[Congressional Record Volume 166, Number 100 (Thursday, May 28, 2020)]
[House]
[Pages H2354-H2357]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
ISSUES OF THE DAY
The SPEAKER pro tempore (Mrs. Hayes). Under the Speaker's announced
policy of January 3, 2019, the gentleman from Nebraska (Mr.
Fortenberry) is recognized for 60 minutes as the designee of the
minority leader.
Mr. FORTENBERRY. Madam Speaker, I am going to remove my mask as I
speak. We are appropriately socially distanced here. I am grateful for
the time.
Before I begin my own remarks, I am going to yield to the honorable
gentleman from Illinois (Mr. Shimkus), a senior member of the Energy
and Commerce Committee, who will be departing from us soon. He is in
his last term, has announced his retirement.
It has been a pleasure to serve with you, my friend. We have a long
way to go, but it is always great to see you, and I look forward to
your remarks.
Congratulating Reverend Dr. Dale A. Meyer on his Retirement
Mr. SHIMKUS. Madam Speaker, I rise today to recognize the
contributions of Reverend Dr. Dale A. Meyer upon the occasion of his
retirement as president of Concordia Seminary in St. Louis.
In May of 2005, Dr. Meyer became the 10th president of Concordia
Seminary. Over 15 years later, on June 30, 2020, Dr. Meyer will start a
new season in life, retiring and turning over the reins of this beloved
institution to new leadership.
His contribution to the seminary was immense. During his tenure,
Concordia's long-term debt was eliminated, its endowment quadrupled,
and it earned top marks from its most recent accreditation by the
Higher Learning Commission and the Association of Theological Schools.
From the start of his tenure to the end, Dr. Meyer worked alongside
his wife, Diane; the faculty; and key staff to cultivate a culture that
was service oriented and external facing. This meant instituting
activities designed to instill a spirit of community volunteerism into
first-year students. This meant adding benches on campus and expanding
holiday displays each year so visitors knew they were welcome at this
place.
It meant working with his wife, Diane, and Gayle Zollmann-Kiel,
coordinator of campus grounds, to create community gardens for people
to enjoy all summer and fall, thereby feeding the community both
spiritually and figuratively. And it meant, during the current
pandemic, having the bell tower on campus play music to lift the
spirits of all those around.
No wonder the seminary received several civic awards, including being
named among the 100 Top Workplaces in St. Louis in 2015.
Dr. Meyer's retirement marks a season of change for the seminary.
However, it also marks the closing of a chapter of a long career of
service for him personally.
While Dr. Meyer's first job was helping his parents, Arthur and Norma
Meyer, deliver milk for Dixie Dairy on the south side of Chicago, he
was called to serve on a full and winding professional path. This path
was so full of wonder that he would often marvel at the, ``milkman
moments'' that unfolded, remarking: ``What am I doing here? God has
blessed me so.''
Dr. Meyer completed his bachelor's degree in 1969 at Concordia Senior
College in Fort Wayne, Indiana, and earned a master of divinity from
Concordia Seminary in 1973. He earned a master's degree a year later
and a doctorate in 1986 in classical languages from Washington
University in St. Louis. He also is a recipient of an honorable doctor
of divinity in 1993 from Concordia Theological Seminary in Fort Wayne,
Indiana.
Dr. Meyer first joined the faculty at Concordia Seminary as a guest
instructor in 1979, going on to serve as head pastor of St. Salvator
Lutheran Church in Venedy, Illinois, and St. Peter Lutheran Church in
New Memphis, Illinois, both currently in my district, and at Holy Cross
Lutheran Church in Collinsville, Illinois, which is my home
congregation. These church communities are so beloved by the Meyers
that they continue to worship at all three parishes to this day.
It was at Holy Cross Lutheran that I and my wife, Karen, came to know
Dr. Meyer and his family. Our lives have been intertwined, to say the
least: Diane sold us our first home; I taught the oldest of his two
daughters, Elizabeth, civics at Metro East Lutheran High School and ran
many of 5k races to come with his youngest daughter, Katie; my own
children played music in their daughter's wedding; and my wife, Karen,
served as the head organist at Holy Cross with Dale; and so on.
Dr. Meyer moved on from Holy Cross in 1989 after being selected to
serve as a speaker on ``The Lutheran Hour'' radio program at Lutheran
Hour Ministries. ``The Lutheran Hour'' is the world's oldest
continually broadcast gospel radio program, first airing in 1930.
Dr. Meyer also hosted a national television show, ``On Main Street,''
for Lutheran Hour Ministries. In 2001, ``On Main Street'' episodes
received two prestigious Emmy awards from the National Academy of
Television Arts and Sciences, St. Louis/Mid-America Chapter. During
this time, he took part in some of his favorite ``milkman moments,''
including opening both the U.S. Senate and the U.S. House of
Representatives in prayer.
In addition to his published writings, Dr. Meyer served in numerous
leadership practices, such as third vice president of the Lutheran
Church-Missouri Synod, a charter board member of the Association of
Lutheran Older Adults, an honorary director of God's Word to the
Nations Bible Society, and as a board of trustee of the American Bible
Society.
Dr. Meyer finally returned home to Concordia Seminary in St. Louis in
[[Page H2355]]
2001, serving as the Gregg H. Benidt Memorial Chair in Homiletics and
Literature. He became interim president in 2004 and the 10th president
of the institution in 2005.
For the next 15 years, he could be seen working on the campus
grounds, attending ``Bach at the Sem,'' and strolling with Ferdie, the
oversized-in-body-and-heart golden retriever that became the quasi-
mascot on campus and, sadly, recently passed away.
Dr. Meyer likes to tell students: ``It is a great time to be the
church.'' As the world suffers greatly from the pandemic, we are
grateful for his efforts to raise public servants to serve all those
who are hurting and to share the Gospel loud and clear for all to hear.
As Dr. Meyer begins his beautiful journey of retirement, he will
enjoy more time with his two grown daughters, Elizabeth, known as
Lizzie, Pittman and Catherine, known as Katie, Bailey; their spouses,
Darren and Charles; and their five grandsons that he refers to as Cinco
de Meyer: Christian, Connor, and Nicholas Pittman, and Andrew and Jacob
Bailey.
Madam Speaker, I want to personally thank Dr. Meyer and his wife,
Diane, for their ministry.
I thank Congressman Fortenberry for yielding to me.
Mr. FORTENBERRY. I thank Congressman Shimkus, because as he was
speaking, I was reminded of my own Concordia College I represent, which
is a part of the consortium of Lutheran colleges, which I know is very
close to his heart. So I thank him for mentioning the gentleman.
Madam Speaker, before I begin, may I inquire as to the allotted
amount of time. Is it 30 or 60 minutes?
The SPEAKER pro tempore. The gentleman was recognized for 1 hour.
Mr. FORTENBERRY. Madam Speaker, our world has changed. Who could
imagine just 3 short months ago where we would be right now as this
silent avenger has threatened life, the life that we knew, and we
suddenly found ourselves quarantined in our homes and apartments with
nowhere to go, no planes to catch, no appointments to make, just quiet
isolation with family and neighbors across the way.
Many friends are suffering, suffering unemployment or job
uncertainty, or the impact of the sickness directly. The trauma of this
crisis is so, so real.
With that said, Madam Speaker, I am sure all of us in this body are
doing quite a bit of reflection, adjustment, and alteration as we go
back to what I call first principles, and here is an example.
As I was reviewing my mail recently, my daily mail, a gentleman wrote
to me. He was concerned about something. It might not be about what we
will talk in a moment, our dependence on China for protective equipment
and medical supplies, it might not be the latest surge of the virus in
cities throughout America, but, nonetheless, it was important to him
that he point something out to me: The flag at one of our small post
office locations is not flying, and it hasn't been flying for some
time.
So my diligent staff actually contacted the gentleman. I believe they
reached out to the post office themselves, but it sat out there as a
lingering issue. So I decided to call the postmaster myself, and I
apologized to her. I said: I know this is highly unusual that a
Congressman would call you directly.
She said: It is about the flag, isn't it?
I said: Yes, ma'am.
She said: I don't have anybody to help me. I have the equipment to
fix it. The top of the pole is broken. I just don't have anyone to help
me.
I said: Let's get it fixed.
I called our electric system. We have a public power system in
Nebraska. They deal with us all the time on a whole variety of issues.
Their response was: We will get it fixed.
There are a couple of levels of issues here, Madam Speaker, and the
reason I tell the story.
First of all, it was important to that gentleman that that flag,
which represents us all, right behind you, the binding notion of what
it means to be an American, that people have fought and died for, the
symbol of this dignity, this nobility of tradition that defines not
only where we have been but, really, what we ought to strive to be.
Maybe he didn't think through all of that, but he just wanted the flag
to fly at a government building.
{time} 1615
The postmaster had no ill will or ill intent, she just didn't have
any help. In a previous time maybe we would have just said, well, you
need to get the purchase order written, but in my own way, let's just
solve the problem.
And whether it is a person who has had a problem with their Social
Security check or their economic stimulus check, or a farmer who has
not been able to get their emergency loan, or a small business tripped
up on some aspect of the Paycheck Protection Program--which by the way,
has been a bipartisan life-send by this body--to go person by person,
business by business, I am sure that many of us have adjusted to the
new reality of serving people where they are. And maybe in some small
way in the midst of this trauma and crisis, this is a silver lining of
returning back to, first, principles versus the abstract discussions
that can sometimes consume us, and the ruckus, fighting, and pushing
and shoving over things that never seem to come to any end.
But hanging a flag in front of a post office is important, because it
is who we are and what we ought to be. And I want to thank that
constituent for calling me. Of course, in a great Nebraska way, when I
told him we got it fixed, he said: Well, is it an all-weather flag? I
said: Sir, I don't know that. We did what we could.
Madam Speaker, I want to turn back to another set of issues that
actually happened before coronavirus hit our country and hit this body
as well. One of the most basic expectations of our government is the
health and well-being of our Nation. Three months ago, this week, in a
timely subcommittee hearing--I sit on the Appropriations Committee and
two subcommittees, on State and Foreign Operations, and I am the
ranking member of the Agriculture Subcommittee, and we have
jurisdiction over the Food and Drug Administration.
So in a timely subcommittee hearing, I asked the Inspector General of
the Department of Health and Human Services this question--it is a
simple question, it is just three words--are our drugs safe? Four
words. Are our drugs safe?
This raging coronavirus has drawn much attention to this much
overlooked problem. And in the name of global profiteering, what has
happened is that we have enabled a dangerous outsourcing of
pharmaceutical production to foreign countries. A significant portion
of that outsourcing is to the very origin of the place where
coronavirus came from, China.
Over 80 percent of active drug ingredients and 40 percent of finished
drugs on the American market, from ibuprofen to reduce your fever, to
antibiotics to treat infection, they are produced outside the United
States. Even if we vigilantly inspect our domestic manufacturing
processes, we cannot possibly get a handle on drug safety when our
drugs are sourced from over 150 countries, including a significant
portion from China.
The Department of Health and Human Services, HHS, has a daunting task
in managing the spending and performance of agencies that are so large
they can be bigger than some countries' GDP. And one of those agencies
is the Food and Drug Administration, the FDA.
There is an inherent and unfair duality, however, in how FDA's
foreign and domestic inspection regimes are carried out. FDA inspectors
routinely conduct surprise inspections in America to ensure that drug
companies are producing medicine in a clean, safe, and responsible
manner.
But when it comes to foreign inspections, the FDA customarily gives
companies advance notice, often as much as 12 weeks, enabling drug
suppliers plenty of time to clean up their acts. This is
counterproductive and it is wrong, and it creates an unlevel playing
field for companies trying to manufacture drugs right here in the
United States of America.
Compounding these problems, the FDA inspectors also face obstruction,
coercion, and deception in foreign countries. In one case, a Chinese
company reportedly imprisoned an inspector in a conference room for an
hour to force her to destroy the photographs that she took of its
facilities.
[[Page H2356]]
Madam Speaker, this inadequate monitoring of foreign production of
medicine, it really does have dire consequences. In 2008, a tainted
batch of the blood thinner, heparin, which is made in China, killed
over 100 people worldwide, including 81 in America. It led to this
drug's recall.
In August of 2018, the FDA issued an alert that a Chinese
manufacturer of a thyroid medicine was recalled due to inconsistent
quality. At this hearing that I am referencing with the Department of
Health and Human Service's Inspector General, I asked: Why has so much
of our drug production moved overseas? Why?
Now, of course, in asking that question, Madam Speaker, I basically
knew the answer, it has to do with capitalization on low wages, lax
safety, environmental and labor standards in those countries. But my
fuller intention in asking the question was to probe as to whether or
not we have inadvertently, in U.S. law and regulatory structure,
perversely encouraged offshoring.
These troubling dynamics take on a special urgency given the massive
spread of COVID-19. Several months ago, the FDA identified 20 drugs
that exclusively source their active pharmaceutical ingredients or
finished drug products from China. The agency then issued an alert that
at least one Chinese drugmaker had ceased production of a human drug
due to coronavirus infection at its manufacturing facilities. So drugs
with short expiration dates are particularly vulnerable to these
supply-chain disruptions. Another level of problem.
So solving these issues can become easier when we can fully identify
and inspect foreign sources of medicine. But with the bulk of our
foreign drug supply originating from a country that suppressed news
about the coronavirus origins, its severity, and its timing, and to
this day prevents the Centers for Disease Control and Prevention from
fully accessing the actual virus, I am not optimistic that we will gain
better information.
I get it, Madam Speaker, it is convenient in this moment to point a
finger at China, but we have plenty to do in our House to restore some
order here. The Inspector General promised me an answer within 2 weeks
to my question. Do you remember what it was? Have we inadvertently
through our legal or regulatory structure perversely incentivized the
offshoring of drug production from America? The Inspector General
promised me an answer in 2 weeks. I have heard nothing yet.
The reality here is that we have to change how we do public policy in
our country, just like so many other processes--business and society
are shifting. Coronavirus has caused a tectonic plate shift. We are
seeing massive spikes in the use of digital technology, which has huge
implications for telemedicine, telework, and tele-education. In a bit
of a silver lining in this time of crisis and suffering, I am frankly
proud that this body has come together to protect healthcare, to
protect individuals and families, and to protect small businesses and
farmers.
Once our body itself recovers our rhythm and order here, there are
some particularly good places to start thinking about action around our
healthcare security.
So policy question one: How much of our drugs come from foreign
sources? To solve this, we should enhance the FDA's powers to track the
ingredients. We should require labeling as to where they come from.
And, third, increase reporting requirements for the pharmaceutical
companies themselves, particularly within the precursor ingredients.
Bottom line, we need clear answers about how we oversee the foreign
production of drugs and drug ingredients. We also need the right
incentives to ensure that U.S. companies will produce more and more
drugs and drug ingredients right here, here at home in America. It is
about healthcare security. If it is made in America, we will all feel
much better about knowing that it is safe.
But going beyond these policy considerations about our healthcare
security, Madam Speaker, I want to take a moment to possibly pull back
the curtain and read into what we are experiencing now, some future
trends. It is not to diminish in any way the trauma, disruption, and
suffering that has hit our country, but there are many open-ended
questions that we are facing now. And it might be helpful to look into
what some new realities are going to be in short order.
We have adopted masks and social distancing. We casually use terms
like ``herd immunity,'' ``flattening the curve,'' and ``community
spread.'' We have also accepted a world with less noise, less urgency,
but more intimate connection with those in our immediate orbit. We
wonder what we will encounter when the doors fully open once again and
we are uncaged to see the world through an entirely new lens.
So perhaps here is a little bit of a sneak peek. First, Madam
Speaker, our relationship with work has substantially changed. For
those fortunate to still have good employment, telework has arrived.
While many Main Street businesses are really hurting, many have also
transformed themselves into online, brick-and-mortar hybrids.
Like never before, people are ordering groceries online, medical
supplies, and other essentials through their phones for pick up and
delivery. Doctors are seeing patients remotely. And in a little-known
shift, we are actually reimbursing properly for telehealth. It is here
to stay, and it is going to make some huge advances in our well-being,
and perhaps save some funds.
School, of course, has temporarily centralized in the home,
reconnecting families in important, beautiful, exciting, if not
sometimes stressful ways. The handshake may be in decline, but the
elbow bump, thumbs-up, and head nod are, of course, enjoying a
renaissance.
As we extrapolate from these changes to a world in which we are
hopeful that better treatments are right around the corner, we are
seeing less dependence on automobiles, more connectedness to the
outdoors, an increase in victory gardens, and local foods. A nice side
effect, nature is recovering. The air is cleaner. Traffic is down.
Cities feel calmer. This reality presages the aligning preferences, and
this is a fascinating fact, the economic preference curves of the baby
boom generation and the millennial generation are aligning for livable,
walkable, nurturing communities.
But even while we consider the rosier side of this predicament, we
have urgent questions. When are we getting back to normal? When can we
hug those we love? When can we visit those incapable of visiting us?
What does normal even mean?
Madam Speaker, here is one aspect of what normal may look like. A new
intrusive reality, I have an acronym for it, I call it SSTT, screening,
sanitation, testing and testing.
So let's unpack this. SSTT is a suite of best practices that will
gradually enable the full reopening of our State in Nebraska, where I
live, and our country, while ensuring those who are vulnerable,
especially the elderly and those with underlying conditions, are fully
protected.
On screening, you will see more high-tech thermal scans when you
enter large public places. As we experienced after 9/11 with the
dramatically-enhanced security screening, your temperature will be
regularly taken.
As for the next S, sanitation. I found a new respect for medical
personnel who must wear these surgical masks hours on end through the
day. They are hot. They are bothersome, as I am sure you can attest,
Madam Speaker. But they are now part of the normalization of our own
personal protective equipment routines at retail establishments, at
work, and on public transportation. You are already seeing the sneeze
guards and other physical barriers at grocery store check-out stands.
Hand sanitizer sales are not declining any time soon, as the
surprisingly fragile COVID-19 is easily killed through basic hygiene
and surface disinfectants.
{time} 1630
Social distancing is a subset of sanitation. Perhaps we should change
the name. Perhaps we should call it social respect because this is what
it means. It is an embrace of a necessary constraint out of concern for
the public good, and it also lessens our own individual vulnerability.
When combined with advancing our ability to work from home if sick,
these factors are certainly lessening the disease's impact, thankfully.
New configurations for workplace foot traffic and airflow will emerge
as
[[Page H2357]]
we embrace the need to consistently and vigilantly fight this virus.
Look for TSA-style COVID prechecks at airports, on trains, and at
hospitals. Watch for new office architecture: open floor concepts and
lunch buffets being out; plexiglass partitions, staggered desks, one-
way walkways will be in. Zoom is the new communal coffee break. As
offensive as this seems, look for social distancing monitors on
elevators in large office buildings.
Again, the acronym is SSTT. The first ``T'' stands for testing. There
will be a dramatic increase in onsite work testing. Early diagnosis of
those who show symptoms or who have some reasonableness to think they
may have been exposed is one way to significantly reduce the spread of
the disease.
I have been very proud to continue to work with the University of
Nebraska Medical Center. During the Ebola epidemic, we worked with the
Obama administration to help the University of Nebraska Medical Center,
which has a long history in infectious disease and virology, to build
out containment facilities just in case Ebola would impact us
significantly in America.
You might recall, Madam Speaker, that the first coronavirus cases
that came off the cruise ship went immediately to Nebraska. Our
National Guard hosted people. Those who needed to be in isolation and
then those who needed to be quarantined who had the disease went to the
University of Nebraska. That is because we have led the country in
forward-thinking as to how to create the possibility of containment for
some type of pandemic.
We have a lot more to do, such as creating a surge hospital concept
for our military and our country at large. Nonetheless, in working with
the University of Nebraska Med Center, trying to think about how we
just don't sit back and let the sick come to us but that we go forward
and use institutions that have occupational health specialists and
larger capacities to become the center for controlling the diseases
themselves in a manner that parallels the necessary public health
response that is going on.
Again, sanitation and screening are part of that and onsite work
testing.
The second ``T'' though in the SSTT is for serological testing. This
test determines whether you have developed antibodies to the virus,
which are needed for immunity. As we are discovering, a number of
people who have had the disease don't have any symptoms. They didn't
know they had it. They could have antibodies, which will help them
fight the disease, should they be reexposed in the future. Said another
way, it means a person who has had the virus recovered, and it lessens
the possibility of reinfection for them.
Both types of testing will become widespread, faster, cheaper, and
ordinary--again, helping us control the spread.
As we work toward a vaccine or effective treatment to stop the
serious effects, this SSTT suite of approaches--again, the University
of Nebraska, I am proud of them for developing this and their outreach
to the community. It may not be a panacea, but it will give us the data
and confidence to more robustly and quickly open our economy and
gradually reduce the need for strict containment measures.
It is changing a bit now, Madam Speaker, but on an earlier trip to
D.C. for some votes we took several weeks ago in which we replenished
the funds for the highly successful Paycheck Protection Program--Madam
Speaker, if you don't mind, I am going to divert for a moment because I
am proud of my State.
Again, this was a bipartisan airlift, the Paycheck Protection
Program, to help small businesses maintain personnel on the payroll
while we tried to get in front of the disease spread, creating a one-
two simultaneous step to protect our healthcare system and protect our
economic well-being. The Paycheck Protection Program was vital to this
effort, widely supported by many of us, as well as the replenishment.
Nebraska has a very robust community banking system. We worked very
aggressively with the small business associations and got the word out
so we, on a per capita basis, have the largest number of loans for the
Paycheck Protection Program, which, again, is so important to the well-
being of our economic vitality as we fight our way through this virus.
The point being, though, I went to get on the airplane, and I stood
in Omaha Eppley Airfield and then later at Chicago O'Hare and witnessed
this eerie stillness around me: vacant terminals, closed businesses,
nearly empty planes, a science fiction movie come to life.
Madam Speaker, the Earth has really stood still for a moment, but
perhaps in this stillness, just perhaps, we have rediscovered some
important things, and we do see some trends that will mark a new way
forward.
Madam Speaker, I yield back the balance of my time.
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