Growing The Government
You're very kind, Mr. Akin. I wish I believed what you said about me. You know, I was intrigued by the original chart that you had up there when government does too much. Sometimes we tend to overlook that. I have always contended that the…
You're very kind, Mr. Akin. I wish I believed what you said about me.
You know, I was intrigued by the original chart that you had up there when government does too much. Sometimes we tend to overlook that.
I have always contended that the issue of health care we saw was foretold by our Founding Fathers over 200 years ago when they instituted a system of federalism, because they knew back in that time even though there were only 13 States in the original country--actually 11 when we started, eventually 13--that the Federal Government would always be too big to take--to do anything other than a one-size-fits- all approach. And that if indeed you wanted to have justice, take in the circumstances, creativity or perhaps a program if it failed, it didn't destroy an entire country. You had to have it done by State and local government. That is the value of it.
You know, they didn't limit the power of the Federal Government just for the fun of it. There was a reason and a purpose to it.
One of our great Justices on the Supreme Court once said, The Constitution protects us from our own best intentions. It divides power precisely so that we will resist the temptation to concentrate power in one location as an expedient solution to the crisis of the day.
Now, he was not writing, obviously, about the health care bill that passed this House, but it applies. And what we did was simply lose sight of the structure the Founding Fathers put in place to create balance and creativity and empowerment of individuals.
I'd like to talk simply about one of the things the States are doing, specifically in my State, because my State recognizes we have a unique demographic.
That is part of the issue.
Massachusetts has a program that is expensive. They appear to like it, but
it's very expensive. It would not work in Utah. Our program would not fly back in Boston.
Utah has unique demographics. We're a very young State. We have a lot of kids, whereas most small businesses, 42 percent of the Nation, provide insurance. In Utah it's only 32 percent. That's a unique demographic challenge that we have to face.
What would happen, though, if we simply go along with the PelosiCare that we passed is that every one of the small businesses in Utah rather than getting help to solve the problem would be hit with a 5 percent tax that would attack 5,500 small businesses already nickled and dimed. What they really want is for us to get off their backs with mandates and out of their pockets with taxes so they can solve problems.
So what the State legislature in Utah provided is a way of solving those problems by recognizing that small business has a great concern once they get into health care because they don't know what their costs will be over the period of time, and it's very marginal.
So what they have tried to do is come up with a concept which empowers individuals to choose. Small businesses now can give a pot of money they would be giving to an employee as a defined contribution, they could then go and buy the health care service that they want.
It's dangerous, isn't it? It's almost scary as we think about it.
But the goal is to have a clear, transparent index in which all of the options that are legal in the State of Utah--and right now there are 66 options from which people can choose. They are easily adaptable, easily accessible, easily understandable. If you change jobs, you're still in the insurance. So there's a portability.
Costs are stabilized for the business; employers now have options from which to choose. And this is only in the first year. It has had a phenomenal response, and we are just beginning.
If the Federal Government were then to try and help that out by doing simple things like allowing--removing barriers for cross-state purchases, doing tort reforms which would bring down the costs, the number of people who are truly uninsurable because of preexisting conditions can be shrunk to an area that is possible for States to easily handle and maybe even the Federal Government could give grants to that.
And by controlling your own money with your own choices.
When I go into a grocery store to pick up cereal, there's an entire wall of choices. I pick the kind I like. You would go in with me and you'd go over and pick another one. Why isn't the role of government to allow people to have choices?
I have one of my fellow teachers who was upset because in his plan the district only allowed him two options. If you actually go to a single-payer system by the Federal Government, you get one.
The State of Utah is saying there are 66 options, which is a comparative advantage of that. It also means one of the situations that we have in large business provides insurance for its workers. The owner or the manager picks what company it is and everybody has to follow along. In this program, the large business already providing insurance could do the same thing by providing the amount of money to an individual who could then go on the State index and pick what he or she wants to do.
Here is the kicker: this is a great idea.
You just took the words out of my mouth because that is the kicker. States have the ability of becoming creative. They are, as you were earlier quoting Louis Brandeis, becoming laboratories of democracy. They have the idea of making a system that meets the demographic needs of that particular State. What we should be doing is encouraging that kind of creativity, encouraging those kinds of options. But you are exactly right, with the bill that we passed the other week, that stops that concept dead in its tracks.
We may be comfortable today with what is defined as qualified. Unfortunately, and this is what the Supreme Court Justice was saying, the Constitution protects us from our own instincts of doing this, that by creating a commission that in the future will tell what the private sector will do when it is in competition with the Federal Government. What may be qualified in the future is not necessarily what is qualified today.
As you stated very convincingly earlier, if you have a specific need, what is your need may not be what some distant bureaucrat in Washington determines to be qualified. And, in fact, one of the biggest problems we have when people talk about health care, no one has ever really defined what health care actually is. Is cosmetic surgery part of it? Is mental health part of it? Nursing homes, are they part of it? What is the goal or purpose of it? We have yet to do that. See, that is what we are allowing a bureaucrat in the future to do as opposed to what some of the States wish to do in allowing citizens, employees, to have options and choices so they have control over their own lives.
If I can add one thing here, because I notice that we have been joined by two other colleagues who have given their entire professional career in this area. They know what they are talking about. I would add our Founding Fathers, sitting over there with their knee britches and their powdered wigs, knew exactly what we needed today because their highest goal was to provide individual liberty for the citizens so that people could make choices for themselves. They realized it is not the role of government to tell people what is best for them. That is a risk-aversive system of nanny government where we tell people what to do because we know what is best, and it is cheaper as we see it.
Our goal should be to provide people with choices and options that ennoble their souls and allow them to control their own destinies. The only way of doing that is allowing States to move forward on their own, as Utah is trying to do, and not be stopped by this Pelosi care bill which will stop the States' progress and all of the innovations that are taking place out there.
Some time we have to realize that you don't solve problems by putting a lot of experts in a room in Washington, D.C. There is a font of knowledge out there that is waiting to blossom and provide new solutions. Our salvation as a Nation is to go back to the Constitution and believe in federalism. That is how we move forward.