I thank my friend and fellow physician and colleague, Dr. Gingrey. You made reference to the 30-Something Democrats, and I watched that debate, that discussion with great interest because, to be honest with you, with 32 years of medical…
I thank my friend and fellow physician and colleague, Dr. Gingrey.
You made reference to the 30-Something Democrats, and I watched that debate, that discussion with great interest because, to be honest with you, with 32 years of medical practice and also owning businesses for nearly as long, when I hear this discussion about how a public plan can work, I really try to view that and try to understand that; but I always come out totally mystified with how this sort of thing could ever work.
And to clarify the debate, basically Congress right now is looking at three different options. One is a total single payer nationalized health care system, Medicare for all. One would be a private system for all, which is what we, on the Republican side, back. And then the other is a public and private system that are competing with one another. So I really watch with great interest our colleagues on the other side-- none of whom are physicians, I might add--talk about how this could be a great deal, a great success, where you have a public system that's competing with a private system, somehow that's going to drive cost and prices down, and we're going to get a dividend from that.
Well, what I would do is point out to my colleagues, let's look at Medicare today and Medicaid as well, both government-run systems. Both of them are running out of money rapidly, the budgets are exploding and expanding, and they are living off the fat of the
private system. Today we know--in fact, a recent survey, a study came out showing that the average subscriber to private insurance spends an extra $1,000 a year to support the Medicare and Medicaid system. We also know that a lot of that support comes by way of the uninsured who are routed through the emergency room, who don't have any coverage; and if you think that the Medicare recipients pay for that, forget it. That's not happening. Who is paying for that is the taxpayer and those who subscribe to private plans.
So right now the systems that exist, Medicare and Medicaid, are, for the most part, supported not by premiums and not even fully by the taxpayers, but are supported by those who pay premiums into private plans. So if you expand Medicare to where everyone is eligible for a Medicare-type plan, who in their right mind is going to stay on private insurance when they know that they're going to have to pay increasing size premiums in order to get the same level of care that those on Medicare, who are largely supported by taxes, are going to get?
What ends up happening is you lose that critical mass of those under private insurance, and so private insurance then becomes only an afterthought, a sliver of the economy. So what you're left with is a giant public system, a Medicare that's much bigger than what we have today. Incidentally, I will remind those that today, as it stands, Medicare will run out of money within 10 years, as it is. It's unsustainable as it is. Now if we grow it into a much bigger system, where are those cost savings going to come from?
I will yield back in a moment, but I just want to bring out the fact that no one has ever been able to show that a government-run system, particularly a health care system, but any government-run system in which the economy is being controlled in some way has ever controlled cost. And even today we know that health care costs are going up twice the rate of inflation.
I wanted to tone down on the debate a little bit more.
Again, we heard the 30-something Group Democrats talking about the debate earlier, and one said something very interesting. It really caught my ear. He said that the debate is basically Democrats want health care reform, Republicans do not want health care reform.
Now, I have spoken on this floor, as you know, Dr. Gingrey and Dr. Roe as well, and I've heard you speak many times; many Members of our conference have spoken; I've spoken a number of times throughout the district. I've listened to everyone from Speaker Gingrich to many others. I have yet to hear one Republican say that he is against health care reform.
So I want to remind my colleagues on the other side of the aisle that the only way we're ever going to solve our health care problems--which make up about 20 percent of our economy--we must have an honest debate. And framing the other side into a position that really doesn't exist is not going to get us there. In fact, I would say that we really agree, from what I can understand, on 90 percent of the discussion.
We all agree that we should do away with pre-existing illness; we all agree that we should have portability; we all agree there should be a hundred percent access to care; we all agree that we should lower the cost of care. I can draw you a great list. There is really, when you get down to it, only one thing we disagree with, and that is we feel that a private system, private industry--even if it's paid for by the Federal Government--in many cases does a much better job in terms of quality of care and customer service and a much better job of controlling costs.
This is proven time after time.
Compare our economy with a socialistic economy and you see every time that we provide much better products and services and at a much better price than those countries do.
So, really, the only disagreement is who is actually controlling the care. And, of course, I submit to you that a government-run system is a real problem. And I will tell you where I learned this.
When I was in the Navy as a physician, I noticed in the first year that the commanding officer of the hospital sent out a call and said if there is--this is budget time of the year--and if there is anything that you think we could ever want in this hospital, wink wink--meaning, think of something; dream of things--put it on a list, because if we don't preserve that budget the way it is, then our budget will be cut next year. And that, my friend, is the way government works. If you don't force it into the budget, if you don't make sure and protect your territory, it won't be there next year. Somebody will cut into it. And that's really the way government works.
And I will give you an example, a real-life example of how we will never be able to get rid of waste, fraud, and abuse from our health care system if it's run by the government.
Think about this: we have to throw out a wide net, which is very expensive. We may capture a few offenders out there. Because it would have to be a criminal act, we would have to prove that they really did it on purpose; and then at the end of the day we would have to prosecute them with a lot of dollars; and then we may get one person, and we may get a few dollars. That's the way you get rid of fraud and abuse in a government system.
In a private system, much different. You have a physician or some other provider in a health care organization that's privately run, and if his practices are not the best practice and he's not practicing in a cost-effective way, that shows up on a graph; and often, of course, you go to that provider and you reeducate, and you have him work with colleagues, and you get him back to the protocols. And if that doesn't work, then you fire him. Easy problem to solve. It doesn't require all of that--there is no crime involved. So you can work in the most effective way possible.
I appreciate your yielding. I just wanted to take a moment to follow up on what you said and Mr. Rohrabacher.
We have 47 million uninsured, 10 million of course are illegal aliens. And of course that is a solvable problem by only allowing legal aliens and requiring them to pay taxes and insurance like anyone else, and those who are here illegally should not be here. So that's not really a health care problem, at least primarily, that is an immigration problem.
We also have, as you point out, at least half that 47 million who are insurable people, and very cost effectively, but they choose not to. That really hurts the risk pool, and we should do things to incentivize them.
The real problem is the 10 or 15 million people who are either business owners or they work for small businesses and they can't get cost-effective insurance. And they're the ones that delay care, they're the ones that don't go to their primary doctor, they're the ones that end up going to the emergency room, getting care at a time when the outcomes are the worst and the cost is the highest.
So when you think about it--and polls show that 75 percent of people are happy with what they have, whether it's Medicare or Medicaid, private insurance--it's that 25 percent that can't get affordable care. That's where the problem is, and that's where the focus needs to be. And if we do that, we get cost-effective coverage for them--and there are many ways of doing this, and we would have to get into ways to determine that--we would really have this problem under much better control. But if we, on the other hand, blow this thing out with a single-payer system, we are going to have exploding budgets as far as the eye can see, and I don't see any end to that. I thank you, and I yield back.