| 00:00:01 | GREAT PRESENTATION. |
| 00:00:02 | SO GENTLEMAN, TONIGHT'S FIRST TOPIC IS MEDICARE AND THE GROWTH OF MEDICARE. |
| 00:00:08 | WHAT OUR AUDIENCE WOULD LIKE TO KNOW IS EXPLAIN WHAT HAPPENS TO MEDICARE AND TO OUR BUDGET IF WE DO NOTHING AND EXPLAIN WHAT HAPPENS IF WE IMPLEMENT THE RYAN PLAN AND DO WE AGREE WITH THE RYAN PLAN. |
| 00:00:23 | IF NOT, WHAT IS YOUR ALTERNATIVE. |
| 00:00:29 | NEWT GINGRICH. |
| 00:00:37 | >> LOOK. |
| 00:00:38 | CAN YOU HEAR ME? |
| 00:00:40 | THE MIC IS NOT ON. |
| 00:00:41 | THAT IS A DISADVANTAGE. |
| 00:00:43 | IS THIS ON? |
| 00:00:44 | THIS IS ON. |
| 00:00:46 | OK. CAN I GO BACK TO THREE MINUTES? |
| 00:01:01 | IF WE ARE STUPID ENOUGH TO DO NOTHING, WE WILL EVENTUALLY RESEMBLE GREECE. |
| 00:01:07 | IT IS NOT COMPLICATED. |
| 00:01:10 | PAUL RYAN CAME UP WITH VERY GOOD IDEAS. |
| 00:01:13 | ONE OF THEM IS THAT HE WOULD FUNDAMENTALLY CHANGE MEDICARE BY GOING ULTIMATELY FOR YOUNGER AMERICANS INTO A PREMIUM SUPPORT MODEL. |
| 00:01:27 | NOW, I FAVOR AS A CHOICE A PREMIUM SUPPORT MODEL. |
| 00:01:31 | BUT I DON'T FAVOR A MANDATORY PREMIUM SUPPORT MODEL. |
| 00:01:36 | MY REASON IS SIMPLE. |
| 00:01:37 | I WANT US TO GET BACK INTO THE HABIT OF GIVING THE PEOPLE OF THE UNITED STATES A RANGE OF CHOICES SO THAT YOU ARE EMPOWERED, NOT THE BUREAUCRATS AND NOT THE POLITICIANS. |
| 00:01:50 | IF YOU BELIEVE IN THE FREE MARKET, WE SHOULD BE ABLE TO DESIGN A SERIES OF CHOICES WHERE THE MARKETPLACE RAPIDLY BEATS OUT THE BUREAUCRATIC SYSTEM AND PEOPLE GO TO IT BECAUSE IT IS BETTER FOR THEM AND NOT BECAUSE THEY ARE COMPELLED BY POLITICIANS TO GO THERE. |
| 00:02:08 | AND I ALSO THINK AS A PRACTICAL MATTER IF YOU ARE DEALING WITH SOMETHING THE SIZE OF MEDICARE, YOU CAN'T COERCE PEOPLE BECAUSE THEY WILL DEFEAT YOU. |
| 00:02:17 | THE FACT IS THE AMERICAN PEOPLE WON'T LET POLITICIANS IMPOSE ON THEM. |
| 00:02:22 | LOOK AT THE REACTION FROM ALL OF US ON OBAMA CARE SAYING YOU ARE NOT GOING TO IMPOSE ON US. |
| 00:02:28 | MY ARGUMENT IS THAT WE HAVE TO COME UP WITH SOLUTIONS THAT ARE ACTUALLY BETTER, THE PEOPLE SAY YES. |
| 00:02:34 | WAL-MART DOES NOT SAY PASS A LAW SO PEOPLE HAVE TO COME HERE ON WEDNESDAYS. |
| 00:02:41 | WAL-MART HAS TO OFFER BETTER VALUES FOR PEOPLE TO COME HERE SO THEY THINK THEY ARE GETTING A BETTER DEAL. |
| 00:02:47 | WE HAVE TO APPROACH HOW WE RESHAPE THE COUNTRY. |
| 00:02:51 | THE SCALE OF CHANGE THAT WE NEED IS SO LARGE IT WILL TAKE SO MANY ENTRENCHED ELEMENTS THAT WE HAVE TO HAVE A STRATEGY THAT STARTS WITH THE AMERICAN PEOPLE DECIDING THAT WE REPRESENTATIVE -- REPRESENT A BETTER FUTURE. |
| 00:03:07 | SECOND, BOTH IN MEDICARE AND MEDICAID. |
| 00:03:10 | I WILL COME BACK TO THIS THREE OR FOUR TIMES TONIGHT. |
| 00:03:13 | YOU HAVE TO GET TO A BETTER HEALTH SYSTEM IN ORDER TO GET TO AN AFFORDABLE HEALTH SYSTEM. |
| 00:03:20 | EXAMPLE, WE PUBLISHED A BOOK SEVERAL YEARS AGO CALLED STOP PAYING THE CROOKS. |
| 00:03:27 | YOU WOULD THINK THAT IS A TITLE THAT EVEN IN WASHINGTON PEOPLE WOULD HAVE FIGURED OUT IS INTERESTING. |
| 00:03:33 | MEDICARE AND MEDICAID, BECAUSE THE FEDERAL GOVERNMENT IS SUCH A BAD ADMINISTRATOR PAYS BETWEEN 70-120 BILLION PER YEAR TO CROOKS. |
| 00:03:54 | THE DENTIST WHO FILES 982 PROCEDURES PER DAY. |
| 00:03:58 | THE COMMITTEE IS NOT LOOKING AT THIS. |
| 00:04:01 | BY ITSELF THIS WOULD GET THEM OVER HALF THE SAVINGS THAT THEY ARE TRYING TO GET BUT REQUIRES THINKING ABOUT GOVERNMENT AND NOT JUST CUTTING IT OR INCREASING IT AND GETTING PEOPLE IN WASHINGTON TO THINK IS A VERY BIG CHALLENGE. |
| 00:04:25 | >> AT THIS PARTICULAR JUNCTURE I AM SUPPOSED TO HAVE A MINUTE TO DISAGREE WITH SOMETHING HE SAID, BUT I DON'T. |
| 00:04:33 | I WOULD LIKE TO INSTEAD -- I DON'T. |
| 00:04:43 | GIVE ME THREE MINUTES TO ADD A HISTORICAL PERSPECTIVE. |
| 00:04:47 | I REMEMBER TALKING ABOUT MEDICARE WHEN I FIRST WENT TO GODFATHER'S PIZZA AS PRESIDENT BECAUSE THAT IS WHEN I REALLY REALIZED THAT THE THINGS THAT WE CAN CONTROL INSIDE THE COMPANY WERE A LOT EASIER TO CONTROL THAN THE THINGS OUTSIDE THE COMPANY IN ORDER TO STAY PROFITABLE AND TO STAY IN BUSINESS. |
| 00:05:12 | MEDICARE STARTED IN 1965. |
| 00:05:18 | OUR GOVERNMENT TOLD US THAT IT WOULD COST $6 BILLION TO ROLL IT OUT. |
| 00:05:25 | WE ALSO TOLD THAT BY 1990 IT IS GOING TO COST $12 BILLION BECAUSE OF POPULATION GROWTH, INFLATION. |
| 00:05:38 | BUT IN 1990 THEY MISSED THE TARGET OF $12 BILLION. |
| 00:05:43 | IT WASN'T 12. |
| 00:05:45 | IT WAS NOT 24. |
| 00:05:48 | IT WASN'T 50. |
| 00:05:49 | IT WAS $109 BILLION. |
| 00:05:53 | A 900% MISS. |
| 00:05:57 | HOW MANY BUSINESSES CAN SURVIVE MISSING A TARGET LIKE THAT? |
| 00:06:01 | SO THAT HIGHLIGHT ANOTHER PROBLEM THAT WE HAVE WHICH IS LONG-TERM GOVERNMENT PROJECTION BUSY WHAT A PROGRAM IS GO TO COST HAS NEVER BEEN RIGHT. |
| 00:06:14 | NAME ONE. |
| 00:06:15 | THEY HAVE NEVER BEEN RIGHT. |
| 00:06:19 | NOW, THAT BEING SAID I BELIEVE AS SPEAKER GINGRICH BELIEVES THAT YOU CAN'T RESHUFFLE MEDICARE, MEDICAID OR SOCIAL SECURITY. |
| 00:06:31 | WE MUST RESTRUCTURE. |
| 00:06:42 | I HAVEN'T FOUND ANYTHING IN IT YET THAT I DON'T DISAGREE WITH. |
| 00:06:47 | BUT THERE IS A FUNDAMENTAL PRINCIPLE. |
| 00:06:49 | IF YOU WANT TO SOLVE A PROBLEM GO TO THE SOURCE CLOSEST TO THE PROBLEM. |
| 00:06:54 | IT IS NOT WASHINGTON, D. |
| 00:06:58 | C. GO TO THE STATES, GO TO THE DOCTORS, GO TO THE PATIENTS. |
| 00:07:03 | THAT IS WHAT THE RYAN PLAN ATTEMPTS TO DO BY ALLOWING THOSE MEDICARE ACCOUNTS FOR YOUNGER WORKERS AS AN OPTION. |
| 00:07:14 | SO, THAT IS AN OVERRIDING GUIDING PRINCIPLE THAT I LOOK FOR IN ANY OF THESE. |
| 00:07:18 | THERE IS ANOTHER THING THAT WE LEARNED FOR DECADES. |
| 00:07:22 | FINALLY WE ARE TALKING ABOUT IT SERIOUSLY. |
| 00:07:28 | PEOPLE SPEND OTHER PEOPLE'S MONEY MORE WRECKLESSLY THAN THEY SPEND THEIR OWN MONEY. |
| 00:07:36 | LET'S HAVE IT BE THEIR MONEY AND WE WILL SPEND IT BETTER. |
| 00:07:41 | THAT IS WHAT YOU HAVE TO DO. |
| 00:07:43 | GET IT OUT OF WASHINGTON D. |
| 00:07:45 | C. ACCORDING TO THE CLOCK I HAVE NINE SECONDS LEFT AND I AM NOT MAKING THIS UP. |
| 00:07:53 | POLITICIANS HAVE OVERPROMISED FOR DECADES. |
| 00:07:56 | WE HAVE TO GET REAL. |
| 00:08:00 | WE ARE HEADED OFF OF A CLIFF. |
| 00:08:10 | >> MY FIRST EXECUTIVE DECISION TONIGHT IS SUSPENDING THE CLOCK. |
| 00:08:14 | FROM NOW ON TAKE AS MUCH TIME AS YOU WANT TO ANSWER QUESTIONS. |
| 00:08:18 | FEEL FREE TO POSE QUESTIONS TO EACH OTHER. |
| 00:08:21 | LET ME START YOU OFF. |
| 00:08:22 | WHAT DO WE DO ABOUT RISING HEALTH CARE COST? |
| 00:08:25 | THE COST OF DOCTORS, HEALTH CARE, SERVICES, X-RAYS, EVERYTHING. |
| 00:08:31 | THEY APPEAR TO BE GOING UP 15% IRRESPECTIVE OF ECONOMIC CONDITIONS. |
| 00:08:41 | THEY SEEM TO HAVE A MARKET OF THEIR OWN. |
| 00:08:43 | CLEARLY IT IS A MARKET. |
| 00:08:50 | OUR AUDIENCE WANTS TO HEAR FROM YOU. |
| 00:08:52 | CAN WE REALLY SOLVE THE MEDICARE PROBLEM UNTIL WE SOLVE THE HEALTH CARE COST PROBLEM? |
| 00:09:08 | >> WE HAVE THE BEST HEALTH CARE IN THE WORLD. |
| 00:09:11 | WE HAVE A HEALTH CARE COST PROBLEM. |
| 00:09:16 | YOU ARE ABSOLUTELY RIGHT. |
| 00:09:18 | IN ORDER TO SOLVE THE HEALTH CARE COST PROBLEM WE MUST USE MARKET DRIVEN, PATIENT-CENTERED APPROACHES. |
| 00:09:31 | I TALKED TO DOCTORS. |
| 00:09:41 | HERE AGAIN YOU CANNOT MANAGE HEALTH CARE COSTS OUT OF WASHINGTON D. |
| 00:09:48 | C. IT IS IMPOSSIBLE. |
| 00:09:50 | EVERY PROGRAM WE HAVE THAT'S BEEN ADMINISTERED OUT OF WASHINGTON D. |
| 00:09:55 | C., A BUREAUCRAT TRIES TO MAKE A DECISION THAT WILL IMPACT A PATIENT OR HOSPITAL OR DOCTOR FAILS. |
| 00:10:01 | WHAT WE HAVE TO DO IS TO UNRAVEL THE SYSTEM WITH MARKET-DRIVEN IDEAS SUCH AS THOSE LOCATED IN HR 3400. |
| 00:10:22 | YEARS AGO HR 3400 OPENED UP HEALTH SAVINGS |
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