The fact is that in some high-cost States, when the senior shows up, they get a higher payment, and this is baked into the SGR as of now.
Ron Wyden
The Public Record
Ron Wyden is an American politician serving as the senior United States senator from Oregon, a position he has held since 1996. A member of the Democratic Party, Wyden has been a prominent advocate for civil liberties, healthcare reform, and technology policy. Throughout his tenure, he has focused on issues such as privacy rights, government surveillance, and access to healthcare, often emphasizing the importance of transparency and accountability in government actions.
On that point, I think Dr. Coburn raises an important point, because he is touching on this question of regional variation.
What can we do to start moving away from this kind of built-in disadvantage for people to hold costs down and deliver value?
We all know you cannot have big league economic growth with little league transportation systems.
We have gone back to the drawing board, and Senator Hoeven and I, in particular, have come up with a new concept.
I would like to see a sense of urgency, particularly because this is so directly related to job creation, as we saw the last time it was done.
Now, I would like to see us, particularly by closing some of the loopholes in the system, get lower than that.
We might generate $6 billion/$8 billion worth of projects, and the chairman and colleagues on both sides said, well, it is worth a try.
I would only say, respectfully, that to characterize this as being in the early stages--when you look at all that has been done, we have had one report after another, whether it is the Bowles-Simpson report, whether it is Dominici-Rivlin.
Would it not make for a simpler system to, in effect, root those out and ensure fairness for everybody.
When I take out the $1 trillion worth of tax expenditures, they seem to go to a small number of these special interests.
It seems to me all of you are, in effect, articulating the position that a simpler tax code that makes it easier to comply and harder to cheat is going to be better for the vast majority of Americans and businesses.
The fact that you are constantly looking for ways to beef up the fight against fraud and these kinds of rip-offs is really appreciated.
Senator Grassley and I have proposed an effort to open up the Medicare database.
I just look forward to working with you. And Senator Grassley and I have put a lot of years into this.
I would recommend very importantly that the NRC begin to look very closely at the implications of sea level rise on our nuclear facilities and our other energy facilities that are near the coast.
My time is up. But I want to thank you for your work and your scientific expertise.
I can't possibly compete with Senator Franken for purposes of analogies, but I very much share your concerns, Senator.
I do not think wine is getting the priority that it deserves in some of these key high-growth kinds of markets.
There is no question that your products are going to be a hit in the Asia Pacific region.
To fully tap this growing demand, American producers are going to rely on the Federal Government to establish a level economic playing field in the Asia Pacific region.





