Mr. President, over 2 months ago, devastating natural disasters occurred in our Gulf Coast States, things that were absolutely out of our control, Mother Nature. Since that time, I and many of my colleagues have tried our hardest to get…
Mr. President, over 2 months ago, devastating natural disasters occurred in our Gulf Coast States, things that were absolutely out of our control, Mother Nature. Since that time, I and many of my colleagues have tried our hardest to get health care relief to those who were impacted by the tragedy. I say that because I am so saddened, as we have strived so diligently to look at a commonsense way that we could bring health care needs, meeting the health care needs of the victims of that region with absolutely very little success.
In the week following the tragedy, I came to the floor and offered an amendment to the Commerce-State-Justice appropriations bill. I withdrew my amendment because so many people said: We need to do this. Let us work out a bipartisan effort. Let us work together to meet the needs that exist in this devastated region of the Nation. I withdrew my amendment after working with Senators Grassley and Baucus to come up with a bipartisan compromise, with the assurance that we would allow a bipartisan compromise to come forward and provide the kind of relief our good neighbors in the Gulf State region needed.
The compromise, the Emergency Health Care Relief Act, which was S. 1716, received overwhelming support on both sides of the aisle. But each time we came to the floor and tried to pass it, there was a handful of Members who objected. We have tried to bring it to a vote at least five times that I am aware of. We listened to the concerns of the Senators who objected. We have scaled back the legislation time and time again, first taking out one piece, then the other, trying to see, accordingly, what we could do to accommodate their concerns, without completely gutting the purpose of providing the kind of relief our fellow Americans need in the gulf region. That scaled-back version was one that Senator Baucus offered in the Senate Finance Committee markup last week, and it failed along party lines, with the understanding, many Members said, that there was a need to get something out of committee.
I know how important it is to keep the trains running, but how well do we understand here in this body the needs of our fellow Americans who have been devastated, whose families have been torn apart, whose homes have been demolished, their children's lives and schools destroyed, who have been displaced and put into strange places to go to school? We think about people who have lost their jobs, who have lost their memories in many instances, family albums, wedding albums, things that can devastate you, depress you, and put you in a frame of mind that says: I need someone to embrace me and make me feel like a part of the family again.
Here we are attempting a budget reconciliation. A lot of people across this country think: Oh, budget reconciliation, what is that, yet one more big, long term the Senate uses for something they try to accomplish.
You know what, Mr. President, working American families reconcile all the time, now probably more so than ever before. Their wages are stagnant. The price of gasoline is out of control. The price to heat their homes this winter, the price of health care in general is out of control. They look at all of the things they are surrounded by and what do they do? They reconcile their budgets. They reconcile their household budgets, and they sit down and say to themselves: What is essential to keep our family whole? What is it this family needs to be able to maintain itself as a family, to not become dysfunctional or separated or torn apart, to not be hungry or cold? What is it this family needs? How do we reconcile the fact that our wages have been stagnant, our costs are going out the roof?
What do they do? They sit down and look at the essentials that are necessary. They make a list of what their essentials are, and they address those essentials first. Then they move on to
the things that may not be as essential, things that they want to do, but they deal with the essentials of life first. They deal with food, shelter, health care needs, education for their children. These are the decisions working families all across this great Nation are dealing with.
Here we find ourselves in the Senate doing the very same thing for our American family. When I reconcile my budget at home, I try very hard to think of those individuals who my children and I pray for every night when we say our prayers and we say: God bless those people who are homeless, who are hungry, who have lost their homes, who have suffered from natural disasters. I think as we reconcile this budget here, we need to look at our American family and what it is we find essential, that we find as a priority.
I come to this floor to say my sisters and brothers in the gulf coast region are a priority in this American family. Their needs have to be met. We don't need to wait another 8 weeks or 4 months or another year before we make it a priority. We need to reconcile it in this budget in our minds and in our hearts right here today. And if people have a problem with it, then let them pick it apart. Let them come down here and say: We will cover pregnant women, but we are not going to cover the childless adults who have lost their homes and been displaced from their families. We are not going to provide for those individuals.
Let them come down and pick it apart and nickel-and-dime what it is we can do for our American family. Because I have to say, I think a huge part of this Nation's values is represented in the priorities we choose. The priorities we choose have an important impact on the choices we make. We are here to reconcile the choices to be made at this time in our Nation. We are consumed with enormous debt. We are consumed with obligations internationally, with troops whose lives are on the line today in Iraq and Afghanistan. We have unbelievable choices.
But we can't forget about the other choices, the precious children we saw last night trick-or-treating. What is their future? Are they going to have the education they need to be competitive? Are they going to have an economy that is strong? Are they going to have a nation that is well-respected? The heart of it goes back to how we as Americans treat one another. Those are the values we have to begin to look at, particularly in a document such as this.
The underlying bill does contain some assistance for Katrina survivors. I thank the Finance Committee chairman, Senator Grassley, and my colleague, Senator Lott from Mississippi, who is on the committee. But the truth be told, it is not enough. The hospitals and providers of Louisiana have told us it is not enough. They have told us they can barely keep their hospital doors open past Thanksgiving. How in the world could we imagine that people are going to move back in to the communities of the gulf region to rebuild their homes, rebuild their businesses, bring their children back into school systems, if there is no medical care? I ask my colleagues, would you do that? Would you move your family back into communities where the hospitals are closing their doors? Would you ask your employees to come back to a business where no medical services could be provided? Is that how we treat our American family and the members of our American family?
It is beyond me why it is that we would nickel-and-dime our sisters and brothers in the gulf region. Chairman Grassley himself admitted in the committee that the limited relief in the underlying bill is only a downpayment. I urge my colleagues to take this opportunity to do more than just a downpayment for people whose lives have been destroyed, their families displaced, their homes obliterated, their jobs, Heaven knows what kind of jobs they might have to go back to.
We can provide real relief because we are Americans. We can do better than that by our American sisters and brothers. We are a family. As a family, we can do better than that. We can do better than a downpayment that might keep them open until Thanksgiving. I know we can do better than that. I urge my colleagues to do so.
I am sure the administration and my colleagues who oppose this amendment will say there is money out there for relief. And they are correct that there is money out there. But where is the relief? Congress has passed over $60 billion in FEMA funding, and where has it gone? Who knows? Through October 19, FEMA had placed only $18.2 billion into the Hurricane Katrina disaster relief fund, roughly one-quarter of the available funding, and had reported spending only around $4.1 billion. Nearly 2 months after the hurricane devastated the Gulf States, FEMA has provided only about $2.9 billion out of the $60 billion to individuals and families affected by such a monumental tragedy to a region in our Nation. That is one-tenth of the funding available that has gone to help hurricane survivors.
Even President Bush has realized that the money is not being used appropriately and has proposed reallocating $17 billion of it to do a variety of things, including reconstructing military bases, offering job training, building affordable housing, repairing the wetlands, among many other items. All of these things are great. But will families move back, will companies come back, will schoolchildren come back if there is no health care? Every day we drag our feet, it will cost us more, more to rebuild hospitals, more to bring providers into the region, more to make sure the health care infrastructure is there, whether it is medical schools, hospitals, clinics, ambulance service, all of the necessary needs that come through medical care.
What about health care for the thousands of Katrina survivors who aren't getting their basic health care needs met or for the hospitals and health care providers that came to their aid and States that have already been strapped and now have even more pressure on their budgets?
I do not understand why we continue again to nickel-and-dime these families who have been through so much. Can we not put ourselves in their shoes to understand the devastation they have experienced?
Maude Jordan is an example I used from an article out of the Economist. She is one of the Louisianans who isn't getting her basic health care. She survived on the top of her refrigerator for 3 days to avoid the flood. Then when she was finally taken to Baton Rouge, she made it to a relief center there and was told she didn't qualify for Medicaid because she is a childless adult, and the program doesn't cover childless adults.
All we are asking is to temporarily cover the Maude Jordans who have been devastated by this natural disaster--temporarily cover them. And if people on the other side think that is just too bold of an expansion of the program, then let's take it out. If they want to take it out, let's take it out. Let's not cover the Maude Jordans. I want to, and I think there are others who do, too. But if people think that is just too much sharing and they can't handle it, too much community, let's take it out. Let's just cover the normal people under Medicaid with 100 percent so that Louisiana, when they finally begin to get their feet on the ground, will not have to buckle from the burden of what we will lay upon them in covering their share of this devastation.
Katrina health care in this budget reconciliation bill will not help the Maude Jordans of the world or the thousands of survivors who simply don't have children. And maybe that is what people want to do. If it is, I hope they will come to the floor and make those recommendations.
But what about our health care providers. Last week, an Associated Press article illustrated the dire situation with Louisiana hospitals, saying that the entire hospital system is only a step away from financial disaster. One of those executives is the one I quoted earlier:
We're out of money, roughly after Thanksgiving.
What a great holiday gift we would provide the people of Louisiana who have lost their hospital system, do not have anywhere to take their children or elderly if they should choose to move back to their home and try to be there during the holiday season. There is no safety net in a hospital, no ability to be reassured that should they need it during the holidays it would be there.
Across the border, Mr. President, in my home State of Arkansas--I have been so proud of Arkansans. I believe
they have exhibited the values that we all believe are strong in America, the values of being a good neighbor. They answered the call. They answered the call to be a good neighbor and provided a tremendous amount of care without asking how or when or if they would be repaid.
My hometown, in one of the poorest counties in the country, that had to set up its own health foundation to keep the infrastructure of its health care in place and moving and operating and doors open, took out of that foundation to provide for the evacuees who were coming in, up the Mississippi River Delta and into our communities. And God bless them for doing it, for showing us that this spirit is still alive in this great country; that neighbors do mean something to neighbors and community is important. God bless them for doing it without being asked.
Yet what about us sitting here, not answering their call when they ask, does our American family have those same values? Are they going to come through for us when we have come through for our neighbors? Louisiana's Medicaid Program is considering making big cuts because they don't have the funding to keep it going. Those cuts could result in 100,000 people losing their prescription drug coverage. Over 100,000 low-income children and 2,500 pregnant women could be left without any Medicaid coverage. And Arkansas is operating under a waiver that the administration contends will make them whole. But even the administration admits that they need congressional action to get it done.
How many stories do we have to share, and how many lives have to be impacted before Congress will act? We have to do something now--today. I think it is so critically important as we see American families reconciling themselves in their family budgets, as we looked last night at the importance of community. I don't know about you all, but seeing precious children in our own neighborhood walking alongside my own, learning great things about being part of the community, how to say thank you, how to meet your neighbors, how to be part of a group in a community, it is time for us now to recognize the role we play in this great American community and this great American family and exhibit the values that are so important to Americans: that we would share with one another, that we would look after one another, that we would take care of our sisters and brothers in the Gulf State region.
Not just yet. Thank you.
The whole idea of community has been lost. Unfortunately, I think it is because there has been this attitude created, a sense or a feeling that makes Americans afraid to share. What does that mean? It just means we are all concerned about ``me.'' But what makes us strong as a country? It is the ``we.'' It is the ``we'' in Americans. It is when we work together, we not only do better, we do our best. And I think this amendment is a way that Americans can show their best. They can show how important it is to reach out and to take care of our neighbors and a big part of our American family.
My grandmother used to tell me when I would feel down and out: When you feel bad, and you feel like you could do better, she said, stop. She said: Think of somebody who needs something, and go do it for them.
Mr. President, I think America feels down right now. I think they wonder who we are and what we are all about. I think this is the time, as we reconcile whatever it is we are here to do, that we stop and think about who needs us right now and we go do something for them. I happen to think that my brothers and sisters in the gulf region need something. I think it will show all of us the biggest and the best America that we can possibly be.
I thank the Chair. I yield the floor.
I actually need to yield to my colleague here.
Will the chairman yield for a brief comment?
I thank the Senator.
That is fine.
Earlier, I complimented the chairman on the incredible devotion to this issue and hard work in trying to bring about a compromise, and I am grateful to him.
I would like to apologize to the Senator from New Hampshire who seemed upset that I hadn't put forth my amendment here in writing, but I have it here for him. I thank the chairman for all his hard work.
Mr. President, I ask unanimous consent to lay aside the pending amendment to offer the amendment about which I have just spoken.
Mr. President, I ask unanimous consent that the reading of the amendment be dispensed with.
Mr. President, I apologize. I guess we brought this amendment to the floor and to the committee so many times I just assumed my colleagues knew what it was. I apologize for any confusion in that regard.
Mr. President, I ask unanimous consent that the time that has been used in the debate on this amendment be charged against the amendment so that it does not get charged against any of my colleague's time.
Mr. President, I yield to my good friend and my colleague from the gulf region, Senator Landrieu from Louisiana.
What is the time remaining on our side, please?
I yield time to the Senator from Montana.
Mr. President, what is the time agreement?