Madam President, Senator Nickles is in the building. I do not know if he is going to speak. I suggest the absence of a quorum. Parliamentary inquiry. This, of course, has nothing to do with the legislation. It is my understanding the…
Madam President, Senator Nickles is in the building. I do not know if he is going to speak.
I suggest the absence of a quorum.
Parliamentary inquiry. This, of course, has nothing to do with the legislation. It is my understanding the action of the distinguished chairman of the Budget Committee would not be in derogation of the consent order before the Senate for debate today.
Mr. President, if I could just be heard briefly.
We had a Senator who took an extra 5 minutes today because of various reasons, so it is my understanding that the distinguished Senator from Kentucky wants an extra 5 minutes. We would be happy to agree to that. So we would just add that on to what time he has.
Is the Senator on his way down?
We would agree to give him that extra 5 minutes.
I suggest the absence of a quorum.
Senator Baucus is the next scheduled speaker. I will ask for a quorum call, but I also ask unanimous consent that the time be taken off his time. It is not fair to wait because we have 4\1/2\ hours' worth of speakers.
I suggest the absence of a quorum.
Mr. President, we have 4\1/2\ hours of speeches still tonight, and that is why we have limited it to half an hour each.
Sure.
Mr. President, first of all, I want to underscore the comments about the Senator from Iowa, Mr. Grassley, which were made by the senior Senator from Montana.
Senator Grassley is a dedicated Senator, a gentleman, and I have great respect for him. So I appreciate the Senator from Montana saying those nice things about the senior Senator from Iowa, Mr. Grassley.
But I also want to say that on our side we have two people who have been so heavily involved in getting a bill here. One is the ranking member of the Finance Committee, Senator Baucus, who, as he said, is my friend. I have the deepest respect for him, and I know how hard he has worked on this legislation. He has kept me apprised of his progress and slippage on occasion.
Senator Breaux and I, of course, came to the Senate together. There is a bond of friendship between us that will last forever.
So even though I do not agree with my two friends, Senators Baucus and Breaux, on this legislation, no one can take away how hard they have worked on it and how they believe they are doing the right thing.
Mr. President, the Presiding Officer knows that my father was a hard rock miner. As I look back, the best times we spent together were when I was a little boy.
My dad worked in a number of mines, but the mine that I remember is a mine called The Elvira. My dad worked underground alone, which was, of course, against the law. No one ever prevented him from doing that. The mining inspectors rarely came to Searchlight.
It was during the summertime, when I was out of school, the first summer I can remember going down with him, keeping him company.
As I look back on my father, those were times we had together underground. I had my own little hat, with a carbide lamp. I was not much help to him, but I kept him company.
My dad was a very quiet man, but he would talk to me. We had wonderful times. I would have my own lunch. My mom would pack my lunch.
But my dad taught me a lot of things. As I indicated, the finest memories of my dad are from those days we spent together underground.
As I got older and stronger there were things I did later, as I became a teenager, that I could do to help him physically other than just keep him company. But those days were not like the days I spent alone underground with my dad.
He taught me a lot of things. But one of the things he taught me how to do was to pan for gold. Of course, we never had much. He never found much for what he did. There was not much gold there.
But I knew how to pan for gold. You would take the rock and grind it up real fine into a little metal bowl. Then you would put it in like a frying pan, a pan that was made just for that, and shake it with water coming down. And gold, of course, is very heavy, and the gold would be at the bottom. You could see if there was any gold there.
The other way, of course, you could find if there was gold is you could send it to an assayer and find out. But the first preliminary thing you did was pan for gold.
Mr. President, one of the things I learned as a boy in Searchlight is there was a lot of something called iron pyrites. It is fool's gold.
I have this little rock in my hand. It is the same kind of rock I have pictured on the right side of this chart. If you were up close, you could see this glittery, gold stuff on the rock. It is all over the rock, and it looks like gold. It glistens like gold. The only way that you can find out if it is real gold is if you either pan it or assay it.
What I have shown on the left side of this chart is gold. And what is shown on the right side of the chart looks like gold, but it is fool's gold.
I say to my friends within the sound of my voice, even though this product looks like gold, I think if you examine it, if you assay it, you will find it is not gold. It is like the iron pyrites in the mines of Searchlight. It is something we call fool's gold.
This legislation started as a Medicare prescription drug benefit for seniors. Now, this large bill we have here, of approximately 700 pages--approximately 700 pages--about 150 pages of it deal with prescription drugs for Medicare. The rest of it is something that I never thought was to be part of the legislation; it is to reform Medicare.
Now, my friend, John Breaux, has spent a lot of his legislative life talking about the need to reform Medicare. And I have not talked in detail with Senator Breaux, but I am confident he was much more involved in and concerned about reforming Medicare than the prescription drug aspect. That is not necessarily bad, but that is what he was focused on.
Senator Breaux believes that Medicare needs reform. During the Clinton years, he was the chairman of a committee to come up with some Medicare reform. And he came up with it. He was the chairman of that committee. More than 50 percent of the people who served on that panel believed that his program was good that they had come up with. But under the rules of engagement, it took a supermajority to do that, and he could not get that.
So Senator Breaux, as I have already said about my friend--Senator Baucus and Senator Breaux, fine people, wonderful Senators, but I think this legislation, which started out as a prescription drug benefit for seniors, has gone way beyond that and is now a bill mostly dealing with Medicare reform.
This legislation is OK at first glance, but if you look at it closely, I believe, as I have indicated on this chart, it is really not the gold, shown on the left, but it is the fool's gold, the iron pyrites, shown on the right.
This summer, we passed a bipartisan prescription drug bill, which was not perfect. As it returned from the House, though, the prescription drug bill that passed the Senate has taken a step backward. It is not imperfect; it is bad.
I think there are millions of people worse off. It gnaws away at the foundations of Medicare.
Seniors have trusted this program for 40 years. My position has been that we should make health care available to every American, we should cut costs, we should improve quality, and we should expand access. Upon review of this legislation, we don't have that. We have what I believe is an image, an image that looks like gold, but it isn't, it is fool's gold.
All you have to do is look at the facts. In Nevada, 20,000 low-income seniors will have to pay more when this legislation goes into effect. This bill contains an unfair and confusing assets test. Why would we charge someone negatively because they have planned ahead and have a burial plot, maybe a car, maybe some furniture? This bill contains an unfair and confusing assets test. More affluent seniors are going to be punished. That is not right.
I have been through this once before as a Member of Congress. On catastrophic, I introduced legislation in the Senate that the chairman of the Finance Committee, Lloyd Bentsen, personally criticized me for introducing. That legislation was to repeal catastrophic. I did it because the seniors of America were up in arms. I was a relatively new Senator, and I won't say my colleagues shunned me, but they weren't happy for a while. But that legislation passed. It repealed catastrophic.
Catastrophic was directed toward people who had taken care of themselves, had provided for the future. They were being punished for having done a good job, taking care of the future. They rebelled. And that is what we are going to find here.
Clearly, they will pay more in Medicare premiums. The costs of Medicare will go up for them. They already pay more than their share of payroll and income taxes. They already pay the greater share of Medicare costs.
I have received some letters from people in Nevada, constituents of the Presiding Officer and me. Let's note what some of them say.
Mrs. Betty Sweet of Las Vegas: Don't sell the seniors out to big business HMOs. The HMO plan will be a step down in our care.
Martha Pruter of Reno: This plan is only going to benefit the pharmaceutical companies. It will not benefit consumers.
Mary Ann Brim of Henderson: I oppose the Medicare bill. Has anyone done the math? I can't believe they would support this bill if they had. Certainly you can come up with something better than this.
Now, these people, Mrs. Brim in particular, actually did their homework on the math. The actual drug benefit created by this bill is confusing and offers seniors only a meager drug benefit. Someone who spends approximately $5,000 a year on drugs will be stuck with almost 80 percent of the bill.
People have come to me and said: Vote for this. Nothing is going to kick in for a couple of years. You are protected. You can talk about the benefits of this bill. Maybe they are right. But in a couple years I would look back on this vote saying, I didn't do the right thing because thousands of retirees in Nevada will lose their coverage as a result of this bill.
In Nevada, tens of thousands of seniors stand to lose their current retiree drug benefits. The Nevada senior prescription program that Governor Guinn of Nevada tried, it was one program, and nobody even signed up for it. He has one now that is good, people like it, and we don't know what is going to happen. We don't know what is going to happen to this program.
We heard the distinguished ranking member of the Finance Committee, Senator Baucus, talk about demonstration projects, six of them. We could get as many as three of them in Nevada. I don't think we should be used as guinea pigs in an ideological experiment that would force them to give up their doctor and join an HMO or pay higher premiums to remain in traditional Medicare. Those who opt for private plans would have to use a doctor approved by the insurance company in these areas. Over time the seniors who remained in the traditional fee-for-service Medicare would likely be the oldest, the sickest, and the poorest. They would have to pay an ever-increasing premium to maintain their coverage.
This bill would make a wide range of seniors worse off than they are today, from seniors who are eligible for Medicaid, seniors who have coverage through former employers, seniors enrolled in State pharmacy programs, to seniors who will be forced to pay higher premiums to stay in traditional Medicare. That is not the type of prescription drug coverage our seniors deserve. It is fool's gold.
Many of my colleagues support this bill because they like the concept of competition. I like competition, too. But I am in favor of competition where there is a level playing field. This bill does not provide for fair competition.
This rigs the rules in favor of private insurance companies by paying them off to serve a patient whom Medicare would also take care of without the additional incentive that these companies get. It siphons off $12 billion that should be used to help our seniors. It pushes it off into a fund for private insurance companies. That is why we have read in all of the papers around the country that the insurance industry is wild about this legislation. The pharmaceutical companies are wild about this legislation. They wiped out the reimportation we had in our bill, something that went to the House, where we could reimport drugs which are much cheaper in Canada. That is eliminated, and that is too bad. It was a concept that both the House and the Senate approved. This is something that is hard to comprehend.
This bill even says that when Medicare becomes the largest purchaser of prescription drugs, it is expressly forbidden to negotiate prices with the drug companies. That is why we want these large purchasers of pharmaceuticals, so they can go to the drug companies and get lower prices. In this legislation, they are forbidden from doing this. If we really believe in a free market, why shouldn't Medicare also be able to bargain for good prices? It is no wonder big insurance companies and big drug companies are spending millions of dollars on lobbyists and ads to support this bill.
I have to say they have done a good job. I want everyone to know that the drug companies and the insurance companies have spent their money well. Because the lobbyists have really done well by them, this bill is a dream for the insurance industry and the big drug companies. It tilts the playing field in their favor at the expense of senior citizens. That is not competition, it is corporate welfare.
This bill is not what it claims to be, and seniors are smart enough to see this bill for what it really is, fool's gold. Betty Sweet, Martha Pruter, Mary Ann Brim, they all did their homework and understand that this legislation is not good.
As I have indicated, the actual drug benefit created by this bill is confusing and offers seniors only a meager drug benefit. It is a poor trade when you spend approximately $5,000 a year on drugs and you will be stuck with 80 percent of the bill. When we talk about a pharmaceutical benefit for Medicare, people think they are going to get the drugs at a reasonable price.
The Medicare conference agreement would make fundamental changes to Medicare as we know it, changes that have nothing to do with a prescription drug benefit or building a stronger foundation for the program. It would use our senior citizens as guinea pigs to test the theories of Newt Gingrich and other ideologues.
Am I off base on this? I carry this with me because I have used it on a number of occasions, and now it is kind of withered and dilapidated. I have seen Newt Gingrich, with whom I served in the Congress--a fine person. I like him. I think he has a great mind. And he has been able, with his great mind, to do some things with which I don't agree. But I have here some statements made by leaders. I believe their whole concept is what is behind this legislation.
First of all, this is Senator Bob Dole's direct quote:
I was there fighting the fight--
He was 1 of 12 against Medicare--
because we knew it would not work in 1965.
He and many colleagues believed it would never work. Senator Dole was 1 of 12 who voted against it then.
Former House Speaker Newt Gingrich, said:
Now, we didn't get rid of it in round one because we didn't
think it was politically smart, but we believe Medicare is
going to wither on the vine.
Former House Member Dick Armey said this:
Medicare has no place in a free world. Social Security is a
rotten trick.
He goes on to say:
I think we are going to have to bite the bullet and phase
it out over time.
Those are direct quotes. I think part of what we have behind this legislation is an effort to have Medicare wither on the vine, and it will be withering on the vine. I think we should understand that this legislation is not what it purports to be; it is not. As a result of that, I believe we should vote against this legislation.
Mr. President, how much time do I have left?
Mr. President, I yield that time to my colleague from Nevada, Senator Ensign.