Mr. Speaker, I thank the gentleman from California (Mr. Garamendi) for leading this Special Order hour where we can really talk about the impact of what is about to happen if the Republicans get their way and pass TrumpCare. I think it is…
Mr. Speaker, I thank the gentleman from California (Mr. Garamendi) for leading this Special Order hour where we can really talk about the impact of what is about to happen if the Republicans get their way and pass TrumpCare.
I think it is important to recognize that this proposal that is currently before the House will substantially hurt the American people, beginning with, as your chart demonstrates, the loss of coverage, when fully implemented, for 24 million Americans who will no longer have access to affordable health care and will be uninsured by 2026. Those are our friends, our neighbors, our family members who no longer will have health coverage.
In addition, it provides an enormous tax break for the wealthiest people in this country. In fact, the total value of these tax breaks over the decade is $600 billion to the richest individuals and the biggest corporations. It is the largest transfer of wealth for working families to the very rich in our Nation's history.
To accommodate this tax break, to give this huge tax benefit to the richest Americans and the largest corporations, they achieve this by stealing health care from millions of families all across this country and by cutting billions of dollars from Medicaid and Medicare. As the gentleman from California (Mr. Garamendi) said, the 400 richest families will each enjoy a $7 million tax cut; and the way they paid for that is they take away health care from millions of Americans.
There is also the impact on our economy. There is a new analysis from the Center for American Progress, and they conclude that TrumpCare will destroy 1.8 million jobs.
We are all focused on: How do we get people back to work? How do we create good-paying jobs?
This is a job killer. TrumpCare will cost 1.8 million jobs, a loss of an ability to provide for yourself, for your family, and for your future.
As you said, people will be paying more money for less quality care. Deductibles and out-of-pocket expenses will skyrocket, leaving sick people unable to afford the care they need.
Particularly, as you mentioned, there will be an age tax because older Americans will pay more. Their premiums will go up at an even faster pace because they are allowed to charge even more based on their age.
Young people are also hurt. Young people are hit with a millennial tax. They put a 30 percent premium surcharge on those reenrolling after a lapse in coverage, which is often the case, particularly with young people where people may have lost a job and be out of work. So they are going to be penalized with a 30 percent premium.
The impact of the Republican proposal, this TrumpCare proposal, on women is devastating. In addition to new restrictions on comprehensive health care for women, this Republican bill, TrumpCare, defunds Planned Parenthood and will make it much more difficult for women to access essential preventative care and affordable contraception.
As I mentioned, the middle-aged American--the age tax--will pay more. For example, a 64-year-old individual with an income of $26,000 in the individual market will pay $12,900 more in their premiums each year. That is almost half their income under the Republican plan. So it is going to really get those who are above 55 but haven't yet hit the age to receive Medicare especially hard.
Also, TrumpCare hurts our seniors by weakening Medicaid and Medicare. It shortens the life of the Medicare trust fund by 3 years. It steals $880 billion from Medicaid, which, as you mentioned, is the principal source of long-term care for seniors.
Also, it does damage to the protection for people who have preexisting conditions, because someone who has a lapse in coverage will be subjected to a 30 percent premium on top of their base premium. So there is another penalty for people who have preexisting conditions.
If you take all of this together, it is worse coverage, worse care, higher costs, huge tax cut for the richest people in this country--for drug companies, for insurance companies, CEOs. To pay for their tax cut, we take away insurance from the most vulnerable and working people in this country.
We have all received both emails and phone calls and had conversations with those whom we have the privilege of representing, and they have shared with us these heart-wrenching stories of what it would mean to lose their health care.
In my State, I am proud to say that, with the implementation of the Affordable Care Act, ObamaCare, we have the highest rate of coverage that we have ever had in our State's history. Ninety-seven percent of Rhode Islanders have access to quality, affordable health care. It is great. It makes a difference in the lives and quality of the lives of everyone.
I want to share with the gentleman from California (Mr. Garamendi) an email that I got from a constituent, just recently, from Lincoln, Rhode Island. Brenda said:
If all goes well, I am literally going into surgery for hip
replacement on March 16 of this year. Though hip replacement
is seen as elective, the pain I deal with now interferes with
my quality of life. Without it, I will end up in a wheelchair
in a few years once I can't handle the persistent pain.
Without the ACA, I would not be able to have this
operation. I do not own a home for collateral and have a 19-
year-old car. I work full-time in a hotel for $12 an hour. I
have not had a raise in 4 years. We have no benefits at all,
including health care. We have no paid time off at all for
sick days, personal days, or vacation.
I am not confident enough to move to another job with my
current physical limitations, which have reached a point
where it interferes with every activity, including sleeping.
My doctors, who are aware that I get my medical through the
ACA, have been helpful and diligent about getting me in soon,
knowing there is a major threat for those whose only way for
medical coverage is through the ACA. My condition may not be
life-threatening, but left untreated, it would limit where I
can live, if and where I can work, and, most likely, leave me
on permanent disability or Social Security, which most people
can't live on.
I am only 52. I still have several functional, productive
years ahead of me, and I receive a subsidy to help make my
coverage affordable.
Brenda is just one example of someone whose life is literally being preserved. Her quality of life is being protected because she has access to health care. She can have the surgery she needs. She can eliminate the pain she is suffering and lead a productive life.
There are millions and millions of Americans who have the same kinds of stories, who have benefited from the Affordable Care Act, who will be deeply harmed when that insurance is ripped away if Republicans get their way and pass TrumpCare.
I want to end by just saying thank you again to the gentleman from California (Mr. Garamendi) and to also mention that he referenced, in his remarks, the process that has produced this very, very troubling piece of legislation, unlike the process that produced the Affordable Care Act that occurred over many, many months and many hearings, where 121 Republican amendments were accepted into the bill and it still didn't earn a single Republican vote. Yet, through TrumpCare, over 100 Democratic amendments were offered in three committees of jurisdiction and not a single Democratic amendment was accepted.
So even efforts to try to improve a terrible bill were rejected in the committee process, and that is because they are intent on making sure they deliver this big tax cut to the special interests who sent them here to Washington, and they are going to try to do it on the backs of the hardworking people of this country. We have to continue to stand up and fight and do everything we can to prevent it from happening.
Mr. Speaker, there are so many people that I have heard from in my own district, and I know colleagues have heard the same thing when we talk about these numbers: 24 million people will lose their insurance and billions of dollars in tax breaks for the richest people in this country. Behind every one of these numbers is a real person whose life will be destroyed or devastated because they don't have access to quality, affordable health care.
This is the richest, most powerful country in the world. We are well on the way to having a system in which everyone can afford and have access to quality, affordable health care. We made huge progress in the Affordable Care Act. It is not perfect. We have always been willing to say: How do we make it better? How do we build on the success of it?
The notion, in the midst of this progress, that we would deprive or pass a piece of legislation, this TrumpCare, that will take away insurance from 24 million people, that will raise premiums, raise out- of-pocket costs, undermine Medicaid and Medicare, and also give a big tax cut to the richest people in this country is just so wrong.
I just think it is very important, as we speak about this, to remember, behind every one of these numbers is a story of a real person, a real family, just like the woman you described, just like Brenda in Lincoln, Rhode Island, whose lives are going to be really hurt and who are going to face devastating consequences because they don't have access to basic quality health care, which is a right in this country every American should have access to.
This sets us back so far it is difficult to imagine what our colleagues on the other side of the aisle are thinking.