I greatly appreciate you yielding, and I appreciate you doing this tonight so that we can inform the American public about how bad this bill is and what the Republicans are going to try to do in this next Congress. We heard all during the…
I greatly appreciate you yielding, and I appreciate you doing this tonight so that we can inform the American public about how bad this bill is and what the Republicans are going to try to do in this next Congress.
We heard all during the discussion on ObamaCare as well as through the last two Congresses since I've been here--I'm finishing up my second term--that Republicans are the party of ``no.'' We are the party of k-n-o-w because we know how to lower the costs of health care. And we can do it in a bipartisan manner.
And in fact, during the discussions about ObamaCare, I challenged individual Democrats to introduce a bill, that I would give them the legislative language, all they had to do was write their name in a blank, introduce it, and it would be a Democratic bill. They could call it ObamaCare. And I was told by Democrats over and over again that this makes a whole lot more sense, Paul, what you're proposing here than this ObamaCare bill that we dealt with here in the House, the Pelosi original bill, and the one we finally passed that came from the Senate.
And in fact, two colleagues on our side, Republicans John Shadegg from Arizona and Congressman Charlie Dent from Pennsylvania, and I wrote an op-ed that was published in The Washington Times newspaper challenging Democrats to introduce the bill. And it would do four things, commonsense solutions, that I told the Democrats individually if they would introduce the bill, it could be their bill, a Democratic bill; they could take credit for it. I'm concerned about policy, not whose name's on the bill. And they could take credit for it.
Yes, I will.
If you would call attention to that poster because I think that our colleagues need to focus in on that.
Absolutely. In fact, I was going to do that. I appreciate my colleague, Dr. Gingrey, for reminding me.
I have a poster here with these four commonsense solutions. And actually I introduced the bill when my Democratic colleagues wouldn't take up my offer to introduce it after ObamaCare was actually passed into law.
I introduced the bill that does actually five things. It repeals ObamaCare and puts in place these four commonsense solutions. It's not a comprehensive bill because it doesn't really deal with Medicare and the problems that we have with that or Medicaid, and we'll mention that in a minute or two.
But the four things are to allow all individuals to deduct 100 percent of their health care costs--including the cost of the insurance--off the income taxes. This in itself would change the dynamics of health care for everybody in this country. In fact, this eventually would take care of the problems that we as physicians have with managed care because it would put patients in control of their health care decisions but allow everybody to deduct all their health care costs.
Second thing it would do is it would strengthen and expand new avenues for affordable health care for sick Americans through high-risk pools that are set up on a Statewide basis. There are several States like Colorado that have already done this very successfully. Multiple States have already done so. We would stimulate that.
The third thing it would do, as the chart right here says, it would expand choice and competition by allowing consumers to shop for health care insurance across State lines. Now, I'm an original intent Constitutionalist. The Commerce Clause is one of the clauses that's been perverted so much to allow the great expansion of the size and scope of government. The Commerce Clause is actually supposed to expand commerce, not to control it. And it is to allow people to shop for all goods and services across State lines.
So by the original intent of the Commerce Clause, we're just doing exactly the opposite. And when States lock up the insurance pools just within their State borders, they're actually doing an unconstitutional control of commerce.
And the fourth thing: Just create association pools so anybody in this country could join a huge pool. And this would allow people to buy insurance at a much lower cost than they have today. And it would actually allow people who not only cannot afford to buy health insurance but those
people who have preexisting conditions to be in association pools so that they actually could buy health insurance at an affordable rate.
And these four commonsense solutions have been introduced--I introduced the bill--to repeal ObamaCare and to do these four things. And I'll be introducing this same bill in the next Congress.
The bottom line is the Republicans are the party of k-n-o-w. We know how to lower the costs of health care. We, as physicians, have been dealing with all of these problems like our patients--particularly us, like Dr. Fleming and I in family medicine, we deal with the insurance company. We try to find our patients good, quality care at the lowest price, which includes trying to find them insurance, medicines, all health care products at the lowest prices--it's what we do as family doctors. And it's something I've been dealing with for almost four decades of practicing medicine. And it's something that the American people desperately need.
ObamaCare is going to--the experts tell us--is going to put 5\1/2\ million people out of work.
Dr. Fleming talked about the uncertainty it creates in employers. I hear that all the time. I've got a small businessman that wants to do a $31 million expansion of his business in my district, but he's scared to and he's not going to because, Dr. Fleming--he doesn't have the problem with the banks because he has $31 million in the bank right now, cash money. So he doesn't have to go to the bank to get the money. But he's scared of those taxes. He's scared of the energy tax, particularly. That scares the willies out of small businessmen and women in my district. He's very frightened about ObamaCare.
So we must repeal ObamaCare and replace it with some commonsense solutions.
Thank you, Dr. Gingrey for yielding.
In fact, this first bullet about 100 percent deductibility will solve the problem with portability. Right now, 85 percent of America gets their health insurance through their employer. It is because employers can deduct the cost of their health insurance that they provide to their employees as a regular business expense, and the employee can get that money as a nontaxable benefit. But if we make it 100 percent deductible for everybody, then the employer can give that money in increased wages to the employee. It is still a deductible amount. It won't cost the employer any more money out of their bottom line, but they can give it to the employee, and then the employee can take those dollars and instead of having to be saddled with whatever insurance policy that the employer provides for them, the employee can go buy the insurance wherever they want with whatever kind of coverage that they want.
In fact, Dr. Gingrey brought up something about the mandates that the States have put on. My friend, Neal Boortz, who has a radio program that is syndicated all over this country, keeps talking about him and his wife, who are beyond the age of having any babies, have to buy maternity coverage. There are insurance policies that mandate that people have to pay for sex change operations or hair transplants and a whole lot of other things. Everybody in that pool has to pay, whether they want a sex change operation or hair transplant or maternity benefits, and that drives the cost up for everybody. The across-State- lines purchasing and the association pools will help stop that.
We have managed care today because the employers want to have some finite amount of money for their own budgeting process so they know what they are dealing with in their business so they go and buy managed care policies for their employees so they have some finite number, and it is not just a blank check.
That makes sense from a business perspective, but it doesn't make sense for a lot of the employees who want to be able to choose their doctor and they want to be able to go to the hospital that they desire. They don't want to be dictated to about what kind of coverage that they can have. And the first point where everybody has 100 percent deductibility of all expenses will take care of the portability problems. It will empower the patient and the doctor to be able to make the best decisions for their patient. Those things are just commonsense solutions.
Thank you, Dr. Gingrey.
Let's go ahead and jump into some of the key components and some of the things that we can do. What I would like to focus on is your No. 3 bullet point on your chart there: Medicaid expansion.
The Medicaid expansion of ObamaCare is going to break the budgets of States, which are already suffering, because it is going to drastically increase the people in this country who are going to qualify for Medicaid.
Again, the Republican Party is the party of ``know,'' K-N-O-W, because we know how to deal with this in a better manner.
In fact, as the gentleman from Georgia, Dr. Gingrey, knows, I've been trying to get on the Energy and Commerce Committee. One thing that I will do--and I know that there are others who are on the committee today who will--is push for dealing with Medicaid in a block grant to the States. Let's just send the Medicaid money, with no strings attached, to the States. Let the States, which is what our Founding Fathers believed to be the best laboratory of public policy, figure out the best way to deal with people who desperately need Medicaid or State Child Health Insurance Programs. Let's send those back to the States, as they should be. Even under the Constitution, those functions should be dealt with by the States, not by the Federal Government. Let's let the States have the money so that they can deal with this and find the best solution instead of our generating all the policy, the regulations and all the things that drive up the cost. The Medicaid expansion that ObamaCare has put in place is literally going to break the bank in State, after State, after State.
Well, you're exactly right, Dr. Gingrey. Thanks for bringing that up.
With ObamaCare, the States are going to have to cut more. In fact, we already see first responders--fire departments, police departments-- being cut in their funding. In State after State, there are educational funding cuts across the board. In our own home State of Georgia, they have had to markedly cut the educational budget because of all of these mandates that are put on them by the Federal Government and because of the requirement by the State constitutionally to have a balanced budget.
I introduced a balanced budget amendment to the Constitution here in Congress; and, hopefully, we are going to do that, too. It has been part of our pledge to America, and I will continue to fight for a balanced budget. I think the Federal Government also needs to live within its own means.
Just on the Medicaid expansion, we should just do block grants back to the States and let them be the laboratory of public policy, as our Founding Fathers talked about and believed in very firmly--and I believe in those same things--for Medicaid as well as for SCHIP. In Georgia, we call it PeachCare. If we send those dollars back to the States, don't tie any strings to them and let the States utilize those funds in whatever way best suits their State budgets and their State needs, we will be a whole lot better off. The States will be better off. The Federal Government will be better off. The taxpayers will be better off. The Medicaid recipients will be better off. We will actually be able to cover more patients.
So, back again, the Republican Party is the party of K-N-O-W.
We know how to solve these problems and we're going to try to do that the next time.
I yield back.
Thank you, Dr. Gingrey.
I just wanted to mention the employer mandate. An employer is mandated to provide coverage for their employees. They have a lot of mandates. And those employer mandates are going to mean that people are going to lose their jobs.
Dr. Fleming and I talked a little bit ago about how employers are scared. I've got a lady who runs a small business. She has eight employees. She desperately needs to hire another one or two, but because of the employer mandates of ObamaCare, she's not going to hire anybody. She's just going to try to struggle along herself and is not going to expand her business. She could hire two new people, and the employer mandate is going to prevent these two people who need jobs today from going to work for this small business.
I already mentioned the guy who wants to do a $31 million expansion. He's not going to do that, not going to hire the 100 or so new employees that he would hire because he's afraid of ObamaCare and the employer mandates.
One other thing--and then I will yield back to Dr. Gingrey--is that, to kind of go along with these cuts to Medicare, in the stimulus bill a lot of Americans don't realize that they put in something called ``comparative effectiveness research.'' In medicine, we compare the effectiveness of one treatment versus another. Breast cancer, is it just taking a tumor out? Is it giving chemotherapy? Is it radiation therapy? Is it a combination of all this? That's not what this is all about. It's to compare the effectiveness of spending a dollar. And it's age related, which means that those people on Medicare, comparative effectiveness is just going to mean that they're just not going to get the care.
And I yield back.