Madam Speaker, I yield myself as much time as I may consume. We're gathered here today to debate or support H.R. 4848, a bill which extends that which Congress has passed before, and that was an important bill for its time. It's an…
Madam Speaker, I yield myself as much time as I may consume.
We're gathered here today to debate or support H.R. 4848, a bill which extends that which Congress has passed before, and that was an important bill for its time. It's an important bill to extend for, in doing so, we acknowledge the innate value of helping those suffering from mental illness. We acknowledge in Congress that for those who suffer these afflictions, they may be relieved of that suffering through receiving necessary treatment.
In compassion, we as a body extend our hand in support of those who suffer the pains of mental illness. We acknowledge that their illnesses are real, and that the appropriate treatments give them hope to slough off the yoke of their illness and again become a fully productive member of our Nation, our workplace and our family.
The significance of this act may be overshadowed by other events of the day, but it is essential that we not fail to appreciate the value of this moment, not only in terms of what this bill does but what it does not do and, moreover, why we need to enact this law at all.
First to the reasons for this bill. As John Adams said, ``Our Constitution was made only for a moral and religious people. It is wholly inadequate to the government of any other.''
He made that comment not because our Constitution is a vehicle to support any particular religion; rather, he noted the inherent inadequacies of any body of laws, and that they cannot replace the moral light that should guide us when no law has yet been writ to define that path.
Indeed, we cannot legislate common sense, we cannot mandate morality, and we cannot litigate compassion. We can, however, establish laws to define the limits of what can be tolerated. And where the laws do not apply, we hope that the goodness and faith that guides our hearts is sufficient to drive us to do the right thing.
Unfortunately, when it comes to dealing with mental illness, our society, our culture and our government has failed to do the right thing. We have spent billions, hundreds of billions, I dare say, over the years to help those with mental illness, but we have remained short-sighted at best, or blind at worst as to what we truly must do.
It is my wish that people would be personally guided by their own sense of justice and compassion to do the right thing in the treatment of mental illness. Instead, we remain willfully and woefully ignorant to the causes, the diagnoses, and the treatment of mental illness. We have denied its very existence, perhaps wasting our hope in the hope it would go away. We have instead tried to wish away its effects. We have minimized the impact, trivialized the causes, and criticized the patients. We have used words to make mental illness the butt of cruel jokes. We have used words like ``crazy'' or ``retarded'' or ``idiot,'' as if attaching a derogatory label would free us from the responsibility for helping or treating those with these illnesses.
I ask you: Would we use such disparaging remarks to describe persons with cancer, with diabetes, with heart disease? Could demeaning words make any of those diseases disappear or less painful? Can derisive words motivate someone to seek help? No, instead they drive the person further into the shadows to deny their own illness, to avoid treatment and not even help themselves.
In many ways, we have not advanced very far beyond the days of the Salem witch trials when those with mental illness were ignorantly tried as criminals, sentenced to death, or cruelly treated with torture.
Think this is not true today? Well, think again. Our prisons are filled with persons who suffer from mental illness. Our courts are packed with victims of child abuse or sex abuse. Our churches are filled with those who are praying to be relieved of the terrible strains befalling them. Families break up. Jobs are lost. Children fail in school and lives are lost from untreated mental illness. And yet we continue to deny it is there and place barriers between the patient and the cure.
In my many years of practicing psychology, I have never, never met a patient who was cured by denial. But denial is the common treatment for so many when it comes to acknowledging or treating mental illness.
Listen, you cannot whisper it away, for even in the silence, even in the darkness, mental illness cries out for help.
One in five Americans will suffer from a diagnosable mental illness. One in 10 young people suffer from mental illness severe enough to cause some form of impairment.
Untreated drug and alcohol addictions cost Americans $400 billion each year. A Rand study estimated that depression alone cost employers $51 billion per year in absenteeism and lost productivity.
Suicide is the eighth leading cause of death in the United States. More years of life are lost to suicide than any other single cause except heart disease and cancer.
Thirty thousand Americans commit suicide annually, and half a million attempt it. Among college students, three die each day from suicide.
The Federal Government estimates that about 12\1/2\ million people have alcohol problems. It costs businesses $134 billion a year in lost productivity.
Does treatment work to help people with mental illness? Yes, it does. Studies of depression in the workplace have shown thousands of dollars of savings per employee when they receive treatment.
We note that when 80 percent of health care costs are used to treat chronic illness, that the risk for depression doubles among those who are chronically ill and not receiving treatment. The cost doubles as well.
The combination of appropriate medication and treatments have been very effective in treating anxiety, depression, bipolar illness and behavior disorders. But when health plans do not pay for appropriate professional care, where does the treatment come from?
Seventy-five percent of psychiatric medications are prescribed by non-psychiatrists. Now look at that in the context of other illnesses. Would we tolerate it if 75 percent of insurance plans said that most babies would be delivered by people with minimal training? How about requiring that brain surgery is done by those who only had a few weeks of training in medical school. Would we accept that? We would not.
This bill extends what we have done before. It helps in a small but important way. But it does not move us to where we need to be. Perhaps the lesson here is that there are many things we need to do for ourselves, many things we need to do to reach out to others and help. But it does not cure the barriers. It does not identify which diagnoses need to be treated. We will need to do more. Eventually we as a Nation need to come to terms with what needs to be done. The cost savings of providing the right treatment are huge. The costs of continuing to provide the wrong care, or denying care, are massive.
As Benjamin Franklin said, ``By failing to prepare, you are preparing to fail.''
Madam Speaker, I reserve the balance of my time.
Madam Speaker, I appreciate the compassion and passion of my friend from Rhode Island who has been such a leader in mental health parity.
I yield such time as he may consume to the gentleman from New Jersey (Mr. Ferguson), another great leader whose heart goes out to those in need of mental health issues.
Madam Speaker, I am just inquiring how much time we have remaining.
Madam Speaker, I yield myself as much time as I may consume.
Madam Speaker, one of the important points that we need to recognize as we address these issues of mental health and mental illness today are the causes. For so often, as I described earlier, when people are thinking about or talking about mental illness, we oftentimes do not understand that it really
is a problem of brain functioning. It's written off too often as the worried well of people complaining or malingering, when really we need to understand the following.
When we're talking about problems with heart disease, it's easy to look upon those problems, to look at X-rays and other tests and MRIs and see if the function of the heart is appropriate, if the valves are working, if the arteries and veins are blocked or free.
When we look at other illnesses throughout the body, there are so many tests which we have grown accustomed to, MRIs, CT scans, EKGs, et cetera. And we look at those things and we're able to see that something is wrong based upon the results of those tests.
One of the problems with mental illness, leading to the prejudices about mental illness, is that there are no tests like that. One cannot take an X-ray of the brain and say that the person has depression or anxiety disorder or bipolar illness. There have been multiple studies looking at patterns that may show up on some tests. But my point is this: Just because we cannot see it on a medical test like that does not mean it does not exist.
Back in the 1800s, Louis Pasteur described the microbes that finally led us to understand about germs and diseases. Before that, no one had any tests to look at that. It did not mean they didn't exist. That merely meant that we did not know that they were there. But it was a full century later before we found that one could treat diseases with antibiotics, and we're still learning more about it.
So, too, it is important we understand that so often when discussing these issues of mental illness treatment, people raise the question that you cannot really test for it. Now, those are areas that science and research are still needed to determine what we can do, but it does not mean they don't exist just because we cannot find those.
Instead, what we rely on is the comments made by persons themselves or watching the behavior of persons because, indeed, those are the indicators that tell us something is wrong with the function of the human brain. It is a neurological problem. It is a neurobehavioral exhibition of those problems. It is those problems that we have to understand that sometimes are treated with medication and sometimes are treated with counseling and sometimes both, but we have to make sure we understand that we cannot write these off with treatments just by ignoring them or just saying that someone else without treatment because an insurance plan will cover that is enough.
Many times cardiologists will tell us that they recognize when they give someone a diagnosis that it's terminal or severe, that many of those patients will themselves exhibit symptoms of depression, so they automatically write a prescription for an anti- depressant drug. That's not enough.
The comments I made before about how, when a person has a chronic illness, their health care costs can double if they have untreated depression, that alone should wake us up to understand that we need to be treating mental illness, not ignoring it. That alone should wake up employers to understand that improved productivity and lowered health care costs should be enough to motivate us to do that. That alone should be information that the Congressional Budget Office, who scores these bills, should tell us that there are scores that are important in terms of savings. Unfortunately, they don't tell us scores for prevention. And so it goes on.
These are things we need to be continuing to do, and that's why we will continue to support this bill.
Madam Speaker, I reserve the balance of my time.
Madam Speaker, I yield myself such time as I may consume.
Madam Speaker, many important things have been said by several Members, and passionately, on this bill. What we also have to remember, as we wrap this up, is somewhere in America there are people who are suffering in silence, there are children who are facing abuse, angry spouses who are attacking one another, anxious mothers struggling to care for their children, and, of course, throughout the workplace, as has been so carefully documented here, so many problems. It is important that we not only pass this bill strongly but also continue to work together.
I commend my colleague, Chairman Pallone, and the work that he does and to continue the work that he does in leading this. Myself and many Members from our side of the aisle continue to stand ready to make sure we work out any issues with regard to expanding issues of mental health parity. We know that all of us care deeply about those in need and all of us remain committed to helping those in need from our side of the aisle.
Madam Speaker, I yield back the balance of my time.