Mr. Ellison, it is a pleasure to be here today. In the caucus the other day we were talking about health care, and one thing that is very clear in this country is that the medical-industrial complex doesn't want to change. They want things…
Mr. Ellison, it is a pleasure to be here today. In the caucus the other day we were talking about health care, and one thing that is very clear in this country is that the medical-industrial complex doesn't want to change. They want things as they are. They would be glad to take additional money to cover people, but they want to go through the private sector. Let's just keep grinding out the profits, never mind what happens to the patients.
This effort that is being made in the House, and I hope to have a bill out here in 10 days or so, is an effort to make sure that what you just suggested happens. That is, that everybody in this country has health care that is adequate, that takes care of the needs they have, no matter how much money they have, no matter what they look like, no matter where they live. They should have the same kind of health care in this country no matter what their circumstances are.
I told the story, I said one of the things that people tell me: Everybody in this country gets health care. What are you talking about?
What I said to my colleague when he said that to me, you know, the difference between Members of Congress and ordinary folks in this society is, we live a somewhat different life. If you call up and say, This is Dr. McDermott or Congressman McDermott, I have a pain in my stomach, they will tell me to come into the office tomorrow morning. Everybody else goes through this little drill. When you call the doctor's office and say, I have a pain in my stomach, the first question is, What kind of insurance do you have?
Now if you have private insurance, you will be in the office tomorrow morning. If you have Medicare, well some doctors don't take Medicare, so it may be a week before you get taken care of. God forbid if you have Medicaid, you will never get taken care of. Or it will be a month or a month and a half. And if you don't have health insurance, they have an offer for you: If you will come in and pay $25 or $30 upfront, we will have an appointment for you in 2 weeks.
People say that isn't true. Well, let me tell you, there are very well-documented studies, and they put people on two phones sitting right next to each other, they would call the same doctor's office, give the same story about a pain in their stomach, and find out what the relationship there was between what kind of insurance they had and when they got seen.
Now, it shouldn't be that way in this country. If you are sick and you have pain in your stomach, you ought to be able to get in and see a doctor.
What clearly happens in that case, for those people who have to wait 2 weeks or a month or whatever, they go along with that pain in their stomach waiting for their appointment, waiting for their appointment. When they can't stand it any longer, they go to the emergency room. That is why emergency rooms are flooded with things that ought to be seen in a doctor's office, but people can't find a way, they can't find a doctor that will accept them.
Well, I told this story, and one of my colleagues came up to me and said, You
know what, you are absolutely right. He said, I just had my knee replaced. He said, I got talking to the doctor about it, and the doctor and I were talking about how he would get paid. The doctor said, Oh, you're perfect. You've got private insurance. We all have Blue Cross- Blue Shield here in the Congress. He said that is good insurance and that pays for it and that is good.
My friend said what if I had Medicare?
The doctor said, I would have said, Why don't you wait for a couple of months?
And my friend asked, If I had Medicaid? The doctor said, I would never see you. I don't accept Medicaid patients for knee replacements.
So there is rationing in this society today, and it depends on what kind of plastic you have in your pocket. Now to simply pass out more plastic cards in the insurance industry today will not work, and that's why we have to have a good public option. We have to have an option that functions the same as it does if you have a private insurance card.
If you meet a Canadian some time, ask a Canadian to show you their provincial health care card. In Ontario, they are orange. In New Brunswick, they are blue-green. In Quebec, they are kind of a greenish color. They have a card no matter where they go in the province. In Canada, they hand in that card and they get taken care of. That's what ought to happen in this country, and the public option is the only way we are going to get people who don't have health insurance today the opportunity to access the health care system and actually have an opportunity to see a doctor.
Now it is clear that the President has said not only does he want to have access, but he wants to have a plan that controls cost. The fight now in here is the fight between--giving people access is going to cost more money in some ways, although there is lots of money to be saved in the present system, but the providers and the drug companies and the insurance companies and all the other people who are involved in the medical industrial complex don't want to have anybody put any control on their costs. That's what the fight is that is going on right now as this bill comes to the floor.
John Conyers has worked as long as I have trying to get what we know would be the best system, which is the single-payer system. Now the President said we are not going to go that route, we are going to go a little different route. We are helping him to get there. It is not the perfect system, but it will get people the access and the cost control that is necessary.
I listened to my colleague from Minnesota just a moment ago telling us this story about this clinic and what is in the bill. I believe that bill has been out on the floor and up on the Web site. Anybody who can read could have read it in the last 30 days, in the last 60 days, and there are no such clinics in that bill.
Absolutely not.
No; that is scare tactics. You know better than that, Keith. Why are you asking those questions?
You know, there is sort of a political axiom that if you can make people afraid, you can get them to do exactly what you want them to do. In this case, they want people to say no, we don't want the government to take over our health care.
Now the government pays for military health care. The government pays for veterans' health care. The government pays for seniors' health care in this country and poor people's health care in this country. And they want government to go away? Come on.
Sixty cents out of every health care dollar in this country is coming from the government through all of those programs. And the people are saying that they don't want the government. I have had older folks come to me and say, I don't want the government to get into my Medicare. Folks, Medicare is a government program. They simply are scaring people to the point where they are not thinking clearly about what is going on in this country.
Well, you know, John, you are talking about the fundamental thing the President is trying to do, and that is to give people security, health security, that they know that if they get sick or they have an accident, they'll be taken care of. The fundamental weakness of our system forever has been that your health insurance has been tied to who you were employed by. When the economy's rolling along, and when the economy's going up, that's not too bad. It works pretty well. In fact, the difference between right now and what was going on in 1993-1994, as you remember when Mrs. Clinton tried to do this--everybody says, What's the difference between then and now? Then things were going up, and everybody thought, Well, this plan they're putting together is for somebody else. It's for them. They didn't know who ``them'' was, but it was somebody they didn't know.
When you have a system that's tied to employment--people always thought that this health care business was about them. The difference today is, as you point out, middle class people who yesterday felt they were just about as secure as they could be--they had a job, they had health care, their kids were in college, blah, blah, blah--and bingo, they lose their job. We had a bank go down in Seattle, Washington Mutual Bank. There were 4,300 people that were affected. That's 4,300 families who found themselves instantly without a paycheck, without health care, and in many cases, all of their pension money was in an IRA of the company's stock. So they suddenly had no pension. They had no security whatsoever. No house, no health care, no food, no anything.
It's impossible for that not to be stressful to people, and people then have stress-related diseases. There are plenty of stress-related diseases. We know them. Post-traumatic stress disorder is a stress disease. And any kind of emotional thing like that is going to take a toll on you physically. A lot of people are suffering today from emotional illnesses, secondary to the instability of their economic situation.
You're tough out of luck. If you go into the individual market, you'll pay even more. So if you're in a big group, you know, working for Ford Motor Company or for Delco Battery or something, that way you get the risk spread over everybody. But if they're just looking at you or me or the next guy, they're going to charge you a much higher premium for anything that you have, any kind of preexisting condition.
So it's worse when you leave one of those groups. People stay in, and they scramble to try to make it. But every company in the country has been shifting more and more cost onto the individual. They used to pay in some companies 100 percent. Now they pay 60 percent, and 40 percent has to be paid by the employee. Their deductibles are going up, and the copays are going up. That's why the President has said we have to find a way to control costs. We can't let this go on.
Well, I think that is what is really troublesome about this debate, is that people on the other side who argue that there doesn't need to be change--you say to them, Well, what are you offering? They say, Well, let's give tax credits to people so they can buy their own health insurance.
Now, let's just think about that for a minute. The average income in this country is about $45,000. So you're making a little less than $4,000 a month. You can easily spend $1,000 a month on a premium. So each month you've got to take $1,000 of your $4,000 out and go down and buy your health insurance. Now, the Republican solution to that is, Give them a tax credit. Let them wait a whole year to the end of the year, and then you give them back their money at the end of the year.
Most people don't have that kind of ability to wait for 12 months to get their money back. Rich people can. I mean, they can wait for a tax credit someplace down the road. But ordinary people who are living from paycheck to paycheck to paycheck do not have the ability to spend a thousand dollars a month on a health care premium and wait 12 months to get credit for it on their income tax.
So their proposals sound like they have something in mind. Yes, they have something in mind, but it simply won't work.