Healthcare Legislation
Mr. President, I wish to start by thanking my colleague from the State of Connecticut for bringing those powerful testimonies to the floor of the Senate. It is really important that all of us--all 100 of us--spend time back home in our…
Mr. President, I wish to start by thanking my colleague from the State of Connecticut for bringing those powerful testimonies to the floor of the Senate. It is really important that all of us--all 100 of us--spend time back home in our States listening to people who are telling us those kinds of stories.
I have received over 2,500 calls in my office just since Thursday, all of them strongly opposed to this so-called healthcare proposal.
Some things improve with time. Some things improve with age, like red wine. Some things get stinkier and smellier the longer they sit out there, like rotten things. That is the case with the series of Republican so-called healthcare bills, TrumpCare 1, TrumpCare 2.0, and now, TrumpCare 3.0. They are all rotten to the core, and the more they sit out there, the stinkier they get, and the American people know it.
If you had any doubts, take a look at the most recent Congressional Budget Office report we got today. There is a pretty clear pattern between all of these Congressional Budget Office reports and the first bill we saw and the second bill and now on this latest version.
Here is the pattern. Tens of millions of Americans will lose access to affordable healthcare in the United States of America in order to provide tax breaks for powerful special interests and richer Americans. That is the pattern. In this most recent report, we are told by the nonpartisan professionals at the Congressional Budget Office that 22 million of our fellow Americans are going to lose access to affordable healthcare. For what? To give powerful special interests and wealthy Americans a tax break.
Insurance companies currently are not allowed to deduct the bonuses they pay to their CEOs. Now you are going to allow insurance companies to deduct the bonuses they pay to CEOs, and while tens of millions of Americans will lose access to affordable care, millionaires in America will get an average annual tax break of $50,000 a year, every year.
So make no mistake. You can call this a healthcare bill, but it has nothing to do with healthcare and everything to do with wealth care and transferring wealth from more struggling vulnerable Americans to the very wealthy.
If this were about healthcare, why is it that we have all received in our offices long lists from patient advocacy organizations that are dead-set against this legislation? These are organizations that have been dedicated to trying to improve healthcare for people and patients in our country: the American Cancer Society, the American Diabetes Association, the American Heart Association, the American Lung Association, National Alliance on Mental Illness, National Breast Cancer Coalition, and National Multiple Sclerosis Society. The list goes on and on from organizations that have dedicated themselves to advancing patient health.
On the other side, I haven't seen a single--not one--patient advocacy group that has come out to support this so-called healthcare bill. How can that be? If this is good for the health of our fellow citizens, why is it we have a long list of organizations dedicated to that cause against it and not one for it?
How about healthcare providers, the folks who help provide the care to our constituents? They are all dead-set against it: the nurses, the doctors, the hospitals, the people who have that network of care.
I was just out on the Eastern Shore of Maryland, a rural part of our State. The National Rural Health Association is opposed to this bill. They know the people they serve are going to be badly hurt, and, by the way, it is also going to hurt the economies in those parts of our State, especially the rural parts of the States, because those hospitals depend heavily on many of the people who get help through the Affordable Care Act, whether through the exchanges or through expanded Medicaid. As those patients come in the door and no longer can pay for their care, those hospitals said they may have to close down operations and lay people off. It is a double whammy--bad for patients and bad for those who provide the care to our patients.
That is why AARP has been all out against this, because they know that for Americans between the ages of 50 and 64, before you get on Medicare, this is a total disaster. As they have said, there is an age tax. If you are older, you are going to pay a whole lot more under this Republican bill than you pay today.
Many people are just realizing now as they follow this debate that two out of three Americans who are in nursing homes today are supported by Medicaid payments. So millions of our fellow Americans who now get their care in nursing homes, where Medicaid is providing support for two out of three, are going to be put at risk and made vulnerable because of this legislation.
Remember, Donald Trump said he wasn't going to cut Medicaid. This cuts it by over $750 billion. Make no mistake, on this issue, this Senate bill is a lot meaner than the House bill. We all know that President Trump out in the Rose Garden celebrated the passage of the House bill. But behind closed doors, what did he call it? Mean. This Senate bill, as time goes on, will cut Medicaid far more deeply than the House bill. As we look at this Congressional Budget Office report, it talks about how you get to the end of year 8 and 9 and 10, and you go beyond that. You are going to have very deep cuts, much more painful, much meaner than in the Senate bill.
We have heard a lot about preexisting conditions. The reality is that the Senate bill is very devious in this regard. It is a great sleight of hand. On the one hand, it creates the impression that if you have preexisting conditions, you are going to be all right. But what it pretends to give with one hand, it takes away with the other. It makes those Americans as vulnerable as they were before the passage of the Affordable Care Act.
I am not talking about those who are directly benefiting, like those on expanded Medicaid or those in the exchanges. I am talking about those who are benefiting from the patient protections in the Affordable Care Act.
I just got a note the other day from Mark in my State of Maryland saying:
My son was diagnosed with Crohn's disease in 2008, at age
18. He was repeatedly denied insurance and was only able to
cover part of the cost of care through the Maryland high-risk
pool. Obamacare made it possible for him to be insured and
care for this lifelong disease.
It was ObamaCare that ``will literally save his life.'' We have many stories like this one from others who were denied access to care because of preexisting conditions before the Affordable Care Act.
There is another major sleight of hand in this Senate Republican proposal, and that relates to premiums. I have been listening. We have been hearing a lot from our Republican Senate colleagues about how this is going to bring down the price of premiums. We all know that what Americans care about is what they are having to put out in total for their healthcare. There are premiums. How much is the deductible? Great, I got a lower premium, but my deductible is now $10,000. There are copays.
Here is the dirty little secret if you dig into the Congressional Budget Office report, after listening to many of our Republican colleagues talk about premiums. Now, you have to translate a little bit here because this is in the budgetese of the Congressional Budget Office. What they say on page 9 is this: Some people enrolled in nongroup insurance--in other words, in the individual market, the people who are currently in the Affordable Care Act exchanges--would experience substantial increases in what they would spend on healthcare even though benchmark premiums would decline on average in 2020 and years later.
So the translation is that in some cases the premium--that sticker price--may go down, but you are going to end up paying a whole lot more when it comes to your deductible and your copays.
It goes on to say that because nongroup insurance--in other words, the individual market--would pay for a smaller average share of benefits under this legislation, most people purchasing it would have higher out-of-pocket spending on healthcare than under current law. It goes on and on.
In other words, keep your eye on the ball, America, because when someone tells you your premiums are going to go down, watch what happens to all your other healthcare costs. The Congressional Budget Office, the nonpartisan analysts, are telling you they are going up.
This brings me to my final point. I said at the beginning that some things get better with time and some things get stinkier and smellier. We know that the more the American people get a look at this latest Senate Republican proposal--TrumpCare 3.0--the less they are going to like it. The more they see it, the more they will hate it. Just like something that is rotten gets stinkier with time, this will get worse and worse with time. That is why it is so important that we not try to jam this through the Senate.
I understand the Republican leader. He knows this is rotten to its core, and he knows the more it sits out there, the more people are going to see what it is all about and the more they are going to hate it.
Let's have a full debate, and let's make sure all of us go back to our States over the Fourth of July--to the parades, the barbecues, and the picnics--and look our constituents in the eye and tell them that we are going to take healthcare away from tens of millions of Americans, that we are going to open up the discrimination once again to preexisting conditions. We are going to increase their overall healthcare costs, even though we tell them we are going to be reducing them. Let's look them in the eye and tell them what this bill is all about rather than trying to push it through in 24 or 48 hours or later this week.
Our constituents deserve to know the facts, and we need to make sure we vote to protect the interests of the United States of America, not just provide another round of tax breaks to powerful special interests and millionaires.