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SENATE-Wednesday, September 12, 1979 (Legislative Day of Thursday, June 21, 1979) the Senate Met at 1 P.M., on the Ex­ U.S

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SENATE-Wednesday, September 12, 1979 (Legislative Day of Thursday, June 21, 1979) the Senate Met at 1 P.M., on the Ex­ U.S September 12, 1979 CONGRESSIONAL RECORD - SENATE 24125 recruits a.re lining up to enlist in one's cru­ and insurance boards, provision of basic And if they cannot set their fees they cannot sade, one turns to coercion. But why a.re ·services by nurses or paraprofessionals. Until demand more money !or working in places they not lining up? Not because there a.re recently government has been totally com­ and at specialties that seem less desirable not enough lawyers-indeed, many lawyers pliant. Now when it is apparent that the to them. So compulsory assignments would find it ha.rd to obtain employment and dream of equal access cannot be achieved at again be the inevitable resort of planners thousands leave the practice every year or anything less than staggering cost, the re­ who can neither persuade nor pay workers n.ever enter it after graduating from law flex of the health care ideologues has not to go along with their schemes. Indeed, since school. So the bodies a.re there, but the pay been to reexamine the dream to see if any­ we a.re a larger, richer, more ornery na.tiou and conditions of work seem unattractive, one really wants its fulfillment enough to than Great Britain (for example), I doubt even compared to alternatives outside the pay his share. Nor yet is it their reflex to that a private practice option could be kept profession. Presumably, if society believed break the monopoly power of the medical within limits here. Patients would have to that the service the Na.derites envisage were profession in order to allow organized groups be forced to accept their medical care sole­ indeed essential, it could offer (from tax of consumers-such as employers, labor ly from the single national provider. Healing revenues) salaries to attract persons to it, unions, fraternal groups-to shop around acts between consenting adults would have but obviousiy no one believes that the publlc for the level of ca.re their members desire, to be made illegal, unless approved by th" would be willing to tax itself toward this delivered at competitive prices. government. end. Thus, though Marvin Frankel is con­ No, such a strategy might show that ditier­ The menace is real. Egalitarian ideals, to­ vinced that universal equal access to legal ent people really do differ in their prefer­ gether with an understandable reluctance counsel is essential, the voters and tax­ ences for health ca.re (when faced with the to pay or ask one's supporters to pay the payers in our democracy probably a.re not­ true costs and real alternatives), and this cost of these idea.ls, make the temptation to a.t lea.st not enough to pay for it. would undermine the plausibility of arguing resort to conscription-to personal compul­ The political thrust for conscription of for one level of health care for everyone. And sion-almost irresistible. It starts with the doctors is similar but its environment much so while ten and twenty yea.rs ago poli­ doctors, goes on to the lawyers, and even­ more complex. Although reasonable salaries ticians failed to work for a competitive re­ tually gets to all young people so that the could probably ruttract young lawyers to any gime in health care out of fear of the medi­ rest of us can have an army without really interesting, useful line of legal work, doc­ cal profession's political power, today that paying for it. Then perhaps we would con­ tors seem to be able to create lucrative prac­ same failure may perhaps be traced to the script teachers, and finally we would find tices in the same overserved desirable loca­ threat that a free market spells to the very that everybody is so useful, or so. unique, or tions almost ad lib. The reason, of course, is plausibil1ty of egalitarian slogans. so much affected with a public interest, that doctors (far more even than lawyers) But, financing apart, obviously any Gleich­ that we all may be drafted into the service have operated for generations as a conspiracy schaltung (or bringing into line) of all parts of the state. Which only demonstrates once in restraint of trade, systematically resisting of he·alth care provision would require mas­ a.gain that whoever finds arguments to jus­ institutions like pre-pa.id health plans, inter­ sive doses of compulsion at every level. Doc­ tify the loss of his fellow citizen's liberty ls state licensing, consumer control of hospital tors could not be allowed to set their !ees. destined to lose his own.e SENATE-Wednesday, September 12, 1979 (Legislative day of Thursday, June 21, 1979) The Senate met at 1 p.m., on the ex­ U.S. SENATE, RECOGNITION OF THE MINORITY piration of the recess, and was called to PRESIDENT PRO TEMPORE, LEADER order by Hon. DAVID L. BOREN, a Senator Washington, D.C., September 12, 1979. from the State of Oklahoma. To the Senate: The ACTING PRESIDENT pro tem­ Under the provisions of rule I, section 3, pore. Under the previous order, the mi­ of the Standing Rules o! the Senate, I hereby PRAYER nority leader is recognized. appoint the Honorable DAVID L. BOREN, a Mr. BAKER. Mr. President, I would The Chaplain, the Reverend Edward Senator from the State of Oklahoma, to per­ form the duties of the Chair. use my time only to ascertain that there L. R. Elson, D.D., offered the following WARREN G. MAGNUSON, has not been a coup in the Democratic prayer: President pro tempore. Caucus and to be reassured on that point Let us pray. Mr. BOREN thereupon assumed the and that it not be habit forming. God of our fathers and our God, grant chair as Acting President pro tempore. I have no need for my time and I yield us a vision of this land strong in the it back. things of the spirit, fulfilled in justice Mr. CRANSTON. There has not been. and peace for all our citizens. May the RECOGNITION OF THE ACTING complex, stubborn, pressing problems of MAJORITY LEADER I am not certain whether Senator TsoNGAs desires to use his time or not, the hour yield to the efforts of those The ACTING PRESIDENT pro tem­ and I suggest the absence of a quorum. whom we have set in authority over us. pore. Under the previous order, the ma­ Mr. BAKER. Before that is done, if the Deliver us from the fear and anxiety jority leader is recognized for .not to ex­ which dissipate energy and weaken the acting majority leader does .not yield ceed 5 minutes. The Senator from Cali­ back his time, I will reserve my time. will. Give us confidence, strength, and fornia is recogriized on behalf of the wisdom to strive unceasingly for a world majority leader. Mr. CRANSTON. I yield back my time. better than in the past. Mr. BAKER. I yield back my time. May Thy gracious spirit of wisdom and The ACTING PRESIDENT pro tem- mercy, of truth and justice abide with THE JOURNAL pore. The clerk will call the roll. the President and all who govern this Mr. CRANSTON. Mr. President, I ask The assistant legislative clerk pro­ Nation. Help us all to pray, to think, to unanimous consent that the Journal of ceeded to call the roll. act for the welfare of the whole Nation the proceedings be approved to date. Mr. CRANSTON. Mr. President, I ask and for the comm001 good of all man­ The ACTING PRESIDENT pro tem­ unanimous consent that the order for kind. pore. Without objection, it is so ordered. the quorum call be rescinded. In the name of the Lord, we pray. The ACTING PRESIDENT pro tem­ Amen. ORDER OF BUSINESS pore. Without objeotion, it is so ordered. APPOINTMENT OF ACTING PRESI­ Mr. CRANSTON. A note for the rec­ ord: The special order to Senator BENT­ ORDER OF BUSINESS DENT PRO TEMPORE SEN has just been declined by Senator The PRESIDING OFFICER. The clerk BENTSEN. Mr. CRANSTON. Mr. President, the will please read a communication to the I reserve the remainder of the time Senator from Massachusetts <Mr. TsoN­ Senate from the President pro tempore for the majority leader. I think probably GAS) does not plan to use his time. (Mr. MAGNUSON). there is nothing to be said unless the Mr. BAKER. Mr. President, will the The assistant legislative clerk read the minority leader, our distinguished col­ acting majority leader yield for just a following letter: league here, wishes to say something. moment? I observe there are one or two • This "bullet" symbol identifies statements or insertions which are not spoken by the Member on the floor. 24126 CONGRESSIONAL RECORD - SENATE September 12, 1979 Members on the floor. I take it there is dent, I ask for the yeas and nays on drieu, of Louisiana, to be Secretary of no need for time, and I believe there is both nominations. Housing and Urban Development. not, and I thank the acting majority The ACTING PRESIDENT pro tem­ Mr. ROBERT C. BYRD. Mr. President, leader. pore. Is there a sufficient second? There I suggest the absence of a quorum. is a suffi(\ient second. The PRESIDING OFFICER. The clerk The yeas and nays were ordered. will call the roll. ORDER VITIATING ORDERS FOR Mr. ROBERT C. BYRD. Mr. Presi­ The second assistant legislative clerk THE RECOGNITION OF MR. BENT­ dent, I suggest the absence of a quorum. SEN AND MR. TSONGAS proceeded to call the roll. The ACTING PRESIDENT pro tem­ Mr. WARNER. Mr. President, I ask The ACTING PRESIDENT pro tem­ pore.
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