Q: What does your health care plan contain to address racial disparities in access to care?
A: This is a real problem. It's real people that are involved in this type of situation. I think the question you have to ask is:
Which is the best way to go, then? Do you do it with more government or do you do it with more markets? Because these are real people experiencing this. And I pick more markets and real markets with it.
Because I have not seen, in this country, ever, when the government enters into something on a bigger basis, do we get higher quality service or more of it? We don't. It doesn't work that way. One thing that hasn't been talked about up here is Health
Savings Accounts. We need to expand that so people can save money, tax-exempt, from their work, the employers putting that in so they can have some money for their health care coverage.
Insurance reward for avoiding tobacco, alcohol, obesity
Q: Healthcare consumes up to 17% of our GNP. It appears that lifestyles that are based in moral principles would reduce healthcare expenditures. Would you support a private healthcare approach that rewards behavior that promotes moral lifestyles--
that is, avoiding alcohol and tobacco consumption, as well as obesity reduction, exercise and nutrition that promotes health?
Market-based solution over socialized government-pay system
Q: The SCHIP bill would raise tobacco tax. How do we pay for health care in this country without raising some additional revenues?
A: Well, that's why I voted against the bill. But it wasn't just that. The piece of it that I think you have to recognize
is that you've got a fundamental decision to make here on health care, which is 16% of the economy, going north fast, probably headed to 20% of our total economy. Do you think the solution to providing more and better health care is (1) that we should
have more government solutions involved, or (2) should there be more market-based solutions involved? And I think clearly the answer here is you need more market forces in health care. That's what we need to do. Instead, you've got the Democrats doing a
step-by-step march toward a socialized government-pay system. And they're very happy to do it that way. But we can get better health care going this way. And we can hold the price of it down and not bust the federal treasury at the same time.
colon cancer. We're like most families in this country, where cancer is a familiar topic and a dreaded word.
In some of my speeches [I describe my] plan to end deaths by cancer in ten years. There are a lot of things we could give back to
the world, but if the number-one fear is death from cancer, then giving them back the gift of life would be a wonderful gift. It would be a gift that only this country could give the world. We have everything needed to make this a priority.
Source: From Power to Purpose, by Sam Brownback, p.187-188
Jul 3, 2007
Supports competitive marketplace with price transparency
own money, so we shop for the best product at the best price.
The problem with the current health care system is that it's not generally seen as using our own money, and we have no price transparency. We don't know what we're paying for. Frequently a
third party pays the bill.
The patient needs more information, and we need more price transparency. I've cosponsored a bill requiring the disclosure of the amount Medicare reimburses on typical procedures [made] available over the Internet.
Source: From Power to Purpose, by Sam Brownback, p.195
Jul 3, 2007
Supports Health Savings Accounts, not government control
however, is that the other side is pushing hard for more government control over health care and a bigger government-funded system. The big push for the Democrats is nationalized health care on the order of the failed Clinton health care proposals of the
1990s. I don't think they've lost the appetite for doing that now.
The market-engaging solution is the one that can actually work. Our way is to restore market mechanisms to the system, not simply yo have more and bigger government in health care.
Source: From Power to Purpose, by Sam Brownback, p.195-196
Jul 3, 2007
Voted NO on adding 2 to 4 million children to SCHIP eligibility.
Allows State Children's Health Insurance Programs (SCHIP), that require state legislation to meet additional requirements imposed by this Act, additional time to make required plan changes. Pres. Bush vetoed this bill on Dec. 12, 2007, as well as a version (HR976) from Feb. 2007.
Proponents support voting YES because:
Rep. DINGELL: This is not a perfect bill, but it is an excellent bipartisan compromise. The bill provides health coverage for 3.9 million children who are eligible, yet remain uninsured. It meets the concerns expressed in the President's veto message [from HR976]:
It terminates the coverage of childless adults.
It targets bonus payments only to States that increase enrollments of the poorest uninsured children, and it prohibits States from covering families with incomes above $51,000.
It contains adequate enforcement to ensure that only US citizens are covered.
Opponents recommend voting NO because:
Rep. DEAL: This bill
[fails to] fix the previous legislation that has been vetoed:
On illegal immigration: Would the verification system prevent an illegal alien from fraudulently using another person's name to obtain SCHIP benefits? No.
On adults in SCHIP: Up to 10% of the enrollees in SCHIP will be adults, not children, in the next 5 years, and money for poor children shouldn't go to cover adults.
On crowd-out: The CBO still estimates there will be some 2 million people who will lose their private health insurance coverage and become enrolled in a government-run program.
Veto message from President Bush:
Like its predecessor, HR976, this bill does not put poor children first and it moves our country's health care system in the wrong direction. Ultimately, our goal should be to move children who have no health insurance to private coverage--not to move children who already have private health insurance to government coverage. As a result, I cannot sign this legislation.
Reference: Children's Health Insurance Program Reauthorization Act;
Bill H.R. 3963
; vote number 2007-403
on Nov 1, 2007
Voted NO on expanding enrollment period for Medicare Part D.
To provide for necessary beneficiary protections in order to ensure access to coverage under the Medicare part D prescription drug program. Voting YES would extend the 6-month enrollment period for the Prescription Drug Benefit Program to the entire year of 2006 and allows beneficiaries to change plans once in that year, without penalty, after enrollment. Also would fully reimburse pharmacies, states and individuals for cost in 2006 for covered Medicare Part D drugs.
Voted NO on increasing Medicaid rebate for producing generics.
Vote on an amendment that removes an increase in the Medicaid deduction rebate for generic drugs from 11% to 17%. The effect of the amendment, according to its sponsor, is as follows: "This bill eliminates the ability of generic drugs to be sold using Medicaid. Over half the prescription drugs used in Medicaid are generic. Because we have raised the fees so dramatically on what a generic drug company must pay a pharmacy to handle the drug, pharmacies are not going to use the generic. In the long run, that will cost the Medicaid Program billions of dollars. My amendment corrects that situation." A Senator opposing the amendment said: "This bill has in it already very significant incentives for generic utilization through the way we reimburse generics. Brand drugs account for 67% of Medicaid prescriptions, but they also account for 81% of the Medicaid rebates. This is reasonable policy for us, then, to create parity between brand and generic rebates. This amendment would upset that parity."
Reference: Amendment for Medicaid rebates for generic drugs;
Bill S Amdt 2348 to S 1932
; vote number 2005-299
on Nov 3, 2005
Voted YES on negotiating bulk purchases for Medicare prescription drug.
Vote to adopt an amendment that would allow federal government negotiations with prescription drug manufactures for the best possible prescription drug prices. Amendment details: To ensure that any savings associated with legislation that provides the Secretary of Health and Human Services with the authority to participate in the negotiation of contracts with manufacturers of covered part D drugs to achieve the best possible prices for such drugs under Medicare Part D of the Social Security Act, that requires the Secretary to negotiate contracts with manufacturers of such drugs for each fallback prescription drug plan, and that requires the Secretary to participate in the negotiation for a contract for any such drug upon the request of a prescription drug plan or an MA-PD plan, is reserved for reducing expenditures under such part.
Voted YES on $40 billion per year for limited Medicare prescription drug benefit.
S. 1 As Amended; Prescription Drug and Medicare Improvement Act of 2003. Vote to pass a bill that would authorize $400 billion over 10 years to create a prescription drug benefit for Medicare recipients beginning in 2006. Seniors would be allowed to remain within the traditional fee-for-service program or seniors would have the option to switch to a Medicare Advantage program that includes prescription drug coverage. Private insurers would provide prescription drug coverage. Private Insurers would engage in competitive bidding to be awarded two-year regional contracts by the Center for Medicare Choices under the Department of Health and Human Services.Enrolled seniors would pay a $275 deductible and an average monthly premium of $35. Annual drug costs beyond the deductible and up to $4,500 would be divided equally between the beneficiary and the insurer. Beneficiaries with incomes below 160 percent of the poverty level would be eligible for added assistance.
Reference: Medicare Prescription Drug Benefit bill;
Bill S.1/H.R.1
; vote number 2003-262
on Jun 26, 2003
Voted NO on allowing reimportation of Rx drugs from Canada.
S. 812, as amended; Greater Access to Affordable Pharmaceuticals Act of 2002. Vote to pass a bill that would permit a single 30-month stay against Food and Drug Administration approval of a generic drug patent when a brand-name company's patent is challenged. The secretary of Health and Human Services would be authorized to announce regulations allowing pharmacists and wholesalers to import prescription drugs from Canada into the United States. Canadian pharmacies and wholesalers that provide drugs for importation would be required to register with Health and Human Services. Individuals would be allowed to import prescription drugs from Canada. The medication would have to be for an individual use and a supply of less than 90-days.
Reference:
Bill S.812
; vote number 2002-201
on Jul 31, 2002
Voted NO on allowing patients to sue HMOs & collect punitive damages.
Vote to provide federal protections, such as access to specialty and emergency room care, and allow patients to sue health insurers in state and federal courts. Economic damages would not be capped, and punitive damages would be capped at $5 million.
Reference:
Bill S1052
; vote number 2001-220
on Jun 29, 2001
Voted YES on funding GOP version of Medicare prescription drug benefit.
Vote to pass an amendment that would make up to $300 billion available for a Medicare prescription drug benefit for 2002 through 2011. The money would come from the budget's contingency fund. The amendment would also require a Medicare overhaul.
Voted NO on including prescription drugs under Medicare.
Vote to establish a prescription drug benefit program through the Medicare health insurance program. Among other provisions, Medicare would contribute at least 50% of the cost of prescription drugs and beneficiaries would pay a $250 deductible
Reference:
Bill HR.4690
; vote number 2000-144
on Jun 22, 2000
Voted YES on limiting self-employment health deduction.
The Santorum (R-PA) amdt would effectively kill the Kennedy Amdt (D-MA) which would have allowed self-employed individuals to fully deduct the cost of their health insurance on their federal taxes.
Status: Amdt Agreed to Y)53; N)47
Reference: Santorum Amdt #1234;
Bill S. 1344
; vote number 1999-202
on Jul 13, 1999
Voted NO on increasing tobacco restrictions.
This cloture motion was on a bill which would have increased tobacco restrictions. [YES is an anti-smoking vote].
Status: Cloture Motion Rejected Y)57; N)42; NV)1
Reference: Motion to invoke cloture on a modified committee substitute to S. 1415;
Bill S. 1415
; vote number 1998-161
on Jun 17, 1998
Voted YES on Medicare means-testing.
Approval of means-based testing for Medicare insurance premiums.
Status: Motion to Table Agreed to Y)70; N)20
Reference: Motion to table the Kennedy Amdt #440;
Bill S. 947
; vote number 1997-113
on Jun 24, 1997
Rated 0% by APHA, indicating a anti-public health voting record.
Brownback scores 0% by APHA on health issues
The American Public Health Association (APHA) is the oldest and largest organization of public health professionals in the world, representing more than 50,000 members from over 50 occupations of public health. APHA is concerned with a broad set of issues affecting personal and environmental health, including federal and state funding for health programs, pollution control, programs and policies related to chronic and infectious diseases, a smoke-free society, and professional education in public health.
The following ratings are based on the votes the organization considered most important; the numbers reflect the percentage of time the representative voted the organization's preferred position.
