Mr. Speaker, we just heard a lot about competition and better and improved markets. The basic problem the Republicans have-- and they know this very well--is that the health insurance industry is exempt from the antitrust laws of the…
Mr. Speaker, we just heard a lot about competition and better and improved markets. The basic problem the Republicans have-- and they know this very well--is that the health insurance industry is exempt from the antitrust laws of the United States of America, so they can, and they do, get together and collude. They collude to drive up prices. They collude to share markets: hey, if you are pulling out of that State, I will pull out of this State and cut those kind of deals. They can't be prosecuted.
We had a bipartisan vote on the floor of this House when we were originally considering the House version of the Affordable Care Act-- infinitely superior to the thing passed by the Senate which we got stuck with--and it was over 400 votes to take away their antitrust immunity. Is that in this bill? Heck, no. They are the second largest PAC contributor to the Republican Party, so I am afraid we are not going to take away their antitrust immunity--but we are going to have a really free, competitive, and transparent market. You will be able to go out and get your policies, whatever the insurance companies have decided as they colluded behind closed doors.
Now, the other issue here is, for some reason, Republicans seem to have taken and painted a big target on the back of low- and middle- income seniors in two ways. They are going to repeal some very small taxes on people who earn over one-quarter of a million dollars a year. You know, they really need another 4 percent because they are just hurting. Those people who earn $1 million, $2 million a year, they are hurting. We have got to repeal that tax. So that is one of the highest priorities in this bill: repeal that tax.
Unfortunately, that means that the Medicare trust fund will be exhausted 4 years earlier. That is right. The money those very high- income people are paying goes to Medicare, to the trust fund, which is in trouble right now. It is going to be exhausted in 2028. Under their plan, it is going to be exhausted in 2024. So they have painted a big target on seniors. But don't worry, the seniors can go into the competitive--well, not so competitive--insurance market and buy a plan.
But then another little twist and another arrow in the heart of seniors--seniors now, under their plan, instead of a cap of three times the cost of a policy to other, younger subscribers, it is now they are going to jack it up to five times.
Why do you hate seniors so much? What is the deal here? Yeah, the high-income seniors will do fine. But what about the middle- and low- income seniors, those who are struggling to make ends meet on Social Security and others?
Then for some other bizarre reason, they have got it in for Planned Parenthood. They say it is about abortion. Well, guess what? It is not. Federal law has prohibited Federal money from going to abortions for 40 years. It is not about abortion. It is about something
different. It is about breast exams, Pap smears, physical exams, STD testing and treatment, information and counseling about sexual reproductive health, cancer screenings, pregnancy tests, prenatal services, and access to affordable birth control.
Why do they want to kill that for 1 million people, many of whom live in rural areas that are already underserved? They don't have an alternative for those services. But they want to kill that--oh, just for 1 year maybe. Well, actually, they would like to do it permanently, but they are going to say: well, we are just going to do it 1 year and see how it works out, how those million women do.
Then, as my colleagues from Connecticut said, everything around here has to be scored, and it can't add to the deficit--unless it is something they want to do. Now, in this case, this has not been scored. We have no idea what it is going to cost the American taxpayer, this new Rube Goldberg, and they don't have any analysis of how many people are going to lose coverage.
Now, granted, they put off the huge loss of coverage until 2020. They delayed the big changes in Medicaid until 2020. That is when tens of millions of people will lose their health insurance. But there are still going to be a lot of people losing their health insurance a lot sooner, and it would be useful for people to know about that before they vote on it: how much is it going to cost the taxpayer and how many people are going to lose coverage.
Under the ruse of fixing something that is broken that has given 23 million people an opportunity to have health insurance and brought us the lowest rate of uninsured in recent history in this country, they are cutting taxes for wealthy people. By the way, there is a little gift in there for health insurance companies. They can fully deduct their CEO's $20 million salary. Today, it is limited to $500,000. So another tax break for the health insurance industry.
Did they take on Big Pharma? Did they do anything about the unbelievable price gouging that is going on today through the pharmaceutical companies, where someone buys up a generic drug that has been around for 50 years and jacks up the price 1,000 percent?
No, they are not going to do anything about that. We are not going to have more affordable prescription drugs. I don't know if they undid the fix to the doughnut hole that was in the ObamaCare bill.
If they really wanted to do something, they would say: Let's have a national not-for-profit plan offered in a national exchange so that every American can afford health care at a reasonable cost without excess profits to an industry which is exempt from antitrust law, colludes, and pays their execs $20 million and $50 million a year.