On the recordMarch 20, 2013
I thank Chairman Ryan for his leadership as well as to thank all of the members and staff of the Budget Committee. We have a good product here. It balances. Balance is important because, until you balance, you can't even begin to start paying off this debt, and we do that. The budget that's on the floor right now never balances. It might claim it does, but the math bears otherwise. {time} 1630 I want to address the Medicaid reforms that we put in our budget, because they were just attacked. We believe in balancing the budget. We believe in balancing, not by raising taxes, but by cutting spending. But you don't just have to cut to cut spending. You can reform. You can reform these programs, Mr. Chair, so that they are around for the generations to come. Medicaid, a program that by all accounts is failing those whom it is intending to serve, needs reform. It leads to poor outcomes for patients. A 2010 study suggested that surgical patients on Medicaid were 13 percent more likely to die, Mr. Chairman, than those without health insurance at all. That bears repeating. If you're a surgical patient on Medicaid, you are 13 percent more likely to die. That needs reform. It drives away doctors who want to serve the poor. On average, doctors who participate in Medicaid earn 56 percent of what those in the private sector do. It also is pushing our States closer and closer to the brink of fiscal collapse.…





