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care State Of The Republic 28 January 1998 1998 Ron Paul 2:6 Foreign affairs. Although foreign affairs was not on the top of the agenda in the last session, misunderstanding in this area presents one the greatest threats to the future of America. There is near conformity, uniformity of opinion in the Congress for endorsing the careless use of U.S. force to police the world. Although foreign policy was infrequently debated in the past year and there are no major wars going on or likely to start soon, the danger inherent in foreign entanglements warrants close scrutiny. care 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. care 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. care State Of The Republic 28 January 1998 1998 Ron Paul 2:128 A free society is just the opposite. I argue that a free society is the only “decent” society and the only one that I care to live in. A free society depends entirely on personal rights for which all individuals are naturally entitled. This was the bedrock of the Declaration of Independence and our Constitution and the principle upon which our republic rests. care Congress Should Move Cautiously On Resolution Regarding Iraq 5 February 1998 1998 Ron Paul 4:4 I urge my fellow colleagues, please, be cautious, be careful, and be wise when it comes to giving this President the right to wage war. Ironically, this President did not respond in the same manner with the Gulf of Tonkin resolution. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:4 The three specific problems that I want to mention, and I mention these because I think this is what the American people are concerned about, and sometimes we here inside the Beltway do not listen carefully to the people around the country. The three issues are these: The first are the scandals that we hear so much about, the second is an IMF bailout, and the third has to do with Iraq. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:45 We could end up having lives lost. We still have not solved all the problems and taken care of all the victims of the Persian Gulf War syndrome which numbers in the tens of thousands. Maybe we should be talking about that more than looking for more problems and a greater chance for a serious confrontation where lives were lost. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:60 I think the responsibility of the Members of Congress here is to protect the national interest, to provide national security, to take care of national defense, to follow the rules that say, we should not go to war unless the war is declared. If we go to war, we go to war to fight and win the war. But we do not go to war because we like one country over another country and we want to support them. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:76 As a matter of fact, I have had a lot of them come and say, why are you guys up there thinking about going to war? I have had a lot of people talk about that. So we should not do this carelessly and casually. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:78 When the resolution comes up to the floor, no matter how watered down it is, I think everybody should think very seriously about it and not be careless about it, not wait until a decade goes by and 50,000 men are killed. I think that is the wrong way to do it. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:83 If you are willing to go yourself, if you are willing to send your child, then it is more legitimate to vote casually and carelessly to go marching off with acts of war. But if that individual who is getting ready to vote, if he himself or she herself is not willing to land on that beach and risk their lives, they should think a second time. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:84 In a war for national defense, if this country is threatened, every one of us should participate in it. We should and we can. We could do it our way, to participate in the defense of this country. But once it is being involved in a casual and a careless manner with not knowing what the goals are, not knowing what victory means, not fighting to win, this can only lead to bigger problems. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:112 But none of this could happen. We could never move in this direction unless we asked a simple question: What really is the role of our government? Is the role of our government to perpetuate a welfare-warfare state to take care of the large special interests who benefit from this by building weapons and buying and selling oil? No, the purpose cannot be that. care Three Important Issues For America 11 February 1998 1998 Ron Paul 7:115 We do not need any fancy campaign reform laws. There is no need for those. We need to eliminate the ability of the Congress to pass out favors. I do not get any PAC money because there is no attempt to come and ask me to do special favors for anybody. I get a lot of donations from people who want liberty. They want to be left alone, and they know, they know that they can take care of themselves. care Iraq 12 February 1998 1998 Ron Paul 9:5 Please think carefully before we permit our President to pursue this war adventure. care Urging Caution On Action Taken In Iraq 12 February 1998 1998 Ron Paul 11:4 We have not declared a war. If we had a declared war even once since World War II, possibly we would have fought for victory. Instead, we get involved too carelessly and we do not fight to victory, and maybe that is why we are standing here today debating the consequence of the Persian Gulf war because we really did not achieve victory and the war continues. care Urging Caution On Action Taken In Iraq 12 February 1998 1998 Ron Paul 11:7 I do not care more about military than those who would bomb; they have just as much concern as I have. But I am concerned about the rule of law, and obviously, I am concerned about consequences that are unforeseen, and there could be many. care The Folly Of Foreign Intervention — Part 2 25 February 1998 1998 Ron Paul 17:1 Mr. PAUL. I thank the gentleman for his remarks. He made some very good points. I would like to follow up on the one point with regards to the military. That is one of the most essential functions of the Federal Government, is to provide for a strong national defense. But if we intervene carelessly around the world, that serves to weaken us. care The Folly Of Foreign Intervention — Part 3 25 February 1998 1998 Ron Paul 18:2 Early on, I talked about a policy of nonintervention; and I would like to talk a little bit more about that. Because some might construe that if you have a policy of nonintervention, it means you do not care; and that is not the case. Because we can care a whole lot. care The Folly Of Foreign Intervention — Part 3 25 February 1998 1998 Ron Paul 18:21 If we argue our case correctly, if we argue the more argument, the constitutional argument, and the argument for peace as well, I cannot see how the American people cannot endorse a policy like that, and I challenge those who think that we should go carelessly and rapidly into battle, killing those who are not responsible, further enhancing the power and the authority of those who would be the dictators. They do not get killed. Sanctions do not hurt them. The innocent people suffer. Just as the economic sanctions that will be put on Southeast Asia as we give them more money, who suffers from the devaluations? The American taxpayer, as well as the poor people, whether they are in Mexico or Southeast Asia, in order to prop up the very special interests. Whether it is the banking interests involved in the loans to the Southeast Asians, or our military-industrial complex who tends to benefit from building more and more weapons so they can go off and test them in wars that are unnecessary. care Removing U.S. Armed Forces From Bosnia And Herzegovina 17 March 1998 1998 Ron Paul 26:4 Currently, it is the President’s position that the troops will stay indefinitely. He has not set a date, although the Congress has set a date for this June for all funding to be removed as of June and the troops should come home. This resolution more or less states that same position. I strongly favor this, and I believe that the Congress should send a strong message that we should not casually and carelessly send troops around the world to police the world. This is a good way for us to get into trouble. care Removing U.S. Armed Forces From Bosnia And Herzegovina 17 March 1998 1998 Ron Paul 26:10 So I strongly urge my fellow colleagues to look carefully at this resolution tomorrow and assume congressional responsibility. It is not the responsibility of the President to wage war, to put troops around the world. That is a congressional responsibility. care Bombing Iraq 18 March 1998 1998 Ron Paul 27:6 Today, ever since World War II, we have reneged on that responsibility. We have turned it over to the President and allowed him to be involved. We have given him words of encouragement that implies that we support his position. We do so often and, as far as I am concerned, too carelessly. But when we do this, the President then assumes this responsibility; and, unfortunately, since World War II, it has not even been for national security reasons. care Education In America Is Facing Crisis 22 April 1998 1998 Ron Paul 37:1 Mr. PAUL. Mr. Speaker, education in this country is facing a crisis. If we look at our schools carefully, we find out that there are a lot of drugs in our schools, actually murders occur in our schools, rape occurs in our schools, it is infested with teenage pregnancies. There is total disrespect for authority in many of our schools, and there is no good record to show that the academic progress is being made that is necessary. care 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. care Federal War On Drugs Bad Idea 5 May 1998 1998 Ron Paul 45:6 In 1937, and I am sure some of my conservative colleagues might be interested in this because it was the great FDR who decided to impose a great tax on marijuana, putting $100 tax on a pound of marijuana, essentially making it illegal. And even today those States who would like to legalize marijuana even for the sick and dying AIDS patients and the cancer patients are not even permitted to. It is because we have carelessly assumed that all regulation and all controls and all policing activities should be done here in Washington. care Federal War On Drugs Bad Idea 5 May 1998 1998 Ron Paul 45:19 To dwell on the drug war and casually and carelessly violate civil liberties, as we so often do, and have confiscation and seizure of property that we just blow it off because we are fighting the drug war, I think we are going in the wrong direction. We need some new ideas and new proposals on this drug war. I hope today to have time to make some of these suggestions on what we might do about the drug war. care Wasting Money On War On Drugs 5 May 1998 1998 Ron Paul 46:11 Yet we carelessly say, well, a little violation of civil liberties is okay, because we are doing so much good for the country and we are collecting revenues for the government. But we cannot casually dismiss these important issues, especially, if anything I suggest, that this war on drugs is, or the problem of drugs in perspective is not nearly what some people claim it to be, and that many people are dying from other problems rather than these. care Wasting Money On War On Drugs 5 May 1998 1998 Ron Paul 46:18 Again, we cannot distract from the serious problem of the drug war, but I do beg and plead for my colleagues to just look at the truth. Let us read the news carefully, let us look at the Constitution, like we do when it is convenient, and let us consider another option. It cannot be any worse than what we are doing. care 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. care United Nations Money Came From Defense Department 20 May 1998 1998 Ron Paul 53:7 So this is absolutely the wrong direction that we are going in today. This is a further extension of the notion that our obligation is to police the world. We are supposed to make the world safe for democracy. Just think, since World War II, we have not had one declared war, but we sure have been fighting a lot. We have lost well over 100,000 men killed. We have lost, we have had hundreds of thousands of men injured because we have a policy that carelessly allows us to intervene in the affairs of other nations, and we allow the United Nations to assume too much control over our foreign policy. care 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. care 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. care 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! care Women’s, Infant, and Children’s Program 20 July 1998 1998 Ron Paul 81:2 Providing for the care of the poor is a moral responsibility of every citizen, however, it is not a proper function of the Federal Government to plunder one group of citizens and redistribute those funds to another group of citizens. Nowhere in the United States Constitution is the Federal Government authorized to provide welfare services. If any government must provide welfare services, it should be State and local governments. However, the most humane and efficient way to provide charitable services are through private efforts. Among their other virtues, private charities are much more likely to provide short-term assistance rather than fostering long-term dependency upon government programs. care 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. care The Patient Privacy Act 21 July 1998 1998 Ron Paul 82:4 Mr. Speaker, the Clinton administration has even come out in favor of allowing law enforcement officials access to health care information, in complete disregard of the fifth amendment. It is bitterly ironic that the same administration that has proven so inventive at protecting its privacy has so little respect for physician-patient confidentiality. care The Patient Privacy Act 21 July 1998 1998 Ron Paul 82:8 For those who claim that the Patient Privacy Act would interfere with the plans to “simplify” and “streamline” the health care system, under the Constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. care 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! care Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:5 An an OB/GYN with more than 30 years experience, I find it outrageous that any insurance company bureaucrat could presume to stand between a doctor and a patient. However, in order to properly fix the problem, we must understand its roots. The problems with American health care coverage are rooted in the American tax system, which provides incentives for employers to offer first-dollar insurance benefits to their employees, while providing no incentives for individuals to attempt to control their own health care costs. Because “he who pays the piper calls the tune,” it is inevitable that those paying the bill would eventually seize control over personal health care choices as a means of controlling costs. care 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. care 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. care Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:8 MSA’s provide consumers the freedom to find high-quality health care at a reasonable cost. MSA’s allow consumers to benefit when they economize in choosing health care so they will be more likely to make informed health care decisions such as seeking preventive care and, when possible, negotiate with their providers for the lowest possible costs. Most importantly, MSA’s are the best means available to preserve the patient’s right to choose their doctor and the treatment that best meets their needs, free from interference by an insurance company or an HMO. care 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. care Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:13 I am also concerned that this bill further tramples upon state automony by further preempting their ability to regulate HMO’s and health care plans. Under the 10th amendment, states should be able to set standards for organizations such as HMO’s without interference from the federal government. I am disappointed that we did not get an opportunity to debate Mr. BRADY’s amendment that would have preserved the authority of states in this area. care Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:14 In conclusion, Mr. Speaker, while the Patient Protection Act takes some good steps toward placing patients back in control of the health care system, it also furthers the federal role in overseeing the health system. It is my belief that the unintended, but inevitable, consequence of this bill, will require Congress to return to the issue of health care reform in a few years. I hope Congress gets it right next time. care Banking Regulations 4 August 1998 1998 Ron Paul 93:7 This is a bill that I think really comes around to achieving and taking care of a problem and protecting everybody interested. But I am quite convinced that this is still not a fair bill, a fair approach, because we have not yet done enough for our community bankers. We must eventually apply these same principles of less regulations and less taxes to the small banker. Then we will provide a greater service to the people that are their customers, and we will certainly be allowing the poor people a greater chance to achieve a loan. care Iraq — Part 3 5 October 1998 1998 Ron Paul 109:8 So do my colleagues think our policy over the last 10 years has actually helped to weaken Saddam Hussein? Every time he comes out of it stronger. And then those who say, “Well, we should march in,” we should all question. Those of us here in the Congress who are so anxious to take out this dictator, they should be willing to march themselves, or send their children and send their grandchildren. Is it worth that? No, no, we would not want to do that, we have to keep our troops safe, safe from harm, but we will just pay somebody to do it. We will pay somebody to do it and we will make wild promises. Promise the Kurds something. They will take care of Saddam Hussein. And sure enough, the promises never come through. Mr. ROHRABACHER. Mr. Speaker, will the gentleman yield? care 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. care National Provider ID 8 October 1998 1998 Ron Paul 115:3 Allowing the federal government to establish a National Health ID not only threatens privacy but also will undermine effective health care. 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. 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 their doctor will be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier?” care National Provider ID 8 October 1998 1998 Ron Paul 115:5 Mr. Chairman, the Clinton administration has even come out in favor of allowing law enforcement officials access to health care information, in complete disregard of the fifth amendment. It is bitterly ironic that the same administration that has proven so inventive at protecting its privacy has so little respect for physician-patient confidentiality. care 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! care National Provider ID 8 October 1998 1998 Ron Paul 115:14 For those who claim that this amendment would interfere with the plans to “simplify” and “streamline” the health care system, under the Constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:1 Mr. PAUL. Mr. Speaker, I appreciate the opportunity to explain why I must oppose H.R. 4567 even though I support reforming the Interim Payment System (IPS) and I certainly support expanding the health care options available to American veterans. However, I cannot support this bill because this solution to home care is inadequate and it raises taxes on Americans instead of cutting wasteful, unconstitutional spending to offset the bill’s increases in expenditures. care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:2 I am pleased that Congress is at last taking action to address the problems created by the IPS. Unless the IPS is reformed, efficient home care agencies across the country may be forced to close. This would raise Medicare costs, as more seniors would be forced to enter nursing homes or forced to seek care from a limited number of home health care agencies. In fact, those agencies that survive the IPS will have been granted a virtual monopoly over the home care market. Only in Washington could punishing efficient businesses and creating a monopoly be sold as a cost-cutting measure! care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:3 Congress does need to act to ensure that affordable home care remains available to the millions of senior citizens who rely on home care. However, the proposal before us today does not address the concerns of small providers in states such as Texas. Instead, it increases the reimbursement rate of home care agencies in other states. I am also concerned that the reimbursement formula in this bill continues to saddle younger home health agencies with lower rates of reimbursement than similarly situated agencies who have been in operation longer. Any IPS reform worthy of support should place all health care agencies on a level playing field for reimbursements. care 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. care 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. care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:7 Instead of raising taxes Congress should “offset” these programs by cutting spending in other areas. In particular, Congress should finance veterans health care by reducing expenditures wasted on global adventurism, such as the Bosnia mission. Congress should stop spending Americans blood and treasure to intervene in quarrels that do not concern the American people. care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:8 Similarly, Congress should seek funds for an increased expenditure on home care by ending federal support for institutions such as the International Monetary Fund (IMF), which benefit wealthy bankers and powerful interests but not the American people. At a time when the federal government continues to grow to historic heights and meddles in every facet of American life I cannot believe that Congress cannot find expenditure cuts to finance the programs in this bill! care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:10 In conclusion, Mr. Speaker, I call upon this Congress to reject this bill and instead support an IPS reform that is fair to all home care providers and does not finance worthwhile changes in Medicare by raising taxes. Instead, Congress should offset the cost to these worthy programs by cutting programs that do not benefit the American people. care Resolution On Saddam Hussein 17 December 1998 1998 Ron Paul 124:5 We should follow the rule of law. The rule of law says that resolutions, to begin war, should come to the House of Representatives and pass by the Senate. But we have been too careless and too casual for many, many decades, and this is the reason we do not win wars any more. care Freedom And Privacy Restoration Act 6 January 1999 1999 Ron Paul 1:12 Secondly, the federal government has been creating property interests in private information for certain state-favored third parties. For example, a little-noticed provision in the Patient Protection Act established a property right for insurance companies to access personal health care information. Congress also authorized private individuals to receive personal information from government data bases in last year’s copyright bill. The Clinton Administration has even endorsed allowing law enforcement officials’ access to health care information, in complete disregard of the fifth amendment. Obviously, “private protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information! care Freedom And Privacy Restoration Act 6 January 1999 1999 Ron Paul 1:13 The primary reason why any action short of the repeal of laws authorizing privacy violation is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care Honoring My Friend, Baseball Legend Nolan Ryan, On His Election To The Hall Of Fame 6 January 1999 1999 Ron Paul 2:2 Nolan was born in Refugio, Texas, a historic town in my congressional district, but he was destined for the national stage. His successful career spanned 27 years, taking him from rural Texas to the dug-outs of the New York Mets, the California Angels, the Houston Astros and the Texas Rangers. He pitched a record seven no-hitter games, but his real fame comes from having pitched 5,714 strikeouts. care Congress Relinquishing The Power To Wage War 2 February 1999 1999 Ron Paul 4:7 Recent flagrant abuse of the power to wage war by modern-day Presidents, including the most recent episodes in Iraq, Afghanistan and Sudan, should prompt this Congress to revisit this entire issue of war powers. Certain abuses of power are obviously more injurious than others. The use of the FBI and the IRS to illegally monitor and intimidate citizens is a power that should be easy to condemn, and yet it continues to thrive. The illegal and immoral power to create money out of thin air for the purpose of financing a welfare-warfare state serving certain financial interests while causing the harmful business cycle is a process that most in Washington do not understand nor care about. These are ominous powers of great magnitude that were never meant to be permitted under the Constitution. care Congress Relinquishing The Power To Wage War 2 February 1999 1999 Ron Paul 4:32 On another issue, privacy, privacy is the essence of liberty. Without it, individual rights cannot exist. Privacy and property are interlocked and if both are protected, little would need to be said about other civil liberties. If one’s home, church or business is one’s castle, and the privacy of one’s person, papers and effects are rigidly protected, all rights desired in a free society will be guaranteed. Diligently protecting the right to privacy and property guarantees religious, journalistic and political experience, as well as a free market economy and sound money. Once a careless attitude emerges with respect to privacy, all other rights are jeopardized. care Congress Relinquishing The Power To Wage War 2 February 1999 1999 Ron Paul 4:45 The same can be argued about our churches, our businesses or any peaceful action we may pursue. Our personal activities are no one else’s business. We may have nothing to hide, but, if we are not careful, we have plenty to lose, our right to be left alone. care War Power Authority Should Be Returned To Congress 9 March 1999 1999 Ron Paul 13:4 The Constitution is clear: Our Presidents, from Washington to Roosevelt, all knew that initiating war was clearly the prerogative of the Congress, but our memories are flawed and our reading of the law is careless. The President should not be telling us what he plans to do, he should be giving us information and asking our advice. We are responsible for the safety of our troops, how taxpayers’ dollars are spent, the security of our Nation, and especially the process whereby our Nation commits itself to war. care Introducing The Clergy Freedom Of Choice Act 10 March 1999 1999 Ron Paul 16:1 Mr. PAUL. Mr. Speaker, today I introduce the Clergy Freedom of Choice Act. Under current law, clergy may opt out of Social Security within 2 years of ordination. My legislation extends this provision, to allow clergy to opt out at any time in their career. care Kosovo War Resolution 11 March 1999 1999 Ron Paul 18:12 We have the ultimate power, and that is the power of the purse. If the power of the purse is given up, then we lose everything. Because we have not assumed our responsibilities up until this point, it is up to us to declare that the President cannot spend money in this manner. I have legislation that would take care of this; that the President cannot place troops in Kosovo unless he gets explicit authority from us to do so. If he does it, the monies should be denied to the President, unless we want to be complicit in this dangerous military adventurism. care Everybody Supports the Troops 24 March 1999 1999 Ron Paul 21:3 Nevertheless, we do have this resolution on the floor, and I will support it. But I just wonder why that occurs, that we feel compelled to do so. I think sometimes it is because we have not met up to our responsibilities, because we have allowed our troops to be placed in harm’s way, and usually in an improper manner. We have not done this properly according to the Constitution. The President did not get permission from the House and the Senate. We may have a little bit of a guilt feeling about having these troops placed in harm’s way without the proper permission, and, therefore, we have to reassure ourselves that we are taking care of the troops. care U.S. Military Action Taking Place in Serbia is Unconstitutional 24 March 1999 1999 Ron Paul 22:13 With new talk of reinstituting the military draft since many disillusioned military personnel are disgusted with the morale of our armed forces, all Americans should pay close attention as our leaders foolishly and carelessly rush our troops into a no-win war of which we should have no part. care Crisis in Kosovo 14 April 1999 1999 Ron Paul 25:6 I am delighted that this effort is being made by the gentleman from California (Mr. CAMPBELL) and others here in the Congress because for so long, for 50 years now, we have permitted our Presidents to casually and carelessly involve our troops overseas. So I see this trend as putting more pressure on the Congress to respond to their responsibilities. I think this is a very, very good move and going in the right direction. care U.S. Foreign Policy and NATO’s Involvement in Yugoslavia and Kosovo 21 April 1999 1999 Ron Paul 29:26 War has been used throughout history to enhance the state against the people. Taxes, conscription and inflation have been used as tools of the state to pursue wars not popular with the people. Government size and authority always grows with war, as the people are told that only the sacrifice of their liberties can save the nation. Propaganda and threats are used to coerce the people into this careless giving up of their liberties. care 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. care U.S. Foreign Policy and NATO’s Involvement in Yugoslavia and Kosovo 21 April 1999 1999 Ron Paul 29:61 Bellicosity and jingoism associated with careless and illegal intervention can never replace a policy of peace and friendship whenever possible. And when it is not, at least neutrality. NATO’s aggressive war of destruction and vengeance can only make the situation worse. The sooner we disengage ourselves from this ugly civil war, the better. It is the right thing to do. care Environmental Regulatory Issues 22 April 1999 1999 Ron Paul 31:3 I commend the research of Mr. McClaughry and thank him for his important contribution to the policy debate regarding environmental regulation and recommend a careful reading of his article by everyone genuinely interested in both the proper moral and economic resolution of these issues. care Kosovo War Is Illegal 5 May 1999 1999 Ron Paul 40:2 This war is immoral because Serbia did not commit aggression against us. We were not attacked and there has been no threat to our national security. This war is illegal. It is undeclared. There has been no congressional authorization and no money has been appropriated for it. The war is pursued by the U.S. under NATO’s terms, yet it is illegal even according to NATO’s treaty as well as the U.N. charter. The internationalists do not even follow their own laws and do not care about the U.S. Constitution. care A Positive Spin On An Ugly War 7 June 1999 1999 Ron Paul 54:13 To the bewilderment of their own leaders NATO has forcefully supported the notion of autonomy and independence for ethnic states. Instead of huge governments demanding ethnic diversity, the goal of establishing Kosovo’s independence provides the moral foundation for an independent Kashmir Kurdistan, Palestine, Tibet, East Timor, Quebec, and North Ireland and anyone else that believes their rights as citizens would be better protected by small local government. This is in contrast to huge nation states and international governments that care only about controlling wealth, while forgetting about the needs and desires of average citizens. care Increasing The Minimum Wage Decreases Opportunities For Our Nation’s Youth 10 June 1999 1999 Ron Paul 57:1 Mr. PAUL. Mr. Speaker, I highly recommend Bruce Bartlett’s “Minimum Wage Hikes Help Politicians, Not the Poor”, which recently appeared in The Wall Street Journal, to all of my colleagues. Mr. Bartlett’s article provides an excellent overview of the evidence that an increase in the federally-mandated minimum wage reduces teenage employment. Since those shut out of entry-level work are unlikely to obtain higher-paying jobs in the future, an increase in the minimum wage reduces employment opportunities for millions of Americans. This point was also highlighted by Federal Reserve Chairman Alan Greenspan in testimony before the Senate in January when he pointed out that “All the evidence that I’ve seen suggests that the people who are the most needy of getting on the lower rungs of the ladder of our income scales, develop skills, getting the training, are unable to earn the minimum wage. As a consequence, they cannot get started. And I think we have to be very careful about thinking that we can somehow raise standards of living by mandating an increase in the minimum wage rate.” I hope all of my colleagues will carefully consider how increasing the minimum wage decreases opportunities for our nation’s youth and refrain from reducing economic opportunity for those at the bottom of the economic ladder by raising the minimum wage. care Don’t Undermine First And Second Amendment 16 June 1999 1999 Ron Paul 61:12 I say, today we should move carefully and not undermine either the first or the second amendment. care Consequences Of Gun Control 16 June 1999 1999 Ron Paul 62:4 These — gun control laws will primarily be obeyed by law-abiding citizens and risk making it less likely that good people have guns compared to criminals. Deterrence is important and disarming good people relative to criminals will increase the risk of violent crime. If we really care about saving lives we must focus not only on the newsworthy events where bad things happen, but also on the bad things that never happen because people are able to defend themselves. care What We Would Be Doing By Amending The Constitution To Make It Illegal To Desecrate The American Flag 22 June 1999 1999 Ron Paul 63:11 We say, well, this is bad expression. This is ugly people. These are people that are saying unpopular things, and they are being obnoxious. But, Mr. Speaker, the first amendment and the freedom of expression was never put there for easygoing, nice, conventional, noncontroversial speech. There is no purpose to protect that. Nobody cares. The purpose of freedom of expression is to protect controversy, and if somebody is upset and annoyed, the best thing we can do with people like that is to ignore them. If we pass a constitutional amendment and people are so anti-American that they want to display their anti-Americanism, they will love it. They will get more attention because we will be sending in the Federal flag police to do something about it. care Opposing Flag Burning Amendment 23 June 1999 1999 Ron Paul 66:3 We have not had a law against flag desecration in the 212 years of our constitutional history. So I do not see where it is necessary. We have some misfits on occasion burn the flag, which we all despise. But to now change the ability for some people to express themselves and to challenge the First Amendment, I think we should not do this carelessly. care Opposing Flag Burning Amendment 23 June 1999 1999 Ron Paul 66:10 We must be interested in the spirit of our Constitution. We must be interested in the principles of liberty. We should not be careless in accepting this approach to enforce a sense of patriotism. care 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! care Privacy Project Act 24 June 1999 1999 Ron Paul 68:11 The law raises a number of privacy concerns relating to the expanded use and dissemination of the Social Security Number (SSN), the creation of a national ID cared, and the violation of federal rules of privacy. The law and proposed rule require that each license contain either in visual or electronic form the individual’s SSN unless the state goes through burdensome and invasive procedures to check each individuals’s identify with the Social Security Administration. This will greatly expand the dissemination and misuse of the SSN at a time that Congress; the states, and the public are actively working to limit its dissemination over concerns of fraud and privacy. Many states are taking measures to reduce the use of SSNs as the driver’s identify number. Only a few states currently require the SSN to be used as an identifier on their driver’s licenses. care Free Trade 27 July 1999 1999 Ron Paul 82:5 Our biggest problem here in the Congress is that we seemingly never have a chance to vote for genuine free trade. The choice is almost always between managed-plus-subsidized trade or sanctions-plus-protectionism. Our careless use of language (most likely deliberate) is deceitful. care OPIC 2 August 1999 1999 Ron Paul 83:7 This is indeed a very important amendment. I believe that we should definitely vote for this. If we care at all about the taxpayer of this country, we should expose what is happening with corporate welfare. care Export-Import Bank, Overseas Private Investment Corp. and Trade And Development Agency 2 August 1999 1999 Ron Paul 86:5 Last week we had a very important vote on trade. It was hotly debated over human rights issues. I voted to trade with China because I believe it is proper to trade with people. We are less likely to fight with them. And in this institution, too often we use our terms carelessly and we talk about free trade as being something which is managed trade. Free trade here generally means that we will have the NAFTA people managing trade, the World Trade Organization managing trade, and we will subsidize our businesses. care Export-Import Bank, Overseas Private Investment Corp. and Trade And Development Agency 2 August 1999 1999 Ron Paul 86:7 I say that we should have free trade. We should trade with our friends and with anybody who would trade that we are not at war with. We should really, really be careful about issuing sanctions. But here we are, last week we had the great debate and a lot of people could not stand the idea of trading with Red China because of their human rights record and I understand that, although I did not accept that position. But this is the time to do something about it. care Export-Import Bank, Overseas Private Investment Corp. and Trade And Development Agency 2 August 1999 1999 Ron Paul 86:14 It is time we look carefully at these subsidies. care Preserving Housing for Senior Citizens and Families into the 21st Century 27 September 1999 1999 Ron Paul 98:4 Intuition would suggest that countries with the most government planning, places where you’re taken care of, would be the best places to live. But in fact the opposite is true, countries with the most planning are the most poor. Several organizations rank countries by economic freedom. At one end are places with lots of government planning. Invariably, these are the worst places to live. At the other end on the list — Hong Kong, New Zealand, Switzerland, and the United States. The best places to live are places with the fewest rules. Freedom isn’t everything. Climate matters. Religion, geography, even luck can make a difference. But nothing matters as much as . . . Liberty. care East Timor 28 September 1999 1999 Ron Paul 99:15 This resolution became available to me just within the last 20 minutes. It has been difficult to know exactly what is in it, and yet it is very significant, very important; and we in the Congress should not vote casually and carelessly on this issue. This is a major commitment. I think it is going in the wrong direction, and we should consider the fact that there are so often unintended consequences from our efforts to do what is right. care Humanitarian Aid 28 September 1999 1999 Ron Paul 100:5 Mr. PAUL. Mr. Speaker, if the gentleman will continue to yield, I think the gentleman is absolutely correct. But I happen to see these things in a very nonpartisan manner. So to turn this into a Republican versus Democrat issue, I think, is in error. I would like to suggest that the careless use of the word isolationism does not apply to me because I am not a protectionist. I believe in openness. I want people and capital and goods and services to go back and forth. When we trade with people, we are less likely to fight with them. care War On East Timor 28 September 1999 1999 Ron Paul 101:2 In World War II there was a serious problem around the world. It was brought to this Congress. We voted on a war resolution. We went to war. The country was unified, and we won. That is what I endorse, that procedure. What I do not endorse is us getting involved the back-door way; getting involved carelessly and casually. Not realizing what we are doing. care 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. care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:3 Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure. Rather, they represent the failure of government policies which have destroyed the health care market. care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:5 Only true competition assures that the consumer gets the best deal at the best price possible by putting pressure on the providers. Once one side is given a legislative advantage in an artificial system, as it is in managed care, trying to balance government-dictated advantages between patient and HMOs is impossible. The differences cannot be reconciled by more government mandates, which will only make the problem worse. Because we are trying to patch up an unworkable system, the impasse in Congress should not be a surprise. care 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. care 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. care 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. care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:9 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called patients’ bill of rights are 100 percent endorsement of a principle of government management and will greatly expand government involvement even if the intention is to limit government management of the health care system to the extent necessary to curtail the abuses of the HMO. care 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. care 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. care 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.” care 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. care 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. care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:16 Of course, in a truly free market, HMOs and pre-paid care could and would exist — there would be no prohibition against it. The Kaiser system was not exactly a creature of the government as is the current unnatural HMO-government-created chaos we have today. The current HMO mess is a result of our government interference through the ERISA laws, tax laws, labor laws, and the incentive by many in this country to socialize medicine “American style”, that is the inclusion of a corporate level of management to rake off profits while draining care from the patients. The more government assumed the role of paying for services the more pressure there has been to managed care. care 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. care 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. care 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. care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:20 Because the market in medicine has been grossly distorted by government and artificially managed care, it is the only industry where computer technology adds to the cost of the service instead of lowering it as it does in every other industry. Managed care cannot work. Government management of the computer industry was not required to produce great services at great prices for the masses of people. Whether it is services in the computer industry or health care all services are best delivered in the economy ruled by market forces, voluntary contracts and the absence of government interference. care 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. care 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! care 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. care 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. care 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. care Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:2 Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure, rather they represent the failure of government policies which have destroyed the health care market. In today’s system, it appears on the surface that the interest of the patient is in conflict with rights of the insurance companies and the Health Maintenance Organizations (HMOs). In a free market this cannot happen. Everyone’s rights are equal and agreements on delivering services of any kind are entered into voluntarily, thus satisfying both sides. Only true competition assures that the consumer gets the best deal at the best price possible, by putting pressure on the providers. Once one side is given a legislative advantage, in an artificial system, as it is in managed care, trying to balance government dictated advantages between patient and HMOs is impossible. The differences cannot be reconciled by more government mandates which will only makes the problem worse. Because we are trying to patch up an unworkable system, the impasse in Congress should not be a surprise. care 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. care 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. care 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. care Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:6 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called Patient’s Bill of Rights are a 100% endorsement of the principle of government management and will greatly expand government involvement, even if the intention is to limit government management of the health care system to the extent “necessary” to curtail the abuses of the HMOs. The Patients’ Bill of Rights concept is based on the same principles that have given us the mess we have today. Doctors are unhappy, HMOs are being attacked for the wrong reasons, and the patients have become a political football over which all sides demagogue. care 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. care 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.” care 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. care 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. care Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:11 Of course, in a truly free market, HMOs and pre-paid care could and would exist — there would be no prohibition against it. The Kaiser system was not exactly a creature of the government as is the current unnatural HMO-government-created chaos we have today. The current HMO mess is a result of our government interference through the ERISA laws, tax laws, labor laws, and the incentive by many in this country to socialize medicine “American style,” that is the inclusion of a corporate level of management to rake off profits while draining care from the patients. The more government assumed the role of paying for services the more pressure there has been to managed care. care 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. care 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. care 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. care 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. care Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:16 Because the market in medicine has been grossly distorted by government and artificially managed care, it is the only industry where computer technology adds to the cost of the service instead of lowering it as it does in every other industry. Managed care cannot work. Government management of the computer industry was not required to produce great services at great prices for the masses of people. Whether it is services in the computer industry or health care all services are best delivered in the economy ruled by market forces, voluntary contracts and the absence of government interference. care 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. care 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! care 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. care 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. care No Neeed for Federal Animal Cruelty Laws 19 October 1999 1999 Ron Paul 106:9 This bill really is something that we need to just reject, vote down. We do not need it. The States will take care of this. We do not need to be bashful and say that if we do not vote for this bill for some reason that we endorse the idea of animal cruelty. That is not the case. Nobody endorses this. I just think that the qualifications in here to exempt certain people like journalistic and historical and artistic, these categories, quite frankly, who will be the judge? It will be very difficult to do. care Stop Federal Funding for Schools 20 October 1999 1999 Ron Paul 107:5 Now, I know it is not a very powerful argument, but I might just point out that if Members read carefully the doctrine of enumerated powers, we find that it does not mention that we have the authority, but I concede that we have gotten around that for more than 35 years so we are not likely to reconsider that today. But as far as the practicality goes, we should rethink it. care Stop Federal Funding for Schools 20 October 1999 1999 Ron Paul 107:6 If we had a tremendous success with our educational system, if everybody was being taken care of, if these $60 billion were really doing the job, if we were not having the violence and the drugs in the school, maybe you could say, well, let us change the Constitution or let me reassess my position. But I think we are on weak grounds if we think we can continue to do this. care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:3 I am strongly pro-life. I think one of the most disastrous rulings of this century was Roe versus Wade. I do believe in the slippery slope theory. I believe that if people are careless and casual about life at the beginning of life, we will be careless and casual about life at the end. Abortion leads to euthanasia. I believe that. care 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. care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:13 However, I believe that if we are not careful in our attempt to clarify this situation we also could participate in a slippery slope unbeknownst to us and just as dangerous. Roe vs. Wade essentially has nationalized an issue that should have been handled strictly by the states. Its repeal of a Texas State law set the stage for the wholesale of millions of innocent unborn. And yet, we once again are embarking on more nationalization of law that will in time backfire. Although the intention of H.R. 2260 is to repeal the Oregon law and make a statement against euthanasia it may well just do the opposite. If the nationalization of law dealing with abortion was designed to repeal state laws that protected life there is nothing to say that once we further establish this principle that the federal government, either the Congress or the Federal Courts, will be used to repeal the very laws that exist in 49 other states than Oregon that prohibit euthanasia. As bad as it is to tolerate an unsound state law, it’s even worse to introduce the notion that our federal congresses and our federal courts have the wisdom to tell all the states how to achieve the goals of protecting life and liberty. care 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. care 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”. care 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. care 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. care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:19 The Secretary of Health and Human Services in charge of these programs are required to evaluate all the programs which means more reports to be filled out by the institutions for bureaucrats in Washington to study. The results of these reports will be to determine the effect such programs have on knowledge and practice regarding palliative care. Twenty four million dollars is authorized for this new program. care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:20 This program and this bill essentially nationalizes all terminal care and opens up Pandora’s box in regards to patient choices as well as doctor judgment. This bill, no matter how well intended, is dangerously flawed and will do great harm to the practice of medicine and for the care of the dying. This bill should be rejected. care Pain Relief Promotion Act of 1999. 27 October 1999 1999 Ron Paul 112:2 Mr. Chairman, I rise in support of this amendment. This will improve the bill. I am very concerned, as a physician, that this bill will do great harm to the practice of medicine. This is micromanaging the palliative care of the dying. care 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. care 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. care Pain Relief Promotion Act of 1999. 27 October 1999 1999 Ron Paul 112:14 Additionally, this bill empowers the Attorney General to train federal, state, and local law enforcement personnel to discern the difference between palliative care and euthanasia. Most recently, though, it was the Attorney General who specifically exempted the physicians of Oregon from certain provisions of Title 21, the very Title this legislation intends to augment. Under the tutelage of the Attorney General, it would thus become the federal police officer’s role to determine at which point deaths from pain medication constitute assisted suicide. care 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. care 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. care Good Time For Congress To Reassess Antitrust Laws 8 November 1999 1999 Ron Paul 114:7 Judge Jackson condemned Microsoft for being a “vigorous protector of its own self-interests.” Now this is to be a crime in America. To care for oneself and do what corporations are supposed to do, that is, maximize profits for stockholders by making customers happy, is the great crime committed in the Microsoft case. care Allow Hi-Tech Supervision of Home Health Agency Branch Offices 18 November 1999 1999 Ron Paul 116:2 My district includes many rural areas which are experiencing access problems due to the Health Care Financing Administration’s (HCFA’s) home health branch office policies affecting time/distance limitations and on-site supervision requirements. In many cases, these requirements do not recognize technology advances. In order to ensure that senior citizens in rural areas have access to quality home care, it is vital that any regulations on home health care branch offices promulgated by the Health Care Financing Administration (HCFA) evaluate the offices by quality of outcome instead of arbitrary administration requirements and restrictions. care Statement on OSHA Home Office Regulations January 28, 2000 2000 Ron Paul 1:2 Modern technology, such as e-mail and the Internet, allows employees to be productive members of the workforce without leaving their homes! The option of “telecommuting” is particularly valuable for women with young children or those caring for elderly parents. Using technology to work at home gives these Americans the chance to earn a living and have a fulfilling career while remaining at home with their children or elderly parents. Telecommuting also makes it easier for citizens with disabilities to become productive members of the job market. Any federal requirements holding employers liable for the conditions of a home office may well cause some employers to forbid their employees from telecommuting, thus shutting millions of mothers, persons caring for elderly parents, and disabled citizens out of the workforce! care 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. care 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. care 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. care 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. care 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. care A Republic, If You Can Keep It 31 January 2000 2000 Ron Paul 2:84 Recently, the Secretary of HUD, using public funds to sue gun manufacturers, claimed this is necessary to solve the problems of crime which government housing perpetuates. If a government agency, which was never meant to exist in the first place under the Constitution, can expand their role into the legislative and legal matters without the consent of the Congress, we indeed have a serious problem on our hands. The programs are bad enough in themselves but the abuse of the rule of law and ignoring the separation of powers makes these expanding programs that much more dangerous to our entire political system and is a direct attack on personal liberty. If one cares about providing the maximum best housing for the maximum number of people, one must consider a free market approach in association with a sound, nondepreciating currency. We have been operating a public housing program directly opposite to this and along with steady inflation and government promotion of housing since the 1960s, the housing market has been grossly distorted. We can soon expect a major downward correction in the housing industry prompted by rising interest rates. care A Republic, If You Can Keep It 31 January 2000 2000 Ron Paul 2:121 Congress’ careless attitude about the Federal bureaucracy and its penchant for incessant legislation have prompted serious abuse of every American citizen. Last year alone there were more than 42,000 civil forfeitures of property occurring without due process of law or conviction of a crime, and oftentimes the owners were not even charged with a crime. care A Republic, If You Can Keep It 31 January 2000 2000 Ron Paul 2:126 These two incidents are well-known, but thousands of other similar abuses routinely occur with little publicity. The Federal police state seen in the action the Ruby Ridge and Waco hopefully is not a sign of things to come, but it could be, if we are not careful. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:17 Secretary of Defense Bill Cohen was recently quoted as saying, “Terrorism is escalating to the point that U.S. citizens may have to choose between civil liberties and more intrusive forms of protection.” This is all in the name of taking care of us. care 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. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:36 To the statist, the idea that average people can and should take care of themselves by making their own decisions and that they do not need Big Brother to protect them in everything they do is anathema to the way they think. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:37 The bureaucratic mindset is convinced that without the politicians’ effort, no one would be protected from anything, rejecting the idea of a free market economy out of ignorance or arrogance. This change in the 20th century has significantly contributed to the dependency of our poor on Government handouts, the recipients being convinced that they are entitled to help and that they are incapable of taking care of themselves. A serious loss of self-esteem and unhappiness results, even if the system in the short run seems to help them get by. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:45 With drugs and needles illegal, the unintended consequence of the spread of AIDS and hepatitis through dirty needles has put a greater burden on the taxpayers who are forced to care for the victims. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:47 When we finally decide that drug prohibition has been no more successful than alcohol prohibition, the drug dealers will disappear. The monster drug problem we have created is compounded by moves to tax citizens so government can hand out free needles to drug addicts who are breaking the law in hopes that there will be less spread of hepatitis and AIDS in order to reduce government health care costs. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:50 Government then pays for the care of those who choose to smoke, despite the known dangers and warnings. But it does not stop there. The trial lawyers’ lobby saw to it that the local government entities could sue tobacco companies for reimbursement of the excess costs that they were bearing in taking care of smoking-related illnesses, and the only way this could be paid for was to place a tax on those people who did not smoke. care 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. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:98 We are dangerously close to that happening in America, even in the midst of plenty and with the appearance of contentment. If individual liberty is carelessly snuffed out, the creative energy needed for productive pursuits will dissipate. Government produces nothing, and in its effort to redistribute wealth, can only destroy it. care A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:101 I have good friends who are in basic agreement with my analysis of the current state of the American republic, but argue it is a waste of time and effort to try and change the direction in which we are going. No one will listen, they argue. Besides, the development of a strong, centralized, authoritarian government is too far along to reverse the trends of the 20th century. Why waste time in Congress when so few people care about liberty, they ask? The masses, they point out, are interested only in being taken care of, and the elite want to keep receiving the special benefits allotted to them through special interest legislation. care REVIEW ARTICLE ON ‘NEW MATH’ February 10, 2000 2000 Ron Paul 7:12 Here we have the central difference between the two sides. The rigorous curriculum side says that, like Japan, Taiwan, and Singapore, we can have algebra for all, preparing students for technical careers and college-level work. The water-it-down side says U.S. teachers and students aren’t capable of teaching and learning algebra. care CONGRATULATING THE PEOPLE OF TAIWAN FOR SUCCESSFUL CONCLUSION OF PRESIDENTIAL ELECTIONS AND REAFFIRMING UNITED STATES POLICY TOWARD TAIWAN AND PEOPLE’S REPUBLIC OF CHINA March 28, 2000 2000 Ron Paul 18:4 * Sadly, the U.S. has in recent years played the role of world interventionist and global policeman. Thomas Jefferson stated in his first inaugural address: ‘Peace, commerce and honest friendship with all nations — entangling alliances with none, I deem [one of] the essential principles of our government, and consequently [one of] those which ought to shape its administration.’ Instead, the U.S. government has become the government force that unconstitutionally subsidizes one country and then pledges taxpayer dollars and lives to fight on behalf of that subsidized country’ enemies. It’s the same sort of wisdom that would subsidize tobacco farmers and pay the health care costs of those who then choose to smoke. care UNNECESSARY SUPPLEMENTAL APPROPRIATIONS AND UNWISE MILITARY ADVENTURISM IN COLOMBIA March 29, 2000 2000 Ron Paul 20:2 Quite frankly, I think there is enough waste and fraud in the current budget that we could find the $4 billion if this expenditure were necessary. If we ever considered cutting back on some unconstitutional spending, we would have plenty of funds to take care of additional expenditures and have a lot left over. care 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. care 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. care Amendment No. 5 Offered By Mr. Paul 30 March 2000 2000 Ron Paul 22:4 But I would like to say that my amendment deals with what I consider a monster, and that monster to me is careless foreign military interventionism in which we engage way too often and something we are getting ready to further engage ourselves now in Colombia. care 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. care Fiscal 2000 Supplemental Appropriations/DEA Funding Cuts Amendment 30 March 2000 2000 Ron Paul 23:9 We condemn all the welfare from the left, but we always have our own welfare on the right, and it is not for national defense. We should do less of this military adventurism overseas and put it into national defense, take better care of our troops, which would boost morale, and increase our ability to defend our country. But, instead, what do we do? We subsidize our enemies to the tune of many billions of dollars for a country like China at the same time, when they are aggravated and annoyed with Taiwan, we send more weapons to Taiwan and then promise to send American servicemen to stand in between the two of them. care PARTIAL-BIRTH ABORTION BAN ACT OF 2000 April 5, 2000 2000 Ron Paul 26:1 Mr. Speaker, like many Americans, I am greatly concerned about abortion. Abortion on demand is no doubt the most serious social political problem of our age. The lack of respect for life that permits abortion has significantly contributed to our violent culture and our careless attitude toward liberty. care Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220) May 18, 2000 2000 Ron Paul 38:18 The main reason Congress should take action to stop the use of standard identifiers is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care INTERNATIONAL TRADE May 23, 2000 2000 Ron Paul 39:8 But instead, I suggest we look more carefully for the cause of the coming currency crisis. We should study the nature of all the world currencies and the mischief that fiat money causes, and resist the temptation to rely on the WTO, the IMF, the World Bank, pseudo free trade, to solve the problems that only serious currency reform can address. care 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. care 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. care 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. care PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000 2000 Ron Paul 60:6 We need this desperately. We do not need to support the special corporate interests who get the money. The patient does not get the care. The doctors are unhappy. The hospitals are unhappy. And who lobbies against this? Corporate interests. This is total destruction of the doctor-patient relationship. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:1 * Mr. Speaker, today I attempted to help working Americans provide for their children’s health care needs by introducing the Family Health Tax Cut Act. The Family Health Tax Cut Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. The tax credit would be available to all citizens regardless of whether or not they itemize their deductions. care 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. care THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:3 * As an OB-GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code: Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes their only recourse to health care is the local emergency room. care THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:4 * Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Family Health Tax Cut Act they would be better able to provide care for their children and our nation’s already overcrowded emergency room facilities would be relieved of the burden of having to provide routine care for people who otherwise cannot afford any other alternative. care THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:6 * Under the Family Health Tax Cut Act, a struggle single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care 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? care THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:8 * The Family Health Tax Cut Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Family Health Tax Cut Act. care United States Holocaust Memorial Museum September 7, 2000 2000 Ron Paul 70:2 * Ironically, this measure’s language permanently authorizes the appropriation of such sums as may be necessary for the United States Holocaust Memorial Museum; a purpose which propels our very own federal government beyond its constitutionally enumerated limits. This nation’s founders were careful to limit the scope of our federal government to those enumerated powers within Article One, Section 8 of the U.S. Constitution. These limits were further instilled within the bill of rights’ tenth amendment which reserves to States and private parties those powers not specifically given to the federal government. care 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. care Literacy Involves Families Together Act September 12, 2000 2000 Ron Paul 75:4 * The drafters of the United States Constitution understood that the federal government was incapable of effectively providing services such as education. This is why they carefully limited the federal government’s powers to a few narrowly defined areas. This understanding of the proper role of the federal government was reinforced by the tenth amendment which forbids the Federal Government from controlling education, instead leaving authority over education in the hands of states, local communities and parents. care AMERICA’S ROLE IN THE UNITED NATIONS September 18, 2000 2000 Ron Paul 77:12 In considering the recent United Nations meetings and the United States’ relation to that organization and its affront to U.S. sovereignty, we would all do well to read carefully Professor Herbert W. Titus’ paper on the United Nations of which I have provided this excerpt: care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:2 * I believe I can speak for all of my colleagues when I say that while none of us want to endanger the Medicare trust fund, we also want to ensure that Medicare reforms do not drive valuable health care providers into bankruptcy. After all, denying Medicare recipients in rural areas access to quality health care breaks the promise the government makes to the American people when it requires them to pay taxes to finance the Medicare trust fund that they will receive quality health care in their golden years. care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:3 * Therefore, I am pleased to advance this proposal, which was developed by experts in rural health care in my district, which provides help for rural health care without endangering the soundness of the Medicare trust fund. The proposal consists of four simple changes in current Medicare laws for ‘Essential Service Hospitals.’ An Essential Service Hospital is defined as a hospital located in a non-Metropolitan Statistical Area with 50 state-licensed beds or less. The specifics of the legislation are: care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:4 * 1. A wage index for Essential Service Hospitals set at 1.0 — Essential Service Hospitals receive 26 percent less Medicare Reimbursement than hospitals in MSA area. This places rural areas at disadvantage in competing for high-quality employees with hospitals in urban areas. Setting the wage index at 1.0 will enhance the ability of rural hospitals to attract the best personal and thus ensure residents of rural areas can continue to receive quality health care. care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:7 * 4. Provides a 20 percent Medicare Disproportionate Share (DSH) payment to Essential Service Hospitals — Since small rural hospitals tend to serve a larger number of low-income persons than the average hospital, they have a particular need for Medicare DSH payments. However, many of these hospitals are not benefiting from the DSH program, this legislation will help ensure these hospitals received the support from Medicare they need to continue providing vital health care to low-income residents of rural areas. care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:8 * Considering that the BBA of 1997 has resulted in Medicare savings of over $50 billion more than projected by Congress surely it is not to much to ask that Congress ensure Medicare patients in rural areas are not denied access to quality health care services because of the unintended consequences of the Balanced Budget Amendment. I therefore call on my colleagues to stand up for rural hospitals by cosponsoring the Essential Rural Hospital Preservation Act. care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000 2000 Ron Paul 79:1 * Mr. Speaker, because September is Childhood Cancer Awareness Month this is an excellent time to reflect on the problems faced by working parents struggling to meet the needs of a child stricken with cancer. I am sure that all would agree that there are few Americans more in need of tax relief than families forced to devote every available resource to caring for a child with a terminal illness such as cancer. This is why I have introduced the Family Health Tax Cut Act (H.R. 4799). This legislation provides a $3,000 tax credit to parents caring for a child with cancer, another terminal disease, or any other serious health condition requiring long-term care. H.R. 4799 also helps all working parents provide routine health care for their children by providing them with a $500 per child tax credit. care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000 2000 Ron Paul 79:2 * The bill will be particularly helpful to those parents whose employers cannot afford to provide their employees’ health insurance. Often-times those employees work in low-income jobs and thus must struggle to provide adequate health care for their children. This burden is magnified when the child needs special care to cope with cancer or a physical disability. Yet, thanks to Congress’ refusal to grant individuals the same tax breaks for health-care expenses it grants businesses, these hard-working parents receive little or no tax relief to help them cope with the tremendous expenses of caring for a child requiring for a child requiring long-term or specialized care. care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000 2000 Ron Paul 79:4 * Under the Family Health Tax Cut Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will have less worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000 2000 Ron Paul 79:5 * Mr. Speaker, it is tough enough for working families to cope with a child with a serious illness without having to sacrifice resources that should be used for the care of that child to the federal government. It is hard to think of a more compassionate action this Congress can take than to reduce taxes on America’s parents in order to allow them to help provide quality health care to their children. I therefore call on my colleagues to join me in helping working parents provide health care to their children by cosponsoring H.R. 4799, the Family Health Tax Cut Act. care WARNING ABOUT FOREIGN POLICY AND MONETARY POLICY October 12, 2000 2000 Ron Paul 86:7 The poor like it because they seem to get welfare benefits from it; and certainly the rich like it, because it motivates and stimulates their businesses; and politicians like it, because it takes care of deficits and it stimulates the economy. care THREATS TO FINANCIAL FREEDOM October 19, 2000 2000 Ron Paul 88:5 The second is from Mayer Amschel Rothchild (1743-1812), founder of the famous banking dynasty, the House of Rothchild, who said: ‘Give me control over a nation’s currency and I care not who makes its laws.’ Both quotes have relevance to what I have to say. care OLDER AMERICANS ACT AMENDMENTS OF 2000 October 24, 2000 2000 Ron Paul 90:2 * Under the tenth amendment, the federal government is forbidden from interfering in areas such as providing employment and nutritional services to any group of citizens. Thus, when the federal government uses taxpayer funds to support these services, it is violating the constitution. In a constitutional republic, good intentions are no excuse for constitutional carelessness. care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000 2000 Ron Paul 92:2 * Many Members, including myself, have worked hard to bring some measure of tax relief to American families this year. We worked to pass meaningful bills which would have eliminated the marriage penalty and eliminated the harmful estate tax. We worked to increase deductions for health care expenses. We worked to increase the tax-deductible amounts individuals can contribute to their IRA and pension plans. We worked for these tax cuts because we know that American families pay too much in taxes. Tax relief has been, and should be, our guiding principle. care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000 2000 Ron Paul 92:4 * Another worthwhile portion of this bill addresses the needs of rural hospitals, which were unfairly singled out for excessive reductions in Medicare reimbursements by the Balanced Budget Act of 1997. While Congress deserves a share of the blame, most of the problems experienced by rural health care providers are the result of flawed implementation of the Act by the Health Care Financing Administration (HCFA). This administration has decimated rural health care in order to artificially prolong the life of the Medicare trust fund, while avoiding reforms that would give seniors more control over their health care decisions. The administration should not play political games with Medicare trust funds at the expense of rural hospitals. By doing so, it has violated the promise of quality health care made to senior taxpayers in rural areas. care 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. care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000 2000 Ron Paul 92:6 * We must restore individual control over health care dollars, and MSAs coupled with health care tax credits and deductions are an important step in the right direction. MSAs and health care tax deductions lower health care costs without sacrificing quality by motivating patients to negotiate for the highest quality care at a reasonable price. care ECONOMIC PROBLEMS AHEAD November 13, 2000 2000 Ron Paul 93:3 * Mises, the great 20th century economist, predicted decades before the fall of the Soviet system that socialism was unworkable and would collapse upon itself. Although he did not live to see it, he would not have been surprised to witness the events of 1989 with the collapse of the entire Communist-Soviet system. Likewise, the interventionist-welfare system endorsed by the West, including the United States, is unworkable. Even without the current problems in the Presidential election, signs of an impasse within our system were evident. Inevitably, a system that decides almost everything through pure democracy will sharply alienate two groups: the producers, and the recipients of the goods distributed by the popularly elected congresses. Our system is not only unfairly designed to take care of those who do not work, it also rewards the powerful and influential who can gain control of the government apparatus. Control over government contracts, the military industrial complex and the use of our military to protect financial interests overseas is worth great sums of money to the special interests in power. care ECONOMIC UPDATE December 4, 2000 2000 Ron Paul 97:22 * Ironically it’s argued that the deliberate raising the cost of borrowing money for everyone is that this will hold prices in check. Yet consumers and businesses suffer from this additional cost - pushing all prices upward. But even more ironic is the claim that they now care about “inflation” after a decade of massive monetary inflation-the real culprit.-The Federal Reserve meanwhile ignores the fact that the money supply is key to monetary policy, not admitting the damage has already been done. care 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. care INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001 2001 Ron Paul 1:14 * The primary reason why any action short of the repeal of laws authorizing privacy violations is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with chains of the Constitution.” care 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. care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001 2001 Ron Paul 7:5 The feared gridlock anticipated for the 107th Congress will differ little from the other legislative battles in recent previous congresses. Yes, there will be heated arguments regarding the size of budgets, local vs. federal control, and private vs. government solutions. But a serious debate over the precise role for government is unlikely to occur. I do not expect any serious challenge to the 20th Century consensus of both major parties-that the federal government has a significant responsibility to deal with education, health care, retirement programs, or managing the distribution of the welfare state benefits. Both parties are in general agreement on monetary management, environmental protection, safety and risks both natural and man-made. Both participate in telling others around the world how they must adopt a democratic process similar to ours, as we police our worldwide financial interests. care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001 2001 Ron Paul 7:8 The effort always is to soften the image of the authoritarians who see a need to run the economy and regulate people’s lives, while pretending not to give up any of the advantages of the free market or the supposed benefits that come from a compassionate-welfare or a socialist government. It’s nothing more than political have-your-cake-and-eat-it-too deception. Many insecure and wanting citizens cling to the notion that they can be taken care of through government benevolence without sacrificing the free market and personal liberty. Those who anxiously await next month’s government check prefer not to deal with the question of how goods and services are produced and under what political circumstances they are most efficiently provided. Sadly, whether personal freedom is sacrificed in the process is a serious concern for only a small number of Americans. care 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. care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001 2001 Ron Paul 7:48 The big shift in sentiment of the past several months has come with a loss of confidence in the status of the new paradigm. If we’re not careful, the likely weakening of the US dollar could lead to a loss of confidence in America and all her institutions. US political and economic power has propped up the world economy for years. Trust in the dollar has given us license to borrow and spend way beyond our means. But just because world conditions have allowed us greater leverage to borrow and inflate the currency than otherwise might have been permitted, the economic limitations of such a policy still exist. This trust, however, did allow for a greater financial bubble to develop and dislocations to last longer, compared to similar excesses in less powerful nations. care 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. care 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. care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001 2001 Ron Paul 7:136 Free choice is what freedom is all about. And it means freedom to take risks as well. As a physician deeply concerned about the health of all Americans, I am convinced that the government encroachment into health-care choices has been very detrimental. care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001 2001 Ron Paul 7:141 For far too long, we have accepted the idea that government can and should take care of us. But that is not what a free society is all about. When government gives us something, it does two bad things. First it takes it from someone else; second, it causes dependency on government. A wealthy country can do this for long periods of time, but eventually the process collapses. Freedom is always sacrificed and eventually the victims rebel. As needs grow, the producers are unable or unwilling to provide the goods the government demands. Wealth then hides or escapes, going underground or overseas, prompting even more government intrusion to stop the exodus from the system. This only compounds the problem. care 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. care POTENTIAL FOR WAR February 08, 2001 2001 Ron Paul 10:81 As a physician deeply concerned about the health of all Americans, I am convinced that the Government encroachment into the health care choices has been very detrimental. care POTENTIAL FOR WAR February 08, 2001 2001 Ron Paul 10:88 For far too long, we have accepted the idea that government can and should take care of us. But that is not what a free society is all about. When government gives us something, it does two bad things. First, it takes it from someone else; second, it causes dependency on government. A wealthy country can do this for long periods of time, but eventually the process collapses. Freedom is always sacrificed and eventually the victims rebel. As needs grow, the producers are unable or unwilling to provide the goods the government demands. Wealth then hides or escapes, going underground or overseas, prompting even more government intrusion to stop the exodus from the system. This only compounds the problem. care 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. care 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. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:2 * Mr. PAUL. Mr. Speaker, I highly recommend the attached article, “Blame Congress for HMOs” by Twila Brase, a registered nurse and President of the Citizens’ Council on Health Care, to my colleagues. Ms. Brase demolishes the myth that Health Maintenance Organizations (HMOs), whose power to deny Americans the health care of their choice has been the subject of much concern, are the result of an unregulated free-market. Instead, Ms. Brase reveals how HMOs were fostered on the American people by the federal government for the express purpose of rationing care. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:3 * The story behind the creation of the HMOs is a classic illustration of how the unintended consequences of government policies provide a justification for further expansions of government power. During the early seventies, Congress embraced HMOs in order to address concerns about rapidly escalating health care costs. However, it was Congress which had caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to costs when selecting health care. Because the consumer had the incentive to control health care cost stripped away, and because politicians where unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs, preempting state laws forbidding physicians to sign contracts to deny care to their patients, and mandating that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sounds like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, Big Government mindset that produced wage-and-price controls. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:4 * Mr. Speaker, in reading this article, I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today promoting the so-called “patients’ rights” legislation which attempts to deal with the problem of the HMOs by imposing new federal mandates on the private sector. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs in the free market, and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:5 * As Ms. Brase, points out, so-called “patients’ rights” legislation will only further empower federal bureaucrats to make health care decisions for individuals and entrench the current government-HMO complex. Furthermore, because the Patient’s Bill of Rights will increase health care costs, thus increasing the number of Americans without health insurance, it will result in pleas for yet another government intervention in the health care market! care 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. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:7 * In conclusion, Mr. Speaker, I hope all my colleagues will read this article and take its lesson to heart. Government-managed care, whether of the socialist or corporatist variety, is doomed to failure. Congress must instead restore a true free-market in health care if we are serious about creating conditions under which individuals can receive quality care free of unnecessary interference from third-parties and central planners. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:9 Only 27 years ago, congressional Republicans and Democrats agreed that American patients should gently but firmly be forced into managed care. That patients do not know this fact is evidenced by public outrage directed at health maintenance organizations (HMOs) instead of Congress. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:11 The proliferation of managed-care organizations (MCOs) in general, and HMOs in particular, resulted from the 1965 enactment of Medicare for the elderly and Medicaid for the poor. Literally overnight, on July 1, 1966, millions of Americans lost all financial responsibility for their health-care decisions. care 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. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:13 This stampede to the doctor’s office, through the U.S. Treasury, sent Congress into a panic. It had unlocked the health-care appetite of millions, and the results were disastrous. While fiscal prudence demanded a hasty retreat, Congress opted instead for deception. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:14 Limited by a noninterference promise attached to Medicare law — enacted in response to concerns that government health care would permit rationing — Congress and federal officials had to be creative. Although Medicare officials could not deny services outright, they could shift financial risk to doctors and hospitals, thereby influencing decision-making at the bedside. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:15 Beginning in 1971, Congress began to restrict reimbursements. They authorized the economic stabilization program to limit price increases; the Relative Value Resource Based System (RVRBS) to cut physician payments; Diagnostic-Related Groups (DRGs) to limit hospitals payments; and most recently, the Prospective Payment System (PPS) to offer fixed prepayments to hospitals, nursing homes, and home health agencies for anticipated services regardless of costs incurred. In effect, Congress initiated managed care. NATIONAL HEALTH-CARE AGENDA ADVANCES care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:17 Senator Edward M. Kennedy, a longtime advocate of national health care, proceeded to hold three months of extensive hearings in 1971 on what was termed the “Health Care Crisis in America.” Following these hearings, he held a series of hearing “on the whole question of HMO’s.” care 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.” care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:19 In 1972, President Richard M. Nixon heralded his desire for the HMO in a speech to Congress: “the Health Maintenance Organization concept is such a central feature of my National Health Strategy.” The administration had already authorized, without specific legislative authority, $26 million for 110 HMO projects. That same year, the U.S. Senate passed a $5.2 billion bill permitting the establishment of HMOs “to improve the nation’s health-care delivery system by encouraging prepaid comprehensive health-care programs.” care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:22 In the Senate, Kennedy, author of the HMO Act, also encouraged its passage: “I have strongly advocated passage of legislation to assist the development of health maintenance organizations as a viable and competitive alternative to fee-for-service practice. ..... This bill represents the first initiative by the Federal Government which attempts to come to grips directly with the problems of fragmentation and disorganization in the health care industry. ..... I believe that the HMO is the best idea put forth so far for containing costs and improving the organization and the delivery of health-care services.” In a roll call vote, only Senator Herman Talmadge voted against the bill. care 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 care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:25 Congress’s plan to save its members’ political skins and national agendas relied on employer-sponsored coverage and taxpayer subsidies to HMOs. The planners’ long-range goal was to place Medicare and Medicaid recipients into managed care where HMO managers, instead of Congress, could ration care and the government’s financial liability care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:26 To accomplish this goal, public officials had to ensure that HMOs developed the size and stability necessary to take on the financial risks of capitated government health-care programs. This required that HMOs capture a significant portion of the private insurance market. Once Medicare and Medicaid recipients began to enroll in HMOs, the organizations would have the flexibility to pool their resources, redistribute private premium dollars, and ration care across their patient populations. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:29 In addition, the federal law pre-empted state laws, that prohibited physicians from receiving payments for not providing care. In other words, payments to physicians by HMOs for certain behavior (fewer admissions to hospitals, rationing care, prescribing cheaper medicines) were now legal. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:30 The combined strategy of subsidies, federal power, and new legal requirements worked like a charm. Employees searching for the lowest priced comprehensive insurance policy flowed into HMOs, bringing their dollars with them. According to the Health Resources Services Administration (HRSA), the percentage of working Americans with private insurance enrolled in managed care rose from 29 percent in 1988 to over 50 percent in 1997. In 1999, 181.4 million people were enrolled in managed-care plans. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:31 Once HMOs were filled with the privately insured, Congress moved to add the publicly subsidized. Medicaid Section 1115 waivers allowed states to herd Medicaid recipients into HMOs, and Medicare+Choice was offered to the elderly. By June 1998, over 53 percent of Medicaid recipients were enrolled in managed-care plans, according to HRSA. In addition, about 15 percent of the 39 million Medicare recipients were in HMOs in 2000. HMOS SERVE PUBLIC-HEALTH AGENDA care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:32 Despite the public outcry against HMOs, federal support for managed care has not waned. In August 1998, HRSA announced the creation of a Center for Managed Care to provide “leadership, coordination, and advancement of managed care systems . . . [and to] develop working relationships with the private managed care industry to assure mutual areas of cooperation.” care 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. care 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. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:36 Truth be told, HMOs allowed politicians to promise access to comprehensive health-care services without actually delivering them. Because treatment decisions could not be linked directly to Congress, HMOs provided the perfect cover for its plans to contain costs nationwide through health-care rationing. Now that citizens are angry with managed (rationed) care, the responsible parties in Congress, Senator Kennedy in particular, return with legislation ostensibly to protect patients from the HMOs they instituted. care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:37 At worst, such offers are an obfuscation designed to entrench federal control over health care through the HMOs. At best they are deceptive placation. Congress has no desire to eliminate managed care, and federal regulation of HMOs and other managed-care corporations will not protect patients from rationing. Even the U.S. Supreme Court acknowledged in its June 12, 2000, Pegram care Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:38 Real patient protection flows from patient control. Only when patients hold health-care dollars in their own hands will they experience the protection and power inherent in purchasing their own insurance policies, making cost-conscious health-care decisions, and inciting cost-reducing competition for the cash. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care A New China Policy April 25, 2001 2001 Ron Paul 25:3 We also have been careless over the last several years in allowing our military secrets to find their way into the hands of the Chinese government. At the same time we subsidize trade with China, including sensitive military technology, we also build up the Taiwanese military while continuing to patrol the Chinese border with our spy planes. It’s a risky, inconsistent policy. care Protecting Privacy and Preventing Misuse of Social Security Numbers May 22, 2001 2001 Ron Paul 37:10 The primary reason why any action short of the repeal of laws authorizing privacy violation is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care Internationalizing SEC 13 June 2001 2001 Ron Paul 41:8 The other thing that we tend to ignore here is we concentrate on the good things that we are going to accomplish. Miraculously, we are going to solve this problem by putting $10 million in today and $100 million in the next 5 years, and everything is going to be solved. We do not think about it failing, because that would be a negative, and we do not want to think about that. We do not think about the Constitution, and we do not think about who pays. Somebody always has to pay. This is token. Who cares about $10 million? When we take $10 million out of the economy, there is somebody who suffered; somebody did not get a house or somebody lost a job. But they are not identifiable. They do not have a lobbyist. They are lost. But they are penalized. There is always a cost. care 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. care Conscription Policies 13 June 2001 2001 Ron Paul 42:2 Selective Service is not even a good way of providing an effective military fighting force. As Mr. Allen points out (paraphrasing former Senator Mark Hatfield), the needs of the modem military require career professionals with longterm commitments to the service, not shortterm draftees eager to “serve their time” and return to civilian life. The military itself recognizes that Selective Service serves no useful military function. In 1993), the Department of Defense issued a report stating that registration could be stopped “with no effect on military mobilization, no measurable effect on the time it would take to mobilize, and no measurable effect on military recruitment.” Yet the American taxpayer has been forced to spend over $500 million dollars on a system “with no measurable effect on military mobilization!” care Conscription Policies 13 June 2001 2001 Ron Paul 42:5 This bill was an excellent proposal that should have never been needed. The dovish Hatfield’s arguments in promotion of the bill constituted what is actually the conservative position on the item. In its defense, Hatfield asserted that we need career military men who can adapt to system changes within the context of weaponry. Short-term draftees, maintained Hatfield, would not be particularly adept at utilizing modern technology. More recent efforts to overturn the Selective Service Act have similarly stressed efficiency. care Conscription Policies 13 June 2001 2001 Ron Paul 42:6 This basic logic is the driving force behind the political anti-draft movement. Others oppose the draft because it represents another governmental intrusion into the lives of America’s young adults. Those lacking skill or ambition to serve will be greatly humiliated once drafted, and those without developed skill in search of an alternative career will be denied an opportunity to choose that direction. The draft also is a blatant attack on the Thirteenth Amendment, which prohibits involuntary servitude. If the federal government fought individual states over the legalization of private-sector slavery, then should it not also be equally compelled to decry public-sector servitude? Of course it should, but an elastically interpreted “living Constitution” makes all sorts of public schemes safe from legal reproach. care Conscription Policies 13 June 2001 2001 Ron Paul 42:18 As a young man of draft age, I could sleep easier if I knew that my life would never have to be disrupted by a government which has given itself the legal ground on which it may attempt to violate my right to own myself. Even as I refuse to recognize the government’s powers, the Selective Service System/ AmeriCorps/Department of Education bloc does not care. To them I am their property, regardless of my feelings. The military and charity draft is indeed one of the most evil institutions in the United States government. care “Postal Service Has Its Eye On You” 27 June 2001 2001 Ron Paul 47:22 Gillum says this is part of the message that postal clerks can’t be too careful because anyone could be a potential money launderer. “A Little League coach could be a deacon in the church, could be the most upstanding citizen in the community, but where is that person getting $2,800 every day?” Gillum asks. “Why would a baseball coach, a schoolteacher in town, buy [that many money orders]? Our customers don’t have that kind of money. If he’s a schoolteacher, if he’s got a job on the side, he’s going to have a bank account and going to write checks on it, so why does he want to buy money orders? That’s the point.” care INTRODUCTION OF EDUCATION BILLS -- HON. RON PAUL June 28, 2001 2001 Ron Paul 49:3 * My other bill, the “Professional Educators Tax Relief Act” provides a thousand dollar per year tax credit to all professional educators, including librarians, counselors, and others involved in implementing or formulating the curriculum. This bill helps equalize the pay gap between educators and other professionals, thus ensuring that quality people will continue to seek out careers in education. Good teaching is the key to a good education, so it is important that Congress raise the salaries of educators by cutting their taxes. care Re-Importation of Pharmaceuticals 11 July 2001 2001 Ron Paul 50:3 Opponents of this amendment have been waging a hysterical campaign to convince members that this amendment will result in consumers purchasing unsafe products. I dispute this claim for several reasons. Unlike the opponents of this amendment I do not believe that consumers will purchase an inferior pharmaceutical simply to save money. Instead, consumers will carefully shop to make sure they are receiving the highest possible quality at the lowest possible price. In fact, the experience of my constituents who are currently traveling to Mexico to purchase prescription drugs shows that consumers are quite capable of ensuring they only purchase safe products without interference from Big Brother. care Flag Burning Amendment 17 July 2001 2001 Ron Paul 53:9 Another Member earlier mentioned that this could possibly be a property rights issue. I think it has something to do with the first amendment and freedom of expression. That certainly is important, but I think property rights are very important here. If you have your own flag and what you do with it, there should be some recognition of that. But the retort to that is, oh, no, the flag belongs to the country. The flag belongs to everybody. Not really. If you say that, you are a collectivist. That means you believe everybody owns everything. Who would manufacture the flags? Who would buy the flags? Who would take care of them? So there is an ownership. If the Federal Government owns a flag and you are on Federal property, even, without this amendment, you do not have the right to go and burn that flag. If you are causing civil disturbances, that is handled another way. But this whole idea that there could be a collective ownership of the flag, I think, is erroneous. care Statement on the Community Solutions Act of 2001 July 19, 2001 2001 Ron Paul 60:3 Those who dismiss these concerns should consider that HR 7 explicitly forbids proselytizing in “faith-based’ programs receiving funds directly from the federal government. Religious organizations will not have to remove religious icons from their premises in order to receive federal funds. However, I fail to see the point in allowing a Catholic soup kitchen to hang a crucifix on its wall or a Jewish day care center to hang a Star of David on its door if federal law forbids believers from explaining the meaning of those symbols to persons receiving assistance. Furthermore, proselytizing is what is at the very heart of the effectiveness of many of these programs! care THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001 2001 Ron Paul 65:1 * 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, as well as prohibiting the use of federal funds to develop or implement a database containing personal health information. care 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. care THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001 2001 Ron Paul 65:10 * Those who claim that the Patient Privacy act would interfere with the plans to “simplify” and “streamline” the health care system, should remember that under the constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. care 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? care 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. care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001 2001 Ron Paul 70:3 * One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. Medicare MSAs give those seniors who need to use Medicare funds for prescription drugs the ability to do so without expanding the power of the federal bureaucracy or forcing those seniors who currently have prescription drug coverage into a federal one-size-fits-all program. care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001 2001 Ron Paul 70:4 * Medicare MSAs will also ensure seniors access to a wide variety of health care services care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001 2001 Ron Paul 70:5 [Page: E1538] GPO’s PDF by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from the this burden thus making it more likely that quality providers will remain in the Medicare program! care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001 2001 Ron Paul 70:6 * Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington-DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001 2001 Ron Paul 70:7 * In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs by cosponsoring my legislation to expand the Medicare MSA program. care Patient’s Bill of Rights Undermines Individual Rights August 2, 2001 2001 Ron Paul 73:2 Mr. Speaker, as you know, I am a physician. I practiced medicine for more than 30 years, and I can certainly vouch for the fact that medicine is a mess, managed care is not working very well; and, hopefully, we do something good to improve it. Unfortunately, I am not all that optimistic. care 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. care 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. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:1 Mr. PAUL. Mr. Chairman, I appreciate the opportunity to explain why I oppose all versions of the Patients’ Bill of Rights. Once again Congress is staging a phony debate over which form of statism to embrace, instead of asking the fundamental question over whether Congress should be interfering in this area at all, much less examine how previous interferences in the health care market created the problems which these proposals claim to address. care 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. care 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. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:4 The fundamental economic principle is that true competition assures that the consumer gets the best deal at the best price possible by putting pressure on the providers. This principle applies equally to health care as it does to other goods and services. However, over the past fifty years, Congress has systematically destroyed the market in health care. HMOs themselves are the result of conscious government policy aimed at correcting distortions in the health care market caused by Congress. The story behind the creation of the HMOs is a classic illustration of how the unintended consequences of government policies provide a justification for further expansions of government power. During the early seventies, Congress embraced HMOs in order to address concerns about rapidly escalating health care costs. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:5 However, it was previous Congressional action which caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to prices when selecting health care. Because the consumer had the incentive to monitor health care prices stripped away and because politicians were unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs and preempting state laws forbidding physicians to sign contracts to deny care to their patients. This legislation also mandated that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sound like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, big government mindset that produced wage-and-price controls. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:6 I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today among the biggest supporters of the “patients’ rights” legislation. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. care 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. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:9 Mr. Chairman, the legislation before us is flawed not only in its effect but in the very premise that individuals have a federally-enforceable “right” to health care. 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. care 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. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:11 Many members of Congress have convinced themselves that they can support a “watered-down” Patients’ Bill of Rights which will allow them to appease the supporters of nationalized medicine without creating the negative consequences of the unmodified Patients’ Bill of Rights, while even some supporters of the most extreme versions of this legislation say they will oppose any further steps to increase the power of government over health care. These well-intentioned members ignore the economic fact that partial government involvement is not possible. It inevitably leads to total government control. A vote for any version of a Patients’ Bill of Rights is a 100 percent endorsement of the principle of government management of the health care system. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:12 Those who doubt they are endorsing government control of medicine by voting for a modified Patients’ Bill of Rights should consider that even after this legislation is “watered- down” it will still give the federal government the power to control the procedures for resolving disputes for every health plan in the country, as well as mandating a laundry list of services that health plans must offer to their patients. The new and improved Patients’ Bill of Rights will still drive up the costs of health care, causing many to lose their insurance and lead to yet more cries for government control of health care to address the unintended consequences of this legislation. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:13 Of course, the real power over health care will lie with the unelected bureaucrats who will implement and interpret these broad and vague mandates. Federal bureaucrats already have too much power over health care. Today, physicians struggle with over 132,000 pages of Medicare regulations. To put that in perspective, I ask my colleagues to consider that the IRS code is “mere” 17,000 pages. Many physicians pay attorneys as much as $7,000 for a compliance plan to guard against mistakes in filing government forms, a wise investment considering even an innocent mistake can result in fines of up to $25,000. In case doctors are not terrorized enough by the federal bureaucracy, HCFA has requested authority to carry guns on their audits! care 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). care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:16 Of course, in a truly free market, HMOs and pre-paid care could and would exist — there would be no prohibition against it. The Kaiser system was not exactly a creature of the government as it the current unnatural HMO-government- created chaos we have today. care 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. care 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. care Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:20 In conclusion, Mr. Chairman, I urge my colleagues to reject the phony Patients’ Bill of Rights which will only increase the power of the federal government, cause more Americans to lose their health care or receive substandard care, and thus set the groundwork for the next round of federal intervention. Instead. I ask my colleagues to embrace an agenda of returning control over health care to the American people by putting control over the health care dollar back into the hands of the individual and repealing those laws and regulations which distort the health care market. We should have more faith in freedom and more fear of the politicians and bureaucrats who think all can be made well by simply passing a Patients’ Bill of Rights. care 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. care Sometimes The Economy Needs A Setback 10 September 2001 2001 Ron Paul 77:17 The financial historian Max Winkler concluded his tale of the fantastic career of the swindler-financier Ivar Kreguer, the “Swedish match king,” with the ancient epigram “Mundus vult decipi; ergo decipiatur”: The world wants to be deceived; let it therefore be deceived. The Romans might have added, for financial context, that the world is most credulous during bull markets. Prosperity makes it gullible. care Statement on the New York City and Washington, DC Terrorist Attacks September 12, 2001 2001 Ron Paul 78:7 Demanding domestic security in times of war invites carelessness in preserving civil liberties and the right of privacy. Frequently the people are only too anxious for their freedoms to be sacrificed on the altar of authoritarianism thought to be necessary to remain safe and secure. Nothing would please the terrorists more than if we willingly give up some of our cherished liberties while defending ourselves from their threat. care Foreign Interventionism September 25, 2001 2001 Ron Paul 80:26 We did a poor job in providing the security that all Americans should expect. This is our foremost responsibility. Some members have been quick to point out the shortcomings of the FBI, the CIA and the FAA and claim more money will rectify the situation. I’m not so sure. Bureaucracies by nature are inefficient. The FBI and CIA records come up short. The FBI loses computers and guns and is careless with records. The CIA rarely provides timely intelligence. The FAA’s idea of security against hijackers is asking all passengers who packed their bag. care Foreign Interventionism September 25, 2001 2001 Ron Paul 80:29 We face an enormous task to restore the sense of security we have taken for granted for so long. But it can be done. Destroying the evildoers while extricating ourselves from this unholiest of wars is no small challenge. The job is somewhat like getting out of a pit filled with venomous snakes. The sooner we shoot the snakes that immediately threaten us, the sooner we can get safely away. If we’re not careful though, we’ll breed more snakes and they’ll come out of every nook and cranny from around the world and little will be resolved. care Foreign Interventionism September 25, 2001 2001 Ron Paul 80:39 The heat of the moment has prompted calls by some of our officials for great sacrifice of our liberties and privacy. This poses great danger to our way of life and will provide little help in dealing with our enemies. Efforts of this sort will only punish the innocent and have no effect on a would-be terrorist. We should be careful not to do something just to do something- even something harmful. care Foreign Interventionism September 25, 2001 2001 Ron Paul 80:48 Mr. Speaker, I support President Bush and voted for the authority and the money to carry out his responsibility to defend this country, but the degree of death and destruction and chances of escalation must be carefully taken into consideration. care Statement on Counter-Terrorism Proposals and Civil Liberties October 12, 2001 2001 Ron Paul 87:4 However, other provisions of this bill represent a major infringement of the American people’s constitutional rights. I am afraid that if these provisions are signed into law, the American people will lose large parts of their liberty--maybe not today but over time, as agencies grow more comfortable exercising their new powers. My concerns are exacerbated by the fact that HR 3108 lacks many of the protections of civil liberties which the House Judiciary Committee worked to put into the version of the bill they considered. In fact, the process under which we are asked to consider this bill makes it nearly impossible to fulfill our constitutional responsibility to carefully consider measures which dramatically increase government’s power. care Statement on Counter-Terrorism Proposals and Civil Liberties October 12, 2001 2001 Ron Paul 87:13 H.R. 3108 may actually reduce security as private cities may not take necessary measures to protect their safety because “the government is taking care of our security.” In a free market, private owners have great incentives to protect their private property and the lives of their customers. That is why industrial plants in the United States enjoy reasonably good security. They are protected not by the local police but by owners putting up barbed wire fences, hiring guards with guns, and requiring identification cards to enter. All this, without any violation of anyone’s civil liberties. In a free society private owners have a right, if not an obligation, to “profile” if it enhances security. care Expansion of NATO is a Bad Idea November 7, 2001 2001 Ron Paul 95:3 I, too, was a friend of Jerry Solomon. We came into the Congress together in 1978. One thing for sure that Jerry understood very clearly was the care that we must give to expanding our influence as well as sacrificing our sovereignty, because he was strongly opposed to the United Nations. care Statement on Preventing Identity Theft by Terrorists and Criminals November 8, 2001 2001 Ron Paul 96:6 My colleagues should remember that the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care The War On Terrorism November 29, 2001 2001 Ron Paul 98:4 We do know a lot about the terrorists who spilled the blood of nearly 4,000 innocent civilians. There were 19 of them, 15 from Saudi Arabia, and they have paid a high price. They’re all dead. So those most responsible for the attack have been permanently taken care of. If one encounters a single suicide bomber who takes his own life along with others without the help of anyone else, no further punishment is possible. The only question that can be raised under that circumstance is why did it happen and how can we change the conditions that drove an individual to perform such a heinous act. care The War On Terrorism November 29, 2001 2001 Ron Paul 98:59 The“anti-terrorism” legislation recently passed by Congress demonstrates how well-meaning politicians make shortsighted mistakes in a rush to respond to a crisis. Most of its provisions were never carefully studied by Congress, nor was sufficient time taken to debate the bill despite its importance. No testimony was heard from privacy experts or from others fields outside of law enforcement. Normal congressional committee and hearing processes were suspended. In fact, the final version of the bill was not even made available to Members before the vote! The American public should not tolerate these political games, especially when our precious freedoms are at stake. care The War On Terrorism November 29, 2001 2001 Ron Paul 98:73 Many throughout the world, especially those in Muslim countries, will be convinced by the secretive process that the real reason for military courts is that the U.S. lacks sufficient evidence to convict in an open court. Should we be fighting so strenuously the war against terrorism and carelessly sacrifice our traditions of American justice? If we do, the war will be for naught and we will lose, even if we win. care Ongoing Violence in Israel and Palestine December 5, 2001 2001 Ron Paul 102:15 But should we not condemn violence equally? Could it be true that only innocent civilians have died on one side and not the other? I do not believe that to be the care. I believe that it happens on both sides, and on both sides they use our money to do it. care H.R. 3054 16 December 2001 2001 Ron Paul 106:2 Mr. Speaker, money appropriated for gold medals, or any other unconstitutional purpose, is, in the words of Davy Crockett, “Not Yours to Give.” It is my pleasure to attach a copy of Davy Crockett’s “Not Yours to Give” speech for the record. I hope my colleagues will carefully consider its’ message before voting to take money from American workers and families to spend on unconstitutional programs and projects. care Saddam Hussein 19 December 2001 2001 Ron Paul 107:10 Its been suggested that the anthrax came from Iraq. The mounting evidence today, sadly, suggests that it may well be coming from our CIA. Here we are almost ready to go to war against Iraq at the suggestion that our carelessness and our development of anthrax here in this country may have been a contributing factor to this anthrax being spread in this country. care Yields Time To Mr. Rohrabacher 19 December 2001 2001 Ron Paul 109:3 Mr. PAUL. Mr. Speaker, if the gentleman was to find out that China was much more involved in the Taliban and the terrorist attacks on 9–11 than anything Saddam Hussein has done, would the gentleman be willing to do to China what the gentleman is willing to do to Iraq? Mr. ROHRABACHER. Mr. Speaker, reclaiming my time, let me put it this way. The answer is yes, but I would not right away. Like the President says, we must do things sequentially, and we must be absolutely committed to the job. If we do things sequentially, the next order of business is taking care of the threat in Iraq. And if China is, yes, helping terrorists murder thousands of Americans, yes, we should help the Chinese people overthrow their dictatorship as well. care The Case For Defending America 24 January 2002 2002 Ron Paul 1:33 I wonder how many civilians have been killed so far. I know a lot of Members could care less, remembering innocent American civilians who were slaughtered in New York and Washington. But a policy that shows no concern for the innocent will magnify our problems rather than lessen them. The hard part to understand in all this is that Saudi Arabia probably had more to do with these attacks than did Afghanistan. But then again, who wants to offend our oil partners? care Stimulating The Economy February 7, 2002 2002 Ron Paul 5:17 Transferring wealth to achieve a modicum of economic equality and assuming the role of world policeman, while ignoring economic laws regarding money and credit, must lead to economic distortions and a lower standard of living for most citizens. In the process, dependency on the government develops and Congress attempts to solve all the problems with a much more visible hand than Adam Smith recommended. The police efforts overseas and the effort to solve the social and economic problems here at home cannot be carried out without undermining the freedoms that we all profess to care about. care 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. care Stimulating The Economy February 7, 2002 2002 Ron Paul 5:50 The economic loss is bad enough, but whether it’s fighting the war on terrorism, acting as the world’s policeman, or solving the problems of vanishing wealth, the real insult will come from the freedoms we lose. These freedoms, vital to production and wealth formation, are necessary and represent what the American dream is all about. They are what made us the richest nation in all of history, but this we will lose if Congress is not careful with what it does in the coming months. care Stimulating The Economy February 7, 2002 2002 Ron Paul 5:66 12. In this crisis, as in all crises, the special interests are motivated to increase their demands. It’s a convenient excuse to push for the benefits they were already looking for. Domestically, this includes everyone from the airlines to the unions, insurance companies, travel agents, state and local governments, and anyone who can justify a related need. It’s difficult for the military-industrial complex to hide their glee with their new contracts for weapons and related technology. Instead of the events precipitating a patriotic fervor for liberty, we see enthusiasm for big government, more spending, more dependency, greater deficits and military confrontations that are unrelated to the problems of terrorism. We are supposed to be fighting terrorism to protect our freedoms, but if we are not careful, we will lose our freedoms and precipitate more terrorist attacks. care So-Called “Campaign Finance Reform” is Unconstitutional February 13, 2002 2002 Ron Paul 7:24 Hamilton’s warning has proved prophetic in the case of campaign-finance reform. As the debate swirls around the impact of such reform measures on the freedom of speech and association, the question whether Congress has the constitutional authority to regulate federal election campaigns is being ignored. Yet, that question would have been hotly debated and quickly answered in America’s founding era in light of the constitutional text carefully circumscribing Congress’s authority in relation to federal elections. (See Article I, Section 4, Clause 1 and Article II, Section 1, Clause 4; Federalist No. 60 and Federalist No. 68, I Story’s Commentaries on the Constitution , Sections 814-826 and II Story’s Commentaries , Sections 1453-75, 5th ed. 1891.) care So-Called “Campaign Finance Reform” is Unconstitutional February 13, 2002 2002 Ron Paul 7:30 The Federal Election Campaign Act of 1971, as amended in 1974, presumed that the Constitution authorized Congress to regulate federal election campaigns for the purposes of “the prevention of corruption and the appearance of corruption” in government and of the equalization of “the relative ability of all citizens to affect the outcome of elections.” ( Buckley v. Valeo, 424 U.S. 1, 25-26, 1976) According to the proponents of campaign-finance reform, both then and now, Congress has power to regulate federal election campaigns because it has the general power “to regulate federal elections....” ( Id., 424 U.S. at 13-14) A careful examination of the Constitution, as it is written, uncovers no such broad power, but only a carefully circumscribed one. care Statement Opposing Military Conscription March 20, 2002 2002 Ron Paul 20:3 A draft weakens the military by introducing tensions and rivalries between those who volunteer for military service and those who have been conscripted. This undermines the cohesiveness of military units, which is a vital element of military effectiveness. Conscripts also are unlikely to choose the military as a career; thus, a draft will do little to address problems with retention. With today’s high-tech military, retention is the most important personnel issue and it seems counter-productive to adopt any policy that will not address this important issue. care Say No to Conscription May 9, 2002 2002 Ron Paul 35:8 The question is nothing less, than whether the most essential rights of personal liberty shall be surrendered, and despotism embraced in its worst form. When the present generation of men shall be swept away, and that this Government ever existed shall be a matter of history only, I desire that it may then be known, that you have not proceeded in your course unadmonished and unforewarned. Let it then be known, that there were those, who would have stopped you, in the career of your measures, and held you back, as by the skirts of your garments, from the precipice, over which you are plunging, and drawing after you the Government of your Country. care Don’t Force Taxpayers to Fund Nation-Building in Afghanistan May 21, 2002 2002 Ron Paul 43:21 The occupation of Afghanistan is unnecessary. It is going to be very costly, and it is very dangerous. My colleagues might say, well, this is all for democracy. For democracy? Well, did we care about democracy in Venezuela? It seemed like we tried to undermine that just recently. Do we care about the democracy in Pakistan? A military dictator takes over and he becomes our best ally, and we use his land, and yet he has been a friend to the Taliban, and who knows, bin Laden may even be in Pakistan. Here we are saying we are doing it all for democracy. Now, that is just pulling our leg a little bit too much. This is not the reason that we are over there. We are over there for a lot of other reasons and, hopefully, things will be improved. care Opposing The Amendment 21 May 2002 2002 Ron Paul 45:9 My colleagues might say, well, this is all for democracy. For democracy? Well, did we care about democracy in Venezuela? It seemed like we tried to undermine that just recently. Do we care about the democracy in Pakistan? A military dictator takes over and he becomes our best ally, and we use his land, and yet he has been a friend to the Taliban, and who knows, bin Laden may even be in Pakistan. Here we are saying we are doing it all for democracy. Now, that is just pulling our leg a little bit too much. This is not the reason that we are over there. We are over there for a lot of other reasons and, hopefully, things will be improved. care No More Taxpayer Funds for the Failed Drug War in Colombia May 23, 2002 2002 Ron Paul 49:5 What we are doing is we are appropriating for something for the administration to do without a proper authority. He has no authority to get involved in the civil war down there. We cannot imply that the issue of war is granted through the appropriation process. It is not the way the system works. The constitutional system works with granting explicit authority to wage war. The President has no authority, and now he wants the money; and we are ready to capitulate. Let me tell my colleagues, if we care about national defense, we must reconsider this. care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002 2002 Ron Paul 54:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. The tax credit would be available to all citizens regardless of whether or not they itemize their deductions. care 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. care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002 2002 Ron Paul 54:3 As an OB-GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code: Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes their only recourse to health care is the local emergency room. care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002 2002 Ron Paul 54:4 Sometimes parents are forced to delay seeking care for their children until minor health concern that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency room facilities would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002 2002 Ron Paul 54:6 Under the Child Health Care Affordability Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care 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? care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002 2002 Ron Paul 54:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. care Inspection or Invasion in Iraq? June 24, 2002 2002 Ron Paul 57:1 Mr. PAUL. Mr. Speaker, I call my colleagues’ attention to a recent article by Scott Ritter, former chief UN weapons inspector in Iraq, published in the Los Angeles Times. In this article, Mr. Ritter makes a salient point that deserves careful and serious consideration in this body: how will it be possible to achieve the stated administration goal of getting weapons inspectors back into Iraq when the administration has made it known that it intends to assassinate the Iraqi leader? care H.R. 4954 27 June 2002 2002 Ron Paul 63:1 Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 4954 or the alternative allow seniors the ability to control their own health care. Instead both plans give a large bureaucracy the power to determine what prescription drugs senior citizens can receive. The only difference is that alternative puts seniors under the control of the federal bureaucy, while H.R. 4954 gives this power to “private” health maintenance organizations and insurance companies. care H.R. 4954 27 June 2002 2002 Ron Paul 63:2 I am pleased that the drafters of H.R. 4954 incorporate regulatory relief legislation, which I have supported in the past, into the bill. This will help relieve some of the tremendous regulatory burden imposed on health care providers by the Federal Government. I am also pleased that H.R. 4954 contains several good provisions addressing the Congressionally-created crisis in rural health and attempting to ensure that physicians are fairly reimbursed by the Medicare system. care H.R. 4954 27 June 2002 2002 Ron Paul 63:3 However, Mr. Speaker, at the heart of this legislation is a fatally flawed plan that will fail to provide seniors access to the pharmaceuticals of their choice. H.R. 4954 requires seniors to enroll in a prescription benefit management company (PBM), which is the equivalent of an HMO. Under this plan, the PBM will have the authority to determine which pharmaceuticals are available to seniors. Thus, in order to get any help with their prescription drug costs, seniors have to relinquish their ability to choose the type of prescriptions that meet their own individual needs! The inevitable result of this process will be rationing, as PBM bureaucrats attempt to control costs by reducing the reimbursements paid to pharmacists to below-market levels (thus causing pharmacists to refuse to participate in PBM plans), and restricting the type of pharmacies seniors may use in the name of “cost effectiveness.” PBM bureaucrats may even go so far as to forbid seniors from using their own money to purchase Medicare-covered pharmaceuticals. I remind my colleagues that today the federal government prohibits seniors from using their own money to obtain health care services which differ from those “approved” of by the Medicare bureaucracy! care H.R. 4954 27 June 2002 2002 Ron Paul 63:8 Mr. Speaker, our seniors deserve better than a “choice” between whether a private-orpublic sector bureaucrat will control their health care. Meaningful prescription drug legislation should be based on the principles of maximum choice and flexibility for senior citizens. For example, my H.R. 2268 provides seniors the ability to use Medicare dollars to cover the costs of prescription drugs in a manner that increases seniors’ control over their own health care. care H.R. 4954 27 June 2002 2002 Ron Paul 63:10 Medicare MSAs will also ensure senior access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services. The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! care H.R. 4954 27 June 2002 2002 Ron Paul 63:11 Mr. Speaker, seniors should not be treated like children by the federal government and told what health care services they can and cannot have. We in Congress have a duty to preserve and protect the Medicare trust fund. We must keep the promise to American’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington, DC — based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. care Is America a Police State? June 27, 2002 2002 Ron Paul 64:25 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. care Is America a Police State? June 27, 2002 2002 Ron Paul 64:35 One of the most onerous controls placed on American citizens is the control of speech through politically correct legislation. Derogatory remarks or off-color jokes are justification for firings, demotions, and the destruction of political careers. The movement toward designating penalties based on the category to which victims belong, rather the nature of the crime itself, has the thought police patrolling the airways and byways. Establishing relative rights and special penalties for subjective motivation is a dangerous trend. care Is America a Police State? June 27, 2002 2002 Ron Paul 64:49 In times of crisis, nearly unanimous support for government programs is usual and the effects are instantaneous. Discovering the error of our ways and waiting to see the unintended consequences evolve takes time and careful analysis. Reversing the bad effects is slow and tedious and fraught with danger. People would much prefer to hear platitudes than the pessimism of a flawed policy. care Has Capitalism Failed? July 9, 2002 2002 Ron Paul 66:3 What is distinctively absent is any mention that all financial bubbles are saturated with excesses in hype, speculation, debt, greed, fraud, gross errors in investment judgment, carelessness on the part of analysts and investors, huge paper profits, conviction that a new era economy has arrived and, above all else, pie-in-the-sky expectations. care Has Capitalism Failed? July 9, 2002 2002 Ron Paul 66:6 But what is not discussed is the actual cause and perpetration of the excesses now unraveling at a frantic pace. This same response occurred in the 1930s in the United States as our policymakers responded to the very similar excesses that developed and collapsed in 1929. Because of the failure to understand the problem then, the depression was prolonged. These mistakes allowed our current problems to develop to a much greater degree. Consider the failure to come to grips with the cause of the 1980s bubble, as Japan’s economy continues to linger at no-growth and recession level, with their stock market at approximately one-fourth of its peak 13 years ago. If we’re not careful- and so far we’ve not been- we will make the same errors that will prevent the correction needed before economic growth can be resumed. care Has Capitalism Failed? July 9, 2002 2002 Ron Paul 66:14 Second, we do know why financial bubbles occur, and we know from history that they are routinely associated with speculation, excessive debt, wild promises, greed, lying, and cheating. These problems were described by quite a few observers as the problems were developing throughout the 90s, but the warnings were ignored for one reason. Everybody was making a killing and no one cared, and those who were reminded of history were reassured by the Fed Chairman that "this time" a new economic era had arrived and not to worry. Productivity increases, it was said, could explain it all. care H.R. 2896 10 July 2002 2002 Ron Paul 67:2 Shortly after 9–11, as a matter of fact, on September 17, I introduced legislation into this body, H.R. 2896. It would have taken care of this problem in a more conclusive way, and it would have removed all the prohibitions and legalized, once again, the right of property owners to defend their property. care H.R. 2896 10 July 2002 2002 Ron Paul 67:11 We need to, once again, believe in America, believe in freedom, believe in the Bill of Rights, and let the people take care of so many of these problems instead of getting in the way. This bill, fortunately, is helping to get the government out of the way. That is why I support it. care Honoring Maj. Gen. Gerald F. Perryman 10 July 2002 2002 Ron Paul 69:1 Mr. PAUL. Mr. Speaker, I rise to honor Maj. Gen. Gerald F. Perryman, Jr. on the occasion of his retirement from his position as Assistant Deputy Chief of Staff for Warfighting Integration, Headquarters U.S. Air Force, Washington, DC. General Perryman entered the Air Force in 1970 through Texas A&M University’s ROTC program. During his distinguished career he commanded the Air Force’s Peacekeeper missile squadron during its transition from the Minuteman weapon system, and led the 91st Missile Group to win the 1994 Omaha Trophy as the best of U.S. Strategic Command’s Air Force and Navy ballistic missile units. The general has commanded a missile wing and space wing. He also commanded 14th Air Force and was Component Commander of U.S. Air Force space operations within U.S. Space Command. As Commander of the Aerospace Command and Control, intelligence, Surveillance and Reconnaissance Center, General Perryman was responsible for integrating command and control, and intelligence, surveillance and reconnaissance for the Air Force to improve the ability of commanders to create desired effects in the battlespace. The general has served as a missile combat crew commander in the Minuteman and Peacekeeper weapons systems, and as a space warning crew commander. care Honoring Maj. Gen. Gerald F. Perryman 10 July 2002 2002 Ron Paul 69:2 Again, Mr. Speaker, I would like to commend General Perryman on the occasion of his retirement from a distinguished military career. care Hard Questions for Federal Reserve Chairman Greenspan July 17, 2002 2002 Ron Paul 71:1 Rep. Paul: "Welcome Chairman Greenspan. I’ve listened carefully to your testimony but I get the sense I may be listening to the Chairman of the Board of Central Economic planning rather than the chairman of a board that has been entrusted with protecting the value of the dollar. care The Tragedy of Partial-Birth Abortion July 24, 2002 2002 Ron Paul 75:1 Mr. Speaker, like many Americans, I am greatly concerned about abortion. Abortion on demand is no doubt the most serious social-political 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. care The Tragedy of Partial-Birth Abortion July 24, 2002 2002 Ron Paul 75:9 I wish to conclude with a quote from Mother Theresa, who gave a beautiful and powerful speech about abortion on February 3, 1994, at the National Prayer Breakfast in Washington DC: "...From here, a sign of care for the weakest of the weak- the unborn child- must go out to the world. If you (in the United States) become a burning light of justice and peace in the world, then really you will be true to what the founders of this country stood for..." care Statement on Expulsion of Congressman Jim Traficant July 24, 2002 2002 Ron Paul 76:4 Mr. Speaker, after listening carefully to last week’s ethics hearing, I have serious concerns about whether Mr. Traficant received a fair trial. In particular, I am concerned whether the change of venue denied Mr. Traficant a meaningful opportunity to present his case to a jury of his peers. Usually a change of venue is appropriate in cases where the defendant cannot receive a fair trial. I am unaware of any other case where the venue was changed for the benefit of the state. care Statement on Expulsion of Congressman Jim Traficant July 24, 2002 2002 Ron Paul 76:7 Before voting to expel Mr. Traficant while his appeal is pending, my colleagues should consider the case of former Representative George Hansen. Like Mr. Traficant, Mr. Hansen was convicted in federal court, censured by Congress, and actually served time in federal prison. However, Mr. Hansen was acquitted on appeal- after his life, career, and reputation were destroyed. care Providing For Consideration Of H.R. 5005, Homeland Security Act Of 2002 25 July 2002 2002 Ron Paul 79:3 Instead of a carefully crafted product of meaningful deliberations, I fear we are once again about to pass a hastily drafted bill in order to appear that we are “doing something.” Over the past several months, Congress has passed a number of hastily crafted measures that do little, if anything, to enhance the security of the American people. Instead, these measures grow the size of the Federal Government, erode constitutional liberties, and endanger our economy by increasing the federal deficit and raiding the social security trust fund. The American people would be better served if we gave the question of how to enhance security from international terrorism the serious consideration it deserves rather than blindly expanding the Federal Government. Congress should also consider whether our hyper-interventionist foreign policy really benefits the American people. care Avoid War With Iraq 4 September 2002 2002 Ron Paul 82:11 There are economic reasons that we must be careful for. We can make serious economic mistakes. It is estimated that this venture into Iraq may well cost over a hundred billion dollars. Our national debt right now is increasing at a rate of over $450 billion and we are talking about spending another hundred billion dollars on an adventure that we do not know what the outcome will be and how long this will last? What will happen to oil prices? What will happen to the recession that we are in? What is going to happen to the deficit? All kinds of economic ramification. So we better not make the mistake of going into something that really we have no business getting into. care The Price Of War 5 September 2002 2002 Ron Paul 83:36 The term foreign policy does not exist in the Constitution. All members of the Federal Government have sworn to uphold the Constitution and should do only those things that are clearly authorized. Careful reading of the Constitution reveals Congress has a lot more responsibility than does the President in dealing with foreign affairs. The President is the Commanderin- Chief, but cannot declare war or finance military action without explicit congressional approval. A good starting point would be for all of us in the Congress to assume the responsibility given us to make sure the executive branch does not usurp any authority explicitly given to the Congress. care Abolishing The Federal Reserve 10 September 2002 2002 Ron Paul 86:18 Why isn’t gold money now? Because governments destroyed the gold standard. Why? Because they regarded it as too inflexible. To be sure, monetary inflexibility is the friend of free markets. Without the ability to create money out of nothing, governments tend to run tight financial ships. Banks are more careful about the lending when they can’t rely on a lender of last resort with access to a money-creation machine like the Fed. care A Political Mistake September 18, 2002 2002 Ron Paul 87:6 There is a bit of irony over all of this political posturing on a vote to condone a war of aggression and force some Members into a tough vote. Guess what, contrary to conventional wisdom, war is never politically beneficial to the politicians who promote it. Presidents Wilson and Roosevelt were reelected by promising to stay out of war. Remember, the party in power during the Korean War was routed in 1952 by a general who promised to stop the bloodshed. Vietnam, which started with overwhelming support and hype and jingoistic fervor, ended President Johnson’s political career in disgrace and humiliation. The most significant plight on the short term of President Kennedy was his effort at regime change in Cuba and the fate he met at the Bay of Pigs. Even Persian Gulf War I, thought at the time to be a tremendous victory, with its aftermath still lingering, did not serve President Bush, Sr.’s reelection efforts in 1992. care Can We Afford this War? September 24, 2002 2002 Ron Paul 89:16 A nation suffering from recession can ill afford a foreign policy that encourages unnecessary military action that will run up huge deficits. Congress ought to pause a moment, and carefully contemplate the consequences of the decisions we are about to make in the coming days. care Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:8 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. care Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:11 In conclusion, Mr. Speaker, while I support the efforts of the sponsors of HR 4600 to address the crisis in health care caused by excessive malpractice litigation and insurance premiums, I cannot support this bill. HR 4600 exceeds Congress’ constitutional limitations and denies full compensation to those harmed by the unintentional effects of federal vaccine mandates. Instead of furthering unconstitutional authority, my colleagues should focus on addressing the root causes of the malpractice crisis by supporting efforts to restore the primacy of contract to the doctor-patient relationships. care Statement Opposing the use of Military Force against Iraq October 8, 2002 2002 Ron Paul 96:14 As James Madison wrote in 1798, "The Constitution supposes what the history of all governments demonstrates, that the executive is the branch of power most interested in war, and most prone to it. It has, accordingly, with studied care, vested the question of war in the legislature." care 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. care Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003 2003 Ron Paul 4:14 The primary reason why any action short of the repeal of laws authorizing privacy violations is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care Republic Versus Democracy 29 January 2003 2003 Ron Paul 6:4 The turbulence seems self-evident. Domestic welfare programs are not sustainable and do not accomplish their stated goals. State and Federal spending and deficits are out of control. Terrorism and uncontrollable fear undermines our sense of well-being. Hysterical reactions to dangers not yet seen prompt the people at the prodding of the politicians to readily sacrifice their liberties in vain hope that someone else will take care of them and guarantee their security. care 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. care 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. care Republic Versus Democracy 29 January 2003 2003 Ron Paul 6:114 The current economic system of fiat money and interventionism, both domestic and international, serve to accommodate the unreasonable demands for government to take care of the people, and this, in turn, contributes to the worst of human instincts: authoritarian control by the few over the many. care 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. care Expand Medicare MSA Program 5 February 2003 2003 Ron Paul 12:3 One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. Medicare MSAs give those seniors who need to use Medicare funds for prescription drugs the ability to do so without expanding the power of the federal bureaucracy or forcing those seniors who currently have prescription drug coverage into a federal one-size-fits-all program. care Expand Medicare MSA Program 5 February 2003 2003 Ron Paul 12:4 Medicare MSAs will also ensure seniors access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from this burden thus making it more likely that quality providers will remain in the Medicare program! care Expand Medicare MSA Program 5 February 2003 2003 Ron Paul 12:5 Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. care Expand Medicare MSA Program 5 February 2003 2003 Ron Paul 12:6 However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cooking cutter program designed by Washington- DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. care Expand Medicare MSA Program 5 February 2003 2003 Ron Paul 12:7 In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs by cosponsoring my legislation to expand the Medicare MSA program. care 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. care Support Medical Savings Accounts for Medicare February 13, 2003 2003 Ron Paul 21:3 One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. care Support Medical Savings Accounts for Medicare February 13, 2003 2003 Ron Paul 21:5 Medicare MSAs will also ensure seniors access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! care Support Medical Savings Accounts for Medicare February 13, 2003 2003 Ron Paul 21:6 Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. care Support Medical Savings Accounts for Medicare February 13, 2003 2003 Ron Paul 21:7 However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington-DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. care Support Medical Savings Accounts for Medicare February 13, 2003 2003 Ron Paul 21:8 In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs, by cosponsoring legislation to expand the Medicare MSA program. care Another United Nations War 25 February 2003 2003 Ron Paul 24:4 As bad as the Vietnam nightmare was, at least we left and the U.N. was not involved. We left in defeat and Vietnam remained a unified, Communist country. The results have been much more salutary. Vietnam is now essentially non-Communist and trade with the West is routine. We did not disarm Vietnam; we never counted their weapons; and so far, no one cares. Peaceful relations have developed between our two countries not by force of arms, but through trade and friendship. No United Nations, no war, and no inspections served us well, even after many decades of war and a million deaths inflicted on the Vietnamese in an effort by both the French and the United States to force them into compliance with Western demands. care 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? care The Myth of War Prosperity March 4, 2003 2003 Ron Paul 28:10 War should always be fought as the very, very last resort. It should never be done casually, but only when absolutely necessary. And when it is, I believe it should be fought to be won. It should be declared. It should not be fought under U.N. resolutions or for U.N. resolutions, but for the sovereignty and the safety and the security of this country. It is explicit in our Constitution that necessary wars be declared by the Congress. And that is something that concerns me a great deal because we have not declared war outright since 1945, and if you look carefully, we have not won very many since then. care American Sovereignty Restoration Act Of 2003 6 March 2003 2003 Ron Paul 31:7 In considering the recent United Nations meetings and the United States’ relation to that organization and its affront to U.S. sovereignty, we would all do well to again read carefully Professor Herbert W. Titus’ paper on the United Nations from which I have provided this excerpt: care 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. care 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. care 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. care 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. care 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. care 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. care Quality Health Care Coalition Act 12 March 2003 2003 Ron Paul 32:8 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 America’s health care professionals. 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 by supporting my Comprehensive Health Care Reform Act. care 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. care Freedom From Unnecessary Litigation Act 12 March 2003 2003 Ron Paul 33:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. care 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. care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:7 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:9 Congress could also help physicians lower insurance rates by passing legislation, such as my Quality Health Care Coalition Act (H.R. 1247), that removes the antitrust restrictions preventing physicians from forming professional organizations for the purpose of negotiating contracts with insurance companies and HMOs. These laws give insurance companies and HMOs, who are often protected from excessive malpractice claims by ERISA, the ability to force doctors to sign contracts exposing them to excessive insurance premiums and limiting their exercise of professional judgment. The lack of a level playing field also enables insurance companies to raise premiums at will. In fact, it seems odd that malpractice premiums have skyrocketed at a time when insurance companies need to find other sources of revenue to compensate for their losses in the stock market. care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:10 In conclusion, Mr. Speaker, while I support the efforts of the sponsors of H.R. 5 to address the crisis in health care caused by excessive malpractice litigation and insurance premiums, I cannot support this bill. H.R. 5 exceeds Congress’ constitutional limitations and denies full compensation to those harmed by the unintentional effects of federal vaccine mandates. Instead of furthering unconstitutional authority, my colleagues should focus on addressing the root causes of the malpractice crisis by supporting efforts to restore the primacy of contract to the doctor-patient relationships. care Crisis In Healthcare 13 March 2003 2003 Ron Paul 35:1 Mr. PAUL. Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. care Crisis In Healthcare 13 March 2003 2003 Ron Paul 35:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all ilncentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. care 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: care Crisis In Healthcare 13 March 2003 2003 Ron Paul 35:4 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes. care 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. care “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003 2003 Ron Paul 39:1 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. care “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. care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003 2003 Ron Paul 40:1 Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003 2003 Ron Paul 40:2 Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. care 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: care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003 2003 Ron Paul 40:4 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes- meaning even low-income taxpayers benefit; care 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. care Rice Farmers Fairness Act 2 April 2003 2003 Ron Paul 45:7 Helping parents provide their child with an education designed around the child’s individual needs is far superior to the “one size fits all” cookie cutter, bureaucratized approach that has dominated special education for the past 30 years. This approach is inappropriate for any child, but it is especially harmful for special needs children. The HOPE for Children Act puts control over education resources back in the hands of those who know best, and care most about, the unique needs of children: parents. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care America National Sovereignty vs. UN “International Law” – Time for Congress to Vote April 29, 2003 2003 Ron Paul 51:4 If we do not, rest assured that the UN will continue to interfere not only in our nation’s foreign policy matters, but in our domestic policies as well. UN globalists are not satisfied by meddling only in international disputes. They increasingly want to influence our domestic environmental, trade, labor, tax, and gun laws. UN global planners fully intend to expand the organization into a true world government, complete with taxes, courts, and possibly a standing army. This is not an alarmist statement; these goals are readily promoted on the UN’s own website. UN planners do not care about national sovereignty; in fact they are openly opposed to it. They correctly view it as an obstacle to their plans. They simply aren’t interested in our Constitution and republican form of government. care 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. care 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. care 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. care Establishin Joint Committee To Review House And Senate Matters Assuring Continuing Representation And Congressional Operations For The American People 5 June 2003 2003 Ron Paul 64:5 I have no doubt that the people of the states are quite competent to hold elections in a timely fashion. After all, isn’t it in each state’s interest to ensure it has adequate elected representation in Washington as soon as possible? Mr. Speaker, there are those who say that the power of appointment is necessary in order to preserve checks and balances and thus prevent an abuse of executive power. Of course, I agree that it is very important to carefully guard our constitutional liberties in times of crisis, and that an over-centralization of power in the Executive Branch is one of the most serious dangers to that liberty. However, I would ask my colleagues who is more likely to guard the people’s liberties, representatives chosen by, and accountable to, the people, or representatives hand-picked by the executive of their state? care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:1 Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 1 nor the alternative allows seniors the ability to control their own health care. Both plans give a large bureaucracy the power to determine which prescription drugs senior citizens can receive. Under both plans, federal spending and control over health care will rise dramatically. The only difference is that the alternative puts seniors under the total control of the federal bureaucracy, while H.R. 1 shares this power with “private” health maintenance organizations and insurance companies. No wonder supporters of nationalized health care are celebrating the greatest expansion of federal control over health care since the Great Society. care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:2 I am pleased that the drafters of H.R. 1 incorporate regulatory relief legislation, which have supported in the past, into the bill. This will help relieve some of the tremendous regulatory burden imposed on health care providers by the Federal Government. I am also pleased that H.R. 1 contains several good provisions addressing the congressionally-created crisis in rural health and attempts to ensure that physicians are fairly reimbursed by the Medicare system. care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:4 Thus, in order to get any help with their prescription drug costs, seniors have to relinquish their ability to choose the type of prescriptions that meet their own individual needs! The inevitable result of this process will be rationing, as Medicare and/or HMO bureaucrats attempt to control costs by reducing the reimbursements paid to pharmacists to below-market levels (thus causing pharmacists to refuse to participate in Medicare), and restricting the type of pharmacies seniors may use in the name of “cost effectiveness.” Bureaucrats may even go so far as to forbid seniors from using their own money to purchase Medicarecovered pharmaceuticals. I remind may colleagues that today the federal government prohibits seniors from using their own money to obtain health care services that differ from those “approved” of by the Medicare bureaucracy! care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:14 Mr. Speaker, our seniors deserve better than a “choice” between whether a private or a public sector bureaucrat will control their health care. Meaningful prescription drug legislation should be based on the principles of maximum choice and flexibility for senior citizens. For example, my H.R. 1617 provides seniors the ability to use Medicare dollars to cover the costs of prescription drugs in a manner that increases seniors’ control over their own health care. care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:16 Medicare MSAs will also ensure that seniors have access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services. The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:17 There are claims that this bill provides seniors access to MSAs. It is true that this bill lifts the numerical caps on Medicare MSAs; however, it also imposes price controls and bureaucratic requirements on MSA programs. Thus, the MSAs contained in this bill do nothing to free seniors and health care providers from third party control of health care decisions! care Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:18 Mr. Speaker, seniors should not be treated like children by the federal government and told what health care services they can and cannot have. We in Congress have a duty to preserve and protect the Medicare trust fund. We must keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington, DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:3 Someone is responsible, and it’s important that those of us who love liberty, and resent big-brother government, identify the philosophic supporters who have the most to say about the direction our country is going. If they’re wrong—and I believe they are—we need to show it, alert the American people, and offer a more positive approach to government. However, this depends on whether the American people desire to live in a free society and reject the dangerous notion that we need a strong central government to take care of us from the cradle to the grave. Do the American people really believe it’s the government’s responsibility to make us morally better and economically equal? Do we have a responsibility to police the world, while imposing our vision of good government on everyone else in the world with some form of utopian nation building? If not, and the contemporary enemies of liberty are exposed and rejected, then it behooves us to present an alternative philosophy that is morally superior and economically sound and provides a guide to world affairs to enhance peace and commerce. care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:14 Since the national debt is increasing at a rate greater than a half-trillion dollars per year, the debt limit was recently increased by an astounding $984 billion dollars. Total U.S. government obligations are $43 trillion, while the total net worth of U.S. households is about $40.6 trillion. The country is broke, but no one in Washington seems to notice or care. The philosophic and political commitment for both guns and butter—and especially the expanding American empire—must be challenged. This is crucial for our survival. care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:16 How did all this transpire? Why did the government do it? Why haven’t the people objected? How long will it go on before something is done? Does anyone care? care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:62 Once this trust is placed in the hands of a powerful leader, this neocon argues that certain tools are permissible to use. For instance: “Lying is central to the survival of nations and to the success of great enterprises, because if our enemies can count on the reliability of everything you say, your vulnerability is enormously increased.” What about the effects of lying on one’s own people? Who cares if a leader can fool the enemy? Does calling it “strategic deception” make lying morally justifiable? Ledeen and Machiavelli argue that it does, as long as the survivability of the state is at stake. Preserving the state is their goal, even if the personal liberty of all individuals has to be suspended or canceled. care 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. care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:91 We’re at the point where we need a call to arms, both here in Washington and across the country. I’m not talking about firearms. Those of us who care need to raise both arms and face our palms out and begin waving and shouting: Stop! Enough is enough! It should include liberals, conservatives and independents. We’re all getting a bum rap from politicians who are pushed by polls and controlled by special-interest money. care Neo – CONNED ! July 10, 2003 2003 Ron Paul 73:95 Let it not be said that no one cared, that no one objected once it’s realized that our liberties and wealth are in jeopardy. A few have, and others will continue to do so, but too many—both in and out of government—close their eyes to the issue of personal liberty and ignore the fact that endless borrowing to finance endless demands cannot be sustained. True prosperity can only come from a healthy economy and sound money. That can only be achieved in a free society. care The Senior Citizens Freedom Of Choice Act 17 July 2003 2003 Ron Paul 81:5 Seniors may wish to refuse Medicare for a variety of reasons. Some seniors may wish to continue making their own health care decisions, rather than have those decisions made for them by the Centers for Medicare and Medicaid Services (CMS). Other seniors may have a favorite physician who is one of the growing number of doctors who have been driven out of the Medicare program by CMS’s micromanagement of their practices and below-cost reimbursements. care PATRIOT Act 22 July 2003 2003 Ron Paul 88:3 When the PATRIOT Act was passed, it was in the passions following 9/11, and that bill should have never been passed. It was brought up carelessly, casually, in a rapid manner. The bill that had been discussed in the Committee on the Judiciary was removed during the night before we voted. The full text of this bill was very difficult to find. I am convinced that very few Members were able to review this bill before voting. That bill should have never passed. We certainly should continue to maintain the sunset provisions. But that is a long way off, and we should be starting to reform and improve this particular piece of legislation. This is our first chance to do so. care PATRIOT Act 22 July 2003 2003 Ron Paul 88:9 Yes, we talked about numbers of dozens of examples of times when our government has used this and abused it. But that is only the beginning. It is the principle. If they had only done it once, if they had not done it, this should still be taken care of, because as time goes on, and if we adapt to this process, it will be used more and more, and that is throwing away a big and important chunk of our Constitution, the fourth amendment. care PATRIOT Act 22 July 2003 2003 Ron Paul 88:12 I see this as a very, very important issue, if anybody cares about liberty, if anybody cares about personal freedom and the rule of law and the need for probable cause before our government comes barging into our houses. It has been under the guise of drug laws that have in the past instituted many of these abuses, but this is much worse. This has been put into an explicit piece of legislation, and the American people and this Congress ought to become very alert to this and realize how serious the PATRIOT Act is. care 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. care H.R. 2427, the Pharmaceutical Market Access Act 24 July 2003 2003 Ron Paul 91:7 However, the fact that Medicare, that is already on shaky financial ground, will soon be subsidizing prescription drug costs makes it more important than ever that Congress address the issue of prescription drug costs. Of course, Congress’s actions should respect our constitutional limits and not further expand the role of government in the health care market. care Statement Opposing the Continuity of Government Proposal September 9, 2003 2003 Ron Paul 94:4 Mr. Chairman, there are those who say that the power of appointment is necessary in order to preserve checks and balances and thus prevent an abuse of executive power. Of course, I agree that it is very important to carefully guard our constitutional liberties in times of crisis, and that an over-centralization of power in the executive branch is one of the most serious dangers to that liberty. However, Mr. Chairman, during a time of crisis it is all the more important to have representatives accountable to the people making the laws. Otherwise, the citizenry has no check on the inevitable tendency of government to infringe on the people’s liberties at such a time. I would remind my colleagues that the only reason we are re-examining provisions of the PATRIOT Act is because of public concerns that this Act gives up excessive liberty for a phantom security. Appointed officials would not be as responsive to public concerns. care Congratulations 17 September 2003 2003 Ron Paul 100:3 Over the years the Dettlings were blessed with 6 children, along with (so far) 11 grandchildren and 6 great-grandchildren. John worked as a barber for 30 years, and then worked as a security guard for 6 years. Throughout the decades Geraldine worked hard at home raising the children; when they were older she embarked on a nursing career. Both enjoy retirement today. care Statement Opposing Trade Sanctions against Syria October 15, 2003 2003 Ron Paul 106:8 Numerous other press reports detail important assistance Syria has given the US after 9/11. If Syria is providing assistance to the US in tracking these people down - any assistance - passing this bill can only be considered an extremely counterproductive development. Does anyone here care to guess how much assistance Syria will be providing us once this bill is passed? Can we afford to turn our back on Syria’s assistance, even if it is not as complete as it could be? care Defense Production Reauthorization Act 15 October 2003 2003 Ron Paul 107:4 The wide grant of unchecked power to the Executive runs counter to the intent of the drafters of the Constitution. The Founders carefully limited the executive power because they recognized that an executive with unfettered power was a threat to liberty. In recent years we have seen administrations of both parties undermine the Constitutional separation of powers via enhanced reliance on executive orders and unilateral decision-making. The Defense Production Reauthorization Act provides Constitutional blessing to this usurpation of power, and not just in areas clearly related to national defense. For example, the DPA has been used to justify federal interference in the energy market. It is an open question what other exercise of federal power could be justified as related to defense. For example, federal education programs has been justified on the grounds that an educated population is vital to national defense, so perhaps a future president will use DPA to impose a national curriculum! care Misguided Policy Of Nation Building In Iraq 17 October 2003 2003 Ron Paul 111:31 James Madison early on in 1798 gave us some advice about the Presidential power and congressional power to go to war, but he was explaining why it was important to keep it in the hands of the legislative body. He says, The Constitution supposes what the history of all governments demonstrate, that the executive is the branch of power most interested in war and the most prone to it. It has accordingly with studied care vested the question of war in the legislature. care Congress Shouldn’t Censor Foreign Leaders 28 October 2003 2003 Ron Paul 113:6 A careful reading of the prime minister’s speech did not find any explicit calls for violence. Actually, Dr. Mahathir called for Muslims around the world to cease using violence to seek their goals. He stated, “is there no other way than to ask our young people to blow themselves up and kill people and invite the massacre of more of our own people?” Also, he advises against “revenge” attacks and urges Muslims to “win [the] hearts and minds” of non-Muslims including “Jews...who do not approve of what the Israelis are doing.” While we may agree or disagree with the cause that Dr. Mahathir espouses, the fact that he calls for non-violent means to achieve his goals is to be commended rather than condemned. This is not to agree with every aspect of his address — and certainly not to agree with some of the ridiculous statements contained therein — but rather to caution against the kind of blanket condemnation that this legislation represents. Do we not also agree with his words that Muslim violence in the Middle East has been counterproductive? President Bush himself in May invited Dr. Mahathir to the White House to, in the president’s words, “publicly thank the Prime Minister for his strong support in the war against terror.” care Say No To Involuntary Servitude November 21, 2003 2003 Ron Paul 122:14 The dollar cost of war and the economic hardship is great in all wars and cannot be minimized. War is never economically beneficial except for those in position to profit from war expenditures. The great tragedy of war is the careless disregard for civil liberties of our own people. Abuses of German and Japanese Americans in World War I and World War II are well known. care A Wise Consistency February 11, 2004 2004 Ron Paul 2:4 It’s quite a distortion of Emerson’s views to use them as justification for the incoherent and nonsensical policies coming out of Washington today. But, the political benefits of not needing to be consistent are so overwhelming that there’s no interest in being philosophically consistent in one’s votes. It is a welcome convenience to be able to support whatever seems best for the moment, the congressional district, or one’s political party. Therefore, it’s quite advantageous to cling to the notion that consistency is a hobgoblin. For this reason, statesmanship in D.C. has come to mean one’s willingness to give up one’s own personal beliefs in order to serve the greater good — whatever that is. But it is not possible to preserve the rule of law or individual liberty if our convictions are no stronger than this. Otherwise something will replace our republic that was so carefully designed by the Founders. That something is not known, but we can be certain it will be less desirable than what we have. care 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. care H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 1 3 March 2004 2004 Ron Paul 10:11 One other point is that as a physician I have come to the firm conclusion that the war on drugs has been very detrimental to the practice of medicine and the care of patients. The drug culture has literally handicapped physicians in caring for the ill and the pain that people suffer with terminal illnesses. I have seen doctors in tears coming to me and saying that all his wife had asked me for was to die not in pain; and even he, as a physician, could not get enough pain medication because they did not want to make her an addict. So we do have a lot of unintended consequences. care H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 2 3 March 2004 2004 Ron Paul 11:10 This is a choice. Nobody is for the use of drugs that I know of. But there is a big difference if you casually and carelessly resort to saying, oh, it is good that you do not do drugs, to let us create a drug army to prance around the country, and then lo and behold houses are invaded, mistakes are made, innocent people are killed, and it does not add up. care H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 2 3 March 2004 2004 Ron Paul 11:14 Let me tell Members, there is a politically popular position in this country that many are not aware of: The tragedy of so many families seeing their loved ones die and suffer without adequate care, 90-year-old people dying of cancer and nurses and doctors intimidated and saying we cannot make them a drug addict. This drug war culture that we live with has done a lot of harm in the practice of medicine. Attacking the physicians who prescribe pain medicine and taking their licenses from them is reprehensible. I ask Members to please reconsider, not so much what we do today, but in the future, maybe we will wake up and decide there is a better way to teach good habits to American citizens. care We The People Act 4 March 2004 2004 Ron Paul 13:3 Some may claim that an activist judiciary that strikes down state laws at will expands individual liberty. Proponents of this claim overlook the fact that the best guarantor of true liberty is decentralized political institutions, while the greatest threat to liberty is concentrated power. This is why the Constitution carefully limits the power of the federal government over the states. care An Indecent Attack on the First Amendment March 10, 2004 2004 Ron Paul 14:5 This process started years ago when an arbitrary distinction was made by the political left between commercial and non-commercial speech, thus permitting government to regulate and censor commercial speech. Since only a few participated in commercial speech, few cared — and besides, the government was there to protect us from unethical advertisements. Supporters of this policy failed to understand that anti-fraud laws and state laws could adequately deal with this common problem found in all societies. care An Indecent Attack on the First Amendment March 10, 2004 2004 Ron Paul 14:6 Disheartening as it may be, the political left, which was supposed to care more about the 1st Amendment than the right, has ventured in recent years to curtail so-called “hate speech” by championing political correctness. In the last few decades we’ve seen the political-correctness crowd, in the name of improving personal behavior and language, cause individuals to lose their jobs, cause careers to be ruined, cause athletes to be trashed, and cause public speeches on liberal campuses to be disrupted and even banned. These tragedies have been caused by the so-called champions of free speech. Over the years, tolerance for the views of those with whom campus liberals disagree has nearly evaporated. The systematic and steady erosion of freedom of speech continues. care Opposing H.R. 557 17 March 2004 2004 Ron Paul 19:13 Article 14 of the new constitution grants the Iraqi people the “right” to “security, education, health care, and social security,” and affirms that “the Iraqi state . . . shall strive to provide prosperity and employment opportunities to the people.” This sounds more like the constitution of the old USSR than that of a free and market-oriented society. Further, this constitution declares that Iraqi citizens “shall not be permitted to possess, bear, buy, or sell arms” except by special license — denying the right of self defense to the Iraqi people just as their security situation continues to deteriorate. The Iraqi constitution also sets up a quota system for the Iraqi electoral system, stating that women should “constitute no less than one-quarter of the members of the National Assembly.” Is this kind of social engineering in Iraq on very left-liberal lines really appropriate? Are we doing the Iraqi people any favors with this approach? care The Child Health Care Affordability Act 24 March 2004 2004 Ron Paul 23:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. care 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. care The Child Health Care Affordability Act 24 March 2004 2004 Ron Paul 23:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. care The Child Health Care Affordability Act 24 March 2004 2004 Ron Paul 23:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. care The Child Health Care Affordability Act 24 March 2004 2004 Ron Paul 23:6 Under the Child Health Care Affordability Act, a struggling singling mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care 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? care The Child Health Care Affordability Act 24 March 2004 2004 Ron Paul 23:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. care Continuity In Representation Act 22 April 2004 2004 Ron Paul 28:4 Mr. Chairman, there are those who say the power of appointment is necessary in order to preserve checks and balances and prevent an abuse of executive power during a time of crisis. Of course, I agree that is a very important point to carefully guard against and protect our constitutional liberties, and that an overcentralization of power in the executive branch is one of the most serious dangers to our liberties. However, during a time of crisis, it is all the more important to have Representatives accountable to the people. care Continuity In Representation Act 22 April 2004 2004 Ron Paul 28:13 Mr. Chairman, there are those who say that the power of appointment is necessary in order to preserve checks and balances and thus prevent an abuse of executive power during a time of crisis. Of course, I agree that it is very important to carefully guard our constitutional liberties in times of crisis, and that an over-centralization of power in the executive branch is one of the most serious dangers to that liberty. However, Mr. Chairman, during a time of crisis it is all the more important to have representatives accountable to the people. Otherwise, the citizenry has no check on the inevitable tendency of Government to infringe on the people’s liberties at such a time. I would remind my colleagues that the only reason we are considering reexamining provisions of the PATRIOT Act is because of public concerns that this act gives up excessive liberty for a phantom security. Appointed officials would not be as responsive to public concerns. care Reject the Millennium Challenge Act May 19, 2004 2004 Ron Paul 35:9 MCA encourages a socialist approach to health care in recipient countries. In rewarding a top-down government-controlled approach to health care, the program ignores the fact that this model has failed miserably wherever it has been applied. Ask anyone in the former communist countries how they liked their government healthcare system. care The House of Representatives Must be Elected! June 2, 2004 2004 Ron Paul 36:3 Mr. Speaker, there are those who say that the power of appointment is necessary in order to preserve checks and balances and thus prevent an abuse of executive power. Of course, I agree that it is very important to carefully guard our constitutional liberties in times of crisis, and that an over-centralization of power in the executive branch is one of the most serious dangers to that liberty. However, Mr. Speaker, during a time of crisis it is all the more important to have representatives accountable to the people making the laws. Otherwise, the citizenry has no check on the inevitable tendency of government to infringe on the people’s liberties at such a time. I would remind my colleagues that the only reason we are reexamining provisions of the PATRIOT Act is because of public concerns that this Act gives up too much liberty for a phantom security. Appointed officials would not be as responsive to public concerns. care Mourning The Death Of Ronald Reagan 9 June 2004 2004 Ron Paul 38:3 Ronald Reagan was one of the most eloquent exponents of the freedom philosophy in modern American politics. One of his greatest achievements is the millions of Americans he helped convert to the freedom philosophy and the many he inspired to become active in the freedom movement. One of the best examples of President Reagan’s rhetorical powers is his first major national political address, “A Time for Choosing.” Delivered in 1964 in support of the presidential campaign of Barry Goldwater, this speech launched Ronald Reagan’s career as both a politician and a leader of the conservative movement. The following excerpt from that speech illustrates the power of Ronald Reagan’s words and message. Unfortunately, these words are as relevant to our current situation as they were when he delivered them in 1964: care American Community Survey 7 July 2004 2004 Ron Paul 45:15 So my proposal is let us at least get rid of the American Community Survey, which is the ongoing nuisance that we put up with, and limit what we do here to what the Constitution has told us we can do and what we should do, and that is, count the people every 10 years for the purpose of redistricting. But big deal, who cares. For all we do around here, how often do we really pay attention to the details of the Constitution? care 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. care Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004 2004 Ron Paul 46:9 So my suggestion is let us take it away, take away the funding of the Justice Department to prosecute these cases, and I think it would go a long way to improving the care of medicine. At the same time, it would be a much fairer approach to the physicians that are now being prosecuted unfairly. care Marinol And Terrorism 7 July 2004 2004 Ron Paul 48:5 But if you do have compassion and care for patients, they ought to have a freedom of choice. I think that is what this is all about, freedom of choice. care Government Spending – A Tax on the Middle Class July 8, 2004 2004 Ron Paul 52:3 Unfortunately no one in Washington, especially those who defend the poor and the middle class, cares about this subject. Instead, all we hear is that tax cuts for the rich are the source of every economic ill in the country. Anyone truly concerned about the middle class suffering from falling real wages, under-employment, a rising cost of living, and a decreasing standard of living should pay a lot more attention to monetary policy. Federal spending, deficits, and Federal Reserve mischief hurt the poor while transferring wealth to the already rich. This is the real problem, and raising taxes on those who produce wealth will only make conditions worse. care Taiwan Relations Act — Part 1 14 July 2004 2004 Ron Paul 54:4 Usually, the argument given me for that is that 200 years ago or 250 years ago things were different. Today we have had to go through the Cold War and communism; and, therefore, we are a powerful Nation and we have an empire to protect; and we have this moral obligation to police the world and take care of everybody. care Millennium Challenge Account — Part 1 15 July 2004 2004 Ron Paul 57:5 The strongest argument of those who endorse foreign aid is a humanitarian argument: We are rich, they are poor, we have empathy, we must help, it is our moral obligation. For the most part, people go along with that. But I have a humanitarian argument, also. Mine is that it does not work and that, if we indeed care about people, we ought to be encouraging free markets and individual liberty, and that is when countries become more prosperous. care Protecting Marriage from Judicial Tyranny July 22, 2004 2004 Ron Paul 64:8 Some may argue that allowing federal judges to rewrite the definition of marriage can result in a victory for individual liberty. This claim is flawed. The best guarantor of true liberty is decentralized political institutions, while the greatest threat to liberty is concentrated power. This is why the Constitution carefully limits the power of the federal government over the states. Allowing federal judges unfettered discretion to strike down state laws, or force a state to conform to the laws of another state, leads to centralization and loss of liberty. care 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. care 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. care 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. care Reject Draft Slavery October 5, 2004 2004 Ron Paul 75:6 Economic hardship is great in all wars. War is never economically beneficial except for those in position to profit from war expenditures. The great tragedy of war is that it enables the careless disregard for civil liberties of our own people. Abuses of German and Japanese Americans in World War I and World War II are well known. care Honoring Phil Crane November 17, 2004 2004 Ron Paul 78:6 As his distinguished congressional career draws to a close, I hope all who value free-markets, individual liberty, and limited government will join me in thanking Phil Crane for his work on behalf of freedom. care Stay out of Sudan’s Civil War November 19, 2004 2004 Ron Paul 80:3 It seems as if this has been all reduced to a few slogans, tossed around without much thought or care about real meaning or implication. We unfortunately see this often with calls for intervention. One thing we do know, however, is that Sudan is floating on a sea of oil. Why does it always seem that when we hear urgent clamor for the United States to intervene, oil or some other valuable commodity just happens to be present? I find it interesting that so much attention is being paid to oil-rich Sudan while right next door in Congo the death toll from its civil war is estimated to be two to three million - several times the estimated toll in Sudan. care 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. care Where To From Here? November 20, 2004 2004 Ron Paul 81:53 To not be repulsed and outraged over our failed policy undermines our commitment to pro-life and moral values. Of course it’s hard for many Americans to be outraged since so few know or even care about cities like Fallujah. The propaganda machine has achieved its goal of ignorance and denial for most of our citizens. care 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. care Introducing The Identity Theft protection Act 4 January 2005 2005 Ron Paul 2:17 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the Federal Government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any Federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the Federal Government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the Federal Government) down with the chains of the Constitution.” care 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. care Government IDs and Identity Theft January 6, 2005 2005 Ron Paul 5:17 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” care 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. care Introducing The Make College Affordable Act 26 January 2005 2005 Ron Paul 11:3 The Make College Affordable Act will also help older or nontraditional students looking to improve their job skills or prepare for a career change, by pursuing higher education. In today’s economy, the average American worker can expect to change jobs, and even careers, several times during his or her working life, making it more important than ever that working Americans be able to devote their resources to continuing their educations. care 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. care Seniors’ Health Care Freedom Act 2 February 2005 2005 Ron Paul 15:3 Seniors’ right to control their own health care is also being denied due to the Social Security Administration’s refusal to give seniors who object to enrolling for Medicare Part A Social Security benefits. This not only distorts the intent of the creators of the Medicare system; it also violates the promise represented by Social Security. Americans pay taxes into the Social Security Trust Fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join an additional government program! care Seniors’ Health Care Freedom Act 2 February 2005 2005 Ron Paul 15:4 At a time when the fiscal solvency of Medicare is questionable, to say the least, it seems foolish to waste scarce Medicare funds on those who would prefer to do without Medicare. Allowing seniors who neither want nor need to participate in the program to refrain from doing so will also strengthen the Medicare program for those seniors who do wish to participate in it. Of course, my bill does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits or to use his own resources to obtain health care. care 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. care Introducing The Sanity Of Life Act And The Taxpayer Freedom Of Conscience Act 10 February 2005 2005 Ron Paul 21:2 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. Whether a civilized society treats human life with dignity or contempt determines the outcome of that civilization. Reaffirming the importance of the sanctity of life is crucial for the continuation of a civilized society. There is already strong evidence that we are on the slippery slope toward euthanasia and non-consensual human experimentation. Although the real problem lies within people’ hearts and minds, the legal problems of protecting life stem from the ill-advised Roe v. Wade ruling, where the court usurped the state’s authority over abortion. care Continuity In Representation Act 3 March 2005 2005 Ron Paul 26:6 Mr. Chairman, there are those who say that the power of appointment is necessary in order to preserve checks and balances and thus prevent an abuse of executive power during a time of crisis. Of course, I agree that it is very important to carefully guard our constitutional liberties in times of crisis and that an over-centralization of power in the executive branch is one of the most serious dangers to that liberty. However, Mr. Chairman, during a time of crisis it is all the more important to have Representatives accountable to the people. Otherwise, the citizenry has no check on the inevitable tendency of government to infringe on the people’s liberties at such a time. I would remind my colleagues that the only reason we are considering reexamining provisions of the PATRIOT Act is because of public concerns that this act gives up excessive liberty for a phantom security. Appointed officials would not be as responsive to public concerns. care Introducing The American Sovereignty Restoration Act Of 2005 8 March 2005 2005 Ron Paul 27:7 In considering the recent United Nations meetings and the United States’ relation to that organization and its affront to U.S. sovereignty, we would all do well to again read carefully Professor Herbert W. Titus’ paper on the United Nations from which I have provided this excerpt: care 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. care Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005 2005 Ron Paul 34:18 The one issue generally ignored in the Schiavo debate is the subtle influence the cost of care for the dying had on the debate. Government paid care clouds the issue, and it must be noted that the courts ruled out any privately paid care for Terri. It could be embarrassing in a government-run nursing home to see some patients receiving extra care from families while others are denied the same. However, as time goes on, the economics of care will play even a greater role since under socialized medicine the state makes all the decisions based on affordability. Then there will be no debate as we just witnessed in the case of Terri Schiavo. care 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. care 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. care Who’s Better Off? April 6, 2005 2005 Ron Paul 35:3 However, conceding that the world is better off without Saddam Hussein is a far cry from endorsing the foreign policy of our own government that led to the regime change. In time it will become clear to everyone that support for the policies of pre-emptive war and interventionist nation-building will have much greater significance than the removal of Saddam Hussein itself. The interventionist policy should be scrutinized more carefully than the purported benefits of Saddam Hussein’s removal from power. The real question ought to be: “Are we better off with a foreign policy that promotes regime change while justifying war with false information?” Shifting the stated goals as events unravel should not satisfy those who believe war must be a last resort used only when our national security is threatened. care Who’s Better Off? April 6, 2005 2005 Ron Paul 35:25 One of the most significant consequences in times of war that we ought to be concerned about is the inevitable loss of personal liberty. Too often in the patriotic nationalism that accompanies armed conflict, regardless of the cause, there is a willingness to sacrifice personal freedoms in pursuit of victory. The real irony is that we are told we go hither and yon to fight for freedom and our Constitution, while carelessly sacrificing the very freedoms here at home we’re supposed to be fighting for. It makes no sense. care Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005 2005 Ron Paul 37:2 As a physician, I know Dr. Messenger is the type of doctor all of us would want to have to take care of us. He is capable, loves his work, genuinely cares about his patients, and is always available if someone needs him. In fact, he loves being a doctor so much that he did not retire until this past year at age 83. care Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005 2005 Ron Paul 37:7 Dr. Messenger lives by the principals of honesty, hard work, and caring for his fellow man, and took great care to instill these same principles into his children. care Introducing The Consumers Access To Health Information Act 12 May 2005 2005 Ron Paul 48:7 At a time when health care costs are rising it is absurd for the federal government to prevent Americans from learning about how they increase their chances of staying healthy by making simple changes in their diets. However, this bill is about more than physical health; it is about freedom. The First Amendment forbids Congress from abridging freedom of all speech, including commercial speech. The type of prior restraint the FDA exercises over these health claims has also been thought to be particularly repugnant to the First Amendment. In a free society, the federal government must not be allowed to prevent people from receiving information enabling them to make informed decisions about whether or not they will use dietary supplements or eat certain foods. I, therefore, urge my colleagues to take a step toward restoring freedom by cosponsoring the Consumer Access to Health Information Act. care United States Should Leave World Trade Organization 9 June 2005 2005 Ron Paul 57:9 In the 1990s when the WTO was originally passed, the former Speaker of the House made a statement about this. I want to quote from him. This is from Newt Gingrich. He was talking about the WTO: “I am just saying that we need to be honest about the fact that we are transferring from the United States at a practical level significant authority to a new organization. This is a transformational moment. I would feel better if the people who favor this would be honest about the scale of change. This is not just another trade agreement. This is adopting something which twice, once in the 1940s and once in the 1950s, the U.S. Congress rejected. I am not even saying that we should reject it. I, in fact, lean toward it. But I think we have to be very careful, because it is a very big transfer of power.” care The Hidden Cost of War June 14, 2005 2005 Ron Paul 58:23 The more people have faith in and depend upon the state, the more difficult it is to keep the state from initiating wars. If the state is seen as primarily responsible for providing personal and economic security, obedience and dependency becomes a pervasive problem. If the state is limited to protecting liberty, and encourages self-reliance and personal responsibility, there’s a much better chance for limiting pro-war attitudes. The great danger of war, especially unnecessary war, is that it breeds more dependency while threatening liberty-- always allowing the state to grow regardless of existing attitudes before the war. War unfortunately allows the enemies of liberty to justify the sacrifice of personal freedoms, and the people all too often carelessly sacrifice precisely what they are supposed to be fighting for: freedom. Our revolution was a rare exception. It was one war where the people ended up with more freedom not less. care The Hidden Cost of War June 14, 2005 2005 Ron Paul 58:31 The payment by American citizens will come as the dollar loses value, interest rates rise, and prices increase. The higher prices become the tax that a more honest government would have levied directly to pay for the war effort. An unpopular war especially needs this deception as a method of payment, hiding the true costs which are dispersed and delayed through this neat little monetary trick. The real tragedy is that this “inflation tax” is not evenly distributed among all the people, and more often than not is borne disproportionately by the poor and the middle class as a truly regressive tax in the worst sense. Politicians in Washington do not see inflation as an unfair seductive tax. Our monetary policy unfortunately is never challenged even by the proponents of low taxes who care so little about deficits, but eventually it all comes to an end because economic law overrides the politicians’ deceit. care The Hidden Cost of War June 14, 2005 2005 Ron Paul 58:37 The neo-conservatives who took us to war under false pretenses either didn’t know or didn’t care about the history and traditions of the Iraqi people. Surely they must have heard of an Islamic defensive jihad that is easy to promote when one’s country is being attacked by foreign forces. Family members have religious obligations to avenge all killings by foreign forces, which explains why killing insurgents only causes their numbers to multiply. This family obligation to seek revenge is closely tied to achieving instant eternal martyrdom through vengeful suicide attacks. Parents of martyrs do not weep as the parents of our soldiers do; they believe the suicide bombers and their families are glorified. These religious beliefs cannot simply be changed during the war. The only thing we can do is remove the incentives we give to the religious leaders of the jihad by leaving them alone. Without our presence in the Middle East, whether on the Arabian Peninsula or in Iraq, the rallying cry for suicidal jihadists would ring hollow. Was there any fear for our national security from a domestic terrorist attack by Islamists before we put a base in Saudi Arabia? care Statement on the Flag Burning Amendment June 22, 2005 2005 Ron Paul 71:8 We do not need a new amendment to the Constitution to take care of a problem that does not exist. care Amendment No. 11 Offered By Mr. Paul 24 June 2005 2005 Ron Paul 72:7 Matter of fact, when the State gets control of children, they tend to overuse medications like this. Take, for instance, in Texas, 60 percent of the foster children are on medication. In Massachusetts, it is close to 65 percent. In Florida, 55 percent of the children in foster home care are receiving these kinds of medication. care Tribute To Rear Admiral John D. Butler 24 June 2005 2005 Ron Paul 74:7 Admiral Butler’s shore assignments have included: Attack Submarine Training Head for the Deputy Chief of Naval Operations (Submarine Warfare); AN/BSY–1 Submarine Combat and Acoustic System (PMS417) Chief Engineer for Program Executive Officer, Submarine Combat and Weapons Systems; Sea Wolf Class Submarine (PMS350) Assistant Program Manager (Design and Construction) for Program Executive Officer, Submarines; Strategic and Attack Submarines (PMS392) Major Program Manager for Naval Sea Systems Command; and Executive Assistant and Naval Aide to the Assistant Secretary of the Navy (Research, Development and Acquisition). He has also served in temporary assignments attached to the Applied Physics Laboratory Ice Station, Arctic Ocean; Supervisor of Shipbuilding, Groton, CT, and Newport News, VA; and attached in support of U.S. Embassies at Cairo, Egypt; Moscow, Russia; and Panama City, Panama. Over the course of his career, Admiral Butler has helped to design, build, and deliver a total of 23 submarines — nearly one-third of today’s total force. care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:1 Mr. PAUL. Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise, leaving many Americans unable to afford health insurance, while those with health care coverage, and their physicians, struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:3 Furthermore, the predominance of third- party payers means there is effectively no market for individual health insurance policies, thus those whose employers cannot offer them health benefits must either pay exorbitant fees for health insurance or do without health insurance. Since most health care providers cater to those with health insurance, it is very difficult for the uninsured to find health care that meets their needs at an affordable price. The result is many of the uninsured turn to government-funded health care systems, or use their local emergency room as their primary care physician. The result of this is declining health for the uninsured and increased burden on taxpayer-financed health care system. care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:4 Returning control over health care to the individual is the key to true health care reform. The Comprehensive Health Care Reform Act puts control of health care back into the hands of the individual through tax credits, tax deductions, Health Care Savings Accounts (HSA), and Flexible Savings Accounts. By giving individuals tax incentives to purchase their own health care, the Comprehensive Health Care Act will help more Americans obtain quality health insurance and health care. Specifically, the Comprehensive Health Care Act: care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:5 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes. care Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:9 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 poll by the respected Zogby firm showed that over 80 percent of Americans support providing all Americans with access to a Health 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. care 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. care Introducing The Freedom From Unnecessary Litigation Act 27 June 2005 2005 Ron Paul 77:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. care 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. care 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. care 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. care 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. care 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. care 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. care 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. care Introducing The Quality Health Care Coalition Act 27 June 2005 2005 Ron Paul 78:8 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 America’s health care professionals. 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 by supporting my Comprehensive Health Care Reform Act. care 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. care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005 2005 Ron Paul 79:2 When stricken with cancer or another terminal disease, many Americans struggle to pay for the treatment necessary to save, or extend, their lives. Even employees with health insurance incur costs such as for transportation to and from care centers, prescription drugs not covered by their insurance, or for child care while they are receiving treatment. Yet, the federal government continues to force these employees to pay for retirement benefits they may never live to see! care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005 2005 Ron Paul 79:3 Many Americans struggle to pay the costs of treating children, a spouse, or a parent with a terminal illness. My bill also provides much needed tax relief for those who are providing care to a loved one with a terminal disease. care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005 2005 Ron Paul 79:4 As a physician who has specialized in women’s health issues for decades, I know how critical it is that cancer patients and others suffering from terminal illnesses have the resources they need to combat these illnesses. The Cancer and Terminal Illness Patient Health Care Act provides a realistic way to help people suffering from cancer or other terminal illnesses receive quality health care. care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005 2005 Ron Paul 79:5 It is hard to think of a more compassionate tax policy this Congress could enact than to stop taking the resources away from working Americans that could help them treat cancer, AIDS, or other terrible health problems. I hope all my colleagues will help people suffering from terminal illnesses, and their caregivers, by cosponsoring the Cancer and Terminal Illness Patient Health Care Act. care Introducing The Child Health Care Affordability Act 27 June 2005 2005 Ron Paul 80:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. care 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. care Introducing The Child Health Care Affordability Act 27 June 2005 2005 Ron Paul 80:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. care Introducing The Child Health Care Affordability Act 27 June 2005 2005 Ron Paul 80:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. care Introducing The Child Health Care Affordability Act 27 June 2005 2005 Ron Paul 80:6 Under the Child Health Care Affordability Act, a struggling singling mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care 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? care Introducing The Child Health Care Affordability Act 27 June 2005 2005 Ron Paul 80:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. care The Republican Congress Wastes Billions Overseas July 20, 2005 2005 Ron Paul 86:8 Mr. Speaker, this is a shameful day for the US Congress. We are taking billions out of the pockets of Americans and sending the money overseas in violation of the Constitution. These are billions that will not be available for investment inside the United States: investment in infrastructure, roads, new businesses, education. These are billions that will not be available to American families, to take care of their children or senior relatives, or to give to their churches or favorite charities. We must not continue to spend money like there is no tomorrow. We are going broke, and bills like this are like a lead foot on the accelerator toward bankruptcy. care Amend The PATRIOT Act — Part 2 21 July 2005 2005 Ron Paul 88:13 The requirement that law enforcement demonstrate probable cause before a judge preserves the Founders’ system of checks and balances that protects against one branch gathering too much power. The Founders recognized that one of the chief dangers to liberty was the concentration of power in a few hands, which is why they carefully divided power among the three branches. I would remind those of my colleagues who will claim that we must set aside the constitutional requirements during war that the founders were especially concerned about the consolidation of power during times of war and national emergencies. My colleagues should also keep in mind that PATRIOT Act powers have already been used in non-terrorism related cases, most notably in a bribery investigation in Nevada. care Don’t Reauthorize the Patriot Act July 21, 2005 2005 Ron Paul 89:7 The requirement that law enforcement demonstrate probable cause before a judge preserves the Founders’ system of checks and balances that protects against one branch gathering too much power. The Founders recognized that one of the chief dangers to liberty was the concentration of power in a few hands, which is why they carefully divided power among the three branches. I would remind those of my colleagues who claim that we must set aside the constitutional requirements during war that the founders were especially concerned about the consolidation of power during times of war and national emergences. My colleagues should also keep in mind that PATRIOT Act powers have already been used in non-terrorism related cases, most notably in a bribery investigation in Nevada. care Statement on HR 3283, the United States Trade Rights Enforcement Act July 26, 2005 2005 Ron Paul 90:2 Mr. Speaker, in addition to the irony of the protectionist flavor of this bill, let me say that we should be careful what we demand of the Chinese government. Take the demand that the government “revalue” its currency, for example. First, there is sufficient precedent to suggest that doing this would have very little effect on China’s trade surplus with the United States. As Barron’s magazine pointed out recently, “the Japanese yen’s value has more than tripled since the breakdown of the Bretton Woods system, yet Japan’s trade surplus remains huge. Why should the unpegging of the Chinese yuan have any greater impact?” care Why We Fight September 8, 2005 2005 Ron Paul 95:24 The fact that Congress is not permitted under the Constitution to transfer the war power to a president was ignored. Only Congress can declare war, if we were inclined to follow the rule of law. To add insult to injury, HJ RES 114 cited United Nations resolutions as justifications for the war. Ignoring the Constitution while using the UN to justify the war showed callous disregard for the restraints carefully written in the Constitution. The authors deliberately wanted to make war difficult to enter without legislative debate, and they purposely kept the responsibility out of the hands of the executive branch. Surely they never dreamed an international government would have influence over our foreign policy or tell us when we should enter into armed conflict. care Why We Fight September 8, 2005 2005 Ron Paul 95:52 The claim that our immediate withdrawal from Iraq would cause chaos is not proven. It didn’t happen in Vietnam or even Somalia. Even today, the militias of the Kurds and the Shiites may well be able to maintain order in their regions much better than we can currently. Certainly the Sunnis can take care of themselves, and it might be in their best interests for all three groups not to fight each other when we leave. One thing for sure: if we left no more young Americans would have to die for an indefinable cause. care Why We Fight September 8, 2005 2005 Ron Paul 95:57 This policy has led to excessive spending overseas and neglect at home. It invites enemies to attack us, and drains the resources needed to defend our homeland and care for our own people. We are obligated to learn something from the tragedy of Katrina about the misallocation of funds away from our infrastructure to the rebuilding of Iraq after first destroying it. If ever there was a time for us to reassess our policy of foreign interventionism, it is today. It’s time to look inward and attend to the constitutional needs of our people, and forget about the grandiose schemes to remake the world in our image through the use of force. These efforts not only are doomed to fail, as they have for the past one hundred years, but they invite economic and strategic military problems that are harmful to our national security interests. care Introduction Of The Nursing Home Emergency Assistance Act 6 October 2005 2005 Ron Paul 100:2 As I have recently seen in my district, all nursing homes face unique challenges coping with natural disasters and their aftermaths. It is not fair to the taxpayers who work in, reside in, or have entrusted the care of their loved ones to, a private nursing home that private nursing homes are denied the same federal aid available to their public counterparts. Mr. Speaker, the Nursing Home Emergency Assistance Act ensures all residents of nursing homes can benefit from federal disaster aid. I encourage my colleagues to support this legislation. care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS 2005 Ron Paul 118:1 Mr. Speaker, I rise to introduce the Health Freedom Protection Act. This bill restores the First Amendment rights of consumers to receive truthful information regarding the benefits of foods and dietary supplements by codifying the First Amendment standards used by federal courts to strike down the Food and Drug Administration (FDA) efforts to censor truthful health claims. The Health Freedom Protection Act also stops the Federal Trade Commissions (FTC) from censoring truthful health care claims. care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS 2005 Ron Paul 118:4 Because of the FDA’s censorship of truthful health claims, millions of Americans may suffer with diseases and other health care problems they may have avoided by using dietary supplements. For example, the FDA prohibited consumers from learning how folic acid reduces the risk of neural tube defects for four years after the Centers for Disease Control and Prevention recommended every woman of childbearing age take folic acid supplements to reduce neural tube defects. This FDA action contributed to an estimated 10,000 cases of preventable neutral tube defects! care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS 2005 Ron Paul 118:9 Mr. Speaker, if we are serious about putting people in charge of their health care, then shouldn’t we stop federal bureaucrats from preventing Americans from learning about simple ways to improve their health. I therefore call on my colleagues to stand up for good health care and the First Amendment by cosponsoring the Health Freedom Protection Act. care Introducing We The People 17 November 2005 2005 Ron Paul 122:3 Some may claim that an activist judiciary that strikes down State laws at will expands individual liberty. Proponents of this claim overlook the fact that the best guarantor of true liberty is decentralized political institutions, while the greatest threat to liberty is concentrated power. This is why the Constitution carefully limits the power of the Federal Government over the States. care Statement on So-Called "Deficit Reduction Act" November 18, 2005 2005 Ron Paul 123:6 Mr. Speaker, some of the entitlement reforms in HR 4241 are worthwhile. For example, I am hopeful the provision allowing states to require a co-payment for Medicaid will help relieve physicians of the burden of providing uncompensated care, which is an issue of great concern to physicians in my district. Still, I am concerned that the changes in pharmaceutical reimbursement proposed by the bill may unfairly impact independent pharmacies, and I am disappointed we will not get to vote on an alterative that would have the same budgetary impact without harming independent pharmacies. care Eliminating Foreign Aid That Helps Manipulate Elections 15 February 2006 2006 Ron Paul 2:4 I find it interesting that the same proponents of the United States government exporting democracy overseas are now demanding that something be done when people overseas do not vote the way the U.S. Government thinks they should. It seems that being for democracy means respecting that people overseas may not always vote the way Washington wants them to vote. If our aim is to ensure that only certain parties or individuals are allowed to lead foreign nations, why not just admit that democracy is the last thing we want? That attitude is evident in the fact that the U.S. Government spent more than $2 million trying to manipulate the Palestinian vote in favor of parties supported by Washington. You cannot have it both ways. Although it is always a good idea to eliminate foreign aid, we should be careful about calling the manipulation of elections overseas an exercise in “democracy promotion.” care The End Of Dollar Hegemony 15 February 2006 2006 Ron Paul 3:84 Even under today’s flawed system of democratic government, which is dedicated to redistributing property by force, a lot could be accomplished if government attracted men and women of good will and character. Members could just refuse to yield to the temptations of office and reject the path to a lobbying career. care 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. care 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. care 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! care Introduction Of The Treat Physicians Fairly Act 2 March 2006 2006 Ron Paul 7:3 The professional skills with which one’s earns a living are property. Therefore, the clear language of the Takings Clause of the Fifth Amendment prevents Congress from mandating that physicians and hospitals bear the entire costs of providing health care to any group. care 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. care 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. care 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. care Iran, The Next Neocon Target 5 April 2006 2006 Ron Paul 21:56 Careless military intervention is also bad for the civil disturbance that results. The chaos in the streets of America in the 1960s while the Vietnam War raged, aggravated by the draft, was an example of domestic strife caused by an ill-advised unconstitutional war that could not be won. The early signs of civil discord are now present. Hopefully, we can extricate ourselves from Iraq and avoid a conflict in Iran before our streets explode, as they did in the 1960s. care Gold And The U.S. Dollar 25 April 2006 2006 Ron Paul 23:86 Today, we face a 60 percent devaluation and counting, yet no one seems to care. It is of greater significance than the three events mentioned above, and yet the one measurement that best reflects the degree of inflation, the Fed and our government denies us. Since March, M3 reporting has been discontinued. For starters, I would like to see Congress demand that this report be resumed. I fully believe the American people and Congress are entitled to this information. care Gold And The U.S. Dollar 25 April 2006 2006 Ron Paul 23:91 If we care about the financial system, the tax system, and the monumental debt we are accumulating, we must start talking about the benefits and discipline that come only with a commodity standard of money: money the government and central banks absolutely cannot create out of thin air. care Bill Would Authorize Force 26 April 2006 2006 Ron Paul 31:11 But I am asking you to reconsider the fact that moving in this direction is the same thing as we did against Iraq, and it won’t do us any good. It is going to cost us a lot of money, and it is going to cost a lot of lives, and it is un-American. It is not constitutional. It is not moral. We should not pursue this type of foreign policy. We should take care of ourselves, and we should be more friendly with nations. We should be willing to trade. And if you are concerned about the world, why not set a good example? When our house is clean, when we have a good democracy and a worthy Republic, and we do well, believe me, they will want to emulate us. care Legislative Line Item Veto Act 22 June 2006 2006 Ron Paul 47:2 H.R. 4890 supporters claim that this bill does not violate the Constitution. I am skeptical of this claim since giving the president the power to pick and choose which parts of legislation to sign into law transforms the president into a legislator, thus upending the Constitution’s careful balance of powers between the Congress and the president. I doubt the drafters of the Constitution, who rightly saw that giving legislative power to the executive branch would undermine republican government and threaten individual liberty, would support H.R. 4890. care Introduction Of The We The People Act 29 June 2006 2006 Ron Paul 51:3 Some may claim that an activist judiciary that strikes down state laws at will expands individual liberty. Proponents of this claim overlook the fact that the best guarantor of true liberty is decentralized political institutions, while the greatest threat to liberty is concentrated power. This is why the Constitution carefully limits the power of the federal government over the states. care 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 care 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. care Tribute To Bruce Farmer 12 July 2006 2006 Ron Paul 54:2 Mr. Farmer, a resident of Galveston, Texas, was a husband, father of four sons, entrepreneur, and community leader. Mr. Farmer’s career exemplifies the best features of American capitalism. Mr. Farmer was CEO of Farmer’s Copper Ltd., which he founded in 1978 as Farmer’s Copper and Industrial Supply. Under his leadership, Farmer’s Copper Ltd. grew into one of the nation’s largest privately owned copper and brass distributors, employing approximately 185 people in Galveston. Mr. Farmer began working in the metal fabrication business at the age of 14, when he went to work for Farmer’s Marine Copper Works, an engineering and fabrication firm founded by his father and uncle. Mr. Farmer was also CEO of the Four Winds Investments and a director of Moody National Bank care Alternative Pluripotent Stem cell Therapies Enhancement Act 18 July 2006 2006 Ron Paul 57:6 H.R. 3444 will benefit companies like Prime Cell, which is making great progress in transforming non-embryonic stem cells into any cell type in the body. Prime Cell is already talking to health care practitioners about putting its findings to use to help cure diseases. care 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. care 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. care 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. care 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. care 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! care 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. care Big-Government Solutions Don’t Work 7 september 2006 2006 Ron Paul 74:16 The Big Government nanny state is based on the assumption that free markets cannot provide the maximum good for the largest number of people. It assumes people are not smart or responsible enough to take care of themselves, and thus their needs must be filled through the government’s forcible redistribution of wealth. care Big-Government Solutions Don’t Work 7 september 2006 2006 Ron Paul 74:33 This careless disregard for liberty, our traditions and the Constitution, have brought us disaster with a foreign policy of military interventionism supported by the leadership of both parties. Hopefully, some day, this will be radically changed. care Opposes 9/11 Resolution 13 September 2006 2006 Ron Paul 77:1 Mr. PAUL. Mr. Speaker, I rise in reluctant opposition to this resolution, as I strongly feel that we need to be careful about how we commemorate the tragic events of September 11,2001. Several times over the past four years I have voted in favor of these annual 9/ 11 resolutions because they simply commemorated the tragic event and urged our continued vigilance in an increasingly dangerous world. I believe using the event to promote particular legislation or foreign policies, however, denigrates the memory of those who perished in that attack. care Senior Citizens’ Improved Quality Of Life Act 19 September 2006 2006 Ron Paul 79:5 Repealing provisions of Federal law that restrict the ability of senior citizens to form private contracts for health care services. This restriction violates the rights of seniors who may wish to use their own resources to obtain procedures or treatments not covered by Medicare, or to simply avoid the bureaucracy and uncertainty that come when seniors must wait for the judgment of a Centers for Medicare and Medicaid Services, CMS, bureaucrat before finding out if a desired treatment is covered. H.R. 5211 also stops the Social Security Administration from denying Social Security benefits to seniors who refuse to enroll in Medicare Part A. Forcing seniors to enroll in Medicare Part A as a condition for receiving Social Security violates the promise represented by Social Security. Americans pay taxes into the Social Security trust fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join another government program. care Senior Citizens’ Improved Quality Of Life Act 19 September 2006 2006 Ron Paul 79:6 Allowing seniors who neither want nor need to participate in the Medicare program to refrain from doing so and ensuring seniors have the freedom to use their own resources to obtain quality health care will strengthen the Medicare program for those seniors who do wish to receive Medicare benefits. Of course, H.R. 5211 does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits. care 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. care Military Personnel Financial Services Protection Act 20 September 2006 2006 Ron Paul 82:5 Mr. Speaker, I am pleased to introduce the Enhanced Options for Rural Health Care Act. This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. care Military Personnel Financial Services Protection Act 20 September 2006 2006 Ron Paul 82:6 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. care Military Personnel Financial Services Protection Act 20 September 2006 2006 Ron Paul 82:7 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way to use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act. care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006 2006 Ron Paul 85:1 Mr. PAUL. Mr. Speaker, on Thursday, September 21, I introduced the Enhanced Options for Health Care Act (H.R. 6154). This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006 2006 Ron Paul 85:2 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006 2006 Ron Paul 85:3 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act (H.R. 6154). care President Would Define Enemy Combatants 27 September 2006 2006 Ron Paul 88:6 Mr. Speaker, this bill will leave the men and women of our military and intelligence services much more vulnerable overseas, which is one reason many career military and intelligence personnel oppose it. We have agreed to recognize the Geneva Convention because it is a very good guarantee that our enemy will do likewise when U.S. soldiers are captured. It is in our own interest to adhere to these provisions. Unilaterally changing the terms of how we treat those captured in battle will signal to our enemies that they may do the same. Additionally, scores of Americans working overseas as aid workers or missionaries who may provide humanitarian assistance may well be vulnerable to being named “unlawful combatants” by foreign governments should those countries adopt the criteria we are adopting here. Should aid workers assist groups out of favor or struggling against repressive regimes overseas, those regimes could well deem our own citizens “unlawful combatants.” It is a dangerous precedent we are setting. care 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! care Introduction Of The Taxpayer Protection From Frivolous Litigation Act 28 September 2006 2006 Ron Paul 92:4 EMTALA imposes additional burdens on physicians. EMTALA forces physicians and hospitals to bear l00% of the costs of providing care to anyone who enters an emergency room, regardless of the person’s ability to pay. According to the June 29, 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. A physician can be fined $50,000 for a technical EMTALA violation. care Introduction Of The Taxpayer Protection From Frivolous Litigation Act 28 September 2006 2006 Ron Paul 92:5 The combined effect of excessive regulations, inadequate reimbursements, and the risk of being subjected to unreasonable malpractice awards is endangering the most vulnerable people’s access to health care. I am aware of several physicians who have counseled young people not to enter the health care profession because of lawsuits, federal regulations, and low federal reimbursement rates. Other physicians are withdrawing from the Medicare and Medicaid programs and cutting their ties with emergency rooms in order to avoid the EMTALA mandates. Protecting physicians from frivolous lawsuits who are participating in federal programs or acting to fulfill federal mandates is an important step in removing federally created disincentives to providing care to elderly and low income people. I therefore call upon my colleagues to stand up for heath care providers, low income people, senior citizens, and taxpayers by cosponsoring the Physicians and Taxpayers’ Protection from Frivolous Litigation Act. care Congratulations To Brazosport Independent School District 29 september 2006 2006 Ron Paul 95:1 Mr. PAUL. Mr. Speaker, Brazosport Independent School District, located in my home county of Brazoria, has received a $458,369 Smaller Learning Communities Program grant from the Department of Education. The Smaller Learning Communities Program promotes academic achievement through the creation or expansion of small, safe, and successful learning environments in large public high schools to help ensure that all students graduate with the knowledge and skills necessary to make successful transitions to colleges and careers. care Congratulations To Brazosport Independent School District 29 september 2006 2006 Ron Paul 95:3 Brazosport High School’s project goals include: (1) increasing the academic performance of all students and reducing the gap in achievement among students of different racial and economic backgrounds; (2) ensuring that the Smaller Learning Communities are environments where students feel safe, known, supported and motivated to succeed; (3) and ensuring that students attain the strong academic knowledge and skills necessary for a successful college career. care Tribute To Dr. Victor Rodriguez 13 November 2006 2006 Ron Paul 98:3 The importance of hard work, endurance, and dedication that Victor Rodriguez learned as a bell ringer stayed with him throughout his life. Dr. Rodriguez was a star athlete who set many records and won numerous trophies at Edna High School, Victoria College, and North Texas State University. After earning his Ph.d, Dr. Rodriguez began a successful career as a teacher and as a coach of several championship track teams. In his work as a teacher and coach, Dr. Rodriguez inspired his students to strive to achieve their goals and dreams. care Milton Friedman 6 December 2006 2006 Ron Paul 100:1 Mr. PAUL. Mr. Speaker, I am pleased to support H. Res. 1089, a resolution honoring Milton Friedman. Milton Friedman was one of America’s greatest champions of liberty. Launching a career as a public intellectual at a time when dissenters from the reigning Keynesian paradigm where viewed as the equivalent of members of the Flat Earth Society, Milton Friedman waged an oftentimes lonely intellectual battle on behalf of free markets and individual liberty in the fifties and sixties. As the economic crisis of the seventies caused by high taxes, high spending, and inflation vindicated Friedman’s critiques of interventionism, his influence grew — not because he moved to the mainstream but because the mainstream moved toward him. Friedman served as an advisor to Presidents Nixon and Ford and as a member of President Reagan’s Council of Economic Advisors. In 1976, Friedman was awarded the Nobel Prize in economics. care Milton Friedman 6 December 2006 2006 Ron Paul 100:12 The advice didn’t stop there. I ended up getting my Ph.D. at UCLA and going to my first academic job as an assistant professor at the University of Rochester’s Graduate School of Management. From then on, I wrote Milton a couple of times a year and he always wrote back, sometimes writing in the margins of my letter to comment on my questions and thoughts. When I contemplated my first major career change — leaving academia to work at a think tank — he advised me strongly against it (I didn’t take this advice), referring to himself as my “Dutch uncle.” I had never heard the term before and didn’t bother to look it up until writing this piece, but I understood what he meant from the context: a Dutch uncle is someone who gives you tough love, holding you to high standards because of a benevolent regard for your well-being. care Milton Friedman 6 December 2006 2006 Ron Paul 100:13 But here’s the bigger point: with his steady and passionate work to end the military draft, Milton Friedman was the Dutch uncle of every young man in the United States. Or even better, he was like a favorite uncle that they’d never even met. He cared more for them than any president, any general, or any defense secretary has ever cared. How so? Because he wanted every young man to be free to choose whether to join the military or not. care Milton Friedman 6 December 2006 2006 Ron Paul 100:18 In the margin of my 35-year-old, dog-eared copy of the Sol Tax book containing this passage, I wrote one word: “Wow!” This is rhetoric at its best, a tight argument passionately stated. When I read this at about age 18, just a year before meeting Friedman in his office, I felt cared-for. Fortunately, being Canadian, I wasn’t vulnerable to the draft. But I had the thought that if I had grown up in United States, I would be so thankful that here was this man, himself well beyond draft age and who could probably figure out how to get his son out of the draft, and yet who cared enough to be out in front on this issue. care 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. care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007 2007 Ron Paul 2:3 Seniors’ right to control their own health care is also being denied due to the Social Security Administration’s refusal to give seniors who object to enrolling Medicare Part A Social Security benefits. This not only distorts the intent of the creators of the Medicare system; it also violates the promise represented by Social Security. Americans pay taxes into the Social Security Trust Fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join an additional government program! care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007 2007 Ron Paul 2:4 At a time when the fiscal solvency of Medicare is questionable, to say the least, it seems foolish to waste scarce Medicare funds on those who would prefer to do without Medicare. Allowing seniors who neither want nor need to participate in the program to refrain from doing so will also strengthen the Medicare program for those seniors who do wish to participate in it. Of course, my bill does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits or to use his own resources to obtain health care. care 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. care Introducing The Make College Affordable Act 4 January 2007 2007 Ron Paul 6:3 The Make College Affordable Act will also help older or nontraditional students looking to improve their job skills or prepare for a career change, by pursuing higher education. In today’s economy, the average American worker can expect to change jobs, and even careers, several times during his or her working life, making it more important than ever that working Americans be able to devote their resources to continuing their educations. care 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. care Identity Theft Protection Act 5 January 2007 2007 Ron Paul 8:18 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the Federal Government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any Federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the Federal Government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the Federal Government) down with the chains of the Constitution.” care Introducing We The People 5 January 2007 2007 Ron Paul 9:3 Some may claim that an activist judiciary that strikes down state laws at will expands individual liberty. Proponents of this claim overlook the fact that the best guarantor of true liberty is decentralized political institutions, while the greatest threat to liberty is concentrated power. This is why the Constitution carefully limits the power of the federal government over the states. care Governmental Funding Of Embryonic Stem Cell Research 11 January 2007 2007 Ron Paul 11:5 The Cures Can Be Found Act will benefit companies like Prime Cell, which is making great progress in transforming non-embryonic stem cells into any cell type in the body. Prime Cell is already talking to health care practitioners about putting its findings to use to help cure diseases. care Reform Medicare To Give Seniors More Choice 12 January 2007 2007 Ron Paul 14:4 The argument that direct negotiations will restrict Medicare beneficiaries’ access to the prescription drugs of their choice assumes that the current Part D system gives seniors control over what pharmaceuticals they can use. However, under Part D, seniors must enroll in HMO-like entities that decide for them what drugs they can and cannot obtain. My district office staff has heard from numerous seniors who are unable to obtain their drugs of choice from their Part D providers. Mr. Speaker, I favor reforming Medicare to give seniors more control and choice in their health care, and, if H.R. 4 were a threat to this objective, I would oppose it. care Reform Medicare To Give Seniors More Choice 12 January 2007 2007 Ron Paul 14:5 Federal spending on Part D is expected to grow by $100 billion in 2007. It would be fiscally irresponsible for this Congress not to act to address those costs. I recognize that giving the Department of Health and Human Services the authority to engage in direct negotiations neither fixes the long-term problems with Medicare nor does empowers senior to control their own health care. However, we are not being given the opportunity to vote for a true pro-freedom, pro-senior alternative today. Instead, we are asked to choose between two flawed proposals — keeping Part D as it is or allowing the Department of Health and Human Services to negotiate prescription drug prices for the Part D program. Since I believe that direct negotiations will benefit taxpayers and Medicare beneficiaries by reducing the costs of prescription drugs, I intend to vote for this bill. care Happy Birthday To Muhammad Ali 17 January 2007 2007 Ron Paul 17:4 I see what Muhammad Ali did as being very great. He deserves this recognition, but we should also praise him for being a man of principle and willing to give up his title for 3 years at the age of 25 at the prime of his career. How many of us give up something to stand on principle? He was a man of principle. He believed it and he stood firm, so even those who may disagree with his position may say at least he stood up for what he believed in. He suffered the consequences and fortunately was eventually vindicated. care Does Anybody Care? Has Anybody Noticed? 7 February 2007 2007 Ron Paul 23:1 Mr. PAUL. Madam Speaker, does anybody care, has anybody noticed, that: care Does Anybody Care? Has Anybody Noticed? 7 February 2007 2007 Ron Paul 23:30 The careless support for this international war on terrorism has permitted the U.S. to intervene militarily and to bring about regime change in three countries: Iraq, Afghanistan, and Somalia. Now we are provoking Iran so we can have an excuse to do the same thing there. But who knows, maybe we will have to deal with a regime change in Pakistan first, a regime change that will not be to our liking. care Statement On The Iraq War Resolution 14 February 2007 2007 Ron Paul 26:7 Those on the right should recall that the traditional conservative position of nonintervention was their position for most of the 20th century, and they benefited politically from the wars carelessly entered into by the left. Seven years ago, the right benefited politically by condemning the illegal intervention in Kosovo and Somalia. At the time, the right was outraged over the failed policy of nation building. care Introducing The Sanctity Of Life Act And The Taxpayer Freedom Of Conscience Act 15 February 2007 2007 Ron Paul 31:2 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. Whether a civilized society treats human life with dignity or contempt determines the outcome of that civilization. Reaffirming the importance of the sanctity of life is crucial for the continuation of a civilized society. There is already strong evidence that we are on the slippery slope toward euthanasia and non-consensual human experimentation. Although the real problem lies within people’ hearts and minds, the legal problems of protecting life stem from the ill-advised Roe v. Wade ruling, where the court usurped the state’s authority over abortion. care 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. care Statement for Hearing before the House Financial Services Committee, “Monetary Policy and the State of the Economy” 15 February 2007 2007 Ron Paul 32:11 GDP purportedly is now growing at 3.5%, and everyone seems pleased. What we fail to understand is how much government entitlement spending contributes to the increase in the GDP. Rebuilding infrastructure destroyed by hurricanes, which simply gets us back to even, is considered part of GDP growth. Wall Street profits and salaries, pumped up by the Fed’s increase in money, also contribute to GDP statistical growth. Just buying military weapons that contribute nothing to the well being of our citizens, sending money down a rat hole, contributes to GDP growth! Simple price increases caused by Fed monetary inflation contribute to nominal GDP growth. None of these factors represent any kind of real increases in economic output. So we should not carelessly cite misleading GDP figures which don’t truly reflect what is happening in the economy. Bogus GDP figures explain in part why so many people are feeling squeezed despite our supposedly booming economy. care The Scandal At Walter Reed 7 March 2007 2007 Ron Paul 34:4 Nobody wins elections by promising to take us to war. But, once elected, many politicians greatly exaggerate the threat posed by a potential enemy, and the people too often carelessly accept the dubious reasons given to justify wars. care The Scandal At Walter Reed 7 March 2007 2007 Ron Paul 34:8 Our policies naturally lead to resentment, which in turn leads to prolonged wars and increased casualties. We waste billions of dollars in Iraq while bases like Walter Reed fall into disrepair. This undermines our ability to care for the thousands of wounded we should have anticipated despite the rosy predictions that we would be greeted as liberators in Iraq. care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007 2007 Ron Paul 41:1 Mr. PAUL. Madam Speaker, I raise to introduce the Enhanced Options for Rural Health Care Act. This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007 2007 Ron Paul 41:2 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007 2007 Ron Paul 41:3 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way to use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act. care Introducing The Child Health Care Affordability Act 17 April 2007 2007 Ron Paul 42:1 Mr. PAUL. Madam Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, tenninal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. care 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. care Introducing The Child Health Care Affordability Act 17 April 2007 2007 Ron Paul 42:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. care Introducing The Child Health Care Affordability Act 17 April 2007 2007 Ron Paul 42:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our Nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. care Introducing The Child Health Care Affordability Act 17 April 2007 2007 Ron Paul 42:6 Under the Child Health Care Affordability Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. care 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? care Introducing The Child Health Care Affordability Act 17 April 2007 2007 Ron Paul 42:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. care Shareholder Vote On Executive Compensation Act 18 April 2007 2007 Ron Paul 43:7 Some shareholders may not care about CEO compensation packages. Instead, they may want to devote time at shareholder meetings to reviewing corporate environmental policies and ensuring the corporation has family- friendly workforce policies. If H.R. 1257 becomes law, the concerns of those shareholders will take a back seat to corporations attempting to meet the demands of Congress. care Genetic Information Non-discrimination Act 25 April 2007 2007 Ron Paul 44:3 The best way to address the sponsors of H.R. 493’s legitimate concerns is to put individuals back in control of the health care dollar. When individuals control the health care dollar they, not their employers, insurance companies or Health Maintenance Organizations, can make all health care decisions, including whether or not to share individual genetic histories with a potential employer, insurer, or other third party. Therefore, instead of creating more Federal regulations and bureaucracies, my colleagues should increase individual control of health care by passing legislation expanding Health Savings Accounts and individual health care tax credits and deductions. care Introduction Of The health Freedom Protection Act 2 May 2007 2007 Ron Paul 49:1 Mr. PAUL. Madam. Speaker, I rise to introduce the Health Freedom Protection Act. This bill restores the First Amendment rights of consumers to receive truthful information regarding the benefits of foods and dietary supplements by codifying the First Amendment standards used by Federal courts to strike down the Food and Drug Administration (FDA) efforts to censor truthful health claims. The Health Freedom Protection Act also stops the Federal Trade Commissions (FTC) from censoring truthful health care claims. care Introduction Of The health Freedom Protection Act 2 May 2007 2007 Ron Paul 49:4 Because of the FDA’s censorship of truthful health claims, millions of Americans may suffer with diseases and other health care problems they may have avoided by using dietary supplements. For example, the FDA prohibited consumers from learning how folic acid reduces the risk of neural tube defects for 4 years after the Centers for Disease Control and Prevention recommended every woman of childbearing age take folic acid supplements to reduce neural tube defects. This FDA action contributed to an estimated 10,000 cases of preventable neutral tube defects! care Introduction Of The health Freedom Protection Act 2 May 2007 2007 |