Health Care Reform
Madam Speaker, the report by the chief actuary of Medicare is in and, as we thought, it shows real problems with the idea of expanding Medicare coverage to lower age groups. This summer, I had an opportunity to do a bunch of town hall…
Madam Speaker, the report by the chief actuary of Medicare is in and, as we thought, it shows real problems with the idea of expanding Medicare coverage to lower age groups. This summer, I had an opportunity to do a bunch of town hall meetings, and in those meetings we discussed the fact that what we're talking about really, in the public option, is adding more people to something like the SS Medicare which is already sinking in the harbor. But now over in the other body, there is specifically a proposal to literally add more people to the sinking SS Medicare in the harbor.
And so in the last several days, the chief actuary has provided a report that really should stop us in our tracks and cause us to realize that that's no solution, to add people to a program that is already unsustainable.
What that chief actuary of Medicare reports--and there are several items in his report, obviously, but one of them is the report cautions that savings needed to extend the trust fund cannot simultaneously be used to extend other health insurance coverage. In other words, if you're going to save money, you can't simultaneously expand coverage under the program. It seems fairly obvious to the folks I was talking to in town hall meetings. Unfortunately here in Washington, it seems not to be comprehended. We seem to think that here in Washington we can continue to add people to a program even though the people that are currently on the program have it on a trajectory that can't be sustained.
The actuary also points out that actually the Senate bill would increase the cost of health care; would not decrease the cost of health care. In fact, total spending on health care would increase by $234 billion between 2010 and 2019. Also, total Federal expenditures on health care would increase $365.8 billion during that period. The bill would extend coverage to 33 million Americans by 2019 but would still leave 24 million people uninsured, 5 million of which may be illegal immigrants. And the number of people with employer-sponsored health care would drop by 5 million by 2019.
What the chief actuary is telling us is that the solution that's being proposed is not a solution. In order to solve the challenge of Medicare, you have to figure out some way to change the underlying behavior. You have to figure out a way to get the patient invested in their care and caring how much it costs. That's what we've got to do for Medicare, Medicaid and for private insurance.
There are some very creative things going on in the private sector that are toward this end, to have this objective of changing the underlying behavior. What we're discussing here in the Congress under the majority here in the House and the apparent majority over in the Senate is not something that will change behavior. What it will do is simply add more people to a program that is already unsustainable. So rather than saving money, as the President suggests it will, actually what will happen, as the chief actuary says, is the costs rise; not everybody gets covered. It's clearly not a solution.
So what we have to do is scrap the current plans and go back to something that might actually work: by getting a change in behavior, by figuring out how to get people covered, by figuring out how to do medical malpractice reform and by getting 50-State competition among private insurance companies. Those, Madam Speaker, are the solutions we want to see in this country. We must stop this false solution that's being offered now.