Madam President, we heard our Republican friends say it is very hard to defend our bill. Maybe it is hard for them, but it is not hard for the American Medical Association, the AMA, which has endorsed our bill. It is not hard for the…
Madam President, we heard our Republican friends say it is very hard to defend our bill. Maybe it is hard for them, but it is not hard for the American Medical Association, the AMA, which has endorsed our bill. It is not hard for the American Heart Association, which has endorsed our bill. It is not hard for the American Cancer Society Action Network, which has endorsed our bill. The American Hospital Association has endorsed our bill. Families USA, the Business Roundtable, the Small Business Majority--we hear colleagues say small business opposes our bill. The Small Business Majority Organization supports it. And how about the AARP, which represents our seniors, millions of seniors. Those are a few. They not only defend our bill, they support our bill.
This is indeed an important moment in our Nation's history as we approach a final vote on major health care reform legislation. I think whenever you are trying to change something, you have to take a look at how things are at the moment. So why is it we voted to change our current system? There are certain numbers that I think explain it. The first number is 14,000. We know that every single day 14,000 of our neighbors lose their health insurance through no fault of their own. They either lose their job, they can't afford to keep up the health insurance or they have a condition and the insurance company walks away from them or they are priced out of the market. Fourteen thousand a day. That is cruel, and we need to change it.
Sixty-two percent of bankruptcies are linked to health care crises. We are the only nation in the world where people go broke because they get sick.
If we do nothing, 45 percent of an average family's income will go for premiums in 2016. I ask everyone to think about it, paying 45 percent of your income for premiums. It is not sustainable. What about food? What about clothing? What about shelter? Can't do it.
We are 29th in the world in infant mortality. We come in behind Cuba. We come in behind Singapore. We come in behind South Korea. We are 29th in the world on infant mortality because people don't have good insurance or they don't have any insurance.
Fifty-two percent of women--fifty-two percent of women--don't seek the health care they need. They either put it off or they never get it because they may not be insured or they are afraid of the copays. They are afraid of what it would cost. They may have limits on their policies. We need to change that.
The United States spends twice as much on health care as most other industrialized nations. So what is the message here? We spend a huge amount. We are not doing very well in outcomes. By the way, I think we are 24th in life expectancy in the world--24th. We must do better.
I wish to share with my colleagues some of the letters and e-mails that have been sent to me from Californians that personalize the statistics I spoke about.
Mr. William Robinson wrote:
I am about to be laid off from the job I have had for 19
years. My biggest fear is not being employed, but being able
to find and get affordable health care. I am 60 years old. I
have a preexisting condition that will for certain make it
impossible for me to buy health insurance.
Mr. and Mrs. Gilbert De La Cruz wrote:
We are at the point of losing our home because we have
spent our savings on medical and prescription drugs. I am 67,
retired, and my wife is 62. Because of the Medicare gap in
prescription drug coverage, we have had to pay $600 a month
on prescription drugs. It's a huge portion of our monthly
income. We will be selling our home shortly and perhaps
moving in with one of our children because there doesn't seem
to be any option.
Well, I want to say to Mr. De La Cruz: Help is on the way. If we get the 60 votes we are forced to get--not 51, a majority, but 60 votes because of a Republican filibuster--if we get those 60 votes each time, there is hope for you because we are going to fix that entire problem.
Mr. Ronald Kim says:
I am in the construction industry and my work is very slow.
He says he is in the design industry.
I am in danger of becoming financially ill and I am looking
for ways to stay healthy, and one way may be to eliminate my
medical insurance. It is a significant part of my budget.
This may, heaven forbid, lead me to financial ruin if I get
injured or sick. This is my situation.
I want to say to Mr. Kim: Help is on the way.
Ms. Madeleine Foot wrote--these are all Californians, my constituents:
I recently turned 25 and I lost my health coverage under my
parents. I attempted to get coverage under a Blue Cross plan
created for young people my age, but because I had taken
medications, I was denied. I applied again for another plan,
was offered a plan with a $3,000 deductible, and it was $300
a month on top of that. As a young person working in a
restaurant, repaying student loans and trying to make it on
my own, this is a huge financial burden. I cannot afford an
insurance that charges me so much and won't be any benefit
for me until I have shelled out a huge portion of my income.
To Madeleine Foot I say: Help is on the way, if we can break the Republican filibuster.
Mr. John Higdon wrote:
As a self-employed person, I had a pacemaker implanted. The
cost was borne entirely by me at prices much higher than any
insurance company would have had to pay. That was a wakeup
call to get health insurance. I am told by every health
insurance company I have contacted that no one will offer me
health insurance at any price with a ``preexisting heart
condition.''
I wish to say to Mr. Higdon: Help is on the way.
Dr. Robert Meagher, a pediatrician with Kaiser Permanente for over 30
years, do you know what he wrote and told me? That he has to fake--he is pressured to fake a diagnosis because when a parent comes in with a young child with asthma, they beg him not to write down asthma but write down bronchitis, because if he writes down asthma, that child will have a preexisting condition and when she turns 21 she won't be able to get insurance. Imagine, in America, a physician being pressured to lie on a form because of a health care system that is so cruel.
So, Dr. Meagher, we are going to change things here if we can break this filibuster.
Mr. Douglas Ingoldsby wrote:
I own a small business. I employ 11 people. I have been in
business in California since 1972.
He says:
I used to provide health care for all my employees and all
the members of their families, and if I want to remain
profitable enough to stay in business now, I can't do it
anymore.
He can only cover the employees, not their families. He feels terrible about it, and he says he may have to cut off his employees if prices keep going up.
I want to say to this fine small business owner: Douglas, help is on the way.
Mrs. Linda Schumacher wrote--and this is the one I will close with in this series of stories:
I am a Republican.
Let me repeat what she writes:
I am a Republican, and my husband and I are small business
owners. The Senators and Congressmen of both parties who are
against President Obama's plan have their own insurance, and
it is my understanding that it does not cost what we pay.
They do not understand what a huge expense this is. Please
listen to the middle class who are in our position or who no
longer have insurance. It keeps me up at night worrying. This
time the Republicans have it wrong, and they need to know.
Please push the health plan. The insurance companies only
care about the bottom line, not people.
I wish to say to Mrs. Schumacher: Thank you for putting aside party politics, because this isn't about Republicans and it isn't about Democrats and it isn't about Independents. It is about all of us together.
What happens now? We are hearing the polls, and the polls show Americans don't want us to act. I understand why. There has been so much misinformation. Senator Durbin, our assistant majority leader, and I were talking about the misinformation that is on this floor from the other side day in and day out, and I believe much of it, if I might say, is purposeful. If you listened to my Republican colleagues over the past few days and weeks, they have trashed this bill and they have trashed the process. Over the weekend the Republican leader said health reform is a legislative train wreck of historic proportions. That is a direct quote.
Earlier this month Senator Coburn used more inflammatory language when he said to seniors--I am quoting Senator Coburn: I have a message for you. You are going to die soon.
If you want to know what fearmongering is, that is the best example I can give you.
I decided to go back and look at the past Congressional Records. I thought: Have Republicans spoken like this over the years every time we have tried to do some health care, every time we have tried to make life better for people, such as Social Security? I will let you be the judge.
In 1935, on the floor of the House of Representatives during the debate on Social Security, Republican Congressman Jenkins of Ohio said--a Social Security bill, remember, which hadn't passed:
This is compulsion of the rankest kind. Do not be misled by
the title. The title says ``Old-Age Benefits.'' Shame on you
for putting such a misleading and unfair title on such a
nefarious bill. Old age benefits? Think of it. Oh, what a
travesty! . . . Mr. Chairman, what is the hurry? Nobody is
going to get a dime out of this until 1942 . . . what is the
hurry about crowding an unconstitutional proposition like
this through the House today?
If you listen to some of my colleagues, you will hear the same thing. What is the rush? As a matter of fact, they had four or five amendments to send it back to committee. What is the rush?
The rush is that 14,000 people are losing their health care every day. The rush is that 62 percent of bankruptcies are linked to a health care crisis, and in 2016 our people will be paying almost half of their income for premiums. Yes. We have to do this, and we started it 7 months ago, and 100 years ago Teddy Roosevelt, a Republican President, put it in his platform. What is the rush? What is the rush?
I wish to tell my colleagues about another Republican Congressman, J. William Ditter of Pennsylvania. This is what he said during the debate on Social Security:
. . . security for the individual, whether worker or aged,
will be a mockery and a sham.
This is what he said about Social Security.
And it will allot to our people the role of puppets in a
socialistic State.
That is what he said back then. I tell you, if you ask Republicans who are getting Social Security, Democrats who are getting Social Security, Independents who are getting Social Security, they will all tell you the same thing: Keep your hands off it. It works. It is good. It is fair. It is insurance.
It is what we did way back then.
In 1965, when Medicare passed, health care for those 65 and up, Republican Senator Carl Curtis said:
It is socialism. It moves the country in a direction which
is not good for anyone.
Years later, we know Newt Gingrich when he was Speaker of the House said he wanted to see Medicare ``wither on the vine,'' his words.
In 1995, while seeking the Republican nomination for President, Senator Bob Dole said:
I was there in 1965 fighting the fight, voting against
Medicare, because we knew it wouldn't work in 1965.
So when you hear our Republican friends say, Oh, my goodness, they are making a lot of savings in Medicare; this is bad for the seniors, please, please, which party has stood for protecting our seniors? It is not a matter of being partisan; it is just the fact.
The echoes of the past fill this Chamber.
I am convinced now in 2009 that hope and reason and determination and good policy will triumph over fear and obstruction and the status quo.
Let's look at the immediate and near-term changes for the better that people are going to have, because our colleagues say: Oh, we are raising revenues but there are no benefits right away.
Let's talk about what the benefits are. There will be a $5 billion high-risk pool immediately for people with preexisting conditions who cannot find insurance. There will be reinsurance for retirees, so if you are retired and you are getting your health care benefit and something happens to your company, there will be reinsurance so you can still get your benefits. We close that doughnut hole for the Medicare recipients who fall into it and suddenly they cannot afford their prescription drugs. There will be billions of tax credits--billions--up to 50 percent tax credits for small businesses. That is why we have the support of so many small businesses. For new policies, no discrimination against children with preexisting conditions, and children can stay on their family's policy until they are 26 years of age.
What else are the immediate and near-term changes for the better? For new policies, no lifetime limits, no more rescissions. They cannot walk away from you when you get sick. They are required to cover essential preventive health benefits such as mammograms. It prohibits discrimination by employers based on salary of their employees. An employer cannot say: If you earn over $250,000, you get these great benefits, but if you earn under $50,000, you get a worse array.
By 2011, standards for insurance overhead costs go into place. If your insurance company spends too much on overhead and too much on executive pay, let me tell you what happens. They have to rebate to you, the policyholder. We also see increased funding for community health care centers. This is going to make a huge difference. There will be a national Web site to shop for affordable insurance. There will be a long-term care program that is voluntary into which you can buy. Insurance companies with unreasonable premium increases can be barred from the exchanges that will be set up in 2014. So they will be making sure they do not increase your premiums beyond a reasonable amount.
This bill will benefit the insured in one way--I do not think people understand this--by 2014; 62 percent of families will no longer face unsustainable premium costs. If you are a family of four and make less than $88,000 a year, you will never have to pay more than 9.8 percent of your income on health insurance premiums. This is an amazing thing most people do not focus on. I just explained that the nonpartisan studies show--and this is important--that they will be paying, the average family, 45 percent of their income for health care. In 2014, people in this country will not have to pay more than 9.8 percent of their income on health insurance; otherwise, they will get tax credits. That is very important.
This bill is going to benefit our seniors. That is why it is endorsed by the AARP. We eliminate the prescription drug coverage gap. That is the doughnut hole. We extend the life of the Medicare trust fund by 9 years. We reduce waste and fraud in Medicare. We provide for free yearly wellness visits for seniors. This bill saves Medicare. This bill makes our seniors stronger. They will have more benefits, and they can never lose their guaranteed benefits.
Small businesses will be able to reduce their costs, again, by getting immediate tax credits. In 2014, they will be able to access the exchange, as will self-employed people. They will have the power of big business behind them as they go into those exchanges.
I want to talk about public interest provisions. I wanted a public option, let me be clear, because I felt it would keep the insurance companies honest. But let me tell you what we have in here that are definitely public interest provisions. We expand Medicaid. That is a public plan to cover an additional 14 million people, and that starts in 2014. That is 1.5 million Californians. In my State, the Federal Government will pay the full fare for those added people for 3 years, and after that, far more than we get paid now. HHS will set the initial rules for the State exchanges. So those getting into the exchanges have to be fair. The OPM plan--that is the plan that will be part of the exchange--will be set up by the government, the Office of Personnel Management.
Again, community health centers. A basic plan can be created by the States, which I think is very important. I thank Maria Cantwell for working so hard on that issue.
If people tell you we do not have anything to do with public options, they are really not right. You have to look carefully at this bill.
I want to talk about the deficit. We reduce the deficit between 2010 and 2019 by $132 billion, and between 2020 and 2029, there is up to a $1.3 trillion deficit reduction, according to the Congressional Budget Office. That is a nonpartisan office. This bill reduces the deficit. I am going to say it one more time. This bill reduces the deficit. And the reason is, we invest in prevention, and that pays off. We finally will be able to say to the insurance companies: Stop your gouging. And that pays off. We do have competition now because we will have that special plan run by OPM, the State option Maria Cantwell put in there. This is why we see the reduction, including taking the fraud and the waste out of Medicare. We do not need fraud and waste.
Here is how I want to close. Health care coverage for all Americans has been such an elusive goal for nearly a century. If you look at Republican Presidents, Democratic Presidents, Republican Congresses, and Democratic Congresses, we have tried it over and over again, and the status quo has always prevailed.
Our beloved friend, Senator Ted Kennedy, whom we miss so much, particularly during a time such as this, fought for health care right here on the floor from the moment he became a Senator in 1962 to the moment he died. In an op-ed in the Washington Post this past Friday, Ted Kennedy's wife Vicki wrote:
Ted often said that we can't let the perfect be the enemy
of the good.
I want to say to Vicki, she is exactly right. Each of us could write this bill our way. Believe me, if I wrote a bill, to me it would be perfect. But to my friend in the chair, she would say: I can make it better. And all of us could. This is the legislative process. This is a good bill.
Vicki goes on to say:
The bill before the Senate, while imperfect, would achieve
many of the goals Ted fought for during the 40 years he
championed access to quality, affordable health care for all
Americans.
He is not here to urge us not to let this chance slip through our fingers.
And she says:
So I humbly ask his colleagues to finish the work of his
life, the work of generations, to allow the vote to go
forward and to pass health-care reform now. As Ted always
said, when it's finally done, the people will wonder what
took so long.
I thank Vicki, not only for writing that wonderful editorial but for actually being in the Chamber when we took that first vote to break down this filibuster.
I say to my colleagues, I am so proud that today we are moving closer to fulfilling the promise of health care for all Americans, including the 40 million Californians I am so privileged to represent. I thank my colleagues for all the work they put into this bill. I spent a lot of time on it myself, and this moment is very poignant. I hope we pass it.
I yield the floor.