Greeting 2% Reasoning 34% Claims 58% Positioning 1% The ask 4% Procedure 1%
Structure · 14 steps
Claims · 6
This view breaks the statement into its steps and names what each one does.
Mr. President, Greeting · 11 words I rise in support of the Patients Deserve Price Tags Act. Greeting Reasoning · 57 words Free markets empower people to live freely. When there is information held by a monopoly which cannot--and I, the consumer, can’t figure out what that information is, it takes away my freedom of choice; it takes away my economic freedom because I am going to end up paying a price perhaps far higher than what I should. Claims · 76 words Right now, that is happening. People providing healthcare don’t have to provide the pricetag to the employer paying for the insurance or the employee who may be accessing that care in their deductible or outside the policy. It is impacting people. Mortgage and health insurance--the price of being insured can be $29,000 a year for a family of four--$29,000 a year if you include the deductible with the cost of the premium, including the employer’s share.1 Reasoning · 43 words So what we are trying to do is do something about that by giving the patient the power, giving her economic freedom by saying: This is how much it costs at this place, and this is how much it costs at that place. Claims · 51 words Let’s put a point on it. A pediatrician orders an x ray for a child, a chest x ray. If you go down the hall, it may cost $500, and if you go across the street, it may cost $75. Right now, it is incredibly difficult for that mother to know. Reasoning · 63 words What we imagine is that with this information being made available, it would be made available not just to those who would pull the information together, but they, in turn, would make it available for the mom with the baby, and she could say: Oh, chest x ray for my child--$500 here and $75 across the street. I am going across the street. Claims · 19 words I can promise you, when you do that, the place charging $500 is going to begin lowering the rate. Positioning · 8 words This is about doing something positive for patients. Positioning Claims · 92 words Senators Marshall and Hickenlooper and the HELP Committee majority and minority staff put together the Patients Deserve Price Tags Act, 2 and, again, it gives the patient power. As Roger pointed out, it passed 21 to 1 out of the HELP Committee--bipartisan support to give patients power.3 I will give you one more example. Ten years ago, a friend of mine told me--this was 10 years ago--that if he converted atrial fibrillation in his office, it cost $130.5 If you went to the hospital and had the same procedure done, it was $13,000.6 Reasoning · 42 words Now, shouldn’t the patient know? Because even if she is only paying a 20-percent copay, 20 percent of $130 is a lot better than 20 percent of $13,000. This could be the difference between a family able to pay their other bills. Claims · 111 words Ultimately, this will lower premiums because obviously if the cost of healthcare goes down, the cost of premiums should go down. Logical leap Unearned certainty It gives employers access to deidentified health claims data so that if, by the way, the insurance--if the doctor is charging $30,000 but is only paid $3,000 but the insurer bills the business $10,000, the business should know that.4 They paid a lot more than what the doctor charged. The business owner should know that, and right now, the business owner cannot know that. The Patients Deserve Price Tags Act is the first step to delivering what Americans asked for: healthcare they can afford, control in their hands, economic freedom. The ask · 23 words If Congress is serious about decreasing healthcare costs, we should pass this by unanimous consent today and send it to the President’s desk. Off point Procedure · 4 words I yield the floor. Procedure
At a glance
Lost points for Off point ×40 Greeting Positioning Logical leap Unearned certainty Procedure
Off topic None of this speech addressed the bill under debate and what it would change.
Switch Claims on to list the checkable claims here.
What the tags mean →
Signal · 95
3 of 45 deductions are Signal
Signal checks whether every part makes a point, gives a reason, or asks for action. A low score means the speaker filled time with fluff, pleasantries, or attacks.
Greeting Greetings and pleasantries. What the tags mean → “I rise in support of the Patients Deserve Price Tags Act.” A greeting: no claim, reason or ask.
Positioning Praise, blame or attack with no claim, reason or ask in it. What the tags mean → “This is about doing something positive for patients.” Positioning: praise, blame or attack. No claim, reason or ask.
Procedure Throat-clearing: announcing what you are about to say, or the House’s routine business. What the tags mean → “I yield the floor.” Procedure or throat-clearing: no claim, reason or ask.
Relevance · 0
40 of 45 deductions are Relevance
Relevance checks whether the speaker stays on topic and answers the question asked. A low score means the speaker dodged the issue. Measured against the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “I rise in support of the Patients Deserve Price Tags Act.” About a different measure, the Patients Deserve Price Tags Act, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Free markets empower people to live freely.” A general statement about free markets, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “When there is information held by a monopoly which cannot--and I, the consumer, can’t figure out what that information is, it takes away my freedom of choice;” About information and consumer choice in markets, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “it takes away my economic freedom because I am going to end up paying a price perhaps far higher than what I should.” About economic freedom in healthcare pricing, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Right now, that is happening.” Refers to healthcare pricing practices, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “People providing healthcare don’t have to provide the pricetag to the employer paying for the insurance or the employee who may be accessing that care in their deductible or outside the policy.” About healthcare providers’ price disclosure duties, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “It is impacting people.” About people affected by healthcare pricing, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Mortgage and health insurance--the price of being insured can be $29,000 a year for a family of four--$29,000 a year if you include the deductible with the cost of the premium, including the employer’s share.” A statistic about health insurance costs, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “So what we are trying to do is do something about that by giving the patient the power, giving her economic freedom by saying:” Describes the aims of the healthcare pricing bill, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “This is how much it costs at this place,” An illustration of price comparisons in healthcare, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “and this is how much it costs at that place.” An illustration of price comparisons in healthcare, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Let’s put a point on it.” A remark about the healthcare pricing proposal, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “A pediatrician orders an x ray for a child, a chest x ray.” An example about pediatric x-ray costs, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “If you go down the hall, it may cost $500,” About x-ray pricing, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “and if you go across the street, it may cost $75.” About x-ray pricing, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Right now, it is incredibly difficult for that mother to know.” About patients’ difficulty learning prices, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “What we imagine is that with this information being made available, it would be made available not just to those who would pull the information together,” About making healthcare price information available, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “but they, in turn, would make it available for the mom with the baby,” About distributing healthcare price information, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “and she could say:” Part of a healthcare pricing example, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Oh, chest x ray for my child--$500 here and $75 across the street.” Part of a healthcare pricing example, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “I am going across the street.” Part of a healthcare pricing example, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “I can promise you, when you do that, the place charging $500 is going to begin lowering the rate.” About price competition in healthcare, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “This is about doing something positive for patients.” About the healthcare pricing bill’s benefits for patients, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Senators Marshall and Hickenlooper and the HELP Committee majority and minority staff put together the Patients Deserve Price Tags Act,” About drafting and committee work on the Patients Deserve Price Tags Act, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “and, again, it gives the patient power.” About the healthcare pricing bill’s effect on patients, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “As Roger pointed out, it passed 21 to 1 out of the HELP Committee--bipartisan support to give patients power.” About the HELP Committee vote on the Patients Deserve Price Tags Act, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “I will give you one more example.” A transition to another healthcare example, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Ten years ago, a friend of mine told me--this was 10 years ago--that if he converted atrial fibrillation in his office, it cost $130.” A medical billing cost example, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “If you went to the hospital and had the same procedure done, it was $13,000.” A medical billing cost example, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Now, shouldn’t the patient know?” A rhetorical question about healthcare price disclosure, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Because even if she is only paying a 20-percent copay, 20 percent of $130 is a lot better than 20 percent of $13,000.” About copay differences in healthcare, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “This could be the difference between a family able to pay their other bills.” About family finances affected by healthcare costs, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “Ultimately, this will lower premiums because obviously if the cost of healthcare goes down, the cost of premiums should go down.” About the effect of the healthcare proposal on premiums, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “It gives employers access to deidentified health claims data so that if, by the way, the insurance--if the doctor is charging $30,000 but is only paid $3,000 but the insurer bills the business $10,000, the business should know that.” About employers’ access to health claims data under the healthcare bill, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “They paid a lot more than what the doctor charged.” About medical billing discrepancies, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “The business owner should know that,” About employers’ knowledge of billing, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “and right now, the business owner cannot know that.” About employers’ current lack of billing information, not the college sports bill.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “The Patients Deserve Price Tags Act is the first step to delivering what Americans asked for:” About the Patients Deserve Price Tags Act and healthcare affordability, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “healthcare they can afford, control in their hands, economic freedom.” About healthcare affordability and control, not the bill under debate.
Off point Talking about something other than the matter at hand: the question asked, or the bill, motion or speech under debate. What the tags mean → “If Congress is serious about decreasing healthcare costs, we should pass this by unanimous consent today and send it to the President’s desk.” Calls for passage of the Patients Deserve Price Tags Act, not the bill under debate.
Reasoning · 83
1 of 45 deductions are Reasoning
Reasoning checks for sound logic and solid support for any conclusion. A low score means the speaker made unsupported leaps or used weak arguments.
Logical leap A conclusion that does not follow from the reasons given for it. What the tags mean → “Ultimately, this will lower premiums because obviously if the cost of healthcare goes down, the cost of premiums should go down.” The clause moves from lower healthcare costs to lower premiums with only the word ‘obviously’, offering no link showing insurers would pass savings on.
Conclusions found · 3
Conclusion “Right now, that is happening.”
Because “When there is information held by a monopoly which cannot--and I, the consumer, can’t figure out what that information is, it takes away my freedom of choice;”
“it takes away my economic freedom because I am going to end up paying a price perhaps far higher than what I should.”
“People providing healthcare don’t have to provide the pricetag to the employer paying for the insurance or the employee who may be accessing that care in their deductible or outside the policy.”
Conclusion “Ultimately, this will lower premiums because obviously if the cost of healthcare goes down, the cost of premiums should go down.”
Because “I can promise you, when you do that, the place charging $500 is going to begin lowering the rate.”
Reason flawed The clause moves from lower healthcare costs to lower premiums with only the word ‘obviously’, offering no link showing insurers would pass savings on.
Conclusion “If Congress is serious about decreasing healthcare costs, we should pass this by unanimous consent today and send it to the President’s desk.”
Because “People providing healthcare don’t have to provide the pricetag to the employer paying for the insurance or the employee who may be accessing that care in their deductible or outside the policy.”
“So what we are trying to do is do something about that by giving the patient the power, giving her economic freedom by saying:”
“I can promise you, when you do that, the place charging $500 is going to begin lowering the rate.”
Respect · no score
Not checked: graded before this measurement existed. Excluded from the average.
Respect checks whether the speaker argued with people’s positions and records rather than attacking the people: insults, mockery, or bad motives assigned to them. Criticism of what someone did, however strong, is not marked.
Clarity · 96
1 of 45 deductions are Clarity
Clarity checks for plain speaking, clear ownership of actions, and honest limits on certainty. A low score means vague promises or evasive language.
Unearned certainty Something stated as certain with nothing to back it. What the tags mean → “obviously” The word asserts the causal claim as self-evident without offering a source or argument for why premiums must fall.
Claims · 6
This list shows the factual statements you can check for yourself: the words as said, and the claim restated to stand on its own.
1 “the price of being insured can be $29,000 a year for a family of four--$29,000 a year if you include the deductible with the cost of the premium, including the employer’s share” Health insurance for a family of four can cost $29,000 a year when combining the deductible, the premium, and the employer’s share. search
2 “Senators Marshall and Hickenlooper and the HELP Committee majority and minority staff put together the Patients Deserve Price Tags Act” Senators Marshall and Hickenlooper, together with HELP Committee majority and minority staff, developed the Patients Deserve Price Tags Act. search
3 “it passed 21 to 1 out of the HELP Committee” The Patients Deserve Price Tags Act was reported out of the Senate HELP Committee by a vote of 21 to 1. search
4 “It gives employers access to deidentified health claims data” The Patients Deserve Price Tags Act gives employers access to deidentified health claims data. search
5 “if he converted atrial fibrillation in his office, it cost $130” About ten years ago, in-office conversion of atrial fibrillation cost a doctor’s friend $130. search
6 “If you went to the hospital and had the same procedure done, it was $13,000” About ten years ago, the same atrial fibrillation conversion procedure performed in a hospital cost $13,000. search