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September
1, 2007
Comprehensive
Health Care Act
by Rep. Ron Paul, MD
Before
the U.S. House of Representatives on August 2,
2007:
Madame Speaker, America faces a crisis in health
care. Health care costs continue to rise, leaving
many Americans unable to afford health insurance,
while those with health care coverage, and their
physicians, struggle under the control of
managed-care "gatekeepers." Obviously, fundamental
health care reform should be one of Congress' top
priorities.
Unfortunately, most health care "reform"
proposals either make marginal changes or
exacerbate the problem. This is because they fail
to address the root of the problem with health
care, which is that government polices encourage
excessive reliance on third-party payers. The
excessive reliance on third-party payers removes
all incentive from individual patients to concern
themselves with health care costs. Laws and
policies promoting Health Maintenance Organizations
(HMOs) resulted from a desperate attempt to control
spiraling costs. However, instead of promoting an
efficient health care system, HMOs further took
control over health care away from the individual
patient and physician.
Furthermore, the predominance of third-party
payers means there is effectively no market for
individual health insurance polices, thus those
whose employers cannot offer them health benefits
must either pay exorbitant fees for health
insurance or do without health insurance. Since
most health care providers cater to those with
health insurance, it is very difficult for the
uninsured to find health care that meets their
needs at an affordable price. The result is many of
the uninsured turn to government-funded health care
systems, or use their local emergency room as their
primary care physician. The result of this is
declining health for the uninsured and increased
burden on taxpayer-financed health care system.
Returning control over health care to the
individual is the key to true health care
reform.
The Comprehensive Health Care Reform Act puts
control of health care back into the hands of the
individual through tax credits, tax deductions,
Health Care Savings Accounts (HSA), and Flexible
Savings Accounts. By giving individuals tax
incentives to purchase their own health care, the
Comprehensive Health Care Act will help more
Americans obtain quality health insurance and
health care. Specifically, the Comprehensive Health
Care Act:
1. Provides all Americans with a tax credit for
100% of health care expenses. The tax credit is
fully refundable against both income and payroll
taxes.
2. Allows individuals to roll over unused
amounts in cafeteria plans and Flexible Savings
Accounts (FSA).
3. Makes every American eligible for a Health
Savings Account (HSA), removes the requirement that
individuals must obtain a high-deductible insurance
policy to open an HSA; allows individuals to use
their HSA to make premiums payments for
high-deductible policy; and allows senior citizens
to use their HSA to purchase Medigap policies.
4. Repeals the 7.5% threshold for the deduction
of medical expenses, thus making all medical
expenses tax deductible.
By providing a wide range of options, this bill
allows individual Americans to choose the method of
financing health care that best suits their
individual needs. Increasing frustration with the
current health care system is leading more and more
Americans to embrace this approach to health care
reform. For example, a poll by the respected Zogby
firm showed that over 80% of Americans support
providing all Americans with access to a Health
Savings Account. I hope all my colleagues will join
this effort to put individuals back in control of
health care by cosponsoring the Comprehensive
Health Care Reform Act.
Paul
Archive
Dr. Ron Paul is a Republican
member of Congress from Texas.
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