Thank you, Dr. Roe, for yielding. It's great to be here with many members of the Doctors' Caucus and again remember the focus of what we are trying to do here is focusing on the patient, what's best for the American people and our…
Thank you, Dr. Roe, for yielding. It's great to be here with many members of the Doctors' Caucus and again remember the focus of what we are trying to do here is focusing on the patient, what's best for the American people and our patients.
It's already been quoted a number of times today--I've got a couple other quotes. Senator Schumer also said:
The Affordable Care Act could cause rates to go through the
roof.
That's exactly what we are seeing in the private health insurance. I won't repeat Senator Baucus' statement about a train wreck. But Senator Rockefeller also said:
It's so complicated, and if it isn't done right the first
time and it's not being done at all, it will just simply get
worse.
What I'm going to focus on now and the rest of the time is what this means to employers and people that have employer-provided health insurance and what this law is going to do to employers.
Let me focus on first what the city of Long Beach, California, just came out and said recently. They are going to be limiting most of their 1,600 part-time employees to fewer than 27 hours a week on average. So these are employees that had a 40-hour workweek and now they are being cut to less than 40 hours to comply with the law.
You say, Why would that happen? Well, because city officials say that without cutting payroll hours, new health care benefits would cost up to $2 million more next year and that expense would trigger layoffs and cutbacks in city services. This is a city in southern California. This isn't an isolated event.
Regal Entertainment Group, the Nation's largest movie theater chain, with over 500 movie theaters operating in 38 States, recently said they plan to cut many nonsalaried employees back to part-time to comply with ObamaCare.
In a memo to company managers, Regal stated:
To comply with the Affordable Care Act, Regal had to
increase our health care budget to cover those newly deemed
eligible, based on the law's definition of full-time
employee, which is 30 hours or above. To manage this budget,
all other employees will be scheduled in accord with business
needs in a manner that will not negatively impact our health
care budget.
That needs a translation. The translation is: everybody is getting cut back to less than 30 hours, and they are going to see their income dramatically drop.
There are other examples. The State of Virginia, Palm Beach State College in Florida, and CKE Restaurants, among others.
I have an example in my district. We got an email the other day. A constituent said she and 52 other employees at a school district in my district in Indiana were recently informed that their hours will be cut to 28 hours a week because the school can't afford to comply with the health care law.
Municipal government officials are telling me, city government officials are telling me in my district this may hit city government, municipal government, county government, and school districts. This is just people being cut.
Now, let's talk about people losing their health insurance. Here's a chart right here that says we were promised that everybody could keep their health insurance. Here are some, what I consider, conservative estimates of the number of Americans who are going to lose their health insurance after full implementation of the law.
Why is that? Well, because I talk to small business owners all the time who have more than 50 employees. I talked to one young man who has been very successful in starting a business and creating jobs. He says, Not only will I probably not be able to afford it and have to just pay the penalty rather than complying with the law, but I don't know a small business owner that I've spoken to--this is his words--that is not going to pay the penalty and not going to jettison their employee- provided health insurance.
All of those employees are going to be forced to go to these State- based exchanges, which aren't set up and which are going to cost more. The gentleman
from Maryland just talked about that about half an hour ago. People aren't even going to be able to afford it, so employer-provided health insurance is going out the window.
I think estimates like this are very conservative, according to the people that I've talked to.
I yield to the gentleman from Tennessee.
I practice in southern Indiana where I get patients from southern Illinois, northern Kentucky, and southern Indiana. Every year, the Illinois Medicaid system ran out of money before the end of the year, September-October. They just ran out of money. No money for their Medicaid population.
This is exactly what you are talking about, Dr. Roe, is that a system that is already broken and we are going to expand it. And what it's going to do is, like Dr. Fleming said, put a card in your pocket that says you have health insurance, but you don't have access to health care providers, except guess where. Through the emergency room, which is one of the biggest problems we are already trying to defeat.
They don't.
I would agree with that. And let me tell you, there are some things that we could have agreed on that we could have made some advances on in health care reform. Preexisting conditions, all of us agree.
I had a patient that had Hodgkin's disease when he was in his twenties. He worked his entire life. He is now in his fifties. He needed bypass surgery. He was never able to get health insurance the whole time because of a preexisting condition. That's just wrong.
I yield to the gentleman from Louisiana.
Let me add a few final comments.
Again, on the things that we can agree on, many of us agree on children up to age 25 or 26. A lot of us agree that we need to look at finding ways to expand the affordability of health care. Remember, this was supposed to bring down the costs. There are a lot of things that could be done to bring down the costs. There are a lot of things we could have agreed on, Dr. Roe, if we would have just worked together and not put in, what I would consider, a near government takeover of the entire system.
I've been a practicing physician for 15 years, and if I count my residency, it's more than that. Imagine if you're out there as a physician today and you have to look a patient in the eye and you have to tell him, Well, I'm sorry. The IPAB told me that this is not statistically something that we can provide because, based on statistics calculated in Washington, D.C., it's not cost-effective for the Medicare system to provide this service anymore.
This is going to happen, and I hope we all wake up in America and realize that it will happen. This happens in other countries that have government insurance. The Canadian system could not exist if it did not sit next to the United States. It's two-tiered. People come to the United States, if they have money, to get health care in a timely manner. The same thing is true in England. If you have money, you get private health insurance. If you don't, you wait for months. So this is bad for patients, and it's bad for business. There are things we could have done. It's a shame that we didn't and that we weren't consulted.
With that, I want to thank the gentleman from Tennessee for this hour to talk about this.