Mr. President, I ask that the time I use be charged against the resolution. Mr. President, this is the first time I have risen to speak on this Senate floor. I want to start by thanking my fellow Marylanders for the honor of representing…
Mr. President, I ask that the time I use be charged against the resolution.
Mr. President, this is the first time I have risen to speak on this Senate floor. I want to start by thanking my fellow Marylanders for the honor of representing them in this great United States Senate. I want to thank my colleague Mr. Cardin, the senior Senator from Maryland, for joining us. I thank the new Senator from California, Ms. Harris, for joining us as well. I want to say to my fellow Marylanders that I look forward to working every day for their benefit and for the benefit of our Nation. I want to say to my new colleagues in the Senate--Republicans and Democrats alike--I look forward to working with all of you in the years to come for the good of our Nation.
I understand it is somewhat unusual for a new Member to speak so soon on the Senate floor, but what we are witnessing today in the Senate is not business as usual, and these are not ordinary times. Having served as the lead Democrat on the House Budget Committee, I know that never before has the Senate rushed out of the gate so quickly to enact a budget procedure to deny the minority party--and by extension, hundreds of millions of Americans--their rights in this United States Senate. Yet here we are, speeding to use the budget process to fast-track a so- called reconciliation bill that will destroy the Affordable Care Act and, in doing so, wipe out access to affordable care for over 30 million Americans and create total chaos throughout the American health care system. That is reckless. It is irresponsible, and it violates the traditions of this institution.
I may be new to the Senate, but I am not new to the way this Senate has proudly been described by its Members, both Democrats and Republicans, both current and former Members. My colleague Senator Harris will attest that one piece of advice we all received from both Republican and Democratic Members of this Senate was to read the chapter in Robert Caro's book about Lyndon Johnson entitled ``The Desks of the Senate,'' where Robert Caro talks about the burnished mahogany tops, and he tells the story of the Senate through the Senators who were protagonists in great debates throughout our history. He highlights the idea that this Senate is supposed to be a deliberative body that reflects on issues with a thoughtful exchange of ideas. Unfortunately, that certainly does not describe the Senate of this moment. Having just arrived from the House of Representatives, what we are witnessing today is much more like the tyranny of the majority characteristic of that body.
This Senate is supposed to be different, but at least for now it seems very much like the House I just left.
As a result of the fast-track process in the Senate, we will be overriding and roughshodding over the will of a majority of the American population, and Americans are just now waking up to learn about the bait-and-switch scheme that has been perpetrated on them. For more than 6 years, Republicans in this Senate and in the House of Representatives have said repeatedly that they would repeal ObamaCare but replace it--replace it with something, they said, that will be much better. Now we know, as the clock ticks down, that has been a farce. There is no Republican replacement bill to provide the kind of coverage and benefits of the Affordable Care Act, and the consequences of that failure are going to be devastating for the country.
Let us take a moment to look at the human toll. First, there are the 22 million Americans who previously had no health insurance before the Affordable Care Act but are now covered through the health care exchanges and through expanded Medicaid. These are people who have been denied access to coverage because they had preexisting conditions or their kids had preexisting conditions--whether it was asthma, diabetes, heart conditions--so they were either outright denied by insurance companies or priced out of the market. That 22 million may be a big number, hard to comprehend, but behind that number are many families like Carlos and Isabelle Martins, who live not far from where I live in Silver Spring, MD. They could no longer afford health insurance through their employer. Shortly before the Affordable Care Act was enacted, Carlos was told he needed a liver transplant to survive. His wife Isabelle said that without the Affordable Care Act, he would never have received that lifesaving treatment.
There is the case of Diane Bongiorni, who now lives in Hyattsville, MD. She previously had open-heart surgery. When her Cobra expired, it was only because of the Affordable Care Act that she was able to get coverage and not be denied because of that earlier, relevant preexisting condition. Days after she was on the Affordable Care Act, a cardiologist told her one of her heart valves was failing and she would need another surgery immediately, and she has told us that she ``would have died'' had she not had that coverage.
In addition to Diane and Carlos and the other 22 million Americans who would have been denied affordable health care before the Affordable Care Act and Medicaid expansion, there are an additional 7 million Americans on the health care exchanges today who are projected to totally lose that coverage if Republicans pull the plug on the Affordable Care Act. That is over 30 million Americans who will lose access to affordable care directly.
There is no doubt that in those health care exchanges, we have seen increases in premiums and some of the copays, and we need to do something about it, which is why I and many of my colleagues have put forward ideas to address the increases we are seeing in the health care exchanges in terms of costs. We put those ideas on the
table, and we would welcome our Republican colleagues to join us to improve the Affordable Care Act. You don't fix a health care system, you don't fix those problems by blowing up the entire Affordable Care Act. That is not a solution.
I also want to focus for a moment on the tens of millions of Americans who are not included in that 30 million who benefit directly from the Affordable Care Act but who are benefitting right now from ObamaCare. They may not realize it now, but mark my word they are going to face very unpleasant and unexpected consequences if the Affordable Care Act is ripped apart.
First, let us take a look at the overwhelming number of Americans who get their health care not on the health care exchanges but through their private employer--most Members of this body, most Americans. The premiums in those plans have actually risen much more slowly since the Affordable Care Act was enacted than before. The overwhelming number of Americans who are on those plans have benefited dramatically from the reduction of costs. Why did that happen? Because all those people who had been previously denied access to health care who are in the ObamaCare exchanges, they used to show up in the hospital as their primary care provider or, since they weren't getting any care at all because they couldn't afford the bill, they were showing up at those hospitals when there was an emergency, when cost was most expensive. We don't deny people care in an emergency, and then they get the bill and they can't pay the bill. That is why so many people were going bankrupt in America before the Affordable Care Act. But somebody pays. Who pays? Well, everybody else in the system pays. Everybody else who has private insurance through their employer pays or taxpayers in States pay for the uncompensated care that hospitals would otherwise have to carry. In the end, people's premiums were going up really fast, but by providing the health care system through ObamaCare for those exchanges, however imperfect, it has helped those other tens of millions of Americans. Let us look at Medicare beneficiaries, millions of seniors. Watch out. Their costs are going to rise in three and maybe four ways right away.
First of all, their Part B premiums that every senior on Medicare pays are going to go up. Why is that? Because as part of the Affordable Care Act, we got rid of some of the overpayments, the excessive subsidies that were being paid to certain providers, including some of the managed care providers who were paid, on average, 115 percent more than fee for service. We said that makes no sense. That is a waste of Medicare beneficiaries' money. So we reformed that by saving the Medicare system money. We also save the Medicare beneficiaries money in their premiums because those premiums are set partly to the overall cost of Medicare. If you reduce the cost of Medicare in a smart way, you reduce those premiums. That is why seniors have seen such slow increases in their Part B premiums since the enactment of the Affordable Care Act. Those will go right back up.
Second, seniors on Medicare no longer have to pay for preventive health screenings, cancer screenings, diabetes screenings, other kinds of preventive health care because we want to encourage them to identify the problems early and solve them for their own health care purposes but also because it saves money in the system. You get rid of the Affordable Care Act, those seniors are going to be paying premium copays for those preventive health services.
Prescription drug costs. Seniors--and there are millions and millions of them who face high prescription drug costs--are benefiting today from the fact that we are steadily in the process of closing the prescription drug doughnut hole. We had an absolute crisis in this country where so many seniors were faced with the difficult choices of getting the medications they needed to live day-to-day and keep a roof over their head. That is why we are closing the prescription drug doughnut hole. You get rid of the Affordable Care Act, all those seniors who, on average, have saved thousands of dollars with the Affordable Care Act are going to see their costs go up.
Finally, if you enact the plan that has been put forward by the Speaker of the House, Paul Ryan, and by the person who President-Elect Trump has nominated to be his Secretary of Health and Human Services, Tom Price--I encourage every American to look at their plan because they want to voucherize Medicare, and they want to save the Medicare system money by raising the prices and the risks on every Medicare beneficiary. That is the result of that plan.
The Affordable Care Act benefits 30 million people directly, and we need to make sure we don't put them in harm's way, but it also benefits all these other people in the system, the people on the employer- provided health plans who have seen historically low premium increases and seniors on Medicare.
Rural hospitals will be particularly hard hit by repealing the Affordable Care Act. So the proposed Republican action is going to hit those 30 million Americans, including my neighbors in Silver Spring. It is also going to hit those other tens of millions of Americans who right now may not realize the extent to which they are benefiting from the Affordable Care Act. Yet our Republican colleagues have not put forward a single plan to help either the 30 million or all the other Americans who are benefiting from the Affordable Care Act. Instead, we see a rush to generate chaos throughout the health care system. That is counter to what the President-elect has said he wants. Here is what Donald Trump said on ``60 Minutes'':
Everybody's got to be covered.
Everybody.
I am going to take care of everybody.
Well, it is really important that the majority in the Senate and the House talk to the President--elect because they are not on the same road when it comes to that commitment. When the President-elect was asked about finding a way to keep the ObamaCare rules that prevent discrimination based on preexisting conditions, he said, ``I like those very much.'' When he was asked about the provision that allows children to stay on their parents' insurance plans until they are 26 years old, he said, ``We're going to very much try to keep that.''
Here is the dirty little secret. Many people--Republicans and Democrats in this Chamber--know there are only a very few ways you can design a health care system that meets those conditions. One way, which many Democrats have historically supported, is the idea of Medicare for all. The other way is the ObamaCare model. It was not always known as the ObamaCare model.
The foundation for ObamaCare actually had its roots in the conservative Heritage Foundation think tank reports. It was an idea long promoted by Republicans, including many Republican Senators, some of them still here today. It is an idea rooted in the concept of personal responsibility, the idea that every American needs to do their part and help pay for their health insurance, otherwise, if they don't pay, they are going to force other people to pay when they go seek that care in the emergency room or wherever it may be. In order for that idea to work, the idea that was put forward by the Heritage Foundation, the idea in ObamaCare, everyone needs to have coverage because it would not make a lot of sense for us to be paying out all the time if we were able to wait until we got sick and then decide to pay. That is the idea of having everyone in the pool have insurance. The idea is, you don't want to use it, but you buy that protection. If other people don't buy the protection, then the rest of the folks feel like they are being taken advantage of, which is why everyone has to be in the pool, which is why it was an idea that came out of the Heritage Foundation.
In fact, I have the Heritage official report right here: Critical issues--a national health care system. This was back in 1989.
I want to read the three elements in the Republican plan.
Element No. 1, every resident in the United States must by law be enrolled in an adequate health care plan that covers major health care costs.
No. 2, for working Americans, obtaining health care protection must be a family responsibility.
No. 3, the government's proper role is to monitor the health market, subsidize needy individuals to allow them
to obtain sufficient services, and encourage competition.
That sounds like a description of ObamaCare. It is--which is why, of course, it was dubbed ``RomneyCare'' when they adopted this model for the State of Massachusetts. He adopted it based on the Republican's Heritage model.
So here is the problem: Republicans can't come up with an alternative. That is why it has not happened for 6 years, because if you are going to come up with an alternative, you have to go to either one of two models. One is Medicare for all. The other is the idea that every American has to be in the system and the idea based on personal responsibility, which at its start was a Republican idea. When President Obama adopted it, for many months, some Republican Senators were willing to go along, but then the politics overtook them, and since then, we have had the Republicans opposing their own proposed model for providing health care. So rather than repeal and replace, since there is no replace, it is repeal and run.
Here is the problem for our colleagues politically, but more importantly, here is the problem for all Americans and all our constituents: No one is going to be able to hide from the devastating consequences of undoing the Affordable Care Act, which is going to hurt not just the 30 million Americans who are directly benefiting through the exchanges and the Medicare expansion, the Medicaid expansion, but also all those seniors on Medicare and the others getting health care through their private employers.
As I said at the outset, it is truly sad to see the Senate at this point and in this state, especially because of the terrible consequences it is going to have on the American people.
You know, the very first time I was ever on the floor of the Senate was in 1985. I was not thinking of running for office myself at that time. It was the farthest thing from my mind. I was actually working-- it was in the middle of the Cold War. I was working on national security and foreign policy issues for a moderate Republican Senator by the name of ``Mac'' Mathias from the State of Maryland.
I talked about the desks of the Senate at the outset of my remarks. Senator Mathias sat right there, one seat behind the seat Senator Booker is sitting in right now.
Great to see you.
That is where Senator Mathias sat. The reason I happened to be sitting next to him that day is he was working with Senator Kennedy that day. Senator Kennedy was at a desk back there, I believe. It was the second from the aisle. It had been his brother Jack Kennedy's desk in the Senate before him. Even though there were many desks between the desk of Senator Kennedy and the desk of Senator Mathias and the center aisle between them, they were able to work together for the good of the country, just as many Senators from both parties have done since. That is the way the Senate is supposed to work. That is the way the Senate was described in the Robert Caro book that Republicans and Democrats alike told us to read as new Members before we came here.
I am really glad to be here. I am excited to get to work on behalf of Marylanders and work for the good of our State and the country. I wish it could have been at a moment when the Senate was not hellbent on breaking the very traditions that have made it great, the tradition of being a deliberative body and not using right out of the gate, the very first thing, a process to short-circuit the will of the minority party. That is not what any of us were taught the Senate was about.
It is particularly troubling that the Senate is engaged in breaking that tradition in order to undermine affordable health care for tens of millions of Americans and generate chaos in our health care system. I will fight every day to prevent that from happening.
I will also fight every day to try to live up to the true tradition of the Senate, which is people trying to work together for the good of the country. It is disappointing to be here at a time when the Senate is embarked on violating that tradition in order to strip Americans of their health care. I hope we will not let that happen. I will fight every day to prevent that from happening and then work with my colleagues to try to make sure we address the real priorities and concerns of the American people.
I thank my colleagues for joining me on the floor.