Would the distinguished gentleman yield to me? Thank you, Mr. Ellison, and to our colleague and friend, Steve King, who is also on the floor enjoying the proceedings. I came down merely to let you know how much I admire and respect your…
Would the distinguished gentleman yield to me?
Thank you, Mr. Ellison, and to our colleague and friend, Steve King, who is also on the floor enjoying the proceedings.
I came down merely to let you know how much I admire and respect your determination to make sure that every American can listen and learn about the importance of health care, the issues as you see them developing, and what it means for all of us to come up with the best possible result that we can.
The 44th President of the United States brought his case to the public last night, a brilliant explanation, very persuasive, very intellectual, and then he answered more than a dozen questions from the press. It was very instructive. I was moved by that last night, and I'm moved by the gentleman from Minnesota (Mr. Ellison) this night as well, because what you're doing is so very, very important.
I get calls in my office, and I have the unique tendency to answer my own phone. And people are very surprised when I answer the phone and they're telling me what to tell the Congressman, and I explain to them who I am, and they're pleased and flattered by that. But a lot of those calls are about health care. Some of them are very moving, like some of the stories that you've related here tonight. Other people are not happy about health care, and some hope that we don't come up with a bill, a few. But most people realize that this struggle has been going on for 30, 40, 50 years.
Harry Truman began talking about universal health care, and then Lyndon Johnson was able to come through with Medicare. And in respect to Harry Truman's determination, although unsuccessful, he went to the Harry Truman Library in Missouri to sign the Medicare bill.
There's a rich history, a legacy about how we've gone through these different changes. And now the President, after only a few months, calls us together in the White House at a White House summit to declare his determination to do more about this system--we call it a system. It's a broken-down, nonworking system--about health care. And so it's so interesting to study what all of our Presidents, what our leaders have done and why it's so important when we think of the millions and millions of people that don't have health care.
I'm going to say something here tonight that, to me, I want to put in perspective the issues. The plan, as I understand it, that's being proposed does not relieve everybody of the threat of not having health care. It is not a universal system.
Let's put these things on the table. I am for a universal system of health care. I've worked with doctors, medical scholars, nurses for years now, and they say that that's the only way we're going to reduce costs. And for anybody that's talking about--it's bad enough that we don't have single-payer health care involved in this, except for the tremendous efforts of the gentleman from Ohio, Dennis Kucinich, who's got it in one of the committee's bills that would allow States to develop health care if they chose an option.
But we don't even know what the public option is finally going to be. There are those that don't even want to give the opportunity of Americans to choose between their health care plans, and the controls of the insurance industry have been legendary. It's been written, spoken about, people's own experience.
And then if I hear anybody talk about the government controlling medicine, it's the health insurance companies that are controlling medicine, not the doctor.
So I just want to listen, take in the wisdom that you have brought to this body and enjoy this discussion. I hope any other of our colleagues that want to join in this can participate as well if they choose, and I'm just so proud you're doing it tonight and that I can just add my comments to this decision of yours to once again take out a Special Order to discuss this subject.
Well, improving our health care system is the most single fundamental domestic issue that we can deal with. The second most important is creating a full employment society. And both go together, because if you've got your health and don't have any employment, I don't know if you're in worse shape than a person who has employment and doesn't have any availability for health care. They're both fundamental rights that are inherent in a constitutional system of democracy, and we've been working on this so for long.
I remember when the First Lady then, Hillary Rodham Clinton, called us into the White House and asked us to hold back on our push for universal single-payer health care when her husband became President, because she, with Ira Magaziner, was going to work on health care reform. We did. We met. I remember and said, look, we should honor her request. There had never been a First Lady in the White House designated by the President to work on an issue this momentous, and so we pulled back. It did not succeed. It wasn't her fault. She had no way of estimating how powerful the corporate medical sources in health care were and that were determined not to make this universal or to make any changes at all.
And so this, to me, is one of the highest issues that all of us in the Congress can repair to, and I'm so proud that we now have a total of 85 Members of the House now on H.R. 676. I'm proud that we have it in the health care reform as an option for States so that we can overcome some of the restrictions that will be relieved through the Kucinich amendment to allow States that want to begin this global experiment.
That's how it started in Canada. It was a province in Canada that first passed it, and then another, and yet another. And of course, Canadians are overwhelmingly, extremely proud of the system that they have. No, it's not perfect, but very few things in this life are. They're working on it, and we're not copying it. We're looking at health care systems from around the world, everywhere, all countries that have them and the problems in countries that don't have them, and so this is an exciting global setting.
I was even in China not too long ago examining their system, which sometimes they're very efficient, and in other places, they don't exist at all. But we're putting the study together so that the plan that we create is an American plan, created by us, benefiting from all the improvements and problems of other countries that have universal health care systems.
And so even though my primary concerns are the Judiciary Committee issues, some of which tie into health care, the bankruptcies caused by health care are in our committee, and now we're having hearings on medical bankruptcies next week in the Judiciary Committee, and I know my colleagues on both sides of the aisle will no doubt attend these hearings.
And so there's a relationship. There's a relationship in creating a full employment program. I will be talking to some of the Caucus members tomorrow morning about unemployment and the importance that we sever the link between unemployment and health care, because what has happened in Detroit is that, as the plants are closed and people laid off and no longer have employment, guess what? They no longer have health care either.
So the relationship of employment-based health care to unemployment is profound, and a person without employment needs health care guaranteed and assured, needs health care, whether he's working or not. He needs it even perhaps more than when he is working.
And so as the unemployment continues unfortunately to rise, more and more people who once enjoyed health
care from the employer-based system don't have it anymore.
I think a distinct relationship, and there are many people that have told me--and I'd like to compare it with your experience and our colleagues'. There are those who have said, first of all, they're disappointed that a single-payer system, which is the most popular in the country and has the most numerous supporters in the Congress of any other plan, did not get more consideration. But they said, well, at least we ought to have a strong public option at a minimum, and so, yes, there is a relationship between those who still seek a single-payer system who demand that there be a public option.
Unfortunately, there are some of our colleagues who are still not persuaded that we need a public option even.
There are reservations in the other body. And so it still remains to be seen what is really going to happen in that regard.
Well, it's clear that many in the insurance field-- remember, there are over 1,200 or 1,300 different insurance policies for health care, dozens and dozens of companies writing their own policies and plans, creating huge administrative overhead for doctors who are practicing, who frequently have to hire more and more administrative people just to sort through all of the policies of patients that come to visit them.
So they don't want competition. They don't want a free market. They want a market in which the ones that have the business and have been in it for a long time don't have to share it with anybody. And they certainly don't want to have to face the competition of an effective public option, which almost surely would be less expensive and perhaps more efficient than most of the private insurance systems. Why? Because they won't have the advertising costs, the overhead costs, the administrative costs--all of these things that burden and raise the cost of private insurance.
The same way with Medicare. Medicare costs have an overhead of 3 percent. In the private sector, the insurance policies run 10, 15, 17 percent or more in cost. All the advertising we see, at least in my area, these huge billboards, Come to this hospital because we're better at this particular health service. Another hospital, Come to this hospital; we're specialists in this particular service. And so on.
MRI equipment, the overuse of equipment. And doctors tell me if they're in a hospital and another hospital nearby gets new MRI equipment, they have to go get it to compete with theirs, and they don't really need it, but they want to have state-of-the-art, the latest thing.
And so this fee-for-services notion keeps raising the cost of health care. Many of the people that complain about these costs don't realize that the public option will almost surely lower the cost of health care.
The answer is yes. No question about it. This is what the goal of health care reform is about, to lower the costs, which, by the way, each year the costs keep increasing and we have to find ways to deal with it.
There are other reasons that costs go up. We have got to tackle this on a realistic basis. This isn't about emotions or whether a capitalist system is being challenged or not. We have plenty of examples in which--your highway systems aren't run by different companies, your water systems, your electricity.
Health care is a matter of having it available to every citizen, regardless of their ability to pay. Of course, many of the people that end up in bankruptcy, they had health insurance. They didn't know that what they needed it for wasn't covered by the health insurance that they have.
And so, for me, it's been such an interesting field of endeavor to meet and talk with these really wonderful doctors in different parts of the country, at the medical schools, and to have made their acquaintance and then to learn of all the innumerable citizens who are so grateful to us for dealing with their problems.
By the way, this isn't some kind of circumstance that applies in rural areas as opposed to urban areas or in conservative areas as compared to liberal areas. These people are in the same fix all across the country in every one of the congressional districts.
I yield.
Not on your life. We're all experiencing much the same thing. I had hearings around the country on this subject. And I remember going to the Upper Peninsula of Michigan. Our good colleague, the gentleman from Michigan, Bart Stupak, had invited me up there for hearings.
I thought the urban areas were in trouble. I got a lesson. The rural areas were in even more difficulty in some respects.
Let me explain what I mean. They were of the opinion that they couldn't get doctors or nurses to come up there to serve their population. I remember their telling me about one doctor whose wife had said, At the end of this year, I'm leaving. I'm going back. I just don't fit in here. I'm not comfortable.
And there are people that would love to be in the Upper Peninsula of Michigan. It's beautiful. I have people rhapsodic about the beauty of the outdoors. But this wasn't for her. This was the only doctor. They were begging the doctor not to leave, and his wife. They knew if she left, he would leave, too. They were flying people from upper Michigan to Wisconsin because they didn't have any way to serve people who needed serious hospital treatment.
So we find that in Minnesota, up there at the Canadian-Michigan border, in that State, I remember distinctly talking with farmers who called their health insurance agents and said,
Please. I'm a successful farmer. Please come out and help me get insurance. I remember distinctly this one farmer said, The insurance agent said you don't want me to come out to quote you a price because I know you can't afford it. We don't even want to bother even trying to sell you insurance because I don't care how successful a farmer you are, because with you and your family, you won't be able to afford it, so we don't even need to try to sell you the policy.
There are all sorts of circumstances going on that I learn of as I accept invitations around the country to meet with health care experts in hospitals, in medical schools, in town hall meetings where people are trying to get some relief from this terrible fact that originally 37 but now 50 million people are without any insurance at all. And more people who are losing their jobs end up going into that column as well.
Well, exorbitant salaries to the chief executives and the managers of the company, as you imply, runs into millions of dollars annually, and many of them are the precise people who, through their lobbyists on K Street, are fighting any kind of serious health care reform. It's not a pretty picture.
Well, there is a relationship, and that's what makes it so difficult for us to come to a conclusion and to do something about this. Notwithstanding the great intellect of the President and his determination to correct the situation, there are people that put profits before health care. I'm sorry that that's the case, but that's what it really comes down to.