Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I am really proud to stand here, having represented New Jersey now a little bit over 3 years in the U.S. Senate. I have to say that I…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I am really proud to stand here, having represented New Jersey now a little bit over 3 years in the U.S. Senate. I have to say that I have developed a great respect for my colleagues on both sides of the aisle. I have a deep belief that this is a body that can do good things for the American people. We don't always agree, and too many things are not getting done, but I have seen this body at its best. I have seen our ability to rise to the occasion. Along the way, I have made friendships and found respect for people and my colleagues across the aisle, as well as fellow Democrats.
I have witnessed occasions where Members of both parties have put principle before partisanship and evidenced a willingness to actually embrace personal political risk to stand up for what they believe is right and honorable and in the best interest of our country. Given this, this is a day in which I rise with painful disappointment. Frankly, I feel a deep sense of astonishment and even a sense of crisis. Thus, I feel a deepened determination to fight with everything I have against the efforts of my Republican colleagues that I believe will harm our country as a whole but particularly the most vulnerable people in our country.
This is about the Republican push, really the race--what I believe is a reckless race--to repeal the Affordable Care Act without putting forth any legislation, any proposal, any plan on how they intend to replace it. This is fundamentally dangerous, and it will hurt millions of Americans. I have heard over the past month people rightfully saying: Well, this is how the Affordable Care Act was implemented.
I understand the frustrations that have resulted from that, and people think this was jammed through along partisan lines many years ago using similar legislative tactics. The truth is, that is simply not the case. The Affordable Care Act went through a long and arduous process and received input from doctors, nurses, patient groups, medical specialists, medical professionals of all types.
The Affordable Care Act started with listening sessions, then hearings, then came the advice and counsel of policy experts, businesses, market experts, insurance companies, health nonprofits, hospitals--literally thousands and thousands of people over thousands of hours, often through public discourse, putting forth ideas that actually shaped and changed legislation. I wasn't in the body then. I was a mayor in Newark, NJ, but I know this occupied months of debate.
Years later, Republicans are seeking to undo this work with a kind of plan to move forward. They are saying that they have a plan, but no plan exists.
I am a big believer that there are things we can and we must do to improve health care in America, to improve the Affordable Care Act, but what I have to make clear is that it is profoundly irresponsible to repeal the Affordable Care Act and not put anything in place. There is no plan.
This is at a time that everyone agrees--people in the Republican Party and Democratic Party continue to talk about the achievements of the Affordable Care Act, things that they want to maintain, things they believe make a real difference. Those are things I have heard Republicans praise and even say again they want to protect. These things are making a lifesaving difference for millions of Americans.
Let's be clear. The overwhelming majority of Americans believe that we should not give the power back to insurance companies to deny people health insurance because of a preexisting condition. Let's be clear. Most people believe that we should allow young people, young adults to stay on their parents' plans up to the age of 26.
We also believe that requiring health plans cover preventive services is a profoundly important thing to do for individuals in this country, but it actually saves Americans money by pushing people to do preventive care--mammograms, birth control, and mental health care-- without cost sharing. These are logical things that the majority of Americans believe in, such as closing the prescription drug coverage gap, which too many seniors on Medicare and people with disabilities have had to face, known as that doughnut hole. We believe in prohibiting insurance companies from charging women more money simply because of their gender. The overwhelming majority of Americans believe in requiring the insurance companies to spend more on patient care and less on administrative costs, and the insurance companies shouldn't be allowed to gouge the American people while making massive profits at the same time.
There is so much that people believe in and want to have preserved, and these are tremendous things for America. There are bank account savings; there are lifesaving policies, all of which are popular with Democrats, Republicans, and Independents. They are popular with people on both sides of the aisle in this body.
Some Republicans have said that what they are doing will not threaten these accomplishments, but this couldn't be any further from the truth. The way they are going about this puts the health care system in a perilous position. The health care system is complicated in nuance, and to think you can repeal something without replacing it right away shows a lack of understanding of what is going to happen and what the consequences will be.
What the Republicans are doing now is quite contrary to what the Democrats did before the ACA passed in 2010. Republicans are not putting forth a proposal. They are not speaking to the health care needs of all Americans. They are not inviting professionals from all different backgrounds to help shape a plan for America. They are not even fulfilling what I heard countless Republicans on the campaign trail, including our President-elect, say: They would repeal and then replace. They are just not replacing.
The replace part put forth by the mantra of many Republicans has not materialized. It doesn't exist. There is no plan to replace, no statement of principles, no outline of features, no framework for a plan, no explanation of how they would pay for the things they claim they like. There is no specific timeline for when a plan might materialize or even any substantive hint of what many Republican colleagues plan on doing to address the crisis--the crisis that will surely come as a result of repealing the Affordable Care Act without giving forth any replacement.
I say time and again: Show us the plan before you repeal this legislation. If you do not do that, you will be responsible for pain, suffering, chaotic markets, and for many Americans' health care problems. There are many people who don't understand this. They listen to the political rhetoric, and they think: Hey, you might be that one who, if you are wealthy enough or secure enough, if you are a Member of this body, in fact, this concept of repealing and maybe figuring out a replacement down the road might sound good. But if you are one illness away from bankruptcy, if you know and remember the challenges of having a child with a preexisting condition, if you know that one injury, one unexpected fall could place your family in peril but for the insurance you have, if you are one of the 20 million Americans who used to be uninsured and now you have insurance, you know how perilous this moment is. You know that you can't afford the recklessness of any politician-- a Republican move that equates to jumping off a cliff and then packing your parachute on the way down.
Repealing without replacing is simply irresponsible, it is dangerous, and it is threatening to our country's well-being. People--families, children, the elderly--will suffer.
This is a moment where we need Republican leaders to tell the truth and say: We want to improve our health care system. We may not believe in ObamaCare, but we can't tear it down unless we do the responsible thing and put forth a replacement.
Right now, what we have is political rhetoric that is not just rhetoric. It is perilous. It is dangerous. It is threatening to our Nation. This will inflict immediate catastrophe upon families, causing millions to lose their health insurance, and it will unleash chaos with market uncertainty and cost spikes.
There is no defense for what is being done. I don't understand it. There is no logic here whatsoever. Elections were won. You now have the floor and the ability to put forth your great vision for health care in America, but doing it backward and repealing something and not offering up a plan is truly putting politics before people. This is a move of grand political theater that comes with profound public consequences affecting millions.
As a Democratic Senator, some people will say that this is just political rhetoric, but these are not just partisan words. This is the truth and don't take my word for it. Look at the words of other more thoughtful--other very thoughtful people, Democrats and Republicans, businesspeople and nonprofit leaders, conservative think tanks and nonpartisan groups, speaking with a chorus to the point I am making. Experts across sectors, across industries, and across the country are taking a hard look at what a repeal will mean for the American people without a replacement. People from all across sectors of our country are saying what the Republicans are doing is reckless, and the consequences are dire.
Take the American Medical Association, the preeminent association of physicians. Mind you, this is an organization that opposed the enactment of the Affordable Care Act. They have urged--this chorus of doctors has urged that ``before any action is taken, policymakers should lay out for the American people, in reasonable detail, what will replace current policies. Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions.''
The American Medical Association isn't a political organization. They are thoughtful people whose fundamental concern is the doctors in this Nation and the health care of the people. Another respected organization representing American hospitals made it clear. The American Hospital Association warned that Republican action of repealing without a plan would result in an ``unprecedented health care crisis.''
Are Republicans listening to doctors and hospitals or are they rushing forth, willing to risk a crisis for our country, and for what? They are a President for 4 years, a Congress for 2. What is the rush to put forth a plan and just repeal? Will they listen to these experts? What about the president of America's leading cancer group, the American Cancer Society? Will they listen to them? They urge Congress to ``consider the future of the Affordable Care Act. It is critically important that cancer patients, survivors and those at risk of the disease don't face any gap in coverage of prevention or treatment. . . . Delaying enactment of a replacement for 2 or 3 years could lead to the collapse of the individual health market with long-term consequences.''
This organization is respected by people on both sides of the aisle and is not playing partisan games. They are calling out the truth; that it is a reckless Republican move to repeal without replacing. Will Republicans listen to the American Diabetes Association? Folks with diabetes are Independents, Republicans, and Democrats, and this is an organization respected by people on both sides of the aisle. They say:
The Association strongly opposes going back to a time when
. . . treatment for preexisting conditions like diabetes
could be excluded from coverage; when people could find their
insurance coverage was no longer available just when they
needed it most.
What is the Republican plan to address these concerns and to pay for these concerns? Will they listen to private businesspeople? They, too, join in the chorus of Americans urging that Republicans not endanger the lives and livelihoods of millions.
The Main Street Alliance. We all have main streets in our States and our communities. A group representing these small businesses from across the country urges lawmakers to consider the devastating effect a repeal without
replace would have on small businesses:
Small business owners depend on healthy and vibrant
communities to keep us profitable in the engines of economic
growth. . . . Changes to our current health care system are
needed, but not in the form of cuts to critical programs or
through taking away our health coverage.
There are some Senators who are speaking out. It is not the entire Republican caucus. There are some who are saying exactly what I am saying. Yet we are still rushing toward a vote, even with Republican Senators having the courage to stand up. Just yesterday Republican Senator Rand Paul of Kentucky, before voting to proceed to this measure, said: ``It is imperative that Republicans do a replacement simultaneous to a repeal.'' I respect my Republican colleague for saying what is common sense and speaking up against the reckless actions being taken by the Republican Party as a whole, and some fellow Republican Senators have joined him in similar statements, including Lamar Alexander, the chair of the Health, Education, Labor, and Pensions Committee. The Republican from Tennessee, who noted in an interview in November 2016 that when it comes to the ACA, ``what we need to focus on first''--Senator Alexander said--``is what would we replace it with and what are the steps that it would take to do that?''
Republican Senator Susan Collins of Maine shared in an interview last month that she was ``concerned about the speed in which this is occurring'' and expressed concern over what would happen to her constituents in Maine who had signed up for insurance through the ACA, saying: ``You just can't drop insurance for 84,000 people in my State.''
I not only talk about Republicans in this body, but there are conservative think tanks focused on our country that are speaking out now as well. The American Enterprise Institute said in a 2015 report that ``repealing the law without a plausible plan for replacing it would be a mistake.''
So here we have it from all over the country, people across the political spectrum, experts, market analysts, insurance executives, doctors, nurses, hospital leaders, patient groups; these people in our country who are beyond politics and even beyond their opinions of the Affordable Care Act when it was enacted are now speaking in a chorus of conviction in one voice: Don't repeal the Affordable Care Act without a clear plan to preserve the things that are making America healthier and more financially strong and secure. Don't recklessly rush into a politically motivated move that would endanger the health care of millions of Americans, increase the costs for millions of Americans, throw insurance markets into chaos, endanger our hospitals' financial stability, and put our most vulnerable Americans into crisis: our seniors, people in nursing homes, retired coal miners, people recovering from drug addiction, the poor and other underserved communities.
We are America, and this is a time that we must call, not to party rhetoric but to who we are and what we stand for. We cannot let this repeal without replacement happen. We must know what the Republican plan is so experts, market analysts, insurance folks, doctors, everyone understands what will happen. Americans will be hurt. It is time to put our country and the people first. There is no rush. The voters gave this body 2 years. It gave the Presidency 4 years. We must now fight these efforts. We must resist. We must call to the conscience of neighbors and appeal to the moral compasses of our Republican leaders to do what they said they would do--put forth your plan. Let the American people know what they are going to do and do not thrust millions of your fellow country men and women off a cliff and shout promises to them as they fall: ``Hey, don't worry. We will figure something out before you hit the ground.'' Where is the honor in that strategy? Call the public together, gather your experts, put forth a thoughtful process, and develop what you think is better, what improves upon what we have now, what doesn't diminish our unassailable gains that we have had but build upon them. Give us a plan, not empty promises. Give America hope. Don't plunge millions into despair and uncertainty. Show decency, not costly craven politics. We know who we are as a country. Profound are the words, ``We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.--That to secure these rights, Governments are instituted among Men. . . . `'
This government, this body, the United States Senate, led by Republicans here and in the House and in the White House, must stand for these ideals. Health care is critical to life. We must stand for these ideals. Health care is critical to liberty, our freedom from fear, our freedom from illness, our freedom from deprivation. We must stand for these principles. Health care is critical to the happiness, the joy, the greatness of America. To secure these rights, governments are instituted, and we were elected to stand for the American people, by the American people, to fight to defend our brothers and sisters. This government and actors must put our ideals first, not partisanship and not theater. Do not attack these ideals through a rash and reckless repeal. Be thoughtful. Be kind. Be magnanimous. The well-being of our Nation is in the balance.
May God bless us in this time of crisis. May wisdom prevail over politics.
Mr. President, I yield the floor.
I suggest the absence of a quorum.