On the recordJanuary 12, 2007
this is a solution truly in search of a problem. We have heard of the success of the current program. We have heard a lot about special interests. Well, I rise to tell you that the patients of this Nation are my special interests. As a physician, I have seen and know that increased governmental involvement will decrease the drugs available and will harm patients. Some say, well, the VA system works just fine, and the government negotiates prices there; why not use that same system? Well, there is no way to compare those two systems, Mr. Speaker. They are absolutely apples and oranges. VA is a closed system. Medicare is an open system that offers choice that patients want. VA has no retail pharmacy benefits, none. Medicare provides access to community pharmacists, where many seniors receive great information and support. I have worked in the VA. I know what it means when they offer you, when they give the physicians a list of drugs that they are able to provide the recipients in a VA system. It doesn't work. It is a decreased formulary. There are those who think that they are going to get the pharmaceutical companies by adopting this bill. Mr. Speaker, all they will do is hurt patients. We will ultimately see higher costs, fewer drugs available, less quality health care and patients harmed. Those supporting H.R. 4 think that they know what is best for patients.
Source
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