Confronting The Reality Of Health Care
Mr. Speaker, the campaign rhetoric and politics of the last 7 years now must confront the reality of health care. No political party can repeal the basic economics. All of the features that make health insurance policies better today--the…
Mr. Speaker, the campaign rhetoric and politics of the last 7 years now must confront the reality of health care.
No political party can repeal the basic economics. All of the features that make health insurance policies better today--the elimination of lifetime limits on health insurance payments; preventing denial for preexisting conditions; charging women the same premium as men, not more; keeping children on their parents' insurance policies until age 26--are wildly popular, but they all increase the cost of insurance.
We cannot allow people to wait until they are sick to get a policy. That undermines the very concept of insurance, hence, the mandate to have health insurance.
The truth is that the impact of the Affordable Care Act has resulted in healthcare costs rising more slowly than before the act. We have expanded coverage and subsidized care for millions of Americans, while improving the quality of health insurance. All of these reforms are, in fact, working.
A reckless act to repeal something that is now baked into the healthcare system on which millions of Americans rely and benefit from--indeed, the entire system benefits from--would have serious destabilizing effects beyond the loss of coverage for almost 30 million Americans. Republican efforts to weaken Medicaid for the poor and disabled and undermine Medicare for the elderly means that almost 100 million Americans have their health care at risk.
We will begin the battle fighting any effort by the new administration and the suddenly empowered Republican majority to act on their campaign rhetoric abolishing ObamaCare but not providing a replacement. A repeal without a clear alternative replacement at the same time is unacceptable. It is not just unacceptable to Democrats in Congress. It is unacceptable to millions of recently insured Americans--in fact, millions found in red States--unacceptable to healthcare professionals, insurance companies, hospitals, and the vast array of other people involved with the healthcare industry. Most importantly, it is unacceptable to our families.
The most unpopular feature of ObamaCare was the name, suggesting, perhaps, a simple solution. When identified with the President, the Affordable Care Act provisions were 20 percent more unpopular than when the act was described in exactly the same terms but the name was different. So perhaps we just allow the Republicans to abolish ``ObamaCare'' and then get back down to work doing what we should have been doing for the last 7 years: making the Affordable Care Act better.
By all means, let's look for ways to make the system less burdensome. We can continue to demand accountability, but allow some competition with value-based purchasing and negotiation of prescription drug prices by the largest pharmaceutical customer in the world: the Federal Government. Dealing with skyrocketing prescription drug prices and other outrageous practices by some in the pharmaceutical industry will find broad support in and out of Congress.
When the Republican majority and the new administration get serious about a replacement that keeps all of their campaign promises and protects the industry from chaos and consumers from loss of essential coverage, there will be plenty of bipartisan cooperation. But any effort of breaking that fundamental promise by denying coverage and upsetting the healthcare applecart will be met with strong opposition, and, ultimately, they will lose.
For the sake of the American families and the people who provide health care, not only should they lose, they must lose. We must stand strong and united on that proposition.