U.S. Rep. Ron Paul | Medicare |
Medicare
State Of The Republic
28 January 1998 1998 Ron Paul 2:38
Even the revolutionaries have claimed victory. One of the staunchest Members recently declared, in the end we achieved a balanced budget for the first time since 1969. Medicare and welfare were reformed, all in three short years, a truly remarkable record on how far we have come.
Medicare
State Of The Republic
28 January 1998 1998 Ron Paul 2:57
In this year’s budget, Medicare and Medicaid increased four to five times the rate of inflation. This is not a complete surprise to the logical skeptics when it comes to fiscal matters, but it is just a little exasperating to hear the positive pronouncements of current leaders who just a few years ago would have been only too eager to point out the shortcomings of deceptive arithmetic.
Medicare
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.
Medicare
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!
Medicare
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!
Medicare
Medicare Home Health And Veterans Health Care Improvement Act Of 1998
9 October 1998 1998 Ron Paul 118:10
In conclusion, Mr. Speaker, I call upon this Congress to reject this bill and instead support an IPS reform that is fair to all home care providers and does not finance worthwhile changes in Medicare by raising taxes. Instead, Congress should offset the cost to these worthy programs by cutting programs that do not benefit the American people.
Medicare
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!
Medicare
Pain Relief Promotion Act of 1999.
27 October 1999 1999 Ron Paul 112:13
However, Congress does significantly more damage than simply threatening physicians with penalties for improper prescription of certain drugs — it establishes (albeit illegitimately) the authority to dictate the terms of medical practice and, hence, the legality of assisted suicide nationwide. Even though the motivation of this legislation is clearly to pre-empt the Oregon Statute and may be protective of life in this instance, we mustn’t forget that the saw (or scalpel) cuts both ways. The Roe versus Wade decision — the Court’s intrusion into rights of states and their previous attempts to protect by criminal statute the unborn’s right not to be aggressed against — was quite clearly less protective of life than the Texas statute it obliterated. By assuming the authority to decide for the whole nation issues relating to medical practice, palliative care, and assisted suicide, the foundation is established for a national assisted suicide standard which may not be protective of life when the political winds shift and the Medicare system is on the verge of fiscal collapse. Then, of course, it will be the federal government’s role to make the tough choices of medical procedure rationing and for whom the cost of medical care doesn’t justify life extension. Current law already prohibits private physicians from seeing privately funded patients if they’ve treated a Medicaid patient within two years.
Medicare
A Republic, If You Can Keep It
31 January 2000 2000 Ron Paul 2:80
There is no indication that the trend toward government medicine will be reversed. Our problems are related to the direct takeover of medical care in programs like Medicare and Medicaid. But it has also been the interference in the free market through ERISA mandates related to HMOs and other managed care organizations, as well as our tax code, that have undermined the private insurance aspect of paying for medical care. True medical insurance is not available. The government dictates all the terms.
Medicare
ON INTRODUCTION OF THE PHARMACEUTICAL FREEDOM ACT OF 2000
February 10, 2000 2000 Ron Paul 6:3
* Mr. Speaker, I do wish to clarify that this tax credit is intended to supplement the efforts to reform and strengthen the Medicare system to ensure seniors have the ability to use Medicare funds to purchase prescription drugs. I am a strong supporter of strengthening the Medicare system to allow for more choice and consumer control, including structural reforms that will allow seniors to use Medicare funds to cover the costs of prescription drugs.
Medicare
Statement of Ron Paul on the Misuse of the Social Security Number
May 11, 2000 2000 Ron Paul 35:9
Finally, I would remind my colleagues that no private organization has the power to abuse personal liberty on as massive a scale as the federal government. After all, consumers have the right to refuse to do business with any private entity that asks for a Social Security number, whereas citizens cannot lawfully refuse to deal with government agencies. Furthermore, most of the major invasions of privacy, from the abuse of IRS files to the case of the Medicare clerk who sold the names of Medicare patients to an HMO, to the abuse of the FBI by administrations of both parties have occurred by government agents. Therefore Congress should focus on the threat to liberty caused by the federal government’s use of uniform identifiers.
Medicare
Medical Privacy Amendment
June 13, 2000 2000 Ron Paul 41:11
Already, under authority that was given to Health and Human Services, they have started to draw up regulations which regulate privacy matters, not so much the medical data bank but in other areas. The other thing that concerns me a great deal is these medical regulations that have been proposed not only deal with the privacy of somebody that may be receiving medical care from Medicare but also in the private sector.
Medicare
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.
Medicare
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:
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
SOCIAL SECURITY NUMBER CONFIDENTIALITY ACT OF 1999
17 October 2000 2000 Ron Paul 87:7
* While much of the discussion of identity theft and related threats to privacy has concerned private sector criminals, the major threat to privacy lies in the power uniform identifiers give to government officials. I am sure I need not remind my colleagues of the sad history of government officials of both parties using personal information contained in IRS or FBI files against their political enemies, or of the cases of government officials rummaging through the confidential files of celebrities and/or their personal acquaintances, or of the Medicare clerk who sold confidential data about Medicare patients to a Health Maintenance Organization. After considering these cases, one cannot help but shudder at the potential for abuse if an unscrupulous government official is able to access one’s complete medical, credit, and employment history by simply typing the citizens’ ‘uniform identifier’ into a database.
Medicare
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.
Medicare
CHALLENGE TO AMERICA: A CURRENT ASSESSMENT OF OUR REPUBLIC —
February 07, 2001 2001 Ron Paul 7:43
Western leaders for most of the 20th Century have come to accept a type of central planning they believe is not burdened by the shortcomings of true socialist-type central planning. Instead of outright government ownership of the means of production, the economy was to be fine-tuned by fixing interest rates (FED Funds Rates), subsidizing credit (Government Sponsored Enterprises), stimulating sluggish segments of the economy (Farming and the Weapons Industry), aiding the sick (Medicaid and Medicare), federally managing education (Department of Education), and many other welfare schemes.
Medicare
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.
Medicare
Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:11
The proliferation of managed-care organizations (MCOs) in general, and HMOs in particular, resulted from the 1965 enactment of Medicare for the elderly and Medicaid for the poor. Literally overnight, on July 1, 1966, millions of Americans lost all financial responsibility for their health-care decisions.
Medicare
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.
Medicare
Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:25
Congress’s plan to save its members’ political skins and national agendas relied on employer-sponsored coverage and taxpayer subsidies to HMOs. The planners’ long-range goal was to place Medicare and Medicaid recipients into managed care where HMO managers, instead of Congress, could ration care and the government’s financial liability
Medicare
Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:26
To accomplish this goal, public officials had to ensure that HMOs developed the size and stability necessary to take on the financial risks of capitated government health-care programs. This required that HMOs capture a significant portion of the private insurance market. Once Medicare and Medicaid recipients began to enroll in HMOs, the organizations would have the flexibility to pool their resources, redistribute private premium dollars, and ration care across their patient populations.
Medicare
Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:31
Once HMOs were filled with the privately insured, Congress moved to add the publicly subsidized. Medicaid Section 1115 waivers allowed states to herd Medicaid recipients into HMOs, and Medicare+Choice was offered to the elderly. By June 1998, over 53 percent of Medicaid recipients were enrolled in managed-care plans, according to HRSA. In addition, about 15 percent of the 39 million Medicare recipients were in HMOs in 2000. HMOS SERVE PUBLIC-HEALTH AGENDA
Medicare
Blame Congress for HMOs
February 27, 2001 2001 Ron Paul 15:35
Federal officials, eager to keep HMOs in business, have even been willing to violate federal law. In August 1998, a federal court chided the U.S. Department of Health and Human Services for renewing HMO contracts that violate their own Medicare regulations. THE RUSE OF PATIENT PROTECTION
Medicare
Free Trade
April 24, 2001 2001 Ron Paul 24:18
On one stretch of Saturday’s march, demonstrators wore large bar codes taped to their mouths, as if free trade meant turning them into speechless numbers. How droll! These demonstrators were certainly, and perhaps proudly, carrying in their wallets government-imposed Social Security numbers, drivers’ licenses and Medicare cards, which, surely, have made them numbered state cattle. Another fabulous irony: American would-be demonstrators complained about being denied entry into Canada, while their entire message is predicated on tighter borders.
Medicare
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.
Medicare
LEGISLATION WHICH ENHANCES SENIOR CITIZENS’ HEALTH CARE -- HON. RON PAUL
Thursday, August 2, 2001 2001 Ron Paul 70:2
* Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover non-routine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mamograms, are made by the senior, not by bureaucrats and politicians.
Medicare
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.
Medicare
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
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
PRESCRIPTION DRUG AFFORDABILITY ACT -- HON. RON PAUL
Thursday, August 2, 2001 2001 Ron Paul 72:5
* Mr. Speaker, I do wish to clarify that this tax credit is intended to supplement the efforts to reform and strengthen the Medicare system to ensure seniors have the ability to use Medicare funds to purchase prescription drugs. I am a strong supporter of strengthening the Medicare system to allow for more choice and consumer control, including structural reforms that will allow seniors to use Medicare funds to cover the costs of prescription drugs.
Medicare
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!
Medicare
Patients’ Bill Of Rights
2 August 2001 2001 Ron Paul 74:14
In addition to the Medicare regulations, doctors must contend with FDA regulations (which delay the arrival and raise the costs of new drugs), insurance company paperwork, and the increasing criminalization of medicine through legislation such as the Health Insurance Portability Act (HIPPA) and the medical privacy regulations which could criminalize conversations between doctors and nurses.
Medicare
The US Dollar and the World Economy
September 6, 2001 2001 Ron Paul 75:12
Talk of sound money and balanced budgets is just that. When the economy sinks, the rhetoric for sound policy and a strong dollar may continue but all actions by the Congress and the Fed will be directed toward re-inflation and a congressional spending policy oblivious to all the promises regarding a balanced budget and the preservation of the Social Security and Medicare trust funds.
Medicare
Statement Opposing Export-Import Bank Corporate Welfare
May 1, 2002 2002 Ron Paul 31:10
At a time when the Federal budget is going back into deficit and Congress is once again preparing to raid the Social Security and Medicare trust funds, does it really make sense to use taxpayer funds to benefit future Enrons, Fortune 500 companies, and communist China?
Medicare
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.
Medicare
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.
Medicare
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!
Medicare
H.R. 4954
27 June 2002 2002 Ron Paul 63:7
The alternative suffers from the same flaws, and will have the same (if not worse) negative consequences for seniors as will H.R. 4954. The only difference between the two is that under the alternative, seniors will be denied the choice for pharmaceuticals by bureaucrats at the Center for Medicare and Medicaid Services (CMS) rather than by a federally subsidized PMB bureaucrat.
Medicare
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.
Medicare
H.R. 4954
27 June 2002 2002 Ron Paul 63:9
H.R. 2268 removes the numerical limitations and sunset provisions in the Medicare Medical Savings Accounts (MSA) program. Medicare MSAs consist of a special saving account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Unlike the plans contained in H.R. 4504, and the Democratic alternative, Medicare MSAs allow seniors to use Medicare funds to obtain the prescription drugs that fit their unique needs. Medicare MSAs also allow seniors to use Medicare funds for other services not available under traditional Medicare, such as mammograms.
Medicare
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!
Medicare
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.
Medicare
H.R. 4954
27 June 2002 2002 Ron Paul 63:12
In conclusion, Mr. Speaker, both H.R. 4954 and the alternative force seniors to cede control over what prescription medicines they may receive. The only difference between them is that H.R. 4954 gives federally funded HMO bureaucrats control over seniors prescription drugs, while the alternative gives government functionaries the power to tell seniors what prescription drug they can (and can’t) have. Congress can, and must, do better for our Nation’s seniors, by rejecting this command-andcontrol approach. Instead, Congress should give seniors the ability to use Medicare funds to pay for the prescription drugs of their choice by passing my legislation giving all seniors access to Medicare Medicaid Savings Accounts.
Medicare
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.
Medicare
Expand Medicare MSA Program
5 February 2003 2003 Ron Paul 12:2
Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover nonroutine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mammograms, are made by the senior, not by bureaucrats and politicians.
Medicare
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.
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
Prescription Drug Affordability Act
February 11, 2003 2003 Ron Paul 17:3
Mr. Speaker, I do wish to clarify that this tax credit is intended to supplement the efforts to reform and strengthen the Medicare system to ensure seniors have the ability to use Medicare funds to purchase prescription drugs. I am a strong supporter of strengthening the Medicare system to allow for more choice and consumer control, including structural reforms that will allow seniors to use Medicare funds to cover the costs of prescription drugs. In addition to making prescription medications more affordable for seniors, my bill lowers the price for prescription medicines by reducing barriers to the importation of FDA-approved pharmaceuticals. Under my bill, anyone wishing to import a drug simply submits an application to the FDA, which then must approve the drug unless the FDA finds the drug is either not approved for use in the US or is adulterated or misbranded. This process will make safe and affordable imported medicines affordable to millions of Americans. Mr. Speaker, letting the free market work is the best means of lowering the cost of prescription drugs.
Medicare
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.
Medicare
Support Medical Savings Accounts for Medicare
February 13, 2003 2003 Ron Paul 21:2
Medicare MSAs consist of a special savings account containing Medicare funds for seniors to use for routine medical expenses, including prescription drugs. Seniors in a Medicare MSA program are also provided with a catastrophic insurance policy to cover non-routine expenses such as major surgery. Under an MSA plan, the choice of whether to use Medicare funds for prescription drug costs, or other services not available under traditional Medicare such as mammograms, are made by seniors, not by bureaucrats and politicians.
Medicare
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.
Medicare
Support Medical Savings Accounts for Medicare
February 13, 2003 2003 Ron Paul 21:4
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.
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
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.
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:3
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. 1 provides seniors a choice between staying in traditionally Medicare or joining an HMO or a Preferred Provider Organization (PPO). No matter which option the senior selects, choices about which pharmaceuticals are available to seniors will be made by a public or private sector bureaucrat. Furthermore, the bureaucrats will have poor to determine the aggregate prices charged to the plans. Being forced to choose between types of bureaucrats is not choice.
Medicare
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!
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:5
This bill is even more pernicious when one realizes that this plan provides a perverse incentive for private plans to dump seniors into the government plans. In what is likely to be a futile effort to prevent this from happening, H.R. 1 extends federal subsidies to private insurers to bribe them to keep providing private drug coverage to senior citizens. However, the Joint Economic Committee has estimated that nearly 40 percent of private plans that currently provide prescription drug coverage to seniors will stop providing such coverage if this plan is enacted. This number is certain to skyrocket once the pharmaceutical companies begin passing on any losses caused by Medicare price controls to private plans.
Medicare
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!
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:13
The alternative suffers from the same flaws, and will have the same (if not worse) negative consequences for seniors as will H.R. 1. There are only two differences between the two: First, under the alternative, seniors will not be able to choice to have a federally subsidized HMO bureaucrat deny them their choice of prescription drugs; instead, seniors will have to accept the control of bureaucrats at the Center for Medicare and Medicaid Services (CMS). Second, the alternative is even more fiscally irresponsible than H.R. 1.
Medicare
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.
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:15
H.R. 1617 removes the numerical limitations and sunset provisions in the Medicare Medical Savings Accounts (MSA) program. Medicare MSAs consist of a special saving account containing Medicare funds for seniors to use for their routine medical expenses, including prescription drug costs. Unlike the plans contained in H.R. 4504, and the Democratic alternative, Medicare MSAs allow seniors to use Medicare funds to obtain the prescription drugs that fit their unique needs. Medicare MSAs also allow seniors to use Medicare funds for other services not available under traditional Medicare, such as mammograms.
Medicare
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!
Medicare
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!
Medicare
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.
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:19
Finally, Mr. Speaker, I would like to comment on the procedure under which this will was brought before the House. Last week, the committees with jurisdiction passed two separate, but similar Medicare prescription drug bills. In the middle of last night, the two bills were merged to produce H.R. 1. The bills reported out of Committee were each less than 400 pages, yet the bill we are voting on today is 692 pages. So in the middle of the night, the bill mysteriously doubled in size! Once again, members are asked to vote on a significant piece of legislation with far reaching effects on the American people without having had the chance to read, study, or even see major portions of the bill.
Medicare
Medicare Funds For Prescription Drugs
26 June 2003 2003 Ron Paul 71:20
In conclusion, Mr. Speaker, both H.R. 1 and the alternative force seniors to cede control over which prescription medicines they may receive. The only difference between them is that H.R. 1 gives federally funded HMO bureaucrats control over seniors’ prescription drugs, whereas the alternative gives government functionaries the power to tell seniors which prescription drug they can (and can’t) have. Congress can, and must, do better for our Nation’s seniors, by rejecting this command- and-control approach. Instead, Congress should give seniors the ability to use Medicare funds to pay for the prescription drugs of their choice by passing my legislation that gives all seniors access to Medicare Medical Savings Accounts.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:1
Mr. PAUL. Mr. Speaker, I rise to introduce the Senior Citizens Freedom of Choice of Act. This act ensures that participation in the Medicare program is completely voluntary. I also ask unanimous consent to insert into the record a letter sent to my office from a citizen who is trying to receive Social Security benefits without being forced to enroll in Medicare Part A, along with a letter from the Social Security Administration admitting that seniors who do not enroll in Medicare Part A are denied Social Security benefits.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:2
When Medicare was first established, seniors were promised that the program would be voluntary. In fact, the original Medicare legislation explicitly protected a senior’s right to seek out other forms of medical insurance. However, today, the Social Security Administration refuses to give seniors Social Security benefits unless they enroll in Medicare Part A.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:3
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 another government program!
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:4
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.
Medicare
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.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:6
Forcing seniors into any government program as a precondition of receiving their promised Social Security benefits both violates the promise of Social Security and infringes on the freedom of seniors who do not wish to participate in Medicare. As the author of the submitted letter says, “. . . I should be able to choose the medical arrangements I prefer without suffering the penalty that is being imposed.” I urge my colleagues to protect the rights of seniors to make the medical arrangements that best suit their own needs by cosponsoring the Senior Citizens Freedom of Choice Act.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:7
Congressman RON PAUL U.S. Congress, Washington, DC. DEAR CONGRESSMAN PAUL: I am writing to inform you about a structural problem in Medicare of which you may he unaware and that I believe must be remedied, all the more so now that there are rumors that Medicare, Part A, might be combined with Medicare, Part B.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:8
In brief; the problem to which I refer involves the requirement that a Medicare eligible individual enroll in Medicare, Part A as a condition of receiving Social Security benefits to which he or she is entitled. In fact, the Social Security Administration has combined the enrollment forms for the two programs, so that an application for Social Security benefits to which one is entitled automatically entails enrollment in Medicare, Part A.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:9
I discovered this in June 2001 when I went with my husband to apply for my Social Security benefits. I made it quite clear that I would not enroll in Medicare, Part A due to my objections to certain aspects of this program. (The objectionable aspects include invasion of privacy and limitation of medical choice.) In response I was told that I then could not receive the Social Security benefits to which I am otherwie entitled.
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:10
Further communication with CMS by myself and by the office of Senator Kennedy on my behalf confirmed that CMS and the Social Security Administration take the position that “the Medicare program, Part A . . . [is] a benefit completely linked to the monthly social security benefit for those age 65 or older.” Indeed I was sent a copy of federal regulation 404.640 (entitled “Withdrawal of an application”), which states that anyone who enrolls in Medicare, Part A and then decides later to withdraw will have to return all benefits received. (Another document I received states that this includes both medical benefits and social security benefits.)
Medicare
The Senior Citizens Freedom Of Choice Act
17 July 2003 2003 Ron Paul 81:16
SOCIAL SECURITY ADMINISTRATION DEAR MS. : Enclosed please find the regulations which state that there is no application for cash social security retirement benefits only. If you file for cash benefits you MUST file for the Medicare Part A (HI). Therefore this can only be translated, in one way at this time. If you do not wish to file for Medicare Part A (HI) you must forfeit your right to cash benefits.
Medicare
H.R. 2427, the Pharmaceutical Market Access Act
24 July 2003 2003 Ron Paul 91:6
Mr. Speaker, I am pleased to be an original cosponsor of H.R. 2427, the Pharmaceutical Market Access Act, because I believe it is an important bill that will benefit all Americans. As my colleagues are aware, many Americans are concerned about the high cost of prescription drugs. These high prices particularly affect senior citizens who have a greater than average need for prescription drugs and a lower than average income. Of course, some of these seniors may soon have at least part of their prescription drug costs covered by Medicare.
Medicare
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.
Medicare
Borrowing Billions to Fund a Failed Policy in Iraq
October 17, 2003 2003 Ron Paul 110:4
Mr. Speaker this reconstruction of Iraq – that we are making but a down-payment on today – is at its core just another foreign policy boondoggle. The $20 billion plan to “rebuild” Iraq tilts heavily toward creating a statist economy and is filled with very liberal social-engineering programs. Much of the money in this reconstruction plan will be wasted - as foreign aid most often is. Much will be wasted as corporate welfare to politically connected corporations; much will be thrown away at all the various “non-government organizations” that aim to teach the Iraqis everything from the latest American political correctness to the “right” way to vote. The bill includes $900 million to import petroleum products into Iraq (a country with the second largest oil reserves in the world); $793 million for healthcare in Iraq when we’re in the midst of our own crisis and about to raise Medicare premiums of our seniors; $10 million for "women’s leadership programs" (more social engineering); $200 million in loan guarantees to Pakistan (a military dictatorship that likely is the home of Osama bin Laden); $245 million for the "U.S. share" of U.N. peacekeeping in Liberia and Sudan; $95 million for education in Afghanistan; $600 million for repair and modernization of roads and bridges in Iraq (while our own infrastructure crumbles).
Medicare
Oppose the Spendthrift 2005 Federal Budget Resolution
March 25, 2004 2004 Ron Paul 24:2
Neither political party wants to address the fundamental yet unspoken issue lurking beneath any budget debate: What is the proper role for government in our society? Are these ever-growing social services and defense expenditures really proper in a free country? We need to understand that the more government spends, the more freedom is lost. Instead of simply debating spending levels, we ought to be debating whether the departments, agencies, and programs funded by the budget should exist at all. My Republican colleagues especially ought to know this. Unfortunately, however, the GOP has decided to abandon principle and pander to the entitlements crowd. But this approach will backfire, because Democrats will always offer to spend even more than Republicans. When Republicans offer to spend $500 billion on Medicare, Democrats will offer $600 billion. Why not? It’s all funny money anyway, and it helps them get reelected.
Medicare
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.
Medicare
Seniors’ Health Care Freedom Act
2 February 2005 2005 Ron Paul 15:2
Seniors may wish to use their own resources to pay for procedures or treatments not covered by Medicare, or to simply avoid the bureaucracy and uncertainty that comes when seniors must wait for the judgment of a Center from Medicare and Medicaid Services (CMS) bureaucrat before finding out if a desired treatment is covered.
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
Introduction Of The Prescription Drug Affordability Act
2 February 2005 2005 Ron Paul 18:2
The first provision of my legislation provides seniors a tax credit equal to 80 percent of their prescription drug costs. While Congress did add a prescription drug benefit to Medicare in the last Congress, many seniors still have difficulty affording the prescription drugs they need in order to maintain an active and healthy lifestyle. One reason is because the new program creates a “doughnut hole,” where seniors lose coverage once their prescription expenses reach a certain amount and must pay for their prescriptions above a certain amount out of their own pockets until their expenses reach a level where Medicare coverage resumes. This tax credit will help seniors cover the expenses provided by the doughnut hole. This bill will also help seniors obtain prescription medicines that may not be covered by the new Medicare prescription drug program.
Medicare
Hypocrisy and the Ordeal of Terri Schiavo
April 6, 2005 2005 Ron Paul 34:5
This debate, though, shows that one life is indeed important. It is not an esoteric subject; it’s a real life involved and a personal issue we can’t ignore, especially in this age of Medicare, with government now responsible for most of the medical bills.
Medicare
Statement on So-Called "Deficit Reduction Act"
November 18, 2005 2005 Ron Paul 123:3
HR 4241 reduces total federal entitlement expenditures by one half of one percent over the next five years. For all the trumpeting about how this bill gets “runaway entitlement spending” under control, HR 4241 fails to deal with the biggest entitlement problem facing our nation--the multi-billion dollar Medicare prescription drug plan, which actually will harm many seniors by causing them to lose their private coverage, forcing them into an inferior government-run program. In fact, the Medicare prescription drug plan will cost $55 billion in fiscal year 2006 alone, while HR 4241 will reduce spending by only $5 billion next year. Yet some House members who voted for every expansion of the federal government considered by this Congress will vote for these small reductions in spending and then brag about their fiscal conservatism to their constituents.
Medicare
The Blame Game
December 7, 2005 2005 Ron Paul 124:1
Our country faces major problems. No longer can they remain hidden from the American people. Most Americans are aware the federal budget is in dismal shape. Whether it’s Social Security, Medicare, Medicaid, or even the private pension system, most Americans realize we’re in debt over our heads.
Medicare
Foreign Policy
17 December 2005 2005 Ron Paul 128:1
Mr. PAUL. Mr. Speaker, our country faces major problems. No longer can they remain hidden from the American people. Most Americans are aware the Federal budget is in dismal shape. Whether it is Social Security, Medicare, Medicaid, or even the private pension system, most Americans realize we are in debt over our heads. The welfare state is unmanageable and severely overextended.
Medicare
The End Of Dollar Hegemony
15 February 2006 2006 Ron Paul 3:91
The system of special interest government that has evolved over the last several decades has given us a national debt of over $8 trillion, a debt that now expands by over $600 billion every year. Our total obligations are estimated to be between $15 trillion and $20 trillion. Most people realize that the Social Security system, the Medicare system and the new prescription drug program are unfunded. Thousands of private pension funds are now being dumped on the U.S. Government and American taxpayers. We are borrowing over $700 billion each year from foreigners to finance this extravagance, and we now qualify as the greatest international debtor Nation in history.
Medicare
Debt Addiction
1 March 2006 2006 Ron Paul 6:8
But this official debt figure barely touches the subject. Total obligations of the Federal Government, including Social Security and Medicare and prescription drugs, are now over $50 trillion, a sum younger generations will not be able to pay. This means the standard of living of a lot of Americans who are retired will decline sharply in the near future.
Medicare
H.R. 5068, the Export-Import Reauthorization Act
25 July 2006 2006 Ron Paul 69:8
Unfortunately, China is not an isolated case. Colombia and Sudan benefit from taxpayer subsidized trade as well, courtesy of the Ex-Im Bank. At a time when the Federal Government is running huge deficits and Congress is once again preparing to raid Social Security and Medicare trust funds, does it really make sense to use taxpayers’ funds to benefit future Enrons, Fortune 500 companies, and Communist China?
Medicare
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.
Medicare
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.
Medicare
Senior Citizens’ Improved Quality Of Life Act
19 September 2006 2006 Ron Paul 79:8
Providing seniors with a tax credit to help cover their prescription drug expenses not covered by Medicare and repealing Federal barriers that prohibit seniors from obtaining quality prescription drugs from overseas. Even though Congress added a prescription drug benefit to Medicare, many seniors still have difficulty affording their prescription drugs. One reason is because the new program creates a “doughnut hole,” where seniors must pay for their prescriptions above a certain amount out of their own pockets until their expenses reach a level where Medicare coverage resumes. H.R. 5211 helps seniors cope with these costs by providing them with a tax credit equal to 80 percent of their out-of-pocket pharmaceutical costs.
Medicare
Introduction Of The Taxpayer Protection From Frivolous Litigation Act
28 September 2006 2006 Ron Paul 92:1
Mr. PAUL. Mr. Speaker, I am pleased to introduce the Physicians and Taxpayers’ Protection from Frivolous Litigation Act. This bill provides protection from frivolous lawsuits for physicians in cases involving Medicare and Medicaid, and in cases where physicians are obligated to provide treatment under the Emergency Medical Treatment and Active Labor Act (EMTALA).
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
Introduction Of The Senior’s Health Care Freedom Act
4 January 2007 2007 Ron Paul 2:2
Seniors may wish to use their own resources to pay for procedures or treatments not covered by Medicare, or to simply avoid the bureaucracy and uncertainly that comes when seniors must wait for the judgment of a Center from Medicare and Medicaid Services (CMS) bureaucrat before finding out if a desired treatment is covered.
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
Introducing The Prescription Drug Affordability Act
4 January 2007 2007 Ron Paul 5:2
The first provision of my legislation provides seniors a tax credit equal to 80 percent of their prescription drug costs. While Congress did add a prescription drug benefit to Medicare in 2003, many seniors still have difficulty affording the prescription drugs they need in order to maintain an active and healthy lifestyle. One reason is because the new program creates a “doughnut hole,” where seniors lose coverage once their prescription expenses reach a certain amount and must pay for their prescriptions above a certain amount out of their own pockets until their expenses reach a level where Medicare coverage resumes. This tax credit will help seniors cover the expenses provided by the doughnut hole. This bill will also help seniors obtain prescription medicines that may not be covered by the Medicare prescription drug program.
Medicare
Reform Medicare To Give Seniors More Choice
12 January 2007 2007 Ron Paul 14:1
Mr. PAUL. Mr. Speaker, H.R. 4 gives the Secretary of Health and Human Services the authority to engage in direct negotiations with pharmaceutical companies regarding the prices the companies will charge Medicare when the companies provide drugs through the Part D program. Contrary to the claims of its opponents, this bill does not interfere with a free market by giving the government new power to impose price controls. Before condemning this bill for creating “price controls” or moving toward “socialized medicine,” my colleagues should keep in mind that there is not, and cannot be, a free market price for a government-subsidized good.
Medicare
Reform Medicare To Give Seniors More Choice
12 January 2007 2007 Ron Paul 14:3
The result of subsidizing the demand for prescription drugs through Part D was to raise prices above what they would be in a free market. This was easily foreseeable to anyone who understands basic economics. Direct negotiation is a means of ensuring that the increase in demand does not unduly burden taxpayers and that, pharmaceutical companies, while adequately compensated, they do not obtain an excessive amount of Medicare funds.
Medicare
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.
Medicare
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.
Medicare
Fiscal Year 2008 Budget Is Excessive
29 March 2007 2007 Ron Paul 38:3
About one-third of this $3 trillion is so-called discretionary spending; the remaining two- thirds is deemed “mandatory” entitlement spending, which means mostly Social Security and Medicare. I am sure many American voters would be shocked to know their elected representatives essentially have no say over two-thirds of the Federal budget, but that is indeed the case.
Medicare
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008 2008 Ron Paul 39:1
Mr. PAUL. Mr. Speaker, Congress is once again forsaking an opportunity to begin addressing Medicare’s long-term fiscal problems. Instead, the legislation before us today, while not without its merits, exacerbates the problems facing Medicare by giving new authority to the Center for Medicare and Medicaid Services (CMS), even though CMS’s excessive power is a major reason why so many physicians and patients are dissatisfied with the current Medicare system.
Medicare
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008 2008 Ron Paul 39:2
One clear indicator of the lack of seriousness with which this issue is being treated is the fact that this bill is coming before us on suspension, a procedure generally used for noncontroversial legislation, such as bills naming Post Offices. This significant Medicare legislation will receive only 40 minutes of debate, and members will have no opportunity to offer amendments.
Medicare
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008 2008 Ron Paul 39:3
I certainly recognize the need to make adjustments in physicians’ payments. Many physicians are already losing money treating Medicare patients, thanks to CMS’s low reimbursements and the cost of having to comply with CMS’s numerous rules and regulations. Unless Congress acts, many physicians will simply refuse to see Medicare patients. I think we all agree that driving physicians out of the Medicare program is not the proper way to reform the system.
Medicare
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008 2008 Ron Paul 39:4
Therefore, if H.R. 6331 only contained the provisions dealing with the physicians’ rate cut, I would vote for it. However, H.R. 6331 further endangers Medicare’s fiscal situation by giving almost $20 billion in new funds to CMS, and giving CMS new regulatory authority.
Medicare
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.
Medicare
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.
Medicare
MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008 2008 Ron Paul 39:7
Mr. Speaker, H.R. 6331 may provide some short-term benefit to Medicare providers, however, it does so by further jeopardizing the long-term fiscal soundness of the Medicare program. Thus, passage of this bill will ultimately damage the very Medicare providers and patients the bill aims to help.
Medicare
INTRODUCTION OF THE PRESCRIPTION DRUG AFFORDABILITY ACT
January 6, 2009 2009 Ron Paul 3:2
The first provision of my legislation provides seniors a tax credit equal to 80 percent of their prescription drug costs. While Congress did add a prescription drug benefit to Medicare in 2003, many seniors still have difficulty affording the prescription drugs they need in order to maintain an active and healthy lifestyle. One reason is because the new program creates a “doughnut hole,” where seniors lose coverage once their prescription expenses reach a certain amount and must pay for their prescriptions above a certain amount out of their own pockets until their expenses reach a level where Medicare coverage resumes. This tax credit will help seniors cover the expenses provided by the doughnut hole. This bill will also help seniors obtain prescription medicines that may not be covered by the Medicare prescription drug program.
Medicare
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.
Medicare
THE SENIORS’ HEALTH CARE FREEDOM ACT
January 6, 2009 2009 Ron Paul 6:2
Seniors may wish to use their own resources to pay for procedures or treatments not covered by Medicare, or to simply avoid the bureaucracy and uncertainly that comes when seniors must wait for the judgment of a Center from Medicare and Medicaid Services (CMS) bureaucrat before finding out if a desired treatment is covered.
Medicare
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!
Medicare
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.
Medicare
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.
Medicare
AMERICA’S TREASURY IS BARE
May 14, 2009 2009 Ron Paul 54:3
It was very disappointing that even though it was a closed rule, the minority had one chance to do something about it and maybe reduce some of the spending. But lo and behold, when that amendment was offered, it was offered to increase the spending by $2.9 billion. There was a lot of expression of the outcry about this spending and the deficits we have and the deficits exploding and the Social Security, Medicare, Medicaid underfunded, and we are in the midst of a crisis. But it doesn’t seem to bother anybody about spending. But the truth is, the Treasury is bare. The Treasury is empty. And yet we continue to spend all this money.
Medicare
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.
Medicare
INTRODUCING THE PROTECT PATIENTS’ AND PHYSICIANS’ PRIVACY ACT
May 21, 2009 2009 Ron Paul 59:3
Among the numerous provisions jammed into the stimulus bill, which was rushed through Congress earlier this year, was funding for electronic medical records. Medicare providers have until 2015 to “voluntarily” adopt the system of electronic medical records, or face financial penalties.
Medicare
- Fiscal Responsibility: Balance the budget but don't raise taxes or cook the books
20 January 1997 Texas Straight Talk 20 January 1997 verse 11 ... Cached
The other concern which must be carefully addressed is preventing the Congress from simply taking items "off budget." Already expenses like Social Security and Medicare are not stated as part of the National Debt. And it is a very easy process for the Congress to just begin moving more and more items off the budget, sidestepping a "balanced budget amendment" and causing the debt to increase. (Even without a balanced budget amendment, this practice should be abolished immediately.)
Medicare
Paul legislation will stop national ID card
13 July 1998 Texas Straight Talk 13 July 1998 verse 6 ... Cached
Under the current state of the law, the citizens of states which have drivers' licenses that do not conform to the federal standards by October 1, 2000, will find themselves essentially stripped of their ability to participate in life as we know it. On that date, Americans will not be able to get a job, open a bank account, apply for Social Security or Medicare, exercise their Second Amendment rights, or even take an airplane flight, unless they can produce a state-issued ID that conforms to the federal specifications. Further, under the terms of the 1996 Kennedy-Kassebaum health-care law, Americans may be forced to present this federally-approved drivers' license before consulting a physician for medical treatment!
Medicare
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.
Medicare
Long and Short Term Solutions to the Rising Cost of Prescription Drugs
07 August 2000 Texas Straight Talk 07 August 2000 verse 6 ... Cached
The first provision of the "Pharmaceutical Freedom Act" provides senior citizens a tax credit off the top of their taxable income equal to 80% of their prescription drug costs. The tax credit is intended to supplement efforts to reform and strengthen Medicare by ensuring seniors have the ability to use Medicare funds to purchase prescription drugs. I am a strong supporter of strengthening the Medicare system to allow for more choice and consumer control.
Medicare
The Danger of Military Foreign Aid to Colombia
11 September 2000 Texas Straight Talk 11 September 2000 verse 7 ... Cached
The American people do not support our actions in Colombia. Polls have shown that approximately 70% of Americans do not support defending foreign countries if U.S. soldiers are put in jeopardy. Our primary concern in military affairs should be maintaining a strong national defense and protecting our national security interests. Our actions in Colombia have nothing to with our national defense, and they undermine our national security by creating resentment from factions we do not support. We must remember that money spent in Colombia necessarily reduces spending on a variety of more important issues. We should build up our military, providing our soldiers with better salaries, housing, and medical care. Similarly, foreign aid dollars could be spent on education, Social Security, or Medicare. My constituents do not support our dangerous and expensive involvement in Colombia, and I intend to continue working to eliminate wasteful foreign aid in our next budget.
Medicare
Congress Must Work for Seniors
18 September 2000 Texas Straight Talk 18 September 2000 verse 5 ... Cached
First, Congress needs to protect the Social Security and Medicare Trust Funds. Our seniors funded Social Security and Medicare throughout their working lives, and they deserve to know that their funds will be spent only to pay benefits. Unfortunately, revenue-hungry politicians have not hesitated to raid the Trust Funds to pay for pork-barrel projects. Last year alone, Congress took $21 billion from Medicare to fund other programs. Accordingly, I supported the "Social Security and Medicare Safe Deposit Box Act" earlier this year, which mandates that additional revenues from the two programs can be used only for benefits payments. I also introduced the "Social Security Preservation Act" during this Congress. The Act mandates that Social Security funds can be used only to pay benefits, making it illegal to use them for any other purpose. Congress and the administration must support both these bills so Americans can have faith that their retirement funds are secure.
Medicare
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.
Medicare
Spending, Tax Cuts, or Debt Reduction?
25 September 2000 Texas Straight Talk 25 September 2000 verse 8 ... Cached
Obviously, taxpayers should decide what is done with any surplus funds. Rest assured many in Congress are eager to spend the surplus on a variety of wasteful federal programs. This is a golden opportunity for Congress, because it can go on a spending spree without raising taxes! I supported the "lockbox" legislation because it prevents any spending of surplus dollars, instead requiring that funds be applied to debt reduction (I also have introduced legislation that prevents non-surplus Social Security and Medicare trust funds from being spent on unrelated programs). Reduction of the national debt certainly is preferable to new spending. My preference, however, would be to return any surplus directly to taxpayers. American families are taxed far too much now, and they never should be required to overfund the government. A surplus refund check would be a step in the right direction. The most important point, however, is that Congress should not be permitted to find new ways to spend your surplus dollars.
Medicare
The Appropriations Process Poses a Risk to American Taxpayers
06 November 2000 Texas Straight Talk 06 November 2000 verse 3 ... Cached
Congress has nearly completed the controversial appropriations process for fiscal year 2001. The 13 appropriations bills that will be passed this year represent "discretionary" spending, which funds thousands of federal programs and agencies. By contrast, permanent law, funding Medicare, Medicaid, Social Security, and interest on the national debt sets "mandatory" spending. The appropriations process is critically important to taxpayers, because Congress is deciding how to spend YOUR money. As usual, the discretionary portion of the 2001 federal budget contains a staggering amount of special-interest pork. Spending levels for federal programs, foreign aid, and wasteful agencies have been increasing steadily throughout the 1990s. Unfortunately, this Congress has not demonstrated a willingness to change its reckless spending habits. Recent partisan posturing aside, taxpayers once again will pay for record amounts of needless federal spending.
Medicare
"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.
Medicare
What Happened to the Surplus?
20 August 2001 Texas Straight Talk 20 August 2001 verse 3 ... Cached
The congressional budget office recently released figures showing that the projected federal budget surplus for this year will be $75 billion less than originally forecast. Some economists and politicians believe the federal government could slip into deficit spending in 2002, and that the Social Security and Medicare trust funds could be threatened if revenues do not increase. Yet the facts about federal revenues and spending are often obscured in the debate, and the reality of government irresponsibility goes unreported.
Medicare
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.
Medicare
The 2003 Spending Orgy
03 March 2003 Texas Straight Talk 03 March 2003 verse 7 ... Cached
The looming hangover is reflected in the federal debt, which is officially about 5.6 trillion dollars. The real figure is much higher, because the official figure does not include outstanding future liabilities like Social Security and Medicare that millions of Baby Boomers will soon demand. The “debt limit,” created by federal law in a hopeful attempt to limit congressional spending, is routinely raised by Congress without political fallout. All Americans must become aware of how truly unrestrained federal spending has become, and realize that voters represent the last line of defense against the complete bankruptcy of the U.S. government.
Medicare
Who Deserves a Tax Credit?
16 June 2003 Texas Straight Talk 16 June 2003 verse 5 ... Cached
The embarrassing problem for the poverty crowd in Washington is that payroll taxes fund Medicare and Social Security benefits. Despite all the talk about trust funds and lockboxes, payroll taxes are spent immediately to pay current beneficiaries of those programs. Any cut in payroll taxes therefore threatens to expose that Social Security “accounts” contain only IOUs. This is why the left is reluctant to truly help the poor by lowering or eliminating payroll taxes.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 2 ... Cached
In a late-night vote last week, the Republican congress managed to do what Hillary Clinton and Ted Kennedy tried to do ten years ago: take the next big step toward socialized medicine in America. More specifically, Congress voted for a huge expansion of Medicare that enriches pharmaceutical companies, fleeces taxpayers with billions in new spending, and forces millions of seniors to accept inferior drug coverage. Conservatives might ask themselves whether this is what they had in mind when the party of “limited government” gained control of the House, Senate, and White House.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 3 ... Cached
Seniors have been terribly misled about this new Medicare scheme. The essence of the new plan is government control. Government will play an even greater role in deciding what drugs seniors get, how doctors and pharmacies are paid, how private medical information is distributed, and what drug companies benefit most. The plan moves America disastrously toward a complete government takeover of medicine.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 4 ... Cached
In order to participate, seniors must choose between staying in traditional Medicare and joining an HMO/PPO organization. This means either a federal bureaucrat or a nominally private-sector bureaucrat will decide what drugs will be available. Both Medicare and HMO bureaucrats inevitably will be forced to control costs, because the demand for subsidized drugs will be unlimited. They will do so by rationing drugs, especially expensive drugs. Bureaucrats may even go so far as to forbid seniors from using their own money to buy Medicare-covered drugs, just as Medicare rules now prohibit use of private funds to buy unapproved health-care services.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 5 ... Cached
Medicare bureaucrats also will seek to pay pharmacies as little as possible for drugs, just as they now pay doctors as little as possible for services. Many doctors refuse to take Medicare patients, and now many pharmacies might follow suit. So in addition to the inevitable drug rationing, seniors will have fewer doctors and pharmacies to choose from.
Medicare
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.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 7 ... Cached
Pharmaceutical companies are the biggest winners under the new plan. Demand for drugs will rise, as our already overmedicated seniors will be happy to pass the cost off onto younger taxpayers. Large drug makers will become virtual partners with government, lobbying to make sure their drugs are part of the new system. Those drugs will continue to cost much more in the U.S. than foreign countries, despite efforts in the new bill to change federal rules prohibiting reimportation of drugs. The Department of Health and Human Services secretary already stated that he will never approve reimportation. Combine this lack of price competition with lengthy patents and protectionist FDA rules, and you have a perfect prescription for record pharmaceutical profits. The pharmaceutical industry reportedly spent $135 million dollars in recent months lobbying for the new Medicare bill. This speaks volumes about how seriously they viewed the stakes involved.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 8 ... Cached
Taxpayers certainly can’t afford an expansion of Medicare. Economists estimate the new program will cost between 3 and 4 trillion dollars over time, all financed by payroll taxes. Even as the added drug coverage makes Medicare more expensive, more seniors than ever will be herded into the program. This new strain on taxpayers will be especially acute when the large Baby Boomer generation retires and younger workers are expected to pay the bills.
Medicare
HillaryCare, Republican Style
30 June 2003 Texas Straight Talk 30 June 2003 verse 9 ... Cached
A better approach would utilize Medicare Medical Savings Accounts (MSAs) to provide flexibility and choice. Medicare monies could be placed in tax-free savings accounts and used by individual seniors as they see fit to buy prescription drugs, visit the doctor, or buy special services like mammograms. MSAs allow consumers to make their own choices by eliminating the federal middleman. But even this compromise approach means giving individuals control over tax dollars, which bureaucrats hate to do.
Medicare
Paying Dearly for Free Prescription Drugs
06 October 2003 Texas Straight Talk 06 October 2003 verse 2 ... Cached
As Congress finalizes plans to expand Medicare, more and more seniors are beginning to understand that “free” prescription drugs from the government will carry a very high price tag. The tragedy is that our society is allowing the pharmaceutical industry, phony senior lobbies, and vote-hungry politicians to force millions of older Americans into a government-run Medicare ghetto.
Medicare
Paying Dearly for Free Prescription Drugs
06 October 2003 Texas Straight Talk 06 October 2003 verse 3 ... Cached
All of us, including seniors, will pay for the drug benefit in the form of higher taxes. Congress claims the program will cost $400 billion over the next 10 years, but government cost projections cannot be trusted. Medicare today costs seven times more than originally estimated. Private economists estimate the true cost will be closer to $3 or $4 trillion over ten years, but even the government’s figure of $400 billion represents the largest entitlement increase since the failed Great Society programs of the 1960s. This new spending comes as the Treasury faces record single-year deficits, which soon will approach $1 trillion annually.
Medicare
Paying Dearly for Free Prescription Drugs
06 October 2003 Texas Straight Talk 06 October 2003 verse 5 ... Cached
Furthermore, the Medicare drug benefit gives private companies a perverse incentive to dump their existing prescription coverage and force retirees into the government system. Many large companies already have badly underfunded pension plans. As more and more Baby Boomers retire, these companies will face serious financial crises. They will naturally seek to cut costs by eliminating drug coverage; some companies already have announced their intention to do so when the Medicare drug benefit becomes available. In fact, the Congressional Budget Office estimates that at least one-third of all retirees will lose their private drug coverage and becomes wards of Medicare.
Medicare
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.
Medicare
Paying Dearly for Free Prescription Drugs
06 October 2003 Texas Straight Talk 06 October 2003 verse 9 ... Cached
The new Medicare drug plan enriches pharmaceutical companies, fleeces taxpayers, and forces millions of older Americans to accept inferior drug coverage. It does nothing, however, to address the fundamental reasons prescription drugs cost so much.
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 1 ... Cached
Medicare Plunder
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 2 ... Cached
Congress worked late into the night this past weekend to pass a Medicare prescription drug bill that represents the single largest expansion of the federal welfare state since the Great Society programs of the 1960s. The new Medicare drug plan enriches pharmaceutical companies, fleeces taxpayers, and forces millions of older Americans to accept inferior drug coverage—while doing nothing to address the real reasons prescription drugs cost so much.
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 3 ... Cached
Nothing from the government is free, of course, and prescription drugs will be no exception. The perception that seniors will be able to flash a Medicare card at the pharmacy and walk out without paying anything is completely false. In fact, many seniors will end up paying more out-of-pocket under the Medicare scheme than they do now with their private plans. The Medicare drug benefit requires monthly premiums, co-pays, and deductibles, just as private plans do. It also has gaps in coverage that no sensible person would accept if offered by a private insurer. Like all government programs, the Medicare drug entitlement will be shabby, degrading, and inferior to the private sector.
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 4 ... Cached
The vast majority of older Americans already have private prescription drug coverage that they don’t want changed, and this 78% of seniors may well lose their good private coverage altogether. In fact, the government’s own Congressional Budget Office estimates that at least one-third of all private companies will dump their retirees into the Medicare system as a result of the new bill. Big corporations love the Medicare drug plan, because they want to shift the responsibility for providing drug benefits to their retirees onto taxpayers. Dozens of major companies shamelessly advertised in the Washington Times and elsewhere in support of the Medicare bill for this very simple reason. Their pension plans are dangerously underfunded, so naturally they use their lobbying influence to promote a Medicare drug system. In this sense the Medicare bill is a taxpayer-funded corporate bailout for hundreds of American companies.
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 5 ... Cached
The financial impact of this legislation on taxpayers cannot be overstated. Government projections that the drug program will cost $400 billion over the next decade cannot be trusted, as existing Medicare programs cost 4 times more than estimated when they were created. The likely cost is at least $1 trillion over 10 years, and much more in following decades as the American population grows older. The Medicare “trust fund” is already badly in the red, and the only solution will be a dramatic increase in payroll taxes for younger workers. The National Taxpayers Union reports that Medicare will consume nearly 40% of the nation’s GDP after several decades because of the new drug benefit. That’s not 40% of federal revenues, or 40% of federal spending, but rather 40 % of the nation’s entire private-sector output! Clearly this new Medicare spending will bury our great-grandchildren unless we rethink the wisdom of ever-increasing entitlement programs.
Medicare
Medicare Plunder
24 November 2003 Texas Straight Talk 24 November 2003 verse 6 ... Cached
Phony senior lobbies want free drugs paid for by taxpayers; American corporations want to dump their retirees into Medicare at the expense of taxpayers; pharmaceutical companies want huge windfalls provided by taxpayers; and politicians want to get reelected by passing incredibly shortsighted legislation courtesy of taxpayers. Most of today’s politicians will never have to answer to future generations saddled with huge federal deficits because of this expansion of Medicare. Those generations are the real victims, as they cannot object to the debts being incurred today in their names.
Medicare
GOP Abandons Conservatives
01 December 2003 Texas Straight Talk 01 December 2003 verse 2 ... Cached
The Medicare prescription drug bill passed by Congress last week may prove to be a watershed event for political conservatives in America. This latest expansion of the federal government, potentially the largest in our nation’s history, is firmly in keeping with the failed New Deal and Great Society programs of the utopian left. This leaves true conservatives, who believe strongly in limited government and identify with the Goldwater- era Republican party, wondering whether they still have a political home in the modern GOP. In the eyes of many conservatives, today’s GOP simply has abandoned its limited-government heritage to buy votes and gain political power in Washington.
Medicare
GOP Abandons Conservatives
01 December 2003 Texas Straight Talk 01 December 2003 verse 4 ... Cached
Consider that Mr. Bush has not vetoed a single bill, nor does he even bother to employ conservative rhetoric. Chris Edwards of the CATO Institute says this about the President: “I’ve never seen him give a speech in which he says government is too big and we need to cut costs.” Furthermore, the outlook for spending restraint during a second Bush term is nil: “When you have a president who has a bunch of his own spending initiatives like education and the Medicare drug bill, it makes it difficult for him to go out and say that Congress is being wasteful,” Mr. Edwards states.
Medicare
GOP Abandons Conservatives
01 December 2003 Texas Straight Talk 01 December 2003 verse 6 ... Cached
The irony is that conservatives suffered through decades of Democratic control of Congress, always believing that liberals were to blame for the relentless growth of the federal government. When Republicans finally took control of Congress in 1994, many saw an opportunity for a real conservative revolution. But first, conservatives were told, the Democratic administration had to be removed. In the meantime, spending continued unabated throughout the 1990s. When Republicans won the White House in 2000, another opportunity seemed at hand. The Senate, however, was still in Democratic hands-- the last possible GOP scapegoat. Finally, in 2002 the GOP took control of the Senate and increased its majority in the U.S. House. Surely this was the moment conservatives had been waiting for! Yet the past year has seen more spending than ever, including the disastrous Medicare bill that will cost trillions over coming decades. The latest line is that the GOP needs a filibuster-proof Senate of 60 Republicans, and then, finally, the party can begin to implement a conservative agenda.
Medicare
The Disappearing Dollar
08 December 2003 Texas Straight Talk 08 December 2003 verse 5 ... Cached
The problem is that faith can be shaken, and the precipitous drop in the dollar shows how investors around the globe are very concerned about American deficits and debt. When government policies in a fiat system are the sole measure of a currency’s worth, the currency markets act as a reliable barometer of how those policies are viewed around the world. Politicians often manage to fool voters and the media, but they rarely fool the financial markets over time. When investors lack faith in the U.S. dollar, they really lack faith in the economic policies of the U.S. government. The Medicare prescription drug bill passed two weeks ago provides an example of this phenomenon- the day after the bill passed, the dollar dropped once again. Investors understand that the new entitlement will cost trillions over coming decades, trillions that will come from Treasury printing presses and further devalue existing dollars.
Medicare
Amnesty and Culture
12 January 2004 Texas Straight Talk 12 January 2004 verse 5 ... Cached
Illegal immigrants also threaten to place a tremendous strain on federal social entitlement programs. Under the Bush proposal, millions of illegal immigrants will qualify for Social Security and other programs- programs that already threaten financial ruin for America in the coming decades. Adding millions of foreign citizens to the Social Security, Medicare, and disability rolls will only hasten the inevitable day of reckoning. Social Security is in serious trouble already, and sending benefits abroad to millions of illegal aliens who once worked here will cost hundreds of millions or even billions of dollars. Every American who hopes to collect Social Security someday should stridently oppose the President’s proposal.
Medicare
Spending and Lying
02 February 2004 Texas Straight Talk 02 February 2004 verse 3 ... Cached
The federal spending frenzy of the last few years is well documented, but these latest figures have congressional Republicans and the White House scrambling to figuring out how to explain the budget mess to voters in November. Having abandoned even the limited government rhetoric of the Reagan and Gingrich years, mainstream Republicans now must attempt to out-pander the Democrats. The Medicare bill is clear evidence of this.
Medicare
Spending and Lying
02 February 2004 Texas Straight Talk 02 February 2004 verse 4 ... Cached
Some conservatives have criticized Mr. Bush’s spending requests, but their votes don’t always match their words. True fiscal conservatives in Congress have only one choice: Vote NO on all spending bills, especially the 13 annual appropriations bills. This is the only honest measure of whether any member of Congress truly wants smaller government. It’s galling to hear members who voted for the Medicare bill and huge increases in 2004 agency budgets complain about excessive spending.
Medicare
Spending and Lying
02 February 2004 Texas Straight Talk 02 February 2004 verse 5 ... Cached
Already, the $400 billion price tag attached to the new Medicare drug bill has been exposed as a predictable lie. Just one month after passage of the bill, the White House admits the cost may be one-third higher, roughly $540 billion. Yet even this bait-and-switch tactic is deceptive, because independent groups estimate the true cost of the Medicare bill will be one trillion dollars over ten years.
Medicare
March (Budget) Madness
29 March 2004 Texas Straight Talk 29 March 2004 verse 3 ... Cached
Neither political party wants to address the fundamental yet unspoken issue lurking beneath any budget debate: What is the proper role for government in our society? Are these ever-growing social services and military expenditures really proper in a free country? We need to understand that the more government spends, the more freedom is lost. Instead of simply debating spending levels, we ought to be debating whether the departments, agencies, and programs funded by the budget should exist at all. My Republican colleagues especially ought to know this. Unfortunately, however, the GOP has decided to abandon principle and pander to the entitlements crowd. But this approach will backfire, because Democrats always offer to spend even more than Republicans. When congressional Republicans offer to spend $500 billion on Medicare, Democrats will offer $600 billion, and why not? It’s all funny money anyway, and it helps them get reelected.
Medicare
Free Market Medicine
03 May 2004 Texas Straight Talk 03 May 2004 verse 2 ... Cached
Last week the congressional Joint Economic committee on which I serve held a hearing featuring two courageous medical doctors. I had the pleasure of meeting with one of the witnesses, Dr. Robert Berry, who opened a low-cost health clinic in rural Tennessee. His clinic does not accept insurance, Medicare, or Medicaid, which allows Dr. Berry to treat patients without interference from third-party government bureaucrats or HMO administrators. In other words, Dr. Berry practices medicine as most doctors did 40 years ago, when patients paid cash for ordinary services and had inexpensive catastrophic insurance for serious injuries or illnesses. As a result, Dr. Berry and his patients decide for themselves what treatment is appropriate.
Medicare
Saving the World with Your Money
19 July 2004 Texas Straight Talk 19 July 2004 verse 9 ... Cached
Congress hardly needs to concoct another way to spend money. Government debt already exceeds seven trillion dollars, and runaway spending will force yet another increase in the federal debt ceiling law before the end of the year. At its current pace, Congress soon will create single-year deficits of one trillion dollars. Combine this indebtedness with future liabilities- in the form of exploding Social Security and Medicare obligations- and it’s clear that Congress can find better things to do with $2.5 billion than send it overseas.
Medicare
The Sausage Factory
01 August 2005 Texas Straight Talk 01 August 2005 verse 4 ... Cached
Late-night arm-twisting by House leaders to get votes is of course nothing new. We witnessed far worse when Congress passed the ruinous Medicare prescription drug bill in the dead of night two years ago. Yet even after months of unprecedented wheeling and dealing by corporate lobbyists, congressional leaders, and the White House, the Washington establishment still failed to pass CAFTA in the US House. That’s right, when the 15-minute voting period expired last Wednesday evening, CAFTA seemingly had been defeated.
Medicare
Immigration and the Welfare State
08 August 2005 Texas Straight Talk 08 August 2005 verse 8 ... Cached
Illegal immigrants also place a tremendous strain on social entitlement programs. Under a proposed totalization agreement with Mexico, millions of illegal immigrants will qualify for Social Security and other programs- programs that already threaten financial ruin for America in the coming decades. Adding millions of foreign citizens to the Social Security, Medicare, and disability rolls will only hasten the inevitable day of reckoning.
Medicare
Borrowing, Spending, Counterfeiting
22 August 2005 Texas Straight Talk 22 August 2005 verse 6 ... Cached
Second, federal entitlement programs like Social Security and Medicare will not be “fixed” by politicians who are unwilling to make hard choices and admit mistakes. Demographic trends will force tax increases and greater deficit spending to maintain benefits for millions of older Americans who are dependent on the federal government. Faced with uncomfortable financial realities, Congress will seek to avoid the day of reckoning by the most expedient means available-- and the Federal Reserve undoubtedly will accommodate Washington by printing more dollars to pay the bills.
Medicare
Too Little, Too Late
14 November 2005 Texas Straight Talk 14 November 2005 verse 5 ... Cached
Remember, this is a Congress that has increased spending by 33% since President Bush took office in 2001. And we're not talking about national defense or anti-terrorism spending. We're talking about a one-third increase in garden variety domestic spending. This is also a Congress that passed the 2003 Medicare prescription drug bill, the single largest increase in entitlement spending since the Great Society programs of the 1960s. So there's not much credibility to be found on Capitol Hill when it comes to reducing the federal budget.
Medicare
Too Little, Too Late
14 November 2005 Texas Straight Talk 14 November 2005 verse 10 ... Cached
The spending culture in Washington creates an attitude that government can solve every problem both at home and abroad simply by funding another program. But we've reached a tipping point, with $8 trillion in debt and looming Social Security and Medicare crises. Government spending has become a national security issue, because unless Congress stops the bleeding the resulting economic downturn will cause us more harm than any terrorist group could ever hope to cause. And we're doing it to ourselves, from within.
Medicare
Slashing the Budget?
21 November 2005 Texas Straight Talk 21 November 2005 verse 5 ... Cached
Remember, the same Republicans claiming victory for slowing spending next year also passed the Medicare prescription drug bill, which will add over $50 billion to the federal budget in 2006 alone! In just one year the Medicare bill adds ten times in new spending what the budget bill purportedly cuts. So nobody who voted for the Medicare drug bill has any business talking about government spending. Neither do those who refuse to consider cutting one penny from the military and foreign aid budgets. You cannot conduct a foreign policy based on remaking whole nations using military force and pretend to operate a frugal government.
Medicare
Slashing the Budget?
21 November 2005 Texas Straight Talk 21 November 2005 verse 7 ... Cached
The budget bill fails to address the root of the spending problem--this belief that Congress continually must create new federal programs and agencies. However, with the federal government’s unfunded liabilities-- Social Security, Medicare, and Medicaid-- projected to reach as much as $50 trillion by the end of this year, Congress no longer can avoid serious efforts to rein in spending. Instead of a smoke-and-mirrors approach, Congress should begin the journey toward fiscal responsibility by declaring a ten percent reduction in real spending, followed by a renewed commitment to fund only those government functions that are consistent with the Constitution.
Medicare
The Ever-Growing Federal Budget
13 February 2006 Texas Straight Talk 13 February 2006 verse 10 ... Cached
· The new Medicare prescription drug benefit will cost at least $30 billion in 2006, and is projected to cost $1.2 trillion over the coming decade. The program creates an unfunded liability twice the size of future Social Security obligations.
Medicare
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.
Medicare
Amnesty and the Welfare State
18 September 2006 Texas Straight Talk 18 September 2006 verse 8 ... Cached
Illegal immigrants also threaten to place a tremendous strain on federal social entitlement programs. Successive administrations support so-called “totalization” agreements that allow millions of illegal immigrants to qualify for Social Security and other programs- programs that already threaten financial ruin for America in the coming decades. Adding millions of foreign citizens to the Social Security, Medicare, and disability rolls will only hasten the inevitable day of reckoning. Social Security is in serious trouble already, and sending benefits abroad to millions of illegal aliens who once worked here will cost hundreds of millions or even billions of dollars. Every American who hopes to collect Social Security someday should stridently oppose totalization and amnesty proposals.
Medicare
Deficit Spending and Social Security
09 October 2006 Texas Straight Talk 09 October 2006 verse 3 ... Cached
During a speech in Washington last week, Federal Reserve Chairman Ben Bernanke warned that the coming retirement of the Baby Boomer generation will place tremendous strains on the nation’s budget and economy. He stresses that Social Security and Medicare must be reformed sooner rather than later, because demographic trends make the current system unsustainable over time. In future decades there will be too many retirees and not enough younger taxpayers.
Medicare
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.
Medicare
The Coming Entitlement Meltdown
05 March 2007 Texas Straight Talk 05 March 2007 verse 4 ... Cached
If you didn’t see the show, Mr. Walker’s theme was simple: government entitlement spending is like a runaway freight train headed straight at American taxpayers. He singled out the Medicare prescription drug bill, passed by Congress at the end of 2003, as “probably the most fiscally irresponsible piece of legislation since the 1960s.”
Medicare
The Coming Entitlement Meltdown
05 March 2007 Texas Straight Talk 05 March 2007 verse 5 ... Cached
When it comes to Social Security and Medicare, the federal government simply won’t be able to keep its promises in the future. That is the reality every American should get used to, despite the grand promises of Washington reformers. Our entitlement system can’t be reformed- it’s too late. And the Medicare prescription drug bill is the final nail in the coffin.
Medicare
The Coming Entitlement Meltdown
05 March 2007 Texas Straight Talk 05 March 2007 verse 7 ... Cached
The Medicare “trust fund” is already badly in the red, and the only solution will be a dramatic increase in payroll taxes for younger workers. The National Taxpayers Union reports that Medicare will consume nearly 40% of the nation’s GDP after several decades because of the new drug benefit. That’s not 40% of federal revenues, or 40% of federal spending, but rather 40 % of the nation’s entire private sector output!
Medicare
The Coming Entitlement Meltdown
05 March 2007 Texas Straight Talk 05 March 2007 verse 10 ... Cached
Don’t believe for a second that we can grow our way out of the problem through a prosperous economy that yields higher future tax revenues. If present trends continue, by 2040 the entire federal budget will be consumed by Social Security and Medicare alone. The only options for balancing the budget would be cutting total federal spending by about 60%, or doubling federal taxes. To close the long-term entitlement gap, the U.S. economy would have to grow by double digits every year for the next 75 years.
Medicare
The Coming Entitlement Meltdown
05 March 2007 Texas Straight Talk 05 March 2007 verse 11 ... Cached
The answer to these critical financial realities is simple, but not easy: We must rethink the very role of government in our society. Anything less, any tinkering or “reform,” won’t cut it. A good start would be for Congress to repeal the Medicare prescription drug bill.
Medicare
The 2008 Federal Budget
02 April 2007 Texas Straight Talk 02 April 2007 verse 5 ... Cached
About one-third of this $3 trillion is so-called discretionary spending; the remaining two-thirds is deemed “mandatory” entitlement spending, which means mostly Social Security and Medicare. I’m sure many American voters would be shocked to know their elected representatives essentially have no say over two-thirds of the federal budget, but that is indeed the case. In fact the most disturbing problem with the budget is the utter lack of concern for the coming entitlement meltdown.
Medicare
Politicizing Pain
27 April 2008 Texas Straight Talk 27 April 2008 verse 2 ... Cached
K.K. Forss does not claim medical marijuana solves all his problems. His pain from a ruptured disc in his neck is debilitating. He is unable to go to work or to the First Baptist Church he used to attend because of the pain and muscle spasms. Taxpayers through Medicare spend over $18,000 a year on his various medications. Half of those drugs are strong narcotics. The other half address the various side-effects brought on by the first half, such as nausea, heartburn, heart palpitations, difficulty sleeping, and muscle spasms.
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.