Mr. Speaker, I rise tonight to begin the discussion of probably one of the most critical things we will consider during the 108th Congress. Tonight we are going to begin to talk about a need that America has had for a long time, and that…
Mr. Speaker, I rise tonight to begin the discussion of probably one of the most critical things we will consider during the 108th Congress. Tonight we are going to begin to talk about a need that America has had for a long time, and that is a prescription drug benefit for our seniors and the reform of Medicare.
I am delighted that the Speaker has allowed me to represent the leadership tonight, along with other members of the freshman class, as we begin to talk about the things that are important to America, and to begin the discussion, to begin the debate and to work toward a solution to all of our seniors.
Mr. Speaker, to begin that discussion, I would like to yield to the distinguished gentlewoman from Michigan (Mrs. Miller).
(Mrs. MILLER of Michigan asked and was given permission to revise and extend her remarks.)
Mr. Speaker, we have heard from the distinguished colleague from Michigan as she shares with us the challenges that her constituents face.
I would like to now yield to the distinguished gentlewoman from Florida (Ms. Harris), to gain a perspective from that area.
(Ms. HARRIS asked and was given permission to revise and extend her remarks.)
Mr. Speaker, we enjoy in the freshman class two distinguished colleagues within the medical profession. Tonight I would like to yield to the distinguished gentleman from Texas (Mr. Burgess), a medical physician who has treated thousands of patients and can speak authoritatively to this subject.
Mr. Speaker, I thank my colleague from Texas for his input and, like him, I look forward to the discussions and debates over the next several weeks as we work through this challenging process.
I have a colleague I would like to recognize now. I know the distinguished gentleman from Georgia, a physician, someone who again has treated thousands of patients in Georgia and understands the prescription medication field, understands Medicare, and can speak directly to the challenges we face. I yield to the gentleman from Georgia (Mr. Gingrey).
Mr. Speaker, since we do have two fine representatives of the medical profession with us tonight, I would like to have an opportunity to engage in a bit of a dialogue as we discuss the critical issue of prescription drug benefits and Medicare reform.
First of all, I would like to get the input on access. How important is it for our seniors to choose their physicians? And that is, I believe, a key point in the legislation that we are considering now. I yield to the gentleman from Texas (Mr. Burgess).
Mr. Speaker, I thank the distinguished gentleman from Georgia (Mr. Gingrey) and the gentleman from Texas (Mr. Burgess) for their remarks.
I think it is important that we all recognize that the health care profession and the prescription drug industry have a lot at stake as we deal with this challenging issue, but I would like to remind the Chair that what we are dealing with here are some fundamental principles, that of affordability so that our seniors can have an affordable health care prescription drug plan and our seniors will be protected. It will be widely available to all of our seniors.
I think it is very important that we understand it is voluntary. I have heard critics of this plan say that we are going to force the senior into one plan or another. That is not true. The senior can choose from remaining in the current Medicare system or perhaps adopting a different approach, but certainly to give them the option of looking at some prescription drug coverage.
So this is a voluntary plan. This is a plan that deals with choice so they can choose a physician, choose a health care provider, and then effectively manage their own health care needs, and as my colleagues have also pointed out, that it must be sustainable so we can make sure that this plan is viable not only in 2004, but in 2014 and 2024 and 2048 and beyond.
I think these are key things that we have to remember as we continue this discussion and continue this dialogue and debate and mold the future of medical care for our seniors.
I would like to now yield to the distinguished gentleman from New Hampshire (Mr. Bradley).
(Mr. BRADLEY asked and was given permission to revise and extend his remarks.)
Is it not correct that the proposals we are considering have not yet been cast in stone? They are still quite malleable; they are still under debate, and we are considering multiple options? And as a point of emphasis, I want to recognize that our neediest citizens, those who would be at or below poverty level, would have full benefit coverage. They would not have a need to pay any of the up-front costs. The premium would be waived, any of the co-pays would be waived as well as the $250 deductible.
So I believe what we are doing here is looking at the alternatives in this plan, debating it, discussing it, and making sure that what comes out is really in the best interest of America and of our seniors.
I agree. I think the gentleman is 100 percent right. The proposals I have reviewed indeed focus this benefit on the neediest of America's seniors and ensures that, as the gentleman has suggested, they do not have to make a choice between paying the rent, buying the food, and then providing the prescription drugs that they need to have a high quality of life.
I thank the gentleman for his input, and I thank my good friend from Georgia for his point as far as making emphasis to ensure that America understands what we are talking about here.
Mr. Speaker, I thank the gentleman from New Hampshire (Mr. Bradley) for his input, and I now would like to recognize the gentleman from Utah (Mr. Bishop) to give us a perspective from our western States.
If the gentleman will yield.
Mr. Speaker, I wanted to point out one thing and highlight a comment the gentleman made. Sometimes we get caught up in perfection, and what we need are good commonsense approaches to problems in America. I think some of the critics of these proposals as we debate them would suggest that they do not go far enough or they do not do everything they should do, and indeed we may agree; but yet we must make sure that what we produce is a viable, sustainable, commonsense approach to the problems that your good friend points out in his letter.
Mr. Speaker, I thank the gentleman from Utah for his input. I appreciate his comments as we begin the discussion in Medicare reform and in the area of prescription drug benefits.
Mr. Speaker, I would like to review the key points that we wanted to discuss tonight and then summarize what we have discussed on the House floor to make sure that the American people and that the Congress understand the challenges that we face.
First of all, Mr. Speaker, we need to make sure that we understand the principles of strengthening and improving Medicare. We have to guarantee that all citizens, all of our senior citizens, have an affordable prescription drug benefit plan under Medicare. This is an important part, that the seniors that we have now have an affordable prescription drug plan. This needs to be a voluntary plan.
Critics would say that we are going to force a senior to do one thing or another. That is not true. The senior can choose which Medicare prescription plan best fits their needs or they can continue in the current plan if they so choose.
It helps our seniors to immediately reduce their prescription drug cost. Right now many of our seniors have to go out and they have to buy drugs at the highest price, Mr. Speaker. And this gives us an opportunity to provide them a negotiated prescription drug price so that it will immediately lower their cost. It provides special assistance, Mr. Speaker, and additional assistance to our low-income seniors who need this benefit most to ensure their high quality of life.
So, Mr. Speaker, as we begin this debate, let us make sure we understand that the first thing we have to do is to guarantee that all of our senior citizens have an affordable prescription drug benefit plan under Medicare and that it is going to be voluntary, Mr. Speaker.
The second principle we want to deal with, Mr. Speaker, is the fact that we need to protect the senior citizen's right to choose the physician, to choose the medical provider, to choose the druggist, to choose the benefit package that best meets their needs. It is going to provide our seniors with a range of options so that they can best meet their medical requirements.
It is going to cap out-of-pocket costs. I think that is extremely important. We have a catastrophic failure of our drug system now where you can just be eaten alive and into bankruptcy because of the prescription drug cost to our seniors. This is going to cap out-of- pocket costs so that our seniors will be protected and their families will be protected so they will not risk bankruptcy in case of a serious illness.
Now, we are going to debate the amount. I have seen multiple proposals. The Senate has a proposal. There has been several plans here in the House. But I assure you there will with a catastrophic cap on our seniors' cost for prescription drugs. So that as we protect the senior's right to choose, we give every senior an opportunity to pick the plan that best meets their need.
Finally, Mr. Speaker, we have to strengthen Medicare. We need to
strengthen Medicare for all of our seniors and for future generations. It is 2003; and as we work toward the resolution of this problem, we must ensure that it not only meets the needs of our current seniors but we also need to make sure that it will meet the needs of our future generations. We need to ensure the delivery of the needed health care services in both the rural environment and the urban environment.
Mr. Speaker, in the 12th district of Georgia, I have a large number of rural communities that have rural health care systems. I also have multiple urban centers of health excellence. But we have to make sure our rural communities have affordable health care, that they have a Medicare system that allows them to continue in business and service their communities. In order to do that, we will very well need to create some really significant structural improvements so that we can curb the runaway health care costs that have jeopardized Medicare's viability in the past. So we are working on those kinds of things.
I would like to emphasize the fact, as we begin and go through this debate, that there is going to be some give and take. There is going to be some discussion. There will be some things that are going to have to be worked out, but we are prepared to do that. The leadership here in this body, the Republicans, have offered a plan; and we will begin that discussion, that debate.
This evening we have had an opportunity here from a number of Members who have direct experience with health care. We have heard from the gentlewoman from Michigan (Mrs. Miller); we have heard from the gentleman from Texas (Mr. Burgess). We have heard from the gentleman from Georgia (Mr. Gingrey). And, Mr. Speaker, I would like to now yield to the gentleman from Georgia (Mr. Gingrey) for his comments on finalizing our discussion here this evening.
Mr. Speaker, certainly as we go through this debate, we will see options. But the gentleman is correct, seniors will have a choice. They can stay with the current Medicare plan, or choose to move forward. But I think we can agree, number one, there is going to be some form of a copay, some form of a limited amount of initial cost associated with this plan, but it is going to be nominal. We are looking at plans that may require a $250 or some small amount of initial cost share before they begin a part of this plan, and then moving on up to the core part of our plan to cover up to $2,000 of their health care costs. It is important to remember that the median cost to seniors today is about $1,285.
But I would like to close by pointing out that Medicare has not kept pace with medical care. Medical care has advanced tremendously, advanced over the last 40 years. Medicare has floundered. It has failed to keep pace with the needs of America's seniors. Talk is cheap and we have heard a lot of talk about Medicare reform and prescription drug plans over a number of years, but now it is time for action. It is time that we get the job done. The debate has begun. It is time that we make something happen here in Washington for our seniors. Let us put America's seniors first. Let us deliver on our promises. Let us implement a prescription drug benefit plan in a reformed Medicare package.