I don't know. I appreciate the gentleman's using my chart up here because we have tried to work this out with the majority. In the past on the Franking Commission, we have attempted to allow Members to be involved in vigorous and full…
I don't know.
I appreciate the gentleman's using my chart up here because we have tried to work this out with the majority. In the past on the Franking Commission, we have attempted to allow Members to be involved in vigorous and full debate but not put out what would be considered campaign material. And all of a sudden, the goalposts have been moved on us.
Now, this may not be of interest to the average citizen except for this fact: What we have presented is what we believe to be a reasonable interpretation of the bill as we know it now.
Now, I do know that there was mentioned just a moment ago by the gentleman from Michigan, before he left, that we're talking about ``the bill,'' and that can be a bit of a moving target. In fact, I just left my office and there was a group of reporters hanging around outside my office, not for me, but for a meeting, they said, of the Progressive Democrats. They used to be called liberals. They are now Progressives, who are concerned about what the Blue Dogs are asking for on the Democratic side, and so maybe there will be some changes from what we've seen.
But this is an accurate portrayal from our standpoint of the bureaucratic morass that will result from the grand outlines of the bill as articulated by the President and as presented by the Democratic leadership in the House of Representatives.
And so they objected to this diagram and basically censored it, as we said, because, first of all, they said we called it the House Democrat plan. First of all, they said it wasn't true, and now we have shown that it is a reasonable interpretation of the facts. Secondly, they said there wasn't enough attribution there, and we suggested that it very clearly states that this is developed by the Republicans. Then they said, well, wait a second. You say it's the Democratic health plan but not all Democrats support the health plan. So if they would give us the list of those Democrats they have not yet been able to corral to support it, we'd be happy to talk to those individuals.
Yes.
Yes. We've done things in the past by limiting the number of references you can make to yourself. There are only so many times you can mention your name or say ``I,'' and that's so----
Of course, I have only been here 15 years, but in my 15 years, spread over 30, I have not seen this happen before.
Well, it's censored. And when you compare it with those things that we have approved on the Democratic side, we had the controversy over President Bush's recommendations to try to, as he saw it, save Social Security and make some recommendations for it. They very strongly criticized the President's package in terms that I would disagree with, but we on the Republican side on the Franking Commission did not say you cannot say that because we don't like the way you said it. When they talked about the prescription pharmacy section of Medicare, the new section that came in, we approved of news letters that went out on the Democratic side that criticized the President's plan and said it didn't do what was needed to do for seniors. They called it the Republican majority plan. And yet they object to our calling this the Democratic plan.
You know, I have said when I first came to Congress, there was something raging at that time called the cold war, and it just reminded me of something in the cold war. There is a word we don't see in the lexicon anymore. So I went and looked it up and tried to make sure people understand what it is. It's called ``samizdat,'' s-a-m-i-z-d-a- t. And samizdat is defined as a system in the USSR and countries within its orbit by which government-suppressed literature was clandestinely printed and distributed.
Now, what does that mean? That means those who were known as refuseniks at that time, those who were in disfavor, to say the least, with the government were not allowed to publish anything that could be handed out, whether it was charged for or not. So the freedom underground, if you will, went and had their own printing and they would clandestinely put these things out so that they could get their message of free speech.
So my suggestion is that maybe we re-title our particular--and call it American Samisdat. We're the freedom fighters here, trying to express what we believe to be a reasonably intelligent analysis of a bill that's presented to us, which is going to affect 18 percent of the economy of the United States, which is going to, if it is enacted, forever, at least for our lifetimes, cement the relationship you will have with your doctor and the relationship that government will have in that. And our argument has been that that chart precisely shows the interference of the government which will exist between you and your doctor with some 50-plus organizations, agencies, task forces, czars, bodies of different types.
But he has no charts.
Would the gentleman yield for just one moment? I just wanted to make one reference. I talked about the Cold War a minute ago. It also reminds me what Ronald Reagan said when he was negotiating with the Soviet Union and they asked for trust. And his response was trust, but verify. And what we're here to do is to be the verifiers for the American people. We're being asked to trust the bureaucracy to deliver medical care without interference. We're here to verify whether that is or is not true. And to deny us the opportunity to provide, in a very easily understood way, the information that undergirds this tremendous bureaucratic morass is unworthy of this place.
We ought to be able to debate it vigorously, and the American people ought to expect that we are looking out for them, rather than for some formless bureaucracy that's going to take on dimensions that we can only imagine today.
Yes.
I would like to just follow up on what Mr. Pence said, which is, if you are concerned that there is the possibility that a public option will lead to a government takeover, you need look no further than at what happened with the student loan program.
The student loan program has a government option, but what is happening now with this Congress and with this President? We are eliminating the private option, and we're going totally to the public option, which now becomes a public monopoly.
The way we are phasing them out, you will not be able to get those. They will be, basically, the Federal student loan programs.
Well, we do have a Member on the other side of the aisle, a distinguished Member on the other side of the aisle, who in a townhall meeting admitted that this is going to lead inevitably to a public takeover of health care, and he said, yes, that is a good thing.
You can't use that word.
You can't say it in print.
We're not allowed to say that.
We're not allowed to say it on our particular chart of the Democratic health plan. We've been told that that is not allowed if we're going to print it and send it out to our constituents.
The last thing I would just say is this: Look, I happen to be the son of a doctor. My dad was my hero growing up. I used to go on house calls with him. I'd make rounds with him. I thought I was going to be a doctor until, as I like to say, God sent me a strong message during my sophomore year at Notre Dame called ``organic chemistry.''
But I never lost the sense of service that my dad had as a doctor. From my observation of the way he practiced medicine, he taught me that the doctor-patient relationship was paramount. I heard him many times on the phone, arguing on behalf of a patient with somebody who was employed by the insurance company. I heard him arguing with hospitals. I heard him arguing with nurses if he didn't think they were doing a great job. I heard him praise the nurses when they did a great job for his patients. I heard him praise the hospital.
His whole focus was on his patients. He was not only his patients' greatest diagnostician, and not only the greatest doctor they could have, but he was their greatest advocate. That's what I don't want to lose in this or in any other plan.
I don't want the government to be my advocate. I want my doctor to be my advocate. I want my family to be my advocate. Listen to what the President said in that interview on television when asked about the 100-year-old woman.
The 100-year-old woman, who was an extraordinary person with great verve in her life, who also had tremendous health, needed a pacemaker. Her doctor thought she should have it because he knew her. He called a specialist who would actually do the implantation of the pacemaker, but he was skeptical. He said he wasn't going to do it on a 100-year-old lady.
He said, Just meet her. Examine her.
He examined her, and his position was changed. She received it at 100. She is now a very active 105-year-old.
It was presented to the President, and it was said, Mr. President, will my 100-year-old mother still be able to have a pacemaker?
The President gave a long, long convoluted answer. At the end, he said this: It may mean that, instead of some sort of surgical procedure, we will give your mother painkillers, pain pills.
Here is the deal. If you're concerned about cost, you can do it in one of two ways to limit cost: competition or rationing.
Now, competition has some premises involved in it. One of them is that we need greater transparency. There's no doubt about it. We need to know what it costs with certain doctors or charges. We need to know, when we go in the hospital, what the infection rates are. It's those sorts of things. Competition from doctors and competition from medical health care providers and from insurance companies will give us tremendous options so that we can make the decision, and that tends to keep costs down.
In a government system, when you have a monopoly, there is only one way you keep costs down. It is called rationing. If you don't believe it, look at England; look at Canada; look at France; look at all of those other systems.
Will the gentleman yield for just a moment.
This points out vividly the difference between a system where competition exists and where a monopoly by government exists. Where a monopoly by government exists, inevitably to attempt to try and control costs, you have to impose rationing. That's why you have these variations of survival rates among cancer patients, because they are not getting the care in those other countries that we get here, and they're not getting the care in a timely fashion.
Well, I happen to be someone who had a hip replacement about a year and a half ago. Under the rules that prevail in at least one of those countries, I would not have been able
to have it because I'm not 65 years of age. Had I needed it when I was 80, I would have been too old to get it. They have defined by age the category of people who can receive that operation. It's not just a limitation on time, on how long it's going to be.
The point is, if you look at our younger generation today and look at how active they are in certain sports, with repetitive actions affecting their joints, we are going to have younger people being in need of the replacement of joints--of knees and hips. That runs precisely contrary to what you see as being available in these other countries. That's why this debate is so important.
If, in fact, as we believe, the plan presented by the majority would inevitably lead to government-run health care, these are the consequences. That's why we ought to be able to debate that. They can argue with us and say, No, it's not government-run. We can argue how we believe it is, but at least we ought to be allowed to have that debate so that people can see what the consequences of our actions here in the House are on them and on their personal lives.
Only a Texas Aggie would ask that question, and I will take that as a rhetorical question that needs no response.
This makes about as much sense as the Vice President's recent statement that in order to avoid bankruptcy, we have to spend more Federal money.
And the President is basically telling us, by entering the Federal Government in the largest way in the history of the United States into medical care, it is going to cost less and provide more accessibility.
And I think that is--well, what I'm finding from my town hall meetings, my teletown halls, my discussion with people back home, they're not buying it because they know it just doesn't seem to make sense. Just as the gentleman has pointed out on this amendment, if in fact they're not going to put anything between you and your doctor, why would they reject an amendment that says just that?