Mr. President, I wish I could stand here today and tell you that the Affordable Care Act, or so-called ObamaCare, had worked. I wish I could sit here and tell you today that the American people were better off as a result of the Affordable…
Mr. President, I wish I could stand here today and tell you that the Affordable Care Act, or so-called ObamaCare, had worked. I wish I could sit here and tell you today that the American people were better off as a result of the Affordable Care Act, but I can't do that, and it gives me no joy in having to make that statement.
Now, as you know, Mr. President, not a single Republican voted for the Affordable Care Act. The Affordable Care Act was passed at President Obama's suggestion by the Democratic Members of the House and the Senate. They had a majority, and in this body the majority rules. I don't want to ascribe to the President or to our Democratic friends any ill motives whatsoever. They wanted what was best for the American people. It wasn't a question of bad motives. It was just a bad idea. It didn't work.
Let me say this another way. I believe that President Obama and our colleagues on the Democratic side of the aisle in the Senate and in the House of Representatives passed ObamaCare with the best of intentions. But, you know what, Mr. President--I know you also happen to be a physician--150 years ago, doctors used to bleed their patients with the best of intentions, and they stopped doing that. They did it. They didn't have any bad motives in doing it. They did it because they thought it would help the patient. It killed many of them. So they stopped doing it.
You know we were told when the Affordable Care Act, so-called ObamaCare--I don't mean any disrespect in calling it ObamaCare. President Obama himself refers to it as ObamaCare. When the Democrats in the Congress passed ObamaCare, I remember well what we were told because I wanted to believe it. The President said: If you like your insurance plan, you can keep your insurance plan. I think he meant that at the time. It wasn't true. It turned out not to be true.
The President said: If you like your doctor, you can keep your doctor. I think that is what he wanted, but you couldn't.
He said the Affordable Care Act would ``cover every American and cut the cost of a typical family's premium by up to $2,500 a year.'' It is not even close.
President Obama said ObamaCare would ``bend the cost curve for healthcare'' without adding ``one dime
to the deficit.'' None of that was true. I think the President meant it at the time. I think he wanted it at the time. I know I did. I know you did, Mr. President. But it just turned out not to be true.
Now, the simple fact of the matter is--and I think every reasonable person has to conclude--that the Affordable Care Act has not worked for the American people.
Let's talk about the exchanges. As you know, Mr. President, there are two parts of the Affordable Care Act. There are the exchanges through which people go and buy insurance directly from an insurance company, and then there is the Medicaid expansion. I want to talk about the exchanges for a moment.
In 2016, under ObamaCare, we started out with 281 insurance companies offering insurance to the American people. That is a good start. The problem is that now we have 141, and they are dropping like flies. In my State of Louisiana we are down to three. A third of all of the counties in America have only one choice--one insurance company that will still write insurance--and many of our counties have zero, none, nada, zilch. They can't get insurance at all. They have been given a bus ticket, but there is no bus.
As for Louisiana, let me talk just for a moment about my State--our State--Mr. President. In Louisiana, premiums have gone up 123 percent on the exchanges since 2013. That is an average of a $3,600 increase per plan. Nationwide, the average ObamaCare plan now costs 105 percent more than when it started. That is $3,000 per person. What is particularly incredible to me, Mr. President--you know these statistics better than I do--in Louisiana we have 136,000 people who, rather than buying insurance off the exchanges, have chosen to pay the fine. Let me say that again: 136,000 people in my State have looked at the insurance offered to them, with the subsidies, and have said: We would rather pay the fine. Of that 136,000 who said they would pick the fine instead of the insurance, 84 percent of them make $50,000 or less, 48 percent of them, or half, make $25,000 or less. Now, do you know what that tells me? That tells me that 136,000 people in my State, most of whom are too poor to be sick, looked at the Affordable Care Act plan and said: We can't afford it. We would rather pay the fine. We are better off paying the fine. So they are out of pocket the money for the fine, and they still don't have insurance. No reasonable person would call that a success.
Let me give a couple more examples because we talk around here in concepts, and we all know what we are talking about, but average Americans who get up every day and go to work, who obey the law and pay their taxes, who try to do the right things for their kids and try to save money for retirement do not have time to deal in concepts. They are too busy earning a living. They just want to know: What kind of health insurance do I have, and what is it going to cost? So let me give some examples right now from Louisiana. This is brought to you by the Affordable Care Act.
Let's suppose that I am a 60-year-old, nonsmoking male who is living in Baton Rouge, LA. I am making $50,000 a year. According to healthcare.gov--I did not make this up--the cheapest and most basic plan available to me would cost me $689.14 a month, with a $4,500 deductible, for a grand total of $9,000 a year--deductibles, my out-of- pocket, plus my premiums. Now, I am 60 years old. I am living in Baton Rouge, LA, where the cost of living is not that high, and I am making $50,000. The Federal Government has said: We have a great deal for you. Give us $9,000, and then we might be able to give you some healthcare.
For that $9,000, what do I get?
Suppose I say: OK. Here is my $9,000.
I don't know where I am going to find it, as I am only making $50,000 a year, and, of course, the government is taking some of that for taxes, but I find $9,000 a year. Do you know what I get? I get four doctor visits, I get two lab tests, and I get nine prescription drugs and additional medical costs for a grand total of $100. That is not insurance; that is giving somebody a bus ticket without a bus.
All right. Let's suppose that I am a 50-year-old female. I don't smoke. I am living in Lafayette, LA, which is to the west of Baton Rouge. I am making $50,000 over in Lafayette. The most basic plan in Lafayette--once again, I am 50 years old. So I am not 60 now; I am 50 years old, a female, and I don't smoke. The most basic plan, the cheapest plan I could get would cost me $450 a month in premiums, with a $4,800 deductible, for a grand total of $6,550. So I have to go into my pocket for $6,550 before I can get any kind of health insurance. That is not health insurance.
I would remind the Presiding Officer, as he is a physician who has been on the frontlines in caring for people in our charity hospital system in Louisiana--and God bless him for that--that the options I describe are the cheap ones. They are the most affordable ones. That is the best-case scenario.
Nobody wanted this. I know President Obama did not want it to turn out this way. I know our friends on the Democratic side did not. They wanted what was best for America. It was not a bad motive; it was just a bad idea.
What do we need? Everybody has his own opinion of that. That is what we are going to try to convince each other of over the next few days as we vote. I will tell you what I think we need. I think that in the healthcare delivery system, we do not need more government.
I know that some of my friends on the Democratic side think they have the solution, and I respect them for all of the time and care they have put into this. Some of my friends on the Democratic side say they have the solution. Government has failed, they will admit. They do not say it very loudly, but they will privately say: We realize the government has failed with ObamaCare. Our prescription to fix it is more government, so let's go to a single-payer system. Let's have the Federal Government be in charge of everybody's healthcare, and let's let the Federal Government regulate our doctors and our nurses and our hospitals and our health insurance companies and our patients and our lab techs like they were utilities.
I have lived under a system like that. England has a system like that. You can not name me a single G20 country--not one--that has a single-payer system that is working. It is not the answer.
Quickly, because I am running out of time, here is what we need.
I will conclude then, Mr. President. I thank him for his time and attention.
America needs a healthcare delivery system and deserves it like somebody designed the dadgum thing on purpose.