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patients Federal War On Drugs Bad Idea 5 May 1998 1998 Ron Paul 45:6 In 1937, and I am sure some of my conservative colleagues might be interested in this because it was the great FDR who decided to impose a great tax on marijuana, putting $100 tax on a pound of marijuana, essentially making it illegal. And even today those States who would like to legalize marijuana even for the sick and dying AIDS patients and the cancer patients are not even permitted to. It is because we have carelessly assumed that all regulation and all controls and all policing activities should be done here in Washington. patients The Patient Privacy Act 21 July 1998 1998 Ron Paul 82:2 As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given their doctor will be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier?” patients Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:9 Mr. Speaker, all those concerned with empowering patients should endorse H.R. 4250’s provisions lifting all caps on how many Americans may purchase an MSA and repealing federal regulations that discourage Americans from using MSA’s. For example, a provision in the tax code limits the monthly contribution to the MSA to one-twentieth of the MSA’s yearly amount. Thus, MSA holders have a small portion of their yearly contribution accessible to them in the early months of the year. The Patient Protection Act allows individuals to make the full contribution to their MSA at any time of the year, so someone who establishes an MSA in January does not have to worry if they get sick in February. patients Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:11 However, as much as I support H.R. 4250’s expansion of MSA’s, I equally object to those portions of the bill placing new federal standards on employer offered health care plans. Proponents of these standards claim that they will not raise cost by more than a small percentage point. However, even an increase of a small percentage point could force many marginal small businesses to stop offering health care for their employees, thus causing millions of Americans to lose their health insurance. This will then lead to a new round of government intervention. Unlike Medical Savings Accounts which remove the HMO bureaucracy currently standing between physicians and patients, the so-called patient protections portions of this bill add a new layer of government-imposed bureaucracy. For example, H.R. 4250 guarantees each patient the right to external and internal review of insurance company’s decisions. However, this does not empower patients to make their own decisions. If both external and internal review turn down a patient’s request for treatment, the average patient will have no choice but to accept the insurance companies decision. Furthermore, anyone who has ever tried to navigate through a government-controlled “appeals process” has reason to be skeptical of the claims that the review process will be completed in less than three days. Imposing new levels of bureaucracy on HMO’s is a poor substitute for returning to the American people the ability to decide for themselves, in consultation with their care giver, what treatments are best for them. Medical Savings Accounts are the best patient protection. patients Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:12 Perhaps the biggest danger these regulations pose is ratification of the principle that guaranteeing a patients’ access to physicians is the proper role for the government, thus opening the door for further federal control of the patient-physician relationship. I ask my physician-colleagues who support this regulation, once we have accepted the notion that federal government can ensure patients have access to our services, what defense can we offer when the government places new regulations and conditions on that access? patients Patient Protection Act of 1998 24 July 1998 1998 Ron Paul 84:14 In conclusion, Mr. Speaker, while the Patient Protection Act takes some good steps toward placing patients back in control of the health care system, it also furthers the federal role in overseeing the health system. It is my belief that the unintended, but inevitable, consequence of this bill, will require Congress to return to the issue of health care reform in a few years. I hope Congress gets it right next time. patients The Failed War On Drugs 15 September 1998 1998 Ron Paul 100:2 But I have also concluded that the war on drugs is a failed war and that we should be doing something else. I might point out that the argument for the use of marijuana in medicine is not for pain. To say that it has not relieved pain is not what this is about. Marijuana has been used by cancer patients who have been receiving chemotherapy who have intractable nausea. It is the only thing they have found that has allowed them to eat, and so many cancer patients die from malnutrition. The same is true about an AIDS patient. So this is a debate on compassion, as well as legality. patients National Provider ID 8 October 1998 1998 Ron Paul 115:3 Allowing the federal government to establish a National Health ID not only threatens privacy but also will undermine effective health care. As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given their doctor will be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier?” patients National Provider ID 8 October 1998 1998 Ron Paul 115:7 The National Provider ID will force physicians who use technologies such as e-mail in their practices to record all health care transactions with the government. This will allow the government to track and monitor the treatment of all patients under that doctor’s care. Government agents may pull up the medical records of a patient with no more justification than a suspicion the provider is involved in fraudulent activity unrelated to that patient’s care! patients Medicare Home Health And Veterans Health Care Improvement Act Of 1998 9 October 1998 1998 Ron Paul 118:4 A member of my staff has been informed by a small home health care operator in my district that passage of this bill would allow them only to provide an additional eight visits per year. This will not keep home health patients with complex medical conditions out of nursing homes and hospitals. Congress should implement a real, budget-neutral home health care reform rather than waste our time and the taxpayers’ money with the phony reform before us today. patients Freedom And Privacy Restoration Act 6 January 1999 1999 Ron Paul 1:7 Mr. Speaker, the section of this bill prohibiting the federal government from using identifiers to monitor private transactions is necessary to stop schemes such as the attempt to assign every American a “unique health identifier” for every American—an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base? patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 94:3 The Brazosport RehabCare Center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbia and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 94:4 Comprehensive impatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s Disease, Multiple Sclerosis and Gullian Barre. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 94:6 By addressing the multiple effects that disability has on the patient and family and by integrating the combined resources of patient, family and interdisciplinary rehabilitation team, comprehensive rehabilitation programming can maximize the abilities and esteem of the patient and family and foster a healthy re-integration into the community. At the Brazosport RehabCare Center, patient outcomes are exceptionally positive. Eighty-six percent of their patients are able to return home and lead an independent lifestyle. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 95:3 The Brazosport RehabCare Center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbus and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 95:4 Comprehensive inpatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s Disease, Multiple Sclerosis and Gullian Barre. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 8 September 1999 1999 Ron Paul 95:6 By addressing the multiple effects that disability has on the patient and family and by integrating the combined resources of patient, family and interdisciplinary rehabilitation team, comprehensive rehabilitation programming can maximize the abilities and esteem of the patient and family and foster a healthy re-integration into the community. At the Brazosport RehabCare Center, patient outcomes are exceptionally positive. Eighty-six percent of their patients are able to return home and lead an independent lifestyle. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 9 September 1999 1999 Ron Paul 96:2 The Brazosport RehabCare Center opened its doors on December 31, 1992. Construction was completed at the end of April 1993, for a total of 14 acute rehabilitation beds. The Brazosport RehabCare center is located in Brazosport Memorial Hospital in Lake Jackson, Texas. The primary service areas include the cities of Lake Jackson, Clute, Freeport, Angleton, Danbury and Brazoria. This service area has a combined population of approximately 95,000. The secondary service area includes the cities of Sweeny, West Columbia and Old Ocean with a population of approximately 16,000. The RehabCare Center has also attracted patients from Bay City and Alvin. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 9 September 1999 1999 Ron Paul 96:3 Comprehensive inpatient rehabilitation services are provided to individuals with orthopedic, neurological and other medical conditions of recent onset or regression. These patients have experienced a loss of function in activities of daily living, mobility, cognition or communication. Types of patients admitted into the Brazosport RehabCare Center may include those with a diagnosis of stroke, spinal cord injury or dysfunction, brain injury, amputation, multiple trauma, hip fracture or joint replacement, arthritis, congenial deformity, burns or other progressive neuralgic syndromes such as Parkinson’s disease, multiple sclerosis and Gullian Barre. patients Recognizing The Brazosport RehabCare Center And National Rehabilitation Awareness Week 9 September 1999 1999 Ron Paul 96:5 By addressing the multiple effects that disability has on the patient and family and by integrating the combined resources of patient, family and interdisciplinary rehabilitation team, comprehensive rehabilitation programming can maximize the abilities and esteem of the patient and family and foster a healthy re-integration into the community. At the Brazosport RehabCare Center, patient outcomes are exceptionally positive. Eighty-six percent of their patients are able to return home and lead an independent lifestyle. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:7 We all should become suspicious when it is declared we need a new Bill of Rights, such as a taxpayers’ bill of rights, or now a patients’ bill of rights. Why do more Members not ask why the original Bill of Rights is not adequate in protecting all rights and enabling the market to provide all services? If over the last 50 years we had had a lot more respect for property rights, voluntary contracts, State jurisdiction, and respect for free markets, we would not have the mess we are facing today in providing medical care. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:9 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called patients’ bill of rights are 100 percent endorsement of a principle of government management and will greatly expand government involvement even if the intention is to limit government management of the health care system to the extent necessary to curtail the abuses of the HMO. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:10 The patients’ bill of rights concept is based on the same principles that have given us the mess we have today. Doctors are unhappy. HMOs are being attacked for the wrong reasons. And the patients have become a political football over which all sides demagogue. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:12 A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands increased because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels became much more involved in mandating health care for more and more groups. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:13 Even with the distortions introduced by the tax code, the markets could have still sorted this all out, but in the 1960s government entered the process and applied post office principles to the delivery of medical care with predictable results. The more the government got involved the greater the distortion. Initially there was little resistance since payments were generous and services were rarely restricted. Doctors like being paid adequately for services than in the past were done at discount or for free. Medical centers, always willing to receive charity patients for teaching purposes in the past liked this newfound largesse by being paid by the government for their services. This in itself added huge costs to the nation’s medical bill and the incentive for patients to economize was eroded. Stories of emergency room abuse are notorious since “no one can be turned away.” patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:14 Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increased benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care; limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the politicians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:15 For anyone understanding economics, the results are predictable: Quality of medical care will decline, services will be hard to find, and the three groups, patients, doctors and HMOs will blame each other for the problems, pitting patients against HMOs and government, doctors against the HMOs, the HMOs against the patient, the HMOs against the doctor and the result will be the destruction of the cherished doctor-patient relationship. That’s where we are today and unless we recognize the nature of the problem Congress will make things worse. More government meddling surely will not help. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:16 Of course, in a truly free market, HMOs and pre-paid care could and would exist — there would be no prohibition against it. The Kaiser system was not exactly a creature of the government as is the current unnatural HMO-government-created chaos we have today. The current HMO mess is a result of our government interference through the ERISA laws, tax laws, labor laws, and the incentive by many in this country to socialize medicine “American style”, that is the inclusion of a corporate level of management to rake off profits while draining care from the patients. The more government assumed the role of paying for services the more pressure there has been to managed care. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:17 The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards. Since the problem with our medical system has not been correctly identified in Washington the odds of any benefits coming from the current debates are remote. It looks like we will make things worse by politicians believing they can manage care better than the HMO’s when both sides are incapable of such a feat. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:18 Excessive litigation has significantly contributed to the ongoing medical care crisis. Greedy trial lawyers are certainly part of problem but there is more to it than that. Our legislative bodies throughout the country are greatly influenced by trial lawyers and this has been significant. But nevertheless people do sue, and juries make awards that qualify as “cruel and unusual punishment” for some who were barely involved in the care of the patient now suing. The welfare ethic of “something for nothing” developed over the past 30 to 40 years has played a role in this serious problem. This has allowed judges and juries to sympathize with unfortunate outcomes, not related to malpractice and to place the responsibility on those most able to pay rather than on the ones most responsible. This distorted view of dispensing justice must someday be addressed or it will continue to contribute to the deterioration of medical care. Difficult medical cases will not be undertaken if outcome is the only determining factor in deciding lawsuits. Federal legislation prohibiting state tort law reform cannot be the answer. Certainly contractual arrangements between patients and doctors allowing specified damage clauses and agreeing on arbitration panels would be a big help. State-level “loser pays” laws, which discourage frivolous and nuisance lawsuits, would also be a help. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:19 In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care. patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:23 The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that where available and affordable in other parts of the world! patients Health Care Reform: Treat The Cause, Not The Symptom 4 October 1999 1999 Ron Paul 103:24 The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:6 Partial government involvement is not possible. It inevitably leads to total government control. Plans for all the so-called Patient’s Bill of Rights are a 100% endorsement of the principle of government management and will greatly expand government involvement, even if the intention is to limit government management of the health care system to the extent “necessary” to curtail the abuses of the HMOs. The Patients’ Bill of Rights concept is based on the same principles that have given us the mess we have today. Doctors are unhappy, HMOs are being attacked for the wrong reasons, and the patients have become a political football over which all sides demagogue. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:7 The problems started early on when the medical profession, combined with tax code provisions making it more advantageous for individuals to obtain first-dollar health care coverage from third-parties rather than pay for health care services out of their own pockets, influenced the insurance industry into paying for medical services instead of sticking with the insurance principle of paying for major illnesses and accidents for which actuarial estimates could be made. A younger, healthier and growing population was easily able to afford the fees required to generously care for the sick. Doctors, patients and insurance companies all loved the benefits until the generous third-party payment system was discovered to be closer to a Ponzi scheme than true insurance. The elderly started living longer, and medical care became more sophisticated, demands because benefits were generous and insurance costs were moderate until the demographics changed with fewer young people working to accommodate a growing elderly population — just as we see the problem developing with Social Security. At the same time governments at all levels become much more involved in mandating health care for more and more groups. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:8 Even with the distortions introduced by the tax code, the markets could have still sorted this all out, but in the 1960s government entered the process and applied post office principles to the delivery of medical care with predictable results. The more the government got involved the greater the distortion. Initially there was little resistance since payments were generous and services were rarely restricted. Doctors liked being paid adequately for services that in the past were done at discount or for free. Medical centers, always willing to receive charity patients for teaching purposes in the past liked this newfound largesse by being paid by the government for their services. This in itself added huge costs to the nation’s medical bill and the incentive for patients to economize was eroded. Stories of emergency room abuse are notorious since “no one can be turned away.” patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:9 Artificial and generous payments of any service, especially medical, produces a well-known cycle. The increase benefits at little or no cost to the patient leads to an increase in demand and removes the incentive to economize. Higher demands raises prices for doctor fees, labs, and hospitals; and as long as the payments are high the patients and doctors don’t complain. Then it is discovered the insurance companies, HMOs, and government can’t afford to pay the bills and demand price controls. Thus, third-party payments leads to rationing of care, limiting choice of doctors, deciding on lab tests, length of stay in the hospital, and choosing the particular disease and conditions that can be treated as HMOs and the government, who are the payers, start making key medical decisions. Because HMOs make mistakes and their budgets are limited however, doesn’t justify introducing the notion that politicians are better able to make these decisions than the HMOs. Forcing HMOs and insurance companies to do as the policitians say regardless of the insurance policy agreed upon will lead to higher costs, less availability of services and calls for another round of government intervention. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:10 For anyone understanding economics, the results are predictable: Quality of medical care will decline, services will be hard to find, and the three groups, patients, doctors and HMOs will blame each other for the problems, pitting patients against HMOs and government, doctors against the HMOs, the HMOs against the patient, the HMOs against the doctor and the result will be the destruction of the cherished doctor-patient relationship. That’s where we are today and unless we recognize the nature of the problem Congress will make things worse. More government meddling surely will not help. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:11 Of course, in a truly free market, HMOs and pre-paid care could and would exist — there would be no prohibition against it. The Kaiser system was not exactly a creature of the government as is the current unnatural HMO-government-created chaos we have today. The current HMO mess is a result of our government interference through the ERISA laws, tax laws, labor laws, and the incentive by many in this country to socialize medicine “American style,” that is the inclusion of a corporate level of management to rake off profits while draining care from the patients. The more government assumed the role of paying for services the more pressure there has been to managed care. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:12 The contest now, unfortunately, is not between free market health care and nationalized health care but rather between those who believe they speak for the patient and those believing they must protect the rights of corporations to manage their affairs as prudently as possible. Since the system is artificial there is no right side of this argument and only political forces between the special interests are at work. This is the fundamental reason why a resolution that is fair to both sides has been so difficult. Only the free market protects the rights of all persons involved and it is only this system that can provide the best care for the greatest number. Equality in medical care services can be achieved only by lowering standards for everyone. Veterans hospital and Medicaid patients have notoriously suffered from poor care compared to private patients, yet, rather than debating introducing consumer control and competition into those programs, we’re debating how fast to move toward a system where the quality of medicine for everyone will be achieved at the lowest standards. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:14 Excessive litigation has significantly contributed to the ongoing medical care crisis. Greedy trial lawyers are certainly part of the problem but there is more to it than that. Our legislative bodies throughout the country are greatly influenced by trial lawyers and this has been significant. But nevertheless people do sue, and juries make awards that qualify as “cruel and unusual punishment” for some who were barely involved in the care of the patient now suing. The welfare ethic of “something for nothing” developed over the past 30 to 40 years has played a role in this serious problem. This has allowed judges and juries to sympathize with unfortunate outcomes not related to malpractice and to place the responsibility on those most able to pay rather than on the ones most responsible. This distorted view of dispensing justice must someday be addressed or it will continue to contribute to the deterioration of medical care. Difficult medical cases will not be undertaken if outcome is the only determining factor in deciding lawsuits. Federal legislation prohibiting state tort law reform cannot be the answer. Certainly contractual arrangements between patients and doctors allowing specified damage clauses and agreeing on arbitration panels would be a big help. State-level “loser pays” laws, which discourage frivolous and nuisance lawsuits, would also be a help. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:15 In addition to a welfare mentality many have developed a lottery jackpot mentality and hope for a big win through a “lucky” lawsuit. Fraudulent lawsuits against insurance companies now are an epidemic, with individuals feigning injuries in order to receive compensation. To find moral solutions to our problems in a nation devoid of moral standards is difficult. But the litigation epidemic could be ended if we accepted the principle of the right of contract. Doctors and hospitals could sign agreements with patients to settle complaints before they happen. Limits could be set and arbitration boards could be agreed upon prior to the fact. Limiting liability to actual negligence was once automatically accepted by our society and only recently has this changed to receiving huge awards for pain and suffering, emotional distress and huge punitive damages unrelated to actual malpractice or negligence. Legalizing contracts between patients and doctors and hospitals would be a big help in keeping down the defensive medical costs that fuel the legal cost of medical care. patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:19 The ERISA laws requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or is self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care and this was known up front and was considered an acceptable provision since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). Congress should also remove all federally-imposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that were available and affordable in other parts of the world! patients Quality Care For The Uninsured Act 6 October 1999 1999 Ron Paul 104:20 The most important thing Congress can do is to get market forces operating immediately by making Medical Savings Accounts (MSAs) generously available to everyone desiring one. Patient motivation to save and shop would be a major force to reduce cost, as physicians would once again negotiate fees downward with patients — unlike today where the government reimbursement is never too high and hospital and MD bills are always at maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. patients Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:6 Also, I believe it will indeed dampen the ability of doctors to treat dying patients. I know this bill has made an effort to prevent that, compared to last year, but it does not. The Attorney General and a DEA agent will decide who has given too much medication. If a patient is dying and they get too much medicine, and they die, the doctor could be in big trouble. They could have criminal charges filed against them. They could lose their license or go to jail. patients Pain Relief Promotion Act of 1999 (H.R. 2260) 27 October 1999 1999 Ron Paul 111:16 All physicians should be concerned about a federal government agency setting up protocols for medical care recognizing that many patients need a variation in providing care and a single protocol cannot be construed as being “correct”. patients Pain Relief Promotion Act of 1999. 27 October 1999 1999 Ron Paul 112:10 The Pain Relief Promotion Act of 1999, H.R. 2260, would amend Title 21, United States Code, for the laudable goal of protecting palliative care patients from the scourge of “assisted” suicide. However, by preempting what is the province of States — most of which have already enacted laws prohibiting “assisted suicide” — and expanding its use of the Controlled Substances Act to further define what constitutes proper medical protocol, the federal government moves yet another step closer to both a federal medical bureau and a national police state. patients 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. patients Pain Relief Promotion Act of 1999. 27 October 1999 1999 Ron Paul 112:16 Like the unborn, protection of the lives of palliative care patients is of vital importance. So vitally important, in fact, it must be left to the states’ criminal justice systems and state medical licensing boards. We have seen what a mess results from attempts to federalize such an issue. Numerous states have adequately protected both the unborn and palliative care patients against assault and murder and done so prior to the federal government’s unconstitutional sanctioning of violence in the Roe versus Wade decision. Unfortunately, H.R. 2260 ignores the danger of further federalizing that which is properly reserved to state governments and, in so doing, ignores the Constitution, the bill of rights, and the insights of Chief Justice Rehnquist. For these reasons, I must oppose H.R. 2260, The Pain Relief Promotion Act of 1999. patients A Republic, If You Can Keep It 31 January 2000 2000 Ron Paul 2:81 In the early stages, patients, doctors and hospitals welcomed these programs. Generous care was available with more than adequate reimbursement. It led to what one would expect, abuse, overcharges and overuse. When costs rose, it was necessary through government rulemaking and bureaucratic management to cut reimbursement and limit the procedures available and personal choice of physicians. We do not have socialized medicine but we do have bureaucratic medicine, mismanaged by the government and select corporations who usurp the decisionmaking power from the physician. The way medical care is delivered today in the United States is a perfect example of the evils of corporatism and an artificial system that only politicians, responding to the special interests, could create. There is no reason to believe the market cannot deliver medical care in an efficient manner as it does computers, automobiles and televisions. But the confidence is gone and everyone assumes, just as in education, that only a Federal bureaucracy is capable of solving the problems of maximizing the number of people, including the poor, who receive the best medical care available. In an effort to help the poor, the quality of care has gone down for everyone else and the costs have skyrocketed. patients The Hillory J. Farias Date Rape Prevention Drug Act of 1999 31 January 2000 2000 Ron Paul 3:7 I have extensive experience in the clinical use of gamma hyudroxy butyric acid (GHB) . . . I have used these substances for over ten years on hundreds of patients (and have advised thousands through my books and articles on the subject). I have not had one instance reported to me of adverse effects in my patients. GHB is the safest, most nontoxic sleep inducing substance known. It has a wide range of other therapeutic uses. The therapeutic threshold for GHB is greater than almost any known pharmaceutical substance (the LD50 is 40–100 times greater than the sleep-inducing therapeutic dose of 3–6 grams!). patients A Republic, If You Can Keep It – Part 2 2 February 2000 2000 Ron Paul 5:44 Hundreds of billions of dollars have been spent and not only is there no evidence of reduced drug usage, we have instead seen a tremendous increase. Many deaths have occurred from overdoses of street drugs since there is no quality control or labeling. Crime as a consequence of drug prohibition has skyrocketed and our prisons are overflowing. Many prisoners are nonviolent and should be treated as patients with addictions, not as criminals. Irrational mandatory minimum sentences have caused a great deal of harm. We have nonviolent drug offenders doing life sentences, and there is no room to incarcerate the rapists and murderers. patients 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. patients Quality Health-Care Coalition Act of 2000 June 29, 2000 2000 Ron Paul 61:1 * Mr. Chairman, I am pleased to take this opportunity to lend my support to H.R. 1304, the Quality Health Care Coalition Act, which takes a first step towards restoring a true free-market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. patients Quality Health-Care Coalition Act of 2000 June 29, 2000 2000 Ron Paul 61:3 * As an OB-GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. patients Quality Health-Care Coalition Act of 2000 June 29, 2000 2000 Ron Paul 61:7 * Mr. Chairman, it is my hope that Congress will follow up on its action today by empowering patients to control their health care by providing all Americans with access to Medical Saving Accounts (MSAs) and large tax credits for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they found most beneficial to them, the HMO monster would wither on the vine without the imposition of new federal regulations on the insurance industry. patients Quality Health-Care Coalition Act of 2000 June 29, 2000 2000 Ron Paul 61:8 * In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to American’s health care professionals. Antitrust laws are no more legitimate or constitutional in the health care market than they are on the software market. Therefore, I hope my colleagues will not just pass this bill but will also support my Market Process Restoration Act and exempt all Americans from antitrust laws. I also urge my colleagues to join me in working to promote a true free-market in health care by putting patients back in charge of the health care dollar through means such as Medical Savings Accounts (MSAs) and individual health care tax credits. patients 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. patients 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. patients CONFERENCE REPORT ON H.R. 2615, CERTIFIED DEVELOPMENT COMPANY PROGRAM IMPROVEMENTS ACT OF 2000 October 26, 2000 2000 Ron Paul 92:6 * We must restore individual control over health care dollars, and MSAs coupled with health care tax credits and deductions are an important step in the right direction. MSAs and health care tax deductions lower health care costs without sacrificing quality by motivating patients to negotiate for the highest quality care at a reasonable price. patients INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001 2001 Ron Paul 1:7 * Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know well the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible data base? patients INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT — HON. RON PAUL Wednesday, January 3, 2001 2001 Ron Paul 1:13 * Perhaps the most outrageous example of phony privacy protection is the Clinton Administration’s so-called “medical privacy” proposal, which allow medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:3 * The story behind the creation of the HMOs is a classic illustration of how the unintended consequences of government policies provide a justification for further expansions of government power. During the early seventies, Congress embraced HMOs in order to address concerns about rapidly escalating health care costs. However, it was Congress which had caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to costs when selecting health care. Because the consumer had the incentive to control health care cost stripped away, and because politicians where unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs, preempting state laws forbidding physicians to sign contracts to deny care to their patients, and mandating that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sounds like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, Big Government mindset that produced wage-and-price controls. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:4 * Mr. Speaker, in reading this article, I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today promoting the so-called “patients’ rights” legislation which attempts to deal with the problem of the HMOs by imposing new federal mandates on the private sector. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs in the free market, and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:5 * As Ms. Brase, points out, so-called “patients’ rights” legislation will only further empower federal bureaucrats to make health care decisions for individuals and entrench the current government-HMO complex. Furthermore, because the Patient’s Bill of Rights will increase health care costs, thus increasing the number of Americans without health insurance, it will result in pleas for yet another government intervention in the health care market! patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:9 Only 27 years ago, congressional Republicans and Democrats agreed that American patients should gently but firmly be forced into managed care. That patients do not know this fact is evidenced by public outrage directed at health maintenance organizations (HMOs) instead of Congress. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:12 Offering “free care” led to predictable results. Because Congress placed no restrictions on benefits and removed all sense of cost-consciousness, health-care use and medical costs skyrocketed. Congressional testimony reveals that between 1969 and 1971, physician fees increased 7 percent and hospital charges jumped 13 percent, while the Consumer Price Index rose only 5.3 percent. The nation’s health-care bill, which was only $39 billion in 1965, increased to $75 billion in 1971. Patients had found the fount of unlimited care, and doctors and hospitals had discovered a pot of gold. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:24 As patients have since discovered, the HMO — staffed by physicians employed by and beholden to corporations — was not much of a Christmas present or an insurance product. It promises coverage but often denies access. The HMO, like other prepaid MCOs, requires enrollees to pay in advance for a long list of routine and major medical benefits, whether the health-care services are needed, wanted, or ever used. The HMOs are then allowed to manage care — without access to dollars and service — through definitions of medical necessity, restrictive drug formularies, and HMO-approved clinical guidelines. As a result, HMOs can keep millions of dollars from premium-paying patients. HMO BARRIERS ELIMINATED patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:33 The move to managed care has been strongly supported by public-health officials who anticipate that public-private partnerships will provide funding for public-health infrastructure and initiatives, along with access to the medical records of private patients. The fact that health care is now organized in large groups by companies that hold millions of patient records and control literally hundreds of millions of health-care dollars has allowed unprecedented relationships to form between governments and health plans. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:36 Truth be told, HMOs allowed politicians to promise access to comprehensive health-care services without actually delivering them. Because treatment decisions could not be linked directly to Congress, HMOs provided the perfect cover for its plans to contain costs nationwide through health-care rationing. Now that citizens are angry with managed (rationed) care, the responsible parties in Congress, Senator Kennedy in particular, return with legislation ostensibly to protect patients from the HMOs they instituted. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:37 At worst, such offers are an obfuscation designed to entrench federal control over health care through the HMOs. At best they are deceptive placation. Congress has no desire to eliminate managed care, and federal regulation of HMOs and other managed-care corporations will not protect patients from rationing. Even the U.S. Supreme Court acknowledged in its June 12, 2000, Pegram patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:38 Real patient protection flows from patient control. Only when patients hold health-care dollars in their own hands will they experience the protection and power inherent in purchasing their own insurance policies, making cost-conscious health-care decisions, and inciting cost-reducing competition for the cash. patients Blame Congress for HMOs February 27, 2001 2001 Ron Paul 15:39 What could be so bad about that? A lot, it seems. Public officials worry privately that patients with power may not choose managed-care plans, eventually destabilizing the HMOs Congress is so dependent on for cost containment and national health-care initiatives. Witness congressional constraints on individually owned, tax-free medical savings accounts and the reluctance to break up employer-sponsored coverage by providing federal tax breaks to individuals. Unless citizens wise up to Congress’s unabashed but unadvertised support for managed care, it appears unlikely that real patient power will rise readily to the top of its agenda. patients The Medical Privacy Protection Resolution March 15, 2001 2001 Ron Paul 19:12 * I ask my colleagues to consider what will happen to that trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database or seen by medical researchers or handed over to government agents without so much as a simple warrant? patients The Medical Privacy Protection Resolution March 15, 2001 2001 Ron Paul 19:13 * Mr. Speaker, I am sure my colleagues agree that questions regarding who should or should not have access to one’s medical privacy are best settled by way of contract between a patient and a provider. However, the government-insurance company complex that governs today’s health care industry has deprived individual patients of control over their health care records, as well as over numerous other aspects of their health care. Rather than put the individual back in charge of his or her medical records, the Department of Health and Human Services’ privacy regulations give the federal government the authority to decide who will have access to individual medical records. These regulations thus reduce individuals’ ability to protect their own medical privacy. patients THE PATIENT PRIVACY ACT -- HON. RON PAUL July 24, 2001 2001 Ron Paul 65:5 * As an OB/GYN-with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given their doctor will be placed in a data base accessible by anyone who knows the patient’s “unique personal identifier?” patients Patient’s Bill of Rights Undermines Individual Rights August 2, 2001 2001 Ron Paul 73:5 I think we went astray about 30-some years ago in the direction of medical care when the government, the Federal Government, got involved. The first thing is we changed our attitude and our definition of what “rights” are. We call this a Patients’ Bill of Rights. It has very little to do with rights, because most of what we do in medicine, we undermine individual rights. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:1 Mr. PAUL. Mr. Chairman, I appreciate the opportunity to explain why I oppose all versions of the Patients’ Bill of Rights. Once again Congress is staging a phony debate over which form of statism to embrace, instead of asking the fundamental question over whether Congress should be interfering in this area at all, much less examine how previous interferences in the health care market created the problems which these proposals claim to address. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:5 However, it was previous Congressional action which caused health care costs to spiral by removing control over the health care dollar from consumers and thus eliminating any incentive for consumers to pay attention to prices when selecting health care. Because the consumer had the incentive to monitor health care prices stripped away and because politicians were unwilling to either give up power by giving individuals control over their health care or take responsibility for rationing care, a third way to control costs had to be created. Thus, the Nixon Administration, working with advocates of nationalized medicine, crafted legislation providing federal subsidies to HMOs and preempting state laws forbidding physicians to sign contracts to deny care to their patients. This legislation also mandated that health plans offer an HMO option in addition to traditional fee-for-service coverage. Federal subsidies, preemption of state law, and mandates on private business hardly sound like the workings of the free market. Instead, HMOs are the result of the same Nixon-era corporatist, big government mindset that produced wage-and-price controls. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:6 I am sure many of my colleagues will think it ironic that many of the supporters of Nixon’s plan to foist HMOs on the American public are today among the biggest supporters of the “patients’ rights” legislation. However, this is not really surprising because both the legislation creating HMOs and the Patients’ Bill of Rights reflect the belief that individuals are incapable of providing for their own health care needs and therefore government must control health care. The only real difference between our system of medicine and the Canadian “single payer” system is that in America, Congress contracted out the job of rationing health care resources to the HMOs. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:8 We all should become suspicious when it is declared we need a new Bill of Rights, such as a Taxpayers’ Bill of Rights, or now a Patients’ Bill of Rights. Why do more Members not ask why the original Bill of Rights is not adequate in protecting all rights and enabling the market to provide all services? In fact, if Congress respected the Constitution we would not even be debating this bill, and we would have never passed any of the special-interest legislation that created and empowered the HMOs in the first place! patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:11 Many members of Congress have convinced themselves that they can support a “watered-down” Patients’ Bill of Rights which will allow them to appease the supporters of nationalized medicine without creating the negative consequences of the unmodified Patients’ Bill of Rights, while even some supporters of the most extreme versions of this legislation say they will oppose any further steps to increase the power of government over health care. These well-intentioned members ignore the economic fact that partial government involvement is not possible. It inevitably leads to total government control. A vote for any version of a Patients’ Bill of Rights is a 100 percent endorsement of the principle of government management of the health care system. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:12 Those who doubt they are endorsing government control of medicine by voting for a modified Patients’ Bill of Rights should consider that even after this legislation is “watered- down” it will still give the federal government the power to control the procedures for resolving disputes for every health plan in the country, as well as mandating a laundry list of services that health plans must offer to their patients. The new and improved Patients’ Bill of Rights will still drive up the costs of health care, causing many to lose their insurance and lead to yet more cries for government control of health care to address the unintended consequences of this legislation. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:15 Instead of this phony argument between those who believe their form of nationalized medicine is best for patients and those whose only objection to nationalized medicine is its effect on entrenched corporate interests, we ought to consider getting rid of the laws that created this medical management crisis. The ERISA law requiring businesses to provide particular programs for their employees should be repealed. The tax codes should give equal tax treatment to everyone whether working for a large corporation, small business, or self employed. Standards should be set by insurance companies, doctors, patients, and HMOs working out differences through voluntary contracts. For years it was known that some insurance policies excluded certain care. This was known up front and was considered an acceptable practice since it allowed certain patients to receive discounts. The federal government should defer to state governments to deal with the litigation crisis and the need for contract legislation between patients and medical providers. Health care providers should be free to combine their efforts to negotiate effectively with HMOs and insurance companies without running afoul of federal anti-trust laws — or being subject to regulation by the National Labor Relations Board (NLRB). patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:17 Congress should also remove all federallyimposed roadblocks to making pharmaceuticals available to physicians and patients. Government regulations are a major reason why many Americans find it difficult to afford prescription medicines. It is time to end the days when Americans suffer because the Food and Drug Administration (FDA) prevented them from getting access to medicines that where available and affordable in other parts of the world! patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:18 While none of the proposed “Patients’ Bill of Rights” addresses the root cause of the problems in our nation’s health care system, the amendment offered by the gentleman from Kentucky does expend individual control over health care by making Medical Savings Accounts (MSAs) available to everyone. This is the most important thing Congress can do to get market forces operating immediately and improve health care. When MSAs make patient motivation to save and shop a major force to reduce cost, physicians would once again negotiate fees downward with patients — unlike today where the reimbursement is never too high and hospital and MD bills are always at the maximum levels allowed. MSAs would help satisfy the American’s people’s desire to control their own health care and provide incentives for consumers to take more responsibility for their care. patients Patients’ Bill Of Rights 2 August 2001 2001 Ron Paul 74:20 In conclusion, Mr. Chairman, I urge my colleagues to reject the phony Patients’ Bill of Rights which will only increase the power of the federal government, cause more Americans to lose their health care or receive substandard care, and thus set the groundwork for the next round of federal intervention. Instead. I ask my colleagues to embrace an agenda of returning control over health care to the American people by putting control over the health care dollar back into the hands of the individual and repealing those laws and regulations which distort the health care market. We should have more faith in freedom and more fear of the politicians and bureaucrats who think all can be made well by simply passing a Patients’ Bill of Rights. patients Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:1 Mr. Speaker, as an OB-GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant woman unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem. patients Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:3 Of course, I am not suggesting Congress place price controls on the insurance industry, Instead, Congress should reexamine those federal laws such as ERISA and the HMO Act of 1973, which have allowed insurers to achieve such a prominent role in the medical profession. As I will detail below, Congress should also take steps to encourage contractual means of resolving malpractice disputes. Such an approach may not be beneficial to the insurance companies or the trial lawyers, but will certainly benefit the patients and physicians which both sides in this debate claim to represent. patients Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:8 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. patients Statement on Medical Malpractice Legislation September 26, 2002 2002 Ron Paul 90:9 I am working on legislation to provide tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations. patients Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003 2003 Ron Paul 4:7 Mr. Speaker, of all the invasions of privacy proposed in the past decade, perhaps the most onerous is the attempt to assign every American a “unique health identifier” — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctor will be placed in a government accessible database? Some members of Congress may claim that the federal monitoring of all Americans will enhance security. However, the fact is that creating a surveillance state will divert valuable resources away from investigating legitimate security threats into spying on innocent Americans, thus reducing security. The American people would be better served if the government focused attention on ensuring our borders are closed to potential terrorists instead of coming up with new ways to violate the rights of American citizens. patients Stop Identity Theft – Make Social Security Numbers Confidential January 7, 2003 2003 Ron Paul 4:13 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy” regulation, which allows medical researchers, certain business interests, and law enforcement officials’ access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one providing or seeking the information. patients Quality Health Care Coalition Act 12 March 2003 2003 Ron Paul 32:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. patients Quality Health Care Coalition Act 12 March 2003 2003 Ron Paul 32:3 As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. patients Quality Health Care Coalition Act 12 March 2003 2003 Ron Paul 32:7 Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by expanding access to Medical Savings Accounts and providing Americans with large tax credits and tax deductions for their health care expenses. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. patients Quality Health Care Coalition Act 12 March 2003 2003 Ron Paul 32:8 In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. patients Freedom From Unnecessary Litigation Act 12 March 2003 2003 Ron Paul 33:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. patients Freedom From Unnecessary Litigation Act 12 March 2003 2003 Ron Paul 33:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. patients Freedom From Unnecessary Litigation Act 12 March 2003 2003 Ron Paul 33:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. patients Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:1 Mr. PAUL. Mr. Speaker, as an OB–GYN with over 30 years in private practice, I understand better than perhaps any other member of Congress the burden imposed on both medical practitioners and patients by excessive malpractice judgments and the corresponding explosion in malpractice insurance premiums. Malpractice insurance has skyrocketed to the point where doctors are unable to practice in some areas or see certain types of patients because they cannot afford the insurance premiums. This crisis has particularly hit my area of practice, leaving some pregnant women unable to find a qualified obstetrician in their city. Therefore, I am pleased to see Congress address this problem. patients Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:3 Of course, I am not suggesting Congress place price controls on the insurance industry. Instead, Congress should reexamine those federal laws such as ERISA and the HMO Act of 1973, which have allowed insurers to achieve such a prominent role in the medical profession. As I will detail below, Congress should also take steps to encourage contractual means of resolving malpractice disputes. Such an approach may not be beneficial to the insurance companies or the trial lawyers, buy will certainly benefit the patients and physicians, which both sides in this debate claim to represent. patients Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:7 Rather than further expanding unconstitutional mandates and harming those with a legitimate claim to collect compensation, Congress should be looking for ways to encourage physicians and patients to resolve questions of liability via private, binding contracts. The root cause of the malpractice crisis (and all of the problems with the health care system) is the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. patients Freedom from Unnecessary Litigation Act (H.R. 1249) 13 March 2003 2003 Ron Paul 34:8 I have introduced the Freedom from Unnecessary Litigation Act (H.R. 1249). H.R. 1249 provides tax incentives to individuals who agree to purchase malpractice insurance, which will automatically provide coverage for any injuries sustained in treatment. This will insure that those harmed by spiraling medical errors receive timely and full compensation. My plan spares both patients and doctors the costs of a lengthy, drawn-out trial and respects Congress’ constitutional limitations. patients Crisis In Healthcare 13 March 2003 2003 Ron Paul 35:1 Mr. PAUL. Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. patients Crisis In Healthcare 13 March 2003 2003 Ron Paul 35:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all ilncentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003 2003 Ron Paul 39:3 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. patients “Negative Outcomes” Insurance – A Free-Market Approach to the Medical Malpractice March 27, 2003 2003 Ron Paul 39:4 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. patients Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003 2003 Ron Paul 40:1 Mr. Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care “gatekeepers.” Obviously, fundamental health care reform should be one of Congress’ top priorities. patients Comprehensive Health Care Reform Without Socialized Medicine March 27, 2003 2003 Ron Paul 40:2 Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients A Wise Consistency February 11, 2004 2004 Ron Paul 2:14 Alcohol Prohibition—For Our Own Protection : Alcohol prohibition was a foolish consistency engaged in for over a decade, but we finally woke up to the harm done. In spite of prohibition, drinking continued. The alcohol being produced in the underground was much more deadly, and related crime ran rampant. The facts stared us in the face, and with time, we had the intelligence to repeal the whole experiment. No matter how logical this reversal of policy was, it did not prevent us from moving into the area of drug prohibition, now in the more radical stages, for the past 30 years. No matter the amount of harm and cost involved, very few in public life are willing to advise a new approach to drug addiction. Alcoholism is viewed as a medical problem, but illicit drug addiction is seen as a heinous crime. Our prisons overflow, with the cost of enforcement now into the hundreds of billions of dollars, yet drug use is not reduced. Nevertheless, the politicians are consistent. They are convinced that a tough stand against usage with very strict laws and mandatory sentences — sometimes life sentences for non-violent offenses — is a popular political stand. Facts don’t count, and we can’t bend on consistently throwing the book at any drug offenders. Our prisons are flooded with non-violent drug users — 84% of all federals prisoners — but no serious reassessment is considered. Sadly, the current war on drugs has done tremendous harm to many patients’ need for legitimate prescribed pain control. Doctors are very often compromised in their ability to care for the seriously and terminally ill by overzealous law enforcement. Throughout most of our history, drugs were legal and at times were abused. But during that time, there was no history of the social and legal chaos associated with drug use that we suffer today. A hundred years ago, a pharmacist openly advertised, “Heroin clears the complexion, gives buoyancy to the mind, regulates the stomach and the bowels and is, in fact, a perfect guardian of health.” Obviously this is overstated as a medical panacea, but it describes what it was like not to have hysterical busybodies undermine our Constitution and waste billions of dollars on a drug war serving no useful purpose. This country needs to wake up! We should have more confidence in citizens making their own decisions, and decide once again to repeal federal prohibition, while permitting regulation by the states alone. patients A Wise Consistency February 11, 2004 2004 Ron Paul 2:15 FDA and Legal Drugs—For Our Own Protection : Our laws and attitudes regarding legal drugs are almost as harmful. The FDA supposedly exists to protect the consumer and patients. This conclusion is based on an assumption that consumers are idiots and all physicians and drug manufacturers are unethical or criminals. It also assumes that bureaucrats and politicians, motivated by good intentions, can efficiently bring drugs onto the market in a timely manner and at reasonable cost. These same naïve dreamers are the ones who say that in order to protect the people from themselves, we must prohibit them from being allowed to re-import drugs from Canada or Mexico at great savings. The FDA virtually guarantees that new drugs come online slower and cost more money. Small companies are unable to pay the legal expenses, and don’t get the friendly treatment that politically connected big drug companies receive. If a drug seems to offer promise, especially for a life-threatening disease, why is it not available, with full disclosure, to anyone who wants to try it? No, our protectors say that no one gets to use it, or make their own decisions, until the FDA guarantees that each drug has been proven safe and effective. And believe me, the FDA is quite capable of making mistakes, even after years of testing. It seems criminal when cancer patients come to our congressional offices begging and pleading for a waiver to try some new drug. We call this a free society! For those who can’t get a potentially helpful drug but might receive a little comfort from some marijuana, raised in their own back yard legally in their home state, the heavy hand of the DEA comes down hard, actually arresting and imprisoning ill patients. Federal drug laws blatantly preempt state laws, adding insult to injury. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:1 Mr. PAUL. Mr. Speaker, the publicity surrounding popular radio talk show host Rush Limbaugh’s legal troubles relating to his use of the pain killer OxyContin will hopefully focus public attention on how the federal War on Drugs threatens the effective treatment of chronic pain. Prosecutors have seized Mr. Limbaugh’s medical records in connection with an investigation into charges that Mr. Limbaugh violated federal drug laws. The fact that Mr. Limbaugh is a high profile, and often controversial, conservative media personality has given rise to speculation that the prosecution is politically motivated. Adding to this suspicion is the fact that individual pain patients are rarely prosecuted in this type of case. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:2 In cases where patients are not high profile celebrities like Mr. Limbaugh, it is a pain management physician who bears the brunt of overzealous prosecutors. Faced with the failure of the War on Drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to pain management doctors, using federal statutes designed for the prosecution of drug kingpins to prosecute physicians for prescribing pain medicine. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:4 Furthering the problem is that patients often must consume very large amounts of opioids to obtain long-term relief. Some prescriptions may be for hundreds of pills and last only a month. A prescription this large may appear suspicious. But, according to many pain management specialists, it is medically necessary, in many cases, to prescribe such a large number of pills to effectively treat chronic pain. However, zealous prosecutors show no interest in learning the basic facts of pain management. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:5 This harassment by law enforcement has forced some doctors to close their practices, while others have stopped prescribing opioids — even though opioids are the only way some of their patients can obtain pain relief. The current attitude toward pain physicians is exemplified by Assistant U.S. Attorney Gene Rossi’s statement that “our office will try our best to root out [certain doctors] like the Taliban.” patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:6 Prosecutors show no concern for how their actions will affect patients who need large amounts of opioids to control their chronic pain. For example, the prosecutor in the case of Dr. Cecil Knox of Roanoke, Virginia told all of Dr. Knox’s patients to seek help in federal clinics even though none of the federal clinics would prescribe effective pain medicine. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:7 Doctors are even being punished for the misdeeds of their patients. For example, Dr. James Graves was sentenced to more than 60 years for manslaughter because several of his patients overdosed on various combinations of pain medications and other drugs, including illegal street drugs. As a physician with over thirty years experience in private practice, I find it outrageous that a physician would be held criminally liable for a patient’s misuse of medicine. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:9 By waging this war on pain physicians, the government is condemning patients to either live with excruciating chronic pain or seek opioids from other, less reliable, sources — such as street drug dealers. Of course, opioids bought on the street will likely pose a greater risk of damaging a patient’s health than will opioids obtained from a physician. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:10 Finally, as the Limbaugh case reveals, the prosecution of pain management physicians destroys the medical privacy of all chronic pain patients. Under the guise of prosecuting the drug war, law enforcement officials can rummage through patients’ personal medical records and, as may be the case with Mr. Limbaugh, use information uncovered to settle personal or political scores. I am pleased that AAPS, along with the American Civil Liberties Union (ACLU), has joined the effort to protect Mr. Limbaugh’s medical records. patients Federal War On Drugs Threatens The Effective Treatment Of Chronic Pain 11 February 2004 2004 Ron Paul 4:11 Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials and stop the harassment of legitimate pain management physicians, who are acting in good faith in prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for doing what, in their best medical judgment, is in their patients’ best interest. Doctors should also not be prosecuted for the misdeeds of their patients. Finally, I wish to express my hope that Mr. Limbaugh’s case will encourage his many fans and supporters to consider how their support for the federal War on Drugs is inconsistent with their support of individual liberty and Constitutional government. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:1 Mr. Speaker, the publicity surrounding popular radio talk show host Rush Limbaugh’s legal troubles relating to his use of the pain killer OxyContin hopefully will focus public attention on how the federal drug war threatens the effective treatment of chronic pain. Prosecutors have seized Mr. Limbaugh’s medical records to investigate whether he violated federal drug laws. The fact that Mr. Limbaugh is a high profile, controversial, conservative media personality has given rise to speculation that the prosecution is politically motivated. Adding to this suspicion is the fact that individual pain patients are rarely prosecuted in this type of case. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:2 In cases where patients are not high profile celebrities like Mr. Limbaugh, it is pain management physicians who bear the brunt of overzealous prosecutors. Faced with the failure of the war on drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to pain management doctors, using federal statutes designed for the prosecution of drug dealers to prosecute physicians for prescribing pain medicine. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:4 Unfortunately, patients often must consume very large amounts of opioids to obtain long-term relief. Some prescriptions may be for hundreds of pills and last only a month. A prescription this large may appear suspicious. But according to many pain management specialists, it is medically necessary in many cases to prescribe a large number of pills to effectively treat chronic pain. However, zealous prosecutors show no interest in learning the basic facts of pain management. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:5 This harassment by law enforcement has forced some doctors to close their practices, while others have stopped prescribing opioids altogether — even though opioids are the only way some of their patients can obtain pain relief. The current attitude toward pain physicians is exemplified by Assistant US Attorney Gene Rossi’s statement that “Our office will try our best to root out [certain doctors] like the Taliban.” patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:6 Prosecutors show no concern for how their actions will affect patients who need large amounts of opioids to control their chronic pain. For example, the prosecutor in the case of Dr. Cecil Knox of Roanoke, Virginia, told all of Dr. Knox’s patients to seek help in federal clinics even though none of the federal clinics would prescribe effective pain medicine! patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:7 Doctors are even being punished for the misdeeds of their patients. For example, Dr. James Graves was sentenced to more than 60 years for manslaughter because several of his patients overdosed on various combinations of pain medications and other drugs, including illegal street drugs. As a physician with over thirty years of experience in private practice, I find it outrageous that a physician would be held criminally liable for a patient’s misuse of medicine. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:9 By waging this war on pain physicians, the government is condemning patients to either live with excruciating chronic pain or seek opioids from other, less reliable, sources — such as street drug dealers. Of course opioids bought on the street likely will pose a greater risk of damaging a patient’s health than opioids obtained from a physician. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:10 Finally, as the Limbaugh case reveals, the prosecution of pain management physicians destroys the medical privacy of all chronic pain patients. Under the guise of prosecuting the drug war, law enforcement officials can rummage through patients’ personal medical records and, as may be the case with Mr. Limbaugh, use information uncovered to settle personal or political scores. I am pleased that AAPS, along with the American Civil Liberties Union, has joined the effort to protect Mr. Limbaugh’s medical records. patients Rush Limbaugh and the Sick Federal War on Pain Relief February 12, 2004 2004 Ron Paul 5:11 Mr. Speaker, Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing opioids for relief from chronic pain. Doctors should not be prosecuted for using their best medical judgment to act in their patients’ best interests. Doctors also should not be prosecuted for the misdeeds of their patients. patients H. Res. 412 Honoring Men And Women Of The Drug Enforcement Administration — Part 1 3 March 2004 2004 Ron Paul 10:11 One other point is that as a physician I have come to the firm conclusion that the war on drugs has been very detrimental to the practice of medicine and the care of patients. The drug culture has literally handicapped physicians in caring for the ill and the pain that people suffer with terminal illnesses. I have seen doctors in tears coming to me and saying that all his wife had asked me for was to die not in pain; and even he, as a physician, could not get enough pain medication because they did not want to make her an addict. So we do have a lot of unintended consequences. patients Stop Prosecuting Doctors For Prescribing Legal Drugs 7 July 2004 2004 Ron Paul 46:11 Well, there is always going to be some abuse. But I tell you there is a lot better way to find abusive doctors from issuing pain medication than up here destroying the practice of medicine and making sure thousands of patients suffering from the pain of cancer do not get adequate pain medication. patients Marinol And Terrorism 7 July 2004 2004 Ron Paul 48:5 But if you do have compassion and care for patients, they ought to have a freedom of choice. I think that is what this is all about, freedom of choice. patients Reject a National Prescription Database October 5, 2004 2004 Ron Paul 74:2 By creating a national database of prescriptions for controlled substances, the federal government would take another step forward in the war on pain patients and their doctors. This war has already resulted in the harassment and prosecution of many doctors, and their staff members, whose only “crime” is prescribing legal medication, including opioids, to relieve their patients’ pain. These prosecutions, in turn, have scared other doctors so that they are unwilling to prescribe an adequate amount of pain medication, or even any pain medication, for their suffering patients. patients Reject a National Prescription Database October 5, 2004 2004 Ron Paul 74:5 A doctor who is willing to treat chronic pain patients with medically justified amounts of controlled substances may appear at first look to be excessively prescribing. Because so few doctors are willing to take the drug war prosecution risks associated with treating chronic pain patients, and because chronic pain patients must often consume significant doses of pain medication to obtain relief, the prosecution of one pain doctor can be heralded as a large success. All the government needs to do is point to the large amount of patients and drugs associated with a medical practice. patients Reject a National Prescription Database October 5, 2004 2004 Ron Paul 74:6 Once doctors know that there is a national database of controlled substances prescriptions that overzealous law enforcement will be scrutinizing to harass doctors, there may be no doctors left who are willing to treat chronic pain. Instead of creating a national database, we should be returning medical regulation to local control, where it historically and constitutionally belongs. Instead of drug warriors regulating medicine with an eye to maximizing prosecutions, we should return to state medical boards and state civil courts review that looks to science-based standards of medical care and patients’ best interests. patients Reject a National Prescription Database October 5, 2004 2004 Ron Paul 74:7 HR 3015 also threatens patients’ privacy. A patient’s medical records should be treated according to the mutual agreement of the patient and doctor. In contrast, HR 3015 will put a patient’s prescriptions on a government-mandated database that can be accessed without the patient’s permission! patients Reject a National Prescription Database October 5, 2004 2004 Ron Paul 74:9 One way the House can act to protect patients’ privacy is by enacting my Patient Privacy Act (HR 1699) that repeals the provision of federal law establishing a medical ID for every American. Under the guise of “protecting privacy,” the Health and Human Services’ so-called “medical privacy” regulations allow medical researchers, insurance agents, and government officials access to your personal medical records — without your consent! Congress should act now to reverse this government-imposed invasion of our medical privacy. patients Introducing The Identity Theft protection Act 4 January 2005 2005 Ron Paul 2:8 The Identity Theft Prevention Act repeals those sections of Federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician- patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? patients Introducing The Identity Theft protection Act 4 January 2005 2005 Ron Paul 2:16 Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy”’ regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. patients Government IDs and Identity Theft January 6, 2005 2005 Ron Paul 5:8 The Identity Theft Prevention Act repeals those sections of federal law creating the national ID, as well as those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier--an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? patients Government IDs and Identity Theft January 6, 2005 2005 Ron Paul 5:16 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy'” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. patients Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005 2005 Ron Paul 34:8 Eventually, government medicine surely will ignore the concern for a single patient as a person, and instead a computer program and cost analysis will make the determination. It will be said to be more efficient, though morally unjustified, to allow a patient to die by court order rather than permitting family and friends to assume responsibility for the cost of keeping patients alive. patients Hypocrisy and the Ordeal of Terri Schiavo April 6, 2005 2005 Ron Paul 34:18 The one issue generally ignored in the Schiavo debate is the subtle influence the cost of care for the dying had on the debate. Government paid care clouds the issue, and it must be noted that the courts ruled out any privately paid care for Terri. It could be embarrassing in a government-run nursing home to see some patients receiving extra care from families while others are denied the same. However, as time goes on, the economics of care will play even a greater role since under socialized medicine the state makes all the decisions based on affordability. Then there will be no debate as we just witnessed in the case of Terri Schiavo. patients Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005 2005 Ron Paul 37:2 As a physician, I know Dr. Messenger is the type of doctor all of us would want to have to take care of us. He is capable, loves his work, genuinely cares about his patients, and is always available if someone needs him. In fact, he loves being a doctor so much that he did not retire until this past year at age 83. patients Tribute To Dr. Andrew Messenger, A True Friend Of Liberty 6 April 2005 2005 Ron Paul 37:3 Every day he would wake up early to be at the office by 6:45 a.m. He knew that many of his working patients preferred to come in early so he made himself available. Dr. Messenger felt that if he as a doctor was unavailable, he was worthless. patients Introducing The Comprehensive Health Care Act 27 June 2005 2005 Ron Paul 75:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government policies encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients Introducing The Freedom From Unnecessary Litigation Act 27 June 2005 2005 Ron Paul 77:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. patients Introducing The Freedom From Unnecessary Litigation Act 27 June 2005 2005 Ron Paul 77:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. patients Introducing The Freedom From Unnecessary Litigation Act 27 June 2005 2005 Ron Paul 77:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. patients Introducing The Quality Health Care Coalition Act 27 June 2005 2005 Ron Paul 78:1 Mr. PAUL. Mr. Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. patients Introducing The Quality Health Care Coalition Act 27 June 2005 2005 Ron Paul 78:3 As an OB–GYN with over 30 years in practice, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I have tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I have always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. patients Introducing The Quality Health Care Coalition Act 27 June 2005 2005 Ron Paul 78:7 Mr. Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new Federal regulations on the insurance industry. patients Introducing The Quality Health Care Coalition Act 27 June 2005 2005 Ron Paul 78:8 In conclusion, Mr. Chairman, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. patients Introducing The Cancer And Terminal Illness Patient Health Care Act 27 June 2005 2005 Ron Paul 79:4 As a physician who has specialized in women’s health issues for decades, I know how critical it is that cancer patients and others suffering from terminal illnesses have the resources they need to combat these illnesses. The Cancer and Terminal Illness Patient Health Care Act provides a realistic way to help people suffering from cancer or other terminal illnesses receive quality health care. patients Illegal Drug Problem — Part 1 9 March 2006 2006 Ron Paul 11:7 And alcohol is still now a severe problem in this country. And we knew that Prohibition produced many more problems than the alcohol itself. I think that is true with drugs. I think we have allowed ourselves to be carried away, to a large degree, because now we have laws that lack compassion. We do know, in the medical field, that marijuana can be helpful to cancer patients and AIDS patients can be helped where our drugs are not helpful; and to me this is just sad that we override State laws that permit it. patients Illegal Drug Problem — Part 1 9 March 2006 2006 Ron Paul 11:8 The overwhelming number of people in the country now are saying that we ought to allow marijuana to be used for very sick patients. Not too long ago, just this week, I had a meeting with a student that came from a central Asian country. He was an exchange student. He says the big subject at his school was, what is the age limit when I can drink alcohol? They would ask him that and he said, there is no age limit. patients Identity Theft Protection Act 5 January 2007 2007 Ron Paul 8:10 This legislation not only repeals those sections of Federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier — an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patient’s ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? patients Identity Theft Protection Act 5 January 2007 2007 Ron Paul 8:17 Second, the Federal Government has been creating proprietary interests in private information for certain State-favored special interests. Perhaps the most outrageous example of phony privacy protection is the “medical privacy’ ” regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, “privacy protection” laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. patients Introducing The Quality Health Care Coalition Act 2 August 2007 2007 Ron Paul 84:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act, which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. Over the past few years, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. patients Introducing The Quality Health Care Coalition Act 2 August 2007 2007 Ron Paul 84:2 Many of my well-meaning colleagues would deal with the problems created by the HMOs by expanding the federal government’s control over the health care market. These interventions will inevitably drive up the cost of health care and further erode the ability of patients and providers to determine the best health treatments free of government and third-party interference. In contrast, the Quality Health Care Coalition Act addresses the problems associated with HMOs by restoring medical professionals’ freedom to form voluntary organizations for the purpose of negotiating contracts with an HMO or an insurance company. patients Introducing The Quality Health Care Coalition Act 2 August 2007 2007 Ron Paul 84:3 As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in today’s health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. patients Introducing The Quality Health Care Coalition Act 2 August 2007 2007 Ron Paul 84:7 Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals’ freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. patients Introducing The Quality Health Care Coalition Act 2 August 2007 2007 Ron Paul 84:8 In conclusion, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to America’s health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. patients Introducing The Comprehensive Health Care Act 2 August 2007 2007 Ron Paul 86:2 Unfortunately, most health care “reform” proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007 2007 Ron Paul 87:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litigation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. patients Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007 2007 Ron Paul 87:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the States. These solutions also ignore the root cause of the litigation crisis: the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. patients Introduction Of The Freedom From Unnecessary Litigation Act 2 August 2007 2007 Ron Paul 87:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. patients Introducing The Cancer And Terminal Illness Patient Health Care Act 13 December 2007 2007 Ron Paul 109:4 As a physician who has specialized in women’s health issues for decades, I know how critical it is that cancer patients and others suffering from terminal illnesses have the resources they need to combat these illnesses. The Cancer and Terminal Illness Patient Health Care Act provides a realistic way to help people suffering from cancer or other terminal illnesses receive quality health care. patients 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. patients 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. patients 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. patients 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. patients INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT January 6, 2009 2009 Ron Paul 4:10 This legislation not only repeals those sections of federal law creating the national ID, it also repeals those sections of the Health Insurance Portability and Accountability Act of 1996 that require the Department of Health and Human Services to establish a uniform standard health identifier – an identifier which could be used to create a national database containing the medical history of all Americans. As an OB/GYN with more than 30 years in private practice, I know the importance of preserving the sanctity of the physician-patient relationship. Oftentimes, effective treatment depends on a patients ability to place absolute trust in his or her doctor. What will happen to that trust when patients know that any and all information given to their doctors will be placed in a government accessible database? patients INTRODUCTION OF THE IDENTITY THEFT PREVENTION ACT January 6, 2009 2009 Ron Paul 4:17 Second, the federal government has been creating proprietary interests in private information for certain state-favored special interests. Perhaps the most outrageous example of phony privacy protection is the medical privacy regulation, that allows medical researchers, certain business interests, and law enforcement officials access to health care information, in complete disregard of the Fifth Amendment and the wishes of individual patients! Obviously, privacy protection laws have proven greatly inadequate to protect personal information when the government is the one seeking the information. patients COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009 2009 Ron Paul 28:1 Mr. PAUL. Madam Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care gatekeepers. Obviously, fundamental health care reform should be one of Congress top priorities. patients COMPREHENSIVE HEALTH CARE REFORM ACT March 12, 2009 2009 Ron Paul 28:2 Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009 2009 Ron Paul 29:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Quality Health Care Coalition Act which takes a first step towards restoring a true free market in health care by restoring the rights of freedom of contract and association to health care professionals. For over a decade, we have had much debate in Congress about the difficulties medical professionals and patients are having with Health Maintenance Organizations (HMOs). HMOs are devices used by insurance industries to ration health care. While it is politically popular for members of Congress to bash the HMOs and the insurance industry, the growth of the HMOs are rooted in past government interventions in the health care market though the tax code, the Employment Retirement Security Act (ERSIA), and the federal anti-trust laws. These interventions took control of the health care dollar away from individual patients and providers, thus making it inevitable that something like the HMOs would emerge as a means to control costs. patients INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009 2009 Ron Paul 29:3 As an OB–GYN who spent over 30 years practicing medicine, I am well aware of how young physicians coming out of medical school feel compelled to sign contracts with HMOs that may contain clauses that compromise their professional integrity. For example, many physicians are contractually forbidden from discussing all available treatment options with their patients because the HMO gatekeeper has deemed certain treatment options too expensive. In my own practice, I tried hard not to sign contracts with any health insurance company that infringed on my ability to practice medicine in the best interests of my patients and I always counseled my professional colleagues to do the same. Unfortunately, because of the dominance of the HMO in todays health care market, many health care professionals cannot sustain a medical practice unless they agree to conform their practice to the dictates of some HMO. patients INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009 2009 Ron Paul 29:7 Madam Speaker, it is my hope that Congress will not only remove the restraints on medical professionals freedom of contract, but will also empower patients to control their health care by passing my Comprehensive Health Care Reform Act. The Comprehensive Health Care Reform Act puts individuals back in charge of their own health care by providing Americans with large tax credits and tax deductions for their health care expenses, including a deduction for premiums for a high-deductible insurance policy purchased in combination with a Health Savings Account. Putting individuals back in charge of their own health care decisions will enable patients to work with providers to ensure they receive the best possible health care at the lowest possible price. If providers and patients have the ability to form the contractual arrangements that they find most beneficial to them, the HMO monster will wither on the vine without the imposition of new federal regulations on the insurance industry. patients INTRODUCING THE QUALITY HEALTH CARE COALITION ACT March 12, 2009 2009 Ron Paul 29:8 In conclusion, I urge my colleagues to support the Quality Health Care Coalition Act and restore the freedom of contract and association to Americas health care professionals. I also urge my colleagues to join me in working to promote a true free market in health care by putting patients back in charge of the health care dollar by supporting my Comprehensive Health Care Reform Act. patients INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009 2009 Ron Paul 32:1 Mr. PAUL. Madam Speaker, I am pleased to introduce the Freedom from Unnecessary Litagation Act. As its title suggests, this bill provides an effective means of ensuring that those harmed during medical treatment receive fair compensation while reducing the burden of costly malpractice litigation on the health care system. This bill achieves its goal by providing a tax credit for negative outcomes insurance purchased before medical treatment. The insurance will provide compensation for any negative outcomes of the medical treatment. Patients can receive this insurance without having to go through lengthy litigation and without having to give away a large portion of their award to a trial lawyer. patients INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009 2009 Ron Paul 32:4 As is typical of Washington, most of the proposed solutions to the malpractice problem involve unconstitutional usurpations of areas best left to the states. These solutions also ignore the root cause of the litigation crisis: the shift away from treating the doctor-patient relationship as a contractual one to viewing it as one governed by regulations imposed by insurance company functionaries, politicians, government bureaucrats, and trial lawyers. There is no reason why questions of the assessment of liability and compensation cannot be determined by a private contractual agreement between physicians and patients. The Freedom from Unnecessary Litigation Act is designed to take a step toward resolving these problems through private contracts. patients INTRODUCTION OF THE FREEDOM FROM UNNECESSARY LITIGATION ACT March 12, 2009 2009 Ron Paul 32:5 Using insurance, private contracts, and binding arbitration to resolve medical disputes benefits patients, who receive full compensation in a timelier manner than under the current system. It also benefits physicians and hospitals, which are relieved of the costs associated with litigation. Since it will not cost as much to provide full compensation to an injured patient, these bills should result in a reduction of malpractice premiums. The Freedom from Unnecessary Litigation Act benefits everybody except those trial lawyers who profit from the current system. I hope all my colleagues will help end the malpractice crises while ensuring those harmed by medical injuries receive just compensation by cosponsoring my Freedom from Unnecessary Litigation Act. patients Statement on Comprehensive Healthcare Reform Act March 26, 2009 2009 Ron Paul 39:1 Madame Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients struggle under the control of managed-care gatekeepers. Obviously, fundamental health care reform should be one of Congress top priorities. patients Statement on Comprehensive Healthcare Reform Act March 26, 2009 2009 Ron Paul 39:2 Unfortunately, most health care reform proposals either make marginal changes or exacerbate the problem. This is because they fail to address the root of the problem with health care, which is that government polices encourage excessive reliance on third-party payers. The excessive reliance on third-party payers removes all incentive from individual patients to concern themselves with health care costs. Laws and policies promoting Health Maintenance Organizations (HMOs) resulted from a desperate attempt to control spiraling costs. However, instead of promoting an efficient health care system, HMOs further took control over health care away from the individual patient and physician. patients INTRODUCTION OF COERCION IS NOT HEALTH CARE May 21, 2009 2009 Ron Paul 58:6 Madam Speaker, the key to effective health care reform lies not in increasing government control, but in increasing the American peoples ability to make their own health care decisions. Thus, instead of forcing Americans to purchase government-approved health insurance, Congress should put the American people back in charge of health care by expanding health care tax credits and deductions, as well as increasing access to Health Savings Accounts. Therefore, I have introduced legislation, the Comprehensive Health Care Reform Act (H.R. 1495), which provides a series of health care tax credits and deductions designed to empower patients. I urge my colleagues to reject the big government-knows- best approach to health care by cosponsoring my Coercion is Not Health Care Act and Comprehensive Health Care Reform Act. patients INTRODUCING THE PROTECT PATIENTS AND PHYSICIANS PRIVACY ACT May 21, 2009 2009 Ron Paul 59:1 Mr. PAUL. Madam Speaker, I rise to introduce the Protect Patients and Physicians Privacy Act. This legislation protects medical privacy, as well as quality health care, by allowing patients and physicians to opt out of any federally mandated, created, or funded electronic medical records system. The bill also repeals the sections of Federal law establishing a unique health identifier and requires patient consent before any electronic medical records can be released to a third party. patients INTRODUCING THE PROTECT PATIENTS AND PHYSICIANS PRIVACY ACT May 21, 2009 2009 Ron Paul 59:5 Even if the law did not authorize violations of medical privacy, patients would still have good reason to be concerned about the governments ability to protect their medical records. After all, we are all familiar with cases where third parties obtained access to electronic veteran, tax, and other records because of errors made by federal bureaucrats. My colleagues should also consider the abuse of IRS records by administrations of both parties and ask themselves what would happen if unscrupulous politicians gain the power to access their political enemies electronic medical records. patients INTRODUCING THE PROTECT PATIENTS AND PHYSICIANS PRIVACY ACT May 21, 2009 2009 Ron Paul 59:6 As an OB/GYN with over 30 years of experience in private practice, I understand that one of the foundations of quality health care is the patients confidence that all information the patient shares with his or her health care provider will remain confidential. Forcing physicians to place their patients medical records in a system without adequate privacy protection undermines that confidence, and thus undermines effective medical treatment. patients INTRODUCING THE PROTECT PATIENTS AND PHYSICIANS PRIVACY ACT May 21, 2009 2009 Ron Paul 59:9 Madam Speaker, allowing patients and providers to opt out of the electronic medical records system will in no way harm the practice of medicine or the development of an efficient system of keeping medical records. Instead, it will enhance these worthy goals by ensuring patients and physicians can escape the inefficient, one-size-fits-all government- mandated system. By creating a market for alternatives to the government system, the op- out ensures that private businesses can work to develop systems that meet the demands for an efficient system of electronic records that protects patients privacy. I urge my colleagues to stand up for privacy and quality health care by cosponsoring the Protect Patients and Physicians Privacy Act. patients MORE GOVERNMENT WONT HELP September 23, 2009 2009 Ron Paul 90:11 Laws dealing with bad outcomes and prohibiting doctors from entering into voluntary agreements with their patients must be repealed. Tort laws play a significant role in pushing costs higher, prompting unnecessary treatment and excessive testing. Patients deserve the compensation; the attorneys do not. patients - FDA bill no reform: proves Congress still the same 13 October 1997 Texas Straight Talk 13 October 1997 verse 12 ... Cached To the dismay of medical privacy advocates, the bill goes so far as to authorize the FDA to track patients who use certain medical devices for up to 36 months, and even to conduct post-market surveillance of these patients. Just think, a formerly overweight patient may be followed by an FDA agent to make sure they don't regain the weight a few years later. patients Government prescription for health is bad medicine 19 January 1998 Texas Straight Talk 19 January 1998 verse 5 ... Cached As a physician, I often recommend to my patients that they never just pursue any one plan for fitness and nutrition; intelligent study, moderation and variety are, indeed, the spice of life and health. But there is an unfortunate trend toward restricting the access people have to factual information about alternatives to commonly accepted nutritional programs. patients Government prescription for health is bad medicine 19 January 1998 Texas Straight Talk 19 January 1998 verse 8 ... Cached I will never make the case against the great scientific and technological advances we have made in fighting cancer and the ravages of age. But those methods are not always the most effective in a particular circumstance, and there is a great deal of scientific proof - growing daily - that following various regimes of nutrition and exercise actually cure some diseases and prevent others. I have a friend who specializes in chemical and radiation therapy for cancer patients, but recently he began using one day a week of practice to study and work with nutritional supplements to those therapies. While he is quick to point out his experience is not conclusive and that every patient's case is different, he has been surprised at how many of his patients respond as well or better with the added nutritional therapies as others do in the course of more widely accepted, conventional treatments. patients MSAs best option for better health care 10 August 1998 Texas Straight Talk 10 August 1998 verse 13 ... Cached If we are serious about reforming our system of health care, the key must be allowing for more choices and more freedom, not further restricting patients and doctors. The MSA is tool whose time has come. patients Privacy tops agenda 09 November 1998 Texas Straight Talk 09 November 1998 verse 8 ... Cached Under the guise of "preventing fraud," the medical database would require that every aspect of an individual’s medical history be linked together and easily accessible to government officials and researchers. And what is accessible to government officials and researchers for "good" purposes is also accessible to computer hackers. Suddenly companies would pay for "illegal" information on your medical history, to determine the risk you pose to their benefits package. Or, a political opponent brings up an embarrassing tidbit from your medical past. Or ... the possibilities are endless, including the likelihood that patients will stop confiding in their doctors if it is possible that those remarks could be transcribed into a computer database. Of course, the ultimate solution is to exclude government from its unconstitutional role as a health care provider. patients Medical costs can be cut with freedom 14 December 1998 Texas Straight Talk 14 December 1998 verse 10 ... Cached Resources once devoted to assisting patients with their needs must be diverted to meeting bureaucratic regulations. Federal regulations imposed on state governments regarding medical care delivery, or on insurance providers, or employers, or directly on doctors and hospitals, all eventually come back to the consumer in the form of higher checkout costs. patients Medical costs can be cut with freedom 14 December 1998 Texas Straight Talk 14 December 1998 verse 14 ... Cached There are several ways to break the cycle. The most obvious solution is to pull the plug on federal intervention. That, however, is tantamount to political suicide. Who wants to be depicted as wanting to stop "good" regulations and laws, and "hurt" patients? patients Stopping the Surveillance State 18 January 1999 Texas Straight Talk 18 January 1999 verse 8 ... Cached Another section of the bill will stop schemes such as the attempt to assign every American a "unique health identifier." This identifier would logically lead to a national database containing the detailed medical history of all Americans. As a practicing OB/GYN for more than 30 years, I know well the importance of preserving the sanctity and private nature of the physician-patient relationship. Oftentimes, effective treatment depends on the patient placing absolute trust in the doctor not to discuss with anyone her health problems. What will happen to that trust when patients know that all information given to their doctor must be placed in a government accessible database? patients A flood of bills of rights 16 August 1999 Texas Straight Talk 16 August 1999 verse 5 ... Cached The latest in this trend among the politically savvy is the use of the adjective phrase "Bill of Rights." Every imaginable cause or group has seen a "Bill of Rights" proposed to support it these days: children, patients, airline travelers and so on. patients A flood of bills of rights 16 August 1999 Texas Straight Talk 16 August 1999 verse 9 ... Cached We should be suspicious when it is declared we need a new "Bill of Rights." If Congress were interested in protecting the rights of individuals (whether as taxpayers, patients or travelers), then it should adhere to the principles so clearly defined in the original Bill of Rights. patients A flood of bills of rights 16 August 1999 Texas Straight Talk 16 August 1999 verse 13 ... Cached Contrary to the claims of advocates for increased government regulation of health care, the problems we face do not represent market failure, but rather the failure of government policies that have destroyed the health-care market. While it appears on the surface that the interest of the patient is in conflict with the insurance companies and the Health Maintenance Organizations (HMOs), in a free market this cannot happen. But when one side is given a legislative advantage in an artificial system, as with managed care, merely making an effort to balance government dictated advantages between patients and HMOs is impossible. The differences cannot be reconciled by more government mandates; because we are trying to patch an unworkable system, the impasse in Congress over this -- or any such issue -- should not be a surprise. patients Dangerous to our health 11 October 1999 Texas Straight Talk 11 October 1999 verse 4 ... Cached If Congress practiced medicine, they'd be using leaches on their patients and offering bullets for amputee candidates to bite before hacking off irreparable limbs. patients Dangerous to our health 11 October 1999 Texas Straight Talk 11 October 1999 verse 12 ... Cached Patients are better served by having options and choices, not new federal bureaucracies and limitations on legal remedies. Such choices and options will arrive only when we unravel the HMO web rooted in old laws, and then change the tax code to allow Americans to fully deduct all healthcare costs from their taxes, similar to what is already allowed for employers. patients Dangerous to our health 11 October 1999 Texas Straight Talk 11 October 1999 verse 13 ... Cached While neither the current system, nor the mess produced by the House vote last week, constitutes traditional socialism, it is rather something almost worse: corporatism. As government bureaucracy continues to give preferences and protections to HMOs and trial lawyers, it will be the patients who lose, despite the glowing rhetoric from the special interests in Washington, DC. Patients will pay ever rising prices and receive declining care while doctors continue to leave the profession in droves. patients Best medicine is liberty 18 October 1999 Texas Straight Talk 18 October 1999 verse 7 ... Cached The more government has been involved, the greater the costs and distortions. Initially there was little resistance to the federal meddling, since payments were generous and services were rarely restricted. Doctors liked being paid adequately for services that in the past were done at discount or for free, while the patients saw they were getting great access without discernable costs. The nation's medical bill grew as the incentive for patients to economize eroded. patients Best medicine is liberty 18 October 1999 Texas Straight Talk 18 October 1999 verse 9 ... Cached Yet rather than reverse the trend and liberate patients, physicians and the health care market, many in Congress would make the situation worse by adding new regulations and new fees, while eroding services and limiting choices. patients Best medicine is liberty 18 October 1999 Texas Straight Talk 18 October 1999 verse 14 ... Cached The most important thing Congress can do is to stop practicing medicine and allow market forces to operate by allowing Medical Savings Accounts (MSAs) for everyone. Patient motivation to save and shop would be a major force in reducing cost, as physicians would once again negotiate fees with patients. MSAs would help satisfy the American's people's desire to control their own health care and provide incentives for consumers to take more responsibility for their care. MSAs will also allow those consumers to do business with insurance provider of their choice, who will cover the needs and procedures for which that family is willing and able to pay. patients Medical Privacy Threatened 07 February 2000 Texas Straight Talk 07 February 2000 verse 11 ... Cached Before implementing these rules, HHS must consider what will happen to the trust between patients and physicians when patients know that any and all information given their doctor may be placed in a government database, seen by medical researchers, or handed over to government agents without a warrant. For more information on how to submit comments to the Department of Health and Human Services, feel free to contact my congressional staff by email at rep.paul@mail.house.gov. Please use the words "HHS Regs" in the subject line, and make sure to include your email address in your message. You may also contact my office by phone at 202-225-2831. patients Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000 Texas Straight Talk 15 May 2000 verse 2 ... Cached Helping Cancer Patients and the Terminally Ill is a Moral Imperative patients Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000 Texas Straight Talk 15 May 2000 verse 5 ... Cached "When workers are stricken with a grave illness, they need the love and support of their family and friends as well as the best health care they can get. As a doctor who has specialized in women's health issues for decades, and as a member of Congress, I know how truly critical it is that cancer patients as well as those who suffer from terminal illnesses have the resources available to them to combat these illnesses. patients Helping Cancer Patients and the Terminally Ill is a Moral Imperative 15 May 2000 Texas Straight Talk 15 May 2000 verse 7 ... Cached "This bill would allow such individuals to keep their resources for those purposes without adversely affecting their ability to collect benefits. Rather than forcing people who are in such dire situations to continue paying taxes for a retirement they may never live to see, we need to free up resources for them now, without any penalty accruing to them if they can beat these terrible diseases. I have spoken with patients who have suffered from these illnesses, which put such a terrible strain on them and their loved ones. Even when they have health care coverage (and many do not), they still incur all kinds of costs ranging from transportation to and from care centers and certain prescription drugs which may not be fully covered, to hiring sitters to watch their children while they receive treatment. The list is nearly endless. In the legislation I introduced, if the disease goes into remission and all related costs are paid, the employee would again resume paying the payroll tax. This is a conservative program designed to reduce the tax burden of those fighting these dreaded illnesses. We need to offer compassion to those who suffer, but we also owe it to them to stop taking away the resources which can help people beat breast cancer, AIDS or other terrible health problems. patients A Big Win for Medical Privacy in Congress 19 June 2000 Texas Straight Talk 19 June 2000 verse 4 ... Cached As a doctor, I know how crucial it is to insure people's privacy when speaking to their physicians. Unless Congress permanently forbids the development of a medical ID, Americans may not be able to talk to their doctors about matters that are of an utmost private nature without fear of having this information accessed by government agencies! As an OB/GYN with more than 30 years experience in private practice, I know better than most the importance of preserving the sanctity of the physician-patient relationship. What happens to that trust when patients know any and all information given to their doctor will be placed in a database accessible by anyone who knows the patient's 'unique personal identifier? patients Help for Those with Terminal Illnesses 21 August 2000 Texas Straight Talk 21 August 2000 verse 4 ... Cached As a physician, I am especially concerned with those who face terrible terminal illnesses such as cancer, AIDS, and heart disease. Patients facing terminal illnesses need all of their financial resources available to them to fight their disease and pay their medical bills. Yet we continue to impose payroll taxes on citizens with terminal illnesses to fund a retirement they may never live to see. patients Help for Those with Terminal Illnesses 21 August 2000 Texas Straight Talk 21 August 2000 verse 8 ... Cached Both of these bills allow individuals who are suffering to keep more of their resources, rather than sending needed dollars to Washington. In my medical practice, I have spoken to patients suffering from terminal illnesses. Even when they have health coverage (and many do not), their disease puts a tremendous financial strain on them and their loved ones. The list of expenses they incur is nearly endless, ranging from transportation to care centers and hiring babysitters to watch their children to paying out-of-pocket costs for expensive drugs which are not fully covered. Family and friends can offer compassion and support, but Congress owes it to terminally ill persons to stop taking away the resources they need to fight cancer, AIDS, heart disease, and other terrible health problems. My hope is that citizens in my district (and my fellow legislators) who are truly interested in helping those with terminal illnesses will join me and support my legislation. patients The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 3 ... Cached Medical privacy advocates enjoyed a victory last week when the Supreme Court ruled that a government hospital in South Carolina violated the constitutional rights of pregnant women by testing them for drugs without their consent. The hospital ostensibly began the testing program because of concerns about increasing cocaine use by pregnant patients, but if the hospital was concerned only with patient and fetus health, why were test results turned over to law enforcement? Several women were arrested and put in jail because of the tests, with their newborns presumably taken away to become wards of the state. Not surprisingly, the rationale for this terrible violation of doctor-patient confidentiality was the drug war. The real tragedy of this case is that it may cause pregnant women to conceal illegal drug use from their doctors out of fear of arrest. How many babies will be misdiagnosed or go untreated because their mothers no longer have any medical privacy? patients The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 5 ... Cached As a physician, I cannot imagine providing my patients' medical records to police as evidence for a criminal prosecution. Like most doctors, I adhere to a strict policy of maintaining patient confidentiality. Medical privacy has existed for centuries between doctors and patients, without government interference. However, the drug war has provided the ever-growing federal government with new justifications to invade your once-private medical history. patients The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 6 ... Cached Unfortunately, the drug war is not the only threat to your medical privacy. Medical privacy also is under assault by Washington health bureaucrats. The federal government wants greater access to your private medical records than ever before. On April 14, the department of Health and Human Services (HHS) is scheduled to implement invasive new medical rules written during the Clinton administration. The proposed rules require doctors and other health care providers to give patient records to the federal government for very broadly defined purposes and without patient consent. The rules grant law enforcement access to patient records without a search warrant. Patients will have only limited knowledge of who sees their records, and individuals will not be able to sue health care providers or the government for breaches of privacy. Ultimately, your medical history will be readily available to any government agency that wishes to create a national medical database. patients The Fight for Medical Privacy Continues in Washington 26 March 2001 Texas Straight Talk 26 March 2001 verse 7 ... Cached The dangers posed by these regulations are obvious. Patients will hesitate to disclose information to their doctors if they fear such information will end up in a federal database. Doctors will be unable to provide effective care when patients conceal sensitive medical problems, such as drug and alcohol addiction, sexually transmitted diseases, AIDS, and psychiatric problems. The HHS rules threaten to turn doctors into government agents, who are required to divulge information which ultimately could be used against their patients by federal agencies, law enforcement, and health insurers. patients Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001 Texas Straight Talk 18 June 2001 verse 5 ... Cached HHS officials have sought to reassure the public that the new rules require patient consent before physicians may release medical information. Unfortunately, however, the consent protection has very limited effect. First, your physician likely will refuse to treat you if you decline consent to share your records. This is almost certain to happen, because heavy fines (and even jail sentences!) will be imposed on physicians who don't exactly follow the new regulations. Furthermore, there are very broad exceptions to the consent rule for ill-defined categories such as "oversight of the health care system," "public health," "law enforcement activities," "judicial and administrative proceedings," and "national defense and security." These exceptions give the government almost unlimited justifications to access your private records not only without your consent, but also without your knowledge. The law enforcement exception is particularly troubling, because the 4th Amendment clearly prohibits warrantless searches of medical records by government officials. So while on the surface the new rules may seem to give patients some control, the reality is that the consent protection is largely meaningless. patients Medical Privacy Threatened by Federal Health Bureaucrats 18 June 2001 Texas Straight Talk 18 June 2001 verse 6 ... Cached We should remember that private physicians have maintained patient privacy for centuries without government involvement, relying instead on personal conviction, the Hippocratic Oath, and professional standards. Patients once knew without question that anything they told their doctor would remain confidential. However, the physician/patient relationship is certain to change for the worse when control over patient records is transferred from medical professionals to government agencies. When patients know that their sensitive medical information will be turned over to government agencies or placed in a national database, they inevitably will be less open and honest when seeking medical care. Patients with drug and alcohol problems, mental illnesses, sexually transmitted diseases, HIV, or other stigmatized health concerns will be especially reluctant to seek treatment. The inevitable result will be a decline in the standard of care delivered by doctors and an increase in health care costs. patients "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001 Texas Straight Talk 02 July 2001 verse 3 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of privately-funded charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans once paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than a third-party insurance company or government program. Not coincidentally, there was far less government involvement in medicine during this time. Somehow, however, the clear connection between government involvement in medicine and the decline in our once-proud healthcare system has been lost in the current debate. patients "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. patients "Patients Bill of Rights" or Federal Takeover of Medicine? 02 July 2001 Texas Straight Talk 02 July 2001 verse 7 ... Cached We can hardly blame the market for our current healthcare woes. As with all goods and services, medical care is best delivered by the free market, with competition and patient responsibility keeping costs down. Government has neither the constitutional authority nor the wisdom to determine appropriate contract terms between individuals and health insurers. Congress needs to abolish the HMO mandate and allow favorable tax treatment for individuals paying for health care directly. Medical Savings Accounts (MSAs), which are tax-deductible and tax-exempt accounts used to pay medical expenses, should be made available to all Americans. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. No "patients bill of rights" will help us when the money runs out. patients Government Vaccines- Bad Policy, Bad Medicine 09 December 2002 Texas Straight Talk 09 December 2002 verse 8 ... Cached Politics and medicine don’t mix. It is simply not the business of government at any level to decide whether you choose to accept a smallpox vaccine or any other medical treatment. Yet decades of federal intervention in health care, including the impact of third-party HMOs created by federal legislation, have weakened the doctor-patient relationship. A free market system would allow doctors and patients to make their own decisions about smallpox inoculations, without the federal government hoarding, mandating, nor prohibiting the vaccine. Instead, we’re moving quickly toward the day when government controls not only what vaccines patients receive, but what kind of health care they receive at all. patients The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003 Texas Straight Talk 31 March 2003 verse 4 ... Cached Every American pays for this not only in the form of much higher medical costs, but also in countless other ways. Trauma center doctors have walked off the job in protest. Many doctors feel stressed, unhappy, and unappreciated, which leads to a declining quality of care. Most are hesitant to explore new treatments that could benefit patients because they fear a lawyer will seize on any deviation from standard practices. Similarly, patients endure more and more unnecessary and costly tests ordered by doctors who feel they must explore even the most unlikely diagnoses. Worst of all, the best and brightest young people are abandoning the pursuit of medical careers. Already faced with years in medical school and daunting tuition bills, they increasingly understand that malpractice and economic concerns have damaged the quality of life for doctors. patients The Free-Market Approach to the Medical Malpractice Crisis 31 March 2003 Texas Straight Talk 31 March 2003 verse 7 ... Cached Yet the assessment of liability and compensation should be determined by private contractual agreements between physicians and patients- in other words, by the free market. The free-market approach enables patients to protect themselves with “negative outcomes” insurance purchased before medical treatment. Such insurance ensures that those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation. patients 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. patients The Federal War on Pain Relief 19 April 2004 Texas Straight Talk 19 April 2004 verse 2 ... Cached The controversy surrounding popular radio host Rush Limbaugh’s use of the painkiller OxyContin hopefully will focus public attention on how the federal drug war threatens the effective treatment of chronic pain. In most cases patients are not high profile celebrities like Mr. Limbaugh, so doctors become the target of overzealous federal prosecutors. Faced with the failure of the war on drugs to eliminate drug cartels and kingpins, prosecutors and police have turned their attention to ordinary doctors prescribing perfectly legal drugs. Federal statutes designed for the prosecution of drug dealers are being abused to ensnare innocent doctors. patients The Federal War on Pain Relief 19 April 2004 Texas Straight Talk 19 April 2004 verse 3 ... Cached Do we really want the Drug Enforcement Administration jailing doctors for the alleged misdeeds of patients? Certainly some individuals abuse prescription pain killers, but federal agents are hardly qualified to decide what kind of drugs are appropriate for pain patients. Zealous prosecutors certainly show no interest in learning the basic facts of pain management. patients The Federal War on Pain Relief 19 April 2004 Texas Straight Talk 19 April 2004 verse 5 ... Cached The real tragedy is that the federal government once again has interfered with the doctor-patient relationship. All decisions concerning appropriate medical treatment should be made between doctors and their patients, without government involvement. But, when threatened with criminal prosecution or loss of their medical licenses, many doctors simply have stopped prescribing powerful pain drugs--no matter how much their patients may need them. Some have even posted signs in their waiting rooms advising patients not to ask for OxyContin and similar drugs. It is shameful that government has created an atmosphere where doctors are afraid of exercising their medical judgment. patients The Federal War on Pain Relief 19 April 2004 Texas Straight Talk 19 April 2004 verse 6 ... Cached This harassment by law enforcement has forced some doctors to close their practices altogether, leaving their patients with nowhere to turn for pain relief. Is the government concerned about the terrible chilling effect caused by its crackdown on doctors? Hardly. In fact, the current attitude toward pain physicians is exemplified by Assistant US Attorney Gene Rossi’s statement that, “Our office will try our best to root out certain doctors like the Taliban.” patients The Federal War on Pain Relief 19 April 2004 Texas Straight Talk 19 April 2004 verse 7 ... Cached By waging this war on pain physicians, the government is condemning patients to either live with excruciating chronic pain or seek relief from other, less reliable, sources--such as street drug dealers. Of course pain drugs bought on the street likely will pose a greater risk of damaging a patient’s health than those obtained from a physician. patients 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. patients Free Market Medicine 03 May 2004 Texas Straight Talk 03 May 2004 verse 3 ... Cached Freed from HMO and government bureaucracy, Dr. Berry can focus on medicine rather than billing. Operating on a cash basis lowers his overhead considerably, allowing him to charge much lower prices than other doctors. He often charges just $35 for routine maladies, which is not much more than one’s insurance co-pay in other offices. His affordable prices enable low-income patients to see him before minor problems become serious, and unlike most doctors, Dr. Berry sees patients the same day on a walk-in basis. Yet beyond his low prices and quick appointments, Dr. Berry provides patients with excellent medical care. patients Free Market Medicine 03 May 2004 Texas Straight Talk 03 May 2004 verse 4 ... Cached While many liberals talk endlessly about medical care for the poor, Dr. Berry actually helps uninsured people every day. His patients are largely low-income working people, who cannot afford health insurance but don’t necessarily qualify for state assistance. Some of his uninsured patients have been forced to visit hospital emergency rooms for non-emergency treatment because no doctor would see them. Others disliked the long waits and inferior treatment they endured at government clinics. For many of his patients, Dr. Berry’s clinic has been a godsend. patients Free Market Medicine 03 May 2004 Texas Straight Talk 03 May 2004 verse 5 ... Cached Dr. Berry’s experience illustrates the benefits of eliminating the middleman in health care. For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program. patients Free Market Medicine 03 May 2004 Texas Straight Talk 03 May 2004 verse 8 ... Cached We can hardly expect more government to cure our current health care woes. As with all goods and services, medical care is best delivered by the free market, with competition and financial incentives keeping costs down. When patients spend their own money for health care, they have a direct incentive to negotiate lower costs with their doctor. When government controls health care, all cost incentives are lost. Dr. Berry and others like him may one day be seen as consumer heroes who challenged the third-party health care system and resisted the trend toward socialized medicine in America. patients The War on Drugs is a War on Doctors 17 May 2004 Texas Straight Talk 17 May 2004 verse 2 ... Cached When we talk about the federal war on drugs, most people conjure up visions of sinister South American drug cartels or violent urban street gangs. The emerging face of the drug war, however, is not a gangster or a junkie: It’s your friendly personal physician in a white coat. Faced with their ongoing failure to curtail the illegal drug trade, federal drug agencies have found an easier target in ordinary doctors whose only crime is prescribing perfectly legal pain medication. By applying federal statutes intended for drug dealers, federal prosecutors are waging a senseless and destructive war on doctors. The real victims of the new campaign are not only doctors, but their patients as well. patients The War on Drugs is a War on Doctors 17 May 2004 Texas Straight Talk 17 May 2004 verse 5 ... Cached Those who support the war on drugs may well change their views if one day they find themselves experiencing serious pain because of an accident or old age. By creating an atmosphere that regards all powerful pain medication as suspect, the drug warriors have forced countless Americans to live degraded, bedridden lives. Even elderly deathbed patients sometimes are denied adequate pain relief from reluctant doctors and nurses. It’s one thing to support a faraway drug campaign in Colombia or Afghanistan, but it’s quite another to watch a loved one suffering acute pain that could be treated. A sane, compassionate society views advances in medical science- particularly advances that relieve great suffering- as heroic. Instead, our barbaric drug war treats pain patients the same way it treats street junkies. patients The War on Drugs is a War on Doctors 17 May 2004 Texas Straight Talk 17 May 2004 verse 6 ... Cached Doctors are not slaves, and they will not continue practicing medicine forever if the federal government insists on monitoring, harassing, fining, and even jailing them. Congress should take action to rein in overzealous prosecutors and law enforcement officials, and stop the harassment of legitimate physicians who act in good faith when prescribing pain relief drugs. Doctors should not be prosecuted for using their best medical judgment, nor should they be prosecuted for the misdeeds of their patients. patients Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 3 ... Cached As a medical doctor, I’ve seen first-hand how bureaucratic red tape interferes with the doctor-patient relationship and drives costs higher. The current system of third-party payers takes decision-making away from doctors, leaving patients feeling rushed and worsening the quality of care. Yet health insurance premiums and drug costs keep rising. Clearly a new approach is needed. Congress needs to craft innovative legislation that makes health care more affordable without raising taxes or increasing the deficit. It also needs to repeal bad laws that keep health care costs higher than necessary. patients Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 6 ... Cached For decades, the U.S. healthcare system was the envy of the entire world. Not coincidentally, there was far less government involvement in medicine during this time. America had the finest doctors and hospitals, patients enjoyed high quality, affordable medical care, and thousands of private charities provided health services for the poor. Doctors focused on treating patients, without the red tape and threat of lawsuits that plague the profession today. Most Americans paid cash for basic services, and had insurance only for major illnesses and accidents. This meant both doctors and patients had an incentive to keep costs down, as the patient was directly responsible for payment, rather than an HMO or government program. patients Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 7 ... Cached The lesson is clear: when government and other third parties get involved, health care costs spiral. The answer is not a system of outright socialized medicine, but rather a system that encourages everyone- doctors, hospitals, patients, and drug companies- to keep costs down. As long as “somebody else” is paying the bill, the bill will be too high. patients Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 10 ... Cached HR 3076 is specifically designed to address the medical malpractice crisis that threatens to drive thousands of American doctors- especially obstetricians- out of business. The bill provides a dollar-for-dollar tax credit that permits consumers to purchase "negative outcomes" insurance prior to undergoing surgery or other serious medical treatments. Negative outcomes insurance is a novel approach that guarantees those harmed receive fair compensation, while reducing the burden of costly malpractice litigation on the health care system. Patients receive this insurance payout without having to endure lengthy lawsuits, and without having to give away a large portion of their award to a trial lawyer. This also drastically reduces the costs imposed on physicians and hospitals by malpractice litigation. Under HR 3076, individuals can purchase negative outcomes insurance at essentially no cost. patients Lowering the Cost of Health Care 21 August 2006 Texas Straight Talk 21 August 2006 verse 12 ... Cached HR 3078 is commonsense, compassionate legislation for those suffering from cancer or other terminal illnesses. The sad reality is that many patients battling serious illnesses will never collect Social Security benefits-- yet they continue to pay into the Social Security system. When facing a medical crisis, those patients need every extra dollar to pay for medical care, travel, and family matters. HR 3078 waives the employee portion of Social Security payroll taxes (or self-employment taxes) for individuals with documented serious illnesses or cancer. It also suspends Social Security taxes for primary caregivers with a sick spouse or child. There is no justification or excuse for collecting Social Security taxes from sick individuals who literally are fighting for their lives. patients Diagnosing our Health Care Woes 25 September 2006 Texas Straight Talk 25 September 2006 verse 7 ... Cached Only true competition assures that the consumer gets the best deal at the best price possible by putting pressure on the providers. Patients are better served by having options and choices, not new federal bureaucracies and limitations on legal remedies. Such choices and options will arrive only when we unravel the HMO web rooted in old laws, and change the tax code to allow individual Americans to fully deduct all healthcare costs from their taxes, as employers can. patients Diagnosing our Health Care Woes 25 September 2006 Texas Straight Talk 25 September 2006 verse 8 ... Cached As government bureaucracy continues to give preferences and protections to HMOs and trial lawyers, it will be the patients who lose, despite the glowing rhetoric from the special interests in Washington. Patients will pay ever rising prices and receive declining care while doctors continue to leave the profession in droves. patients Politicizing Pain 27 April 2008 Texas Straight Talk 27 April 2008 verse 4 ... Cached Scientists at the University of California at Davis recently completed a study that backs up Mr. Forss’s experience, finding that cannabis demonstrates significant relief of neuropathic pain. Many in government call for more studies while people like K.K. Forss suffer. More studies will not change what many patients already know, and that is for some, medical marijuana helps their pain. But over-reaching government gets in the way. patients Politicizing Pain 27 April 2008 Texas Straight Talk 27 April 2008 verse 5 ... Cached K.K. Forss lived in constant fear of federal and state officials so he eventually stopped taking medical marijuana and switched to his more rigorous and expensive pill regimen. Presently, twelve states have passed legislation allowing marijuana, under certain conditions, to be prescribed legally by doctors for patients who could benefit from it. K.K. Forss lives in Minnesota, where it is not yet legal. However, even if it is legalized by the state, Mr. Forss will still have plenty to fear from the Federal government, as cannabis dispensaries and clinics that operate under these state laws are still under fire from the Drug Enforcement Administration. patients Politicizing Pain 27 April 2008 Texas Straight Talk 27 April 2008 verse 6 ... Cached In other words, the federal government sees fit to use our tax dollars to raid state sanctioned healthcare clinics, to imprison and fine patients and operators, in order to compel people like Mr. Forss to be bedridden and overmedicated at great taxpayer expense every single day. patients Politicizing Pain 27 April 2008 Texas Straight Talk 27 April 2008 verse 7 ... Cached The Federal government should recognize that states have the authority to decide these issues. This affords all states the opportunity to see which policies are most beneficial. As a Congressman and a physician, I strongly advocate that healthcare decisions should be made by doctors and patients, not politicians or federal agents, which is why I am an original co-sponsor of the recently introduced “Medical Marijuana Patient Protection Act” which would bar the Federal government from intervening in such doctor/patient relationships that violate no state law. Texas Straight Talk from 20 December 1996 to 23 June 2008 (573 editions) are included in this Concordance. Texas Straight Talk after 23 June 2008 is in blog form on Rep. Pauls Congressional website and is not included in this Concordance. Remember, not everything in the concordance is Ron Pauls words. Some things he quoted, and he added some newspaper and magazine articles to the Congressional Record. Check the original speech to see. |