Minimum Wage Fairness Act--Motion To Proceed
I ask unanimous consent to address the Senate as in morning business for less than 15 minutes. Mr. President, first I wish to address legislation that passed the Senate earlier this evening. The sustainable growth rate is such an important…
I ask unanimous consent to address the Senate as in morning business for less than 15 minutes.
Mr. President, first I wish to address legislation that passed the Senate earlier this evening. The sustainable growth rate is such an important issue to the people from the
State of Kansas. I come from a State in which senior citizens are a very prevalent portion of our population, and access to health care is so dependent upon whether Medicare reimburses a physician, a hospital, a home health care agency or a nursing home in an adequate amount. I fear that in the absence of that adequate Medicare reimbursement we will see a lot fewer doctors, and hospital doors will close.
I have been an advocate of and in fact I never voted to create the sustainable growth rate, and I suppose I should explain what that is. In the broadest of terms it means there is a formula that ultimately reduces the reimbursement a physician receives under Medicare. It has become a very dramatic issue. This year I believe it is around a 24 percent reduction that will occur April 1, tomorrow, if the sustainable growth rate formula is not altered.
The reality is that Congress has altered that formula to avoid those reductions, because we know when a health care provider is not compensated in a way that covers the cost of providing the service, most likely we are going to have fewer health care providers. Hospitals will not be there, physicians will no longer be in practice, and, particularly in areas of our country that are rural where, again, a significant portion of the population is senior citizens whose medical bills are paid, in part, through Medicare.
My discouragement, my dissatisfaction, is once again the Senate has demonstrated its dysfunction by passing a very short-term fix to this long-term problem. If history is any indication, we will be back 1 year from now in the same predicament. We have made alterations 16 times previously. This is the 17th time in which we have done a short-term fix to a long-term problem. To me, it is one more symptom of our inability as a Senate to function in a way that benefits the American people: in this case, patients who are served by physicians who will be harmed.
In instances across Kansas, our hospitals are now employers of physicians, and so they have entered into a contract with a physician. When the reimbursement rate for the physician is reduced, it means less revenue to the hospital and a tighter squeeze to the many hospitals that barely hang on by a thread.
I express my appreciation to Senator Wyden, the chairman of the Finance Committee, for his efforts to find a long-term solution, a permanent repeal of the SGR and again express my willingness to him and to others to work with Democrats in the Senate, to work with Republicans in the Senate, to find the necessary numbers of us who will come together to support legislation that would permanently end the SGR, and that we would not be then asked a few months from now to come back once again to solve the problem.
We know the problem is there. We know we will have to find a solution. The consequences of failing are so great, but we were unwilling to take the necessary steps today to pass a permanent repeal and an elimination of the SGR formula.
Again, to Senator Wyden, he and I have had conversations since last Thursday about my willingness to have conversations with Republican Members of the Senate to find the necessary votes to pass legislation for a permanent repeal. I expressed that offer again to Senator Wyden, that we are still interested in doing that, and that the country, its health care providers and their patients, deserve better than what we were able to do today.
Remembering the Mull Family
I turn to a story about a very special Kansas family. Unfortunately, it is a sad story.
I often describe to my friends and colleagues in Washington, DC, how special Kansas is and in a special way how we live our lives there.
Families are important. The values of family run deep in our communities. We have neighbors who care for each other and we all know each other one on one, name by name, family by family. We know where they go to church, we know what schools their kids are in, and we know how their families are doing. When tragedy strikes, the entire community is shaken.
I pay tribute today to a family from north central Kansas, the Mulls. Glenn Mull and his wife Elaine, their daughter Amy Harter and their granddaughter Samantha Harter were traveling to the National Cattlemen's Beef Association trade show in Nashville on February 3 when the plane they were in crashed during its second landing attempt. The jet went down about 10 miles from the airport in Bellevue, TN.
I saw on the Internet a Bellevue resident, who I don't know. She wrote this tribute to Glenn Mull, the pilot.
She said:
Glenn had reached the most bustling section of our
community at the busiest time of the day. . . . He would have
seen hundreds of homes with cars in the driveway. A Kroger
packed with shoppers. An assisted living community. And an
enormous YMCA, where hundreds of families were streaming in
and out to swim in the indoor pool, exercise and take
classes. Glenn didn't know this, but school was cancelled for
our kids . . . so a larger number than usual were at the Y
with their parents. Some experts are saying now that the
last-second sharp turn Glenn made in the seconds before the
plane crashed indicates that he made a heroic decision to hit
the one spot in the immediate vicinity where no one on the
ground would be hurt. . . . Glenn managed to spare all of
their lives.
The Bellevue resident went on to describe her own community as one which is ``filled with people who shared Glenn's obvious affinity for family.'' She said that Bellevue residents:
. . . are all talking about Glenn Mull, the hero, who we
believe had the extraordinary courage and presence of mind to
save our families, even as he realized he couldn't save his
own.
Glenn was born in Great Bend and raised on his family farm near there, where his parents instilled in him a strong work ethic and a sense of integrity. He went on to graduate from Kansas State University with a business degree, and K-State is where he met his wife Elaine. They moved back to north central Kansas to grow the three-generation family farm and eventually to raise their three children. He promoted his life's work through representation of Kansas farmers and ranchers in organizations such as the Kansas Livestock Association and the National Cattlemen's Beef Association.
Glenn and Elaine were well respected not only in the cattle industry but also in their community for their generous commitment to improving the lives of their neighbors. As a founding board member of Pawnee Valley Community Hospital Foundation, one of Glenn's top priorities was improving health care in Larned, KS. Their hospital was faced with potential closure in 2009 until efforts were made by the city of Larned and community members such as Glenn to solve the problem and to keep the hospital doors open. For rural communities such as Larned, access to the types of health care facilities offered by Pawnee Valley Community Hospital is essential to their community's future.
Elaine, his wife, had a tireless heart for service and volunteered in a number of organizations, including the Fort Larned Historical Society, the Larned Hospital Auxiliary, the Santa Fe Trail Center, Larned Music Club, 4-H, Girl Scouts, and was a K-State trustee, just to name a few of her activities.
She played the piano and taught Bible study classes at Grace Community Church in Great Bend where the pastor said that he loved to talk with Glenn about the weather, which is a very common Kansas conversation, and that he always used the farmer's expertise to analyze the day.
The pastor said:
He knew exactly how much moisture we had and what we
needed, whether this was good for the wheat versus the milo
and how it might affect the feed yards.
The pastor continued:
There has been talk that Glenn behaved in a very heroic
way. I have no idea whether that is true, but I will tell you
that he is the kind of guy who would absolutely have done the
right thing.
Glenn and Elaine's legacies of selflessness, philanthropy, and leadership undoubtedly live on. I have met many people in my life, and I don't know that I have ever met a couple with more optimism, with more care and concern for other people, with a sense that things will be better tomorrow, and that the idea that hard work and living your life with integrity and as a companion to your Creator, would mean that good things would happen for you and your family.
Amy Harter, their daughter, and her family lived in a house on the Mulls' land and worked in the family business, while she and her husband Doug raised their children, Chase and Samantha.
Sixteen-year-old Samantha, the granddaughter, was killed in that plane crash. She was described by one of her classmates at Larned High School, which has a student body of about 300, as a silly girl but a serious enough one to be a member of the honor choir. She would have the most energy in the honor choir practice at 7 in the morning. She would either be there--tired--with caramel rolls her mom had made or laughing and having fun.
Kansans know what it means to persevere, and certainly the Mull family has persevered through many difficulties. No farmer or rancher escapes that in our State. We embrace our State's motto--``Ad astra per aspera''--``To the stars through difficulties.'' During difficult times we often see the very best in people--as in Glenn's decision to save lives in Tennessee when he couldn't save himself or his family.
Amidst the loss of Glenn and Elaine, their daughter and granddaughter, and the suffering of this Kansas community, what stands out is the outpouring in Larned and Great Bend in central Kansas of care and compassion shown by their friends and neighbors but also by the residents of Belleview, NE, who were united in their care and concern for this family they never knew.
Glenn, Elaine, their daughter Amy, and granddaughter Samantha will be greatly missed, and all we can do now is model our lives after the lives they led and ask that God comfort them, their families and be a source of support for all who knew them as we go through this continued time of grief.
Mr. President, I yield the floor.
I thank my colleague.
Excellence in Mental Health Act