[Congressional Record Volume 149, Number 171 (Saturday, November 22, 2003)]
[Senate]
[Pages S15519-S15533]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
MEDICARE PRESCRIPTION DRUG, IMPROVEMENT, AND MODERNIZATION ACT OF
2003--CONFERENCE REPORT
The PRESIDING OFFICER. Under the previous order, the Senate will
proceed to the consideration of the conference report to accompany H.R.
1, which the clerk will report.
The assistant legislative clerk read as follows:
The Committee of Conference on the disagreeing votes of the
two Houses on the amendment of the Senate to the bill (H.R.
1), to amend title XVIII of the Social Security Act to
provide for a voluntary prescription drug benefit under the
medicare program and to strengthen and improve the medicare
program, and for other purposes, having met, have agreed that
the House recede from its disagreement to the amendment of
the Senate, and agree to the same with an amendment and the
Senate agree to the same, signed by a majority of the
conferees on the part of both Houses.
The PRESIDING OFFICER. The Senate will proceed to the consideration
of the conference report.
(The conference report is printed in the proceedings of the House in
the Record of November 20, 2003, Book II.)
The PRESIDING OFFICER. The Senator from Arizona.
Mr. KYL. Mr. President, we are now on this historic piece of
legislation. I want to begin a discussion of that shortly.
But since the majority leader discussed the subject of asbestos
legislation, and the chairman of the Judiciary Committee, who has been
largely responsible for moving that legislation as far as it has come
to date, is here and wishes to make a couple of comments, I would like
to yield a couple of minutes to the distinguished Senator from Utah and
then regain the floor to discuss the Medicare bill.
The PRESIDING OFFICER. Without objection, it is so ordered. The
Senator from Utah.
Mr. REID. I am sorry, what was the concern?
The PRESIDING OFFICER. The Senator from Arizona has yielded to the
Senator from Utah for 2 minutes and then will reclaim his time. Without
objection, it is so ordered.
The Senator from Utah.
Asbestos Reform
Mr. HATCH. Mr. President, I thank my colleague. I appreciated the
remarks of the distinguished majority leader on the asbestos reform
legislation. I certainly appreciate the kind remarks of the minority
whip with regard to this. I think both of them spoke eloquently.
I rise today in support of the comments of the distinguished majority
leader with respect to the asbestos legislation. This is an absolutely
vital issue, and we have the opportunity
[[Page S15520]]
with S. 1125, the Fairness in Asbestos Injury Resolution Act, to
correct what has been a gross injustice--both to asbestos victims and
to our economy.
For more than 20 years now, compensation to legitimate victims of
asbestos exposure has been delayed and diminished, while scores of
companies with almost no connection to the problem have had to file for
bankruptcy and hundreds of others live under the constant threat of
insolvency from litigation. As a result tens of thousands of victims
are not compensated and tens of thousands of workers have lost their
jobs.
We've heard the statistics, but they bear repeating. The RAND
Institute for Civil Justice tells us that, to date, approximately 70
companies have been forced into bankruptcy--at least three with
operations in my home state of Utah.
The number of claims continues to rise as does the number of
companies pulled into the web of this abusive litigation, often with
little, if any, culpability. More than 600,000 people have filed
claims, and more than 8,400 companies have been named as defendants in
asbestos litigation.
This has become such a gravy train for some abusive trial lawyers
that over 2,400 additional companies were named in the last year alone.
RAND also notes that ``about two-thirds of the claims are now filed by
the unimpaired, while in the past they were filed only by the
manifestly ill.'' Former Attorney General Griffin Bell, amongst many
others, has denounced this type of ``jackpot justice.''
To address this problem, I introduced a bipartisan bill with my
friends Senators Ben Nelson, Mike DeWine, Zell Miller, George
Voinovich, George Allen, Saxby Chambliss and Chuck Hagel. This bill
creates a fund to provide fair compensation to victims, while reducing
wasteful transaction costs dramatically. Let me first just dispel a few
myths about this bill and set the record straight on a couple of
issues. First, some Democrats and unions are saying there isn't enough
money in the bill but the fact is that this bill gets more money to
claimants on average than the current system does.
Let me explain how. There have been several studies of future
asbestos-related costs under the current system, and the one which
shows the highest reasonable estimate of prospective costs--the
Milliman study-- would result in approximately $92 billion for victims,
after attorney fees and expenses.
Under the FAIR Act, it is estimated that claimants will receive 90
percent or more of the total funds under the no-fault, non-adversarial
system. This means the FAIR Act fund--which will have $114 billion
under the agreement proposed by Senator Frist--will allow claimants to
take home more than $100 billion. This is more total money than they
are projected to receive under the current tort system.
But it is not just more money in the pockets of victims, it is faster
and more certain compensation as well. We anticipate that claimants
will not have to endure years of discovery battles and endless
litigation before they get paid. Currently, some victims are dependent
on the solvency of businesses to decide if they get paid or not. Under
the FAIR Act, these victims will no longer have to go without payment.
It is time to end the current system of Jackpot Justice where only some
win and many lose.
Some have also argued that there aren't adequate safeguards to ensure
solvency of the fund. Baloney. This fund--which is funded at the
highest reasonable claim-rate scenario--is equipped with many
mechanisms to ensure that the pay-in and pay-out requirements are met.
This includes borrowing authority against future contributions.
It also includes guarantee surcharge and orphan share reserve
accounts which set aside money to grow and pay for unexpected
shortfalls. Another safeguard is the provision to empower the Attorney
General to enforce contribution obligations and ensure collection. And
beyond these, there is $10 billion in contingent funding as one more
additional safety net. On top of all these safeguards, if the fund
still becomes insolvent, claims would revert back to the tort system--a
provision, by the way, which Democrats insisted be part of the bill.
Given that this bill is a clear net monetary gain for legitimate
victims, and provides payments faster and with more certainty, I am at
a loss as to why anyone could object to this bill. The unions that
continue to oppose the bill risk throwing away the last, best chance to
compensate fairly those who are truly sick and provide some protection
to those whose jobs and pensions are at risk because of the asbestos
litigation crisis.
Quite frankly, the only entity that stands to lose under this bill is
the plaintiffs' bar which has siphoned off more than $20 billion of the
costs incurred on this issue as of the end of last year. If the FAIR
Act is passed, they will not be able to use unimpaired claims to
continue to squeeze a projected $41 billion more for themselves from
remotely-connected companies by abusing a broken system.
Fair is fair--I am all in support of compensating plaintiffs'
attorneys for the value of their work. But when it diverts valuable
resources away from sick victims, something is wrong with the system.
No one can accuse us of being unwilling to compromise in order to
finally be able to address this overwhelming crisis being caused by
asbestos litigation. When you look at where our bill started--and it
was a good start--and where it is now, our efforts at compromise are
blatantly clear.
In May we circulated a bipartisan draft measure and my staff met with
Democrat staff to listen to their concerns and we incorporated several
requests--even before introduction. We then embarked on several weeks
of markup which saw 23 Democratic-initiated amendments adopted into
this legislation. Now I didn't agree with all of them, but it can
hardly be said that there hasn't been strong participation by Democrats
on this bill. This chart behind me lists just some of the changes we
made at the behest of Democrats; let me highlight a few of them for
you.
We increased overall funding. Our bill started with a mandated $94
billion in contributions, which by most reasonable estimates should
have provided sufficient resources for compensating legitimate
claimants. In committee we increased base funding to $108 billion
dollars. That additional $14 billion is not pocket change. We also took
steps to ensure the enforcement of contributions as an added protection
to the solvency of the fund.
We increased the number of claimants that would receive compensation
by modifying the qualifying medical criteria and by including a
provision to accommodate the unique circumstances of the victims in
Libby, MT.
Moreover, we increased the amount of money that will go to claimants.
Even though our original claim values would have on average provided
more money to legitimate claimants, we increased the values even more.
And we removed most collateral source offsets to ensure that more of
the award goes directly to the claimant.
These changes listed on the chart behind me do not even include other
changes that we have offered since the bill was reported out of
committee to even further accommodate their requests, such as an
additional $6 billion increase in overall funding and significant
increases in claims values in many categories. And we also offered a
more flexible borrowing authority as another safeguard for solvency.
Now I understand that some want to make further changes, including
streamlining the claims process even more, and I have said I'm willing
to look at such proposals. But this and other complaints have been
raised without the follow up of a concrete, alternative proposal. I
hope that before this issue comes up in March as the Majority Leader
indicated that we will resolve the outstanding issues.
We cannot delay any longer--we need to ensure that the truly sick get
paid, while providing stability to our economy by stemming the rampant
litigation that has resulted in a tidal wave of bankruptcies,
endangering jobs and pensions. This crisis reaches far and wide--and it
hurts everyone.
On Monday, this body will pass an historic bipartisan Medicare bill
that will provide our seniors with drug benefits.
We can and should use this spirit of bipartisanship to come together
on the asbestos issue.
[[Page S15521]]
I thank Senator Frist for his leadership on Medicare and the
constructive role he is playing on asbestos. Working together I am
confident that Senators Daschle, Specter, Leahy and Dodd will all join
together when we bring the asbestos bill to the floor in March.
Mr. KYL. Mr. President, I say again, this asbestos legislation,
discussed by the leader, is very important for us to conclude early
next year, and I make the point again, were it not for the work of the
chairman of the Judiciary Committee, we would not be at the position
where we hope to be close to finishing that legislation at some point.
Mr. CRAIG. Will the Senator yield to determine where we might be this
morning?
There are several in the Chamber who wish to begin to speak on the
Medicare prescription drug issue. Have we established any order for
that purpose?
The PRESIDING OFFICER. There is no order other than to alternate
speakers.
Mr. REID. Mr. President, if the distinguished Senator will yield for
a response?
Mr. CRAIG. I will be happy to yield.
Mr. KYL. I will be happy to yield to the Senator from Nevada.
The PRESIDING OFFICER. The Senator from Nevada.
Mr. REID. What is in place is an agreement, gentlemen's in nature,
that we would go back and forth. We are trying to work out an agreement
where we would divide the time between proponents and opponents until
11 o'clock tonight. That has not been done yet, but there is something
that has been typed up.
The reason going back and forth may not be fair is someone may speak
for an hour and a half and someone else may speak for 10 or 15 minutes.
So we have to come up with something better than that. That is what we
are trying to do now.
Mr. KYL. Mr. President, might I suggest that during the time I am
speaking, those who would like to speak in conjunction with the Senator
from Nevada begin to work up a schedule. I would be happy to propound a
unanimous consent request when that is concluded to reflect the
agreement, at least for the next several hours, if that could be done.
The PRESIDING OFFICER. The Senator from Arizona.
Mr. KYL. Mr. President, this is a historic day. Obviously, when one
goes back to 1965 and thinks about the creation of Medicare, a lot has
changed since then. We are here today to begin debating in the Senate a
bill which passed early this morning in the House of Representatives,
has long been advocated by President Bush, and which many people have
worked on for a very long time, to try to modernize our Medicare system
which, after 35 years, we recognize in this new 21st century needs to
be changed to some extent.
For example, during that period of time, prescription drugs have
become a major component--indeed, in many cases the first component--of
treatment for ailments, disease, and afflictions of people.
Mr. President, 35 years ago prescription drugs were used to alleviate
symptoms of pain and occasionally to treat conditions, but more
intrusive methods were the order of the day at that time. The Medicare
program for seniors reflects the conditions then by covering hospital
stays and physician benefits, but not outpatient prescription drugs.
The prescription drugs which have over the last 35 years become a key,
if not the key, component of medical treatment have not been a part of
Medicare because they were not as key in 1965. So we know we need to
add prescription drug coverage for our seniors and for those who are
disabled and who qualify for Medicare.
There are other changes we know, also, that would help to strengthen
Medicare, to ensure that as we proceed to provide Medicare to the baby
boom generation, we will be able to do so with the highest quality of
care possible, at prices that both they and the American people can
afford and, as I say, which really encompasses the new concepts of
modern medicine in this treatment.
So the question was how we would develop a system to provide
prescription drugs as a component of Medicare. There were several
different options, but the option that has been finally settled upon is
one which I can support, and as someone who actually advocated a
somewhat different approach, I would like to speak to those primarily
who, like me, were not particularly pleased with the initial direction
in which this legislation proceeded, to talk about why, at the end of
the day, it is the best we can do under these circumstances and I think
under any foreseeable circumstances of the near future, and therefore
why it is important to move forward with this legislation.
It is momentous, it is huge in terms of the amount of money we are
talking about, a commitment over the next 10 years of $400 billion.
That was the amount that Congress agreed to with the adoption of our
budget and the crafting of this legislation. We resolved that this
money would be set aside to provide this prescription drug benefit and
make changes in Medicare to ensure the benefits of Medicare would be
available to everyone in a quality way during the 21st century.
Let me discuss first of all some disappointments I have with the bill
because these have been discussed by others and I want them to know I
am very cognizant of the concerns that have been expressed.
I served on the conference committee that crafted this legislation
and I spent literally hundreds of hours working with colleagues through
these issues. Some of the battles we fought, I helped to prevail on,
others we did not prevail on. But it is the nature of compromise
between the two bodies and between the two parties, especially when the
Senate is almost equally divided that no one is going to get everything
they think is best.
Let me first of all talk about the approach that was taken here and
why in some respects I think we made some wrong turns, but how we have
tried to recognize that and to ameliorate the effects of those wrong
turns as much as we could.
There was a sense in this country, because there are many people who
could not afford all of the prescription drugs they need in their
treatment, that the Medicare plan had to be modified to ensure they
could have access to those drugs at a reasonable cost. That was an
approach that many Members thought would best utilize the funding
available, to provide the maximum amount of benefit to those who most
needed it.
Somewhere along the way, a major decision was made which
fundamentally altered that concept. It was a decision that was strongly
favored by the AARP, for example, a group which I am very pleased to
say is in support of this legislation and has taken a strong role in
educating America about the benefits of this legislation. That decision
was to make the benefit of prescription drugs universal; that is to
say, to make it available to all Medicare-eligible people, not simply
to try to help those who needed the help the most.
The first result of that was it significantly reduced the amount of
money we could make available to those who need it the most because,
obviously, if you provide a universal benefit, you are providing it to
everyone who qualifies for Medicare basically equally to those who do
not need the benefit, because they have more money, as well as those
who do need the benefit. Once that decision was made, it reduced the
amount of money we could allocate to help those who needed the help the
most. I regret that. We could have structured a plan that would have
more targeted the benefits where they were needed the most.
In addition, we created some other problems. One of the problems is,
employers who provide prescription drug retiree benefits will have less
incentive to do that in the future because the Government will do so if
they do not. Many will argue, why should we spend our money, our
corporate funds, to support the prescription drug retiree benefits that
we have done in the past when, if we stop that coverage, the Government
will pick it up? The result of that was we had to allocate over $70
billion of this money to be paid to these business plans, union plans,
and even government plans, that provided retiree health care benefits
with drug coverage. We had to provide that money to them to enable them
to continue providing the coverage. Some call it a subsidy. It is a
fair term, I suppose. But one might say we are paying them three
fourths of what it would cost the Government, to provide this
particular benefit.
[[Page S15522]]
So from the Government's point of view, we are saving money because
if these company plans did not continue the coverage, the Government
would have to pick up 100 percent of the cost. Nevertheless, it took a
chunk of the money out of the program to pay for benefits that are
already being paid for by somebody else, thus further reducing the
amount of money we could allocate to those that need the care the most.
So those are just two examples of problems created by this initial
decision.
The original idea of many Members was that we should provide more
choices to seniors. Many Members came to that conclusion because
Federal Government employees such as Members of Congress have a lot
more choices in our drug coverage. We are entitled to enroll in
something called the Federal Employees Health Benefits Program, or
FEHBP, and we have a lot of health insurance options. These insurance
options are integrated health-care plans. They provide all of our care,
from hospitals to doctors as well as prescription drugs.
A lot of Federal employees, 10 million strong, like those kind of
plans. Many are PPOs, preferred provider organizations, where you go to
any one of the doctors on a list who has signed up with that
organization, or you can even go out-of-network, you can go to a
different doctor, and that is still OK. This was the concept the
President originally announced and it is a concept I strongly supported
because it would maximize choices.
At the same time, we recognize that a lot of people would still want
to maintain what they currently have, what we call traditional fee-for-
service Medicare, and simply add a drug benefit on top of that. We did
not want to take that choice away. So the concept was to have basically
two choices: Stay in traditional Medicare with the new drug benefit, or
sign up with one of these new insurance programs, a PPO or what we call
today Medicare+Choice, which is predominantly HMOs. That choice has
been created in this legislation. The choice is a good choice.
I regret, however, that I don't think we have given the health
insurance option a good enough chance to attract very many
beneficiaries. There are efforts in the bill to do that, but I think we
put too many restrictions on the PPOs, in particular, to expect they
will be very successful. For one thing, we strongly regulate how much
they can be paid. As a matter of fact, their payment rates are directly
tied to what we pay in regular fee-for-service Medicare. That is price
control. Congress and the administration set the prices that can be
paid under the traditional Medicare Program. We were trying to get away
from that heavy price control with this new insurance option.
Unfortunately, in an effort to make sure we could keep the costs
ratcheted down and compare those costs to what we are paying for
traditional Medicare, there is a direct relationship between what we
pay in traditional Medicare and what will be paid on the private health
insurance side. It is not really like regular private insurance. This
is very highly regulated, controlled price, controlled private
insurance as the alternative to fee-for-service Medicare.
I think it is less likely those PPOs are going to succeed as a result
of that. Nevertheless, we at least, for the first time, have the
concept of private health insurance as an option to traditional fee-
for-service Medicare for all beneficiaries.
Senator Nickles, in particular, and I worked strongly to increase the
flexibility that the insurance option could provide so there could be
literally dozens of products out there like the FEHBP for Federal
employees, and people could decide what was best for them. Again,
unfortunately, that flexibility has been greatly limited in this
legislation, primarily because of concerns by the Congressional Budget
Office that if very much flexibility were provided, the cost of the
program could exceed the $400 billion.
As a result, the options that are offered by these private plans will
be very limited. For example, as you will hear others get into the
details of the legislation, especially the drug benefit--and my
colleague, the Senator from Iowa, the chairman of the Finance
Committee, Mr. Grassley, is in the Chamber. I know he will go into
great detail about precisely how this works.
When that occurs, and you see how this benefit is going to be
provided, one of the things you will see is that even though there is a
very generous benefit--the Government will pay 75 percent of your drug
costs up to $2,250, after a $250 deductible; so it will pay about
$1,500 worth of drug benefits--at that point, then, the individual is
going to be responsible for a little under $3,000 worth of drug
benefits, before the catastrophic coverage of 95 percent Government-
paid kicks in. Some people refer to this as a donut hole.
Obviously, with $400 billion allocated to the problem, we are not
going to be able the pay all of everybody's drug costs. There is not
enough money in the Federal budget for us to do that. As a result, you
can only cover what that amount of money will cover.
Well, it is hoped that the private sector insurance option will
provide different ways of ensuring against that donut hole, ensuring
against that out-of-pocket expense that individuals will have to pay.
But, unfortunately, that cannot be done under this legislation. The
threshold can be raised, but the out-of-pocket amount still has to
remain the same. As a result, there is a limitation on the insurance
product that can be offered.
Again, Senator Nickles and I had hoped there would be a lot more
flexibility. I am hoping in the future we can loosen this up so these
health insurance options can act like regular insurance options.
Another point: If you go to an insurance company today, a preferred
provider organization, and you would like to get treatment from a
different doctor who is not in their network, you can go to that
different doctor. The plan will only pay an agreed-upon amount, and
then you are billed for the difference between that and the physician's
reasonable and customary fee. That is standard practice today.
That cannot be done under the way this legislation is written. That
has to be fixed as well. Right now there is a price cap on that, and,
therefore, it will discourage people from going out of the network,
which will discourage people from signing up with PPOs in the first
place.
These issues will have to be addressed later because we did not give
sufficient flexibility to the insurance company alternative in this
current bill. Again, I am speaking primarily to those who, like me,
approach this with the idea that we could provide coverage similar to
FEHBP coverage that the President originally articulated as the goal,
and as someone who did not win all of the battles in this negotiation,
but who still believes that at the end of the day, this is the best we
are going to do, either now or any time in the future, that I can
predict, given the politics, given the closeness of the Democrat-
Republican split in the Senate and in the House of Representatives and
the various other factors that influenced the decisions that we made.
Let me talk a little bit more about the drug benefit. Seniors today
buy Medigap insurance, and that provides them a certain degree of drug
coverage. It is regulated by the Government, but I think a lot of
seniors believe they have pretty good drug coverage because of the
Medigap insurance they have. The reality is, they are paying a lot of
money for not that great of coverage. They pay almost as much money in
premiums as the amount of coverage they receive. So it is not
completely dollar for dollar, but it is not the kind of insurance that
ordinarily we would think of.
As a result, the drug benefit that we provide here will be more
substantial for the amount of money that is paid. But I do fear a lot
of people will see the drug benefit we provide here as less than they
are able to obtain today through their Medigap insurance, and it is
going to be incumbent upon all of us to explain to people how this drug
benefit will work. Again, it calls for us to try to loosen up the way
the private insurance market can provide the drug coverage to meet
seniors' objectives, not all of which are precisely the same.
Therefore, in order to convince them there are good alternatives to
what they have today, since they are not going to be able to purchase
the new drug benefit through the means of
[[Page S15523]]
Medigap insurance anymore--that will be done through a different
mechanism--it is going to be important for us, I think, to provide them
the maximum type of flexibility and choices, something, again, that we
are going to have to address in the future because it is too restricted
in the bill as we have it written today.
There are other items--and I do not want to dwell on the negative--
but just to cite two or three others to show areas in which we could
have done better.
Today, we reimburse physicians and hospitals in a very irrational
way. It is very tightly controlled. It is price controls. We never get
it right. We tend to want to save costs, so we do not reimburse them
enough, and then hospitals begin to shut down, doctors begin to get out
of Medicare, and we realize we have made a horrible mistake. So then we
ratchet the payments back up, and it is a very herky, jerky way of
reimbursing the very people we rely upon to provide the critical health
care that we want. As a result, we have tried to figure out ways to
make this more rational.
Well, the best example is in the case of oncologists, doctors who
provide us drugs to treat cancer. The oncologists are not reimbursed at
anywhere near what it costs them to provide this service for us. As a
result, what they have to do is to buy the drugs for the chemo part of
chemotherapy, and they mark up the value of those drugs, sell them to
the patient, and that is how they get reimbursed for what they do. Of
course, people have said: Well, it is a huge markup. They are making a
lot of money off these drugs. And it is true that there is a huge
markup. It is not a rational way of reimbursing them.
So what we tried to do was to go back and fix the basic formula,
called the practice expense formula, to figure out how much it really
costs those doctors to stay in business to provide this all-critical
care for cancer patients, and we begin to re-adjust that formula so it
will pay them more, and, at the same time reducing the markup they get
on the drugs so they would not have to be paid out of that pot of
money, in effect.
Well, we got about halfway there, but we still have more work to do
on that particular formula. So it is just an example of how the
Medicare system served seniors well, but there are clearly things in it
that need to be fixed if we are going to continue to provide high-
quality care and to ensure that we have physicians and hospitals that
can stay in business to take care of us.
Cardiothoracic surgeons are another group. The very best of these
surgeons go into the operating room with their own team. This is life
and death. They have teams that work together for years. They have had
a lot of experience in doing what they do. But they do not get
reimbursed for their team members, their nurses, and so on. What they
have to do is pay for that out of their own pocket. You can obviously
see, at a certain point, they are not going to be able to provide the
high-quality care. What they have to do is basically go into the
hospital and take whoever the hospital has at that time. They do not
work together as a team, and they provide about half as many people as
some of these surgeons need in order to provide the highest quality
cardiac care.
Here is another area in which we could have provided at least a
demonstration project or two to figure out how best to reimburse these
cardiothoracic surgeons. We failed to do so in this legislation. We
need to do that in the future. Cost containment was another matter. We
wanted, given the fact this legislation could explode in cost, to have
something in this bill that would ensure that the costs would be
controlled.
There is a section in here that purports to do that, but it is
largely illusory. It basically says, at a certain point in time we have
to get together and make some recommendations. The President has to
send some recommendations down to us. We do not have to act on them, of
course. And it is really very hard to change the rules of the Senate to
force us to act on something like this.
So I just want to let my conservative friends know that, no, there is
not good cost containment in this legislation. But I would also ask
them to think about one other thing; and that is, there is no free
lunch. If you want high-quality health care, you are going to have to
be willing to pay something for it.
I think sometimes conservatives look at one side of that ledger but
not the other. We have to do everything we can to ensure that taxpayers
can afford this expense. But we also do not want to be penny-wise and
pound-foolish when it comes to providing quality health care for our
seniors and for others who are on Medicare.
Indeed, for those who say we are going to control the costs in this
legislation, I would say that the means of doing so that are in the
bill are primarily price controls by the Government, which have been
demonstrated not to work very well, and I think we can expect that the
younger generation is going to bear the full brunt of this expense.
It is a $400 billion expense over 10 years. It is not taken out of
any kind of payroll tax or other kind of payment by the beneficiary for
that segment of what we are providing. It is going to be paid for out
of the pockets of people who are working to earn a living and pay for
their kids' education. We have to stop and evaluate whether, with a lot
of seniors who are well enough off to afford drug coverage, it is fair
to ask their kids, who are struggling at this point to make a living,
to bear more of the burden.
There is well over $100 billion of this, probably about $150 billion,
in premiums and copays and deductibles that will go toward the benefit
we are providing here that is worth $400 billion. But let us not forget
that the $400 billion money is being paid by taxpayers. So cost
containment is important, and it will boil down to the discipline that
we in the House and Senate and the President can exercise in keeping
the right balance between cost containment and providing high-quality
care.
I have stressed the negatives to try to establish a point. I didn't
get my way negotiating this legislation despite hundreds of hours of
work in the conference committee. Nobody got 100 percent of what they
wanted. For those conservatives who are disappointed because of the
kind of things I have been talking about here or the lack thereof that
shows we really missed a historic opportunity to make the bill better,
I would like now to address why I think, nevertheless, they should
support the legislation.
It boils down to the fact that it is extraordinarily difficult with
something this big and this complicated and important to so many
people, with every Senator and every Representative having a very big
stake in trying to get it right, to reach the kind of compromise that
is going to make any particular group happy.
I note there was a scathing op-ed piece against one of the Democratic
Members who was substantially involved in these negotiations,
criticizing him for not representing his point of view well. I can't
tell you how wrong the writer of that piece was. From my perspective,
that distinguished Senator got far more than I did out of this. He won
more of the battles than I did.
I think one should be a little bit careful about simply putting the
ideology out there and saying, because one side didn't get everything
it wanted, therefore it is a bad bill. The reality is that under the
circumstances we face today, I think it would be impossible to put
together a bill that would provide drug benefits for our seniors that
would do it any better than what we have done here.
Why do I say that? Some people say, let's let this bill fail and we
will come back and simply provide a drug benefit to those who need it
the most. I think we have gone too far for that. Groups such as AARP
are not going to support that. Their support is very important for a
program such as this. I don't think a lot of Senators would support
that. So even though that might have been how I would have liked to
have started this process, I don't think that is going to pass.
Do we let 2 or 3 more years elapse without providing a drug benefit?
I don't think that is an alternative. So I would challenge anybody who
says this bill isn't perfect to demonstrate to me how they could cobble
together a majority to provide an important drug benefit and still
achieve all of the objectives they want to achieve and get it passed.
[[Page S15524]]
We do need to include prescription drugs in Medicare. They haven't
been included, and we all know this is the preferred method for
treatment by most physicians for many illnesses and diseases today. We
also need to ensure that those who don't have coverage can get it. The
options we provide in this bill at least get us part way down that
road.
Importantly, we will be reducing the costs of prescription drugs both
to third party payers, whether it be the Government or the employers,
as well as the seniors for the part they have to pay. How is this done?
There are a variety of mechanisms in the bill. One of them is the fact
that the Government and the private plans will be buying in bulk.
Everybody can understand that concept. You can buy for a lower cost if
you buy in bulk. Another is that there are a lot of incentives to use
fewer drugs, to use generic drugs, drugs that are based on a formulary
that more specifically fits the particular patient's need, and not to
have a lot of extra drugs sitting around in the drug cabinet. Almost
all of us have extra drugs sitting around, which is probably not a very
healthy thing. It is a costly thing as well.
There are a lot of incentives built in this legislation that should
permit us to reduce the cost of drugs both for the third party payers
as well as for the seniors themselves for the portion they are going to
have to take care of.
Another important thing in this legislation is that we at least go a
little way toward rationalizing the system of paying the doctors and
the hospitals and other health care providers that have not been
adequately reimbursed. There were large cuts in store for hospitals and
doctors. Those cuts are no longer in place. In fact, there are very
modest increases for physicians and hospitals: A 1.5 percent increase
for the physicians, instead of the 4.5 percent cut that was going to
take place starting January 1 if we did not act. At least there is
modest support for those that we really count on when the chips are
down to take care of us.
As I said, if we defeat this bill now, I don't see how we can come
back and provide these things, how we can get consensus to do it
anytime in the near future.
Another important item is the health savings accounts provision. Many
of us have believed for a long time this could really provide a long-
term way for people to build up the savings they can apply toward
health care for insurance and out-of-pocket expenses so that they won't
need to rely as much on Medicare when they get to be eligible for
Medicare.
We know one of the reasons we have high-priced drugs is that
Americans have to bear almost the full burden of the cost of production
of drugs since other countries, such as our friends to the south and
north, have price controls on how much they can reimburse the drug
companies for their prescription drugs. This is unfair trade. It puts
all of the burden, a cost shift, on the American consumer. This bill
provides instruction to our Trade Representative to come up with a way
to deal with those other countries to get them to share more of the
burden of the expense of producing these important drugs for us.
We also include the affluence testing of the Medicare Part B premium
for those at the very wealthy end of the spectrum; a senior who makes
over $80,000 a year, for example. I think it is not too much to ask
them to pay a little bit more in their Medicare premium for the
coverage they receive.
We index the Part B deductible so we don't have to come back every 10
years and have Congress pass a law. This will basically keep up with
the cost of inflation. We also include a change for so-called 340B
hospitals. These 340B hospitals are public safety net hospitals, and we
enable them to purchase their inpatient drugs cheaper than they can
purchase them today. I introduced legislation earlier on this subject,
and I am pleased we have that provision included here.
Then finally a provision that is important to those States such as
the border States--Arizona, Texas, California, and others--that are
required under Federal law to provide treatment to illegal immigrants
because of the law called EMTALA, the Emergency Medical Treatment and
Active Labor Act, that says no emergency room can turn away a patient
whether that patient can pay or not.
Because emergency rooms now are faced with treating illegal
immigrants under this requirement and because the Federal Government
has not been able to enforce the law to prevent those people from
coming into the country illegally in the first instance, we believed it
was important for the Federal Government to at least help these
hospitals defray some of the expenses they are incurring, which in some
cases are so severe, it is forcing hospitals to consider closing down
and certainly shutting down emergency room care.
That can't be. American citizens should not suffer because of a law
that requires that we provide care to illegal immigrants. We can at
least reimburse those hospitals for a portion of the cost they bear.
This bill provides $250 million a year for 4 years to provide that kind
of reimbursement.
There are a lot of positives in the bill. There is a lot more I know
the chairman of the Finance Committee will discuss in more detail.
What I want to do is discuss it from the standpoint of somebody who
has been critical, who has constantly said: We can do better. We are
missing opportunities. We ought to do this in a way that is more
flexible, that looks more like the FEHBP. I didn't win a lot of those
battles, but we have an opportunity to at least implement a plan that
we have a possibility of making better over time as people see the
advantages of the concepts we have put in the legislation.
We have the knowledge that at least in the foreseeable future,
because we are adequately reimbursing those people upon whom we rely
for care, that we are going to have that care provided to us in a
quality way and that our seniors will not suffer because we didn't
consider it important enough to provide for them the very best.
Without this legislation, they will continue to pay more than they
should for prescription drugs. They won't receive as much in the way of
prescription drug coverage or care. And that will be a shame at a time
when this country has the capability of providing that kind of care.
Notwithstanding all of the concerns I have noted, the challenges we
need to face in the future, we should support the legislation.
I chair the Health Care Subcommittee of the Finance Committee in the
Senate. I intend to have hearings next year into areas that may need
improvement. I look forward to working with my colleagues to improve
this historic legislation as we move forward. We owe our senior
citizens no less.
The PRESIDING OFFICER. The Senator from Nevada is recognized.
Mr. REID. Mr. President, we are alternating back and forth. It is
obvious that it is not fair. The Senator from Arizona did not speak for
an inordinate amount of time. If somebody comes and speaks for 5
minutes who is opposed to the legislation and someone speaks for 45
minutes in favor of it, that doesn't work out. I am somewhat at a loss
as to why we have not worked out an arrangement that the time between
now and 11 o'clock be equally divided between proponents and opponents,
with no limit as to how much they could speak.
If someone who wanted to speak in favor of the legislation were here
and there was nobody to speak in opposition, that person could go ahead
and speak. For reasons I don't understand, the floor staff has not
gotten that approved by the managers and leadership.
The Senator from West Virginia is here in the Chamber. He is going to
speak against the legislation. With the agreement now in effect, it
would be his time to speak. I know the manager is here. Is that OK with
the Senator?
Mr. CRAIG. Will the Senator yield? I know the Senator is going to
speak at 11 o'clock. I was told I could speak. The Senator from
Illinois has been here for some time. I understand both of these
Senators anticipate fairly lengthy statements. I do not. I anticipated
no more than 10 minutes. Is it possible that I could slip in there
somewhere?
Mr. REID. Mr. President, I think the Senator from West Virginia would
be happy to yield for 10 minutes to the Senator; is that right? I don't
know that to be the case. This shows how unfair this whole situation
is.
Mr. CRAIG. Exactly right.
[[Page S15525]]
Mr. REID. I cannot imagine what is holding up the UC to allow the
time to be divided equally.
I yield to the Senator from West Virginia. He has an obligation. That
is why he is here at 11. The Senator from Illinois said he would be
happy to yield, following the statement of Senator Byrd, to the
Senator. He has that right anyway; he doesn't need consent to do that.
Mr. BYRD. Mr. President, in any event, the distinguished Senator from
Illinois would be recognized at the same time--if I understand the
request of the Senator from Nevada. If the Senator from Idaho goes
first and then I go next, then the Senator from Illinois would go; or
if I go first, and the Senator from Idaho goes next, then the Senator
from Illinois would go. So the Senator from Illinois, through his
gracious courtesy, which is so characteristic of him, either way, that
would suit the Senator from Illinois.
That being the case, I have no problem with yielding to the Senator
from Idaho next, if he can limit his statement to 10 minutes, which I
understood he would.
Mr. CRAIG. I would do that under a unanimous consent, certainly.
Mr. REID. Just understand that following Senator Byrd is Senator
Durbin. There could be as much as an hour and a half. I want to make
sure everybody understands that.
Mr. President, I ask unanimous consent that the Senator from Idaho be
recognized for up to 10 minutes, and then the Senator from West
Virginia, followed by the Senator from Illinois.
The PRESIDING OFFICER. Is there objection?
Without objection, it is so ordered.
Mr. BYRD. I will not speak longer than 20 minutes.
Mr. CRAIG. Will the Chair signal me when I have spoken for 9 minutes?
The PRESIDING OFFICER. The Chair will do so.
Mr. CRAIG. Mr. President, the Medicare conference report now before
the Senate, brings to fruition President Bush's early and strong
commitment to prescription drug relief, and it reflects nearly 6 years
of difficult congressional debate.
The Senator from Iowa is here in the Chamber. He has played a key
role in shaping the final package, in hours and hours of work with our
majority leader and with leaders from the other side, to try to strike
a critical balance.
This historic legislation, like the 38-year-old program it seeks to
reform, is indeed expensive, complex, and unweildy but it is a
compromise I can and will support, although not without some very
strong reservations.
This bill is a solid step toward accomplishing two core goals:
Providing prescription drug relief to seniors in need, and
strengthening Medicare's future through greater market competition.
This legislation also includes dramatic improvements in consumer
choice through health savings accounts, and perhaps the best package of
rural health care improvements Congress has ever considered. I know its
impact on the rural hospitals of Idaho will be significant.
Despite its deep and undeniable faults, this bill offers a rare
opportunity unlikely to return for several more years, if ever--years
in which millions of seniors will continue to suffer for lack of needed
drugs and years in which the retirement of America's baby boomers will
draw ever closer, and the modernization of Medicare will become ever
more urgent. No, it is not perfect, but to hold out for perfection
would risk a permanent sacrifice of much that is good and necessary in
this legislation.
As chairman of the Senate Special Committee on Aging, I have chaired
several hearings examining many of the hard questions in this debate--
including the long-term demographic and financial pressures facing
Medicare, and the importance of integrating competitive alternatives
into Medicare's future. I am pleased to see some of these themes
reflected in the legislation before us today.
Mr. President, my reasons for supporting this legislation are
straightforward:
First, the legislation provides long overdue drug relief for our
Nation's seniors. Nearly every health insurance plan in America today
contains drug coverage. It is time Medicare did, too.
Beginning in 2006, seniors who decide to enroll in this completely
voluntary new program and will pay a premium of about $35 and will
receive a 75 percent subsidy for the first $2,250 in annual drug costs,
after meeting an initial $250 deductible. And after a senior's annual
drug costs reach $3,600, Medicare will cover 95 percent, providing
essential relief for those seniors with catastrophic drug needs.
Overall, the average senior enrolled in this program will see annual
drug costs reduced by 44 percent to 68 percent. In the nearer term,
prescription drug discount cards will be available, offering seniors
drug discounts of up to 10 to 25 percent.
Second, I am very pleased that the bill devotes the greatest share of
its relief to seniors of modest and low income, those who need it the
most.
For these seniors, the relief will be even greater than in the basic
package. In Idaho, nearly 35 percent of our Medicare beneficiaries are
likely to qualify. Seniors whose incomes fall below about $13,500 for
an individual or $18,200 for a couple will receive deeply discounted
premiums and deductibles, and those whose income is below about $12,100
for an individual or $16,200 for a couple will have no premium or
deductible and will pay only a few-dollar copayment for each
prescription.
The important thing to keep in mind is that the proportion of seniors
today who have no private drug coverage at all is relatively small--
about 25 percent--and it is on these seniors, as well as those whose
current coverage is inadequate, that this bill is focused. In short,
those in the greatest need get the greatest benefit and that is as it
should be.
Third, the bill before us today seeks to bring Medicare into the 21st
century, not just by providing prescription drug coverage, but also by
offering seniors the choice to enroll in federally supervised but
privately operated health care plans--that same kind of choice and
coverage currently enjoyed by other Americans under 65.
Medicare today remains weighted down by rigid bureaucracy and complex
regulations--regulations that are already beginning to drive doctors
and other health care providers out of the program. Even more
distressing, the heavily bureaucratic Medicare Program has utterly
failed to keep up with the kinds of medical innovations and coverage
options most of the rest of us take for granted.
By contrast, this bill's new competing regional preferred provider
plans will give seniors one-stop shopping for comprehensive and
integrated coverage, including prescription drugs, preventive care,
care coordination, and protection against very high catastrophic
medical bills--benefits which are largely unheard of in today's
Medicare Program. Even more encouraging, six large-scale
demonstrations, beginning in 2010, will test direct price competition
between private plans and traditional Medicare. Although not as
extensive as I would have wanted, these competition-based reforms are
nevertheless the most substantial steps Medicare has ever taken toward
bringing marketplace innovation into the program.
Importantly, all of these new choices will be completely voluntary.
Seniors who want to keep their current coverage and stay in the
traditional Medicare will be free to do just that. No senior will see
any reduction in any Medicare benefits under this bill. No benefits
will be taken away--none.
Fourth, this legislation contains landmark improvements in the
ability of Americans to take charge of their own health care through
expanding the use of health savings accounts.
To a greater degree than ever before, this bill will permit
individuals to build significant tax-free health care savings for use
in meeting a family's health care needs, including long-term care. As
we try to encourage those who are becoming seniors to acquire long-term
health care insurance, here is a way to finance it and finance it with
tax-free dollars. Together with high deductible insurance for very high
medical expenses, this approach puts control of health care where it
belongs--in the hands of the individual citizens of our country.
This is something I have been fighting for since I first came to
Congress, and I believe this bill's health savings account provisions
are among its most important accomplishments.
[[Page S15526]]
Fifth, I am tremendously pleased, as should be every Idahoan, that
this bill includes an unprecedented package of nearly $25 billion in
improvements for rural health care. Senator Grassley can be extremely
proud of the work he has done to ensure the stabilizing of rural
hospitals and rural health care. Most importantly, this legislation
achieves a permanent evening out of rural and urban Medicare
reimbursement rates. For far too long, doctors and hospitals in Idaho
and other rural States have suffered under payment classifications and
reimbursement levels that put them at a significant disadvantage--and
that makes the already difficult task of providing rural health care
even more daunting.
Sixth, the conferees have included, for the first time, a requirement
that high income seniors (those making over $80,000 individually or
$160,000 as a couple) pay slightly more in Medicare premiums than those
who are less well off.
In the decades to come, I believe our children will thank us for
recognizing that America's taxpayers simply cannot afford to continue
subsidizing care for the wealthiest among us at the same level we
provide for the less well off.
Finally, I believe it is important to recognize that the conferees
have taken great care to include protections against something I know
has concerned many seniors--namely, Will this bill cause me to lose the
drug coverage I already have? The final bill includes very significant
assistance to employer-sponsored plans to help assure their continued
participation in retiree health care. Indeed, some are concerned that
this assistance is, in fact, too substantial. But Congress's intent on
this issue is clear: Seniors who are happy with the coverage they have
today should be free to keep it.
The underlying framework of this bill is a sound one, and it follows
the strong and guiding principles laid out by President Bush earlier
this year--namely to strengthen traditional Medicare and keep it as an
alternative for those seniors who want it--but also to provide a new
foundation for the future, one built on choices, competition, and
innovation.
This said, however, I remain gravely troubled by certain aspects of
this bill.
First, it troubles me deeply that this legislation will add
substantially to an entitlement program whose long-term future is
already sobering in the extreme. Even without a new $395 billion drug
benefit, Medicare is expected to spend nearly $3.9 trillion over the
next 10 years--and by 2075, these costs will nearly triple.
Nothing can change the fact that desperately hard choices lie ahead,
regardless of what we do this year. Nevertheless, what we sow today,
future generations will reap.
Second, I am disappointed that the conferees chose not to adopt firm
expenditure restraints if and when Medicare cost growth rises faster
than currently projected. Nearly all honest observers predict that this
bill will ultimately cost more than the $395 billion over 10 years that
is now budgeted. Such a cost restraint measure would have gone a long
way toward assuring future generations that we are serious about fiscal
restraint and preserving a viable Medicare program for our children and
grandchildren.
Third, I believe this bill should have moved Medicare more
assertively toward a 21st century competitive approach, with an even
greater role for private plans and the innovation they generate--an
approach patterned, for example, after the highly successful program
now available to Members of Congress and other federal employees. As it
is, this bill makes a credible start in that direction, but much more
remains to be done.
And finally, I am concerned by this legislation's very high level of
complexity and prescriptiveness. Of course, Medicare legislation is
never simple. However, this bill runs to many hundreds of pages and is
very heavy with exceptions, rules, and carveouts--including literally
dozens of provisions and billions of dollars relating to specifics of
provider payment.
This bill's new competitive alternatives, if they succeed, are
intended to take us away from this kind of micromanagement.
Unfortunately, if the complexity of this bill is any guide, we may yet
have a ways to go.
My concerns about this bill are very serious ones. However, on
balance, I believe this legislation is a positive step forward for
America's seniors, for the Medicare program, for Idaho, and for the
country as a whole.
President Bush deserves tremendous credit for making Medicare and
prescription drugs a top priority this year, as do Majority Leader
Frist, Senator Grassley, and the other conferees for bringing us to
where we are today.
Medicare urgently cries out for a better future, and America's
seniors desperately need meaningful prescription drug relief. This
legislation moves solidly toward reaching both of these goals, and I
urge my colleagues to stand with the President and support its passage
into law.
I close by thanking the Senator from West Virginia for his courtesy.
I will adhere to our agreement. I yield the floor, and I thank my
colleague.
The PRESIDING OFFICER. The Senator from West Virginia.
Mr. BYRD. Mr. President, our friend, the distinguished Senator from
Idaho, who serves on the Appropriations Committee, is welcome. I thank
him for his kind references to me.
I thank the Chair, Senator Cornyn of Texas, who has had the good
fortune of presiding over the Senate on many occasions this year. I
say, I have had the good fortune of speaking on almost every occasion
that the Senator from Texas has presided over the Senate, and he
presides so well. He presides with a degree of dignity and skill and
aplomb that is so rare as a day in June.
I also thank my majority whip, the best whip the Senate has ever had.
And I have been the whip. I was the whip for 6 years. But I say--I will
repeat the words of a great poet--``You're a better man than I am Gunga
Din.''
Harry Reid is a better whip than I was, and it wasn't because I
didn't do my best. I don't grow lax in any job. Any duty that is placed
on me, I do my very best. But he is a jewel, Harry Reid.
Let me thank the Senator from Illinois also, the distinguished
Senator, Mr. Durbin. He is always so gracious, but he can afford to be
gracious. He is so able, an inimitable debater. He can speak at the
drop of a hat, and the hat won't hit the ground. That man, Durbin, is a
very fluent and ready speaker. I am so pleased that he is my friend and
that he is a Senator on my side of the aisle. I thank him for his
courtesies on this beautiful morning in November.
It is a beautiful morning. May I say to the young pages who are here
so early in the morning:
Ah, great it is to believe the dream
As we stand in youth by the starry stream;
But a greater thing is to fight life through
And say at the end,
The dream is true!
Mr. President, I had hoped to be out here on the floor talking about
a plan to give senior citizens a prescription drug benefit for
Medicare.
I had hoped to be extolling the virtues of a bill that would give
needed relief to the millions of our Nation's elderly citizens who have
been serving their country and their communities for so long and who
are entitled to needed relief. Instead, the Congress will be voting on
a measure that would undermine Medicare--undermine Medicare, I say.
Listen to me. Hear me now. The elderly citizens who are watching
through those electronic lenses, and also the sons and daughters of the
elderly citizens as well, will be affected. So instead of voting on a
measure that would give relief to the elderly citizens of this country,
we are going to vote on something else.
In speaking of the elderly citizens, I speak of the young people as
well. Why do I say that? I say it because I can remember the days when
there was no Social Security or Medicare Program in this country. I
used to go by the old county poor farm in Raleigh County, and as I
traveled by there many years ago I would see sitting on the porch up
there at the old county poor farm, sitting just within sight of the
road, those old people in their rocking chairs. They had no dreams to
look forward to. When they grew old, as some of them did--and those
coal miners especially grew old early in life--they had no place to go,
no place to go but to the homes of their sons and daughters. They would
stand with their hats in their hands waiting to be taken in by their
children. What a life.
Then there came to the White House of this country a crippled man, a
man
[[Page S15527]]
who was paralyzed, a man who could not walk, as I can walk even at my
young age of 86. There they stood waiting at the gates of their
children hoping that they could be taken in. Then that man came to the
White House and a Democratic Congress worked with him to give to the
people of this country, the elderly citizens and their children, that
promise. He fulfilled that promise of Social Security so that no longer
would the old folks stand at the gates of their children with their
hats in their hands. They could live out their lives with dignity and
not be such a burden to their children.
Then I remember Medicare when it came. I was a Member of the Senate
and voted for that program. That was when Lyndon Johnson, a great
Democrat, was President of this land. Again, the Democratic Congress,
working with that Democratic President, gave to the country this
program of Medicare, the most successful program that the country has
ever had, a program that today's Senators know and trust.
The Congress should be fashioning a real prescription drug benefit.
That is what the American people have been told we are doing, but we
are not doing that. Instead, the Congress debates a major restructuring
and a step toward the privatization of Medicare.
I watched them tearing a building down,
A gang of men in a busy town.
With a ho-heave-ho and a lusty yell,
They swung a beam and a sidewall fell.
I asked the foreman, ``Are these men skilled,
As the men you'd hire if you had to build?''
He gave me a laugh and said, ``No, indeed!
Just common labor is all I need.
I can easily wreck in a day or two
What builders have taken a year to do.''
And I thought to myself as I went my way,
Which of these two roles have I tried to play?
Am I builder who works with care,
Measuring my life by the rule and square?
Am I shaping my deeds by well-made plan,
Patiently doing the best I can?
Or am I a wrecker who walks the town,
Content with the labor of tearing down?
That is what we are doing here. That is what we are about to do. That
is what we are getting ready to do. That is what the seniors and their
children of this country are about to see happen. This building which
was built by careful hands, by caring hands, is about to be torn down.
This is a debate that has largely been hidden from the public, a
debate for which our Nation's seniors did not ask. They did not ask for
this.
The conference report before us was hatched behind closed doors. We
see so much of that time and again under this Bush administration--
programs, plots, hatched behind closed doors. Most Members of Congress
have been largely excluded from the backroom deals--largely excluded
from the backroom deals--that produced this conference report.
Some have asserted this legislation is merely a Trojan horse designed
to get rid of Medicare. I hope that is not true, but there is something
awfully suspicious about this particular horse that is galloping
through the Congress.
We need to slow down and consider the unintended consequences of this
massive bill. We may be signing off on the assisted suicide of Medicare
as we know it. This legislation takes the first step to undermine a
health care system that has benefited millions of retirees, and it is
all happening within legislation designed to enhance Medicare to
provide a drug benefit. Proponents are selling it one way but may be
doing something quite different. You know the old magic tricks? I can
remember vaudeville. I can remember when the vaudeville shows came to
those coal camps in the hills of southern West Virginia and the actor
would say: Watch my right hand, watch my hand, watch my hand. Don't
look at this one. Watch this hand. Don't look at what's going on over
here.
There is my friend from Maryland--he knows; he remembers--Senator
Sarbanes, one of the great pillars of the Senate, one of the truly
great Senators, a thinker in the tradition of the venerable Socrates:
Paul Sarbanes.
So proponents are selling it one way but may be doing something quite
different--a classic bait and switch. But seniors are not falling for
the bait. Many letters coming to me clearly reveal a genuine fear that
this Medicare bill will leave seniors worse off. West Virginians have
not been clamoring for enrollment in HMOs. They don't want restrictions
on their choice of doctors. They have not been pushing for a new
Medicare system that could leave them bouncing in and out of private
health plans. My constituents are rightly fearful at the thought of
having to pay significantly higher premiums just to stay in their
current Medicare plan.
Some analysts of this bill estimate that as many as 29,000
beneficiaries in West Virginia will lose their retiree health benefits
as a direct result of this bill and that as many as 45,000 Medicaid
beneficiaries in my State will pay more for the prescription drugs they
need. I thought our goal was to help seniors, not hurt them, as this
bill may do.
Senior citizens across America are fed up with fast rising drug costs
that they cannot afford. They are traveling by the busload to Canada--
yes, traveling by the busload to Canada and Mexico--just to obtain the
medications prescribed by their doctors. And this bill does nothing,
zilch, to help reduce the price of prescription drugs. In fact, this
legislation explicitly prohibits the Federal Government from directly
negotiating with pharmaceutical companies to use the bargaining power
of 40 million senior citizens to lower the cost of prescription
medicines. This is something the Veterans' Administration, the
Department of Defense, the Medicaid Program do every day to save money
on drugs. Why in the world are we prohibiting Medicare from saving
money?
Unfortunately, this bill offers more of a figleaf than sufficient
prescription drug coverage--a figleaf. Do Senators remember the first
question that was ever asked in the history of the human race? It
occurred during the evening, during the cool of the day when God came
walking through the Garden of Eden looking for Adam and Eve. There they
were in that paradise--how it might have been, how it might have been.
God came through in the cool of the evening looking for Adam, and it
was there and then that God asked that first question:
Adam, where art thou? Adam, where art thou?
Adam was hiding. Adam and Eve were hiding. They were trying to hide
from that all-seeing eye that pierced through every veil. Yes, they
were hiding back in the bushes with a figleaf--a figleaf.
That question: Where art thou? These seniors, senior citizens all
over this country, are going to be asking their Senators: Where were
you? Where were you when the critical moment came?
I hear the siren call: ``You better take it. It's all you are going
to get.''
This Senator will never bow to that siren call. And there are others
who will not.
Rather than building on the traditional and successful Medicare
Program, the measure in front of us would force Medicare beneficiaries
to rely on a private, untried, untested, drug-only insurance market for
their prescription drug coverage. Is that what our seniors want? Is
that what the people of West Virginia want? No. No.
It would cover less than a quarter of the Medicare beneficiaries'
estimated drug costs over the next 10 years. The complicated coverage
formula has a large, gaping hole smack in the middle, providing zero
coverage just when seniors might need that coverage most--a large hole,
large enough for Attila the Hun to drive his thousands of horsemen
through.
This legislation includes copayments, premiums, and deductibles that
may be unaffordable for many low- and middle-income seniors. A closer
look at the fine print of this legislation reveals that private
insurers could choose to charge seniors double or even triple these
amounts. Seniors may find that their premiums could fluctuate
dramatically based upon where they live and how healthy they are. At
the same time, the Federal Government will be handing over billions of
taxpayer dollars to for-profit insurance companies, just to get them to
participate in Medicare.
Let's face it, the kind of prescription drug benefit that we have
repeatedly promised to our Nation's seniors and they now rightly expect
would cost at least $800 billion during the next decade. Drug costs for
senior citizens alone are expected to total almost $2 trillion during
this same period. Yet the Bush administration and congressional
leadership have only set aside $400 billion for a Medicare prescription
[[Page S15528]]
drug benefit. Although, isn't it remarkable that we can afford to spend
$1 billion a week--$1 billion a week--in Iraq?
I will have plenty more to say about that. I made 62 speeches on that
gargantuan mistake. I will make some more, the Lord willing.
Missiles? Yes. Medicines? No. Missiles? Yes. Medicines? No.
Where are the priorities of this administration? Where are the
priorities of the Congress?
It seems that this Congress is trying to pull the wool over the eyes
of our Nation's seniors hoping to claim victory and keep seniors in the
dark until they become painfully aware of the fine print in this
legislation upon a visit to their local pharmacy--in 2006. That will be
my next election year, 2006, the Lord willing.
In the Book of James, we are told always never to say, I will go
here, I will go to this city or to that city, I will buy this, or I
will buy that tomorrow, but always to say, the Lord willing, I will go
to this city or I will go to that city and I will buy this or that. So,
the Lord willing, 2006 is my next election day. Eighty-six is not too
old. I am 86 years old. Abraham lived to be 175, Isaac lived to be 180,
Jacob lived to be 147, Moses, 160; and so on.
Mr. GRASSLEY. He lived to be 120.
Mr. BYRD. Was I wrong on that?
Mr. GRASSLEY. Moses lived to be 120, not 160.
Mr. BYRD. All right, 120. The distinguished Senator from Iowa
corrected me. But he won't correct me on this bill. He won't correct me
on the tragedies of this bill. But I accept his correction. I will go
look it up to make sure.
As lobbyists for the pharmaceutical and health industry swarm all
corners of the Capitol, the Congress is on a mad dash to pass this bill
before Thanksgiving, regardless of its contents or its flaws, so long
as it can be called prescription drug coverage. Unfortunately, when it
comes to their health care security, it appears our Nation's senior
citizens will find that they have little for which to be thankful.
I have heard some Senators argue that something is better than
nothing. Is that what we are being given? Something rather than
nothing? Nothing?
They try to rationalize a bad bill by claiming that this may be our
last chance and you had better take it; something is better than
nothing. They argue that we should vote for this now and fix the bill's
problems down the road. I have been down that road. I have seen that
and heard that many times in my 51 years in Congress. This conference
report is a pill that is too bitter to swallow.
I am one of perhaps only a handful of Senators in this body who voted
to create Medicare. I can say to you, Mr. President, that it was not
created overnight. It was not created in the hidden dungeons, in the
hidden subterranean caverns under this Capitol. It was created in
response to a private sector that would not offer affordable and
reliable health insurance to the elderly and the disabled.
Few can argue that seniors are not better off today as a result of
Medicare. We should not turn our backs on one of the most successful
Government initiatives ever created. We should seek ways to strengthen
Medicare, not dismantle it.
Senior citizens who need life-sustaining medicines want us to get it
right. They trust us to get it right. We should reject this bill and
work to pass a bill that does get it right. Thanksgiving is an
arbitrary deadline. It means nothing when measured against the
potential damage that could be done in haste--haste that could
jeopardize the health care security of generations to come. We should
do better for our senior citizens. We owe them that much.
In closing, I thank Senators who have worked hard on this bill,
Senators who have toiled late into the nights and weekends. I thank
Senator Grassley. I thank Senator Baucus. I thank all Senators. I thank
all Senators for listening.
By the way, as to Joseph, how long did he live? He lived to be 110
years old.
The PRESIDING OFFICER (Mr. Bennett). The Senator from Nevada.
Unanimous Consent Agreement
Mr. REID. Mr. President, I am sure the Chair can protect the majority
if there is a problem. We need to get this unanimous consent agreement,
which has been approved by both sides.
I ask unanimous consent that the time until 11 o'clock tonight be
equally divided between the opponents and proponents; provided that
when time expires on either, it be in order for either side to consume
additional debate time; further, that the debate time used beginning
with Senator Kyl's statement this morning be counted against the time
allotment. I further ask unanimous consent that notwithstanding the
order for an alternating fashion following the remarks of Senator
Durbin, it be in order for two Republicans to speak consecutively, one
Senator for 20 minutes and the other Senator for 15 minutes.
The PRESIDING OFFICER. Is there objection?
Without objection, it is so ordered.
Mr. REID. Mr. President, further, so Senators will have some
understanding as to when they can speak, I ask unanimous consent that
the Democrat order be Senators Stabenow and Reed of Rhode Island
following Senator Durbin, and that the Republicans be Senators Snowe,
Cornyn, Collins, Bennett, Hatch, Bond, Nickles, and Gregg.
The PRESIDING OFFICER. Without objection, it is so ordered.
The Senator from Illinois.
Mr. DURBIN. Mr. President, before saying a few words about this
Medicare bill, I would like to say a few words about the senior Senator
from West Virginia. This man is such an amazing person. At 86 years of
age, what he brings to public service and what he brings to the Senate
is incredible.
I was in the Chamber earlier this morning when Senator Byrd arrived.
He said he would like to say a few words. I said, quite honestly, I am
ready to follow you into battle any day. I deferred to him, which I was
happy to do. He is a grand person and such an amazing Senator.
I have been fortunate to represent a congressional district in
Illinois and the State of Illinois for over 20 years on Capitol Hill,
and I have many favorite moments. But in the top tier of those favorite
moments was the time in a conference committee downstairs from this
Chamber involving Senator Byrd, and I would like to tell those who are
following this debate about that experience because I still marvel at
what he did that day.
He came to a conference committee on the Transportation
appropriations bill facing a critic in the House who said that Senator
Robert C. Byrd of West Virginia had put too much in this bill for the
State of West Virginia. And your critic from the House was going to
have his day with you at that conference committee.
As some people know who follow the Senate, the appropriations
conference committees gather at a large, long table and the House
Members sit across the table directly from the Senate Members. So your
critic in the House came and took his seat with a sheaf of papers
prepared to do battle with you over the Transportation appropriations
bill. You arrived and just fortuitously happened to sit directly across
from him at that table. He began his peroration about how terrible it
was that West Virginia would have so much in this Senate bill and he
was going to do something about it. He went on for all of 15 minutes.
He got red in the face, his arms were waving, and finally he was spent.
He had nothing more to say.
Then, as I recall, you turned to the chairman--which could have been
Senator Hatfield of Oregon--and asked if you could be recognized.
The Senator began his remarks, and that is what I thought was the
most remarkable moment, saying, in the history of the United States
there is an exchange of speeches between two individuals which defined
Federalism as we know it and the role of small States like West
Virginia in the Senate and larger States. That exchange was between
Daniel Webster and Robert Hayne.
Senator Byrd went on to say, Webster's reply to Mr. Hayne was
delivered on January 20, 1830. And then Senator Byrd added, ``and if my
memory serves me, it was a Thursday.'' He proceeded to give an
important history lesson to all who had gathered, Members of the House
and the Senate, about why West Virginia had a fighting chance in the
Senate but might not have that same chance in the House, as each State
has
[[Page S15529]]
two Senators, of course, in this Chamber, and represented
proportionately in the House.
I was absolutely spellbound by his performance that day in that small
room. When it was all over, of course, West Virginia fared well in that
appropriations bill, as it always has since Senator Byrd has been here
to make sure his State was not shortchanged. I was in the House at the
time, and a few years later I came to the Senate and said to Senator
Byrd: Of all the things you said in the speeches, when you said, ``If
my memory serves me, it was a Thursday,'' I still remember those words.
Senator Byrd said: Well, Mr. Durbin, if I am not mistaken, it was a
Thursday.
I said: I am not questioning you; I am sure it was a Thursday.
Later in the day, he called me over to his desk and pulled out a
perpetual calendar, and said, yes, January 20, 1830, was a Thursday.
It says a lot about this Senator, not only his reverence for history
and this institution, but the fact that he brings to many of these
political battles an insight that many Members admire so much and
respect. Whether you are on his side or not, you best sit back and
listen closely when Senator Byrd takes the floor because he brings to
each one of these debates the very best in public debate and the very
best in public service.
This Senator was happy to step back and listen very carefully as the
Senator from West Virginia made another compelling argument on a very
important and historic piece of legislation.
Mr. SARBANES. Will the Senator yield?
Mr. DURBIN. I am happy to yield.
Mr. SARBANES. I listened to the able Senator from Illinois with great
pleasure because I strongly share his feeling and views about Senator
Byrd. I took the floor for a brief moment to underscore the
extraordinary contribution that Senator Byrd has been making to the
national debate in the recent period on issues of critical national
importance. He has taken to the floor time and time again and spoken
with a clear strong voice. He has sounded a clarion call to the
country. I know from people I talk to that voice is reaching into many
corners across the land and prompting Americans to think deeply about
the issues that confront the Nation, and even more deeply and
fundamental about how we go about conducting our business and making
these decisions.
The vote last night in the House of Representatives was held over for
3 hours in order for the Republican leadership to twist arms in order
to change the outcome, which was already up on the board, where they
had lost by two votes. That rollcall vote was held open indefinitely.
My able colleague from Maryland, Congressman Hoyer, remarked
afterwards, it would be as though you had election day, the time came
for the polls to close, and you held the polls open for another 15
hours while you went out and somehow found the votes to assure you the
result. It is an abuse of the democratic process.
The Senator from West Virginia has always spoken. He sounded a loud
trumpet about our Nation. We are deeply in debt to him and appreciate
that.
Mr. DURBIN. I thank the Senator from Maryland. I might just add
something I have said in the Senate and I told Senator Byrd during the
debate on Iraq. I went to my church in Chicago with my wife--this is
highly unusual in my church--as we came back from communion, and we are
kneeling, an elderly man came up to me and leaned over on his way back
from communion and he said: Stick with Bob Byrd.
I came back to tell Senator Byrd that his message reached beyond this
Chamber and beyond the State of West Virginia. It has been not only
heard, but it has been applauded by the Nation of grateful people who
are glad you are here in service to our country and continue to be. If
you reach the age of Methuselah, Abraham, Isaac, or Moses, I hope I am
still here to defer to you and listen carefully as you make these
presentations.
Mr. BYRD. Mr. President, will the Senator yield?
Mr. DURBIN. I am happy to yield.
Mr. BYRD. Mr. President, I am deeply grateful to these two fine
Senators for the kind words they have just spoken, Senator Durbin and
Senator Sarbanes. I will go to my everlasting resting place with love
and gratitude and affection and admiration and respect for these two
Senators and how they have served the Nation and this institution and
been loyal and true to the Constitution of the United States forever. I
shall think of them and be in their debt. I thank the Senator.
Mr. DURBIN. I thank the Senator from West Virginia.
The Senator from West Virginia, when he came to the floor, gave us an
important message. He asked us to look at this very carefully. This, my
friends and fellow colleagues, is a proposed law. It is huge. But that
is not uncommon. And that should not be a reason to vote against it.
The reason to vote against it is what is contained in this law, this
proposal, this bill.
When we started this debate about prescription drugs for seniors,
overwhelmingly the President, the Republicans, Democrats, all agreed on
one thing: We needed to find a way to provide affordable prescription
drugs for senior citizens. Medicare, as good as it is, provides good
care through hospitals and doctors but not enough help when it comes to
paying for prescription drugs. We understood that needed to be done.
The solution was obvious from the start. The solution to this
challenge was to put under the Medicare Program a voluntary,
comprehensive, and universal plan to pay for prescription drugs, to use
the same successful model that has guided us for 40 years in keeping
seniors healthy through good doctors and good hospitals, and also
provide prescription drugs. We knew if we did that, it would work as
Medicare has worked. The proof of Medicare's success is the fact that
seniors are living longer, they are healthier, they are independent,
and they are strong.
But there was a criticism of using this so-called Government
approach. The criticism came from political extremes that argue that
the Government shouldn't be involved, and also from the pharmaceutical
industry which understood full well, if Medicare could bargain for
seniors across America, Medicare could bring down the prices of
prescription drugs just as the Canadian Government has brought down the
price of those same drugs for its citizens.
The pharmaceutical companies lived in dread that Medicare would be
able to have cost control and competition and bring down the price of
drugs.
So we started on this convoluted path to find an alternative. The
first suggestion was, why not let private insurance companies provide
this prescription care benefit? Let them compete. There is nothing
wrong with that from this Senator's point of view. If private companies
want to offer prescription drug benefits and compete with Medicare, so
be it. Let's see what happens. Let's see if that competition will also
help seniors.
But they said, wait a minute, we are not wanting these private
companies to compete with Medicare. We want Medicare out of the
business of competition completely. That was the starting point for the
Republican approach to prescription drugs. Of course, the
pharmaceutical companies applauded this because if they do not have to
answer to Medicare with 40 million Americans under its protection but,
rather, to smaller companies, they have more bargaining power. So we
went through this long exercise in the Senate about this proposition
that private insurance companies would somehow provide prescription
drug benefits to seniors.
I offered an amendment on the floor, supported by most of my
colleagues who are here today, that said: Give Medicare a chance to
compete. We did not prevail. In fact, we did not get any votes from the
other side of the aisle. The Republican approach to this from the start
was to say they believed in Medicare, but then to turn their backs on
Medicare when it came to prescription drug benefits.
Well, eventually we were faced with the prospect, in the Senate bill,
of either accepting their approach, and moving toward prescription
drugs for seniors, and passing it out of the Senate, or doing nothing.
Most of us voted to move the bill forward and into the conference
committee. But, sadly, that was not the end of the story.
When it came to the conference committee, there was a new political
force
[[Page S15530]]
at work, not just the people who wanted to keep Medicare out of the
prescription drug business but a new group from the House of
Representatives with a much more radical agenda. What they wanted to
achieve was not just private insurance companies offering prescription
drug benefits, they, in fact, wanted to privatize Medicare itself.
We started by wanting to add a benefit to Medicare, and now the House
Republicans, and their cohorts in the Senate, have said: We want to
change Medicare. We want to make certain that Medicare as you know it
will not be there in the future.
One of the proponents of this point of view was former Speaker of the
House Newt Gingrich, who this week came to the Republican House caucus
and said: Vote for this bill; this is a good bill. That should be proof
positive to anyone listening that this is a bad bill. Because it was
that same Speaker Newt Gingrich, whom I served under in the House, who
said, at one point, that we should allow Medicare to wither on the
vine. There was no personal or political commitment by Speaker Gingrich
to Medicare. And for him to endorse this huge bill is proof positive to
me that within the four corners of this bill are threats to Medicare we
need to take seriously.
This morning, as I came to the office, on Saturday, I had an e-mail
from one of my staffers who fields the phone calls that come into my
office. She wrote and said: Senator, something unusual is happening out
there. When you first started debating prescription drugs under
Medicare a few months ago, the phone calls were generally positive.
Seniors were saying: Let's do it; we have waited too long. But she
said: Something's happened. There is a sea change out there. The phone
calls are overwhelmingly negative now.
Seniors have come to understand this bill not only does not give them
good prescription drug coverage but it is a full-scale assault on
Medicare itself, and they are calling every office, congressional and
senatorial office alike, saying: Defeat this legislation.
Now, doesn't that tell us something? Doesn't it tell us something,
that what we started off in believing--that seniors wanted prescription
drugs--has now been rejected by them when they learned what is at
stake? And there is a lot at stake.
This bill will raise Medicare premiums, something which lower income
seniors will find very difficult to deal with. It will force seniors
into HMOs. And you know what that means. That means insurance companies
will pick their doctors and their hospitals for them and say that they
will lose the right to choose their own doctors and hospitals.
Of course, that is the grand old Republican plan: that Medicare as we
know it would change; that, instead, we would be dealing with HMO
insurance companies. And I can tell you, I have yet to run into a
senior citizen anywhere who endorses HMOs, nor many doctors who believe
they are very good when it comes to quality health care. Yet that is
the solution that is being offered here.
It is not bad enough that my friends on the Republican side of the
aisle have said they want to move toward private insurance companies
and privatizing Medicare. They do not even believe in the value of the
free market in this experiment. Because they are not saying to HMOs: We
want to open the door and give you your chance to compete. No. They are
coming through with more than $10 billion in Federal taxpayers'
subsidies to be given to these HMO insurance companies so that they
capture more and more seniors out of Medicare.
Think of that. The Republican free market, entrepreneurial spirit
that is being sustained by a $10 billion Federal slush fund for HMOs so
they can take more and more seniors out of Medicare.
What is even worse, as they draw seniors out of Medicare, they will
look for, as most insurance companies do, the healthiest of the
seniors, leaving behind the poorest and the sickest seniors in
Medicare, meaning that the costs of Medicare per person are going to go
up, and Medicare will become more expensive, and perhaps less popular
from a budget point of view.
That is the grand plan here: Starve Medicare; have it wither on the
vine. Newt Gingrich's vision for Medicare is finally realized in this
1,200-page bill. Speaker Gingrich rides again. He has prevailed. His
was the voice that prevailed when it came to the contents of this bill.
Sadly, too, this bill will eliminate drug coverage for millions of
Americans. We have had a Congressional Budget Office review of what
happens when this bill goes into effect.
Mr. President, 2.7 million retirees will lose the private insurance
coverage they currently have. Understand who these people are. These
are people who have worked for a lifetime for a company, with the
understanding they would receive a retirement benefit which included
prescription drug coverage. And when this goes into effect, this
proposal that has been brought before us, the Congressional Budget
Office and other sources tell us 2.7 million Americans will lose their
prescription drug coverage. They may lose all of their health coverage
during retirement.
Over 100,000 of these unlucky retirees are in my State of Illinois.
For them, if for no other reason, I will be voting no on this. I will
be voting no because, frankly, we are basically saying: We want to
reward HMOs. We want to reward pharmaceutical companies at the expense
of people who have worked a lifetime for security in their retirement
and will lose it because of this bill.
How can we, in good conscience, stand here and say we are going to
create a mechanism where companies will have the rationale and the
opportunity to drop their retiree health care coverage? That is sad.
Medicare was created because seniors across America did not have a
helping hand when it came to doctors and hospitals. And now, in this
effort to privatize Medicare and reward the big drug companies, we are
going to provide less coverage for seniors across America.
Let me speak for a moment about the pharmaceutical aspect of this
bill. We know if we have competition, we can bring prices down. We also
know if the Government shows leadership, as they have in Canada, prices
of drugs will come down. But the pharmaceutical companies have
prevailed. The pharmaceutical companies have won the argument.
The most important question asked about any piece of legislation
before the Congress is this: Who wants it? Who wants this bill?
First and foremost, the pharmaceutical companies want this bill
because there is no effort to bring down the cost of drugs that
American families and seniors have to pay--no effort whatsoever.
We had a provision included that called for generic drugs, one way to
try to get good drugs that are lower priced in the hands of seniors,
and it was weakened dramatically in the conference. We had an
opportunity, through a provision proposed by the House of
Representatives, for reimportation of drugs from Canada and Europe so
seniors had a chance to get a break there if they could not afford the
drugs here in the United States. That was dramatically weakened, too.
And the Bush administration has vowed they will never let it happen,
they will not allow reimportation to happen.
So if you do not have generics encouraged, and you do not have
reimportation, and Medicare is not competing for cost, what it means is
the pharmaceutical companies have their prayers answered, their dreams
come true. They will continue to hike the cost of pharmaceuticals and
drugs, and this Government and this bill will do nothing to stop it,
and seniors across America will find this so-called prescription drug
benefit of little or no value as time passes. Because if the cost of
drugs goes up 10 or 15 percent a year, no matter what the Federal
Government offers, in the end, there is little to show for it--less and
less each and every year.
Mr. SARBANES. Will the Senator yield for a question?
Mr. DURBIN. I am happy to yield for a question from the Senator from
Maryland.
Mr. SARBANES. Am I correct in my understanding that under this bill,
the Government, through Medicare, could not, in fact, bring its weight
to bear in order to lower the cost of prescription drugs through a
buying program, where they are a heavyweight in the scale--
[[Page S15531]]
that the bill actually precludes that from happening?
Mr. DURBIN. The Senator is correct because Medicare is not given the
option of offering prescription drug coverage here, an option which
most seniors would gladly endorse. And the reason is obvious: If
Medicare can bargain on behalf of 40 million Medicare recipients, it
has the bargaining power to bring down the cost of drugs for seniors.
The pharmaceutical companies hate that concept, ``like the devil hates
holy water,'' to quote our old friend Senator Bumpers, who used to say
that on the floor from time to time.
They don't want competition. They don't want cost control. They have
won the day.
The Senator from Maryland has turned on his television at home in the
last few days and weeks and maybe heard his name mentioned on
television commercials that are being paid for by the pharmaceutical
companies saying: Senator Mikulski, Senator Sarbanes, vote for this
bill. They are spending millions of dollars saying vote for this bill
because this bill will mean millions and millions more in profit for
those same pharmaceutical companies.
Mr. SARBANES. Will the Senator yield for a further question?
Mr. DURBIN. I am happy to yield.
Mr. SARBANES. In addition to precluding the Government from bringing
its weight to bear in purchasing in order to lower the cost of drugs
because they would be a very big purchaser and obviously they would
have an impact, some have said: Well, let's at least allow for the
reimportation of drugs from other countries, particularly Canada. Some
of our people have been going to Canada in order to get their
prescription drugs. They cross the border, and they can buy them at 40,
50, 60 percent less than they pay in this country. So there were
provisions that passed to allow reimportation. Am I correct that, in
effect, this bill eliminates that?
Mr. DURBIN. The Senator is correct. This bill gives the last word to
the Bush administration and the head of the FDA who have said
categorically they are opposed to reimportation. The reason they are
opposed is that it would be more competition for pharmaceutical
companies that want to charge higher prices in the United States. I
have believed all along that we are not importing drugs from Canada, we
are importing leadership from Canada. The Canadian Government has stood
up for its citizens and said: We are not going to allow the drug
companies to raise their prices every single year. This Government,
this Congress, refuses to show the same leadership, and now is
effectively blocking the reimportation of drugs that seniors need to
survive.
Mr. SARBANES. Will the Senator yield for a further question?
Mr. DURBIN. I am happy to yield.
Mr. SARBANES. I also understand there was an effort to clear the path
for generic drugs to become available. Of course, generic drugs sell at
a lesser cost than brand name drugs. A lot of the pharmaceutical people
are opposed to that.
It is also my understanding that this bill fails to carry through on
the efforts to make it easy to bring generic drugs to market. Am I
correct in that respect?
Mr. DURBIN. The Senator from Maryland is correct. It is another
success story for the pharmaceutical industry because they bring the
drugs to market, brand name drugs, under patent, and during a period of
time they have a right to sell them exclusively in America. But when
that patent runs out, then other companies can make that same drug and
sell it, usually at a much lower cost. So the pharmaceutical companies
that make the brand-name drugs found ways to delay the process so that
the generic drugs could not replace the brand-name drugs, so they could
continue to make millions and millions of dollars off the brand-name
drugs even when their patents expired. We changed that in the Senate.
We put in language that said we are going to move toward generic
drugs so consumers can have affordable drugs. And, frankly, in
conference committee, the pharmaceutical companies won again, another
reason they are running ads about this Senator and the Senator from
Maryland saying vote for this bill right now, because they know it
means more money to an industry that is already the most profitable
industry in America.
Mr. SARBANES. Will the Senator yield for one final question?
Mr. DURBIN. I am happy to.
Mr. SARBANES. I hate to intrude on his time, but this is a very
important point. With this legislation, the pharmaceutical companies
have, in effect, slowed the ability of generic drugs to come to market,
which would be one source of competition that would lower their prices.
The reimportation provisions have been written in such a way that it is
completely in the hands of the administration whether reimportation of
drugs, say, from Canada is allowed. The administration has been very
clear that they are opposed to doing that. The legislation also, in
effect, knocks out the Government from being a direct purchaser and
controlling the prices.
Every source that potentially could exercise some pressure or
influence on the pharmaceutical companies to lower or restrain their
prices is being blocked out by this legislation. So the end result is
that it is an absolute bonanza for the drug companies. Would you say
that is a reasonable perception of what this legislation does?
Mr. DURBIN. I would say the Senator from Maryland is correct. I would
refer him to a Bloomberg News article yesterday with the headline ``139
Million Dollar Lobby Blitz Thrown at Medicare Bill.'' And it leads by
saying:
Health care companies, led by drug makers Merck & Co. and
Eli Lilly, spent a record $139.1 million in six months to
lobby Congress on a Medicare bill that will help the elderly
buy prescription medicines. The pharmaceutical companies were
the biggest spenders in the health care industry putting
money into this lobbying effort.
The Senator knows, as I do, that if you find pharmaceutical companies
working feverishly night and day to pass this legislation, it isn't
because they want to make less money. They want to make more money. So
we have the GOP, which could now be the acronym for the Greedy Old
Pharmaceutical companies; that is what is pushing this legislation.
That is proof positive that the seniors will be the losers.
The seniors understand that, as do families across America. It isn't
bad enough that it is just pharmaceutical companies that are going to
make out so well. The same thing is true about HMO companies, the HMO
insurance companies with the more than $10 billion Federal slush fund
so they can compete with traditional Medicare, $10 billion, and a
reimbursement level of 109 percent for these same companies for their
expenses while they are competing.
Then to add the crowning touch is something called health savings
accounts. I would say to the Senator from Maryland, you are going to
recognize this song after I sing a few lyrics. A company called Golden
Rule Insurance Company, originally out of Evansville, IL, now based out
of Indianapolis, with a man named Mr. Rooney as its CEO, has been
locked at the hip with the Republican leadership on Capitol Hill since
Speaker Gingrich took over in the House. That is when they dreamed up
this idea of medical savings accounts and said: Here is the wave of the
future. We can replace health insurance as we know it with the Golden
Rule model of medical savings accounts, resulting in our efforts in
1996 of a demonstration project to so see if this flawed concept would
work. So few people were interested in signing up for it, it was a
failure on its face.
Guess what. In this bill there is a $6 billion subsidy for health
savings accounts. In other words, not only are we guaranteeing record
profits for pharmaceutical companies, not only are we creating a $10
billion slush fund for HMOs to take seniors out of Medicare, we are
putting $6 billion into this boondoggle health savings account. I was
on the floor watching the Energy bill yesterday and thinking it was
scandalous that we were putting $2 billion into the MTBE and oil
industry--$2 billion. They did us better with this bill. The Republican
conferees came back and said: Let's up the ante; let's make it $6
billion to subsidize this crazy concept of health savings accounts
engendered by the Golden Rule company, one of the greatest benefactors
of the Republican Party on Capitol Hill. If that isn't proof positive
that this bill has gone astray, I don't know what is.
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I say to seniors who continue to call congressional offices, keep the
calls coming in. Let me suggest to them as well that if many of them
happen to be members of AARP, here is that telephone number. Call your
friends at AARP, ask Mr. Novelli, who has endorsed this boondoggle, why
in the world has he turned his back on seniors? Why is he not fighting
for more competitive drug prices? Why isn't he trying to stop the HMOs
from privatizing Medicare? And why are we putting a $6 billion subsidy
in here for friends of the Republican Party, the Golden Rule Insurance
Company. I think seniors across America get the message.
There was just a poll taken this week of members of AARP, which I
hope Mr. Novelli will have a chance to read.
The poll shows that once seniors have been told what is in this bill,
65 percent of the members of AARP said they should stop trying to pass
this bill and work for a better plan, and only 18 percent of the
members of AARP supported it. So by a margin of almost 4 to 1, the
members of AARP are saying to their leadership: You have it wrong.
I think, frankly, it is a burden now on AARP to come back to its
roots and decide whether it is going to stand up for seniors or for
pharmaceutical companies and HMOs. I hope the seniors across America
who are as upset about this as many of us are will call AARP and tell
them to stop spending millions of dollars trying to pass this bill.
Instead, they should try to save Medicare first, and they should say
basically don't sell out the seniors of America.
AARP is now in lockstep with these pharmaceutical companies and HMOs.
They have forgotten their mandate, which is to stand up as a voice for
seniors across America. That is unforgivable. I think they are going to
find a lot of their members tearing up their cards and walking away
from this organization. It has become very political and insensitive to
the seniors across America.
Mr. SARBANES. Will the Senator yield for a question?
Mr. DURBIN. Yes.
Mr. SARBANES. The Senator made reference to a better bill. The very
able Senator from Illinois, in the course of debate in the Senate,
offered a better bill, which I was very pleased to support. That bill
would have been a very significant and substantial step forward. Among
other things, it did not have this ``donut'' in coverage that is in
this bill.
As I understand this bill, at a certain point--I think $22.50 in drug
cost--and beyond that, up to $3,600, the burden falls back on
individuals; is that correct?
Mr. DURBIN. The Senator is correct.
Mr. SARBANES. In the Senator's bill that didn't happen; is that
correct?
Mr. DURBIN. That is correct. This is a moving target. The fact is
that there is a gap in coverage for prescription drugs built into this
proposal so that the sickest seniors with the highest prescription drug
costs will find some coverage on the front end of the year for their
illness and then find themselves paying out of pocket $2,850, if I am
not mistaken, before they get more coverage from the prescription drug
benefit. So this so-called donut hole is one that I think seniors who
are really sick and those who need expensive drugs should be aware of.
The bill we offered said Medicare will come in and compete for lower
drug costs and the savings we can gather for lower drug costs will
close this donut hole.
Mr. SARBANES. Will the Senator further yield for a question?
Mr. DURBIN. Yes.
Mr. SARBANES. Would we not also have been able to not have a donut
hole if these moneys the Senator made reference to that are going to
the HMOs--the $10 billion, I think you said--
Mr. DURBIN. Yes, a $10 billion slush fund for HMOs.
Mr. SARBANES. Also $6 billion--
Mr. DURBIN. Yes, for health savings accounts, for their buddies at
Golden Rule.
Mr. SARBANES. So that $16 billion could have been taken and put
directly to improve the benefit for our seniors, could it not?
Mr. DURBIN. The Senator is correct. The Senator starts with the same
premise I do--that seniors are most comfortable with Medicare. If this
started off as an added benefit to Medicare, this bill would have been
much smaller and more understandable and supported by seniors. But when
they rejected that and said, we are going to go to private companies,
they really opened up all sorts of problems. They guaranteed
profitability, put in slush funds, and they complicated it to the point
where most seniors will struggle to understand it. This didn't have to
be the case.
When you are out to privatize Medicare and reward pharmaceutical
companies and help HMOs, that is where you end up.
Mr. SARBANES. As I perceive it, all of these things that are being
done--the HMOs, the medical accounts, the limitation on Medicare being
able to act directly, and so forth--if this stack of papers on the desk
represents the Medicare Program itself, they are circling around it to
undermine and undercut it. This bill has taken on an added fundamental
dimension.
So as we look at this bill, we have to look at not only its
shortcomings in adding prescription drugs to the Medicare Program, but
we have to perceive that built into the bill are a number of efforts
being put into place that will undercut the Medicare Program itself. Is
that a reasonable view of the potential of this legislation?
Mr. DURBIN. The Senator is correct. There are those who began this
debate saying: We are going to change Medicare. Well, they had their
way. Many came here saying: We want to help seniors pay for
prescription drugs. If we had stuck to our original goal and focused on
what seniors really want and what works, I think we would have achieved
this result through Medicare a long time ago. It would have been at the
expense of the profitability of pharmaceutical companies.
I say to my friend, who follows some of these corporate reports more
than I do, this pharmaceutical industry is the most profitable in
America. Look at this chart. Profits as a percentage of revenue in
2002: No. 1, pharmaceutical companies, with 17 percent return on
revenues. Return on assets: No. 1, pharmaceutical companies, with 14.1
percent. Then they were nosed out when it came to return on
shareholders' equity by household and personal products, but they are
still No. 2, with 27.6 percent profit as a percent of equity.
This bill is giving them more profit at the expense of families and
low-income seniors in America. That is why the pharmaceutical companies
are spending millions of dollars for television, radio, and newspaper
ads telling this Congress to ``do our bidding.'' That is why they
already spent $139 million lobbying Congress to pass this bill.
If the pharmaceutical companies wanted to help seniors, they could
have done this long ago. They could have charged more reasonable
prices, particularly to low-income seniors. But that isn't their goal.
Their goal is more profitability. Sadly, they found allies with the
Republican majority who are attempting to pass this bill and make
certain they are more profitable.
Mr. SARBANES. If the Senator will yield on that point, in
confirmation of the Senator's analysis, the markets, in the last few
days, have been boosting the price of the stocks of the pharmaceutical
companies. The perception in the capital markets of the smart money
people is that this legislation is going to significantly benefit the
pharmaceutical companies, and they are building up the stock prices,
which only goes to confirm and corroborate the analysis the Senator
from Illinois has made on this issue.
Mr. DURBIN. The Senator from Maryland is correct. I will make this
one last reference as I see colleagues in the Chamber who want the
floor.
Represented on this chart are the compensation packages for the HMOs.
This is another group that is benefiting. The $12 billion slush fund
will be going to HMO companies such as these on the chart. They will
leave poor and sicker people behind. There will be a $12 billion slush
fund and some more benefits given to HMO companies. Look at the
compensation for the executives. It runs from the obscene at Oxford,
where Norman Payson gets $76 million.
Mr. SARBANES. Is that per year?
Mr. DURBIN. Yes. Mr. Payson had a very good year. Alan Wise at
Coventry gets $21.6 million. This man must be really gifted if he is
worth that to run a managed care company, which is now
[[Page S15533]]
going to be in the category of companies eligible for the $10 billion
Federal subsidy.
Down here is United Health Group, where R. Channing Wheeler is
getting $9.5 million. I bet he was embarrassed going to the country
club with his friends and only making $9.5 million.
Incidentally, United Health Group--do I remember that name from the
AARP newsletter? Yes. It turns out they are in business together. It
turns out that AARP, which is for this bill, is in business with United
Health Group, a managed care company. Frankly, as I understand it, 60
percent of the revenues of AARP come through their insurance and
advertising. Is it any wonder that AARP is pushing for this bill, when
seniors are opposed to it?
I want to close because I see other colleagues in the Chamber. I say
to seniors across America: If you have received your AARP solicitation
and sent back your membership card, please call AARP at 1-800-424-3410.
Tell them to stand up for seniors for a change, to reject this bad bill
that won't result in lower prescription drug costs and will privatize
Medicare.
Tell them you are opposed to a slush fund that is being created for
HMOS. Tell them you think it is scandalous that we give $6 billion to
Golden Rule for health savings accounts. And tell them it is time for
your organization, AARP, to stand up for seniors and stand up for
Medicare instead of caving in to the special interest groups and
supporting this legislation.
Mr. President, I yield the floor.
The PRESIDING OFFICER. The majority leader.
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