[Congressional Record Volume 158, Number 25 (Wednesday, February 15, 2012)]
[House]
[Pages H788-H794]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
GOP DOCTORS CAUCUS: SAVE MEDICARE
The SPEAKER pro tempore (Mr. Berg). Under the Speaker's announced
policy of January 5, 2011, the gentleman from Louisiana (Mr. Fleming)
is recognized for 60 minutes as the designee of the majority leader.
Mr. FLEMING. Mr. Speaker, once again the GOP Doctors Caucus comes
together to discuss important matters regarding health care. Tonight
we're going to focus on saving Medicare. This has been a very
interesting discussion going back to the days of the ObamaCare debate
where we talked about how we would finance ObamaCare. And lo and behold
in the middle of the debate, we find out that the Members of the other
side of the aisle decide that they're going to help finance ObamaCare
by taking out over $500 billion--half a trillion--$500 billion from
Medicare over the next 10 years in order to help finance ObamaCare.
Now if you think about this, the CBO states that Medicare may become
insolvent as early as 2016. So I think the focus right now with regard
to Medicare, an important part of our entitlement program, has got to
be how are we going to save Medicare. I have an array of colleagues
here this evening that are going to help me develop that issue.
Again, I'll go back to the financing of ObamaCare, and that is
cutting out over half a trillion dollars from Medicare in order to help
finance ObamaCare. And there are some other pieces of the financing as
well--the individual mandate which is soon to go to the Supreme Court.
And if that is struck down, that will be another piece of the financing
that won't be available. Tax increases, increases of taxes, excise
taxes, taxes on equipment, taxes on tanning beds, many different new
taxes, as much as $800 billion over 10 years of new taxes in order to
finance ObamaCare.
Then there was the CLASS Act, which was long term health care, which
the actuaries said from the beginning would not work. It would not
finance anything.
And then last, but not least, is the student loan program, which was
nationalized in order to siphon off profits from that in order to help
finance ObamaCare. And we hear talk now about forgiving those loans
which means that it'll probably be another bailout, like the mortgage.
So, Mr. Speaker, I have to speak out tonight on the fact that
ObamaCare is going to bankrupt this country if it is actually fully
implemented. But more importantly, Medicare will become insolvent as
early as 2016. We're going to be talking about how that's happening,
how we're seeing skyrocketing costs. And some of the things perhaps
that will be discussed tonight will be how we can save Medicare.
Again, in closing my initial comments here, I will have to emphasize
to you that our colleagues from the other side, inasmuch as they
somehow want to blame us for ending Medicare, which not a single Member
on the Republican side wants to do, of course, but they accuse us of
this, but in fact they have yet to submit a plan that will save
Medicare, will prevent it from becoming insolvent by 2016 or 2022,
depending on whom you believe.
So with these opening remarks, I would like to open the floor to my
good friend, Dr. Harris from Maryland, and would love to hear some of
your comments about saving Medicare and other matters having to do with
health care.
Mr. HARRIS. Thank you for yielding to me to speak on this very
important issue.
Mr. Speaker, as the gentleman from Louisiana has said, we really have
to talk about saving Medicare. Medicare is under assault in a way that
it has never been under assault before. The gentleman from Louisiana
mentioned quite accurately that the President's health care bill passed
2 years ago would take $500 billion from Medicare spending on our
seniors who are currently receiving Medicare--$500 billion. Now, how
are they going to do that? What are we not going to deliver to those
seniors?
Well, the way it's done is the President appoints the Independent
Payment Advisory Board, 15 appointed, not elected members, no appeal
from their judgment.
{time} 1900
What they're going to do is they're going to say in a year when it
looks like we're going to spend a little more
[[Page H789]]
on Medicare than the country can afford by the budget, we're going to
decide what can and can't be delivered. The President's budget he just
released this week makes it even worse because it sets even a lower
budget target for Medicare spending. And, of course, the President
doesn't even deal with the issue that's before the House this week,
which is what are we going to do about physician payments.
Now, Mr. Speaker, I represent a rural area of Maryland, Maryland's
First Congressional District, where it's already very difficult for
seniors to find a physician who is willing to take a new Medicare
patient because, to be honest with you, they're afraid that their pay
is going to be cut 30 percent at the end of this month, on February 29.
And the President, in his budget, doesn't even deal with this issue.
The President doubles down on the President's health care act. He
sticks to that $500 billion in cuts that are going to occur. And not
only that, he lowers the threshold for that Independent Payment
Advisory Board to begin rationing care to our seniors. We have got to
save Medicare.
Mr. Speaker, some of the people listening are going to say, well,
we're not going to believe these people. They all wanted to vote
against the President's health care bill. Mr. Speaker, they don't need
to believe us. Go to the Congressional Budget Office's Web site. It's
nonpartisan. It doesn't pick sides. It says that the Medicare plan is
going to go broke by the end of this decade. And if you don't believe
them, go to the Medicare trustee's Web site. Just go to Google and
search Medicare trustee's report. They say it goes bankrupt a few years
after that.
Mr. Speaker, the gentleman is right. We have to address Medicare, and
we have to address it now before the President's health care act
destroys health care for seniors. My mother, who is 88 years old,
depends on her Medicare. She depends on her prescription drug coverage.
She depends on it to have access to the physicians that she needs for
her health care. And, Mr. Speaker, I'm afraid that under the
President's plan, my mother, and millions of other Americans, our
seniors receiving Medicare, are just not going to have the care they're
used to and that they deserve. We need to save Medicare.
Mr. Speaker, I think we're going to hear about some of the ideas
tonight about how we're going to do that. So I want to thank my
colleague from Louisiana for yielding me these few minutes, and thank
you for coming to the floor and doing this work tonight so that we show
our Members and show the public who's watching how we have to save
Medicare for our seniors. Thank you for yielding to me.
Mr. FLEMING. I thank the gentleman from Maryland, my good friend, who
is an anesthesiologist, a practicing anesthesiologist for a number of
years and very experienced.
Before I recognize my friend from Georgia (Mr. Gingrey), I did want
to point out a couple of things. Remember I said a moment ago the CMS
actuary in this case projects the Medicare program could be bankrupt as
early as 2016. This is 2012. That's 4 years, Mr. Speaker.
Where is the Democrat plan to save Medicare? Republicans, on the
other hand, we've already passed a budget last year. We're working on
another one this year that would do that. We just could not get Harry
Reid to even salute it, much less have a vote on it.
Also, Medicare costs are projected to grow substantially from
approximately 3.6 percent of GDP in 2010 to 5.5 percent by 2035. The
physician payment formula in Medicare needs to be fixed or seniors may
lose their doctor as it costs $316 billion. And that's what Dr. Harris
was referring to, that it's already very difficult for doctors to make
it on what they're paid, and they're looking at a cliff of a 30 percent
reduction in their pay. If that goes into effect, Mr. Speaker, a lot of
seniors out there will not have access to health care.
So I want to show you, before I recognize my good friend, what this
means in graphic form. And as you can see, the purple aspect of this is
Social Security. The green is Medicaid and other health care. You see
it rising very fairly steadily, but plateauing. But look at the red.
That's Medicare. That is Medicare.
And in out-years, going all the way out to 2080, it just goes
straight up. Of course, that's largely due to an aging population, baby
boomers like myself getting older. But everything about this program
has way outdistanced any projections of what those costs are. So this
really takes it up to a point where Medicare alone, if not dealt with,
not reformed and saved, will eventually displace all of our budgetary
spending, that alone. And of course that means no defense, no nothing
else, no running government whatsoever.
With that, I would like to recognize my good friend, Dr. Phil
Gingrey, a gynecologist-obstetrician from the great State of Georgia.
Mr. GINGREY of Georgia. Mr. Speaker, I thank my colleague from
Louisiana for yielding. And as I look out over this packed House
Chamber, and I see seven of my colleagues who are in these, that are
participating in this Special Order hour on saving Medicare this
evening, I'm estimating that there are about 175 years of clinical
experience in the aggregate among these doctors.
I am very appreciative, Mr. Speaker, of the Republican leadership and
the leadership of our committees that deal with health care, and I'm
referring mainly to Ways and Means, Energy and Commerce, and Education
and Workforce. And many of the Members here tonight serve on one of
those three committees. So our work in the Congress, although not
exclusively on health care, I think each and every one of us is a
member of the House GOP Doctors Caucus, came to Washington, gave up our
medical careers with mixed emotions, I guess, but feeling that there
was a need--there was a need--that we had to try to address.
Thankfully, our leadership has committed to the House GOP Doctors
Caucus that we will be part of the discussion, and we will be part of
the solution to saving Medicare.
I think I can speak for my colleagues, Mr. Speaker, in regard to our
universal opposition to this new entitlement program, the Patient
Protection--and I call it the un-Affordable Care Act, sometimes
referred to as ObamaCare. We are opposed not solely because of its
threat to Medicare, but to a large part because of that. And my
colleague from the Eastern Shore, Dr. Harris, spoke of the amount of
money that was taken out of the Medicare program, something north of
$500 billion, and from a program that he also emphasized, as did Dr.
Fleming, that by a date certain, it could be as early as 2016, Medicare
part A, the hospital trust fund, will be broke. It will be insolvent.
There won't be any money there to honor those claims.
Mr. Speaker, the gentleman from Maryland, Dr. Harris, referenced his
aging mom, and I hope she's in good health. And we love our moms. His
mom is 88; my mom is 94, Mr. Speaker. And my mom's life is just as
precious to her as anybody's life in this Chamber that may be 60 years
younger than Mom Gingrey, Helen Gingrey, at age 94. But she depends on
this program. She wouldn't be alive today if it weren't for the
benefits that were available to her, whether it's medication under part
D or whether its the ability to be treated for cancer, which she
recently was and had a surgical procedure.
So I don't want to take too much of the allotted time tonight
because, my colleagues, I want to hear from them; but I just want to
say this, that we as the House GOP Doctors Caucus, in conjunction with
the physicians in the Senate, sent a letter 2 weeks ago to the AARP,
American Association of Retired Persons. I don't know how many people
age 50 are retired, but when you include all of these folks that join
AARP under the senior status, you're talking about 35 million or more
that are in that organization.
{time} 1910
So we felt very strongly, Mr. Speaker, that we needed to reach out to
this organization--which we did. I think some 26 Members, House and
Senate, signed a letter and asked them to meet with us. By the way, Mr.
Speaker, we did hear back from the executive director, Barry Rand, just
within the last couple of days.
So what we want to do is say to them, no matter where we have been in
the past in regard to issues of Medicare part D, the support of or
opposition to ObamaCare, clearly, surely we can all agree in a
bipartisan way that we have
[[Page H790]]
to save Medicare. That's what this hour is all about, to talk about
that. And I look forward to the opportunity, without a lot of public
fanfare, until we decide what we can agree on and what we can come
forward with in regard to saving Medicare.
We, the physicians, the health care providers in the House and
Senate, in conjunction with the American Association of Retired Persons
and other retired groups, the one that Jim Martin leads--one of my
colleagues will mention that in a few minutes. All of a sudden, I'm
having a senior moment on the name of that group, but a great group, a
great organization. We're going to work together on this. We're going
to go forward to the American people in a bipartisan way and say, you
know what, we're going to do it now. We're not going to worry about the
results of the next election. That will take care of itself. The
American people understand who they want in Congress and who they want
at 1600 Pennsylvania Avenue based on what we do to save these legacy
programs.
I thank my colleague for yielding me the time.
Mr. FLEMING. I thank the gentleman from Georgia, my colleague and
physician.
Let me say parenthetically here that what are some of the things that
we in this Chamber, we Republicans from the Doc Caucus--which, by the
way, is 23 strong, which includes three nurses, two dentists, and one
psychologist.
So what are some of the things that we agree on moving forward that
we really need in terms of saving Medicare?
Well, I can tell you one thing that everybody agrees on, and that is
that we need robust competition among providers--doctors, hospitals,
insurance companies. There is no reason why they shouldn't have to deal
with the competition of market forces. And why? Because everything in
America that we see improves improves because of the marketplace; that
is that when you compete, it makes you work harder; it makes you try
harder; it raises the level of effort; and, ultimately, you end up with
better quality service products and you end up with lower cost to the
consumer.
We also agree that we want choices for Americans. Today, there are a
lot of choices even for Medicare recipients that just aren't there, and
we want that to occur.
We also want to move away from a top-down bureaucratic system where,
again, a 15-member appointed board of bureaucrats--nameless, faceless,
unelectable, unaccountable people who are selected and who will not be
there to answer your call. We all agree that that is not a good thing.
Instead, we want a program, a system in which you can change health
care systems, you can change hospitals, doctor, insurance companies,
whatever you want to do, and there's lots of transparency in order to
do that. That's going to make the quality of care improve and the cost
go down.
I would now like to recognize another gentleman from Georgia.
Georgia, like Louisiana, is flush with physician Members in Congress,
but we'd like to have a few more, in fact. So I would like to recognize
my good friend Dr. Broun, the gentleman from Georgia.
Mr. BROUN of Georgia. Dr. Fleming, I appreciate you yielding me some
time.
Mr. Speaker, the American people need to understand very clearly that
this administration, this President's policy on Medicare, as well as
our Democratic colleagues here in the House and the Senate, can be
summarized by four Ds: They want to deny that there's a problem; they
want to delay fixing it; they want to destroy Medicare as we know it
today; and they want to demonize those of us who want to fix it so that
it is a good and solid program for the future generations of this
country.
That's exactly what we're trying to do here tonight is focus upon the
fact that, number one, they do want to deny it. They even deny that
there's a problem. They keep saying that they want to save Medicare as
we know it today, but Medicare is not sustainable as we know it today
because it's going broke. And it's going broke because of failed
policies of this administration, and it's getting worse and worse.
Hopefully, we'll see the Supreme Court throw out the Affordable Care
Act, the President's reform bill, which is going to be disastrous. It's
going to destroy the doctor-patient relationship. It's going to destroy
budgets, from individual budgets, businesses' budgets, States' budgets,
even the Federal budget. IPAB, as Dr. Harris was talking about, is
going to be disastrous because we're going to have rationing of care.
Our Democrat colleagues and this President want to deny that there is
any problem. They want to delay doing anything about it. In fact, the
Ryan budget, our budget that we passed last year, started the dialogue,
started the process of looking at trying to fix Medicare for future
generations. But our Democrat colleagues don't want to do that. They
want to delay fixing it. They just want to posture. They want to try to
do anything that they can to not face the fact that we've got to deal
with Medicare and the financial problems it has that my good friend
from Maryland, Dr. Harris, talked about.
Their policy is going to destroy Medicare. They're already destroying
Medicare Advantage. We've seen, as Dr. Fleming talked about, we've
already seen the President's Affordable Care Act has destroyed Medicare
Advantage and has cut $500 billion, one-half trillion dollars out of
Medicare. And then they want to demonize us who want to do something
about it.
I introduced my Patient Option Act, which is a comprehensive health
care reform plan. It deals with Medicare. It helps to save it for
future generations. I introduced it in the last Congress. We
reintroduced it to put in place a repeal section to repeal ObamaCare
and replace that disastrous law that we have in place, the Affordable
Care Act, for something that makes sense, that will lower the cost of
all health care services and products for everybody in this country.
We are tweaking it, and I'm going to reintroduce my Patient Option
Act just in the next week or two. It's just a little over 100 pages.
It's a comprehensive bill. It's market-based, and it puts the doctor
and patient in charge of making all health care decisions, not some
bureaucrat here in Washington, D.C., that the President and our
Democrat colleagues want to have in every single doctor-patient
relationship. Whether you're on Medicare or not, they want to insert a
bureaucrat from Washington, D.C., to make those decisions for you.
The American people need to know, Mr. Speaker, that our colleagues on
the Democratic side and this President, if they have their way, they're
going to deny there's a problem. They're delaying fixing it. They're
going to destroy Medicare as we know it, and they want to demonize us
that want to fix it.
We're not going to sit still. We're not going to have it. We're going
to continue to fight to make Medicare available, make insurance
available for everybody at a lower price. That's exactly what
Republicans are doing.
We have a plan--many plans. Actually, there have been numerous bills
introduced by many colleagues on our side, physician colleagues. Dr.
Tom Price from Roswell, Georgia, orthopedic surgeon, one of our Georgia
colleagues, introduced his plan. We've got many plans here.
So we're fighting to save Medicare. Our Democrat colleagues and this
administration, this President, are going to destroy it.
Mr. FLEMING. I thank the gentleman, my good friend from Georgia, a
family physician of note, and also one who has actually reentered the
U.S. Marine Corps as a reserve physician as well. I admire him for
that.
Before I recognize my friend from Tennessee, also another physician,
I want to point out something about Medicare that is very important for
everyone to think about.
Medicare was started in 1965 with a lot of promises, and the promises
have been fulfilled to those recipients who get the benefits of
Medicare. However, this big, beautiful apple, if you will, of Medicare,
unbeknownst to a lot of people, has been slowly rotting and decaying
from the inside financially in ways that the public can't see, in a way
that is very soon going to be evident. And why? The reason is because
even though folks pay their premiums into Medicare, they do not nearly
cover the cost of Medicare. In fact, they only cover about one-third.
The other two-thirds come from the providers themselves, and also from
the taxpayers.
[[Page H791]]
{time} 1920
And that's all well and good. There's nobody we would rather do more
for than those who are from the Greatest Generation, those who lived
through the Great Depression, World War II.
But the fact is, we cannot continue the same way. It will totally
bankrupt the country. And therefore we have got to heal this patient
and, that is, we've got to save Medicare.
I want to recognize my good friend from Tennessee, also an OB GYN,
one who came here in 2009, as I did. We've grown to be great friends.
And certainly, the best doctors are from the South, mostly from
Louisiana and Tennessee, I think you would agree.
With that, I yield to my good friend, the gentleman from Tennessee,
Dr. Roe.
Mr. ROE of Tennessee. I thank the gentleman for yielding.
Mr. Speaker, I want to thank all of my colleagues for being here
tonight. And one of the things in the Health Caucus we are so blessed
with are three new additions of registered nurses, psychologists,
dentists. We really cover the whole spectrum of health care in, I
think, 21 or 22 members of the Health Caucus now, 15 physicians. And
this is the first time probably in years that the House has had this
kind of support from the health care community around the Nation.
This weekend I had an opportunity to talk to my wife a little bit
about what my purpose was here in this House. I'm a veteran, as you
are. I served as a practicing physician, as almost, I think, every one
of the Doctors Caucus on the Republican side has been out for years,
decades, myself 31 years of private medical practice.
Medicare came along in 1965 when I was a college student. And the
reason it came along at that point was because half of our citizens,
when they retired, didn't have access to any health care coverage. So
there was a problem noted. And at that point in time, that plan started
as a $3 million program, really a skeleton program in the Federal
Government.
The government estimators--there was no Congressional Budget Office
then--but they estimated that in 25 years this would be a $12 billion
to $15 billion program. The actual number was $110 billion. Today it's
over $500 billion, and a very important program because you and I, Dr.
Fleming, have seen incredible advances.
I could sit here the rest of the night and talk about the last 30-
plus years of medical advances that have been applied to our patients,
and medications, surgical procedures that have improved the quality of
life of every American citizen.
One of the strange things that happened when I was a very young
doctor, 31 years old in Johnson City, Tennessee, I noticed that 30-
something years later my 40-year-old patients were in their seventies,
and they were on Medicare. And I have had a chance to follow them
throughout, really, most of their adult lives and see the care that
they got.
And one of the things I think that our Health Caucus and our
Physicians Caucus is absolutely committed to is saving Medicare. It's a
great program, but it is not sustainable.
One of the frustrations I've had here on this House floor is how can
you solve a problem you can't even talk about. When you're demagogued
and told that you're going to dump Grandma off a cliff, and you're
going to do this, that's not solving problems, that's throwing bombs.
I think this group of men and women are here to solve these problems.
Otherwise, I don't really have a purpose here in this Congress. And so
I'm going to commit myself, as I think our entire Health Caucus is, to
saving this vital program for our seniors.
It's been pointed out, pick your number; the estimators have been
wrong before. But what if they're right? What if they're even close to
being right? We've got to start solving the problem today and not wait.
The President's plan is to simply do nothing. Well, what are we
talking about doing? What are we planning on doing?
Before I get to that, I want to mention IPAB a little bit. This is
hard to explain in a minute or two on a TV interview we might do. But
the Independent Payment Advisory Board takes health care decisions away
from where the health care decisions ought to be made; and those health
care decisions ought to be made between a physician, the patient, and
that patient's family, not between the insurance company and not
between, certainly, a bunch of bureaucrats here in Washington, D.C.
Quite frankly, I don't want a Republican President putting them on
there, and I don't want a Democratic President putting them on there. I
want those decisions made in the examining room and the doctor's
office, between the family and the patient and the doctor.
Now, the IPAB, as Dr. Harris a moment ago mentioned, are 15
bureaucrats appointed. Look, we have 224 cosponsors to repeal this
bill, from Barney Frank to Phil Roe. There's a lot of room in that camp
to fill in, so all the Congressmen can be on this because it is a bad
idea.
My colleagues over here on the other side of the aisle, quite
frankly, did not have this in the House version of the bill, as you'll
recall. That came in the Senate version of the bill. So we need their
support, in a bipartisan way, to repeal this.
And why do we want to repeal it? We want to repeal it because it is
based not on quality of care and not on access of care. It is based
strictly on costs, and to squeeze more money out for the Affordable
Care Act, that's why our seniors need to get involved in helping us get
the Affordable Care Act, or the so-called ObamaCare plan, overturned
because they are interlocked, and the money will come out of Medicare.
So we have a bureau up here, a board that says you've spent this much
money, and if you spend more, then it's going to come out of the
providers. That's hospitals, doctors and other health care providers,
meaning that you will decrease access because they won't be able to see
their doctor. And when you decrease access, you decrease quality of
care, and no one in this country wants it.
Has it been done anywhere else in the world? Absolutely. It's done in
England right now. And we can go on with the horror stories of
rationing of care, because that is ultimately what happens. And who
gets rationed? Is it based on a certain age? Is it based on a certain
disease?
I don't think any physician in the world, I know morally I can't, and
ethically I can't do that. If a patient comes in, we have that
conversation with the family, we put out a treatment plan, and we
execute that plan.
Now, how do we save it? I know we're going to talk about that in a
little bit, but I want to point this out since I am on Medicare.
I got on Medicare last year. The day before I turned 65 years of age
I had a health care plan. And in this health care plan was a
hospitalization. It had a drug benefit; it also had the ability for me
to go see my doctor. So it was a health care plan.
Medicare has part A, part B, part C, part D. The only reason it's
chopped up in parts like that is because politicians put it together,
not an access, not a way to see your doctor.
What I think should happen to you when you're 65 is you should have a
health care plan. It has prescription drug benefits, hospitalization,
doctor benefits, and testing benefits like any other.
And so what will we do, and how do we plan on doing this? It's not
hard at all. The premium support that we're talking about is, just act
like the Federal Government, the day before, when your business, your
employer paid that part of the premium, the Federal Government will pay
that premium, and the other part will be paid by you, as an individual.
And higher-income seniors like us right here are going to get a bigger
piece of that. And lower-income seniors are going to have a small piece
to pay.
Or if you want to stay on traditional Medicare, you're allowed to
stay on traditional Medicare. In doing this, we can save this very
vital program for our seniors. And I'm willing to sit down, as anybody
in this caucus is, to talk to our seniors about how we're going to help
save this.
I want to thank you, Dr. Fleming, tonight for holding this Special
Order, and my colleagues for coming down here.
Mr. FLEMING. I thank the gentleman, Dr. Roe, for his very insightful
[[Page H792]]
comments. And we're beginning to pull the cover back on what some of
the solutions are.
I will point out this evening that, you know, it's interesting the
way physicians are trained. We're trained to be problem solvers. We're
trained to look for solutions. And sometimes it's like mixing oil and
water up here in Washington because there are a lot of people who've
been up here a long time who don't think in terms of solutions.
So we're committed, all of us, our physician colleagues and nurses,
psychologists, dentists, to continue to apply the pressure to move
forward in solving problems for the American people.
I'd now like to yield to another physician from Louisiana. He's
actually a hepatologist. And I know that some who may be hearing me
speak right now may not know what that is. It's basically a specialist,
a physician specialist in liver disease, and also a gastroenterologist
as well.
With that, I will recognize the gentleman from Louisiana, Bill
Cassidy.
Mr. CASSIDY. Thank you, Dr. Fleming. I always tell people
hepatologist--no, I don't do snakes. I do liver disease. We have to
make that correction.
I just want to kind of pick up where Dr. Roe left off. A lot of folks
say, heck, how did we end up with Medicare going bankrupt when they've
paid into it their whole life? Well, if you work backwards, it began,
if you will, or maybe the most recent insult, was the fact that the
President's health care plan, the Affordable Care Act, took $500
billion from Medicare. Instead of putting it back into Medicare to
support the program, it used it to create their new entitlement.
{time} 1930
Now, that's important because as the graph you had earlier showed, at
our current rate of going forward, by 2030, I think it is, Dr. Fleming,
you have it right there, roughly 2040, 2045, Social Security, Medicaid,
and Medicare will take up the entirety of our Federal budget. Whatever
tax dollars we receive by 2045 will be entirely consumed by those three
entitlement programs.
Do you have that graph where there is the debt on there as well?
Mr. FLEMING. This is the only graph I have.
Mr. CASSIDY. So by 2030, I think it is, if nothing changes, Social
Security, Medicaid, Medicare, and the national debt will consume 100
percent of our tax revenue. Clearly, we have to preserve this important
program.
The other thing I'd like to point out to people is, in 1964, when
Medicare was conceived, people were having, on average, four kids per
family. So the folks that came up with Medicare said, Well, people are
having four kids per family now, most likely they'll continue to have
four kids per family going forward. Let's make this a pay-as-you-go.
There will always be four people paying for the two people ahead of
them. It turns out families have shrunk.
Now I'd point out in most crowds, most people have more brothers and
sisters than they do children. Families have decreased in size. Instead
of on average four kids per family, now there's about 2.5. That
demographic shift has made all of the difference. Instead of a pay-as-
you-go program where there is always as much money coming in as we
needed to pay out, what has happened is families have shrunk, you have
a large number of baby boomers, and then their parents, and beneath it,
you have kind of a tree, if you will, where it goes straight down.
Instead of the pyramid originally thought that would occur, we now have
something that looks like that and then goes straight down.
There is no longer this broader base of people paying in.
We're not the first to recognize this. John Breaux, the former
Democratic Senator from Louisiana, was appointed by President Bill
Clinton to say, Listen, the demographics are changing. How do we
preserve Medicare? It was actually John Breaux, a Democrat, who first
came up with the premium support model.
Now, we speak of it sometimes as a Republican plan. No. It was
originally a Democratic plan, and it was a bipartisan commission. It
came up with this premium support model as a thing that would save
Medicare. As it turns out, President Clinton became distracted with the
Monica Lewinsky affair, if you will, and it kind of got pushed to the
wayside.
This same Breaux carry model conceived of in the nineties is the
basis for what is now the bipartisan Wyden-Ryan plan.
Now, although Dr. Roe spoke of it earlier, it's worth going back
over. If you're 55 and above, nothing changes from the Medicare program
you've always known. If you're 55 and above, if you're already on
Medicare because you're disabled, nothing changes. If you're 54 and
below, like I am, the program changes to premium support.
Now, in the premium support model, it works kind of like Medicare
Part D. I find the program that best fits my need. I choose the program
that I want. If I'm very wealthy, I pay a little bit more. If I am
poor, I pay nothing at all. But if I'm middle class, I pick the program
I like. If it's a frugal program, then I pay less out of pocket. If
it's a bells and whistles program, I may pay a little bit more out of
pocket--much like the Medicare Part D program that seniors now get
their drug benefit from. By the way, a Medicare Part D program that has
an 80 percent approval among seniors.
Mr. FLEMING. If the gentleman will yield.
Mr. CASSIDY. I yield to the gentleman.
Mr. FLEMING. By Medicare Part D, you're referring to the drug
program, which is the last piece that was added where there was a lot
of debate about top-down, government commanded pricing or a market-
based system. They ended with a market-based system, and that reduced
the cost by 40 percent.
Mr. CASSIDY. If I may reclaim my time, because of market forces, not
only is Medicare Part D incredibly popular among seniors, but its costs
are 40 percent cheaper than originally conceived. That is the power of
giving the patient the ability to go from plan to plan. If she doesn't
like that plan, next year she chooses another, and the bad plan goes
out of business if enough seniors do that. That's the same concept
behind Medicare Part D.
We have other colleagues to speak. I'll add one more thing. I'm
always struck when our Democratic friends say they want the American
people to have the same type of plan that Members of Congress do. The
premium support model is the same type of plan you and I have. We pick
among an array of programs. We pick the one that works best for us that
matches our pocketbook.
If we're poor, we pay nothing at all. If we're rich, we pay a little
bit more. But most of us in Congress are in this middle range, we get
the plan that most fits our needs. That is the Wyden-Ryan plan totally.
We actually give the American people the same sort of deal that Members
of Congress get.
So that said, thank you for allowing me to join you, Dr. Fleming.
Mr. FLEMING. Just to reiterate, we in Congress, despite what a lot of
people think, we don't have any kind of special health care plan. We
have the same plan as all other Federal workers, and that is simply to
go on a Web site or in a booklet and choose from hundreds of excellent
health plans that are competing with each other for our business. We
pay part of the premium; our employer, the Federal Government, pays the
other part, and that is precisely what we want for everyone in America
to have.
But in order to do that, you've got to take down the walls from one
State to another, the State borders, when it comes to insurance. You've
got to make sure that all of these providers of services--doctors,
hospitals, insurance companies--are competing with each other, driving
up the quality and driving down the cost.
With that, I would like to recognize one of our freshman members
who's really come on fast, again another physician, a family physician,
Mr. DesJarlais from the State of Tennessee.
Mr. DesJARLAIS. I thank my colleague. I'll be brief tonight.
I just wanted to point out the fact that I'm proud to stand here with
my physician, nursing, dental colleagues, all of the members of the
Doctors Caucus, because I can say I think for all of us that none of us
chose Congress as our career path in life. Our first passion in life
was to help people.
We know that we have a problem facing us. Nobody can deny on either
side
[[Page H793]]
of the aisle that Medicare is going broke. As Dr. Roe said, we can't
afford to wait to solve this problem. It's there. It's not a partisan
issue. It's a people issue. It's about my parents and your parents and
our grandparents. We just can't afford to let partisan bickering get in
the way of solving this problem.
So what I guess I would ask people to do if you're a Member of AARP,
if you've not contacted your Congressman or your representative or your
senator, pick up the phone and make sure you know where they stand
because they can't answer you that Medicare is not going broke in the
next 10 years. We've offered up a lot of solutions to try to stave this
off. But we want to make sure that we help you save Medicare, and we're
going to do all we can from our end, but we can only do so much.
So if you're a Member of AARP, call AARP, tell them to get on board.
The GOP Doctors Caucus will help lead the way. I can say that all of us
in this caucus, as we treated patients over the years, we never looked
at them as Democrats or Republicans. We just looked at them as patients
and people. That's what we're here to do tonight. We're here to help
save Medicare, but we need your help, so pick up the phone tomorrow,
call your Member of Congress, and make sure you know where they stand,
and they need to get on board, and they can't deny that this problem is
coming.
Mr. FLEMING. I thank the gentleman.
Did you hear that? Did you hear what the gentleman said? The
gentleman said that he's never treated a patient that was either a
Republican or a Democrat. It doesn't matter to us who we're providing
care to.
We've got three wonderful nurses here, and we all appreciate what
nurses do. Often times, the nurse is the first health care worker you
encounter when you open your eyes after whatever has happened to you.
So we appreciate our angels so much.
But again, we providers, we don't care, we don't ask whether you're a
Democrat or a Republican. All we care about is that you have a need.
I would now like to recognize Congresswoman Ann Marie Buerkle from
the great State of New York. We're actually moving above the Mason-
Dixon line this evening, and we're talking to folks from New York.
Ms. BUERKLE. I thank my colleague. I feel a little bit out of my
element. We've only dealt with Tennessee and Louisiana. So it's good to
be here, and I appreciate the opportunity to stand here with my
colleagues.
I think it's so important that the Doctors Caucus have this
conversation with the American people because we stand here tonight not
as politicians but as people who care deeply about the health care
profession and about patients getting the kind of care they need.
So I hope that when we speak to the American people, and particularly
our seniors, because tonight we're talking about saving Medicare, that
they look at us as people who are deeply committed to making sure that
they have the health care and the Medicare benefits that they deserve
because they've paid into it.
{time} 1940
I guess briefly, because we have so many other colleagues here, I'd
like to make just a couple of points to the American people.
Number one, unfortunately, because of the current health care law,
Medicare has been changed. When we talk about saving Medicare, it
really means restoring it to what the American people know Medicare is,
especially our seniors. I am so saddened when I see some of the senior
groups like AARP. In fact, I've got a whole box of letters from people
who belong to AARP, saying, Don't cut Medicare.
I want to assure the American people and say to them that we are not
cutting Medicare. For those who are 55 years and older and, as was
mentioned earlier, for those who are on disability and getting SSI,
their plans don't change. They remain the same. For those who are 54
and younger, we're talking about a premium support. The reason we're
talking about that is, if we don't, there will be no Medicare for
anyone.
So we are intent on saving Medicare. We want to make sure that our
seniors have what they deserve and what they've paid into all of their
lives, which is good Medicare coverage. I'm not only a nurse; I'm also
the daughter of a 90-year-old mother. She and I know very well how
important Medicare is, so we have no desire to change Medicare as the
seniors know it now. We're talking about making a change for those who
are 54 years and younger.
The sad part about this is that the health care law has changed
Medicare, and now our seniors will have to be dealing with IPAB, and
they'll have to be dealing with cuts in their Medicare services. We
implore them, as my colleagues have said, to reach out to their senior
groups and to say, Wait a minute. The real threat to our Medicare is
the health care law, and that's what needs to be changed.
Just before I end, I would say to all the American people that we are
committed here in the Congress and on this side of the aisle in making
sure that you get the Medicare services you've paid into all of your
lives and that you so richly deserve and count on. We in the health
care profession stand together, and we want to make that pledge to our
seniors, not only to them but to all the American people.
Mr. FLEMING. I thank the gentlelady from New York.
I would now like to yield to another gentlelady, to a person with
whom I've become good friends, who is also from New York State. She is
a person who has a vision for America. Not only that, she is someone
who has been taking care of the vision of other people as well. She is
an ophthalmologist, and she has come to Washington to apply her vision
to what she feels--and we agree with her--the future of health care
should be like as well as many other things in life.
With that, I yield to the gentlelady from New York, Nan Hayworth.
Ms. HAYWORTH. I thank the gentleman so much for holding this Special
Order session, which is so important.
One thing, the comments by my distinguished colleagues have been
perceptive and enlightening and moving. There is one aspect I might be
able to add, although they have said so much.
I would like to invite our seniors and those who love them and who
may accompany them in the course of their care, as I have had the
privilege of doing for my own parents, both of whom have relied on
Medicare for many years, to talk with their doctors about what it means
when Medicare changes the way it deals with the doctors' practices and
what it will mean for our seniors in their having the ability to be
cared for by the doctors they prefer and in the places where they are
comfortable and that are familiar and that they like and trust as well
as what may happen if Medicare loses the funds that now exist in the
trust fund, which are running out very, very rapidly.
I think it's important for patients and doctors throughout the United
States to have that conversation and for our doctors to hear their
patients' perspectives and for patients to hear from their doctors how
tough it may be for a lot of doctors' practices to keep their doors
open if Medicare loses the funds that it needs and if that's
accelerated through the Affordable Care Act, which does, as we've
mentioned many times but is so important to say, take an enormous piece
of crucial funding away from Medicare. We can't afford that. A half a
trillion dollars is an enormous amount of money. So there are lots of
threats looming on the horizon for our doctors' practices.
I had the privilege of practicing ophthalmology in Mount Kisco, New
York, for 16 years. I took care of Medicare patients and I cherished
them. It was a privilege, as you mentioned, Dr. Fleming, to care for
those patients, so many of whom have done so much for our country and
for our communities. Yet I can attest to the fact that it can be very
difficult to keep your doors open when Medicare keeps ratcheting down
what it will pay for certain services even in the face of the fact that
doctors have rent to pay and staff to pay and that they have insurance,
including malpractice insurance, which can be very expensive in a State
like my own home State of New York.
It can become very, very difficult to balance all of those things,
and that's why it's so important to make sure that Medicare has the
funds it needs
[[Page H794]]
and that we protect Medicare for the future in the way that we handle
its premium structure. Premium support will be a great help to us, but
those are the things that we need to hear about from our patients and
our doctors. So I would like to urge everybody to talk with your
doctors, to find out the stories, to find out what they want to tell
you so that the patients and doctors can take that message home to
their Members of Congress, to their Senators and to the President.
I thank you, Dr. Fleming, for all you're doing to support a wonderful
cause.
Mr. FLEMING. I thank the gentlelady from New York, Nan Hayworth, for
all of her contributions both here in Washington and certainly back
home.
We've saved the best for last here. We have Dr. Benishek, the
gentleman from Michigan, who actually managed the time for our last
Special Order and did a great job. As I understand it, he is a
wonderful surgeon.
So I would like to yield to the gentleman in the last few minutes
that we have tonight.
Mr. BENISHEK. Thank you, Dr. Fleming. I appreciate the opportunity to
be here tonight to express my feelings about our cause to save
Medicare.
I've been taking care of patients in northern Michigan, in a rural
setting, for the last 30 years. It certainly means a lot to my patients
to have Medicare there to help them get through their medical problems
in their elder years. I am kind of surprised that I've been castigated
for voting to end Medicare when, really, I voted to try to save
Medicare because of the crisis that's coming forward due to the
demographics of our country and the pending bankruptcy of the Medicare
trust fund. As I see it, there are really four reasons that Medicare is
in trouble.
Number one, there is an increasing number of patients on Medicare
every year. There are 10,000 patients a day who are added to Medicare.
There are approximately 50 million people today who receive Medicare.
In 20 years, I think that number will be 80 million people. That's one
reason.
The second reason is that there are a little over three persons
paying into Medicare for every person receiving that benefit today; but
in 20 years, there will be a little over two people paying. Not only
are there going to be 30 percent more people, but there are going to be
a third fewer people paying in.
The third problem, of course, is just the general rising costs of
medicine. This is an issue where, in our plan to save Medicare, which
is a premium support plan in which there are options in your insurance,
I think it will help keep those costs down.
Of course, the fourth problem is the Affordable Care Act. The
Medicare that people are familiar with today, that the seniors of today
have, will not be the same Medicare going forward because the
Affordable Care Act has taken $575 billion away from Medicare. That's
over $100 billion from hospitals; I think it's like $40 billion from
home health care, $30 billion from hospice care, and over $100 billion
from Medicare Advantage.
{time} 1950
Well, I know in my rural district, we have many small community
hospitals that depend on their Medicare payments; and $100 billion
taken from each of those small hospitals--you know, those hospitals
operate on a razor-thin profit margin. If we take that money away from
the small hospital in my district, they may not be there tomorrow. So
how would my senior population come see me? They wouldn't be able to
come to their local hospital. They may have to go to Green Bay or
Marquette or, you know, drive hundreds of miles to get evaluated in an
emergency room, for example.
The way things are now is just not sustainable, especially with the
Affordable Care Act's impact on Medicare. And to think that if we do
nothing, everything will be okay is just wrong.
We've put forward this plan about premium support where you have a
choice. It is similar to Medicare Advantage, where in Michigan there
are 20 or 30 different plans you can choose from, the one that suits
you the best. I think that's a reasonable option. There may be another
plan out there somewhere that's equally as good. I haven't seen that.
But I'm certainly willing to listen to a plan of how to fix it.
Doing nothing is unacceptable, and I just think that it's just wrong
to castigate those of us who are trying to find an answer that will fit
most people and be affordable and, like many of the advantages that
people have talked to previously this evening, you know, different
people's situations. But to do nothing, though, to put your head in the
sand like an ostrich and pretend there's no problem is not an option.
So like the speakers before me, I encourage people to speak to their
physicians about what the situation is. I'm going around my district in
the next several months and am putting together a little Medicare meet-
and-greet at the senior citizens' centers at various locales in my
district to try to explain this to patients because they don't really
seem to have an idea--I said patients; I guess I mean constituents. I
was speaking in doctor terms--but they don't have an idea how serious
the problem is. And I think part of our problem is getting that message
out to other people that this is not something we can ignore, that this
is not something that's just going to go away by not dealing with it.
And it's certainly not going to go away by castigating people that are
trying to find an answer.
So I encourage those people, as Nan mentioned, to speak to their
physician. Feel free to call my office to get further information, but
realize that we're trying to fix a problem, not ignore a problem.
With that, I thank the gentleman for yielding.
Mr. FLEMING. I thank the gentleman from Michigan, the physician.
In the closing moments here, what have we learned? We've learned that
we have a Medicare system that's highly bureaucratic, highly expensive
and, as the graph showed, is going to be insolvent as early as 2016.
That's 4 years away. And we desperately need a solution to that. We've
got this side of the aisle which has already come up with a solution, a
premium support plan that basically offers to Americans the same
opportunity we, in Congress, have, an excellent health care plan. And
then we have got this side of the aisle, Democrats, who absolutely have
come up with no solution. As the gentleman says, they bury their heads
in the sand and offer nothing.
I would submit to you, Mr. Speaker, that we can't continue going this
way. We have got to move forward. We've got to find solutions by,
again, putting health care providers in the arena, having them compete
with each other, always doing that. If it's a level playing field--and
that's our responsibility in government--the quality of care goes up
while the cost goes down.
I want to thank my colleagues here tonight. We have had a great
discussion, and I look forward to doing this again very soon.
With that, I yield back the balance of my time.
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