|00:00:00||LAW AND WHY IS IT NECESSARY FOR THE REPUBLICAN BUDGET TO REPEAL THE PRESIDENT'S HEALTH CARE LAW AND ADVANCE BIPARTISAN SOLUTIONS THAT TAKE POWER AWAY FROM THE GOVERNMENT AND GIVE IT BACK TO THE PEOPLE?|
|00:00:10||THE JOINT ECONOMIC COMMITTEE PREPARED A CHART DEALING WITH THE AFFORDABLE CARE ACT SYSTEM SYSTEM -- SOME TWO YEARS AGO.|
|00:00:17||IT'S AN INVOLVED CHART YOU LOOK AT IT, IT NEEDS TO BE RIGHT SIDE UP, OF COURSE, BUT YOU KNOW WHAT, IT DOESN'T REALLY MATTER, IT MAKES JUST AS MUCH SENSE UPSIDE DOWN.|
|00:00:28||BUT THE REASON I WANTED YOU TO TURN IT OVER YOU LOOK AT THIS THING, INSTEAD OF THE PATIENT BEING AT THE CENTER OF ALL OF THIS THE PATIENT IS DOWN HERE AT THE BOTTOM.|
|00:00:37||THIS CHART WAS PREPARED TWO YEARS AGO BY THE COMMITTEE STAFF OF THE JOINT ECONOMIC COMMITTEE AND THIS IS PRECISELY WHY THE AFFORDABLE CARE ACT HAS TO BE PULLED ODD O-- PULLED OUT BY THE ROOTS IN ORDER FOR US TO GET ANY SEMBLANCE OF SANITY IN THE COUNTRY.|
|00:00:55||IGNORE THE FACT THAT IT BUSTS THE BANK AND IS A DRAIN ON THE FEDERAL TREASURY UNLIKE ANYTHING WE'VE EVER SEEN BEFORE, THE BOTTOM LINE IS, THIS JUST DOES NOT WORK.|
|00:01:04||I SPENT YESTERDAY AT THE SUPREME COURT, GOT TO HEAR THE ORAL ARGUMENTS BEFORE THE SUPREME COURT AND IT WAS ASTONISHING TO HEAR THE ARGUMENTS PUT FORTH WHY WE HAD TO TAKE OVER 1/6 OF THE ECONOMY, WHY WE HAD TO EXPAND GOVERNMENT POWER IN A WAY THAT'S GOING TO REDEFINE THE GOVERNMENT'S POWER OF THE -- OVER THE AMERICAN PEOPLE, IT WAS BECAUSE THE UNINSURED COST US SO MUCH MONEY.|
|00:01:31||THEY -- THAT'S NONSENSE.|
|00:01:32||WHAT'S THE REAL COST DRIVE OVER HEALTH CARE IN THIS COUNTRY?|
|00:01:36||WHAT'S THE REAL REASON HEALTH INSURANCE IS GOING INEXORABLY UP AND UP AND UP?|
|00:01:44||IT'S BECAUSE THE GOVERNMENT DOESN'T PAY FOR MEDICARE, MEDICAID AND S-CHIP AND IT'S THE NEED TO FILL THAT HOLE THAT CAUSES INSURANCE TO GO UP SO MUCH.|
|00:01:58||I WAS ASTONISHED THAT THIS ARGUMENT WAS NOT MADE FROM THE -- BEFORE THE SUPREME COURT BUT REGARDLESS, WHAT IS THE SOLUTION TO FIX THIS PROBLEM?|
|00:02:06||WE'RE GOING TO PUT A SUBSIDY OUT THERE FOR THE MIDDLE CLASS IN THE EXCHANGES.|
|00:02:12||THEN THE WORST PART, WE'LL DOUBLE MEDICAID.|
|00:02:15||MEDICAID IS THE PROBLEM.|
|00:02:16||MEDICAID IS THE REASON THIS COST IS GOING UP INEXORABLY YEAR AFTER YEAR AFTER YEAR AND WHAT WAS THE PRESIDENT'S SOLUTION?|
|00:02:23||WHAT WAS SPEAKER PELOSI'S SOLUTION?|
|00:02:28||LET'S ELBOW UP MEDICAID IN THIS COUNTRY AND SEE IF THAT FIXES THE PROBLEM.|
|00:02:33||HOW COULD THE LAW BE SO CONVOLUTED AS SHOWN ON THIS GRAPH?|
|00:02:38||THE REASON IS, IF YOU LOOK AT THE LANGUAGE THAT WROTE THAT GRAPH, THIS IS NOT TWO COPIES OF THE LAW, THIS IS ONE COPY OF THE LAW IN TWO VOLUMES.|
|00:02:47||HOW WAS IT SO BADLY DONE?|
|00:02:51||YOU NEED DO NOTHING MORE THAN LOOK AT THE TITLE PAGE OF H.|
|00:02:55||R. 3590 FROM DECEMBER 24, 2009, IN THE SENATE OF THE UNITED STATES -- MAY I HAVE AN ADDITIONAL 30 SECONDS.|
|00:03:01||MR. BRADY: I YIELD THE GENTLEMAN 30 SECONDS.|
|00:03:04||THE CHAIR: THE GENTLEMAN IS RECOGNIZED FOR 30 SECONDS.|
Mr. BURGESS. I thank the chairman for yielding.
A lot of people have asked, if you're going to do a Republican budget, why do you even involve yourself in the President's new health care law? They've asked, Why is it necessary for the Republican budget to repeal the President's health care law and advance bipartisan solutions that take power away from the government and give it back to the people? The Joint Economic Committee prepared a chart dealing with the Affordable Care Act some 2 years ago, and it's an involved chart. You look at it and--it needs to be right side up, of course. But do you know what? It doesn't really matter. It makes just as much sense upside down. The only reason I wanted to turn it over is because, when you look at this thing, instead of the patient being at the center of all of this, the patient is way down here at the bottom. This chart was prepared, again, 2 years ago by the committee staff of the Joint Economic Committee, and this is precisely the reason why the Affordable Care Act has to be pulled up by the roots in order for us to get any semblance of economic sanity in this country.
Ignore the fact for a moment that this thing busts the bank. Ignore the fact that this is a drain on the Federal Treasury unlike anything we've ever seen before. The bottom line is that this just does not work.
Now, I spent yesterday at the Supreme Court, and I got to hear the oral arguments before the Supreme Court. It was astonishing to hear the arguments put forward as to why we had to take over one-sixth of the economy and why we had to expand government power in a way that's really going to fundamentally redefine the relationship of the government with the American people.
The reason was, well, the uninsured cost us so much money. I've got to tell you something--that's nonsense. The uninsured, yes, may cost a little bit at the margin of the total health care system, but what's the real cost driver of health care in this country? What's the real reason that health insurance is going inexorably up and up and up? It is because the Federal Government does not pay its freight for Medicare, Medicaid, and SCHIP, and it is the cross-subsidization from the private sector to fill that hole by the public sector that causes the cost of insurance to go up so much.
I was astounded that this argument was not made before the Supreme Court. I was concerned that they might be arguing from false premises. Regardless, what is the solution then to fixing this problem of the health care costs going up? We're going to put a subsidy out there for the middle class in the exchanges. Well, that will help.
Then the worst part is we're going to double Medicaid. Medicaid is the problem. Medicaid is the reason this cost is going up inexorably year over year over year. What was the President's solution? What was Speaker Pelosi's solution? Let's double Medicaid in this country, and see if that won't fix the problem. Will it fix the problem? I submit it will not.
You ask yourself, How could the law be so convoluted as shown on this graph? The reason is, if you look at the language that wrote that graph, this is not two copies of the law; this is one copy of the law in two volumes. How was it so badly done? You need do nothing more than to look at the title page of H.R. 3590 from December 24, 2009, in the Senate of the United States.
The Acting CHAIR. The time of the gentleman has expired.