COMPREHENSIVE HEALTH CARE REFORM ACT -- (Extensions of Remarks - March 12, 2009)
* Mr. PAUL. Madam Speaker, America faces a crisis in health care. Health care costs continue to rise while physicians and patients 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.
* 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, improving Health Savings Accounts, and Flexible Savings Accounts. Specifically, the Comprehensive Health Care Reform Act:
* A. Provides all Americans with a tax credit for 100 percent of health care expenses. The tax credit is fully refundable against both income and payroll taxes;
* B. Allows individuals to roll over unused amounts in cafeteria plans and Flexible Savings Accounts (FSA);
* C. Provides a tax credit for premiums for a high-deductible insurance policy connected with a Health Savings Account (HSA) and allows seniors to use funds in an HSA to pay for a medigap policy;
* D. Repeals the 7.5 percent 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. 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.