Mr. President, I ask my friend from North Dakota, I intended to speak in morning business as well, if he has no objection. I ask unanimous consent to address the Senate as in morning business. Mr. President, there is a lot of excitement…
Mr. President, I ask my friend from North Dakota, I intended to speak in morning business as well, if he has no objection.
I ask unanimous consent to address the Senate as in morning business.
Mr. President, there is a lot of excitement and interest, obviously, around the country about the impending, possibly, vote in the other body, perhaps as early as Sunday. I think it is time we talked a little bit about reality as well. I would like to mention one item.
I read from an article from the Dow Jones Newswires:
Caterpillar, Inc., said the health care overhaul
legislation being considered by the U.S. House would increase
the company's health care costs by more than $100 million in
the first year alone.
In a letter Thursday to [House] Speaker Nancy Pelosi and
House Republican leader John Boehner of Ohio, Caterpillar
urged lawmakers to vote against the plan ``because of the
substantial cost burdens it would place on our shareholders,
employees and retirees.''
Caterpillar, the world's largest construction machinery
manufacturer by sales, said it's particularly opposed to
provisions in the bill that would expand Medicare taxes and
mandate insurance coverage. The legislation would require
nearly all companies to provide health insurance for their
employees.
I would point out to my colleagues that this is one of the largest exporters the United States of America has.
Continuing to quote:
Caterpillar noted that the company supports efforts to
increase the quality and value of health care for patients .
. . unfortunately, neither the current legislation in the
House and Senate, nor the President's proposal, meets these
goals.
Most telling, perhaps, is the comment of the vice president, who said this:
We can ill-afford cost increases that place us at a
disadvantage versus our global competitors.
So here we are with a huge trade deficit of almost unprecedented proportions. We owe the Chinese $850 billion, or some huge amount, and more every day, so Caterpillar is going to have their expenses increased in 1 year by $100 million or more. How in the world are they going to be competitive?
I probably should have begun with this. Yesterday, in my home State of Arizona, almost an unprecedented event took place. The Governor of the State of Arizona, Governor Jan Brewer, the majority leader of the senate, and the speaker of the house, held a press conference in which they talked about a letter they sent to the President of the United States. I want to quote from the letter:
Dear Mr. President: We share common ground in that we both
have been called to lead during some of the most difficult
times our Nation has faced. Like you, I hear painful stories
on a regular basis from people who are struggling to survive.
Yet in their time of need, our State government is on the
brink of insolvency.
During this downturn, Arizona has lost the largest
percentage of jobs in the United States. The flagging economy
has resulted in a loss of State revenues in excess of 30
percent, placing tremendous pressures on our State budget.
Today, Arizona faces one of the largest deficits of any
State.
There is no doubt that this fiscal calamity has been
compounded by the enormous spending increases we are facing
as a result of our Medicaid, which has seen population growth
of almost 20 percent in the past 12 months. It is for that
reason I write to you today.
You have repeated on several occasions that the debate on
health care reform has consumed the past year and you most
recently called on Congress to vote the measure ``up or
down.'' As the governor of a State that is bleeding red ink,
I am imploring our congressional delegation to vote against
your proposal to expand government health care and to help
vote it down.
The reason for my position is simple: We cannot afford it.
And based on our State's own experience with government
health care expansion, we doubt the rest of America can
either.
Then the Governor of the State of Arizona, Jan Brewer, along with the
other legislative leaders, goes on to explain why this would cause such devastating harm to the State of Arizona, which is already suffering under unprecedented fiscal difficulties.
As the Governor pointed out in her letter, Medicaid has seen population growth of almost 20 percent in the last 12 months. All over America, Governors are saying: Don't do this to us. They are saying: Don't mandate this dramatic increase in our Medicaid expenses. Governors and legislatures and citizens all over the country are enacting laws and proposing constitutional amendments that say: You cannot force us to buy health insurance.
I want to congratulate the Governor of the State of Arizona and our legislative leaders for their courage in standing up and telling the American people and the President of the United States the reality of what they are facing.
I guess a lot of this may be coming to a head in some respects, although there still seems to be some speculation as to what ``reconciliation'' will take place over here, exactly what form that will take, and exactly what the rulings of the Parliamentarians and others will be to what sounds like arcane procedures and how they will unfold. But I think it is very clear that we are facing, possibly for the first time in our history, a major reform in the face of overwhelming opposition to it on the part of the American people.
This morning's Wall Street Journal has an interesting lead editorial entitled: ``March Madness.'' ``Scenes from a devolution as Democrats writhe towards 216 votes.'' I want to quote from the editorial of this morning:
Has there ever been a political spectacle like the final
throes of Obama care? We can't recall one outside of a banana
republic, or, more accurately, Woody Allen's 1971 classic
``Bananas.'' Capitol Hill resembles nothing so much as that
movie's farcical coup d'etat in San Marcos, as Democrats try
to assemble a partisan minimum of 216 votes--if only for an
hour or so at some point on Sunday--and no bribe is too
costly, no deal too cynical, no last-minute rewrite too
blatant.
That pretty much sums it up. One of the issues is, what are the tax increases in this? When do they kick in? How is it that the Congressional Budget Office can come up with such estimates, as they have? Well, the first principle, my friends, is: Garbage in, garbage out. If you give the Congressional Budget Office certain assumptions, they will have to give estimates based on those assumptions, even if those assumptions are totally out of the realm of possibility, such as cuts of $\1/2\ trillion in Medicare, such as saying that we will have a so-called ``doc fix''--a reduction in doctors' payments of some $217 billion. We know that is not going to happen. We know that is not going to happen.
Let me quote again from the Wall Street Journal article:
Also yesterday the white smoke rose up from the
Congressional Budget Office, which released its cost
estimates for the ``reconciliation bill'' and the sundry
fixes without which Ms. Pelosi can't deem the Senate bill
passed. Democrats preemptively released the topline numbers,
which by themselves took weeks of tweaking to game the CBO's
accounting conventions and officially stay under $1 trillion
in spending for 10 years. The real cost over a decade, once
all the spending kicks in, is $2.4 trillion.
Why is that? It is obvious that the first 4 years the taxes are raised and the benefits are cut, and it is only after 4 years that you begin to see benefits. That is a classic example of budget gimmickry.
Once again quoting from the article:
CBO Director Doug Elmendorf was thus obliged to release a
``preliminary estimate,'' having ``not thoroughly examined
the legislative language.'' Mr. Elmendorf said at a hearing
that his health-care staff members were close to burning out
under ``the almost round-the-clock schedule'' of unrelenting
Democratic demands about the budgetary effects of this or
that provision. And all for a bill whose subsidies don't
begin until 2014.
By the way, to make the deficit numbers ``work,'' Democrats
decided at the 11th hour to increase their new tax on
investment income to 3.8 percent from 2.9 percent.
Congratulations. White House budget director Peter Orszag
quickly declared that ``the CBO score today should leave no
doubt that we are operating in a new fiscal era.''
We certainly are.
One thing the score also made clear, however, is that Mrs.
Pelosi's reconciliation fixes could easily be blown to pieces
in the Senate. While the Democratic strategy is already a
wholesale abuse of the traditional reconciliation process, it
now bids to violate the actual rules of the reconciliation as
well.
In a carom shot if there ever was one, excise tax on gold-
plated health coverage has received one last tweak. It is
expected to fund ObamaCare as employees take more of their
compensation in wages rather than health insurance, thus
exposing more income to ordinary taxes. The House demand
to delay that tax until 2018--
And does anybody believe we are going to impose taxes in 2018?
--from 2013 in the Senate bill--to appease the likes of AFL-
CIO president Richard Trumka, who met one-on-one with Mr.
Obama on Wednesday--therefore reduces Social Security payroll
tax revenues. But reconciliation expressly forbids such
changes.
The reconciliation rules forbid changes to Social Security.
And CBO says this change will drain some $53 billion from
the program's trust fund.
Senate Republicans will therefore be entitled to raise a
budget ``point of order'' against the entire reconciliation
bill if it does arrive in the upper chamber.
North Dakota Senator Kent Conrad admitted the risks
yesterday, asking rhetorically if he expected that some GOP
``challenges will be upheld? Yeah, I do.'' By the way, Mr.
Conrad and his House North Dakota colleague Earl Pomeroy are
getting a special provision that exempts a state-owned North
Dakota bank from the unrelated private student loan takeover
that Democrats have included as part of ObamaCare. That
multibillion-dollar baby was added to further rig the budget
numbers and win over conflicted Members.
I understand that my colleague Senator Conrad has now said he does not wish for that exemption to be in legislation.
I want to point out that there are new taxes--even more tax increases in this bill--more than $560 billion in taxes on Medicare patients, private health insurance plans, medical device manufacturers, small businesses, and much more, including Caterpillar's estimate, as I mentioned, of $100 million more in cost. There is more than $200 billion in taxes on individuals and small businesses; Medicare hospital insurance tax, $210 billion; penalty payments by employers--these are penalty payments in taxes on employers that will be enacted between 2010 and 2019.
In other words, the assumption in this legislation is that we will plan on penalizing employers some $52 billion over 10 years. I think employers might be interested in hearing that. Then, more than $30 billion in taxes on private health insurance plans--$32 billion--nearly $20 billion in taxes on uninsured Americans, and $20 billion in taxes on medical device manufacturers.
I want spend a minute on that--$20 billion in taxes on medical device manufacturers. The excise tax on manufacturers and importers of certain medical devices, $20 billion. Impose a 2.9-percent excise tax on manufacturers and importers of certain medical devices from 2010 to 2019, which will then count as $20 billion in revenue.
Who pays? Who then pays when we raise taxes on the manufacturers of medical devices? Who at the end of the day is going to pay for that? We know who is going to pay for it. We know it will be the person who purchases these medical devices because the companies, obviously, cannot stay in business at a loss.
I note the presence of my colleague and friend from Arizona. I would bring this to his attention.
Mr. President, I ask unanimous consent to engage in a colloquy with my colleague from Arizona.
I mentioned earlier, I say to my friend, Senator Kyl, the letter and press conference of our, I think very courageous, Governor and a speaker of our Arizona House and Senate. They held a press conference yesterday and announced the letter they were sending to the President of the United States. I think she graphically demonstrates not only the incredible burden this lays on our home State of Arizona but on States all over America.
Isn't it true, I ask my colleague from Arizona, that not only has the State of Arizona warned of the consequences of this legislation, in the State of Arizona we may have on our ballot a statement included in our State constitution that no one should be forced to buy health insurance. Isn't it true that other States both have enacted legislation and are working on their own State constitutions to prevent this mandatory health insurance purchase and the included tax increases and costs on their States?
I had it printed in the Record, and also I highlighted the comments the Governor said, ``imploring our Congressional delegation to vote against your proposal. . . .'' Therefore, ``the reason for my position is simple: we cannot afford it.''
I would like to bring to my colleague's attention--one of the major health care providers in our home State of Arizona and across the country is Banner Health, as my colleague knows. There is a letter.
Mr. President, I ask unanimous consent the letter from Peter Fine, CEO of Banner Health in Phoenix be printed in the Record.
His letter states:
The President has called on Congress to pass H.R. 3590. . .
.
This legislation would greatly expand Medicaid at a
tremendous cost to Arizona. Our state cannot afford its
current Medicaid program and your support for H.R. 3590 would
be fiscally irresponsible. . . .
Despite these and other drastic program cuts, Arizona's
budget still has a $2.5 billion structural deficit--the
difference between on-going expenditures and on-going
revenues. . . .
Arizona has run a budget deficit in eight of the last ten
years.
Banner Health, Arizona's largest provider of health care
services, supports expanded access to health care services
for the uninsured but not as an unfunded mandate. According
to the AHCCS Administration--
That is our State's version of Medicaid--
the Medicaid expansion in H.R. 3590 will cost Arizona $3.9
billion, from 2014 through 2020. The state simply cannot
afford this expansion. The State cannot financially support
the first dollar to gain the federal match and if the
legislation calls for expanded Medicare coverage, the Federal
Government will have to financially support it in total.
While the legislation has many good things that could still
be put in place by going after them individually rather than
in a large complex bill, the negative impact of the unfunded
mandate associated with the expansion of Medicaid will
devastate Arizona.
Also, I am very interested. I said earlier, before my colleague came to the floor, that the announcement this morning that Caterpillar has announced the health care bill would cost the company $100 million more in the first year--$100 million more, just Caterpillar, in the first year alone.
The hour is late. But what I think maybe my colleague and I should do is ask people from Raytheon and Boeing and other major manufacturing companies--by the way, many of them are export driven, Intel and others, that are located in our State--what the cost to them would be. If Caterpillar says it is $100 million more in 1 year, I can imagine what the costs are going to be to the major manufacturers that are located in the State of Arizona as well.
Again, I want to repeat--I know Senator Kyl agrees with me--I would like to congratulate our Governor for standing up for the people of Arizona, for the courage she has shown more than once in her press conference. The statement she, joined by the members of the legislature, made is an important aspect of this debate. We should know in Washington what our actions will do to the people of the States we represent.
As Senator Kyl mentioned, 38 States are taking some kind of action or another to prevent this piece of legislation from--however it comes out, certainly in its present form, which we know will not change very much if it is passed--wanting us to stop and start over.
I hope our colleagues will recognize if this legislation passes through this weekend, through the House of Representatives, that the fight will then come back to the floor of the Senate. If in the worst case scenario this legislation is passed by the Senate and signed into law by the President of the United States, there will be a movement throughout the country that will be entitled ``Repeal Now'' or something like that, which will argue strenuously through demonstrations, at the ballot booth, and at tea parties and gatherings all over America that we will repeal this legislation.
Back in the 1990s there was a piece of legislation called catastrophic health care. We passed it through the Congress. The President signed it. The American people said no.
This fight goes on. All of us want to fix the health care system. All of us want to bring health care costs down. This is not the way to do it. It is certainly not the way to do it, which would be done strictly on a partisan basis for the first time in history that legislation of this magnitude is passed without a broad, bipartisan basis for it.
I yield the floor.