Madam Speaker, I thank the gentleman so much for his contribution to this legislation, to the debate in this House, and to the role he has played in informing our Members and the public about this bill. I want to begin by giving thanks,…
Madam Speaker, I thank the gentleman so much for his contribution to this legislation, to the debate in this House, and to the role he has played in informing our Members and the public about this bill.
I want to begin by giving thanks, Madam Speaker, particularly on my committee, I want to thank the staff that have worked so terribly hard, Michele Varnhagen, Megan O'Reilly, Jody Calemine, Aaron Albright, Meredith Regine, and Rachel Racusen, who have all supported this tremendous team and the professional staff of the Committees on Ways and Means and Energy and Commerce, and certainly to my colleagues, Chairman Rangel and Chairman Waxman, and to our subcommittee chairmen, Mr. Andrews, Mr. Pallone and Mr. Stark. It has truly been an honor to have been involved in this debate and sit in the same room with the dean of our House, John Dingell, and to be able to craft this legislation. It is an honor I will remember the rest of my life, and I thank the Democratic leadership for giving us the space to bring President Obama's bill to this House so we can pass it and change America. And I want to thank Speaker Pelosi. Without her leadership, her tenacity and her passion, we would simply not be here today.
We are about to make history, and the reason we are about to make history is because many of us have so much confidence in the great things that America is capable of achieving. America has been challenged throughout its history to achieve great things on behalf of Americans, on behalf of the world community. We have risen to that challenge. But throughout that history, one challenge has eluded us: the challenge to come and to finally provide access to affordable health care for all of our citizens, for all Americans, to provide them the kind of security that they would know with this legislation, to provide them the understanding that never again will they live in fear that they will be without health care, for whatever circumstances take place in their lives.
And every Member in this Chamber on both sides of the aisle have encountered our constituents over our public careers as they have told us terrible stories, dramatic stories, painful stories, sad stories, about how their family has been crushed, or their friends or their neighbors that they care about or work with, by circumstances beyond their control. How, when one circumstance leads to another, how in America today when the layoff notice comes, you are also on notice that you will lose your insurance. Your world is turned upside down immediately. You struggle to find employment or retraining. You struggle to refigure your family's finances. And you know if your children are sick, they won't be able to go to the doctor--you won't be able to afford it. If your spouse is in the middle of treatment, that treatment can be curtailed, no matter what the illness, no matter how important the treatment is. It can go in a flash.
We cannot continue to ask American families to continue to live on that edge of uncertainty, of insecurity, of the possibility of fiscal ruin. A small event, because of the lack of health care, can explode into the life of a family, into the life of a community when it happens over and over and over again.
But this legislation says that's not going to happen again in our future. We are going to become the architects and the builders of a system that will provide care to these people, will provide services to these people, will provide security for these people so that these American families can go to work with confidence. They can buy a home with confidence. They can think about their kids' education with confidence, and know it will not be all wiped out in a flash because their insurance was canceled.
That is what this legislation is about. We can talk about all of the internal merits and the back and forth. But at the end of the day, for the first time in our history, we deliver to all Americans the security that their family will have an opportunity to continue on a stable financial track and that they can make the kinds of plans that we want to make for our children, our grandchildren, that their neighbors might be able to make.
But in America today, because of the absence of this policy, because of the absence of a comprehensive health care bill that provides universal access, because of the failure of a bill that will help families that are struggling to meet the demand to pay the premiums, because of that failure, as The Wall Street Journal said, we pay a huge price in innovation because people know they will be penalized if they start a new business, if they take an idea and try to take it to fruition, if they switch jobs for a better opportunity maybe career- wise but that doesn't have insurance, if they want to go to work for a start-up where they can't provide insurance.
Let's give America for the first time health care security for their families, their friends, their kids, and their neighbors.
Madam Speaker, I rise in support of this historic legislation to fix our broken health insurance system and finally bring affordable health coverage to every American.
We are truly on the verge of making history.
Never before has the House or Senate approved a bill to guarantee every American access to affordable health care.
Never.
Not that we haven't tried.
The fight to reform this Nation's health care system has spanned nearly 100 years, across generations and many great leaders, from Teddy Roosevelt to Franklin Roosevelt to John F. Kennedy to President Clinton to my own personal hero, Ted Kennedy.
But time and again these efforts were stymied by special interests.
The need for reform is dire.
Hundreds of thousands of people are losing insurance each month.
At least 36 million Americans have no coverage at all--including nearly 50,000 people in my district in Northern California.
Over half of all personal bankruptcies are due to a medical incident.
Businesses are choking on bloated health care costs.
Innovation is being stifled. Our competitiveness is undermined.
But this year is different. This time is different.
The American people literally cannot afford to wait any longer, and today we will cast a history-making vote to guarantee all Americans access to quality, affordable health insurance.
We must not fail again.
An unprecedented effort by the House led us to this milestone.
Three committees and our diverse Caucus worked together in an extensive and coordinated fashion, with one purpose--to fulfill a decades-old and yet still urgent promise.
We engaged the public in one of the most transparent debates of federal legislation in history, including over 2,000 events across the U.S. since July alone.
The result is a bill that reflects what we have heard from workers and families, from small business owners and economists, from seniors and college students, from doctors and nurses.
The Affordable Health Care for America Act will directly meet the needs of Americans and the goals that President Obama set for reform:
It lowers costs for families and businesses,
Protects people's choices of doctors and health plans, reduces the deficit, and
Ensures access to quality, affordable health insurance for all Americans.
For the first time in U.S. history, all uninsured Americans will be able to purchase quality, affordable coverage through a new Health Insurance Exchange, where they will be able to choose from a menu of options: a public health insurance option or several private plans.
And for those that already have insurance, our bill will grant them the security of knowing that their coverage will always be there.
Never again will Americans worry about losing their health care if they change or lose their job.
Never again will someone be denied health care coverage because of a pre-existing condition.
Never again will a patient have to worry about their insurance company rescinding their policy when they need coverage the most.
Never again will a small business owner have to worry about unpredictable and unaffordable premiums.
Our bill, H.R. 3962, will end the many injustices that workers, families, and businesses face in today's system.
It will finally make health insurance work for consumers--not insurance CEOs.
Let me be specific about what our reforms will mean for the American people:
No more co-pays or deductibles for preventative care;
No more rates increases because of a pre-existing condition, gender, or occupation;
An annual cap on out-of-pocket expenses;
Guaranteed affordable dental, hearing and vision care for children;
Lower prescription drug costs for seniors;
Young people will be able to stay on their parents' insurance through their 27th birthday; and
A ban on lifetime caps on what insurance companies will pay, so patients will never again be one treatment away from medical bankruptcy.
As I mentioned earlier, this legislation meets our commitment to fiscal responsibility.
Every piece of this bill is fully paid for through a combination of revenue raised by placing a surcharge on the wealthiest Americans and savings generated by making Medicare and Medicaid more efficient.
These reforms will strengthen Medicare for seniors and shift our system's focus from quantity of health procedures to quality of care and producing healthier outcomes for patients.
The Congressional Budget Office reports that our bill will reduce the deficit by more than $100 billion over the next decade and slow the growth of health spending, leading 11 chief health care economists to declare our legislation ``vital to the Nation's fiscal and economic future.''
As with previous efforts to reform health care, this bill received an enormous amount of public scrutiny.
In the last few months, opponents of health reform have conjured up every falsehood imaginable about this bill in an effort to scare the American people and once again try to stymie reform.
But as I said, I believe that this year is different. Our legislation has been tested in public and the momentum continues to grow in support of the bill.
The American people have seen through the lies and distortions.
And they are not fooled by the hoax of an 11th hour Republican bill that is nothing more than a cruel rebuke to the needs of the American people.
Their bill would do nothing but maintain the status quo and guarantee insurance profits at the expense of tens of millions of hard working Americans.
The public understands the true meaning of our bill.
They know it will cover 96 percent of Americans.
They know that, under our bill, if they lose their job they will continue to have health coverage for their children, spouses and families.
They know that this bill means that if they have cancer, the insurance company can no longer pull the rug out from under them while they're in the middle of treatment.
They know that this bill will protect them, through any economic cycle.
Nearly 50 years ago, as he was fighting to expand health care benefits, President Kennedy said,
All of the great revolutionary movements of the Franklin
Roosevelt Administration we now take for granted. But I
refuse to see us live on the accomplishments of another
generation. I refuse to see this country and all of us shrink
from the struggles which are our responsibility in our times.
We must not shrink from the struggle for health reform, which is our responsibility in our time. This is our moment to revolutionize health care in this country.
We have arrived at this historic moment thanks to the hard work of so many people.
I would like to thank my good friends and colleagues, Chairman Rangel and Chairman Waxman, and our three subcommittee chairs, Rob Andrews, Frank Pallone and Pete Stark, and especially Dean Dingell. We could not have had better teammates in this journey.
I would also like to thank the Democratic Leadership, our Speaker, Ms. Pelosi, the Majority Leader, Mr. Hoyer, our Whip, Mr. Clyburn, and all the members of leadership for the countless hours they spent working with the committee chairs to arrive at this point today.
And of course we could not have completed the work on this bill without the work of our incredibly talented staff, who worked long nights and weekends for months on end. They are the unsung heroes of this process, and I know all our colleagues join me in thanking them for their extraordinary work.
From my staff I would like to thank Mark Zuckerman, Alex Nock, Danny Weiss, Michele Varnhagen, Megan O'Reilly, Jody Calemine, Tico Almeida, Meredith Regine, James Schroll, Rachel Racusen, Aaron Albright, Amy Peake, Courtney Rochelle, and Mike Kruger.
Finally, I'd like to pay tribute to my mentor and friend, Sen. Edward M. Kennedy.
Health care was the cause of Ted's lifetime. Our effort would have been impossible had he not carried the torch of justice and equality for all those years.
I know I am not alone when I say that I sincerely wish Ted Kennedy could be with us today to see his dream of quality, affordable health care for all become a reality.
Madam Speaker, this is the most important bill I have ever worked on during my many years of service in Congress.
I could not be prouder to have helped to write this bill, to encourage each of my colleagues to support it, and to cast my vote in favor of the Affordable Health Care for America Act.
We stand at the doorstep of history.
Let us go in.
I yield 1 minute to the gentleman from Ohio (Mr. Wilson).
I yield 1 minute to the gentlewoman from Pennsylvania (Mrs. Dahlkemper).
If I could inquire of the Chair as to how much time is remaining on both sides.
I yield 1 minute to the gentleman from Missouri (Mr. Carnahan).
Mr. Speaker, I yield 1 minute to the gentleman from Michigan (Mr. Schauer).
Mr. Speaker, I yield 1 minute to our new Member from New York (Mr. Owens).
Will the gentleman yield?
As he has already acknowledged, when he was Chair and he went to conference many times, he could not guarantee anything. You will take into this House, if that amendment should pass, that will be an expression of this House on that subject, on that amendment. We will take that with the full dignity of that vote into that conference committee.
Mr. Boehner, if you can speak for the Senate--nobody else has been able to.
I will not guarantee that. You know the nature of the conference committee.
Mr. Speaker, I yield 1 minute to our new Member to the Congress from California, Congressman Garamendi.
Mr. Speaker, I yield 1 minute to the gentlewoman from Maryland (Ms. Edwards).
Mr. Speaker, I yield 1 minute to the gentlewoman from Texas (Ms. Eddie Bernice Johnson).
Mr. Speaker, I yield 1 minute to the gentlewoman from California (Mrs. Davis).
Mr. Speaker, I yield 1 minute to the gentleman from California (Mr. Farr).
(Mr. FARR asked and was given permission to revise and extend his remarks.)
I yield to the gentleman from Massachusetts (Mr. Olver) for the purpose of making a unanimous consent request.
(Mr. OLVER asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield 1 minute to the gentleman from Tennessee (Mr. Cohen).
Mr. Speaker, I yield to the gentleman from Pennsylvania for the purpose of a unanimous consent request.
(Mr. FATTAH asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield 1 minute to the gentleman from Minnesota (Mr. Oberstar).
Mr. Speaker, I yield 2 minutes to the gentleman from New York (Mr. Tonko).
Mr. Speaker, I yield 2\1/2\ minutes to the gentleman from Massachusetts (Mr. Tierney), a member of the committee.
I yield 1\1/2\ minutes to the gentleman from Virginia (Mr. Scott), a member of the committee.
(Mr. SCOTT of Virginia asked and was given permission to revise and extend his remarks.)
I yield 2 minutes to the gentleman from New Jersey (Mr. Andrews), a member of the committee.
I yield myself 2 minutes.
Mr. Speaker, if the Republicans' health care plan was a plan for a fire department, they would rush into a burning building, and they would rush out and leave everybody behind. If their plan was an evacuation plan, it would be like Katrina. When they got all done evacuating people, they left them all behind.
They say their plan is inexpensive. They say their plan saves somebody money. But 10 years from now there are as many uninsured as there are now.
At the end of their watch, after 12 years of control of this Congress, 8 years of control of the White House at the same time, they left behind 37 million Americans without health insurance. That is what they left behind on their watch. Now they come forth with a plan for the future, and over the next decade they are going to leave behind 50 million Americans.
Want to buy it? Want to try it? Want to sell it? Come on, America. Buy this one. You are guaranteed to be left behind if you are left behind today.
What a plan. Ha. God save us.