Mr. Speaker, this opportunity for the minority party during this hour is dedicated to the subject of what we are going to be dealing with tomorrow, H.R. 5, and that regards the Medicare Part D prescription drug, allowing or, in fact,…
Mr. Speaker, this opportunity for the minority party during this hour is dedicated to the subject of what we are going to be dealing with tomorrow, H.R. 5, and that regards the Medicare Part D prescription drug, allowing or, in fact, requiring the Secretary to negotiate prices. And this is a hugely important issue.
But I want to take just a minute to respond to my colleagues on the other side of the aisle that just spent their hour with the Out of Iraq Caucus. In fact, they asked me for permission for an additional 5 minutes because they had some very passionate Members that had not had an opportunity to speak.
I gladly granted them that opportunity. That is what makes this Congress great. That is what makes this country great, the willingness to listen to diverse opinions.
But I want to say, and I want to take just a few minutes before we get into the discussion of Medicare Part D, how diametrically opposed I am to what the Out of Iraq group just had to say during this last hour, and, indeed, Mr. Speaker, hour and 5 minutes.
I don't object to their right to have that opinion. I do certainly take exception, Mr. Speaker, and my colleagues, when folks stand up here, and I am not talking about new Members of this body. In fact, there was one new Member from Illinois, the gentleman from Illinois, who is going to be part of the Out of Iraq Caucus. I am talking about very senior, thoughtful Members. To stand up and suggest that the President lied to the American people, I think, is really not, in fact, even close to being the truth.
The President, I think, is an honest man. And last night, Mr. Speaker, in his presentation to the American people, I thought he did an excellent job of explaining why it is so important for us to try to apply, if not a knock out blow to the insurgence and the terrorism, the sectarian violence that is
going on in and around Baghdad, certainly, to strike a blow that would put them on the ropes, would get us off the ropes and put them on the ropes. And yet, we hear from the majority party wanting to tie the President's hands behind his back and our great military.
I think we have got a wonderful opportunity. Mistakes have been made. Absolutely. There is no question about that. I think the President acknowledged that last night in his 20-minute speech to the Nation. But we have an opportunity.
And this is really, I want my colleagues to think about this. This is not about the President's legacy. This is not about the legacy of Donald Rumsfeld, or General Abizaid or even our new Secretary of Defense, Robert Gates, who we just heard from in a 3-hour hearing at the House Armed Services Committee, or our Chairman of the Joint Chiefs of Staff, Peter Pace, or General Petraeus. This is about 23 million Iraqi people. This is about the citizens of the United States of America. This is about the entire Middle East. In fact, this is about 6 billion people on this planet. And we have to, in my opinion, we have to support the plan. If we don't, even if our colleagues in the Out of Iraq Caucus absolutely abhor this President and would like to see his legacy be one of failure, surely, surely, they are with the American people. And I think they are. I think deep down within their heart, they are.
But I am absolutely convinced that they have not thought about the consequences of, all of a sudden, I mean, almost instantaneously pulling our troops out of Iraq, as they say. And I have heard many of them say that, Mr. Speaker, and my colleagues. And the fact that, if that would happen, I think you would, indeed, have another Vietnam. You would, indeed, have a total bedlam and sectarian violence in the country of Iraq. You would have Syria and Iran taking over the Middle East.
And I just wonder how much longer the country of 7 million people in Israel would last. I mean, they have already pledged, Ahmadinejad and others, to drive them into the sea. And what respect, Mr. Speaker, would the world have for the United States of America if we, indeed, cut and run?
I am not suggesting that that is what they are saying. But I think that is a perception that the rest of the world would have. You cannot depend on the United States. And those terrorists would be back after us again.
We haven't had another 9/11 or any kind of a terrorist attack on this soil in 5\1/2\ years. But if we follow the recommendation of the Out of Iraq Caucus in this Congress, that is exactly what will happen. It will be far worse than 3,000 lost lives, of innocent people.
Certainly, the gentleman from Illinois, the new Member, I have great respect for all of the new Members, Mr. Speaker. And he talked about Martin Luther King, a man of peace. We need people, like Martin Luther King, that pray for world peace. I pray for world peace every day, and I know all of my colleagues do.
But we also need fighting men and women. We need a strong military when we get attacked, an unprovoked attack, when those prayers are not working so that we can defend this Nation.
So I am glad to give them an extra 5 minutes so it gives me an opportunity to refute most of what was said here in the last hour.
With that, Mr. Speaker, I will turn to the subject of the hour, and that, of course, is what is going to be on this floor tomorrow as part of the new Democratic majority's 100 hours. This will be H.R. 4.
We have had three bills this week. We have had the so-called 9/11, completion of the recommendations of the 9/11 Commission. We had the minimum wage bill and then today of course the stem cell research issue.
And tomorrow what the Democratic majority wants to do is require the Secretary of Health and Human Services to negotiate prescription drug prices. Government price control; put the government in the medicine cabinet of 42 million seniors and disabled folks who are part of the Medicare program and prescription drug Part D. And they want to do that, just as they have done with these other three bills this week, with absolutely no opportunity, no opportunity for the minority party or even members of the majority, maybe the rank and file, as many of us refer to ourselves, to bring amendments, to have an opportunity to go before the Rules Committee and say, you know, I think we can improve on this bill a little bit. There are certain things I have been thinking about it. I am a doctor. I am a nurse. I am a health care worker, and I think we can make this a little bit better.
But, no. No, no. This new Democratic majority that railed for the last 2 years almost every day that their rights were being trampled upon and their amendments were not made in order, and here we are with four bills this week.
We are not talking, Mr. Speaker, about naming Post Offices here. We are talking about hugely important pieces of legislation, legislation that is controversial. This issue today on stem cell research, and we are talking about the destruction of what I feel, as a strong pro-life physician, is a little human life. And the proof of the pudding of course is the snowflake babies, literally thousands of them. And to suggest that those little embryos are just extra and throwaway, and we don't need them, and why waste them? We didn't get an opportunity to offer a single amendment. And this same thing in regard to this Medicare Part D issue which will be debated on the floor tomorrow.
Mr. Speaker, and my colleagues, if there is ever an issue of the old adage, ``If it ain't broke, don't try to fix it,'' it is this one, because this law that was passed in November of 2003 went into effect January 1 of 2005, the bill, the benefit, the optional benefit of prescription drugs under Medicare has only been in place for 1 year. And the success is unbelievable. I mean, it is far beyond anybody's expectations. It has an 80 percent approval when you poll seniors because they are getting their prescriptions, those who are having to pay for them, are getting them at a much lower price. The average savings is $1,100 a year for those who are paying their monthly premium and their deductible and their copay. And for those who, because of their low-income status, are virtually paying nothing but a dollar or maybe $3 to $5 for a brand name drug, if that is covered by the supplement because of low income, then they are saving at least $2,400 a year.
And so, Mr. Speaker, to try to improve upon something that is working so well, I think, is a grave mistake. And I think, as the expression goes, they are going to gum up the works.
Now, let me tell you how setting price controls works and how poorly it works for that matter. When we were debating this bill in 2003 in the committee on the House side, a Democratic Member, I think it was Representative Strickland, now Governor of Ohio, a very good Member of this body, suggested, had an amendment and said look, let's set the monthly premium at $35. Let's require that the monthly premium be $35, I guess, over concern that it could be higher than that.
Let us set it at $35. The same bill was introduced on the Senate side, and I am not sure which Senator, which Democratic Senator, introduced the bill on the Senate side.
But, again, to set that premium. Well, had we done that, then our seniors today would not be enjoying an average monthly premium of $24 a month, $24 a month, because the market, the competition between the multitude of prescription drug plans that are out there competing for business allowed that to happen as they brought down the price of drugs as they compete with one another.
I will give you another example in regard to the Medicaid program. You know, the States each have their own Medicaid program, and they can cover prescription drugs if they want to. They don't have to. Most do, and they set prices. The State governments do that to try to save money. They set prices.
Well, people who are eligible for both Medicaid, because of their low income, and Medicare, because of their age or disability, now these dual eligibles, the prescription drugs are paid for by the Medicare part D program as the first payer. Well, our community pharmacists are so upset because they were getting a higher price for prescription drugs under the Medicaid program than they are under this new Medicare part
D program which has forced those prices down. Obviously, the neighborhood druggists, the community pharmacists are making less money, and they are upset. I can understand that.
But this just goes to show you once again, when the government sets the price, it is just as likely, if not more likely, that they set the price too high. The bureaucrats are notorious for that. The marketplace would never let that happen because of competition.
This opportunity to talk about this subject tonight is a very, very important issue at an important time. We will talk about it on the floor tomorrow and try to proffer these same arguments against requiring the Secretary of HHS to set prices. It is the first step down the road toward a national health insurance program, a single-payer program, or, if you like, Hillary Care. I don't think the country liked Hillary Care when it was offered back in 1994, and President Clinton paid a price for that, a dear price.
It is just really surprising to me that the Democratic majority would come back with this type of issue.
I think what is driving it is the success of this program is so resounding, and they, my good friends and colleagues on the other side of the aisle, that resisted this program every step of the way, fought it every step of the way, now I think they kind of want to get on the bandwagon and get a little credit for something.
But I warn them, I warn them, what I frequently hear them and others say, when you are in a ditch, when you are deep in a hole, the first thing you need to do is stop digging. I think they are digging themselves a bigger hole. And, politically, that is good for us. That is good for the Republican minority. That will help us regain the majority. But it is not good for the American people. It is not good for our needy seniors, and that is why I am so opposed to it.
I am very happy to have with me tonight a couple of my Republican colleagues, great Members, not just Republican Members that don't have special knowledge on this issue, but I am talking about a couple of our physician Members.
At this time I would like to yield to the gentleman from Texas (Mr. Burgess), a fellow OB/GYN physician.
Dr. Burgess, thank you very much for that most enlightening discussion.
We have two other speakers, and again I mentioned at the outset Dr. Charles Boustany from the great State of Louisiana, a cardiovascular surgeon. And Dr. Boustany, we thank you for being with us tonight, and we want to turn it over to you at this time.
Mr. Speaker, I want to thank the gentleman from Louisiana, the cardiothoracic surgeon who is doing such a great job now in his second term.
At this point, I want to turn the program over to my colleague from Georgia. Not only do we represent part of the same county, but we are both physician Members, and Dr. Price is an outstanding orthopedic surgeon, an outstanding Member of this Congress. In fact, I was at a very important press conference earlier this afternoon on this issue, and I heard Dr. Price, he may want to say it again; I don't mean to preempt him. But I heard Dr. Price say this looks like a solution in desperate search of a problem. And that kind of goes along with what I said earlier: If it ain't broke, don't fix it. And if the Democrats find themselves in a hole, they need to stop digging. So with that, I will turn it over to Dr. Price.
Mr. Speaker, I thank Dr. Price and Dr. Boustany for their very informative contribution to this hour.
Mr. Speaker, in the few minutes that we have remaining and as we move toward wrapping up this hour, I want to just read a couple of quotes to my colleagues from former President Bill Clinton, who remains their rock star and who certainly tried to do some things on health care, unfortunately for him, unsuccessfully. But will listen to what President Clinton said in 1999 on his idea of a Medicare modernization proposal, which, as I say, was not passed: ``Under this proposal Medicare would not set prices for drugs. Prices would be determined through negotiations between the private benefit administrators and the drug manufacturers. Thus, the proposal differs from the Medicaid program in that a rebate would not be required and from the Veterans' Administration program in that no fee schedule for drugs will be developed. Instead, the competitive bidding process would be used to yield the best possible drug prices and coverage, just as it is used by large private employers and the Federal Employees Health Benefit Plan today.'' That was July 5, 1999.
And the then Secretary of Health and Human Services, Donna Shalala, Secretary Shalala, on this same Clinton proposal said: ``Private pharmacy benefit management firms will administer prescription drug coverage for beneficiaries in original fee-for-service Medicare. These firms will bid competitively for regional contracts to provide the service. They, not the government, will continue to negotiate discounted rates with drug manufacturers, and beneficiaries will receive these discounted rates even after they exhaust the Medicare benefit coverage.''
You know, Mr. Speaker, again, I said at the outset of the hour, why are the Democrats doing this? I know that when this bill was first passed, like anything, there was concern. Well, you know, is this going to work? Is it going to be successful? And, of course, they all opposed it. I think there were just maybe a handful of Democrats that ultimately voted for Medicare modernization, the prescription drug act of 2003. And they were asking their constituents and seniors to tear up their AARP card. Some of them symbolically did that from the lectern here in this Chamber. They were just outraged that a senior organization could support a Republican proposal, which, of course, they did. And when it passed and then over the last year of the program, it has been so successful that
they want to get in on it, even though that was such a bad idea, as Bill Clinton and as the Congressional Budget Office have said, in response to Dr. Frist's request back in 2004, that allowing the Secretary of Health and Human Services to negotiate prices would not save any money. The program is working so well.
Every one of these bills that have been brought up this week under this special rule of no rule, no opportunity to meet in the Rules Committee and no amendments, all these issues, minimum wage and completing the recommendations of the 9/11 Commission and stem cell expansion, poll really high. Yet this particular issue is just the reverse of the information they have got. It is an 80 percent positive issue for us. So I can only presume that they still want a little skin in the game. They want to get on the bandwagon.
Well, I am going to tell you, what is going to happen is our seniors are going to get skinned because they are about to ruin a good program. A program that is working well, that 80 percent of our seniors are in favor of. It has brought down prices of prescription drugs. It has come in now at $22 a month average monthly premium and this is great satisfaction. And they want to try to improve on that by letting the government negotiate prices. It is going to be a disaster for them. And I hope some of their Members, if they are smart, from these districts that they won from our Members in these elections in November, in these marginal districts, they had better talk to their folks back home before they follow the lead of their leadership and vote for this atrocious piece of legislation.
I railed at the outset, Mr. Speaker, about the fact that the new minority has been given no opportunity for amendments on any of these first four bills that are brought up during their 100 hours, and I do think it is an atrocity. But they may be doing us a favor inadvertently by not allowing us to amend this piece of legislation, which can't be amended. It needs to be killed. We need to kill this sucker dead. And I think every Member on our side of the aisle will vote against it, and the smart ones on their side of the aisle will vote against it.