Mr. President, I am here to speak about Mr. Price, but I want to respond to my friend the Senator from Nebraska. I appreciate very much the independence the Senator has shown in his tenure in the Senate. My hope would be that his comments…
Mr. President, I am here to speak about Mr. Price, but I want to respond to my friend the Senator from Nebraska.
I appreciate very much the independence the Senator has shown in his tenure in the Senate. My hope would be that his comments about civics, his comments about our three branches of government--I hope we will take that speech and actually send it down to 1600 Pennsylvania Avenue because I concur with him. I concur with him about the basic civics lessons he laid out. I concur with him about three equal branches of government. I concur with him about the fact that I look forward to hearing from Judge Gorsuch and having my chance to view him.
But I would also think that in any kind of objective analysis of what our country is going through right now, we have currently a President of the United States who--I have real questions whether he has read that document, the Constitution, whether he understands the basic tenets of three coequal branches.
We saw his activities during a campaign where he called out a judge because of his ethnic heritage and somehow impugned that judge's independence. At some point, he walked that back, and perhaps those of us who were kind of scratching our heads thought, well, that is just during the campaign, and candidates do strange things during the campaign.
Then we saw the President get elected, and we saw throughout a transition period decrees by twitter that are, again, unprecedented in modern activity. I know the President wants to be a disrupter, but there is some level of comity and some level of civics and some level of recognition of coequal branches that--candidly, when the President of the United States attacks a judge because he doesn't like the ruling in a way that calls into substance not the substance of the ruling but the very nature of the judiciary, I think all of us--and I know the Senator from Nebraska would agree with this--all of us need to sit up and say this is not what the Founders intended.
I look forward to giving Judge Gorsuch and everyone else the President might nominate a fair look, a fair appeal, and then making a judgment on whether I think one of the most important positions--a lifetime position of serving on our Nation's highest Court--whether he is appropriate or not. But this President makes that case harder for his nominee when he shows such blatant disregard of the fundamental basics of our Constitution.
I would be more than happy and glad if we would all dial it back a bit, but we are in uncharted territory in a way that, as somebody who believes every bit as much in the Constitution as the Presiding Officer does, it makes me very concerned about making sure we maintain those basic liberties, making sure we have a government that can live within its means, making sure we maintain the independence of the judiciary, the independence of our legislative body, and an Executive who knows there are limits on Presidential powers.
I appreciate his comments and particularly appreciate the fact that through his tenure in the Senate, he has shown a level of independence. I have taken some hits from my own team for showing similar levels of independence. I commend his words, but I do hope that those words would actually make their way down to 1600 Pennsylvania Avenue. I am curious to see what the President's tweeting response to that speech would be.
Mr. President, I did come here, though, today to rise and talk about a need that Virginians and, for that matter, Americans have, about a health care system that is affordable and accessible and provides high- quality health care.
I voted for the Affordable Care Act back in 2010, and I have acknowledged, I think along with many of us, that just like every major reform--just like Medicare and Social Security and Medicaid--Congress never gets it 100 percent right the first time and that Congress needed to revisit and improve certain aspects of the ACA.
As anybody who serves in the legislative body knows, you have to have partners in order to get to yes. Unfortunately, that is what we have heard from folks on the other side for the last 7 years. We have heard all the critiques, we have heard the screech of repeal, but we have not heard any kind of plan on what you replace.
The fact is, like it or not, ACA has played a critical role in driving health care innovation, protecting consumers, and reducing overall health care spending. Those are just facts--not alternative facts, not alt acts; those are just facts. The increased coverage to more people now makes it all the more difficult to find some way to repeal and maintain all the things that people liked, yet replace it with a plan that is actually more cost-effective.
So today we consider a candidate for Secretary of Health and Human Services, the lead Cabinet member who will oversee our critical health care programs. Congressman Price has advocated for dismantling the ACA, and he has made it clear that, as Secretary of HHS, he would seek to implement policies that, I believe, will make health care more expensive and less accessible to Virginians.
Today, after a great deal of reflection, I join my colleagues in opposing Congressman Price's nomination to be Secretary of HHS. And rather than going through the statistics and facts--I know I have other colleagues who want to speak--I want to reflect briefly on a couple of stories I have heard from Virginians.
One of the things that was a benefit but I don't think folks have focused on enough is that the ACA, with all its challenges, did allow people freedom from the trap of being caught in a dead-end job that they couldn't move from because of the fear of losing their health care benefits. This was the first move toward an affordable benefits system, something I think we are going to have to move beyond health care to retirement and other aspects, as well, as more and more workers work not in traditional full-time and long-term employment, but more and more--one-third of the workforce today already is in some form of contingent work: part-time work, independent contractors, gig work. They have no benefits, other than the fact that through the ACA they are able to maintain health care. The ACA has actually reduced this phenomenon of ``job lock.''
A couple of weeks ago, I met Andrea in Richmond. She always dreamed of opening a software business, but she and her business partner were considered uninsurable because of preexisting conditions. The ACA changed everything. After obtaining insurance through the exchanges, Andrea and her business partner were able to take that risk. Today, that successful company has a staff of 12. As Andrea said: ``Simply put, my business would not exist without the security the Affordable Care Act provided.''
The coverage gains we have seen are remarkable. That is clear from hundreds of Virginians who have contacted me with stories like Andrea's. In fact, never before in our Nation's history has the rate of uninsured dropped below 10 percent. In Virginia, a State where our legislature unfortunately would not expand Medicaid, we have still seen an uninsured rate drop from 15 percent to 9 percent, and 327,000 Virginians got additional coverage. This is especially true in rural areas.
Nationwide, the ACA lowered the percentage of uninsured by eight points in rural communities. Rural communities often struggle with hospitals that, without ACA, would be on the brink of financial extinction.
Here is another quick example from Janet in Mosely, a rural area south of Richmond, who grows and sells organic vegetables to support her family, which includes four children. She said:
We went through various attempts to manage the cost of
health insurance and health care in our finances before the
ACA--with no
good results. [Because of ACA], we have been able to have an
appropriate plan, with a realistic deductible, access to
quality doctors, and be able to go to preventative care
annual appointments. We are quite fearful about what life and
business may be like without the ACA, or an improved-upon
version of the ACA. A repeal would be disastrous.
Unfortunately, not only has Congressman Price strongly opposed the ACA, but his plan--or what framework of a plan you see--and other proposals dramatically scale back the individual market reforms that allow people like Andrea and Janet to obtain meaningful coverage. As our workforce becomes more mobile than ever, Congressman Price has said people should have access to care, but access to care without affordable care isn't true access.
For example, if you got rid of the ACA with no plan to replace it, we would see the reinstatement of lifetime and annual limits on coverage. They are what turned getting sick into a financial calamity for so many people. Plans would be required to cover far less in terms of conditions, moving away from the ACA's promise that insurance is worth more than the paper it is written on.
As I mentioned already, the close to one-third of the workforce that is already in some level of nontraditional work and doesn't work full time in a long-term employment facility would lose that flexibility to move from job to job.
We have also heard from Congressman Price plans to block-grant, for example, Medicare. We in Virginia have a very trim Medicaid program. We have also not expanded Medicare, which I think was a grave mistake of the legislature. The Governor and I agreed we should expand it. Putting a Block Grant Program in place for Virginia would be a disaster in terms of Medicaid. As well, Congressman Price has voted against the Children's Health Insurance Program, the CHIP program, one of the things I was proud to expand in Virginia, where we ended up signing up 98 percent of all eligible children. Congressman Price called the CHIP program ``government-run socialized medicine.'' What he didn't say is what he would say to the 200,000-plus kids in Virginia who get their health care coverage through CHIP.
So I believe that Congressman Price's approach--whether it is on Medicaid block-granting, whether it is on the ACA, whether it is on the CHIP program, whether it is his failure to come up with a sufficient plan to provide access and affordability--means that if we go forward with his nomination, the kind of chaos that would be created if you repeal the ACA without a replacement plan in place will not only affect the 20 million-plus Americans who got health care coverage through the ACA but literally everyone else because it will absolutely pull the bottom out of the overall insurance market. These are chances that we can't take.
I have a series of other stories, but I see my friend the Senator from Connecticut, who spent a great deal of time on this issue back when there weren't that many people coming to the floor to defend the ACA. I guess it is better to be early and right, but Congressman Murphy has been a great leader on this issue. He was here, as I mentioned, on the floor, when many of us were active in other activities, an absolute native of the ACA, when we went through the bad rollout. But what we have seen in America, as we get closer now to the reality of the new administration, is that the new majority wants to actually repeal this program without fixing it--simply repeal. I think his forewarnings about what would happen are all coming to pass.
I will personally be opposing the nomination of Congressman Price to be Secretary of HHS. I hope my colleagues will join me.
I do want to yield the floor to the Senator from Connecticut, who has been such a great leader on this issue.