Thank you very much, Dr. Price. I appreciate you bringing the subject up for the people at home so that they can understand where their Medicare premiums are going and how the Medicare dollars are being spent. I want to also thank…
Thank you very much, Dr. Price. I appreciate you
bringing the subject up for the people at home so that they can understand where their Medicare premiums are going and how the Medicare dollars are being spent.
I want to also thank Congressman Dr. Gingrey, Dr. Boustany, Dr. Burgess and a number of the other physician Congress Members who have worked very diligently to bring this issue to the floor and ask the American people for their support and understanding of how to make health care more accessible to our seniors.
I think that having family members, like many of us, who are under the Medicare program, it is easy to see how Medicare has become more and more complex over the years and how each time there is one of these actions that you detailed chronologically, 1965 when it was implemented it was much simpler and easier. There were also fewer seniors at that time to cover. Then as time passed, the government looked for ways to reduce expenditures, reduce spending, but at the same time we saw other pressures coming to bear on the senior population.
We saw the fact that more and more people are living longer. They are having vigorous, active lives; and they want to have access to activities that will allow them to enhance those lives. They are working longer. They are active in sports.
In order to achieve that and to make sure that they can participate fully, and that is what I want when I hit those years as well, it requires a lot of work on the part of the physicians and the health care industry. That means that they have to have access to physicians; they have to have access to primary care doctors. And I was one of those before I was a specialist. I went through that residency. I know how hard that is, to take care of the whole person and to work and interrelate with a specialist. It is very difficult, and it requires the right kind of individual to do that.
We need to support it. And the primary care doctors are the ones who get hit sometimes the hardest. In your graph that you showed on which doctors are going to receive a little tiny bit more with that 5 percent cut, and the vast majority, 95 percent are going to get cut, quite frequently it is the primary care doctors who get stuck in that. And we want to encourage people to go into primary care and take that loving hand who will help our seniors.
But those patients are more complicated. They require more medical care when they do get sick, and they require more specialists to bring them out of those medical crises and restore them back to their health so they can get back to the business of living full quality lives.
I have been a physician for over 20 years, and I have watched as the Medicare situation has gone really from a situation of more and more complicated and the reimbursements now are going down, down, down. I have watched it, how it affects my father and my mother.
My father, who recently passed away, was lucky enough to receive veterans benefits. That really moved him out of the Medicare arena and allowed him to have access to the benefits he deserved through the VA.
My mother, on the other hand, has witnessed something that I hope others never have to see, but she actually has had a physician, a primary care doctor in a small town in south Texas, go bankrupt, go out of business.
That is shocking, to think that someone who has spent all the years that this doctor did in training and becoming a quality physician could then lose their practice. It is predominantly because in a small town in south Texas many of the younger people who have private insurance, some of them move away. And who are left? A lot of the seniors.
Now, it is not to say that is all that is left, but whenever that balance of having a larger and larger Medicare practice goes out of kilt, sometimes the physician can't even keep their doors open because there are so many patients who are there, complicated, elderly patients who need that care, and they can't get the reimbursement to keep those doors open, to pay their staff, to keep the lights on and to pay the rising medical malpractice insurance that goes along with it these days.
So the notion, knowing that that already happened to my mother and she lost that doctor who she really trusted and he went out of business, knowing that that happened before this cut goes into place, I shudder to think what will happen across small towns all over the Nation if they are visited with a 5 percent cut, not only in 2007, but then a large cut in 2008 and another cut in 2009. What will that do to the primary care doctors who are trying to give that care across the small towns of our country? We can't let that happen.
So I really support you today, Dr. Price, in asking the colleagues here on the floor, give the physicians an opportunity to continue to deliver care to the seniors. Don't make it so hard that they have to limit the flow of the seniors who are coming in their doors.
That will happen first. They won't out and out quit, but they will start to limit the numbers that they take. And that is also very disabling to a senior, when they call and say, do you take Medicare, don't make it so that they hear on the other end, I am sorry, we can't see you. That is not right, and we need to open the doors so that more seniors can have access to health care.
I join you in asking for that, and I hope that our colleagues will find a way to fix this situation and allow the seniors across the country to continue to receive the very best health care that is available in the world.