Unfortunately, the Medicaid reimbursement for care at a skilled nursing facility (SNF) has long been inadequate.

Where is the patient responsibility in any of this?

My district has the fastest growing senior population in the United States. We have no option but for Congress to take steps to ensure that seniors are able to see a doctor and receive appropriate care.

We need more primary care physicians, but I can tell you in Las Vegas, we have a serious shortage of nephrologists.

We need to be careful about unintended consequences in implementing reforms.

I think we all appreciate that if health care spending in our country continues to rise at the current rate as we baby boomers reach retirement, that the promised benefits under Medicare are unsustainable.

I do believe that some of the recommendations in the report require more scrutiny.

I know that in the State of Nevada, in my district, we do not have enough nephrologists, we do not have enough gastro guys, we do not have enough surgeons, and we do not have enough cardiac specialists or cancer doctors.

Without a safe solution to the nuclear issue, our attention should be on how to produce more clean energy, like solar, wind, and geothermal.

Nuclear power is not a clean source of energy, because it has a toxic, lethal, radioactive byproduct, which is nuclear waste, that this nation has not figured out what it's going to do with.

I think moving toward renewable energy and energy independence is not only an environmental issue, which I believe it is, not only an economic issue, which I believe it is, but it's a national security imperative.