Mr. Speaker, I ask unanimous consent that all Members participating in this Special Order hour with the Progressive Caucus have 5 legislative days to revise and extend their remarks and include any extraneous material on the subject of…
Mr. Speaker, I ask unanimous consent that all Members participating in this Special Order hour with the Progressive Caucus have 5 legislative days to revise and extend their remarks and include any extraneous material on the subject of this Special Order, which is healthcare.
Mr. Speaker, I am delighted to be here tonight on behalf of the Progressive Caucus to manage this Special Order hour along with my colleagues, who I will be introducing. Several of them will be joining me tonight to discuss what is going on in the Senate today with the GOP finally unveiling their closely guarded secret plan to repeal the Affordable Care Act, a plan they are unveiling that has had the legislative benefit of no hearings, no witnesses, no expert testimony, no testimony by the public, and, again, no Congressional Budget Office score so far, which is the same way that the legislation passed out of the House side.
So does all of this sound familiar? It should, because this is the same clandestine, in-the-dark process that led to the plan which emerged here in the House of Representatives on the barest of margins with every manner of power play and power ploy engaged by leadership to produce the final result.
That bill, by the way, now stands at a whopping 9 percent in the polls, which means it is even more unpopular than Congress itself. And even though my friends across the aisle rented buses and vans to take them over to the White House to go and celebrate and exult in their dubious victory and uncork the champagne and drink beer with the President and his staff after they pushed the bill through the House, today, President Trump now calls the bill that he celebrated and he campaigned for mean. He says it is a mean bill today.
And there is no question he is right about that. We said that at the time, mean as a rattlesnake, that bill, which would have thrown 24 million people off their health insurance plans and destroyed preexisting health insurance coverage for people with preexisting health conditions.
The Senate version, though, is just as mean. It is downright mean. It may even be meaner than the House version. It not only strips health insurance coverage from tens of millions of our fellow American citizens; it not only forces American families to pay higher premiums and deductibles, increasing out-of-pocket costs, all to pay for a tax cut for the wealthiest of our citizens; it forces Americans, ages 50 to 64, to pay premiums five times higher than everyone else, no matter how healthy you are.
That is right. If you are in the age bracket of 50 to 64, your premiums, under their bill, will be five times higher than everybody else in the population, no matter how healthy you are. It reduces the life of the Medicare trust fund and robs funds that seniors depend on to get the long-term care that they need. It blocked grants, Medicaid to the States, and then, astonishingly, for the first time ever, places a per capita cap on Medicaid payments for all recipients, including disabled Americans and senior citizens.
That is just unconscionable. Think about it. For the first time ever, under Medicaid, the Federal Government would not commit to pay for all of enrollees' health bills. So if your illness or your injuries are too severe or too complicated, your treatment too long, tough luck for you, buddy; you are on your own, Jack. That is the new proposal that is coming out from the Senate today.
The people that railed about death panels before passage of the Affordable Care Act, panels that never materialized and were proven to be an absolute
fiction and fantasy, now seek to throw millions of people off of their health insurance, roll back the Medicaid expansion in the Affordable Care Act, which benefitted millions of our countrymen and -women, and then cut the heart out of the Medicaid guarantee by placing a per capita cap on payments to beneficiaries.
And this particular assault on the health and well-being of the American people doesn't even claim to be a response to any alleged problems with the Affordable Care Act, or with ObamaCare as they call it. It is, instead, a sweeping change to Medicaid that so-called free market conservatives have been trying to make for years.
This Senate legislation, cooked up in secret and seasoned with slashing cuts to Medicaid, is one fine mess. It does nothing but make our healthcare system more expensive, dangerously throws tens of millions of people off of their insurance, and eviscerates the core protections of Medicaid.
And why? What is the public policy being advanced here? All for a tax cut for the wealthiest Americans. It takes a special kind of single- minded focus to turn a healthcare bill into a massive tax cut for the people who need it the least in America.
Now, I heard some of my friends, my distinguished colleagues on the other side, say that other colleagues should not have been talking about how the bill was ``mean,'' or ``mean spirited,'' or ``mean'' because we have a renewed spirit of civility in this Chamber, which we do; and I praise it, and I celebrate it. Ever since the terrible attack on our colleague Steve Scalise and other colleagues and the Capitol Police officers who rose valiantly to defend them, we have really tried to put aside a lot of the partisan rancor. But my friends, we have got to talk honestly about legislation which is threatening the well-being of our own citizens.
The word ``mean'' comes not from my colleagues who were speaking before. The word ``mean'' comes from the President of the United States himself, who said that the legislation that passed out of the House, looking back on it, was ``mean.'' Now, all of that was in order to say he likes the Senate version instead, but we think that the Senate version is even meaner than the bill that the President has already described as ``mean'' that came of the House.
So to describe more of the specific terms of this legislation and why it is a threat to our public health, why it is a threat to the basic values of solidarity and justice and community that defines us as Americans, we have invited a number of our colleagues to come up and participate, beginning with the Congresswoman from Seattle, Washington, Pramila Jayapal, who used to co-chair the Progressive Caucus hour with me.
She has now been replaced by someone because she is moving on to an even bigger assignment right now, but please welcome a great Congresswoman, Pramila Jayapal, from Washington.
Mr. Speaker, I yield to the gentlewoman from Washington (Ms. Jayapal).
I thank the gentlewoman, Ms. Jayapal.
We have next with us Congressman Ro Khanna who is from California. He is an economist, and he is a lawyer. He has taught economics at Stanford, and he has taught law at Santa Clara. He was a Deputy Assistant Secretary of the Commerce Department under President Obama. He is a well-known author who has written a very good book about manufacturing and economic competitiveness in the United States.
Mr. Speaker, I yield to the gentleman from California (Mr. Khanna) who is going to be taking over for Congresswoman Jayapal as my co- convenor of this Special Order hour from here on in.
Mr. Speaker, I thank Congressman Khanna for his very wise and insightful words.
Mr. Speaker, I yield to the distinguished gentlewoman from Illinois (Ms. Schakowsky).
Mr. Speaker, I want to pause from our analysis of the specific terms of the bill that was unveiled today to ask the question: What is the value that is really at stake in healthcare policy in the United States?
When we were debating on the House side, I heard a colleague get up on the floor and say something to the effect of: Under ObamaCare, under the Affordable Care Act, healthy people are having to pay insurance to take care of sick people.
It took a second for that to register with me. Then I turned to the person I was sitting next to and said: Yes, that is what insurance is. The whole point of insurance is that all of us pay money in, knowing that people get sick in the course of life.
We hope that we are not going to be one of them. We hope we won't get injured. We hope we won't get sick or ill or come down with a terrible disease, God forbid, but we know it can happen, so we all pay in. When it does happen to some people, that is what insurance is for. So the value there is one of solidarity among everybody together.
In the richest country on Earth, at its richest moment in our history, there is another value at stake here, which is the value of justice.
Forgive me, but I want to speak personally for a moment here, because I have what we call a preexisting condition. So this issue of preexisting condition coverage is important to me and my family. I understand it is important for tens of millions of families across the country.
If you are having a great day, and you have got not one, but two jobs you love--I have been a professor of constitutional law at American University for 27 years now, and I was serving in the Maryland Senate. But if you wake up and it is a beautiful day and you have got two jobs you love, a family you love, great kids, and constituents you are committed to, and a doctor tells you that you have got stage III colon cancer, that is what I immediately took to be a misfortune.
It is a terrible misfortune, but we have to remember that it happens to people across the country, all over the world, every single day, where people get a diagnosis of colon cancer, lung cancer, Alzheimer's disease, autism, bipolar disorder, depression, multiple sclerosis, cystic fibrosis, you name it. It is a misfortune because it can happen to anybody.
But if you are told that you have colon cancer, for example, and if you can't get health insurance because, for example, before marriage equality, if you loved the wrong person and you couldn't get health insurance through your spouse, or if you can't get health insurance because you lost your job and you are without health insurance, or if you are too poor to afford it, that is not just a misfortune. That is an injustice.
We can do something about that. Life is hard enough with all of the illness, sickness, accidents, and injuries that people receive without government compounding all of the misfortune with injustice. Life is hard enough without government doing the wrong thing. So the Affordable Care Act added more than 20 million Americans to the rolls of people who have health insurance.
The bill that came out of the Senate today wants to strip health insurance from tens of millions of Americans and jack up everybody's premiums and make healthcare more inaccessible for people. They want to compound the normal difficulties and misfortunes of life with the injustice of distributing healthcare in a radically unequal and unjust way.
We can't go back. It is too late for that. The great Tom Payne once said that it is impossible to make people un-think their thoughts or un-know their knowledge. We have come too far as a country to turn the clock back.
I know there are people on the Senate side, like Rand Paul, who I saw on TV speaking about this, who think we should get rid of all forms of public attempts to get people health insurance. Rand Paul takes a perfectly principled position. He says the government shouldn't be involved at all. I don't know how he feels about Medicare or Medicaid. He certainly hates the Affordable Care Act. He just wants to outright repeal it, which is what the GOP said they would do.
So he is going to vote against that bill because it keeps the remnants of the system that we voted in with the Affordable Care Act. I understand that. I understand his position. I disagree with it completely because I think, as Americans, we have got to have solidarity with each other and we have got to take care of each other through insurance because the misfortunes of life can happen to anybody. So we have got to stand together.
He says that is not part of the social contract. Okay. That is fine. I get it. But what I don't understand is people are saying: Well, we said we would just get rid of it, but we will get rid of some parts of it. We will throw millions of people off their health insurance. We will make insurance more expensive for everybody. We will cut the heart out of Medicaid.
Why? What is the public policy that is being advanced here?
It doesn't make any sense. Countries all over the world have arrived at the point of universal single-payer plans, like in France, the United Kingdom, Germany, and Canada. The countries that can afford it overwhelmingly have said: healthcare for everyone.
That is why I am a proud cosponsor of a bill, which is proudly cosponsored by a majority of the people in the Democratic Caucus. It is Congressman Conyers' Medicare for All bill.
I think that is where we need to go. I am convinced we are going to get there sooner rather than later. Winston Churchill once said: You can always count on the Americans to do the right thing, once they have tried everything else first.
We have tried some other stuff in between, but we are on the way to taking public responsibility for the healthcare of our people. My healthcare is connected to your healthcare because my health is connected to your health. We want the families whose kids go to school with our kids to be in a relationship with a primary care doctor. We want them to get their shots. We don't want them coming to school sick.
Public health dictates that everybody be in the system. A lot of young men, for example, think that they are too tough to go see doctors. That becomes a danger for everybody else. We need everybody to be in a relationship with a doctor. We owe that not just to ourselves and our families, but we owe it to everybody.
Everybody in the system, everybody covered. That is where America needs to go. But understand that what is coming out of the Senate has nothing to do with that. The Senate plan is all about rolling back the progress that we made under the Affordable Care Act, like the ban on throwing people off of healthcare because they have a preexisting condition or denying people insurance in the first place because they have a preexisting condition.
The fact that someone has got a preexisting health condition is the reason that they need health insurance. It is not a reason to deny them health insurance. What they are doing is perfectly backwards.
The Affordable Care Act also said that young people could stay on their family's plan until age 26. Thank God we have had that provision. Even the GOP doesn't want to mess with that, at this point. We got millions of people into relationships with doctors. We could show you dozens of emails and letters and calls that we are getting from people who say: The Affordable Care Act saved my life. I would have had no access to healthcare without it.
The whole idea of turning the clock back and moving in the opposite direction is completely antithetical to the direction of American history. We are moving forward. We want universal coverage for everybody.
By the way, we spend more on healthcare than most of those countries that have single-payer healthcare. I think we may spend more than anybody else on Earth on healthcare, but
we don't get the best results because we leave so many people out and we are spending lots of money on insurance. The last I looked, it was around 30 or 31 cents on the dollar we are spending on the insurance companies, on bureaucracy and red tape, instead of getting people healthcare.
That is the direction we need to be moving in, not dismantling and savaging the healthcare protections that we have in place right now.
I want to close with some thoughts just about the process that is going on. Back when the Affordable Care Act was being debated, my dear friends across the aisle complained about how fast things were going and how they thought the legislation was being rushed.
I don't want to embarrass anybody by calling out specific statements made, but we have got voluminous statements made by people on the other side of the aisle saying: This is too fast. You're trying to sneak it through. You're trying to ram it down the throats of the American people. All of this is happening too fast.
Well, Mr. Speaker, the debate over the Affordable Care Act spanned more than 12 months. It took more than a year. The Senate bill was unveiled today with no hearings, no witnesses, no professional testimony, no opportunity for the public to testify for nurses or doctors or patient advocates or any of the groups that are interested; none of them.
In the Affordable Care Act, there were 79 hearings that I was able to find in Congress. That is 79 hearings. Not zero hearings, which is what they are proposing to do now. There were 79 hearings. There were 181 witnesses, both expert witnesses and ordinary citizens, who came to testify before Congress, in public. So far, there has been zero testimony on what the ramifications and consequences are of the bill that was unveiled in the Senate today.
We had multiple Congressional Budget Office scores that analyzed the costs and the impact of different proposals that were part of the ACA. By contrast, the House was forced to vote on the GOP healthcare repeal plan in this body with no CBO score at all, no estimate on how much the bill would cost the taxpayers, no estimate on how many Americans precisely would lose their health insurance. We have learned later the CBO estimate of $23 million, but that was after we voted on it.
So the people who were saying that the debate moved too fast back then--a year of debate, with dozens of hearings and witnesses, and so on--now seem perfectly content with a process where a bill comes out on Thursday, and then they are going to vote on it next Thursday with no hearings, very little public debate, no opportunity for people to come and testify, and no real opportunity for the public to process what is going on.
What is the urgency?
If it is such a great bill, then we should be out trumpeting it and advertising it. And everybody should have at least one townhall meeting back in their congressional districts to explain how they feel about it so that everybody's constituents can ask us about the bill.
Is it going to improve America's healthcare? Is it going to improve the health and well-being of the people, or reduce the health and well- being of the American people? Is it going to drive our premiums, copays, and deductibles even more?
Those are questions we should have to face with our constituents.
Regardless of what your political party or ideology is, everybody should tell their Member of Congress: At the very least, let's have some public discussion about it. Let's have the opportunity for townhall meetings across the country before we completely rewrite the healthcare plan for the American people.
I urge my colleagues to slow down, take a step back, and work across the aisle for the best possible results. There are things we can do together to help.
For example, I heard the President of the United States come to our body and make a speech in which he said that prescription drug prices were out of control and we needed to give government the authority to negotiate lower drug prices. I agree 100 percent with the President of the United States about that.
There has been no action on that by my friends across the aisle in the House or in the Senate, and I beseech the President of the United States, before you advance 1 centimeter further on this extremely controversial bill, which I understand four Republican Senators have already announced their opposition to today, before you go any further on this, let's get to something we can agree on for once. Let's find the common ground. And the common ground has got to be prescription drug prices are out of control for Americans.
Let us give the government the authority to negotiate for lower drug prices in Medicare the way that we have got it for VA benefits or for Medicaid prescription drugs. We have got that authority, but there was a special interest provision slipped into Medicare part D, and the government doesn't have that authority. That is authority we should have.
Mr. President, we agree with you about that. Why don't you put a pause on trying to demolish the ACA and Medicaid, and let's see if we can get some prescription drug legislation that will bring prices down for all Americans. We are ready to work with you on that.
There are reports that there is some effort to come up with a phony plan on prescription drug prices that wouldn't actually give the government the authority to negotiate lower prices. I hope that is not true, but let's have a real plan to bring people's prescription drug prices down.
There are things we can do together across the aisle. In fact, the President of the United States said repeatedly during the campaign that his plan would be a magnificent plan that would cover everybody. He said everybody would be part of it. And a lot of people, including me, took him to be invoking the single-payer universal health plans that work all over the world, that work in Canada and that work throughout Europe and so on.
Mr. Speaker, let me ask, would it be possible for us to get together with the President in order to come up with a single-payer plan, the kind that he invoked over the course of the campaign? Let's seize upon the new spirit of civility and community in this body and in Congress to come up with plans that bring us together, that don't drive us apart.
The plan that passed out of the House of Representatives is standing at 9 percent in the public opinion polls. I can't imagine that the Senate plan is going to be any more popular. If this was a mean plan, as the President said, the Senate plan looks meaner, or at least as mean as the House plan is.
But even if you doubled it and said 18 percent of the people would support it, that is still a tiny fraction of the American people. The overwhelming majority of Americans are not sold on this idea of turning the clock back and throwing millions of people off their health insurance plans.
Let us work together, and we can do it. In the societies that have universal health coverage, it is accepted now by people across the political spectrum. If you go to France or the United Kingdom or Canada, the conservatives are not agitating to throw people off of healthcare. The conservatives support a universal payer plan. And there are lots of conservative arguments for it.
For example, let's liberate our businesses, especially our small businesses, from the burden of having to figure out people's healthcare. Let's take that completely off of the business sector, and let's make that a public responsibility the way they have done in so many countries around the world. Wouldn't that be good for business? And doesn't it enhance feelings of community, solidarity, and patriotism for everybody to be covered by the healthcare system of the country that they live in?
We can do this as Americans. We are the wealthiest country that has ever existed. This is the wealthiest moment in our history. Let's come up with a real plan for health coverage that eliminates as much insurance bureaucracy and waste as possible and gets people the healthcare coverage that they need.
Mr. Speaker, I want to thank you for the opportunity to have this Special
Order hour on behalf of the Progressive Caucus, which has advanced the Medicare for All plan, and I encourage everybody to check it out.
But in any event, we are not retreating 1 inch from defending the Affordable Care Act and the progress that has been made under it, and I hope that we will have maximum transparency and scrutiny of what came out of the Senate today, because we think that the only possible outcome is that bill will go down; then we can come together, find the commonsense solutions, find the common ground, and make progress for the American people.
Mr. Speaker, thank you very much. I yield back the balance of my time.