I thank the gentleman for yielding. I just want to echo your comments because you're right on target. Clearly, in the United States, we have a health care system that is broken. We're in crisis and it's unsustainable. It is clear, when you…
I thank the gentleman for yielding.
I just want to echo your comments because you're right on target.
Clearly, in the United States, we have a health care system that is broken. We're in crisis and it's unsustainable. It is clear, when you look at statistics from around the world, that we have the highest costs and yet the worst outcomes when it comes to health care. That's because, when you look at the number of uninsured and when you aggregate it, well over 47 million Americans are without health insurance. That is the reason we are on a path that we cannot sustain, and it's not serving anyone in terms of delivering good health care and good quality when we have a system that has so many who are uninsured and when we're spending our dollars so inefficiently. So I want to be here tonight to add my voice to this clarion call for health care reform.
I want to begin, of course, by thanking my colleague from Connecticut (Mr. Murphy) for organizing this Special Order to discuss health care reform. I thank Mr. Ryan for his contributions to this effort tonight, and I thank the other speakers who have spoken or who will speak later.
Let me say that I believe that we need to have a frank discussion, an honest discussion, with the American people about this issue. It's an issue that directly impacts everyone in this country--individuals, families, businesses--at every level of our government. Regardless of one's age, gender, race, religion or income level, everyone has a direct stake in our health care system, and it's important that Americans are properly informed of their choices as Congress moves forward with health care reform.
Now, I think every Member of Congress certainly is in agreement on one fact, which is that our current health care system, as I said before, is not sustainable. I'm really disturbed, I have to say, by allegations from my colleagues on the other side of the aisle that proposing real solutions which offer substantive changes to the status quo is somehow seeking to socialize medicine or is seeking to ration care. I think this is something that we should address, so I'd like to offer some insights into this, some clarifications on this point.
First of all, the thing that we must acknowledge--and Mr. Ryan was talking about it earlier, the unfortunate truth--is that we're already experiencing rationing under the current system. We experience it when insurance companies deny individuals coverage based on their health statuses or preexisting conditions. We see it in the millions of families whose premiums and co-pays are so high that they have to forgo basic care and life-sustaining treatments or have to choose between medications and groceries. We see it in businesses that can no longer offer insurance as a benefit to the employees, not because they don't want to but because they simply can't afford it. Each of these circumstances represents a form of market-based rationing, which is a basic failure of our current health care system, of our private health insurance markets, due to skyrocketing costs.
I want to be very clear to my colleagues and to the American people that reducing costs and expanding health coverage to all Americans doesn't mean reducing quality, access or choice. On the contrary, we can and we must use the money already in the system more efficiently to ensure access and to expand everyone's choices of insurance coverage-- of doctors and of more effective treatments.
The most recent draft of the House proposal, while far from a finished product and while far from perfect, does build on the strengths of our current system, the employer-based system, and then supplements that with a health insurance exchange. What does that mean?
Well, it means that Americans who are happy with their current health care coverage can keep it, but those who don't have coverage through their employers will be able to shop for their choices of private health plans just like Federal employees and Members of Congress do. They will also have the option, of course, of choosing a public plan alternative, which, I think, is vitally important. Those Americans who cannot afford to purchase insurance in the private market will receive assistance in paying for the coverage that they do choose.
Under this new system, private health insurance companies will now have to play by a new set of rules. The insurers are no longer going to be in the driver's seat. We are putting the American people in the driver's seat.
We're going to make sure there is a basic new set of rules and fairness in our health insurance system. Again, the health insurers will no longer be able to deny coverage based on a person's previous health condition, and they'll have to participate in a more transparent and competitive marketplace. This means reducing out-of-pocket costs or unexpected fees when patients become sick and need the care that they have paid for and have been promised. Greater transparency will translate into more manageable costs so that when we open our bills or statements, we know exactly what we're paying for. Most importantly, under this vision of health care, doctors and patients will make medical decisions, not insurance companies or the government. I cannot overstate this point enough. Medical decisions should always be left to the patient and his or her health care provider. That's what we're going to ensure under this system. This is the health care system that we can and we must strive for, one that offers stability for families, where coverage is not lost because someone changes or loses their job or becomes unexpectedly ill. These are, as we know, without a doubt challenging times. We face extraordinarily high unemployment in this country. In my home State of Rhode Island right now, the unemployment rate has reached 12.1 percent. This is on my mind every single day when I come to work, at night when I go to sleep, the first thing when I wake up in the morning is this on my mind, and how do we fix that and get our economy back on track. Well, fixing health care is going to be vitally important to do that because the current status quo is just unacceptable. Even more unacceptable is that every job lost places access to even the most basic health care coverage at even greater risk.
As I conclude here tonight, let me just say this: That in a Nation that has led the world in health care innovation, every citizen should have access to affordable high-quality care. I believe this to be true not only for moral reasons but because this is what will ensure that we remain the global leader in health care innovation in the 21st century. It also makes sure that our workers and our businesses will continue to be competitive in this global economy in which we now live.
I urge my constituents and Americans from across the Nation to engage in a real, honest, clear discussion on health care reform and to demand a universal health care proposal that puts the American people first. I am just proud to be able to join this Special Order tonight, talking about the need for health care reform. Again, I want to thank and commend the gentleman from Connecticut (Mr. Murphy) for organizing this event. I'm pleased to be here with you, with Mr. Ryan and with all of our colleagues who care passionately about health care reform. This is our time. This is the year when we are going to fix health care in America once and for all for the American people.