Mr. Speaker, thank you for your patience as we tried to get our act together here this evening, not realizing of course that here it is almost Christmastime, that our pages have all gone home. It reminds me of what a great, great job these…
Mr. Speaker, thank you for your patience as we tried to get our act together here this evening, not realizing of course that here it is almost Christmastime, that our pages have all gone home. It reminds me of what a great, great job these young men and women do for the Members in so many ways, not the least of which is of course helping during these Special Order hours. But, Mr. Speaker, thank you for your patience.
I want to of course thank my leadership on the Republican side for allowing me and my colleagues in the House GOP Doctors Caucus to lead this Special Order for the next hour. And we are going to do that, Mr. Speaker, on health care and on the recently passed--I say ``recently''; 10 months ago, March of this year--the passage of ObamaCare, now, I know, formally referred to as the Patient Protection and Affordable Care Act.
But this is a piece of legislation, Mr. Speaker, that the American people, at the 60 percent plurality level, opposed and have remained here 10 months later, as certainly was seen in the results of the election on November 2. The American people felt that this was something that was forced upon them against their wishes, although they had a 2-year period of time to let not just our Democratic majority and President Obama, but every Member of Congress in both the House and the Senate understand not only that they were opposed to this bill but why they were opposed to it.
And, in fact, during this campaign, our Republican Party made a pledge to America on many things, not the least of which, of course, was to repeal this bill, this 2,400-page monstrosity that has done hardly any of the things that President Obama had hoped, wished, promised that it would effect. So we said to the American people, you give us an opportunity, you give us an opportunity to elect, to choose, to have John Boehner as the next Speaker of the House and give the Republicans an opportunity to lead, that we will repeal this bill.
So, Mr. Speaker, this evening I am very proud, as the cochairman with my colleague from Pennsylvania, Dr. Tim Murphy, to chair the House GOP Doctors Caucus. There are about 11 current active members. That includes medical doctors, psychologists, dentists, people that were involved in health care before they came to this body as a profession. And I am telling you, I think most of our colleagues know, Mr. Speaker, that the number of years of clinical experience among this group is something like 350 years. Several of us have got a little gray hair around the temples.
But I think we have served a great purpose for our colleagues on both sides of the aisle to make sure that everyone understands from a health care perspective what this bill has done, the
harmful effect that it's had--harmful effect on individuals, harmful effect on the practice and profession of medicine, harmful effect on companies across this country. We will talk about that tonight, the burden that is placed on small business men and women trying to abide by these provisions of ObamaCare. Last but not least, of course, Mr. Speaker, the harmful effects that it's had on the entire Nation in regard to our economy, the lack of recovery, the joblessness rate.
The unemployment numbers came out just this past November, 9.8 percent, creeping a little higher, not getting better, despite a trillion dollar stimulus package, which hasn't saved jobs. But this bill, and the reason we were so opposed to its passage even 2 years ago when it was first introduced in the Energy and Commerce Committee in the House, was Members on our side of the aisle understood very clearly that the number one priority for this country was to put people back to work, to jump-start this economy. And yet we spent literally 2 years, these first 2 years of President Obama's administration, on passing-- trying to pass an energy bill. Thank God, Mr. Speaker, in my perspective, it did not pass, the so-called ominous cap-and-trade, which would have increased the energy costs for every family in this country approximately $3,000 a year. Thank goodness this bill, after passing in the House, became bogged down in the Senate. And hopefully, it will remain there quietly dying.
But unfortunately, ObamaCare did pass, and the economy is no better. We just got our priorities a little bit backwards. But I am pleased to say that a couple of our colleagues in the GOP Doctors Caucus, House GOP Doctors Caucus are with me tonight to discuss this issue: Congressman John Fleming, a family doctor from Shreveport, Louisiana, and Congressman Paul Broun, my colleague from Georgia, also a family practice doctor. I will call on them. I am going to defer to them as much time as they want to take, Mr. Speaker.
We will basically have a colloquy and talk about some of these issues tonight in regard to ObamaCare and what we Republicans, the new Republican majority in the next Congress, the 112th Congress, have pledged to the American people that we will do. Our pledge was to repeal this bill. And first and foremost, we are going to make every effort to be faithful to our pledge and to try to repeal this bill. Understanding, of course, and I think the American people do understand this, that President Obama is the President, and he will be President for the next 2 years. The Democrats do have a continuing majority in the United States Senate, and they will have for the next 2 years.
So while we feel very confident that we can lead the charge, the House GOP Doctors Caucus lead the effort of repeal in this body, the House of Representatives, we will succeed in doing that and fulfill our pledge to America and make every effort to do the same thing in the Senate, although we know that we don't have the votes. But maybe we can persuade some of our Democratic colleagues, especially some of those that are up for reelection in 2012, Mr. Speaker, to understand finally, at long last, what the American people said on November 2.
Then, of course, the hurdle of getting a bill passed, a repeal bill passed, by President Obama. He has the veto pen, there is no question about that.
But, you know, hope springs eternal. I think the negotiations with the Republican leaders a couple of days ago in regard to keeping the tax rates the same for every American taxpayer for the next 2 years sheds a little light on maybe the President's attitude of working with the heretofore minority and soon-to-be majority in the House and kind of moderate his stance on some of these things. Because, as the President himself said, Mr. Speaker, elections have consequences. And this election on November 2 certainly would tell President Obama that people do not like this bill and they want it repealed.
So maybe he won't veto. But in the likely event that either we are not able to get the bill of repeal passed through the Senate, or if we do, that President Obama, indeed, would use his veto pen, then, of course, the options that we have are a couple that I want to talk about. I know my colleagues will get into that as well.
But there are so many provisions in this bill that we will have the opportunity in this House to defund, to absolutely pull the plug on some of this spending so that this bill will not go forward. And, again, in the meantime, there are a number of parts of the bill that we will have individual pieces of legislation that will strip that away. And these are the things, Mr. Speaker, that we will be talking about tonight.
I would like, at this time, to call on my colleague from Louisiana, Representative John Fleming.
Dr. Fleming, thank you for being with us this evening.
Before I defer to my colleague from Georgia, Dr. Paul Broun, I just wanted to mention something, Mr. Speaker, that Congressman Fleming just said in regard to the taxes, the tax situation that we have and hopefully the compromise, obviously, the compromise worked out between President Obama, his administration, and the Republican leadership in the House and the Senate. All of that has to be approved, Mr. Speaker, as you know, by the entire Senate and by this entire House before it becomes law. I hope that we will be able to do that before we leave here for any kind of a break, even a Christmas break.
But as part of that compromise, there is to be this cut in the payroll tax for a full year to literally cut the employee portion of the Social Security payroll tax from 6.2 percent down to 4.2 percent. I think, Mr. Speaker, that's a good thing, just as keeping the tax rates that currently exist, and have for almost the last 10 years, to keep them all in place, not to raise any, especially not on the job creators, the small business men and women, the so-called rich.
But the ironic thing about this, my colleagues, is in this bill, Patient Protection and Affordable Care Act, ObamaCare, it called for raising the payroll tax, for raising the payroll tax on Medicare for anybody that makes above a certain dollar amount of income, by 3.7 percent. That is going into effect right now, by 3.7 percent, to increase the payroll tax.
And that's why, Mr. Speaker, we're here on the floor tonight as representative of our leadership to try to point out some of these things and say, gosh, you know, that really makes no sense at all to say that we need to cut payroll taxes and we're going to do it on Social Security for the next year for everybody. No matter what their income might be, we're going to cut it by a third, in fact.
And then on this bill to raise the Medicare taxation 3.7 percent, it doesn't make a lot of sense--as a lot of things about this bill don't make a lot of sense.
Before I call on Dr. Broun again, I want my colleagues to look at the easel to my left, to your right, on the number one priority, as I mentioned at the outset, our Republican priority and our Pledge to America is to repeal and replace ObamaCare.
Now, on this second slide, and I talked a little bit about that--and we'll get into that as the hour progresses--but priority number two, in the event that we're not able to repeal because we just don't have the votes or that President Obama uses bad judgment and vetoes our repeal bill, we're going to have the opportunity--and Dr. Broun will talk about this--to defund certain provisions in this bill.
And with that, I'll yield to my colleague from Athens, Georgia, and my great friend, Dr. Paul Broun.
If the gentleman will yield?
Reclaiming my time just for a second from Dr. Broun.
Dr. Broun, if you don't mind holding that poster up again because I wanted to enter, Mr. Speaker, into a colloquy with the gentleman, my colleague from Georgia.
In the four points on his poster, addressing that first one, allowing individuals to deduct 100 percent of health care expenses, including the expense to purchase health insurance--whether it's first dollar sickness coverage or long-term care, which people, when they get our age, need to start thinking about.
But under current law, and I want my colleagues to correct me if I'm wrong on this, but I think under current law, an individual in filing their tax return if they itemize their deductions, they can only deduct health care expenses that are more than 7.5 percent of their adjusted gross income. And hardly anybody reaches that threshold.
And I think what Dr. Broun, Mr. Speaker, is suggesting in regard to this change in the IRS Code--of course this would have to come through the House Ways and Means Committee--but what a novel and a great idea that he and Mr. Shadegg and Mr. Dent have proposed during this Congress.
I am refreshed to know that Dr. Broun will introduce this bill in the 112th Congress, but the point he was making is not only that bullet point, Mr. Speaker, but on his poster, the three others with regard to purchasing health insurance across State lines for an individual, for a group of individuals sometimes referred to as an association, to be able to avoid, Mr. Speaker, the mandates that so many States have passed in regard to what a health insurance policy has to cover.
Every time you add a little mandate, a little test here, a little test there, then the cost of the cheapest health insurance in the individual State goes up. So that is why this idea of someone who needs a policy in Georgia being able to go online and see what is offered in Louisiana, as an example, is a great idea.
What Dr. Broun was saying, we had some ideas. We are the party of K- N-O-W, he likes to say, not the party of N-O; and President Obama knows that. And the Democratic majority knew that, knows that. And they ignored it; and as a result, they are soon to become, at least in this body, the Democratic minority.
I yield to Dr. Broun for other comments before I call on Dr. Fleming.
Dr. Broun, thank you. Your four commonsense solutions are great. Keep that poster handy, we may want to refer back to that.
We are going to get into the subject of Republican priority No. 3, and that is on my poster to my left, attack key components of ObamaCare until the bill can be repealed. So in the next 15-20 minutes or so, we will be talking about some of these key components of ObamaCare that we can legislatively attack.
I am going to yield to the gentleman from Louisiana (Mr. Fleming) to begin that discussion or any other comments that he wants to make before we get into that.
With regard to the last comment that the gentleman made with regard to preexisting conditions, and Dr. Broun referenced it on his four commonsense solutions, in regard to those high-risk pools that the States can create, can set up, can say to health insurance companies, whether it is the Blues or Aetna or Cigna or smaller companies, there are literally 3,000 health insurance companies across the country offering policies, not these big, huge mega-companies, but to say to the ones that are doing business in your State, to have to abide by a requirement of a State insurance commissioner or a Governor of a State, like our Governor-elect in Georgia, Nathan Deal, who spent 18 years in this body and left here as chairman of the Health Subcommittee on Energy and Commerce, these Governors know. We will get into a little bit of their concern about the Medicaid expansion in a few minutes, but they know.
Like Representative Fleming was saying, these high-risk pools can be set up in States, and we won't spend $6 billion of the taxpayers' money doing it. And that won't even be enough with the Federal bureaucracy trying to run these high-risk pools.
I appreciate that, and I yield back to the gentleman. If you want to engage in a colloquy with Dr. Broun, certainly he may want to ask you about that as well.
If the gentleman will segue back to me, I'll yield additional time to Dr. Broun.
I just wanted to comment, Mr. Speaker, on Representative Fleming's last remark in regard to the medical liability reform that he and I have worked very hard on. In fact, this is my fourth term; and every year that I've been here--even before Dr. Fleming and Dr. Broun joined us and joined the House GOP Doctors Caucus--I have introduced medical liability reform legislation, sometimes referred to as ``tort reform.''
I won't go into the details of it; but, basically, it is a fair and balanced approach for people who are hurt by practice below the standard of care, whether it's by the physician, the hospital or by anybody associated or affiliated with their care, who would certainly have to answer for that. These people would have an opportunity to have their redress of grievances. So, when we say ``tort reform,'' we don't mean taking away anybody's individual rights.
I will tell my colleague that the incoming chairman of the Judiciary Committee in the House, Representative Lamar Smith, has already informed me that he will be having hearings on our legislation, Representative Fleming, and on other pieces of legislation regarding this type of reform that the CBO says very conservatively would save $54 billion over 10 years. The RAND Corporation says it would save more than that on an annual basis. So I did want to let my colleague know that hope is on the way, and we will continue to work hard on either our legislation or on anybody's legislation.
Maybe, Mr. Speaker, one of our colleagues who is on the Democratic side of the aisle would like to work with us in a bipartisan way. Maybe they've got an even better idea in regard to that.
I would like to yield back to the gentleman from Georgia (Dr. Broun).
Mr. Speaker, I have put up an additional poster
that I want to call my colleagues' attention to in regard to this very important point that Dr. Broun is discussing.
So far, 34 States and the District of Columbia have had to cut funding for K-12 education, which is 5 years old--kindergarten--through the 12th grade. Mr. Speaker, we all know that education has always been near and dear to the hearts of our Democratic colleagues. It is near and dear to the hearts of, hopefully, all of us on both sides of the aisle; but it has been a signature issue for the current majority Democratic Party. In doing something like this, in putting a Medicaid expansion mandate on the States, all of which have a constitutional requirement to balance their budgets, they can't just print money. Treasury Secretary Geithner and chairman of the Federal Reserve Bernanke want us to come up with another $600 billion worth of money. They can't do that. They have to balance their budgets.
So, if they have to expand Medicaid because of this requirement that Dr. Broun and Dr. Fleming are talking about, what do they do? They cut money for public defenders, first responders or education. It's just so counterproductive and counterintuitive. Thirty-four States already, plus the District of Columbia, have had to cut that funding.
I yield back to my colleague.
I thank my colleague.
Mr. Speaker, reclaiming my time--in fact, I will yield back to Dr. Fleming because I would, on this poster, again, that's here for my colleagues to peruse, this first item, the individual mandate--Mr. Speaker, there are probably 12 different line items, bullet points on these next two posters. We may not have time to get to all of them tonight, but we will continue this in another hour. But I want to hear what my colleagues have to say about individual mandate, employer mandate. Dr. Broun has already talked about the Medicaid expansion, but the cuts in Medicare? So I will yield to my colleague from Louisiana.
If the gentleman will yield to me just for a second.
Mr. Speaker, I just wanted to--and I know the gentleman from Louisiana and the gentleman from Georgia know this--to remind my colleagues, that cut to Medicare that Dr. Fleming is talking about, Mr. Speaker, is $528 billion over 10 years. It's about a 10 to 12 percent a year cut annualized, and it includes cutting Medicare Advantage $160 billion. It includes hospital cuts, cuts to hospice-- that organization that takes care of people that are dying of cancer-- cuts to nursing homes, home health cuts.
But again, it's kind of embarrassing almost to see these television ads, Mr. Speaker, about Medicare, or get some flier, some glossy flier in the mail--those of us who are on Medicare--touting the benefits that ObamaCare has brought to the program and how it's going to make it so much better, and yet it cuts $528 billion out of the program.
I agree with the gentleman from Louisiana, and I yield back to him.
Mr. Speaker, reclaiming my time, and I thank the gentleman from Louisiana.
And my colleague from Georgia may want some last few seconds of comments, and I yield to him.
If the gentleman will yield back to me for maybe a concluding remark.
And yes, the gentleman, Mr. Speaker, has brought up the ``R'' word, ``rationing,'' and that's exactly what we're talking about with regard to all of these bureaus and boards and agencies, I don't know, something like 40--I wish I had brought that chart with me--but comparative effectiveness is research, is Medicare, payment board--this new board, IPAB. These things are going to lead to rationing. And the folks, Mr. Speaker, that we are most concerned about are our precious senior citizens, our parents, our grandparents, who are the ones that we fear, because of this legislation, are going to get pushed under the bus.
Mr. Speaker, thank you very much. And as I predicted, we wouldn't get to all the bullet points that we wanted to discuss, but this colloquy, this Special Order is to be continued.
And I yield back.