Health Care Reform
Well, good evening, Mr. Speaker and my friends. We have just heard from the Democrats talking about their new foray into solving all the problems with health care, and boy, did it sound good to me. I have to say it really sounded good. The…
Well, good evening, Mr. Speaker and my friends. We have just heard from the Democrats talking about their new foray into solving all the problems with health care, and boy, did it sound good to me. I have to say it really sounded good.
The promises, essentially what I was hearing talk about, first of all, the costs are coming down and you're going to get free medical care and the quality of the care is going to go up. And gosh, if you were given a proposal like that, I don't see why anybody wouldn't say, Yeah, let's just march right ahead with socialized medicine. Let's let the government run it because they're going to bring the costs down, they're going to give you free medical care, and you're going to get even better coverage than you get now.
I also was hearing the fact that they talked about the muck of our health care system and how bad the health care system is, and how, if we don't immediately pass this legislation, that things are going to get even worse. But what we have in front of us is this absolutely euphoric view of a great health care system.
Well, first thing off that strikes me is a little bit of a problem with common sense, the first is, if our health care system were so bad, then it would seem like, to me, that Americans would be going to some foreign country to get their health care. But what I'm observing is that if I got sick--and I have been sick--the place that I'd like to be treated is in good old U.S.A. I don't want to go to Canada. I don't want to go to Great Britain. I don't want to go to France or Sweden. I don't want to go to Russia. No, I'd like to be sick right here in this country.
So it strikes me that a health care system that most people even around the world recognize as probably the most sophisticated and the best quality health care system in the world, we're saying that it is full of muck and that the system has to be completely changed around.
And so it's okay if you want to believe these promises, that what's going to happen when the government takes over the health care system is that it's going to cost less money. The trouble is the Congressional Budget Office doesn't say that and the estimates of the costs don't say that. And the States that have tried using the same approach that's being proposed here nationally, they don't say that either, because those States are almost bankrupt for trying to do this kind of a system, and yet, we're going to try to copy those bad examples.
We are just actually a few weeks, a couple, 3 weeks away from dealing with the other big problem that the administration has identified, which is the fact that the climate and the Earth is going to get worse and worse, hotter and hotter, and we are going to melt down. So we've got to deal with the problem of global warming by, what would you expect, a very, very large tax increase, the largest tax increase in the history of our country. I guess it was about $787 billion. That was the largest tax increase that we've done. We did that.
It was an 1,100-page bill that was brought to the floor, and then at 3 o'clock in the morning, in a special committee hearing, another 300 pages of extra text were added to the 1,100 pages, and the 300 pages being in the form of amendments to had to be collated and put into the 1,100 pages. So, as we were debating this wonderful bill on the floor, they were busy trying to collate this amendment that had been passed, 300-page amendment, at 3 o'clock in the morning. They're busy trying to collate that. So, as we're debating it here on the floor about to take a vote on it, there isn't even a copy of the bill that we're going to vote on.
So here we go again. Perhaps we did learn from our last experience that it's easier to pass something that people don't know what it is. And so here we go now with about 1,000 pages of bill in terms of what we're going to do to have the government take over 20 percent of the U.S. economy. The health care business is about 20 percent of the money that's spent in America. It's about 20 percent, or close to it, of our economy, and now we're going to have the government take--well, if you take a look at it, about half of it the government's already running with Medicare and Medicaid. So we've had some experience with the government running these programs.
The Medicaid program, of course, is noted for the tremendous amount of fraud and abuse that it has, but if you add the Medicaid and Medicare money, if you take a look at the total money we spent in health care, government's doing about half of it right now, but we're talking about having the government do the rest of it. And so that's where we're going, and I think we need to take a look at that.
When the government does take over various things, what tends to happen?
Is it noted for its efficiency? Well, usually what happens when the government takes over programs is you get tremendous excess in amount of spending. You get a lot of bureaucratic rationing. These are typical things in government programs. There's an inefficiency and a degraded quality. Those are the kinds of things that history would tell us happens when the government takes something over. That's what's being proposed here. Make no doubt about it, what's being proposed is the government is going to take over the health care system. And that has left people with this particular quip that, if you think health care is expensive now, just wait until it gets to be free. Then you will see what real expense means.
Well, let's take a look at how well this has worked in the past. One way you can tell whether it's a good idea to make a move or to do something particularly is to take a look at other people who have tried the same thing.
The State of Massachusetts decided in 2006 that they were going to require universal health care coverage that's very much like the current Democrat plan where people are required to purchase specific levels of health insurance.
Well, here's what happened. Health care costs have risen 42 percent since 2006--42 percent increase. Now we were just hearing from the Democrats that this thing isn't going to hardly cost anything. This is going to be a break-even because there's so much efficiency.
Well, what sort of efficiency is a 42 percent increase? And yet, health care access is down and the patients have to wait more than 2 months to try to get to see a doctor. So, is this the kind of thing that we think is going to improve what most people think is the best health care system in the world?
Health care costs now up in Massachusetts, they're 133 percent of the national average. Well, that doesn't seem to me to be producing these glorious results that I hear the Democrats talk about.
I just don't think that these people may have gotten over their euphoria from just managing to put 1,100 pages, with 300 pages that nobody could read or know what it was, and pass that within a day of the three o'clock in the morning when they made the amendments.
So here we go again. We're going to see if we can't pass another 1,000 or 2,000-page bill this week or next week--and it's a lot easier to pass them when people don't read them.
I'm joined here this evening by some very, very good friends of mine and some people who've done a number of years of study on the health care issue. I think that we need to talk a little bit about this. Before we go racing off to make some snap decisions, I think that we need to do that.
I'm joined by a number of my colleagues. I would yield to the gentleman. If you want some charts, help yourself.
This is Congressman Shadegg. He's from Arizona.
Just reclaiming my time, gentleman, I think you have asked an absolutely great question, because we just heard an hour from the Democrats. That was their whole point.
Their whole point is: We're going to somehow make the costs go down, which is a little hard to reconcile with a $1.5 trillion estimate. We saw 3 weeks ago that we jammed through the biggest tax increase in the history of this country. What was it--a $787 billion tax on energy? Anybody who flips the light switch is going to get taxed. And that's just a drop in the bucket compared to what we want to spend. And somehow this is supposed to be efficiency. That really stretches long on the conscience.
We have a number of medical doctors here today, and what I was just thinking about, Dr. Roe is from Tennessee. Did you put a program similar to this into Tennessee, and did you find that it really helped the economy of your State? I'd like to yield a little bit of time, then go to the doctor from Georgia as well in just a moment.
I wasn't going to blame you for that, gentleman.
Reclaiming my time for a minute. One of the troubles with doctors is you guys are so smart, you go pretty fast. You're going to have to slow this down.
What happened was the State government said, We're going to give you medical insurance. And so a bunch of people signed up for that. Then the companies that had the private insurance, they dropped theirs because you could go get the freebie stuff from the government. Then, guess what happened? The government stuff got really expensive and now the State's in trouble.
We have a Congresswoman that I greatly respect, Congresswoman Blackburn from Tennessee also. Do you have some more facts? I mean, you lived with it. I yield.
Wait a minute. The Democrats just said this is going to be really cheap. It's not going to be hard to pay for.
Reclaiming my time, the Governor of the State said it was a disaster in Tennessee?
Reclaiming my time, what you're depicting sounds like to me is one of those things they used to do, they charge people money. They get a railroad track with two huge steam locomotives, they charge them money, and they'd run them. It was a classic train wreck.
It sounds like basically what happened was the government engineered a train wreck in health insurance.
Dr. Roe, you were the doctor--you're a medical doctor. I assume you got into the doctoring business because you wanted to take care of people. What was it like to be there?
I yield.
Just reclaiming my time for a minute, I'd like to introduce the gentleman, because you're a medical doctor also. You got in the business to practice medicine. You're not from Tennessee. You're from Georgia. But Dr. Broun is a respected expert on the subject of health care because you have been doing it all your life. And I'm just thankful that we have you here. I'd like to you to continue commenting where we are because this is a very important discussion.
Reclaiming my time a second, now this supreme court justice, she was no right-wing conservative?
By politic standards of America, she would be considered liberal. Yet she is saying that this socialized system doesn't work. And access, just because you have insurance, doesn't do you any good. You can have a free C-section, but if you have to wait 12 months, it doesn't do you much good.
I yield back to Congressman Broun from Georgia. I think you had the floor for a moment there, and then I'm going to go to Congressman Gingrey, another medical doctor we have joining us. We have a lot of doctors here tonight, and I'm very thankful for your expertise, my friends.
Reclaiming my time, the laws passed here in Congress shut down a lab that you had to be able to treat people that had an upper respiratory type of infection?
They shut it down?
Reclaiming my time, I think you have really given us several very concrete examples in the health care business where the government involvement has basically run the cost of health care up. That is not a big surprise, is it? Because as we look at the regular marketplace, I think one of the examples would be the idea of Lasic surgery for eyes. That is one thing the government didn't get its big fingers into meddling, right? And laser technology has come along, and what used to cost thousands of dollars for a procedure now is done for hundreds of dollars. And so we have seen a dramatic decrease in the cost of good quality care just because the government wasn't tampering in it. Yet every time we see the government gets it fingers into things, the costs invariably go up.
I would like to get over to Congressman Gingrey from Georgia, another medical doctor joining us with many years of medical practice, also a former senator from Georgia and a great colleague. I yield time.
We are going to repeat this? Please continue.
Just reclaiming my time for a minute, what you brought up is an absolutely critical point. It is part of how they are going to try and pay for this humdinger bill. And what you are saying is they are going after small business.
Now a lot of us know small businesses have 500 employees or less, and they create 80 percent of the new jobs that are created typically in the economy. So if you target small business, now you are going to drive down employment. And that is significant.
I yield the gentleman from Arizona time.
I do yield.
I would like to yield time to Congresswoman Blackburn from Tennessee. I think you had a point.
And also the stack of that, that is just the beginning of the bill, and it has already given my eyes a headache from looking. What do you have, close to 9 or 10 inches of paper stacked up there, Doctor? That is just where we are now. We haven't done the amendments at 3 o'clock in the morning yet.
I do yield to the gentlelady from Tennessee.
Reclaiming my time, I just heard promise this thing doesn't cost that much, and yet the Congressional Budget Office, the original version was 3.5 trillion, and they've whittled it down to only 1.5 trillion is what we understand. And you're only talking $300 billion. And we did that huge, the biggest tax increase in the history of our country on energy taxes which is going to hurt our productivity, and that's only not even 800 billion. We're not there yet.
Reclaiming my time just a second, I'd like to go back over to Dr. Roe.
You were there. You're in Tennessee. You saw this experiment. Even the Democrat Governor said it was a failure. I'd like you to just finish fleshing--we have just a few minutes left. If you could finish, and then I'll close.
Let me just, I told Congressman Shadegg from Arizona I'm going to get him in. He had a couple of points, and we're going to jump over to you, Doctor. We'll get right over to you. I yield to the gentleman from Arizona.
Reclaiming my time, so what you're saying is, if you like it, you won't be able to keep it. That isn't true.
I promised I was going to yield over to the gentleman from Michigan, my good friend Mr. Hoekstra, and I will come back over to you, Doctor, in just a minute. Congressman Hoekstra.
Are you sure you're spelling that word right? It doesn't say ``czar''?
Reclaiming my time, gentleman, we're talking about the President of the United States firing the President of General Motors. We got ourselves into the insurance business, into the banking business, and now health care. What is it, 20 percent of all of American business? And we're going to have this commissioner, we're going to take another 20 percent the government's going to run?
I would yield.
I promised Dr. Broun that we would give him a chance here. We're getting close to closing.
Reclaiming my time, I would like to introduce another gentleman here who has been joining us at a number of key points and junctures, Congressman Scalise from Louisiana. I would appreciate your jumping into the conversation here for just a minute or two.
I thank the gentleman.
That's a great summary, and I appreciate your perspective from Louisiana. I think a lot of other people are seeing it this way, particularly the gentleman from Michigan, Congressman Hoekstra, with all of those--and he kept reading that word ``shall,'' ``shall,'' ``shall,'' ``shall.'' This doesn't look like any kind of free enterprise to me.
I would like to recognize the doctor from Georgia, Dr. Gingrey. I thought you said you wanted to do about a minute or so before we call it here.
I think that, perhaps, may be the Democrats' biggest nightmare--the fact, if we have time to read the bill, that the people will see that what is promised and what the bill says are two different things. That is certainly what we're dealing with here. You have the Blue Dogs. These are Democrats. They're asking their leadership to have this flexibility, and the bill goes the exact opposite of what they're saying.
I would yield to the gentleman from Michigan, Congressman Hoekstra.
You know, I really appreciate your summary, and we're getting close in time. A number of you have come to this same basic position. What we're really talking about here is freedom, isn't it? It's a subject of freedom.
Okay. I'll finish up and reclaim some time. Go ahead.