At the end of the bill, insert after the last section (preceding the
short title) the following new section:
Sec. XX. None of the funds made available in this
Act may be used to promulgate or adopt any final standard under section
1173(b) of the Social Security Act (42 U.S.C. 1320d-2(b)).
The CHAIRMAN pro
tempore. Pursuant to the order of the House of Monday, June 12, 2000,
the gentleman from Texas (Mr. Paul) and a Member opposed each will
control 5 minutes.
The Chair recognizes the gentleman
from Texas (Mr. Paul).
2000 Ron Paul 41:3
Mr. PAUL.
Mr. Chairman,
I yield myself such time as I may consume.
(Mr. PAUL asked and was given
permission to revise and extend his remarks.)
2000 Ron Paul 41:4
Mr. PAUL.
Mr.
Chairman, this amendment says that none of the funds in this
appropriation can be used for implementing a uniform medical
identifier. It is a privacy amendment. It was in the bill in 1998 and
1999. I think it would be a good idea to have it in this years bill.
2000 Ron Paul 41:5
This comes
from authority granted in the Health Insurance Portability Act of 1996 and
it was designed to establish a medical data bank. But because many, on
both sides of the aisle, have objected to this invasion of privacy to
set up a medical data bank, there has been some resistance to this.
Although the removal of the authority would be the proper way to solve
this problem once and for all, I think that it would be very
appropriate to continue the policy of not permitting any Federal
funding to be spent on developing this universal medical identifier,
which by all indications would be our Social Security numbers.
2000 Ron Paul 41:6
Many people object to
this invasion of privacy. They do not place full trust in the U.S.
Congress and in the U.S. Government to protect our privacy. Many say
that this would not be an invasion of privacy and there would be some
strict rules and regulations about how this medical information would
be used, but that is not enough reassurance.
2000 Ron Paul 41:7
As a physician, I can
tell my colleagues that this form of invasion of our medical privacy
will not serve us well in medical care. What it leads to is incomplete
and inaccurate medical records, because it becomes known to the patient
as well as the physician that once this information is accumulated that
it might get in the hands of the politicians and used for reasons other
than for medical care, I think, it could damage medical care endangered
from having a medical data bank set up.
2000 Ron Paul 41:8
The American people
have spoken out strongly in recent years about their invasion of
privacy. There was a proposal to implement a know-your-customer bank
regulations. These were soundly rejected by the people, and I think
that this same sentiment applies to the medical data bank. Also,
efforts to establish a national identification card for the American
people has not met with a great deal of acceptance with the American
people.
2000 Ron Paul 41:9
So my effort here in
limiting this development of a universal medical identifier is to keep
the Federal Government out of this business. It is too easy for abuse
of this type of information to occur. We have heard that the various
administrations over the years have abused records kept in the IRS as
well as the FBI. This would just be another source of information that
individuals could use in a negative fashion.
2000 Ron Paul 41:10
I believe it is a
fallacy for those who promote the setting up of a universal medical
identifier and a universal medical data bank that it is an effort to
simplify the process, to streamline the system, to make government more
efficient, to facilitate medical research. It has also been said this
could be used in law enforcement. But just think about this. If these
records can be turned over without the approval of the patient to law
enforcement, it really, quite clearly, is a violation of the fifth
amendment of self-incrimination. So this idea that this medical bank
might be beneficial for law enforcement is rather scary and something
that we should prevent.
2000 Ron Paul 41:11
Already, under
authority that was given to Health and Human Services, they have
started to draw up regulations which regulate privacy matters, not so
much the medical data bank but in other areas. The other thing that
concerns me a great deal is these medical regulations that have been
proposed not only deal with the privacy of somebody that may be
receiving medical care from Medicare but also in the private sector.
This chapter appeared in Ron Pauls Congressional website at http://www.house.gov/paul/congrec/congrec2000/cr061300.htm