Health Care
Mr. Speaker, I am going to be joined during the course of this hour by Representative Thad McCotter of Michigan and perhaps others who may chime in during the course of the hour. Mr. Speaker, the big news on Capitol Hill this week and the…
Mr. Speaker, I am going to be joined during the course of this hour by Representative Thad McCotter of Michigan and perhaps others who may chime in during the course of the hour.
Mr. Speaker, the big news on Capitol Hill this week and the big news around the country was the Senate race in Massachusetts where, for the first time since the 1970s, a Republican, Senator-elect Brown, has been elected in the State of Massachusetts. You know, there are a lot of maps around this place, blue States, red States, and Massachusetts is one of those States that they really should come up with their own color of blue. I mean, it is the deepest of blue States.
And so it was certainly a surprising event, and a lot of pundits and a lot of people are scratching their head and saying, Well, what caused this? Is it voter anger? Are they mad at Republicans? Are they mad at Democrats? Are they mad at everybody? Or how about this health care discussion? And some of the exit polling that went on up in Massachusetts indicated that, yeah, people were concerned. People were concerned about the way that both the House and the Senate health care bill were being fashioned, the process that was being used, and then some of the provisions that were in it as well.
And so I thought during the course of this hour we would spend some time talking about at least what in my opinion are some of the difficulties with the way things are going with the health care discussion, and as well as Mr. McCotter's observations as well.
Before coming to the Congress, I was a prosecuting attorney and I tried cases in front of juries, and I always learned that people pay attention a little bit more and they learn a little bit better, Mr. Speaker, with their eyes than they do with their ears. So I brought with me a visual aid to help us during the course of this discussion.
With apologies to Hasbro, when I was a young person growing up, one of our favorite things to do, if the size D battery was working, was to play the game of Operation. We have modified the Hasbro game a little bit so we can talk about, from head to toe, some of the difficulties with--again, in my opinion and Mr. McCotter's opinion and apparently a good number of the American people's opinion--what's the matter with this discussion.
I want to start with the head up there in the Operation game. It's called a ``brain freeze.'' I've politely taken out ``brain freeze.'' Instead, we've put in ``CMS administrator.'' CMS is basically the organization that runs the Medicare program in the United States of America. It has a budget of about $700 billion a year. It's bigger than the Pentagon, and it will be tasked over the next little bit with implementing the rules and procedures of this health care legislation, either bill or some modification of the bill, and putting this thing into place.
So you would think, if you're a supporter of this health care reform that is barreling through the Congress, well, I hope we've got a topnotch guy or gal in charge at CMS.
Sadly, the reason that there is a question mark up there is that there is no administrator at CMS. As a matter of fact, the last time there was a confirmed administrator at the Medicare oversight administration was in 2006, October 2006. Of course, people who watch the calendar know that that wasn't all on President Obama's watch. It was in the last couple of years of President George W. Bush's administration. He nominated a fellow by the name of Kerry Weems, who was acting administrator, but the Democrat-controlled Senate refused to confirm Mr. Weems.
The interesting thing about it as you know--because people get accused of playing politics all the time. So you say, What was Mr. Weems? Was Mr. Weems like Rush Limbaugh? Was he like Glenn Beck? Was he some dyed-in-the-wool partisan? Actually, Mr. Weems--and this was written about him by one of the analysts: The nomination of Mr. Weems will be a departure from tradition. Historically, CMS administrators have either been academics or lobbyists. The academics often lack leadership and executive skills. The lobbyists often come across as too Machiavellian.
Since CMS was formed in 1978--it used to be called HCFA--there have been 30 administrators. Mr. Weems would have been the first administrator, if the Senate had chosen to confirm him in 2006, who actually was a career person who had worked his way up within the CMS structure. He was not a political hack; he wasn't a political appointee, but for reasons known only to them, the Democratic majority in the Senate didn't want to confirm him.
Now fast-forward to a year ago almost exactly, and President Obama is inaugurated. You would think that, if one of the big national priorities that we're going to talk about is health care, one of the first nominations or maybe the second nomination would be to get somebody in charge of this program so that when this rather large restructuring of one-sixth of the Nation's economy is passed that we're going to have our best talent on the ground, whether you agree with it or not. We are now 1 year and 1 day into the Obama administration, and we have yet to have a nominee put forward for that position. Certainly, we have not had anyone confirmed for that position.
Mr. McCotter.
I'd be happy to.
Well, I think there is some of that, but it's interesting that you should bring that up.
Just yesterday--and this isn't unique to the Obama administration. Every administration has a lot of jobs to fill. Just yesterday, the President of the United States sent up 40 nominations to the Senate to consider for confirmation under the Constitution so that they could begin to serve. There were some judges; there were some U.S. attorneys; there were some United States marshals. Interestingly enough, I found that he even had time to name two people to fill vacancies on the Marine Mammal Commission, but not one of those 40 is the new director of CMS.
Quite frankly--and we're not going to talk about national security today--you know, his nominee for the TSA, who are the folks who frisk you at the airport, just withdrew. We don't have any nominee in the pipeline for that either.
I'd be happy to.
We do.
I thank the gentleman very much.
So, if you begin at the head, clearly we have a problem in that we don't have anybody in charge should this health care legislation pass and become law.
We next go down to the Adam's Apple. I left the Adam's apple on the chart because the way this thing has gone--and it really epitomizes the entire last year. We were told we had to have an $800 billion stimulus bill by President's Day. Nobody knows why. It's not because we're going to spend it on Presidential stuff, but we needed to have the stimulus bill, so we got it
done. Now, people were embarrassed. It was 1,200-pages long. It was finally written in its final form at midnight on Thursday, and then we voted on it on Friday. I didn't read the 1,200 pages between midnight and about 11 o'clock in the morning when we voted on it, and I don't think a lot of people did. But when you legislate like that--people woke up, and they found out that that legislation specifically authorized Wall Street bonuses to a company called AIG that the President is now complaining about. He says this executive compensation has to stop.
Well, because we had to get the stimulus bill done by President's Day, nobody really read that, and as a result, anybody who voted for that--and the President signed it--authorized these tremendously large bonuses that they're now complaining about.
You then fast-forward, and we were told that we needed to have cap- and-trade legislation, the national carbon tax, in place by the Fourth of July weekend. Again, I don't know why. The Senate has still not acted on that legislation, and that legislation wasn't completed by midnight. Again, we voted on it on a Friday. The last 300 pages of that were not submitted to the Rules Committee, which meets upstairs in this building, until 3 o'clock in the morning on Friday, and we still then voted on it later in the day on Friday.
Just like the AIG bonuses, the Wall Street bonuses that the majority party sanctioned and voted for in those 300 pages, when you legislate like that, funny things happen. In that particular bill, people found out that things were regulated that they didn't know. If you have a water cooler in your home or in your office, it's regulated in these 300 pages. If you have a hot tub or a spa, it's regulated in this cap- and-trade legislation. Probably the most shocking to my constituents was the Christmas lights. If you have Christmas lights, they are regulated under this cap-and-trade legislation, which, thankfully, isn't going anywhere.
You know, I always tell my folks in Ohio not to worry. Christmas lights are only regulated if your display is 48 inches or above. So, if you are a fan of a short Christmas tree, you're okay. The government is not going to regulate your Christmas lights. If you get that wreath for the door, make sure you get the small one. Don't get the big one.
Well, again, there are people in this Chamber who think we should regulate hot tubs, spas, water coolers, and Christmas lights--I don't happen to be one of them--but again, the American public certainly and at least their representatives here in the Congress should have a chance to read what it is we're passing.
That then brings us to this health care legislation.
I yield to the gentleman.
I thank the gentleman for his throaty humor.
I would just say, you know, the setting up of that panel led to some of this discussion. People are talking about death panels and so forth and so on. I was never a big subscriber to that rhetoric, but it was strange that, shortly after that, the Department of Health and Human Services appointed a blue ribbon panel, which is what we do around here when we can't figure out what to do, and they came out with a recommendation that women under 45 didn't need to have mammograms as often as had been recommended in the past. Now, some would argue that one way that you could control health care costs is by rationing care or by not providing mammograms, for instance, even though mammograms have proven to really enhance the early detection of cancer and save lives in this country.
So it's that kind of stuff that gives fuel to these theories that there are death panels and all this other business; but if they wouldn't do this stuff, you wouldn't have some of these theories getting legs, if you will.
We went down to the wishbone because, you know, the President is going to come to this Chamber next week and give his first State of the Union Address, but it actually will be his third speech to a joint session of Congress. The last one was on the matter of health care. I remember that I actually applauded the President because he indicated that--and you know, again, there's a lot of misinformation out there about this health care proposal--if you have health care and if you like your health care, you get to keep it.
Well, the wishbone is we have about 8 million people in this country who wish they could keep their health care under either the House or the Senate proposal. Sadly, one group that cannot is the group of people on Medicare Advantage. I don't know how many folks in the gentleman's district are on Medicare Advantage. I have about 14,000 people. The satisfaction rating is high, but there will be no more Medicare Advantage. So, you know, it's hard to figure out how that statement ``if you like it, you get to keep it'' fits with the fact that, well, you get to keep it, but there isn't going to be any more of it.
On top of that, health savings accounts will also be eliminated. We've got a lot of people in this country who, in order to sort of take care of their own and to be good consumers of health care, set up health savings accounts as a result of legislation we passed here in 2005, Medicare part D. No more health savings accounts. No more flexible spending accounts.
So the rhetoric--I mean, I think, as a principle, if you like what you've got, you should be able to keep it. Don't mess with me. Let's fix what needs to be fixed, but that's not true, sadly, and that's where the wishbone comes in.
I next want to get to the funny bone because this is one of my favorites. Again, during that speech and during other presentations that the President has made during the course of this discussion, he has--and I think correctly--indicated that the drafting of this legislation should not be done behind closed doors. It should not be done in private. It should not be done by a small group of people. It should be done, you know, certainly with the participation of the 435 Members of Congress and with the 100 Senators and others. I think he even suggested and others suggested that it should be on C-SPAN. So this is funny:
It's not on C-SPAN. Funny. Not only isn't it on C-SPAN, until this thing got derailed by the Massachusetts Senate election, this set of decisions was being made by--I know that our team here in the House was five people. Most of them were from California, strangely enough, and there wasn't a Republican in the bunch. I don't know who the Senate team was, but they met in private, behind closed doors. There were no C-SPAN cameras, and there was certainly no public knowledge of what was going on in those negotiations. So the funny bone is funny. It's not on
I thank the gentleman.
The gentleman may remember--and I didn't have this experience--that, during the month of August, there were a lot of town hall meetings on YouTube where people were standing up. Basically, they had done some research online, and they had looked at--I think the bill was called H.R. 3200 at that time, or maybe it was 3400. They'd actually read it. I did 18 town hall meetings during that time, and I didn't have any angry mobs or anything like that. What I did have, on more than one occasion, are some senior citizens in the front row with a computer printout. They asked, Well, why is this provision on page 196 in the bill? Why are you doing this?
The greatest concern and what people get, and it is both the House and the Senate bill: when the President was here he said, We agree on 80 percent of this stuff. We do. In America, if you have a preexisting condition, you should have insurance, and you should have the opportunity to be insured. I think if you can't get insurance, we need to find a way to get you covered. I think that you shouldn't have to stay in a bad job just because you are afraid of losing your health care. So the President was right, 80 percent of that.
But if that is the case, why then, to take care of these identifiable problems that people say, yeah, that is not fair, we should fix that-- why then do you have to do the other monkeying around? And the other monkeying around truly, as far as the seniors are concerned, both bills take about $500 billion out of Medicare. Now, why do you have to short the people that are receiving Medicare by $500 billion to take care of these other problems? And people understand that, and that came through loud and clear during the month of August.
I yield to the gentleman.
I thank the gentleman for his observations and hope he can stay with us for the rest of the hour.
I was just reminded, Mr. McCotter and I are both lawyers; the gentleman is a doctor. Back home, when people say, I practiced law for 30 years, they say, When are you going to stop practicing and really do it? But it is another subject.
All right. I want to move down a little lower on our buddy here, and we have pork ribs. In the original game, it is just ribs. I call them pork ribs because, interestingly enough, in the Senate bill--I am going to talk about the Senate bill for a minute--they have trouble. Go figure, they have trouble even though they had 60 Members, now soon only 59. But 60 Members who were members of the Democratic Party, which is filibuster-proof and everything else, but they were having trouble getting it across the finish line. So there were some pretty highly publicized slabs of pork that were and are in the Senate bill.
The reason it is relevant is that after the Massachusetts Senate race, there was some discussion--and I see today that the Speaker has rejected it--but there was some discussion that, because they have lost their supermajority in the United States Senate, that they just bring the Senate bill over here for an up-or-down vote in the House of Representatives. So it becomes relevant what is in the Senate bill, as well as what is in the House bill.
There was a column in the Washington Post. Now, I have been here for 15 years. The Washington Post is not a real right-wing, right-leaning newspaper. And it was a column written by a guy named Dana Milbank. Aside from reading his column every once in a
while, I see him on that show with Keith Olbermann, ``The Countdown.'' He doesn't strike me as a Rush Limbaugh, Glenn Beck type, either. But he was apparently moved to put pen to paper, and he talked about the slabs of pork in the bill.
And you can begin with the Louisiana Purchase. Apparently, in order to get the Senator from Louisiana, Senator Landrieu, on board, she received $100 million in 2011 in extra Medicaid money for Louisiana.
Now, why is that important? Because, as both gentlemen have correctly pointed out, the centerpiece of this bill--how do you take, whatever the number is. Some people say it is $47 million, some say it is $30 million, some people say it is $15 million. How do you cover more people without it costing money? Everybody gets that. And so clearly, when you say that some of that is going to be taken up by the Medicaid systems within the States, it is going to cost those Medicaid systems more money.
So Senator Landrieu said, Well, in order to get my vote, okay, it can cost more money in Tennessee or Michigan or Ohio in Medicare expenses, and you all can pay more taxes, but not the folks down at the Mardi Gras. We are not going to pay that.
Probably the most famous one, Mr. Milbank wrote about it; I call it the Corn Husker Kickback. Senator Ben Nelson was much publicized, and Senator Nelson got an additional $100 million in Medicaid money, and he then became the 60th vote that was necessary to clear the Senate.
You have got Gatorade. There is another Senator down in Florida, and he got an exemption. I talked before about, I wish I could keep my health care. Well, there are a lot of seniors in Florida, and about 800,000 of them are in Medicare Advantage, which is eliminated under both bills. In order to get Senator Bill Nelson's vote down in Florida, he got to keep all of his Medicare Advantage people in Medicare Advantage. But in our States, if this were to become law, they are out.
I want to go to Montana. The head of the Finance Committee over in the Senate, Senator Max Baucus, of course is from Montana. He secured Medicare coverage for anybody that has been exposed to asbestos. Now, I think that is okay with me; but you have got to read the fine print in all of this business. And it only applies to people who were exposed to asbestos who worked in a mine in Libby, Montana. So again, Ohio, Tennessee, all the other 49 States, if you were exposed to asbestos, you are not covered; but if you are from Montana, you are.
I yield to Mr. McCotter.
I thank the gentleman for that observation. And just cueing up on the doctor's comment earlier about NICE and Great Britain, there are a lot of stories. You hear stories of people in Great Britain love their coverage, some people hate their coverage.
One of the stories that I have seen is there is a condition that you probably know, macular degeneration, where the back of the eye degenerates and eventually can lead to blindness. It is tied in many cases to people who are diabetic. There are a number of drugs that can help slow or even move towards a cure for macular degeneration.
The NICE program, the NICE board which we are now modeling this board that Mr. McCotter talked about in the United States, apparently will not approve the best drug, the drug that has the greatest results. And I get that. I mean, there is a big fight between the boutique drugs and generic. But they will only cover one eye. They won't cover both eyes. So it sets up sort of this strange situation.
I haven't been to England lately; but if you go, it is sort of everybody is going to have an eye patch. It is going to be okay on International Pirate Day, but it is probably not going to work out the rest of the year. But those are the choices that you wind up getting in.
Before yielding to the gentleman from Michigan, I just want to finish the pork rib so we can move on to sweetheart deals and the rest of our patient here. We may have to come back and do this again to get through all of the time.
But the last pork rib I want to talk about is two Democratic Senators from the State of North Dakota, Senators Dorgan and Conrad. They, through their skill, were able to get a provision bringing higher Medicare patients to hospitals and doctors in frontier counties. Now, they weren't as blatant as some of the other ones that say it's coming to Florida, it's coming to Nebraska, but frontier counties.
I guess I'd yield to the gentleman from Michigan for his thoughts. First, I want to just ask him to answer, Do you have any frontier counties in Michigan, because we don't in Ohio.
Does the gentleman have an observation he'd like to make?
I'd yield to him.
It's interesting the gentleman should make that point. Senator Reid of Nevada, of course, is the majority leader on the other side of the Capitol in the Senate, and he was asked about these special deals. The gentleman's correct; it takes a bill that I think is flawed and now makes it not fair. It's not fair to Ohio, Tennessee, Michigan, and other States that we're going to pay higher taxes to take in the people that can't get insurance into our Medicaid program, and the people in Louisiana and Nebraska and Florida aren't going to have to do that. But Senator Reid was asked about that and his quote was: There are 100 Senators here, and I don't know that there's a Senator that doesn't have something in this bill that isn't important to them.
I think I agree with that. If they don't have, then it doesn't speak well of them.
Now, I've got to tell you, our Senators back in Ohio, nobody likes this stuff. But I've been in places where they asked, How come you didn't get? Ben Nelson got. This guy got. Why didn't you get anything? So the gentleman is absolutely right. It's a flawed bill, but now in the Senate it's been made worse because now it's not fair because people in Nebraska and Iowa and North Dakota and Florida and Louisiana are going to be treated better than the constituents in our State. That's not fair. That's not fair.
Well, thank you.
The gentleman makes a great point, because you would think that the Governor of Nebraska, who doesn't have to go find $100 million to put into the Medicaid program and a budget that's strapped, would be doing cartwheels over this deal. He was quoted just like Senator Reid was, and he said, Nebraskans did not ask for a special deal, only a fair deal. Under no circumstances did I have anything to do with the compromise. I, along with Governors all across America, have expressed concern about the unfunded Medicaid mandate. I have said all along that this bill is bad news for Nebraska and bad news for America. Additionally, I've criticized Senator Reid when he got a special deal for Nevada that didn't apply uniformly to all States. Our Senator negotiated this deal rather than a fair deal for both Nebraska and America.
Again, if you're the chief executive of Nebraska, you think you'd be happy about this because part of your budget problems have just gone away as a result of this deal. But they recognize the gentleman's point exactly. As Americans, they want everybody to be treated fairly, even if it's at the cost of they could have gotten something extra.
Sure. Happy to.
I thank the gentleman.
Perhaps it's still because you're still practicing after 30 years they didn't feel that they wanted to solicit your opinion. I would say that I actually introduced a bill, and it wasn't 2,500 pages long. It was 85 pages long. It was written by the American Academy of Physicians. I didn't write it because I'm not smart enough to figure that out. They wrote it. It didn't cost what this cost. It covered everybody, took care of preexisting conditions. Around here, when you want an amendment to a bill, you've got to take 50 copies up to the Rules Committee, and so I got a mule and took 50 copies of this 85-page bill up to the Rules Committee. They didn't even think about it.
Now, what's the danger? Here, back to process, you talk about process and people's eyes sort of glaze over. But the stark reality is on this side of the aisle there are only 178 Republicans. Over here there are 257 Democrats, and the magic number here is 218. You get the simple majority, you're able to pass legislation, unlike in the Senate. So what are they afraid of? If they had made in order for 5 minutes the opportunity for me or you, as a physician, or Representative McCotter, as a representative of about 700,000 people in Michigan, say, ``You know what? We don't like your thing but we have an idea to improve it, maybe make it a little bit more bipartisan,'' what is the danger in letting us talk for 5 or 10 minutes, vote on it, and then move on? They can squish you like a bug. I've said back home, at 178-257, we can't stop a one-car parade. And so this talk out there that somehow Republicans are stymieing this effort--we can't. We just don't have the ability based upon the makeup of this Chamber.
Their problem has been that some Democrats are fighting with other Democrats. And if you look at how this thing is falling apart, some people think it's gone too far. Some people think it's gone not far enough. Not many people think it's just right or else we'd have the legislation on the floor.
I want to just skip past the next two, and I would invite the gentlemen to come back and maybe we'll spend a whole hour on the next two, but one is an arm and a leg. We could talk all day about what it costs. The one thing I do want to mention about the cost is, you look at CBO. CBO scored the first bill, I think it was $1.6 trillion over the life of the bill. It was going to be an additional cost. The Senate bill is about a trillion, and they pay for it. And that's where the ``hard to stomach'' comes from, the new taxes and fees that are going to be hard to stomach to pay for this thing.
But the amazing thing to me is that people around here were bragging that it only costs a trillion dollars, but the taxes--the taxes and the fees would start now. If this bill had been passed and signed into law by the President, they would begin taxing all the things we'll talk about another day today, but the benefits that they are proposing to give to people don't come in until 2013.
Now, the three of us I don't think would be in the Congress if we had invented a business that we could come to people and say, You know what? I would like you to pay me a hundred thousand today and for the next 4 years, and in 2013 I'll get around to building you a house or getting you a car, whatever the case may be.
So it's not just a trillion dollars. It's not just a trillion-and-a- half dollars or whatever the figure is. It is a trillion dollars once you start the benefits after you've been collecting taxes for 4 years.
The gentleman from Michigan.
I thank you.
I want to get to my favorite one. This is ``you've got to be kidney.'' We talked at the top of the hour about some of the things that were in the stimulus bill, some of the things that were in the cap-and-trade legislation, but when you rush through a 2,000-page bill, it's got a lot of stuff in it. And I have ``you got to be kidney,'' and maybe the two gentlemen have an observation about it. I thought a couple of things came to my mind about ``you've got to be kidney.''
This is a bill about health care, about taking care of people who are sick, making sure that people get health coverage. There is a provision in the bill that gives veterinary students--people training to be doctors to take care of horses, dogs, and cats--they're able to tap into a $350 million fund to pay off their student loans. Now, I like veterinarians. I don't want to get in trouble with veterinarians. I think they do a great job. But what in the devil does a veterinarian have to do with a health care bill to provide better health care for people in America?
My second statement, before I yield to the gentleman, is that there is a provision in the bill that somehow--I think some of the drafters of this legislation think the people who we represent are stupid. So it's their proposal that they are going to require--and I'm sure it's not going to be at no cost--every vending machine in America to have a label that tells you whether or not what you're about to buy is good for you and what's in it, what's not in it, and so on and so forth.
Now, I have got to tell you, if you look at me, I'm not such a healthy eater. But I will tell you that I know when I put 80 cents in the vending machine in the Rayburn House Office Building, and I'm going to get one of those Hostess Cupcakes with the delicious cream filling, it's not good for me. I know that. We don't need to make that Ho Ho $1.50 because the Hostess people have to put a label on there telling me, you know, that if you eat this, you're probably going to gain weight.
I would be happy to.
The gentleman is being facetious.
So those are two things that jumped out at me. I don't know if either gentleman would like to add to that before we move on.
I do take umbrage with that, Doctor.
We have about 10 minutes left, and I know the gentleman from Michigan is sort of an expert on this. This goes, again--if you like your plan, you can keep it. We have called it thigh- quality plans, which of course is high-quality plans. And in the Senate bill, in order to pay for some of this business, the gentleman maybe could enlighten us on what it is they do to people that have--either provided by their employer, their labor union or by whatever--a plan that really takes care of them and their family, a little pricey, but it takes care of them. I would like the gentleman to share his thoughts.
I thank the gentleman. Just to get to the last two, and then we will come back for another hour another day. This painful business down here on the foot, that's called a corn. And of course during the last election, a lot of people became familiar with an organization by the name of ACORN. Again, when you talk about what was handed out in the Senate, the Senator from Illinois who was the replacement for Senator Obama when he came President Obama, Senator Burris, is claiming a provision in Senator Reid's manager's amendment that could funnel money to ACORN through the health care bill. Specifically, for those that care, it's on page 150, and it says that ``community and consumer-focused nonprofit groups'' may receive grants to ``conduct public education activities.'' So we have ACORN. And again, I'm not going to talk about all the other ACORN stuff. But what does ACORN have to do with lowering the cost of health care and making sure that people are provided?
To wrap up, the last one that we have is a kind of tricky medical, the Achilles' heel. And I put the Achilles' heel on this chart because the Achilles' heel of this entire plan, in my opinion, is the will of the American people. The American people have spoken up. They have spoken up in Virginia and New Jersey and Massachusetts. They're speaking up on the streets. They spoke up in August at town hall meetings, and it's a strange thing. I have seen a couple of articles that say that the Senate has a really tough job after they passed their bill around Christmas because they have to go home and try to convince people that a bill they don't want is good for them. I have been in public life for about 20 years. That's a strange paradigm.
So closing thoughts from the gentleman from Tennessee.
Well, just taking back my time for a minute. They say we have 5 minutes left. So we are going to be okay, and we'll get to Mr. McCotter for a closing thought.
But there was a focus group in Massachusetts the night of the election, run by a pollster named Frank Luntz, and there was a physician in the focus group. He mentioned that exact point. He said, Why don't you have malpractice reform? Why don't you stop this needless double testing to make sure that you don't get sued? Actually, when our proposal was put forward, the bean counters indicated that that would save to the system $56 billion a year.
Now to the gentleman's point about the high-quality plans: Why wouldn't you take that $56 billion a year out of frivolous lawsuits so that these folks that have negotiated for good-quality health care for their families don't have to pay a 40 percent income surcharge on income that they're not receiving?
Thank you. And I yield to the gentleman from Michigan for his closing thoughts.
I thank both the gentlemen for participating. I will just say that in light of this election in Massachusetts, I have hoped that the administration will push the reset button, and we would take the President at his word when he came here to this House. Let's get a bill. Let's get something done on the 80 percent that we can agree about. We can fight for the rest of the couple years on the 20 percent we don't. But let's get something done for the American people.
And not to use percentages, but as our friend here in the Operation game, my folks back home are saying, We need to take care of the things that, Doc, you've talked about. Why though, in order to take care of the 15 percent of the people we have to deal with--that's the estimate--do we have to mess with the other 85 percent? We have to mess with the people who have good quality health care? We have to take $500 billion out of Medicare? People don't understand it. And I don't blame them for not understanding because I don't understand it either. And I just have to say again, you've got to be kidding.
I thank you both for participating, Mr. Speaker. I thank you and yield back.