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| 09/06/2010 10:00 PM |
| Camp Statement on President’s Tax Proposal |
| Washington, DC – Ways and Means Ranking Member Dave Camp (R-MI) today issued the following statement in reaction to reports about the President’s latest tax proposals: "A permanent R&D credit is long overdue and full expensing is a serious proposal Congress should consider. However, we have to ask: Would any benefit from these be outweighed by the tax increases the President is expected to propose along with them? Raising taxes to cut taxes is at best a zero sum game that will not improve our economy or the job market and is particularly disappointing in light of the billions of dollars of wasteful stimulus spending that could be cut instead. "Neither R&D nor expensing addresses the most urgent tax issue facing the country – a $3.8 trillion tax hike that kicks in on January 1 that will be especially punishing for seniors and small businesses. Democrats in Washington have ignored this tax hike for the past four years – putting family budgets and our economy at risk. If Democrats in Washington want to finally talk about taxes I suggest we first start with eliminating this massive, job-killing tax hike Americans are already facing." Editor's Note: For more information about the Democrats’ $3.8 billion tax hike, see Part I of the series of tax reports prepared by the Ways and Means Republican Staff for an overview, Part II for examples of how it will affect typical taxpayers, Part III for the specific impact on middle-class families, Part IV for how it will affect senior citizens and Part V for how the tax increase will affect small businesses.
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| 09/02/2010 10:00 PM |
| Washington Times Opinion: Renewing hope for the American dream |
| As our economy meanders down the road to recovery, yet to hit its stride, the American dream slides out of reach for too many. Nearly one in 10 Americans can't find work. If you consider those who have given up looking or settled for part-time work, that number jumps to nearly one in five. ###
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| 09/01/2010 10:00 PM |
| Uncertainty of Bush tax cuts affects hiring, study states |
| Congress' inability to make a decision about the fate of Bush-era tax cuts is contributing to the unemployment crisis facing the country, according to the Labor Day 2010 report by the National Association of Manufacturers (NAM). "Small businesses are America's job creators, responsible for 60 percent of the net new jobs created in the last decade," the report states. "But uncertainty about looming tax hikes has stunted employment growth and until Main Street begins to hire, the unemployment rate will remain unacceptably high." The manufacturing sector is one of the industries that is sitting on the sidelines of hiring. Nearly 70 percent of its companies are "pass-through entities" that pay taxes at individual rates, which will be affected by whatever Congress does about the Bush tax breaks. NAM President John Engler says growth in the manufacturing sector is key to the recovery as the U.S. looks to increase demand by boosting exports. He also warns that — if handled poorly — the Bush tax cuts, along with increased regulation, could have significant repercussions on American workers. "Americans want jobs, but proposals that expand government, increase taxes and impose new regulations will make business in the United States less competitive," he said in prepared remarks. "These proposals will stifle the already weak recovery and destroy manufacturers' ability to create jobs." Senate Majority Leader Harry Reid (D-Nev.) is expected to propose a way forward on the Bush tax cuts when Congress returns in September and complete work on it by the November elections. President Obama and Democratic leaders in Congress have repeatedly called for the expiration of tax cuts benefiting individuals earning more than $200,000 per year and couples making at least $250,000. But economic uncertainty has prompted several rank-and-file Democrats to side with Republicans in calling for at least a one-year extension of all the tax breaks. The disagreement could set up a showdown this fall when lawmakers return to Capitol Hill — trillions of dollars in expiring tax cuts will hang in the balance as Congress debates their fate. ### |
| 08/24/2010 10:00 PM |
| ANALYSIS: 1 in 5 Seniors Could be Forced Out of Their Medicare Prescription Drug Plan |
| As if more than one-half trillion dollars in Medicare cuts that could jeopardize access to care wasn't enough bad news for seniors, analysis released yesterday by Avalere Health, a health care research firm, estimates that 1 in 5 seniors could lose their Medicare Part D plan because of actions taken by President Obama’s Administration. As reported by the Associated Press, these actions risk "undercutting President Barack Obama's promise that people can keep their health plans if they like them. And it could be an unwelcome surprise for many seniors who hadn't intended to make a change during Medicare's open enrollment season this fall." This unwelcome news comes on the heels of analysis by the Obama Administration that as many as 7 out of 10 Americans with health coverage through their employer could lose their health plan because of the Democrats new health law; that 9 out of 10 seniors who have retiree drug coverage will lose it; and millions of seniors will lose their Medicare Advantage plan that provide benefits not available in traditional Medicare. So much for being able to keep the health plan you have and like. ### |
| 08/22/2010 10:00 PM |
| Bury Keynesian Voodoo Before It Can Bury Us All |
| Aug. 23 (Bloomberg) -- Initial claims for unemployment benefits surged to 500,000 in mid-August, a level more typical of a recession than a recovery. The bad news confirmed what conservative economists have been saying for some time: The biggest Keynesian stimulus in U.S. history was a bust. Incredibly, some Keynesians who supported Barack Obama’s $862 billion stimulus now claim it fell short of their goals not because the idea was flawed, but because the spending package was too small. Christina Romer, the departing chairman of Obama’s Council of Economic Advisers, has become a minor cult hero to the Keynesians, thanks to news reports that said her analysis in 2009 suggested the stimulus should be in the range of $1.2 trillion, or 40 percent larger than it turned out to be. The notion that a much-larger U.S. stimulus would have been more successful isn’t backed up by evidence. Maybe there would be an argument if some countries were now booming because their stimulus packages were larger. Or if some previous U.S. administration had tried a bigger stimulus and had better luck. The fact is, the U.S. stimulus was the largest among members of the Organization for Economic Cooperation and Development, and the biggest ever tried in the U.S. Nor does the academic literature support what we might call these Not-Enough Keynesians. A 2002 study by economists Richard Hemming, Selma Mahfouz and Axel Schimmelpfennig of recessions in 27 developed economies from 1971 to 1998 found that increased spending by government had, in almost all cases, a barely noticeable impact, and sometimes a negative one. Heavily indebted countries that spent more in recessions grew about 0.5 percent less, relative to trend, than countries that didn’t, the study found. Ask Joe Why is the left so profoundly committed to stimulus-by- spending, even though there is scant evidence that it succeeds? Joe the Plumber knows the answer: The left has become religiously Keynesian because that is the only corner of economics consistent with its redistributive ideology. You remember Joe. During a campaign stop in the 2008 presidential election, Samuel Joseph Wurzelbacher asked Obama whether higher taxes would punish his business. Obama answered in part, “I think when you spread the wealth around, it’s good for everybody.” Obama’s words captured Democrats’ ideology: outside of fairy tales, only government can play Robin Hood, taking money from the rich and giving it to the poor. The problem, of course, is that high tax rates inevitably cause economic harm. Such a link is at the core of economics. If you reduce the reward for an activity, you get less of it. Democrats and the economists who serve them deny that harm so they can spread the wealth around. The Tax Alternative If the economy is in deep trouble, there are two economic policy steps that one could take in order to create a positive stimulus: reduce tax rates, or spend more money. (The so-called tax cuts in the 2009 stimulus had little effect because they were primarily credits and deductions, rather than reductions in marginal rates.) But notice the problem for the Robin Hooders: If you cut tax rates in a recession in order to stimulate the economy, then you are conceding that lower tax rates can be a good thing. And if that’s true, then higher tax rates will be harmful -- something the left has always denied. So the Obama economic team was left to rely totally on spending in its response to the recession. Bad Medicine Supporters of this type of stimulus are either unfamiliar with the literature or willing to ignore it. The result is policy that is harmful to our country and inconsistent with modern economic science. If the Obama economic team were medical doctors, they would be pushing the use of medicine not approved by the Food and Drug Administration. As the economic data again head south, it will be much harder to devise successful economic policies because of the budgetary hole that the Keynesians have dug for us. In all likelihood, the data will soon be so convincingly bad that we’ll again debate the need for an economic stimulus. Let’s hope that when that begins, all will finally concede that the ideas of John Maynard Keynes are as dead as the man himself, and that Keynesianism is the real voodoo economics. Kevin Hassett, director of economic-policy studies at the American Enterprise Institute, is a Bloomberg News columnist. He was an adviser to Republican Senator John McCain in the 2008 presidential election. The opinions expressed are his own. ### |
| 08/12/2010 10:00 PM |
| Camp Statement on 75th Anniversary of Social Security |
| Washington, DC - Ways and Means Ranking Member Dave Camp (R-MI) issued the following statement marking tomorrow's 75th anniversary of Social Security: “Since being signed into law 75 years ago, Social Security has provided important income protection for workers and their families as a result of retirement, disability or death. Workers paying payroll taxes on their hard-earned wages have made these essential benefits possible. ### |
| 08/10/2010 10:00 PM |
| Ranking Member Camp Statement on Passing of Former Ways and Means Chairman Dan Rostenkowski |
| Washington, DC – Ways and Means Ranking Member Dave Camp (R-MI) today issued the following statement in reaction to the news that former Ways and Means Chairman Dan Rostenkowski (D-IL) passed away. ### |
| 08/09/2010 10:00 PM |
| Herger Files Discharge Petition to Repeal and Replace ObamaCare |
| Washington, D.C. – Congressman Wally Herger (R-CA), Ranking Member of the Ways & Means Subcommittee on Health, today filed a discharge petition on H.R. 5424, the Reform Americans Can Afford Act, which would repeal the Democrats’ health care law and replace it with commonsense solutions to bring down health care costs. House Republican Leader John Boehner (R-OH), Republican Whip Eric Cantor (R-VA), and Ranking Member of the Ways & Means Committee Dave Camp (R-MI) announced their support for the petition. The petition would force a vote on the bill in the House of Representatives if it is signed by a majority of House members. Congressman Herger commented, “More than four months after the Democrats’ health care overhaul became law, the bad news keeps coming. Employers are reluctant to hire more workers because they face new taxes and higher health costs. Millions of Americans are in danger of losing the coverage they have and like, while half a trillion dollars in Medicare cuts threaten senior citizens’ access to health care. Just last week, the latest Medicare Trustees report informed us that 9 in 10 seniors will lose their employer-sponsored prescription drug coverage as a result of the Democrats’ health care law. The facts couldn’t be clearer: The Democrats’ health plan is bad for patients, bad for jobs, bad for seniors, and bad for America. “My legislation, the Reform Americans Can Afford Act, would repeal the Democrats’ health overhaul and replace it with commonsense reforms that will actually bring down health costs, like cracking down on frivolous medical lawsuits, allowing insurance companies to compete across state lines, and fully funding state-run programs that offer affordable coverage for people with pre-existing medical conditions. According to the Congressional Budget Office, it would reduce health insurance premiums by up to 20% without spending a trillion dollars, raising taxes, or cutting Medicare. Unfortunately, Democratic leaders in Congress have not allowed this bill to come up for a vote. With Speaker Nancy Pelosi calling the House into special session to approve the latest add-on to the Democrats’ failed “stimulus” plan, I am offering a clear alternative to the tax-and-spend agenda. “I call on all members of Congress to sign the discharge petition on the Reform Americans Can Afford Act. If Democrats persist in saying “No” to real health care solutions, the American people will see who is truly the ‘Party of No.’” Republican Leader Boehner added, "The more the American people learn about ObamaCare - with its job-killing mandates, tax hikes, and Medicare cuts - the less they like it. We need to repeal it, and start over on common-sense, step-by-step reforms to lower costs. This discharge petition will begin that process. In addition to repealing ObamaCare, it includes reforms like allowing people to buy insurance across state lines, reducing junk lawsuits, and expanding access to state high-risk pools for folks with pre-existing conditions. This is the kind of change the American people are looking for." Republican Whip Cantor said, “Last year, President Obama and the democrat majority promised the American people their health care proposal would lower costs and that if ensure that patients who liked the coverage they had could keep it. Just months later, the American people have learned that the President and the Democrats in Congress broke those promises, as the new health care law will meet neither of those tests. The American people deserve better, and that’s why we need to repeal ObamaCare and replace it with a bill that makes lowering costs and preserving the doctor-patient relationship the top priority.” Ranking Member Camp said, “There is no hiding the fact that Democrats’ health care law has proven to be bad for seniors, bad for employers and bad for American workers. Even the Obama Administration recently admitted their health care law, and the one-half trillion dollars in cuts to Medicare it contains, will jeopardize seniors’ access to care. This bill will repeal the Democrats’ health care law and replace it with common sense solutions that the non-partisan Congressional Budget Office predict will reduce the cost of health insurance for Americans without increasing taxes, without cutting Medicare and without putting Washington bureaucrats in charge of your health care.” ### |
| 08/09/2010 10:00 PM |
| Camp Statement H.R. 1586 |
| Last Friday, we learned that the unemployment rate is still at 9.5%. It would be much higher if the official calculations also looked at the fast-growing number of Americans who have become so discouraged that they have given up looking for work. So while Congress should be here trying to find ways to get Americans back to work, we are here instead to complete action on another extension of stimulus that will also do nothing to reduce the unemployment rate in this country. In fact, this bill – and the tax increases included in it – will hurt job creation. According to the methodology of Dr. Christina Romer, the President’s chief economic advisor, the tax increases in this bill will destroy over 140,000 American jobs. In an open letter to Congress this week, the National Association of Manufacturers warned that “imposing $9.6 billion in tax increases on these companies will jeopardize the jobs of American manufacturing employees and stifle our fragile economy.” Similarly, the U.S. Chamber of Commerce warned they would “impose draconian tax increases on American worldwide companies that would hinder job creation, decrease the competitiveness of American businesses, and deter economic growth.” These tax increases are a mistake and as I noted during debate two weeks ago, most of these have never been the subject of any Committee hearing or mark-up. It is possible, that upon review, some of these provisions might make sense if packaged with other changes to address the fact our corporate tax rate is soon to be the highest among all industrialized nations, our international tax system is deeply flawed, and our tax code is increasingly putting our companies and their employees at a tremendous competitive disadvantage. But we never got the opportunity to hear from American employers or to offer any amendments. That is a truly disappointing breakdown of the Committee system, which is supposed to ensure that policies are carefully vetted and reviewed before passage. I also want to mention the phantom tax increases that aren’t in this bill but that we will soon see. The Speaker has already indicated that she opposes two of the spending offsets included in this bill. One relates to food stamps; the other is a cut in funding for a renewable energy spending program. Together, those items total $13.4 billion, more than half the total offsets in the bill. So next month, when the House considers some other legislation, don’t be surprised to see another $13 billion in higher taxes to prevent these spending cuts. ### |
| 08/09/2010 10:00 PM |
| Medicare's rosy health* |
| Every year, Medicare trustees deliver an impenetrable report that answers a single headline-worthy question: How soon will Medicare run out of money? Last year, the trustees estimated that one part of Medicare would be insolvent alarmingly soon — 2017. But then came the new health care law, sold to Americans as a way to reduce costs and shore up Medicare. The trustees released a new report last week that said — ta-da! — Medicare had 12 more years to live. That is, the Medicare hospital trust fund would run out of money in 2029 instead of 2017. Treasury Secretary Tim Geithner declared that "the outlook for Medicare has improved substantially because of program changes" made by the new law. But hold on. Democrats weren't straight with Americans about the costs of health care reform before the law passed. They used a lot of accounting tricks to make it look less expensive than it really will be. And they're still fuzzing over facts. One gimmick: double count the savings. The Democrats crow that the new law wrings $575 billion from Medicare projected costs, via savings and tax increases, to extend the program's solvency. But that money isn't going directly to Medicare's coffers. Congress is plowing it into the expansion of benefits under the new health care law. See that asterisk in the headline above? We put that there because the trustees' report comes with a surprise twist from Medicare's chief actuary, Richard Foster. In a capsule, he says: Never mind. Never mind about the rosy projections on the previous 280-plus pages. It's fiscal fantasyland. The trustees are required by law to appraise Medicare based on certain assumptions. But they bear little resemblance to the real world in doctor's offices and hospitals. Those assumptions, Foster writes, "do not represent a reasonable expectation for actual program operations in either the short range … or the long range." For example: The report assumes that Congress will deeply slash doctors' Medicare pay. Congress has threatened to do so, but has always backed off. That's the infamous "doc fix." The doctors are due for a 23 percent pay cut in December. Congress will back down, as it always does. Scratch about $250 billion to $300 billion in "savings" over a decade. Another example of the absurdity of these projections: Under an inflation formula imposed by the new law, Medicare payments would tumble below the abysmally low Medicaid payments by the end of the decade. They'd fall from nearly 80 percent of private insurance prices now to about 50 percent by 2050. That would squeeze many doctors, hospitals, surgical centers and other providers into oblivion. Long before that happens, hospitals and other facilities will stop treating Medicare patients and raise costs for private patients. We're likely to hit another health care flashpoint before that. Missouri residents recently voted overwhelmingly against the mandate that all Americans carry health insurance or pay a penalty. Officials in 21 states are suing the federal government on grounds that the coverage mandate is unconstitutional. A federal judge recently refused to dismiss that challenge. This page supported the mandate, though it balked at the enormous expense and false assumptions in the law. There's a long way to go before health care reform fully kicks in by 2014. Congress still must funnel billions to create state exchanges and fund subsidies for many Americans to buy insurance. There will be billions more for Medicaid expansion in the states. The law won't be repealed, but it's looking awfully likely that it will face some big changes, and soon. Meantime, the government could just talk straight about the future of Medicare and the rest of the health care system in this nation. Wouldn't that be a change? ### |
| 06/18/2009 03:10 PM |
| Markup of: H.R. 598 |
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| 06/18/2009 03:05 PM |
| Hearing on Scientific Objectives for Climate Change Legislation |
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| 06/18/2009 03:03 PM |
| Hearing on IRS Assistance for Taxpayers Experiencing Economic Difficulties |
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| 06/18/2009 03:01 PM |
| Hearing on the President’s Fiscal Year 2010 Budget Overview with U.S. Department of the Treasury Secretary Timothy F. Geithner |
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| 06/18/2009 02:59 PM |
| Hearing on the President’s Fiscal Year 2010 Budget Overview with OMB Director Peter R. Orszag |
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| 06/18/2009 02:53 PM |
| Markup of: Views and Estimates Letter to Budget Committee |
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| 06/18/2009 02:51 PM |
| Hearing on Health Reform in the 21st Century: Expanding Coverage, Improving Quality and Controlling Costs |
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| 06/18/2009 02:46 PM |
| Hearing on Protecting Lower-Income Families While Fighting Global Warming |
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| 06/18/2009 02:45 PM |
| Hearing on MedPAC’s Annual March Report to the Congress on Medicare Payment Policy |
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| 06/18/2009 02:43 PM |
| Hearing on the Troubled Asset Relief Program: Oversight of Federal Borrowing and the Use of Federal Monies |
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Mr. President
IF YOUR DOOR IS ALWAYS OPEN, WHY ARE THE PEOPLE LOCKED OUT?
The Top Ten Health Care Questions President Obama Has Not Yet Answered. You can vote on up to ten of the questions proposed at http://toptenhealthcarequestions.com/poll.php
Mississippi has adopted lawsuit abuse reform (tort) in their state and has reduced their healthcare premiums by 92% in the last year due to this reform. Gov. Barbour estimates America can save almost 100-200 billion dollars a year implementing just this one reform. Other than the fact that Tort Attorneys and their groups donate heavily to the DNC and did to the Obama campaign, is there a good reason or explanation you can give the American people as to why you have put the Tort attorneys interests ahead of the healthcare interests of the citizens of this country?
The Administration has repeatedly represented to the American people that the proposed health care reform plan will be deficit-neutral. Referring to the Administration's plan, the Congressional Budget Office Director recently said "We do not see the sort of fundamental changes that would be necessary to reduce the trajectory of federal health spending by a significant amount." Official CBO estimates for the Administration's proposals have, in fact, indicated additional deficits of hundreds of billions of dollars over 10 years. Why should the American people trust the Administration's numbers rather than those of the C.B.O. on this point? Related Article
You have said you will pay for healthcare by savings through "waste and fraud". By this statement then you are indicating that if you are able to quantify the amount in order to turn it into savings, you must be able to identify where it is. If that is true, why aren't you stopping the waste and fraud now since you can identify it instead of waiting until some unknown deadline? Don't you think this would engender some trust from the American people that you are making an effort to save money or that you know how to?
The Administration has repeatedly claimed that its health care reform plan will not cover illegal aliens. The Congressional Research Service recently issued a report contradicting the Administration's position, stating "H.R. 3200 does not contain any restrictions on noncitzens.whether legally or illegally present, or in the United States temporarily or permanently.participating in the Exchange." Is the Congressional Research Service in error? If so, where is the error? Related Article
Why won.t government employees and elected officials be covered under a nationwide health care plan? Your employer, the American taxpayers, would like to drop your family.s existing coverage and force you into the public option that you so energetically endorse.
The Administration's health care reform plan relies heavily on the idea of generating health care savings by means of increased preventative care including mammograms and colonoscopies. On this point, the nonpartisan Congressional Budget Office recently wrote "The evidence suggests that for most preventive services, expanded utilization leads to higher, not lower, medical spending overall." Why should Americans trust the Administration's representations more than those of the nonpartisan C.B.O. on this point? Related Article
You have accused the opponents of this Healthcare plan of using "lies" and "scare tactics" and spreading "disinformation." During your speech on Sept 9, you state that "One man from Illinois lost his coverage in the middle of chemotherapy because his insurer found that he hand't reported gallstones that he didn't even know about. They delayed his treatment, AND HE DIED BECAUSE OF IT". In truth, the man, Otto Raddatz, began chemo and was preparing for a stem cell transplant. During a routine review by the insurer, it was found that he had not disclosed having gallstones and an anuerysm. Mr. Raddatz had never been told about the gallstones or been urged to treat them. His sister, appealed to the Attorney General, who reversed the decision within two weeks and Mr. Raddatz had the transplant and lived another 3 and half years. -an indication that the company's decision to rescind his treatment didn't cause his death. Mr. Raddatz didn't die from being denied treatment, but your speech stated so. How can you accuse critics of creating lies about the healthcare proposal when on several occasions your own words have been found to be untruthful?
The Administration argues for a government-funded health insurance plan on the grounds that more competition is necessary in order to reduce health care costs. In response to a question from CNN's Wolf Blitzer as to why the Administration's health care reform plan does not include also interstate competition as a means to reduce costs, David Axelrod responded that "[Interstate competition] is not endemic to the kind of reforms that we.re proposing " At least one study has concluded that interstate competition would be likely to reduce health care costs and reduce the number of uninsured. If competition can be expected to reduce costs and increase coverage, why is interstate competition not 'endemic' to the Administration's proposed reforms? Related Article Related Article
You indicated in your interview with George Stephanpolus that if people did not buy insurance that they would be fined a penalty fee but you insisted that it is not a tax. However, on page 29 of the Senate bill that Mr. Stephanopoulus refers to, it states that the fee will be an "excise TAX." How do you expect Americans to believe you have a grasp and knowlege of the healthcare legislation and are able to run it, when it is apparent that you had not even read the bill? Not even 29 pages of it.
A WhiteHouse.gov hypothetical question on health care rationing states the following : "What if I want [certain] tests and what if they detect something that could save my life?" The White House response states, in relevant part : "We want reform that rewards quality of care not quantity of procedures. Having dozens of procedures doesn.t necessarily make you better. In fact they can make you worse." Q: Which procedures or tests would be reduced or eliminated under the proposed health care reform plan, and what evidence is available that the quality of care would not be impaired by their reduction or elimination? Related Article
At one time, the Administration claimed that there are as many as 47 million uninsured Americans. More recently, the Administration has claimed that there are closer to 30 million uninsured Americans. What are the sources for these numbers, and how many of the 30 million are unable to purchase health insurance because of the cost of health care insurance? Related Article
On September 23, 2009, the head of the Congressional Budget Office (CBO) stated that, if implemented, the legislation will lead to $100 billion in cuts to Medicare Advantage services. Specifically what services will be cut under your legislation?
At a town hall meeting in Raleigh, North Carolina on July 29 you said " I will be available to answer any question that members of Congress have. If they want to come over to the White House and go over line by line what's going on, I will be happy to do that." A month ago, Congressman Phil Roe sent you two letters asking you for a time and place to conduct this line by line review. You've not responded to him. Do you intend to honor your promise and sit down with Congressman Roe and hold a serious line by line review of proposed health care legislation or was your July 29 statement merely an insincere political gesture ?
During the debate on the so-called stimulus package, your estimates on future unemployment and economic recovery proved to be wildly off-base. Why should Americans now believe you that they will not be forced out of the private coverage they enjoy, as basic economics would dictate?
Despite your assertions that health care reform will save money, the reality is that plans proposed by Democrats would cost taxpayers between $1 trillion and $2 trillion. How does this save money and how will you pay for this?
If, as you claim, a government-run option is essential to maintaining honest competition in the health insurance market, why is it not also true that we need a government-run competitor in the fast food industry, neighborhood babysitting, or Major League Baseball?
Proponents of a government-run option, you included, claim that it will compete on a level playing field with private insurance providers. In that case, will your government-run plan operate as a for-profit model and be forced to pay all applicable state, federal, and local taxes?
How do you expect to meet the growing need for physicians and medical professionals if the government-run plan pays lower than market rates to physicians while forcing them to participate or lose a majority of their patients and their livelihood?
If the government mandates that all Americans purchase health insurance, it must also define what qualifies as health insurance. Can you provide us your definition (with details please) and explain how this definition will not limit innovation and choice in health care?
According to the House Democrats. plan, a family of four with an income of $88,200 (four times the federal poverty level) would qualify for health insurance subsidies. In your view, is this a subsidy for low-income Americans or an effort to use taxpayers to put more health care under the purview of the federal government?
The new Federal Coordinating Council for Comparative Effectiveness Research is charged with determining what treatments should be offered to patients. Do you believe that these personal medical decisions should be made by patients in consultation with their doctors, or by unaccountable bureaucrats?
Why are there no actively practicing physicians included in the membership of the Council for Comparative Effectiveness Research?
If the final reform proposal is controversial enough that it will not receive the necessary 60 votes in the Senate, Democrats have left open the possibility of using a procedural move to pass it with only 51 votes. Do you believe massive changes to such a vital area of American life should be pushed through in this manner with only 51 votes?
Pro-choice groups NARAL and Planned Parenthood are demanding that the healthcare reform bill cover abortion, paid for by the TAXPAYER. Will you sign a healthcare reform bill that uses taxpayer dollars to pay for abortions?
HR3200 requires 500 billion in cuts in Medicare and Medicaid. How can these cuts be made without limiting access to healthcare or medicines recommended by my doctor?
According to Politifact.com, Obama.s budget represents 11 trillion in debt in five years and 17 trillion in 10 years. Specifics for paying for the program are outlined as: $544 billion from a new income tax surcharge on single people making $280,000 a year and households making $350,000 and above; $37 billion in other tax adjustments. About $500 billion in cuts to Medicare and Medicaid. About $200 billion from penalties paid by individuals (2.5% of income) and employers (8% of payroll) who don't obtain coverage. [Note: These penalties are not in existence now, why should the American public impose a penalty upon themselves?] How will the $500 billion in Medicare cuts affect the elderly? Shouldn.t we be reducing the budget instead of inflating it?
In a recent New York Post column, Betsy McCaughey, a former lieutenant governor of New York and health care expert, wrote: "One troubling provision of the House bill compels seniors to submit to a counseling session every five years (and more often if they become sick or go into a nursing home) about alternatives for end-of-life care (House bill, p. 425-430). The sessions cover highly sensitive matters such as whether to receive antibiotics and 'the use of artificially administered nutrition and hydration.' This mandate invites abuse, and seniors could easily be pushed to refuse care." Will you sign a healthcare reform bill that in any way promotes euthanasia.
According to the plan, every new insurance policy will have to comply with government mandates, and any policy changes . "altering co-pays, deductibles, or even switching coverage for this or that drug" . invalidates your previous coverage and forces you to choose a government "qualified" plan. In addition, the House plan mandates coverage for every individual. If you are self-employed or choose not buy insurance for whatever reason, the bill imposes a "healthcare tax" of 2.5% of your income. Why do you believe bureaucrats can make better decisions than me about what kind of health insurance I should have? And will you guarantee that any healthcare reform bill passed by Congress will always allow me to choose my own doctor?
A number of experts have opined that insured individuals will end up having their health insurance plan changed under the Administration plan as proposed. Employers pick health plans, not employees, and if the new law puts forward a cheap 'government option/public plan,' employers will dump employees into it and pocket the savings as smart business people will do when given such a choice. Do you guarantee that I get to keep the plan I have and the doctor I have? If so, how are the experts wrong?
Will the law require Members of Congress and federal employees to be enrolled in the "government option/public plan," and if not, why not?
Will seniors be guaranteed joint replacements, stents, and the chemotherapy they need, or will they be forced to accept less-costly and less-effective alternatives?
If seniors will be allowed the expensive but most effective treatments, how will costs be controlled?
Will seniors have to wait longer for their treatments than they do now?
Will doctors see their payment schedules drop?
If their payments fall and they make less money, won't there be fewer doctors practicing medicine?
Doesn't Canada have long lines for important surgeries? How will making our system more like Canada's not mean longer lines and longer waits here?
Have you read the bill well enough to be interviewed about it on the radio by a conservative talk show host? ("C'mon. Of course I haven't and of course I won't. Have you seen even one extended interview with even one Member of Congress about the specifics of the bill with even a moderately skeptical journalist?").
Your plan includes a reduction of $500 billion in Medicare. Why should Medicare recipients believe that $500 billion can be cut from Medicare without affecting the level of care they will receive? Has such a thing ever been accomplished previously?
Your plan includes savings of $500 billion in Medicare by the elimination of 'waste, fraud and abuse.' What portion of the $500 billion figure is attributable to fraud, specifically? How many new federal investigators and prosecutors will need to be hired in order to investigate the doctors and hospitals accepting Medicare reimbursements? Won't this new round of investigations interfere substantially with the operations of ongoing practices and their ability to treat their patients?
In your speeches, you have repeatedly emphasized that you that you are there to listen, that your door is always open and that you continue to seek common ground. Which ideas, if any, have you incorporated into your health care plan in order to find common ground with Blue Dog Democrats and/or Republicans?
You have repeatedly accused the critics of your plan of engaging in 'lies" and 'scare tactics.' Do you believe that none of the criticisms of your plan are good faith criticisms? If any of the criticisms are good faith criticisms, which ones?
In earlier speeches, you promised the American people that they would be able to keep their health insurance under your plan. More recently, you have chenged the rhetoric to express only that nothing explicitly in the plan will force Americans to change their health insurance. Is it not true that, according to objective third-party analyses, millions of Americans would likely be forced to change their health insurance under your plan? Is there an objective third-party analysis showing that most Americans will continue to have the same options they have today? If so, which ones, and why are they more credible than the analyses coming to a contrary conclusion?
You have promised that your plan will not expand the deficit. Certain objective third-party analyses, including the official analysis of the Congressional Budget Office, have indicated that your plan will expand the deficit considerably. Which objective third-party analyses, if any, have shown that your plan will not expand the deficit, and why should those analyses be trusted instead of the official estimate of the CBO?
You claim that hundreds of billions of dollars of 'waste, fraud and abuse' can be cleared out of the Medicare system. Can you cite to a historical example wherein hundreds of billions of dollars of waste, fraud and abuse have ever been eliminated from a federal government program?
Has a cleanup of Medicare waste, fraud and abuse ever been attempted before? If so, what were the results?
Assuming that a crackdown on Medicare waste, fraud and abuse has been tried before and failed to generate hundreds of billions of dollars in savings, why should the American people believe that this Administration will be the first Administration to succeed where others have failed?
WHO ARE THEY AND WHAT DO THEY DO?
| Doctors demand to be included in health care debate |
Powerful PetitionPublished: Tue, 8 Sep 2009 Doctors demand to be included in health care debate
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Automatically Generated Transcript (may not be 100% accurate) " A large group of doctors now looking to firmly grab the attention of the United States senate they're heading to Capitol Hill there armed with a document along one. US physicians appeal let's call it's a petition signed by more than 10000. Doctors. From all over America and their mission is to let lawmakers know. At doctors must be included in health care debate. For reform to actually work. -- medical contributor doctor Martin. -- now doctor what we get to some of the recommendations from the doctors. Is it doctors haven't been more intimately involved those the first people like consult." " Greg I couldn't agree with -- more on that and I think that that's not an accident with doctors may have a totally different take on this. Than what the politicians in Washington have as we've as I've said many times on this program tort reform malpractice reform. Should be number one on the list and decreased the amount of unnecessary tests not coincidentally. That is one of the things that this group. So remote dot com is the name of the group and they have over a 100000 doctors. Enrolled and I watched him over the weekend -- that 10000 number of doctors signing this petition went up to over 15000. In just two days this is a big deal and they have the right idea the nonpartisan. They're like a FaceBook for doctors we you have a conversation. Among doctors medical decision making. It's like a curbside you exchange of ideas it's absolutely -- very interesting and they're taking is. Tort reform more doctors involved in decision making improve how we do our billing. And basically get the doctor patient involved but less insurance involved -- third party direction involved I couldn't agree more." " Well and let's talk about first when you mentioned -- toward -- malpractice. Laws reformed and you know full disclosure of the defense attorney a real bias in this. Because I just think you've got to put some sort of a liability. Cap or limit. On some of these these lawsuit awards because it's driving doctors out of business because they can't afford the premiums on their insurance company coverage." " And Greg we don't talk enough about specialist you know it's the surge in the obstetricians that they really can't afford this over a 100000 dollar premium. Not only do we need to cap pain and suffering but we need less frivolous lawsuits. About 40% of the lawsuit brought by a Harvard study were nuisance suits leading to 15% of the payouts. And price Waterhouse Coopers says over 200 billion dollars is spent per year on defense of medical practices that result tort reform is key. Trial lawyers association United States very powerful no accident that's not a." " On the third yeah we'll tell that if former senator John Edwards. -- look payment systems need to be as simplified we need to streamline the billing can it be done." " I think it's really important that it be done especially if we're talking about computer -- everything why should doctor spend all the time with paperwork. I agree with this group when they say interaction between doctor -- patient is what's key. Decision making we can change -- we reimburse instead of slashing reimbursements 500 billion dollars of Medicare cuts proposed to hospitals and doctors. Let's actually change how we reimburse of that decision making and quality medicine is emphasized and I think doctors should occur very close to the ball I don't wanna see them go further." " Right doctor Marc Siegel thank you very much for sharing your thoughts and glad you told us it's now 15000. Doctors who've signed -- petition. We'll keep an -- what's happening in their reaction on Capitol Hill thanks very. Maybe you." |
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