December 1st, 2019

Dear Republican Members of the House and Senate,

We represent fiscal conservatives and activists from across the country, and we are concerned about the direction the health care policy debate is moving.

There is no doubt that left-of-center politicians have as one of their central goals a "Medicare for All" style socialized healthcare scheme that will raise our taxes, limit our choices, and ration our care.

However, what is troubling is how often otherwise right-of-center policymakers are resorting to one of the key pillars of the Medicare for All playbook--government imposed price controls. Whether it is called price fixing, rate setting, subsidy capping, or inflation capping, government price controls have wormed their way into the healthcare reform plans of too many of our friends in Washington.

Government price controls have always been opposed by fiscal conservatives, and for good reason. They lead directly to scarcity of a product, since the government is forcing the provider to sell below the market price. This scarcity then means the government gets to ration who gets the product. Before long, the government is telling one person they get to have the price controlled good or service that day, and tells another person they cannot.

This was a bad idea a half century ago with gasoline line rationing, and it's a bad idea today in health care. Something can only be affordable if it's available to buy in the first place.

Sincerely,

Charles Sauer Jason Pye President President Vice President Legislative Affairs Market Institute Freedomworks

Ryan Ellis Norm Singleton James L. Martin President Vice President Chairman/Founder Center for a Free Economy Campaign for Liberty 60 Plus Association

Brent Wm. Gardner Frank Lasée Saulius “Saul” Anuzis Chief Government Affairs Officer President President The 60 Plus Association

Iain Murray Josh Umbehr Pete Sepp Vice President for Strategy Board Member President Competitive Enterprise Institute DPC Action Dean Clancy Jeffrey Mazzella Jeff Leblanc President President Chairman HSAs For All Center for Individual Freedom Republican Liberty Caucus of Texas

David Williams Sara Croom Krisztina Pusok, Ph. D. President President Director of Policy and Research Taxpayers Protection Alliance Trade Alliance to Promote Prosperity The American Consumer Institute Center for Citizen Research Mario Lopez Larry Ward President Chairman Paul Caprio HISPANIC LEADERSHIP FUND Constitutional Rights PAC Director Family PAC Federal Dr. Keith Smith David Covey Founder Chairman Free Market Medical Association Orange County Republican Party Chairman Conservative Leadership PAC Dr. Kris Held Autry Pruitt Chairman CEO Richard A. Viguerie Association of American Physicians New Journey PAC Chairman and Surgeons ConservativeHQ.com Colonel Rob Maness George Landrith Founer/Chairman Eunie Smith President Gator PAC President Frontiers of Freedom Andrew F. Quinlan James Edwards President Mat Staver Executive Director Center for Freedom and Prosperity Chairman Conservatives for Property Rights Action Matthew Kandrach Colin A. Hanna President Hon. Bob McEwen President Consumer Action for a Strong US House of Representatives Let Freedom Ring, Inc. Economy Member, Ohio

Andrew Langer Seton Motley Kelly Shackelford President President Board Chairman Institute for Liberty Less Government CNP Action, Inc.

Dee Stewart Fred Grube Joshua Delano President Chairman President Americans for a Balanced Budget Polk County, Texas Republican Party Southeast Texans for Liberty

Ginevra Joyce-Meyers Amanda Head Steven J. Buri President Co-Chair President Center for Innovation and Free The Alliance to Undoctrinate Discovery Institute Enterprise Ryan Daniel Kevin Roberts, Ph.D. Tom Giovanetti Chairman Executive Director President Liberty County Republican Party Texas Public Policy Foundation Institute for Policy Innovation Hon. Dee Hodges Robert Roper Vice President, Federal Affairs President President States Trust Maryland Taxpayers Association Ethan Allen Institute

David Ridenour Craig DiSesa Bette Grande President President CEO National Center for Public Policy The Middle Resolution Roughrider Policy Center Research Annette Meeks Lynn Taylor Preston Noell CEO President President Freedom Foundation of Minnesota Virginia Institute for Public Policy Tradition, Family, Property, Inc. Jon L. Pritchett Jack Boyle Star Parker CEO Executive Director President Mississippi Center for Public Policy Ohioans for Tax Reform Center for Urban Renewal and Education (C.U.R.E.) Joshua A. Putnam Andresen Blom President President Kevin L Kearns Palmetto Family Hawaiian Values President US Business and Industry Council Bethany Marcum Gerrye Johnston Executive Director Founder/President Judson Phillips Alaska Policy Forum Men and Women for a Founder Representative Democracy in America Fred Birnbaum Vice President Richard C. W. Falknor Dave Wallace,II Idaho Freedom Foundation and Idaho Blueridgeforum.com President Freedom Action FAIR Energy Foundation Maureen Blum John Stapleford President Jim Backlin Chair Strategic Coalitions & Initiatives, LLC Vice President of Legislative Affairs Caesar Rodney Institute (CRI) Christian Coalition of America William H. Shaker Dr. Chris Casscells CEO Ron Pearson Director of Health Care Sector Washington Marketing Group Executive Director Caesar Rodney Institute (CRI) Conservative Victory Fund