Working Together for American Health Care


American families are struggling with skyrocketing health care costs as our national economy emerges from a recession.

As a doctor and member of the House Republican Health Care Solutions Group, I have seen first hand American families and small businesses worried about rising costs and losing their coverage. The Urban Institute reported that President Obama’s health care plan would cost at least $1.5 trillion, more than double the $634 billion called for in the President’s original budget.

Why place this huge tax burden on businesses when America is in the midst of a recession? Wouldn’t this ultimately destroy and diminish American jobs and workers’ take home pay?

Although, Republicans and Democrats differ on some important health care policy issues, common ground exists on health care reform among the two parties. We both believe:

  • Quality health care coverage can be affordable and accessible for every American;
  • Americans who are content with their health care must be able to keep it, giving every American the freedom to choose the health plan that best meets their needs;
  • Health care reform must improve American lives through prevention and disease management programs, while developing innovative treatments and cures for life-threatening diseases;
  • It is possible – and necessary – to achieve the above objectives through common sense reforms, without raising taxes and eliminating employer-sponsored health benefits for working families.

Unlike the Democrats though, I believe a government takeover of health care will put bureaucrats in charge of health care decisions. These decisions should not be made by bureaucrats, but by families and the doctors of their choice. Tax hikes will be required to pay for government healthcare. This is something Republicans cannot support. It would plainly violate some of the principle’s President Obama himself has endorsed.

Republicans want to work with the President and his fellow Democrats to guarantee that every American has access to affordable, high-quality health coverage without more GM-style government takeovers. Working together we can achieve real results in healthcare.


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26 Comments Leave a comment

This should be killed...

Greg (Diary) Thursday, June 4th at 12:55PM EST (link)

If the program can’t be sustained during a recession then it should not be proposed. The economy goes into a recession about every ten years. This should only be proposed if they can find 1.5 Trillion of programs to cut. Lots of luck on that one.

 

Thanks for joining us at RedState, Congressman Boustany.

Steve Maley (Diary) Thursday, June 4th at 1:11PM EST (link)

As a proud LA-7 constituent, we need your informed, conservative voice now more than ever.

Every time I visit the post office or the DMV, it sends chills down my spine to imagine government health care.

A big part of the problem is that we have forsaken the free market in health care. Health care will be consumed like water when there is no cost, and that goes for the well-insured patient who has no incentive to opt for generic drugs, as well as the Medicaid patient that shows up at the emergency room for an Extra-Strength Tylenol.

Medical savings accounts would seem to be a simple, sane, market based tool in the fight against spiraling costs.

The blogger formerly known as ‘Vladimir’.

5 Vladimir

mom2oneson (Diary) Thursday, June 4th at 1:30PM EST (link)

You are right we need free market instead of mediciad for e-v-e-r-y-t-h-i-n-g. All sorts of things would pop up that are lower cost that the low income could utilitze.

 

Good on you Vlad

LibRick (Diary) Thursday, June 4th at 2:39PM EST (link)

for the respect you give to the Congressman. He’s trying to help and understand. You respectfully articulated your concerns. It’s unfortunate so many here leave civility behind to make their point.

 
 

Sick Health Care

zoltanne (Diary) Thursday, June 4th at 1:12PM EST (link)

FYI– America has NOT emerged from the “recession”. Check the correct factual information, please.

Once again, America has a “system” that has allowed government, big business, and special interest groups to meddle and manipulate the economics of health care from a free market enterprise.

The health care industry is doomed to failure because this is the desired outcome. Until insurance companies stop dictating the medical practices (or the lack, thereof) to permit free market health care to prosper, the health care industry will continue the downward spiral.

Isn’t it about time that the American Medical Association is exposed for it’s real mission?
Why is there a quota on medical students? Medical graduates?
Why is practicing medicine such a monopoly?
Why does the United States have a quota-based physician limitation?
Why is there no cap on lawsuit awards?
Why did health care costs rise, leading to health insurance, when the government intially became involved during the 1930s?
Why is there a restriction on purchased health insurance by State?

Doctor, Congressman, Give Me the News

GreyCloak (Diary) Friday, June 5th at 4:42AM EST (link)

The hot summer night fell like a net
I’ve got to find my baby yet
I need you to soothe my head
Turn my blue heart to red

Doctor, doctor, give me the news

Government health care is not the answer. I know Americans that have spent days in Britain or a then-Soviet country waiting for “free” medical care. Canadians come here for care!

But Doctors and insurance companies are also to blame, and Congress lets them get away with it.

Why is it that Doctors set their rates based on the recommendations of consultants, rather than their costs?
. “Inflation” has been well under 5% for years, but medical charges have risen more than 10% annually.
. Even my dentist admits he raised his rates 30% one year, but didn’t match that increase when it came to staff’s salaries. I didn’t buy the explanation about catch-up … his rates had been rising steadily for years.
. When insurance stopped covering it, the cost of Lasix-like eye surgeries dropped from $4,000 to under $1,000!
. A clinic charged me $50,000 for less than two hours in an Operating Room … not for major surgery, but to put four screws and a plate into an ankle! [to the Doctor's credit, he charged less than a tenth of that for the actual surgery.]
. A simple physical generated a Doctor’s line item charge for my wife’s “Prostate Exam.” Think about it.
. I continue to hear complaints about liability insurance, but we capped liability in Texas, and even a lawyer friend says that there is no point in suing anymore!

Insurance companies keep raising their rates, but their profits are exorbitant.
. I’ve watched my Individual Health Insurance premiums rise to more than my mortgage payment.
. The same company has reduced “earned premium” (the ratio of premiums received versus payments made) from 70% down to 61% … that means that almost 40% of insurance premiums go to expenses (that have been reduced) and PROFIT!
. Yeah, and a former company didn’t even bother to challenge the “prostate exam” … they paid it.

So , while opposing national health insurance, Doctor, heal thyself.

Incidentally, zoltanne, good questions. A few answers:
. Many states cap lawsuit awards … not in actual expenses, but in penalties
. As soon as you take the patient out of the payment equation, rates can rise as much as insurance will bear.
. States’ Rights remain in very few areas, but insurance is one of them: every state has its own insurance bureau; the Feds control only Medicaid/Medicare and policies for at least 2 million civilian and over 1 million military employees.

 
 

I don't agree with the common ground

mom2oneson (Diary) Thursday, June 4th at 1:20PM EST (link)

Why should the gov be involved in making sure every American can get healthcare coverage? Why should the gov be involved in disease prevention or management of chronic diseases? Gov involvement in healthcare should shrink not expand, especially with mediciad and programs that fall under public health.

It's good your fighting this

mom2oneson (Diary) Thursday, June 4th at 1:56PM EST (link)

I read the thread again and I hope your feelings aren’t hurt. :) It’s good your fighting more expansion by the democrats.

 
 

Here's the problem

jfahy (Diary) Thursday, June 4th at 1:21PM EST (link)

The Congressman may be well intentioned but history shows that Democrats can’t be trusted in this scenario. They’ll make a show of bipartisanship, try to push government control, then blame Republicans when we push back and the media will be their echo chamber.

 

Why employer sponsered?

briann (Diary) Thursday, June 4th at 1:25PM EST (link)

“It is possible – and necessary – to achieve the above objectives through common sense reforms, without raising taxes and eliminating employer-sponsored health benefits for working families.”

Pardon my ignorance, but why must maintenance of employer sponsored health care be necessary? I have never had any input as to how much coverage I get nor how much I pay for that coverage. Those decisions have always been made by someone at my employer’s HR dept that has a higher priority than my families health or finances.

I suspect if you simply detach health insurance from employment, people will make far better choices for their situation than their employer will. Granted life or auto insurance isn’t an ideal market, but it is much better off than the health insurance market.

-Bri

 

Frankly, I disagree

golfermike (Diary) Thursday, June 4th at 1:37PM EST (link)

I do not believe in the premises stated or implied, and, therefore, I disagree.

First and foremost, thinking that you will be able to work with dems to accomplish a better version of health care is a premise I don’t buy. It is compromising with an enemy, who will never compromise with you. I believe it weakens your position greatly. Why find common ground, how about standing on principles and not budging for a change. The politics of compromise are a large reason Republicans find themselves in the minority now.

Health care in and of itself is not a right. The ability to choose one’s health care is a right and that is what should be protected.

Get a spine and do what is right.

 

Another RINO

erp Thursday, June 4th at 2:14PM EST (link)

The good doctor is drinking Kool-Aid laced with pixie dust.

erp

Really easy for you to say

LibRick (Diary) Thursday, June 4th at 2:52PM EST (link)

Dash out a quick line with no substance. Congressman Boustany has earned respect and standing through his efforts. What have you done? If you disagree, at least qualify it with substantive concerns or comments. Seems like everyone else here can do that.

Otherwise, binge on your own Kool-Aid and and sprinkle your own pixie dust where it makes you feel good about yourself.

 
 

Working Together for American Health Care

patriciamcnaughton Thursday, June 4th at 2:24PM EST (link)

No! Rep. Charles Boustany, you still don’t have it right.

Until we get the government AND employer out of the equation, Americans will continue to health-care freedoms stripped away. Further, it doesn’t address the root cause of the problem: the complete disconnect between the true costs of health care incurred by the end-user and the costs to provide both insurance and health care. So long as consumers don’t pay for their own health care or insurance, this problem will never be resolved.

Your words don’t make sense to me. They indicate that even so-called republicans are one more step down the road toward nationalized health care…just not as far as the democrats just yet.

Let me suggest something to you.

No responsible business worth its beans would ever nationally roll-out an untested (at least successfully) unproven and costly new product.

If we are in a so-called crisis and if we continue as you or the democrats propose, the crisis will only get worse and more costly and, most important, irreversible.

What if we develop and TEST two, three, four different plans. Private/private with no employer or government involvement and public/private in small test markets throughout the country.

For once, let’s stop and do this right and get this right. Maybe by first determining what the real problems are the real solutions can be found. Maybe, just maybe, we’d actually lick this problem and put it behind us once and for all.

It’s possible we’d find that what we really need it better access to catastrophic health insurance or something else completely unexpected.

We must start thinking and looking OUTSIDE the government box for answers.

5

mom2oneson (Diary) Thursday, June 4th at 2:44PM EST (link)

You have so many good points in there it should be a diary.

 
 

Thanks Congressman Boustany

LibRick (Diary) Thursday, June 4th at 2:24PM EST (link)

for posting. It’s wonderful to know that there are accomplished M.D.’s in a position to influence or make policy relating to health care. Your bullet points state a reasonable goal and show your understanding of the problems that face many of us.

So please, please, please use your position to help push forward a detailed solution to the current system problems.

My family, through a recent major illness, has been immersed into the current health care machine. I used to not pay that much attention to it. Healthy people usually don’t.

Like many, we have employer coverage and it has been really good. But, I still see the bills. They are sometimes more than $10,000/month, mostly in drug costs. There are not many Americans capable of paying that for very long.

Right now, I find myself in that group that has to stay at a job to keep coverage, as no one would ever cover us with the pre-existing conditions we have.

I don’t care if health care reform is a Democratic plan or a Republican plan. I just want a system that won’t “X” my family out of any kind of coverage because of preexisting conditions.

When faced with dire medical situations, it is literally a matter of life and death within your family. Ideology falls by the wayside. I implore you to use your knowledge and expertise to help craft a plan that helps us. My family has played by the rules and paid in for more than 30 years now and as I stated, our coverage is good, right now. My concern is that at some point, no one will cover us and eventually a beautiful human being may pass solely on our lack of ability to afford treatment.

Again, please help.

Interesting that you should say that, RIck.

Steve Maley (Diary) Thursday, June 4th at 4:11PM EST (link)

“It’s wonderful to know that there are accomplished M.D.’s in a position to influence or make policy relating to health care.”

LA now counts three M.D.s, all Republicans, among its seven member Congressional delegation.

The blogger formerly known as ‘Vladimir’.

Well, Vlad

LibRick (Diary) Friday, June 5th at 4:48PM EST (link)

you are lucky to have them. By the nature of the profession, MD’s have had to practice medicine. Almost all of them are on the side of good medicine and patient care.

I don’t care which party has the solution to the health care problem but I do trust MD politicians more to find real world solutions.

 
 
 

Ask the 5 whys

panthera (Diary) Thursday, June 4th at 2:35PM EST (link)

We need to ask why healthcare is so high. Lets just not throw the govt at it.

Is the number about 47 million to 300 million Americans who dont have insurance? So, 253 million Americans do have insurance? The way the democrats talk its the other way around – I dont trust them.

Government does not solve problems; it subsidizes them.

The real number is somewhat lower than 47 million.

Brian Hibbert (Diary) Thursday, June 4th at 3:36PM EST (link)

It includes people who are (mostly) young and don’t want to buy insurance even though they can afford it. These people generally aren’t ill and don’t think they need insurance. For the most part, they are correct. The insurance costs them more than they spend on health care out of pocket.

It includes people who are changing jobs and are temporarily uninsured while transitioning from 1 employer’s plan to the other. Though technically uninsured for a brief period, they are not at much risk and don’t need government assistance.

It includes people who are covered under various government health care programs. These people are technically uninsured though they don’t have to worry about health care since it is being provided by the government.

It includes illegal aliens who though uninsured, can get free medical care at just about any hospital or clinic in the country.

The real number of uninsured people who NEED insurance coverage is much lower than the oft quoted 47 million.

Candidate for Trustee of Illinois Central College
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I disagree with the premises behind this post

aesthete (Diary) Thursday, June 4th at 2:48PM EST (link)

I, personally, think that if Republicans are to show an alternative to the Dems healthcare plan, they should reject their premises (i.e., healthcare is a right). I would rather have Repubs focus on the idea that healthcare is broken because of an over-reliance on government, and show how employee-centered healthcare, rather than the current employer-centered healthcare, can reduce costs, increase quality, and reduce government involvement. This obviates the Dem talking points from the debate, while making us look more knowledgeable about the debate by providing an explanation of why our healthcare options are currently a mess.

The act of defending any of the cardinal virtues has today all the exhilaration of a vice – G.K. Chesterton

My thanks to Rep Boustany for stopping by

Karina (Diary) Thursday, June 4th at 3:34PM EST (link)

I also don’t agree that we can work with the Dems or the President. Their goal is to move us to a single payer system and that is not acceptable. It does not work and our economy can’t handle the enormous increase of debt that would encompass. The government needs to get out of our pockets and our lives.

We need to formulate a plan for health incurance which will follow employees, even across state lines. Probably some insurers would go out of business with the increased competition. But if they’re not meeting the needs of the consumer, then they will change or be gone. That’s free market.

Also, how many of those people in those stats are willingly uninsured? These numbers drive me crazy. The majority of people have insurance and love it or at least are happy with it. Can we please have some reality in Washington?

 
 

Key points to keep in mind

civil truth (Diary) Thursday, June 4th at 3:59PM EST (link)

We need to move away from an employer-funded system. This inherently sets the patient interests against the employer’s interests, leading to conflict, Worse it shifts the employee’s focus to maximizing benefits, while saddling employers with additional employment costs that inhibit job creation. Plus it chains people to their employment, especially if they have pre-existing medical conditions, as they risk losing coverage and savings if they lose their job.

The equations governming two-body problems are solvable, but once you turn it into a multibody problems, the equations turn chaotic. Our current system is a four body problem: patient, medical professional, reimbursement party, and employers. It’s not surprising then that our system is chaotic – its inherent in the system.

Adding a fifth-body – government – will be even worse and almost certainly result in collisions. We clearly agree on that.

Rather, we at least need to remove employers from the picture combined with the ability to include everyone in groups and better incentives towards appropriate utilization (e.g. co-pays). We’ll still have instability as a three-body system, but there’s better hope preventing collisions that with four or five bodies.

The real elephant in the room though is affordability.

The greatest evil…is conceived and ordered (moved, seconded, carried, and minuted) in clean, carpeted, warmed, and well-lighted offices, by quiet men with white collars and cut fingernails and smooth-shaven cheeks who do not need to raise their voice. Hence, naturally enough, my symbol for Hell is something like the bureaucracy of a police state or the offices of a thoroughly nasty business concern. -C.S. Lewis

http://www.gmsplace.com/

 

Not a key you want to turn

GreyCloak (Diary) Friday, June 5th at 5:07AM EST (link)

I’ll agree that adding government is never a positive solution.

But if you think employer-funding is bad, please call Aetna, Blue Cross, or a few others that offer private Individual Health Insurance … or ask your HR department for the current COBRA premium (what you’ll pay for 18 months if you lose your job).

Please note that the employers’ cost for “benefits” is far north of 30% of your salary … probably more like 100% … and lower-paid employees benefit far more (as a percentage) than executives.

You are right that “more bodies” means “more costs.” Every body takes its cut except the patient pays for it all one way or another. Doctors make a profit, hospitals make a profit, insurance companies make a profit … each adding to the actual cost.

And note especially … even the Government continues to make a profit on Medicare, although they will no longer in a few years.

 

Universal Health Savings Accounts

tedpomeroy (Diary) Friday, June 5th at 8:21AM EST (link)

The DEMS want universal healthcare and they want a value-added tax (VAT) to pay for it.

Call their bluff. They can have what they want if the vehicle is a universal health savings account. HSA would be consumer/family administered and could be left to heirs.

The VAT would be a HAT, (Healthcare Added Tax) would be a dedicated pass through to people’s HSA’s.

Offer this pragmatic compromise and the American will love it. End Medicaid and Medicare with universal HSA!

 

So, how we resist national health care ?

patriciamcnaughton Friday, June 5th at 11:25AM EST (link)

THIS IS KEY:

No U.S. or state government owns our private health records or us.

Private citizens who agree must resist government health care by refusing to allow government’s unauthorized confiscation of our records.

We must find or create a legal document or letter template private citizens can use to prevent physicians, insurance companies, etc. from releasing our health records to any government entity without each individual’s express, informed and written consent.

If medical/insurance providers throughout the country receive millions of these documents, they will take note. Sending a copy to federal/state legislators, the president and governors will reinforce this message.

It will take nationwide participation, but it can be done. It might be the only way to stop the release of our private records to the government and put a stop to government health care.

If this makes sense to you, pass it on! Better yet, how do we work together to make it happen?