Trumpcare
Mr. President, on another matter, last night we saw the House Republicans plan to repeal and replace the Affordable Care Act. After 70 years of talking about the same thing over and over again, you would think the Republicans would have…
Mr. President, on another matter, last night we saw the House Republicans plan to repeal and replace the Affordable Care Act. After 70 years of talking about the same thing over and over again, you would think the Republicans would have been able to come up with a better plan than this. This plan is a mess.
First, it will cost average Americans more money for their healthcare, while providing fewer benefits; second, it will cut taxes for the very wealthy, making average Americans pay more for their healthcare; third, it will raise premiums and costs for older Americans; and, fourth, it will remove the guarantee that ensures Americans with preexisting conditions can get coverage.
TrumpCare will make health insurance in America measurably worse in just about every way and leave more Americans uninsured. It does, however, greatly benefit the very wealthy and special interests. Let's quickly look at each of the items I just mentioned.
First, TrumpCare will cost more and you will get less. By eliminating minimum coverage for healthcare plans and decreasing the availability of tax credits, the cost for average Americans will increase by at least $1,000 annually. That is a huge increase, like a tax increase for average Americans who need healthcare. It cuts and caps Medicaid, which has expanded health insurance to over 20 million Americans, and affects poor people, as well as many elderly who are in nursing homes, as well as their children who might have to pay for their care with the kinds of cuts we are seeing.
The bill would greatly decrease coverage for maternity care, preventive screenings, mental health, opioid treatment, and more. With respect to women, TrumpCare would send us back to the Dark Ages. Gone are the protections for maternity care, mammograms, and more. Gone is all the funding next year for Planned Parenthood, where 2.5 million women a year get healthcare. The ACA finally made it
the case that you no longer had to pay more for coverage just because you are a woman. TrumpCare rips that away, undoes the progress we made just a few years ago.
Second, TrumpCare would be a boon to the wealthy, while making working Americans pay more. The bill is a winning lottery ticket for wealthy Americans. It removes an investment tax and a surcharge on the wealthiest Americans, folks with incomes of above $250,000 a year, saving them an average of $200,000 a year, and it allows a tax break for insurance executives making over $500,000 a year.
Third, TrumpCare will raise premiums and costs for older Americans. It would repeal the Affordable Care Act's premium subsidies and replace them with refundable tax credits that could be worth thousands of dollars less than what was provided under the ACA. Under this plan, a senior without Medicare might receive only $4,000 a year in tax credits, an inadequate sum for someone of that age. One illness or a bad break, and the value of their tax credit would evaporate. It also allows insurers to charge older Americans more simply because of their age.
Finally, TrumpCare would remove the guarantee of coverage for Americans with preexisting conditions. TrumpCare is breathtakingly irresponsible. It shifts the costs and the burdens from the rich to the poor and middle class, from the government to the people, and raises premiums on older Americans. It seems designed to cover fewer Americans and make that coverage less affordable and less generous. It seems designed to make America sick again.
We don't even know how large a negative impact this bill will have because Republicans are irresponsibly rushing forward before this bill even receives a score from the Congressional Budget Office.
After years of howling at the Moon, at Democrats for rushing through the Affordable Care Act, the mantra they said over and over again on the floor here and in the House was ``read the bill.'' Republicans are having committee votes 2 days after the bill is released.
No wonder they don't want anyone to know what is in the bill. They are rushing it through because it is very hard to defend what they have done, and the longer it is out there, the harder it is going to be for their colleagues, Republicans, to vote for it. Lawmakers will be voting blind, without a final analysis of how this bill will affect overall coverage and affordability. I know this affects a lot of my colleagues on the other side.
We have no knowledge of how this affects the deficit. It is removing a lot of the revenues for healthcare without replacing them. In all likelihood--we will see what CBO says--the deficit is going to go way up.
The President is already throwing his arms around this plan, and ultimately he and his party will bear the responsibility for its passage and implementation. At this time, I would like to remind President Trump that he said repeatedly in the campaign that he would expand treatment for Americans suffering from opioid addiction, but this mess of a replacement bill would rip treatment away from hundreds of thousands of Americans dealing with opioid addiction. President Trump said he would ensure Americans with preexisting conditions would continue to have access to coverage, but this bill makes that harder in several ways. President Trump, in his campaign, said:
Everybody's got to be covered. . . . I am going to take
care of everybody. I don't care if it's going to cost me
votes or not. Everybody's going to be taken care of, much
better than they're being taken care of now. . . . They can
have their doctors. They can have their plans, they can have
everything.
``They can have everything.''
Well, if you read the bill the way it reduces funding for Medicaid and replaces the Affordable Care Act subsidies with much smaller tax credits, there is just no way this bill meets the President's standard.
Was the Affordable Care Act perfect? No. It could use some improvements, but Democrats spent a long time thinking about it and crafting the policy to achieve two very real and specific goals, expand coverage, lower costs.
TrumpCare will do the very opposite. If it has any one coherent positive goal, it is to limit the tax burdens on the very wealthy, and in the process it will badly hurt millions of Americans and throw our healthcare system back into chaos.
If the final product out of the House looks anything like this draft, the Senate should consider it a moral duty to reject it.
I yield the floor.