Mr. President, last month, I stood here and told everyone about a young woman from Nevada named Alysia. She was born with a kidney disease, one she fought bravely her entire life. But lately things have gotten worse. Similar to far too…
Mr. President, last month, I stood here and told everyone about a young woman from Nevada named Alysia. She was born with a kidney disease, one she fought bravely her entire life. But lately things have gotten worse. Similar to far too many Americans in recent months, Alysia lost her job. That has happened to far too many Americans. When you lose your job, as we have learned, your health care often disappears also.
Alysia did what any of us would do in the same situation, she tried to get independent coverage so she could afford the surgery she needs to get better. Her doctors say surgery is imperative, but insurance companies say: No, you can't get insurance. They refused to cover her. They call her kidney disease a preexisting condition--everyone else, including Alysia, calls it a tragedy.
She is not the only Nevadan who has written me about injustice. Caleb Wolz is a high school student from Sparks, NV. Similar to so many kids, he used to play, when he was younger, all kinds of games. But now he just sticks to skiing and rock climbing. You can forgive him for not playing some of the games he doesn't play anymore. He was born without any legs. Caleb was born without legs.
As kids grow, they grow out of their shoes. A lot of kids probably get a new pair every year. But Caleb, who is now 17, has needed a new pair of prosthetic legs every year since he was 5 years old.
You can probably guess what the story is now, and you have it right. His insurance company has decided it knows better than his physicians and has decided that Caleb does not need legs that work and fit. Even after looking at pictures of the bruises and abrasions Caleb suffered from the prosthetics that didn't fit, his insurance company decided, once again, his preexisting condition is too expensive to deal with.
These stories are hard to hear, but they are not hard to come by. They are extraordinary, but they are not unique. This happens to women all over southern Nevada just like Alysia and boys across northern Nevada just like Caleb. It happens to people on the east coast and the west coast. It happens to Americans in small towns and big cities. Every day, insurance companies look at a patient's medical history and the prescriptions they have filled. Then they deny them coverage or charge them exorbitant rates because of the patient's age or a specific illness. For every 10 patients who try to get health care, 9 of them never buy a plan because insurance companies deny them or make it too expensive.
Most of us were not born with a kidney disease such as Alysia's or, unlike Caleb, we are born with both our legs. But unless you are in absolutely perfect health, without a history of anything from heart disease to high cholesterol or hay fever, in the insurance world you are out of luck. Some insurance companies even treat Caesarean sections as a preexisting condition, and some accuse women of scheduling unnecessary C-sections when they give birth. More than half of all Americans live with at least one chronic condition, and those conditions cause 70 percent of the deaths in America. Yet right now, insurance companies that care more about profits than about people are in complete control of their well-being. They are holding Americans hostage, and far too many of us cannot afford that ransom.
Reforming health care is a complex endeavor, but one part of the Democrats' vision for health care is simple. We are going to give people control over their own health. We are no longer going to let greedy insurance companies use a patient's preexisting condition as an excuse to deny them the care they need.
We will lower the high cost of health care. We will lower the cost of health care generally. We will make sure every American has access to that quality, affordable care, and we will do our very best to make sure people still have the power to choose their own doctors, hospitals, and health plans.
If we leave it to private insurance companies that are more interested in keeping their profits up than keeping us healthy, that will not happen, nor will it happen if our Republican colleagues continue to defend the status quo. A few weeks ago, the Republican leader in the House of Representatives said the following:
I think we all understand that we have the best health care
system in the world.
How can one defend a health care system that goes out of its way not to care for people's health? And how can anyone celebrate such a system with a straight face? That health care system told Alysia she can't get the kidney surgery she needs. That health care system told Caleb he can't get the legs he needs. I think they would respectfully disagree with the Republican leader.
Insurance companies and most of our Republican colleagues seem to share a common philosophy. They both reflexively and recklessly say no for no good reason. That is a philosophy we cannot afford in America. If you are fortunate enough to have coverage you like, you can keep it. But if you don't like the fact that the insurance company can deny you coverage when they feel like it, you will agree we need to change the way things are.