How do we control wasteful spending without hurting recipients that are not in the majority? I am fervently against any spending for the National Endowment for the Arts…. But I have a 25 year old totally disabled son that we could not care for without Medicaid.
I strongly believe that in order to best eliminate wasteful spending, we must look at outcomes. Even a well intentioned program is wasteful if it fails to have accomplished clear and measurable objectives. This has made me a very strong supporter of the Government Performance and Results Act (GPRA), which was passed by the Republican Congress in the 1990's. The Bush Administration has implemented this as the PART Assessment. The PART Assessment evaluates nearly all government agencies and programs, rating them as "Effective," "Moderately Effective," "Ineffective," or "Results Not Demonstrated." As both a member of the Budget and Appropriations Committees, I take these ratings very seriously. Knowing that a program has been objectively rated as ineffective or failing to demonstrate results indicates that it is wasteful spending, and the program should be reformed or eliminated. Reforming the program or redirecting the resources will better ensure that limited taxpayer dollars are used as effectively and efficiently as possible in assisting people
I have also focused on reducing overall health care costs, which will free up funding for other programs. Health care seems to be the fastest growing industry in the nation. To reduce health care costs we need to increase the quality of care. I believe we need to create a more quality focused relationship between the physician and the patient. I have been supportive of Health Information Technology, which should make this goal easier to achieve. Other ways of reducing health care costs include tort reform to reduce medical liability costs. There is also a lot of research showing that prevention reduces health care costs. We will not be able to sustain the rising cost of government run health care systems if we do not reduce overall spending.
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