Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I rise today to offer an amendment and to speak on the budget. I congratulate my good friend from New Hampshire who has had this job,…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I rise today to offer an amendment and to speak on the budget. I congratulate my good friend from New Hampshire who has had this job, and my good friend from North Dakota.
I ask unanimous consent the amendment now before the Senate be laid aside.
Mr. President, I ask unanimous consent my amendment which is at the desk be called up.
I suggest the absence of a quorum.
I ask unanimous consent that the order for the quorum call be rescinded.
I ask unanimous consent that the reading of the amendment be dispensed with.
Mr. President, I rise today to introduce this amendment, but first I congratulate the managers of this bill. It is their responsibility to hammer out a budget in very difficult times. I cannot think of two managers who are more capable of doing this.
I understand the need to hold the line in discretionary spending and to make some reasonable modifications to a lot of programs. I support those goals. We need to get a handle on Government spending, but in doing so, we have to make sure we do not ask some folks to bear more than their fair share when it comes time to cutting back.
I speak in two areas today, one in agriculture and agricultural programs. Right now, it has been forecast there will be some cuts there. We want to make sure those are moderated or do not happen. We have a situation in agriculture right now where with the unprecedented amount of dollars we are spending on energy and fertilizer costs, the farm is in dire trouble. We will be talking about that later. In fact, next year when we redo the farm bill, that will be the proper time to start talking about any kind of cuts or modifications to agriculture.
The amendment I am offering today, along with Senator Chafee, is designed to ensure that the U.S. Government keeps our promise to our veterans. There is nothing more important to the American people than this particular item in our budget.
The VA budget proposes $795 million in savings by increasing fees placed on Priority 7 and 8 veterans. The suggested increases includes a $250 annual enrollment fee and more than doubling prescription copays, from $7 to $15. This increased burden placed on our veterans is not acceptable.
Approximately half of these cuts come from the expected collection from fees and the other half is through forcing over a million veterans to opt out of the system. That is not right, either.
Prescription drug costs have risen steadily over the past few years. I have a chart that shows this. On the national average, $634 was the average annual prescription drug cost for veterans in Fiscal Year 1999 compared to what we see instead now, with $762 in prescription drug costs for veterans in the Rocky Mountain region.
Recently, we have also seen spikes in the price of gas. The inflationary pressures add a burden to our veterans and those retirees who live on fixed income.
This budget asks our veterans to pay even more just to be part of the VA health care system. These fees lead us down the road to turn the VA into another HMO, which will make it harder and harder for our veterans to be able to afford basic care.
We need to reject these fees and copays. When we do, we need to ensure that we include the additional $795 million in the budget or we will leave the VA underfunded. This increase I am proposing will be fully offset with no additional taxes or added taxes.
These fees are not what we promised our military folks when they went off to war and when they stood ready to defend this country. For those folks who signed up to fight for this country, this was not their expectation, and it was not our promise at the time, either.
In addition, my amendment includes a $27 million increase in budget requests in the area of medical and prosthetic research. The increase will maintain funding for critical medical research programs.
The budget proposes a decrease in funding for medical and prosthetic research, from $412 million down to $399 million. When inflation is factored in, these programs need to be increased to $426 billion in order for us to maintain the critical research regarding serious injuries for our veterans returning home from Iraq and Afghanistan. Let's face it, we have a lot more research to do while we are involved with this particular conflict than any other conflict we have ever faced.
This research funding is critical for unique problems associated with our veterans who are returning from overseas with traumatic amputations, central nervous system injuries, loss of sight or hearing, and other serious injuries which prevent them from returning to a full and productive life. We have to do everything we can to make sure they have the ability to recover. I am a veteran. I know how important VA health care programs are to those who served this Nation.
We have invested a great deal in health care services for veterans. Because of these investments, the quality of care offered at VA facilities has surpassed the care at regular health care facilities. In fact, our satisfaction rate with the veterans today is much better than it was just 5 or 6 years ago.
The VA hospital and our 10 outpatient clinics in Montana are some of the best in the Nation. We must ensure that our veterans can afford the care offered in these great facilities.
We did not used to have outpatient clinics in the VA. We all had to go to the hospitals that were in each State or in each region. Those outpatient clinics have filled a void by helping to cut down on travel and to serve people instead of serving a bureaucracy.
I am committed to doing everything I can to help our Nation's veterans, and this amendment today is a first step to ensure that our veterans get the health care they deserve.
I have never felt so strongly about this as I did after visiting Iraq. Whenever you visit Bethesda Naval Hospital, whenever you visit Walter Reed, you will see our young men and women coming home with injuries we have never seen before because we are saving more lives on the battlefield--lives that would have been lost. Now we save them there, and we are able to bring them home, repair them, and get them ready for public life.
Mr. President, I see no other person on the floor.
I suggest the absence of a quorum.
With regard to what my friend from Hawaii has done today, I remind my colleagues that there has already been an increase in this budget since a year ago. We are basically prioritizing our money to be spent where it is supposed to be. If you look at the total budget growth, it has grown from about $72.6 billion to $74.9 billion in the last 5 years, an increase of around 50 percent. The result is a 69- percent increase in veterans health care since President Bush has taken office. So we are not underspending. We are just not doing a very good job of assigning our priorities where the money should be spent.
We asked the VA to look at their costs to give us some idea of how they are being more efficient now. The reporting of the VA has become a lot better. It gives us a better handle on where we should be spending those dollars. My amendment does not shortchange any veteran. We just have to do a better job in our priorities. We have asked the VA to be outcome-oriented, and the outcomes have been improved. Access to health care has increased. The quality of care has increased. Patient satisfaction is up to 83 percent. That was unheard of just 4 or 5 years ago.
By asking for increases over and above, basically we are doing nothing more than engaging in a bidding war. I can use the auction method pretty easily because that is where I cut my teeth. I don't mean to make light of the process, but we have to draw the line somewhere.
I am a veteran. I respect the effort to take care of veterans. In our State of Montana, we now have outpatient clinics that are taking care of our veterans, not just at Fort Harrison but at several other locations where veterans do not have to travel long distances either to get their drugs, be a part of their prescription drug programs or to get their health care. What we are doing with this amendment is putting the money right back into the system where it should be spent. We are paying for it with no impact on the budget and without raising taxes.
I think my good friend from Hawaii raises taxes with his amendment. I thank him for his diligence and his love for veterans. I don't have any opposition to that. What we are doing right now is talking about how we approach taking care of these fine young men and women who find themselves needing medical care that they can get nowhere else in America.
I yield the floor.
Mr. President, I yield to the Senator from Texas in support of my amendment.
Mr. President, I suggest the absence of a quorum.
Mr. President, I assume this is my amendment. Everybody is looking toward me, so I will make that assumption.
Mr. President, this amendment is a responsible method of addressing the essential needs of veterans health care. The amendment is cosponsored by Senators Chafee, Hutchison, and Vitter. Also, Senator Hagel and Senator Sessions are on this amendment.
It proposes, we cannot live with a copay and then the additional cost as far as prescription drugs. I realize there is a litmus test that is trying to be imposed into our VA care. I would say that anybody who qualifies for veterans health care has already passed his litmus test; they served. So we should not ask of them who have given so much for this Nation to offer up a copay or any other fees that might come with
Mr. President, I have a letter in support of my amendment from the Veterans of Foreign Wars. I ask unanimous consent that the letter in support of this amendment be printed in the Record.