Thank you very much. I want to thank the gentleman from Minnesota, Congressman Ellison, for every week having a 1-hour Special Order on the very subject of health care. We've done a lot over these last few weeks, and the Progressive Caucus…
Thank you very much.
I want to thank the gentleman from Minnesota, Congressman Ellison, for every week having a 1-hour Special Order on the very subject of health care. We've done a lot over these last few weeks, and the Progressive Caucus is very proud of the role that we have played in bringing health care to where it is. I think Keith said earlier this morning that we probably have just finished the first few innings of a ball game, and we're the ball now after last night's great speech by our President, and his clarity and his ability to explain to the country what it is he wants in a health care bill and his willingness to actually debunk some of the myths that have been out there and some of the lies that have been told about this health care debate and, at the same time, talk about what his priorities are.
And one of those priorities, from what he has given us, which is a laminated card that lists what he wants in a health care bill, and it says under--if you don't have insurance, there are one, two, three, four points, and the third point says--and this is what--I'm going there right away because this is what Progressives were looking for. If you don't have insurance, quality, affordable choices for all Americans, this bill would offer a public health insurance option to provide the uninsured who can't find affordable coverage with a real choice.
Now, that says to us that the public option--and we want a robust public option--remains on the table, that the ball is in our court. Now, I guess this is the third or fourth inning of getting this thing together so that we can bring a health care bill to the floor of the House that is worthy of all Americans, and now that the ball is in our court. We, as the Progressive Caucus, have pledged to define what we consider a robust public health option to be, to work with our leadership and with the administration and to see that our definition of ``robust public option'' is included in health care reform.
Mr. Ellison, you have been absolutely magnificent in making that happen.
Sixth.
Oh, I'm sure you do.
It was a Sunday in the city of Sonoma. I was presented with--that's the list of names that is very impressive. But I was presented with a stack of petitions like that, and I was so proud. I barely could hold them because they were so heavy.
So let's talk about why it's important to have a public option. I think it's time that we start repeating the value and the need for a public option because we get criticized, A public option will cost, blah, blah. The public option absolutely saves money. And the reason it does, there is the same level of overhead, like Medicare or Medicaid, because there's no marketing fees. There are no high-paid executives in the six and seven figures, and there's no shareholders that have to be paid on their stock. So it saves money.
The other thing it does, it provides competition to the private health care industry, health insurance industry. And why is that important? Well, without competition, the rates soar, and they have been over the years to a point where if it continues--right now $1 out of every $6 goes to health care in this country, and that number is going to grow so quickly, and we will be so embarrassed and in so much trouble that we'll know that we made a huge mistake. We don't want to make that mistake.
The other thing--you know about competition. Let's talk about competition for just a minute. The President last night said only about 5 percent of Americans would opt into the public option. Well, I truly believe it would be more than that. But at first it might be--and it needs to prove itself and become just a very viable health care provider, which it will be if it's robust like we want.
But if it's only 5 percent of the overall, why are the private insurance companies so worried? They do not want a public option. And they don't want any competition, and they know that this is the competition they really don't want because it will prove itself over time, and more and more people will indeed select the public option when they have that choice.
Now, the other thing that the public option provides--and I know you're going to be able to add more, but security, security for people who are covered on plans by their employers today. One of the big arguments out there is 85, 75 to 85 percent of all Americans already are covered by their employer and they like the coverage. Well, you know, they might, they might not, but they're covered. But they are not certain that that coverage will last.
And there's a poll, the Belden Russonello poll that shows that 60, 70 percent--I can't remember exactly; I think it's 68 percent, something like that--of the people who have insurance feel insecure on whether that insurance will be available to them for as long as they will need it. And certainly they can't feel secure if they lose their job or if they want to take a new job or if their employer decides, I can't afford to cover my employees anymore. And we want the public option to be one of the choices they have in a soft landing if any of that happens. And they don't feel that secure, and we know it.
What does it look like?
If the gentleman will yield.
It will look like a catalogue. It will be a print catalogue of health care plans available by region.
Congressman Conyers knows that the Progressive Caucus, almost to a person, and there's 85 of us, would have voted right this minute for a single-payer. That's what we wanted. And we knew that it was a nonstarter. But we also felt that to get to single-payer--we are not supposed to say that. We are not supposed to tell people that the public option could be a step towards single-payer. But if it does and proves itself like I know it will, more and more people will select the public plan. And so we compromise. It was a huge compromise for us.
I represent the Sixth District in California just across the bridge from San Francisco, the Golden Gate Bridge, one of the best educated and one of the most affluent, by the way, districts in the country. And I say that because
they're also one of the most progressive districts in the entire United States of America. After President Obama was sworn in and we started talking health care and I would be at meetings and they would talk single payer and I knew that wasn't where we were going and I told them, they actually got tears in their eyes. I felt like I had so let them down, John, I really did. But now they're with us, they're with us 100 percent for a public option. But not just a public option with triggers or co-ops or mishy-mash that's just going to put it off and put it off and make it absolutely never happen.
They're with us for something that would be modeled after Medicare, the Medicare provider system so that the public plan doesn't have to go out and put together their own provider system, and possibly the rate structure based on Medicare. That's how I would do it. And of course it would have all the base benefits that we're insisting on for every health care plan. And because there won't be the 30 percent overhead, actually, it can be less expensive and have better benefits.
So do you want to know what I say?
And Keith you were perfect.
My answer is that we don't have health care reform unless we have a public option. And this is health care reform. Now, if we had legislation to tweak around the edges of health insurance, we can do a lot that will be good in this bill, but it would be a health insurance total tweaking bill. And so then name it what it is, but don't call it health care reform. Because we're not coming back here and revisiting this in my lifetime, and I know it. I want us to do this right, and I believe we will.
So I'm not going to go there, you know--``Would I or wouldn't I?'' I mean, I've drawn the line, and many lines before, but I'm not going to vote for something and call it health care reform that isn't.
And the gentleman from Minnesota has a clinic in his State called the Mayo Clinic that is an example of excellence in that regard.
I have a few things I would add to what I think is a robust public option.
Well, I would believe that to be robust, the public option must be available nationally, across all State lines. It should be available from day one, with no trigger. And next week let's talk about triggers and co-ops.
I would have a robust public option that was built on the Medicare network structure, which means the providers, the doctors and the hospitals and the clinics that take Medicare, will automatically be assumed will take the public option. Now, I think if they don't want to, they don't have to. That is the way it is with Medicare also. But that they take it. This is brand new patients for them, paid for by the public plan. And it would be publicly accountable. This plan will work for the public and will be held accountable to the people of this country.
If the gentleman will yield, next time I am on this floor I am going to have mine sent here. It is really impressive. I will bet you every Progressive member has a stack like that. We need to all bring them.
I bet every Member, not just Progressive members. Shame on me.
Thank you, and thank you for doing this every week. You are wonderful. I am going to read one more time what this card that is laminated says. The press is saying to me, how do you know he is going to do that? I say because this will never destruct. ``You said,'' we will say.
But, anyway, last night and on this card it says that the plan that the President supports offers a public health insurance option to provide the uninsured who can't find affordable coverage with a real choice. It does offer more than the uninsured, but not immediately. So that is very honest there.
Thank you, Mr. Ellison. We will be back.