From Power to Purpose, by Sam Brownback: on Health Care


Eliminate death by cancer in 10 years

92 senators signed a letter that Diane Feinstein and I circulated that called on the administration to set up a focused program to eliminate deaths by cancer by the year 2015. Considering the state of medical technology today, that is not an unrealistic expectation. That is not to say that people won’t get cancer, because they will. But with suitable treatment they won’t die of the disease.

Eliminating death by cancer is one of my favorite things to talk about. I had melanoma, and my father had colon cancer. We’re like most families in this country, where cancer is a familiar topic and a dreaded word.

In some of my speeches [I describe my] plan to end deaths by cancer in ten years. There are a lot of things we could give back to the world, but if the number-one fear is death from cancer, then giving them back the gift of life would be a wonderful gift. It would be a gift that only this country could give the world. We have everything needed to make this a priority.

Source: From Power to Purpose, by Sam Brownback, p.187-188 Jul 3, 2007

Offset Third World drug costs by extending US patents

10% of the diseases in the world will receive 90% of the pharmaceutical research. They're the 10% of diseases that Americans commonly suffer from, such as heart disease, cancer, Alzheimer's, and other diseases that are common in an affluent society. 90% of the diseases that people get in the world at large, however, receive only 10% of the funding. These diseases tend to be most common in parts of the world that don't have substantial funding or market structure.

What if we allowed up to a 2-year patent extension on another medicine, as an incentive for these companies to fund research and development of treatments for the diseases of the developing world? It's a way for us to use the dynamics of the marketplace to come up with treatments for pernicious diseases in other parts of the world. We get research on ancient diseases affecting 100s of millions of people globally. They get short patent extensions. That sounds like a winning, market-based solution to a tough, global problem.

Source: From Power to Purpose, by Sam Brownback, p.190-2 Jul 3, 2007

Supports competitive marketplace with price transparency

Most major metropolitan areas have multiple Lasik eye centers. They advertise their service, so you know the price when you go in. You pay for it with your own money, and it’s a competitive marketplace. If the quality of treatment is poor or if injuries occur, the surgeon is sued.

What happened with Lasik could be instructive for the rest of the health care system. First, Lasik has a market and price competition. It’s open pricing, so we see what costs are involved, up front. Second, we’re using our own money, so we shop for the best product at the best price.

The problem with the current health care system is that it’s not generally seen as using our own money, and we have no price transparency. We don’t know what we’re paying for. Frequently a third party pays the bill.

The patient needs more information, and we need more price transparency. I’ve cosponsored a bill requiring the disclosure of the amount Medicare reimburses on typical procedures [made] available over the Internet.

Source: From Power to Purpose, by Sam Brownback, p.195 Jul 3, 2007

Supports Health Savings Accounts, not government control

I’d like to see a greater emphasis on Health Savings Accounts (HSAs). HSAs allow you to set aside your own money, tax-exempt. Individuals could buy a medical insurance policy with a high deductible of, say, $5,000. The policy would pay for everything ove that amount, but you would pay for everything up to $5,000 with your HSA.

That way you become more involved in the decision-making. You decide when it’s appropriate to seek treatment and how far you want to go with it.

The big danger at the moment, however, is that the other side is pushing hard for more government control over health care and a bigger government-funded system. The big push for the Democrats is nationalized health care on the order of the failed Clinton health care proposals of the 1990s. I don’t think they’ve lost the appetite for doing that now.

The market-engaging solution is the one that can actually work. Our way is to restore market mechanisms to the system, not simply yo have more and bigger government in health care.

Source: From Power to Purpose, by Sam Brownback, p.195-196 Jul 3, 2007

Tragedy to make "right to die" legitimate

The debate over what's now referred to as "the right to die" is a complex one. If there was ever an area that demanded ethical and moral answers, this is it. It's your life, after all. Some suggest that you ought to be able to do with your life whatever you want. If a person finds things so abhorrent and life so difficult that he can't go on, or if he has a terminal illness and no possibility of recovery, the merciful thing to do is to let him take whatever steps he wishes to end it--or so goes the rest of the argument.

But there are incredible, beautiful things that can happen at the end of life, even amid the pain and difficulty. The transition of the soul from a physical home to a spiritual one is a sacred time. One person's trial can be an incredible testimony to those around him who survive, particularly family and close friends. I think it would be a terrible tragedy for the government to legitimate the act of taking one's own life.

Source: From Power to Purpose, by Sam Brownback, p.205-6 Jul 3, 2007

  • The above quotations are from From Power to Purpose:
    A Remarkable Journey of Faith and Compassion,
    by Sam Brownback.
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