Continuing Appropriations
Mr. President, first of all, in all this mess there is some good news. The Affordable Care Act is up and running, and the people of America are responding in remarkable numbers. Remember how the Republicans said this is bad, it is a…
Mr. President, first of all, in all this mess there is some good news. The Affordable Care Act is up and running, and the people of America are responding in remarkable numbers.
Remember how the Republicans said this is bad, it is a failure? They kept saying it was a failure even though it had not even started. In the first 24 hours of healthcare.gov being up, the national marketplace, 4.7 million people visited. In California, which has its own State-run marketplace, 5 million people visited that site yesterday. I noted that I heard the Republican leader out here earlier today. In his home state of Kentucky, with 78,000 visitors, they started nearly 4,700 applications and completed more than 2,900 yesterday in the first day.
I think what this all indicates is the American people is hungry to get covered with health insurance. With 30 million people out there without health insurance, with a preexisting condition, or maybe they are ill right now, maybe they have had other things happen or are out of work--now they can go on the marketplace and get health insurance coverage. And they are flocking to it, because it has been sorely needed for decades.
The Republicans still want to hold the government hostage and defund the Affordable Care Act. I would like to know what the Republican leader might say to those 4,700 people who applied in Kentucky yesterday. And we know it is going to be more as the weeks and months go by. We have 6 months to sign up. But think about those figures just in the first day.
Fifty-five thousand people went to Colorado's exchange and 1,450 created accounts to allow them to start shopping. I mentioned New York. There were 10 million attempts to reach their Web site.
We had some glitches. Yes, some Web sites froze because they didn't expect that many people to come on the first day.
Andrew Stryker was among the first people to purchase health care through the marketplace. Mr. Stryker is 34 years old and lives in Los Angeles where he is a freelancer. He has a preexisting condition--high blood pressure--and says health insurance companies had denied him coverage on the individual market. He said signing up for coverage through the marketplace will save him over $6,000 per year when compared with his monthly premium for his COBRA plan. For that, he said, I would have waited all day.
So the Affordable Care Act is up and running, and people all over this country are flocking to it to get the good news that they can get affordable coverage for themselves and their family.
The same is happening in my own State of Iowa, where the plans have come in as some of the lowest in the country.
So that is the good news. The bad news is Republicans here are still trying to stop it before too many people get health insurance because then they know they won't be able to turn it back. The people of America have waited too long to have health insurance coverage for themselves and their families. Now everyone can get health insurance at a price they can afford. So we are going to have health coverage not just for the healthy and the wealthy but for everyone in this country. That is the good news.
We are now in day 2 of the Federal shutdown. If we listen to some Members across the aisle and in the other body, one might get the sense that it is no big deal. The Congressman from my own State said, the sky hasn't fallen. We have had government shutdowns and the sky hasn't fallen, the roof hasn't caved in. No big deal. I may have paraphrased a little bit, but that is basically what he said. They seem to think you can simply turn off the Federal Government for a few days or a month or two and it won't matter. I don't understand this attitude, but it is what we hear from Members of the other party.
Let me explain what a government shutdown means in the areas I am most familiar with as the chair of the Health, Education, Labor, and Pensions Committee and as chair of the Appropriations Committee that funds those programs.
As of yesterday, the National Institutes of Health stopped enrolling new patients in 497 ongoing clinical research trials. Of those trials, 255 are studying treatments for cancer and 50 involve children with cancer. These are ongoing clinical research trials right now--stopped-- 50 involving children with cancer. What do you say to those families? Clinical trials can't be completed if they don't have enough patients. But as long as there is a shutdown, the process stops.
I remind everyone, when I am talking about NIH I am not just talking about Bethesda, MD. I am talking about all over this country. NIH funds research and clinical trials in every State in this country. As of yesterday, the NIH began turning away people from its clinical research center. Each week of a shutdown, NIH estimates it will close its doors to 200 new patients who need help. Also yesterday the NIH stopped processing applications for new research grants. These applications are submitted by scientists all over the country, from universities and other places in our States, not just from Bethesda and not just from Washington, DC.
We might say OK, so they have stopped processing new research grants. So what. The sky hasn't fallen, the roof hasn't caved in, according to the Congressman from Iowa. We have no idea which of those grant applications might lead to the next cure for cancer or Alzheimer's or diabetes or might be that one bit of research that fits into that slot where other people can build on it to find cures. But so long as there is a shutdown, none of them will be considered. That is the effect on
Under what order are we proceeding?
I have more to say about the Centers for Disease Control, but I guess I will have to seek my 10 minutes later on in the day.
I thank the Chair.
I thank the Senator. She is very kind. I have at least another 5 to 7 minutes to go. I have some data from CDC that I want to put in. So I thank her very much.
I have been talking about the Centers for Disease Control and what the shutdown means in terms of monitoring outbreaks, food-borne outbreaks, illnesses, virus outbreaks--and that is not happening now.
I want to turn to another thing; that is, what CDC is and how CDC keeps Americans safe every day, and that is in food safety.
The Centers for Disease Control has stopped its epidemiological work to identify potential outbreaks and link the outbreak to a food source. I can't tell you what might be missed while the CDC is shut down. I can give a few examples where recently the CDC has sounded the alarm and kept Americans safe.
Only 12 days ago, 162 people in 10 States became ill with hepatitis A as a result of eating contaminated frozen berries--the kinds of mixed berries you get in the grocery store freezer department. The States are as far apart as Arizona, California, New Jersey, Hawaii, and Wisconsin, but because of the expertise of the Centers for Disease Control and Prevention, they were able to go out, get this secured, recall the food, and trace it down. They traced it, believe it or not, to some pomegranate seeds that came from Turkey--not America but Turkey. This is another way in which the Centers for Disease Control protects the safety of Americans.
In August cyclospora infected 643 people who ate a particular salad mix in 25 States. A lot of people may remember that. The outbreak was first identified in my home State of Iowa. They immediately called the Centers for Disease Control, and then the CDC got a hold of other States. The next place it popped up was Texas--Iowa, then Texas. They traced it. CDC put its detectives, as I call them, to work. They isolated this salad mix, and it was traced to a place in Mexico. It was recalled. Yes, 643 people got sick, but we stopped it before it spread any further and before anybody died. That is what the CDC did.
Now, because of the government shutdown, CDC has stopped.
I hope there is not another outbreak like this, but one never knows. But the detectives on the CDC epidemiology team are now furloughed. What does that mean for the safety of Americans?
When the Congressman from Iowa on the other side said: Well, you know, the sky hasn't fallen and the roof hasn't caved in because the government has shut down, implying that it is no big deal, I hope and pray we don't have a virus outbreak, a bacteria outbreak, or a food- borne outbreak such as I just mentioned. Well, will food contamination happen tomorrow? Will a flu outbreak happen this weekend?
I have heard people say: We shouldn't be too concerned about the shutdown. It might last only a few days.
To those I ask, how many days can we afford to lose when a virus emerges? In those few days, how many people will buy and eat a contaminated product? How many more people will catch the flu, West Nile virus, hepatitis or E. coli? I could go on and on. How long can we afford to put a blindfold on the Centers for Disease Control and Prevention?
I am not trying to unduly frighten anybody, but I am telling the facts. What I said here happened recently. This is not mythological. This is not maybe. These things actually happened within the last few weeks in America. People got sick. People lost work.
Again, we have to be concerned. Yes, maybe the sky hasn't fallen or the roof hasn't caved in. Is that what we have to have happen before we reopen the government? I say to that Congressman from Iowa, is that what has to happen--must a lot of people have to get sick, or do lot of people have to die? Then maybe we will say: Oh, I guess now we have to reopen the government. What a terrible way to run a government.
In another area--and again I am talking about things under my jurisdiction as the chair of this committee--the Social Security Administration furloughed 18,000 Federal employees and Social Security officers across the country--29 percent of the agency's workforce.
I suppose some would say: Well, so what. They are just bureaucrats.
Let's take a look at them. Checks will still go out, Social Security checks will still go out, disability and retirement claims will still come in, but that is it. What that will mean is delays in basic services for the 180,000 people who visit a Social Security office every day in America or the 445,000 people who call Social Security offices every day who have a problem, who have a question, maybe a lost card. Need I mention what it means when you have a lost Social Security card, don't have that ID, trying to get some health care services or something else and you don't have your Social Security card? Some 22,000 Americans a day file for retirement benefits. Twelve thousand a day apply for disability benefits.
As I said, Social Security will continue to accept those, but nothing will happen. That means the backlog piles up and piles up and piles up every day. Twenty-two thousand a day file for retirement benefits. They can file it, but nothing happens. So that just builds up day after day after day, and the backlog gets worse.
It already takes about 13 months, on average, to get a decision on an appeal for disability benefits. With this shutdown, it is going to be longer. It is going to be 14 months, 15 months and 18 months, and on and on. If you need a new Social Security card, sorry. As long as there is a shutdown, you can't get one. You cannot get a new Social Security card. If you need to replace your Medicare card, tough luck, you are going to have to wait a long time.
The Department of Labor staff, who investigate worker violations such as wage theft, will be at home instead of on the job. Some worker protection staff are still on the job but they are only looking at the highest risk facilities or responding after an accident has occurred. This isn't acceptable.
Take, for example, MSHA, the Mine Safety Health Administration. It is unable to conduct all of its required inspections because of the shutdown. How many safety and health violations won't be identified and corrected? How many miners are at risk of lifelong injuries and illnesses because of this shutdown?
As someone remarked the other day: You know, these mine operators, they can smell a mine inspector 2 miles away. Well, now, what are these mine operators going to do, when we know what their track record has been in the past, violating safety precautions? When they know they are not going to get inspected, will they ramp up production? They will get as much out of their miners as they can and they won't worry about the safety because the inspectors aren't coming around. How many miners will have their health affected or will be injured? I certainly hope not die, but you never know. That is just at the Department of Labor.
I ask unanimous consent to speak for 10 more minutes.
Mr. President, it is not just our current workforce that is impacted by this stalemate. The government shutdown is also threatening to shut the door at Head Start classrooms. This month, grants for 22 Head Start providers are scheduled to be renewed. These are simply continuations of existing grants. The providers have already enrolled children. But after a shutdown, this funding will be cut off. As a result, 18,000 children and families that those programs serve are going to be losing access to early childhood education services this month--this month-- this month.
As I said, I could go on and on, but I just wanted to point out how people are being affected by this shutdown. It may not be visible to all, but it is there, and it is hurtful to them and their families and to our country. This shutdown needs to stop. It is time for cooler heads to prevail. It is time to end this mindless, damaging, preventable shutdown.
There is one simple way to do it. All the Speaker of the House has to do is bring up a clean continuing resolution which is sitting over there right now--bring it to the floor of the House. The votes are there to pass it, and the government will be back in business tomorrow. If he did that, the shutdown would be over, and Americans would know their safety and health--everything from food to illnesses to viruses to bacteria and food safety--will again be protected by the Centers for Disease Control and Prevention. We would know the research and the operations of the National Institutes of Health will continue. We would know our workers will be safe once again on the job because of the Department of Labor. We would know our Social Security offices will be open and running and will be able to process claims and issue new Social Security cards and Medicare cards.
I just want to make it very clear there are a lot of people being hurt by this. They may not be on the front lines or highly visible, but they are out there and they are being hurt today. It is a shameful, shameful comment on a great nation like ours that we continue this government shutdown, hurting so many people in this country.
With that I yield the floor.