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.
Dear President Obama,
^We share your belief that health reform is not only needed, but is long overdue. During Wednesday’s State of the Union address you told the nation, “If anyone from either party has a better approach [than the current proposals] that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors, and stop insurance company abuses, let me know.”
We are hopeful that we can begin anew in the spirit of true bipartisanship and again submit our reform proposal to you. On May 20, 2009, we introduced comprehensive health reform legislation, The Patients’ Choice Act. We believe this legislation would put patients and physicians back in control of health care decisions. We hope you will seriously consider this legislation, because it accomplishes each of the goals you have outlined, but does so without dramatically expanding the size and scope of the federal government or raising taxes. These legitimate concerns are a primary reason reform efforts have stalled, and we would appreciate consideration of a different approach to our shared goals.^
• Bringing Down Premiums. The Patients’ Choice Act equalizes the treatment of wages and health coverage under the tax code, which economists across the political spectrum confirm will effectively increase workers’ wages so all Americans can obtain affordable health coverage.
• Bringing Down the Deficit. In a letter to Rep. Paul Ryan on September 21, 2009, the Congressional Budget Office analyzed policies in The Patients’ Choice Act and found they would reduce the deficit.
• Covering the Uninsured. The Patients’ Choice Act gives all individuals a tax credit to buy health insurance regardless of their income, health, or employment status.
• Strengthening Medicare For Seniors. The Patients’ Choice Act would eliminate billions and billions of taxpayer dollars being lost to Medicare fraud every year, by using the same smart technologies banks and financial institutions use to prevent identity theft and credit card fraud. Our plan also takes a step forward on payment reform with programs which increase care coordination between physicians and other health providers to lower costs and increase quality.
• Stopping Insurance Company Abuses. The Patients’ Choice Act creates state market places for health insurance – we call them State Exchanges –so every American can choose a plan that best meets their own medical needs. Insurance companies in State Exchanges must cover all Americans, regardless of age, pre-existing conditions, or health history.
We believe that the Patients’ Choice Act meets the goals you articulated in Wednesday night’s State of the Union address. These are important goals the American people share.
On Wednesday, you asked Congress to not walk away from health reform. You asked us to “find a way to come together and finish the job for the American people.” We agree with you that the American people deserve health care reform, and we encourage you to give our proposals consideration.
Sincerely,
Tom Coburn, M.D., U.S. Senator
Richard Burr, U.S. Senator
Paul Ryan, Member of Congress
Devin Nunes, Member of Congress
Click here to read the entire letter.
Additional information on the The Patients’ Choice Act below:
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.
Click here for a Half-time analysis of summit
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