I thank the distinguished gentlelady from California for yielding, and let me add my appreciation for the vast knowledge that she brings, particularly as it relates to the comparisons of our health care, to the international system of…
I thank the distinguished gentlelady from California for yielding, and let me add my appreciation for the vast knowledge that she brings, particularly as it relates to the comparisons of our health care, to the international system of health care, having been an ambassador and knowing, really, some of the stark contrasts between nations that are developing and have a better health care system than we have here in the United States.
I want to add my appreciation as well to Chairman John Conyers, who has single-handedly led the cause and the fight for universal access to health care, particularly as it relates to the legislation that all of us are looking forward to seeing passed, because this is legislation that clearly is enormously important.
So I want to speak today on some issues and share some stories of individuals who are suffering in the State of Texas. Maybe those who are within the sound of our voices will understand that we do not take your plight lightly. We have heard Members come on the floor of the House and talk about the spiraling gasoline prices, we have heard them talk about the crisis in the housing market.
I was in my district, and we had an hour-long program, and we really couldn't end the program. It was a television program, and all of the questions were on the foreclosure market. The producer came out and said, they don't want to ask any other questions. They just want to ask about the foreclosures.
People are hurting, and if you juxtapose the high food gasoline prices high food prices and your mortgage being foreclosed on, or no place to live, can you imagine what it is like? You can imagine, with no health insurance, catastrophic conditions, with the backdrop of the spiraling unemployment, then I would say that we have a human crisis, an American crisis where people are falling on the spear.
Yesterday, I introduced the Medicare Efficiency and Development of Improvement of Care and Services Act, MEDICS Act, of 2008. It is a complement to universal access to healthcare. But if we had universal access to health care, many of these issues would not have to be, if you will, remedied piece by piece.
Just to give you a very brief overview, the bill that I introduced has an elimination of discriminatory copayment rates of Medicare outpatient mental health services. It also prohibits and limits certain sales and marketing activities under Medicare Advantage, and it has exemptions from income and resources for determination of eligibility for low-income subsidy.
One of the key elements is if you are on Medicaid and you die, this eliminates the ability of States to collect from your estate, you don't have anything. It may be that you are leaving minimal resources to your children, and lo and behold, they want to grab that up to pay for the long-term care that you needed while you were in the hospital under Medicaid, more insult to your dignity.
So very quickly let me say that I rise to support H.R. 676, the United States National Health Insurance Act, that is sponsored and introduced by my colleague, Chairman Conyers, of which I am an original cosponsor. I would just simply say in the State of Texas when you look at HIV and STDs, for example, there are 22,948 total AIDS cases in Harris County, this was in 2005. These are people who may have health issues we have to address.
According to the Texas Department of State Health Services, 72.9 percent of African Americans in Texas are overweight, while 60.3 percent of the Anglo white population are overweight. That bodes for an unfortunate health situation.
H.R. 676 would cover health care costs and would decrease for both families and for businesses. Currently the average family of four covered under an employee plan spends $4,225 on health care, $2,713 on premiums and $1,522 on medical services.
I would say to you that under H.R. 676 a family of four making the medium income of $56,200 would pay about $2,700 for all health care costs, including the current Medicare.
Is that not a reformation of this system? Is that not a light at the end of the tunnel? Businesses would benefit as well. They would pay a 4.75 percent payroll tax for all health care costs, including the current Medicare tax. For an employee making a median annual family income of $56,000, the employee would pay about $2,700 per year. That is the answer that we are giving tonight and why we are here on floor of the House.
We want you to know, our colleague, that there is relief. We can move H.R. 676, which is based on the traditional Medicare model and provide health care coverage for a family of four that is drastically different from the crisis that they are facing today, because today they are facing a crisis such that if they are in any catastrophic illness you can be assured that they will have no relief.
Let me close by sharing with you two very painful stories, and you can understand why, might I say to you, there are pages and pages of stories of those who are suffering in this dilemma of having to pay for all of these expenses and short-changing their families on health care.
The lack of health care leads to death. Impossibly high gas prices can lead you to public transportation, it may lead you to walking. It may lead you not to going to places where you have not often gone, but you are still alive and might even be healthy. The lack of food may mean that you have a little less on the table, and it may mean your health, but it actually will not kill you directly.
Certainly we know that we want better education and our troops home. But if you do not have good health care, it can lead to your death. Whether it's preventive health care, whether it's mental health services, it can actually lead to the death of your loved one. Poor health care can lead to the death of your loved one.
We are speaking of life and death. This story is from Mike. ``I lost my job as an RN for advocating for better staffing ratios and patient safety.'' That means here is a registered nurse who is trying to fight for better quality of health care, got fired. ``With that job loss, I lost my medical insurance. On New Year's Day I had an ocular stroke. I was having symptoms for a couple of days prior, but without medical insurance, decisions are made in a different manner.''
``I put off the treatment because I didn't have money to pay. In the process I delayed treatment, and now I am blind in that eye. If I had insurance, I would have sought treatment sooner. I am a health care professional who delayed treatment decisions because of the cost and lack of insurance.''
This person could have died. Now they are blind which limits I imagine some of their occupational opportunities. They are blind because America allowed them to live without health insurance.
This is my final testament to the crisis we are in. This is from Robin: ``My daughter has a developmental disorder, something in the autism spectrum, her pediatrician has guessed. I am not certain of the extent of the diagnosis of her disorder due to the lack of my funds, being a single mother, and lack of quality health insurance. I can scrape together money to take her to the doctor if she has any routine sickness, and I push my budget the best I can to pay for 30 minutes of private speech therapy a week to complement what the school system provides. But there is so much more she needs. She could do so much better with medication that could possibly help her lead a decent life. If I could afford to get the extensive tests and evaluations, and even then, who knows if I could afford the medicine. She cannot qualify for SSI or Medicaid; they say I make too much money. That is an outrage. She cannot qualify for CHIPs; again, they say I make too much money. But I don't. Once I pay for day care, speech therapy, clothing, car insurance, food and shelter, transportation, the rising cost of gasoline, $38,000 gross without child support is not enough money. Can you imagine that they say $38,000 kicks her out of Medicaid and the CHIP program, especially when all your daughter can qualify for is a super-expensive health insurance risk pool. What can I do? I want the American dream, but I cannot have it. I am stuck in this old, falling- apart apartment with an old car and inadequate health coverage with my sweet, 7-year-old daughter. God help us, she deserves better.''
God help America. America deserves better. This universal access to health care is what we all should believe is the American dream.
I close by simply saying what our Founding Fathers said: We all are created equal with certain inalienable rights of life, liberty and the pursuit of happiness. I will just simply say that God has to help us come to our senses and pass this legislation, H.R. 676, authored by my dear friend, John Conyers, and cosponsored by so many of us, otherwise God help us.
I thank the gentlelady for her great leadership on this issue.
I regard health care as one of the most pressing issues facing this country and the world. I have been a staunch supporter of legislation that aims to eliminate health disparities in this country, fight the HIV/AIDS pandemic, combat the childhood obesity crisis facing this Nation, and provide health insurance coverage for all Americans. Most of all, I strongly believe that quality healthcare should be affordable and accessible to all.
Yesterday, I introduced the Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008. For decades, Democrats have been fighting to fix the broken America's healthcare system and this initiative is an important tool to make sure that our most vulnerable get the healthcare they need.
As a long supporter of Universal Health Care, I happy to announce that this legislation puts our healthcare system on the correct path of providing access to health care for our Nation's low income, minority and elderly populations. On Friday June 6, 2008, my colleague Senator Max Baucus introduced a health care reform bill that addresses these key problematic issues continuing to plague our health care system. I am happy to announce that The MEDICS Act is the companion bill to Senator Baucus' legislation, uniting Congress on one accord to push for crucial healthcare reform. In 2007, there was an estimated 47 million people uninsured in our Nation. This is un-American and unacceptable. Now is the time to ensure that every citizen has access to the proper health care benefits they need.
In my house companion I have added a section requiring that within one year of enactment the Secretary, in coordination with the Association of American Medical Colleges, shall submit to Congress an effective plan to increase the number of primary care physicians particularly those practicing in counties, cities, or towns ``underserved'' or with a disproportionate number of Medicare-eligible and/or Medicare recipients. Without our primary care physicians, which act as the gateway to care we can never move towards an effective universal healthcare plan.
According to the Texas Department of State Health Services, Texas HIV/STD Surveillance Report, there were 22,948 total AIDS cases in Harris County in 2005; a figure which almost doubled the next closest county in Texas.
According to the Texas Department of State Health Services, 72.9 percent of African Americans in Texas are overweight or obese while 60.3 percent of White residents are obese.
The need for a high-quality, accessible and affordable health care system has never been more urgent. There are currently 47 million uninsured Americans, 8 million of whom are children. Another 50 million are underinsured. Although the U.S. spends twice as much on health care per capita as countries with universal coverage, the World Health Organization ranks us 37th in overall health system performance.
This Congress, I am an original cosponsor of H.R. 676, ``The United States National Health Insurance Act,'' introduced by my colleague Congressman Conyers. This act would allow for every American to receive heath Insurance.
H.R. 676 would create a publicly financed, privately delivered health care system that improves and expands the already existing Medicare program to all U.S. residents, and all residents living in U.S. territories. The goal of the legislation is to ensure that all Americans will have access, guaranteed by law, to the highest quality and most cost effective health care services regardless of their employment, income or health care status. You, the American people called for universal health care, as it was one of the most prominent issues for Americans in the 2006 elections.
The need for a high-quality, accessible and affordable health care system has never been more urgent. There are currently 47 million uninsured Americans, 8 million of whom are children. Another 50 million are underinsured. Although the U.S. spends twice as much on health care per capita as countries with universal coverage, the World Health Organization, ranks us 37th in overall health system performance. Major American corporations such as General Motors bear the brunt of an outdated health care system because they are at a competitive disadvantage relative to their international counterparts who pay less for health care. A Harvard study found that almost half of all bankruptcies are partially or fully related to health care bills.
Universal health care would not cause a financial burden on American families. According to the Government Accountability Office (GAO), ``If the U.S. were to shift to a system of universal coverage and a single payer, as in Canada, the savings in administrative costs [10 percent of health spending] would be more than enough to offset the expense of universal coverage.''
Under H.R. 676, health care costs would decrease for both families and for businesses. Currently, the average family of four covered under an employee health plan spends a total of $4,225 on health care annually--$2,713 on premiums and another $1,522 on medical services, drugs and supplies. This figure does not include the additional 1.45 percent Medicare payroll tax levied on employees. Under H.R. 676, a family of four making the median family income of $56,200 per year would pay about $2,700 for all health care costs, including the current Medicare tax.
Businesses will also save money under universal health care, as set forth by H.R. 676. In 2006, health insurers charged employers an average of $11,500 for a health plan for a family of four. On average, the employer paid 74 percent of this premium, or $8,510 per year. This figure does not include the additional 1.45 percent payroll tax levied on employers for Medicare. Under H.R. 676, employers would pay a 4.75 percent payroll tax for all health care costs, including the current Medicare tax. For an employee making the median annual family income of $56,200, the employer would pay about $2,700 per year.
Our plan, H.R. 676, ``The United States National Health Insurance Act,'' guarantees every resident of the United States access to a full range of medically necessary services, including primary care, prescription drugs, mental health care and long term care. There are no co-pays or deductibles under this program. The role of the government would be limited to collecting revenues and disbursing payments; care would continue to be delivered privately. Patients could continue to use the same hospital, physician or health clinic from which they currently receive services. H.R. 676 is supported by over 210 labor unions and more than 100 grassroots groups across the country. The former editor of the New England Journal of Medicine, two former Surgeons General and 14,000 physicians support national health insurance.
H.R. 676 is based on the traditional Medicare model, in which the government negotiates and pays service fees for private and
public providers and mails its enrollees a card that gives them access to the doctors and hospitals of their choice. This system does not divert profits to insurance companies. This legislation is focused, first and foremost, on serving the American people, not on generating profits for big companies.
Lack of health-care is no longer just a concern of those living in poverty. According to recent reports, more than one-third of the nearly 47 million uninsured Americans coming from households with family incomes of $40,000 or more, lack of health insurance has become a worry of the middle class.
There is no reason why this country should continue down a dreadfully deleterious road of denying healthcare to any citizen of this country who needs it. Many of the health conditions, such as diabetes, obesity, kidney failure, cancer, hypertension and HIV/AIDS, the prevalence of which plagues our community the most, could be curtailed or even prevented if everyone had access to health insurance. I will continue to fight hard for the most effective policy measures that aim to narrow the racial health disparity gap.