Legislation & Issues
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.
May 20 2009
Senators Coburn, Burr and Representatives Ryan, Nunes Offer A Better Path Forward on Health Care Reform
Bicameral Coalition of Reformers Unveil “The Patients’ Choice Act of 2009”
WASHINGTON – ^Earlier today, U.S. Senators Tom Coburn, M.D. (R-OK) and Richard Burr (R-NC) and U.S. Representatives Paul Ryan (R-WI) and Devin Nunes (R-CA) introduced health care reform legislation that delivers on the shared principles of promoting universal access to quality, affordable health care, and does so without adding billions of dollars in new debt or taxes.
“The Patients’ Choice Act of 2009,” transforms health care in America by strengthening the relationship between the patient and the doctor; using choice and competition rather than rationing and restrictions to contain costs; and ensuring universal, affordable health care for all Americans. “The Patients’ Choice Act” promotes innovative, State-based solutions, along with fundamental reforms in the tax code, to give every American, regardless of employment status, age, or health condition, the ability and the resources to purchase health insurance. The comprehensive legislation includes concrete prevention and transparency initiatives, long overdue reforms to Medicare and Medicaid, investments in wellness programs and health IT, and more.
“As a practicing physician, I have seen first-hand how giving government more control over health care has failed to make health care more affordable and accessible. The American people deserve health care reform that will work, not another round of so-called reform that repeats the same failed policies of the past. Congress and the administration have the opportunity to pursue bold reform and a fresh start. The Patients’ Choice Act will provide every American with access to affordable health care without a tax increase, more debt and waiting lines,” Dr. Coburn said.^
“The American health care system needs a complete transformation,” Senator Burr said. “The Patients’ Choice Act will finally enable Americans to own their health care instead of being trapped in the current system, which leaves people either uninsured, dependent on their employer, or forced into a government program. With a focus on prevention and wellness and covering those with pre-existing conditions, the Patients’ Choice Act will make health care affordable and accessible to all Americans.”
“Both parties need to step up to the plate with specific solutions to our nation’s health care crisis,” added Ryan. “The Patients’ Choice Act represents a clear alternative to those who seek to empower Washington at the expense of the individual, and I am hopeful that our efforts can help push Congress to enact a more sensible health care reform bill this year. The Patients’ Choice Act proves that America can have universal health care coverage without the government running our health care system.”
Nunes stated, “The American people deserve a health care system that is centered on their individual needs. Our bill will allow us to achieve this goal, while improving health outcomes, lowering cost and guaranteeing access to health care for every single American.”
Watch the press conference here
Click here to view the entire bill text.
Click here for the brief summary.
Click here for a comprehensive summary.
Click here for answers to common questions and myths.
Click here for a section-by-section summary.
Click here to see how Dr. Coburn’s prescription for health care reform would affect you and your family.
Click here to see how Dr. Coburn’s prescription for health care reform compares to the public plan option and the current health care system.
Click here to read how Dr. Coburn’s prescription for health care reform is the only proposal that improves care, lowers costs, and ensures health insurance for all Americans.
Click here to read the Individual Auto-Enrollment Summary.
Compare Patients' Choice Act and Democrats' House Bill here.
Read the HSI Network, LLC independent study here.
Gingrich Statement on the Patients’ Choice Act
Read the sponsor's editorial on PCA 2009.
Coburn, Burr letter to Senator Reid regarding his recent remarks.
Read the Americans for Tax Reform's letter.
Coburn discusses health care on C-Span's Washington Journal
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