Home Page

Contents

U.S. Rep. Ron Paul health care Book of Ron Paul health care State Of The Republic 28 January 1998    1998 Ron Paul 2:78 Clinton’s new health care program for children was accepted by Congress, which will eventually cost billions and further centralize medical care in Washington, while quality of care is diminished. Billions of dollars increased in NIH, AIDS research and preventative health care were also approved. health care State Of The Republic 28 January 1998    1998 Ron Paul 2:80 This is strong evidence that we have not yet learned anything in the past 50 years, and the 1994 revolution has not yet changed things. We can expect more HMO’s and PPO mismanagement, rationing medical service and price control of all medical services. Shortages of quality health care and education will result. health care Freedom And Privacy Restoration Act 15 July 1998    1998 Ron Paul 75:3 If this scheme is not stopped, no American will be able to get a job, open a bank account, apply for Social Security or Medicare, exercise their second amendment rights, or even take an airplane flight until they can produce a State driver’s license that is the equivalent of conforming to Federal specifications. Under the 1996 Kennedy–Kassebaum health care reform law, Americans may be forced to present a federally approved driver’s license before consulting their doctors for medical treatment. health care The Freedom And Privacy Restoration Act 15 July 1998    1998 Ron Paul 76:2 If this scheme is not stopped, no American will be able to get a job; open a bank account; apply for Social Security or Medicare; exercise their Second Amendment rights; or even take an airplane flight unless they can produce a state drivers’ license, or its equivalent, that conforms to federal specifications. Under the 1996 Kennedy-Kassebaum health care reform law, Americans may even be forced to present a federally-approved drivers’ license before consulting their physicians for medical treatment! health care The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:1 Mr. PAUL. Mr. Speaker, I rise to introduce the Patient Privacy Act, which repeals those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans. This identifier would then be used to create a national database containing the medical history of all Americans. Establishment of such an identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizens’ record simply by entering the patient’s identifier into the national database. health care The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:4 Mr. Speaker, the Clinton administration has even come out in favor of allowing law enforcement officials access to health care information, in complete disregard of the fifth amendment. It is bitterly ironic that the same administration that has proven so inventive at protecting its privacy has so little respect for physician-patient confidentiality. health care The Patient Privacy Act 21 July 1998    1998 Ron Paul 82:8 For those who claim that the Patient Privacy Act would interfere with the plans to “simplify” and “streamline” the health care system, under the Constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:4 Mr. Speaker, I am also pleased that Congress is addressing the subject of health care in America, for the American health care system does need reform. Too many Americans lack access to quality health care while millions more find their access to medical care blocked by a “gatekeeper,” an employee of an insurance company or a Health Maintenance Organization (HMO) who has the authority to overrule the treatment decisions of physicians! health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:5 An an OB/GYN with more than 30 years experience, I find it outrageous that any insurance company bureaucrat could presume to stand between a doctor and a patient. However, in order to properly fix the problem, we must understand its roots. The problems with American health care coverage are rooted in the American tax system, which provides incentives for employers to offer first-dollar insurance benefits to their employees, while providing no incentives for individuals to attempt to control their own health care costs. Because “he who pays the piper calls the tune,” it is inevitable that those paying the bill would eventually seize control over personal health care choices as a means of controlling costs. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:6 Because this problem was created by distortions in the health care market that took control of the health care dollar away from the consumer, the best solution to this problem is to put control of the health care dollar back into the hands of the consumer. We also need to rethink the whole idea of first-dollar insurance coverage for every medical expense, no matter how inexpensive. Americans would be more satisfied with the health care system if they could pay for their routine expenses with their own funds, relying on insurance for catastrophic events, such as cancer. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:7 An excellent way of moving toward a health care system where the consumer is in charge is through Medical Savings Accounts (MSA’s). I enthusiastically endorse those provisions of this bill that expand access to MSA’s. It may be no exaggeration to say that MSA’s are vital to preserving the private practice of medicine. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:8 MSA’s provide consumers the freedom to find high-quality health care at a reasonable cost. MSA’s allow consumers to benefit when they economize in choosing health care so they will be more likely to make informed health care decisions such as seeking preventive care and, when possible, negotiate with their providers for the lowest possible costs. Most importantly, MSA’s are the best means available to preserve the patient’s right to choose their doctor and the treatment that best meets their needs, free from interference by an insurance company or an HMO. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:11 However, as much as I support H.R. 4250’s expansion of MSA’s, I equally object to those portions of the bill placing new federal standards on employer offered health care plans. Proponents of these standards claim that they will not raise cost by more than a small percentage point. However, even an increase of a small percentage point could force many marginal small businesses to stop offering health care for their employees, thus causing millions of Americans to lose their health insurance. This will then lead to a new round of government intervention. Unlike Medical Savings Accounts which remove the HMO bureaucracy currently standing between physicians and patients, the so-called patient protections portions of this bill add a new layer of government-imposed bureaucracy. For example, H.R. 4250 guarantees each patient the right to external and internal review of insurance company’s decisions. However, this does not empower patients to make their own decisions. If both external and internal review turn down a patient’s request for treatment, the average patient will have no choice but to accept the insurance companies decision. Furthermore, anyone who has ever tried to navigate through a government-controlled “appeals process” has reason to be skeptical of the claims that the review process will be completed in less than three days. Imposing new levels of bureaucracy on HMO’s is a poor substitute for returning to the American people the ability to decide for themselves, in consultation with their care giver, what treatments are best for them. Medical Savings Accounts are the best patient protection. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:13 I am also concerned that this bill further tramples upon state automony by further preempting their ability to regulate HMO’s and health care plans. Under the 10th amendment, states should be able to set standards for organizations such as HMO’s without interference from the federal government. I am disappointed that we did not get an opportunity to debate Mr. BRADY’s amendment that would have preserved the authority of states in this area. health care Patient Protection Act of 1998 24 July 1998    1998 Ron Paul 84:14 In conclusion, Mr. Speaker, while the Patient Protection Act takes some good steps toward placing patients back in control of the health care system, it also furthers the federal role in overseeing the health system. It is my belief that the unintended, but inevitable, consequence of this bill, will require Congress to return to the issue of health care reform in a few years. I hope Congress gets it right next time. health care National Provider ID 8 October 1998    1998 Ron Paul 115:1 Mr. PAUL. Mr. Chairman, I am sorry that under the rule my amendment to the Labor-HHS-Education Appropriations bill is not permitted. This simple amendment forbids the Department of Health and Human Services from spending any funds to implement those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans. This identifier would then be used to create a national database containing the medical history of all Americans. Establishment of such an identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizen’s record simply by entering the patient’s identifier into the national database. health care National Provider ID 8 October 1998    1998 Ron Paul 115:3 Allowing the federal government to establish a National Health ID not only threatens privacy but also will undermine effective health care. As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given their doctor will be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier?” health care National Provider ID 8 October 1998    1998 Ron Paul 115:5 Mr. Chairman, the Clinton administration has even come out in favor of allowing law enforcement officials access to health care information, in complete disregard of the fifth amendment. It is bitterly ironic that the same administration that has proven so inventive at protecting its privacy has so little respect for physician-patient confidentiality. health care National Provider ID 8 October 1998    1998 Ron Paul 115:7 The National Provider ID will force physicians who use technologies such as e-mail in their practices to record all health care transactions with the government. This will allow the government to track and monitor the treatment of all patients under that doctor’s care. Government agents may pull up the medical records of a patient with no more justification than a suspicion the provider is involved in fraudulent activity unrelated to that patient’s care! health care National Provider ID 8 October 1998    1998 Ron Paul 115:14 For those who claim that this amendment would interfere with the plans to “simplify” and “streamline” the health care system, under the Constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:1 Mr. PAUL. Mr. Speaker, I appreciate the opportunity to explain why I must oppose H.R. 4567 even though I support reforming the Interim Payment System (IPS) and I certainly support expanding the health care options available to American veterans. However, I cannot support this bill because this solution to home care is inadequate and it raises taxes on Americans instead of cutting wasteful, unconstitutional spending to offset the bill’s increases in expenditures. health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:2 I am pleased that Congress is at last taking action to address the problems created by the IPS. Unless the IPS is reformed, efficient home care agencies across the country may be forced to close. This would raise Medicare costs, as more seniors would be forced to enter nursing homes or forced to seek care from a limited number of home health care agencies. In fact, those agencies that survive the IPS will have been granted a virtual monopoly over the home care market. Only in Washington could punishing efficient businesses and creating a monopoly be sold as a cost-cutting measure! health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:3 Congress does need to act to ensure that affordable home care remains available to the millions of senior citizens who rely on home care. However, the proposal before us today does not address the concerns of small providers in states such as Texas. Instead, it increases the reimbursement rate of home care agencies in other states. I am also concerned that the reimbursement formula in this bill continues to saddle younger home health agencies with lower rates of reimbursement than similarly situated agencies who have been in operation longer. Any IPS reform worthy of support should place all health care agencies on a level playing field for reimbursements. health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:4 A member of my staff has been informed by a small home health care operator in my district that passage of this bill would allow them only to provide an additional eight visits per year. This will not keep home health patients with complex medical conditions out of nursing homes and hospitals. Congress should implement a real, budget-neutral home health care reform rather than waste our time and the taxpayers’ money with the phony reform before us today. health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:5 Mr. Speaker, I also support the language of the bill expanding the health care options available to veterans’ benefits. Ensuring the nation’s veterans have a quality health care system should be one of the governments’ top priorities. In fact, I am currently working on a plan to improve veterans’ health care by allowing them greater access to Medical Savings Accounts (MSAs). However, I cannot, in good conscience, support the proposals before us today because, for all their good intentions, it is fatally flawed in implementation for it attempts to offset its new spending with a tax increase. health care Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998    1998 Ron Paul 118:7 Instead of raising taxes Congress should “offset” these programs by cutting spending in other areas. In particular, Congress should finance veterans health care by reducing expenditures wasted on global adventurism, such as the Bosnia mission. Congress should stop spending Americans blood and treasure to intervene in quarrels that do not concern the American people. health care Freedom And Privacy Restoration Act 6 January 1999    1999 Ron Paul 1:12 Secondly, the federal government has been creating property interests in private information for certain state-favored third parties. For example, a little-noticed provision in the Patient Protection Act established a property right for insurance companies to access personal health care information. Congress also authorized private individuals to receive personal information from government data bases in last year’s copyright bill. The Clinton Administration has even endorsed allowing law enforcement officials’ access to health care information, in complete disregard of the fifth amendment. Obviously, “private protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information! health care Freedom And Privacy Restoration Act 6 January 1999    1999 Ron Paul 1:13 The primary reason why any action short of the repeal of laws authorizing privacy violation is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care Privacy Project Act 24 June 1999    1999 Ron Paul 68:2 If this scheme is not stopped, no American will be able to get a job; open a bank account; apply for Social Security or Medicare; exercise their Second Amendments rights; or even take an airplane flight unless they can produce a state drivers’ license, or its equivalent, that conforms to federal specifications. Under the 1996 Kennedy-Kassebaum health care reform law, Americans may even be forced to present a federally-approved drivers’ license before consulting their physicians for medical treatment! health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:3 Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure. Rather, they represent the failure of government policies which have destroyed the health care market. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:6 No one can take a back seat to me regarding the disdain I hold for the HMO’s role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion through organized medicine, politicians, and the HMO profiteers in an effort to provide universal health care. No one suggests that we should have universal food, housing, TV, computer and automobile programs; and yet, many of the poor do much better getting these services through the marketplace as prices are driven down through competition. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:9 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called patients’ bill of rights are 100 percent endorsement of a principle of government management and will greatly expand government involvement even if the intention is to limit government management of the health care system to the extent necessary to curtail the abuses of the HMO. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:11 The problems started early on when the medical profession, combined with the tax code provisions making it more advantageous for individuals to obtain first-dollar health care coverage from third parties rather than pay for health care services out of their own pockets, influenced the insurance industry into paying for medical services instead of sticking with the insurance principle of paying for major illnesses and accidents for which actuarial estimates could be made. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:12 A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands increased because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels became much more involved in mandating health care for more and more groups. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:17 The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards. Since the problem with our medical system has not been correctly identified in Washington the odds of any benefits coming from the current debates are remote. It looks like we will make things worse by politicians believing they can manage care better than the HMO’s when both sides are incapable of such a feat. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:20 Because the market in medicine has been grossly distorted by government and artificially managed care, it is the only industry where computer technology adds to the cost of the service instead of lowering it as it does in every other industry. Managed care cannot work. Government management of the computer industry was not required to produce great services at great prices for the masses of people. Whether it is services in the computer industry or health care all services are best delivered in the economy ruled by market forces, voluntary contracts and the absence of government interference. health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:23 The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that where available and affordable in other parts of the world! health care Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999    1999 Ron Paul 103:24 The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:2 Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure, rather they represent the failure of government policies which have destroyed the health care market. In today’s system, it appears on the surface that the interest of the patient is in conflict with rights of the insurance companies and the Health Maintenance Organizations (HMOs). In a free market this cannot happen. Everyone’s rights are equal and agreements on delivering services of any kind are entered into voluntarily, thus satisfying both sides. Only true competition assures that the consumer gets the best deal at the best price possible, by putting pressure on the providers. Once one side is given a legislative advantage, in an artificial system, as it is in managed care, trying to balance government dictated advantages between patient and HMOs is impossible. The differences cannot be reconciled by more government mandates which will only makes the problem worse. Because we are trying to patch up an unworkable system, the impasse in Congress should not be a surprise. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:3 No one can take a back seat to me regarding the disdain I hold for the HMOs’ role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion among organized medicine, politicians, and the HMO profiteers, in an effort to provide universal health care. No one suggests that we should have “universal” food, housing, TV, computer and automobile programs and yet many of the “poor” do much better getting these services through the marketplace as prices are driven down through competition. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:6 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called Patient’s Bill of Rights are a 100% endorsement of the principle of government management and will greatly expand government involvement, even if the intention is to limit government management of the health care system to the extent “necessary” to curtail the abuses of the HMOs. The Patients’ Bill of Rights concept is based on the same principles that have given us the mess we have today. Doctors are unhappy, HMOs are being attacked for the wrong reasons, and the patients have become a political football over which all sides demagogue. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:7 The problems started early on when the medical profession, combined with tax code provisions making it more advantageous for individuals to obtain first-dollar health care coverage from third-parties rather than pay for health care services out of their own pockets, influenced the insurance industry into paying for medical services instead of sticking with the insurance principle of paying for major illnesses and accidents for which actuarial estimates could be made. A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels become much more involved in mandating health care for more and more groups. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:12 The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:16 Because the market in medicine has been grossly distorted by government and artificially managed care, it is the only industry where computer technology adds to the cost of the service instead of lowering it as it does in every other industry. Managed care cannot work. Government management of the computer industry was not required to produce great services at great prices for the masses of people. Whether it is services in the computer industry or health care all services are best delivered in the economy ruled by market forces, voluntary contracts and the absence of government interference. health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:19 The ERISA laws requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that were available and affordable in other parts of the world! health care Quality Care For The Uninsured Act 6 October 1999    1999 Ron Paul 104:20 The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. health care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999    1999 Ron Paul 111:17 This program is designed to instruct public and private health care programs throughout the nation as well as medical schools, hospices and the general public. Once these standards are set and if any variation occurs and a subsequent death coincidentally occurs that physician will be under the gun from the DEA. Charges will be made and the doctor will have to defend himself and may end up losing his license. It will with certainty dampen the enthusiasm of the physician caring for the critically ill. health care Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999    1999 Ron Paul 111:18 Under this bill a new program of grants, cooperative agreements and contracts to help professional schools and other medical agencies will be used to educate and train health care professionals in palliative care. It is not explicit but one can expect that if the rules are not followed and an institution is receiving federal money they will be denied these funds unless they follow the universal protocols set up by the federal government. The bill states clearly that any special award under this new program can only be given if the applicant agrees that the program carried out with the award will follow the government guidelines. These new programs will be through the health professional schools, i.e. the medical schools’ residency training programs and other graduate programs in the health professions. It will be a carrot and stick approach and in time the medical profession will become very frustrated with the mandates and the threat that funds will be withheld. health care Pain Relief Promotion Act of 1999. 27 October 1999    1999 Ron Paul 112:15 To help the health care professionals become familiar with what will become the new federal medical standard, the bill also authorizes $24 million dollars over the next five years for grant programs to health education institutions. This is yet another federal action to be found nowhere amongst the enumerated powers. health care Allow Hi-Tech Supervision of Home Health Agency Branch Offices 18 November 1999    1999 Ron Paul 116:2 My district includes many rural areas which are experiencing access problems due to the Health Care Financing Administration’s (HCFA’s) home health branch office policies affecting time/distance limitations and on-site supervision requirements. In many cases, these requirements do not recognize technology advances. In order to ensure that senior citizens in rural areas have access to quality home care, it is vital that any regulations on home health care branch offices promulgated by the Health Care Financing Administration (HCFA) evaluate the offices by quality of outcome instead of arbitrary administration requirements and restrictions. health care A Republic, If You Can Keep It – Part 2 2 February 2000    2000 Ron Paul 5:47 When we finally decide that drug prohibition has been no more successful than alcohol prohibition, the drug dealers will disappear. The monster drug problem we have created is compounded by moves to tax citizens so government can hand out free needles to drug addicts who are breaking the law in hopes that there will be less spread of hepatitis and AIDS in order to reduce government health care costs. health care CONGRATULATING THE PEOPLE OF TAIWAN FOR SUCCESSFUL CONCLUSION OF PRESIDENTIAL ELECTIONS AND REAFFIRMING UNITED STATES POLICY TOWARD TAIWAN AND PEOPLE’S REPUBLIC OF CHINA March 28, 2000    2000 Ron Paul 18:4 * Sadly, the U.S. has in recent years played the role of world interventionist and global policeman. Thomas Jefferson stated in his first inaugural address: ‘Peace, commerce and honest friendship with all nations — entangling alliances with none, I deem [one of] the essential principles of our government, and consequently [one of] those which ought to shape its administration.’ Instead, the U.S. government has become the government force that unconstitutionally subsidizes one country and then pledges taxpayer dollars and lives to fight on behalf of that subsidized country’ enemies. It’s the same sort of wisdom that would subsidize tobacco farmers and pay the health care costs of those who then choose to smoke. health care Statement of Ron Paul on the Freedom and Privacy Restoration Act (HR 220) May 18, 2000    2000 Ron Paul 38:18 The main reason Congress should take action to stop the use of standard identifiers is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000    2000 Ron Paul 60:2 H.R. 1304 is the only bill that I have seen in the last 3 years, probably in the last 30 years, that would move us in a proper direction for health care in this country. For 30 years now we have moved in the direction, not toward socialized medicine, we do not have socialized medicine, we have a mess. We have a monster we created called ‘medical management.’ But we have moved toward corporate medicine. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:1 * Mr. Chairman, I am pleased to take this opportunity to lend my support to H.R. 1304, the Quality Health Care Coalition Act, which takes a first step towards restoring a true free-market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:2 * Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:3 * As an OB-GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:4 * One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, it, like existing antitrust laws, are an unconstitutional violation of medical professionals’ freedom of contract and association. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:6 * By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. I am quite pleased that this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. Contrary to the claims of some of its opponents, H.R. 1304 in no way extends the scourge of federally-mandated compulsory unionism to the health care professions. While Congress should protect the right of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:7 * Mr. Chairman, it is my hope that Congress will follow up on its action today by empowering patients to control their health care by providing all Americans with access to Medical Saving Accounts (MSAs) and large tax credits for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they found most beneficial to them, the HMO monster would wither on the vine without the imposition of new federal regulations on the insurance industry. health care Quality Health-Care Coalition Act of 2000 June 29, 2000    2000 Ron Paul 61:8 * In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to American’s health care professionals. Antitrust laws are no more legitimate or constitutional in the health care market than they are on the software market. Therefore, I hope my colleagues will not just pass this bill but will also support my Market Process Restoration Act and exempt all Americans from antitrust laws. I also urge my colleagues to join me in working to promote a true free-market in health care by putting patients back in charge of the health care dollar through means such as Medical Savings Accounts (MSAs) and individual health care tax credits. health care THE FAMILY HEALTH TAX CUT ACT 29 June 2000    2000 Ron Paul 62:1 * Mr. Speaker, today I attempted to help working Americans provide for their children’s health care needs by introducing the Family Health Tax Cut Act. The Family Health Tax Cut Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. The tax credit would be available to all citizens regardless of whether or not they itemize their deductions. health care THE FAMILY HEALTH TAX CUT ACT 29 June 2000    2000 Ron Paul 62:2 * The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide their employees health insurance. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition, such as cancer or a physical disability, which requires long-term or specialized health care. health care THE FAMILY HEALTH TAX CUT ACT 29 June 2000    2000 Ron Paul 62:3 * As an OB-GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code: Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes their only recourse to health care is the local emergency room. health care THE FAMILY HEALTH TAX CUT ACT 29 June 2000    2000 Ron Paul 62:8 * The Family Health Tax Cut Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Family Health Tax Cut Act. health care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000    2000 Ron Paul 78:2 * I believe I can speak for all of my colleagues when I say that while none of us want to endanger the Medicare trust fund, we also want to ensure that Medicare reforms do not drive valuable health care providers into bankruptcy. After all, denying Medicare recipients in rural areas access to quality health care breaks the promise the government makes to the American people when it requires them to pay taxes to finance the Medicare trust fund that they will receive quality health care in their golden years. health care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000    2000 Ron Paul 78:3 * Therefore, I am pleased to advance this proposal, which was developed by experts in rural health care in my district, which provides help for rural health care without endangering the soundness of the Medicare trust fund. The proposal consists of four simple changes in current Medicare laws for ‘Essential Service Hospitals.’ An Essential Service Hospital is defined as a hospital located in a non-Metropolitan Statistical Area with 50 state-licensed beds or less. The specifics of the legislation are: health care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000    2000 Ron Paul 78:4 * 1. A wage index for Essential Service Hospitals set at 1.0 — Essential Service Hospitals receive 26 percent less Medicare Reimbursement than hospitals in MSA area. This places rural areas at disadvantage in competing for high-quality employees with hospitals in urban areas. Setting the wage index at 1.0 will enhance the ability of rural hospitals to attract the best personal and thus ensure residents of rural areas can continue to receive quality health care. health care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000    2000 Ron Paul 78:7 * 4. Provides a 20 percent Medicare Disproportionate Share (DSH) payment to Essential Service Hospitals — Since small rural hospitals tend to serve a larger number of low-income persons than the average hospital, they have a particular need for Medicare DSH payments. However, many of these hospitals are not benefiting from the DSH program, this legislation will help ensure these hospitals received the support from Medicare they need to continue providing vital health care to low-income residents of rural areas. health care INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000    2000 Ron Paul 78:8 * Considering that the BBA of 1997 has resulted in Medicare savings of over $50 billion more than projected by Congress surely it is not to much to ask that Congress ensure Medicare patients in rural areas are not denied access to quality health care services because of the unintended consequences of the Balanced Budget Amendment. I therefore call on my colleagues to stand up for rural hospitals by cosponsoring the Essential Rural Hospital Preservation Act. health care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000    2000 Ron Paul 79:1 * Mr. Speaker, because September is Childhood Cancer Awareness Month this is an excellent time to reflect on the problems faced by working parents struggling to meet the needs of a child stricken with cancer. I am sure that all would agree that there are few Americans more in need of tax relief than families forced to devote every available resource to caring for a child with a terminal illness such as cancer. This is why I have introduced the Family Health Tax Cut Act (H.R. 4799). This legislation provides a $3,000 tax credit to parents caring for a child with cancer, another terminal disease, or any other serious health condition requiring long-term care. H.R. 4799 also helps all working parents provide routine health care for their children by providing them with a $500 per child tax credit. health care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000    2000 Ron Paul 79:2 * The bill will be particularly helpful to those parents whose employers cannot afford to provide their employees’ health insurance. Often-times those employees work in low-income jobs and thus must struggle to provide adequate health care for their children. This burden is magnified when the child needs special care to cope with cancer or a physical disability. Yet, thanks to Congress’ refusal to grant individuals the same tax breaks for health-care expenses it grants businesses, these hard-working parents receive little or no tax relief to help them cope with the tremendous expenses of caring for a child requiring for a child requiring long-term or specialized care. health care CHILDHOOD CANCER AWARENESS MONTH September 21, 2000    2000 Ron Paul 79:5 * Mr. Speaker, it is tough enough for working families to cope with a child with a serious illness without having to sacrifice resources that should be used for the care of that child to the federal government. It is hard to think of a more compassionate action this Congress can take than to reduce taxes on America’s parents in order to allow them to help provide quality health care to their children. I therefore call on my colleagues to join me in helping working parents provide health care to their children by cosponsoring H.R. 4799, the Family Health Tax Cut Act. health care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000    2000 Ron Paul 92:2 * Many Members, including myself, have worked hard to bring some measure of tax relief to American families this year. We worked to pass meaningful bills which would have eliminated the marriage penalty and eliminated the harmful estate tax. We worked to increase deductions for health care expenses. We worked to increase the tax-deductible amounts individuals can contribute to their IRA and pension plans. We worked for these tax cuts because we know that American families pay too much in taxes. Tax relief has been, and should be, our guiding principle. health care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000    2000 Ron Paul 92:4 * Another worthwhile portion of this bill addresses the needs of rural hospitals, which were unfairly singled out for excessive reductions in Medicare reimbursements by the Balanced Budget Act of 1997. While Congress deserves a share of the blame, most of the problems experienced by rural health care providers are the result of flawed implementation of the Act by the Health Care Financing Administration (HCFA). This administration has decimated rural health care in order to artificially prolong the life of the Medicare trust fund, while avoiding reforms that would give seniors more control over their health care decisions. The administration should not play political games with Medicare trust funds at the expense of rural hospitals. By doing so, it has violated the promise of quality health care made to senior taxpayers in rural areas. health care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000    2000 Ron Paul 92:5 * Mr. Speaker, I also am pleased that this bill extends the Medical Savings Accounts (MSA) program created in 1996. MSAs and generous health care tax deductions are critical to preserving health care freedom. Federal policies removing consumer control over health care dollars inevitably have led to increased decision making by HMOs and federal bureaucrats. health care CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000    2000 Ron Paul 92:6 * We must restore individual control over health care dollars, and MSAs coupled with health care tax credits and deductions are an important step in the right direction. MSAs and health care tax deductions lower health care costs without sacrificing quality by motivating patients to negotiate for the highest quality care at a reasonable price. health care INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001    2001 Ron Paul 1:13 * Perhaps the most outrageous example of phony privacy protection is the Clinton Administration’s so-called “medical privacy” proposal, which allow medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information. health care INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001    2001 Ron Paul 1:14 * The primary reason why any action short of the repeal of laws authorizing privacy violations is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with chains of the Constitution.” health care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001    2001 Ron Paul 7:5 The feared gridlock anticipated for the 107th Congress will differ little from the other legislative battles in recent previous congresses. Yes, there will be heated arguments regarding the size of budgets, local vs. federal control, and private vs. government solutions. But a serious debate over the precise role for government is unlikely to occur. I do not expect any serious challenge to the 20th Century consensus of both major parties-that the federal government has a significant responsibility to deal with education, health care, retirement programs, or managing the distribution of the welfare state benefits. Both parties are in general agreement on monetary management, environmental protection, safety and risks both natural and man-made. Both participate in telling others around the world how they must adopt a democratic process similar to ours, as we police our worldwide financial interests. health care CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC — February 07, 2001    2001 Ron Paul 7:153 The quality of medical care is slipping, and the benefits provided by government are seen by more and more people to not really be benefits at all. This trend does not make America feel more confident about the future of health care. health care POTENTIAL FOR WAR February 08, 2001    2001 Ron Paul 10:81 As a physician deeply concerned about the health of all Americans, I am convinced that the Government encroachment into the health care choices has been very detrimental. health care POTENTIAL FOR WAR February 08, 2001    2001 Ron Paul 10:99 The quality of medical care is slipping and the benefits provided by government are seen by more and more people to not really be benefits at all. This trend does not make Americans feel more confident about the future of health care. Let there be no doubt, many Americans are concerned about their future, even though many still argue that the problem is only that government has not done enough. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:2 * Mr. PAUL. Mr. Speaker, I highly recommend the attached article, “Blame Congress for HMOs” by Twila Brase, a registered nurse and President of the Citizens’ Council on Health Care, to my colleagues. Ms. Brase demolishes the myth that Health Maintenance Organizations (HMOs), whose power to deny Americans the health care of their choice has been the subject of much concern, are the result of an unregulated free-market. Instead, Ms. Brase reveals how HMOs were fostered on the American people by the federal government for the express purpose of rationing care. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:3 * The story behind the creation of the HMOs is a classic illustration of how the unintended consequences of government policies provide a justification for further expansions of government power. During the early seventies, Congress embraced HMOs in order to address concerns about rapidly escalating health care costs. However, it was Congress which had caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to costs when selecting health care. Because the consumer had the incentive to control health care cost stripped away, and because politicians where unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs, preempting state laws forbidding physicians to sign contracts to deny care to their patients, and mandating that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sounds like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, Big Government mindset that produced wage-and-price controls. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:4 * Mr. Speaker, in reading this article, I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today promoting the so-called “patients’ rights” legislation which attempts to deal with the problem of the HMOs by imposing new federal mandates on the private sector. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs in the free market, and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:5 * As Ms. Brase, points out, so-called “patients’ rights” legislation will only further empower federal bureaucrats to make health care decisions for individuals and entrench the current government-HMO complex. Furthermore, because the Patient’s Bill of Rights will increase health care costs, thus increasing the number of Americans without health insurance, it will result in pleas for yet another government intervention in the health care market! health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:6 * The only true solution to the health care problems is to truly allow the private sector to work by restoring control of the health care dollar to the individual through Medical Savings Accounts (MSAs) and large tax credits. In the Medicare program, seniors should not be herded into HMOs but instead should receive increased ability to use Medicare MSAs, which give them control over their health care dollars. Of course, the limits on private contracting in the Medicare program should be lifted immediately. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:7 * In conclusion, Mr. Speaker, I hope all my colleagues will read this article and take its lesson to heart. Government-managed care, whether of the socialist or corporatist variety, is doomed to failure. Congress must instead restore a true free-market in health care if we are serious about creating conditions under which individuals can receive quality care free of unnecessary interference from third-parties and central planners. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:14 Limited by a noninterference promise attached to Medicare law — enacted in response to concerns that government health care would permit rationing — Congress and federal officials had to be creative. Although Medicare officials could not deny services outright, they could shift financial risk to doctors and hospitals, thereby influencing decision-making at the bedside. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:17 Senator Edward M. Kennedy, a longtime advocate of national health care, proceeded to hold three months of extensive hearings in 1971 on what was termed the “Health Care Crisis in America.” Following these hearings, he held a series of hearing “on the whole question of HMO’s.” health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:22 In the Senate, Kennedy, author of the HMO Act, also encouraged its passage: “I have strongly advocated passage of legislation to assist the development of health maintenance organizations as a viable and competitive alternative to fee-for-service practice. ..... This bill represents the first initiative by the Federal Government which attempts to come to grips directly with the problems of fragmentation and disorganization in the health care industry. ..... I believe that the HMO is the best idea put forth so far for containing costs and improving the organization and the delivery of health-care services.” In a roll call vote, only Senator Herman Talmadge voted against the bill. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:33 The move to managed care has been strongly supported by public-health officials who anticipate that public-private partnerships will provide funding for public-health infrastructure and initiatives, along with access to the medical records of private patients. The fact that health care is now organized in large groups by companies that hold millions of patient records and control literally hundreds of millions of health-care dollars has allowed unprecedented relationships to form between governments and health plans. health care Blame Congress for HMOs February 27, 2001    2001 Ron Paul 15:37 At worst, such offers are an obfuscation designed to entrench federal control over health care through the HMOs. At best they are deceptive placation. Congress has no desire to eliminate managed care, and federal regulation of HMOs and other managed-care corporations will not protect patients from rationing. Even the U.S. Supreme Court acknowledged in its June 12, 2000, Pegram health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:4 * Mr. Speaker, these regulations also require health care providers to give medical records to the federal government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information. health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:9 * The collection and storage of personal medical information “authorized” by these regulations may also revive an effort to establish a “unique health identifier” for all Americans. The same legislation which authorized these privacy rules also authorized the creation of a “unique health care identifier” for every American. However, Congress, in response to a massive public outcry, has included a moratorium on funds for developing such an identifier in HHS budgets for the last three fiscal years. health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:10 * By now it should be clear to every member of Congress that the American people do not want their health information recorded on a database, and they do not wish to be assigned a unique health identifier. According to a survey by the respected Gallup Company, 91 percent of Americans oppose assigning Americans a “unique health care identifier” while 92 percent of the people oppose allowing government agencies the unrestrained power to view private medical records and 88 percent of Americans oppose placing private health care information in a national database. Mr. Speaker, Congress must heed the wishes of the American people and repeal these HHS regulations before they go into effect and become a backdoor means of numbering each American and recording their information in a massive health care database. health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:11 * The American public is right to oppose these regulations, for they not only endanger privacy but could even endanger health! As an OB-GYN with more than 30 years experience in private practice, I am very concerned by the threat to medical practice posed by these regulations. The confidential physician-patient relationship is the basis of good health care. Oftentimes, effective treatment depends on the patient’s ability to place absolute trust in his or her doctor. The legal system has acknowledged the importance of maintaining physician-patient confidentiality by granting physicians a privilege not to divulge confidential patient information. health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:13 * Mr. Speaker, I am sure my colleagues agree that questions regarding who should or should not have access to one’s medical privacy are best settled by way of contract between a patient and a provider. However, the government-insurance company complex that governs today’s health care industry has deprived individual patients of control over their health care records, as well as over numerous other aspects of their health care. Rather than put the individual back in charge of his or her medical records, the Department of Health and Human Services’ privacy regulations give the federal government the authority to decide who will have access to individual medical records. These regulations thus reduce individuals’ ability to protect their own medical privacy. health care The Medical Privacy Protection Resolution March 15, 2001    2001 Ron Paul 19:14 * These regulations violate the fundamental principles of a free society by placing the perceived “societal” need to advance medical research over the individual’s right to privacy. They also violate the fourth and fifth amendments by allowing law enforcement officials and government favored special interests to seize medical records without an individual’s consent or a warrant and could facilitate the creation of a federal database containing the health care data of every American citizen. These developments could undermine the doctor-patient relationship and thus worsen the health care of millions of Americans. I, therefore, call on my colleagues to join me in repealing this latest threat to privacy and quality health care by cosponsoring the Medical Privacy Protection Resolution. health care Protecting Privacy and Preventing Misuse of Social Security Numbers May 22, 2001    2001 Ron Paul 37:10 The primary reason why any action short of the repeal of laws authorizing privacy violation is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:1 * Mr. PAUL. Mr. Speaker, I rise to introduce the Patient Privacy Act, which repeals those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans, as well as prohibiting the use of federal funds to develop or implement a database containing personal health information. health care THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:2 * Establishment of such a medical identifier, especially when combined with HHS’s misnamed “federal privacy” regulations, would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizens’ record simply by entering the patient’s identifier into a health care database. health care THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001    2001 Ron Paul 65:10 * Those who claim that the Patient Privacy act would interfere with the plans to “simplify” and “streamline” the health care system, should remember that under the constitution, the rights of people should never take a backseat to the convenience of the government or politically powerful industries like HMOs. health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:1 * Mr. PAUL. Mr. Speaker, I rise to introduce legislation which enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option. health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:3 * One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. Medicare MSAs give those seniors who need to use Medicare funds for prescription drugs the ability to do so without expanding the power of the federal bureaucracy or forcing those seniors who currently have prescription drug coverage into a federal one-size-fits-all program. health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:4 * Medicare MSAs will also ensure seniors access to a wide variety of health care services health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:5 [Page: E1538] GPO’s PDF by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from the this burden thus making it more likely that quality providers will remain in the Medicare program! health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:6 * Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington-DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. health care LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL Thursday, August 2, 2001    2001 Ron Paul 70:7 * In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs by cosponsoring my legislation to expand the Medicare MSA program. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:1 Mr. PAUL. Mr. Chairman, I appreciate the opportunity to explain why I oppose all versions of the Patients’ Bill of Rights. Once again Congress is staging a phony debate over which form of statism to embrace, instead of asking the fundamental question over whether Congress should be interfering in this area at all, much less examine how previous interferences in the health care market created the problems which these proposals claim to address. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:2 The proper way to examine health care issues is to apply the same economic and constitutional principles that one would apply to every other issue. As an M.D., I know that when I advise on medical legislation that I may be tempted to allow my emotional experience as a physician to influence my views. But, nevertheless, I am acting in the role as legislator and politician. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:3 The M.D. degree grants no wisdom as to the correct solution to our managed-care mess. The most efficient manner to deliver medical services, as it is with all goods and services, is through the free market. Economic principles determine efficiencies of markets, even the health care market, not our emotional experiences dealing with managed care. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:4 The fundamental economic principle is that true competition assures that the consumer gets the best deal at the best price possible by putting pressure on the providers. This principle applies equally to health care as it does to other goods and services. However, over the past fifty years, Congress has systematically destroyed the market in health care. HMOs themselves are the result of conscious government policy aimed at correcting distortions in the health care market caused by Congress. The story behind the creation of the HMOs is a classic illustration of how the unintended consequences of government policies provide a justification for further expansions of government power. During the early seventies, Congress embraced HMOs in order to address concerns about rapidly escalating health care costs. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:5 However, it was previous Congressional action which caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to prices when selecting health care. Because the consumer had the incentive to monitor health care prices stripped away and because politicians were unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs and preempting state laws forbidding physicians to sign contracts to deny care to their patients. This legislation also mandated that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sound like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, big government mindset that produced wage-and-price controls. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:6 I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today among the biggest supporters of the “patients’ rights” legislation. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:7 No one can take a back seat to me regarding the disdain I hold for the HMO’s role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care. These non-market institutions and government could have only gained control over medical care through a collusion of organized medicine, politicians, and the HMO profiteers in an effort to provide universal health care. No one suggests that we should have universal food, housing, TV, computer and automobile programs; and yet, many of the poor to much better getting these services through the marketplace as prices are driven down through competition. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:9 Mr. Chairman, the legislation before us is flawed not only in its effect but in the very premise that individuals have a federally-enforceable “right” to health care. Mixing the concept of rights with the delivery of services is dangerous. The whole notion that patient’s “rights” can be enhanced by more edicts by the federal government is preposterous. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:11 Many members of Congress have convinced themselves that they can support a “watered-down” Patients’ Bill of Rights which will allow them to appease the supporters of nationalized medicine without creating the negative consequences of the unmodified Patients’ Bill of Rights, while even some supporters of the most extreme versions of this legislation say they will oppose any further steps to increase the power of government over health care. These well-intentioned members ignore the economic fact that partial government involvement is not possible. It inevitably leads to total government control. A vote for any version of a Patients’ Bill of Rights is a 100 percent endorsement of the principle of government management of the health care system. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:12 Those who doubt they are endorsing government control of medicine by voting for a modified Patients’ Bill of Rights should consider that even after this legislation is “watered- down” it will still give the federal government the power to control the procedures for resolving disputes for every health plan in the country, as well as mandating a laundry list of services that health plans must offer to their patients. The new and improved Patients’ Bill of Rights will still drive up the costs of health care, causing many to lose their insurance and lead to yet more cries for government control of health care to address the unintended consequences of this legislation. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:13 Of course, the real power over health care will lie with the unelected bureaucrats who will implement and interpret these broad and vague mandates. Federal bureaucrats already have too much power over health care. Today, physicians struggle with over 132,000 pages of Medicare regulations. To put that in perspective, I ask my colleagues to consider that the IRS code is “mere” 17,000 pages. Many physicians pay attorneys as much as $7,000 for a compliance plan to guard against mistakes in filing government forms, a wise investment considering even an innocent mistake can result in fines of up to $25,000. In case doctors are not terrorized enough by the federal bureaucracy, HCFA has requested authority to carry guns on their audits! health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:15 Instead of this phony argument between those who believe their form of nationalized medicine is best for patients and those whose only objection to nationalized medicine is its effect on entrenched corporate interests, we ought to consider getting rid of the laws that created this medical management crisis. The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care. This was known up front and was considered an acceptable practice since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:18 While none of the proposed “Patients’ Bill of Rights” addresses the root cause of the problems in our nation’s health care system, the amendment offered by the gentleman from Kentucky does expend individual control over health care by making Medical Savings Accounts (MSAs) available to everyone. This is the most important thing Congress can do to get market forces operating immediately and improve health care. When MSAs make patient motivation to save and shop a major force to reduce cost, physicians would once again negotiate fees downward with patients — unlike today where the reimbursement is never too high and hospital and MD bills are always at the maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. health care Patients’ Bill Of Rights 2 August 2001    2001 Ron Paul 74:20 In conclusion, Mr. Chairman, I urge my colleagues to reject the phony Patients’ Bill of Rights which will only increase the power of the federal government, cause more Americans to lose their health care or receive substandard care, and thus set the groundwork for the next round of federal intervention. Instead. I ask my colleagues to embrace an agenda of returning control over health care to the American people by putting control over the health care dollar back into the hands of the individual and repealing those laws and regulations which distort the health care market. We should have more faith in freedom and more fear of the politicians and bureaucrats who think all can be made well by simply passing a Patients’ Bill of Rights. health care Statement on Preventing Identity Theft by Terrorists and Criminals November 8, 2001    2001 Ron Paul 96:6 My colleagues should remember that the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. The tax credit would be available to all citizens regardless of whether or not they itemize their deductions. health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:2 The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide their employees health insurance. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on, parents whose children have a medical condition, such as cancer or a physical disability, which requires long-term or specialized health care. health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:3 As an OB-GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code: Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes their only recourse to health care is the local emergency room. health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:4 Sometimes parents are forced to delay seeking care for their children until minor health concern that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency room facilities would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:6 Under the Child Health Care Affordability Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:7 Mr. Speaker, this Congress has a moral responsibility to provide tax relief for low-income parents struggling to care for a sick child, in order to help them better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue, but who is more deserving of this money, Congress or the working parents of a sick child? health care AFFORDABILITY OF CHILD HEALTH CARE June 11, 2002    2002 Ron Paul 54:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. health care H.R. 4954 27 June 2002    2002 Ron Paul 63:1 Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 4954 or the alternative allow seniors the ability to control their own health care. Instead both plans give a large bureaucracy the power to determine what prescription drugs senior citizens can receive. The only difference is that alternative puts seniors under the control of the federal bureaucy, while H.R. 4954 gives this power to “private” health maintenance organizations and insurance companies. health care H.R. 4954 27 June 2002    2002 Ron Paul 63:2 I am pleased that the drafters of H.R. 4954 incorporate regulatory relief legislation, which I have supported in the past, into the bill. This will help relieve some of the tremendous regulatory burden imposed on health care providers by the Federal Government. I am also pleased that H.R. 4954 contains several good provisions addressing the Congressionally-created crisis in rural health and attempting to ensure that physicians are fairly reimbursed by the Medicare system. health care H.R. 4954 27 June 2002    2002 Ron Paul 63:3 However, Mr. Speaker, at the heart of this legislation is a fatally flawed plan that will fail to provide seniors access to the pharmaceuticals of their choice. H.R. 4954 requires seniors to enroll in a prescription benefit management company (PBM), which is the equivalent of an HMO. Under this plan, the PBM will have the authority to determine which pharmaceuticals are available to seniors. Thus, in order to get any help with their prescription drug costs, seniors have to relinquish their ability to choose the type of prescriptions that meet their own individual needs! The inevitable result of this process will be rationing, as PBM bureaucrats attempt to control costs by reducing the reimbursements paid to pharmacists to below-market levels (thus causing pharmacists to refuse to participate in PBM plans), and restricting the type of pharmacies seniors may use in the name of “cost effectiveness.” PBM bureaucrats may even go so far as to forbid seniors from using their own money to purchase Medicare-covered pharmaceuticals. I remind my colleagues that today the federal government prohibits seniors from using their own money to obtain health care services which differ from those “approved” of by the Medicare bureaucracy! health care H.R. 4954 27 June 2002    2002 Ron Paul 63:8 Mr. Speaker, our seniors deserve better than a “choice” between whether a private-orpublic sector bureaucrat will control their health care. Meaningful prescription drug legislation should be based on the principles of maximum choice and flexibility for senior citizens. For example, my H.R. 2268 provides seniors the ability to use Medicare dollars to cover the costs of prescription drugs in a manner that increases seniors’ control over their own health care. health care H.R. 4954 27 June 2002    2002 Ron Paul 63:10 Medicare MSAs will also ensure senior access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services. The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! health care H.R. 4954 27 June 2002    2002 Ron Paul 63:11 Mr. Speaker, seniors should not be treated like children by the federal government and told what health care services they can and cannot have. We in Congress have a duty to preserve and protect the Medicare trust fund. We must keep the promise to American’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington, DC — based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. health care Is America a Police State? June 27, 2002    2002 Ron Paul 64:26 Because government pays for much of our health care, it’s conveniently argued that any habits or risk-taking that could harm one’s health are the prerogative of the federal government, and are to be regulated by explicit rules to keep medical-care costs down. This same argument is used to require helmets for riding motorcycles and bikes. health care Statement on Medical Malpractice Legislation September 26, 2002    2002 Ron Paul 90:8 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. health care Statement on Medical Malpractice Legislation September 26, 2002    2002 Ron Paul 90:11 In conclusion, Mr. Speaker, while I support the efforts of the sponsors of HR 4600 to address the crisis in health care caused by excessive malpractice litigation and insurance premiums, I cannot support this bill. HR 4600 exceeds Congress’ constitutional limitations and denies full compensation to those harmed by the unintentional effects of federal vaccine mandates. Instead of furthering unconstitutional authority, my colleagues should focus on addressing the root causes of the malpractice crisis by supporting efforts to restore the primacy of contract to the doctor-patient relationships. health care Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003    2003 Ron Paul 4:13 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy” regulation, which allows medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information. health care Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003    2003 Ron Paul 4:14 The primary reason why any action short of the repeal of laws authorizing privacy violations is insufficient is because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:1 Mr. PAUL. Mr. Speaker, I rise to introduce legislation which enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option. health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:3 One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. Medicare MSAs give those seniors who need to use Medicare funds for prescription drugs the ability to do so without expanding the power of the federal bureaucracy or forcing those seniors who currently have prescription drug coverage into a federal one-size-fits-all program. health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:4 Medicare MSAs will also ensure seniors access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from this burden thus making it more likely that quality providers will remain in the Medicare program! health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:5 Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:6 However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cooking cutter program designed by Washington- DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. health care Expand Medicare MSA Program 5 February 2003    2003 Ron Paul 12:7 In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs by cosponsoring my legislation to expand the Medicare MSA program. health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:1 Mr. Speaker, I rise to introduce legislation that enhances senior citizens’ ability to control their health care and use Medicare money to pay for prescription drugs. This legislation accomplishes these important goals by removing the numerical limitations and sunset provisions in the Medicare Medical Savings Account (MSAS) program so that all seniors can take advantage of the Medicare MSA option. health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:3 One of the major weaknesses of the Medicare program is that seniors do not have the ability to use Medicare dollars to cover the costs of prescription medicines, even though prescription drugs represent the major health care expenditure for many seniors. health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:5 Medicare MSAs will also ensure seniors access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services (previously known as the Health Care Financing Administration). The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:6 Mr. Speaker, the most important reason to enact this legislation is seniors should not be treated like children and told what health care services they can and cannot have by the federal government. We in Congress have a duty to preserve and protect the Medicare trust fund and keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:7 However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington-DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. health care Support Medical Savings Accounts for Medicare February 13, 2003    2003 Ron Paul 21:8 In conclusion, Mr. Speaker, I urge my colleagues to provide our senior citizens greater control of their health care, including the ability to use Medicare money to purchase prescription drugs, by cosponsoring legislation to expand the Medicare MSA program. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:2 Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:3 As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:4 One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:6 By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:7 Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by expanding access to Medical Savings Accounts and providing Americans with large tax credits and tax deductions for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. health care Quality Health Care Coalition Act 12 March 2003    2003 Ron Paul 32:8 In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. health care Freedom From Unnecessary Litigation Act 12 March 2003    2003 Ron Paul 33:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. health care Freedom From Unnecessary Litigation Act 12 March 2003    2003 Ron Paul 33:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. health care Freedom From Unnecessary Litigation Act 12 March 2003    2003 Ron Paul 33:3 The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates. health care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003    2003 Ron Paul 34:7 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. health care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003    2003 Ron Paul 34:9 Congress could also help physicians lower insurance rates by passing legislation, such as my Quality Health Care Coalition Act (H.R. 1247), that removes the antitrust restrictions preventing physicians from forming professional organizations for the purpose of negotiating contracts with insurance companies and HMOs. These laws give insurance companies and HMOs, who are often protected from excessive malpractice claims by ERISA, the ability to force doctors to sign contracts exposing them to excessive insurance premiums and limiting their exercise of professional judgment. The lack of a level playing field also enables insurance companies to raise premiums at will. In fact, it seems odd that malpractice premiums have skyrocketed at a time when insurance companies need to find other sources of revenue to compensate for their losses in the stock market. health care Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003    2003 Ron Paul 34:10 In conclusion, Mr. Speaker, while I support the efforts of the sponsors of H.R. 5 to address the crisis in health care caused by excessive malpractice litigation and insurance premiums, I cannot support this bill. H.R. 5 exceeds Congress’ constitutional limitations and denies full compensation to those harmed by the unintentional effects of federal vaccine mandates. Instead of furthering unconstitutional authority, my colleagues should focus on addressing the root causes of the malpractice crisis by supporting efforts to restore the primacy of contract to the doctor-patient relationships. health care Crisis In Healthcare 13 March 2003    2003 Ron Paul 35:1 Mr. PAUL. Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care Crisis In Healthcare 13 March 2003    2003 Ron Paul 35:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all ilncentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care Crisis In Healthcare 13 March 2003    2003 Ron Paul 35:3 Returning control over health care to the individual is the key to true health care reform. This is why today I am introducing the Comprehensive Health Care Reform Act. This legislation puts control of health care back into the hands of the individual through tax credits, tax deductions, Medical Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act: health care Crisis In Healthcare 13 March 2003    2003 Ron Paul 35:4 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes. health care Crisis In Healthcare 13 March 2003    2003 Ron Paul 35:8 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a recent poll by the respected Zogby firm showed that over 80 percent of Americans support providing all Americans with access to a Medical Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003    2003 Ron Paul 39:1 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. health care “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003    2003 Ron Paul 39:2 The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates. health care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003    2003 Ron Paul 40:1 Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003    2003 Ron Paul 40:2 Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003    2003 Ron Paul 40:3 Returning control over health care to the individual is the key to true health care reform. This why today I am introducing the Comprehensive Health Care Reform Act. This legislation puts control of health care back into the hands of the individual through tax credits, tax deductions, Medical Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act: health care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003    2003 Ron Paul 40:4 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes- meaning even low-income taxpayers benefit; health care Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003    2003 Ron Paul 40:8 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a recent poll by the respected Zogby firm showed that over 80% of Americans support providing all Americans with access to a Medical Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:1 Mr. Speaker, I rise to introduce the Patient Privacy Act. This bill repeals the misnamed Medical Privacy regulation, which went into effect on April 14 and actually destroys individual medical privacy. The Patient Privacy Act also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 authorizing the establishment of a “standard unique health care identifier” for all Americans, as well as prohibiting the use of federal funds to develop or implement a database containing personal health information. Both of these threats to medical freedom grew out of the Clinton-era craze to nationalize health care as much as politically possible. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:2 Establishment of a uniform medical identifier would allow federal bureaucrats to track every citizen’s medical history from cradle to grave. Furthermore, as explained in more detail below, it is possible that every medical professional, hospital, and Health Maintenance Organization (HMO) in the country would be able to access an individual citizen’s records simply by entering an identifier into a health care database. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:6 Mr. Speaker, these regulations also require health care providers to give medical records to the federal government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information, accessible to anyone who knows the individual’s unique health identifier. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:11 As an OB-GYN with more than 30 years experience in private practice, I am very concerned by the threat to medical practice posed by these privacy regulations and the unique health identifier scheme. The confidential physician-patient relationship is the basis of good health care. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:14 By now it should be clear to every member of Congress that the American people do not want their health information recorded on a database, and they do not wish to be assigned a unique health identifier. According to a survey by the respected Gallup Company, 91 percent of Americans oppose assigning Americans a unique health care identifier, while 92 percent of the people oppose allowing government agencies the unrestrained power to view private medical records and 88 percent of Americans oppose placing private health care information in a national database. Congress has acknowledge this public concern by including language forbidding the expenditure of funds to implement or develop a medical identifier in the federal budget for the past five fiscal years. Rather than continuing to extend the prohibition on funding for another year, Congress should finally obey the wishes of the American people by repealing the authorization of the individual medical ID this year as well as repealing these dangerous medical privacy rules. health care Repeal the So-Called “Medical Privacy Rule” April 9, 2003    2003 Ron Paul 49:15 Mr. Speaker, the misnamed medical privacy regulations and the scheme to assign all Americans a unique health care identifier violates the Fourth and Fifth amendments by allowing law enforcement officials and government favored special interests to seize medical records without an individual’s consent or a warrant. Federal supervision of who can access medical records, combined with a federally-assigned medical ID, facilitate the creation of a federal database containing the health care data of every American citizen. These developments could undermine the doctor-patient relationship and thus worsen the health care of millions of Americans. I, therefore, call on my colleagues to join me in repealing these threats to privacy and quality health care by cosponsoring the Patient Privacy Act. health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:1 Mr. PAUL. Mr. Speaker, while there is little debate about the need to update and modernize the Medicare system to allow seniors to use Medicare funds for prescription drugs, there is much debate about the proper means to achieve this end. However, much of that debate is phony, since neither H.R. 1 nor the alternative allows seniors the ability to control their own health care. Both plans give a large bureaucracy the power to determine which prescription drugs senior citizens can receive. Under both plans, federal spending and control over health care will rise dramatically. The only difference is that the alternative puts seniors under the total control of the federal bureaucracy, while H.R. 1 shares this power with “private” health maintenance organizations and insurance companies. No wonder supporters of nationalized health care are celebrating the greatest expansion of federal control over health care since the Great Society. health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:2 I am pleased that the drafters of H.R. 1 incorporate regulatory relief legislation, which have supported in the past, into the bill. This will help relieve some of the tremendous regulatory burden imposed on health care providers by the Federal Government. I am also pleased that H.R. 1 contains several good provisions addressing the congressionally-created crisis in rural health and attempts to ensure that physicians are fairly reimbursed by the Medicare system. health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:4 Thus, in order to get any help with their prescription drug costs, seniors have to relinquish their ability to choose the type of prescriptions that meet their own individual needs! The inevitable result of this process will be rationing, as Medicare and/or HMO bureaucrats attempt to control costs by reducing the reimbursements paid to pharmacists to below-market levels (thus causing pharmacists to refuse to participate in Medicare), and restricting the type of pharmacies seniors may use in the name of “cost effectiveness.” Bureaucrats may even go so far as to forbid seniors from using their own money to purchase Medicarecovered pharmaceuticals. I remind may colleagues that today the federal government prohibits seniors from using their own money to obtain health care services that differ from those “approved” of by the Medicare bureaucracy! health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:14 Mr. Speaker, our seniors deserve better than a “choice” between whether a private or a public sector bureaucrat will control their health care. Meaningful prescription drug legislation should be based on the principles of maximum choice and flexibility for senior citizens. For example, my H.R. 1617 provides seniors the ability to use Medicare dollars to cover the costs of prescription drugs in a manner that increases seniors’ control over their own health care. health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:16 Medicare MSAs will also ensure that seniors have access to a wide variety of health care services by minimizing the role of the federal bureaucracy. As many of my colleagues know, an increasing number of health care providers have withdrawn from the Medicare program because of the paperwork burden and constant interference with their practice by bureaucrats from the Center for Medicare and Medicaid Services. The MSA program frees seniors and providers from this burden, thus making it more likely that quality providers will remain in the Medicare program! health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:17 There are claims that this bill provides seniors access to MSAs. It is true that this bill lifts the numerical caps on Medicare MSAs; however, it also imposes price controls and bureaucratic requirements on MSA programs. Thus, the MSAs contained in this bill do nothing to free seniors and health care providers from third party control of health care decisions! health care Medicare Funds For Prescription Drugs 26 June 2003    2003 Ron Paul 71:18 Mr. Speaker, seniors should not be treated like children by the federal government and told what health care services they can and cannot have. We in Congress have a duty to preserve and protect the Medicare trust fund. We must keep the promise to America’s seniors and working Americans, whose taxes finance Medicare, that they will have quality health care in their golden years. However, we also have a duty to make sure that seniors can get the health care that suits their needs, instead of being forced into a cookie cutter program designed by Washington, DC-based bureaucrats! Medicare MSAs are a good first step toward allowing seniors the freedom to control their own health care. health care The Senior Citizens Freedom Of Choice Act 17 July 2003    2003 Ron Paul 81:5 Seniors may wish to refuse Medicare for a variety of reasons. Some seniors may wish to continue making their own health care decisions, rather than have those decisions made for them by the Centers for Medicare and Medicaid Services (CMS). Other seniors may have a favorite physician who is one of the growing number of doctors who have been driven out of the Medicare program by CMS’s micromanagement of their practices and below-cost reimbursements. health care H.R. 2427, the Pharmaceutical Market Access Act 24 July 2003    2003 Ron Paul 91:7 However, the fact that Medicare, that is already on shaky financial ground, will soon be subsidizing prescription drug costs makes it more important than ever that Congress address the issue of prescription drug costs. Of course, Congress’s actions should respect our constitutional limits and not further expand the role of government in the health care market. health care Opposing H.R. 557 17 March 2004    2004 Ron Paul 19:13 Article 14 of the new constitution grants the Iraqi people the “right” to “security, education, health care, and social security,” and affirms that “the Iraqi state . . . shall strive to provide prosperity and employment opportunities to the people.” This sounds more like the constitution of the old USSR than that of a free and market-oriented society. Further, this constitution declares that Iraqi citizens “shall not be permitted to possess, bear, buy, or sell arms” except by special license — denying the right of self defense to the Iraqi people just as their security situation continues to deteriorate. The Iraqi constitution also sets up a quota system for the Iraqi electoral system, stating that women should “constitute no less than one-quarter of the members of the National Assembly.” Is this kind of social engineering in Iraq on very left-liberal lines really appropriate? Are we doing the Iraqi people any favors with this approach? health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:2 The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care. health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:6 Under the Child Health Care Affordability Act, a struggling singling mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:7 Mr. Speaker, this Congress has a moral responsibility to provide tax relief so that low-income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child? health care The Child Health Care Affordability Act 24 March 2004    2004 Ron Paul 23:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. health care Reject the Millennium Challenge Act May 19, 2004    2004 Ron Paul 35:9 MCA encourages a socialist approach to health care in recipient countries. In rewarding a top-down government-controlled approach to health care, the program ignores the fact that this model has failed miserably wherever it has been applied. Ask anyone in the former communist countries how they liked their government healthcare system. health care Introducing The Identity Theft protection Act 4 January 2005    2005 Ron Paul 2:16 Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy”’ regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. health care Introducing The Identity Theft protection Act 4 January 2005    2005 Ron Paul 2:17 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the Federal Government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any Federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the Federal Government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the Federal Government) down with the chains of the Constitution.” health care Government IDs and Identity Theft January 6, 2005    2005 Ron Paul 5:16 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy'” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. health care Government IDs and Identity Theft January 6, 2005    2005 Ron Paul 5:17 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care Seniors’ Health Care Freedom Act 2 February 2005    2005 Ron Paul 15:1 Mr. PAUL. Mr. Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repealing federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services. health care Seniors’ Health Care Freedom Act 2 February 2005    2005 Ron Paul 15:3 Seniors’ right to control their own health care is also being denied due to the Social Security Administration’s refusal to give seniors who object to enrolling for Medicare Part A Social Security benefits. This not only distorts the intent of the creators of the Medicare system; it also violates the promise represented by Social Security. Americans pay taxes into the Social Security Trust Fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join an additional government program! health care Seniors’ Health Care Freedom Act 2 February 2005    2005 Ron Paul 15:4 At a time when the fiscal solvency of Medicare is questionable, to say the least, it seems foolish to waste scarce Medicare funds on those who would prefer to do without Medicare. Allowing seniors who neither want nor need to participate in the program to refrain from doing so will also strengthen the Medicare program for those seniors who do wish to participate in it. Of course, my bill does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits or to use his own resources to obtain health care. health care Seniors’ Health Care Freedom Act 2 February 2005    2005 Ron Paul 15:5 Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act. health care Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005    2005 Ron Paul 34:6 We’re rapidly moving toward a time when these decisions will be based on the cost of care alone, since government pays all the bills under nationalized health care. As we defer to the state for our needs, and parental power is transferred to government, it is casually expected that government will be making more and more of these decisions. This has occurred in education, general medical care, and psychological testing. The government now can protect the so-called right of a teenager to have an abortion, sometimes paid for by the government, without notifying the parents. health care Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005    2005 Ron Paul 34:21 The accountants already have calculated that if the baby-boomer generation is treated to allow maximum longevity without quality of life concerns, we’re talking about $7 trillion in additional medical costs. Economists will determine the outcome, and personal decisions will vanish. National health care, of necessity, will always conflict with personal choices. health care Introducing The Consumers Access To Health Information Act 12 May 2005    2005 Ron Paul 48:7 At a time when health care costs are rising it is absurd for the federal government to prevent Americans from learning about how they increase their chances of staying healthy by making simple changes in their diets. However, this bill is about more than physical health; it is about freedom. The First Amendment forbids Congress from abridging freedom of all speech, including commercial speech. The type of prior restraint the FDA exercises over these health claims has also been thought to be particularly repugnant to the First Amendment. In a free society, the federal government must not be allowed to prevent people from receiving information enabling them to make informed decisions about whether or not they will use dietary supplements or eat certain foods. I, therefore, urge my colleagues to take a step toward restoring freedom by cosponsoring the Consumer Access to Health Information Act. health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:1 Mr. PAUL. Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise, leaving many Americans unable to afford health insurance, while those with health care coverage, and their physicians, struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:3 Furthermore, the predominance of third- party payers means there is effectively no market for individual health insurance policies, thus those whose employers cannot offer them health benefits must either pay exorbitant fees for health insurance or do without health insurance. Since most health care providers cater to those with health insurance, it is very difficult for the uninsured to find health care that meets their needs at an affordable price. The result is many of the uninsured turn to government-funded health care systems, or use their local emergency room as their primary care physician. The result of this is declining health for the uninsured and increased burden on taxpayer-financed health care system. health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:4 Returning control over health care to the individual is the key to true health care reform. The Comprehensive Health Care Reform Act puts control of health care back into the hands of the individual through tax credits, tax deductions, Health Care Savings Accounts (HSA), and Flexible Savings Accounts. By giving individuals tax incentives to purchase their own health care, the Comprehensive Health Care Act will help more Americans obtain quality health insurance and health care. Specifically, the Comprehensive Health Care Act: health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:5 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes. health care Introducing The Comprehensive Health Care Act 27 June 2005    2005 Ron Paul 75:9 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a poll by the respected Zogby firm showed that over 80 percent of Americans support providing all Americans with access to a Health Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care Introducing The Freedom From Unnecessary Litigation Act 27 June 2005    2005 Ron Paul 77:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. health care Introducing The Freedom From Unnecessary Litigation Act 27 June 2005    2005 Ron Paul 77:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. health care Introducing The Freedom From Unnecessary Litigation Act 27 June 2005    2005 Ron Paul 77:3 The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:2 Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:3 As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:4 One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:6 By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:7 Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new Federal regulations on the insurance industry. health care Introducing The Quality Health Care Coalition Act 27 June 2005    2005 Ron Paul 78:8 In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005    2005 Ron Paul 79:1 Mr. PAUL. Mr. Speaker, I rise to help working Americans stricken with cancer or other terminal illnesses, and their families, by introducing the Cancer and Terminal Illness Patient Health Care Act. This act exempts people with terminal illnesses from the employee portion of payroll taxes while they are suffering from such illnesses or are incurring significant medical costs associated with their conditions. The Cancer and Terminal Illness Patient Health Care Act also provides a payroll deduction to any worker who is the primary caregiver for a spouse, parent, or child with a terminal illness. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005    2005 Ron Paul 79:4 As a physician who has specialized in women’s health issues for decades, I know how critical it is that cancer patients and others suffering from terminal illnesses have the resources they need to combat these illnesses. The Cancer and Terminal Illness Patient Health Care Act provides a realistic way to help people suffering from cancer or other terminal illnesses receive quality health care. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005    2005 Ron Paul 79:5 It is hard to think of a more compassionate tax policy this Congress could enact than to stop taking the resources away from working Americans that could help them treat cancer, AIDS, or other terrible health problems. I hope all my colleagues will help people suffering from terminal illnesses, and their caregivers, by cosponsoring the Cancer and Terminal Illness Patient Health Care Act. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:1 Mr. PAUL. Mr. Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:2 The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:6 Under the Child Health Care Affordability Act, a struggling singling mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:7 Mr. Speaker, this Congress has a moral responsibility to provide tax relief so that low-income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child? health care Introducing The Child Health Care Affordability Act 27 June 2005    2005 Ron Paul 80:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. health care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS    2005 Ron Paul 118:1 Mr. Speaker, I rise to introduce the Health Freedom Protection Act. This bill restores the First Amendment rights of consumers to receive truthful information regarding the benefits of foods and dietary supplements by codifying the First Amendment standards used by federal courts to strike down the Food and Drug Administration (FDA) efforts to censor truthful health claims. The Health Freedom Protection Act also stops the Federal Trade Commissions (FTC) from censoring truthful health care claims. health care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS    2005 Ron Paul 118:4 Because of the FDA’s censorship of truthful health claims, millions of Americans may suffer with diseases and other health care problems they may have avoided by using dietary supplements. For example, the FDA prohibited consumers from learning how folic acid reduces the risk of neural tube defects for four years after the Centers for Disease Control and Prevention recommended every woman of childbearing age take folic acid supplements to reduce neural tube defects. This FDA action contributed to an estimated 10,000 cases of preventable neutral tube defects! health care Free Speech and Dietary Supplements November 10, 2005 HON. RON PAUL OF TEXAS    2005 Ron Paul 118:9 Mr. Speaker, if we are serious about putting people in charge of their health care, then shouldn’t we stop federal bureaucrats from preventing Americans from learning about simple ways to improve their health. I therefore call on my colleagues to stand up for good health care and the First Amendment by cosponsoring the Health Freedom Protection Act. health care Introduction Of The Treat Physicians Fairly Act 2 March 2006    2006 Ron Paul 7:3 The professional skills with which one’s earns a living are property. Therefore, the clear language of the Takings Clause of the Fifth Amendment prevents Congress from mandating that physicians and hospitals bear the entire costs of providing health care to any group. health care Introduction Of The Treat Physicians Fairly Act 2 March 2006    2006 Ron Paul 7:4 Ironically, the perceived need to force doctors to provide medical care is itself the result of prior government interventions into the health care market. When I began practicing medicine, it was common for doctors to provide uncompensated care as a matter of charity. However, laws and regulations inflating the cost of medical services and imposing unreasonable liability standards on medical professionals even when they where acting in a volunteer capacity made offering free care cost prohibitive. At the same time, the increasing health care costs associated with the government- facilitated overreliance on third party payments priced more and more people out of the health care market. Thus, the government responded to problems created by its interventions by imposing the EMTALA mandate on physicians, in effect making health care professionals scapegoats for the harmful consequences of government health care polices. health care Why Are Americans So Angry? June 29, 2006    2006 Ron Paul 52:19 It is said that without government health care, the poor would not receive treatment. Medical care would be available only to the rich. health care Alternative Pluripotent Stem cell Therapies Enhancement Act 18 July 2006    2006 Ron Paul 57:6 H.R. 3444 will benefit companies like Prime Cell, which is making great progress in transforming non-embryonic stem cells into any cell type in the body. Prime Cell is already talking to health care practitioners about putting its findings to use to help cure diseases. health care Tribute To UTMB 26 July 2006    2006 Ron Paul 71:5 While UTMB’s research program is impressive, many Texans primarily think of UTMB as a leading provider of quality health care. This is because UTMB offers services ranging from primary to specialized diagnostic care. Particularly impressive is UTMB’s pioneering telemedicine programs. For example, UTMB has recently begun a new telemedicine program to bring medical services to the residents of Jamaica Beach, Texas. UTMB has established telemedicine connections for special-needs children in east Texas, for workers on offshore oil rigs in the Gulf of Mexico, for employees of a Galveston-based insurance company, and for passengers of a cruise ship that will travel worldwide. health care Tribute To UTMB 26 July 2006    2006 Ron Paul 71:6 In conclusion, Mr. Speaker, I congratulate the University of Texas Medical Branch at Galveston being named one of the best workplaces for commuters and for receiving funding for seven nursing fellowships from the Graduate Assistance in Areas of National Need grant program. I also extend my gratitude, on behalf of all the people of my district, for all that the people of UTMB are doing in both the field of medical research and in delivering quality health care to the people of Texas. health care Health Information Technology Promotion Act Of 2006 27 July 2006    2006 Ron Paul 72:2 Mr. PAUL. Mr. Chairman, as an OB–GYN with over 40 years experience in medical practice, I understand the need to improve the health care system’s efficiency by increasing the use of electronic medical records. However, H.R. 4157 is neither a constitutional nor a wise means of achieving this worthy goal. health care Health Information Technology Promotion Act Of 2006 27 July 2006    2006 Ron Paul 72:3 Creating a new federal department to develop a “national strategic plan” for the use of electronic health care records will inevitably lead to the imposition of a “one-size-fits all” standard and will discourage private parties from exploring other more innovative means of storing medical records electronically. By stifling private sector innovation, H.R. 4157 guarantees that the American people will have an inferior health information technology system. Mr. Chairman, I ask my colleagues: when has a government system ever performed as well as a system developed by the private sector? In fact, Mr. Chairman, based on my 40 years of experience, I would say a major reason the health profession lags behind other professions in using information technology is the excessive government intervention in, and control of, America’s health care system! health care Health Information Technology Promotion Act Of 2006 27 July 2006    2006 Ron Paul 72:7 By creating a new federal bureaucracy to establish a “national strategic plan” for the adoption of electronic health care records, H.R. 4157 discourages private sector innovation and expands government control of the medical profession. H.R. 4157 also facilities the violation of medical privacy. Therefore, I urge my colleagues to reject this bill. health care Senior Citizens’ Improved Quality Of Life Act 19 September 2006    2006 Ron Paul 79:5 Repealing provisions of Federal law that restrict the ability of senior citizens to form private contracts for health care services. This restriction violates the rights of seniors who may wish to use their own resources to obtain procedures or treatments not covered by Medicare, or to simply avoid the bureaucracy and uncertainty that come when seniors must wait for the judgment of a Centers for Medicare and Medicaid Services, CMS, bureaucrat before finding out if a desired treatment is covered. H.R. 5211 also stops the Social Security Administration from denying Social Security benefits to seniors who refuse to enroll in Medicare Part A. Forcing seniors to enroll in Medicare Part A as a condition for receiving Social Security violates the promise represented by Social Security. Americans pay taxes into the Social Security trust fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join another government program. health care Senior Citizens’ Improved Quality Of Life Act 19 September 2006    2006 Ron Paul 79:6 Allowing seniors who neither want nor need to participate in the Medicare program to refrain from doing so and ensuring seniors have the freedom to use their own resources to obtain quality health care will strengthen the Medicare program for those seniors who do wish to receive Medicare benefits. Of course, H.R. 5211 does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits. health care Introduction Of taxpayer Protection From Genetic Discrimination Act 20 september 2006    2006 Ron Paul 81:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Taxpayer Protection from Genetic Discrimination Act. This bill ensures that no American taxpayer will be denied health care because of his or her genetic history by any agency of the federal government, a state or local government, or a government contractor. Some people have raised concerns that, while recent advances in genetic testing bring much hope of improved medical treatment, the increased use of genetic tests may also result in many people being denied access to health insurance, or even refused employment, because of their genetic history. health care Military Personnel Financial Services Protection Act 20 September 2006    2006 Ron Paul 82:5 Mr. Speaker, I am pleased to introduce the Enhanced Options for Rural Health Care Act. This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. health care Military Personnel Financial Services Protection Act 20 September 2006    2006 Ron Paul 82:6 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. health care Military Personnel Financial Services Protection Act 20 September 2006    2006 Ron Paul 82:7 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way to use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act. health care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006    2006 Ron Paul 85:1 Mr. PAUL. Mr. Speaker, on Thursday, September 21, I introduced the Enhanced Options for Health Care Act (H.R. 6154). This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. health care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006    2006 Ron Paul 85:2 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. health care Introduction Of The Enhanced Options For Rural Health Care Act 25 September 2006    2006 Ron Paul 85:3 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act (H.R. 6154). health care Introduction Of The Taxpayer Protection From Frivolous Litigation Act 28 September 2006    2006 Ron Paul 92:3 Frivolous lawsuits and the accompanying increase in malpractice insurance payments have driven many physicians out of medical practice. The malpractice crisis has further increased the cost of health care by forcing physicians to practice defensive medicine. While most malpractice reform issues are properly addressed at the state level, Congress does have a duty to act to protect physicians from frivolous lawsuits stemming from cases involving federally funded programs or federal mandates. After all, these programs already impose tremendous costs on physicians. For example, Medicare imposes so many rules and regulations on health care providers that the Medicare code is actually larger than the infamous tax code! health care Introduction Of The Taxpayer Protection From Frivolous Litigation Act 28 September 2006    2006 Ron Paul 92:5 The combined effect of excessive regulations, inadequate reimbursements, and the risk of being subjected to unreasonable malpractice awards is endangering the most vulnerable people’s access to health care. I am aware of several physicians who have counseled young people not to enter the health care profession because of lawsuits, federal regulations, and low federal reimbursement rates. Other physicians are withdrawing from the Medicare and Medicaid programs and cutting their ties with emergency rooms in order to avoid the EMTALA mandates. Protecting physicians from frivolous lawsuits who are participating in federal programs or acting to fulfill federal mandates is an important step in removing federally created disincentives to providing care to elderly and low income people. I therefore call upon my colleagues to stand up for heath care providers, low income people, senior citizens, and taxpayers by cosponsoring the Physicians and Taxpayers’ Protection from Frivolous Litigation Act. health care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007    2007 Ron Paul 2:1 Mr. PAUL. Madam Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repeal federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services. health care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007    2007 Ron Paul 2:3 Seniors’ right to control their own health care is also being denied due to the Social Security Administration’s refusal to give seniors who object to enrolling Medicare Part A Social Security benefits. This not only distorts the intent of the creators of the Medicare system; it also violates the promise represented by Social Security. Americans pay taxes into the Social Security Trust Fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join an additional government program! health care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007    2007 Ron Paul 2:4 At a time when the fiscal solvency of Medicare is questionable, to say the least, it seems foolish to waste scarce Medicare funds on those who would prefer to do without Medicare. Allowing seniors who neither want nor need to participate in the program to refrain from doing so will also strengthen the Medicare program for those seniors who do wish to participate in it. Of course, my bill does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits or to use his own resources to obtain health care. health care Introduction Of The Senior’s Health Care Freedom Act 4 January 2007    2007 Ron Paul 2:5 Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act. health care Identity Theft Protection Act 5 January 2007    2007 Ron Paul 8:17 Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy’ ” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. health care Identity Theft Protection Act 5 January 2007    2007 Ron Paul 8:18 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the Federal Government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any Federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the Federal Government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the Federal Government) down with the chains of the Constitution.” health care Governmental Funding Of Embryonic Stem Cell Research 11 January 2007    2007 Ron Paul 11:5 The Cures Can Be Found Act will benefit companies like Prime Cell, which is making great progress in transforming non-embryonic stem cells into any cell type in the body. Prime Cell is already talking to health care practitioners about putting its findings to use to help cure diseases. health care Reform Medicare To Give Seniors More Choice 12 January 2007    2007 Ron Paul 14:4 The argument that direct negotiations will restrict Medicare beneficiaries’ access to the prescription drugs of their choice assumes that the current Part D system gives seniors control over what pharmaceuticals they can use. However, under Part D, seniors must enroll in HMO-like entities that decide for them what drugs they can and cannot obtain. My district office staff has heard from numerous seniors who are unable to obtain their drugs of choice from their Part D providers. Mr. Speaker, I favor reforming Medicare to give seniors more control and choice in their health care, and, if H.R. 4 were a threat to this objective, I would oppose it. health care Reform Medicare To Give Seniors More Choice 12 January 2007    2007 Ron Paul 14:5 Federal spending on Part D is expected to grow by $100 billion in 2007. It would be fiscally irresponsible for this Congress not to act to address those costs. I recognize that giving the Department of Health and Human Services the authority to engage in direct negotiations neither fixes the long-term problems with Medicare nor does empowers senior to control their own health care. However, we are not being given the opportunity to vote for a true pro-freedom, pro-senior alternative today. Instead, we are asked to choose between two flawed proposals — keeping Part D as it is or allowing the Department of Health and Human Services to negotiate prescription drug prices for the Part D program. Since I believe that direct negotiations will benefit taxpayers and Medicare beneficiaries by reducing the costs of prescription drugs, I intend to vote for this bill. health care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007    2007 Ron Paul 41:1 Mr. PAUL. Madam Speaker, I raise to introduce the Enhanced Options for Rural Health Care Act. This legislation allows critical access hospitals to use beds designated for critical access use, but currently not being used for that purpose, for assisted living services financed by private payments. health care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007    2007 Ron Paul 41:2 This bill will help improve the financial status of small rural hospitals and extend the health care options available to people living in rural areas without increasing federal expenditures. Currently, fear that rural hospitals will lose critical access status if beds designated for critical access are used for another purpose is causing rural hospitals to allow beds not needed for a critical access purpose to remain unused. This deprives rural hospitals of a much- needed revenue stream and deprives residents of rural areas of access to needed health care services. health care Introducing The Enhanced Options For Rural Health Care Act 17 April 2007    2007 Ron Paul 41:3 My colleagues may be interested to know that the idea for this bill comes from Marcella Henke, an administrator of Jackson County Hospital, a critical access hospital in my congressional district. Ms. Henke conceived of this idea as a way to meet the increasing demand for assisted living services in rural areas and provide hospitals with a profitable way to use beds not being used for critical access purposes. I urge my colleagues to embrace this practical way of strengthening rural health care without increasing federal expenditures by cosponsoring the Enhanced Options for Rural Health Care Act. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:1 Mr. PAUL. Madam Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, tenninal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:2 The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition; such as cancer or a physical disability that requires long-term or specialized health care. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code — Congress’ failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’ refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment! If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our Nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:6 Under the Child Health Care Affordability Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:7 Madam Speaker, this Congress has a moral responsibility to provide tax relief so that loncome parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child? health care Introducing The Child Health Care Affordability Act 17 April 2007    2007 Ron Paul 42:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. health care Genetic Information Non-discrimination Act 25 April 2007    2007 Ron Paul 44:3 The best way to address the sponsors of H.R. 493’s legitimate concerns is to put individuals back in control of the health care dollar. When individuals control the health care dollar they, not their employers, insurance companies or Health Maintenance Organizations, can make all health care decisions, including whether or not to share individual genetic histories with a potential employer, insurer, or other third party. Therefore, instead of creating more Federal regulations and bureaucracies, my colleagues should increase individual control of health care by passing legislation expanding Health Savings Accounts and individual health care tax credits and deductions. health care Introduction Of The health Freedom Protection Act 2 May 2007    2007 Ron Paul 49:1 Mr. PAUL. Madam. Speaker, I rise to introduce the Health Freedom Protection Act. This bill restores the First Amendment rights of consumers to receive truthful information regarding the benefits of foods and dietary supplements by codifying the First Amendment standards used by Federal courts to strike down the Food and Drug Administration (FDA) efforts to censor truthful health claims. The Health Freedom Protection Act also stops the Federal Trade Commissions (FTC) from censoring truthful health care claims. health care Introduction Of The health Freedom Protection Act 2 May 2007    2007 Ron Paul 49:4 Because of the FDA’s censorship of truthful health claims, millions of Americans may suffer with diseases and other health care problems they may have avoided by using dietary supplements. For example, the FDA prohibited consumers from learning how folic acid reduces the risk of neural tube defects for 4 years after the Centers for Disease Control and Prevention recommended every woman of childbearing age take folic acid supplements to reduce neural tube defects. This FDA action contributed to an estimated 10,000 cases of preventable neutral tube defects! health care Introduction Of The health Freedom Protection Act 2 May 2007    2007 Ron Paul 49:9 Madam Speaker, if we are serious about putting people in charge of their health care, then shouldn’t we stop federal bureaucrats from preventing Americans from learning about simple ways to improve their health. I therefore call on my colleagues to stand up for good health care and the First Amendment by cosponsoring the Health Freedom Protection Act. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:2 Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patients and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:3 As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:4 One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:6 By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:7 Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. health care Introducing The Quality Health Care Coalition Act 2 August 2007    2007 Ron Paul 84:8 In conclusion, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. health care Introduction Of The Treat Physicians Fairly Act 2 August 2007    2007 Ron Paul 85:3 The professional skills with which one earns a living are property. Therefore, the clear language of the Takings Clause of the Fifth Amendment prevents Congress from mandating that physicians and hospitals bear the entire costs of providing health care to any group. health care 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. health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:1 Mr. PAUL. Madam Speaker, America faces a crisis in health care. Health care costs continue to rise, leaving many Americans unable to afford health insurance, while those with health care coverage, and their physicians, struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:3 Furthermore, the predominance of third- party payers means there is effectively no market for individual health insurance polices, thus those whose employers cannot offer them health benefits must either pay exorbitant fees for health insurance or do without health insurance. Since most health care providers cater to those with health insurance, it is very difficult for the uninsured to find health care that meets their needs at an affordable price. The result is many of the uninsured turn to government-funded health care systems, or use their local emergency room as their primary care physician. The result of this is declining health for the uninsured and increased burden on taxpayer-financed health care system. health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:4 Returning control over health care to the individual is the key to true health care reform. The Comprehensive Health Care Reform Act puts control of health care back into the hands of the individual through tax credits, tax deductions, Health Care Savings Accounts (HSA), and Flexible Savings Accounts. By giving individuals tax incentives to purchase their own health care, the Comprehensive Health Care Act will help more Americans obtain quality health insurance and health care. Specifically, the Comprehensive Health Care Act: health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:5 A. Provides all Americans with a tax credit for 100 percent of health care expenses. The tax credit is fully refundable against both income and payroll taxes. health care Introducing The Comprehensive Health Care Act 2 August 2007    2007 Ron Paul 86:9 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. For example, a poll by the respected Zogby firm showed that over 80 percent of Americans support providing all Americans with access to a Health Savings Account. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007    2007 Ron Paul 87:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. health care Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007    2007 Ron Paul 87:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. health care Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007    2007 Ron Paul 87:3 The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Meanwhile, earlier this year, surgeons in West Virginia walked off the job to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large (and medically questionable) malpractice awards, and the resulting increase in insurance rates. health care Two medical Breakthroughs From UTMB 12 December 2007    2007 Ron Paul 107:1 Mr. PAUL. Madam Speaker, researchers at the University of Texas Medical Branch (UTMB) have been responsible for two significant medical breakthroughs that have the potential to dramatically improve American health care. health care Two medical Breakthroughs From UTMB 12 December 2007    2007 Ron Paul 107:4 The development of MORES and the new use of Listeria monocytogenes are just two of the advances in medical research to come out of UTMB. UTMB is one of America’s leading centers of medical research, as well as a source of quality health care for the people of the Gulf Coast of Texas. Madam Speaker, it gives me great pleasure to extend my congratulations to the researchers involved in these recent breakthroughs and to everyone associated with UTMB for their tireless work to improve health care. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 13 December 2007    2007 Ron Paul 109:1 Mr. PAUL. Madam Speaker, I rise to help working Americans stricken with cancer or other terminal illnesses, and their families, by introducing the Cancer and Terminal Illness Patient Health Care Act. This act exempts people with terminal illnesses from the employee portion of payroll taxes while they are suffering from such illnesses or are incurring significant medical costs associated with their conditions. The Cancer and Terminal Illness Patient Health Care Act also provides a payroll deduction to any worker who is the primary caregiver for a spouse, parent, or child with a terminal illness. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 13 December 2007    2007 Ron Paul 109:4 As a physician who has specialized in women’s health issues for decades, I know how critical it is that cancer patients and others suffering from terminal illnesses have the resources they need to combat these illnesses. The Cancer and Terminal Illness Patient Health Care Act provides a realistic way to help people suffering from cancer or other terminal illnesses receive quality health care. health care Introducing The Cancer And Terminal Illness Patient Health Care Act 13 December 2007    2007 Ron Paul 109:5 It is hard to think of a more compassionate tax policy this Congress could enact than to stop taking the resources away from working Americans that could help them treat cancer, AIDS, or other terrible health problems. I hope all my colleagues will help people suffering from terminal illnesses, and their caregivers, by cosponsoring the Cancer and Terminal Illness Patent Health Care Act. health care NEWBORN SCREENING SAVES LIVES ACT OF 2007 8 April 2008    2008 Ron Paul 20:1 Mr. PAUL. Madam Speaker, as an OB–GYN I take a back seat to no one when it comes to caring about the health of newborn children. However, as a Representative who has taken an oath to uphold the Constitution, I cannot support legislation, no matter how much I sympathize with the legislation’s stated goals, that exceeds the Constitutional limitations on Federal power or in any way threatens the liberty of the American people. Since S. 1858 violates the Constitution, and may have unintended consequences that will weaken the American health care system and further erode medical privacy, I must oppose it. health care NEWBORN SCREENING SAVES LIVES ACT OF 2007 8 April 2008    2008 Ron Paul 20:2 S. 1858 gives the Federal bureaucracy the authority to develop a model newborn screening program. Madam Speaker, the Federal Government lacks both the constitutional authority and the competence to develop a newborn screening program adequate for a nation as large and diverse as the United States. Some will say that the program is merely a guide for local hospitals. However, does anyone seriously doubt that, whatever the flaws contained in the model eventually adopted by the Federal Government, almost every hospital in the country will scrap their own newborn screening programs in favor of the Federal model? After all, no hospital will want to risk losing Federal funding because they did not adopt the “federally approved” plan for newborn screening. Thus, this bill takes another step toward the nationalization of health care. health care NEWBORN SCREENING SAVES LIVES ACT OF 2007 8 April 2008    2008 Ron Paul 20:3 As the Federal Government assumes more control over health care, medical privacy has increasingly come under assault. Those of us in the medical profession should be particularly concerned about policies allowing Government officials and State-favored interests to access our medical records without our consent. After all, patient confidentiality is the basis of the trust that must underline a positive physician-patient relationship. Yet my review of S. 1858 indicates the drafters of the legislation made no effort to ensure these newborn screening programs do not violate the privacy rights of parents and children. health care NEWBORN SCREENING SAVES LIVES ACT OF 2007 8 April 2008    2008 Ron Paul 20:5 I am also skeptical, to say the least, that a top-down Federal plan to screen any part of the population will effectively help meet the challenges facing the health care system in the event of a real public emergency. State and local Governments working together with health care providers, can better come up with effective ways to deal with public health emergencies than can any Federal bureaucracy. It is for these reasons, Madam Speaker, that I oppose S. 1858. health care PROTECTING THE MEDICAID SAFETY NET ACT OF 2008 22 April 2008    2008 Ron Paul 25:1 Mr. PAUL. Mr. Speaker, I rise in reluctant opposition to H.R. 5613, legislation halting the implementation of a package of new Medicaid rules. The proponents of H.R. 5613 are correct that halting some of these rules will protect needed Medicaid reimbursements for health care providers. However, some of the rules that H.R. 5613 blocks address abuses of Federal Medicaid dollars that should be halted. Greater efforts to ensure Medicaid resources are properly spent will help those health care providers most in need of continued support from the Medicaid program, since a Medicaid dollar lost to fraud and abuse is a dollar that cannot be spent helping hospitals and physicians provide health care to the poor. health care PROTECTING THE MEDICAID SAFETY NET ACT OF 2008 22 April 2008    2008 Ron Paul 25:2 Had members been given the opportunity to offer amendments, we could have fashioned a bill that would have protected needed reimbursements for legitimate health care expenditures while addressing legitimate concerns about misuse of Medicaid funds. Unfortunately, the House leadership chose to deny members the ability to improve this bill, and have a meaningful debate on how to ensure Medicaid’s financial stability without denying care to those dependent on the program, by putting this bill on the suspension calendar. health care PROTECTING THE MEDICAID SAFETY NET ACT OF 2008 22 April 2008    2008 Ron Paul 25:3 According to some estimates, failure to implement the proposed regulations could cost the already financially fragile Medicaid system as much as 10 billion over the next several years. Yet, the sponsors of this bill refuse to make a serious effort to address these costs. Mr. Speaker, instead of rushing H.R. 5613 into law, we should be looking for ways to shore up Medicaid by making cuts in other, lower priority programs, using those savings to ensure the short-term fiscal stability of federal entitlement programs while transitioning to a more stable means of providing health care for low-income Americans. I have been outspoken on the areas I believe should be subject to deep cuts in order to finance serious entitlement reform that protects those relying on these programs. I will not go into detail on these cuts, although I will observe that in recent weeks this Congress has authorized billions of new foreign aid spending, yet today we are told we cannot find the money to address Medicaid’s long-term financial imbalances. health care CONGRATULATIONS TO EAST TEXAS AREA HEALTH EDUCATION CENTER (AHEC) 3 June 2008    2008 Ron Paul 32:2 East Texas AHEC is certainly deserving of this prestigious award. Founded in 1991, East Texas AHEC is headquartered at the University of Texas Medical Branch (UTMB), which provides it access to some of the top medical talent in the Nation. East Texas AHEC operates nine other community health centers across the Gulf Coast. These centers offer a wide variety of health care services to over 14.9 million low-income Texans in 111 counties. Many low-income Texas would have a much more difficult time obtaining quality health care if it were not for the efforts of East Texas AHEC. health care CONGRATULATIONS TO EAST TEXAS AREA HEALTH EDUCATION CENTER (AHEC) 3 June 2008    2008 Ron Paul 32:3 It is not just Texans who have benefited from the East Texas AHEC. By assuming a leadership role in advocacy for AHEC’s nationwide, as well as providing an example to AHEC across the country of how they could expand their services to help met the health care needs of more low-income Americans, East Texas AHEC has benefited the entire American health care system. health care CONGRATULATIONS TO EAST TEXAS AREA HEALTH EDUCATION CENTER (AHEC) 3 June 2008    2008 Ron Paul 32:4 Madam Speaker, I have always been impressed with how dedication with shown by the staff of East Texas AHEC to their mission of developing a quality health care workforce and addressing the unmet health needs of the people of Texas. I am therefore pleased once again extend my congratulations to my friends at East Texas AHEC for their well-deserved receipt of the 2008 Eugene S. Mayer award. health care MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008 24 June 2008    2008 Ron Paul 39:5 Instead of simply pretending we can delay the day of reckoning by giving CMS more money and power, we should be looking for ways to shore up Medicare by making cuts in other, lower priority programs, using those savings to ensure the short-term fiscal stability of Federal entitlement programs while transitioning to a more stable means of providing health care for senior citizens. I have been outspoken on the areas I believe should be subject to deep cuts in order to finance serious entitlement reform that protects those relying on these programs. I will not go into detail on these cuts, although I will observe that today the House Committee on Financial Services is planning to authorize billions of new foreign aid spending, perhaps some of those billions might be better spent reforming the Medicare system. health care MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008 24 June 2008    2008 Ron Paul 39:6 Congress should also reform the Medicare system by providing Medicare patients more control over their health care than is available under either traditional Medicare or the Medicare Advantage program. health care CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM 31 July 2008    2008 Ron Paul 55:1 Mr. PAUL. Madam Speaker, on August 5 the Foundation for International Space Education (FISE) will host United Space School Day at the University of Texas Medical Branch (UTMB) in Galveston, Texas. The United Space School Day is a summer science camp/ health careers promotion activity coordinated by the East Texas Area Health Education Center (AHEC). The United Space School Day’s activities will focus on the education pathways appropriate for students interested in careers in life sciences, aerospace medicine, and bioastronautics. health care INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT January 6, 2009    2009 Ron Paul 4:17 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy”’ regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. health care INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT January 6, 2009    2009 Ron Paul 4:18 Any action short of repealing laws authorizing privacy violations is insufficient primarily because the federal government lacks constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason. Any federal action that oversteps constitutional limitations violates liberty because it ratifies the principle that the federal government, not the Constitution, is the ultimate judge of its own jurisdiction over the people. The only effective protection of the rights of citizens is for Congress to follow Thomas Jefferson’s advice and “bind (the federal government) down with the chains of the Constitution.” health care THE SENIORS’ HEALTH CARE FREEDOM ACT January 6, 2009    2009 Ron Paul 6:1 Mr. PAUL. Madam Speaker, I rise to introduce the Seniors’ Health Care Freedom Act. This act protects seniors’ fundamental right to make their own health care decisions by repealing federal laws that interfere with seniors’ ability to form private contracts for medical services. This bill also repeals laws which force seniors into the Medicare program against their will. When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, the Balanced Budget Act of 1997 prohibits any physician who forms a private contract with a senior from filing any Medicare reimbursement claims for two years. As a practical matter, this means that seniors cannot form private contracts for health care services. health care THE SENIORS’ HEALTH CARE FREEDOM ACT January 6, 2009    2009 Ron Paul 6:3 Seniors’ right to control their own health care is also being denied due to the Social Security Administration’s refusal to give seniors who object to enrolling Medicare Part A Social Security benefits. This not only distorts the intent of the creators of the Medicare system; it also violates the promise represented by Social Security. Americans pay taxes into the Social Security Trust Fund their whole working lives and are promised that Social Security will be there for them when they retire. Yet, today, seniors are told that they cannot receive these benefits unless they agree to join an additional government program! health care THE SENIORS’ HEALTH CARE FREEDOM ACT January 6, 2009    2009 Ron Paul 6:4 At a time when the fiscal solvency of Medicare is questionable, to say the least, it seems foolish to waste scarce Medicare funds on those who would prefer to do without Medicare. Allowing seniors who neither want nor need to participate in the program to refrain from doing so will also strengthen the Medicare program for those seniors who do wish to participate in it. Of course, my bill does not take away Medicare benefits from any senior. It simply allows each senior to choose voluntarily whether or not to accept Medicare benefits or to use his own resources to obtain health care. health care THE SENIORS’ HEALTH CARE FREEDOM ACT January 6, 2009    2009 Ron Paul 6:5 Forcing seniors into government programs and restricting their ability to seek medical care free from government interference infringes on the freedom of seniors to control their own resources and make their own health care decisions. A woman who was forced into Medicare against her wishes summed it up best in a letter to my office, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the right of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Seniors’ Health Care Freedom Act. health care INTRODUCTION OF BILLS TO HELP THE UNEMPLOYED March 4, 2009    2009 Ron Paul 22:2 The second bill, the Unemployment Assistance Act, allows unemployed people to make penalty-free withdrawals from accounts such as Roth IRAs and 401(k)s, to cover living expenses, health care, education, and job training expenses. People who make these penalty- free withdrawals while unemployed will be able to replenish their accounts once they have started new jobs. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:1 Mr. PAUL. Madam Speaker, I am pleased to help working Americans provide for their children’s health care needs by introducing the Child Health Care Affordability Act. The Child Health Care Affordability Act provides parents with a tax credit of up to $500 for health care expenses of dependent children. Parents caring for a child with a disability, terminal disease, cancer, or any other health condition requiring specialized care would receive a tax credit of up to $3,000 to help cover their child’s health care expenses. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:2 The tax credit would be available to all citizens, regardless of whether or not they itemize their deductions. The credit applies against both income and payroll tax liability. The tax credits provided in this bill will be especially helpful to those Americans whose employers cannot afford to provide health insurance for their employees. These workers must struggle to meet the medical bills of themselves and their families. This burden is especially heavy on parents whose children have a medical condition, such as cancer or a physical disability, that requires long-term or specialized health care. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:3 As an OB–GYN who has had the privilege of delivering more than four thousand babies, I know how important it is that parents have the resources to provide adequate health care for their children. The inability of many working Americans to provide health care for their children is rooted in one of the great inequities of the tax code – Congress’s failure to allow individuals the same ability to deduct health care costs that it grants to businesses. As a direct result of Congress’s refusal to provide individuals with health care related tax credits, parents whose employers do not provide health insurance have to struggle to provide health care for their children. Many of these parents work in low-income jobs; oftentimes, their only recourse for health care is the local emergency room. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:4 Sometimes parents are forced to delay seeking care for their children until minor health concerns that could have been easily treated become serious problems requiring expensive treatment. If these parents had access to the type of tax credits provided in the Child Health Care Affordability Act, they would be better able to provide care for their children, and our nation’s already overcrowded emergency rooms would be relieved of the burden of having to provide routine care for people who otherwise cannot afford it. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:6 Under the Child Health Care Affordability Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs, while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:7 Madam Speaker, this Congress has a moral responsibility to provide tax relief so that low- income parents struggling to care for a sick child can better meet their child’s medical expenses. Some may say that we cannot enact the Child Health Care Affordability Act because it would cause the government to lose revenue. But, who is more deserving of this money, Congress or the working parents of a sick child? health care INTRODUCING THE CHILD HEALTH CARE AFFORDABILITY ACT March 12, 2009    2009 Ron Paul 27:8 The Child Health Care Affordability Act takes a major step toward helping working Americans meet their health care needs by providing them with generous health care related tax cuts and tax credits. I urge my colleagues to support the pro-family, pro-health care tax cuts contained in the Child Health Care Affordability Act. health care COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009    2009 Ron Paul 28:1 Mr. PAUL. Madam Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009    2009 Ron Paul 28:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009    2009 Ron Paul 28:3 Returning control over health care to the individual is the key to true health care reform. The Comprehensive Health Care Reform Act puts control of health care back into the hands of the individual through tax credits, tax deductions, improving Health Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act: health care COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009    2009 Ron Paul 28:4 A. Provides all Americans with a tax credit for 100 percent of health care expenses. The tax credit is fully refundable against both income and payroll taxes; health care COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009    2009 Ron Paul 28:8 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. For over a decade, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:2 Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patents and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:3 As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:4 One way health care professionals could counter the power of the HMOs would be to form a voluntary association for the purpose of negotiating with an HMO or an insurance company. However, health care professionals who attempt to form such a group run the risk of persecution under federal anti-trust laws. This not only reduces the ability of health care professionals to negotiate with HMOs on a level playing field, but also constitutes an unconstitutional violation of medical professionals’ freedom of contract and association. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:6 By restoring the freedom of medical professionals to voluntarily come together to negotiate as a group with HMOs and insurance companies, this bill removes a government-imposed barrier to a true free market in health care. Of course, this bill does not infringe on the rights of health care professionals by forcing them to join a bargaining organization against their will. While Congress should protect the rights of all Americans to join organizations for the purpose of bargaining collectively, Congress also has a moral responsibility to ensure that no worker is forced by law to join or financially support such an organization. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:7 Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. health care INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009    2009 Ron Paul 29:8 In conclusion, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. health care TREAT PHYSICIANS FAIRLY ACT March 12, 2009    2009 Ron Paul 30:3 Forcing physicians to offer their services without providing any form of compensation is a blatant violation of the takings clause of the Fifth Amendment. After all, the professional skills with which one earns a living are a form of property. Therefore, legislation, such as EMTALA, which forces individuals to use their professional skills without compensation is a taking of private property. Regardless of whether the federal government has the constitutional authority to establish programs providing free-or-reduced health care for the indignant, the clear language of the takings clause prevents Congress from placing the entire burden of these programs on the medical profession. health care 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. health care INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009    2009 Ron Paul 32:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litagation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. health care INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009    2009 Ron Paul 32:2 Relying on negative outcomes insurance instead of litigation will also reduce the costs imposed on physicians, other health care providers, and hospitals by malpractice litigation. The Freedom from Unnecessary Litigation Act also promotes effective solutions to the malpractice crisis by making malpractice awards obtained through binding, voluntary arbitration tax-free. health care INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009    2009 Ron Paul 32:3 The malpractice crisis has contributed to the closing of a maternity ward in Philadelphia and a trauma center in Nevada. Several years ago, surgeons in West Virginia actually walked away from their jobs to protest increasing liability rates. These are a few of the examples of how access to quality health care is jeopardized by the epidemic of large, and medically questionable, malpractice awards, and the resulting increase in insurance rates. health care Statement on Comprehensive Healthcare Reform Act March 26, 2009    2009 Ron Paul 39:1 Madame Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. health care Statement on Comprehensive Healthcare Reform Act March 26, 2009    2009 Ron Paul 39:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. health care Statement on Comprehensive Healthcare Reform Act March 26, 2009    2009 Ron Paul 39:3 Returning control over health care to the individual is the key to true health care reform. The Comprehensive Health Care Reform Act puts control of health care back into the hands of the individual through tax credits, tax deductions, improving Health Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act: health care Statement on Comprehensive Healthcare Reform Act March 26, 2009    2009 Ron Paul 39:4 A. Provides all Americans with a tax credit for 100% of health care expenses. The tax credit is fully refundable against both income and payroll taxes; health care Statement on Comprehensive Healthcare Reform Act March 26, 2009    2009 Ron Paul 39:8 By providing a wide range of options, this bill allows individual Americans to choose the method of financing health care that best suits their individual needs. Increasing frustration with the current health care system is leading more and more Americans to embrace this approach to health care reform. I hope all my colleagues will join this effort to put individuals back in control of health care by cosponsoring the Comprehensive Health Care Reform Act. health care INTRODUCTION OF COERCION IS NOT HEALTH CARE May 21, 2009    2009 Ron Paul 58:1 Mr. PAUL. Madam Speaker, today I am introducing the Coercion is Not Health Care Act. This legislation forbids the Federal Government from forcing any American to purchase health insurance, and from conditioning participation in any Federal program, or receipt of any Federal benefit, on the purchase of health insurance. health care INTRODUCTION OF COERCION IS NOT HEALTH CARE May 21, 2009    2009 Ron Paul 58:2 While often marketed as a “moderate” compromise between nationalized health care and a free market solution, forcing every American to purchase a government-approved health insurance plan is a back door approach to creating a government-controlled health care system. health care INTRODUCTION OF COERCION IS NOT HEALTH CARE May 21, 2009    2009 Ron Paul 58:5 When the cost of government-mandated insurance proves to be an unsustainable burden on individuals and small employers, and the government, Congress will likely impose price controls on medical treatments, and even go so far as to limit what procedures and treatments will be reimbursed by the mandatory insurance. The result will be an increasing number of providers turning to “cash only” practices, thus making it difficult for those relying on the government-mandated insurance to find health care. Anyone who doubts that result should consider the increasing number of physicians who are withdrawing from the Medicare program because of the low reimbursement and constant bureaucratic harassment from the Centers for Medicare and Medicaid Services. health care INTRODUCTION OF COERCION IS NOT HEALTH CARE May 21, 2009    2009 Ron Paul 58:6 Madam Speaker, the key to effective health care reform lies not in increasing government control, but in increasing the American people’s ability to make their own health care decisions. Thus, instead of forcing Americans to purchase government-approved health insurance, Congress should put the American people back in charge of health care by expanding health care tax credits and deductions, as well as increasing access to Health Savings Accounts. Therefore, I have introduced legislation, the Comprehensive Health Care Reform Act (H.R. 1495), which provides a series of health care tax credits and deductions designed to empower patients. I urge my colleagues to reject the big government-knows- best approach to health care by cosponsoring my Coercion is Not Health Care Act and Comprehensive Health Care Reform Act. health care INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT May 21, 2009    2009 Ron Paul 59:1 Mr. PAUL. Madam Speaker, I rise to introduce the Protect Patients’ and Physicians’ Privacy Act. This legislation protects medical privacy, as well as quality health care, by allowing patients and physicians to opt out of any federally mandated, created, or funded electronic medical records system. The bill also repeals the sections of Federal law establishing a “unique health identifier” and requires patient consent before any electronic medical records can be released to a third party. health care INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT May 21, 2009    2009 Ron Paul 59:6 As an OB/GYN with over 30 years of experience in private practice, I understand that one of the foundations of quality health care is the patient’s confidence that all information the patient shares with his or her health care provider will remain confidential. Forcing physicians to place their patients’ medical records in a system without adequate privacy protection undermines that confidence, and thus undermines effective medical treatment. health care INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT May 21, 2009    2009 Ron Paul 59:9 Madam Speaker, allowing patients and providers to opt out of the electronic medical records system will in no way harm the practice of medicine or the development of an efficient system of keeping medical records. Instead, it will enhance these worthy goals by ensuring patients and physicians can escape the inefficient, one-size-fits-all government- mandated system. By creating a market for alternatives to the government system, the op- out ensures that private businesses can work to develop systems that meet the demands for an efficient system of electronic records that protects patients’ privacy. I urge my colleagues to stand up for privacy and quality health care by cosponsoring the Protect Patients’ and Physicians’ Privacy Act. health care CONGRATULATIONS TO UNITED SPACE SCHOOL PROGRAM July 22, 2009    2009 Ron Paul 83:1 Mr. PAUL. Madam Speaker, on August 4 the Foundation for International Space Education (FISE) will host United Space School Day at the University of Texas Medical Branch (UTMB) in Galveston, Texas. The United Space School Day is a summer science camp/ health careers promotion activity coordinated by the East Texas Area Health Education Center (AHEC). The United Space School Day’s activities will focus on the education pathways appropriate for students interested in careers in life sciences, aerospace medicine, and bioastronautics. health care INTRODUCING HEALTH FREEDOM LEGISLATION July 29, 2009    2009 Ron Paul 87:4 Because of the FDA’s censorship of truthful health claims, millions of Americans may suffer with diseases and other health care problems they may have avoided by using dietary supplements. For example, the FDA prohibited consumers from learning how folic acid reduces the risk of neural tube defects for four years after the Centers for Disease Control and Prevention recommended every woman of childbearing age take folic acid supplements to reduce neural tube defects. This FDA action contributed to an estimated 10,000 cases of preventable neutral tube defects. health care INTRODUCING HEALTH FREEDOM LEGISLATION July 29, 2009    2009 Ron Paul 87:9 Madam Speaker, if we are serious about putting people in charge of their health care, then shouldn’t we stop federal bureaucrats from preventing Americans from learning about simple ways to improve their health. I therefore call on my colleagues to stand up for good health and the Constitution by cosponsoring the Health Freedom Act and the Freedom of Health Speech Act. Texas Straight Talk health care Proposed tobacco deal undermines personal responsibility 13 April 1998    Texas Straight Talk 13 April 1998 verse 9 ... Cached During the Clinton health care debate, tobacco and nearly every other industry took the easy way out. They conceded that it was government's responsibility to provide care for everyone; which means, of course, that it is the obligation of the government to force one person to pay for the treatment of the bad habits of another. health care No such thing as a free (government) needle 27 April 1998    Texas Straight Talk 27 April 1998 verse 3 ... Cached After all, the advocates of government-funded "needle exchange" programs say, the pennies each needle costs to distribute to drug users is small change relative to the costs of health care for those druggies who become infected with AIDS, hepatitis, or any other communicable disease. health care No such thing as a free (government) needle 27 April 1998    Texas Straight Talk 27 April 1998 verse 6 ... Cached The argument for needle distribution is, of course, a very caring and pragmatic one. The proponents of needle distribution programs point - correctly - to the fact that using a clean needle will prevent the transfer of contagious disease and, therefore, the future health care costs to government will be reduced. health care No such thing as a free (government) needle 27 April 1998    Texas Straight Talk 27 April 1998 verse 8 ... Cached Those making the relative cost argument in favor of these programs assume that the taxpayer has some obligation to pay one or both rather than neither. Unfortunately, this will be the focus of the debate. It is much easier politically to lambaste the "drug user" as opposed to the federal health care beneficiary, despite the fact that if one accepts the premise that the federal government has a duty to provide health care, the provision of needles is the fiscally logical choice. health care No such thing as a free (government) needle 27 April 1998    Texas Straight Talk 27 April 1998 verse 10 ... Cached Of course, this socialistic approach to sharing health care costs is completely at odds with a society which values freedom. There is a casual disregard for risks when an individual knows they will not have to bear the costs associated with the consequences of their actions. Therefore, they respond to this incentive and pursue activities - bad habits, sexual behavior, and on - with riskier consequences than they otherwise would. health care MSAs best option for better health care 10 August 1998    Texas Straight Talk 10 August 1998 verse 2 ... Cached MSAs best option for better health care health care 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. health care 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. health care Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 3 ... Cached Allowing consumers access to MSAs will improve health care health care Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 7 ... Cached For many years, the federal government has taken an ever-expanding role in our nation's medical care through regulatory and legislative activism. Of course, to oppose federal involvement is to be "anti-health care" or "anti-patient." Never mind that routine health care is arguably less efficient and less accessible than in our recent past, with sick people receiving worse care at higher costs. health care Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 8 ... Cached What the politicians and their bureaucrats refuse to acknowledge is that the cost of routine health care is spiraling out of control precisely because of the federal involvement. health care Medical costs can be cut with freedom 14 December 1998    Texas Straight Talk 14 December 1998 verse 16 ... Cached Under an MSA system, a consumer could save pre-tax dollars in a special account. Those dollars would be used to pay for health care expenses, with the patient negotiating directly with the physician of their choice for the care they choose without regard to HMO rules or a bureaucrat's decision. The incentive for the physician is getting paid in cash as the service is rendered, rather than waiting months for an HMO or insurance provider's billing cycle. health care 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. health care Stopping the Surveillance State 18 January 1999    Texas Straight Talk 18 January 1999 verse 10 ... Cached Many in Congress sincerely suggest that citizens' privacy could be protected through legislation restricting access to personal information, but the fact is that legislative "privacy protections" are inadequate. Recent history demonstrates that federal laws have not stopped unscrupulous officials from accessing supposedly protected information. Did laws stop the continuous violation of privacy by the IRS, or the FBI abuses by the Clinton and Nixon administrations? The Clinton Administration has even endorsed allowing law enforcement officials' access to health care information, in complete disregard of the Fifth Amendment. health care Stopping the Surveillance State 18 January 1999    Texas Straight Talk 18 January 1999 verse 11 ... Cached The federal government lacks the constitutional authority to force citizens to adopt a universal identifier for health care, employment, or any other reason, and therefore doomed to failure is anything short of repealing laws that violate personal privacy. health care A flood of bills of rights 16 August 1999    Texas Straight Talk 16 August 1999 verse 13 ... Cached Contrary to the claims of advocates for increased government regulation of health care, the problems we face do not represent market failure, but rather the failure of government policies that have destroyed the health-care market. While it appears on the surface that the interest of the patient is in conflict with the insurance companies and the Health Maintenance Organizations (HMOs), in a free market this cannot happen. But when one side is given a legislative advantage in an artificial system, as with managed care, merely making an effort to balance government dictated advantages between patients and HMOs is impossible. The differences cannot be reconciled by more government mandates; because we are trying to patch an unworkable system, the impasse in Congress over this -- or any such issue -- should not be a surprise. health care Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 6 ... Cached No one disputes the diagnosis: American health care is in lousy shape. As a practicing physician for more than 30 years, I find the pervasiveness of managed care troubling, if not reckless. health care Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 7 ... Cached What made last week's congressional action the equivalent of medical malpractice was that the people operating on the "patient" were the same ones responsible for injury. American health care became what it is today not as a result of too little government intervention, but rather too much. Contrary to the claims of many advocates of increased government regulation of health care, the problems with the health care system do not represent market failure. Rather, they represent the failure of government policies that have destroyed the health care market. health care Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 9 ... Cached No one can take a back seat to me regarding the disdain I hold for the HMO's role in managed care. This entire unnecessary level of corporatism that rakes off profits and undermines care is a creature of government interference in health care dating to the 1970s. These non-market institutions could have only gained control over medical care through collusion between organized medicine, politicians, and the profiteers, in an effort to provide universal health care. health care Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 10 ... Cached But the government intervention in health care pre-dates the 1974 Employee Retriement Income Security Act (ERISA), with Congress granting tax benefits to employers for providing health care, while not allowing similar incentives for individuals. As such, government removed the market incentive for health insurance companies to cater to the actual health-care consumer. As a greater amount of government and corporate money has been used to pay medical bills, the costs have artificially risen out of the range of most individuals. health care Dangerous to our health 11 October 1999    Texas Straight Talk 11 October 1999 verse 14 ... Cached If Congress is going to continue to meddle in medicine, then perhaps we should require new Members to take the Hippocratic Oath. But given their resistance to upholding the Constitution, it's doubtful they would pay much attention. Sadly, we can expect Congress to continue to apply leaches to our wallets and amputate whatever good remains in American health care. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 4 ... Cached Few people will argue there is nothing wrong with the status of health care in the United States. In fact, the sentiments against the status quo are almost unanimous: the system is broken. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 5 ... Cached Yet there are many whose ideas to fix the system will actually make the situation worse for everyone, and especially those who can least afford more costly social experiments. As a physician with more than 30 years of private practice, I have too often found that the very people most hurt by "reforms" in health care are the same ones politicians and pundits claimed they were going to help. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 6 ... Cached The current legislative drive regarding health care is no exception. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 9 ... Cached Yet rather than reverse the trend and liberate patients, physicians and the health care market, many in Congress would make the situation worse by adding new regulations and new fees, while eroding services and limiting choices. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 14 ... Cached The most important thing Congress can do is to stop practicing medicine and allow market forces to operate by allowing Medical Savings Accounts (MSAs) for everyone. Patient motivation to save and shop would be a major force in reducing cost, as physicians would once again negotiate fees with patients. MSAs would help satisfy the American's people's desire to control their own health care and provide incentives for consumers to take more responsibility for their care. MSAs will also allow those consumers to do business with insurance provider of their choice, who will cover the needs and procedures for which that family is willing and able to pay. health care Best medicine is liberty 18 October 1999    Texas Straight Talk 18 October 1999 verse 15 ... Cached The American people deserve more than the status quo, and better than quasi-socialized medicine. The experience of the last thirty-plus years is clear: even in health care, liberty is the best medicine. health care Time to Change Priorities 08 November 1999    Texas Straight Talk 08 November 1999 verse 3 ... Cached Ending involvement in NATO would provide tax cut opportunity and boost health care, education health care Time to Change Priorities 08 November 1999    Texas Straight Talk 08 November 1999 verse 7 ... Cached So many of our current problems can be remedied by returning to the American public the needed resources to allow you to make the choices that will improve education and health care. And, through tax cuts, we can address problems of basic fairness. For example, it is simply immoral when a person dies that the first concern facing his or her descendants is how to handle an IRS agent breathing down their necks looking to collect Uncle Sam's share of the estate. health care Time to Change Priorities 08 November 1999    Texas Straight Talk 08 November 1999 verse 12 ... Cached As is so often the case, process is linked with policy. Until we relearn the lessons of the founders, and understand the need to decentralize government, we'll continue to spend untold amounts on bombs, weapons and maintaining troops overseas. Only when we prioritize commitments to our own people will we begin the process of repairing our education and health care systems, and keeping our commitments to America's seniors and taxpayers. health care Cosponsored Bills 20 December 1999    Texas Straight Talk 20 December 1999 verse 4 ... Cached This past year I cosponsored 200 bills in Congress. This means that I have given my name support to legislative initiatives introduced by another member of Congress. As might be expected, nearly half of those bills deal in one way or another with reducing the tax burden faced by Americans. I cosponsored Congressman Kasich's bill to cut taxes across the board for all Americans, as well as dozens of bills calling for tax relief for educational purposes. Other bills target tax relief to American seniors and for all Americans who are seeking to improve their health care choices. health care Overall Review 27 December 1999    Texas Straight Talk 27 December 1999 verse 8 ... Cached Nonetheless, our voice is being heard. On issues such as education, health care and personal privacy, we have begun to see the coming together of broad based coalitions that want only to see the federal government out of the day-to-day lives of the American people. While we do not yet have a majority in Congress, often because certain Republicans from the northeast tend to be every bit as liberal as House Democrats, there is a change afoot in the nation. The American people are largely waking up to the fact that further federal intrusion is not the answer. health care Medical Privacy Threatened 07 February 2000    Texas Straight Talk 07 February 2000 verse 4 ... Cached An unconstitutional and dangerous rulemaking procedure by the U.S. Department of Health and Human Services is underway and greatly threatens the health care privacy and freedom of Americans. The deadline for concerned citizens to submit comments to HHS is February 17. health care Medical Privacy Threatened 07 February 2000    Texas Straight Talk 07 February 2000 verse 5 ... Cached On November 3rd, 1999, the Department of Health and Human Services (HHS) published proposed medical privacy regulations in the Federal Register. Protecting medical privacy is a noble goal; however, the federal government is not constitutionally authorized to mandate a uniform standard of privacy protections for every citizen. Rather, individuals and those with whom they entrust their health care information should determine the question of who should have access to a person's medical records. Real threats to privacy come primarily from governments that have historically compelled individuals to provide information, often in exchange for some government benefit. health care Medical Privacy Threatened 07 February 2000    Texas Straight Talk 07 February 2000 verse 10 ... Cached Finally, I object to the fact that these proposed regulations "permit" health care providers (already beholden to government by funding) to give medical records to the government for inclusion in a federal health care data system. Such a system would contain all citizens’ personal health care information. History shows that when the government collects this type of personal information, the inevitable result is the abuse of citizens’ privacy and liberty by unscrupulous government officials. The only fail-safe privacy protection is for the government not to collect and store this type of personal information. health care The Cost of War 01 May 2000    Texas Straight Talk 01 May 2000 verse 4 ... Cached The Clinton-Gore Administration talks incessantly about certain issues. Protecting the environment, improving health care, helping children and those at the lower end of the wage scale are mantras they repeat over and over again. health care The Cost of War 01 May 2000    Texas Straight Talk 01 May 2000 verse 12 ... Cached All of the environmental and health care legislation the administration pushes, saying they want a healthier and cleaner world, will not have even one-tenth of the impact that this NATO bombing campaign had. The true environmental and health policy legacy of the Clinton-Gore administration is the toxic spoils of Serbia. health care Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000    Texas Straight Talk 15 May 2000 verse 4 ... Cached Last weekend President Clinton issued an appeal to lay aside partisan differences in order that we may address critical health care related issues. I hope the President will take his own advice and work to pass legislation that I recently introduced. However, in all honesty, I expect that we will once again see this issue dragged down by those who would rather score political points than address very real problems. health care 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. health care Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000    Texas Straight Talk 15 May 2000 verse 6 ... Cached "That is why I have introduced sweeping legislation aimed at assisting the terminally ill, and those stricken with cancer, to meet the financial burdens of health care costs resulting from their illnesses. The Cancer and Terminal Illness Patient Health Care Act (HR 4265), would exempt all persons diagnosed with terminal illness, or any form of cancer, from the employee portion of payroll taxes for as long as they continue to suffer from the illness or have significant costs resulting therefrom. health care Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000    Texas Straight Talk 15 May 2000 verse 7 ... Cached "This bill would allow such individuals to keep their resources for those purposes without adversely affecting their ability to collect benefits. Rather than forcing people who are in such dire situations to continue paying taxes for a retirement they may never live to see, we need to free up resources for them now, without any penalty accruing to them if they can beat these terrible diseases. I have spoken with patients who have suffered from these illnesses, which put such a terrible strain on them and their loved ones. Even when they have health care coverage (and many do not), they still incur all kinds of costs ranging from transportation to and from care centers and certain prescription drugs which may not be fully covered, to hiring sitters to watch their children while they receive treatment. The list is nearly endless. In the legislation I introduced, if the disease goes into remission and all related costs are paid, the employee would again resume paying the payroll tax. This is a conservative program designed to reduce the tax burden of those fighting these dreaded illnesses. We need to offer compassion to those who suffer, but we also owe it to them to stop taking away the resources which can help people beat breast cancer, AIDS or other terrible health problems. health care Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000    Texas Straight Talk 15 May 2000 verse 8 ... Cached "I am hopeful that people who are truly interested in improving health care for the terminally ill and others with cancer will join me in supporting and advancing this legislation. Rather than focusing on making political points or representing the needs of special interests, this is a piece of common sense health care legislation that would serve the interests of those who are suffering. health care Long and Short Term Solutions to the Rising Cost of Prescription Drugs 07 August 2000    Texas Straight Talk 07 August 2000 verse 3 ... Cached As a physician, I know how vitally important prescription medications are to senior citizens in Texas and across the nation. Many seniors in my district are struggling to pay for their prescription drugs, which can cost hundreds of dollars or more each month. Seniors on a fixed income often face the dilemma of foregoing other necessities so they can pay for medicines. Older Americans who once relied on Social Security and Medicare to provide funds for their health care now find themselves spending more and more out-of-pocket to cover deductibles and quickly rising drug costs. It is simply not right that we continue to tax Social Security benefits at a time when so many seniors are struggling to pay for needed medicines. health care Long and Short Term Solutions to the Rising Cost of Prescription Drugs 07 August 2000    Texas Straight Talk 07 August 2000 verse 4 ... Cached Congress recently has considered different ways to help seniors struggling to pay their prescription drug bills. Unfortunately, nearly every proposal that comes out of Washington involves a new federal program that continues taxing Social Security benefits and misusing the Social Security trust fund, or attempts to lower costs through price-fixing measures which will result in rationing of drugs. Other proposals create government subsidies to insurance or pharmaceutical companies. These plans take control of health care away from the individual and place it in the hands of bureaucrats. health care Help for Those with Terminal Illnesses 21 August 2000    Texas Straight Talk 21 August 2000 verse 3 ... Cached This year we have heard proposals by various people in Washington advocating more government control over our health care system. These proposals almost invariably call for more tax dollars to be sent to Washington, so bureaucrats can make decisions about your medical care rather than having you choose. The approach is almost always the same- send your money to Washington, where bureaucrats decide what to do with your dollars. I advocate a different approach, however. I believe my constituents (and all Americans) should keep more of their own paychecks, leaving them with greater money and choices when addressing their own health care concerns. health care Help for Those with Terminal Illnesses 21 August 2000    Texas Straight Talk 21 August 2000 verse 5 ... Cached Accordingly, I have introduced the "Cancer and Terminal Illness Patient Health Care Act" (H.R. 4265). This legislation would exempt all persons diagnosed with terminal illnesses (or any form of cancer) from the employee portion of payroll taxes for as long as they continue to suffer with their illness or incur significant health care costs resulting from the illness. Compassion and common sense require that we adopt a policy that stops taking needed resources away from those suffering from terrible health problems. This legislation is a realistic approach to helping people pay for quality health care when they need it most. health care Help for Those with Terminal Illnesses 21 August 2000    Texas Straight Talk 21 August 2000 verse 6 ... Cached An important provision of the "Cancer and Terminal Illness Patient Health Care Act" ensures that the exemption from payroll taxes provided by the Act does not adversely affect a qualifying individual’s ability to collect benefits in the future. Individuals facing terminal illnesses need more of their own resources available to them to pay medical bills, but they should not be penalized if they survive their condition. Once their disease goes into remission and all related costs are paid, the individual resumes paying the payroll tax. health care Help for Those with Terminal Illnesses 21 August 2000    Texas Straight Talk 21 August 2000 verse 7 ... Cached Similarly, I have introduced legislation designed to provide needed resources to parents struggling to pay for their terminally ill or disabled children’s medical bills. The "Family Health Tax Cut Act" (H.R. 4799) allows families to deduct a portion of their health care expenses for dependent children. Specifically, the Act provides parents caring for a child with a disability, cancer, terminal illness, or other condition requiring specialized medical care with a tax credit of up to $3,000. Our tax laws permit businesses to deduct employee health care costs from their income taxes; surely families should be permitted the same deduction to free up more of their financial resources to pay for the medical bills of their seriously ill children. The deduction is especially critical to low-income families, many of whom do not have health insurance provided by their employers. health care 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. health care Spending, Tax Cuts, or Debt Reduction? 25 September 2000    Texas Straight Talk 25 September 2000 verse 4 ... Cached Last week I voted to support the "Debt Relief Lockbox Reconciliation Act," legislation designed to insure that any 2001 Social Security and Medicare surpluses are not spent on unrelated federal programs. The Congressional Budget Office projects that the Social Security and Medicare programs will have a combined surplus of approximately $198 billion in the coming year. Until Congress passes tax reform legislation that returns any surplus dollars to taxpayers, I will support efforts to prevent revenue-hungry politician and bureaucrats from spending your retirement and health care surplus dollars on pork-barrel projects. health care The Bush Administration Must Honor its Commitment to Smaller Government 18 December 2000    Texas Straight Talk 18 December 2000 verse 6 ... Cached Still, it is important to understand that the calls for "bipartisanship" really are nothing less than political threats aimed at president-elect Bush. Mainstream media and collectivist politicians want to create an atmosphere where adherence to principles and ideology is mischaracterized as mean-spirited or divisive. In other words, they are warning Bush not to pursue a conservative, limited government agenda. The not-so-subtle threat is that the administration will face a political firestorm unless it continues Clinton era policies, which are incorrectly presented as "bipartisan." For example, one prominent Senator recently called on Bush to insure passage of a "patient's bill of rights," which he insisted was mandated by widespread bipartisan support. This is nonsense, of course; most Americans rightfully oppose the terrible trend toward a government controlled health care system. Yet we are led to believe that Bush must accept and even endorse such proposals to expand the government's role in medicine in order to demonstrate "bipartisan cooperation." health care 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. health care 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. health care Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001    Texas Straight Talk 18 June 2001 verse 4 ... Cached The most dangerous aspect of the new regulations is the implementation of a national medical record database. All health care providers, including private physicians, insurance companies, and HMOs, will be forced to use a standard data format for patient records. Once standardized information is entered into a networked government database, it will be virtually impossible to prevent widespread dissemination of that information. If the federal government really seeks to protect medical privacy, why it is so eager to have its citizens' medical records easily available in one centralized database? The truth is that a centralized database will make it far easier for both government agencies and private companies to access your health records. health care Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001    Texas Straight Talk 18 June 2001 verse 5 ... Cached HHS officials have sought to reassure the public that the new rules require patient consent before physicians may release medical information. Unfortunately, however, the consent protection has very limited effect. First, your physician likely will refuse to treat you if you decline consent to share your records. This is almost certain to happen, because heavy fines (and even jail sentences!) will be imposed on physicians who don't exactly follow the new regulations. Furthermore, there are very broad exceptions to the consent rule for ill-defined categories such as "oversight of the health care system," "public health," "law enforcement activities," "judicial and administrative proceedings," and "national defense and security." These exceptions give the government almost unlimited justifications to access your private records not only without your consent, but also without your knowledge. The law enforcement exception is particularly troubling, because the 4th Amendment clearly prohibits warrantless searches of medical records by government officials. So while on the surface the new rules may seem to give patients some control, the reality is that the consent protection is largely meaningless. health care 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. health care Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001    Texas Straight Talk 18 June 2001 verse 7 ... Cached As a physician, I have vigorously opposed the new HHS rules since they first were proposed by the Clinton administration. I introduced legislation earlier this year to prevent their implementation, but unfortunately the deadline for Congress to act on my bill expired last week. However, the fight is not lost, as the rules do not become legally enforceable until 2003. Congress still has time to pass new legislation which prohibits the federal government from gathering your private medical information. I urge every American concerned with medical privacy and quality health care to join me in the fight to keep government out of our medical records. health care "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. health care "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001    Texas Straight Talk 02 July 2001 verse 5 ... Cached So what should we do about the HMO mess? Before we call for government action, we should recognize that the federal government has virtually mandated HMOs on the American people First, the tax code excludes health insurance from taxation when purchased by an employer, but not when purchased by an individual. Second, the HMO Act of 1973 forced all but the smallest employers to offer HMOs to their employees. So while many in Congress are happy to criticize HMOs today, the public never hears how the present system was imposed upon the American people by federal law. In fact, one very prominent Senator now attacking managed care is on record in the 1970s lauding HMOs as "effective and efficient mechanisms for delivering health care of the highest quality." As usual, government intervention in the private market has caused unintended consequences, but Washington blames only the HMOs themselves- not the laws that created them. health care "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001    Texas Straight Talk 02 July 2001 verse 6 ... Cached Not surprisingly, the loudest voices on Capitol Hill now calling for a so-called "patients bill of rights" don't want to abolish the HMO mandate. Instead, more government is proposed to fix the problem. Congress wants to micromanage the system, deciding what treatments and drugs should be paid for by health insurers. Congress also wants to create new rules allowing lawsuits against employers when the HMO refuses treatment to an employee! Surely the trial lawyers will support the new laws, but Americans certainly should understand that more federal involvement will only increase the cost of health insurance for everyone. Undoubtedly, lower-paid workers will find themselves completely uninsured when their premiums increase beyond affordable levels. The truth is that any new legislation will only serve to increase government involvement in our health care system, to the detriment of us all. Without question, the true goal of some in Congress is to create a socialized medicine system. It's politically expedient to slap a "patients rights" label on legislation which simply leads us closer to a complete government takeover of medicine. health care "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. health care What Happened to the Surplus? 20 August 2001    Texas Straight Talk 20 August 2001 verse 5 ... Cached Furthermore, even the single-year surpluses are illusory when we consider that the Clinton administration raided Social Security and Medicare funds to claim a balanced budget. In reality, even the record revenues of the 1990s could not keep pace with the voracious spending appetites of Congress and the administration. So Social Security and Medicare funds were moved around to cover the difference between what was collected and what was spent each year. These unconscionable raids on your retirement and health care dollars should never be allowed, yet the practice has become commonplace in Washington. The sad truth is that the so-called Social Security and Medicare trust funds do not really exist at all, and taxpayers have every reason to be anxious about the future viability of both systems. Many Americans still believe that the FICA portion of taxes withheld from their paychecks has been set aside for them, but in fact the government holds nothing but IOUs that depend completely on future revenues. Congress and the administration should be forced to keep Social Security and Medicare funds completely separate before ever declaring that the budget is balanced. health care Don't Believe the Hype- "Campaign Finance Reform" Serves Entrenched Interests 18 February 2002    Texas Straight Talk 18 February 2002 verse 5 ... Cached "Reform" should mean a change for the better- an improvement over the way things are. In Washington, however, words often represent the opposite of their plain meaning. Can you name one government reform that actually improved anything? How many times has Social Security been reformed? How about public education? Health care? Let's not forget the IRS! In Washington, "reform" always means more spending, more taxes, more regulations, more bureaucrats, and less freedom. health care Legislation for our Military Families and Veterans 21 October 2002    Texas Straight Talk 21 October 2002 verse 2 ... Cached With thousands of our troops now deployed in Afghanistan, and thousands more probably headed to Iraq, it is important to remember the sacrifices made by our military families. Congress should do everything possible to make sure our soldiers and our veterans receive adequate pay, housing, health care, tax relief, and disability benefits. health care Honoring our Military Veterans 11 November 2002    Texas Straight Talk 11 November 2002 verse 4 ... Cached If we really hope to honor veterans, we must change the culture of the Veteran’s Administration, which is as bureaucratic and inefficient as any federal agency. This dramatically affects the well-being of millions of former servicemembers, who rely squarely on the VA for health care, retirement living, and monthly payment of veteran’s benefits. Legislation and better funding can help, but as with all federal agencies, mismanagement is the real problem. Veterans deserve dignified care, and we can’t provide that with a VA that is run like the Postal Service or the IRS. health care 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. health care The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003    Texas Straight Talk 31 March 2003 verse 7 ... Cached Yet the assessment of liability and compensation should be determined by private contractual agreements between physicians and patients- in other words, by the free market. The free-market approach enables patients to protect themselves with “negative outcomes” insurance purchased before medical treatment. Such insurance ensures that those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation. health care HillaryCare, Republican Style 30 June 2003    Texas Straight Talk 30 June 2003 verse 6 ... Cached The majority of seniors who like the private drug coverage they already have are the biggest losers in the new scheme. It provides a perverse incentive for private plans to dump seniors into the government plan, and some companies with large numbers of retirees have already announced their intention to do so. The Joint Economic Committee estimates that nearly 40% of private plans will stop providing prescription drug coverage because of the new Medicare plan. This number is sure to skyrocket as the cost of providing health care rises, and companies look to pass off the high costs of health care for their retired employees. health care HillaryCare, Republican Style 30 June 2003    Texas Straight Talk 30 June 2003 verse 10 ... Cached Drug rationing, fewer choices, bureaucracy, subsidies, and a declining quality of health care- these are the hallmarks of government medicine. health care The Terrible Cost of Government 28 July 2003    Texas Straight Talk 28 July 2003 verse 5 ... Cached For those who desperately want to see the size and scope of the federal government reduced, the first Bush term is a very serious disappointment. Spending levels are approximately 22% higher than when Clinton left office. Health care spending has increased 36% in three years, education spending has increased 26%, and “community and regional development” spending, which includes boondoggles like HUD, has increased 31%. These purely domestic spending increases cannot be excused by terrorism or the war in Iraq. health care Drug Reimportation Increases Medical Freedom 04 August 2003    Texas Straight Talk 04 August 2003 verse 5 ... Cached The arguments against reimportation amount to simple protectionism. Opponents of reimportation want to preserve artificially high drug prices in America at the expense of drug consumers. They rely on two tired and demonstrably false claims: namely, that the free market does not work when it comes to health care, and that there is no “level playing field” because other countries impose price controls on drugs. These protectionist arguments are used as justification for imposing higher costs on Americans by limiting their consumer choices. health care Drug Reimportation Increases Medical Freedom 04 August 2003    Texas Straight Talk 04 August 2003 verse 8 ... Cached Reimportation is hardly a solution to our health care woes, of course, and the bill faces a highly uncertain future in the Senate. Reimportation would, however, inject a tiny measure of freedom into our increasingly regulated health care system. No American should ever enjoy less freedom by virtue of living in the U.S., and no American should be forced to pay higher prices for drugs that are available more cheaply overseas. The ban on reimportation is unconscionable, and most Americans know it despite the best efforts of the pharmaceutical companies and their mouthpieces. health care Your Money in Iraq 29 September 2003    Texas Straight Talk 29 September 2003 verse 17 ... Cached We have embarked on probably the most extensive nation-building experiment in history. Our provisional authority seeks nothing less than to rebuild Iraq’s judicial system, financial system, legal system, transportation system, and political system from the top down- all with hundreds of billion of US tax dollars. We will all pay to provide job-training for Iraqis, while more and more Americans find themselves out of work. We will pay to secure the Iraqi borders, while our own borders remain porous and vulnerable. We will pay for housing, health care, social services, utilities, roads, schools, jails, and food in Iraq, leaving American taxpayers with less money to provide these things for themselves at home. We will saddle future generations with billions in government debt. The question of whether Iraq is worth this much to us is one lawmakers should answer now by refusing to approve another nickel for nation building. health care 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. health care Mistreating Soldiers and Veterans 10 November 2003    Texas Straight Talk 10 November 2003 verse 8 ... Cached Members of our armed forces deserve more than platitudes when they return from foreign wars with illnesses or disabilities. Unfortunately, the trust our soldiers place in the federal government to provide for their health care has been breached time and time again. Last week’s partial grant of concurrent receipt benefits will prove woefully inadequate for most of our disabled veterans, veterans who could be well-served with just a fraction of the billions Congress gave away in Iraq. health care 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. health care 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. health care Useless Conventions 02 August 2004    Texas Straight Talk 02 August 2004 verse 8 ... Cached For those who believe in limited constitutional government, last week’s convention speeches were almost unbearable. One speaker after another extolled their benevolent plans for America, always in the form of new programs and new spending. Of course no convention would be complete without assurances that even more money will be spent on the failed federal education bureaucracy. The speakers also promised free health care for all, without the slightest explanation of how health care became a “right.” All of these promises were made, of course, without any mention of exactly what constitutional or moral authority authorizes such grand schemes. health care Government Debt- The Greatest Threat to National Security 25 October 2004    Texas Straight Talk 25 October 2004 verse 9 ... Cached Ultimately, debt is slavery. Every dollar the federal government borrows makes us less secure as a nation, by making America beholden to interests outside our borders. So when you hear a politician saying America will do “whatever it takes” to fight terrorism or rebuild Iraq or end poverty or provide health care for all, what they really mean is they are willing to sink America even deeper into debt. We’re told that foreign wars and expanded entitlements will somehow make America more secure, but insolvency is hardly the foundation for security. Only when we stop trying to remake the world in our image, and reject the entitlement state at home, will we begin to create a more secure America that is not a financial slave to foreign creditors. health care The Maestro Changes his Tune 21 February 2005    Texas Straight Talk 21 February 2005 verse 7 ... Cached Second, inflation is a much greater problem than the federal government admits. Health care, housing, and energy are three areas where costs have risen dramatically. The producer price index is rising at the fastest rate in seven years. Bond prices are rising. To suggest that rapid expansion of the money supply and artificially low interest rates do not ultimately cause price inflation is absurd. health care Dietary Supplements and Health Freedom 25 April 2005    Texas Straight Talk 25 April 2005 verse 5 ... Cached frustrated with our government-controlled health care system. They have concluded health care Dietary Supplements and Health Freedom 25 April 2005    Texas Straight Talk 25 April 2005 verse 15 ... Cached The FDA, like all federal agencies, ultimately uses its regulatory powers in political ways. Certain industries and companies are rewarded, and others are punished. No regulatory agency is immune from politics, which is why the FDA should not be trusted with power over our intimate health care decisions. health care CAFTA and Dietary Supplements 18 July 2005    Texas Straight Talk 18 July 2005 verse 9 ... Cached The largely government-run health care establishment, including the nominally private pharmaceutical companies, want government to control the dietary supplement industry-- so that only they can manufacture and distribute supplements. If that happens, as it already is happening in Europe, the supplements you now take will be available only by prescription and at a much higher cost-- if they are available at all. This alone is sufficient reason for Congress to oppose the unconstitutional, sovereignty-destroying CAFTA bill. health care Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 1 ... Cached Lowering the Cost of Health Care health care 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. health care Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 5 ... Cached While many in Congress are happy to criticize HMOs today, the public never hears how the present system was imposed upon the American people by federal law. As usual, government intervention in the private market failed to deliver the promised benefits and caused unintended consequences, but Congress never blames itself for the problems created by bad laws. Instead, we are told more government- in the form of “universal coverage”- is the answer. But government already is involved in roughly two-thirds of all health care spending, through Medicare, Medicaid, and other programs. health care 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. health care Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 8 ... Cached The following are bills Congress should pass to reduce health care costs and leave more money in the pockets of families: health care Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 9 ... Cached HR 3075 provides truly comprehensive health care reform by allowing families to claim a tax credit for the rising cost of health insurance premiums. With many families now spending close to $1000 or even more for their monthly premiums, they need real tax relief-- including a dollar-for-dollar credit for every cent they spend on health care premiums-- to make medical care more affordable. health care 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. health care Lowering the Cost of Health Care 21 August 2006    Texas Straight Talk 21 August 2006 verse 11 ... Cached HR 3077 makes it more affordable for parents to provide health care for their children. It creates a $500 per child tax credit for medical expenses and prescription drugs that are not reimbursed by insurance. It also creates a $3,000 tax credit for dependent children with terminal illnesses, cancer, or disabilities. Parents who are struggling to pay for their children's medical care, especially when those children have serious health problems or special needs, need every extra dollar. health care Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 1 ... Cached Diagnosing our Health Care Woes health care Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 3 ... Cached No one disputes the diagnosis: American health care is in lousy shape. As a practicing physician for more than 30 years, I find the pervasiveness of managed care very troubling. health care Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 4 ... Cached The problems with our health care system are not the result of too little government intervention, but rather too much. Contrary to the claims of many advocates of increased government regulation of health care, rising costs and red tape do not represent market failure. Rather, they represent the failure of government policies that have destroyed the health care market. health care Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 5 ... Cached It’s time to rethink the whole system of HMOs and managed care. This entire unnecessary level of corporatism rakes off profits and worsens the quality of care. But HMOs did not arise in the free market; they are creatures of government interference in health care dating to the 1970s. These non-market institutions have gained control over medical care through collusion between organized medicine, politicians, and drug companies, in an effort to move America toward “free” universal health care. health care Diagnosing our Health Care Woes 25 September 2006    Texas Straight Talk 25 September 2006 verse 6 ... Cached One big problem arises from the 1974 ERISA law, which grants tax benefits to employers for providing health care, while not allowing similar incentives for individuals. This results in the illogical coupling between employment and health insurance. As such, government removed the market incentive for health insurance companies to cater to the actual health-care consumer. As a greater amount of government and corporate money has been used to pay medical bills, costs have risen artificially out of the range of most individuals. health care Demographic Reality and the Entitlement State 13 November 2006    Texas Straight Talk 13 November 2006 verse 5 ... Cached He explains that Social Security and Medicare are headed for a train wreck because of demographic trends and rising health care costs. The number of younger taxpayers for each older retiree will continue to decline. The demand for "free" prescription drugs under Medicare will explode. If present trends continue, by 2040 the entire federal budget will be consumed by Social Security and Medicare. The only options for balancing the budget would be cutting total federal spending by about 60%, or doubling federal taxes. health care Demographic Reality and the Entitlement State 13 November 2006    Texas Straight Talk 13 November 2006 verse 9 ... Cached Are ever growing entitlement and military expenditures really consistent with a free country? Do these expenditures, and the resulting deficits, make us more free or less free? Should the government or the marketplace provide medical care? Should younger taxpayers be expected to provide retirement security and health care even for affluent retirees? Should the U.S. military be used to remake whole nations? Are the programs, agencies, and departments funded by Congress each year constitutional? Are they effective? Could they operate with a smaller budget? Would the public even notice if certain programs were eliminated altogether? These are the kinds of questions the American people must ask, even though Congress lacks the courage to do so. health care Another Spending Bill for the War in Iraq 12 February 2007    Texas Straight Talk 12 February 2007 verse 9 ... Cached We have embarked on the most expensive nation-building experiment in history. We seek nothing less than to rebuild Iraq’s judicial system, financial system, legal system, transportation system, and political system from the top down-- all with hundreds of billion of US tax dollars. We will pay to provide job training for Iraqis; we will pay to secure Iraq’s borders; we will pay for housing, health care, social services, utilities, roads, schools, jails, and food in Iraq. In doing so, we will saddle future generations of Americans with billions in government debt. The question of whether Iraq is worth this much to us is one Congress should answer now-- by refusing another nickel for supplemental spending bills. health care Aging Infrastructure 27 August 2007    Texas Straight Talk 27 August 2007 verse 9 ... Cached Even the most ardent liberal and passionate conservative can agree that when they pay gasoline taxes, the least they expect is a road and bridge system that won't crumble beneath their feet. Before any subsidies or welfare payments are paid out, before social security is handed out to illegal immigrants, or health care is given to everyone, before bridges to nowhere are built at home, or entire countries bombed and rebuilt abroad, before any other myriad of exotic government projects are even considered, infrastructure should be attended to and taken seriously. health care Congressional Control of Health Care is Dangerous to Children 30 September 2007    Texas Straight Talk 30 September 2007 verse 1 ... Cached Congressional Control of Health Care is Dangerous for Children health care Congressional Control of Health Care is Dangerous to Children 30 September 2007    Texas Straight Talk 30 September 2007 verse 2 ... Cached This week Congress is again grasping for more control over the health of American children with the expansion of the State Children’s Health Insurance Program (SCHIP). Parents who think federally subsidized health care might be a good idea should be careful what they wish for. health care Salute to Veterans 25 May 2008    Texas Straight Talk 25 May 2008 verse 3 ... Cached Congress has considered several bills this past week that would affect veterans. Many of the measures are very positive. I applaud efforts to shore up health care for veterans, and make sure that veterans know about the services available to them. I strongly support improving educational opportunities for veterans. I also believe a pay raise is well-deserved, and long overdue for our men and women in uniform. These benefits constitute their pay for serving our country. health care Salute to Veterans 25 May 2008    Texas Straight Talk 25 May 2008 verse 5 ... Cached I was pleased with several of the veterans bills passed this past week, but more needs to be done. There are many other bills that should be passed dealing with veterans health care, how we treat disabled vets, and forgiving debts to the United States of fallen soldiers. We need to keep in mind younger generations who will someday face the choice of whether or not to enlist. They are watching to see how well we keep our promises. As it stands, our military is being rapidly depleted and exhausted by the continued, unconstitutional wars being fought in Iraq and Afghanistan . This problem must be addressed. 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.