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The health care system in America is broken. Costs are rising at an unacceptable rate—more than doubling over the last 10 years, which is nearly four times the rate of wage growth. Too many patients feel trapped by health care decisions dictated by insurers and HMOs. Too many doctors are torn between practicing medicine and practicing insurance. And some 47 million Americans worry what will happen to them or their children if they get sick.

As a physician, I am keenly aware that our country needs health care reform. I support comprehensive reform which would enable every American to enjoy health coverage, lower costs, increase patient choice, improve access and quality, and protect the patient-physician relationship.

Universal access to high quality health care is possible, and Americans are justified to expect it. We have the best doctors in the world…the best scientists in the world… the best hospitals in the world. Now America needs to build the best health care in the world. We need to empower patients, and reduce the power of government and insurance bureaucrats. Every American should be able to get the care they need.

We will move closest to this goal when we promote the same innovation and competition in health care that we see in every other American industry. America should achieve universal access in a way that puts individual Americans in charge of their own health care decisions. We need American solutions.

In May 2009, I introduced my own health care reform solution, the Patients’ Choice Act (S. 1099) which would accomplish these goals. The Patients’ Choice Act would put individuals in charge of their health care decisions and would increase access, affordability, and choice of health care plans. This proposal is a clear market-based reform that seeks to strengthen the relationship between the patient and the doctor.

Click here for a brief summary of S.1099, the Patients' Choice Act.

Click here for a section-by-section version the Patients' Choice Act.

Click here for a more comprehensive summary of the Patients' Choice Act.

Click here to view the Patients' Choice Act handout. 

Click here for example scenarios of individual coverage under the Patients' Choice Act.

Click here for an alternative to an Individual Mandate and auto-enrollment under the Patients' Choice Act.

Click here for the Patients' Choice Act Q & A's section.

 

Let me briefly to highlight a few points:

• Americans save more money. The Patients’ Choice Act equalizes the tax treatment of health insurance and enables every American to buy health insurance with a tax credit, regardless of employment status, age, health condition or the resources to purchase health insurance. This means that about nine in 10 American households would see a tax cut, and for patients and families making under $250,000 annually, their health insurance premium costs would generally be lower. Employers would still be able to deduct from their taxes the cost of providing health insurance to their employees, but millions of Americans who do not currently receive health insurance would have real buying power.

• States offer solutions. The Patients’ Choice Act incentivizes states to establish State Exchanges, which would offer high-quality, affordable health insurance to all individuals, regardless of their employment status, age, health condition, or pre-existing conditions. Health insurance plans sold in a State Exchange would offer the high-quality health plans like Members of Congress receive.

• Seniors fare better. The Patients’ Choice Act protects seniors. Unlike some proposals being considered in Congress, my plan is not financed by arbitrary and drastic cuts to Medicare. As a practicing physician, I know how many seniors rely on Medicare and I am committed to reforming Medicare. My plan would significantly reduce the high rate of Medicare fraud compared to today’s practices. This policy change alone would improve Medicare’s solvency, ensure taxpayer dollars are not wasted, and help us keep our commitment to America’s seniors. My plan would also improve competition and value under Medicare Advantage, and allow seniors making healthy decisions to save more.

• No new spending, no new taxes. According to our estimates Patients’ Choice Act does not require new spending or new taxes. It is my intent to address our health care crisis my fixing incentivizes in the system and reallocating existing money. Americans already spend $2.4 trillion a year on health care, which means that we need to figure out ways to spend our health care dollars more effectively instead of drastically increasing spending. In fact, one independent estimate said my bill could save taxpayers $70 billion and ensure a majority of currently uninsured Americans.

• Transforms Medicaid to provide real coverage and care. The Patients’ Choice Act transforms Medicaid by building upon the innovations we have seen in a number of states. My plan would integrates low-income families with dependent children into higher quality private plans through a tax credit and direct financial assistance. Keeping families together within one provider network will foster coordinated, personalized care and promote innovative patient care models such as medical homes. My plan also maintains current law for benefit security and stable funding for individuals with disabilities but enables better care management. This would improve the health coverage and care for about 45 million Americans, and save taxpayers about $260 billion. States would save a lot as well: about $960 billion over 10 years!

• Invests in prevention and wellness. The Patients’ Choice Act invests in prevention and wellness for all Americans. Currently, five preventable chronic diseases cause two-thirds of American deaths and consume 75 percent of our total health expenditures each year. These chronic diseases are largely preventable. My plan’s investment in public health and disease prevention will help reduce health care costs and improve the quality of Americans’ lives.

• Less government control and no government-run plan. The Patients’ Choice Act increases patient control and decreases government control. I strongly oppose the creation of any new government-run health care plan. A government-run program would only compound existing problems, by giving taxpayer dollars to Washington bureaucrats who would wield undue control over Americans’ health care decisions. A new government health care plan would also mean that millions of Americans would lose their current health care. Furthermore, socialized governmental systems stay afloat by rationing care and letting people die before their time. Numerous studies, reports, and media have shown that necessary medical procedures are delayed far too long in countries where there is socialized medicine. A government-run plan is not the answer. A government-run plan would unfortunately operate with the compassion of the IRS and the efficiency of the federal Katrina response. It will not meet the basic needs of our citizens, reduce costs or improve outcomes, so I will continue to oppose it.

All Americans should have the ability to make their own health care decisions, see the doctor they want, and get the care they need. As a practicing physician and two-time cancer survivor, I support targeted, sensible health care reform which builds on what works and fixes what is broken. I will fight for solutions that strengthen the relationship between patients and doctors, solutions that put patients –not Washington bureaucrats – in charge of their health care decisions and provide common-sense solutions to our nation’s health care crisis.

Mar 19 2012

CRS Memo on Public & Private Expenditures for Health Care

The Congressional Research Service (CRS) sent this memo to Dr. Coburn responding to a request for an analysis of U.S. national health expenditures in 2014. The memo provides a breakdown of expenditures by funding source (i.e. public sources and private sources) that includes tax expenditures and the health care reform measures (PPACA).
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2/10/11 CBO Director Confirms the Health Law Causes a Reduction of 800,000 Workers
2/7/11 Financial Audit of the Department of Health & Human Services Reveals Concerning Findings for FY2010
2/2/11 Dr. Coburn Votes to Repeal Flawed Health Care Law
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1/26/11 Dr. Coburn Co-Sponsors Bill to Repeal Job-Killing Tax on Medical Devices
1/24/11 Repealing the Federal Health Law Saves American Taxpayers Money
1/6/11 CBO’s Initial Findings On Repealing The Health Overhaul: Lower Premiums, Reduced Costs to Taxpayers
1/4/11 Laudable Provisions in Fiscal Commission Health Care Recommendations
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12/22/10 Dr. Coburn Announces Agreement on 9/11 First Responders Bill
12/21/10 Detailed Outline of Dr. Coburn's Position on The James Zadroga 9/11 Health and Compensation Act
12/9/10 Congress’ End-Of-Year Spending Bill Empowers Bureaucrats and Funds The Controversial New Federal Health Care Law
12/9/10 Congress’ End-Of-Year Spending Bill Empowers Bureaucrats and Funds The Controversial New Federal Health Care Law
12/9/10 Dr. Coburn Calls CR/Omnibus a Trojan Horse to Fund New Health Law
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11/30/10 Dr. Coburn Says Food Safety Bill Won’t Make Food Safer
11/23/10 Opposing view on food safety: Leverage the free market
11/17/10 Today, Dr. Coburn filed two amendments to the Food Safety bill
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10/27/10 ObamaCare's ill effects starting to take hold
10/26/10 What Others Are Saying About "Grim Diagnosis"
10/25/10 Drs. Coburn and Barrasso Release New Health Care Report
10/4/10 HHS ADMINISTRATIVE FAILURE
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9/29/10 Dr. Coburn Introduces Bill To Stop Medicare and Medicaid Fraud “FAST”
9/29/10 Dr. Coburn Introduces Bill To Stop Medicare and Medicaid Fraud “FAST”
9/24/10 Dr. Coburn Introduces Ensuring Greater Food Safety Act of 2010
9/23/10 Today, Dr. Coburn Cosponsored a Bill to Strike CLASS Act Provision in New Health Care Law
9/22/10 Dr. Coburn Again Calls on Majority Leader Reid to Bring Food Safety Bill to the Floor
9/16/10 Dr. Coburn Encourages Reid to Bring Food Safety Bill to the Floor
9/15/10 Detailed Concerns with S.510, the FDA Food Safety Modernization Act of 2010
9/8/10 What Happens to Americans Without Health Insurance?
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8/27/10 How Much Does the Federal Health Overhaul Cost States?
8/25/10 Dr. Coburn Requests HHS Secretary Sebelius Provide “Open And Transparent Accounting” Of How Americans’ Tax Dollars Are Spent
8/17/10 Dr. Coburn is original co-sponsor of the Health Care Bureaucrats Elimination Act, S.3653
8/11/10 Revealing New Study: Medicaid Patients More Likely to Die After Surgery, Have Longer Stay and Higher Costs
8/5/10 Coburn, Hatch Introduce Bill to Exclude Abortion Coverage from Health Care Law
8/5/10 First Findings From Medicare Trustees Report
8/3/10 Sens. Coburn, Barrasso, Burr, McCain & Thune Send Letter to Sec. Sebelius Questioning HHS Campaign Ad
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7/21/10 Dr. Coburn Introduces Bill Prioritizing Treatment in Global AIDS Effort
7/21/10 Dr. Coburn Introduces Bill Prioritizing Treatment in Global AIDS Effort
7/7/10 Bad Medicine: a check-up on the new federal health law by Drs. Coburn & Barrasso
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6/30/10 Sens. Coburn, Cornyn, Thune, McCain, and LeMieux Ask HHS OIG About Waste, Fraud, and Abuse Under the New Health Law
6/30/10 Some Americans Have Already Lost Their Health Coverage As a Result of the New Health Care Law
6/29/10 New Health Law: Cuts Nearly $530 Billion From Medicare For New Entitlement Program
6/20/10 Joint Committee on Taxation: Only 7% of Americans Receive Insurance Subsidy Under New Health Law
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5/27/10 New CRS Memo Confirms: New Tax for Insured Americans, Free Care for Illegal Immigrants
5/20/10 A CDC Study Confirms Medicaid Patients are Twice as Likely as the Uninsured to Utilize Emergency Rooms as Their Primary Source of Treatment
5/12/10 The CMS Actuary released new analysis of the final version of the new federal health care law
5/5/10 Coburn Op-Ed: How the New Health Care Law will Impact Oklahoma
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4/29/10 Key Study of U.S. Healthcare System: 1 out of 3 Dollars Goes to Waste
4/26/10 CRS Reports Explain the Effects of the Patient Protection and Affordable Care Act on Americans and Pre-existing Health Care Provisions
4/2/10 Members of Congress Get Special Treatment to Avoid Requirements of New Federal Health Care Law
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3/15/10 "Dear Colleague" Letter: Majority of Physicians Reject Current Bills
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1/29/10 Letter to President Obama from Sens. Coburn and Burr, Reps. Ryan and Nunes
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12/19/09 Dr. Coburn Calls New Abortion Language a Fraud that Will Allow Taxpayer-Funded Abortion
12/16/09 Dr. Coburn Encourages Americans to Listen to Reading of Plan to Establish Government-run Single Payer Health Care
12/6/09 Senate Health Care Bill Costs Taxpayers $6.8 million per word
12/4/09 New CRS Report Shows Government Already Controls 60 percent of Health Care in the U.S.
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10/28/09 Read the Congressional Budget Office’s letter to Rep. Paul Ryan, the lead House co-sponsor of the Patients’ Choice Act
10/14/09 Medicaid Malpractice: New CRS Memo Confirms Medicaid Patients Have Higher Rate of Infant Mortality
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9/23/09 The Health Care Debate and What it Means to You
9/15/09 Health Reform Should Begin with Ending Fraud
9/10/09 Dr. Coburn’s Statement on President Obama’s Health Care Speech
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8/10/09 Ten Questions Politicians Won’t Answer
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7/15/09 Dr. Coburn Says HELP Committee Bill will do Grievous Harm to Patients and Economy
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6/9/09 A Better Way to Reform Health Care
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5/20/09 Senators Coburn, Burr and Representatives Ryan, Nunes Offer A Better Path Forward on Health Care Reform
5/12/09 Dr. Coburn to Introduce Comprehensive Health Care Bill Soon
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7/30/08 NIH Director to Congress: Disease-Specific Mandates Undermine Potential for New Scientific Discoveries
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5/22/08 African AIDS treatment advocates could force a hold on PEPFAR bill among US Senators
5/12/08 Death rate in Malawi falls by up to 35% due to free HIV treatment
5/6/08 STUDY: Nearly all babies born to mothers with HIV can be spared infection with treatment, yet 1,800 babies are infected with HIV each day
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4/28/08 As Congress retreats on efforts to eliminate baby AIDS, a new study finds few pregnant women with HIV in poorer countries receiving treatment
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11/2/07 Dr. Coburn Urges Politicians to Put Patients Ahead of Politics
11/1/07 Dr. Coburn Disappointed Senate Playing Politics with Kids’ Health
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10/24/07 Children's Health Yields to the Senators From Pork
10/23/07 Dr. Coburn Chides Senate for Putting Pork Before Kids
10/17/07 Coburn Amendments to Labor/HHS/Education FY08 Appropriations Bill
10/4/07 Expanding SCHIP Is Move Toward Government-Run Health Care
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9/24/07 Opinion: The new Hillarycare
9/11/07 Healthy Medical Reforms
9/9/07 Column: How the Swiss do health care
9/5/07 Editorial: Health Care and Taxes
9/4/07 Opinion: Backers of health plan for kids have other motives
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8/18/07 Could your DNA get turned against you?
8/10/07 Editorial: Healthcare baby steps better than nothing
8/8/07 Coburn calls for privatizing health care
8/6/07 Column: Health insurance fight shows GOP in disarray
8/6/07 Editorial: Insurance bill boost for families
8/2/07 Editorial: SCHIP Shape?
8/1/07 Individual Freedom vs. Government Control
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7/27/07 GOP senators seek universal health care
7/10/07 State funds would triple for children
7/8/07 Battle Takes Shape Over Expansion of Children's Insurance
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6/29/07 Senate panel passes biogenerics bill
6/12/07 Dr. Coburn Releases Oversight Report on the Centers for Disease Control and Prevention (CDC)
6/6/07 Opinion: Health Care Needs Market Forces
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5/9/07 Dr. Coburn Applauds Passage Of Drug Safety Legislation
5/3/07 Senate to address biologics after finishing PDUFA debate
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4/30/07 Editorial: Health Plan, Place to start
4/30/07 FDA Bill draws wider drug debate
4/24/07 Responsible Medicine
4/23/07 Drug Safety is goal of measure to revamp FDA fees, procedures
4/19/07 Senate HELP Committee Approves Revised PDUFA Bill
4/19/07 Kennedy: Generic Biotech Will Be In PDUFA Legislation
4/11/07 Freedom: Individuals should make health insurance decisions
4/11/07 Coburn Floats Health Plan - Senator emphasizes creating a system driven by consumers' choices
4/9/07 Editorial - Choice and Access: Coburn Care Plan Deserves Consideration
4/5/07 Health care reformers must remember the future
4/5/07 Government-run healthcare's dirty little secrets
4/4/07 Coburn has the right medicine for a sick health care system
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3/30/07 Coburn Health Care Plan Involves Rebates, Prevention
3/23/07 Republican Rx
3/22/07 Britons desert private medical insurance market
3/22/07 Coburn Offers Plan on Health Coverage
3/21/07 Dr. Coburn Introduces Health Plan Promoting Universal Coverage, Access and Choice
3/16/07 Reauthorization of Health Act Vowed by Senate Committee
3/16/07 Senate Panel Jointly Looks at Safety Bill and PDUFA
3/8/07 Health costs will surge without better prevention
3/5/07 Spring markup likely in Senate for Tobacco regulation measure
3/2/07 Health care top domestic concern in U.S.: poll
3/2/07 Opinion: The Lost Window of Opportunity
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2/27/07 Dr. Coburn Says Federal Inaction One Cause of HPV Epidemic
2/5/07 Editorial: To Our Health - Bush plan deserves serious study
2/1/07 Senate Likely to pass bill that would prevent genetic discrimination
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1/25/07 Dr. Coburn, Senator Martinez Introduce Legislation to Make Health Care More Affordable and Accessible
1/11/07 Kennedy To Push For Universal Health Care
1/10/07 Congress mulls how to expand U.S. health insurance
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11/1/06 Editorial: Holding firm
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10/6/06 Major HIV/AIDS Oversight Action
10/1/06 Global AIDS Treatment Cost - Can we afford to treat 7 million as Dr. Coburn demands?
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9/22/06 Dr. Coburn, AIDS Healthcare Foundation Back CDC’s New HIV Testing Guidelines
9/19/06 Doctor Tom's DDT Victory
9/15/06 WHO Lays Out DDT Strategy, Calling for Its Use Even Indoors
9/15/06 Senators Coburn, Burr and Sessions Call for More Equitable Ryan White CARE Act HIV/AIDS Funding
9/7/06 Analysis: Health plan merger a red flag?
9/1/06 Congress poised to renew Ryan White Act
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8/14/06 Federal moratorium on new specialty hospitals ends
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6/28/06 D.C. Kicks Off Anti-HIV Rally
6/20/06 Cantor to offer new HSA bill, easing tax concerns of right
6/9/06 Senators Coburn, DeMint, Vitter, Inhofe and Cornyn Introduce Legislation to Improve Health Savings Accounts
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5/22/06 AIDS Vaccine Testing Goes Overseas
5/18/06 They'd Sooner Fix Medicaid
5/4/06 Editorial: Prodigal State
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4/21/06 How To Stop Medicaid Fraud
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3/29/06 Hearing Addresses CMS' Efforts To Control Medicaid Fraud
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12/14/05 Dr. Coburn letter to HHS on Ryan White CARE Act formulas and ADAP funding
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11/10/05 Dr. Coburn Says New FDA Condom Regulations Make Inconclusive, Exaggerated Claims About Condom Effectiveness
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7/27/05 Dr. Coburn Praises Bush Administration’s Ryan White CARE Act Reauthorization Plan
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6/30/05 Dr. Coburn Praises President Bush’s New Initiative to Combat Malaria

Floor Statements & Speeches

Date Title
7/30/13 Obamacare Will Only End With Full Repeal
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2/11/13 Dr. Coburn on S. 47, the Violence Against Women Act: Washington Duplication and Incompetence Blocks Justice For Victims
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9/21/12 Coburn on Lack of Leadership in Congress: America Deserves Better
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5/23/12 Dr. Coburn Calling Up Amendments to the FDA User Fee Bill
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