Mr. Speaker, I thank the gentleman from Maine (Mr. Michaud) for his leadership on this very important prescription drug and Medicare issue. I stand in support of the motion which instructs conferees to abandon the privatization provisions…
Mr. Speaker, I thank the gentleman from Maine (Mr. Michaud) for his leadership on this very important prescription drug and Medicare issue.
I stand in support of the motion which instructs conferees to abandon the privatization provisions in the House prescription drug bill.
Under H.R. 1, Medicare would end as we know it. Medicare would end in 7 years. In 7 years Medicare would be replaced by a voucher to cover part of the premium for health insurance and costs would be shifted from the government to seniors. That is privatization pure and simple.
Mr. Speaker, we should not be surprised that Republicans want to privatize Medicare. Look at the history. In 1965 when Medicare came to a vote on the House floor, on the key vote on the key part of the bill, only 11 Republicans, 11 Republicans supported the creation of Medicare. Bob Dole, future Presidential candidate, voted ``no.'' Gerald Ford, future President, voted ``no.'' Strom Thurmond, long-time U.S. Senator, voted ``no.'' In the Senate, Donald Rumsfeld, later Secretary of Defense, voted ``no.''
Republicans could not stop Medicare in 1965, its creation, as hard as they tried; but once Republicans got a majority in this House of Representatives, the first time they had a majority after Medicare was created, a full 30 years later, one of the first things that Newt Gingrich and my friends on the other side of the aisle did was cut Medicare $250 billion to, guess what, pay for tax cuts for the highest- income, most privileged people in our country.
Now it is not just Newt Gingrich. It is the entire Republican leadership. Dick Armey, the majority leader until 9 months ago, as my friend, the gentleman from Maryland (Mr. Hoyer), pointed out, said we would not have Medicare in a free society.
It is clear, Mr. Speaker, that the folks on that side of the aisle simply do not much like Medicare. Of course they want to privatize it. They did not support it when it was created. They have tried to cut it every time they have got a chance. They tried to end it as we know it. Now they have tried to privatize it. President Bush, Republican President, once he got a Republican Senate and Republican House, President Bush said, yeah, you can have a Medicare prescription drug benefit, but you have got to get out of Medicare to get it; you cannot have it in traditional Medicare the way the Democrats want to do it, provide the benefit the way that we know it works in traditional Medicare because seniors in this country love traditional Medicare, if they could have a drug benefit and a few other benefits that this Congress has denied them.
Instead, George Bush and the Republican leadership said, yeah, you can have a prescription drug benefit, but you have got to go into a private plan and have the insurance companies deliver it. That is what Republicans think about Medicare. So of course they are going to privatize it; and of course this motion to instruct says we are not going to let you privatize.
H.R. 1, the Republican bill, is a cop-out. The American public never, never in the election, never gave Republicans license to dissolve Medicare. The retirement safety net was not put in place for Republicans simply because they do not want Big Government to eliminate it.
Mr. Speaker, I stand in support of this motion, which instructs conferees to abandon the ``privatization'' provisions in the House prescription drug bill.
Under H.R. 1, Medicare would end in 7 years. In 7 years, Medicare would be replaced by a voucher to cover part of the premium for health insurance.
Medicare would no longer guarantee access to medically necessary care. Instead, the Government would contribute a capped amount to an HMO or some other health insurance.
So much for the Medicare entitlement. So much for guaranteed benefits. So much for the choices that matter: choice of hospital, choice of doctor. This voucher scheme would give seniors the ``choice'' to enroll in an HMO, and when that one abandons them, to enroll in another one, and when that one abandons them, to enroll in another one.
In his State of the Union address, the President called Medicare the ``binding commitment of a caring community.'' H.R. 1 rips that commitment to shreds. It chokes off funding for the core Medicare program and sends seniors into the private market to try their luck.
The President and the authors of H.R. 1 say that seniors deserve more insurance options, and that more insurance options will somehow save the Federal Government money.
Fourteen years ago, the Medicare supplemental insurance market offered so many spurious, confusing ``insurance options'' that seniors were being conned into purchasing multiple plans covering the same benefits. To protect seniors, the Government had to crack down and dramatically curtail the number of ``insurance options'' that could be marketed.
Over the last six years, Medicare HMOs have abandoned millions of seniors. Insurers haven't abandoned their shareholders--the industry is doing quite well--but insurers have promised seniors reliable health insurance one year and dropped those seniors like a stone the next.
H.R. 1 stacks the deck against the only coverage options under Medicare seniors can truly rely on--the core fee-for-service program-- and gambles seniors' health care on private insurance plans that by their very nature come and go. Insurance is supposed to alleviate uncertainty, not breed it.
Private plans are not and have never been a cost-effective alternative to Medicare. Medicare is a cost-effective alternative to private health plans.
Medicare costs have been growing at a slower rate than private insurance for 30 years now. 30 years.
H.R. 1 is a shell game. It doesn't confront drug costs or any other health care cost. It saves the Federal Government money by shifting the financial burden onto Medicare beneficiaries and their families.
It's a cop-out. The American public did not give us license to dissolve Medicare. The retirement safety net was not put in place because liberals wanted to make the Federal Government bigger, and it should not be dismantled because conservatives want to make the Federal Government smaller.
The retirement safety net was put in place because the private sector couldn't make a profit offering health insurance to seniors, so they stopped doing it. And it was put in place because the Nation believes Americans who helped build this Nation's unrivaled prosperity throughout their working years should not face financial uncertainty and hardship when they retire.
And now, the future of Medicare is on the line. My Republican colleagues say that seniors deserve ``better options.'' What seniors deserve is the truth.
If my Republican friends want to abandon the key principles defining Medicare--Guaranteed coverage, equal treatment of seniors regardless of income, consistent benefits, reliable benefits--if my Republic colleagues want to abdicate their responsibility for Medicare--they shouldn't hide behind a prescription drug bill to do it.
Instead of abandoning Medicare, I urge my Republican colleagues to reverse course and pledge to protect it.
Support this motion.