Mr. Speaker, I yield myself 3 minutes. Mr. Speaker, three things: One, this is a bad bill. Two, it is not the Senate bill. And, three, it destroys Medicare as we now know it. And if you do not believe it, take the words of my good friend,…
Mr. Speaker, I yield myself 3 minutes.
Mr. Speaker, three things: One, this is a bad bill. Two, it is not the Senate bill. And, three, it destroys Medicare as we now know it.
And if you do not believe it, take the words of my good friend, the chairman of the Committee on Ways and Means, who says, ``To those who say this bill would end Medicare as we know it. Our answer is, we certainly hope so. Old-fashioned Medicare isn't very good.''
Well, it is a safety net that has preserved and protected the health and the well-being of Americans for 38 years. It has been a fabulous system for the protection of the health and the welfare of the people.
This thought echoes the words of Speaker Gingrich, who wanted Medicare to wither on the vine.
Well, it is a fraud upon the American people. It provides very little for most people who are looking for the benefit of receiving prescription pharmaceuticals. What it does is it subsidizes the insurance companies. It does not control prices. It does not stimulate competition. It affords to the senior citizens a situation where they wait 2 years. And after they wait 2 years, what do they get? An enormous donut hole into which they fall after they have spent $2,000, during which period, for a period of about $2,900, they get no additional help from their government, but during which time they have to pay more money, more money, to not draw any benefits.
And it should be noted there is no requirement whatsoever, none in this legislation, that requires the insurance companies, who will begin getting subsidized enormously in just 2 years after the enactment, to do a single thing to provide for prescription pharmaceuticals for the benefit of their subscribers. Indeed, most insurance companies have said they do not want to participate in the pharmaceutical-only care benefit that would be offered by this legislation. So they have set up this wonderful situation where there will be enormous boundless subsidies to try to induce somebody to come in and set up HMOs which will serve the people in the area or provide prescription pharmaceuticals to them.
The Democrats have a simple, easy-to-understand piece of legislation, one which builds upon the practices which we have used in Medicare with such great success and so efficiently for so long to see to it that the people get the benefit on the payments of a modest sum and a modest deductible and then they get their benefits. No donut hole during which they do not gain benefits.
And I would note that, by an interesting circumstance, many people under this wonderful Republican bill will pay a lot more than they will get out of this legislation. It is a piece of legislation which can best and most kindly be defined as a fraud upon a group of people who have high hopes that their Congress is going to take care of them.
Well, this Congress is going to take care of them; it is going to give them a deceitful piece of legislation which benefits them very little, if at all.
Mr. Speaker, less than 2 weeks ago, the House Republicans divorced themselves from the Senate bipartisan legislation and unveiled their lengthy and complicated proposal to make sweeping changes in Medicare. After taking months to develop more than 300 pages of fine print in secret consultation with selected corporate allies, they rammed the bill through committees last week and are ramming it through the House today under a rule developed in the wee hours this morning. No hearings, no significant opportunity for public comment, no concessions--just the way the House Republican leadership wants things.
But the Republican leadership is playing with fire. Not content merely to privatize a watered-down drug benefit, this bill, H.R. 1 privatizes the entire program in 7 years. As Chairman Thomas said yesterday, ``[t]o those who say that [the bill] would end Medicare as we know it, our answer is: We certainly hope so. * * * Old fashioned Medicare isn't very good.'' And a Republican Senate leader was quoted last month as saying that ``I believe the standard benefit, the traditional Medicare program, has to be phased out,'' echoing Speaker Gingrich's 1995 prediction that traditional Medicare would ``wither on the vine.'' The list goes on. Former Majority Leader Dick Armey said, also in 1995, that Medicare was ``a program I would have no part of in a free world.'' Most recently, the Bush administration official in charge of Medicare, Tom Scully, 2 months ago called Medicare an ``unbelievable disaster'' and a ``dumb system.'' And, of course, I was here in 1965 to witness the overwhelming majority of Republicans vote for the motion to recommit the legislation that created Medicare.
How will seniors react when told they will be forced to pay more to see their family doctor, or accept whatever doctors and benefits a private plan chooses to give them? How will seniors react when traditional fee-for-service Medicare is no longer a trusted safety net? How will seniors react when given a voucher and told to fend for themselves in the insurance marketplace--the same marketplace that failed them before Medicare? They should, and will, be outraged.
Seniors will also be angry when they learn that the Republican drug benefit helps insurance companies more than them. Democrats propose a true benefit provided under Medicare, with set premiums and benefits. Republicans propose payments to insurers to offer uncertain benefits, with uncertain premiums. The only certainty in the Republican plan is a huge coverage gap, when seniors will continue to pay premiums after substantial out-of-pocket expenses, and yet receive no benefit. And drug costs will continue to rise, because the Republicans prevent bargaining by Medicare to make prescription drugs more affordable to seniors.
Other nasty surprises will hurt seniors as well. Cuts in payments to hospital, when many are closing down. Inadequate payments to doctors, when seniors' access already is jeopardized. Increasing seniors' costs by $8.3 billion for their Part B coverage. These are shortsighted acts of extraordinary callousness.
I urge my colleagues to reject this dangerous Republican plan. Our senior citizens deserve better than to be guinea pigs for risky ideological experimentation.
Mr. Speaker, I reserve the balance of my time.
Mr. Speaker, I yield 3 minutes to the gentleman from Ohio (Mr. Brown), the ranking member of the Subcommittee on Health.
Mr. Speaker, I yield 2 minutes to the gentleman from Florida (Mr. Deutsch).
Mr. Speaker, I yield 2 minutes to the distinguished gentlewoman from California (Ms. Eshoo).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from New York (Mr. Engel).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Maryland (Mr. Wynn).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Texas (Mr. Green).
(Mr. GREEN of Texas asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield 2 minutes to the distinguished gentlewoman from Missouri (Ms. McCarthy).
(Ms. McCARTHY of Missouri asked and was given permission to revise and extend her remarks.)
Mr. Speaker, I yield 2\1/2\ minutes to the distinguished gentleman from Maryland (Mr. Hoyer), the very able and respected minority whip.
Mr. Speaker, I am always happy to accommodate the gentleman from Louisiana (Mr. Tauzin), my dear friend, even when he is pushing an outrageous piece of legislation under an appallingly constrictive rule.
Mr. Speaker, I yield 2\1/2\ minutes to the distinguished gentleman from Massachusetts (Mr. Markey), and I ask the chairman from the Committee on Energy and Commerce to listen closely.
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Ohio (Mr. Strickland).
Mr. Speaker, I yield 2 minutes to the distinguished gentlewoman from California (Mrs. Capps).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Pennsylvania (Mr. Doyle).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Maine (Mr. Allen).
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Louisiana (Mr. John).
(Mr. JOHN asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Florida (Mr. Davis).
Mr. Speaker, I yield 2 minutes to the distinguished gentlewoman from California (Ms. Solis).
(Ms. SOLIS asked and was given permission to revise and extend her remarks.)
Mr. Speaker, I yield 2 minutes to the distinguished gentleman from Arkansas (Mr. Berry).
Mr. Speaker, I yield 1 minute to the distinguished gentlewoman from Michigan (Ms. Kilpatrick).
(Ms. KILPATRICK asked and was given permission to revise and extend her remarks.)
Mr. Speaker, I yield 1 minute to the distinguished gentleman from New Jersey (Mr. Pascrell).
(Mr. PASCRELL asked and was given permission to revise and extend his remarks.)
Mr. Speaker, I yield 1 minute to the distinguished gentlewoman from California (Ms. Waters).
Mr. Speaker, I yield 1 minute to the gentleman from Arkansas (Mr. Ross).
Mr. Speaker, I would inform the gentleman from Louisiana at this time that I have one speaker remaining.
Mr. Speaker, I yield the balance of my time to the distinguished gentlewoman from California (Ms. Pelosi), the minority leader, to close.