Tim Ryan: “I thank the gentleman. In Akron, Ohio, Summa Health Care is already implementing some of these accountable care…”

“I thank the gentleman. In Akron, Ohio, Summa Health Care is already implementing some of these accountable care organization methods, the medical home, and saving millions and millions of dollars because of the health care reform bill. I love this idea of we can't have a board that's rationing care. What are the insurance companies doing today, Mr. Chairman? We act like we're living in a society where the insurance industry is okaying every procedure that needs to get done. They're rationing care right now. We have 40 or 50 million Americans who can't afford health care. So we're going to throw our seniors now into the insurance market, and we're going to give them a premium support or a voucher--and our friend says it's not a voucher, it's premium support--to help them go out into the free market and buy insurance. But that voucher is only going to go up 3 or 4 percent a year while health care costs are going to go up 5, 10--who knows--15 percent a year. So that voucher every single year goes down and becomes worth less. That's the concern that we have on our side, and that's why we think the reform we put into place was a positive thing. Then the Medicaid cuts, which people in Ohio use to make sure they can get into a nursing home when they're seniors, get a cut by one- third.…”