Mr. President, I first thank my friend from California for her usual eloquence. I agree totally with her sense of what our people are feeling in terms of the anxiousness about possible war, the anxiousness about education for our children,…
Mr. President, I first thank my friend from California for her usual eloquence. I agree totally with her sense of what our people are feeling in terms of the anxiousness about possible war, the anxiousness about education for our children, about health care, about jobs, about homeland security. I thank Senator Boxer for her comments this morning.
I will follow up talking about an area that is so important to each of our families and is a growing concern to businesses in the country and to workers in the country; that is the whole question of health care.
We know there is a growing sense of anxiousness. When I sit down with small businesses across Michigan, they tell me their fastest growing cost is their health care premiums. In some cases they are doubling. When I talk to the big three automakers and the other manufacturers in Michigan, I hear the same thing. When I hear from Chrysler that they are spending more on health care than on the raw materials for the vehicles--I am concerned. This shows me we have a serious, serious crisis, a health care crisis.
At the same time, we all have spoken about the seniors of our country who are choosing between their food and their medicine. This is real. People are asking us to act. Words are not enough. Rhetoric is not enough. We have to act in a way that provides opportunity for quality, affordable, accessible health care.
On the eve of the State of the Union Address, I rise to ask the President of the United States what he intends to do. Will he, in fact, change his record and work with us on issues of health care in a bipartisan way, to actually get something done? I worry, myself, because of the record I have seen in the last 2 years. We have a record of this administration on health care that, unfortunately, is bad medicine for the American people. We have attempted on several occasions to move forward policies and proposals that are in the best interests of the American people. This administration continues to oppose those.
I am talking about a Medicare benefit for all seniors for prescription drugs under Medicare that is affordable, that is dependable, that is available to all of our seniors--this President has consistently opposed that approach. Whether it is also making prescription drugs affordable for all Americans and lowering the prices for our businesses--the President has opposed efforts to open the doors to Canada to drop prices immediately, and he has opposed efforts to make sure we have more competition in the system by closing the generic drug law loopholes. Generic drugs are made by those companies that do not do research but take the formulas after the patents expire and are able to develop and put on the market lower cost prescription drugs, oftentimes exactly like the brand-name drugs. We know they can drop the prices up to 70 percent by just having the generic drug laws work.
We have business coalitions formed across the country urging us to pass laws to shut down the loopholes so competition can work to bring prices down. Unfortunately, even after we passed a bill in this body, in the Senate, the administration has opposed it.
We have innovative State solutions like what has been done in Maine where the State wants to come in and use its bulk purchasing power and leverage that to negotiate lower prices on behalf of the uninsured who pay the top prices in the world right now for their prescriptions. Our State governments understand that. Our Governors want the flexibility to be able to bulk purchase and lower prices. This administration has opposed it.
We need fair prices for Medicare providers. While we have seen some willingness, and I appreciate that, to focus on the cuts that have been put into place for our physicians--that certainly needs to be done-- what about the home health agencies that are closing? What about our nursing homes? What about our hospitals, our teaching facilities? We have a crisis in health care, and the last thing we need to do is to be making more cuts to Medicare or Medicaid. Yet the administration has, to date, opposed fixing the Medicare problem.
The Patients' Bill of Rights, a real Patients' Bill of Rights so that those who are in HMOs have the opportunity to have the physician of their choice and to have the rights available to them they wish to have to protect their families, a strong Patients' Bill of Rights--this administration has consistently opposed that, as well.
And what about assistance to States for Medicaid? Right now 25 percent of Michigan's State budget is Medicaid. We have a $2 billion deficit in Michigan out of a $9 billion budget. Our new Governor is doing a wonderful job of trying to make the numbers add up, but without Federal support and help they will
not add up and people will be hurt and doctors and health facilities will be hurt. Yet, consistently, when we have tried to put forward plans on this floor, even plans that have passed the Senate have not made it all the way because this administration will not support efforts to help our States and to help Medicaid.
Finally, there was a commitment made to double the National Institutes of Health funding by 2003. The administration supports funding cuts that will not meet that goal.
Unfortunately, the Bush record on health care to date has been bad medicine for the American people. I ask the President today, rather than moving forward with the proposals we are hearing about attempting, essentially, to privatize Medicare, this evening I urge him to reassess and to join us in bipartisan efforts to make sure our citizens have the health care they need and our businesses can afford.
I will be happy to yield.
That is absolutely correct. I thank my friend from Illinois, who is always in the Chamber fighting on behalf of the people of his State and the country.
There is no doubt about it, while the President is talking about increased choices, what he is really saying is, if you want to get help with your exploding prescription drug costs, if you want to stop having to pick between meals and your medicine, then you are going to have to go into a private insurance company, an HMO, where they will decide about your doctor. In fact, he is not willing to support a Patients' Bill of Rights to make sure they get what they need while they are in the HMO.
Unfortunately, no. We have seen a consistent effort to put forward plans that are supported by the brand name pharmaceutical industry itself or by the insurance companies, but not those things that will lower prices and make health care more affordable and more available.
Last summer, with a very rigorous debate on the Senate floor and a strong bipartisan vote, we passed a bill that would create more competition to lower prescription drug prices; it went to the House of Representatives where it did not see the light of day. Unfortunately, without the President's support and leadership, it will continue to be that way. We need the President to step up and say that the fact that prescription drug prices are going up three times the rate of inflation every year and that is too much.
It is too much. Our businesses cannot sustain that. They cannot sustain seeing their health care premiums double. At the same time, if you are an uninsured senior in this country, you are paying top dollar. Isn't it ironic that of all of those who pay for prescription drugs around the world, the people who pay literally the most for their medicine are uninsured people, most of whom are seniors, because they do not have anybody negotiating on their behalf. They do not have Medicare right now coming in and saying: We are going to negotiate a group price. So they pay the highest price.
Why wouldn't it make sense to have Medicare coverage? The brand name companies do not want Medicare negotiating on behalf of 40 million seniors and the disabled to lower prices. So what they have come up with is this scheme that would essentially not allow the clout of buying power because Medicare would not directly be providing the prescription drug coverage. But they want to act as if they would like to have prescription drug coverage for seniors, so they come up with this plan that would say: We will help you with your medicine if you go into a private-sector HMO.
By the way, in Michigan, now we have seen, since the inception of what is really Medicare+Choice--which is the plan that has already been out there for private sector Medicare HMO coverage--more than 51,000 seniors in Michigan have been disenrolled because plans have withdrawn from Michigan. In fact, we do not have any HMOs in the Upper Peninsula. We have very few plans in Michigan.
In fact, my own mother, who was in an HMO and enjoying the coverage under Medicare+Choice, was dropped because the plan withdrew from Michigan. So we only have four private sector HMO plans in Medicare left in Michigan, and they only serve 2 percent of the eligible Medicare beneficiaries in the State--2 percent--and the majority are in nine counties in southeastern Michigan, with the rest of the State not being covered. By the way, none of those plans are accepting new people or new enrollees.
So the President says: Let's take this plan that covers very few people, where it is not working, and let's say if you want Medicare prescription drug coverage, you have to go through this failed plan. I, for the life of me, cannot understand why this approach is being put forward except for the fact that certainly from the prescription drug industry's standpoint, it is better than going under Medicare.
So, Mr. President, I would ask this evening for you to please speak to the anxiety, the anxiousness that we all feel, that Americans feel for our families, for our businesses, that workers feel when they now find their pay being frozen so their employers can afford the explosion in the health care crisis. I would like you to speak to those issues in very real ways. Do not offer failed plans just to be able to speak about this issue. Join with us in bipartisan efforts that we know will work, efforts that have been supported by the private sector as well as the public sector, efforts that are supported by workers, by seniors, by all of those who have a stake in making sure that health care is affordable and available.
We had a plan. We had a bill, S. 812, that passed this Senate last summer. I commend all of my colleagues on both sides of the aisle who voted for that legislation. We can cut prices that lower premiums for our businesses. We can provide Medicare coverage. And we can do it in a real way.
I urge, tonight, that the President speak to us. And I invite him to join with us in a plan that will work.