Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, after some chaotic weeks of hush-hush deliberating, a lot of arm-twisting, and more than a few obvious buy- offs, the House has handed…
Mr. President, I ask unanimous consent that the order for the quorum call be rescinded.
Mr. President, after some chaotic weeks of hush-hush deliberating, a lot of arm-twisting, and more than a few obvious buy- offs, the House has handed the Senate a healthcare bill that will plunge tens of millions of Americans into suffering. With it, the debate now comes to this side of the Capitol, and my Republican colleagues seem to be competing to find out who can put the most distance between themselves and the House bill.
The message is that they are starting from scratch with a partisan working group and a new bill under construction. But I want to make sure that everybody is realistic about where this debate stands. There is not a shred of actual hard evidence that the Senate Republican conference is objecting to nearly $1 trillion in tax breaks for the wealthy and the special interests, paid for by slashing middle-class tax benefits and cutting more than $800 billion out of Medicaid. The dates, the numbers, and the waivers might look a little different when Senate Republicans write a bill, but the underlying framework will be the same.
This process, in short, is leading America back to the days when healthcare worked only for the healthy and wealthy. It is clear, when we look at the particulars, that the bill passed by the other body doesn't care whether you are young or old. It poses a threat of pain across all generations.
So this afternoon, as I begin what will be a series of discussions here on the floor in the days ahead to discuss these issues, I want to talk about what we are dealing with now.
Under the House bill, the youngster who needs special education services could see that set of opportunities disappear with cuts to Medicaid, a key source of funding for special ed school programs.
Are the tax breaks in this bill for the wealthy worth depriving kids of the opportunities they need to get ahead in life?
Under this bill, the young adult at 18 or 20 who has been through a cancer scare could wear that preexisting condition like a scarlet letter. They could face discrimination by insurance companies for life if their coverage ever lapses for more than a few weeks.
Are the tax breaks in this bill worth exposing Americans with preexisting conditions to this danger?
The 45-year-old who thought she was home free with an employer- sponsored plan that avoids the worst insurance company abuses could once again face a lifetime limit on certain health coverage. They would be at risk for personal bankruptcy if they suffer the wrong kind of injury or come down with the wrong kind of illness.
Are the tax breaks in this bill worth putting insurance companies back in the driver's seat? The 60-year-old, still years from retirement, would get clobbered by what I call the age tax, charged up to five times as much as a young person for insurance coverage. Are the tax breaks in this bill worth reviving insurance company abuses like this?
Not even the most vulnerable seniors are spared under this bill. Medicaid helps cover the tab for nearly two out of three seniors in nursing homes. They are people who have done everything right. They worked hard, they scrimped, and they saved. They raised their kids and put them through school. You see them in Ohio communities, and you see them in Oregon communities. But colleagues, growing older in America is not cheap, and these are people who spend down their savings, and that is when Medicaid steps in. But if Medicaid funding is slashed, the nursing home benefit and other critical long-term care services like home-based care are going to be in danger.
Every one of us wants their loved ones to be cared for. But the fact is most families are already walking an economic tightrope in this country, balancing their mortgage and their gas bills and struggling to save for college and retirement. Where would working mothers and fathers today possibly find the money to pay for nursing home care for their elderly parents, perhaps $90,000 or more? Are the tax breaks in this bill worth putting seniors' nursing home care at risk?
I spent this weekend holding townhall meetings in Oregon, holding healthcare roundtables at home in Oregon. It would be hard to overstate the fear and the tears I heard in conversations about this legislation.
Oregonians recognize that in many ways, this proposal is a return to an era when insurance companies had more power and the typical American had less, when women were penalized simply because of their gender, when for many a preexisting condition was a death sentence, when insurance companies deciding what preexisting conditions they would cover constituted a real death panel. Even worse, the system would invite young and healthy people not to buy insurance unless they needed it at that particular moment, which would drive up costs for everybody else.
Bottom line: You cannot revive a failed, abusive health insurance system and expect Americans to be very pleased and excited about it, especially when it is part of a scheme to pay for tax breaks for the wealthy. That is what my Republican colleagues are attempting. I understand why they are doing it. What they want to do is, in effect, get these tax breaks for the wealthy in a health bill so they can have it teed up to get more tax breaks for the wealthy in a tax bill. That is what this is really all about. Even casual watchers of the debate understand that this bill--the tax cuts, in particular, are stacked in favor of the fortunate few.
Every time you get a paycheck in North Dakota or Oregon or anywhere in America, a little bit for Medicare is taken out of that paycheck. Working people can see it; it is right there on their paychecks. A little bit is taken out. Under this bill, the only people who get a break on that contribution are at the very top of the income scale.
Furthermore, the tax break on investment income will be swallowed up by the wealthy almost in its entirety. People with incomes over $1 million will get an average break of more than $50,000--almost as much as a typical family earns in an entire year. Most of that tax break goes not to just the millionaires but to those at the uppermost slice of the income scale. They are the fortunate individuals who make money from wealth, not from wages like most Americans.
The 120,000 wealthiest families in the United States--those who bring in around $2 million a year, mostly from capital gains, interest, and dividends--would get an average tax handout under the House bill of $207,000. This is according to the Tax Policy Center, a well-respected group who analyzes these matters. I can tell you, even conservative health policy experts are looking at this bill and scratching their heads, trying to determine how this constitutes an improvement over the system that is on the books today.
Aside from the wealthy individuals and corporations lining up for these tax handouts, it is hard to see who will be helped by this approach Republicans have taken.
It is a worrying sign for anybody who believes in bipartisanship to see that Republicans in this body have decided they don't want any Democratic input. I have been involved in writing bipartisan health bills in the past, and there are more than a few cosponsors of those bills in the Republican conference today. A number of our colleagues on the other side of the aisle have joined me in efforts, for example, to have loophole-free, air-tight protection against discrimination against those with a preexisting condition.
It is important to understand that a lot of us on this side of the aisle--and my colleague, the President of the Senate, knows it from our work on infrastructure--would very much like to work with colleagues on the other side on bipartisan issues. It can be done. In fact, just today, under the leadership of Senator Schumer, our whole caucus said to the Republicans: Drop reconciliation so we can all come together and
get serious about working in a bipartisan way on an issue that ought to be tackled in a bipartisan way for the American people and that I have a long history, in particular, of wanting to be part of.
For the next several weeks, I will be on the floor drawing on our past experiences and underlining why the partisan approach underway right now is wrong.
People ought to know that TrumpCare is a betrayal of the promises they have heard time and time again. They heard it through hundreds of TV commercials all through the election period, and what they are now seeing is a betrayal of those promises they watched on campaign advertisements over the last year.
People ought to know that this is not a real effort at fixing our healthcare system. This is a masquerade. It is a masquerade to try to pretend that what is going on is about healthcare when it really is about making sure taxes can be cut for the most fortunate, while healthcare benefits for the middle class are slashed. TrumpCare is the opposite of good health policy. There is no grassroots campaign I know of clamoring for the Congress to pass another round of the same old handouts to special interests, donors, and powerful individuals.
The American people are counting on the Congress to improve the health system and make their care more affordable. Congress ought to be working together on injecting more competition into the insurance markets and reducing out-of-pocket costs for families. We ought to be working especially on bringing down prescription drug prices. In my view, you can't really build a modern health system unless you address the challenges posed by chronic conditions such as diabetes, cancer, and Alzheimer's.
We want it understood that Democrats want to work in a bipartisan way to improve the Affordable Care Act. That is the heart of the letter that all Senate Democrats signed today--we all went together--making it clear that we would like to see Republicans drop reconciliation and come together so we can find common ground. That would be in the country's interests, rather than using this go-it-alone process that is called reconciliation but specifically rejects bipartisanship.
I am going to be on the floor a lot over the next several weeks. I promised my constituents night and day over the course of last weekend--and people kept saying night and day, day and night--because the country feels that strongly about this.
I and others are going to hold our colleagues on the other side of the aisle accountable because we all ought to agree that this country cannot go back to the days when healthcare was for the healthy and the wealthy. Those preexisting conditions could be a death sentence. And that is because if you were healthy, you had no problem. If you were wealthy, you could write out the checks. But if you had a preexisting condition, you were in very serious straits. People told us about losing their homes and everything they had. We are not going back to the days in America when healthcare was for the healthy and wealthy.
Mr. President, I yield the floor.