[Congressional Record Volume 149, Number 15 (Tuesday, January 28, 2003)]
[Senate]
[Pages S1505-S1506]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
HEALTH CARE
Ms. STABENOW. Mr. President, I first thank my friend from California
for her usual eloquence. I agree totally with her sense of what our
people are feeling in terms of the anxiousness about possible war, the
anxiousness about education for our children, about health care, about
jobs, about homeland security. I thank Senator Boxer for her comments
this morning.
I will follow up talking about an area that is so important to each
of our families and is a growing concern to businesses in the country
and to workers in the country; that is the whole question of health
care.
We know there is a growing sense of anxiousness. When I sit down with
small businesses across Michigan, they tell me their fastest growing
cost is their health care premiums. In some cases they are doubling.
When I talk to the big three automakers and the other manufacturers in
Michigan, I hear the same thing. When I hear from Chrysler that they
are spending more on health care than on the raw materials for the
vehicles--I am concerned. This shows me we have a serious, serious
crisis, a health care crisis.
At the same time, we all have spoken about the seniors of our country
who are choosing between their food and their medicine. This is real.
People are asking us to act. Words are not enough. Rhetoric is not
enough. We have to act in a way that provides opportunity for quality,
affordable, accessible health care.
On the eve of the State of the Union Address, I rise to ask the
President of the United States what he intends to do. Will he, in fact,
change his record and work with us on issues of health care in a
bipartisan way, to actually get something done? I worry, myself,
because of the record I have seen in the last 2 years. We have a record
of this administration on health care that, unfortunately, is bad
medicine for the American people. We have attempted on several
occasions to move forward policies and proposals that are in the best
interests of the American people. This administration continues to
oppose those.
I am talking about a Medicare benefit for all seniors for
prescription drugs under Medicare that is affordable, that is
dependable, that is available to all of our seniors--this President has
consistently opposed that approach. Whether it is also making
prescription drugs affordable for all Americans and lowering the prices
for our businesses--the President has opposed efforts to open the doors
to Canada to drop prices immediately, and he has opposed efforts to
make sure we have more competition in the system by closing the generic
drug law loopholes. Generic drugs are made by those companies that do
not do research but take the formulas after the patents expire and are
able to develop and put on the market lower cost prescription drugs,
oftentimes exactly like the brand-name drugs. We know they can drop the
prices up to 70 percent by just having the generic drug laws work.
We have business coalitions formed across the country urging us to
pass laws to shut down the loopholes so competition can work to bring
prices down. Unfortunately, even after we passed a bill in this body,
in the Senate, the administration has opposed it.
We have innovative State solutions like what has been done in Maine
where the State wants to come in and use its bulk purchasing power and
leverage that to negotiate lower prices on behalf of the uninsured who
pay the top prices in the world right now for their prescriptions. Our
State governments understand that. Our Governors want the flexibility
to be able to bulk purchase and lower prices. This administration has
opposed it.
We need fair prices for Medicare providers. While we have seen some
willingness, and I appreciate that, to focus on the cuts that have been
put into place for our physicians--that certainly needs to be done--
what about the home health agencies that are closing? What about our
nursing homes? What about our hospitals, our teaching facilities? We
have a crisis in health care, and the last thing we need to do is to be
making more cuts to Medicare or Medicaid. Yet the administration has,
to date, opposed fixing the Medicare problem.
The Patients' Bill of Rights, a real Patients' Bill of Rights so that
those who are in HMOs have the opportunity to have the physician of
their choice and to have the rights available to them they wish to have
to protect their families, a strong Patients' Bill of Rights--this
administration has consistently opposed that, as well.
And what about assistance to States for Medicaid? Right now 25
percent of Michigan's State budget is Medicaid. We have a $2 billion
deficit in Michigan out of a $9 billion budget. Our new Governor is
doing a wonderful job of trying to make the numbers add up, but without
Federal support and help they will
[[Page S1506]]
not add up and people will be hurt and doctors and health facilities
will be hurt. Yet, consistently, when we have tried to put forward
plans on this floor, even plans that have passed the Senate have not
made it all the way because this administration will not support
efforts to help our States and to help Medicaid.
Finally, there was a commitment made to double the National
Institutes of Health funding by 2003. The administration supports
funding cuts that will not meet that goal.
Unfortunately, the Bush record on health care to date has been bad
medicine for the American people. I ask the President today, rather
than moving forward with the proposals we are hearing about attempting,
essentially, to privatize Medicare, this evening I urge him to reassess
and to join us in bipartisan efforts to make sure our citizens have the
health care they need and our businesses can afford.
Mr. DURBIN. Will the Senator yield for a question?
Ms. STABENOW. I will be happy to yield.
Mr. DURBIN. I would like to ask the Senator two brief questions, but
first I salute her for her leadership. Since she has arrived in the
Senate, she has been the most outspoken advocate for making health care
affordable and accessible for Americans.
Let me make certain I understand. As you describe it, President
Bush's proposed Medicare reform will say to seniors: If you want
prescription drug coverage, you have to leave the Medicare Program and
go into an HMO.
Because we have not passed the law giving people in an HMO the right
to pick their own doctor, what he is saying to seniors is: If you want
to have your choice of prescription drugs, then you have to give up
your choice of a personal doctor.
Is that what the choice is?
Ms. STABENOW. That is absolutely correct. I thank my friend from
Illinois, who is always in the Chamber fighting on behalf of the people
of his State and the country.
There is no doubt about it, while the President is talking about
increased choices, what he is really saying is, if you want to get help
with your exploding prescription drug costs, if you want to stop having
to pick between meals and your medicine, then you are going to have to
go into a private insurance company, an HMO, where they will decide
about your doctor. In fact, he is not willing to support a Patients'
Bill of Rights to make sure they get what they need while they are in
the HMO.
Mr. DURBIN. One last question. I know the Senator has more to add. Is
there anything you heard about what the President is going to suggest
that will lower the cost of health insurance for families and
businesses across America, an exploding item in terms of their expenses
which is pushing more and more people into the situation of being
uninsured, underinsured, or putting more and more of their paycheck,
every week, into the cost of their health insurance? Has the President
suggested anything that will address that?
Ms. STABENOW. Unfortunately, no. We have seen a consistent effort to
put forward plans that are supported by the brand name pharmaceutical
industry itself or by the insurance companies, but not those things
that will lower prices and make health care more affordable and more
available.
Last summer, with a very rigorous debate on the Senate floor and a
strong bipartisan vote, we passed a bill that would create more
competition to lower prescription drug prices; it went to the House of
Representatives where it did not see the light of day. Unfortunately,
without the President's support and leadership, it will continue to be
that way. We need the President to step up and say that the fact that
prescription drug prices are going up three times the rate of inflation
every year and that is too much.
It is too much. Our businesses cannot sustain that. They cannot
sustain seeing their health care premiums double. At the same time, if
you are an uninsured senior in this country, you are paying top dollar.
Isn't it ironic that of all of those who pay for prescription drugs
around the world, the people who pay literally the most for their
medicine are uninsured people, most of whom are seniors, because they
do not have anybody negotiating on their behalf. They do not have
Medicare right now coming in and saying: We are going to negotiate a
group price. So they pay the highest price.
Why wouldn't it make sense to have Medicare coverage? The brand name
companies do not want Medicare negotiating on behalf of 40 million
seniors and the disabled to lower prices. So what they have come up
with is this scheme that would essentially not allow the clout of
buying power because Medicare would not directly be providing the
prescription drug coverage. But they want to act as if they would like
to have prescription drug coverage for seniors, so they come up with
this plan that would say: We will help you with your medicine if you go
into a private-sector HMO.
By the way, in Michigan, now we have seen, since the inception of
what is really Medicare+Choice--which is the plan that has already been
out there for private sector Medicare HMO coverage--more than 51,000
seniors in Michigan have been disenrolled because plans have withdrawn
from Michigan. In fact, we do not have any HMOs in the Upper Peninsula.
We have very few plans in Michigan.
In fact, my own mother, who was in an HMO and enjoying the coverage
under Medicare+Choice, was dropped because the plan withdrew from
Michigan. So we only have four private sector HMO plans in Medicare
left in Michigan, and they only serve 2 percent of the eligible
Medicare beneficiaries in the State--2 percent--and the majority are in
nine counties in southeastern Michigan, with the rest of the State not
being covered. By the way, none of those plans are accepting new people
or new enrollees.
So the President says: Let's take this plan that covers very few
people, where it is not working, and let's say if you want Medicare
prescription drug coverage, you have to go through this failed plan. I,
for the life of me, cannot understand why this approach is being put
forward except for the fact that certainly from the prescription drug
industry's standpoint, it is better than going under Medicare.
So, Mr. President, I would ask this evening for you to please speak
to the anxiety, the anxiousness that we all feel, that Americans feel
for our families, for our businesses, that workers feel when they now
find their pay being frozen so their employers can afford the explosion
in the health care crisis. I would like you to speak to those issues in
very real ways. Do not offer failed plans just to be able to speak
about this issue. Join with us in bipartisan efforts that we know will
work, efforts that have been supported by the private sector as well as
the public sector, efforts that are supported by workers, by seniors,
by all of those who have a stake in making sure that health care is
affordable and available.
We had a plan. We had a bill, S. 812, that passed this Senate last
summer. I commend all of my colleagues on both sides of the aisle who
voted for that legislation. We can cut prices that lower premiums for
our businesses. We can provide Medicare coverage. And we can do it in a
real way.
I urge, tonight, that the President speak to us. And I invite him to
join with us in a plan that will work.
The PRESIDING OFFICER. The Senator's time has expired.
The PRESIDING OFFICER. Under the previous order, the Senator from
Delaware is recognized.
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