Mr. Speaker, I thank the gentleman for yielding. I just want to tell you how grateful I am that my colleagues want to have this dialogue, this colloquy with me. I have been so disturbed by the false information that is being given to…
Mr. Speaker, I thank the gentleman for yielding. I just want to tell you how grateful I am that my colleagues want to have this dialogue, this colloquy with me.
I have been so disturbed by the false information that is being given to Americans about the Affordable Care Act, the whole notion that it is somehow in this death spiral, that somehow the Affordable Care Act is dead. And I think that the President and our illustrious Speaker, and the majority are promoting this point of view because they want the public to believe that the things that they are doing to destroy the Affordable Care Act and, ultimately, Medicaid are the causes for them not having health insurance, the causes for their premiums rising, the causes for insurers fleeing the market in rural areas. And I just want to spend some time this evening sharing the truth with you all this evening.
The majority, they now have both houses of Congress: the Senate and the House of Representatives. They have the White House. And their message that ObamaCare or the Affordable Care
Act is dead sort of covers up the fact that they owe the insurance industry $8 billion that we, in the Affordable Care Act, promised to give to the insurance companies while they sort of figured out how much premiums would cost in this new market.
They have sued the Federal Government because they say that the subsidies that we are paying for poor people are unconstitutional. And, of course, insurers, not knowing whether or not we are actually going to appropriate the money for the Affordable Care Act because they don't know whether we are going to do it or not, that causes destabilization in the market.
They are threatening in their bill to eliminate the individual mandate, which, of course, the individual mandate is a great source of revenue.
They are gutting the taxes on the wealthiest people in the Affordable Care Act to pay for some of the cost-sharing expenses. And, of course, insurance companies have no idea. In order to set appropriate rates and in order to stay in the market, insurance companies need some certainty. So if, in fact, ObamaCare is dead, it is because they have killed it.
Well, I am glad you asked that question, because there are a couple of things that have happened. They ran into so much trouble in the Senate from those Senators who were concerned about them block- granting the Medicaid program, killing basically Medicaid. This was aside from the Affordable Care Act. To reduce Medicaid funding by one- third was one of the most egregious portions of the bills that have come out of the House and the proposals in the Senate.
What people need to understand is that, especially in States like Alaska, West Virginia, we have got 70 percent of people in nursing homes depending on Medicaid. We are not talking about able-bodied working people who have been able to benefit from the expansion of Medicaid.
Exactly.
Mr. Speaker, that is right, because the narrative is that Medicaid only covers these ne'er-do-well, able-bodied people who the Medicaid expansion dealt with. But the reason why the Senate, to answer your question, couldn't live with the bill that was there is because not only did it repeal the Affordable Care Act, so-called ObamaCare, but it also undermined Medicaid, which is so vital.
And just think about this: cutting Medicaid by one-third would lead to people in nursing homes competing with disabled children, disabled children competing with other disabled adults, and with hospitals and nursing homes fighting for the crumbs that fall from the master's table.
It is mean.
Will the gentlewoman from Florida explain kind of the budget reconciliation, where they are going to get these tax cuts?
Will the gentleman yield?
I would be stunned to think that any party or any President would do that.
Infrastructure has been the bread and butter, and it has been one of the most bipartisan things that we have.
When you talk about the need to expand our economy, expand the gross domestic product, one of the sure-fire ways to do that is through infrastructure projects. Not just building roads, but we need water treatment plants, our new energy economy, we have bio technology, and a number of other ways.
But I hail from Milwaukee, Wisconsin, which is still very reliant on the manufacturing industry. But I am wondering if my colleagues would be surprised to know that healthcare is one-sixth of our economy, and that if we were to repeal the Affordable Care Act and then slash the growth of Medicaid by one-third over the next decade, that there will literally be millions of jobs that are lost?
I mean, everybody depends on the healthcare system, whether you are the brain surgeon or you are the guy that is mopping up the ICU; whether you are the person who is dispensing pharmaceuticals at CVS or whether you are the receptionist at the community health center.
And by destroying the Affordable Care Act, we are going to cost shift a lot to our States. Just over the next decade, it is $68 billion of unfunded mandates shifted to the States so that they won't be able to fund things.
And I just want to point something out before I finish. There are a lot of people who think that this just doesn't matter to me. Those 24 million, 22 million, whatever number people agree upon that the CBO says that will lose health insurance if the Affordable Care Act ends-- those people who are in nursing homes--that doesn't matter to me. Forty-nine percent of the folks in this country receive their healthcare through their employer and your premiums will go sky high, unlike what President Trump says, because you will have to pay for all of the uncompensated care that this country will see after we destroy Medicaid in the Affordable Care Act.