The 30-Something Working Group'S Health Care And Energy Hour
There's no question. Congressman Ryan has been a mainstay for supporting those types of projects throughout Ohio in his position on the Appropriations Committee. Congressman Ryan and I both came up together in the legislature. We cut our…
There's no question. Congressman Ryan has been a mainstay for supporting those types of projects throughout Ohio in his position on the Appropriations Committee. Congressman Ryan and I both came up together in the legislature. We cut our teeth together in the State capital, and now we're in Washington, trying to fight for our part of Ohio, to move our State and to move our country forward.
The gentleman from Niles is correct that the two largest issues that confound our economy, confound our Nation and really threaten our long- term competitiveness as a Nation are energy and health care. Energy and the fact that we bring more oil to the United States than any other country: 66.4 percent of our oil is imported from overseas, 40 percent comes from the Middle East alone. I talk to my friends who are still serving in the military in the Persian Gulf right now, and we often chat. I remind them of what we did as a country, the Greatest Generation, back in 1944 when we bombed the remaining Ploesti oil fields and we effectively cut off the German supply of oil. And they quickly transitioned to a synthetic fuel which is a derivative of coal.
Ohio has a lot of coal. And we know that right now, the single- largest user of energy in the United States is the Department of Defense. This is a matter of national security, and this Congress stood up and took bold initiative to take on the big powerful special interest groups that always challenge us and act as barriers to passing good, sound public policy. It is about time we put America first, and it's about time we put the American people first, and we put the special interests on the back burner, because we can no longer continue to operate the way we've been doing.
We've seen what happens when we have an administration that really doesn't reflect on the amount of money that we're spending and the amount of money we're borrowing from overseas interests, doesn't reflect on the amount of oil and the amount of energy that we bring in from different countries. This is about putting America first. The gentleman is right; health care is affecting our long-term competitiveness as a Nation. I can't go to any small business in the 16th Congressional District of Ohio or any large business, for that matter, and every governmental agency from the most local to the most Federal, has said the fastest-growing line item of their expenditure sheet is health care costs.
We know we spent $2.5 trillion every year on health care. There was an article, Congressman Ryan, that came out at the beginning of this year in the spring, and it said that one-third of that $2.5 trillion never reaches the doctors or patients. It's lost somewhere in the administration of the system, in the delivery of health care. So we're losing almost a trillion dollars in inefficient practices. And when you start peeling back that onion, really, quite frankly, where the fingers meet the onion, when you start peeling back that onion, you find out that insurance companies have over 15 percent administrative costs, administrative costs of 15 percent.
I went back and spoke to some of my doctors, and it may shock some of the folks who are listening tonight, but I've got to tell you they said the most efficient payer out there is Medicare. Medicare, with 3 percent, 3 percent overhead costs.
There was a study that came out last year, Congressman Ryan and Mr. Speaker, that said that $84 billion is spent every year to block, deny, and screen people from seeing their doctor by the insurance companies, when it will only cost $77 billion to cover all those uninsured and underinsured people in our country. It would actually be cheaper. Keep the $77 billion, insure everybody, make sure that they have access. Let's help reduce our costs in the long run. That is sound public policy.
Now I agree with what Congressman Ryan has said when he stood at his county fair in his district, that folks are concerned about the fact that this is going to be some encroachment on their own health care policy. Look, government has the role of setting the goalposts, of setting the out-of-bounds markers, of letting the free market act in between, but act as a good referee. When someone goes out of bounds, you throw the flag. And we ought to throw the flag right now, because we have citizens in this country who are being denied access to health care because they were sick before they got a new job, and to me, that makes absolutely no sense.
The gentleman is correct. I've seen more and more constituents coming into our office suggesting that they had health care insurance, that they had good private insurance, but when they got into that age group of 62 to 65, seemingly they were pushed off and pushed into the Medicare system, the government-run program, if you will, the Medicare system.
To me, I think your insurance policy is something that you and your employer pay into for all these years, and then all of a sudden when you get to the age of where our seniors are when you're going to have to rely more and more on a very good health insurance program that you're going to be using it more because you may become ill or have to use it to see your doctor more often, this is the time when they push you into the Medicare program. Now, you should have some ownership of that policy. It should amount to something, as an annuity, or you should have some ownership like a whole life policy.
But more than that, we ought to focus on what the guideposts are in this public policy debate on where we go with health care, Congressman Ryan. And I have always talked about, when I cross my district, the six Ps of health care. The first P is to make sure that all people have access to health care insurance. All people have access to health care insurance.
I don't know if you know this, but in 2004 our Secretary of Health and Human Services, Tommy Thompson, flew to Iraq with one of many billion dollar checks in hand to make sure that every man, woman, and child in Iraq had universal health care coverage. So while Americans are sending their tax money to Washington so that we can send it to Iraq to make sure that when Iraqis get sick they can see their doctor, and I have constituents showing up in my district who say they can't see their doctor because of being denied because of a preexisting condition, something's got to change. We need to have this debate, Congressman Ryan, and that's why all people need to have access to affordable health care coverage.
The second P is to make sure we have portability in our system. That factory worker in Canton, Ohio, that gets a pink slip, their health care effectively ends when they get that pink slip because they cannot afford the COBRA premiums, oftentimes as much as their own salary, to pay for coverage while they're unemployed or looking for another job. So they oftentimes go without health care. But if they were a diabetic and got rehired at another factory or another company, well, guess what. They're not going to have access to health care because they have a preexisting condition now. And when they have to show up at the hospital emergency room because they had no health care insurance in that time when they were unemployed or looking for new work, they cost all of us in the system five times more, and that's why we need portability and we need to end this practice of preexisting conditions.
That's correct. So making sure that all people have access to health insurance, making sure that we end this discriminatory practice of preexisting conditions, and making sure that we have portability in our system so that workers can take their health care from job to job to job without any interruptions or without any distortions in their coverage.
The forth P is to make sure that physicians, physicians, not bean counters or bureaucrats, are making the calls for health care.
I had a woman show up in my office. She was crying. She was a middle class worker, showed that she had this condition and the doctor said that she needed to get an MRI. She knew she was going to have to pay some out-of-pocket expenses, so she went to her health care provider, her private insurance company, and they said, No, we don't want you to get an MRI. We want you to do therapy. So she went and did therapy, went back to her doctor with the results, and the doctor said, No, we need an MRI. She went back to her insurance company, and they said, No, you're going to do an X-ray, not an MRI.
Now, to me, Congressman Ryan, that sounds like rationing of health care. Rationing of health care. Some bean counter at an insurance company somewhere is telling this person in my district what type of health care she can get. One out of every five individuals that asks to get some sort of health care coverage or some treatment is being denied by an insurance company, and that needs to be corrected. We don't need bean counters or bureaucrats deciding who is going to get health care. Physicians need to make that call.
The fifth P is about prevention. And Congressman Ryan was a stellar, stellar athlete back in his day, could throw the football a mile.
He was a good athlete. And we know that prevention is worth so much. For every $1 that we spend on prevention, we can get, on average, and this is a conservative estimate, $3 in return. Prevention, living right, eating right, exercise, diet, and nutrition to help correct these chronic diseases like diabetes, heart disease, and asthma that costs 75 cents out of every health care dollar that we spend, prevention should be a big part of this discussion.
Am I right?
That is a good distinction, Mr. Ryan.
Mr. Speaker, when you enact a policy that helps people live healthier, live longer with screenings--and I had someone in my district argue with me, that is going to cost money over the long run, enacting provisions that are going to require people to be screened. I argued with them that I believe if we let that go to a point where they have prostate cancer or some chronic disease that could have been prevented with early intervention, that is costing more money at the back end. That is not what this should be about. This should be about catching diseases early. It will help spawn research, in my opinion.
The last ``P'' is probably the most significant, Mr. Speaker. I believe this is where perhaps some of my colleagues and I disagree. I will tell you that the last ``P'' is, How do we pay for this? How do we pay for this? We know, as Congressman Ryan said, there is a cost of doing nothing and then there is a cost of doing something. The cost of doing something should be enacting a public policy that takes money out of the system. We spend more than any industrialized country on health care, $2.5 trillion. It is almost 20 percent of our gross national product, more than any industrialized country. And yet we have nearly a trillion dollars of inefficient, wasted, bloated bureaucracy from bean counters, and even the government can be to blame as well.
We have to find every efficiency we can within that system, draw that money out, and find a way to pay for these reforms. That's where I think the rubber meets the road in this debate, finding money within the system, taking every last dime out of an inefficient system and making it work for the American people, making it work for those people who go without health care insurance and worry every day, who are one accident, one medical emergency, one diagnosis away from complete, utter bankruptcy. And that has to change.
We have a responsibility to set the goal posts, to set the out-of- bound marker, let the free market operate in between, and throw the flag when we see a flagrant violation. And it is flagrant when we deny people health care because of a preexisting condition. It is flagrant when we don't allow people to take their health care from job to job. It is flagrant when we allow bean counters and bureaucrats to provide a prescription of health care rather than letting the physician do it. It is a flagrant foul when we don't enact some sort of prevention, some sort of ability that all people are going to have access to some preventive care; when we spend 4 cents out of every dollar on prevention, and then end up spending 75 cents out of every dollar on chronic diseases that can be managed like diabetes, asthma and heart disease. Those things can save us money with the right public policy.
This should be the framework of our debate as we go forward.
You know, Congressman Ryan, this is not a Democrat or a Republican issue or challenge. This is not a conservative or liberal challenge; this is an American challenge. And energy and health care deserve American solutions. So we are waiting for our friends on the other side of the aisle to come to the table and offer us solutions on how we fix this American problem.
We can do this. America is much stronger than the challenges that confront us. We find our strength in challenges. We do these things not because they are easy but because they are hard, as John Kennedy said. That is where America has always found her strength.
The gentleman is correct: the two largest issues that confound our United States economy are health care and energy. This Chamber took bold action in trying to craft, in attempting to craft, a national energy policy that makes sense for our country. Energy efficiencies.
You know, I had a hospital in my district, Mercy Hospital, that put some variable-speed fans in and carbon dioxide detectors. When you walk into a room, the lights will turn on when someone starts breathing. These types of efficiencies are saving them a million dollars a year, a million dollars every year. That is the type of efficiencies that we need with a national energy policy because we know that the cheapest energy is the energy that we never use.
We passed an energy policy that moves away from our dependence on foreign oil and focuses on creating alternative forms of energy and in the long term creates jobs here in our country and increases our national security.
One day we roll into a fuel station and have a choice between traditional gasoline, biofuels, ethanol, plug in our electric hybrid, or maybe drive by the gas station altogether because we have a fuel cell that allows us to get 100 miles to the gallon that was researched right in our part of Ohio. That is the type of choice and diversity that we need to make our country stronger.
Or how about investing in alternative forms of energy, like what is happening in the 16th district, not only fuel cells and electric plug- in hybrids; and at the Ohio State Ag Research and Development Center in Wayne County, we are researching these anaerobic digesters and making compressed natural gas out of our own waste and selling it back to the grid. This is the type of innovation that will make America stronger in the long term and increase our national security.
Congressman Ryan and I have talked about this often, the fact that 80 percent of the world's oil reserves are in the hands of governments and their respective national companies. Sixteen of the world's largest 20 companies are state owned. State owned. And when we import 66.4 percent of our oil from overseas, and 40 percent from the Middle East. We know that makes our country vulnerable, very vulnerable. Knowing that if we just put 27 percent of the vehicles on the road today, if they were these gas electric hybrids like the Toyota Prius or the Ford Escape, we could end our dependency on oil from the Middle East.
That is the type of energy policy we need; but yet we have big special interests here in Washington and around the country that are trying to prevent this from being enacted, a national energy policy that is about national security and creating jobs in our country, moving away from our dependence on foreign oil.
We know that the amounts of alternative energy our Nation is able to produce are only limited by the amount of energy we are willing to invest here in Washington and across the 50 States of our great country.
Now this bill, the American Clean Energy and Security Act, gets a lot of attention, but not for that name, Congressman Ryan, but for the name of cap-and-trade. Cap-and-trade.
We heard from two court cases at the end of last year the fact that the EPA was going to regulate emissions, and we decided in the House we were going to allow a free-market approach to handle this rather than have the United States EPA regulate emissions in this country. That is going to make our American businesses stronger, by allowing the Midwest innovation to drive this instead of our dependence on foreign oil. The innovation of America is going to drive our future progress in this realm.
But let's revisit what some of our colleagues have said about the cap-and-trade system, as they like to call this new energy solution that we are going to find for our country. It is about cap-and-trade, as John McCain has said. There will be incentives for people to reduce greenhouse gas emissions. It is a free-market approach. Let me repeat that, Congressman Ryan: it is a free-market approach. The Europeans are doing it. We did it in the case of addressing acid rain. If we do that, we will stimulate green technologies. There will be profit-making in the business arena. It won't cost the American taxpayer.
Joe Lieberman and I introduced a cap-and-trade proposal several years ago which would reduce greenhouse gases with a gradual reduction. We did the same thing with acid rain. This works. This really works. The Republican Presidential candidate last year introduced a cap-and-trade bill three times in the United States Congress because he believes it's a free market approach and that it won't cost the American taxpayers.
Congressman, if you would yield, just yesterday, we had wonderful news in the 16th Congressional District. Rolls-Royce is anchoring its world headquarters for fuel-cell research in our part of Ohio. The robust research that they're doing on fuel cells is going to be anchored in our part of Ohio because we're beginning to take action where there was none previously. Let me just say this:
Quite frankly, I believe that we will be judged in next year's elections by two measures--whether we acted or whether we did not, by action or inaction. Teddy Roosevelt said that the worst thing you can do in a moment of decision is nothing, and we know that the status quo is unsustainable with an energy policy in this country which continues to empower petro dictators who hold America hostage by our importing 66.4 percent of oil from around the world. We're going to expand drilling in the United States here. We know that this will not be the answer to all of our energy woes here because we only have 3 percent of the world's oil reserves in the Northern Hemisphere, but we consume 24 percent of the world's oil, so we've got to find diversity. We've got to find a way to become diverse Americans in our energy consumption, which will be by investing in these alternative energies. Whether it's switchgrass or algae or whether it's ethanol or biofuels or whether it's fuel cells, we've got to make this transition now because it is about our national security.
So, next year, when we go before the voters, when we go before our citizens and our constituents, they are going to ask us: Did you act to make America stronger?
All of us know we have relatives and friends, and friends of mine, who are still serving over in the Middle East right now. We are there, fighting for countries that provide us a whole lot of oil. In fact, 40 percent of our oil comes from the Middle East. Like Rudolph Giuliani said last year, if 27 percent of the vehicles on the roads were gas- electric hybrids like the Toyota Prius or the Ford Escape, we could end our dependency on oil in the Middle East. That is a goal we should all strive towards.
Rudolph Giuliani said that we need to expand the use of hybrid vehicles and of clean coal--$324 million of research in clean coal in Ohio every year, Congressman Ryan, and in carbon sequestration. We have more coal reserves in the United States than we have oil reserves in Saudi Arabia. This should be a major national project. Let me echo that again in this Chamber. This should be a major national project. This is a matter of our national security. We've got to act, Congressman Ryan.
Now, I graduated with a baseball degree, and I minored in economics in college, but let me tell you this: In 2003, our former President said this about a Department of Defense study: The risk of abrupt climate change should be elevated beyond a scientific debate to a U.S. national security concern. The Department of Defense was saying this under our previous President.
He also said that the economic disruptions associated with global climate change are projected by the CIA and by other intelligence experts to place increased pressure on weak nations that may be unable to provide the basic needs and to maintain order for their citizens.
We've got our CIA saying this. We have our Department of Defense saying this. We've got every candidate running for President last year saying this is a matter of national security. What did we have? We had a vote along partisan lines.
National security is about America. It's not a Democrat or Republican challenge. It's not a conservative or a liberal challenge. It's about making America stronger. When we invest in ourselves, we will become stronger. This is about our future and about our children's future. It's about creating jobs here in Ohio, Congressman Ryan, like we did with Rolls-Royce and like we will do with so many others that are beginning this burgeoning industry.
Having a diversity of energy, we should all agree, is going to make our country stronger. And these two long-term challenges of health care and of energy should be national projects, national projects that make our country stronger and protect our national security in the long run.
Well, they weren't against it last year. In fact, I point to my friend Mike Huckabee who suggested that a Nation that can't feed itself, a Nation that can't fuel itself, or a Nation that can't produce the weapons to fight for itself is a Nation forever enslaved. He also said that it's critical that for our own interests economically, and from a point on national security, that we commit to become energy independent and we commit to doing it within a decade.
We sent a man to the Moon in a decade. I think in 20 years we could become energy independent. I believe we can. We have to take responsibility in our own House before we can expect others to do the same in theirs. It goes back to his basic concept of leadership, that leaders don't ask others to do what they are unwilling to do themselves. That's why leaders who ran for the office of the Presidency last year believe that a strong national energy policy is about making America stronger, relying on the innovation in the Midwest rather than relying on Middle East oil. That makes America stronger.
In 1950, over half of the jobs in this country were in manufacturing. We are at 10 percent now because we exported our ability to produce and build things here. We are becoming the movers of wealth instead of the producers of wealth.
Let's invest in something that we have to use every day, and that's energy. Let's invest in our own future, produce things here. Let's build windmills here. Let's let Timken in Canton, Ohio, make the roller bearings for these huge wind turbines. Let's let SARE Plastics in Alliance build the moldings and cast moldings for these wind turbines. Let's let fuel cells be developed at Rolls Royce so that we can put them in our cars and have them recharge batteries and use the solar panels that are developed in our part of Ohio recharge the batteries that are being developed in Medina County in my congressional district.
Let's use that compressed natural gas now that we are using and researching at the Ohio State Agricultural Research Center in Wooster, Ohio. Let's use that compressed natural gas to turn our generators to heat and to produce electricity for our homes.
That's the type of innovation and diversity of energy that will make America stronger in the long run and focus, focus on our economic interests as a country.
As John Kennedy said, we do these things not because they are easy but because they are hard. Because they are hard. But we know that if we don't make this transition right now, decades later we will make America very, very vulnerable.
When I go back and answer to my constituents, when I go back and answer to the people, I want to tell them I stood with them, and I stood with making America strong.