Mr. Speaker, I yield myself such time as I may consume, and I thank the gentleman from Texas for yielding me the customary 30 minutes for debate. Mr. Speaker, I rise to debate this rule, but I would…
Mr. Speaker, I yield myself such time as I may consume, and I thank the gentleman from Texas for yielding me the customary 30 minutes for debate.
Mr. Speaker, I rise to debate this rule, but I would urge my colleague from Texas to be mindful that this ain't going nowhere, so we really are, when all is said and done, wasting our time. This is not likely to be taken up by the Senate in August, and why we are not doing other things, I simply cannot understand.
The Protect Medical Innovation Act and the Increasing Access to Lower Premium Plans and Expanding Health Savings Accounts Act are worth considering. The gentleman from Texas certainly is an expert in this area and is most sincere. It is regrettable that the legislation, ultimately, that will pass the House of Representatives ain't going nowhere.
Taken together, these measures do nothing to ameliorate the Republican attempt to eviscerate the Affordable Care Act, do nothing to curb rising drug costs, and do nothing to curtail skyrocketing premium hikes. Instead, H.R. 6311 continues the Republican majority's destructive path of undermining and destabilizing our health insurance markets.
This package of six bills will likely lead to fewer choices and competition for moderate- and low-income families who do not have the disposable income to pay premium costs up front.
In bringing up the second measure, H.R. 184, my friends across the aisle seem intent on ignoring the pressing issues facing our country, like passing sensible legislation that will address the country's ongoing gun violence epidemic, passing legislation that will protect our election infrastructure from hostile foreign hacking, or passing legislation that will help reunite the more than 2,500 separated children with their families. Rather, the Republican majority wants to waste valuable legislative time in repealing a tax that won't even be active until 2020.
This is the last week before we go on a 5-week recess and we are doing nothing. Even worse, these bills are not offset and, taken together with tomorrow's bills, will add up to $90 billion to our deficit. They are not paid for. And I challenge my colleague on the floor handling this rule to tell me where the pay-fors are and, if there are none, why are they not paid for--$90 billion.
Mr. Speaker, I strongly believe that the epidemic of gun violence that plagues our communities must be addressed in a comprehensive manner and without further delay. Unfortunately, our Nation has witnessed far too many senseless deaths caused each day by firearms, and that continues to rise.
Under a Republican majority, many commonsense reforms, such as the assault weapons ban--and somebody please tell me why anyone other than the military and law enforcement needs an assault weapon; I just, for the life of me, cannot understand it--were allowed to expire. I might add, flood insurance is getting ready to expire. We are not taking that measure up.
Providing nearly unfettered access to a variety of firearms does not make any sense. Someone said to me, well, there are 103 kinds of automatic weapons; and I say ban them all because they don't have any business in the hands of people in the streets at all.
While we need to preserve the rights of responsible gun owners--and I am one of them; I believe in the Second Amendment--we must focus more of our attention and efforts on keeping weapons out of the hands of dangerous individuals instead of attacking and undermining the healthcare for millions of hardworking Americans.
While the present administration works to further the majority's aim of dismantling the most popular aspects of the Affordable Care Act, like keeping children on their parents' health insurance until the age of 26 and protecting people with preexisting conditions, these bills continue to balloon Federal spending and deficits.
While we were promised increased revenue from the GOP tax cuts of 2017, with the GOP falling back on tired talking points like tax cuts paying for themselves, we now have the Congressional Budget Office projecting over $1 trillion in budget deficits in 2020, even before legislation like this passes.
Whatever happened to the conservative Republicans? Where did the fiscal conservative Republicans go, who are blowing up the deficit in this country? The amount of fiscal irresponsibility demonstrated by my friends across the aisle is shocking and will be a great detriment to all Americans in the future.
Moreover, these pieces of legislation do nothing to holistically solve the most pressing concerns hardworking Americans have with healthcare: ever-increasing premiums, unstable health markets, and exploding drug costs. In fact, in the last year and a half, the majority has gone out of their way to destabilize health markets as much as they can.
Instead of encouraging Americans to enroll in health insurance, the Department of Health and Human Services has created an advertising campaign explicitly undermining the individual insurance markets created under the Affordable Care Act. Republicans have cut the Department's budget for those grassroots organizations whose sole purpose is to assist folks in signing up for health insurance. How much of the budget did they cut? 92 percent.
In addition to this, HHS has threatened States that try to lower premiums, and the Trump administration has even canceled cost-sharing reduction payments to insurers, which the CBO projects will leave 1 million more people uninsured, raise premiums by 20 to 25 percent over the next 2 years, and increase the Federal deficit by $200 billion.
Listen, people, when we started this business of the Affordable Care Act--as much as my friends on the other side who have the prerogative, in the majority, to be in disagreement with this measure as well as any others and to offer this thing that ain't going nowhere here today--the simple fact of the matter is, some few years back, we had 42 million Americans who were uninsured. We now have more than 42 million Americans uninsured, and that is wrong.
I said yesterday in the Rules Committee, all of us, 535--the Senate and the House--and the six delegates, ought to be locked up up here until we come up with a sensible solution for the American people with reference to a crisis.
It was said yesterday by the chair of this committee that the plan that is going to be offered--that we did offer and then they voted against--would be the best healthcare plan in the world. Well, it ain't the best healthcare plan
in the world. The best healthcare plans in the world are in Denmark, Sweden, Switzerland, Australia, and a whole bunch of other places other than America.
And while the Trump administration has pushed junk healthcare plans, even the organizations that originally lobbied the administration for access to these plans now say they no longer want to use them.
All in all, as a result of these policies, as I have indicated, 4 million fewer Americans have health insurance than when Donald John Trump took office, and healthcare costs continue to rise unabated.
I need not remind my colleagues that people in the United States pay far more for healthcare than in any other industrialized nation on Earth, and, in most cases, they get far less. We spend over 18 percent of our gross domestic product on healthcare, compared to most other countries, which spend less than 10 percent, with much of the disparity occurring thanks to higher drug prices and administrative overhead.
Despite the money we pour into our healthcare, the United States has the shortest life expectancy and highest infant mortality of any modern industrialized nation--let me repeat that--the shortest life expectancy, and the highest infant mortality of any modern industrialized nation.
We have far fewer physicians--and we had better do something about that; not in this measure, not in the Affordable Healthcare Act. We had better get busy trying to figure out how to provide more physicians, more nurses, more research for a variety of measures that are oncoming that our Nation is going to be confronted with.
We have fewer hospital beds and, in perhaps what is the most depressing statistic of all of U.S. healthcare, the United States is one of only 13 countries in the world where the rate of maternal mortality, defined as the death of a mother in the year after she gives birth, is now worse than it was 25 years ago.
And here we are, continuing to jaw jack about something that ain't going nowhere, and we have situations in our country that all of us know something about, all of us care about. There is no Republican in the House or Democrat in the House that doesn't care about their constituents and their healthcare. And at the very same time, what we are winding up doing is arguing with each other and nothing is getting done, and that is just dead wrong for this country.
Black women, in particular, are three times more likely to die from health-related issues to their pregnancy. How can we seemingly pay for more healthcare now than at any point in our Nation's history and, yet, at the same time, be getting worse care than we were decades ago?
We have a fundamentally broken system. The majority doesn't seem to have any way of fixing it, and I am not even sure that they want to fix it. Indeed, they seem to be going out of their way making it somehow worse.
Now I hear all of the voices out there. I had a constituent call the other day to tell me that I wasn't as liberal as his people were, liberal, and that I didn't understand this whole healthcare system.
And I told him: Listen, man, in 1992, when I ran for office, I ran on the premise of universal healthcare for every American, period. And when we did the Affordable Healthcare Act, it ultimately got called the ObamaCare Act.
I have said in the Rules Committee repeatedly, it probably should have been called the Hastings/ObamaCare Act, or perhaps we would have done what Dr. Burgess asked us to do and it would be called the Burgess Healthcare Act.
I don't care what it is called. It needs to be called something that is going to help every American, and not just a handful, and certainly not the richest people in this country who don't even need any healthcare. They have been at the socialized healthcare business for all of their lives and, therefore, people like Donald John Trump don't need to worry about this kind of thing.
It is those people that are vulnerable. It is those people on Medicaid in Florida and other States that didn't expand Medicaid, 900,000 of them in my State, that are left to the mercies of the system.
And what do they do? All of us know what they do. When they have healthcare, they go to the hospital, to the emergency room, generally speaking, they are treated, and then those taxpayers in those respective jurisdictions wind up paying for it.
So why don't we get our act together and try to do something about it now?
I have proudly advocated for multiple pieces of legislation that will improve and strengthen the Medicare system, including H.R. 676, the Expanded and Improved Medicare for All Act, which will provide all individuals residing in the United States and the United States territories, with affordable healthcare, including that which is medically most necessary, such as primary and preventative care, dietary and nutritional therapies, prescription drugs, emergency care, long-term care, mental health services, dental services, and vision care. Underscore preventative care. And if we did more in that arena, we wouldn't have as much of a problem as we do today.
Medicare for All will save taxpayers hundreds of dollars a month. Now, I firmly believe that we must focus priorities in the interest of the American people to ensure that our citizens have continued access to healthcare services.
So when we come back here in September, when we finish all of our fighting in November, and we have somebody that is going to get elected, 435 of us will return here and be sworn in in January. Let's all make a commitment that we are going to work together, together, to get all of the resources, the tremendous minds, the incredible staffs that work here in this institution together, and try to make sure that we do the right thing by the American people and pass a measure that will cause everyone to have affordable care.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield myself such time as I may consume.
Mr. Speaker, if we defeat the previous question, I am going to offer an amendment to the rule that would change the rules of the House to prevent any legislation from being considered that would reduce the guaranteed benefits for individuals enrolled in either Medicare or Medicaid programs.
I ask unanimous consent to insert the text of my amendment in the Record, along with extraneous material, immediately prior to the vote on the previous question.
Mr. Speaker, I urge my colleagues to vote ``no'' and defeat
the previous question so that we may protect these critical programs for this generation and the next.
Mr. Speaker, I would be prepared now to advise my colleague from Texas that I have no further speakers, and I am prepared to close when, and if, he is.
Mr. Speaker, I yield myself the balance of my time.
Mr. Speaker, in closing, this place, the people's House, should be about approaching our congressional responsibilities and daily activities in a manner that is fair and respectful to all Americans; in a manner where the appropriate committee of jurisdiction holds hearings and markups; in a manner where experts in the field are respected and consulted; in a manner where Members of both political parties have the ability to offer amendments and debate the contents of bills that come to the House floor.
Unfortunately, in this historically closed-off, Republican run House, that is not the case. And let me make it very clear. Even though in the Ways and Means and the Appropriations Committee, as a matter of practice, we allow for closed rules, we now have, with these three rules that are likely to be finished today, we have 95 closed rules. This is 2018, and not in the history of the people's House has the process been as closed.
When the Speaker of the House of Representatives began this session, he indicated that it would be the most open session that we would have. And yet, it is not the case.
I spoke earlier about immigration, and I saw this morning where the majority leader has determined, even though having promised his own conference that he would have a vote on immigration, he ain't gonna do it.
Now, something is wrong with this process and it needs to be corrected, and we can correct it going forward. We will make 100, and then we will be historically referenced as the most closed Congress in the history of the United States of America.
What we see are my friends across the aisle, bending over backwards to reward a very specific and elite constituency. Week after week, the powerful gun lobby is rewarded as Republican leadership refuses to bring up even the most commonsense gun violence prevention legislation.
The next week, like today, the powerful medical insurance lobby chalks up a win as this Republican-led Congress votes in favor of special interests over the interests of hardworking Americans.
Some other people that make out like bandits that we never talk about are the insurance companies. I could spend a whole hour talking about how they are benefiting while we are about the business of tying each other in knots with verbiage rather than with substantive legislation.
Mr. Speaker, while there is no quick fix to any of these measures, not to gun violence, opioid addiction, the immigration problems, and ongoing foreign cyber attacks on our election system's infrastructure, we simply must engage in the complicated and difficult process of improving our country's current policies.
I, as well as my colleagues on this side of the aisle, stand ready to work with Members of Congress to bring commonsense legislation to the floor that will benefit all Americans and not just the rarified few.
Mr. Speaker, I am going to urge a ``no'' vote on the rule and a ``no'' vote on the previous question. This measure we are debating here today ain't going nowhere, and I yield back the balance of my time.
Mr. Speaker, on that I demand the yeas and nays.