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Tom Marino on Health Care

 

 


Eliminate junk lawsuits; allow cross-state insurance

Everyone agrees that our health care system is in trouble. We have the best healthcare system in the world, but only if you can afford it. However, I will not support any legislation that puts government between patients and their doctors. We should eliminate junk lawsuits, allow people to purchase insurance across state lines, and allow individuals to have the same tax breaks as large companies when they purchase health insurance.
Source: 2010 House campaign website, marinoforuscongress.com , Nov 2, 2010

Voted YES on the Ryan Budget: Medicare choice, tax & spending cuts.

Proponent's Arguments for voting Yes:

[Sen. DeMint, R-SC]: The Democrats have Medicare on a course of bankruptcy. Republicans are trying to save Medicare & make sure there are options for seniors in the future. Medicare will not be there 5 or 10 years from now. Doctors will not see Medicare patients at the rate [Congress will] pay.

[Sen. Ayotte, R-NH]: We have 3 choices when it comes to addressing rising health care costs in Medicare. We can do nothing & watch the program go bankrupt in 2024. We can go forward with the President's proposal to ration care through an unelected board of 15 bureaucrats. Or we can show real leadership & strengthen the program to make it solvent for current beneficiaries, and allow future beneficiaries to make choices.

Opponent's Arguments for voting No:

[Sen. Conrad, D-ND]: In the House Republican budget plan, the first thing they do is cut $4 trillion in revenue over the next 10 years. For the wealthiest among us, they give them an additional $1 trillion in tax reductions. To offset these massive new tax cuts, they have decided to shred the social safety net. They have decided to shred Medicare. They have decided to shred program after program so they can give more tax cuts to those who are the wealthiest among us.

[Sen. Merkley, D-OR]: The Republicans chose to end Medicare as we know it. The Republican plan reopens the doughnut hole. That is the hole into which seniors fall when, after they have some assistance with the first drugs they need, they get no assistance until they reach a catastrophic level. It is in that hole that seniors have had their finances devastated. We fixed it. Republicans want to unfix it and throw seniors back into the abyss. Then, instead of guaranteeing Medicare coverage for a fixed set of benefits for every senior--as Medicare does now--the Republican plan gives seniors a coupon and says: Good luck. Go buy your insurance. If the insurance goes up, too bad.

Reference: Ryan Budget Plan; Bill HCR34&SCR21 ; vote number 11-HV277 on Apr 15, 2011

Voted YES on repealing the "Prevention and Public Health" slush fund.

Congressional Summary:Amends the Patient Protection and Affordable Care Act (PPACA) to repeal provisions establishing and appropriating funds to the Prevention and Public Health Fund (a Fund to provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public sector health care costs). Rescinds any unobligated balanced appropriated to such Fund.

Proponent's Argument for voting Yes:
[Rep. Pitts, R-PA]: Section 4002 of PPACA establishes a Prevention and Public Health Fund, which my bill, H.R. 1217, would repeal. The PPACA section authorizes the appropriation of and appropriates to the fund from the Treasury the following amounts:

We have created a slush fund from which the Secretary of HHS can spend without any congressional oversight or approval. I would suggest to my colleagues that, if you wanted more funding to go towards smoking cessation or to any other program, the health care law should have contained an explicit authorization. By eliminating this fund, we are not cutting any specific program. This is about reclaiming our oversight role of how Federal tax dollars should be used.

Opponent's Argument for voting No:
[Rep. Waxman, D-CA]: This bill represents the Republicans' newest line of attack to disrupt, dismantle, and to ultimately destroy the Affordable Care Act. For many years, Republicans have joined with Democrats in supporting programs to prevent disease, to promote health and, in turn, to cut health care costs. But today, the House will vote to end funding for the first and only Federal program with dedicated, ongoing resources designed to make us a healthier Nation.

Reference: To repeal the Prevention and Public Health Fund; Bill H.1217 ; vote number 11-HV264 on Apr 13, 2011

Opposes government-run healthcare.

Marino opposes the CC survey question on government-run healthcare

The Christian Coalition voter guide [is] one of the most powerful tools Christians have ever had to impact our society during elections. This simple tool has helped educate tens of millions of citizens across this nation as to where candidates for public office stand on key faith and family issues.

The CC survey summarizes candidate stances on the following topic: "Federal government run health care system"

Source: Christian Coalition Survey 10-CC-q5 on Aug 11, 2010

Defund, repeal, & replace federal care with free market.

Marino signed the Contract From America

The Contract from America, clause 7. Defund, Repeal, & Replace Government-run Health Care:

Defund, repeal and replace the recently passed government-run health care with a system that actually makes health care and insurance more affordable by enabling

Source: The Contract From America 10-CFA07 on Jul 8, 2010

Repeal any federal health care takeover.

Marino signed Club for Growth's "Repeal-It!" Pledge

The Club for Growth's "Repeal-It!" Pledge for incumbents states, "I hereby pledge to the people of my district/state to sponsor and support legislation to repeal any federal health care takeover passed in 2010, and replace it with real reforms that lower health care costs without growing government."

Source: Club for Growth's "Repeal-It!" Pledge 10-CfG-inc on Jul 4, 2010

Repeal the Job-Killing Health Care Law.

Marino co-sponsored Repealing the Job-Killing Health Care Law Act

Repeals the Patient Protection and Affordable Care Act, effective as of its enactment. Restores provisions of law amended by such Act.

Repeals the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of the Act's enactment. Restores provisions of law amended by the Act's health care provisions.

Source: H.R.2 11-HR002 on Jan 5, 2011

Increase funding for occupational & physical therapy.

Marino signed Medicare Access to Rehabilitation Services Act (MARS)

Medicare Access to Rehabilitation Services Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act to repeal the cap on outpatient physical therapy, speech-language pathology, and occupational therapy services of the type furnished by a physician or as an incident to physicians' services.

SEC. 2. OUTPATIENT THERAPY CAP REPEAL.

Section 1833 of the Social Security Act (42 U.S.C. 1395(l)) is amended by striking subsection (g).

[Explanatory note from Wikipedia.com "Therapy Cap"]:

In 1997 Congress established per-person Medicare spending limits, or "therapy cap" for nonhospital outpatient therapy, but responding to concerns that some people with Medicare need extensive services, it has since placed temporary moratoriums on the caps. The therapy cap is a combined $1,810 Medicare cap for physical therapy and speech language pathology, and a separate $1,810 cap for occupational therapy ($1870 for 2011). Medicare patients requiring rehabilitation from disabilities, car accidents, hip injuries, stroke, and other ailments would be limited to roughly two months worth of treatments at an outpatient therapy clinic. Any patients that exceed the cap, whether they are healed or not, would have to stop therapy, or pay for the therapy services out of their own pocket.Several medical associations have lobbied against therapy caps because the bill inadvertently restricted disabled seniors, stroke patients, and other severe cases from receiving therapy treatments.

Source: HR.1546&S829 11-HR1546 on Apr 14, 2011

2012 Governor, House and Senate candidates on Health Care: Tom Marino on other issues:
PA Gubernatorial:
Allyson Schwartz
Mark Critz
Michael Nutter
Tom Corbett
Tom Wolf
PA Senatorial:
Bob Casey

Newly-elected Democrats taking office Jan.2015:
AZ-7: Rep.-Elect Ruben Gallego
CA-11:Rep.-Elect Mark DeSaulnier
CA-31:Rep.-Elect Pete Aguilar(R⇒D)
CA-33:Rep.-Elect Ted Lieu
CA-35:Rep.-Elect Norma Torres
FL-2: Rep.-Elect Gwen Graham(R⇒D)
HI-1: Rep.-Elect Mark Takai
MA-6: Rep.-Elect Seth Moulton
MI-12:Rep.-Elect Debbie Dingell
MI-14:Rep.-Elect Brenda Lawrence
NE-2: Rep.-Elect Brad Ashford(R⇒D)
NJ-12:Rep.-Elect Bonnie Coleman
NY-4: Rep.-Elect Kathleen Rice
PA-13:Rep.-Elect Brendan Boyle
VA-8: Rep.-Elect Donald Beyer
Seated in special elections 2013-2014:
AL-1: Bradley Byrne(R)
FL-13:David Jolly(R)
FL-19:Curt Clawson(R)
IL-2: Robin Kelly(D)
LA-5: Vance McAllister(R)
MA-5: Katherine Clark(D)
MO-8: Jason Smith(R)
NC-12:Alma Adams(D)
NJ-1: Donald Norcross(D)
SC-1: Mark Sanford(R)
VA-7: Dave Brat(R)

Newly-elected Republicans taking office Jan.2015:
AR-2: Rep.-Elect French Hill
AR-4: Rep.-Elect Bruce Westerman
AL-6: Rep.-Elect Gary Palmer
CA-25:Rep.-Elect Steve Knight
CA-45:Rep.-Elect Mimi Walters
CO-4: Rep.-Elect Ken Buck
FL-26:Rep.-Elect Carlos Curbelo(D⇒R)
GA-1: Rep.-Elect Buddy Carter
GA-10:Rep.-Elect Jody Hice
GA-11:Rep.-Elect Barry Loudermilk
GA-12:Rep.-Elect Rick Allen(D⇒R)
IA-1: Rep.-Elect Rod Blum(D⇒R)
IA-3: Rep.-Elect David Young
IL-10:Rep.-Elect Robert Dold(D⇒R)
IL-12:Rep.-Elect Mike Bost(D⇒R)
More newly-elected Republicans taking office Jan.2015:
LA-5: Rep.-Elect Ralph Abraham
LA-6: Rep.-Elect Garret Graves
ME-2: Rep.-Elect Bruce Poliquin(D⇒R)
MI-4: Rep.-Elect John Moolenaar
MI-8: Rep.-Elect Mike Bishop
MI-11:Rep.-Elect Dave Trott
MN-6: Rep.-Elect Tom Emmer
MT-0: Rep.-Elect Ryan Zinke
NC-6: Rep.-Elect Mark Walker
NC-7: Rep.-Elect David Rouzer(D⇒R)
NH-1: Rep.-Elect Frank Guinta(D⇒R)
NJ-3: Rep.-Elect Tom MacArthur
NV-4: Rep.-Elect Cresent Hardy(D⇒R)
NY-1: Rep.-Elect Lee Zeldin(D⇒R)
NY-21:Rep.-Elect Elise Stefanik(D⇒R)
NY-24:Rep.-Elect John Katko
OK-5: Rep.-Elect Steve Russell
PA-6: Rep.-Elect Ryan Costello
TX-4: Rep.-Elect John Ratcliffe
TX-23:Rep.-Elect Will Hurd
TX-36:Rep.-Elect Brian Babin
UT-4: Rep.-Elect Mia Love(D⇒R)
VA-10:Rep.-Elect Barbara Comstock
WA-4: Rep.-Elect Dan Newhouse
WI-6: Rep.-Elect Glenn Grothman
WV-2: Rep.-Elect Alex Mooney
WV-3: Rep.-Elect Evan Jenkins(D⇒R)
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