COMPREHENSIVE HEALTH CARE REFORM DISCUSSION DRAFT HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED ELEVENTH CONGRESS FIRST SESSION JUNE 23, 24, & 25, 2009 Serial No. 111–54 ( Printed for the use of the Committee on Energy and Commerce energycommerce.house.gov VerDate Mar 15 2010 05:28 Aug 15, 2012 Jkt 074088 PO 00000 Frm 00001 Fmt 6011 Sfmt 6011 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING COMPREHENSIVE HEALTH CARE REFORM DISCUSSION DRAFT VerDate Mar 15 2010 05:28 Aug 15, 2012 Jkt 074088 PO 00000 Frm 00002 Fmt 6019 Sfmt 6019 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING with DSK7SPTVN1PROD on jbell COMPREHENSIVE HEALTH CARE REFORM DISCUSSION DRAFT HEARING BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED ELEVENTH CONGRESS FIRST SESSION JUNE 23, 24, & 25, 2009 Serial No. 111–54 ( Printed for the use of the Committee on Energy and Commerce energycommerce.house.gov U.S. GOVERNMENT PRINTING OFFICE 74–088 PDF WASHINGTON : 2012 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Mar 15 2010 05:28 Aug 15, 2012 Jkt 074088 PO 00000 Frm 00003 Fmt 5011 Sfmt 5011 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING COMMITTEE ON ENERGY AND COMMERCE HENRY A. WAXMAN, California, Chairman JOHN D. DINGELL, Michigan JOE BARTON, Texas Chairman Emeritus Ranking Member EDWARD J. MARKEY, Massachusetts RALPH M. HALL, Texas RICK BOUCHER, Virginia FRED UPTON, Michigan FRANK PALLONE, JR., New Jersey CLIFF STEARNS, Florida BART GORDON, Tennessee NATHAN DEAL, Georgia BOBBY L. RUSH, Illinois ED WHITFIELD, Kentucky ANNA G. ESHOO, California JOHN SHIMKUS, Illinois BART STUPAK, Michigan JOHN B. SHADEGG, Arizona ELIOT L. ENGEL, New York ROY BLUNT, Missouri GENE GREEN, Texas STEVE BUYER, Indiana DIANA DEGETTE, Colorado GEORGE RADANOVICH, California Vice Chairman JOSEPH R. PITTS, Pennsylvania LOIS CAPPS, California MARY BONO MACK, California MICHAEL F. DOYLE, Pennsylvania GREG WALDEN, Oregon JANE HARMAN, California LEE TERRY, Nebraska TOM ALLEN, Maine MIKE ROGERS, Michigan JANICE D. SCHAKOWSKY, Illinois SUE WILKINS MYRICK, North Carolina CHARLES A. GONZALEZ, Texas JOHN SULLIVAN, Oklahoma JAY INSLEE, Washington TIM MURPHY, Pennsylvania TAMMY BALDWIN, Wisconsin MICHAEL C. BURGESS, Texas MIKE ROSS, Arkansas MARSHA BLACKBURN, Tennessee ANTHONY D. WEINER, New York PHIL GINGREY, Georgia JIM MATHESON, Utah STEVE SCALISE, Louisiana G.K. BUTTERFIELD, North Carolina CHARLIE MELANCON, Louisiana JOHN BARROW, Georgia BARON P. HILL, Indiana DORIS O. MATSUI, California DONNA M. CHRISTENSEN, Virgin Islands KATHY CASTOR, Florida JOHN P. SARBANES, Maryland CHRISTOPHER S. MURPHY, Connecticut ZACHARY T. SPACE, Ohio JERRY MCNERNEY, California BETTY SUTTON, Ohio BRUCE BRALEY, Iowa PETER WELCH, Vermont (II) VerDate Mar 15 2010 06:20 Aug 17, 2012 Jkt 074088 PO 00000 Frm 00004 Fmt 0486 Sfmt 0486 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING SUBCOMMITTEE ON HEALTH FRANK PALLONE, JR., New Jersey, Chairman JOHN D. DINGELL, Michigan NATHAN DEAL, Georgia, BART GORDON, Tennessee Ranking Member ANNA G. ESHOO, California RALPH M. HALL, Texas ELIOT L. ENGEL, New York BARBARA CUBIN, Wyoming GENE GREEN, Texas HEATHER WILSON, New Mexico DIANA DEGETTE, Colorado JOHN B. SHADEGG, Arizona LOIS CAPPS, California STEVE BUYER, Indiana JAN SCHAKOWSKY, Illinois JOSEPH R. PITTS, Pennsylvania TAMMY BALDWIN, Wisconsin MARY BONO MACK, California MIKE ROSS, Arkansas MIKE FERGUSON, New Jersey ANTHONY D. WEINER, New York MIKE ROGERS, Michigan JIM MATHESON, Utah SUE WILKINS MYRICK, North Carolina JANE HARMAN, California JOHN SULLIVAN, Oklahoma CHARLES A. GONZALEZ, Texas TIM MURPHY, Pennsylvania JOHN BARROW, Georgia MICHAEL C. BURGESS, Texas DONNA M. CHRISTENSEN, Virgin Islands KATHY CASTOR, Florida JOHN P. SARBANES, Maryland CHRISTOPHER S. MURPHY, Connecticut ZACHARY T. SPACE, Ohio BETTY SUTTON, Ohio BRUCE L. BRALEY, Iowa (III) VerDate Mar 15 2010 05:28 Aug 15, 2012 Jkt 074088 PO 00000 Frm 00005 Fmt 5904 Sfmt 5904 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING VerDate Mar 15 2010 05:28 Aug 15, 2012 Jkt 074088 PO 00000 Frm 00006 Fmt 5904 Sfmt 5904 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING C O N T E N T S June 23, 2009 Page Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement .......................................................................... 1 Hon. Michael C. Burgess, a Representative in Congress from the State of Texas, opening statement .................................................................................... 3 Hon. Diana DeGette, a Representative in Congress from the State of Colo- rado, opening statement ...................................................................................... 4 Hon. Phil Gingrey, a Representative in Congress from the State of Georgia, opening statement ................................................................................................ 4 Hon. Lois Capps, a Representative in Congress from the State of California, opening statement ................................................................................................ 5 Hon. Marsha Blackburn, a Representative in Congress from the State of Tennessee, opening statement ............................................................................ 5 Hon. Jim Matheson, a Representative in Congress from the State of Utah, opening statement ................................................................................................ 6 Hon. Tim Murphy, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 7 Hon. Donna M. Christensen, a Representative in Congress from the Virgin Islands, opening statement ................................................................................. 7 Hon. Zachary T. Space, a Representative in Congress from the State of Ohio, opening statement ...................................................................................... 8 Hon. Janice D. Schakowsky, a Representative in Congress from the State of Illinois, opening statement .............................................................................. 9 Hon. Gene Green, a Representative in Congress from the State of Texas, opening statement ................................................................................................ 9 Hon. Tammy Baldwin, a Representative in Congress from the State of Wis- consin, opening statement ................................................................................... 10 Hon. Doris O. Matsui, a Representative in Congress from the State of Cali- fornia, opening statement .................................................................................... 10 Hon. John D. Dingell, a Representative in Congress from the State of Michi- gan, prepared statement ...................................................................................... 269 Hon. Anna G. Eshoo, a Representative in Congress from the State of Cali- fornia, prepared statement .................................................................................. 275 Hon. Kathy Castor, a Representative in Congress from the State of Florida, prepared statement .............................................................................................. 276 Hon. Bruce L. Braley, a Representative in Congress from the State of Iowa, prepared statement .............................................................................................. 279 Hon. Joseph R. Pitts, a Representative in Congress from the Commonwealth of Pennsylvania, prepared statement ................................................................. 284 WITNESSES Ralph G. Neas, Chief Executive Officer, National Coalition on Health Care ..... 11 Prepared statement .......................................................................................... 14 Richard Kirsch, National Campaign Manager, Health Care for America Now . 30 Prepared statement .......................................................................................... 33 Stephen T. Parente, Ph.D., Director, Medical Industry Leadership Institute .... 37 Prepared statement .......................................................................................... 40 Marian Wright Edelman, President, Children’s Defense Fund ........................... 98 Prepared statement .......................................................................................... 102 Jennie Chin Hansen, President, AARP ................................................................. 123 Prepared statement .......................................................................................... 125 (V) VerDate Mar 15 2010 06:20 Aug 17, 2012 Jkt 074088 PO 00000 Frm 00007 Fmt 5904 Sfmt 5904 E:\HR\OC\A088.XXX A088 jbell on DSK7SPTVN1PROD with HEARING VI Page David L. Shern, Ph.D., President and Chief Executive Officer, Mental Health America ................................................................................................................. 136 Prepared statement .......................................................................................... 139 Erik Novack, MD., Orthopedic Surgeon, Patients United Now ..........................