Health Care Reform
Thank you very much, Tom. You know, for years, I operated two small businesses. One was a small Internet company, and the other one was a coffee shop. I remember years ago, before I sold one of my businesses, a national coffee chain came…
Thank you very much, Tom.
You know, for years, I operated two small businesses. One was a small Internet company, and the other one was a coffee shop. I remember years ago, before I sold one of my businesses, a national coffee chain came into town.
And we weren't given any special Federal protection. When you're faced with competition, you do what any small business does. You know what you need to do. You know how to compete and lower price or serve a better product. And I don't know why the insurance industry for over 60 years has been afforded this special exemption from antitrust laws.
There are only two industries in the United States that enjoy this exemption: It's the insurance industry and Major League Baseball. Okay, I can understand Major League Baseball. It is our national pastime. But why they have been able to have no competition in the industry, it also affords no innovation in the industry because there is no competition.
Over the past 14 years, there have been over 400 mergers in the insurance industry so that now 95 percent of the insurance market is considered highly concentrated. There are States that have one or two insurance companies that are serving them.
Again, when we had a small computer business, we had several employees who were across State lines, and we had the availability of one insurance company. The prices were expensive. It wasn't necessarily what my employees wanted to do, but there was no competition in the industry.
This is commonsense regulation. It's, as Congressman Perriello noted, two pages long, easy to understand, and, again, it does what we want to do with health insurance reform, which is, number one, bring competition to lower prices and still maintain affordable health care in this country.
With that, I would like to turn it over to my colleague Representative Tonko.
Thank you. And you're right. The rate increases that families are experiencing right now are absolutely unsustainable.
I was home in Colorado last weekend. I spoke to one woman, she had gotten an increase in her premiums for next year of 35 percent.
Another small business owner in Greeley told me he got a rate increase of 39 percent. How can you afford that?
And this is at the same time we're hearing on the news that the insurance industry, as a whole, has realized an over 50 percent increase in their profit in 2009 and 2008. And yet insurance premiums are going through the roof.
Now, this is not anything new. We have seen the Ford Commission, antitrust commission, recommend that Congress take action on eliminating this exemption. President Bush's Antitrust Modernization Commission, just a couple of years ago, recommended that Congress take action.
And in 2007, Republican Senator Trent Lott and Democrat Pat Leahy got together and proposed legislation that was actually more sweeping than this that affected more parts of the insurance industry. And at that time, Senator Lott said, I cannot, for the life of me, understand why we have allowed this exemption to stay in place for so long. He testified in 2007 in front of the Judiciary Committee for that, with that statement.
This has broad appeal with many organizations as well. The repeal of this exemption is supported by the American Hospital Association, the American Dental Association, and the National Association of Attorney Generals. They met 2 years ago, because right now the States are responsible for monitoring this, and they just don't have the resources to do this. Forty-seven out of 50 of our Attorney Generals around this country have said Congress needs to take action to repeal the antitrust exemption from insurance companies. The other three were not in attendance, but they voted no. Not a single State Attorney General supports having this exemption for the insurance industry. It's high time.
Now, I don't like to demonize one particular industry. There's nothing wrong with the notion of profit in this country. We are a capitalist Nation. But the fact is that we also, here in Congress, need to be guided by the fundamental notion of fairness. And the simple fact is that, one, one industry in this country has had an unfair competitive advantage, and that needs to end.
I want to thank my colleague from California who has unique experience with the industry and in this field for your perspective on this.
My colleague from New York has talked about competition. And it has been competition that has made this country great. I want to expand on that a little bit as well to talk about innovation. We have always been a country of entrepreneurs and innovators, and when you have an industry, an entire industry that can set prices, can collude with their partners, you have no innovation in the industry.
Some of our Republican colleagues were talking just a short while ago, and one of them was talking about health savings accounts. I am a supporter of health savings accounts as well. My sister and her husband wanted to get a health savings account with catastrophic health care, but because of their age and because of where they live, they could not find an insurance company that would offer that type of product for them, which would help them to save money and to really bring transparency to the system to know what they were spending their health care dollars on; and many people want that option. They weren't able to get it because it was not available in their part of the country.
Why? Because there is no need to. There is absolutely no incentive for our insurance industry to innovate, to change the system, to offer new products, to compete on prices. This is what the heart of this bill gets to. It
gets to competition and innovation in the system, which again is going to lower prices and, as we have all noted, doesn't cost the government a dime.
We should be able to get bipartisan support on this legislation tomorrow.
We, as Members of Congress, we come here to look at all sides of an issue. That is our responsibility, to look at the pros and cons of legislation. Most of the issues that we deal with are very, very complex. Oftentimes, we are voting on a bill. We may like some parts of the bill, we may not like other parts of the bill, but you can't say, I will vote ``yea,'' but let's change this. You have to vote ``yes'' or ``no.''
And I have looked--I think we all have--on all sides of this piece. We have talked to people in the industry. This seems pretty straightforward to me. The only argument that I have heard against this antitrust exemption is from the insurance industry themselves, who have said, well, the States can do it. The States have been doing it for 60 years. That is sufficient. Let the States do it. But yet the States are saying we can't do this. This is unfair to put this burden on us, as the State attorney generals have noted. And this is a Federal issue.
And why, why have we singled out just one industry in all of the United States except for Major League Baseball, which pays a luxury tax, some of the more successful teams, to keep some of the smaller teams going when they are not having a good season? I get that. I cannot understand why for 60 years we have singled out one industry in the United States for this exemption from antitrust laws. It is wrong. It is simple to fix, and we are going to do that tomorrow when we pass this legislation. This is not a Democratic bill or a Republican bill. This is for the American consumer.
And I would like to thank my colleague from California for sharing those personal stories of people that you know who are unable to switch jobs because they will not be able to get health insurance, people who can't afford health insurance or get health insurance because of a preexisting condition. We have all heard the stories about the auto industry--the most important part of making a car is the health insurance for the workers who put that vehicle together, that the most important line item expense for companies like Starbucks is not coffee, but it is health insurance. I saw that in my own business as well. My husband and I, every year it was double-digit increases. And every year we, as small business owners, had to cut back on how much we could afford to pay. We started out paying 80 percent of our employees' health insurance. We went down to 70 percent. Now it is 60-40, because we just cannot afford to keep up. We cannot be competitive, particularly in a global economy where you are doing business overseas, your partners overseas don't have that enormous cost of health care that they are paying for their employees.
It's a real business decision to decide, Well, gee, can I afford to hire somebody new? Can it maybe be a contractor, and I won't be paying health insurance for him because I can't afford that extra, you know, $16,000-$17,000? So it is a difficult issue for everyone, and the competition is not there.
As I mentioned, when you've got employees in one or more States, it is virtually impossible to find more than one company. That's all we could find--one company across the United States which would offer insurance to people in several different States. That is just wrong.
We have all talked a little bit about the State attorneys general, and I want to read to you a quote from one of those attorneys general at their meeting when they all voted unanimously, really, for a repeal of this antitrust exemption. One of the assistant attorneys general noted:
``The most egregiously anticompetitive claims, such as naked agreements, fixing prices or reducing coverage, are virtually always found immune from prosecution under the law. They are always found immune.''
We have a very simple choice tomorrow: Do we stand for the insurance industry or do we stand for the American consumer?
It is not an issue of what is good for one industry. It is what is good for competition and innovation. What they have is wrong and unfair, and we have a chance to undo that tomorrow.