Well, thank you very much. You know, it's interesting. I think we bring up a good subject. When I'm home, one of the things that I hear very, very much from the seniors is, we have a Medicare system that's functioning pretty well. Yet,…
Well, thank you very much.
You know, it's interesting. I think we bring up a good subject. When I'm home, one of the things that I hear very, very much from the seniors is, we have a Medicare system that's functioning pretty well. Yet, when you look at it in 2017, it has all kinds of fiscal problems. Their question to me is: Why aren't you fixing the government program you have now before you expand it greatly to millions of people? You guys can correct me or can add to this: I've heard anywhere from 10 percent of the Medicare bill that we pay is just waste and fraud. Why aren't we addressing that?
I agree. As a guy from Arkansas, I just know that there's a heck of a lot of fraud and waste in the system. Rather than expand it like we're talking about doing now, why not fix that first? We hear about the pizza parlors that are charging for dialysis and, you know, things like that.
So, again, I would say that we need to get our act together there and reform the Medicare system that we've got.
I know I'm in a situation now. It's not uncommon at all for me to have people my age call and say, My mom has moved to town, and I can't find a Medicare provider because the fees are so low for physicians that people have started either limiting the slots that they use for the Medicare practice or they've simply discontinued the practice in their clinics.
I think that's a real problem.
As was mentioned, one of the things that we see in this type of plan is rationing for seniors. Are they going to be able to get the knees? the hips? In my case, being very familiar with cataract surgery, is somebody going to allow them to have that as they get older and allow them to ease their pain and lead a quality of life?
You know, we're talking about getting preventative care and all this. Well, you do a great job, and you live, and you get up in years, and then we're going to take away the ability for you to go ahead and continue that quality of life.
I agree with the gentleman. If he would yield?
There are so many questions that are unanswered when you look at this chart. If you get denied, you know, who do you appeal to? Is there any appeal?
If the gentleman will yield, the first thing you've got to do is have some tort reform, and you guys can, you know, very well spell out how you practice defensive medicine when people come in with headaches and things like that, and there's one thing that's not on that chart. There's nothing about nuisance lawsuits, which are driving up the costs of medicine and which make it such that we have counties in Arkansas, where I'm from, that don't have any OB because the guys can't afford the malpractice insurance.
Very much so. I was looking on the chart, and it's not up there. But other things, the associated health plans, where if you're a florist, a small business man and you've got your little store and you go in and try to negotiate with the insurance company, you don't have a very strong negotiating position. But if we would allow them to go in with others, thousands of florists, then they could negotiate as a group and get a much better rate like a major corporation.
In doing that, then you have to go across State lines. Also, different States have different mandates as far as what they--you have to offer in particular States.
So we could do that at the Federal level and get rid of all of that stuff and not go across the State line.
Well, I would just say that all of us--and in hearing the letter, all of us have seen patients in our practices that we knew as we prescribed the treatment that they couldn't afford, hardworking people that just didn't have the ability to afford that. So we definitely need reform, and we've talked about that. We need portability. We need more competition, things like that. What we don't need, though, is to try to get this thing done in 2 or 3 weeks.
I was on this school board for 7 years. If we were trying to change the curriculum of the high school class, we'd spend more than 2 or 3 weeks doing due diligence. But to try to do that in a period of 2 or 3 weeks makes no sense at all.
The other thing I would say is that we don't need government-run health care. We don't need to go down the path towards Great Britain and Canada. And something I'd like for you guys to comment on--because you have treated them and things--tell us about the results of cancer and things like that in the Canadian and Great Britain systems compared to the United States. I guess my concern is, in an effort to fix our pretty good system--you know, it's working pretty good--that we actually destroy the system to fix the part that's broken.