Medicare Part D Prescription Drug Program
Mr. Speaker, I thank my colleague from Georgia for organizing this hour and for all the work he has done on this issue. Let me start by saying that, as a heart and lung surgeon, I have often seen patients whose illness did not respond to a…
Mr. Speaker, I thank my colleague from Georgia for organizing this hour and for all the work he has done on this issue.
Let me start by saying that, as a heart and lung surgeon, I have often seen patients whose illness did not respond to a particular drug, and I have seen the frustration and the anxiety among family members and among patients when a government bureaucrat or an HMO tried to save money by denying access to a more effective medication. In fact, Mr. Speaker, I once operated on a Vietnam veteran; I performed heart surgery on this gentleman, and afterwards he needed several very important medications to maintain his condition, but the VA program was going to make him wait between 2 and 3 weeks before he could get his medication. That is just simply unacceptable. This poor man had no choice but to pay out of pocket hundreds of dollars to get medication. This is something that we don't want to do for our seniors.
Now, Secretary Leavitt has warned that H.R. 4 will result clearly in fewer choices and less consumer satisfaction. And we all know that we have had a tremendous success with this program in just 1 year, 80 percent satisfaction, premium prices dropping from $37 down to $22. Let's face it, government rationing harms patients, and calling it negotiation won't make it any less dangerous.
The American people did not give Congress a mandate to force HHS to make unspecified cuts to Medicare.
I also know that the idea of government negotiation is a joke. In fact, according to a Democratic polling group, 8 in 10 voters agree that government negotiation would limit access to prescription drugs and to life-saving medications.
Let's face it, aggressive negotiation through the marketplace is already working, and it is driving down the prices of premiums as I mentioned earlier.
Let me just say this. If the market is good enough for Members of Congress, why would we take that away from our seniors? I find it to be a profound irony that supporters of this bill, the Democratic leadership in the House, they are pushing for this government negotiation, this so-called government negotiation, but they won't allow that for their own medicine cabinets. There is a profound irony in this.
Why doesn't a proposal that would limit the medical care of tens of millions of seniors deserve a fair hearing? I say it is reckless on the part of the Democratic leadership of the House to force the Federal Government to cut Medicare without specifying, where are we going to achieve those additional
savings? How is this so-called negotiation going to take place? And before rushing into this bill, I think Speaker Pelosi has an ethical obligation to detail how the Federal Government would achieve additional savings without limiting seniors' access to medicines, hurting community pharmacies and increasing prices for our veterans.
We know what the outcome of a recent CBO study showed, that the Secretary will be unable to negotiate prices that are more favorable than those under the current law. In fact, a Senate hearing was held on this. The Senate Finance Committee held a hearing, and the Democratic chairman of the Senate Finance Committee is questioning whether there are savings to be achieved by direct negotiation.
Furthermore, I have letters that I have received from community pharmacists throughout my district. I want to read from one of these. It is addressed to me and says, ``There will be a vote in Congress on Friday, January 12, which could dismantle the very important Medicare part D program. I am joining former U.S. Senator John Breaux,'' a Democrat, a former prominent Democrat on the Senate Finance Committee and a member of the Senate who worked on this Medicare part D program when it was put into law. He says, ``I am joining former Senator John Breaux and the Louisiana Medicare Prescription Access Network and more than 700 supporting member organizations in our State in asking you to vote against H.R. 4 on Friday, January 12.''
Price controls are not in the interest of our seniors. This is not something that we want to do. If we are going to reform our entitlement programs where costs are burgeoning, we need to introduce market forces; and lo and behold, in one year of operation we have a program where we introduced market forces to drive down premiums for our seniors, and it is working.
It is too premature to change this. It is wrong to change this, and I urge all of my colleagues to listen to this and do what is right for seniors. And I will end by just asking one question: Why would the Democratic leadership in the House want to hurt our seniors? I think the American public and our seniors deserve an answer to that question.