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Medicare payroll tax on them, which is what this legislation does. beside that, it's a job killer. look at the taxes on beneficiaries as well. this is the third example. you don't cut costs when you raise taxes on medical devices that help us, when you raise taxes on pharmaceutical products, when you raise taxes on the insurance premiums themselves. quote, these fees on insurers, medical devices and pharmaceuticals would increase costs for the affected firms, which would be passed on to purchasers and would ultimately raise insurance premiums by a corresponding amount, congressional budget off...

E-mail right away from a republican who happens to be in that room trying to say the president is wrong on this whole question of whether cbo says premiums would go down. republicans are right. that's just one little example. but the other thing is that you are hearing a lot of the message from the democrats talking about how republicans have some ideas that they have adopted, and that is definitely true. but it doesn't sound like much has changed big picture yet, and that is that democrats still believe fundamentally that the best approach is a big comprehensive bill. as you heard from lamar ...

Between our approaches. and there is so much in the bills that you've supported that puts control in washington, that we have a very difficult time supporting those provisions. and it's not a matter of just saying we all agree on the goal of reducing waste, fraud, and abuse. we all do, of course, it's how you do it. now, let me give you a couple of examples. dave camp, i think, pointed out the answer to the dispute that you and lamar alexander had a moment ago, and he was exactly right. let me quote from the congressional budget office letter this is from doug elmendorf to evan bayh in novembe...

Because i can tell you, as a doctor, and my two colleagues who are physicians, will know that it takes you away from patient care. it interferes with the doctor/patient relationship. it runs up costs in medical practices, and it's a real issue. so, i believe -- i think we can all agree on that. we need -- we need to address that issue. a second area is how do you really promote choice and competition? we've all talked about it, and i think we've had a lot of discussion already on those issues. we put forth a plan earlier in the year, during the debate, that actually the congressional budget of...

Lawsuit reform that guarantees injured parties, much like our two largest states have adopted, texas and california, access to all economic damages, such as future medical care, if they need nursing care in the future they'll get it, lost wages, reasonable awards for punitive damages and pain and suffering. on page 4 of its letter to senator hatch, cbo found that this common sense reform would reduce the federal deficit by more than $50 billion. now, that's just on the government side because as we know cbo doesn't score the private side on this. pricewaterhouse coopers has done a study that s...