Legislative Session
Mr. President, I don't believe you can serve in the U.S. Senate without being, at least, an amateur student of history. You are overwhelmed in this Chamber, which is where the Senate has met since 1859, to reflect on all of the things that…
Mr. President, I don't believe you can serve in the U.S. Senate without being, at least, an amateur student of history. You are overwhelmed in this Chamber, which is where the Senate has met since 1859, to reflect on all of the things that have occurred in the past, and you remember your own experience there as well. I certainly do.
This is my 29th year of service in the Senate, and I think back this evening to some of the things which I have witnessed and that still stick with me.
I can still see that door open and Ted Kennedy walk through it, summoned from his deathbed in Massachusetts to cast the deciding vote on the Affordable Care Act, ObamaCare. He wouldn't miss it, even if it meant he was going to die in the process.
I think of that door over there, when President Trump, in his first term, tried to, basically, eliminate the Affordable Care Act, and it was saved at the last minute, at 2 in the morning, when John McCain came through those doors, stood in the well right by that table through the Republican side, and cast his vote no. He couldn't raise his arm, it had been damaged so badly when he served as a prisoner of war during Vietnam, but you knew how decisive his gesture was. And he saved healthcare for millions of Americans.
There were other moments as well that I can reflect on, but the point I would like to get to is this: There was a speech a few minutes ago on the floor of the U.S. Senate which every Senator should have heard, particularly every Republican Senator.
The Senator from North Carolina gave a speech--Senator Tillis--and explained why he decided to vote against this Republican budget plan, this reconciliation bill. He explained it in a thoughtful and comprehensive and convincing way. But before he made his decision, he turned to Republicans in the State and Democrats and a neutral third party to analyze the bill. He concluded, after that careful study, that this measure, the changes in Medicaid and Medicare and other health programs, would be a disaster for the State of North Carolina.
He had made it clear before tonight that he was going to vote against this bill, and he made it clear this morning that he is preparing to retire from the Senate.
I felt his statement was compelling, and I am sorry that there weren't other Members on the Republican side, at least one beyond the Presiding Officer, present to hear it.
It is seldom that you hear a speech on the floor of the Senate that you know is so personal and so heartfelt and so meaningful as the statement made by Senator Tillis earlier. He made a decision, which will be widely reported, I am sure, and showed a level of political courage which is seldom seen in this Chamber.
He basically said in a positive way that the President was wrong in believing that this wouldn't hurt ordinary people. This Republican measure, which is before us tonight and tomorrow is going to hurt a lot of people.
We estimate that 16 million American families will lose their health insurance as a result of this measure that is on the floor today.
I have said it before, but I want to repeat it. If you have ever been the father of a new baby with a serious medical problem and you have no health insurance, you will never forget that moment as long as you live. I know. I have been there.
I went to the charity ward at Children's Hospital as a student of Georgetown Law School with my wife and baby. We waited in line to see which doctor would walk through the door and see my baby and save her life. You feel that you have let everyone down in the world at that point when you don't have health insurance when you need it so badly. It means so much to you.
This bill is designed to take health insurance away from 11 million families in America. Eleven million families in America in a period of time will not have peace of mind that they have access to the best care because they will have lost their health insurance.
What is it about Donald Trump taking away coverage of healthcare? Why has this become the trademark of the Donald Trump Republican Party? He did it in his first term. He tried to, but John McCain stopped him, and now he is trying to do it again.
The question is whether Senator Tillis and his Republican colleagues can muster enough courage to step up and find four Republican Senators who will say: No. No. I am not going there. I don't want it on my conscious or my record that I took health insurance away from so many American people.
Now, you may argue: Durbin you are a Democrat--and I am--and your arguments have to be tempered because you are so partisan, so political. Surely it isn't as bad as you just said it was.
Well, let me read something to you. It is from a group called the American Cancer Society. I am sure you have heard of it. This is their Cancer Action Network, and it is a letter to the Senate from Lisa Lacasse, president of the American Cancer Society Cancer Action Network. Here is what she says about the measure that is pending before us now that we are being asked to vote on. It is from the American Cancer Society Cancer Action Network:
History will be made with this vote. Congress has one last
chance to stop this unprecedented attack on access to
healthcare for millions of Americans, including cancer
patients and survivors. Congress can say `no' to terminating
health coverage for nearly 11 million people who will have no
other affordable option available to them if this bill
passes.
Currently, 1 in 10 people with a history of cancer have
Medicaid coverage, including 1 in 3 kids who are newly
diagnosed with cancer. We know having quality health coverage
is one of the most significant factors in whether someone
survives a cancer diagnosis. Voting for this bill means
voting to rip the chance of survival away from real people.
She goes on to say:
Simply put, this bill will mean more Americans are living
sicker and dying sooner.
Then she said:
Lives are on the line.
So if you are skeptical about anything that I say because of my partisan background, I understand. But for goodness' sake, when the American Cancer Society--they have such a definitive statement made that this measure we are being asked to vote on is going to harm innocent people--men, women, and children. That is a fact.
I might add another short message we received from the Children's Hospital Association. Matthew Cook is their president and CEO, and here is what he says about this bill that is pending:
The new version of the budget reconciliation bill is a
crisis for children's health care, hospitals, and providers
nationwide, and we ask Congress to oppose it as an act of
support for America's children. The bill goes
much too far. . . . The bill amounts to fewer doctors and
nurses to see your child, longer wait times, and sicker
children. We know that the impacts of poor pediatric health
care reverberate for a lifetime.
That is from the Children's Hospital Association.
Neither of these organizations is a partisan organization, and they have confirmed what Senator Tillis said earlier on behalf of the State of North Carolina and what those of us on this side of the aisle have been saying all along.
Why would we risk the lives and well-being of so many children, so many American families? What is it about the trillion dollars which we will take out of the healthcare system in America that is so pressing, so demanding that we are willing to make these big risks? I will tell you what it is. It is the extension of tax breaks--tax breaks for the wealthiest people.
Oh, Durbin, you Democrats always talk about billionaires and millionaires. It can't be true.
Senator Angus King is here. He told me that he did an analysis of the actual tax breaks. If I remember correctly, if you do a cut-off of income at $400,000 a year and say anyone over that figure is not going to receive any tax break, you would reduce the cost of this tax program by 60 percent or more--60 percent or more.
So when we talk about tax breaks for the wealthiest people in America, that is exactly what this is about. I want to give tax breaks, if we can, to working families that struggle paycheck to paycheck. For goodness' sake, a $346,000 tax cut for Elon Musk, the richest man on Earth? What are we thinking?
I just want to make quick reference to two States that have an experience coming with this bill, which will be dramatic. One is Kansas. In Kansas, 360,000 individuals rely on Medicaid coverage. Fifty-six percent of them are children. But with this bill, 89,000 people in Kansas are going to lose their health insurance.
In Kansas, Medicaid covers one-third of births and 58 percent of nursing home residents. What happens when Medicaid does not pay enough money to the nursing home to keep your mother in good care or your father or someone in your family? What do you do next? Well, you exhaust the savings that are available to your family. If that isn't enough, what is next? I don't know.
When I grew up, as a kid, there was a spare bedroom in my grandparents' home for brothers and sisters who had no place else to go. I suppose that is going to happen to some families.
Already, 28 rural hospitals in Kansas are at immediate risk of cloture. To think that this measure will have no impact on those families and those communities is just plain wrong.
In the adjoining State of Missouri--I grew up across the river, the Mississippi River; I grew up in Illinois; I grew up across the river from St. Louis, MO--1.2 million individuals rely on Medicaid coverage. Fifty percent are children. With this bill, 250,000 people in Missouri are projected to lose their health insurance. Medicaid covers 40 percent of births in Missouri and 65 percent of nursing home residents.
Already, 10 rural hospitals in Missouri are at immediate risk of closure. Mr. President, you know as well as I do what happens in smalltown America, rural America, when they close the hospital. It is devastating--not just because you don't have access to quality healthcare but because you just lost a major economic engine for that community. Try to attract a new business to that town after the hospital closes. Watch what you run into. It is that devastating.
That is the reality of this approach. And why are we doing it? What is the national energy that calls on us to make this change? Tax breaks for the wealthiest people in the America. That is what is motivating the Republicans now.
I want to close and just say thank you to Senator Tillis. He has shown extraordinary courage. The question is whether others will join him, whether four Republican Senators will step up and say: Enough. I have heard enough. I have seen enough. I believe this is wrong.
There are ways we can help people who need a tax break rather than the wealthiest people that won't damage some of these families. Eleven million, 16 million--whatever the number turns out to be--will lose health insurance.
I hope that we come to our senses and do it soon. I hope what Senator Tillis said on the floor will inspire Members of his own caucus to listen carefully, to know that he speaks the truth and has taken great political risk to say it.
I yield the floor.