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U.S. Rep. Ron Paul doctor Book of Ron Paul doctor Federal War On Drugs Bad Idea 5 May 1998    1998 Ron Paul 45:15 There is one other figure that is astounding that was in the media, recorded in the media here the last couple of days. The medical profession has a responsibility here. It is estimated that we are losing 106,000 people a year. These are reports from 1994; 106,000 a year from drug reactions, legal prescription drugs coming from doctors. doctor Wasting Money On War On Drugs 5 May 1998    1998 Ron Paul 46:17 In 1974, Switzerland passed a law that said that the doctor could prescribe medication for addicts. I, as a physician, if an addict comes into my office and I agree to give him drugs which would support his habit, because I figure for him to go out on the street and shoot somebody for it is a little worse than me trying to talk him into a program by giving him drugs for a while, I am a criminal. I am a criminal today if I decide that somebody should use or could use marijuana if they are dying with cancer or AIDS and they are dying of malnutrition because they cannot eat. There should be a little bit of compassion in this movement. doctor Child Protection and Sexual Predator Punishment Act 11 June 1998    1998 Ron Paul 58:5 Crimes committed against children (as well as adults) are a problem that should concern all Americans. As a doctor of obstetrics I have enjoyed the privilege of bringing more than 3,000 new lives into the world. I know there are few things more tragic than crimes committed against young people. In fact, the types of crimes this bill attempts to federally punish are among the most despicable criminal acts committed. Undoubtedly, strong measures and penalties need to be imposed to deter and punish these criminal actors. Nevertheless, the threshold question in Congress must always be: “under what authority do we act?” Should we cease to concern ourselves about the Constitution in all that we do and moved by emotion speak only of vague theoretical outcomes? doctor 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. doctor The Freedom And Privacy Restoration Act 15 July 1998    1998 Ron Paul 76:3 Mr. Speaker, the Federal Government has no constitutional authority to require Americans to present any form of identification before engaging in any private transaction such as opening a bank account, seeing a doctor, or seeking employment. doctor Child Custody Protection Act 15 July 1998    1998 Ron Paul 77:7 Most importantly, this bill fails to directly address the cause of the problem we face regarding abortion, which is the absurdity of our laws permitting the killing of an infant 1 minute before birth, or even during birth, and a doctor getting paid for it, while calling this same action murder 1 minute after birth. doctor The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:2 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?” doctor The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:3 I ask my colleagues, how comfortable would you be confiding any emotional problem, or even an embarrassing physical problem like impotence, to your doctor if you knew that this information could be easily accessed by friend, foe, possible employers, coworkers, HMOs, and government agents? doctor The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:9 Mr. Speaker, the federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers the constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge my colleagues to join me in supporting the Patient Privacy Act. doctor Patient Protection Act 24 July 1998    1998 Ron Paul 83:4 In 1996, the Kennedy-Kassebaum bill allowed for a national identifier and a national data bank to control all our medical records at a national level. This is very dangerous. In a bill that is called the Patient Protection Act, obviously the best thing we can do is protect patient privacy. If we do not, we interfere with the doctor-patient relationship, and this is a disaster. doctor Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:2 Earlier this week I introduced legislation, the Patient Privacy Act (H.R. 4281), to repeal those sections of the Health Insurance Portability and Accountability Act of 1996 that authorized the creation of a national medical ID. I believe that the increasing trend toward allowing the federal government to track Americans through national ID cards and numbers represents one of the most serious threats to liberty we are facing. The scheme to create a national medical ID to enter each person’s medical history into a national data base not only threatens civil liberties but it undermines the physician-patient relationship, the cornerstone of good medical practice. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor, a trust that would be severely eroded if the patient knew that any and all information given their doctor could be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier.” doctor 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. doctor 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. doctor 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?” doctor National Provider ID 8 October 1998    1998 Ron Paul 115:4 I ask my colleagues, how comfortable would you be confiding any emotional problem, or even an embarrassing physical problem like impotence, to your doctor if you knew that this information could be easily accessed by friend, foe, possible employers, coworkers, HMOs, and government agents? doctor National Provider ID 8 October 1998    1998 Ron Paul 115:6 My amendment forbids the federal government from creating federal IDs for doctors and employers as well as for individuals. Contrary to the claims of some, federal-ID numbers for doctors and employers threaten American liberty every bit as much as individual medical IDs. doctor 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! doctor National Provider ID 8 October 1998    1998 Ron Paul 115:15 Mr. Chairman, all I ask is that Congress by given the change to correct the mistake made in 1996 when they authorized the National Health ID as part of the Kennedy-Kasebaum bill. The federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers the constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge the Rules Committee to take the first step toward protecting Americans from a medical ID by ruling my amendment to the Labor-HHS–Education Appropriations bill in order. doctor Freedom And Privacy Restoration Act 6 January 1999    1999 Ron Paul 1:7 Mr. Speaker, the section of this bill prohibiting the federal government from using identifiers to monitor private transactions is necessary to stop schemes such as the attempt to assign every American a “unique health identifier” for every American—an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base? doctor Freedom And Privacy Restoration Act 6 January 1999    1999 Ron Paul 1:9 Many of my colleagues will claim that the federal government needs these powers to protect against fraud or some other criminal activities. However, monitoring the transactions of every American in order to catch those few who are involved in some sort of illegal activity turns one of the great bulwarks of our liberty, the presumption of innocence, on its head. The federal government has no right to treat all Americans as criminals by spying on their relationship with their doctors, employers, or bankers. In act, criminal law enforcement is reserved to the state and local governments by the Constitution’s Tenth Amendment. doctor Congress Relinquishing The Power To Wage War 2 February 1999    1999 Ron Paul 4:54 The national I.D. card is needed, it is said, to detect illegal aliens, yet all Americans will need it to open up a bank account, get a job, fly on an airplane, see a doctor, go to school or drive a car. doctor Congress Relinquishing The Power To Wage War 2 February 1999    1999 Ron Paul 4:58 He is accurate in quoting the court case, but that does not make it right. Courts do not have the authority to repeal a fundamental right as important as that guaranteed by the Fourth Amendment. Under this reasoning, when applied to our medical records, all confidentiality between the doctor and the patient is destroyed. doctor Congress Relinquishing The Power To Wage War 2 February 1999    1999 Ron Paul 4:59 For this reason, the proposal for a national medical data bank to assure us there will be no waste or fraud, that doctors are practicing good medicine, that the exchange of medical records between the HMOs will be facilitated and statistical research is made easier, should be strenuously opposed. The more the government is involved in medicine or anything, the greater the odds that personal privacy will be abused. doctor Privacy Project Act 24 June 1999    1999 Ron Paul 68:3 Mr. Speaker, the Federal Government has no constitutional authority to require Americans to present any form of identification before engaging in any private transaction such as opening a bank account, seeing a doctor, or seeking employment. Any uniform, national system of identification would allow the federal government to inappropriately monitor the movements and transactions of every citizen. History shows that when government gains the power to monitor the actions of the people, it eventually uses that power to impose totalitarian controls on the populace. doctor Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:10 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. doctor 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. doctor 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.” doctor 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. doctor 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. doctor 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. doctor 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. doctor 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! doctor 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. doctor 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. doctor 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.” doctor 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. doctor 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. doctor 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. doctor 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. doctor 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! doctor Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999    1999 Ron Paul 111:6 Also, I believe it will indeed dampen the ability of doctors to treat dying patients. I know this bill has made an effort to prevent that, compared to last year, but it does not. The Attorney General and a DEA agent will decide who has given too much medication. If a patient is dying and they get too much medicine, and they die, the doctor could be in big trouble. They could have criminal charges filed against them. They could lose their license or go to jail. doctor Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999    1999 Ron Paul 111:7 Just recently, I had a member of my family pass away with a serious illness and required a lot of medication. But nurses were reluctant to give the medicine prescribed by the doctor for fear of lawsuit and fear of charges that something illegal was being done. With a law like this, it is going to make this problem much, much worse. doctor 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. doctor Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999    1999 Ron Paul 111:14 H.R. 2260 makes an effort to delineate the prescribing of narcotics for alleviating pain from that of intentionally killing the patient. There is no way medically, legally, or morally to tell the difference. This law will serve to curtail the generous use of narcotics in a legitimate manner in caring for the dying. Claiming that this law will not hinder the legitimate use of drugs for medical purposes but not for an intentional death is wishful thinking. In fear that a doctor will be charged for intentionally killing a patient, even though the patient may have died coincidentally with an injection, this bill will provide a great barrier to the adequate treatment of our sick and dying who are suffering and are in intense pain. doctor 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. doctor 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. doctor 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. doctor A Republic, If You Can Keep It 31 January 2000    2000 Ron Paul 2:3 The form of government secured by the Declaration of Independence, the American Revolution and the Constitution is unique in history and reflects the strongly held beliefs of the American revolutionaries. At the close of the Constitutional Convention in Philadelphia on September 18, 1787, a Mrs. Powel anxiously awaited the results and as Benjamin Franklin emerged from the long task now finished asked him directly, “Well, Doctor, what have we got? A republic or a monarchy?” “A republic, if you can keep it,” responded Franklin. doctor 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. doctor 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. doctor Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220) May 18, 2000    2000 Ron Paul 38:16 Some may claim that the federal government needs expanded surveillance powers to protect against fraud or some other criminal activities. However, monitoring the transactions of every American in order to catch those few who are involved in some sort of illegal activity turns one of the great bulwarks of our liberty, the presumption of innocence, on its head. The federal government has no right to treat all Americans as criminals by spying on their relationship with their doctors, employers, or bankers. In fact, criminal law enforcement is reserved to the state and local governments by the Constitution’s tenth amendment. doctor PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000    2000 Ron Paul 60:4 All we are asking for here is a little bit of return of freedom to the physician, that is, for the right of the physician to freedom of contract, to associate. We are giving no special powers, no special privileges. Trying to balance just to a small degree the artificial power given to the corporations who now run medicine, who mismanage medicine, who destroyed the doctor-patient relationship. doctor PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000    2000 Ron Paul 60:5 Mr. Speaker, this has given me a small bit of hope. I am thankful the leadership was willing to bring this bill to the floor tonight. We should go through, get the rule passed, and vote on this. This is the only thing that has offered any hope to preserve and to restore the doctor-patient relationship. doctor 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. doctor PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000    2000 Ron Paul 60:7 All we want to ask for is the freedom to associate and the freedom to contract. If they do not want to become a union, doctors do not have to. They had the power to become unions in the 19th century, but under ethical conditions they did not. Nobody tells doctors that they have to, if we remove this obstacle. doctor NATIONAL SCIENCE EDUCATION ACT October 25, 2000    2000 Ron Paul 91:3 * I also object to the provision of this bill providing special assistance to science teachers for training and professional development as well as grants for so-called ‘Master Teachers.’ Of course, I recognize that, like other citizens, teachers are underpaid because they are overtaxed. This is why I have introduced the Teacher Tax Cut Act (H.R. 937) which provides all teachers with a $1,000 tax credit. H.R. 937 effectively raises teacher salaries by lowering their taxes. In contrast H.R. 4271 raises the salaries of certain congressionally-favored educators by effectively cutting the pay of engineers, doctors, truck drivers, waiters, and even their fellow educators. Mr. Speaker, I cannot find any constitutional nor moral justification for Congress to redistribute money to any favorite class of professionals. doctor INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001    2001 Ron Paul 1:7 * Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base? doctor INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001    2001 Ron Paul 1:8 * Many of my colleagues will claim that the federal government needs these powers to protect against fraud or some other criminal activities. However, monitoring the transactions of every American in order to catch those few who are involved in some sort of illegal activity turns one of the great bulwarks of our liberty, the presumption of innocence, on its head. The federal government has no right to treat all Americans as criminals by spying on their relationship with their doctors, employers, or bankers. In fact, criminal law enforcement is reserved to the state and local governments by the Constitution’s Tenth Amendment. doctor CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001    2001 Ron Paul 7:67 When the people are forced to think only about rising prices, government-doctored price indexes can dampen concerns for inflation. Blame then can be laid at the doorstep of corporate profiteers, price gougers, labor unions, oil sheikhs, or greedy doctors. But it is never placed at the feet of highly paid athletes or entertainers. It would be economically incorrect to do so, but it’s political correctness that doesn’t allow some groups to be vilified. doctor CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001    2001 Ron Paul 7:135 Today if a drug shows promise for treating a serious illness, and both patient and doctor would like to try it on an experimental basis, permission can be given only by the FDA- and only after much begging and pleading. Permission frequently is not granted, even if the dying patient is pleading to take the risk. The government is not anxious to give up any of its power to make these decisions. People in government think that’s what they are supposed to do for the good of the people . doctor POTENTIAL FOR WAR February 08, 2001    2001 Ron Paul 10:79 Today, if a drug shows promise for treating a serious illness and both patient and doctor would like to try it on an experimental basis, permission can be given only by the FDA and only after much begging. Permission frequently is not granted, even if the dying patient is pleading to take the risk. doctor 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. doctor 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. doctor 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. doctor 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. doctor The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:12 * I ask my colleagues to consider what will happen to that trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database or seen by medical researchers or handed over to government agents without so much as a simple warrant? doctor 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. doctor Protecting Privacy and Preventing Misuse of Social Security Numbers May 22, 2001    2001 Ron Paul 37:6 Many of our colleagues will claim that the federal government needs these powers to protect against fraud or some other criminal activities. However, monitoring the transactions of every American in order to catch those few who are involved in some sort of illegal activity turns one of the great bulwarks of our liberty, the presumption of innocence, on its head. The federal government has no right to treat all Americans as criminals by spying on their relationship with their doctors, employers, or bankers. In fact, criminal law enforcement is reserved to the state and local governments by the Constitution’s Tenth Amendment. doctor Conscription Policies 13 June 2001    2001 Ron Paul 42:7 Recruiting students and vagrants is of no use to a competitive military, since both groups are uninterested in active duty. By contrast, a volunteer army — assuming the country needs any army at all — will yield those with an interest in serving their country and those who seek the military as a place to get that necessary step up into a better life. A primary partner to draft reform would be to offer an alternative for those who request not to serve militarily. Non-combatant positions, such as field doctors and radio operators, might be made civilian positions. Then, those who wish not to engage in battle will be able to serve the nation for as long as they need. doctor THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:5 * 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?” doctor THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:6 * I ask my colleagues, how comfortable would you be confiding any emotional problem, or even an embarrassing physical problem like impotence, to your doctor if you knew that this information could be easily accessed by friend, foe, possible employers, coworkers, HMOs, and government agents? doctor THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:11 * Mr. Speaker, the federal government has no authority to endanger the privacy of personal medical information by forcing all citizens to adopt a uniform health identifier for use in a national data base. A uniform health ID endangers constitutional liberties, threatens the doctor-patient relationships, and could allow federal officials access to deeply personal medical information. There can be no justification for risking the rights of private citizens. I therefore urge my colleagues to join me in supporting the Patient Privacy Act. doctor 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! doctor Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:14 In addition to the Medicare regulations, doctors must contend with FDA regulations (which delay the arrival and raise the costs of new drugs), insurance company paperwork, and the increasing criminalization of medicine through legislation such as the Health Insurance Portability Act (HIPPA) and the medical privacy regulations which could criminalize conversations between doctors and nurses. doctor 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). doctor Commemorate A Unique And Magnificent Group Of Aviators 25 July 2002    2002 Ron Paul 77:12 The Enlisted Pilots’ accomplishments are many and their legend is a long one of dedication and patriotism. Seventeen became Fighter Pilot Aces and thirteen became General Officers. They pioneered many air routes throughout the world. After release from active duty, they became airline pilots, airline union heads, corporate executives, bank presidents, teachers, doctors, manufacturers of racing cars, corporate aviation department heads, and much, much more. doctor Statement on Medical Malpractice Legislation September 26, 2002    2002 Ron Paul 90:1 Mr. Speaker, as an OB-GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant woman unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem. doctor 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. doctor Statement on Medical Malpractice Legislation September 26, 2002    2002 Ron Paul 90:9 I am working on legislation to provide tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations. doctor Statement on Medical Malpractice Legislation September 26, 2002    2002 Ron Paul 90:10 Congress could also help physicians lower insurance rates by passing legislation 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 recent losses in the stock market. doctor 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. doctor “You Are A Suspect” 14 November 2002    2002 Ron Paul 103:5 Remember Poindexter? Brilliant man, first in his class at the Naval Academy, later earned a doctorate in physics, rose to national security adviser under President Ronald Reagan. He had this brilliant idea of secretly selling missiles to Iran to pay ransom for hostages, and with the illicit proceeds to illegally support contras in Nicaragua. doctor Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003    2003 Ron Paul 4:7 Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible database? Some members of Congress may claim that the federal monitoring of all Americans will enhance security. However, the fact is that creating a surveillance state will divert valuable resources away from investigating legitimate security threats into spying on innocent Americans, thus reducing security. The American people would be better served if the government focused attention on ensuring our borders are closed to potential terrorists instead of coming up with new ways to violate the rights of American citizens. doctor Freedom From Unnecessary Litigation Act 12 March 2003    2003 Ron Paul 33:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: 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. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. doctor Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003    2003 Ron Paul 34:1 Mr. PAUL. Mr. Speaker, as an OB–GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant women unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem. doctor 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. doctor Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003    2003 Ron Paul 34:8 I have introduced the Freedom from Unnecessary Litigation Act (H.R. 1249). H.R. 1249 provides tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations. doctor 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. doctor 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. doctor “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003    2003 Ron Paul 39:3 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: 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. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. doctor Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:12 Oftentimes, effective treatment depends on the patient’s ability to place absolute trust in his doctor. The legal system has acknowledged the importance of maintaining physician-patient confidentiality by granting physicians a privilege not to divulge confidential patient information. doctor Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:13 I ask my colleagues to consider how comfortable you would be confiding an embarrassing physical or emotional problem to your physicians if you knew that any and all information given your doctor may be placed in a government database or seen by medical researchers, handed over to government agents without so much as a simple warrant or accessed by anyone who happens to know your unique health identifier? doctor 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. doctor 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. doctor 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. doctor Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004    2004 Ron Paul 4:2 In cases where patients are not high profile celebrities like Mr. Limbaugh, it is a pain management physician who bears the brunt of overzealous prosecutors. Faced with the failure of the War on Drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to pain management doctors, using federal statutes designed for the prosecution of drug kingpins to prosecute physicians for prescribing pain medicine. doctor Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004    2004 Ron Paul 4:5 This harassment by law enforcement has forced some doctors to close their practices, while others have stopped prescribing opioids — even though opioids are the only way some of their patients can obtain pain relief. The current attitude toward pain physicians is exemplified by Assistant U.S. Attorney Gene Rossi’s statement that “our office will try our best to root out [certain doctors] like the Taliban.” doctor Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004    2004 Ron Paul 4:7 Doctors are even being punished for the misdeeds of their patients. For example, Dr. James Graves was sentenced to more than 60 years for manslaughter because several of his patients overdosed on various combinations of pain medications and other drugs, including illegal street drugs. As a physician with over thirty years experience in private practice, I find it outrageous that a physician would be held criminally liable for a patient’s misuse of medicine. doctor Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004    2004 Ron Paul 4:8 The American Association of Physicians and Surgeons (AAPS), one of the nation’s leading defenders of private medical practice and medical liberty, has recently advised doctors to avoid prescribing opioids because, according to AAPS, “drug agents set medical standards.” I would hope that my colleagues would agree that doctors, not federal agents, should determine medical standards. doctor Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004    2004 Ron Paul 4:11 Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials and stop the harassment of legitimate pain management physicians, who are acting in good faith in prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for doing what, in their best medical judgment, is in their patients’ best interest. Doctors should also not be prosecuted for the misdeeds of their patients. Finally, I wish to express my hope that Mr. Limbaugh’s case will encourage his many fans and supporters to consider how their support for the federal War on Drugs is inconsistent with their support of individual liberty and Constitutional government. doctor Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004    2004 Ron Paul 5:2 In cases where patients are not high profile celebrities like Mr. Limbaugh, it is pain management physicians who bear the brunt of overzealous prosecutors. Faced with the failure of the war on drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to pain management doctors, using federal statutes designed for the prosecution of drug dealers to prosecute physicians for prescribing pain medicine. doctor Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004    2004 Ron Paul 5:5 This harassment by law enforcement has forced some doctors to close their practices, while others have stopped prescribing opioids altogether — even though opioids are the only way some of their patients can obtain pain relief. The current attitude toward pain physicians is exemplified by Assistant US Attorney Gene Rossi’s statement that “Our office will try our best to root out [certain doctors] like the Taliban.” doctor Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004    2004 Ron Paul 5:7 Doctors are even being punished for the misdeeds of their patients. For example, Dr. James Graves was sentenced to more than 60 years for manslaughter because several of his patients overdosed on various combinations of pain medications and other drugs, including illegal street drugs. As a physician with over thirty years of experience in private practice, I find it outrageous that a physician would be held criminally liable for a patient’s misuse of medicine. doctor Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004    2004 Ron Paul 5:8 The American Association of Physicians and Surgeons (AAPS), one of the nation’s leading defenders of medical freedom, recently advised doctors to avoid prescribing opioids because, according to AAPS, “drug agents set medical standards.” I would hope my colleagues would agree that doctors, not federal agents, should determine medical standards. doctor Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004    2004 Ron Paul 5:11 Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for using their best medical judgment to act in their patients’ best interests. Doctors also should not be prosecuted for the misdeeds of their patients. doctor 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. doctor 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. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:1 Mr. PAUL. Mr. Chairman, what this amendment does is it denies funding to the Department of Justice to prosecute doctors for prescribing legal drugs. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:2 The reason I bring this up is to call attention to the Members of a growing and difficult problem developing in this country, and that is, that more and more doctors now are being prosecuted by the Justice Department under the laws that were designated for going after drug kingpins, for illegal drug dealers; but they are using the same laws to go after doctors. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:3 It is not one or two or three or four. There are approximately 400 doctors who have been prosecuted, and I know some of them, and I know they are good physicians; and we are creating a monster of a problem. It does not mean that I believe that none of these doctors have a problem. As a physician, I know what they are up against and what they face, and that is, that we have now created a system where a Federal bureaucrat makes the medical decision about whether or not a doctor has prescribed too many pain pills. I mean, that is how bureaucratic we have become even in medicine; but under these same laws that should be used going after kingpins, they are now being used to go after the doctors. doctor 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. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:5 The American Association of Physicians and Surgeons, a large group of physicians in this country, has now advised their members not to use any opiates for pain, not to give adequate pain pills because the danger of facing prosecution is so great. So the very people in the medical profession who face the toughest cases, those individuals with cancer who do not need a couple of Tylenol, they might need literally dozens, if not hundreds, of tablets to control their pain, these doctors are being prosecuted. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:6 Now, that is a travesty in itself; but the real travesty is what it does to the other physicians, and what it is doing is making everybody fearful. The other doctors are frightened. Nurses are too frightened to give adequate pain medications even in the hospitals because of this atmosphere. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:7 My suggestion here is to deny the funding to the Justice Department to prosecute these modest numbers, 3 or 400 doctors, leave that monitoring to the States where it should be in the first place, and let us get rid of this idea that some bureaucrat in Washington can determine how many pain pills I, as a physician, can give a patient that may be suffering from cancer. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:8 I mean, this is something anyone who has any compassion, any concern, any humanitarian instincts would say we have gone astray; we have done too much harm; we have to do something to allow doctors to practice medicine. It was never intended that the Federal Government, let alone bureaucrats, interfere in the practice of medicine. doctor Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004    2004 Ron Paul 46:11 Well, there is always going to be some abuse. But I tell you there is a lot better way to find abusive doctors from issuing pain medication than up here destroying the practice of medicine and making sure thousands of patients suffering from the pain of cancer do not get adequate pain medication. doctor Marinol And Terrorism 7 July 2004    2004 Ron Paul 48:2 Mr. Chairman, I, too, am a physician from Texas, but I have a little different opinion about Marinol. No doctor that I know of ever prescribes Marinol. doctor End Embargo On Cuba 7 July 2004    2004 Ron Paul 49:5 Just think of what has happened recently. We took the gentleman from Libya, the so-called gentleman Omar Qadhafi, who is now scheduled to shoot four nurses and a doctor, and we have given him normal trade sanctions, and we are going to subsidize trade with him. And here he admits to having shot down one of our airplanes or blown up one of our airplanes. He is a terrorist, but here we are dealing with him in that way. doctor Opposes Mandatory Mental Health Screenings In Public Schools — Part 1 9 September 2004    2004 Ron Paul 67:3 Mr. PAUL. Mr. Chairman, my amendment says that no funds in this bill will be permitted to be used to institute system of universal mental health screening. The New Freedoms Commission on Mental Health, a commission established in 2002, has recommended universal mental health screening for all our children in our public schools as well as adults who work in these schools. As a medical doctor, as a civil libertarian, and a strict constitutionist, I strongly reject this notion, this plan, as dangerous and nonproductive. doctor Reject a National Prescription Database October 5, 2004    2004 Ron Paul 74:2 By creating a national database of prescriptions for controlled substances, the federal government would take another step forward in the war on pain patients and their doctors. This war has already resulted in the harassment and prosecution of many doctors, and their staff members, whose only “crime” is prescribing legal medication, including opioids, to relieve their patients’ pain. These prosecutions, in turn, have scared other doctors so that they are unwilling to prescribe an adequate amount of pain medication, or even any pain medication, for their suffering patients. doctor Reject a National Prescription Database October 5, 2004    2004 Ron Paul 74:3 Doctors and their staffs may even be prosecuted because of a patient’s actions that no doctor approved or even knew about. A doctor has no way of controlling if a patient gives some of the prescribed medication away or consumes a prescribed drug in a dangerous combination with illegal drugs or other prescription drugs obtained from another source. Nonetheless, doctors can be subjected to prosecution when a patient takes such actions. doctor Reject a National Prescription Database October 5, 2004    2004 Ron Paul 74:4 Applying to doctors laws intended to deal with drug kingpins, the government has created the illusion of some success in the war on drugs. Investigating drug dealers can be hard and dangerous work. In comparison, it is much easier to shut down medical practices and prosecute doctors who prescribe pain medication. doctor Reject a National Prescription Database October 5, 2004    2004 Ron Paul 74:5 A doctor who is willing to treat chronic pain patients with medically justified amounts of controlled substances may appear at first look to be excessively prescribing. Because so few doctors are willing to take the drug war prosecution risks associated with treating chronic pain patients, and because chronic pain patients must often consume significant doses of pain medication to obtain relief, the prosecution of one pain doctor can be heralded as a large success. All the government needs to do is point to the large amount of patients and drugs associated with a medical practice. doctor 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. doctor Reject a National Prescription Database October 5, 2004    2004 Ron Paul 74:7 HR 3015 also threatens patients’ privacy. A patient’s medical records should be treated according to the mutual agreement of the patient and doctor. In contrast, HR 3015 will put a patient’s prescriptions on a government-mandated database that can be accessed without the patient’s permission! doctor Introducing The Identity Theft protection Act 4 January 2005    2005 Ron Paul 2:8 The Identity Theft Prevention Act repeals those sections of Federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician- patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? doctor Introducing The Social Security Preservation Act 4 January 2005    2005 Ron Paul 4:3 With federal deficits reaching historic levels the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. Social Security reform will be one of the major issues discussed in this Congress and many of my colleagues have different ideas regarding how to best preserve the long-term solvency of the program. However, as a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act. doctor Government IDs and Identity Theft January 6, 2005    2005 Ron Paul 5:8 The Identity Theft Prevention Act repeals those sections of federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier--an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? doctor America’s Foreign Policy Of Intervention 26 January 2005    2005 Ron Paul 6:6 But what if a doctor never checks the success or failure of a treatment or ignores bad results and assumes his omnipotence, refusing to concede that the initial course of treatment was a mistake? Let me assure my colleagues the results would not be good. Litigation and the loss of reputation in the medical community place restraints on this type of bull-headed behavior. doctor Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005    2005 Ron Paul 34:4 In a free society the doctor and the patient-- or his or her designated spokesperson-- make the decision, short of using violence, in dealing with death and dying issues. The government stays out of it. doctor Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005    2005 Ron Paul 34:19 Having practiced medicine in simpler times, agonizing problems like we just witnessed in this case did not arise. Yes, similar medical decisions were made and have been made for many, many years. But lawyers weren’t involved, nor the courts nor the legislators nor any part of the government-- only the patient, the patient’s family, and the doctor. No one would have dreamed of making a federal case of the dying process. doctor 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. doctor Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005    2005 Ron Paul 37:3 Every day he would wake up early to be at the office by 6:45 a.m. He knew that many of his working patients preferred to come in early so he made himself available. Dr. Messenger felt that if he as a doctor was unavailable, he was worthless. doctor Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005    2005 Ron Paul 37:6 His personal involvement in the lives of his children paid off. He has six successful children, three of whom are doctors. doctor Introducing The Freedom From Unnecessary Litigation Act 27 June 2005    2005 Ron Paul 77:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: 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. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. doctor Congress, Not The President, Should Regulate Foreign Commerce 27 July 2005    2005 Ron Paul 92:6 If Members are interested in freedom to buy vitamins without going to a doctor for a prescription, you have to vote against this bill. If you want international harmonization of nutrition and vitamins, you can vote for this bill, but I am opposed to that, and most Americans are as well. Vote no on this legislation. doctor 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. doctor 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. doctor Introduction Of The Social Security Preservation Act 4 January 2007    2007 Ron Paul 4:3 With federal deficits reaching historic levels the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. Social Security reform will be one of the major issues discussed in this Congress and many of my colleagues have different ideas regarding how to best preserve the long-term solvency of the program. However, as a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act. doctor Identity Theft Protection Act 5 January 2007    2007 Ron Paul 8:10 This legislation not only repeals those sections of Federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? doctor Remembering Dr. Hans Sennholz 27 June 2007    2007 Ron Paul 72:2 Dr. Sennholz was born on February 3, 1922 in Germany in the midst of the German hyperinflation crisis and experienced firsthand the Great Depression and the horrors of Hitler’s dictatorship. After receiving his master’s degree from the University of Marburg and a doctorate in political science from the University of Cologne, Dr. Sennholz received a Ph.D. in economics at New York University, where he studied under the Austrian economist Ludwig von Mises. doctor Introduction Of The Treat Physicians Fairly Act 2 August 2007    2007 Ron Paul 85:1 Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by Federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals that incur costs related to providing uncompensated care. doctor Introduction Of The Treat Physicians Fairly Act 2 August 2007    2007 Ron Paul 85:4 Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing medicine, it was common for doctors to provide uncompensated care as a matter of charity. However, laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they were acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increasing health care costs associated with the government- facilitated overreliance on third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by its interventions by imposing the EMTALA mandate on physicians, in effect making health care professionals scapegoats for the harmful consequences of government health care policies. doctor Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007    2007 Ron Paul 87:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the States. These solutions also ignore the root cause of the litigation crisis: 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. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. doctor INTRODUCTION OF THE SOCIAL SECURITY PRESERVATION ACT January 6, 2009    2009 Ron Paul 2:3 With federal deficits reaching historic levels, and with new demands being made on the U.S. Treasury on an almost weekly basis, the pressure from special interests for massive new raids on the trust fund is greater than ever. Thus it is vital that Congress act now to protect the trust fund from big spending, pork- barrel politics. As a medical doctor, I know the first step in treatment is to stop the bleeding, and the Social Security Preservation Act stops the bleeding of the Social Security trust fund. I therefore call upon all my colleagues, regardless of which proposal for long-term Social Security reform they support, to stand up for America’s seniors by cosponsoring the Social Security Preservation Act. doctor INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT January 6, 2009    2009 Ron Paul 4:10 This legislation not only repeals those sections of federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier – an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? doctor TREAT PHYSICIANS FAIRLY ACT March 12, 2009    2009 Ron Paul 30:1 Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals who incur costs related to providing uncompensated care. doctor TREAT PHYSICIANS FAIRLY ACT March 12, 2009    2009 Ron Paul 30:4 Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing, it was common for doctors to provide uncompensated care as a matter of charity. However, government laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they where acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increased health care costs associated with the government-facilitated over-reliance in third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by their interventions by imposing EMTALA mandate on physicians, in effect making the health care profession scapegoats for the unintended consequences of failed government health care policies. doctor INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009    2009 Ron Paul 32:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: 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. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. doctor GLOBAL WARMING PETITION SIGNED BY 31,478 SCIENTISTS June 4, 2009    2009 Ron Paul 64:7 In a letter circulated with this petition, Frederick Seitz – past President of the U.S. National Academy of Sciences, President Emeritus of Rockefeller University, and recipient of honorary doctorate degrees from 32 universities throughout the world – wrote: doctor MORE GOVERNMENT WON’T HELP September 23, 2009    2009 Ron Paul 90:9 Number eight, bureaucrats and other third parties must never be allowed to interfere in the doctor-patient relationship. doctor MORE GOVERNMENT WON’T HELP September 23, 2009    2009 Ron Paul 90:11 Laws dealing with bad outcomes and prohibiting doctors from entering into voluntary agreements with their patients must be repealed. Tort laws play a significant role in pushing costs higher, prompting unnecessary treatment and excessive testing. Patients deserve the compensation; the attorneys do not. doctor MORE GOVERNMENT WON’T HELP September 23, 2009    2009 Ron Paul 90:16 Early on medical insurance was promoted by the medical community in order to boost reimbursements to doctors and hospitals. That partnership has morphed into the government/insurance industry still being promoted by the current administration. doctor MORE GOVERNMENT WON’T HELP September 23, 2009    2009 Ron Paul 90:18 Number 15, there must be more competition for individuals entering into the medical field. Licensing strictly limits the number of individuals who can provide patient care. A lot of problems were created in the 20th century as a consequence of the Flexner Report in 1910, which was financed by the Carnegie Foundation and strongly supported by the AMA. Many medical schools were closed, and the number of doctors was drastically reduced. The motivation was to close down medical schools that catered to women, minorities, and especially homeopathy. We continue to suffer from these changes, which were designed to protect physicians’ income and promote allopathic medicine over the natural cures and prevention of homeopathic medicine. Texas Straight Talk doctor - If someone accepts federal cash, then they must follow rules taxpayers set and deserve 15 September 1997    Texas Straight Talk 15 September 1997 verse 5 ... Cached During debate last week an amendment was offered to prohibit the use of federal funds to perform abortions or offer various contraceptive devices to minors, if parents are not notified. The real debate on this point is not one of the rights of children versus the rights of parents, or even the question of whether federal money being spent this way -which constitutionality it obviously should not. The real debate is to what extent strings may be attached to federal funds. If the government is going to fund an unconstitutional program which should not exist anyway, then at the very least Congress should add sensible requirements for the sake of accountability. Doctors and nurses cannot even give out even an aspirin to a child without parental consent, mainly for fear of liability. And the government should do no less. If parents want their children to have ready access to birth control devices, then the parents should pay for it. But if the government is going to force us, the taxpayers, to subsidize these programs, then at the very least we should have a reasonable expectation that we - as taxpayers - are not going to be held accountable for any problems which may result from a child being given unlimited, uncontrolled access to various items paid for by the government. At the same time, it is unreasonable to expect parents to assume liability for complications resulting from actions over which they are no allowed no control. doctor Government prescription for health is bad medicine 19 January 1998    Texas Straight Talk 19 January 1998 verse 11 ... Cached It is for this reason I have introduced HR 2868, the Consumer Health Free Speech Act. This legislation will allow consumers to get factual information about the health benefits of natural foods, vitamins and herbs without the sellers of those natural products suffering costly regulatory burdens. Individual consumers should be allowed to weigh for themselves, preferably in consultation with the doctor of their choice, what is best for their particular situation. But for as reasonable as this may sound, and for as much in line with our national heritage of individual liberty it may be, this legislation run exactly contrary to the current direction of regulatory dictates. doctor Never sacrifice liberty for "campaign reform" 02 March 1998    Texas Straight Talk 02 March 1998 verse 11 ... Cached If corporations conspired to lock their competitors out of economic markets the way Republicans and Democrats have locked competitors out of the political market, CEOs would be prosecuted under anti-trust laws. And the many of us are correctly calling for more parental choice in education, to improve academics. But Republicans and Democrats defend the status quo-protection racket by claiming we must limit the number of candidates down to avoid "voter confusion." So while the American people can sort out the myriad of choices available to them for foods, entertainment, banks, schools and doctors, politicians seem to think voters are not smart enough to decide between more than two candidates (especially as there is often no substantive difference between candidates of the two major parties). doctor Paul legislation will stop national ID card 13 July 1998    Texas Straight Talk 13 July 1998 verse 7 ... Cached This situation is decidedly un-American, contrary to our heritage of individual liberty and states' rights. The federal government has no constitutional authority to require Americans to present any form of identification before engaging in any private transaction, such as opening a bank account, seeking employment, or especially seeing a doctor. doctor Paul legislation will stop national ID card 13 July 1998    Texas Straight Talk 13 July 1998 verse 11 ... Cached But if the disapproval of the founders is not sufficient to cause Congress to repeal the requirements, then perhaps the reaction of the American people when they discover that they must produce a federally-approved ID in order to open a bank account or see the doctor will turn the tide. Already congressional offices are being flooded with complaints about the movement toward a national ID card; imagine the public's surprise when they realize that not only is a national ID movement underway, but will be a reality by October 1, 2000. doctor MSAs best option for better health care 10 August 1998    Texas Straight Talk 10 August 1998 verse 5 ... Cached Managed care is dangerous because it all but removes the two most important people from the decision-making process for medical care: the patient and the doctor. The managed care system is one which no one seems to want, yet no one can avoid. doctor MSAs best option for better health care 10 August 1998    Texas Straight Talk 10 August 1998 verse 9 ... Cached The MSA will help keep down the costs associated with routine medical care simply because the physicians and hospitals will now have an incentive to offer the best service at the best price. And as the patient is able to negotiate with the doctor, better arrangements best suited for that patient can be made. doctor MSAs best option for better health care 10 August 1998    Texas Straight Talk 10 August 1998 verse 13 ... Cached If we are serious about reforming our system of health care, the key must be allowing for more choices and more freedom, not further restricting patients and doctors. The MSA is tool whose time has come. doctor Privacy tops agenda 09 November 1998    Texas Straight Talk 09 November 1998 verse 8 ... Cached Under the guise of "preventing fraud," the medical database would require that every aspect of an individual’s medical history be linked together and easily accessible to government officials and researchers. And what is accessible to government officials and researchers for "good" purposes is also accessible to computer hackers. Suddenly companies would pay for "illegal" information on your medical history, to determine the risk you pose to their benefits package. Or, a political opponent brings up an embarrassing tidbit from your medical past. Or ... the possibilities are endless, including the likelihood that patients will stop confiding in their doctors if it is possible that those remarks could be transcribed into a computer database. Of course, the ultimate solution is to exclude government from its unconstitutional role as a health care provider. doctor Privacy tops agenda 09 November 1998    Texas Straight Talk 09 November 1998 verse 9 ... Cached A national ID poses no less serious a threat. Under the 1996 legislation authorizing the creation of this new monstrosity, no American can travel by air between the states or internationally without a national ID card after October 1, 2000. Further, doctors will be required to see the ID before offering care, and no one will be allowed to receive federal benefits without their card. doctor Schizophrenic foreign policy leads to problems 23 November 1998    Texas Straight Talk 23 November 1998 verse 10 ... Cached Of course, the decision to send troops out to mope up our mistakes is never presented in such a fashion. Instead we talk about needing to make the world safe. Exactly how and from what is obscured. For since we are often then ones who create these villians (such as Hussein) in the first place, perhaps the best way to make the world safe for the US to re-examine its basic foreign policy. In medicine, a doctor can either treat the symptom or the cause. doctor Free speech is good medicine 07 December 1998    Texas Straight Talk 07 December 1998 verse 9 ... Cached This harm comes from limiting the information which consumers have before them. It foolish to think that any one doctor is aware of everything on the market which can help a patient maintain their good health, or recover from illness more rapidly. As a physician, I have always preferred working with an informed patient. They would sometimes be aware of new treatments, medicines or advances that I may have not yet studied. Sometimes that information would lead to new treatment for that patient, other times not, but the more information and choices available to the patient, the better. doctor Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 5 ... Cached That may be true, though no more so than any of the more socialist systems in the world perceived as "inexpensive" by those desiring similar government programs here. In those nations, the cost is hidden in individual tax-rates in excess of fifty percent, so the extremely high costs for care are still being paid by the patient, they just don't write the check to the doctor, they write it to the tax collector. doctor Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 10 ... Cached Resources once devoted to assisting patients with their needs must be diverted to meeting bureaucratic regulations. Federal regulations imposed on state governments regarding medical care delivery, or on insurance providers, or employers, or directly on doctors and hospitals, all eventually come back to the consumer in the form of higher checkout costs. doctor Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 11 ... Cached To deal with the ever-rising costs, consumers feel forced to relinquish more control to insurance companies and health maintenance organizations (HMOs). At the same time, doctors are forced into the systems so that the burden of regulatory paperwork can be lifted from them. doctor Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 15 ... Cached A more viable solution is to let the consumer and his doctors pull themselves out of the system, by means of medical savings accounts. While this does not solve the entire problem, it provides a larger degree of freedom for those who desire it. doctor Stopping the Surveillance State 18 January 1999    Texas Straight Talk 18 January 1999 verse 8 ... Cached Another section of the bill will stop schemes such as the attempt to assign every American a "unique health identifier." This identifier would logically lead to a national database containing the detailed medical history of all Americans. As a practicing OB/GYN for more than 30 years, I know well the importance of preserving the sanctity and private nature of the physician-patient relationship. Oftentimes, effective treatment depends on the patient placing absolute trust in the doctor not to discuss with anyone her health problems. What will happen to that trust when patients know that all information given to their doctor must be placed in a government accessible database? doctor Stopping the Surveillance State 18 January 1999    Texas Straight Talk 18 January 1999 verse 9 ... Cached Some claim the federal government needs these powers to prevent criminal activity or to "protect" us from fraud committed against government health care agencies. Of course, monitoring the movements of every American to catch those few involved in illegal activity is a gross violation of the Fourth Amendment protection against search and seizure without warrants. The federal government does not have the right to treat Americans as criminals by spying on their relationships with doctors, employers and bankers. Likewise, since the federal government does not have the constitutional authority to operate health care agencies, the threat of fraud would evaporate with the end of these programs. doctor Rein-in the President 19 April 1999    Texas Straight Talk 19 April 1999 verse 7 ... Cached The US Constitution gives only Congress the authority to declare war. Presidents and their spin-doctors can talk all they want about "police actions" and "peace-keeping operations," but any one with common sense knows that when one country's government drops bombs on another sovereign nation, it is an act of war. Sadly, though, Congress has - over the last fifty years - ceded its war-making power to the executive branch. Today it is commonly, though erroneously, believed by a majority of Americans that presidents can send troops to war without even getting input from Congress. doctor Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 13 ... Cached While neither the current system, nor the mess produced by the House vote last week, constitutes traditional socialism, it is rather something almost worse: corporatism. As government bureaucracy continues to give preferences and protections to HMOs and trial lawyers, it will be the patients who lose, despite the glowing rhetoric from the special interests in Washington, DC. Patients will pay ever rising prices and receive declining care while doctors continue to leave the profession in droves. doctor Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 7 ... Cached The more government has been involved, the greater the costs and distortions. Initially there was little resistance to the federal meddling, since payments were generous and services were rarely restricted. Doctors liked being paid adequately for services that in the past were done at discount or for free, while the patients saw they were getting great access without discernable costs. The nation's medical bill grew as the incentive for patients to economize eroded. doctor Medical Privacy Threatened 07 February 2000    Texas Straight Talk 07 February 2000 verse 11 ... Cached Before implementing these rules, HHS must consider what will happen to the trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database, seen by medical researchers, or handed over to government agents without a warrant. For more information on how to submit comments to the Department of Health and Human Services, feel free to contact my congressional staff by email at rep.paul@mail.house.gov. Please use the words "HHS Regs" in the subject line, and make sure to include your email address in your message. You may also contact my office by phone at 202-225-2831. doctor Constitutional Rights Threatened 24 April 2000    Texas Straight Talk 24 April 2000 verse 8 ... Cached In fact, Doctor John Lott, a Ph.D. law professor at Yale University, has completed impressive studies that show, in his words, "more guns equal less crime." Certainly it is true that gun laws have never had any measurably positive impact on crime. In fact, in countries that have recently undergone gun confiscations, violent crime rates have skyrocketed. It is simply common sense to suggest that a murderer or felon is not going to be deterred by the fact that in the commission of such a crime he or she will also have to violate a gun control law. doctor Government Snoops Threaten Privacy 08 May 2000    Texas Straight Talk 08 May 2000 verse 4 ... Cached Let's say you broke your arm and the doctor gave you a cast on the wrong arm. If you broke your leg one week later, would you go back to the same doctor to have your leg set? doctor Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000    Texas Straight Talk 15 May 2000 verse 5 ... Cached "When workers are stricken with a grave illness, they need the love and support of their family and friends as well as the best health care they can get. As a doctor who has specialized in women's health issues for decades, and as a member of Congress, I know how truly critical it is that cancer patients as well as those who suffer from terminal illnesses have the resources available to them to combat these illnesses. doctor A Big Win for Medical Privacy in Congress 19 June 2000    Texas Straight Talk 19 June 2000 verse 4 ... Cached As a doctor, I know how crucial it is to insure people's privacy when speaking to their physicians. Unless Congress permanently forbids the development of a medical ID, Americans may not be able to talk to their doctors about matters that are of an utmost private nature without fear of having this information accessed by government agencies! As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. What happens to that trust when patients know any and all information given to their doctor will be placed in a database accessible by anyone who knows the patient's 'unique personal identifier? doctor A Big Win for Medical Privacy in Congress 19 June 2000    Texas Straight Talk 19 June 2000 verse 6 ... Cached Millions of Americans are outraged over the increasing trend toward national ID cards, especially in light of the fact that the Social Security card has become mandatory in order to do business. In reality, the Social Security number has been transformed from an administrative device used to administer the Social Security program into a de facto national ID number. Today, most Americans cannot get a job, get married, open a bank account, or even get a fishing license without their Social Security numbers. Congress has been all too eager to expand the use of the Social Security number as a uniform identifier. This anger towards Washington would increase exponentially if Americans were informed that their doctors would not treat them until they produce their national health IDs. doctor Right to Privacy Too Often Overlooked 14 August 2000    Texas Straight Talk 14 August 2000 verse 8 ... Cached On a more positive note, privacy advocates scored a major victory this summer when the House passed an amendment I proposed to an appropriations bill that will prohibit the federal government from imposing a uniform standard health identifier on the American people. As a doctor, I know how important it is to insure patient confidentiality, and I am very pleased my colleagues supported the amendment. It is the only way to guarantee that national medical ID’s do not become a reality. doctor Congress Must Work for Seniors 18 September 2000    Texas Straight Talk 18 September 2000 verse 6 ... Cached Next, Congress must work to lower the cost of prescription drugs. Many seniors, especially those on fixed incomes, are unable to afford the expensive medications they need every month. Unfortunately, nearly every proposal coming out of Washington attempts to lower drug costs through price-fixing (which inevitably leads to rationing of drugs), or through subsidies to insurance or pharmaceutical companies. My legislation, the "Pharmaceutical Freedom Act," makes prescription drugs more affordable by providing seniors with a tax credit for drug expenses so they can spend their resources on needed medications. Also, my legislation eliminates needless government regulations and barriers to competition which drive up drug prices. Congress must remove bureaucratic regulations that prevent America’s seniors from enjoying lower prices available from Internet and foreign pharmacies. The key to lowering drug prices is to create a true, competitive free market for prescription drugs. Additionally, my legislation returns control of health care dollars to our seniors and their doctors, rather than federal bureaucrats. doctor Drug Re-Importation Will Lower Prescription Drug Costs 09 October 2000    Texas Straight Talk 09 October 2000 verse 7 ... Cached Legislation I introduced earlier this year would go farther in creating beneficial price competition for pharmaceuticals. The "Pharmaceutical Freedom Act" (H.R. 3636) eliminates needless FDA regulations which prevent Americans from buying low-cost drugs from foreign and Internet pharmacies. The Act also provides seniors with a tax credit of up to 80% of their prescription drug expenditures. My approach applies free-market principles to the problem: drugs become more affordable when we encourage price competition and provide tax relief to offset drug expenses. The free-market approach lets you and your doctor choose the prescription drugs that are appropriate for you. doctor Government Poses the Greatest Threat to our Privacy 23 October 2000    Texas Straight Talk 23 October 2000 verse 10 ... Cached The administration and federal bureaucrats will continue to look for ways to increase government monitoring of citizens. Recently, the administration proposed and fought to enact legislation creating a "uniform standard health identifier," clearly as part of a larger plan to create a national medical system. As a physician and privacy advocate, I know how dangerous a federal medical ID would be. The sanctity of the doctor-patient relationship would be destroyed if the patient knew his or her medical problems would be entered into a federal database. The government has no business knowing your medical history. Virtually all Americans agree with me, because public support for my opposition to the medical ID proposal was overwhelming. Ultimately, the medical ID plan was eliminated by my amendment to a larger bill. doctor A Legislative Agenda for 2001 01 January 2001    Texas Straight Talk 01 January 2001 verse 6 ... Cached Health care also will be a defining issue for Congress this year. Again, the answer to concerns about health care costs and quality is not a massive federal program. Schemes for "free" national health care will only result in shortages of drugs and doctors, waiting lists for procedures, and rationing of treatments and pharmaceuticals. Our emphasis should be on restoring market incentives to the health care and pharmaceutical industries. Our current FDA system reduces incentives for the development of new drugs and restricts competition for existing drugs, which results in the very high drug prices borne by consumers. Congress should undo the regulatory burdens that drive prices up, while providing tax credits and deductions for health care and prescription drug costs. doctor The Fight for Medical Privacy Continues in Washington 26 March 2001    Texas Straight Talk 26 March 2001 verse 3 ... Cached Medical privacy advocates enjoyed a victory last week when the Supreme Court ruled that a government hospital in South Carolina violated the constitutional rights of pregnant women by testing them for drugs without their consent. The hospital ostensibly began the testing program because of concerns about increasing cocaine use by pregnant patients, but if the hospital was concerned only with patient and fetus health, why were test results turned over to law enforcement? Several women were arrested and put in jail because of the tests, with their newborns presumably taken away to become wards of the state. Not surprisingly, the rationale for this terrible violation of doctor-patient confidentiality was the drug war. The real tragedy of this case is that it may cause pregnant women to conceal illegal drug use from their doctors out of fear of arrest. How many babies will be misdiagnosed or go untreated because their mothers no longer have any medical privacy? doctor The Fight for Medical Privacy Continues in Washington 26 March 2001    Texas Straight Talk 26 March 2001 verse 5 ... Cached As a physician, I cannot imagine providing my patients' medical records to police as evidence for a criminal prosecution. Like most doctors, I adhere to a strict policy of maintaining patient confidentiality. Medical privacy has existed for centuries between doctors and patients, without government interference. However, the drug war has provided the ever-growing federal government with new justifications to invade your once-private medical history. doctor The Fight for Medical Privacy Continues in Washington 26 March 2001    Texas Straight Talk 26 March 2001 verse 6 ... Cached Unfortunately, the drug war is not the only threat to your medical privacy. Medical privacy also is under assault by Washington health bureaucrats. The federal government wants greater access to your private medical records than ever before. On April 14, the department of Health and Human Services (HHS) is scheduled to implement invasive new medical rules written during the Clinton administration. The proposed rules require doctors and other health care providers to give patient records to the federal government for very broadly defined purposes and without patient consent. The rules grant law enforcement access to patient records without a search warrant. Patients will have only limited knowledge of who sees their records, and individuals will not be able to sue health care providers or the government for breaches of privacy. Ultimately, your medical history will be readily available to any government agency that wishes to create a national medical database. doctor The Fight for Medical Privacy Continues in Washington 26 March 2001    Texas Straight Talk 26 March 2001 verse 7 ... Cached The dangers posed by these regulations are obvious. Patients will hesitate to disclose information to their doctors if they fear such information will end up in a federal database. Doctors will be unable to provide effective care when patients conceal sensitive medical problems, such as drug and alcohol addiction, sexually transmitted diseases, AIDS, and psychiatric problems. The HHS rules threaten to turn doctors into government agents, who are required to divulge information which ultimately could be used against their patients by federal agencies, law enforcement, and health insurers. doctor Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001    Texas Straight Talk 18 June 2001 verse 6 ... Cached We should remember that private physicians have maintained patient privacy for centuries without government involvement, relying instead on personal conviction, the Hippocratic Oath, and professional standards. Patients once knew without question that anything they told their doctor would remain confidential. However, the physician/patient relationship is certain to change for the worse when control over patient records is transferred from medical professionals to government agencies. When patients know that their sensitive medical information will be turned over to government agencies or placed in a national database, they inevitably will be less open and honest when seeking medical care. Patients with drug and alcohol problems, mental illnesses, sexually transmitted diseases, HIV, or other stigmatized health concerns will be especially reluctant to seek treatment. The inevitable result will be a decline in the standard of care delivered by doctors and an increase in health care costs. doctor "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001    Texas Straight Talk 02 July 2001 verse 3 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of privately-funded charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans once paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than a third-party insurance company or government program. Not coincidentally, there was far less government involvement in medicine during this time. Somehow, however, the clear connection between government involvement in medicine and the decline in our once-proud healthcare system has been lost in the current debate. doctor "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001    Texas Straight Talk 02 July 2001 verse 4 ... Cached Today most Americans obtain health care either through an HMO or similar managed-care organization, or through government Medicare and Medicaid. Since it is very hard to make actuarial estimates for routine health care, HMOs charge most members a similar monthly premium. Because HMOs always want to minimize their costs, they often deny payment for various drugs, treatments, and procedures. Similarly, Medicare does not have unlimited funds, so it generally covers only a portion of any costs. The result of this system is that doctors and patients cannot simply decide what treatment is appropriate; instead, they constantly find themselves being second-guessed by HMO accountants and government bureaucrats. When a third party is paying the bills and malpractice lawsuits loom, doctors have every incentive to maximize costs and order all possible tests and treatments. At the same time, patients suffer when legitimate needed treatment is denied. HMOs have become a corporate, bureaucratic middleman in the healthcare system, driving up costs while undeniably degrading the quality of our medical care. doctor "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001    Texas Straight Talk 02 July 2001 verse 7 ... Cached We can hardly blame the market for our current healthcare woes. As with all goods and services, medical care is best delivered by the free market, with competition and patient responsibility keeping costs down. Government has neither the constitutional authority nor the wisdom to determine appropriate contract terms between individuals and health insurers. Congress needs to abolish the HMO mandate and allow favorable tax treatment for individuals paying for health care directly. Medical Savings Accounts (MSAs), which are tax-deductible and tax-exempt accounts used to pay medical expenses, should be made available to all Americans. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. No "patients bill of rights" will help us when the money runs out. doctor Government Cannot Mandate Solutions to Ethical Dilemmas 06 August 2001    Texas Straight Talk 06 August 2001 verse 6 ... Cached First and foremost, we should insist that no federal funding be used for cloning or stem cell research. Most people don't realize that much of the cloning research performed to date has been funded with federal tax dollars. We can't know whether private money would have been spent in the same manner, because federal funding reduces the incentive for private companies to invest their own research dollars- especially when there is no guarantee that cloning technology will produce worthwhile results. Indeed, my own suspicion as a medical doctor is that the potential benefits of cloning have been overblown. So cloning almost certainly would not be the pressing issue it is today if the federal government had not become involved in the first place. Now, of course, Congress wants to ban the very thing it has been funding for years. doctor A Stay of Execution for the Death Tax 17 June 2002    Texas Straight Talk 17 June 2002 verse 5 ... Cached Last year the House debated an outright repeal of the tax as part of the Bush tax plan. Although liberal members prevented the passage of a immediate repeal, a slow ten-year phaseout compromise bill did pass in both the House and Senate chambers. Incredibly, however, the Senate added a provision that would cause the tax rules to revert back to the current system after the ten year period. In other words, the death tax will return after 2011! So a taxpayer dying in 2010 would pay no estate tax, while his unfortunate neighbor dying the next year would get a whopping bill from the IRS. The accountants and tax attorneys might support this crazy system, but it creates an estate planning nightmare for American families. Some doctors even warn that it could give elderly people a morbid incentive to time their deaths out of concern for their loved ones. Yet although the House recently voted to make the death tax repeal permanent, the aforementioned 44 senators decided the government should remain the unwelcome heir to millions of American estates. doctor Legislation for our Military Families and Veterans 21 October 2002    Texas Straight Talk 21 October 2002 verse 7 ... Cached Finally, Congress should end the silence and formally address Gulf War Syndrome, which has had a devastating impact on thousand of veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the evidence behind the existence of the syndrome is now conclusive. The syndrome likely represents several different maladies caused by exposure to conditions specific to the Gulf region at that time. We should be providing medical treatment to our sick Gulf War veterans, not insulting them by insisting that "it’s all in their heads." Congress should lead the way and craft legislation that requires VA hospitals to recognize and treat Gulf War Syndrome like any other illness. It’s the least we can do for the soldiers who risked their lives in the Gulf. doctor Government Vaccines- Bad Policy, Bad Medicine 09 December 2002    Texas Straight Talk 09 December 2002 verse 5 ... Cached As a medical doctor, I believe mandated smallpox vaccines are bad medicine. The available vaccine poses significant risks, even though the more serious complications affect only a statistically small number of people. As with any medical treatment, these risks must always be balanced against the perceived benefit. Remember, not a single case of smallpox has been reported, despite the near-hysteria that characterized recent news reports. Even if some individuals became infected, smallpox spreads only with very close contact. Those in the surrounding community could then decide to accept vaccines based on a much more tangible risk. doctor Government Vaccines- Bad Policy, Bad Medicine 09 December 2002    Texas Straight Talk 09 December 2002 verse 8 ... Cached Politics and medicine don’t mix. It is simply not the business of government at any level to decide whether you choose to accept a smallpox vaccine or any other medical treatment. Yet decades of federal intervention in health care, including the impact of third-party HMOs created by federal legislation, have weakened the doctor-patient relationship. A free market system would allow doctors and patients to make their own decisions about smallpox inoculations, without the federal government hoarding, mandating, nor prohibiting the vaccine. Instead, we’re moving quickly toward the day when government controls not only what vaccines patients receive, but what kind of health care they receive at all. doctor Honor Veterans with a Better Budget 24 March 2003    Texas Straight Talk 24 March 2003 verse 5 ... Cached We should remember that Gulf War I and II will swell the ranks of our combat veterans, many of whom will need medical care as they grow older. Congress should immediately end the silence and formally address Gulf War Syndrome, which has had a devastating impact on veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the syndrome is very real, and likely represents several different maladies caused by exposure to conditions specific to the Gulf region at the time. Congress and the Veterans Administration should stop insulting our Gulf War veterans and recognize that the syndrome is a serious illness that needs treatment. We can only hope and pray that our soldiers in Iraq today do not suffer from similar illnesses in the future. Congress must, however, ensure adequate funding for the medical care that today’s soldiers will someday need. doctor The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003    Texas Straight Talk 31 March 2003 verse 2 ... Cached I’ve spent nearly four decades practicing medicine as an obstetrician, and I’ve seen firsthand how the cost of medical malpractice insurance has risen. Among doctors, malpractice costs truly represent a crisis that threatens the economic viability of the profession. doctor The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003    Texas Straight Talk 31 March 2003 verse 3 ... Cached There is no question that medical malpractice lawsuits are out of control in this country. We’ve become a society that expects medical care to be guaranteed, that demands a perfect outcome to every medical procedure. Mother Nature provides no guarantees however, and things can go wrong without the slightest negligence by the doctor involved. Of course some malpractice suits are legitimate, and truly negligent doctors should pay economic damages. But far too many suits are filed simply because a patient is unhappy despite the competent efforts of his doctor, and far too many meritless suits are settled simply to avoid litigation costs. The result is malpractice premiums that cost doctors tens of thousands of dollars per year, and increasingly threaten to put some out of business. doctor The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003    Texas Straight Talk 31 March 2003 verse 4 ... Cached Every American pays for this not only in the form of much higher medical costs, but also in countless other ways. Trauma center doctors have walked off the job in protest. Many doctors feel stressed, unhappy, and unappreciated, which leads to a declining quality of care. Most are hesitant to explore new treatments that could benefit patients because they fear a lawyer will seize on any deviation from standard practices. Similarly, patients endure more and more unnecessary and costly tests ordered by doctors who feel they must explore even the most unlikely diagnoses. Worst of all, the best and brightest young people are abandoning the pursuit of medical careers. Already faced with years in medical school and daunting tuition bills, they increasingly understand that malpractice and economic concerns have damaged the quality of life for doctors. doctor The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003    Texas Straight Talk 31 March 2003 verse 6 ... Cached The federal approach also ignores the root cause of the malpractice crisis: the shift away from treating the doctor-patient relationship as a contract to viewing it as one governed by federal regulations. The third-party payer system, largely the result of federal tax laws and the HMO Act of 1973, invites insurance company functionaries, politicians, government bureaucrats, and trial lawyers into the equation. This destroys the patient’s incentive to keep costs down, because he feels he is part of “the system” and someone else pays the bill. In other words, the costs of medical care have been socialized, even though HMOs are ostensibly private businesses. doctor HillaryCare, Republican Style 30 June 2003    Texas Straight Talk 30 June 2003 verse 3 ... Cached Seniors have been terribly misled about this new Medicare scheme. The essence of the new plan is government control. Government will play an even greater role in deciding what drugs seniors get, how doctors and pharmacies are paid, how private medical information is distributed, and what drug companies benefit most. The plan moves America disastrously toward a complete government takeover of medicine. doctor HillaryCare, Republican Style 30 June 2003    Texas Straight Talk 30 June 2003 verse 5 ... Cached Medicare bureaucrats also will seek to pay pharmacies as little as possible for drugs, just as they now pay doctors as little as possible for services. Many doctors refuse to take Medicare patients, and now many pharmacies might follow suit. So in addition to the inevitable drug rationing, seniors will have fewer doctors and pharmacies to choose from. doctor HillaryCare, Republican Style 30 June 2003    Texas Straight Talk 30 June 2003 verse 9 ... Cached A better approach would utilize Medicare Medical Savings Accounts (MSAs) to provide flexibility and choice. Medicare monies could be placed in tax-free savings accounts and used by individual seniors as they see fit to buy prescription drugs, visit the doctor, or buy special services like mammograms. MSAs allow consumers to make their own choices by eliminating the federal middleman. But even this compromise approach means giving individuals control over tax dollars, which bureaucrats hate to do. doctor Paying Dearly for Free Prescription Drugs 06 October 2003    Texas Straight Talk 06 October 2003 verse 7 ... Cached First and foremost, we must eliminate the middleman in health care. The HMO Act of 1973, coupled with tax rules that do not allow individuals to use pre-tax dollars to pay for health care, combine to force millions of Americans to deal with HMO and Medicare bureaucrats. Whenever a third-party stands between a doctor and his patient, health care becomes inefficient and expensive. Individuals should be able to decide with their doctors what drugs are appropriate, and then reduce their taxable income dollar-for-dollar for all drug expenditures. By forcing employers to offer HMOs and prohibiting individuals from paying for drugs with pre-tax dollars, government enables drug companies to set high prices for deep-pocket middlemen. doctor Mistreating Soldiers and Veterans 10 November 2003    Texas Straight Talk 10 November 2003 verse 3 ... Cached You may have read about conditions at Fort Stewart, Georgia, where hundreds of injured reserve and National Guard soldiers are housed in deplorable conditions and forced to wait months just to see a doctor. These soldiers made huge sacrifices, leaving their families and jobs to fight in Iraq. Now they find themselves living in hot, crowded, unsanitary barracks and waiting far too long to see overworked doctors. This is hardly the heroes’ welcome they might have expected. Only an expose in a major newspaper brought attention to their plight, prompting an embarrassed Defense department to rush additional doctors to the base. doctor The Federal War on Pain Relief 19 April 2004    Texas Straight Talk 19 April 2004 verse 2 ... Cached The controversy surrounding popular radio host Rush Limbaugh’s use of the painkiller OxyContin hopefully will focus public attention on how the federal drug war threatens the effective treatment of chronic pain. In most cases patients are not high profile celebrities like Mr. Limbaugh, so doctors become the target of overzealous federal prosecutors. Faced with the failure of the war on drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to ordinary doctors prescribing perfectly legal drugs. Federal statutes designed for the prosecution of drug dealers are being abused to ensnare innocent doctors. doctor The Federal War on Pain Relief 19 April 2004    Texas Straight Talk 19 April 2004 verse 3 ... Cached Do we really want the Drug Enforcement Administration jailing doctors for the alleged misdeeds of patients? Certainly some individuals abuse prescription pain killers, but federal agents are hardly qualified to decide what kind of drugs are appropriate for pain patients. Zealous prosecutors certainly show no interest in learning the basic facts of pain management. doctor The Federal War on Pain Relief 19 April 2004    Texas Straight Talk 19 April 2004 verse 5 ... Cached The real tragedy is that the federal government once again has interfered with the doctor-patient relationship. All decisions concerning appropriate medical treatment should be made between doctors and their patients, without government involvement. But, when threatened with criminal prosecution or loss of their medical licenses, many doctors simply have stopped prescribing powerful pain drugs--no matter how much their patients may need them. Some have even posted signs in their waiting rooms advising patients not to ask for OxyContin and similar drugs. It is shameful that government has created an atmosphere where doctors are afraid of exercising their medical judgment. doctor The Federal War on Pain Relief 19 April 2004    Texas Straight Talk 19 April 2004 verse 6 ... Cached This harassment by law enforcement has forced some doctors to close their practices altogether, leaving their patients with nowhere to turn for pain relief. Is the government concerned about the terrible chilling effect caused by its crackdown on doctors? Hardly. In fact, the current attitude toward pain physicians is exemplified by Assistant US Attorney Gene Rossi’s statement that, “Our office will try our best to root out certain doctors like the Taliban.” doctor The Federal War on Pain Relief 19 April 2004    Texas Straight Talk 19 April 2004 verse 8 ... Cached The sanctity of the doctor-patient relationship is being destroyed by federal bureaucrats, who have turned the drug war into a war on pain relief. Americans suffering from chronic pain and their doctors are the real victims of this unprincipled and medically unsound federal campaign. doctor Free Market Medicine 03 May 2004    Texas Straight Talk 03 May 2004 verse 2 ... Cached Last week the congressional Joint Economic committee on which I serve held a hearing featuring two courageous medical doctors. I had the pleasure of meeting with one of the witnesses, Dr. Robert Berry, who opened a low-cost health clinic in rural Tennessee. His clinic does not accept insurance, Medicare, or Medicaid, which allows Dr. Berry to treat patients without interference from third-party government bureaucrats or HMO administrators. In other words, Dr. Berry practices medicine as most doctors did 40 years ago, when patients paid cash for ordinary services and had inexpensive catastrophic insurance for serious injuries or illnesses. As a result, Dr. Berry and his patients decide for themselves what treatment is appropriate. doctor Free Market Medicine 03 May 2004    Texas Straight Talk 03 May 2004 verse 3 ... Cached Freed from HMO and government bureaucracy, Dr. Berry can focus on medicine rather than billing. Operating on a cash basis lowers his overhead considerably, allowing him to charge much lower prices than other doctors. He often charges just $35 for routine maladies, which is not much more than one’s insurance co-pay in other offices. His affordable prices enable low-income patients to see him before minor problems become serious, and unlike most doctors, Dr. Berry sees patients the same day on a walk-in basis. Yet beyond his low prices and quick appointments, Dr. Berry provides patients with excellent medical care. doctor Free Market Medicine 03 May 2004    Texas Straight Talk 03 May 2004 verse 4 ... Cached While many liberals talk endlessly about medical care for the poor, Dr. Berry actually helps uninsured people every day. His patients are largely low-income working people, who cannot afford health insurance but don’t necessarily qualify for state assistance. Some of his uninsured patients have been forced to visit hospital emergency rooms for non-emergency treatment because no doctor would see them. Others disliked the long waits and inferior treatment they endured at government clinics. For many of his patients, Dr. Berry’s clinic has been a godsend. doctor Free Market Medicine 03 May 2004    Texas Straight Talk 03 May 2004 verse 5 ... Cached Dr. Berry’s experience illustrates the benefits of eliminating the middleman in health care. For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program. doctor Free Market Medicine 03 May 2004    Texas Straight Talk 03 May 2004 verse 8 ... Cached We can hardly expect more government to cure our current health care woes. As with all goods and services, medical care is best delivered by the free market, with competition and financial incentives keeping costs down. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. Dr. Berry and others like him may one day be seen as consumer heroes who challenged the third-party health care system and resisted the trend toward socialized medicine in America. doctor The War on Drugs is a War on Doctors 17 May 2004    Texas Straight Talk 17 May 2004 verse 1 ... Cached The War on Drugs is a War on Doctors doctor The War on Drugs is a War on Doctors 17 May 2004    Texas Straight Talk 17 May 2004 verse 2 ... Cached When we talk about the federal war on drugs, most people conjure up visions of sinister South American drug cartels or violent urban street gangs. The emerging face of the drug war, however, is not a gangster or a junkie: It’s your friendly personal physician in a white coat. Faced with their ongoing failure to curtail the illegal drug trade, federal drug agencies have found an easier target in ordinary doctors whose only crime is prescribing perfectly legal pain medication. By applying federal statutes intended for drug dealers, federal prosecutors are waging a senseless and destructive war on doctors. The real victims of the new campaign are not only doctors, but their patients as well. doctor The War on Drugs is a War on Doctors 17 May 2004    Texas Straight Talk 17 May 2004 verse 4 ... Cached Even if Dr. Knox is acquitted of all charges, his life will never be the same. His professional reputation and clientele cannot be easily restored, and the enormous legal bills cannot be easily repaid. So whether federal prosecutors obtain a conviction of Dr. Knox or not, the message sent to other doctors is chillingly clear: prescribe the wrong drugs and we will destroy you. The end result is that doctors become afraid to prescribe pain medication, no matter how appropriate for a patient. The judgment of doctors has been replaced by the judgment of federal drug warriors. doctor The War on Drugs is a War on Doctors 17 May 2004    Texas Straight Talk 17 May 2004 verse 5 ... Cached Those who support the war on drugs may well change their views if one day they find themselves experiencing serious pain because of an accident or old age. By creating an atmosphere that regards all powerful pain medication as suspect, the drug warriors have forced countless Americans to live degraded, bedridden lives. Even elderly deathbed patients sometimes are denied adequate pain relief from reluctant doctors and nurses. It’s one thing to support a faraway drug campaign in Colombia or Afghanistan, but it’s quite another to watch a loved one suffering acute pain that could be treated. A sane, compassionate society views advances in medical science- particularly advances that relieve great suffering- as heroic. Instead, our barbaric drug war treats pain patients the same way it treats street junkies. doctor The War on Drugs is a War on Doctors 17 May 2004    Texas Straight Talk 17 May 2004 verse 6 ... Cached Doctors are not slaves, and they will not continue practicing medicine forever if the federal government insists on monitoring, harassing, fining, and even jailing them. Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing pain relief drugs. Doctors should not be prosecuted for using their best medical judgment, nor should they be prosecuted for the misdeeds of their patients. doctor Forcing Kids Into a Mental Health Ghetto 13 September 2004    Texas Straight Talk 13 September 2004 verse 5 ... Cached The greater issue, however, is not whether youth mental health screening is appropriate. The real issue is whether the state owns your kids. When the government orders “universal” mental health screening in schools, it really means “mandatory.” Parents, children, and their private doctors should decide whether a child has mental health problems, not government bureaucrats. That this even needs to be stated is a sign of just how obedient our society has become toward government. What kind of free people would turn their children’s most intimate health matters over to government strangers? How in the world have we allowed government to become so powerful and arrogant that it assumes it can force children to accept psychiatric treatment whether parents object or not? doctor Private Help for Tsunami Victims 10 January 2005    Texas Straight Talk 10 January 2005 verse 6 ... Cached Money is critical for disaster relief, but it is not the only issue. Efficient organization of relief services is equally important, and efficiency means circumventing the government bureaucracies that tend to boss people around after natural disasters. Doctors Without Borders, a private group known for providing medical care in poor nations, actually requested that people stop sending them money last week. Their operating model relies on very low overhead and complete independence from governments, and they understand that throwing more and more money at a disaster is not necessarily the best approach. doctor Don't Let Congress Fund Orwellian Psychiatric Screening of Kids 31 January 2005    Texas Straight Talk 31 January 2005 verse 4 ... Cached Forced mental health screening simply has no place in a free or decent society. The government does not own you or your kids, and it has no legitimate authority to interfere in your family’s intimate health matters. Psychiatric diagnoses are inherently subjective, and the drugs regularly prescribed produce serious side effects, especially in children’s developing brains. The bottom line is that mental health issues are a matter for parents, children, and their doctors, not government. doctor What does Freedom Really Mean? 07 February 2005    Texas Straight Talk 07 February 2005 verse 10 ... Cached The political left equates freedom with liberation from material wants, always via a large and benevolent government that exists to create equality on earth. To modern liberals, men are free only when the laws of economics and scarcity are suspended, the landlord is rebuffed, the doctor presents no bill, and groceries are given away. But philosopher Ayn Rand (and many others before her) demolished this argument by explaining how such “freedom” for some is possible only when government takes freedoms away from others. In other words, government claims on the lives and property of those who are expected to provide housing, medical care, food, etc. for others are coercive-- and thus incompatible with freedom. “Liberalism,” which once stood for civil, political, and economic liberties, has become a synonym for omnipotent coercive government. doctor Bowing and Scraping for the WTO 28 February 2005    Texas Straight Talk 28 February 2005 verse 5 ... Cached Americans should expect to see more of the laws we live under being dictated by international bodies. Later this year, all European Union countries will unify their food supplement laws to conform with rules established by a United Nations commission. This commission, called Codex Alimentarius, calls for strict control of dietary supplements. Under the Codex rules, Europeans will need a doctor’s prescription to obtain even basic vitamins. Thanks to the WTO, Americans may find their supplements similarly restricted in an attempt to harmonize the regulatory playing field between the U.S. and Europe. After all, this is the new reality in the WTO era: no nation may enjoy an “unfair” trade or regulatory environment. doctor Empty Rhetoric for Veterans 04 April 2005    Texas Straight Talk 04 April 2005 verse 5 ... Cached Our invasion of Iraq will swell the ranks of our combat veterans, many of whom will need medical care as they grow older. Sadly, health issues arising from the first war with Iraq still have not been addressed. Congress should immediately end the silence and formally address Gulf War Syndrome, which has had a devastating impact on veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the syndrome is very real, and likely represents several different maladies caused by exposure to conditions specific to the Gulf region at the time. Congress and the VA should stop insulting Gulf War veterans and recognize that the syndrome is a serious illness that needs treatment. We can only hope and pray that our soldiers in Iraq today do not suffer from similar illnesses in the future. doctor Dietary Supplements and Health Freedom 25 April 2005    Texas Straight Talk 25 April 2005 verse 9 ... Cached form of doctors, prescriptions, HMOs, and licenses. In other words, they use supplements doctor Dietary Supplements and Health Freedom 25 April 2005    Texas Straight Talk 25 April 2005 verse 19 ... Cached My regular listeners already know about another looming threat to dietary supplement freedom. The Codex Alimentarius Commission, an offshoot of the United Nations, is working to “harmonize” food and supplement rules between all nations of the world. Under Codex rules, even basic vitamins and minerals will require a doctor’s prescription. As Europe moves ever closer to adopting Codex standards, it becomes more likely that the World Trade Organization will attempt to force those standards on the United States. This is yet another example of how the WTO threatens American sovereignty. By cooperating with Codex, the FDA is blatantly ignoring the will of Congress and the American people. doctor Federal Funding for Mental Health Screening of Kids 27 June 2005    Texas Straight Talk 27 June 2005 verse 4 ... Cached Nearly 100 members of Congress supported my amendment. Many of these members represent Texas and Illinois, two states that already have mental health screening programs in place. They have heard from their constituents, who believe intimate mental health problems should be addressed by parents, kids, and their doctors- not the government. These parents do not appreciate yet another government program that undermines their parental authority. doctor CAFTA and Dietary Supplements 18 July 2005    Texas Straight Talk 18 July 2005 verse 4 ... Cached The Codex Alimentarius Commission, organized by the United Nations in the 1960s, is charged with “harmonizing” food and supplement rules between all nations of the world. Under Codex rules, even basic vitamins and minerals require a doctor’s prescription. The European Union already has adopted Codex-type regulations, regulations that will be in effect across Europe later this year. This raises concerns that the Europeans will challenge our relatively open market for health supplements in a WTO forum. This is hardly far-fetched, as Congress already has cravenly changed our tax laws to comply with a WTO order. doctor CAFTA and Dietary Supplements 18 July 2005    Texas Straight Talk 18 July 2005 verse 6 ... Cached Unquestionably there has been a slow but sustained effort to regulate dietary supplements on an international level. WTO and CAFTA are part of this effort. Passage of CAFTA does not mean your supplements will be outlawed immediately, but it will mean that another international trade body will have a say over whether American supplement regulations meet international standards. And make no mistake about it, those international standards are moving steadily toward the Codex regime and its draconian restrictions on health freedom. So the question is this: Does CAFTA, with its link to Codex, make it more likely or less likely that someday you will need a doctor’s prescription to buy even simple supplements like Vitamin C? The answer is clear. CAFTA means less freedom for you, and more control for bureaucrats who do not answer to American voters. doctor Will the Estate Tax ever be Repealed? 24 October 2005    Texas Straight Talk 24 October 2005 verse 5 ... Cached In 2001 the House debated an outright repeal of the estate tax. Political considerations-- based on the false argument that the estate tax only applies to some imagined class of dynastic families-- prevented the passage of an immediate repeal. Instead, a slow ten-year phaseout bill passed in both the House and Senate chambers. Incredibly, however, the Senate added a provision that would cause the tax rules to revert back to the current system after the ten-year period. In other words, the death tax will return after 2011! So a taxpayer dying in 2010 would pay no estate tax, while his unfortunate neighbor dying the next year would get a whopping bill from the IRS. Accountants and tax attorneys might support this crazy system, but it creates an estate planning nightmare for American families. Some doctors even warn it could give elderly people a morbid incentive to time their deaths out of concern for their loved ones. doctor Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 3 ... Cached As a medical doctor, I’ve seen first-hand how bureaucratic red tape interferes with the doctor-patient relationship and drives costs higher. The current system of third-party payers takes decision-making away from doctors, leaving patients feeling rushed and worsening the quality of care. Yet health insurance premiums and drug costs keep rising. Clearly a new approach is needed. Congress needs to craft innovative legislation that makes health care more affordable without raising taxes or increasing the deficit. It also needs to repeal bad laws that keep health care costs higher than necessary. doctor Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 6 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program. doctor Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 7 ... Cached The lesson is clear: when government and other third parties get involved, health care costs spiral. The answer is not a system of outright socialized medicine, but rather a system that encourages everyone- doctors, hospitals, patients, and drug companies- to keep costs down. As long as “somebody else” is paying the bill, the bill will be too high. doctor Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 10 ... Cached HR 3076 is specifically designed to address the medical malpractice crisis that threatens to drive thousands of American doctors- especially obstetricians- out of business. The bill provides a dollar-for-dollar tax credit that permits consumers to purchase "negative outcomes" insurance prior to undergoing surgery or other serious medical treatments. Negative outcomes insurance is a novel approach that guarantees those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation. Under HR 3076, individuals can purchase negative outcomes insurance at essentially no cost. doctor Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 8 ... Cached As government bureaucracy continues to give preferences and protections to HMOs and trial lawyers, it will be the patients who lose, despite the glowing rhetoric from the special interests in Washington. Patients will pay ever rising prices and receive declining care while doctors continue to leave the profession in droves. doctor Security and Liberty 23 April 2007    Texas Straight Talk 23 April 2007 verse 7 ... Cached I fear that Congress will use this terrible event to push for more government mandated mental health programs. The therapeutic nanny state only encourages individuals to view themselves as victims, and reject personal responsibility for their actions. Certainly there are legitimate organic mental illnesses, but it is the role of doctors and families, not the government, to diagnose and treat such illnesses. doctor Politicizing Pain 27 April 2008    Texas Straight Talk 27 April 2008 verse 5 ... Cached K.K. Forss lived in constant fear of federal and state officials so he eventually stopped taking medical marijuana and switched to his more rigorous and expensive pill regimen. Presently, twelve states have passed legislation allowing marijuana, under certain conditions, to be prescribed legally by doctors for patients who could benefit from it. K.K. Forss lives in Minnesota, where it is not yet legal. However, even if it is legalized by the state, Mr. Forss will still have plenty to fear from the Federal government, as cannabis dispensaries and clinics that operate under these state laws are still under fire from the Drug Enforcement Administration. doctor Politicizing Pain 27 April 2008    Texas Straight Talk 27 April 2008 verse 7 ... Cached The Federal government should recognize that states have the authority to decide these issues. This affords all states the opportunity to see which policies are most beneficial. As a Congressman and a physician, I strongly advocate that healthcare decisions should be made by doctors and patients, not politicians or federal agents, which is why I am an original co-sponsor of the recently introduced “Medical Marijuana Patient Protection Act” which would bar the Federal government from intervening in such doctor/patient relationships that violate no state law. Texas Straight Talk from 20 December 1996 to 23 June 2008 (573 editions) are included in this Concordance. Texas Straight Talk after 23 June 2008 is in blog form on Rep. Paul’s Congressional website and is not included in this Concordance. Remember, not everything in the concordance is Ron Paul’s words. Some things he quoted, and he added some newspaper and magazine articles to the Congressional Record. Check the original speech to see. Home Page    Contents    Concordance   E-mail list.