Madam Speaker, this past Sunday my colleague from Pennsylvania, Allyson Schwartz, addressed the issue of health reform in a guest editorial for the Philadelphia Inquirer. In her piece she laid out an indisputable case for why the current…
Madam Speaker, this past Sunday my colleague from Pennsylvania, Allyson Schwartz, addressed the issue of health reform in a guest editorial for the Philadelphia Inquirer. In her piece she laid out an indisputable case for why the current healthcare system has become unacceptable for Americans and what we must do to fix it. I encourage all of my colleagues to read the article and to work in the coming months to ensure that we enact affordable, quality health care for all.
[From the Philadelphia Inquirer June 21, 2009]
Op-Ed Headline: Fixing health care
Health-care reform is the number-one issue my constituents
raise with me, and a leading concern of business owners. For
Democrats in Congress, health-care reform is a moral and an
economic imperative.
American families are facing inadequate health coverage,
mounting bills, and lack of access to care. They like their
doctors and appreciate the quality of care provided by their
hospitals. But, they have deep worries that their current
coverage may change suddenly and limit access to their doctor
or to needed benefits.
Business owners are struggling to pay for health benefits
for their workers, forcing them to pass greater costs to
employees or drop coverage.
Increasing costs for the federal government are neither
sustainable, nor producing the health outcomes they should.
Taxpayers pay 46 percent of our nation's $2.5 trillion
health-care costs. And, just as in the private market, costs
are skyrocketing. The share of our GDP devoted to health-care
spending has doubled in the last 20 years, threatening our
budget stability.
The status quo is unacceptable and unsustainable. We must
do a better job to contain costs for families, businesses,
and the government, and to ensure meaningful, affordable
coverage for all Americans.
Can we? I believe we can by keeping what works, fixing what
doesn't, and demanding quality care and greater value for our
dollar.
In the first three months of this new administration, we
did more to strengthen health care than in the prior decade.
We expanded affordable health coverage to 11 million American
children, took major steps to modernize medicine through
health-information technology, invested significantly in
lifesaving medical research, and ensured that U.S. workers
and their families hurt hardest by this recession continue to
have access to health coverage when they lose a job.
Building on these achievements, we can find a uniquely
American solution to cost, coverage, and quality. This is
essential if our businesses are to be economically
competitive, our people healthier, and our federal budget
balanced.
Here's what we should do:
First and foremost, we start with the acknowledgment that
health care is a shared responsibility. Every American will
be expected to get health coverage and employers will have to
provide coverage or help pay to cover the cost of the
uninsured.
As President Obama has said, if you have coverage, and you
like it, you can keep it. This means work-based coverage for
most Americans, Medicare for seniors, Medicaid for our
poorest and sickest, and continued benefits for veterans.
For the nearly 50 million uninsured Americans, many of whom
are working families, we will help you buy either private or
public coverage. While everyone will have to pay part of
their premiums, partial subsidies on a sliding scale will be
established and can be used to buy either private or public
insurance.
To ensure affordable, meaningful coverage, we will change
the ground rules in the insurance market. Denying coverage or
charging more for preexisting conditions, health status, or
sex is going to stop. Insurers will have to simplify terms
and procedures. And, we expect insurers to pass those savings
along to their consumers.
Next, we know that in order to control costs and improve
health-care outcomes, delivery of health services must be
more efficient, more accountable, and better coordinated.
Changes in Medicare and the new public-insurance option will
create choices for patients to find primary-care providers
and will mean better continuity of care for those with
chronic diseases. We will gather, analyze, and disseminate
information on best practices to doctors, nurses, and health
providers, and then expect them to use it. And, we must have
a renewed focus on primary care, encouraging future health-
care providers to enter the field and working to ensure their
excellence.
Third, we have to strengthen our commitment to innovation
and technology. Americans have always been scientists and
innovators, and we must keep investing in the next generation
of medicines, technologies, devices, and cures.
Finally, without increased personal responsibility,
Americans will not be healthier. We must take greater
responsibility in the way we get health care and the way we
take care of ourselves. If we don't, we all pay the
consequences--from lost productivity, to the cost of
expensive care, to personal pain and suffering.
Setting our nation toward a healthier, more economically
competitive future will take fair and responsible financial
investment. We are committed to covering the cost of health
reform. To do so, we will consider means that are
appropriate, fair, shared, and the least disruptive to
economic growth and financial security for our families. The
president has asked that those making under $250,000 not be
burdened by higher taxes. These are the parameters; the
decisions will be difficult, but ones that you have entrusted
to us.
Much of the cost of health-care reform will come from
savings within the system. Reducing hospitalizations,
duplicative testing, and medical errors, ending the current
overpayments to private insurance companies that contract
with Medicare, and insisting on better prices for
prescription drugs for seniors will result in hundreds of
billions of dollars of savings.
Besides the significant dollars that will come from savings
and new premiums paid
by those currently uninsured, stakeholders in health care,
including insurance companies, hospitals, doctors,
pharmaceutical companies, medical-device manufacturers, have
committed to reducing costs by $2 trillion over 10 years.
These savings should be passed along to consumers.
There will always be naysayers who say these decisions are
too hard, that health-care reform cannot be done, but I
believe that today even ``Harry and Louise,'' who helped stop
reform before, would tell us reform is a necessity. If our
businesses are to be economically competitive, our families
healthier, and our government fiscally sound, we must find a
uniquely American solution to our health-care challenges.
The time to act is now.