provide tax relief for low-income parents struggling to care for a sick child, in order to help them better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue, but who is more deserving of this money, Congress or the working parents of a sick child?
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H.R. 4954
27 June 2002 2002 Ron Paul 63:9
H.R. 2268 removes the numerical limitations and sunset provisions in the Medicare Medical Savings Accounts (MSA) program. Medicare MSAs consist of a special saving account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Unlike the plans contained in H.R. 4504, and the Democratic alternative, Medicare MSAs allow seniors to use Medicare funds to obtain the prescription drugs that fit their unique needs. Medicare MSAs also allow seniors to use Medicare funds for other services not available under traditional Medicare, such as mammograms.
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Is America a Police State?
June 27, 2002 2002 Ron Paul 64:26
Because government pays for much of our health care, it’s conveniently argued that any habits or risk-taking that could harm one’s health are the prerogative of the federal government, and are to be regulated by explicit rules to keep medical-care costs down. This same argument is used to require helmets for riding motorcycles and bikes.
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Is America a Police State?
June 27, 2002 2002 Ron Paul 64:38
Government control of medicine has prompted the establishment of the National Medical Data Bank. For efficiency reasons, it is said, the government keeps our medical records for our benefit. This, of course, is done with vague and useless promises that this information will always remain confidential- just like all the FBI information in the past!
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Is America a Police State?
June 27, 2002 2002 Ron Paul 64:124
In a free society, the government’s job is simply to protect liberty – the people do the rest. Let’s not give up on a grand experiment that has provided so much for so many. Let’s reject the police state. This speech, dated 27 June 2002 on Ron Paul’s Congressional website, was a continuation of a speech found in the 9 July 2002 issue of the Congressional Record (2002 Ron Paul Chapter 66).
(This letter was sent by Congressman Ron Paul to Tommy Thompson, the Secretary of the Department of Health and Human Services, in response to announcements that the administration plans mandatory smallpox vaccines for approximately one million soldiers and frontline medical providers)
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Unintended Consequences of the Drug War
June 27, 2002 2002 Ron Paul 65:15
Like they wanted to do that? The buyers of drugs would be perfectly happy to buy them in a clean, well-lit store at reasonable prices, with the profits heavily taxed to support schools, medical benefits, or any other legitimate function of government – even police. That’s how they buy cigarettes and liquor, neither of which finances international terrorists. (In a current prosecution, smuggling cigarettes from low-tax North Carolina to high-tax Michigan allegedly raised $1,500 for an alleged affiliate of Hamas. But big violence needs bigger sums from more lucrative sources.)
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Can We Afford this War?
September 24, 2002 2002 Ron Paul 89:13
Since there are limits to borrowing and taxing, but no limits to the Fed printing money to cover our deficit, we can be assured this will occur. This guarantees that Social Security checks will never stop coming, but it also guarantees that the dollars that all retired people receive will buy less. We have already seen this happening in providing medical services. A cheap dollar; that is, an inflated dollar, is a sinister and deceitful way of cutting benefits.
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:1
Mr. Speaker, as an OB-GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant woman unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem.
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:2
However this bill raises several question of constitutionality, as well as whether it treats those victimized by large corporations and medical devices fairly. In addition, it places de facto price controls on the amounts injured parties can receive in a lawsuit and rewrites every contingency fee contract in the country. Yet, among all the new assumptions of federal power, this bill does nothing to address the power of insurance companies over the medical profession. Thus, even if the reforms of HR 4600 become law, there will be nothing to stop the insurance companies from continuing to charge exorbitant rates.
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:3
Of course, I am not suggesting Congress place price controls on the insurance industry, Instead, Congress should reexamine those federal laws such as ERISA and the HMO Act of 1973, which have allowed insurers to achieve such a prominent role in the medical profession. As I will detail below, Congress should also take steps to encourage contractual means of resolving malpractice disputes. Such an approach may not be beneficial to the insurance companies or the trial lawyers, but will certainly benefit the patients and physicians which both sides in this debate claim to represent.
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:5
The current governor of my own state of Texas has introduced a far reaching medical litigation reform plan that the Texas state legislature will consider in January. However, if HR 4600 becomes law, Texans will be deprived of the opportunity to address the malpractice crisis in the way that meets their needs. Ironically, HR 4600 actually increases the risk of frivolous litigation in Texas by lengthening the statue of limitations and changing the definition of comparative negligence!
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:6
I am also disturbed by the language that limits liability for those harmed by FDA-approved products. This language, in effect, establishes FDA approval as the gold standard for measuring the safety and soundness of medical devices. However, if FDA approval guaranteed safety, then the FDA would not regularly issue recalls of approved products later found to endanger human health and/or safety.
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Statement on Medical Malpractice Legislation
September 26, 2002 2002 Ron Paul 90:9
I am working on legislation to provide tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations.
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“You Are A Suspect”
14 November 2002 2002 Ron Paul 103:2
[New York Times, Nov. 14, 2002] YOU ARE A SUSPECT (By William Safire) Washington — If the Homeland Security Act is not amended before passage, here is what will happen to you: Every purchase you make with a credit card, every magazine subscription you buy and medical prescription you fill, every Web site you visit and email you send or receive, every academic grade you receive, every bank deposit you make, every trip you book and every event you attend — all these transactions and communications will go into what the Defense Department describes as “a virtual, centralized grand database.”
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“You Are A Suspect”
14 November 2002 2002 Ron Paul 103:10
When George W. Bush was running for president, he stood foursquare in defense of each person’s medical, financial and communications privacy. But Poindexter, whose contempt for the restraints of oversight drew the Reagan administration into its most serious blunder, is still operating on the presumption that on such a sweeping theft of privacy rights, the buck ends with him and not with the president.
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Important Questions Concerning the Administration’s Smallpox Vaccine Proposals
December 19th, 2002 2002 Ron Paul 104:1
(This letter was sent by Congressman Ron Paul to Tommy Thompson, the Secretary of the Department of Health and Human Services, in response to announcements that the administration plans mandatory smallpox vaccines for approximately one million soldiers and frontline medical providers)
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Stop Identity Theft – Make Social Security Numbers Confidential
January 7, 2003 2003 Ron Paul 4:7
Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible database? Some members of Congress may claim that the federal monitoring of all Americans will enhance security. However, the fact is that creating a surveillance state will divert valuable resources away from investigating legitimate security threats into spying on innocent Americans, thus reducing security. The American people would be better served if the government focused attention on ensuring our borders are closed to potential terrorists instead of coming up with new ways to violate the rights of American citizens.
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Stop Identity Theft – Make Social Security Numbers Confidential
January 7, 2003 2003 Ron Paul 4:13
Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy” regulation, which allows medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information.
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Republic Versus Democracy
29 January 2003 2003 Ron Paul 6:13
But today, the American people accept drug prohibition, a policy equally damaging to liberty as was alcohol prohibition. A majority vote in Congress has been enough to impose this very expensive and failed program on the American people even without bothering to amend the Constitution. It has been met with only minimal but, fortunately, growing dissent. For the first 150 years of our history, when we were much closer to being a true Republic, there were no Federal laws dealing with the serious medical problem of addiction.
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Republic Versus Democracy
29 January 2003 2003 Ron Paul 6:26
Since reversing the tide against liberty is so difficult, this unworkable system inevitably leads to various forms of tyranny. As our Republic crumbles, voices of protest grow louder. The central government becomes more authoritarian with each crisis. As the equality of education plummets, the role of the Federal Government is expanded. As the quality of medical care collapses, the role of the Federal Government in medicine is greatly increased.
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Republic Versus Democracy
29 January 2003 2003 Ron Paul 6:36
Those who champion liberty are rarely heard from. The media, banking, insurance, airlines, transportation, financial institutions, government employees, the military industrial complex, the education system and the medical community are all dependent on government appropriations resulting in a high-stakes system of government.
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Republic Versus Democracy
29 January 2003 2003 Ron Paul 6:74
Facing this problem of paying for past and present excess spending, the borrowing and inflating of the money supply has already begun in earnest. Many retirees, depending on their 401(k) funds and other retirement programs, are suffering the ill effects of the stock market crash, a phenomenon that still has a long way to go. Depreciating the dollar by printing excessive money, like the Fed is doing, will eventually devastate the purchasing power of those retirees who are dependent on Social Security. Government cost-ofliving increases will never be able to keep up with the loss. The elderly are already unable to afford the inflated cost of medical care, especially the cost of pharmaceuticals.
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Expand Medicare MSA Program
5 February 2003 2003 Ron Paul 12:1
Mr. PAUL. Mr. Speaker, I rise to introduce legislation which enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option.
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Expand Medicare MSA Program
5 February 2003 2003 Ron Paul 12:2
Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover nonroutine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mammograms, are made by the senior, not by bureaucrats and politicians.
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Support Medical Savings Accounts for Medicare
February 13, 2003 2003 Ron Paul 21:1
Mr. Speaker, I rise to introduce legislation that enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option.
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Support Medical Savings Accounts for Medicare
February 13, 2003 2003 Ron Paul 21:2
Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for routine medical expenses, including prescription drugs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover non-routine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mammograms, are made by seniors, not by bureaucrats and politicians.
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Stem Cell research
27 February 2003 2003 Ron Paul 26:13
There are some medical questions not yet resolved and careless legislation may impede legitimate research and use of fetal tissue. For instance, should a spontaneously aborted fetus, non-viable, not be used for stem cell research or organ transplant? Should a live fetus from an ectopic pregnancy removed and generally discarded not be used in research? How is a spontaneous abortion of an embryo or fetus different from an embryo conceived in a dish?
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Stem Cell research
27 February 2003 2003 Ron Paul 26:14
Being pro-life and pro-research makes the question profound and I might say best not answered by political demagogues, executive orders or emotional hype. How do problems like this get resolved in a free society where government power is strictly limited and kept local? Not easily, and not perfectly, but I am confident it would be much better than through centralized and arbitrary authority initiated by politicians responding to emotional arguments. For a free society to function, the moral standards of the people are crucial. Personal morality, local laws, and medical ethics should prevail in dealing with a subject such as this. This law, the government, the bureaucrats, the politicians can’t make the people more moral in making these judgments.
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Stem Cell research
27 February 2003 2003 Ron Paul 26:17
Second, the President should issue no Executive Order because under the Constitution he does not have the authority either to promote or stop any particular research nor does the Congress. And third, there should be no sacrifice of life. Local law officials are responsible for protecting life or should not participate in its destruction. We should continue the ethical debate and hope that the medical leaders would voluntarily do the self-policing that is required in a moral society. Local laws, under the Constitution, could be written and the reasonable ones could then set the standard for the rest of the nation.
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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.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:2
Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:3
As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:4
One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:5
Under the United States Constitution, the federal government has no authority to interfere with the private contracts of American citizens. Furthermore, the prohibitions on contracting contained in the Sherman antitrust laws are based on a flawed economic theory which holds that federal regulators can improve upon market outcomes by restricting the rights of certain market participants deemed too powerful by the government. In fact, anti-trust laws harm consumers by preventing the operation of the free-market, causing prices to rise, quality to suffer, and, as is certainly the case with the relationship between the HMOs and medical professionals, favoring certain industries over others.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:6
By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization.
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Quality Health Care Coalition Act
12 March 2003 2003 Ron Paul 32:7
Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by expanding access to Medical Savings Accounts and providing Americans with large tax credits and tax deductions for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry.
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Freedom From Unnecessary Litigation Act
12 March 2003 2003 Ron Paul 33:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer.
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Freedom From Unnecessary Litigation Act
12 March 2003 2003 Ron Paul 33:3
The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates.
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Freedom From Unnecessary Litigation Act
12 March 2003 2003 Ron Paul 33:5
Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act.
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Freedom from Unnecessary Litigation Act (H.R. 1249)
13 March 2003 2003 Ron Paul 34:1
Mr. PAUL. Mr. Speaker, as an OB–GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant women unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem.
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Freedom from Unnecessary Litigation Act (H.R. 1249)
13 March 2003 2003 Ron Paul 34:2
However this bill raises several questions of constitutionality, as well as whether it treats those victimized by large corporations and medical devices fairly. In addition, it places de facto price controls on the amounts injured parties can receive in a lawsuit and rewrites every contingency fee contract in the country. Yet, among all the new assumptions of federal power, this bill does nothing to address the power of insurance companies over the medical profession. Thus, even if the reforms of H.R. 5 become law, there will be nothing to stop the insurance companies from continuing to charge exorbitant rates.
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Freedom from Unnecessary Litigation Act (H.R. 1249)
13 March 2003 2003 Ron Paul 34:3
Of course, I am not suggesting Congress place price controls on the insurance industry. Instead, Congress should reexamine those federal laws such as ERISA and the HMO Act of 1973, which have allowed insurers to achieve such a prominent role in the medical profession. As I will detail below, Congress should also take steps to encourage contractual means of resolving malpractice disputes. Such an approach may not be beneficial to the insurance companies or the trial lawyers, buy will certainly benefit the patients and physicians, which both sides in this debate claim to represent.
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Freedom from Unnecessary Litigation Act (H.R. 1249)
13 March 2003 2003 Ron Paul 34:5
I am also disturbed by the language that limits liability for those harmed by FDA-approved products. This language, in effect, establishes FDA approval as the gold standard for measuring the safety and soundness of medical devices. However, if FDA approval guaranteed safety, then the FDA would not regularly issue recalls of approved products later found to endanger human health and/or safety.
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Freedom from Unnecessary Litigation Act (H.R. 1249)
13 March 2003 2003 Ron Paul 34:8
I have introduced the Freedom from Unnecessary Litigation Act (H.R. 1249). H.R. 1249 provides tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations.
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Crisis In Healthcare
13 March 2003 2003 Ron Paul 35:3
Returning control over health care to the individual is the key to true health care reform. This is why today I am introducing the Comprehensive Health Care Reform Act. This legislation puts control of health care back into the hands of the individual through tax credits, tax deductions, Medical Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act:
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Crisis In Healthcare
13 March 2003 2003 Ron Paul 35:6
C. Makes every American eligible for an Archer Medical Savings Account (MSA) and changes the tax laws to increase the benefits of MSAs.
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Crisis In Healthcare
13 March 2003 2003 Ron Paul 35:7
D. Repeals the 7.5 percent threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
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Crisis In Healthcare
13 March 2003 2003 Ron Paul 35:8
By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a recent poll by the respected Zogby firm showed that over 80 percent of Americans support providing all Americans with access to a Medical Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act.
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“Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice
March 27, 2003 2003 Ron Paul 39:2
The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates.
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“Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice
March 27, 2003 2003 Ron Paul 39:4
Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act.
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Comprehensive Health Care Reform Without Socialized Medicine
March 27, 2003 2003 Ron Paul 40:3
Returning control over health care to the individual is the key to true health care reform. This why today I am introducing the Comprehensive Health Care Reform Act. This legislation puts control of health care back into the hands of the individual through tax credits, tax deductions, Medical Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act:
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Comprehensive Health Care Reform Without Socialized Medicine
March 27, 2003 2003 Ron Paul 40:6
C. Makes every American eligible for an Archer Medical Savings Account (MSA) and changes the tax laws to increase the benefits of MSAs;
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Comprehensive Health Care Reform Without Socialized Medicine
March 27, 2003 2003 Ron Paul 40:7
D. Repeals the 7.5% threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
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Comprehensive Health Care Reform Without Socialized Medicine
March 27, 2003 2003 Ron Paul 40:8
By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a recent poll by the respected Zogby firm showed that over 80% of Americans support providing all Americans with access to a Medical Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:1
Mr. Speaker, I rise to introduce the Patient Privacy Act. This bill repeals the misnamed Medical Privacy regulation, which went into effect on April 14 and actually destroys individual medical privacy. The Patient Privacy Act also 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, as well as prohibiting the use of federal funds to develop or implement a database containing personal health information. Both of these threats to medical freedom grew out of the Clinton-era craze to nationalize health care as much as politically possible.
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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.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:3
The dangers to liberty inherent in the “uniform health identifier” are magnified by the so-called “medical privacy” regulation. Many things in Washington are misnamed, however, this regulation may be the most blatant case of false advertising I have come across in all my years in Congress. Rather than protecting the individual’s right to medical privacy, these regulations empower government officials to determine how much medical privacy an individual “needs.” This one-size-fits-all approach ignores the fact that different people may prefer different levels of privacy. Some individuals may be willing to exchange a great deal of their personal medical information in order to obtain certain benefits, such as lower-priced care or having information targeted to their medical needs sent to them in a timely manner. Others may forgo those benefits in order to limit the number of people who have access to their medical history. Federal bureaucrats cannot possibly know, much less meet, the optimal level of privacy for each individual. In contrast, the free market allows individuals to obtain the level of privacy protection they desire.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:4
The so-called medical privacy regulations and uniform health identifier scheme not only reduce an individual’s ability to determine who has access to his personal medical information, but actually threaten medical privacy and constitutionally-protected liberties. For example, these regulations allow law enforcement and other government officials access to a citizen’s private medical records without having to obtain a search warrant.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:5
Allowing government officials to access a private person’s medical records without a warrant is a violation of the Fourth amendment to the United States Constitution, which protects American citizens from warrantless searches by government officials. The requirement that law enforcement officials obtain a warrant from a judge before searching private documents is one of the fundamental protections against abuse of the government’s power to seize an individual’s private documents. While the Fourth Amendment has been interpreted to allow warrantless searches in emergency situations, it is hard to conceive of a situation where law enforcement officials would be unable to obtain a warrant before electronic medical records would be destroyed.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:6
Mr. Speaker, these regulations also require health care providers to give medical records to the federal government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information, accessible to anyone who knows the individual’s unique health identifier. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:7
In addition to law enforcement, these so-called privacy protection regulations create a privileged class of people with a federally-guaranteed right to see an individual’s medical records without the individual’s consent. My medical office recently received a Model “Privacy Act Compliance” form. This three-page form lists over 20 situations where medical information may be disclosed without individual consent. Medical information may be disclosed to attorneys, business associates of the provider, and federal agencies conducting “health oversight activities.” Medical information may also be divulged without consent to insurance companies and medical researchers!
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:8
Medical researchers claim to be able to protect the autonomy of their unwilling subjects, but the fact is that allowing third parties to use medical records for research purposes increases the risk of inadvertent identification of personal medical information. I am aware of at least one incident where a man had his identity revealed when his medical records were used without his consent. As a result, many people in his community discovered details of his medical history that he wished to keep private!
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:9
Forcing individuals to divulge medical information without their consent also runs afoul of the Fifth amendment’s prohibition on taking private property for public use without just compensation. After all, people do have a legitimate property interest in their private information. Therefore, restrictions on an individual’s ability to control the dissemination of their private information represents a massive regulatory taking. The takings clause is designed to prevent this type of sacrifice of individual property rights for the “greater good.”
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:11
As an OB-GYN with more than 30 years experience in private practice, I am very concerned by the threat to medical practice posed by these privacy regulations and the unique health identifier scheme. The confidential physician-patient relationship is the basis of good health care.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:13
I ask my colleagues to consider how comfortable you would be confiding an embarrassing physical or emotional problem to your physicians if you knew that any and all information given your doctor may be placed in a government database or seen by medical researchers, handed over to government agents without so much as a simple warrant or accessed by anyone who happens to know your unique health identifier?
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:14
By now it should be clear to every member of Congress that the American people do not want their health information recorded on a database, and they do not wish to be assigned a unique health identifier. According to a survey by the respected Gallup Company, 91 percent of Americans oppose assigning Americans a unique health care identifier, while 92 percent of the people oppose allowing government agencies the unrestrained power to view private medical records and 88 percent of Americans oppose placing private health care information in a national database. Congress has acknowledge this public concern by including language forbidding the expenditure of funds to implement or develop a medical identifier in the federal budget for the past five fiscal years. Rather than continuing to extend the prohibition on funding for another year, Congress should finally obey the wishes of the American people by repealing the authorization of the individual medical ID this year as well as repealing these dangerous medical privacy rules.
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Repeal the So-Called “Medical Privacy Rule”
April 9, 2003 2003 Ron Paul 49:15
Mr. Speaker, the misnamed medical privacy regulations and the scheme to assign all Americans a unique health care identifier violates the Fourth and Fifth amendments by allowing law enforcement officials and government favored special interests to seize medical records without an individual’s consent or a warrant. Federal supervision of who can access medical records, combined with a federally-assigned medical ID, facilitate the creation of a federal database containing the health care data of every American citizen. These developments could undermine the doctor-patient relationship and thus worsen the health care of millions of Americans. I, therefore, call on my colleagues to join me in repealing these threats to privacy and quality health care by cosponsoring the Patient Privacy Act.
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Against $15 Billion To Fight AIDS In Africa
1 May 2003 2003 Ron Paul 53:2
One, I think the odds are very slim that it is going to do a whole lot of good. It is very well-intended. I am a physician, and I cannot think of anything better than to wipe out AIDS in Africa, or in the United States, for that matter. But $15 billion going to Africa on a questionable program bothers me because at the same time, we are cutting benefits to our veterans and also the elderly have a hard time getting medical care here. So there is a practical argument against the legislation.
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Against $15 Billion To Fight AIDS In Africa
1 May 2003 2003 Ron Paul 53:5
Well, that is where the shortcoming comes because if we read the Constitution, at the end of article I, section 8, it says, “To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers.” Therefore, the “necessary and proper” clause is explicitly designed to give the authority to write the laws for the foregoing powers. Believe me, we will not find any authority in article I, section 8 for dealing with medical care problems in Africa.
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The Partial Birth Abortion Ban
June 4, 2003 2003 Ron Paul 58:1
Mr. Speaker, like many Americans, I am greatly concerned about abortion. Abortion on demand is no doubt the most serious sociopolitical problem of our age. The lack of respect for life that permits abortion significantly contributes to our violent culture and our careless attitude toward liberty. As an obstetrician, I know that partial birth abortion is never a necessary medical procedure. It is a gruesome, uncivilized solution to a social problem.
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The Partial Birth Abortion Ban
June 4, 2003 2003 Ron Paul 58:6
Another problem with this bill is its citation of the interstate commerce clause as a justification for a federal law banning partial-birth abortion. This greatly stretches the definition of interstate commerce. The abuse of both the interstate commerce clause and the general welfare clause is precisely the reason our federal government no longer conforms to constitutional dictates but, instead, balloons out of control in its growth and scope. H.R. 760 inadvertently justifies federal government intervention into every medical procedure through the gross distortion of the interstate commerce clause.
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Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:15
H.R. 1617 removes the numerical limitations and sunset provisions in the Medicare Medical Savings Accounts (MSA) program. Medicare MSAs consist of a special saving account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Unlike the plans contained in H.R. 4504, and the Democratic alternative, Medicare MSAs allow seniors to use Medicare funds to obtain the prescription drugs that fit their unique needs. Medicare MSAs also allow seniors to use Medicare funds for other services not available under traditional Medicare, such as mammograms.
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Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:20
In conclusion, Mr. Speaker, both H.R. 1 and the alternative force seniors to cede control over which prescription medicines they may receive. The only difference between them is that H.R. 1 gives federally funded HMO bureaucrats control over seniors’ prescription drugs, whereas the alternative gives government functionaries the power to tell seniors which prescription drug they can (and can’t) have. Congress can, and must, do better for our Nation’s seniors, by rejecting this command- and-control approach. Instead, Congress should give seniors the ability to use Medicare funds to pay for the prescription drugs of their choice by passing my legislation that gives all seniors access to Medicare Medical Savings Accounts.
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Neo – CONNED !
July 10, 2003 2003 Ron Paul 73:22
There are many reasons why government continues to grow. It would be naïve for anyone to expect otherwise. Since 9-11, protection of privacy, whether medical, personal or financial, has vanished. Free speech and the Fourth Amendment have been under constant attack. Higher welfare expenditures are endorsed by the leadership of both parties. Policing the world and nation-building issues are popular campaign targets, yet they are now standard operating procedures. There’s no sign that these programs will be slowed or reversed until either we are stopped by force overseas (which won’t be soon) or we go broke and can no longer afford these grandiose plans for a world empire (which will probably come sooner than later.)
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Neo – CONNED !
July 10, 2003 2003 Ron Paul 73:80
There’s no serious opposition to the expanding welfare state, with rapid growth of the education, agriculture and medical-care bureaucracy. Support for labor unions and protectionism are not uncommon. Civil liberties are easily sacrificed in the post 9-11 atmosphere prevailing in Washington. Privacy issues are of little concern, except for a few members of Congress. Foreign aid and internationalism—in spite of some healthy criticism of the UN and growing concerns for our national sovereignty—are championed on both sides of the aisle. Lip service is given to the free market and free trade, yet the entire economy is run by special-interest legislation favoring big business, big labor and, especially, big money.
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Neo – CONNED !
July 10, 2003 2003 Ron Paul 73:89
The believers in liberty ought not deceive themselves. Who should be satisfied? Certainly not conservatives, for there is no conservative movement left. How could liberals be satisfied? They are pleased with the centralization of education and medical programs in Washington and support many of the administration’s proposals. But none should be pleased with the steady attack on the civil liberties of all American citizens and the now-accepted consensus that preemptive war—for almost any reason—is an acceptable policy for dealing with all the conflicts and problems of the world.
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The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:2
When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, today, the Social Security Administration refuses to give seniors Social Security benefits unless they enroll in Medicare Part A.
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The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:6
Forcing seniors into any government program as a precondition of receiving their promised Social Security benefits both violates the promise of Social Security and infringes on the freedom of seniors who do not wish to participate in Medicare. As the author of the submitted letter says, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the rights of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Senior Citizens Freedom of Choice Act.
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The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:9
I discovered this in June 2001 when I went with my husband to apply for my Social Security benefits. I made it quite clear that I would not enroll in Medicare, Part A due to my objections to certain aspects of this program. (The objectionable aspects include invasion of privacy and limitation of medical choice.) In response I was told that I then could not receive the Social Security benefits to which I am otherwie entitled.
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The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:10
Further communication with CMS by myself and by the office of Senator Kennedy on my behalf confirmed that CMS and the Social Security Administration take the position that “the Medicare program, Part A . . . [is] a benefit completely linked to the monthly social security benefit for those age 65 or older.” Indeed I was sent a copy of federal regulation 404.640 (entitled “Withdrawal of an application”), which states that anyone who enrolls in Medicare, Part A and then decides later to withdraw will have to return all benefits received. (Another document I received states that this includes both medical benefits and social security benefits.)
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The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:15
I believe that I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed. I ask that you take steps to remedy this situation. I shall be happy to supply documentation regarding the facts outlined above, it you request it. I look forward to hearing from you. Sincerely,_______.
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Medicinal Marijuana
22 July 2003 2003 Ron Paul 89:9
The whole notion that we can deny this right to the States to allow a little bit of compassion for a patient that is dying, I would say this is a compassionate vote. If we care about the people being sick, then we have to vote for this amendment. This will do nothing to increase the use of bad drugs. The bad drugs are there; and as a physician and a parent and a grandparent, I preach against it all the time, but the unwise use of drugs is a medical problem, just like alcoholism is a medical problem; but we have turned this into a monster to the point where we will not even allow a person dying from cancer and AIDS to get a little bit of relief.
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A Wise Consistency
February 11, 2004 2004 Ron Paul 2:14
Alcohol Prohibition—For Our Own Protection : Alcohol prohibition was a foolish consistency engaged in for over a decade, but we finally woke up to the harm done. In spite of prohibition, drinking continued. The alcohol being produced in the underground was much more deadly, and related crime ran rampant. The facts stared us in the face, and with time, we had the intelligence to repeal the whole experiment. No matter how logical this reversal of policy was, it did not prevent us from moving into the area of drug prohibition, now in the more radical stages, for the past 30 years. No matter the amount of harm and cost involved, very few in public life are willing to advise a new approach to drug addiction. Alcoholism is viewed as a medical problem, but illicit drug addiction is seen as a heinous crime. Our prisons overflow, with the cost of enforcement now into the hundreds of billions of dollars, yet drug use is not reduced. Nevertheless, the politicians are consistent. They are convinced that a tough stand against usage with very strict laws and mandatory sentences — sometimes life sentences for non-violent offenses — is a popular political stand. Facts don’t count, and we can’t bend on consistently throwing the book at any drug offenders. Our prisons are flooded with non-violent drug users — 84% of all federals prisoners — but no serious reassessment is considered. Sadly, the current war on drugs has done tremendous harm to many patients’ need for legitimate prescribed pain control. Doctors are very often compromised in their ability to care for the seriously and terminally ill by overzealous law enforcement. Throughout most of our history, drugs were legal and at times were abused. But during that time, there was no history of the social and legal chaos associated with drug use that we suffer today. A hundred years ago, a pharmacist openly advertised, “Heroin clears the complexion, gives buoyancy to the mind, regulates the stomach and the bowels and is, in fact, a perfect guardian of health.” Obviously this is overstated as a medical panacea, but it describes what it was like not to have hysterical busybodies undermine our Constitution and waste billions of dollars on a drug war serving no useful purpose. This country needs to wake up! We should have more confidence in citizens making their own decisions, and decide once again to repeal federal prohibition, while permitting regulation by the states alone.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:1
Mr. PAUL. Mr. Speaker, the publicity surrounding popular radio talk show host Rush Limbaugh’s legal troubles relating to his use of the pain killer OxyContin will hopefully focus public attention on how the federal War on Drugs threatens the effective treatment of chronic pain. Prosecutors have seized Mr. Limbaugh’s medical records in connection with an investigation into charges that Mr. Limbaugh violated federal drug laws. The fact that Mr. Limbaugh is a high profile, and often controversial, conservative media personality has given rise to speculation that the prosecution is politically motivated. Adding to this suspicion is the fact that individual pain patients are rarely prosecuted in this type of case.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:3
Many of the cases brought against physicians are rooted in the federal Drug Enforcement Administration (DEA)’s failure to consider current medical standards regarding the use of opioids, including OxyContin, in formulating policy. Opioids are the pharmaceuticals considered most effective in relieving chronic pain. Federal law classifies most opioids as Schedule II drugs, the same classification given to cocaine and heroin, despite a growing body of opinion among the medical community that opioids should not be classified with these substances.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:4
Furthering the problem is that patients often must consume very large amounts of opioids to obtain long-term relief. Some prescriptions may be for hundreds of pills and last only a month. A prescription this large may appear suspicious. But, according to many pain management specialists, it is medically necessary, in many cases, to prescribe such a large number of pills to effectively treat chronic pain. However, zealous prosecutors show no interest in learning the basic facts of pain management.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:8
The American Association of Physicians and Surgeons (AAPS), one of the nation’s leading defenders of private medical practice and medical liberty, has recently advised doctors to avoid prescribing opioids because, according to AAPS, “drug agents set medical standards.” I would hope that my colleagues would agree that doctors, not federal agents, should determine medical standards.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:10
Finally, as the Limbaugh case reveals, the prosecution of pain management physicians destroys the medical privacy of all chronic pain patients. Under the guise of prosecuting the drug war, law enforcement officials can rummage through patients’ personal medical records and, as may be the case with Mr. Limbaugh, use information uncovered to settle personal or political scores. I am pleased that AAPS, along with the American Civil Liberties Union (ACLU), has joined the effort to protect Mr. Limbaugh’s medical records.
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Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain
11 February 2004 2004 Ron Paul 4:11
Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials and stop the harassment of legitimate pain management physicians, who are acting in good faith in prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for doing what, in their best medical judgment, is in their patients’ best interest. Doctors should also not be prosecuted for the misdeeds of their patients. Finally, I wish to express my hope that Mr. Limbaugh’s case will encourage his many fans and supporters to consider how their support for the federal War on Drugs is inconsistent with their support of individual liberty and Constitutional government.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:1
Mr. Speaker, the publicity surrounding popular radio talk show host Rush Limbaugh’s legal troubles relating to his use of the pain killer OxyContin hopefully will focus public attention on how the federal drug war threatens the effective treatment of chronic pain. Prosecutors have seized Mr. Limbaugh’s medical records to investigate whether he violated federal drug laws. The fact that Mr. Limbaugh is a high profile, controversial, conservative media personality has given rise to speculation that the prosecution is politically motivated. Adding to this suspicion is the fact that individual pain patients are rarely prosecuted in this type of case.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:3
Many of the cases brought against physicians are rooted in the federal Drug Enforcement Administration’s failure to consider current medical standards regarding the use of opioids, including OxyContin, in formulating policy. Opioids are the pharmaceuticals considered most effective in relieving chronic pain. Federal law classifies most opioids as Schedule II drugs, the same classification given to cocaine and heroin, despite a growing body of opinion among the medical community that opioids should not be classified with these substances.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:4
Unfortunately, patients often must consume very large amounts of opioids to obtain long-term relief. Some prescriptions may be for hundreds of pills and last only a month. A prescription this large may appear suspicious. But according to many pain management specialists, it is medically necessary in many cases to prescribe a large number of pills to effectively treat chronic pain. However, zealous prosecutors show no interest in learning the basic facts of pain management.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:8
The American Association of Physicians and Surgeons (AAPS), one of the nation’s leading defenders of medical freedom, recently advised doctors to avoid prescribing opioids because, according to AAPS, “drug agents set medical standards.” I would hope my colleagues would agree that doctors, not federal agents, should determine medical standards.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:10
Finally, as the Limbaugh case reveals, the prosecution of pain management physicians destroys the medical privacy of all chronic pain patients. Under the guise of prosecuting the drug war, law enforcement officials can rummage through patients’ personal medical records and, as may be the case with Mr. Limbaugh, use information uncovered to settle personal or political scores. I am pleased that AAPS, along with the American Civil Liberties Union, has joined the effort to protect Mr. Limbaugh’s medical records.
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Rush Limbaugh and the Sick Federal War on Pain Relief
February 12, 2004 2004 Ron Paul 5:11
Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for using their best medical judgment to act in their patients’ best interests. Doctors also should not be prosecuted for the misdeeds of their patients.
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H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 1
3 March 2004 2004 Ron Paul 10:10
And then if we look at the prison system, we have created a monstrosity. Eighty-four percent, according to one study, 84 percent of all Federal prisoners are nonviolent drug prisoners. They go in and they come out violent. We are still talking about a medical problem. We treat alcoholism as a medical problem, but anybody who smokes a marijuana cigarette or sells something, we want to put them in prison. I think it is time to stop and reevaluate this.
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H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 2
3 March 2004 2004 Ron Paul 11:9
We are constitutionally wrong, we are medically wrong, we are economically wrong, and we are not achieving anything. We have no faith and confidence in our constitutional system. We have no faith and confidence that we change moral and personal habits through persuasion, not through armed might.
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The Child Health Care Affordability Act
24 March 2004 2004 Ron Paul 23:2
The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care.
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The Child Health Care Affordability Act
24 March 2004 2004 Ron Paul 23:7
Mr. Speaker, this Congress has a moral responsibility to provide tax relief so that low-income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child?
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Praising Private Space Exploration
June 25, 2004 2004 Ron Paul 44:4
Their success should also be read as a cautionary tale for all of us in government. If only the United States had a taxation policy that limited government and thereby freed up more private capital, there is no telling how many more like Burt Rutan, Paul Allen, and Michael Melvill would be able to do great things to the benefit all of mankind. This not just in space exploration, but in medical research, alternative energy research, and any number of the problems that continue to perplex mankind. Private enterprise depends on results and success and therefore private capital is always targeted much more wisely than is monies confiscated by governments.
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Stop Prosecuting Doctors For Prescribing Legal Drugs
7 July 2004 2004 Ron Paul 46:3
It is not one or two or three or four. There are approximately 400 doctors who have been prosecuted, and I know some of them, and I know they are good physicians; and we are creating a monster of a problem. It does not mean that I believe that none of these doctors have a problem. As a physician, I know what they are up against and what they face, and that is, that we have now created a system where a Federal bureaucrat makes the medical decision about whether or not a doctor has prescribed too many pain pills. I mean, that is how bureaucratic we have become even in medicine; but under these same laws that should be used going after kingpins, they are now being used to go after the doctors.
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Stop Prosecuting Doctors For Prescribing Legal Drugs
7 July 2004 2004 Ron Paul 46:4
As I say, some of them may well be involved in something illegal and unethical; and because I still want to stop this, this does not mean I endorse it, because all the problems that do exist with some doctors can be taken care of in many different ways. Doctors are regulated by their reputation, by medical boards, State and local laws, as well as malpractice suits. So this is not to give license and say the doctors can do anything they want and cause abuse because there are ways of monitoring physicians; but what has happened is we have, as a Congress, developed a great atmosphere of fear among the doctors.
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Stop Prosecuting Doctors For Prescribing Legal Drugs
7 July 2004 2004 Ron Paul 46:5
The American Association of Physicians and Surgeons, a large group of physicians in this country, has now advised their members not to use any opiates for pain, not to give adequate pain pills because the danger of facing prosecution is so great. So the very people in the medical profession who face the toughest cases, those individuals with cancer who do not need a couple of Tylenol, they might need literally dozens, if not hundreds, of tablets to control their pain, these doctors are being prosecuted.
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Marinol And Terrorism
7 July 2004 2004 Ron Paul 48:3
I think marijuana is a helpful medical treatment for the people who have intractable nausea. I would like to point out this is not something strange that we are suggesting here. For the first 163 years of our history in this country, the Federal Government had total hands off, they never interfered with what the States were doing. They interfered only after 1938 through tax law. So this is something new.
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Opposes Mandatory Mental Health Screenings In Public Schools — Part 1
9 September 2004 2004 Ron Paul 67:3
Mr. PAUL. Mr. Chairman, my amendment says that no funds in this bill will be permitted to be used to institute system of universal mental health screening. The New Freedoms Commission on Mental Health, a commission established in 2002, has recommended universal mental health screening for all our children in our public schools as well as adults who work in these schools. As a medical doctor, as a civil libertarian, and a strict constitutionist, I strongly reject this notion, this plan, as dangerous and nonproductive.
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Opposes Mandatory Mental Health Screenings In Public Schools — Part 1
9 September 2004 2004 Ron Paul 67:5
This amendment would not deny, in the routine course of events, medical treatment for those who are suffering from mental disease. What my concern is for a universal screening test of all children for mental illness.
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Opposes Mandatory Mental Health Screenings In Public Schools — Part 1
9 September 2004 2004 Ron Paul 67:10
The whole notion of testing children to me represents a principle even more intrusive than a mandatory blood test. It would make more sense medically to have a blood test for, say, AIDS, if you thought it was the responsibility of the Federal Government to take this job upon themselves. But, no, if we tried to do this in the area of mental diseases, believe me, the criteria would be way too arbitrary. A diagnosis will be too difficult to determine with a set of objective standards.
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Opposes Mandatory Mental Health Screenings In Public Schools — Part 2
9 September 2004 2004 Ron Paul 68:2
Mr. Chairman, I think the amendment was misconstrued by the previous speaker, because it would not deny medical care. What it does is it denies the authority to the administration to have universal screening of all children in public school. It does not deny care to any individual that may qualify.
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Opposes Mandatory Mental Health Screenings In Public Schools — Part 2
9 September 2004 2004 Ron Paul 68:6
I would like to restate once again, this amendment does not deny treatment to any individual that is pointed out to have medical needs. This goes along with the principles of reasonable cause. They cannot go in and search our houses, or at least they are not supposed to, without a reasonable cause. We should not go into these kids’ minds without reasonable cause and sort out this kind of information.
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:1
Mr. Speaker, I rise in opposition to HR 3015, the National All Schedules Prescription Electronic Reporting Act. This bill is yet another unjustifiable attempt by the federal government to use the war on drugs as an excuse for invading the privacy and liberties of the American people and for expanding the federal government’s disastrous micromanagement of medical care. As a physician with over 30 years experience in private practice, I must oppose this bill due to the danger it poses to our health as well as our liberty.
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:4
Applying to doctors laws intended to deal with drug kingpins, the government has created the illusion of some success in the war on drugs. Investigating drug dealers can be hard and dangerous work. In comparison, it is much easier to shut down medical practices and prosecute doctors who prescribe pain medication.
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:5
A doctor who is willing to treat chronic pain patients with medically justified amounts of controlled substances may appear at first look to be excessively prescribing. Because so few doctors are willing to take the drug war prosecution risks associated with treating chronic pain patients, and because chronic pain patients must often consume significant doses of pain medication to obtain relief, the prosecution of one pain doctor can be heralded as a large success. All the government needs to do is point to the large amount of patients and drugs associated with a medical practice.
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:6
Once doctors know that there is a national database of controlled substances prescriptions that overzealous law enforcement will be scrutinizing to harass doctors, there may be no doctors left who are willing to treat chronic pain. Instead of creating a national database, we should be returning medical regulation to local control, where it historically and constitutionally belongs. Instead of drug warriors regulating medicine with an eye to maximizing prosecutions, we should return to state medical boards and state civil courts review that looks to science-based standards of medical care and patients’ best interests.
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:7
HR 3015 also threatens patients’ privacy. A patient’s medical records should be treated according to the mutual agreement of the patient and doctor. In contrast, HR 3015 will put a patient’s prescriptions on a government-mandated database that can be accessed without the patient’s permission!
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:8
Instead of further eroding our medical privacy, Congress should take steps to protect it. Why should someone be prevented from denying the government and third parties access to his medical records without his permission or a warrant?
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Reject a National Prescription Database
October 5, 2004 2004 Ron Paul 74:9
One way the House can act to protect patients’ privacy is by enacting my Patient Privacy Act (HR 1699) that repeals the provision of federal law establishing a medical ID for every American. Under the guise of “protecting privacy,” the Health and Human Services’ so-called “medical privacy” regulations allow medical researchers, insurance agents, and government officials access to your personal medical records — without your consent! Congress should act now to reverse this government-imposed invasion of our medical privacy.
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No Mandatory Mental Health Screening for Kids
October 6, 2004 2004 Ron Paul 76:4
Already, too many children are suffering from being prescribed psychotropic drugs for nothing more than children’s typical rambunctious behavior. According to the Journal of the American Medical Association, there was a 300-percent increase in psychotropic drug use in two to four-year old children from 1991 to 1995!
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The 9-11 Intelligence Bill: More Bureaucracy, More Intervention, Less Freedom
October 8, 2004 2004 Ron Paul 77:5
Furthermore, the federal government has no constitutional authority to require law-abiding Americans to present any form of identification before engaging in private transactions (e.g. getting a job, opening a bank account, or seeking medical assistance). Nothing in our Constitution can reasonably be construed to allow government officials to demand identification from individuals who are not suspected of any crime.
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Where To From Here?
November 20, 2004 2004 Ron Paul 81:13
Both supported expanding entitlements, including programs like the National Endowment for the Arts, medical benefits, and federal housing programs.
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Where To From Here?
November 20, 2004 2004 Ron Paul 81:28
We’re more likely to see entitlements and domestic spending continue to increase. There are zero plans for reigning in the Department of Education, government medical care, farm subsidies, or federal housing programs. Don’t expect the National Endowment for the Arts to be challenged. One can be assured its budget will expand as it has for the last four years, with much of the tax money spent on “arts” ironically being used to attack family values.
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Introducing The Parental Consent Act
4 January 2005 2005 Ron Paul 1:3
Already, too many children are suffering from being prescribed psychotropic drugs for nothing more than children’s typical rambunctious behavior. According to the Journal of the American Medical Association, there was a 300-percent increase in psychotropic drug use in two- to four-year-old children from 1991 to 1995.
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Introducing The Identity Theft protection Act
4 January 2005 2005 Ron Paul 2:8
The Identity Theft Prevention Act repeals those sections of Federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician- patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database?
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Introducing The Identity Theft protection Act
4 January 2005 2005 Ron Paul 2:16
Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy”’ regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information.
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Introducing The Social Security Preservation Act
4 January 2005 2005 Ron Paul 4:3
With federal deficits reaching historic levels the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. Social Security reform will be one of the major issues discussed in this Congress and many of my colleagues have different ideas regarding how to best preserve the long-term solvency of the program. However, as a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act.
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Government IDs and Identity Theft
January 6, 2005 2005 Ron Paul 5:8
The Identity Theft Prevention Act repeals those sections of federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier--an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database?
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Government IDs and Identity Theft
January 6, 2005 2005 Ron Paul 5:16
Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy'” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information.
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America’s Foreign Policy Of Intervention
26 January 2005 2005 Ron Paul 6:5
As a physician, I would like to draw an analogy. In medicine, mistakes are made. Man is fallible. Misdiagnoses are made, incorrect treatments are given, and experimental trials of medicine are advocated. A good physician understands the imperfections in medical care, advises close follow-ups and double- checks the diagnoses, treatment and medication. Adjustments are made to assure the best results.
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America’s Foreign Policy Of Intervention
26 January 2005 2005 Ron Paul 6:6
But what if a doctor never checks the success or failure of a treatment or ignores bad results and assumes his omnipotence, refusing to concede that the initial course of treatment was a mistake? Let me assure my colleagues the results would not be good. Litigation and the loss of reputation in the medical community place restraints on this type of bull-headed behavior.
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Seniors’ Health Care Freedom Act
2 February 2005 2005 Ron Paul 15:1
Mr. PAUL. Mr. Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repealing federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services.
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Seniors’ Health Care Freedom Act
2 February 2005 2005 Ron Paul 15:5
Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act.
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Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:5
This debate, though, shows that one life is indeed important. It is not an esoteric subject; it’s a real life involved and a personal issue we can’t ignore, especially in this age of Medicare, with government now responsible for most of the medical bills.
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Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:6
We’re rapidly moving toward a time when these decisions will be based on the cost of care alone, since government pays all the bills under nationalized health care. As we defer to the state for our needs, and parental power is transferred to government, it is casually expected that government will be making more and more of these decisions. This has occurred in education, general medical care, and psychological testing. The government now can protect the so-called right of a teenager to have an abortion, sometimes paid for by the government, without notifying the parents.
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Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:19
Having practiced medicine in simpler times, agonizing problems like we just witnessed in this case did not arise. Yes, similar medical decisions were made and have been made for many, many years. But lawyers weren’t involved, nor the courts nor the legislators nor any part of the government-- only the patient, the patient’s family, and the doctor. No one would have dreamed of making a federal case of the dying process.
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Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:21
The accountants already have calculated that if the baby-boomer generation is treated to allow maximum longevity without quality of life concerns, we’re talking about $7 trillion in additional medical costs. Economists will determine the outcome, and personal decisions will vanish. National health care, of necessity, will always conflict with personal choices.
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Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:23
Without a renewal in the moral fiber of the country and respect for the constitutional rule of law, we can expect a lot more and worse problems than we witnessed in the case of Terri Schiavo. When dying and medical care becomes solely a commercial event, we will long for the days of debating what was best for Terri.
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Who’s Better Off?
April 6, 2005 2005 Ron Paul 35:4
How much better off are the Iraqi people? Hundreds of thousands of former inhabitants of Fallajah are not better off with their city flattened and their homes destroyed. Hundreds of thousands are not better off living with foreign soldiers patrolling their street, curfews, and the loss of basic utilities. One hundred thousand dead Iraqis, as estimated by the Lancet Medical Journal, certainly are not better off. Better to be alive under Saddam Hussein than lying in some cold grave.
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Humanitarian Food And Medicine Export Act
6 April 2005 2005 Ron Paul 38:1
Mr. PAUL. Mr. Speaker, I rise to introduce legislation that will remove current, and prohibit future, embargoes on the export of food, medicine, or medical devices. Embargoes on these items, as we have seen time and time again, do not have the desired policy effect on the targeted country. In fact, they only punish the innocent and most vulnerable people in these countries. Does anyone believe that denying the people of a foreign country food or medicine because of our quarrel with their leader will make them more sympathetic toward the United States? We are fond of talking about “humanitarian” treatment in foreign countries. But it is our policy of embargoing the export of food and medicine to certain countries that is most un-humanitarian. We need to practice what we preach.
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Federalizing Abortion Law
27 April 2005 2005 Ron Paul 42:2
As an obstetrician of almost 40 years, I have personally delivered more than 4,000 children. During such time, I have not performed a single abortion. On the contrary, I have spoken and written extensively and publicly condemning this “medical” procedure. At the same time, I have remained committed to upholding the constitutional procedural protections which leave the police power decentralized and in control of the States. In the name of protecting parental rights, this bill usurps States’ rights by creating yet another Federal crime.
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No Federal Funding for Stem Cell Research
May 24, 2005 2005 Ron Paul 51:4
Federal funding of medical research guarantees the politicization of decisions about what types of research for what diseases will be funded. Thus, scarce tax resources are allocated according to who has the most effective lobby rather than on the basis of need or even likely success. Federal funding also causes researchers to neglect potential treatments and cures that do not qualify for federal funds. Ironically, an example of this process may be found in HR 2520: some research indicates that adult stem cells may be as useful or more useful to medical science than either embryonic or umbilical cord stem cells. In fact, the supporters of embryonic stem cell research may have a point when they question the effectiveness of umbilical cord stem cells for medical purposes. Yet if HR 2520 becomes law, researchers will have an incentive to turn away from adult stem cell research in order to receive federal funds for umbilical cord stem cell research!
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An Article By Mr. Lee Jackson
14 June 2005 2005 Ron Paul 62:5
Courts are uniquely suited to try the facts of particular cases. Legislatures are not. However, legislatures must react to concerns of constituents, and so they have sought solutions as Americans pressed them to weigh in on the perceived high volume of seemingly frivolous cases that drove up medical and other costs, and seemed to precipitate a downward spiral in quality of crucial services.
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Introducing The Comprehensive Health Care Act
27 June 2005 2005 Ron Paul 75:8
D. Repeals the 7.5 percent threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
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Introducing The Freedom From Unnecessary Litigation Act
27 June 2005 2005 Ron Paul 77:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer.
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Introducing The Freedom From Unnecessary Litigation Act
27 June 2005 2005 Ron Paul 77:3
The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates.
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Introducing The Freedom From Unnecessary Litigation Act
27 June 2005 2005 Ron Paul 77:5
Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act.
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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.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:2
Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:3
As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:4
One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:5
Under the United States Constitution, the Federal government has no authority to interfere with the private contracts of American citizens. Furthermore, the prohibitions on contracting contained in the Sherman antitrust laws are based on a flawed economic theory which holds that Federal regulators can improve upon market outcomes by restricting the rights of certain market participants deemed too powerful by the government. In fact, anti- trust laws harm consumers by preventing the operation of the free-market, causing prices to rise, quality to suffer, and, as is certainly the case with the relationship between the HMOs and medical professionals, favoring certain industries over others.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:6
By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization.
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Introducing The Quality Health Care Coalition Act
27 June 2005 2005 Ron Paul 78:7
Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new Federal regulations on the insurance industry.
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Introducing The Cancer And Terminal Illness Patient Health Care Act
27 June 2005 2005 Ron Paul 79:1
Mr. PAUL. Mr. Speaker, I rise to help working Americans stricken with cancer or other terminal illnesses, and their families, by introducing the Cancer and Terminal Illness Patient Health Care Act. This act exempts people with terminal illnesses from the employee portion of payroll taxes while they are suffering from such illnesses or are incurring significant medical costs associated with their conditions. The Cancer and Terminal Illness Patient Health Care Act also provides a payroll deduction to any worker who is the primary caregiver for a spouse, parent, or child with a terminal illness.
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Introducing The Child Health Care Affordability Act
27 June 2005 2005 Ron Paul 80:2
The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care.
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Introducing The Child Health Care Affordability Act
27 June 2005 2005 Ron Paul 80:7
Mr. Speaker, this Congress has a moral responsibility to provide tax relief so that low-income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child?
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Amend The PATRIOT Act — Part 2
21 July 2005 2005 Ron Paul 88:10
H.R. 3199 continues to violate the constitution by allowing searches and seizures of American citizens and their property without a warrant issued by an independent court upon a finding of probable cause. The drafters of the Bill of Rights considered this essential protection against an overreaching government. For example, Section 215 of the PATRIOT Act, popularly known as the libraries provision, allows Foreign Intelligence Surveillance Courts, whose standards hardly meet the constitutional requirements of the Fourth Amendment, to issue warrants for individual records, including medical and library records. H.R. 3199 does reform this provision by clarifying that it can be used to acquire the records of an American citizen only during terrorist investigations. However, this marginal change fails to bring the section up to the constitutional standard of probable cause.
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Don’t Reauthorize the Patriot Act
July 21, 2005 2005 Ron Paul 89:4
HR 3199 continues to violate the constitution by allowing searches and seizures of American citizens and their property without a warrant issued by an independent court upon a finding of probable cause. The drafters of the Bill of Rights considered this essential protection against an overreaching government. For example, Section 215 of the PATRIOT Act, popularly known as the library provision, allows Foreign Intelligence Surveillance Courts, whose standards hardly meet the constitutional requirements of the Fourth Amendment, to issue warrants for individual records, including medical and library records. HR 3199 does reform this provision by clarifying that it can be used to acquire the records of an American citizen only during terrorist investigations. However, this marginal change fails to bring the section up to the constitutional standard of probable cause.
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Introduction Of The Cures Can Be Found Act
26 July 2005 2005 Ron Paul 91:1
Mr. PAUL. Mr. Speaker, I rise to introduce the Cures Can Be Found Act. This legislation promotes medical research by providing a tax credit for investments and donations to promote adult and umbilical cord blood stem cell research, and provides a $2,000 tax credit to new parents for the donation of umbilical cord blood that can be used to extract stem cells.
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Introduction Of The Cures Can Be Found Act
26 July 2005 2005 Ron Paul 91:3
By providing tax incentives for adult and umbilical cord blood stem cell research, the Cures Can Be Found Act will ensure greater resources are devoted to this valuable research. The tax credit for donations of umbilical cord blood will ensure that medical science has a continuous supply of stem cells. Thus, this bill will help scientists discover new cures using stem cells and, hopefully, make routine the use of stem cells to treat formally incurable diseases.
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Introduction Of The Cures Can Be Found Act
26 July 2005 2005 Ron Paul 91:4
By encouraging private medical research, the Cures Can Be Found Act enhances a tradition of private medical research that is responsible for many medical breakthroughs. For example, Jonas Salk, discoverer of the polio vaccine, did not receive one dollar from the federal government for his efforts. I urge my colleagues to help the American people support the efforts of future Jonas Salks by cosponsoring the Cures Can Be Found Act.
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Introduction Of The Affordable Gas Price Act
6 October 2005 2005 Ron Paul 99:5
Federal fuel taxes are a major part of gasoline’s cost. The Affordable Gas Price Act suspends the Federal gasoline tax any time the average gas prices exceeds $3 per gallon. During the suspension, the Federal Government will have a legal responsibility to ensure the Federal highway trust fund remains funded. My bill also raises the amount of mileage reimbursement not subject to taxes, and, during times of high oil prices, provides the same mileage reimbursement benefit to charity and medical organizations as provided to businesses.
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The End Of Dollar Hegemony
15 February 2006 2006 Ron Paul 3:99
The system of money contributes significantly to the problems of illegal immigration. On the surface, immigrants escaping poverty in Mexico and Central America come here for the economic opportunity that our economy offers. However, the social services they receive, including education and medical benefits, as well as the jobs they get, are dependent on our perpetual indebtedness to foreign countries. When the burden of debt becomes excessive, this incentive to seek prosperity here in the United States will change.
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The End Of Dollar Hegemony
15 February 2006 2006 Ron Paul 3:108
Today, most business interests and the poor are dependent on government handouts. Education and medical care is almost completely controlled and regulated by an overpowering central government. We have come to accept our role as world policeman and nation builder with little question despite the bad results and inability to pay the bills.
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Introduction Of The Treat Physicians Fairly Act
2 March 2006 2006 Ron Paul 7:1
Mr. PAUL. Mr. Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the., costs imposed on them by federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals that incur costs related to providing uncompensated care.
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Introduction Of The Treat Physicians Fairly Act
2 March 2006 2006 Ron Paul 7:2
Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms are required to provide care, regardless of a person’s ability to pay, to anyone who comes into an emergency room. Hospitals are also required by law to bear the full costs of providing free care to anyone who seeks emergency care. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 in revenue per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations. Physicians can be fined $50,000 for technical EMTALA violations!
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Introduction Of The Treat Physicians Fairly Act
2 March 2006 2006 Ron Paul 7:4
Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing medicine, it was common for doctors to provide uncompensated care as a matter of charity. However, laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they where acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increasing health care costs associated with the government- facilitated overreliance on third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by its interventions by imposing the EMTALA mandate on physicians, in effect making health care professionals scapegoats for the harmful consequences of government health care polices.
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Introduction Of The Treat Physicians Fairly Act
2 March 2006 2006 Ron Paul 7:5
EMTALA could actually decrease the care available for low-income Americans at emergency rooms. This is because EMTALA discourages physicians from offering any emergency care. Many physicians in my district have told me that they are considering curtailing their practices, in part because of the costs associated with the EMTALA mandates. Many other physicians are even counseling younger people against entering the medical profession because of the way the Federal Government treats medical professionals. The tax credits created in the Treat Physicians Fairly Act will help mitigate some of the burden government policies place on physicians.
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Introduction Of The Treat Physicians Fairly Act
2 March 2006 2006 Ron Paul 7:6
The Treat Physicians Fairly Act does not remove any of EMTALA’s mandates; it simply provides that physicians can receive a tax credit for the costs of providing uncompensated care. This is a small step toward restoring fairness to physicians. Furthermore, by providing some compensation in the form of tax credits, the Treat Physicians Fairly Act helps remove the disincentives to remaining active in the medical profession built into the current EMTALA law. I hope my colleagues will take the first step toward removing the unconstitutional burden of providing uncompensated care by cosponsoring the Treat Physicians Fairly Act.
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Illegal Drug Problem — Part 1
9 March 2006 2006 Ron Paul 11:7
And alcohol is still now a severe problem in this country. And we knew that Prohibition produced many more problems than the alcohol itself. I think that is true with drugs. I think we have allowed ourselves to be carried away, to a large degree, because now we have laws that lack compassion. We do know, in the medical field, that marijuana can be helpful to cancer patients and AIDS patients can be helped where our drugs are not helpful; and to me this is just sad that we override State laws that permit it.
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Why Are Americans So Angry?
June 29, 2006 2006 Ron Paul 52:1
I have been involved in politics for over 30 years and have never seen the American people so angry. It’s not unusual to sense a modest amount of outrage, but it seems the anger today is unusually intense and quite possibly worse than ever. It’s not easily explained, but I have some thoughts on this matter. Generally, anger and frustration among people are related to economic conditions; bread and butter issues. Yet today, according to government statistics, things are going well. We have low unemployment, low inflation, more homeowners than ever before, and abundant leisure with abundant luxuries. Even the poor have cell phones, televisions, and computers. Public school is free, and anyone can get free medical care at any emergency room in the country. Almost all taxes are paid by the top 50% of income earners. The lower 50% pay essentially no income taxes, yet general dissatisfaction and anger are commonplace. The old slogan “It’s the economy, stupid,” just doesn’t seem to explain things
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Why Are Americans So Angry?
June 29, 2006 2006 Ron Paul 52:19
It is said that without government health care, the poor would not receive treatment. Medical care would be available only to the rich.
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Alternative Pluripotent Stem cell Therapies Enhancement Act
18 July 2006 2006 Ron Paul 57:4
Federal funding of medical research guarantees the politicization of decisions about what types of research for what diseases will be funded. Thus, scarce resources will be allocated according to who has the most effective lobby rather than allocated on the basis of need or even likely success. Federal funding will also cause researchers to neglect potential treatments and cures that do not qualify for federal funds.
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Alternative Pluripotent Stem cell Therapies Enhancement Act
18 July 2006 2006 Ron Paul 57:5
In order to promote private medical research, I have introduced the Cures Can Be Found Act (H.R. 3444). H.R. 3444 promotes medical research by providing a tax credit for investments and donations to promote adult and umbilical cord blood stem cell research and providing a $2,000 tax credit to new parents for the donation of umbilical cord blood from which to extract stem cells. The Cures Can Be Found Act will ensure greater resources are devoted to this valuable research. The tax credit for donations of umbilical cord blood will ensure that medical science has a continuous supply of stem cells. Thus, this bill will help scientists discover new cures using stem cells and, hopefully, make routine the use of stem cells to treat formerly incurable diseases.
medical
Alternative Pluripotent Stem cell Therapies Enhancement Act
18 July 2006 2006 Ron Paul 57:7
Companies like Prime Cell are continuing the great American tradition of private medical research that is responsible for many medical breakthroughs. For example, Jonas Salk, discoverer of the polio vaccine, did not receive one dollar from the federal government for his efforts.
medical
Tribute To UTMB
26 July 2006 2006 Ron Paul 71:1
Mr. PAUL. Mr. Speaker, I wish to commend the University of Texas Medical Branch of Galveston (UTMB), Texas, which is in my congressional district, on being named by the Environmental Protection Agency and the Department of Transportation one of the best workplaces for commuters among colleges and universities. UTMB earned this recognition because of its efforts to improve both the environment and the quality of life for commuters. UTMB has also recently received Graduate Assistance in Areas of National Need grant to support seven fellowships for nursing students who intend to teach nursing at the university level. UTMB only applied for funding for three nursing fellowships, but the Department of Education awarded UTMB funding for seven fellowships. I am sure I do not have to tell my colleagues how unusual it is for a college to be awarded more funding than they requested.
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Tribute To UTMB
26 July 2006 2006 Ron Paul 71:3
UTMB is one of the major centers of medical research in Texas and in the Nation. UTMB features a multidisciplinary environment that enables scientists and clinicians to work on projects that often have immediate application to patient care. Among UTMB’s areas of strength are neuroscience; pain management and stroke treatment; gastrointestinal health; environmental health and asthma; infectious diseases; vaccine development; cancer; molecular medicine; aging; and diabetes. Among its numerous activities, UTMB hosts summer science programs for middle school, high school, and undergraduate students to help encourage and develop the research work force of tomorrow.
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Tribute To UTMB
26 July 2006 2006 Ron Paul 71:5
While UTMB’s research program is impressive, many Texans primarily think of UTMB as a leading provider of quality health care. This is because UTMB offers services ranging from primary to specialized diagnostic care. Particularly impressive is UTMB’s pioneering telemedicine programs. For example, UTMB has recently begun a new telemedicine program to bring medical services to the residents of Jamaica Beach, Texas. UTMB has established telemedicine connections for special-needs children in east Texas, for workers on offshore oil rigs in the Gulf of Mexico, for employees of a Galveston-based insurance company, and for passengers of a cruise ship that will travel worldwide.
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Tribute To UTMB
26 July 2006 2006 Ron Paul 71:6
In conclusion, Mr. Speaker, I congratulate the University of Texas Medical Branch at Galveston being named one of the best workplaces for commuters and for receiving funding for seven nursing fellowships from the Graduate Assistance in Areas of National Need grant program. I also extend my gratitude, on behalf of all the people of my district, for all that the people of UTMB are doing in both the field of medical research and in delivering quality health care to the people of Texas.
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:2
Mr. PAUL. Mr. Chairman, as an OB–GYN with over 40 years experience in medical practice, I understand the need to improve the health care system’s efficiency by increasing the use of electronic medical records. However, H.R. 4157 is neither a constitutional nor a wise means of achieving this worthy goal.
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:3
Creating a new federal department to develop a “national strategic plan” for the use of electronic health care records will inevitably lead to the imposition of a “one-size-fits all” standard and will discourage private parties from exploring other more innovative means of storing medical records electronically. By stifling private sector innovation, H.R. 4157 guarantees that the American people will have an inferior health information technology system. Mr. Chairman, I ask my colleagues: when has a government system ever performed as well as a system developed by the private sector? In fact, Mr. Chairman, based on my 40 years of experience, I would say a major reason the health profession lags behind other professions in using information technology is the excessive government intervention in, and control of, America’s health care system!
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:4
Those who are concerned with the increasing erosion of medical privacy should also oppose H.R. 4157. H.R. 4157 facilitates the invasion of medical privacy by explicitly making electronic medical records subject to the misnamed federal “medical privacy” regulation. Mr. Chairman, many things in Washington are misnamed, however this regulation may be the most blatant case of false advertising I have come across in all my years in Congress. Rather than protect an individual right to medical privacy, these regulations empower government officials to determine how much medical privacy an individual needs.
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:5
The so-called “medical privacy” regulation not only reduce individuals” ability to determine who has access to their personal medical information, but actually threatens medical privacy and constitutionally protected liberties. For example, these regulations allow law enforcement and other government officials’ access to a citizen’s private medical record without having to obtain a search warrant.
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:6
Allowing government officials to access a private person’s medical records without a warrant is a violation of the Fourth Amendment to the United States Constitution, which protects American citizens from warrantless searches by government officials. The requirement that law enforcement officials obtain a warrant from a judge before searching private documents is one of the fundamental protections against abuse of the government’s power to seize an individual’s private documents. While the Fourth Amendment has been interpreted to allow warrantless searches in emergency situations, it is hard to conceive of a situation where law enforcement officials would be unable to obtain a warrant before electronic medical records would be destroyed.
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Health Information Technology Promotion Act Of 2006
27 July 2006 2006 Ron Paul 72:7
By creating a new federal bureaucracy to establish a “national strategic plan” for the adoption of electronic health care records, H.R. 4157 discourages private sector innovation and expands government control of the medical profession. H.R. 4157 also facilities the violation of medical privacy. Therefore, I urge my colleagues to reject this bill.
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Big-Government Solutions Don’t Work
7 september 2006 2006 Ron Paul 74:17
Our system of intervention assumes that politicians and bureaucrats have superior knowledge and are endowed with certain talents that produce efficiency. These assumptions don’t seem to hold much water, of course, when we look at agencies like FEMA. Still, we expect the government to manage monetary and economic policy, the medical system and the educational system, and then wonder why we have problems with the cost and efficiency of all these programs.
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Big-Government Solutions Don’t Work
7 september 2006 2006 Ron Paul 74:22
Lack of real choice in economic and personal decisions is commonplace. It seems that too often the only choice we are given is between prohibitions and subsidies. Never is it said, let the people decide on things like stem cell research or alternative medical treatments.
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Introduction Of taxpayer Protection From Genetic Discrimination Act
20 september 2006 2006 Ron Paul 81:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Taxpayer Protection from Genetic Discrimination Act. This bill ensures that no American taxpayer will be denied health care because of his or her genetic history by any agency of the federal government, a state or local government, or a government contractor. Some people have raised concerns that, while recent advances in genetic testing bring much hope of improved medical treatment, the increased use of genetic tests may also result in many people being denied access to health insurance, or even refused employment, because of their genetic history.
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Overstepping Constitutional Authority
26 September 2006 2006 Ron Paul 86:2
As an obstetrician of almost 40 years, I have personally delivered more than 4,000 children. During such time, I have not performed a single abortion. On the contrary, I have spoken and written extensively and publicly condemning this “medical” procedure. At the same time, I have remained committed to upholding the constitutional procedural protections which leave the police power decentralized and in control of the States. In the name of protecting parental rights, this bill usurps States’ rights by creating yet another Federal crime.
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National Pregnancy and Infant Loss Remembrance Day
28 September 2006 2006 Ron Paul 90:1
Mr. PAUL. Mr. Speaker, I am pleased to support H. Con. Res. 222, a resolution commending the goals and ideals of National Pregnancy and Infant Loss Remembrance Day. As a practicing OB/GYN for almost 40 years, I know there are few things more devastating than losing a child to medical complications such as a miscarriage or a stillbirth. Americans should take every opportunity to provide comfort and support to people who have suffered such a grievous loss.
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National Pregnancy and Infant Loss Remembrance Day
28 September 2006 2006 Ron Paul 90:2
I also wish to pay tribute to the efforts of Mrs. Robyn Bear, who played an instrumental role in bringing this issue before Congress. Mrs. Bear’s story is an inspirational example of how a dedicated individual can make something good come from even the most tragic circumstances. After suffering six first trimester miscarriages between 1997 and 1999, Mrs. Bear began working to create a support system for parents who lost their children because of medical complications during or shortly after pregnancy. Largely due to her efforts, Governors of all 50 States have signed proclamations recognizing National Pregnancy and Infant Loss Remembrance Day. Mrs. Bear has also been instrumental in founding several online support groups for families that have suffered the loss of an unborn or newborn child. Mrs. Bear’s efforts were also the inspiration for this legislation. I am pleased to let my colleagues know that today Mrs. Bear is the proud mother of a 6-year old girl and 3-year old twins.
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National Pregnancy and Infant Loss Remembrance Day
28 September 2006 2006 Ron Paul 90:3
In conclusion, Mr. Speaker, I once again urge my colleagues to support this bill. I also extend my thanks to Mrs. Robyn Bear for all her efforts to help parents who have lost a child due to a miscarriage, stillbirth, or other medical complications.
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Introduction Of The Taxpayer Protection From Frivolous Litigation Act
28 September 2006 2006 Ron Paul 92:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Physicians and Taxpayers’ Protection from Frivolous Litigation Act. This bill provides protection from frivolous lawsuits for physicians in cases involving Medicare and Medicaid, and in cases where physicians are obligated to provide treatment under the Emergency Medical Treatment and Active Labor Act (EMTALA).
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Introduction Of The Taxpayer Protection From Frivolous Litigation Act
28 September 2006 2006 Ron Paul 92:3
Frivolous lawsuits and the accompanying increase in malpractice insurance payments have driven many physicians out of medical practice. The malpractice crisis has further increased the cost of health care by forcing physicians to practice defensive medicine. While most malpractice reform issues are properly addressed at the state level, Congress does have a duty to act to protect physicians from frivolous lawsuits stemming from cases involving federally funded programs or federal mandates. After all, these programs already impose tremendous costs on physicians. For example, Medicare imposes so many rules and regulations on health care providers that the Medicare code is actually larger than the infamous tax code!
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Introduction Of The Senior’s Health Care Freedom Act
4 January 2007 2007 Ron Paul 2:1
Mr. PAUL. Madam Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repeal federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services.
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Introduction Of The Senior’s Health Care Freedom Act
4 January 2007 2007 Ron Paul 2:5
Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act.
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Introduction Of The Social Security Preservation Act
4 January 2007 2007 Ron Paul 4:3
With federal deficits reaching historic levels the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. Social Security reform will be one of the major issues discussed in this Congress and many of my colleagues have different ideas regarding how to best preserve the long-term solvency of the program. However, as a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act.
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Identity Theft Protection Act
5 January 2007 2007 Ron Paul 8:10
This legislation not only repeals those sections of Federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database?
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Identity Theft Protection Act
5 January 2007 2007 Ron Paul 8:17
Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy’ ” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information.
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Governmental Funding Of Embryonic Stem Cell Research
11 January 2007 2007 Ron Paul 11:3
Federal funding of medical research guarantees the politicization of decisions about what types of research for what diseases will be funded. Thus, scarce resources will be allocated according to who has the most effective lobby rather than allocated on the basis of need or even likely success. Federal funding will also cause researchers to neglect potential treatments and cures that do not qualify for federal funds.
medical
Governmental Funding Of Embryonic Stem Cell Research
11 January 2007 2007 Ron Paul 11:4
In order to promote private medical research, I will introduce the Cures Can Be Found Act. The Cures Can Be Found Act promotes medical research by providing a tax credit for investments and donations to promote adult and umbilical cord blood stem cell research and providing a $2,000 tax credit to new parents for the donation of umbilical cord blood from which to extract stem cells. The Cures Can Be Found Act will ensure greater resources are devoted to this valuable research. The tax credit for donations of umbilical cord blood will ensure that medical science has a continuous supply of stem cells. Thus, this bill will help scientists discover new cures using stem cells and, hopefully, make routine the use of stem cells to treat formerly incurable diseases.
medical
Governmental Funding Of Embryonic Stem Cell Research
11 January 2007 2007 Ron Paul 11:6
Companies like Prime Cell are continuing the great American tradition of private medical research that is responsible for many medical breakthroughs. For example, Jonas Salk, discoverer of the polio vaccine, did not receive one dollar from the federal government for his efforts.
medical
Introduction Of The Cures Can be Found Act
12 January 2007 2007 Ron Paul 16:1
Mr. PAUL. Madam Speaker, I rise to introduce the Cures Can Be Found Act. This legislation promotes medical research by providing a tax credit for investments and donations to promote adult and umbilical cord blood stem cell research, and provides a $2,000 tax credit to new parents for the donation of umbilical cord blood that can be used to extract stem cells.
medical
Introduction Of The Cures Can be Found Act
12 January 2007 2007 Ron Paul 16:3
By providing tax incentives for adult and umbilical cord blood stem cell research, the Cures Can Be Found Act will ensure greater resources are devoted to this valuable research. The tax credit for donations of umbilical cord blood will ensure that medical science has a continuous supply of stem cells. Thus, this bill will help scientists discover new cures using stem cells and, hopefully, make routine the use of stem cells to treat formally incurable diseases.
medical
Introduction Of The Cures Can be Found Act
12 January 2007 2007 Ron Paul 16:4
By encouraging private medical research, the Cures Can Be Found Act enhances a tradition of private medical research that is responsible for many medical breakthroughs. For example, Jonas Salk, discoverer of the polio vaccine, did not receive one dollar from the federal government for his efforts. I urge my colleagues to help the American people support the efforts of future Jonas Salks by cosponsoring the Cures Can Be Found Act.
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Does Anybody Care? Has Anybody Noticed?
7 February 2007 2007 Ron Paul 23:4
Has anybody noticed that large numbers of Iranians go back and forth into Iraq for many reasons, including family, religious and medical reasons, and probably for their own security as well?
medical
Statement On The Iraq War Resolution
14 February 2007 2007 Ron Paul 26:13
Resorting to a medical analogy: A wrong diagnosis was made at the beginning of the war and the wrong treatment was prescribed. Refusing to reassess our mistakes and insisting on just more and more of a failed remedy is destined to kill the patient. In this case, the casualties will be our liberties and prosperity, here at home, and peace abroad.
medical
Statement for Hearing before the House Financial Services Committee, “Monetary Policy and the State of the Economy”
15 February 2007 2007 Ron Paul 32:6
Government officials consistently claim that inflation is in check at barely 2%, but middle class Americans know that their purchasing power--especially when it comes to housing, energy, medical care, and school tuition-- is shrinking much faster than 2% each year.
medical
Introducing The Child Health Care Affordability Act
17 April 2007 2007 Ron Paul 42:2
The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care.
medical
Introducing The Child Health Care Affordability Act
17 April 2007 2007 Ron Paul 42:7
Madam Speaker, this Congress has a moral responsibility to provide tax relief so that loncome parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child?
medical
Genetic Information Non-discrimination Act
25 April 2007 2007 Ron Paul 44:1
Mr. PAUL. Madam Speaker, the supporters of H.R. 493, the Genetic Information Nondiscrimination Act, are right to be concerned over the possibility that third parties, such as the government or potential employers, will access an individual’s genetic information without consent, and use that information to deny an individual health insurance or other benefits. I have long advocated repealing government laws and polices that allow third parties to access personal information. For example, I have worked to repeal the provision of Federal law giving the Federal Government the power to assign every American a “unique medical health identifier.” I also support repealing the phony “medical privacy” regulations that give law enforcement officials and state-favored private interests the right to access medical records at will.
medical
The Affordable Gas Price Act
21 May 2007 2007 Ron Paul 54:5
Federal fuel taxes are a major part of gasoline’s cost. The Affordable Gas Price Act suspends the federal gasoline tax any time the average gas prices exceeds $3.00 per gallon. During the suspension, the federal government will have a legal responsibility to ensure the federal highway trust fund remains funded. My bill also raises the amount of mileage reimbursement not subject to taxes, and, during times of high oil prices, provides the same mileage reimbursement benefit to charity and medical organizations as provided to businesses.
medical
National Instant Criminal Background Check System Improvements Amendments Act — Part 1
13 June 2007 2007 Ron Paul 61:3
H.R. 2640 also seriously undermines the privacy rights of all Americans, gun owners and non-gun owners alike, by creating and expanding massive Federal Government databases, including medical and other private records of every American.
medical
National Instant Criminal Background Check System Improvements Amendments Act — Part 1
13 June 2007 2007 Ron Paul 61:5
Among the information that must be submitted to the database are medical, psychological, and drug treatment records that have traditionally been considered protected from disclosure under the physician/patient relationship, as well as records related to misdemeanor domestic violence. While supporters of H.R. 2640 say that there are restrictions on the use of this personal information, such restrictions did not stop the well-publicized IRS and FBI files privacy abuses by both Democratic and Republican administrations. Neither have such restrictions prevented children from being barred from flights because their names appeared on the massive terrorist watch list. We should not trick ourselves into believing that we can pick and choose which part of the Bill of Rights we support.
medical
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.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:2
Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patients and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:3
As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:4
One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:5
Under the United States Constitution, the federal government has no authority to interfere with the private contracts of American citizens. Furthermore, the prohibitions on contracting contained in the Sherman antitrust laws are based on a flawed economic theory which holds that federal regulators can improve upon market outcomes by restricting the rights of certain market participants deemed too powerful by the government. In fact, anti- trust laws harm consumers by preventing the operation of the free-market, causing prices to rise, quality to suffer, and, as is certainly the case with the relationship between the HMOs and medical professionals, favoring certain industries over others.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:6
By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization.
medical
Introducing The Quality Health Care Coalition Act
2 August 2007 2007 Ron Paul 84:7
Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry.
medical
Introduction Of The Treat Physicians Fairly Act
2 August 2007 2007 Ron Paul 85:1
Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by Federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals that incur costs related to providing uncompensated care.
medical
Introduction Of The Treat Physicians Fairly Act
2 August 2007 2007 Ron Paul 85:2
Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms are required to provide care, regardless of a person’s ability to pay, to anyone who comes into an emergency room. Hospitals are also required by law to bear the full costs of providing free care to anyone who seeks emergency care. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 in revenue per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations. Physicians can be fined $50,000 for technical EMTALA violations.
medical
Introduction Of The Treat Physicians Fairly Act
2 August 2007 2007 Ron Paul 85:4
Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing medicine, it was common for doctors to provide uncompensated care as a matter of charity. However, laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they were acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increasing health care costs associated with the government- facilitated overreliance on third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by its interventions by imposing the EMTALA mandate on physicians, in effect making health care professionals scapegoats for the harmful consequences of government health care policies.
medical
Introduction Of The Treat Physicians Fairly Act
2 August 2007 2007 Ron Paul 85:5
EMTALA could actually decrease the care available for low-income Americans at emergency rooms. This is because EMTALA discourages physicians from offering any emergency care. Many physicians in my district have told me that they are considering curtailing their practices, in part because of the costs associated with the EMTALA mandates. Many other physicians are even counseling younger people against entering the medical profession because of the way the Federal Government treats medical professionals. The tax credits created in the Treat Physicians Fairly Act will help mitigate some of the burden government policies place on physicians.
medical
Introduction Of The Treat Physicians Fairly Act
2 August 2007 2007 Ron Paul 85:6
The Treat Physicians Fairly Act does not remove any of EMTALA’s mandates; it simply provides that physicians can receive a tax credit for the costs of providing uncompensated care. This is a small step toward restoring fairness to physicians. Furthermore, by providing some compensation in the form of tax credits, the Treat Physicians Fairly Act helps remove the disincentives to remaining active in the medical profession built into the current EMTALA law. I hope my colleagues will take the first step toward removing the unconstitutional burden of providing uncompensated care by cosponsoring the Treat Physicians Fairly Act.
medical
Introducing The Comprehensive Health Care Act
2 August 2007 2007 Ron Paul 86:8
D. Repeals the 7.5 percent threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
medical
Introduction Of The Freedom From Unnecessary Litigation Act
2 August 2007 2007 Ron Paul 87:1
Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer.
medical
Introduction Of The Freedom From Unnecessary Litigation Act
2 August 2007 2007 Ron Paul 87:3
The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates.
medical
Introduction Of The Freedom From Unnecessary Litigation Act
2 August 2007 2007 Ron Paul 87:5
Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act.
medical
Two medical Breakthroughs From UTMB
12 December 2007 2007 Ron Paul 107:1
Mr. PAUL. Madam Speaker, researchers at the University of Texas Medical Branch (UTMB) have been responsible for two significant medical breakthroughs that have the potential to dramatically improve American health care.
medical
Two medical Breakthroughs From UTMB
12 December 2007 2007 Ron Paul 107:2
Earlier this year, Dr. Lisa Elferink, an associate professor at UTMB’s Cancer Center, led a national research team that discovered how use of the bacterial pathogen, Listeria monocytogenes could help medical researchers and practitioners understand the mechanisms by which cancer cells develop. This discovery is a major step in developing successful treatments for a variety of cancers.
medical
Two medical Breakthroughs From UTMB
12 December 2007 2007 Ron Paul 107:4
The development of MORES and the new use of Listeria monocytogenes are just two of the advances in medical research to come out of UTMB. UTMB is one of America’s leading centers of medical research, as well as a source of quality health care for the people of the Gulf Coast of Texas. Madam Speaker, it gives me great pleasure to extend my congratulations to the researchers involved in these recent breakthroughs and to everyone associated with UTMB for their tireless work to improve health care.
medical
Tribute To Dr. Russell Arthur Matthes
12 December 2007 2007 Ron Paul 108:4
In addition to serving the people of his community with his medical practice, Dr. Matthes was active in numerous civic and community groups. In order to maintain his links with his fellow veterans, Dr. Matthes was a lifetime member of Veterans of Foreign Wars Post 2438. He was also a member of the Masonic Lodge, the Eastern Star Jesters, the Shiners, and the Medical Benevolence Foundation.
medical
Tribute To Dr. Russell Arthur Matthes
12 December 2007 2007 Ron Paul 108:5
Dr. Matthes was particularly interested in helping the youth of his community. Thus, in addition to all his other civic activities and his full-time medical practice, Dr. Matthes was very active with the Boy Scouts. Through his activities with the scouts, as well as his other civic work, he helped improve the lives of thousands of young Texans.
medical
Introducing The Cancer And Terminal Illness Patient Health Care Act
13 December 2007 2007 Ron Paul 109:1
Mr. PAUL. Madam Speaker, I rise to help working Americans stricken with cancer or other terminal illnesses, and their families, by introducing the Cancer and Terminal Illness Patient Health Care Act. This act exempts people with terminal illnesses from the employee portion of payroll taxes while they are suffering from such illnesses or are incurring significant medical costs associated with their conditions. The Cancer and Terminal Illness Patient Health Care Act also provides a payroll deduction to any worker who is the primary caregiver for a spouse, parent, or child with a terminal illness.
medical
NEWBORN SCREENING SAVES LIVES ACT OF 2007
8 April 2008 2008 Ron Paul 20:1
Mr. PAUL. Madam Speaker, as an OB–GYN I take a back seat to no one when it comes to caring about the health of newborn children. However, as a Representative who has taken an oath to uphold the Constitution, I cannot support legislation, no matter how much I sympathize with the legislation’s stated goals, that exceeds the Constitutional limitations on Federal power or in any way threatens the liberty of the American people. Since S. 1858 violates the Constitution, and may have unintended consequences that will weaken the American health care system and further erode medical privacy, I must oppose it.
medical
NEWBORN SCREENING SAVES LIVES ACT OF 2007
8 April 2008 2008 Ron Paul 20:3
As the Federal Government assumes more control over health care, medical privacy has increasingly come under assault. Those of us in the medical profession should be particularly concerned about policies allowing Government officials and State-favored interests to access our medical records without our consent. After all, patient confidentiality is the basis of the trust that must underline a positive physician-patient relationship. Yet my review of S. 1858 indicates the drafters of the legislation made no effort to ensure these newborn screening programs do not violate the privacy rights of parents and children.
medical
NEWBORN SCREENING SAVES LIVES ACT OF 2007
8 April 2008 2008 Ron Paul 20:4
In fact, by directing Federal bureaucrats to create a contingency plan for newborn screening in the event of a “public health” disaster, this bill may lead to further erosions of medical privacy. As recent history so eloquently illustrates, politicians are more than willing to take, and people are more than willing to cede, liberty during times of “emergency.” Thus, most people will gladly sacrifice their families’ medical privacy if they are told it is necessary to protect them from a Government-declared health emergency, while the Federal Government will be very unlikely to relinquish its new powers when the emergency passes.
medical
CONGRATULATIONS TO EAST TEXAS AREA HEALTH EDUCATION CENTER (AHEC)
3 June 2008 2008 Ron Paul 32:2
East Texas AHEC is certainly deserving of this prestigious award. Founded in 1991, East Texas AHEC is headquartered at the University of Texas Medical Branch (UTMB), which provides it access to some of the top medical talent in the Nation. East Texas AHEC operates nine other community health centers across the Gulf Coast. These centers offer a wide variety of health care services to over 14.9 million low-income Texans in 111 counties. Many low-income Texas would have a much more difficult time obtaining quality health care if it were not for the efforts of East Texas AHEC.
medical
Statement: “Something Big is Happening”
9 July 2008 2008 Ron Paul 42:10
The financial crisis, still in its early stages, is apparent to everyone: gasoline prices over $4 a gallon; skyrocketing education and medical-care costs; the collapse of the housing bubble; the bursting of the NASDAQ bubble; stock markets plunging; unemployment rising; massive underemployment; excessive government debt; and unmanageable personal debt. Little doubt exists as to whether we’ll get stagflation. The question that will soon be asked is: When will the stagflation become an inflationary depression?
medical
Statement on Senate amendments to HR 5501, Tom Lantos and Henry J. Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis and Malaria Reauthorization
July 24, 2008 2008 Ron Paul 49:1
Mr. Speaker, I rise in opposition to this irresponsible legislation, which will ship $48 billion overseas as foreign aid at a time when Americans are feeling the pressure of rapidly increasing inflation and a weakened dollar. It is particularly objectionable to ship money to fund healthcare overseas when so many Americans either struggle with high healthcare costs or avoid seeking medical assistance altogether due to lack of insurance or funds.
medical
VETERANS’ HEALTH CARE POLICY ENHANCEMENT ACT OF 2008
July 30, 2008 2008 Ron Paul 53:2
I am concerned, however, that this bill incorporates language from HR 6114, which rescinds a current law requirement that the VA obtain a signed consent form from a veteran before conducting an HIV test. We have seen veterans punished severely for attempting to avoid the required but controversial myriad of inoculations they are required to receive. Now we see that they will have less control over what medical tests to which they might be subjected. I am concerned over this loss of control over one’s healthcare decisions among those who voluntarily join the military, and I urge the adoption of a more flexible policy. I would also urge my colleagues and the American people to contemplate this deprivation of medical and privacy rights on a massive scale should we ever reinstate the draft. I believe taking care of veterans should include both providing promised benefits and protecting their privacy rights.
medical
CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM
31 July 2008 2008 Ron Paul 55:1
Mr. PAUL. Madam Speaker, on August 5 the Foundation for International Space Education (FISE) will host United Space School Day at the University of Texas Medical Branch (UTMB) in Galveston, Texas. The United Space School Day is a summer science camp/ health careers promotion activity coordinated by the East Texas Area Health Education Center (AHEC). The United Space School Day’s activities will focus on the education pathways appropriate for students interested in careers in life sciences, aerospace medicine, and bioastronautics.
medical
CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM
31 July 2008 2008 Ron Paul 55:4
Madam Speaker, FISE’s United Space School program is doing invaluable work in preparing the next generation of scientists and aerospace engineers. I would not be surprised if future breakthroughs in space technology came from alumni of the United Space School program. It is therefore my pleasure to extend my congratulations to the United Space School program on the occasion of the United Space School Day. I also extend my thanks to NASA, the Johnson Space Center, the University of Texas Medical Branch at Galveston, East Texas AHEC, and all the volunteers who help make the United Space School program possible.
medical
UNTITLED
10 December 2008 2008 Ron Paul 72:6
There is no real talk about it. I mean, we’ve essentially nationalized the insurance companies, the mortgage companies, the banks, and medical care is moving in that direction, and now the car companies are going to be run by a car czar from this Congress. I mean, it is such an embarrassment. It is such an insult to us who believe in freedom, who believe in sound money and who believe in limited government. It is such an insult to the whole idea of what made America great, and this is what it has come to—bailout after bailout after bailout—and nobody even calls it what it really is. It is the nationalization of our industries.
medical
INTRODUCTION OF THE SOCIAL SECURITY PRESERVATION ACT
January 6, 2009 2009 Ron Paul 2:3
With federal deficits reaching historic levels, and with new demands being made on the U.S. Treasury on an almost weekly basis, the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. As a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act.
medical
INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT
January 6, 2009 2009 Ron Paul 4:10
This legislation not only repeals those sections of federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier – an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database?
medical
INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT
January 6, 2009 2009 Ron Paul 4:17
Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy”’ regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information.
medical
THE SENIORS’ HEALTH CARE FREEDOM ACT
January 6, 2009 2009 Ron Paul 6:1
Mr. PAUL. Madam Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repealing federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services.
medical
THE SENIORS’ HEALTH CARE FREEDOM ACT
January 6, 2009 2009 Ron Paul 6:5
Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act.
medical
INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT
March 12, 2009 2009 Ron Paul 27:2
The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition, such as cancer or a physical disability, that requires long-term or specialized health care.
medical
INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT
March 12, 2009 2009 Ron Paul 27:7
Madam Speaker, this Congress has a moral responsibility to provide tax relief so that low- income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child?
medical
COMPREHENSIVE HEALTH CARE REFORM ACT
March 12, 2009 2009 Ron Paul 28:7
D. Repeals the 7.5 percent threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
medical
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.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:2
Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:3
As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:4
One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:5
Under the United States Constitution, the federal government has no authority to interfere with the private contracts of American citizens. Furthermore, the prohibitions on contracting contained in the Sherman antitrust laws are based on a flawed economic theory which holds that federal regulators can improve upon market outcomes by restricting the rights of certain market participants deemed too powerful by the government. In fact, anti- trust laws harm consumers by preventing the operation of the free-market, causing prices to rise, quality to suffer, and, as is certainly the case with the relationship between the HMOs and medical professionals, favoring certain industries over others.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:6
By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization.
medical
INTRODUCING THE QUALITY HEALTH CARE COALITION ACT
March 12, 2009 2009 Ron Paul 29:7
Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry.
medical
TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:1
Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals who incur costs related to providing uncompensated care.
medical
TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:2
Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms, as well as the hospitals, are required to provide care without seeking compensation to anyone who comes into an emergency room. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations, and can be fined $50,000 for failure to be in technical compliance with EMTALA!
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TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:3
Forcing physicians to offer their services without providing any form of compensation is a blatant violation of the takings clause of the Fifth Amendment. After all, the professional skills with which one earns a living are a form of property. Therefore, legislation, such as EMTALA, which forces individuals to use their professional skills without compensation is a taking of private property. Regardless of whether the federal government has the constitutional authority to establish programs providing free-or-reduced health care for the indignant, the clear language of the takings clause prevents Congress from placing the entire burden of these programs on the medical profession.
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TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:4
Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing, it was common for doctors to provide uncompensated care as a matter of charity. However, government laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they where acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increased health care costs associated with the government-facilitated over-reliance in third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by their interventions by imposing EMTALA mandate on physicians, in effect making the health care profession scapegoats for the unintended consequences of failed government health care policies.
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TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:5
EMTALA itself is having unintended consequences that could result in less care availability for low-income Americans at emergency rooms. This is because EMTALA provides a disincentive for physicians from offering any emergency care. Many physicians have told me in my district that they are considering curtailing their practices, in part because of the costs associated with the EMTALA mandates. Many other physicians are even counseling younger people against entering the medical profession because of the way the federal government treats medical professionals! The tax credit of the Treat Physicians Fairly Act will help mitigate some of these unintended consequences.
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TREAT PHYSICIANS FAIRLY ACT
March 12, 2009 2009 Ron Paul 30:6
The Treat Physicians Fairly Act does not remove any of EMTALA’s mandates; it simply provides that physicians can receive a tax credit for the costs of providing uncompensated care. This is a small step toward restoring fairness to the physicians. Furthermore, by providing some compensation in the form of tax credits, the Treat Physicians Fairly Act helps remove the disincentives to remaining active in the medical profession built into the current EMTALA law. I hope my colleagues will take the first step toward removing the unconstitutional burden of providing uncompensated care by cosponsoring the Treat Physicians Fairly Act.
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INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT
March 12, 2009 2009 Ron Paul 32:1
Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litagation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer.
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INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT
March 12, 2009 2009 Ron Paul 32:3
The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Several years ago, surgeons in West Virginia actually walked away from their jobs to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large, and medically questionable, malpractice awards, and the resulting increase in insurance rates.
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INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT
March 12, 2009 2009 Ron Paul 32:5
Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act.
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INTRODUCTION OF THE CURES CAN BE FOUND ACT
March 19, 2009 2009 Ron Paul 36:1
Mr. PAUL. Madam Speaker, I rise to introduce the Cures Can Be Found Act. This legislation promotes medical research by providing a tax credit for investments and donations to promote adult and umbilical cord blood stem cell research, and provides a $2,000 tax credit to new parents for the donation of umbilical cord blood that can be used to extract stem cells.
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INTRODUCTION OF THE CURES CAN BE FOUND ACT
March 19, 2009 2009 Ron Paul 36:3
By providing tax incentives for adult and umbilical cord blood stem cell research, the Cures Can Be Found Act will ensure greater resources are devoted to this valuable research. The tax credit for donations of umbilical cord blood will ensure that medical science has a continuous supply of stem cells. Thus, this bill will help scientists discover new cures using stem cells and, hopefully, make routine the use of stem cells to treat formerly incurable diseases.
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INTRODUCTION OF THE CURES CAN BE FOUND ACT
March 19, 2009 2009 Ron Paul 36:4
By encouraging private medical research, the Cures Can Be Found Act enhances a tradition of private medical research that is responsible for many medical breakthroughs. For example, Jonas Salk, discoverer of the polio vaccine, did not receive one dollar from the federal government for his efforts. I urge my colleagues to help the American people support the efforts of future Jonas Salks by cosponsoring the Cures Can Be Found Act.
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Statement on Comprehensive Healthcare Reform Act
March 26, 2009 2009 Ron Paul 39:7
D. Repeals the 7.5% threshold for the deduction of medical expenses, thus making all medical expenses tax deductible.
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INTRODUCTION OF COERCION IS NOT HEALTH CARE
May 21, 2009 2009 Ron Paul 58:5
When the cost of government-mandated insurance proves to be an unsustainable burden on individuals and small employers, and the government, Congress will likely impose price controls on medical treatments, and even go so far as to limit what procedures and treatments will be reimbursed by the mandatory insurance. The result will be an increasing number of providers turning to “cash only” practices, thus making it difficult for those relying on the government-mandated insurance to find health care. Anyone who doubts that result should consider the increasing number of physicians who are withdrawing from the Medicare program because of the low reimbursement and constant bureaucratic harassment from the Centers for Medicare and Medicaid Services.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:1
Mr. PAUL. Madam Speaker, I rise to introduce the Protect Patients’ and Physicians’ Privacy Act. This legislation protects medical privacy, as well as quality health care, by allowing patients and physicians to opt out of any federally mandated, created, or funded electronic medical records system. The bill also repeals the sections of Federal law establishing a “unique health identifier” and requires patient consent before any electronic medical records can be released to a third party.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:2
Congress has refused to fund the development of a unique health identifier every year since 1998. Clearly, the majority of my colleagues recognize the threat this scheme poses to medical privacy. It is past time for Congress to repeal the section of law authorizing the Federal unique health identifier.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:3
Among the numerous provisions jammed into the stimulus bill, which was rushed through Congress earlier this year, was funding for electronic medical records. Medicare providers have until 2015 to “voluntarily” adopt the system of electronic medical records, or face financial penalties.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:4
One of the major flaws with the federally mandated electronic record system is that it does not provide adequate privacy protection. Electronic medical records that are part of the federal system will only receive the protection granted by the Federal “medical privacy rule.” This misnamed rule actually protects the ability of government officials and state-favored special interests to view private medical records without patient consent.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:5
Even if the law did not authorize violations of medical privacy, patients would still have good reason to be concerned about the government’s ability to protect their medical records. After all, we are all familiar with cases where third parties obtained access to electronic veteran, tax, and other records because of errors made by federal bureaucrats. My colleagues should also consider the abuse of IRS records by administrations of both parties and ask themselves what would happen if unscrupulous politicians gain the power to access their political enemies’ electronic medical records.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:6
As an OB/GYN with over 30 years of experience in private practice, I understand that one of the foundations of quality health care is the patient’s confidence that all information the patient shares with his or her health care provider will remain confidential. Forcing physicians to place their patients’ medical records in a system without adequate privacy protection undermines that confidence, and thus undermines effective medical treatment.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:8
Many health technology experts have warned of the problems that will accompany the system of mandatory electronic medical records. For example, David Kibbe, a top technology adviser to the American Academy of Family Physicians, warned President Obama in an open letter late last year that existing medical software is often poorly designed and does a poor job of exchanging information. Allowing physicians to opt out provides a safety device to ensure that physicians can avoid the problems that will inevitably accompany the government-mandated system.
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INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:9
Madam Speaker, allowing patients and providers to opt out of the electronic medical records system will in no way harm the practice of medicine or the development of an efficient system of keeping medical records. Instead, it will enhance these worthy goals by ensuring patients and physicians can escape the inefficient, one-size-fits-all government- mandated system. By creating a market for alternatives to the government system, the op- out ensures that private businesses can work to develop systems that meet the demands for an efficient system of electronic records that protects patients’ privacy. I urge my colleagues to stand up for privacy and quality health care by cosponsoring the Protect Patients’ and Physicians’ Privacy Act.
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INTRODUCTION OF THE AFFORDABLE GAS PRICE ACT
May 21, 2009 2009 Ron Paul 60:5
Federal fuel taxes are a major part of gasoline’s cost. The Affordable Gas Price Act suspends the Federal gasoline tax any time the average gas prices exceeds $3.00 per gallon. During the suspension, the Federal Government will have a legal responsibility to ensure the Federal highway trust fund remains funded. My bill also raises the amount of mileage reimbursement not subject to taxes, and, during times of high oil prices, provides the same mileage reimbursement benefit to charity and medical organizations as provided to businesses.
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MISTAKES: JUST A FEW!
June 3, 2009 2009 Ron Paul 63:11
Promising the IMF $100 billion when we can’t even take care of our own people’s medical needs is obviously absurd. Plans are laid to massively increase taxes, especially with the carbon tax, that when tried in other countries didn’t work and had many unintended consequences.
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CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM
July 22, 2009 2009 Ron Paul 83:1
Mr. PAUL. Madam Speaker, on August 4 the Foundation for International Space Education (FISE) will host United Space School Day at the University of Texas Medical Branch (UTMB) in Galveston, Texas. The United Space School Day is a summer science camp/ health careers promotion activity coordinated by the East Texas Area Health Education Center (AHEC). The United Space School Day’s activities will focus on the education pathways appropriate for students interested in careers in life sciences, aerospace medicine, and bioastronautics.
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CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM
July 22, 2009 2009 Ron Paul 83:5
Madam Speaker, FISE’s United Space School program is doing invaluable work in preparing the next generation of scientists and aerospace engineers. I would not be surprised if future breakthroughs in space technology came from alumni of the United Space School program. It is therefore my pleasure to extend my congratulations to the United Space School program on the occasion of the United Space School Day. I also extend my thanks to NASA, the Johnson Space Center, the University of Texas Medical Branch at Galveston, East Texas AHEC, and all the volunteers who help make the United Space School program possible.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:1
Mr. PAUL. Mr. Speaker, our government has been mismanaging medical care for more than 45 years. For every problem it has created, it has responded by exponentially expanding the role of government.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:2
Here are some points I’d like to have my colleagues consider. Number one, no one has a right to medical care. If one assumes such a right, it endorses the notion that some individuals have a right to someone else’s life and property. This totally contradicts the principles of liberty.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:3
Number two, if medical care is provided by government, this can only be achieved by an authoritarian government unconcerned about the rights of the individual.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:10
Number 9, the Tax Code, including the ERISA laws, must be changed to give everyone equal treatment by allowing a 100 percent tax credit for all medical expenses.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:16
Early on medical insurance was promoted by the medical community in order to boost reimbursements to doctors and hospitals. That partnership has morphed into the government/insurance industry still being promoted by the current administration.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:18
Number 15, there must be more competition for individuals entering into the medical field. Licensing strictly limits the number of individuals who can provide patient care. A lot of problems were created in the 20th century as a consequence of the Flexner Report in 1910, which was financed by the Carnegie Foundation and strongly supported by the AMA. Many medical schools were closed, and the number of doctors was drastically reduced. The motivation was to close down medical schools that catered to women, minorities, and especially homeopathy. We continue to suffer from these changes, which were designed to protect physicians’ income and promote allopathic medicine over the natural cures and prevention of homeopathic medicine.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:19
Number 16, we must remove any obstacle for people seeking holistic and nutritional alternatives to current medical care. We must remove the threat of further regulations pushed by the drug companies now working worldwide to limit these alternatives.
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MORE GOVERNMENT WON’T HELP
September 23, 2009 2009 Ron Paul 90:20
True competition in the delivery of medical care is what is needed, not more government meddling.
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RECOGNITION FOR MEMBERS OF THE TEXAS STATE HOUSE AND SENATE FOR THEIR WORK ON BEHALF OF GALVESTON TEXAS
October 21, 2009 2009 Ron Paul 93:2
In the past year, each of these legislators have diligently worked to help the people of Galveston recover from Hurricane Ike. Among the issues they worked on were windstorm insurance, state support for rebuilding Galveston Island, and ensuring continued support for the University of Texas Medical Branch.
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- FDA bill no reform: proves Congress still the same
13 October 1997 Texas Straight Talk 13 October 1997 verse 12 ... Cached
To the dismay of medical privacy advocates, the bill goes so far as to authorize the FDA to track patients who use certain medical devices for up to 36 months, and even to conduct post-market surveillance of these patients. Just think, a formerly overweight patient may be followed by an FDA agent to make sure they don't regain the weight a few years later.
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- FDA bill no reform: proves Congress still the same
13 October 1997 Texas Straight Talk 13 October 1997 verse 13 ... Cached
The bill also limits the speech of manufacturers who claim health benefits on their product labels without the "approval" of a "scientific agency of the federal government." Where in the Constitution is the federal government authorized to do this? Nowhere. And remember, it has been the federal government which has conducted bizarre experiments on the health of men and women in this century, but now they are going to be the ones approving medical procedures? The bill makes provisions for such "Scientific Advisory Panels," saying they are to be made up of "persons who are qualified by training and experience… and who, to the extent feasible, possess skill in the use of, or experience in, the development, manufacture, or utilization of… drugs or biological products." In English, this means the politically well-connected corporations which contribute to the campaigns of lawmakers will be able to fill these a panels with their corporate cheerleaders. They will be able to stifle competing innovative new products brought forward by less-politically-connected inventors; all done in the name of the federal government protecting the people.
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- Taxes and regulations will never lead to prosperity
08 December 1997 Texas Straight Talk 08 December 1997 verse 6 ... Cached
But today, whether the problem is food for the poor, homes for the homeless, or medical care for the sick, our society endlessly calls upon government to redistribute resources contrary to the needs of the market and producers of prosperity. In fact, in government's rush to distribute welfare, there is a total disregard for the conditions required to produce the wealth. So as they rob resources to pay for these supposedly humanitarian concerns, the government "do-gooders" not only harm those who work and save for their own families, the government hurts all of society by violating the tenets of a moral, free nation; finally, it rubs salt in the wound by crippling the very system needed to produce more wealth.
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Proposed tobacco deal undermines personal responsibility
13 April 1998 Texas Straight Talk 13 April 1998 verse 10 ... Cached
When the free market works, medical insurance premiums adjust to reflect the cost of habits like smoking, sky diving, overeating, and medical preconditions. When Government pays, the concept of insurance goes out the window and everybody gets everything paid for, regardless of their behavior. This, of course, explains why people in socialized nations, like England, continue to smoke in increasing numbers. Socializing the cost of the consequences increases participation in risky behavior.
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Proposed tobacco deal undermines personal responsibility
13 April 1998 Texas Straight Talk 13 April 1998 verse 15 ... Cached
The proposed tobacco deal does great harm because it further undermines the principle of individual responsibility. Undermining this principle not only drives up the costs of medical treatment and the products involved, it actually encourages dangerous behavior. After all, the typical response to future generations will be, `If I'm unfortunate and become ill or injured engaging in a particular activity, the seller or the Government will be made to take care of me.'
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No such thing as a free (government) needle
27 April 1998 Texas Straight Talk 27 April 1998 verse 4 ... Cached
As a physician, I can say with no uncertainty that it is far better for a person to use a sterile needle rather than a dirty one. Of course, it is also medically much better for someone to avoid putting harmful or addictive substances into their blood stream, or engage in risky sexual behavior.
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No such thing as a free (government) needle
27 April 1998 Texas Straight Talk 27 April 1998 verse 12 ... Cached
It is unrealistic to expect those who favor government (read "taxpayers") footing the bill for medical costs not to expect the government to then regulate everything a person does which might affect their health. Case in point, the tobacco settlement, and even the helmet and seat-belt laws.
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Paul legislation will stop national ID card
13 July 1998 Texas Straight Talk 13 July 1998 verse 3 ... Cached
Current law requires national ID before getting job, medical care, in 2000
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Paul legislation will stop national ID card
13 July 1998 Texas Straight Talk 13 July 1998 verse 6 ... Cached
Under the current state of the law, the citizens of states which have drivers' licenses that do not conform to the federal standards by October 1, 2000, will find themselves essentially stripped of their ability to participate in life as we know it. On that date, Americans will not be able to get a job, open a bank account, apply for Social Security or Medicare, exercise their Second Amendment rights, or even take an airplane flight, unless they can produce a state-issued ID that conforms to the federal specifications. Further, under the terms of the 1996 Kennedy-Kassebaum health-care law, Americans may be forced to present this federally-approved drivers' license before consulting a physician for medical treatment!
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Paul legislation will stop national ID card
13 July 1998 Texas Straight Talk 13 July 1998 verse 8 ... Cached
The establishment of a "national" drivers' license and birth certificate makes a mockery of the 10th amendment and the principles of federalism. While no state is "forced" to accept the federal standards, is it unlikely they will refuse to comply when such action would mean none of their residents could get a job, receive Social Security, leave the state by plane, or have access to medical care. So rather than imposing a direct mandate on the states, the federal government is blackmailing them into complying with federal dictates.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 3 ... Cached
Americans should have greater say over medical treatment
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 4 ... Cached
As a physician, I am painfully aware of the shortcomings of our medical system. But few are as dangerous as the rush towards managed care.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 5 ... Cached
Managed care is dangerous because it all but removes the two most important people from the decision-making process for medical care: the patient and the doctor. The managed care system is one which no one seems to want, yet no one can avoid.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 7 ... Cached
But there is a better way, a way which has been gaining attention and even a growing degree of political respectability; the better way is the medical savings account, otherwise known as MSAs.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 8 ... Cached
MSAs are a terrific tool because they allows the individual to save money - tax-free - for use in paying routine medical costs. As consumers are able to set aside cash for their routine, or even emergency, medical expenses, they are able to increase control of their care. With their own cash to spend the way they like with whom they like, the patient is no longer held back by the cost concerns of a managed care organization.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 9 ... Cached
The MSA will help keep down the costs associated with routine medical care simply because the physicians and hospitals will now have an incentive to offer the best service at the best price. And as the patient is able to negotiate with the doctor, better arrangements best suited for that patient can be made.
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MSAs best option for better health care
10 August 1998 Texas Straight Talk 10 August 1998 verse 10 ... Cached
For most people, an MSA will not take care of all their lifetime medical-care expenses, and for that catastrophic health insurance policies can be purchased. But for routine medical expenses, MSAs can help everyone.
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The problem is the currency
21 September 1998 Texas Straight Talk 21 September 1998 verse 11 ... Cached
What can we expect from our Federal Reserve? Just as difficult as it is for an addict to cut back on drugs, economic planners refuse to cut back the credit creation to which they have become addicted. Long life may be dependent on sound medical advice and drug abstinence, but feeling good on the short run drives the addict. Likewise, an economy feels good by perpetuating for as long as possible the easy credit that brought good times, while the long life of the currency, the economy and the political system gets little concern.
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Privacy tops agenda
09 November 1998 Texas Straight Talk 09 November 1998 verse 6 ... Cached
From a national database containing the private medical history of every American to a national identification card and granting broad new authorities to the FBI in wiretapping, many on both sides of the political aisle have been working to erode our tradition of privacy.
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Privacy tops agenda
09 November 1998 Texas Straight Talk 09 November 1998 verse 7 ... Cached
This past year saw several minor victories for those of us wanting to turn-back this trend toward a more intrusive government. We succeeded in forestalling implementation of the national medical database and the national ID for one calendar year.
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Privacy tops agenda
09 November 1998 Texas Straight Talk 09 November 1998 verse 8 ... Cached
Under the guise of "preventing fraud," the medical database would require that every aspect of an individual’s medical history be linked together and easily accessible to government officials and researchers. And what is accessible to government officials and researchers for "good" purposes is also accessible to computer hackers. Suddenly companies would pay for "illegal" information on your medical history, to determine the risk you pose to their benefits package. Or, a political opponent brings up an embarrassing tidbit from your medical past. Or ... the possibilities are endless, including the likelihood that patients will stop confiding in their doctors if it is possible that those remarks could be transcribed into a computer database. Of course, the ultimate solution is to exclude government from its unconstitutional role as a health care provider.
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Wrong debate in House 'leadership' race
16 November 1998 Texas Straight Talk 16 November 1998 verse 12 ... Cached
Both parties, unfortunately, endorse the use of government force to police the world, to redistribute wealth domestically and internationally, and to manipulate money and credit. Both allow government to invade our privacy as a trade-off for the government financing of education, medical care, and housing, arguing such invasion is necessary to run the system efficiently, and prevent waste and fraud. In the name of "public safety," neither party resists the federal government’s takeover of local law enforcement.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 2 ... Cached
Medical costs can be cut with freedom
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 7 ... Cached
For many years, the federal government has taken an ever-expanding role in our nation's medical care through regulatory and legislative activism. Of course, to oppose federal involvement is to be "anti-health care" or "anti-patient." Never mind that routine health care is arguably less efficient and less accessible than in our recent past, with sick people receiving worse care at higher costs.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 9 ... Cached
Most obviously, there is the direct government meddling. Bureaucrats, under authority granted to them by years of irresponsible congressional action, now dictate how medical care is to be offered, in what timetables, quantities and situations. Of course, these directives have nothing to do with the realities of medicine or even the demands of the market, but are simply political directives issued for soundbite effectiveness. While sounding nice, these regulations increase costs by forcing the medical provider to expend greater resources to meet the regulations.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 10 ... Cached
Resources once devoted to assisting patients with their needs must be diverted to meeting bureaucratic regulations. Federal regulations imposed on state governments regarding medical care delivery, or on insurance providers, or employers, or directly on doctors and hospitals, all eventually come back to the consumer in the form of higher checkout costs.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 15 ... Cached
A more viable solution is to let the consumer and his doctors pull themselves out of the system, by means of medical savings accounts. While this does not solve the entire problem, it provides a larger degree of freedom for those who desire it.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 17 ... Cached
With the cash for the MSAs coming from pre-tax dollars, most Americans could afford deposits that would cover routine expenses families' experience in a year. To cover larger expenses, major-medical insurance policies are readily available and fairly inexpensive.
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Medical costs can be cut with freedom
14 December 1998 Texas Straight Talk 14 December 1998 verse 18 ... Cached
Medical care will always be expensive, regardless of the system. The real question is how much freedom will a patient have in determining the care they receive. It is only when the patient controls the purse strings of his own money that he will have that freedom.
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Stopping the Surveillance State
18 January 1999 Texas Straight Talk 18 January 1999 verse 8 ... Cached
Another section of the bill will stop schemes such as the attempt to assign every American a "unique health identifier." This identifier would logically lead to a national database containing the detailed medical history of all Americans. As a practicing OB/GYN for more than 30 years, I know well the importance of preserving the sanctity and private nature of the physician-patient relationship. Oftentimes, effective treatment depends on the patient placing absolute trust in the doctor not to discuss with anyone her health problems. What will happen to that trust when patients know that all information given to their doctor must be placed in a government accessible database?
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A flood of bills of rights
16 August 1999 Texas Straight Talk 16 August 1999 verse 11 ... Cached
If over the last fifty years we would have had more respect for the Bill of Rights, property rights, voluntary contracts, state jurisdiction and free markets, we would not have the mess we’re facing today in medical care and a host of other issues.
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A flood of bills of rights
16 August 1999 Texas Straight Talk 16 August 1999 verse 12 ... Cached
Economic principles determine efficiency of markets, even the medical market; but not our emotional experiences. As a physician, I know that the most efficient manner to deliver medical services, as it is with goods and other services, is determined by the degree to which the market is allowed to operate.
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Dangerous to our health
11 October 1999 Texas Straight Talk 11 October 1999 verse 5 ... Cached
Of course, this past week one would have thought the US House -- composed primarily of lawyers -- was instead a convention of the American Medical Association, with Members of Congress attempting to legislatively practice medicine. Yet what was completely ignored in the debate was that this was a clear case of malpractice.
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Dangerous to our health
11 October 1999 Texas Straight Talk 11 October 1999 verse 7 ... Cached
What made last week's congressional action the equivalent of medical malpractice was that the people operating on the "patient" were the same ones responsible for injury. American health care became what it is today not as a result of too little government intervention, but rather too much. 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 that have destroyed the health care market.
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Dangerous to our health
11 October 1999 Texas Straight Talk 11 October 1999 verse 9 ... Cached
No one can take a back seat to me regarding the disdain I hold for the HMO's role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care dating to the 1970s. These non-market institutions could have only gained control over medical care through collusion between organized medicine, politicians, and the profiteers, in an effort to provide universal health care.
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Dangerous to our health
11 October 1999 Texas Straight Talk 11 October 1999 verse 10 ... Cached
But the government intervention in health care pre-dates the 1974 Employee Retriement Income Security Act (ERISA), with Congress granting tax benefits to employers for providing health care, while not allowing similar incentives for individuals. As such, government removed the market incentive for health insurance companies to cater to the actual health-care consumer. As a greater amount of government and corporate money has been used to pay medical bills, the costs have artificially risen out of the range of most individuals.
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Best medicine is liberty
18 October 1999 Texas Straight Talk 18 October 1999 verse 7 ... Cached
The more government has been involved, the greater the costs and distortions. Initially there was little resistance to the federal meddling, since payments were generous and services were rarely restricted. Doctors liked being paid adequately for services that in the past were done at discount or for free, while the patients saw they were getting great access without discernable costs. The nation's medical bill grew as the incentive for patients to economize eroded.
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Best medicine is liberty
18 October 1999 Texas Straight Talk 18 October 1999 verse 14 ... Cached
The most important thing Congress can do is to stop practicing medicine and allow market forces to operate by allowing Medical Savings Accounts (MSAs) for everyone. Patient motivation to save and shop would be a major force in reducing cost, as physicians would once again negotiate fees with patients. MSAs would help satisfy the American's people's desire to control their own health care and provide incentives for consumers to take more responsibility for their care. MSAs will also allow those consumers to do business with insurance provider of their choice, who will cover the needs and procedures for which that family is willing and able to pay.
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Time to Change Priorities
08 November 1999 Texas Straight Talk 08 November 1999 verse 8 ... Cached
But, instead of working to end the estate tax, or keep our promises with Social Security, or insuring patient choice through medical savings accounts, we waste our time on low priority items. And, instead of looking to our nation's future, like giving parents a true choice in education by providing them with a battery of education-related tax credits, we have two thirds in Congress voting to support continued and expanded participation in a cold war relic.
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Overall Review
27 December 1999 Texas Straight Talk 27 December 1999 verse 9 ... Cached
Last year we won some victories, small though they may be, because the people spoke. People contacted their Members of Congress and US Senators, often saying, "Enough is enough! It is time for a change!" I know this because I hear from my colleagues who tell me that they have received calls and letters, e-mails and faxes. They tell me their constituents agree with our perspective and our agenda. Namely, my colleagues here know that there is a growing movement to get the federal government off the backs and out of the pocketbooks of the American people. Ideas like medical savings accounts, education tax credits and others are gaining momentum.
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 2 ... Cached
Medical Privacy Threatened
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 5 ... Cached
On November 3rd, 1999, the Department of Health and Human Services (HHS) published proposed medical privacy regulations in the Federal Register. Protecting medical privacy is a noble goal; however, the federal government is not constitutionally authorized to mandate a uniform standard of privacy protections for every citizen. Rather, individuals and those with whom they entrust their health care information should determine the question of who should have access to a person's medical records. Real threats to privacy come primarily from governments that have historically compelled individuals to provide information, often in exchange for some government benefit.
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 6 ... Cached
The HHS regulation would severely reduce individuals' control over their medical records. The regulation, when finalized, will deny, as a matter of federal law, individuals' ability to contract with providers or payors to establish limitations on who should have access to their medical records. Instead, every American will be forced to accept the privacy standard decided upon by Washington-based bureaucrats and politicians, and it is not a good one.
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 7 ... Cached
The regulations also give the federal government power to punish those who violate these standards. Thus, in a remarkable example of government paternalism, individuals are forced to rely on the good graces of government bureaucrats for protection of their medical privacy. These so-called "privacy protection" regulations not only strip individuals of any ability to determine for themselves how best to protect their medical privacy, they also create a privileged class of people with a federally-guaranteed right to see an individual’s medical records without the individual’s consent. For example, medical researchers may access people’s private medical records even if individuals do not want this.
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 8 ... Cached
Forcing individuals and providers to reveal medical records without their consent also runs afoul of the Fifth Amendment’s prohibition on the taking of private property for public use without just compensation. After all, people do have a legitimate property interest in their private records; therefore, restrictions on individuals' ability to control the dissemination of their private information represent a massive taking. The takings clause is designed to prevent this type of sacrifice of individual property rights for the "greater good."
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 9 ... Cached
Allowing law enforcement officials to access a private person’s medical records without a warrant is a violation of the Fourth Amendment to the United States Constitution. The requirement that law enforcement officials obtain a warrant from a judge before searching private documents is one of the fundamental protections against abuse of the government’s power to seize an individual’s "papers."
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 10 ... Cached
Finally, I object to the fact that these proposed regulations "permit" health care providers (already beholden to government by funding) to give medical records to the government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information.
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Medical Privacy Threatened
07 February 2000 Texas Straight Talk 07 February 2000 verse 11 ... Cached
Before implementing these rules, HHS must consider what will happen to the trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database, seen by medical researchers, or handed over to government agents without a warrant. For more information on how to submit comments to the Department of Health and Human Services, feel free to contact my congressional staff by email at rep.paul@mail.house.gov. Please use the words "HHS Regs" in the subject line, and make sure to include your email address in your message. You may also contact my office by phone at 202-225-2831.
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The Cost of War
01 May 2000 Texas Straight Talk 01 May 2000 verse 9 ... Cached
As a physician I am most concerned with public health, so let's begin there. Because of repeated bombings targeted against chemical factories, NATO has turned Serbia into a sort of toxic soup. The soil is laced with toxins. Because of embargoes, the locals must largely eat locally grown food, and it is contaminated. People fear that feeding their children is akin to poisoning them. Medical personnel point out that the most certain effect of the bombings will be an increase in cancer rates, not just now but literally for generations to come.
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A Big Win for Medical Privacy in Congress
19 June 2000 Texas Straight Talk 19 June 2000 verse 2 ... Cached
A Big Win for Medical Privacy in Congress
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A Big Win for Medical Privacy in Congress
19 June 2000 Texas Straight Talk 19 June 2000 verse 4 ... Cached
As a doctor, I know how crucial it is to insure people's privacy when speaking to their physicians. Unless Congress permanently forbids the development of a medical ID, Americans may not be able to talk to their doctors about matters that are of an utmost private nature without fear of having this information accessed by government agencies! As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. What happens to that trust when patients know any and all information given to their doctor will be placed in a database accessible by anyone who knows the patient's 'unique personal identifier?
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A Big Win for Medical Privacy in Congress
19 June 2000 Texas Straight Talk 19 June 2000 verse 7 ... Cached
No private organization has the power to abuse personal liberty on a massive scale as can the federal government. After all, consumers have the right to refuse to do business with any private entity that asks for a Social Security number, whereas citizens cannot lawfully refuse to deal with many government agencies. Furthermore, most of the major invasions of privacy, from the abuse of IRS files to the abuse of the FBI by administrations of both parties, have occurred by government agents. I can only imagine the havoc they could wreak if they were allowed to access an individual's medical records.
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A Big Win for Medical Privacy in Congress
19 June 2000 Texas Straight Talk 19 June 2000 verse 8 ... Cached
I am very pleased that my amendment to the Labor-HHS Appropriations bill passed the House. American citizens have the right to be free from the prying eyes of government bureaucrats. It is the only way to guarantee that medical IDs do not become a reality. By listening to the American people, we have terminated the uniform standard health identifier. This is a great victory for privacy rights. We have finally taken a stand against federal bureaucrats invading our privacy and recording every detail of our lives.
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Right to Privacy Too Often Overlooked
14 August 2000 Texas Straight Talk 14 August 2000 verse 8 ... Cached
On a more positive note, privacy advocates scored a major victory this summer when the House passed an amendment I proposed to an appropriations bill that will prohibit the federal government from imposing a uniform standard health identifier on the American people. As a doctor, I know how important it is to insure patient confidentiality, and I am very pleased my colleagues supported the amendment. It is the only way to guarantee that national medical ID’s do not become a reality.
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Help for Those with Terminal Illnesses
21 August 2000 Texas Straight Talk 21 August 2000 verse 3 ... Cached
This year we have heard proposals by various people in Washington advocating more government control over our health care system. These proposals almost invariably call for more tax dollars to be sent to Washington, so bureaucrats can make decisions about your medical care rather than having you choose. The approach is almost always the same- send your money to Washington, where bureaucrats decide what to do with your dollars. I advocate a different approach, however. I believe my constituents (and all Americans) should keep more of their own paychecks, leaving them with greater money and choices when addressing their own health care concerns.
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Help for Those with Terminal Illnesses
21 August 2000 Texas Straight Talk 21 August 2000 verse 4 ... Cached
As a physician, I am especially concerned with those who face terrible terminal illnesses such as cancer, AIDS, and heart disease. Patients facing terminal illnesses need all of their financial resources available to them to fight their disease and pay their medical bills. Yet we continue to impose payroll taxes on citizens with terminal illnesses to fund a retirement they may never live to see.
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Help for Those with Terminal Illnesses
21 August 2000 Texas Straight Talk 21 August 2000 verse 6 ... Cached
An important provision of the "Cancer and Terminal Illness Patient Health Care Act" ensures that the exemption from payroll taxes provided by the Act does not adversely affect a qualifying individual’s ability to collect benefits in the future. Individuals facing terminal illnesses need more of their own resources available to them to pay medical bills, but they should not be penalized if they survive their condition. Once their disease goes into remission and all related costs are paid, the individual resumes paying the payroll tax.
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Help for Those with Terminal Illnesses
21 August 2000 Texas Straight Talk 21 August 2000 verse 7 ... Cached
Similarly, I have introduced legislation designed to provide needed resources to parents struggling to pay for their terminally ill or disabled children’s medical bills. The "Family Health Tax Cut Act" (H.R. 4799) allows families to deduct a portion of their health care expenses for dependent children. Specifically, the Act provides parents caring for a child with a disability, cancer, terminal illness, or other condition requiring specialized medical care with a tax credit of up to $3,000. Our tax laws permit businesses to deduct employee health care costs from their income taxes; surely families should be permitted the same deduction to free up more of their financial resources to pay for the medical bills of their seriously ill children. The deduction is especially critical to low-income families, many of whom do not have health insurance provided by their employers.
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Help for Those with Terminal Illnesses
21 August 2000 Texas Straight Talk 21 August 2000 verse 8 ... Cached
Both of these bills allow individuals who are suffering to keep more of their resources, rather than sending needed dollars to Washington. In my medical practice, I have spoken to patients suffering from terminal illnesses. Even when they have health coverage (and many do not), their disease puts a tremendous financial strain on them and their loved ones. The list of expenses they incur is nearly endless, ranging from transportation to care centers and hiring babysitters to watch their children to paying out-of-pocket costs for expensive drugs which are not fully covered. Family and friends can offer compassion and support, but Congress owes it to terminally ill persons to stop taking away the resources they need to fight cancer, AIDS, heart disease, and other terrible health problems. My hope is that citizens in my district (and my fellow legislators) who are truly interested in helping those with terminal illnesses will join me and support my legislation.
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The Danger of Military Foreign Aid to Colombia
11 September 2000 Texas Straight Talk 11 September 2000 verse 7 ... Cached
The American people do not support our actions in Colombia. Polls have shown that approximately 70% of Americans do not support defending foreign countries if U.S. soldiers are put in jeopardy. Our primary concern in military affairs should be maintaining a strong national defense and protecting our national security interests. Our actions in Colombia have nothing to with our national defense, and they undermine our national security by creating resentment from factions we do not support. We must remember that money spent in Colombia necessarily reduces spending on a variety of more important issues. We should build up our military, providing our soldiers with better salaries, housing, and medical care. Similarly, foreign aid dollars could be spent on education, Social Security, or Medicare. My constituents do not support our dangerous and expensive involvement in Colombia, and I intend to continue working to eliminate wasteful foreign aid in our next budget.
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Government Poses the Greatest Threat to our Privacy
23 October 2000 Texas Straight Talk 23 October 2000 verse 10 ... Cached
The administration and federal bureaucrats will continue to look for ways to increase government monitoring of citizens. Recently, the administration proposed and fought to enact legislation creating a "uniform standard health identifier," clearly as part of a larger plan to create a national medical system. As a physician and privacy advocate, I know how dangerous a federal medical ID would be. The sanctity of the doctor-patient relationship would be destroyed if the patient knew his or her medical problems would be entered into a federal database. The government has no business knowing your medical history. Virtually all Americans agree with me, because public support for my opposition to the medical ID proposal was overwhelming. Ultimately, the medical ID plan was eliminated by my amendment to a larger bill.
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The Blessings of Liberty at Christmas
25 December 2000 Texas Straight Talk 25 December 2000 verse 6 ... Cached
Innovations in medical science, particularly preventative and emergency care, allow us to lead happier and healthier lives than ever before. These innovations, combined with improvements in diet, have vastly increased our average life expectancy. New drugs permit us to eradicate or lessen the severity of a multitude of diseases. Young Americans today can look forward to leading far longer and more comfortable lives than their parents and grandparents.
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 2 ... Cached
The Fight for Medical Privacy Continues in Washington
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 3 ... Cached
Medical privacy advocates enjoyed a victory last week when the Supreme Court ruled that a government hospital in South Carolina violated the constitutional rights of pregnant women by testing them for drugs without their consent. The hospital ostensibly began the testing program because of concerns about increasing cocaine use by pregnant patients, but if the hospital was concerned only with patient and fetus health, why were test results turned over to law enforcement? Several women were arrested and put in jail because of the tests, with their newborns presumably taken away to become wards of the state. Not surprisingly, the rationale for this terrible violation of doctor-patient confidentiality was the drug war. The real tragedy of this case is that it may cause pregnant women to conceal illegal drug use from their doctors out of fear of arrest. How many babies will be misdiagnosed or go untreated because their mothers no longer have any medical privacy?
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 5 ... Cached
As a physician, I cannot imagine providing my patients' medical records to police as evidence for a criminal prosecution. Like most doctors, I adhere to a strict policy of maintaining patient confidentiality. Medical privacy has existed for centuries between doctors and patients, without government interference. However, the drug war has provided the ever-growing federal government with new justifications to invade your once-private medical history.
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 6 ... Cached
Unfortunately, the drug war is not the only threat to your medical privacy. Medical privacy also is under assault by Washington health bureaucrats. The federal government wants greater access to your private medical records than ever before. On April 14, the department of Health and Human Services (HHS) is scheduled to implement invasive new medical rules written during the Clinton administration. The proposed rules require doctors and other health care providers to give patient records to the federal government for very broadly defined purposes and without patient consent. The rules grant law enforcement access to patient records without a search warrant. Patients will have only limited knowledge of who sees their records, and individuals will not be able to sue health care providers or the government for breaches of privacy. Ultimately, your medical history will be readily available to any government agency that wishes to create a national medical database.
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 7 ... Cached
The dangers posed by these regulations are obvious. Patients will hesitate to disclose information to their doctors if they fear such information will end up in a federal database. Doctors will be unable to provide effective care when patients conceal sensitive medical problems, such as drug and alcohol addiction, sexually transmitted diseases, AIDS, and psychiatric problems. The HHS rules threaten to turn doctors into government agents, who are required to divulge information which ultimately could be used against their patients by federal agencies, law enforcement, and health insurers.
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The Fight for Medical Privacy Continues in Washington
26 March 2001 Texas Straight Talk 26 March 2001 verse 8 ... Cached
I recently introduced legislation to halt implementation of the new HHS rules. The federal government has no business knowing your private medical history. Don't believe the bureaucrats who tell us they have innocent reasons for wanting our medical records. The truth is that the federal government wants to eliminate your medical privacy, just as it has eliminated so many of your liberties.
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 2 ... Cached
Medical Privacy Threatened by Federal Health Bureaucrats
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 3 ... Cached
The vast majority of Americans want and expect their medical records to be kept strictly confidential. Recent polls show that Americans overwhelmingly oppose giving government the power to create a national health database or issue health ID numbers. People instinctively understand that federal databases and ID numbers only serve to destroy personal privacy by making it easier for both government and the private sector to access their private medical history. Yet federal bureaucrats at the department of Health and Human Services, with the help of Congress, have succeeded in implementing regulations which place every American's medical records in the hands of the government. Worst of all, they have done so while claiming to protect our privacy! Only in Washington can so-called "medical privacy" regulations actually authorize such blatant invasions of privacy by the government.
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 4 ... Cached
The most dangerous aspect of the new regulations is the implementation of a national medical record database. All health care providers, including private physicians, insurance companies, and HMOs, will be forced to use a standard data format for patient records. Once standardized information is entered into a networked government database, it will be virtually impossible to prevent widespread dissemination of that information. If the federal government really seeks to protect medical privacy, why it is so eager to have its citizens' medical records easily available in one centralized database? The truth is that a centralized database will make it far easier for both government agencies and private companies to access your health records.
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 5 ... Cached
HHS officials have sought to reassure the public that the new rules require patient consent before physicians may release medical information. Unfortunately, however, the consent protection has very limited effect. First, your physician likely will refuse to treat you if you decline consent to share your records. This is almost certain to happen, because heavy fines (and even jail sentences!) will be imposed on physicians who don't exactly follow the new regulations. Furthermore, there are very broad exceptions to the consent rule for ill-defined categories such as "oversight of the health care system," "public health," "law enforcement activities," "judicial and administrative proceedings," and "national defense and security." These exceptions give the government almost unlimited justifications to access your private records not only without your consent, but also without your knowledge. The law enforcement exception is particularly troubling, because the 4th Amendment clearly prohibits warrantless searches of medical records by government officials. So while on the surface the new rules may seem to give patients some control, the reality is that the consent protection is largely meaningless.
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 6 ... Cached
We should remember that private physicians have maintained patient privacy for centuries without government involvement, relying instead on personal conviction, the Hippocratic Oath, and professional standards. Patients once knew without question that anything they told their doctor would remain confidential. However, the physician/patient relationship is certain to change for the worse when control over patient records is transferred from medical professionals to government agencies. When patients know that their sensitive medical information will be turned over to government agencies or placed in a national database, they inevitably will be less open and honest when seeking medical care. Patients with drug and alcohol problems, mental illnesses, sexually transmitted diseases, HIV, or other stigmatized health concerns will be especially reluctant to seek treatment. The inevitable result will be a decline in the standard of care delivered by doctors and an increase in health care costs.
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Medical Privacy Threatened by Federal Health Bureaucrats
18 June 2001 Texas Straight Talk 18 June 2001 verse 7 ... Cached
As a physician, I have vigorously opposed the new HHS rules since they first were proposed by the Clinton administration. I introduced legislation earlier this year to prevent their implementation, but unfortunately the deadline for Congress to act on my bill expired last week. However, the fight is not lost, as the rules do not become legally enforceable until 2003. Congress still has time to pass new legislation which prohibits the federal government from gathering your private medical information. I urge every American concerned with medical privacy and quality health care to join me in the fight to keep government out of our medical records.
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"Patients Bill of Rights" or Federal Takeover of Medicine?
02 July 2001 Texas Straight Talk 02 July 2001 verse 3 ... Cached
For decades, the U.S. healthcare system was the envy of the entire world. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of privately-funded charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans once paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than a third-party insurance company or government program. Not coincidentally, there was far less government involvement in medicine during this time. Somehow, however, the clear connection between government involvement in medicine and the decline in our once-proud healthcare system has been lost in the current debate.
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"Patients Bill of Rights" or Federal Takeover of Medicine?
02 July 2001 Texas Straight Talk 02 July 2001 verse 4 ... Cached
Today most Americans obtain health care either through an HMO or similar managed-care organization, or through government Medicare and Medicaid. Since it is very hard to make actuarial estimates for routine health care, HMOs charge most members a similar monthly premium. Because HMOs always want to minimize their costs, they often deny payment for various drugs, treatments, and procedures. Similarly, Medicare does not have unlimited funds, so it generally covers only a portion of any costs. The result of this system is that doctors and patients cannot simply decide what treatment is appropriate; instead, they constantly find themselves being second-guessed by HMO accountants and government bureaucrats. When a third party is paying the bills and malpractice lawsuits loom, doctors have every incentive to maximize costs and order all possible tests and treatments. At the same time, patients suffer when legitimate needed treatment is denied. HMOs have become a corporate, bureaucratic middleman in the healthcare system, driving up costs while undeniably degrading the quality of our medical care.
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"Patients Bill of Rights" or Federal Takeover of Medicine?
02 July 2001 Texas Straight Talk 02 July 2001 verse 7 ... Cached
We can hardly blame the market for our current healthcare woes. As with all goods and services, medical care is best delivered by the free market, with competition and patient responsibility keeping costs down. Government has neither the constitutional authority nor the wisdom to determine appropriate contract terms between individuals and health insurers. Congress needs to abolish the HMO mandate and allow favorable tax treatment for individuals paying for health care directly. Medical Savings Accounts (MSAs), which are tax-deductible and tax-exempt accounts used to pay medical expenses, should be made available to all Americans. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. No "patients bill of rights" will help us when the money runs out.
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Government Cannot Mandate Solutions to Ethical Dilemmas
06 August 2001 Texas Straight Talk 06 August 2001 verse 5 ... Cached
Morally complex issues require flexible approaches. The states have successfully dealt with the capital punishment issue for decades without an overriding federal law. The states also crafted their own abortion laws until 1973. Cloning and stem cell research issues likewise should be determined at the state level. Congress forgets that the Constitution grants only certain limited powers to federal lawmakers, reserving all other matters for the states under the 10th Amendment. Therefore, the constitutional approach would be to allow a mixture of moral standards, medical ethics, and local laws to determine the permissibility of cloning or stem cell research in each particular state. Unfortunately, however, neither political party has paid much attention to the Constitution during this debate, preferring instead to focus only on federal mandates and federal funding. No mention is made of states rights, even though state governments would do a much better job of reflecting local sentiment on these ethical issues.
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Government Cannot Mandate Solutions to Ethical Dilemmas
06 August 2001 Texas Straight Talk 06 August 2001 verse 6 ... Cached
First and foremost, we should insist that no federal funding be used for cloning or stem cell research. Most people don't realize that much of the cloning research performed to date has been funded with federal tax dollars. We can't know whether private money would have been spent in the same manner, because federal funding reduces the incentive for private companies to invest their own research dollars- especially when there is no guarantee that cloning technology will produce worthwhile results. Indeed, my own suspicion as a medical doctor is that the potential benefits of cloning have been overblown. So cloning almost certainly would not be the pressing issue it is today if the federal government had not become involved in the first place. Now, of course, Congress wants to ban the very thing it has been funding for years.
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What Should Government Do for the Airlines?
24 September 2001 Texas Straight Talk 24 September 2001 verse 7 ... Cached
I also cannot support proposed legislation that simply provides corporate welfare for the airlines at the behest of industry lobbyists. The federal government has no business insuring that massive CEO salaries remain in effect while rank-and-file employees face layoffs and loss of medical benefits. It would be outrageous for the government to give taxpayer dollars to the airlines without insisting that the money be used for basic operations and safety issues. This is no time for the government to be protecting executives at your expense.
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Optimism or Pessimism for the Future of Liberty?
11 February 2002 Texas Straight Talk 11 February 2002 verse 5 ... Cached
In the area of personal liberty, we face some very real dangers. Throughout our history, starting with the Civil War, our liberties have been threatened and the Constitution has been flaunted. Our government has grown with each national crisis, curtailing many freedoms in the process. The current war on terrorism has no easily defined enemy, and no real end in sight. This means that a return to normalcy with regard to our freedoms is not likely. The implementation of a national ID card, pervasive government surveillance, rubber-stamped search warrants, and the loss of financial and medical privacy will be permanent. If this trend continues, the Constitution will become a much weaker document.
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Legislation for our Military Families and Veterans
21 October 2002 Texas Straight Talk 21 October 2002 verse 7 ... Cached
Finally, Congress should end the silence and formally address Gulf War Syndrome, which has had a devastating impact on thousand of veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the evidence behind the existence of the syndrome is now conclusive. The syndrome likely represents several different maladies caused by exposure to conditions specific to the Gulf region at that time. We should be providing medical treatment to our sick Gulf War veterans, not insulting them by insisting that "it’s all in their heads." Congress should lead the way and craft legislation that requires VA hospitals to recognize and treat Gulf War Syndrome like any other illness. It’s the least we can do for the soldiers who risked their lives in the Gulf.
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The Homeland Security Monstrosity
18 November 2002 Texas Straight Talk 18 November 2002 verse 2 ... Cached
Congress spent just a few short hours last week voting to create the biggest new federal bureaucracy since World War II, not that the media or even most members of Congress paid much attention to the process. Yet our most basic freedoms as Americans- privacy in our homes, persons, and possessions; confidentiality in our financial and medical affairs; openness in our conversations, telephone, and internet use; unfettered travel; indeed the basic freedom not to be monitored as we go through our daily lives- have been dramatically changed.
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Government Vaccines- Bad Policy, Bad Medicine
09 December 2002 Texas Straight Talk 09 December 2002 verse 4 ... Cached
A controversy over vaccines, specifically the smallpox vaccine, is brewing in Washington. The administration is considering ordering mass inoculations for more than one million military personnel and civilian medical workers, ostensibly to thwart a smallpox outbreak before it occurs. Yet dangerous side-effects from the vaccine- ranging from mild flu symptoms to gangrene, encephalitis, and even death- cause many to question the wisdom and need for such inoculations.
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Government Vaccines- Bad Policy, Bad Medicine
09 December 2002 Texas Straight Talk 09 December 2002 verse 5 ... Cached
As a medical doctor, I believe mandated smallpox vaccines are bad medicine. The available vaccine poses significant risks, even though the more serious complications affect only a statistically small number of people. As with any medical treatment, these risks must always be balanced against the perceived benefit. Remember, not a single case of smallpox has been reported, despite the near-hysteria that characterized recent news reports. Even if some individuals became infected, smallpox spreads only with very close contact. Those in the surrounding community could then decide to accept vaccines based on a much more tangible risk.
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Government Vaccines- Bad Policy, Bad Medicine
09 December 2002 Texas Straight Talk 09 December 2002 verse 6 ... Cached
As a legislator, I believe mandated smallpox vaccines are very bad policy. The point is not that smallpox vaccines are necessarily a bad idea, but rather that intimately personal medical decisions should not be made by government. The real issue is individual medical choice. No single person, including the President of the United States, should ever be given the power to make a medical decision for potentially millions of Americans. Freedom over one’s physical person is the most basic freedom of all, and people in a free society should be sovereign over their own bodies. When we give government the power to make medical decisions for us, we in essence accept that the state owns our bodies.
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Government Vaccines- Bad Policy, Bad Medicine
09 December 2002 Texas Straight Talk 09 December 2002 verse 8 ... Cached
Politics and medicine don’t mix. It is simply not the business of government at any level to decide whether you choose to accept a smallpox vaccine or any other medical treatment. Yet decades of federal intervention in health care, including the impact of third-party HMOs created by federal legislation, have weakened the doctor-patient relationship. A free market system would allow doctors and patients to make their own decisions about smallpox inoculations, without the federal government hoarding, mandating, nor prohibiting the vaccine. Instead, we’re moving quickly toward the day when government controls not only what vaccines patients receive, but what kind of health care they receive at all.
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Welfare for the Left, Welfare for the Right, Welfare for the World
03 February 2003 Texas Straight Talk 03 February 2003 verse 8 ... Cached
I say “supposedly” because the money never really helps, and almost always ends up in the hands of dictators, corrupt government officials, or thuggish leaders of local factions. We could send $100 or $500 billion, and Africa would remain mired in AIDS and poverty. Only freedom, property rights, capitalism, and the rule of law can help Africa. The AIDS crisis cannot be solved by government, but rather requires a combination of truly independent private sector medical research and politically incorrect prevention efforts. Americans are the most charitable people on earth, and we should stop taxing them so much and allow private charities, including charities aimed at combating AIDS, to flourish.
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Honor Veterans with a Better Budget
24 March 2003 Texas Straight Talk 24 March 2003 verse 5 ... Cached
We should remember that Gulf War I and II will swell the ranks of our combat veterans, many of whom will need medical care as they grow older. Congress should immediately end the silence and formally address Gulf War Syndrome, which has had a devastating impact on veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the syndrome is very real, and likely represents several different maladies caused by exposure to conditions specific to the Gulf region at the time. Congress and the Veterans Administration should stop insulting our Gulf War veterans and recognize that the syndrome is a serious illness that needs treatment. We can only hope and pray that our soldiers in Iraq today do not suffer from similar illnesses in the future. Congress must, however, ensure adequate funding for the medical care that today’s soldiers will someday need.
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 1 ... Cached
The Free-Market Approach to the Medical Malpractice Crisis
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 2 ... Cached
I’ve spent nearly four decades practicing medicine as an obstetrician, and I’ve seen firsthand how the cost of medical malpractice insurance has risen. Among doctors, malpractice costs truly represent a crisis that threatens the economic viability of the profession.
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 3 ... Cached
There is no question that medical malpractice lawsuits are out of control in this country. We’ve become a society that expects medical care to be guaranteed, that demands a perfect outcome to every medical procedure. Mother Nature provides no guarantees however, and things can go wrong without the slightest negligence by the doctor involved. Of course some malpractice suits are legitimate, and truly negligent doctors should pay economic damages. But far too many suits are filed simply because a patient is unhappy despite the competent efforts of his doctor, and far too many meritless suits are settled simply to avoid litigation costs. The result is malpractice premiums that cost doctors tens of thousands of dollars per year, and increasingly threaten to put some out of business.
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 4 ... Cached
Every American pays for this not only in the form of much higher medical costs, but also in countless other ways. Trauma center doctors have walked off the job in protest. Many doctors feel stressed, unhappy, and unappreciated, which leads to a declining quality of care. Most are hesitant to explore new treatments that could benefit patients because they fear a lawyer will seize on any deviation from standard practices. Similarly, patients endure more and more unnecessary and costly tests ordered by doctors who feel they must explore even the most unlikely diagnoses. Worst of all, the best and brightest young people are abandoning the pursuit of medical careers. Already faced with years in medical school and daunting tuition bills, they increasingly understand that malpractice and economic concerns have damaged the quality of life for doctors.
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 5 ... Cached
Many Americans understandably want Congress to fix the medical malpractice problem. Yet the “solution” offered by Congress, namely the federalization of malpractice law, threatens to do more harm than good. First and foremost, this approach damages the Constitution by denying states the right to decide their own local medical standards and legal rules. Capping liability limits sounds appealing, but it fails to address the basic problem of too many lawsuits and too many shakedowns, most of which settle for less than the proposed caps anyway.
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The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 6 ... Cached
The federal approach also ignores the root cause of the malpractice crisis: the shift away from treating the doctor-patient relationship as a contract to viewing it as one governed by federal regulations. The third-party payer system, largely the result of federal tax laws and the HMO Act of 1973, invites insurance company functionaries, politicians, government bureaucrats, and trial lawyers into the equation. This destroys the patient’s incentive to keep costs down, because he feels he is part of “the system” and someone else pays the bill. In other words, the costs of medical care have been socialized, even though HMOs are ostensibly private businesses.
medical
The Free-Market Approach to the Medical Malpractice Crisis
31 March 2003 Texas Straight Talk 31 March 2003 verse 7 ... Cached
Yet the assessment of liability and compensation should be determined by private contractual agreements between physicians and patients- in other words, by the free market. The free-market approach enables patients to protect themselves with “negative outcomes” insurance purchased before medical treatment. Such insurance ensures that those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation.
medical
The Federal Government Bully in State and Local Elections
26 May 2003 Texas Straight Talk 26 May 2003 verse 5 ... Cached
Consider the medical marijuana debate. Federal law currently prohibits the Office of National Drug Control Policy (ONDCP) from using its huge advertising budget for partisan or political purposes. In fact, a broader law prohibits federal agencies in general from using taxpayer dollars to influence the outcome of local elections. The need for these laws is obvious if we hope to maintain any slight degree of federalism. However, if Congress passes a bill pending before a House committee, ONDCP will soon be exempt from the rules against politicking. It already blatantly ignored existing rules in recent months by sending representatives to Missouri and Nevada to openly oppose local medical marijuana initiatives. The message to local voters was very clear: do not dare pass a law that displeases your superiors in Washington. To do so was to risk an outright raid by federal agents to make sure the new law was not implemented, as we saw two years ago in California.
medical
The Federal Government Bully in State and Local Elections
26 May 2003 Texas Straight Talk 26 May 2003 verse 6 ... Cached
The issue is not whether one supports medical marijuana or not. The issue is whether Washington decides or local voters decide. For most issues, the Constitution leaves decision-making to the states. For most of the 20th century, however, the federal government has ignored the Constitution and run roughshod over state sovereignty. As a result, the centralizers of both parties in Washington cannot imagine a society not dominated by the federal government.
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HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 3 ... Cached
Seniors have been terribly misled about this new Medicare scheme. The essence of the new plan is government control. Government will play an even greater role in deciding what drugs seniors get, how doctors and pharmacies are paid, how private medical information is distributed, and what drug companies benefit most. The plan moves America disastrously toward a complete government takeover of medicine.
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HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 9 ... Cached
A better approach would utilize Medicare Medical Savings Accounts (MSAs) to provide flexibility and choice. Medicare monies could be placed in tax-free savings accounts and used by individual seniors as they see fit to buy prescription drugs, visit the doctor, or buy special services like mammograms. MSAs allow consumers to make their own choices by eliminating the federal middleman. But even this compromise approach means giving individuals control over tax dollars, which bureaucrats hate to do.
medical
Federal Reserve Inflation Punishes Saving
21 July 2003 Texas Straight Talk 21 July 2003 verse 3 ... Cached
Throughout Greenspan’s tenure, we’ve been told that inflation is either nonexistent or very much in check. The Treasury department assures us that consumer prices, measured by the consumer price index (CPI), are under control. But inflation is much greater than the government admits. The CPI excludes housing prices, among other things. Everyone knows that housing prices have risen dramatically over the last decade in most parts of the country, with rents following closely behind. So the single biggest expense for most Americans- their mortgage or rent payment- certainly has inflated! The price of many other goods and services, including medical care and energy, also has risen substantially.
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Drug Reimportation Increases Medical Freedom
04 August 2003 Texas Straight Talk 04 August 2003 verse 1 ... Cached
Drug Reimportation Increases Medical Freedom
medical
Trust Us, We're the Government
25 August 2003 Texas Straight Talk 25 August 2003 verse 9 ... Cached
The administration's interest in all e-mail is a wholly unhealthy precedent, especially given this administration's track record on FBI files and IRS snooping. Every medium by which people communicate can be subject to exploitation by those with illegal intentions. Nevertheless, this is no reason to hand Big Brother the keys to unlock our e-mail diaries, open our ATM records, read our medical records, or translate our international communications...The implications here are far-reaching, with impacts that touch individual users, companies, libraries, universities, teachers, and students.
medical
Your Money in Iraq
29 September 2003 Texas Straight Talk 29 September 2003 verse 6 ... Cached
-$100 million for several new housing communities, complete with roads, schools, and a medical clinic;
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Mistreating Soldiers and Veterans
10 November 2003 Texas Straight Talk 10 November 2003 verse 2 ... Cached
Congress recently voted to send $87 billion to Iraq, money that will be used to build everything from roads to power plants to hospitals. Yet while Congress appears ready to rubber-stamp unlimited monies for nation building in Iraq, thousands of our own soldiers at home are languishing with substandard medical care.
medical
Amnesty and Culture
12 January 2004 Texas Straight Talk 12 January 2004 verse 4 ... Cached
The immigration problem fundamentally is a welfare state problem. Some illegal immigrants-- certainly not all-- receive housing subsidies, food stamps, free medical care, and other forms of welfare. This alienates taxpayers and breeds suspicion of immigrants, even though the majority of them work very hard. Without a welfare state, we would know that everyone coming to America wanted to work hard and support himself. Since we have accepted a permanent welfare state, however, we cannot be surprised when some freeloaders and criminals are attracted to our shores. Welfare muddies the question of why immigrants want to come here.
medical
Inflation- Alive and Well
08 March 2004 Texas Straight Talk 08 March 2004 verse 7 ... Cached
The prices of many other goods and services, including medical care and energy, also have increased substantially in the past decade. Commodity prices in particular have risen recently. In fact, broad indexes show commodities have risen 49% since last spring! The price of gold, steel, lumber, coal, lead, soybeans, corn, and rice have all spiked over the past year. When raw materials and basic consumables rise in price, all of us feel the effects in our pocketbooks. Mr. Greenspan may dismiss commodities as mere “physical” assets in his vision of an increasingly “conceptual” economy, but the markets are showing their preference for hard assets over fiat dollars and dollar-denominated equities.
medical
The Federal War on Pain Relief
19 April 2004 Texas Straight Talk 19 April 2004 verse 5 ... Cached
The real tragedy is that the federal government once again has interfered with the doctor-patient relationship. All decisions concerning appropriate medical treatment should be made between doctors and their patients, without government involvement. But, when threatened with criminal prosecution or loss of their medical licenses, many doctors simply have stopped prescribing powerful pain drugs--no matter how much their patients may need them. Some have even posted signs in their waiting rooms advising patients not to ask for OxyContin and similar drugs. It is shameful that government has created an atmosphere where doctors are afraid of exercising their medical judgment.
medical
The Federal War on Pain Relief
19 April 2004 Texas Straight Talk 19 April 2004 verse 8 ... Cached
The sanctity of the doctor-patient relationship is being destroyed by federal bureaucrats, who have turned the drug war into a war on pain relief. Americans suffering from chronic pain and their doctors are the real victims of this unprincipled and medically unsound federal campaign.
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Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 2 ... Cached
Last week the congressional Joint Economic committee on which I serve held a hearing featuring two courageous medical doctors. I had the pleasure of meeting with one of the witnesses, Dr. Robert Berry, who opened a low-cost health clinic in rural Tennessee. His clinic does not accept insurance, Medicare, or Medicaid, which allows Dr. Berry to treat patients without interference from third-party government bureaucrats or HMO administrators. In other words, Dr. Berry practices medicine as most doctors did 40 years ago, when patients paid cash for ordinary services and had inexpensive catastrophic insurance for serious injuries or illnesses. As a result, Dr. Berry and his patients decide for themselves what treatment is appropriate.
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Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 3 ... Cached
Freed from HMO and government bureaucracy, Dr. Berry can focus on medicine rather than billing. Operating on a cash basis lowers his overhead considerably, allowing him to charge much lower prices than other doctors. He often charges just $35 for routine maladies, which is not much more than one’s insurance co-pay in other offices. His affordable prices enable low-income patients to see him before minor problems become serious, and unlike most doctors, Dr. Berry sees patients the same day on a walk-in basis. Yet beyond his low prices and quick appointments, Dr. Berry provides patients with excellent medical care.
medical
Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 4 ... Cached
While many liberals talk endlessly about medical care for the poor, Dr. Berry actually helps uninsured people every day. His patients are largely low-income working people, who cannot afford health insurance but don’t necessarily qualify for state assistance. Some of his uninsured patients have been forced to visit hospital emergency rooms for non-emergency treatment because no doctor would see them. Others disliked the long waits and inferior treatment they endured at government clinics. For many of his patients, Dr. Berry’s clinic has been a godsend.
medical
Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 5 ... Cached
Dr. Berry’s experience illustrates the benefits of eliminating the middleman in health care. For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program.
medical
Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 8 ... Cached
We can hardly expect more government to cure our current health care woes. As with all goods and services, medical care is best delivered by the free market, with competition and financial incentives keeping costs down. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. Dr. Berry and others like him may one day be seen as consumer heroes who challenged the third-party health care system and resisted the trend toward socialized medicine in America.
medical
The War on Drugs is a War on Doctors
17 May 2004 Texas Straight Talk 17 May 2004 verse 3 ... Cached
Dr. Cecil Knox of Virginia is one recent victim of federal authorities, who cannot abide physicians using their own judgment when prescribing pain medication. Dr. Knox faces federal criminal charges for prescribing legal pain drugs, and tragically has been forced to spend several hundred thousand dollars defending himself. Virginia state authorities have neither charged him with a crime nor revoked his medical license, yet the federal government- which constitutionally has no authority to usurp state drug laws- perversely seeks to imprison Dr. Knox for life!
medical
The War on Drugs is a War on Doctors
17 May 2004 Texas Straight Talk 17 May 2004 verse 5 ... Cached
Those who support the war on drugs may well change their views if one day they find themselves experiencing serious pain because of an accident or old age. By creating an atmosphere that regards all powerful pain medication as suspect, the drug warriors have forced countless Americans to live degraded, bedridden lives. Even elderly deathbed patients sometimes are denied adequate pain relief from reluctant doctors and nurses. It’s one thing to support a faraway drug campaign in Colombia or Afghanistan, but it’s quite another to watch a loved one suffering acute pain that could be treated. A sane, compassionate society views advances in medical science- particularly advances that relieve great suffering- as heroic. Instead, our barbaric drug war treats pain patients the same way it treats street junkies.
medical
The War on Drugs is a War on Doctors
17 May 2004 Texas Straight Talk 17 May 2004 verse 6 ... Cached
Doctors are not slaves, and they will not continue practicing medicine forever if the federal government insists on monitoring, harassing, fining, and even jailing them. Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing pain relief drugs. Doctors should not be prosecuted for using their best medical judgment, nor should they be prosecuted for the misdeeds of their patients.
medical
Resisting Judicial Tyranny
26 July 2004 Texas Straight Talk 26 July 2004 verse 4 ... Cached
The Founders never intended for a handful of unelected, unaccountable federal judges to decide social policy for the entire nation. Just as Texas is not required to recognize medical licenses, law licenses, or driving licenses from other states, it ought not be forced to recognize gay marriage licenses granted elsewhere. Already some same-sex couples have sued in federal court to force the nationwide recognition of their marriages, so the Marriage Protection Act is needed to preserve states’ rights. Federal judges have flouted the will of the American people for too long, acting as imperial legislators instead of jurists
medical
Useless Conventions
02 August 2004 Texas Straight Talk 02 August 2004 verse 9 ... Cached
Americans don’t need new federal programs, and they certainly don’t need more federal control over their schools. They don’t need a disastrous government-run medical system. What Americans do need is a federal government that provides national defense, secures our borders, and does very little else. Needless to say you won’t hear the parties suggesting such a platform anytime soon.
medical
Forcing Kids Into a Mental Health Ghetto
13 September 2004 Texas Straight Talk 13 September 2004 verse 3 ... Cached
One obvious beneficiary of the proposal is the pharmaceutical industry, which is eager to sell the psychotropic drugs that undoubtedly will be prescribed to millions of American schoolchildren under the new screening program. Of course a tiny minority of children suffer from legitimate mental illnesses, but the widespread use of Ritalin and other drugs on youngsters who simply exhibit typical rambunctious, fidgety, and impatient behavior is nothing short of criminal. It may be easier to teach and parent drugged kids, but convenience is no justification for endangering them. Children’s brains are still developing, and the truth is we have no idea what the long-term side effects of psychiatric drugs may be. Medical science has not even exhaustively identified every possible brain chemical, even as we alter those chemicals with drugs.
medical
Mental Health Screening for Kids- Part II
20 September 2004 Texas Straight Talk 20 September 2004 verse 3 ... Cached
Last week I wrote about a presidential initiative called the “New Freedom Commission on Mental Health,” which issued a report calling for the mandatory mental health screening of American schoolchildren. This new proposal threatens to force millions of kids to undergo psychiatric screening, whether their parents consent or not. At issue is the fundamental right of parents to decide what medical treatment is appropriate for their children.
medical
Private Help for Tsunami Victims
10 January 2005 Texas Straight Talk 10 January 2005 verse 6 ... Cached
Money is critical for disaster relief, but it is not the only issue. Efficient organization of relief services is equally important, and efficiency means circumventing the government bureaucracies that tend to boss people around after natural disasters. Doctors Without Borders, a private group known for providing medical care in poor nations, actually requested that people stop sending them money last week. Their operating model relies on very low overhead and complete independence from governments, and they understand that throwing more and more money at a disaster is not necessarily the best approach.
medical
Don't Let Congress Fund Orwellian Psychiatric Screening of Kids
31 January 2005 Texas Straight Talk 31 January 2005 verse 3 ... Cached
Every parent in America should be made aware of a presidential initiative called the “New Freedom Commission on Mental Health.” This commission issued a report last year calling for the mandatory mental health screening of American schoolchildren, meaning millions of kids will be forced to undergo psychiatric screening whether their parents consent or not. At issue is the fundamental right of parents to decide what medical treatment is appropriate for their children.
medical
What does Freedom Really Mean?
07 February 2005 Texas Straight Talk 07 February 2005 verse 10 ... Cached
The political left equates freedom with liberation from material wants, always via a large and benevolent government that exists to create equality on earth. To modern liberals, men are free only when the laws of economics and scarcity are suspended, the landlord is rebuffed, the doctor presents no bill, and groceries are given away. But philosopher Ayn Rand (and many others before her) demolished this argument by explaining how such “freedom” for some is possible only when government takes freedoms away from others. In other words, government claims on the lives and property of those who are expected to provide housing, medical care, food, etc. for others are coercive-- and thus incompatible with freedom. “Liberalism,” which once stood for civil, political, and economic liberties, has become a synonym for omnipotent coercive government.
medical
Empty Rhetoric for Veterans
04 April 2005 Texas Straight Talk 04 April 2005 verse 3 ... Cached
Many military veterans were shocked to see that the federal budget for 2006 makes several cuts in veterans benefits and services. Under the proposed budget, the Veterans Administration will increase once again the co-pay cost of prescription drugs, while adding a new annual fee for medical benefits. The budget also calls for the reduction of veterans home funding and limits the number of VA nursing home beds. Some members of Congress have even suggested rewriting the definition of "veteran" in a way that could deny VA health benefits for millions of retired servicemen.
medical
Empty Rhetoric for Veterans
04 April 2005 Texas Straight Talk 04 April 2005 verse 5 ... Cached
Our invasion of Iraq will swell the ranks of our combat veterans, many of whom will need medical care as they grow older. Sadly, health issues arising from the first war with Iraq still have not been addressed. Congress should immediately end the silence and formally address Gulf War Syndrome, which has had a devastating impact on veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the syndrome is very real, and likely represents several different maladies caused by exposure to conditions specific to the Gulf region at the time. Congress and the VA should stop insulting Gulf War veterans and recognize that the syndrome is a serious illness that needs treatment. We can only hope and pray that our soldiers in Iraq today do not suffer from similar illnesses in the future.
medical
Dietary Supplements and Health Freedom
25 April 2005 Texas Straight Talk 25 April 2005 verse 11 ... Cached
conventional medical system.
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Dietary Supplements and Health Freedom
25 April 2005 Texas Straight Talk 25 April 2005 verse 16 ... Cached
The real issue is not whether supplements really work, or whether FDA drugs really are safe. The real issue is: Who decides, the individual or the state? This is the central question in almost every political issue. In free societies, individuals decide what medical treatments or health supplements are appropriate for them.
medical
Missing the Point: Federal Funding of Stem Cell Research
30 May 2005 Texas Straight Talk 30 May 2005 verse 2 ... Cached
Medical and scientific ethics issues are in the news again, as Congress narrowly passed a bill last week that funds controversial embryonic stem cell research. While I certainly sympathize with those who understandably hope such research will lead to cures for terrible diseases, I object to forcing taxpayers who believe harvesting embryos is immoral to pay for it.
medical
Missing the Point: Federal Funding of Stem Cell Research
30 May 2005 Texas Straight Talk 30 May 2005 verse 5 ... Cached
Federal funding of medical research guarantees the politicization of decisions about what types of research for what diseases will be funded. Scarce tax resources are allocated according to who has the most effective lobby, rather than on the basis of need or even likely success. Federal funding also causes researchers to neglect potential treatments and cures that do not qualify for federal funds. Medical advancements often result from radical ideas and approaches that are scoffed at initially by the establishment. When scientists become dependent on government funds, however, they quickly learn not to rock the boat and stick to accepted areas of inquiry. Federal funds thus distort the natural market for scientific research.
medical
CAFTA and Dietary Supplements
18 July 2005 Texas Straight Talk 18 July 2005 verse 7 ... Cached
Pharmaceutical companies have spent billions of dollars trying to get Washington to regulate your dietary supplements like European governments do. So far, that effort has failed in America, in part because of a 1994 law called the Dietary Supplement Health and Education Act. Big Pharma and the medical establishment hate this Act, because it allows consumers some measure of freedom to buy the supplements they want. Americans like this freedom, however-- especially the health conscious Baby Boomers.
medical
Immigration and the Welfare State
08 August 2005 Texas Straight Talk 08 August 2005 verse 6 ... Cached
We must end welfare state subsidies for illegal immigrants. Some illegal immigrants-- certainly not all-- receive housing subsidies, food stamps, free medical care, and other forms of welfare. This alienates taxpayers and breeds suspicion of immigrants, even though the majority of them work very hard. Without a welfare state, we would know that everyone coming to America wanted to work hard and support himself.
medical
Borrowing, Spending, Counterfeiting
22 August 2005 Texas Straight Talk 22 August 2005 verse 3 ... Cached
Few Americans truly understand how our Federal Reserve system enables Congress to spend far beyond its means, but the cycle of spending and printing money affects all of us. Simply put, the more money our Treasury prints, the less every dollar is worth. Our pure fiat money system, in place since the last vestiges of a gold standard were eliminated in the early 1970s, has reduced the value of your savings by 80%. Disregard the government’s Consumer Price Index, which substantially underreports price inflation. Monetary inflation is true inflation, and we only need to look at the cost of homes, cars, energy, and medical care to recognize that a dollar buys far less today than ever.
medical
More of the Same at the Federal Reserve
28 November 2005 Texas Straight Talk 28 November 2005 verse 7 ... Cached
Inflation is not in check, as anyone who examines the cost of housing, energy, medical care, school tuition, and other basics can attest. In one sense the remarkable rise in housing prices over the last decade really just represents a drop in the value of the dollar. The artificial boom in the 1990s equity markets, engineered by Mr. Greenspan's relentless monetary expansion and interest rate cutting, ended badly for millions of Americans holding overinflated stocks. What will happen when the same thing happens with housing?
medical
Don't Complicate Immigration Reform
12 December 2005 Texas Straight Talk 12 December 2005 verse 9 ... Cached
Finally, we must end welfare state subsidies for illegal immigrants. Some illegal immigrants-- certainly not all-- receive housing subsidies, food stamps, free medical care, and other forms of welfare. This alienates taxpayers and breeds suspicion of immigrants, even though the majority of them work very hard. Without a welfare state, we would know that everyone coming to America wanted to work hard and support himself.
medical
The Ever-Growing Federal Budget
13 February 2006 Texas Straight Talk 13 February 2006 verse 12 ... Cached
Neither political party wants to address the fundamental yet unspoken issues inherent in any budget proposal: What is the proper role for government in our society? Are these ever-growing entitlement and military expenditures really consistent with a free country? Do the proposed expenditures, and the resulting taxes, make us more free or less free? Should the government or the marketplace provide medical care? Should the U.S. military be used to remake whole nations? Are the programs, agencies, and departments funded in the budget proposal constitutional? Are they effective? Could they operate with a smaller budget? Would the public even notice if certain items were eliminated altogether? These are the kinds of questions the American people should ask, even if Congress lacks the courage to apply any principles whatsoever to the budget process.
medical
The Immigration Question
03 April 2006 Texas Straight Talk 03 April 2006 verse 6 ... Cached
We’re often told that immigrants do the jobs Americans won’t do, and sometimes this is true. But in many instances illegal immigrants simply increase the supply of labor in a community, which lowers wages. And while cheap labor certainly benefits the economy as a whole, when calculating the true cost of illegal immigration we must include the cost of social services that many new immigrants consume- especially medical care.
medical
Federal Reserve Policy Destroys the Value of Your Savings
10 July 2006 Texas Straight Talk 10 July 2006 verse 3 ... Cached
For years officials at the Federal Reserve Bank, including Chairman Bernanke himself, have assured us that inflation is under control and not a problem-- even as the price of housing, energy, medical care, school tuition, gold, and other commodities skyrockets.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 3 ... Cached
As a medical doctor, I’ve seen first-hand how bureaucratic red tape interferes with the doctor-patient relationship and drives costs higher. The current system of third-party payers takes decision-making away from doctors, leaving patients feeling rushed and worsening the quality of care. Yet health insurance premiums and drug costs keep rising. Clearly a new approach is needed. Congress needs to craft innovative legislation that makes health care more affordable without raising taxes or increasing the deficit. It also needs to repeal bad laws that keep health care costs higher than necessary.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 6 ... Cached
For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 9 ... Cached
HR 3075 provides truly comprehensive health care reform by allowing families to claim a tax credit for the rising cost of health insurance premiums. With many families now spending close to $1000 or even more for their monthly premiums, they need real tax relief-- including a dollar-for-dollar credit for every cent they spend on health care premiums-- to make medical care more affordable.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 10 ... Cached
HR 3076 is specifically designed to address the medical malpractice crisis that threatens to drive thousands of American doctors- especially obstetricians- out of business. The bill provides a dollar-for-dollar tax credit that permits consumers to purchase "negative outcomes" insurance prior to undergoing surgery or other serious medical treatments. Negative outcomes insurance is a novel approach that guarantees those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation. Under HR 3076, individuals can purchase negative outcomes insurance at essentially no cost.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 11 ... Cached
HR 3077 makes it more affordable for parents to provide health care for their children. It creates a $500 per child tax credit for medical expenses and prescription drugs that are not reimbursed by insurance. It also creates a $3,000 tax credit for dependent children with terminal illnesses, cancer, or disabilities. Parents who are struggling to pay for their children's medical care, especially when those children have serious health problems or special needs, need every extra dollar.
medical
Lowering the Cost of Health Care
21 August 2006 Texas Straight Talk 21 August 2006 verse 12 ... Cached
HR 3078 is commonsense, compassionate legislation for those suffering from cancer or other terminal illnesses. The sad reality is that many patients battling serious illnesses will never collect Social Security benefits-- yet they continue to pay into the Social Security system. When facing a medical crisis, those patients need every extra dollar to pay for medical care, travel, and family matters. HR 3078 waives the employee portion of Social Security payroll taxes (or self-employment taxes) for individuals with documented serious illnesses or cancer. It also suspends Social Security taxes for primary caregivers with a sick spouse or child. There is no justification or excuse for collecting Social Security taxes from sick individuals who literally are fighting for their lives.
medical
Amnesty and the Welfare State
18 September 2006 Texas Straight Talk 18 September 2006 verse 7 ... Cached
The immigration problem fundamentally is a welfare state problem. Some illegal immigrants-- certainly not all-- receive housing subsidies, food stamps, free medical care, and other forms of welfare. This alienates taxpayers and breeds suspicion of immigrants, even though the majority of them work very hard. Without a welfare state, we would know that everyone coming to America wanted to work hard and support himself. Since we have accepted a permanent welfare state, however, we cannot be surprised when some freeloaders and criminals are attracted to our shores. Welfare muddies the question of why immigrants want to come here.
medical
Diagnosing our Health Care Woes
25 September 2006 Texas Straight Talk 25 September 2006 verse 5 ... Cached
It’s time to rethink the whole system of HMOs and managed care. This entire unnecessary level of corporatism rakes off profits and worsens the quality of care. But HMOs did not arise in the free market; they are creatures of government interference in health care dating to the 1970s. These non-market institutions have gained control over medical care through collusion between organized medicine, politicians, and drug companies, in an effort to move America toward “free” universal health care.
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Diagnosing our Health Care Woes
25 September 2006 Texas Straight Talk 25 September 2006 verse 6 ... Cached
One big problem arises from the 1974 ERISA law, which grants tax benefits to employers for providing health care, while not allowing similar incentives for individuals. This results in the illogical coupling between employment and health insurance. As such, government removed the market incentive for health insurance companies to cater to the actual health-care consumer. As a greater amount of government and corporate money has been used to pay medical bills, costs have risen artificially out of the range of most individuals.
medical
Demographic Reality and the Entitlement State
13 November 2006 Texas Straight Talk 13 November 2006 verse 9 ... Cached
Are ever growing entitlement and military expenditures really consistent with a free country? Do these expenditures, and the resulting deficits, make us more free or less free? Should the government or the marketplace provide medical care? Should younger taxpayers be expected to provide retirement security and health care even for affluent retirees? Should the U.S. military be used to remake whole nations? Are the programs, agencies, and departments funded by Congress each year constitutional? Are they effective? Could they operate with a smaller budget? Would the public even notice if certain programs were eliminated altogether? These are the kinds of questions the American people must ask, even though Congress lacks the courage to do so.
medical
Monetary Policy is Critically Important
19 February 2007 Texas Straight Talk 19 February 2007 verse 9 ... Cached
Government officials consistently claim that inflation is in check at barely 2%, but middle class Americans know that their purchasing power--especially when it comes to housing, energy, medical care, and school tuition-- is shrinking much faster than 2% each year.
medical
More Funding for the War in Iraq
26 March 2007 Texas Straight Talk 26 March 2007 verse 6 ... Cached
What might be most disturbing, however, is the treatment of veterans in the bill. Playing politics with the funding of critical veterans medical and other assistance by adding it onto a controversial bill to attract votes strikes me as highly inappropriate. Veterans’ funding should be included in a properly structured, comprehensive appropriations bill. Better still, veterans spending should be automatically funded and not subject to yearly politicking and nit-picking.
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Getting Iraq War Funding Wrong Again
30 April 2007 Texas Straight Talk 30 April 2007 verse 4 ... Cached
In this final version, the House leadership retained billions of dollars in pork meant to attract skeptical votes, retained a watered-down version of the problematic “benchmarks” that seek to micromanage the war effort, and continued to play politics with the funding of critical veterans medical and other assistance. In other words, this final version was even worse than the original in almost all respects.
medical
Immigration ‘Compromise’ Sells Out Our Sovereignty
25 May 2007 Texas Straight Talk 25 May 2007 verse 6 ... Cached
What is seldom discussed in the immigration debate, unfortunately, is the incentives the US government provides for people to enter the United States illegally. As we know well, when the government subsidizes something we get more of it. The government provides a myriad of federal welfare benefits to those who come to the US illegally, including food stamps and free medical care. Is this a way to discourage people from coming to the US illegally?
medical
Amnesty Opponents Are Not Un-American
11 June 2007 Texas Straight Talk 11 June 2007 verse 6 ... Cached
This legislation purports to crack down hard at our borders, but as we have learned time and time again, you cannot address enforcement until you address incentives. That is why you cannot have border security with an amnesty program in place: the incentive of amnesty undermines any crack-down on border protection and in fact just makes work for our Border Patrol all the more difficult. Incentives in place to those who would come to the United States illegally will remain in place if this legislation is passed. Illegal immigrants will still receive federal assistance and free medical care and their children will still gain automatic citizenship after this bill is passed. We need to face the fact that securing our borders means more than legislation, or fences, or even more Border Patrol. It means removing incentives for people to come to the US illegally in the first place. That is why I will once again introduce an amendment to the Constitution to end birthright citizenship this coming week.
medical
Rights of Taxpayers is Missing Element in Stem Cell Debate
25 June 2007 Texas Straight Talk 25 June 2007 verse 7 ... Cached
Our founding fathers devised a system of governance that limited federal activity very narrowly. In doing so, they intended to keep issues such as embryonic stem cell research entirely out of Washington’s hands. They believed issues such as this should be tackled by free people acting freely in their churches and medical associations, and in the marketplace that would determine effective means of research. When government policies on this issue were to be developed, our founders would have left them primarily to state legislators to decide in accord with community standards.
medical
Rights of Taxpayers is Missing Element in Stem Cell Debate
25 June 2007 Texas Straight Talk 25 June 2007 verse 9 ... Cached
If Congress attempts to override the President’s veto, I will support the President. As a physician, I am well aware that certain stem cells have significant medical potential and do not raise the moral dilemmas presented by embryonic stem cell research. My objection is focused on the issue of federal funding. Unfortunately, in the Washington environment of “either subsidize it, or else ban it,” it is unlikely there will be much focus given to the issue of federal funding. Instead, virulent charges will fly regarding who is willing to sacrifice the lives and health of others to make a political point.
medical
On the Omnibus Spending Bill
23 December 2007 Texas Straight Talk 23 December 2007 verse 7 ... Cached
If this is Washington’s idea of the spirit of Christmas and charity then it is a sick joke. This holiday season we should be more concerned about the less fortunate here in our own country. People are facing the possibility of losing their homes because of a mortgage crisis brought on by inflation, businesses are being pushed into bankruptcy by a burdensome regulatory state, and the tax code makes it hard for many people to afford basics like medical care, gasoline, and educational expenses for their children.
medical
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 2 ... Cached
K.K. Forss does not claim medical marijuana solves all his problems. His pain from a ruptured disc in his neck is debilitating. He is unable to go to work or to the First Baptist Church he used to attend because of the pain and muscle spasms. Taxpayers through Medicare spend over $18,000 a year on his various medications. Half of those drugs are strong narcotics. The other half address the various side-effects brought on by the first half, such as nausea, heartburn, heart palpitations, difficulty sleeping, and muscle spasms.
medical
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 3 ... Cached
No, marijuana would not completely address all his pain, but it made a tremendous difference in the quality of his life when he tried it for over a year. It helped him regain 38 pounds he had lost. It calmed his muscle spasms and helped him sleep. In short, it alleviated many side effects and greatly reduced his need for other expensive medications. Mr. Forss estimates that being allowed to use medical marijuana would save taxpayers at least $12,000 a year in medications he would no longer need. He would also be able to work occasionally and attend some church services.
medical
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 4 ... Cached
Scientists at the University of California at Davis recently completed a study that backs up Mr. Forss’s experience, finding that cannabis demonstrates significant relief of neuropathic pain. Many in government call for more studies while people like K.K. Forss suffer. More studies will not change what many patients already know, and that is for some, medical marijuana helps their pain. But over-reaching government gets in the way.
medical
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 5 ... Cached
K.K. Forss lived in constant fear of federal and state officials so he eventually stopped taking medical marijuana and switched to his more rigorous and expensive pill regimen. Presently, twelve states have passed legislation allowing marijuana, under certain conditions, to be prescribed legally by doctors for patients who could benefit from it. K.K. Forss lives in Minnesota, where it is not yet legal. However, even if it is legalized by the state, Mr. Forss will still have plenty to fear from the Federal government, as cannabis dispensaries and clinics that operate under these state laws are still under fire from the Drug Enforcement Administration.
medical
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 7 ... Cached
The Federal government should recognize that states have the authority to decide these issues. This affords all states the opportunity to see which policies are most beneficial. As a Congressman and a physician, I strongly advocate that healthcare decisions should be made by doctors and patients, not politicians or federal agents, which is why I am an original co-sponsor of the recently introduced “Medical Marijuana Patient Protection Act” which would bar the Federal government from intervening in such doctor/patient relationships that violate no state law.
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.