Jeff Duncan on Health Care

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

[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.

Voted YES on repealing the "Prevention and Public Health" slush 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:

• $500 million for FY 2010
• $750 million for FY11
• $1 billion for FY12
• $1.25 billion for FY13
• $1.5 billion for FY14
• and for FY15 and every fiscal year thereafter, $2 billion.

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.

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

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

Repeal any federal health care takeover.

The Club for Growth's "Repeal-It!" Pledge for candidates states, "I hereby pledge to the people of my district/state upon my election to the U.S. House of Representatives/U.S. Senate, 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."

Remove all funding from the 2010 national healthcare law.

Congressional Summary: Declares that no funds are authorized to be appropriated to carry out the Patient Protection and Affordable Care Act (PPACA), the Health Care and Education Reconciliation Act of 2010 (HCERA), and any amendments made by either such Act.

OnTheIssues Explanation:This bill proposes to defund ObamaCare, instead of repealing it. This bill uses Congress' "power of the purse" to undo the previously-passed law, while still leaving that law on the books. In contrast, H.R. 2 repeals ObamaCare rather than defunding it; and H.R. 4 attempts to undo ObamaCare one piece at a time.

Fully repealing ObamaCare is important, but not sufficient.

Heritage Action Summary: This vote would fully repeal ObamaCare.

Heritage Foundation recommendation to vote YES: (2/3/2015): ObamaCare creates $1.8 trillion in new health care spending and uses cuts to Medicare spending to help pay for some of it. Millions of Americans already have lost, and more likely will lose, their coverage because of ObamaCare. Many Americans have not been able to keep their doctors as insurers try to offset the added costs of ObamaCare by limiting the number of providers in their networks. In spite of the promise, the law increases the cost of health coverage.

Secretary of Labor Robert Reich recommendation to vote NO: (robertreich.org 11/22/2013): Having failed to defeat the Affordable Care Act, Republicans are now hell-bent on destroying the ObamaCare in Americans' minds, using the word "disaster" whenever mentioning the Act, and demand its repeal. Democrats [should] meet the Republican barrage with three larger truths:

1. The wreck of private insurance: Ours has been the only healthcare system in the world designed to avoid sick people. For-profit insurers have spent billions finding and marketing their policies to healthy people--while rejecting people with preexisting conditions, or at high risk.
2. We could not continue with this travesty of a healthcare system: ObamaCare is a modest solution. It still relies on private insurers--merely setting minimum standards and "exchanges" where customers can compare policies.
3. The moral imperative: Even a clunky compromise like the ACA between a national system of health insurance and a for-profit insurance market depends, fundamentally, on a social compact in which those who are healthier and richer are willing to help those who are sicker and poorer. Such a social compact defines a society.

Legislative outcome: Passed House 239-186-8; never came to a vote in the Senate.

No federal vaccine mandates for coronavirus emergency.

Stop Federal Vaccine Mandates for Employees Act: No emergency standard may require any drug or vaccine or other biological product to be administered to any employee.

White House Press Release by President Joe Biden on Vaccination Requirements (Nov. 4, 2021; these emergency standards prompted H.R.6304): For our country, the choice is simple: get more people vaccinated, or prolong this pandemic and its impact on our country. The virus will not go away by itself, or because we wish it away: we have to act. Vaccination is the single best pathway out of this pandemic. And while I would have much preferred that requirements not become necessary, too many people remain unvaccinated for us to get out of this pandemic for good. So I instituted requirements--and they are working. They protect our workers and have helped us reduce the number of unvaccinated Americans from approximately 100 million in late July when I began requirements to just about 60 million today. Vaccination requirements are good for the economy. They help send people back to work--as many as 5 million American workers. They make our economy more resilient in the face of COVID and keep our businesses open.

WFMZ-TV 69-News, "Trump's endorsement of vaccines aligns with most Republicans' views," (Dec. 24, 2021): Trump confirmed that he had been vaccinated and had gotten a booster shot, attracting boos from some audience members. Trump stated his opposition to vaccine mandates but again touted the shot's efficacy. "The vaccine worked. But some people aren't taking it. The ones that get very sick and go to the hospital are the ones that don't take the vaccine." While Trump didn't acknowledge it, most unvaccinated Americans now belong to or lean toward the GOP. In the most recent CNN poll, Republicans and Republican-leaning independents make up a solid majority of the relatively small bloc of US adults still entirely unvaccinated against Covid.