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hospital Birth Defects Prevention Act 10 March 1998 1998 Ron Paul 24:9 I, for one, am uninterested in further catapulting this country down this “road to serfdom” albeit a road paved with the good intentions of, in this case, “preventing birth defects”. If this matter is so vital that it can only be done via the power of the federal government, then I suggest that members of the House convince their constituents of this and amend the constitution accordingly. I, despite my extensive work as an obstetrician, remain unconvinced. A volunteer group, private charity, hospital trade association, or university could certainly, in this age of advanced computer technology, maintain a database necessary to adequately address the information needs of those hoping to advance the cause of birth defect reduction. This, I believe would be a solution compatible with the framer’s notion of a national government of limited powers. hospital Social Security Numbers And Student Loans 29 April 1998 1998 Ron Paul 41:6 Mr. Speaker, prior to coming to this Congress, I was an obstetrician delivering babies, and babies cannot leave the hospital these days without a Social Security number. So they are born, get a Social Security number, they do not leave the hospital without it, and do my colleagues know that one cannot have a death certificate without a Social Security number? They are everyplace. It is an intrusion on our privacy. We do not need to use a Social Security number. hospital Amendment Number 3 Offered By Mr. Paul 29 April 1998 1998 Ron Paul 42:10 If one does not give his Social Security number, one is in big trouble in this country. One cannot even get out of the hospital if one is born without a Social Security number, and one cannot open up a savings account for a child if one does not have a Social Security number. One is not even allowed to die at this time without a Social Security number, because one needs a Social Security number on one’s death certificate. Talk about cradle to grave. hospital 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. hospital 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. hospital 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. hospital Hate Crimes And Individual Rights 16 October 1998 1998 Ron Paul 122:3 Shepard, an openly gay University of Wyoming student who had been widely praised for his talents, ambitions and personality, last week was beaten senseless and left for dead, tied up like a scarecrow along a fence on a little-traveled country road. Miraculously, he was found by passers-by many hours after the attack, still struggling for life when he was rushed to a hospital in Fort Collins, CO, where he died Monday while on life support. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 94:3 The Brazosport RehabCare Center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbia and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 94:7 I am proud and honored to have the Brazosport RehabCare rehabilitation facilities at Brazosport Memorial Hospital, Lake Jackson, Texas. Please join me in recognizing the Brazosport RehabCare Center for its outstanding services and remarkable accomplishments as we celebrate National Rehabilitation Awareness week. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 95:3 The Brazosport RehabCare Center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbus and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 95:7 I am proud and honored to have the Brazosport RehabCare rehabilitation facilities at Brazosport Memorial Hospital, Lake Jackson, Texas. Please join me in recognizing the Brazosport RehabCare Center for its outstanding services and remarkable accomplishments as we celebrate National Rehabilitation Awareness week. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 9 September 1999 1999 Ron Paul 96:2 The Brazosport RehabCare Center opened its doors on December 31, 1992. Construction was completed at the end of April 1993, for a total of 14 acute rehabilitation beds. The Brazosport RehabCare center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbia and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. hospital Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 9 September 1999 1999 Ron Paul 96:6 I am proud and honored to have the Brazosport RehabCare rehabilitation facilities at Brazosport Memorial Hospital, Lake Jackson, Texas. Please join me in recognizing the Brazosport RehabCare Center for its outstanding services and remarkable accomplishments as we celebrate National Rehabilitation Awareness Week. hospital Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:14 Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increased benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care; limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the politicians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention. hospital 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. hospital Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:19 In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care. hospital 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. hospital Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:25 There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many. We should have more faith in freedom and more fear of the politician and bureaucrat who think all can be made well by simply passing a Patient’s Bill of Rights. hospital Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:9 Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increase benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care, limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the policitians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention. hospital 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. hospital Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:15 In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care. hospital 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. hospital Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:21 There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many. We should have more faith in freedom and more fear of the politician and bureaucrat who think all can be made well by simply passing a Patient’s Bill of Rights. hospital Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:8 Another thing is this sets up a new agency. For those conservative colleagues of mine who do not like the nationalization of medical care, what my colleagues are looking at here is a new agency of government setting up protocols, educating doctors and hospitals, and saying this is the way palliative care must be administered. My colleagues will have to answer with reports to the Federal Government. hospital A Republic, If You Can Keep It 31 January 2000 2000 Ron Paul 2:81 In the early stages, patients, doctors and hospitals welcomed these programs. Generous care was available with more than adequate reimbursement. It led to what one would expect, abuse, overcharges and overuse. When costs rose, it was necessary through government rulemaking and bureaucratic management to cut reimbursement and limit the procedures available and personal choice of physicians. We do not have socialized medicine but we do have bureaucratic medicine, mismanaged by the government and select corporations who usurp the decisionmaking power from the physician. The way medical care is delivered today in the United States is a perfect example of the evils of corporatism and an artificial system that only politicians, responding to the special interests, could create. There is no reason to believe the market cannot deliver medical care in an efficient manner as it does computers, automobiles and televisions. But the confidence is gone and everyone assumes, just as in education, that only a Federal bureaucracy is capable of solving the problems of maximizing the number of people, including the poor, who receive the best medical care available. In an effort to help the poor, the quality of care has gone down for everyone else and the costs have skyrocketed. hospital Statement of Ron Paul on the Misuse of the Social Security Number May 11, 2000 2000 Ron Paul 35:1 Mr. Chairman, thank you for holding a hearing on the important issue of the misuse of the Social Security number as a uniform standard identifier. For all intents and purposes, the Social Security number has been transformed from an administrative device used to administer the Social Security program into a de facto national ID number. Today, most Americans cannot get a job, get married, open a bank account, or even get a fishing license without their Social Security number. Many hospitals require parents to obtain Social Security numbers for their newborns before the hospital will discharge the baby. Moreover, many jurisdictions will not issue a death certificate without obtaining the deceased’s Social Security number. hospital PROVIDING FOR CONSIDERATION OF H.R. 1304, QUALITY HEALTH-CARE COALITION ACT OF 2000 June 29, 2000 2000 Ron Paul 60:6 We need this desperately. We do not need to support the special corporate interests who get the money. The patient does not get the care. The doctors are unhappy. The hospitals are unhappy. And who lobbies against this? Corporate interests. This is total destruction of the doctor-patient relationship. hospital THE FAMILY HEALTH TAX CUT ACT 29 June 2000 2000 Ron Paul 62:6 * Under the Family Health Tax Cut Act, a struggle single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will not have to worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. hospital INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:1 * Mr. Speaker, I rise to introduce the Essential Rural Hospital Preservation Act. This legislation provides a cost-effective means of providing assistance to those small rural hospitals who are struggling with the unintended consequences of the Balanced Budget Act of 1997. As those of us who represent rural areas can attest to, rural hospitals are desperately in need of such assistance. According to a survey conducted by Texas CPAs in April of 2000, the operating margin for hospitals outside a Standard Metropolitan Area with under 50 licensed beds pre-BBA was $26,000,000 while the operating margin post-BBA was negative $7,900,000. Reimbursement has been reduced by over $34 million since the BBA, while at the time the average rural hospital has incurred uncompensated and charity charges of $1.1 million since the changes contained in the Balanced Budget Act went into effect. Unless action is taken this year to provide assistance for these hospitals, many of them will be forced to close their doors, leaving many rural areas without access to hospital services. hospital 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: hospital 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. hospital INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:5 * 2. Allow Essential Service Hospitals to treat 100 percent of Medicare copay and deductions which become hospital bad debts as an allowable cost — The BBA of 1997 reduced the amount of bad debts incurred because of uncollected Medicare copayments and deductions that hospitals can submit to Medicare for reimbursement as an allowable cost. This places an especially tough burden on Essential Service Hospitals which often have a high percentage of bad debts because they tend to have a high percentage of low-income populations among their clientele. hospital INTRODUCTION OF THE ESSENTIAL RURAL HOSPITAL PRESERVATION ACT September 20, 2000 2000 Ron Paul 78:6 * 3. Exempt Essential Service Hospitals from the Outpatient Payment System (PPS) — Since rural hospitals lack the volume necessary to achieve a fair reimbursement rate under PPS, it makes no sense to apply PPS to these hospitals. Exempting Essential Service Hospitals from PPS assures that they will have their reimbursement rate determined by a formula that matches their unique situation. hospital 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. hospital 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. hospital CHILDHOOD CANCER AWARENESS MONTH September 21, 2000 2000 Ron Paul 79:4 * Under the Family Health Tax Cut Act, a struggling single mother with an asthmatic child would at last be able to provide for her child’s needs; while a working-class family will have less worry about how they will pay the bills if one of their children requires lengthy hospitalization or some other form of specialized care. hospital 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. hospital Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:12 Offering “free care” led to predictable results. Because Congress placed no restrictions on benefits and removed all sense of cost-consciousness, health-care use and medical costs skyrocketed. Congressional testimony reveals that between 1969 and 1971, physician fees increased 7 percent and hospital charges jumped 13 percent, while the Consumer Price Index rose only 5.3 percent. The nation’s health-care bill, which was only $39 billion in 1965, increased to $75 billion in 1971. Patients had found the fount of unlimited care, and doctors and hospitals had discovered a pot of gold. hospital 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. hospital Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:15 Beginning in 1971, Congress began to restrict reimbursements. They authorized the economic stabilization program to limit price increases; the Relative Value Resource Based System (RVRBS) to cut physician payments; Diagnostic-Related Groups (DRGs) to limit hospitals payments; and most recently, the Prospective Payment System (PPS) to offer fixed prepayments to hospitals, nursing homes, and home health agencies for anticipated services regardless of costs incurred. In effect, Congress initiated managed care. NATIONAL HEALTH-CARE AGENDA ADVANCES hospital Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:29 In addition, the federal law pre-empted state laws, that prohibited physicians from receiving payments for not providing care. In other words, payments to physicians by HMOs for certain behavior (fewer admissions to hospitals, rationing care, prescribing cheaper medicines) were now legal. hospital 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. hospital 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. hospital Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:19 There is nothing wrong with charity hospitals and possibly the churches once again providing care for the needy rather than through government paid programs which only maximizes costs. States can continue to introduce competition by allowing various trained individuals to provide the services that once were only provided by licensed MDs. We don’t have to continue down the path of socialized medical care, especially in America where free markets have provided so much for so many. hospital The War On Terrorism November 29, 2001 2001 Ron Paul 98:80 However, if we get to the point of returning to the draft, I have a proposal. Every news commentator, every Hollywood star, every newspaper editorialist, and every Member of Congress under the age of 65 who has never served in the military and who demands that the draft be reinstated, should be drafted first — the 18-year olds last. Since the Pentagon says they don’t need draftees, these new recruits can be the first to march to the orders of the general in charge of homeland security. For those less robust individuals, they can do the hospital and cooking chores for the rest of the newly formed domestic army. After all, someone middle aged owes a lot more to his country than an 18-year old. hospital 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. hospital 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. hospital Freedom From Unnecessary Litigation Act 12 March 2003 2003 Ron Paul 33:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. hospital “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. hospital “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003 2003 Ron Paul 39:4 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. hospital 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. hospital Medicare Funds For Prescription Drugs 26 June 2003 2003 Ron Paul 71:7 Setting up a system where by many of those currently receiving private coverage are hired into the government program exacerbates one of the major problems with this bill: it hastens the bankruptcy of the Medicare program and the federal government. According to Medicare Trustee, and professor of economics at Texas A&M University, Tom Saving, the costs of this bill could eventually amount to two-thirds of the current public-held debt of $3.8 trillion! Of course, estimates such as this often widely underestimate the costs of government programs. For example, in 1965, the government estimate that the Medicare Part B hospitalization program would cost $9 billion in 1990, but Medicare Part B costs $66 billion in 1990! hospital We Cannot Afford Another $87 Billion in Iraq September 16, 2003 2003 Ron Paul 98:10 Mr. Speaker, I guess we shouldn’t worry because we can find a way to pay for it. Already we are charging our wounded soldiers $8.10 a day for food when recuperating in a hospital from their war injuries. We also know that other soldiers are helping out by buying their own night vision goggles, GPS devices, short wave radios, backpacks, and even shoes! So I suppose we can fund the war that way. It does not seem like much of a bother to cut veterans’ benefits. Besides, many conservatives for years have argued that deficits do not really matter, only tax rates do. So let us just quit worrying about deficits and this $87 billion supplemental. Of course I’m being sarcastic. hospital Veterans Recognized By The Silver Rose 16 October 2003 2003 Ron Paul 109:2 Established in 1997 by Mary Elizabeth Marchand, The Order of The Silver Rose gives many veterans the satisfaction of being recognized for making the ultimate sacrifice for our nation. Mrs. Marchand’s father, Chief Hospital Corpsman Frank Davis, died from illnesses resulting from the use of Agent Orange in the Vietnam War. A combat veteran, Chief Davis was not wounded in combat but exposed to a dangerous substance while fighting for his country. Exposure to Agent Orange resulted in Davis losing his life some years later. Subsequently, determination was made by the Department of Defense that Chief Davis and many like him do not qualify for The Purple Heart. hospital Borrowing Billions to Fund a Failed Policy in Iraq October 17, 2003 2003 Ron Paul 110:6 This request - which was not the first and will not be the last - demonstrates in the most concrete terms that there is a real and concrete cost of our policy of interventionism. The American taxpayer paid to bomb Baghdad and now will pay to rebuild Iraq – its schools, hospitals, prisons, roads, and more. Many Americans cannot afford to send their own children to college, but with the money in this bill they will be sending Iraqi kids to college. Is this really what the American people want? hospital 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. hospital Introducing Cassandra Tamez’s Essay Into The Congressional Record 2004 Ron Paul 29:4 So with all this in mind I ask myself, what is my commitment to America’s future? Should I recycle or join a beautification committee to preserve America? Should I donate money to foundations that help kids? Or perhaps I could pledge my time to hospitals or nursing homes to help the sick people of America . . . hospital Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004 2004 Ron Paul 46:6 Now, that is a travesty in itself; but the real travesty is what it does to the other physicians, and what it is doing is making everybody fearful. The other doctors are frightened. Nurses are too frightened to give adequate pain medications even in the hospitals because of this atmosphere. hospital Opposes Mandatory Mental Health Screenings In Public Schools — Part 2 9 September 2004 2004 Ron Paul 68:4 This is a dangerous idea and a notion that has been used by totalitarian societies throughout the ages. Just think of the extreme of this if this is not nipped in the bud, as happened in the Soviet system. People were not always convicted of crimes; but they were put in psychiatric hospitals to be retrained, to be conditioned to think differently and politically correct. hospital 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. hospital Introducing The Freedom From Unnecessary Litigation Act 27 June 2005 2005 Ron Paul 77:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. hospital 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. hospital Introduction Of The Treat Physicians Fairly Act 2 March 2006 2006 Ron Paul 7:1 Mr. PAUL. Mr. Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the., costs imposed on them by federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals that incur costs related to providing uncompensated care. hospital Introduction Of The Treat Physicians Fairly Act 2 March 2006 2006 Ron Paul 7:2 Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms are required to provide care, regardless of a person’s ability to pay, to anyone who comes into an emergency room. Hospitals are also required by law to bear the full costs of providing free care to anyone who seeks emergency care. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 in revenue per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations. Physicians can be fined $50,000 for technical EMTALA violations! hospital 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. hospital 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. hospital 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. hospital 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. hospital 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. hospital 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. hospital 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). hospital Introduction Of The Taxpayer Protection From Frivolous Litigation Act 28 September 2006 2006 Ron Paul 92:4 EMTALA imposes additional burdens on physicians. EMTALA forces physicians and hospitals to bear l00% of the costs of providing care to anyone who enters an emergency room, regardless of the person’s ability to pay. According to the June 29, 2003 edition of AM News, emergency physicians lose an average of $138,000 in revenue per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations. A physician can be fined $50,000 for a technical EMTALA violation. hospital Milton Friedman 6 December 2006 2006 Ron Paul 100:31 Two weeks ago, I attended a conference in Guatemala at which it was announced that Friedman had had a bad fall and was in the hospital. The person who announced it, Bob Chitester, producer of the Friedmans’ 1980 television series, Free to Choose, handed out buttons that read, “Have you thanked Milton Friedman today?” Thanks, Uncle Miltie. hospital The Real Reason To Oppose The Supplemental Appropriation 20 March 2007 2007 Ron Paul 36:16 As we bleed financially, our men and women in Iraq die needlessly while the injured swell Walter Reed Hospital. Our government systematically undermines the Constitution and the liberties it is supposed to protect, for which it has claimed our soldiers are dying in faraway places. hospital 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. hospital 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. hospital 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. hospital 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. hospital Introduction Of The Treat Physicians Fairly Act 2 August 2007 2007 Ron Paul 85:1 Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by Federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals that incur costs related to providing uncompensated care. hospital Introduction Of The Treat Physicians Fairly Act 2 August 2007 2007 Ron Paul 85:2 Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms are required to provide care, regardless of a person’s ability to pay, to anyone who comes into an emergency room. Hospitals are also required by law to bear the full costs of providing free care to anyone who seeks emergency care. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 in revenue per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations. Physicians can be fined $50,000 for technical EMTALA violations. hospital 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. hospital 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. hospital Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007 2007 Ron Paul 87:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. hospital 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. hospital 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. hospital VETERANS’ HEALTH CARE POLICY ENHANCEMENT ACT OF 2008 July 30, 2008 2008 Ron Paul 53:1 Madam Speaker, I rise in support of this legislation, which will bar the collection of co-payments from veterans for hospital and nursing home care if the veteran is considered catastrophically disabled. I strongly advocate a noninterventionist foreign policy that would result in far fewer wars and, thankfully, far fewer catastrophically disabled veterans. But I also strongly believe that we must take care of those veterans who have been so severely wounded or otherwise disabled. Too often those who are most vocal in support of foreign military action are most silent when it comes time to take care of those who have paid a very high price for these actions. This legislation will provide at least a little relief to the most seriously injured veterans. hospital 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 childs 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. hospital TREAT PHYSICIANS FAIRLY ACT March 12, 2009 2009 Ron Paul 30:1 Mr. PAUL. Madam Speaker, I rise today to introduce the Treat Physicians Fairly Act, legislation providing tax credits to physicians to compensate for the costs of providing uncompensated care. This legislation helps compensate medical professionals for the costs imposed on them by federal laws forcing doctors to provide uncompensated medical care. The legislation also provides a tax deduction for hospitals who incur costs related to providing uncompensated care. hospital TREAT PHYSICIANS FAIRLY ACT March 12, 2009 2009 Ron Paul 30:2 Under the Emergency Medical Treatment and Active Labor Act (EMTALA) physicians who work in emergency rooms, as well as the hospitals, are required to provide care without seeking compensation to anyone who comes into an emergency room. Thus, EMTALA forces medical professionals and hospitals to bear the entire cost of caring for the indigent. According to the June 2/9, 2003 edition of AM News, emergency physicians lose an average of $138,000 per year because of EMTALA. EMTALA also forces physicians and hospitals to follow costly rules and regulations, and can be fined $50,000 for failure to be in technical compliance with EMTALA! hospital 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. hospital INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009 2009 Ron Paul 32:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. hospital MORE GOVERNMENT WONT HELP September 23, 2009 2009 Ron Paul 90:16 Early on medical insurance was promoted by the medical community in order to boost reimbursements to doctors and hospitals. That partnership has morphed into the government/insurance industry still being promoted by the current administration. hospital MSAs best option for better health care 10 August 1998 Texas Straight Talk 10 August 1998 verse 9 ... Cached The MSA will help keep down the costs associated with routine medical care simply because the physicians and hospitals will now have an incentive to offer the best service at the best price. And as the patient is able to negotiate with the doctor, better arrangements best suited for that patient can be made. hospital Medical costs can be cut with freedom 14 December 1998 Texas Straight Talk 14 December 1998 verse 10 ... Cached Resources once devoted to assisting patients with their needs must be diverted to meeting bureaucratic regulations. Federal regulations imposed on state governments regarding medical care delivery, or on insurance providers, or employers, or directly on doctors and hospitals, all eventually come back to the consumer in the form of higher checkout costs. hospital Going from bad to worse 17 May 1999 Texas Straight Talk 17 May 1999 verse 11 ... Cached Finally, and perhaps most persuasively, is the argument from personal interest. Say your local power company has known (like the rest of us) for some three or more years of the potential problems arising from the date-reading conflict in computers, yet did nothing or very little to correct the problem. Come the stroke of midnight leading into January 1, if power goes out at home it becomes an inconvenience, as for a hospital or business. But if the company was truly incompetent, and the outage lasts into days, or weeks, as they try to manage the situation, the outage becomes costly, disastrous and potentially dangerous. Hospital generators last only so long, small businesses can stand to be closed for only a short period, and children desperately need a warm house. hospital The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 3 ... Cached Medical privacy advocates enjoyed a victory last week when the Supreme Court ruled that a government hospital in South Carolina violated the constitutional rights of pregnant women by testing them for drugs without their consent. The hospital ostensibly began the testing program because of concerns about increasing cocaine use by pregnant patients, but if the hospital was concerned only with patient and fetus health, why were test results turned over to law enforcement? Several women were arrested and put in jail because of the tests, with their newborns presumably taken away to become wards of the state. Not surprisingly, the rationale for this terrible violation of doctor-patient confidentiality was the drug war. The real tragedy of this case is that it may cause pregnant women to conceal illegal drug use from their doctors out of fear of arrest. How many babies will be misdiagnosed or go untreated because their mothers no longer have any medical privacy? hospital The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 4 ... Cached Fortunately, the Supreme Court upheld the Fourth amendment in ruling against the hospital. The drug war has been used for too long as an excuse for unconstitutional actions by government. The Fourth and Fifth amendment prohibitions against unreasonable searches and compelled testimony routinely are ignored by legislators, law enforcement, prosecutors, judges, and especially federal agencies. As a result, all Americans have suffered the loss of liberties guaranteed to them in the Bill of Rights. hospital "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001 Texas Straight Talk 02 July 2001 verse 3 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of privately-funded charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans once paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than a third-party insurance company or government program. Not coincidentally, there was far less government involvement in medicine during this time. Somehow, however, the clear connection between government involvement in medicine and the decline in our once-proud healthcare system has been lost in the current debate. hospital Legislation for our Military Families and Veterans 21 October 2002 Texas Straight Talk 21 October 2002 verse 7 ... Cached Finally, Congress should end the silence and formally address Gulf War Syndrome, which has had a devastating impact on thousand of veterans who served in Iraq, Saudi Arabia, and Kuwait. As a medical doctor, I believe the evidence behind the existence of the syndrome is now conclusive. The syndrome likely represents several different maladies caused by exposure to conditions specific to the Gulf region at that time. We should be providing medical treatment to our sick Gulf War veterans, not insulting them by insisting that "it’s all in their heads." Congress should lead the way and craft legislation that requires VA hospitals to recognize and treat Gulf War Syndrome like any other illness. It’s the least we can do for the soldiers who risked their lives in the Gulf. hospital 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. hospital Mistreating Soldiers and Veterans 10 November 2003 Texas Straight Talk 10 November 2003 verse 2 ... Cached Congress recently voted to send $87 billion to Iraq, money that will be used to build everything from roads to power plants to hospitals. Yet while Congress appears ready to rubber-stamp unlimited monies for nation building in Iraq, thousands of our own soldiers at home are languishing with substandard medical care. hospital Mistreating Soldiers and Veterans 10 November 2003 Texas Straight Talk 10 November 2003 verse 5 ... Cached Similar mistreatment of soldiers has been evident throughout our occupation of Iraq. Some wounded soldiers convalescing at Walter Reed hospital in Washington were forced to pay for hospital meals from their own pockets! Other soldiers returning stateside for a two-week liberty had to buy their own airfare home from the east coast. Still others have paid for desert boots, night vision goggles, and other military necessities with personal funds. It’s shocking that our troops are forced to pay for basic items that should be supplied to them or paid from the defense budget. hospital Free Market Medicine 03 May 2004 Texas Straight Talk 03 May 2004 verse 4 ... Cached While many liberals talk endlessly about medical care for the poor, Dr. Berry actually helps uninsured people every day. His patients are largely low-income working people, who cannot afford health insurance but don’t necessarily qualify for state assistance. Some of his uninsured patients have been forced to visit hospital emergency rooms for non-emergency treatment because no doctor would see them. Others disliked the long waits and inferior treatment they endured at government clinics. For many of his patients, Dr. Berry’s clinic has been a godsend. hospital 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. hospital Responding to Katrina 12 September 2005 Texas Straight Talk 12 September 2005 verse 7 ... Cached The examples of FEMA blocking relief efforts are numerous: Wal-Mart trucks containing water and supplies were turned away; the Coast Guard was prevented from delivering diesel fuel; a 600-bed Navy hospital was left unused; firefighters were ordered away from flood sites; donated generators were refused; and rescue attempts by private citizens were rebuffed. Is FEMA really an agency that should be given another $50 billion? hospital Praising the Texas Gulf Coast Response to Rita 26 September 2005 Texas Straight Talk 26 September 2005 verse 7 ... Cached Evacuation of Galveston county residents began on Monday and Tuesday, leaving plenty of extra time to move those in nursing homes and hospitals. The coordination of city buses for those without cars was magnificent: all buses left from a central community center, and a hotline was set up for those who needed a ride to the staging area. A private organization called the Citizens’ Response Team also assisted in making sure everyone who needed a ride received one. Special provisions were made to allow pets on the buses, which prevented any agonizing decisions. Televised images of the long line of buses leaving Galveston in an orderly convoy provided a stark contrast to events in New Orleans just a few weeks ago. hospital Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 6 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program. hospital 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. hospital 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. hospital Immigration Reform in 2006? 11 September 2006 Texas Straight Talk 11 September 2006 verse 10 ... Cached Fourth, end welfare-state incentives for illegals. Americans are quick to welcome immigrants who simply wish to work hard and make a better life for themselves. But taxpayers cannot continue to pay when illegal immigrants use hospitals, clinics, schools, roads, and social services. hospital Rethinking Birthright Citizenship 02 October 2006 Texas Straight Talk 02 October 2006 verse 3 ... Cached A recent article in the Houston Chronicle discusses the problem of so-called anchor babies, children born in U.S. hospitals to illegal immigrant parents. These children automatically become citizens, and thus serve as an anchor for their parents to remain in the country. Our immigration authorities understandably are reluctant to break up families by deporting parents of young babies. But birthright citizenship, originating in the 14th amendment, has become a serious cultural and economic dilemma for our nation. hospital Rethinking Birthright Citizenship 02 October 2006 Texas Straight Talk 02 October 2006 verse 4 ... Cached In some Houston hospitals, administrators estimate that 70 or 80% of the babies born have parents who are in the country illegally. As an obstetrician in south Texas for several decades, I can attest to the severity of the problem. It’s the same story in California, Arizona, and New Mexico. And the truth is most illegal immigrants who have babies in U.S. hospitals do not have health insurance and do not pay their hospital bills. hospital Rethinking Birthright Citizenship 02 October 2006 Texas Straight Talk 02 October 2006 verse 5 ... Cached This obviously cannot be sustained, either by the hospitals involved or the taxpayers who end up paying the bills. hospital Rethinking Birthright Citizenship 02 October 2006 Texas Straight Talk 02 October 2006 verse 8 ... Cached Hospitals bear the costs when illegal immigrants enter the country for the express purpose of giving birth. But illegal immigrants also use emergency rooms, public roads, and public schools. In many cases they are able to obtain Medicaid, food stamps, public housing, and even unemployment benefits. Some have fraudulently collected Social Security benefits. 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. Pauls Congressional website and is not included in this Concordance. Remember, not everything in the concordance is Ron Pauls words. Some things he quoted, and he added some newspaper and magazine articles to the Congressional Record. Check the original speech to see. |