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Senate Proceeding on Mar 23rd, 2010 :: 2:23:25 to 2:29:20
Total video length: 8 hours 15 minutes Stream Tools: Stream Overview | Edit Time

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Max Baucus

2:23:21 to 2:23:42( Edit History Discussion )

Max Baucus: programs which the other side of the aisle thinks are important but which have nothing to do with medicare. i yield th floor. the democratic side now has a half an hour and then we have half an hour. is that correct? the presiding officer: that's coect. mr. baucus: mr. president,

Max Baucus

2:23:25 to 2:29:20( Edit History Discussion )
Speech By: Max Baucus

Max Baucus

2:23:43 to 2:24:05( Edit History Discussion )

Max Baucus: senator harkin wishes to speak next. while waiting for the chairman of the "help" committee, chairman harkin, who wants to give his opening statement, let me just make a few points clear here. the amendment offered by the senator from new hampshire is a killer amendment. it kills the bill. it's that simple. it's basically the amendment --

Max Baucus

2:24:06 to 2:24:26( Edit History Discussion )

Max Baucus: basically the amendment kills the health care reform bill that just became law, that the president signed this morning. and this is debate we had when we were on the bill. the senate has already considered the arguments made by the senator from new hampshire and others. the senate decided against those arguments. the senate has decided to pass health care reform, as has the

Max Baucus

2:24:27 to 2:24:47( Edit History Discussion )

Max Baucus: house of representatives, as has -- and the president signed it. so this in a certain sense i a stale argument. this is an argument after the bill has already been passed. it would make more sense to make these arguments beforehand, not afterwards. second, what's the effect of it? the effect is -- let me read from the amendment. "it says the secretary of treasury and secretary of health

Max Baucus

2:24:48 to 2:25:08( Edit History Discussion )

Max Baucus: and human sstleses are prohibited from implementing any spending increase revenue provision reductions in the bill just signed by the president, lest certain conditions occur." that means no spending to fill up the doughnut hole. that means seniors will have to spend more on drugs.

Max Baucus

2:25:09 to 2:25:30( Edit History Discussion )

Max Baucus: to means no spending to help states cover medicaid expenses for the expanded population. that means states are really going to be left high and dry. that means no primary care payments to doctors, the primary care physicians, whether it is medicaid or medicare. that means no tax credits for

Max Baucus

2:25:31 to 2:25:52( Edit History Discussion )

Max Baucus: americans who are struggling to buy health insurance. that means no payments to help struggling americans make out-of-pocket costs. it just -- it just makes no sense. just examples of why this is a killer amendment. and i just would strongly urge my colleagues to recognize that

Max Baucus

2:25:53 to 2:26:13( Edit History Discussion )

Max Baucus: we've had this debate already. this is not new here. they've not said anything new. that debate occurred while we were considering health care reform, and the senate has considered those amendments -- those arguments. it has listened to those arguments. we debated this amendment already back and forth and the

Max Baucus

2:26:14 to 2:26:34( Edit History Discussion )

Max Baucus: senate decided by a vote not to accept those arguments. that's -- so we're talking about something that's history. iters a already passed. in a certain -- it's already passed. in a certain sense, it's irre this is an teement kill the bill. -- this is an attempt to kill the bill.

Max Baucus

2:26:35 to 2:26:55( Edit History Discussion )

Max Baucus: i strongly urge my colleagues to reject the amendment. let's not forget our bill includes financial incentives for doctors and hospitals to can collaborate and coordinate care for seniors. i thought that's something we wanted. this says no, no, no, can't do that. we can't come up with financial incentives for doctors and hospitals to collaborate. this has not happened often

Max Baucus

2:26:56 to 2:27:16( Edit History Discussion )

Max Baucus: enough in medicare today. we need to have more collaboration. we need doctors and hospitals to work better together. we need some demonstration systems. we need some pilot projects to help us find ways to better pay doctors and hospitals based on quality of care, less on quantity of care. there's nody who disagrees

Max Baucus

2:27:17 to 2:27:37( Edit History Discussion )

Max Baucus: with that statement. at least anybody that's give an lot of thought to health care reform. this amendment would stop that. it would prevent us from trying to find way to real estate duce health care costs in this country which are eating us alive, eating up family budgets,

Max Baucus

2:27:38 to 2:27:58( Edit History Discussion )

Max Baucus: eating also public budgets in terms of medicare and medicaid unless we get health care costs under control and the way toughed that -- and the only way to do that is to change the delivery system. but, no, no, no, this amendment says you can't do that. you can't begin to take the

Max Baucus

2:27:59 to 2:28:19( Edit History Discussion )

Max Baucus: steps necessary to in the long term start reducing health care costs. our bill also -- the underlying bill, which this amendment would kill -- the underlying bill reduces medicare spend by reducing hospital readmissions. i thought we wanted to do that? i thought we wanted to reduce hospital readmissions? this amendment would effectively

Max Baucus

2:28:20 to 2:28:41( Edit History Discussion )

Max Baucus: say, no, can't do that. better coordination of care means patients don't have to come back to the hospital because of complications, because of the allergies and problems post surgery. what else does the kwrupbtd lying bill -- underlying bill do? it keeps more money by making smart reforms.

Max Baucus

2:28:42 to 2:29:04( Edit History Discussion )

Max Baucus: fewer dollars will be spent by paying doctors for quality of care and not quantity care, by cutting out of the wasteful payments to providers and by creating an innovation center for the medicare program for groundbreaking ways to deliver health care better are discovered more often and put in place without delay. that is a very important point, mr. president.

Max Baucus

2:29:05 to 2:29:20( Edit History Discussion )

Max Baucus: we need to have ways, by creating an innovation center within the medicare program, so we can fd groundbreaking ways to deliver health care better. we have to spend some money on these new demonstrations and pilot projects so that we can have a much better health care system.

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