Thank you. Madam Speaker, I join my Congressional Black Caucus colleagues this evening for what I consider to be one of the important, if not the most important aspects of our Federal budget, health and health care spending. I also rise,…
Thank you. Madam Speaker, I join my Congressional Black Caucus colleagues this evening for what I consider to be one of the important, if not the most important aspects of our Federal budget, health and health care spending. I also rise, not only as a colleague and as a physician, but as a Chair of the Congressional Black Caucus Health Brain Trust, whose mission is to ensure that our community's unique health and health care issues are at the forefront as our budget process proceeds.
Finally, I rise to applaud President Obama for the steps he has taken and hopefully will continue to take to ensure that the social determinants of health are fully considered and solutions fully integrated into health care reform.
In recent years I have joined some of our other colleagues and religious leaders on the Hill to address the budget as a moral document, as you have heard our chairwoman speak to a few minutes ago, as a document that represents our country's values and our values of the people. In those years we decried the fact that the budget that was sent to Congress by the then President did not include support or in any way foster work that we are called to do by our faith, not just Christian faith but any faith, essentially to ensure that the needs of the least of these are met.
The Congressional Black Caucus, as a group, has also met with past Presidents, just as we met with President Obama 2 weeks ago. In these meetings
we outline our agenda priorities and indicate our hope for the President's support in health care, education, housing, economic opportunity, improved relationships with African and Caribbean countries and a number of other areas of concern.
Until now, neither have the goals of the religious community or the CBC, which parallel each other, even been partially approached. In fact, if it were not for the strong position taken by the Democrats in this body, and some of our colleagues on the other side who joined us, to protect them, programs like Medicaid, Head Start, Healthy Start, maternal and child health programs and many others would have been severely compromised and the lives of many of our fellow Americans with them.
We don't have to look far to remember that expanded coverage for uninsured children was impossible to accomplish until this new administration was sworn in. But change is coming. We, as a country, have reason to hope for a new and a better day. We are pleased, as we look at the outline that President Obama has sent for the year 2010, that it resonates not just with our request or that of religious leaders over the years, but that it responds to many of the long unmet needs of the American people.
It builds on the very important down payment made by the American Recovery and Reinvestment Act, which funds are already beginning to reach communities like mine across the country and provide a lifeline to families in this time of dire economic stress.
I want to spend a few minutes to focus on the health care parts of our budget, because as long as I have been in Congress, the grave differences in health care access, quality and health outcomes that have had a detrimental impact on the health wellness and life opportunities of millions of Americans every single year have been the focal issues of my efforts and those of the Congressional Black Caucus. These differences not only exist along lines of race and ethnicity, but also along lines of gender and geography.
The sad reality is this, because we as a Nation have not taken the steps necessary to close these health and health care gaps, it is estimated that 100,000 people, a disproportionate number of whom are racial and ethnic minorities, die prematurely from preventible causes every year. Additionally, because progress to address the root cause of health inequities, the social determinants of health, have been stagnant, health disparities are no longer only a racial and ethnic minority health problem. Today, they are an American issue.
This failure to improve health, to address its root causes, not only affects the health quality and lives of people of color, but undermines them for everyone in this country and weakens our country's position of leadership in the world.
The good news, however, is that we are in a new political day, and I am extremely heartened that our new President, President Obama, is aggressively taking steps to continue work begun in the ARRA and is making a sizable commitment--to the tune of $634 billion over 10 years--on health care reform.
And so we are pleased that he is making good on his promise to ensure and improve the health and health care of those millions of Americans who have been left out and forgotten for far too long and, in doing so, to bring about meaningful and thoughtful reform to our Nation's very broken and outdated health care system.
What is more, I applaud the President's emphasis on prevention, with this budget's historic $1 billion investment in prevention, as well as the other provisions that will address social determinants that are not normally seen as health-related, an investment worth making, especially since studies confirm that roughly 60 percent of the premature deaths in the United States are attributable to social circumstances, environmental conditions, and behavioral choices, all of which could be addressed through prevention and a more holistic approach to health.
For example, we know that educational attainment has a direct and indirect impact on health and health care. Well, so does President Obama, whose fiscal year 2010 budget strengthens and reforms the Nation's public schools and expands funds for college.
We know that having access to safe and affordable housing, as well as living in communities that are structurally and socially stable, has an impact on health. The President's budget provides $1 billion for an Affordable Housing Trust Fund. He has a fund that will prevent homelessness and strengthen families. Additionally, the President's plans invests $3.2 for the Low-Income Home Energy Assistance Program to help low-income families with their home heating and cooling expenses, which will not only prevent accidents, but will also help ensure that our homes are not places that make us sick.
We also know that the foods we eat have a direct impact on our health and well-being, which is why the President's budget, which includes robust funding to expand access to nutrition programs, especially among women and children and seniors, is so critically important to support.
Further, we are impressed that this budget seems to reflect an understanding of one aspect of health disparity elimination that previous budgets and many fail to grasp, that health disparity elimination will require far more than just covering all of our Nation's uninsured, as important is that is in itself.
In fact, we know that the lack of insurance accounts for roughly only 20 percent of the racial and ethnic differences and morbidity and mortality that we hear about and experience year after year.
So, I am extremely heartened that this budget includes significant increases in funding to many of the critically important programs that are needed to ensure health equity.
For this reason, Madam Speaker and colleagues, I look forward as Chair of the Congressional Black Caucus Health Brain Trust to working with my colleagues in Congress and with the President to ensure that we reform our health care system in a manner that does not just get it done, but that gets it done right.
To that end, while this budget aptly and appropriately emphasizes reducing un-insurance, bolstering prevention, closing gaps in the health care workforce, and ensuring that our Federal programs are strengthened, I want to stress that health disparity elimination must be an integral component as well.
Not only do health disparities cause, as I said, about 100,000 preventable deaths each year; in fact, health disparities are among the key factors that drive up health care costs that we, as a Nation, struggle to contain every year.
I know that designing a health care system that addresses the social determinants of health that exacerbate health inequities will require the willing to take bold steps and the visionary leadership to ensure that more than one step is taken. However, I also know that we have both of those today--both in the administration and in this Congress.
Together, we can reform our health care system in a manner that champions health equity, and together we can make this Nation, one person and one community at a time, healthier, stronger, and better prepared for tomorrow.
I yield back the balance of my time, and I thank you for taking on the challenge of this Special Order every Monday evening, and for focusing on the President's budget tonight.
There are other health and health care spending priorities set by the President in this budget that are downright long overdue.
For example, the budget enhances HIV/AIDS prevention and treatment by increasing resources to detect, prevent, and treat HIV/AIDS domestically, especially in the hardest hit communities, a disproportionate number of which are African American communities.
The President's budget sets aside $330 million to increase the number of doctors, nurses and dentists who practice in areas where there are known shortages in health professionals will play a very significant role in ensuring that whenever someone needs the services of a trained health care provider, he or she will be able to get it without having to travel 450 miles.
By investing $19 billion in health information technology, we will ensure that as we modernize our nation's health care system to maximize its efficiency, coordination and privacy, that we do so in a manner that does not create a two-tiered health care system.
This investment in HIT also will ensure that if and when another natural disaster hits one
of our cities along the coast or in one of the U.S. Territories, that survivors do not have to fear that their paper medical records will have perished in the basement of a hospital or clinic, or that their health and that of their families will be compromised because they do not have immediate access to needed health records.
The budget's $6 billion investment in cancer research--which reflects the Administration's multi-year commitment to double cancer research funding--will play a key role not only in reducing the egregious racial and ethnic disparities we see in cancer treatment, but also in cancer deaths.
And the budget's investment in Medicaid and Medicare to strengthen the programs, bolster their integrity and accountability, and expand the programs' research agendas is critically important, as these two programs play pivotal roles in ensuring that our nation's most vulnerable have access to needed health care services and treatments.
Finally, and of utmost importance to the people I represent in the U.S. Virgin Islands, President Obama signals in his budget outline his intention to move towards equity for the Territories in health and other related programs.
There are so many positive elements to this budget that indicate that we are headed in the right direction; especially as it relates to fixing our nation's health care system and that with his leadership and that of the leadership in this body we are beginning to build a health care system for the 21st century and beyond.
For this reason, Madam Speaker and colleagues, I look forward--as the Chair of the CBC Health Braintrust--to working with my colleagues in Congress and with the President to ensure that we reform our health care system in a manner that does not just get it done, but that gets it done right.
To that end, while this budget aptly and appropriately emphasizes reducing un-insurance, bolstering prevention, closing gaps in the health care workforce and ensuring that our federal health programs are strengthened, I want stress that health disparity elimination must be an integral component as well.
Not only do health disparities cause about 100,000 premature preventable deaths each year, but in fact, health disparities are among the key factors that drive up the health care costs that we--as a nation--struggle to contain each year.