He has never voted to raise taxes or congressional pay, and refuses to participate in the congressional pension system.
Paul began his medical practice in Lake Jackson, Texas as a specialist in obstetrics and gynecology, delivering more than 4,000 babies. He took over the practice of a retiring doctor and was busy as the only obstetrician and gynecologist in Brazoria County. Paul said of his time as a doctor, "I delivered forty to fifty babies a month and did a lot of surgery."
Dr. Paul did not accept Medicare or Medicaid as a physician; instead, he would do the work for free or work out a lowered payment for needy patients.
Paul and his wife Carol have five children, Ronnie, Lori, Rand, Robert, and Joy. He also has 17 grandchildren and one great-grandchild. Three of the children, Robert, Rand, and Joy, also became medical doctors. Rand specializes in ophthalmology and Robert specializes in family practice. Like Congressman Paul, his daughter, Joy, specializes in obstetrics/gynecology.[9] Paul supported his children during their undergraduate and medical school years, refusing to allow them to take part in subsidized federal student loan programs. He has not signed up for a congressional pension for the same reason.[8]
Paul delivered babies on Mondays and Saturdays during his entire term as the 22nd District representative.
His Democratic opponent in the fall election, lawyer Charles "Lefty" Morris, lost in a close margin despite running numerous attacks on Paul, including his past votes to repeal federal drug laws in favor of state legislation and portions of old newsletters, assisted by the AFL-CIO. Paul in turn labeled Morris a pawn of trial lawyers and big labor. He raised more money than Morris, with the help of his national network of donors: $1.2 million to Morris' $472,153. Ken Bryan, a Democratic consultant to some of Paul's opponents, has said, "He has one of the largest contributor bases in Congress, outside of the leadership." Most of Paul's contributions are given in small amounts by individuals. That year, he had the third-highest amount of individual contributions of any House member, behind Speaker Newt Gingrich and Bob Dornan.
Along with not signing up for a Congressional pension, Paul's Congressional office returns money to the government each year; in 2000, the sum returned was $50,000.
While some politicians would find it unthinkable to vote against bringing "pork" to their home district, Paul spends time in the district to compensate for "violating almost every rule of political survival you can think of." He sometimes spends three to four days a week in his district addressing constituents' concerns, often accompanied by one of his 17 grandchildren. He attends graduations, civic ceremonies, and Boy Scout honor ceremonies. In an expansive district, it is not unusual for him to log more than 300 miles per day visiting constituents or handling their concerns. He is particularly effective at reaching 14th District voters on veterans' issues, such as procuring medals for war veterans who lost or never received their medals; he holds medal ceremonies for those whose medals are being presented. He has helped senior citizens of the district get free or low-cost prescription drugs through a little-known drug company program. His staff sends out birthday cards to constituents, as well as condolence cards on the deaths of family members.
Unlike many political candidates, Paul receives the overwhelming majority of his campaign contributions (96.8% in 20052006) from individuals.