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ADDRESS
by the
Honorable Nydia M. Velázquez
National Association of Community Pharmacists
May 21, 2002
I want to thank you for inviting me here today. It is my
privilege to speak before so many small business owners
that provide such a vital service to communities across
the country. You are a strong link in the vital health care
chain connecting doctors to their patients.
In an increasingly complicated health care system where
the use of drugs and drug therapy is growing --- even to
the point of replacing some forms of surgery --- the role
that pharmacists play in our healthcare system is ever more
critical. You provide the consumer with important information
about how to approach their health care needs, give advice
about alternative medicines, and ensure that prescriptions
do not improperly interact.
This in and of itself is challenging enough, but you also
have a business to run. A business that is becoming increasingly
complicated as you work to navigate the myriad of rules
and regulations that govern your business. It may often
seem that you spend more time with your accountants and
business managers than you do with your customers --- which
is why you got into the business in the first place ---
to help people. All this while managing a bottom line that
hovers around a 2 percent profit margin in many cases.
As the Ranking Democratic Member of the House Small Business
Committee, my colleagues and I have one charge: "How
do we support this nation's small businesses?" This
goal transcends party and ideology on the Committee, as
we long recognized that when it comes to helping this nation's
entrepreneurs there can be no Democratic or Republican approach.
I can also tell you what a great benefit it has been to
have one of your fellow community pharmacists --- Congressman
Mike Ross --- on the committee. As many of you know, Mike
Ross runs a pharmacy in Arkansas. His real-life experiences
has brought our committee invaluable insights into your
daily challenges.
We work together with Members like Mike Ross to help you
resolve the challenges you face every day to keep your doors
open.
One of the first and foremost things we are working on
is ensuring you have access to capital. Oftentimes banks
are unable or unwilling to take a chance on a small business.
True, these enterprises are very much a risk-reward venture.
One of the most valuable resources available to small business
owners are the SBA loan programs. These programs represent
40 percent of all long-term lending nationwide. I am working
to make sure these programs are available for all that need
it. And that they are easily accessible.
I think it is important to note that SBA loans to the health
care industry --- that includes community pharmacists ---
is in the Top 10 of all loans. So you DO have a stake in
these program.
Of course, the ultimate access to capital issue is taxes.
Recently, working with some other business groups, we released
a report that detailed something that should come as no
surprise to anyone in this room --- that our tax code places
a disproportionate burden on small businesses.
While this Congress has focused a lot of attention on tax
relief, very little has been provided to small businesses.
The most recent tax cut was focused on individuals --- not
incorporated enterprises --- so the tax cut actually ignored
half of all small businesses.
What is clear from both the IRS and the treatment given
to small businesses by Congress we need to address the lack
of tax relief.
One area I believe would make a big difference is increasing
a small business's ability to recoup the cost of equipment
investments. With technology playing an increasing role
in your industry, staying on the cutting edge is critical.
This requires substantial investments because today's innovation
is tomorrow's obsolescence. To help you afford continually
updating technology, working with other Members we have
introduced legislation to allow you greater deductions for
the expense of these investments and to recoup these costs
quick allowing you to continue to stay competitive in this
new age.
The other area that can quickly eat into your bottom line
is paperwork and regulatory burdens. These burdens on small
businesses are twice that of big corporations. The Committee
has estimated that the average cost for small business can
be as much as $7,000 per employee!
To combat this my Committee has the responsibility to oversee
the laws that ensure agencies' regulations do not unfairly
impact small businesses.
One important tool in ensuring that regulations do not
adversely impact small businesses is through the small business
review panels. Through this process agencies and small business
talk about the regulations before the agency moves forward
it. This is currently done with EPA and OSHA. The Committee
will be expanding this and my goal is to include the IRS
and an agency you should all be familiar with --- CMS. These
are important tools as we tackle some of the issues so vital
to your industry.
We have a lot to keep us occupied, and there is even more
coming. The House leadership recently proposed a comprehensive
drug benefit plan for Medicare.
But I'm afraid the plan will simply enrich large corporations
while giving confusing and uneven coverage for people who
need it.
The assumption is that large Pharmaceutical Benefit Management
companies will offer discount plans through Medicare. This
is ridiculous. It is like letting a pack of wolves guard
the henhouse. PBMs will first cut YOU out of the health
care delivery system, to which you so vitally contribute.
Instead of providing a true, across-the-board drug benefit,
these companies will spend more of their time figuring out
how to line their pockets with Medicare money.
The Administration's drug discount card plan has similar
problems. In fact, it was developed behind closed doors
with five of the country's largest PBMs --- with absolutely
no contributions by the small businesses it would most directly
affect! No wonder in the end it benefits them at YOUR expense.
So perhaps it is no surprise that after promising discounts
of 25 percent on drugs, its advocates now admit those savings
will be about 10 percent. As you know, this doesn't even
keep pace with inflation. It is a terrible idea, yet its
backers seems intent on implementing it. In fact, working
with local community pharmacists in my district, we sat
down with seniors to talk about how this plan hurts them
and small business.
As you can see, there are a lot of issues in Congress that
affect you. That is why it is so important that you are
here, meeting one-on-one with your representatives, and
making your voice heard.
Your participation is in this process is at a premium.
I encourage you in your meetings today not just to see your
representatives, but to visit every member of your state
delegation as well. And don't stop when you leave Washington!
When you go home, follow up with phone calls and letters.
Invite your representatives to your place of business and
show them what you do each and every day. You will help
understand the impact that their tax policies, prescription
drug proposals and regulations have on you.
Community pharmacies like yours are a vital link in the
medical care chain that provides the services needed to
keep Americans healthy and strong. No health care system
could survive without the critical contributions of our
community pharmacists. We are committed to defending and
extending your service.
It has been a privilege speaking to you today.
Thank you very much.
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