Providing For Congressional Disapproval Of A Rule Submitted By The Federal Communications Commission
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I rise to celebrate the anniversary of one of the most significant legislative achievements in American history, the passage of the…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, I rise to celebrate the anniversary of one of the most significant legislative achievements in American history, the passage of the Patient Protection and Affordable Care Act, also known as ObamaCare.
I rise in strong opposition to the American Health Care Act, a callous and carelessly written bill that would roll back progress and strip health insurance from millions of Americans.
I rise on behalf of people like Chrystal from my home State of California. You see, I know Chrystal. She works in my dentist's office. In early 2011, just after I was elected attorney general of California, I went in for a checkup. It had been a while since I had seen her. Chrystal asked me how I had been, and I asked her how she had been, and then she shared with me great news. She was pregnant.
As a dental hygienist, she was working for a few different dentists and wasn't on the payroll of any of them as a full-time employee. This was before the ACA was in place, so Chrystal was on private insurance with only basic coverage, just enough to cover her annual exams.
When Chrystal found out she was pregnant, she went to her insurance company to apply for prenatal coverage. She was denied. When I asked her why, she told me that they said she had a preexisting condition. So you can imagine I asked her: Are you OK? What is wrong? What is the preexisting condition?
She told me she was pregnant.
When she applied to another healthcare company for insurance, again, she was denied. Why? Preexisting condition. What was it? She was pregnant.
So this young woman was forced to go into her sixth month of pregnancy before she received a sonogram. Instead, thankfully, there was a free clinic in San Francisco, so she could get her prenatal care.
Thank God she had a strong and beautiful baby boy. His name is Jackson. They are both doing well today.
Thank God that situation is no longer the reality for millions of Americans.
I share Chrystal's story to remind us what America's healthcare system looked like only a few years ago.
We should not forget that before the ACA, 48 million Americans lacked health insurance. That is more people than the entire country of Canada.
Before the ACA, when these people got sick, they had three choices: Go without treatment, go to the emergency room, or go broke.
Before the ACA, 129 million people--almost one out of every two Americans--could be denied insurance coverage because of preexisting conditions. And the minute you got sick, your insurer could dig up some flimsy reason to drop your coverage. You could be denied coverage for chemotherapy or insulin if you had cancer or diabetes. You could be denied prenatal coverage if you were pregnant, like Chrystal. You could even be denied health coverage if you were a victim of domestic violence.
Before the ACA, healthcare costs were crushing low-income and middle- class Americans. Premiums--which, of course, are those monthly bills that we all pay for our insurance--were going up and up. Sky-high medical bills were the No. 1 reason Americans went broke, causing them to sell their homes, their cars, and even pawn their jewelry to pay off their debts.
One of the worst things about facing the healthcare system without coverage before the ACA was that it left you feeling utterly alone. Most Americans know what I am talking about: that knot in your stomach when you know there is something wrong with your health or the health of your child or your parent, but you are not sure what it is, whether it can be fixed or whether your insurance will cover it, and the frustration, the anger as you try to make sense of the fine print and codes on the medical bill that has so many zeros.
How many of us have walked into an emergency room with a loved one and felt time just stop? Maybe it was with your child who was running a fever or having trouble breathing. Maybe your partner is being rushed in with a possible heart attack. All you will know is that something is wrong. All you know is that you are overwhelmed and scared, and you know that you should not also have to fight on the phone with an insurance company or wonder if a doctor will even see you at all. That is how millions and millions of Americans experienced our healthcare system.
It was not right or fair. So the ACA set out to make things better, and 7 years ago today, President Barack Obama signed the Affordable Care Act into law. It finally extended good, affordable health insurance to Americans like Chrystal all across the Nation. Vice President Biden was absolutely right when, at the time, he said that it was a ``big''--and then I will not quote the next word; let's call it blanking--``deal.''
It is a shame that people have been playing politics with this law and with America's health. The former Speaker of the House said that the ACA would be ``Armageddon.'' A Republican Presidential candidate who now sits in the Cabinet called the ACA--and these are his actual words--``the worst thing that has happened in this nation since slavery.''
Earlier this month, the President of the United States tweeted that the ACA is ``a complete and total disaster.'' Well, I say: Tell that to the people of California because when a State wants to make the ACA work, it works--whether that is California or Kentucky, and real people living real lives know it.
For example, I recently heard from Myra from Sherman Oaks, CA, who was diagnosed with an aggressive form of breast cancer. She wrote:
Before ObamaCare, my husband and I lived under constant
stress due to our lack of good health insurance.
But, because of the ACA, Myra told me:
We had a Silver Blue Shield plan that covered . . . well
over a million dollars in bills to date. I am happy to report
I am now well, but without insurance, I was facing a death
sentence. Without the ACA, we would certainly have had to
sell our home to pay my bills and try to figure out how to
make ends meet.
She wrote that it covered well over a million dollars. That is what the ACA does.
Here is how Cindy of from Oakley, CA, has experienced real life. She wrote:
My daughter was diagnosed with an eating disorder at 13
years old and I can directly thank the excellent care
received at Kaiser Northern California for her good health
today at age 17. Without the ACA and the mental health parity
it helps provide . . . I would not have had treatment options
available to me.
Again, coverage for mental health treatment--that is what the ACA does.
Honoree, a single mom from Samoa, CA, living with a spinal cord injury that has kept her from working for 3\1/2\ years, wrote to me and said:
I wanted to let you know that I love ObamaCare! My
healthcare has steadily improved since the ACA was enacted. .
. . I can't tell you how AMAZING it felt to get my teeth
cleaned and cared for after waiting more than a decade.
I walked around for weeks saying, ``thanks, ObamaCare!''
whenever I sensed how good my teeth felt.
I would be saddened to see the ACA get scrapped. It's made
a huge difference in our lives. Actually, I'd be more than
saddened, I'd be very scared.
Again, this is testimony about the ACA, in this case about dental coverage and improved healthcare. That is what the ACA does.
I will state that I believe there is a huge disconnect between the over-the-top criticism of the ACA and the law's actual impact. There is a disconnect between the politics and how people are actually living and thriving under the ACA. In fact, in a recent poll, one in three Americans didn't even realize that the ACA and ObamaCare were actually the same thing, and they are. So, everybody, let's be clear about this. The Affordable Care Act is ObamaCare, and ObamaCare is the Affordable Care Act.
We all know, of course, that there are ways to improve the ACA, but ending it is not the answer. The truth is that the ACA has largely done what it was supposed to do--expand, protect, and reduce--expand coverage, protect consumers, and reduce the pace of rising healthcare costs. Thanks to the ACA and Medicaid expansion, 20 million
more Americans have health insurance. That is the population of the entire State of New York. Thanks to the ACA, premiums are going up at the slowest rate in half a century. Thanks to the ACA, doctors are innovating and providing better preventive care, from keeping people out of the hospital to delivering healthier babies. Thanks to the ACA, insurers cannot set lifetime limits on your care, meaning your insurance company won't tell you in the middle of a cancer treatment that they have paid all they ever will. Thanks to the ACA, millions of underserved Americans in rural towns and in cities and everywhere in between have access to care for the first time. Thanks to the ACA, young people can stay on their parents' insurance until they are 26. Thanks to the ACA, 55 million women have insurance that works-- mammograms, checkups, and birth control with no copays. When you pick up your prescription at the pharmacy and see that the bill is zero dollars, well, that is the ACA. And thanks to the ACA, you can't be discriminated against if you have a preexisting condition, including that preexisting condition called being a woman.
Of course, navigating the healthcare system is still daunting, but things are better. There are now some rules of the road to keep insurance companies from taking advantage of you during some of life's most vulnerable moments. Because of the ACA, because of ObamaCare, you can sleep a little easier at night and know that your care will be there when you need it.
Let's fast-forward to today. Today, we mark the seventh anniversary of this historic life-changing law. But all that it covers and protects could also be ripped away, and that is because of the American Health Care Act, the Republican healthcare plan on the House side. That is what it will do--rip it all away.
They have done their best to mislead folks about their plan. They have criticized objective news reports, and they even questioned the Congressional Budget Office--which, as we know, is, by the way, a nonpartisan, independent office which crunched the numbers and found that this new plan would cause millions of Americans to lose insurance coverage.
Before we leap on to this new bill, let's all ask some key questions. Let's all take a good look at what this plan really would and would not do.
First, will this bill provide insurance for everybody, as President Trump promised? Well, the answer is no. In fact, the independent Congressional Budget Office says that under the GOP plan, 24 million Americans will lose their health insurance by the end of the decade. That is equal to the population of 15 States combined.
Who are these people? These are middle-class families, our Nation's teachers, veterans, truckdrivers, nurses, and farmers. These families include those who struggle with opioid addiction, have a child that needs support for autism, or have an aging parent who needs a nursing home. This bill threatens them all.
Let's ask: Will the plan help the folks who need care most? The answer is no. The House Republican plan's flat tax credits are based only on age, with no consideration of income level. So what that means is that a 40-year-old cashier making $10,000 gets the exact same amount as the 40-year-old banker making $74,000 a year. It doesn't matter whether you live in downtown Manhattan or the Cleveland suburbs or rural Alaska.
Let's ask: Will monthly costs go down for low-income and middle-class families who are stretched horribly thin right now? The answer is no. According to that same independent analysis, the Republican plan will immediately increase American families' premiums by 15 to 20 percent, with higher deductibles and out-of-pocket costs after that. In the next decade, a person in their fifties could see their insurance costs go up 850 percent. Their insurance costs can go up 850 percent.
Let's ask: What about our seniors--will their monthly costs go down? Sadly, the answer is no. The Republican plan lets insurers charge seniors five times as much as other Americans, meaning that high cholesterol your doctor diagnosed could cost you $3,200 more a month.
Let's ask: Will all women still have access to affordable family planning? The answer is no. This new bill will give Americans choice in healthcare, but the women of America will not have choice. The bill denies women tax credits if they get a plan that covers abortions. It prohibits Planned Parenthood from providing care for millions on Medicaid. Some 2.5 million patients choose Planned Parenthood every year, including roughly 1 million in California. They should be able to see the provider they choose and trust.
Let's ask: Will this new plan protect Medicaid, as President Trump promised? Well, the answer is no. Medicaid covers many people whose jobs don't offer healthcare, and it also pays for half of all the births in this Nation. It supports people with disabilities and children with special needs. Most people don't realize that Medicaid is the primary payer for treatment of opioid addiction and substance abuse. But this new plan being offered by House Republicans would roll back Medicaid coverage and cut nearly $1 trillion in Medicaid benefits over the next decade.
Let's ask: Does the plan put American families ahead of insurance companies? The answer, tragically, is no. Under this plan, if you lose your job and it takes more than 2 months to find another, you will be charged a 30-percent penalty on top of the monthly costs you are already paying. That money goes right into the insurance company's pockets.
So, by now, you are probably wondering: Who exactly does this bill help? Well, here is your answer. It gives millionaires a $50,000 average tax cut every year. It gives the top 0.1 percent in this country a $195,000 tax cut every year. It gives insurance companies a $145 billion tax break over the next decade. The President and the Speaker want you to believe that this plan is good for American families, but under their bill, the only thing that gets healthier are the insurance companies' bottom line.
As far as California is concerned, this bill would devastate our families. Here are the facts, and, frankly, here is the fight. Over 5 million Californians have received insurance through the Affordable Care Act. I say they are worth fighting for.
Since the ACA went into effect, California's uninsured population has been cut almost in half, from 17 percent to about 7 percent. I say they are worth fighting for.
Medi-Cal went from covering 8.5 million Americans to 13.5 million today. One in two children are covered under Medicaid. I say they are worth fighting for.
The community clinics and health centers that so many Californians rely on would be cut back or closed. I say they are worth fighting for.
A UC Berkeley study estimates that repealing the ACA would cost California up to 200,000 jobs, everyone from home healthcare aides and janitors to workers in retail, restaurants, and accounting. I say they are worth fighting for.
I rise today to emphasize that it is really important that we understand the everyday consequences of this bill. We are talking about real people. If you are a farmer in the Central Valley on Medicaid, you can lose that coverage. If you are a Los Angeles senior with diabetes, you may no longer be able to afford coverage on the individual market. If you are a family in Shasta County with a child dealing with a prescription drug addiction, substance abuse treatment likely will not be covered. If you are a couple in Humboldt County with an ailing parent, your request for home health services could be denied. These are the kinds of Californians and the kinds of Americans who this plan would hurt.
When these folks wake up at 3 a.m. worrying about an ache or pain or their next chemo appointment, when they wake up with that concern and that thought at 3 a.m., I promise you, they are not thinking about that through the lens of being a Republican or a Democrat. They think about themselves as fathers, mothers, parents, daughters and sons, and grandparents. They worry about their health needs and how their health needs will affect not only themselves but their loved ones. These concerns are not about politics. These are universal concerns, and we have all been there.
It is because all of us share these concerns and because all of us would be badly harmed by this new plan that
this bill is opposed by the American Medical Association, the American Hospital Association, the American Nurses Association, the American Heart Association, the American Cancer Society, the American Diabetes Association, and the AARP. They are the most respected medical and patient advocacy groups in this country, and they know what is at stake.
Ultimately, I believe this bill is not just about medicine or math; I believe this is about morals. The plan that the House is voting on today is a values statement, and it is not a good one. As our former President said about the ACA, this is more than just about healthcare; it is about the character of our country, and it is about whether or not we look out for one another.
I think we need to take a good, hard look in the mirror and ask: Who are we as a country? Are we a country that cuts the deficit by cutting care for our most vulnerable?
Let's look in the mirror and ask: Are we a country that gives tax breaks to insurers while giving higher medical bills to patients?
Are we a country that tells seniors and cancer patients and women ``You are on your own''?
Are we a country that sees healthcare as a privilege for a few or a right for all?
I believe that is what we have to decide.
The ACA is not perfect. It can be strengthened, and I am willing to work with anyone who will work in good faith to do that, but it is time to stop playing politics with public health.
Our government has three main functions: public safety, public education, and public health. We shouldn't be turning these responsibilities into partisan issues. Instead, we should be figuring out how to improve the lives of all Americans, whether we are Democrats, Republicans, or Independents.
People are counting on us, people like one of my constituents in Kern County--a woman who is suffering from lung disease, who said:
We are not asking for much . . . decent healthcare. . . .
Don't take it away. . . . Make it better.
I say to my colleagues: Do not take away American people's healthcare. Let's make it better.
I yield the floor.