Madam Speaker, tonight I am very pleased to be here to speak about health care and the crisis that we face here in our Nation and particularly about the crisis that is affecting the Hispanic population and other minority groups. I am…
Madam Speaker, tonight I am very pleased to be here to speak about health care and the crisis that we face here in our Nation and particularly about the crisis that is affecting the Hispanic population and other minority groups.
I am delighted that I have been joined tonight by three colleagues that will speak about some of the situations and problems that they face in their own States. First I would like to, as chairwoman of the Congressional Hispanic Caucus Health Task Force, recognize the gentlewoman from the Virgin Islands (Mrs. Christensen), who is our representative for the Virgin Islands. She is chair of the Hispanic brain trust for the Black Caucus.
I yield to the gentlewoman from the Virgin Islands.
Madam Speaker, I thank the gentlewoman, who in her own right is a leading physician and who has actually done so much to help further the cause for universal health care, access for everyone and also for HIV and AIDS prevention, and also for those many chronic illnesses that many of us face.
Madam Speaker, I would like to yield to the gentleman from Washington (Mr. McDermott).
Madam Speaker, I appreciate the gentleman's remarks this evening.
Madam Speaker, it gives me a great deal of pleasure to recognize the distinguished gentleman from Texas (Mr. Rodriguez), the chairman of the Congressional Hispanic Caucus.
Madam Speaker, I thank the gentleman from Texas (Chairman Rodriguez), our illustrious chair of the Hispanic caucus. I thank him for appointing me as the woman who will be now in charge of the issues regarding Hispanics and health care this term. I am very privileged to be in this position, and I know that we have a long charge ahead of us.
Madam Speaker, tonight, today as Chair of the Congressional Hispanic Caucus Health Task Force, I wanted to call attention to the health status of Latinos throughout the United States.
When we talk tonight about Latino health care, it is important to note that Latinos are the fastest growing minority group in the country, in the United States. So the issues we face confront the health care field throughout the country, whether you live in east Los Angeles, in my district in California, or if you live in Atlanta, Georgia, or in Birmingham, Alabama, where we are seeing a large number of Hispanics now residing in that area. I had the privilege, Madam Speaker, of being there this weekend and walking with other members of our caucus to celebrate a civil rights memorial for 28 years of suffrage that has gone on in the South. The issues are no different there than they are in other parts of the country with respect to those that are uninsured. African Americans and Latinos still face the same kinds of problems.
This week, however, Madam Chairman, we are celebrating this week as Cover the Uninsured Week, a national effort that is going on right now, that is being celebrated across the country, to recognize those people who are under-insured and uninsured.
I would be remiss if I did not point to this chart here tonight, to point out that 41 million Americans do not have health care insurance in our country. It is unfortunate that about 30 percent of those individuals are Hispanic.
Let me point that out on this section of the pie chart, 30 percent. Forty-seven percent of non-white/Hispanic, 47 percent. Thirty percent Hispanic, 16 percent black or African American, and 5 percent Asian and South Pacific Islander also fall into that category.
Madam Speaker, by the year 2020, it is projected that one in five children will be Hispanic. Yet Latino children have the highest uninsured rates in the U.S. child population.
And unfortunately, the number of Latino uninsured has been on the rise over the past decade.
I would like to point out the next chart that I have. Here we see also the rising numbers of those individuals that are Latino, that are working, 43 percent; those that are in the private sector, 2 percent; 18 percent Latino, Medicaid; and others that receive some type of coverage; and then those that are in the uninsured category: Latinos, 37 percent, to 14 percent who are Anglo, or white. Madam Speaker, 73 percent of the Anglo population has insurance; 43 percent on this chart here indicates people that are working, working Latino family members are uninsured. It is a crime. It is a crime that this is the situation here in our country.
The next chart unfortunately does not provide us with many more good indicators. The number of Latinos uninsured has been on the rise over the past decade; and all we have to do is start looking at 1990, where 7.0 percent, the number of uninsured Hispanics, has increased 7.0 percent in 1990, a decade ago. When we look to the year 2000, it is now not quite doubled, but almost
there, 11.2 percent. It has increasingly gone up. It is not to say that these people are not working, because they are. I fail to see the reason that they are not being provided with some attempted coverage for those that are uninsured.
In fact, 37 percent of nonelderly Latinos are uninsured, more than double the rate of whites. The large majority of uninsured Latinos come from working families, approximately 87 percent; but less than half of all Latinos have employer-based health coverage. That is to say that where they work, at their place of employment, they do not have any type of insurance coverage for their needs, to meet their needs.
So let us be clear tonight, I say to my colleagues. There are women and men who are working and paying taxes, they play by the rules, but they are not getting any health coverage. This goes far beyond just the Latino community. There are many working men and women, African American, Anglo women that I met, even today when I was out visiting folks in my district, who told me about their plight with not having adequate health coverage, or being underinsured. This is a real issue, I say to my colleagues, that we need to address.
Unfortunately, nearly one-third of all Latinos work for an employer who does not offer any health care insurance at all. The lack of insurance in our country is devastating to families, particularly Latino families. Among the uninsured, Latino adults in fair to poor health, 20 percent are women, 40 percent are men; and they have not visited a doctor in the past year. Can we imagine that, not being able to see a doctor in more than a year?
We know that the uninsured receive less preventive care and are diagnosed later for diseases and tend to receive less medical care for their illnesses. Uninsured children are 70 percent more likely than other children not to have received medical care for common conditions like ear infections, 30 percent are less likely to receive medical attention when they are injured, and nearly 40 percent of uninsured adults report skipping a recommended medical test or treatment in the past year.
Having health insurance would reduce death rates for the uninsured by 10 to 15 percent. How many lives can we save if we provide them with some attempted coverage?
There is a consensus that health insurance is a necessity. So how can we increase access to health insurance? Certainly, we need to make sure that children are enrolled in successful programs like the gentleman from Texas stated earlier, like the State Children's Health Insurance Program, known as SCHIP, and in California known as Healthy Families. And we must make sure that all of our vulnerable populations are enrolled in Medicaid in that safety net program, and that these programs make health care access a reality.
Madam Speaker, we also need to focus on innovative private and public approaches to covering the uninsured. When I was in the State legislature in California, I authored a bill to launch a body of research on how to provide universal health care coverage, and I was proud to be the sponsor of Senate bill 480. The researchers have come up with several proposals for universal health coverage, and many are being implemented now as we speak in Sacramento. Unfortunately, due to severe budget cuts, not only in the State of California but across the board, many of these programs that we have instituted in the past are now on the chopping block. One of the reasons is because of this whole new attempt to try to block-grant Medicaid. Our State is now being devastated with cutbacks in the budget. In California, which is almost a continent in and of itself, we are crying out for assistance now because our budget is woefully low in terms of providing coverage for the very needy, for the working poor, and for children.
Medicaid in California is known as MediCal. It is called MediCal. Our medical program offers dental services, physical therapy, and diabetes management. I was a proud offerer of reforms to provide treatment and management for diabetes. Lord knows the African American community and the Latino community suffer very high rates of diabetes. If it is not treated appropriately in a preventive matter, it can become a very acute problem that will come to haunt us and continues to haunt us if we do not come up with the incentive and money to go into those measures. I say we need to put money up front into programs like that to combat chronic illnesses like obesity, diabetes treatment, and asthma. These are the things that we need to be addressing and putting our money where our mouth is when we talk about providing assistance to the uninsured.
Medicaid is an incredibly important program, and it covers now approximately 40 percent coverage for Latinos; but without this help, I fear what will happen to our communities, not only Latinos, the people that I represent in my district, but poor people, working people, people who actually have jobs that will go without this kind of coverage.
Unfortunately, this administration has proposed what I said earlier, the Medicaid reforms known as block grants. What they are telling us is that they will give States money to be able to get more flexibility to provide coverage for different illnesses; but in the long run, in 10 years, they are going to cut that money back, and what it means is less people will be served. The elderly will be out. The young people, the children will be hurt.
I am here to tell my colleagues that we need to do more than that. We need to reverse that trend and ask this administration to step up to the plate and forget the rhetoric and really talk about making some very meaningful reforms in Medicaid and providing the coverage that is so very much needed in States like mine in California where we do not get a refund in our dollars. We are known as one of those States where we are a donor State. We give more money than we get back. I am here to say it is time that California and other States in the southwest like Texas, Washington State, and other parts of the country receive their fair share of dollars where we need it. Our seniors are crying out for reform; our children need it. Their voices are not heard often enough, and we know that. That is why we are here tonight, to speak on their behalf as well.
These proposals, as I see them, that the administration is proposing will be devastating; and instead, we should be looking at proposals that increase the Federal support to Medicaid by increasing Federal Medicaid or medical assistance known as FMAP. This bipartisan bill that has been introduced, known as H.R. 1816, will provide States the fiscal relief they need to improve health care access to vulnerable populations. To improve Latinos' access to Medicaid, we must lift the ban on health care access for legal immigrants and pregnant women and their children. I say, and I underscore, legal, people who are here legitimately who are having children here and are playing by the rules and paying taxes as they work, whether they are a nanny, whether they are a housekeeper, whether they are there in a restaurant serving us, or whether they are out in the fields picking our fruits and vegetables that we had here tonight, I say to my colleagues.
It is time to pass the bipartisan Legal Immigrant Child's Health Improvement Act. This bill would lift a 5-year ban currently in place on States receiving Federal support for health care services for lawfully present immigrant children and pregnant women who entered the United States after August 22, 1996.
This simply makes sense from a humanitarian and medical point of view, and it will save the public health system money, thousands and thousands of dollars. I can tell my colleagues that firsthand as a Representative in Los Angeles County where we have one of the largest health care, public health hospitals right now that sees so many individuals having to wait 8 hours just to be seen by one doctor, whether it is for a throat infection, an ear infection, or for being a victim of a drive-by shooting. It is unheard of, the kind of medical access that people have to attempt to receive, knowing fully that we are all paying for this standard of health care. Yet, it is unequal in areas that I represent. We have to change that. We have to work hard to make sure that it is equal for everybody, whether one lives in Texas, in the Rio Grande, whether one lives in Boston, Massachusetts, or whether one lives here in Washington, D.C.
We also must fix Medicare in order to help Latino seniors who are struggling with high-cost prescription drugs. This goes far beyond the Latino community. There are many, many seniors who are crying out for reform, who want to see their prescription drugs, the cost for that medication reduced dramatically. I can tell my colleagues now there are people who have told me, why is it that I have to pay $300 for my medication to treat my diabetes or my thyroid gland? I cannot afford to go on vacations; I barely make my rent. Why is it that the Congress cannot come together and make these reforms feasible so that I can live an appropriate life, one that I feel I deserve? This is what seniors are telling me all the time. I look at them and I look in their eyes and I feel we have done them a disservice, because we have not been able to reach an agreement with the other Members on the other side of the aisle to see that we are truly, truly addressing the needs of our senior population.
I say that fully knowing that my own parents are faced with that dilemma right now. They have one of those plastic cards that allows them to go see their HMO, Kaiser, Kaiser coverage; but they have to pay a copayment. If they have surgery, they have to pay another copayment. If they have to go in to get treatment for their thyroid, they have to pay another $200 or $300 every month, and my parents are on a fixed income. They no longer work. They are over 70 years old. I know there are millions of seniors that are in that same predicament, and they probably even have harsher, harsher illnesses than my own parents. And I pray that they will be able to make it as they see their daughter here try to get a resolution to provide an adequate prescription drug benefit for them, that is low cost, that does not discriminate against them, whether they are in an HMO program or if they are seeing their own fee-for-service doctor. There should be no discriminate treatment for either, and that is what I am going to work hard for, and I know that our Hispanic Caucus will do the same.
I want to tell my colleagues that recently I have had a chance to visit with a lot of my seniors in my own district in Monterey Park and in my new cities that I represent in Covina and West Covina, which were previously represented by the gentleman from California (Mr. Dreier). I want to tell my colleagues that folks are telling me the same thing: we have to change. We have to change the rules of the game so that everyone receives a fair, level playing field when it comes to access to health care.
Right now, because unemployment rates are so high, people are losing their jobs, they are losing their health care coverage. Today I saw a woman who I spoke to who runs her own business out of her own house. She told me that one of the opportunities that she had was to try to provide her own coverage for health care. It would cost her a minimum of $500 a month. That was entirely too much for her. What does that mean for her? That means that she is going to have to forego that. If she gets ill, God forbid. If she has to go to the doctor, God forbid. If she gets really sick or hit by a car or she becomes tremendously ill, she will have to go to a public emergency or trauma center, which is going to cost the public dollars, the taxpayers a lot more money. If we were just to put more money in to help the uninsured, we could save a whole lot in the long run.
I am advocating for us to have that discussion here tonight, for us to talk about other options for providing assistance to the uninsured and the underinsured, because there are a whole lot of people out there who are working that make $15,000, $16,000 a year, they have four kids, they are beating themselves up because they want the best for their kids; but they cannot afford to even make a copayment to have adequate coverage. It is time that we start looking at providing assistance to the uninsured, because every tax dollar that they pay into when they see their check, their payroll check, it says a deduction, but where does that deduction go? Is it going into a health care trust fund for them? Is it going to be available for them when they need it? Is it going to be available for their children? Those are the questions that I ask here tonight.
I would like to ask my colleague, the gentleman from Texas (Mr. Rodriquez), the chairman of the Hispanic Caucus, to please share with me what insights he might be able to shed on this issue.
I thank the gentleman from Texas (Mr. Rodriguez). It is a pleasure to be here tonight with him and other Members that came forward to speak on this very important issue.
The gentleman touched on so many important areas that we do not even have time in our committees, and as a member of the Committee on Energy and Commerce, a new member, we did not even have sufficient time to debate this new proposal that the administration is putting forward.
We had about 3 weeks ago Secretary Tommy Thompson come forward and talk about the aspect of trying to block grant Medicaid, and I talked about that earlier. What it means, block granting, is that we are racheting down health care. Fewer people get fewer health care. Not more care, fewer. And with the rising increase of population with the uninsured, it means less dollars, not only for Hispanics but for blacks, for Asian Americans, even for Anglos that right now are uninsured.
We have to do something. We have to take action.
Rural America also has been neglected in this debate. We are not doing nearly enough to provide incentives for health care centers, public health care centers to be adequately funded, serving our at-risk populations out there and I mean in particular women and men over the age of 40 who are still toiling out there, whether they are working in the fields or working in rural America who have no benefit of health care access.
We need to put funding there. We have to come up with formulas that are expanding and broadening support of the Federal Government to reach out to these rural communities.
My colleague hit an important note that I want to touch on also, and that is, with respect to the shortage of health care professionals that exist, the opportunities for people to get into the medical profession and especially in the nursing profession. Many of our community colleges at this point in time do not find that they have adequate funding to offer the curriculum that costs a lot of money, but money that is invested and well-spent can provide a product that will mean so much for our society, and I am asking this administration to put more money into those areas, into those health career professions and create those career ladders and opportunities not only for Latinos who want to come back and serve in their community but for all underrepresented groups and particularly those people who live in rural America.
I also want to touch on the aspect of mental health because in that whole discussion we forget about women and individuals who are afflicted by domestic violence, people that have the right under welfare reform, TANF legislation that provides them the ability to get help. Many of these individuals are being asked now to get off of welfare as we know it and to find jobs, but their illnesses have not been addressed. Some have mental illness. Some have substance abuse. Many are victims, at least 50 percent of the caseload can report that they have been victims of domestic violence.
Why have we not done a better job of monitoring those individuals? They are going to go back into that cycle and there will be no remedy for them. We should put dollars up front for prevention in mental health care and that should be covered by any health insurance program, and that is not being adequately addressed.
I know that the former Senator Paul Wellstone had a proposal that is being reintroduced under his name to try to provide that incentive for fully covering mental health care illnesses so that when we detect them we can get to those individuals that need that help to remedy and provide them from creating more harm to themselves, and I know that our caucus will be working hard to promote that.
Lastly, I would just like to say that we have a long way to go in terms of health care. We talk about education as being a privilege and a right for everyone in America, but I do not think that we have talked enough about providing equal access to health care for Americans and people who reside in this country. Our country is so wealthy, we are one of the wealthiest countries in the world, and yet we forego providing assistance and immunization for children to combat TB, to fight HIV, infections that are now ongoing in communities like mine and like my colleague's.
I ask this administration why, why is it that we could send billions of dollars across this country to fight a war and not use that same money to fight the wars that are here on our own Earth, on our own country to combat AIDS, to combat diseases, chronic illnesses in here and making an investment in the very families that are sending their young men and women abroad to fight a war.
It is nonsense that we forego the kinds of opportunities that we have here at home to put that money where it will be well spent, that will reap profits and benefits for this country tenfold, in 10 years to come, instead of bankrupting our system right now.
Those are the questions that I have. Those are the questions that my constituents have been asking me, and I hope that this administration will step up to the plate and begin to outline their plan to provide a recovery for health care for all Americans but particularly in this case tonight for the uninsured and for the Latino community.
Mr. Speaker, I thank the gentleman for being here this evening and sharing his thoughts and words.
Again, I just want to underscore why we are celebrating here tonight, to talk about the real issue, and the real issue is that there is so many millions of Americans that are uninsured, 40 million, and we need to change that, and we need to do more here in the Congress and work together on both sides of the aisle to see that we come up with some remedies that can be taken care of this legislative session.
I want to thank the gentleman from Texas (Mr. Rodriguez). I want to thank also other speakers that came here tonight representing the Congressional Black Caucus, the gentlewoman from the Virgin Islands (Mrs. Christensen), and also the gentleman from Washington (Mr. McDermott). I am very privileged.