The Congressional Black Caucus Hour
Mr. Speaker, I ask for unanimous consent that all Members be given 5 days to revise and extend their remarks. Mr. Speaker, the Congressional Black Caucus, the CBC, is proud to present this hour on issues that concern America's senior…
Mr. Speaker, I ask for unanimous consent that all Members be given 5 days to revise and extend their remarks.
Mr. Speaker, the Congressional Black Caucus, the CBC, is proud to present this hour on issues that concern America's senior citizens. The CBC is chaired by the Honorable Barbara Lee from the Ninth Congressional District of California. I am Representative Marcia L. Fudge from the 11th Congressional District of Ohio, and I am the anchor of the CBC hour.
The vision of the founding members of the Congressional Black Caucus, to promote the public welfare through legislation designed to meet the needs of millions of neglected citizens, continues to be a focal point for the legislative work and political activities of the Congressional Black Caucus today.
Tonight, the CBC will focus its attention on the issues currently confronting our seniors. In his last speech, Hubert Humphrey said, The moral test of government is how that government treats those who are in the dawn of life, the children; those who are in the twilight of life, the elderly; and those who are in the shadows of life, the sick, the needy, and the handicapped.
The fact that some Americans work their entire life, regularly paying into Social Security and are confronted by poverty in their golden years is indeed a problem, Mr. Speaker.
The social insecurity facing our Nation's seniors is not a Democratic problem or a Republican problem; it is an American problem, Mr. Speaker. This year's news headlines tell the story: ``Seniors Struggle With High Cost of Housing and Food, Barely Getting By''; ``Seniors Struggle to Survive''; ``Single Seniors Can't Make Ends Meet''; ``Subsidized Lunches in Greater Demand Among Senior Citizens''; ``Forty Percent of Senior Citizens Not Taking Prescribed Medicines Due to Budget''; ``Senior Citizens See Largest Gain in Credit Card Debt As Recession, Medical Costs Take a Toll.''
Mr. Speaker, our country will recover from this recession, but we cannot forget the seniors who struggled before the recession began. Many live on fixed incomes and find it difficult to live under the pressure of high medical bills and the rising cost of essentials like medication, food, and housing.
One of the most disheartening news headlines of 2009 had the title, ``U.S. Is Losing Ground on Preventable Deaths.'' In this story, AARP reported that Americans are dying too soon, although the United States spends $2.4 trillion a year on medical care, vastly more per capita than comparable countries. Our Nation ranks last when compared to 19 other industrialized nations on premature deaths caused by illnesses such as diabetes, epilepsy, stroke, influenza, ulcers and pneumonia, all medical issues that disproportionately attack and weaken American seniors.
In my district, senior citizens call my office daily. Some call looking for reassurance that Medicare will be strengthened through the health care reform, and others asking questions about the future of Social Security.
One senior called just this past week. He is an 85-year-old man living in public housing. He has an artificial leg which he has had since the age of 11. He is worried that his Social Security check will not cover the cost of the medications he uses for complications caused by his artificial limb if the cost of his medications continues to climb.
I am confident, Mr. Speaker, this Congress will answer the calls and the concerns of these seniors, and I will not rest until all seniors have their answers.
Reports have been looming for years about the long-term financial problems of Social Security. The retirement program is projected to start paying out more than it receives in the year 2016. According to the Social Security trustee, without changes, the retirement fund will be depleted by 2037.
Demographic factors are accelerating Social Security problems. Life expectancy is increasing faster than anticipated. In 1940, a 65-year- old man could expect to live maybe another 12 years. Today it's 15 years, and by 2040, it will be 17 years. The fertility rate is falling faster than expected, from 3.6 children for a typical woman of childbearing age in 1960 to just two today, and a projected 1.9 by 2020.
The elderly portion of the population will likely rise from 12 percent today to 20 percent by 2050, increasing the number of retirees from 34 million to 80 million. The smaller working age population and larger elderly population
means that where there were more than five workers for each retiree in 1960 and 3.3 workers per retiree today, by 2030 there will be just two workers to pay the taxes for the benefits of each retiree.
Social Security is a pay-as-you-go system, as you know, with each generation of workers paying the benefits of current retirees. This works fine as long as the working population grows faster than the retired population; but now that the trend has reversed, the system is simply unsustainable.
Congress and the Social Security Administration are seeking solutions to this long-term problem; but at the same time, we have to work on the existing problems confronting our seniors on Social Security. Recently, the Congressional Budget Office reported that for the first time in 35 years older Americans will not receive a cost-of-living adjustment, or COLA, increase in their Social Security checks in 2010. This is bad news for many retirees living on a fixed income because although the cost of necessary goods like food will continue to rise, seniors who rely on Social Security checks will not see their budgets increase.
To compound this problem, millions of the same seniors whose budgets may be tighter than ever will also face much higher Medicare part B and Medicare part D premiums next year. Medicare part B insurance covers doctors visits, lab work, physical therapy, and other types of outpatient services. Medicare part D is the Medicare prescription drug program.
A Federal law, known as the ``hold harmless'' rule, prevents the annual cost of part B premiums from rising higher than that year's Social Security COLA. For example, if your annual Social Security income increases by 5 percent, the yearly part of part B premiums cannot increase by more than 5 percent. The problem is that, while this hold harmless rule covers some Medicare part D patients, it does not cover any of the 28 million seniors insured by Medicare part D prescription drug coverage, and it does not cover about 11 million Medicare part B seniors.
Mr. Speaker, I have been joined today by my colleague and friend, the Congressman from Minnesota. I would like to yield as much time as he may consume.
That's absolutely right. Will the gentleman yield?
I just wanted to say that, as you talk, it just really gives me some encouragement that we have put in place legislation that is going to allow us to deal with preventive care and wellness. Certainly that is an issue in our neighborhoods and all neighborhoods, especially neighborhoods of poor people and middle class people. It has become a major issue just finding the resources and the time and ability to go to the doctor and say, I have a small problem, let's take care of it before it becomes a big problem.
And I think that just what you're talking about is preserving the longevity of grandma and your uncles and your aunts based upon the fact that they are going to be healthier longer is very, very important. And I yield back.
Thank you. You are absolutely right; we cannot survive with the status quo.
And the other thing that this bill does is it allows us to say to those who have for so long not been able to really live a healthy lifestyle--not because they don't want to, but because they don't have the ability to--to now say, look, we are going to put resources in your neighborhood community clinic so that you can go and make sure that your children have the proper exams and the proper things before they go to school.
We are going to be in a position where we say to them, we are going to make this health care accessible to you, not just on Monday through Friday from 8 to 4, when working parents have to work; but because of the resources we're providing, we are now opening these clinics on Saturday. We are now saying to them we are going to make this more convenient for you because we want you to be healthy. We want to set the example, set the standard; and it's time we do those kinds of things for the people we serve because that is our job is to take care of the people we serve.
I yield back.
Thank you very, very much. I am so pleased to have you join me this evening, Mr. Ellison. I thank you for your work. You do outstanding work on behalf of people in the most need, and I am happy you could join me.
It seems as though now we have been joined by our Chair, the Honorable Barbara Lee, the gentlelady from California. I will now yield to our chairwoman. Thank you so much for being here.
Thank you so much, Madam Chair. It's always a pleasure to have you join me. Even though we generally do this on Monday nights, this is a special Wednesday night for us, so I appreciate your taking the time to stop by. Thank you very much.
Mr. Speaker, as I mentioned, I believe this Congress is willing to take a stand for seniors. I am proud to be a cosponsor of several pieces of legislation and to be a signatory on a number of letters to congressional leadership and Federal agencies which were authored to help seniors who are facing mounting financial and medical concerns.
One important bill, the Social Security COLA Fix for 2010 Act, ensures that seniors receive their COLAs for 2010. This legislation will help offset rising costs by providing seniors with a one-time $150 payment in lieu of the Social Security COLA. The offset is fully paid for, and the legislation would not affect other Federal programs. For example, the one-time $150 payment would not count as income, and as a result, it would not push seniors who are too young to qualify for Medicare out of the eligibility for Medicaid.
I want to talk just a bit about end-stage renal disease, Mr. Speaker, which is a disease that affects many seniors in my district and around the country. They are those who experience kidney failure. Last year, Congress passed legislation to provide up to six sessions of pre-end- stage renal disease education to Medicare beneficiaries experiencing kidney failure.
I joined a number of other Members of Congress and sent a letter to the directors of the Centers for Medicare and Medicaid Services, urging them to reconsider the proposed physician fee schedule, which would reimburse a 60-minute kidney education service, provided by a licensed physician, at the same rate as a 15-minute session provided by a nutritionist. The letter also requests that CMS reconsider the restriction on who can administer pre-end-stage renal disease education. Currently, only physicians can provide this service, although, licensed practitioners, such as nurses and nutritionists, are available and are trained to provide this education as well.
Adjusting the reimbursement rate and allowing multiple types of licensed practitioners to educate seniors with kidney failure will ensure that seniors facing end-stage renal disease will get the care and education they need.
For many seniors, their major concern about aging is the fear of losing their mental capabilities. That is why I am a cosponsor of the Alzheimer's Breakthrough Act of 2009, which is a bipartisan piece of legislation that includes an authorization of $2 billion for Alzheimer's funding at the National Institutes of Health, for support for caregiver programs and for a national summit on Alzheimer's.
Another piece of legislation which is essential to the welfare of America's seniors is the America's Affordable Health Choices Act of 2009. While some seniors have received misinformation and have voiced suspicions that health care reform would cut Medicare benefits, many know the truth about this bill. Medicare will be absolutely strengthened under the proposal.
As we all know, the health care reform bill is not yet complete, and many more changes will be made before it becomes law. While I cannot predict how the bill will be structured once it is finalized, I can tell you that I am fighting to ensure health care for seniors will not be diminished in any way.
Under the House proposal, seniors should notice a number of improvements in services. To be more specific, the House proposal will protect Medicare by shoring up funding for the program across the board so that all Americans will have this benefit as they grow older.
The bill will lower drug costs by eliminating the Medicare part D doughnut hole for prescription-drug coverage. The doughnut hole refers to a costly gap in the Medicare part D prescription drug plan. The plan currently covers up to $2,700 per year in prescription-drug benefits. Then it stops. Coverage does not begin again until a recipient's drug cost exceeds $6,100 annually, thus, leaving the recipient responsible for paying all drug costs between $2,700 and $6,100.
Under the proposed legislation, seniors could receive a 50 percent discount on brand name drugs in the doughnut hole immediately after the bill passes. This is a measure that would provide immediate relief for seniors who must choose to either purchase medication or food--a choice no American should be forced to make.
The legislation provides free preventative care. Seniors would pay nothing on preventative screenings and services designed to keep them healthier longer.
The bill improves primary care by ensuring that seniors are able to spend more time with their primary care doctors.
There are provisions to enhance safety by developing national standards that measure medical care quality by investing in patient safety and by rewarding doctors and nurses who administer high-quality care.
The legislation increases oversight by cracking down on waste, fraud, abuse and medical overpayments.
There are provisions that encourage hospitals with high readmission rates to provide transitional and coordinated care services.
Finally, Mr. Speaker, the bill has new initiatives to improve nursing home quality and transparency.
Seniors should not be fearful. Change, we know, is difficult, but as Henry Ford said: Don't find fault; find a remedy.
Experts who have studied the House health care reform legislation found that the proposed changes actually strengthen Medicare and improve beneficiaries' care and access to physicians. Passing legislation that improves the lives of seniors is the number one priority in this Congress. Seniors should not have to fear or wait any longer. I say to all of the seniors: We are fighting for you. Every day, we are fighting for you, and we will not let you down.