MEDICARE IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008
24 June 2008
SPEECH OF
HON. RON PAUL
OF TEXAS
IN THE HOUSE OF REPRESENTATIVES
Tuesday, June 24, 2008
2008 Ron Paul 39:1
Mr. PAUL. Mr. Speaker, Congress is once again forsaking an opportunity to begin addressing
Medicares 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 CMSs excessive
power is a major reason why so many physicians
and patients are dissatisfied with the
current Medicare system.
2008 Ron Paul 39:2
One clear indicator of the lack of seriousness with which this issue is being treated is
the fact that this bill is coming before us on
suspension, a procedure generally used for
noncontroversial legislation, such as bills naming
Post Offices. This significant Medicare legislation
will receive only 40 minutes of debate,
and members will have no opportunity to offer
amendments.
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 CMSs low reimbursements
and the cost of having to comply
with CMSs 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.
2008 Ron Paul 39:4
Therefore, if H.R. 6331 only contained the provisions dealing with the physicians rate
cut, I would vote for it. However, H.R. 6331
further endangers Medicares fiscal situation
by giving almost $20 billion in new funds to
CMS, and giving CMS new regulatory authority.
2008 Ron Paul 39:5
Instead of simply pretending we can delay the day of reckoning by giving CMS more
money and power, we should be looking for
ways to shore up Medicare by making cuts in
other, lower priority programs, using those
savings to ensure the short-term fiscal stability
of Federal entitlement programs while
transitioning to a more stable means of providing
health care for senior citizens. I have
been outspoken on the areas I believe should
be subject to deep cuts in order to finance serious
entitlement reform that protects those relying
on these programs. I will not go into detail
on these cuts, although I will observe that
today the House Committee on Financial
Services is planning to authorize billions of
new foreign aid spending, perhaps some of
those billions might be better spent reforming
the Medicare system.
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.
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.