[Congressional Record (Bound Edition), Volume 155 (2009), Part 18]
[House]
[Pages 24711-24716]
[From the U.S. Government Publishing Office, www.gpo.gov]




                 WHY HEALTH CARE IS NEEDED IN COLORADO

  The SPEAKER pro tempore. Under the Speaker's announced policy of 
January 6, 2009, the gentleman from Colorado (Mr. Polis) is recognized 
for half the remaining time left until midnight.
  Mr. POLIS. Mr. Speaker, I took to the floor and will shortly share 
with you stories of real people from my district and from Colorado with 
regard to why we need health care reform so urgently in this country. 
But before I begin, I would like to address some of the comments of my 
colleagues from Iowa and Texas with regard to Mr. Kevin Jennings and 
some of the other issues that they raised which cannot go unanswered, 
lest the American people be misled.
  Mr. Kevin Jennings is an appointment by President Obama to the Safe 
and Drug-Free Schools Initiative.
  First of all, with regard to his commentary on the life of Harry Hay, 
Harry Hay was the founder of the Mattachine Society, the first 
organized LGBT rights group in this country, a legitimate part of the 
LGBT history and movement. To somehow detract from praising such an 
individual is akin to, let's say, colleagues on the other side of the 
aisle who might have in the past or continue to praise conservative 
talk show host Rush Limbaugh. And I would never, I would never, Mr. 
Speaker, say that they are endorsing drug use by saying that Rush 
Limbaugh is a leading conservative thinker. Nor in any way, shape or 
form, has Kevin Jennings ever endorsed the concept of pedophilia.
  It is offensive to hear some of this language that emanates from the 
other side of the aisle. Mr. Speaker, I am glad we are at such a late 
hour of night. I would hope that C-SPAN and the functions of the United 
States Congress remain a family-friendly station and the people can be 
confident that their kids can watch and listen and hear without hearing 
the tales of bestiality and pedophilia which all too often stem from 
the tongues of those on the other side of the aisle.
  With regard to the advice that Mr. Kevin Jennings gave to a 16-year-
old boy when he was his teacher during the height of the AIDS crisis, a 
16-year-old of the age of legal consent in the State of Massachusetts 
who said he had been struggling with his sexuality, had turned to 
anonymous sex, had been conflicted in his internal feelings, the 
advice, and it was fundamentally good advice, was ``I hope that you 
used protection.''
  If more young people in that situation at the height of the AIDS 
crisis had received the type of counsel that Mr. Jennings had provided 
this 16-year-old, there would be thousands more people alive today and 
thousands less victims of the AIDS crisis.
  Regardless of one's personal opinions about whether abstinence-only 
is the best way to have sex education in this country, or abstinence-
plus, which would encourage abstinence but also give young people the 
knowledge they need to prevent diseases and unwanted pregnancies, the 
advice that was proffered by Mr. Jennings was well within the bounds of 
encouraging safe behavior, and in fact might indeed have gone some 
distance to saving the life of this young individual.
  Having gay and lesbian role models in our schools, and indeed in 
providing safe schools and drug-free schools, is critical in helping to 
reduce the suicide rate among LGBT youth. The highest suicide rate 
among all youth occurs among LGBT youth.
  The agenda that Kevin Jennings brings to our schools and brings to 
providing safe schools is no more a homosexual agenda than it would be 
a heterosexual agenda if Kevin Jennings happened to be heterosexual. 
Any appointee of that post would presumably have some sexual 
orientation, be it straight, be it gay, be it bi. That is not what that 
job is, and there is no difference in the sexual orientation of the 
individual performing that job. No one is more or less capable of 
keeping our schools safe and drug-free, regardless of their sexual 
orientation.

                              {time}  2220

  Mr. Jennings is somebody who has dealt with, in his own life, 
addiction issues and has worked with youth to help bring them out of 
addiction, and I applaud President Obama in standing by this well-
qualified nominee for the Office of Safe and Drug-Free Schools.
  Mr. Speaker, I rise today to share with you stories from Colorado's 
Second Congressional District about why we need health care reform 
urgently.
  I was written by one of my constituents, Anastasia Gonzalez of 
Thornton,

[[Page 24712]]

Colorado. Anastasia is a single mom and a full-time student. She wrote 
to me to let me know how important it is that in our country we put our 
differences aside and fix our health care system so that everybody, not 
just the people who can afford it, have health care. Anastasia told me 
the story of her child, who just started school this fall. Anastasia 
had to borrow money from friends just to get her child immunized before 
school started. Anastasia hasn't been to a doctor since she had her 
daughter. She can't afford to see a doctor, no less have any necessary 
procedures done.
  When she was pregnant she was diagnosed with precancerous cells on 
her cervix. She had a procedure done right after the pregnancy in hopes 
that it would take care of the problem, but she has been unable to see 
the doctor for any follow-up because she can't afford the fee. She 
doesn't know if it's developed into cancer or not. She doesn't know if 
she'll be around to tell her story to her child when she's old enough 
to know. Anastasia writes that no one should have to go through this; 
no one should have to sacrifice their health for any reason.
  Well, I'm proud to tell Anastasia that the bills before Congress 
today would make a real difference in her life. The affordability 
credits would provide vouchers that would enable her to have the 
resources she needed to buy the insurance of her choice. She wouldn't 
need to worry about being discriminated against in pricing for her 
preexisting condition. She would be able to be covered and insure that 
she was there not only for her daughter but for her granddaughter and 
for her family, and was able to go to sleep every night knowing that 
she had access to the very best medical care in our country.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories from Colorado of 
real people and the issues that they face in their daily battle to seek 
health care. I want to share with you the story of one of my 
constituents, Bunny Strassner, a friend of mine, and a small business 
woman.
  She and her husband own a production company in Lafayette, Colorado. 
Recently, they had to lay off their employees, move their office into 
their home, and cancel their personal health insurance. Like so many 
American families dealing with this recession, they just couldn't 
afford it. They're still some years away from qualifying for Medicare, 
but like a lot of families, because of preexisting conditions, because 
they had to drop health care, they are worried every day of having an 
accident, of an illness affecting either one or both of them, because 
they cannot afford to be sick or disabled. Bunny wishes that Members of 
Congress who have wonderful health care coverage would really 
understand the practical and emotional problems the lack of health 
insurance causes.
  I hope that those listening today will learn from the experience of 
Bunny and ask themselves how many more Americans must go through the 
experience of Bunny Strassner and her husband. Bunny says, I love my 
country. I work to improve education, especially in the areas of 
citizenship and the environment. I'm too young to feel this old. With 
the health care plan before Congress, Bunny Strassner and millions of 
other small businesses like her would receive tax credits to help make 
insurance more affordable. They would have access to exchanges that 
would give them the same good pricing that large multinational 
corporations have, helping to make health care more affordable for the 
small businesses of America.
  You know, I was in business before I came to Congress, and it's not 
that small business people don't want to cover their employees. They 
do. But if they can't, they can't. This bill helps make it more 
achievable. It gives small businesses the tools they need through 
access to the exchange and through tax credits to ensure their 
employees have adequate coverage.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
and the urgent need for health care reform in this country. One of my 
constituents from Boulder, Colorado, Maria Thomas-Ruzie, wrote to me 
the other day and shared her story, which really struck close to home 
for me and impressed in me the need for Congress to act now and pass 
health care reform.
  Maria has always had a fine medical record and decent dental coverage 
as a State university employee, and her husband also had what they 
thought was good coverage through the architectural firm that he 
worked. They even had the option of covering their children in her plan 
or his plan or both. However, her husband, Maria's husband is a type 1 
diabetic, and he incurs, on average, between $5,000 and $6,000 a year 
in expenses to keep his diabetes under control. It goes to simple 
routine needs--insulin and insulin supplies, test strips, monitor 
upkeep, other medications, regular lab work and doctors checks, and as 
they near retirement age, the planning around their needs becomes even 
more critical. Marie often thinks about those with diabetes who don't 
have health care coverage, who can't control their blood sugar levels 
or related issues.
  I'm reminded of the story of a young woman at the school that I 
served as superintendent of before serving in Congress, the New America 
School. Her name is Kimberly. She, like Maria's husband, suffered from 
diabetes. Unlike Maria's husband, Kimberly had no health care 
insurance. At 19 years old, she was no longer part of the children's 
health care insurance, and because she didn't have access to health 
care insurance, she had no access to ongoing treatment, insulin 
monitoring and injections that could have made her condition 
manageable. So it got to the point where she had kidney failure and was 
admitted to the hospital and had to be given emergency dialysis.
  Now, the cost of that emergency dialysis treatment, subsidized by the 
rest of the taxpayers because Kimberly didn't have health care 
insurance, would have paid for 2 years of treating and monitoring 
Kimberly's condition. Beyond the human element of having to force 
Kimberly to be sick enough to stay home from school and miss work to 
get emergency dialysis, beyond the human element, how can it make sense 
to spend, in 1 day, what we could have spent in 2 years to provide a 
manageable outcome for her diabetes?
  Maria concludes that their story is not particularly special. It just 
underscores the importance for health care reform and the need to pass 
it now.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
and why it's critical for us in Congress to pass health care reform. 
One of my constituents from Eagle County, Colorado, Marian McDonough, 
wrote to me the other day and shared a story that I want to share with 
you.
  Marian's son was diagnosed with type 1 diabetes when he was 20 years 
old. He's currently 26 years old. Until he was 24, he was on my health 
insurance policy through work. But then he aged out of his mother's 
policy, and when they began checking for health care coverage for him, 
and while there's normally many policies available for young people, 
her son was turned down by all these companies because of the very 
preexisting that he needed coverage for.
  Marian will add that her son has always been very diligent about his 
care, maintaining his glucose levels, taking his medication. Beyond 
diabetes, he's in wonderful health, and when he's tested for his long-
term maintenance levels, he receives high compliments for maintaining 
the proper levels. Yet his condition, his scarlet letter, his 
preexisting condition, causes him to be denied by insurance company 
after insurance company.

                              {time}  2230

  The only way for him under the current system to get coverage is 
through a large employer who provides insurance, severely limiting 
employment opportunities. What if Michael wants to be self-employed, 
start his own business, be a consultant? What if he wants to work for a 
small company? What if he wants to have two or three small part-time 
jobs? Those are all avenues that could mean his death.
  Maryanne writes that one of the problems and glitches with the system

[[Page 24713]]

is that it doesn't cover the very people who need coverage. She writes, 
There's many nations and countries that utilize the national system and 
they work. I want to assure Maryanne and the others who are watching us 
tonight that one critical component of every health care bill we have 
in Congress--and we have five health care bills: two in the Senate, 
three in the House--one of the important common elements is they all 
ban exclusions based on preexisting conditions and pricing 
discriminations based on preexisting conditions.
  Another proposal in the House bill is they would raise the age that a 
young person could stay on their parents' policy to 26 years old. For 
those young people that are out of college, looking for jobs, 
underemployed, they can stay on their parents' policy a couple of years 
longer and ultimately have access to their own insurance without having 
to worry about being excluded because of the scarlet letter that they 
bear through no fault of their own.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
from Colorado and why we need health care reform.
  One of my constituents from Boulder, Colorado, wrote to me. He asked 
that his name not be used, but he wanted me to share his story with 
you.
  This constituent from Boulder has had HIV since the 1980s; and in the 
early 1990s, he was dropped by his health care provider, Mutual of 
Omaha, not because of his particular condition but because they were 
dropping the whole class of the insured, all single-payer, private 
policy owners; and at the time, that was millions and millions of 
subscribers.
  His story ends up somewhat happy only because he became eligible for 
our government-sponsored single-payer health care program for the 
elderly and disabled, namely, Medicare.
  He was able to file for disability and receive Social Security 
disability payments. His health care costs are covered by Medicare, the 
AIDS Drug Assistance Program and the Colorado Indigent Care Program. He 
asked that I work hard for health care reform so that his friends, 
especially men and women in their 50s and early 60s before they're 
eligible for the government single-payer system, Medicare, can't afford 
to get coverage under the current system.
  This gentleman, based on his experience and long interactions with 
our health care system and triumph and struggle against HIV, is for a 
government option in health care and wants all of us to continue to 
support reform.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people, 
constituents in Colorado, and why they need us to act on health care 
reform now.
  One of my constituents from Evergreen, Colorado, wrote to me the 
other day, Paul Lizitski. Paul asked that I share this story with you.
  Paul has lived without health care at many various times throughout 
his life, including the past 2 years. He joins over 45 million 
Americans who lack health care insurance. He's highly educated. Paul 
has a master's degree, but a master's degree doesn't ensure that you 
can have affordable health care.
  His work and career path have led him through various health and 
human services and occupations, and he's been a public school educator, 
a Medicaid case worker, and a hospice caregiver. He's now a private 
gardener, and some day he hopes to grow his business into a garden 
center and create jobs.
  Paul is 46 years old and he's been in a nonlegally recognized gay 
marriage for 15 years. His spouse, Doug, has health care security from 
his long career with the National Park Service. He's since retired and 
continues to enjoy requirement benefits. But under current Federal law, 
Paul isn't eligible to be part of Doug's insurance in any way.
  Paul lives with the knowledge of having no biological offspring and 
lacking the same rights that heterosexual couples take for granted. He 
needs to try and fend for himself. As it applies to health care, all he 
can do is try his hardest to maintain his physical and mental health at 
a level that he can afford and pay out of pocket his personal health 
care costs until he reaches Medicare-eligibility age.
  He's had to make the difficult decision in the past to forego medical 
and dental checkups. On some occasions where he did have a checkup, he 
had to limit the amount of care or the prescriptions that were assigned 
to him.
  Paul is worried that his two older brothers, Peter and Michael, 
passed away at relatively young ages. Paul is nearing the age where his 
brothers' lives were taken, and he's worried that he won't live to see 
his 50th or his 52nd birthday.
  In addition to health care reform, which would provide affordability 
credits for Paul to purchase insurance from the provider of his choice, 
allow his small business to purchase insurance through the exchange 
making it more competitive and attracting other employees from larger 
businesses so that they could offer some of those same benefits, there 
is also an important bill in Congress sponsored by Representative Tammy 
Baldwin that would provide full health care benefits to domestic 
partners.
  Paul's partner, Doug, spent his career in public service working for 
the National Park Service, and yet he doesn't have the same benefits 
that a heterosexual would have who had served in that capacity.
  So in addition to the benefits within health care reform and making 
health care affordable for people like Paul, it's critical that we pass 
domestic partnership benefits for Federal employees to ensure the 
competitiveness of our Federal workforce through the 21st century.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
from Colorado who wrote to me and asked that I share their stories with 
you with regard to the urgent need to pass health care reform.
  Bill Reed wrote to me from Silverthorne, Colorado, a mountain town. 
Bill runs a small business. They offer health insurance to their 
employees where the company contributes a fixed amount and the employer 
pays the difference. But this year, their plan came up for renewal, and 
they were informed by their carrier that their 2009, 2010 premiums 
would increase 22 percent. This 22 percent increase occurred in the 
worst recession of a generation.
  Needless to say, Bill contacted numerous other health insurance 
companies trying to get competitive bids to reduce this cost, but no 
other providers would even meet with Bill and his company, no less bid 
for their business.
  Bill writes: ``As a good capitalist and businessman, when companies 
don't compete, market mechanisms fail.'' I couldn't have said it better 
myself.
  One of the key components of health care reform is ensuring that 
there is more competition within the insurance industry. Under the 
exchanges that are created, small businesses like Bill's would be able 
to contract with the exchange to provide health care and each of the 
employees of Bill's company would be able to choose from 10, 20, 30, 80 
different plans that are offered in the exchange, empowering consumers 
with choice and empowering market mechanisms to relentlessly charge 
forward to improve efficiency in the insurance marketplace.
  Bill concludes the problem isn't profits. The problem is lack of 
competition in the health insurance market. The solutions, Bill writes, 
is to establish a public option that will control costs, keep prices 
down, and set off real competition in these markets.
  By giving small businesses like Bill's access to exchanges, tax 
credits to help them afford the cost of insurance and assuring them 
that they won't receive pricing discrimination because one or two of 
their five employees might have a preexisting condition, we enable and 
empower companies like Bill's and each of their employees to make 
decisions in the marketplace that lead to a more efficient marketplace 
for insurance in our country.
  Thank you, Mr. Speaker.

                              {time}  2240

  Mr. Speaker, I rise today to share with you stories that my 
constituents in Colorado gave to me and asked me

[[Page 24714]]

to share on the floor of the House of Representatives.
  Lynn Valverde, a constituent of mine in Thornton, Colorado, wrote to 
me that her son was diagnosed with asthma when he was about 3 years 
old. At that time, Lynn was a single mother. Due to divorce and her 
son's father not paying child support, Lynn had very little money.
  She was working full time when her son was diagnosed, and she had 
health insurance. But Lynn wanted something better for herself and her 
family. She returned to college full time, a decision that I applaud, 
that we as a society applaud. She wanted to create a more stable 
financial life for her son and herself. Both her son and she were 
living with Lynn's mother, the child's grandmother, while Lynn was 
working towards her B.A. She applied and received student health 
insurance, but her son's asthma issues increased, and within a very 
short period of time, the student insurance dropped her son due to the 
scarlet letter of ``preexisting condition.''
  Lynn attempted to apply for Medicaid for her son and was told that 
since she had assets in her car, which she was making payments on, and 
her only other asset, a $5,000 bond in a safe-deposit box that an aunt 
had given for the son, she would need to pay for her Medicaid, and her 
son would only be able to visit Medicaid doctors.
  She applied, and within a short period of time, her son had a serious 
attack. There was only one Medicaid doctor that was within a 50-mile 
radius. Lynn took her son to the only Medicaid doctor. And she wasn't 
satisfied with the quality of the treatment that her son was provided. 
She wanted to go back to his old doctor, the one she used to see before 
the insurance dropped him. The old doctor looked at the prescriptions 
that the other doctor had made and noted that the son had been 
prescribed medication doses meant for adults.
  Needless to say, from that point forward, Lynn prayed a lot that her 
son wouldn't have the serious attack and made the very difficult pay 
out-of-pocket money, any money she could muster borrowed from friends 
to pay for her son's treatment.
  There is a happy ending. Finally, Lynn met a wonderful man, got 
married and was able to get her son on their insurance. Her son is now 
23 years old and fine.
  Lynn wants to make sure that no American family has to go through 
what she and her son did. And by preventing discrimination based on 
preexisting conditions, by providing affordability credits for working 
families to be able to receive the resources they need to buy the 
insurance of their choice, we empower people like Lynn to make choices 
in the marketplace and have access to the insurance of their choice. 
And that is why I call upon my colleagues in the House of 
Representatives to pass health care reform now.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories from Colorado 
that my constituents gave to me of their dealings with health care and 
why we need to pass health care reform now.
  One of my constituents from Boulder, Colorado, asked that her name 
not be used, but wanted me to share with you her story and her 
travails. She had a small ovarian cyst several years ago that ruptured. 
She was insured at the time with a high deductible. She went to the ER. 
She didn't know what the pain was. She thought it might be appendicitis 
or something else. They ordered two CT scans, which were incredibly 
expensive, about $1,600 a picture. Later she found out that had she 
been uninsured, the hospital would likely have ordered an ultrasound 
instead.
  The hospital staff kept pushing her to take pain medications, though 
her pain wasn't that severe. She wanted to stay in touch with what she 
was feeling in case her condition worsened, so she did not take the 
pain medications. She feels that if she had the right level of 
insurance she would have received a better quality of care. And she saw 
firsthand the difference between the way that people who are insured 
and uninsured are treated in our medical system.
  There are people who are uninsured in similar situations whose 
stories I'm not able to share with you today because they are no longer 
with us. And it is their memory, as well as for the living memory of 
those like this woman from Boulder who asked that I share her story 
that it is critical that we pass health care reform today.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
from Colorado and their own travails in our health care system who want 
me to share with you their reasons for passing health care reform.
  I want to share with you a story that Linda from Broomfield, 
Colorado, shared with me last week. Linda's story isn't about her. It's 
about a friend of hers.
  A friend of hers is a good, hardworking 22-year-old. Her friend is 
working two jobs. She recently quit a third job because she couldn't do 
it anymore. Her friend makes too much to qualify for government 
assistance but not enough to afford to pay for health care insurance, 
which she doesn't receive through her work as a waiter and a barber. 
She is a responsible, tax-paying homeowner who works in a profession 
that doesn't provide group health insurance.
  Linda writes that her friend is an example of the tens of millions of 
Americans who work in service professions, auto mechanics, 
hairdressers, et cetera. We rely on these folks, Linda writes, but they 
are really stuck.
  What would the health care proposals before Congress do for people 
like Linda's friend? Based on income levels, up to, it's being 
negotiated, 300 to 400 percent of the poverty level for individual wage 
earners up to 40, $42,000 a year in income, they would receive 
affordability credits that they would be able to use. It's a voucher to 
be able to purchase the health care of their choice so that people like 
Linda's friend wouldn't have to worry about being uninsured. They would 
have access to buying insurance through an exchange, a low-cost option 
that allows them to choose from a multitude of insurance companies, or 
the public option, at one low cost, giving them the same purchasing 
power as multinational corporations and the same leverage in 
negotiating insurance companies as multinational corporations.
  Linda's friend is a good American. And there are millions of 
Americans in that same situation working one job, two jobs, three jobs, 
not getting covered through work, unattainable cost of coverage on 
their own.
  The bill before us, Mr. Speaker, would allow Americans like Linda's 
friend to go to sleep every night with the confidence that they have 
the health care that they need.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
and why we need to pass health care reform now.
  One of my constituents from Boulder, Colorado, John Toslosky, wrote 
to me the other day and asked that I share his story on the floor of 
the House.
  For 18 months, John has continuously monitored a significant claim 
for their son. It was denied, which happens all too often. John called, 
and they reviewed their policy, and they stated over the phone that it 
was clearly covered. A week later, a denial letter came again. This 
process repeated itself over and over for 18 months. Every person they 
spoke with thought it was covered, and still, the machine of the 
insurer kept denying the claim.
  Finally, John was told that it was too long since their last phone 
calls, that their calls didn't count as a challenge and their claim was 
permanently denied.
  John had to threaten to sue and had his employer intercede. And guess 
what? The claim was promptly paid.

                              {time}  2250

  John guesses from this and other similar experiences what many of us 
conclude, that insurers routinely deny claims that should be covered. 
According to John, knowing that few people have the time to follow up 
so diligently, and each person who gives up and just pays the 
erroneously denied

[[Page 24715]]

claim creates greater profit for the insurer. This is an example of 
why, John writes, we need options that remove the insurer from the 
picture. We need a public option, or it isn't reform.
  You know, I held about 22 town hall meetings in the month of August 
across Colorado, and at many of those I asked, How many of you, raise 
your hands, have had to battle with an insurance company over a denied 
claim? And at these meetings we had people from the left, people from 
the right, people from the middle, all across the great ideological 
spectrum that makes up our great Nation, and in every crowd, 80, 90 
percent raised their hands and had witnessed, borne witness to that 
battle that John, in his case, successfully fought to have his son's 
claim paid.
  Who gets the brunt of not having their claims paid? It is frequently 
the least empowered among us. John, who is college educated and works 
with an employer that was willing to stand up for him, was willing to 
get their claim accepted. What if you don't have a high school diploma? 
What if you're not fluent in the English language? What if you're not 
aware of your legal rights or ability to use the court system? It is to 
those who are least among us who feel the brunt of having their claims 
denied and whom the insurance companies assume will not lift a finger 
to fight back. That is why it's critical that we provide consumers with 
more choice through creating an exchange that gives each employee of a 
company insured through the exchange the choice of dozens of companies, 
including the public option.
  You know, some people, rightfully or wrongfully, trust private, for-
profit insurers more than they trust our government. Other Americans 
trust government more than they trust private insurers. With a public 
option as a choice, that value judgment, that normative judgment is up 
to you and no one else. You can choose to trust government or to trust 
your insurer. In John's case, and many others, they have been fed up 
with their experience with private, for-profit insurers. That's one of 
the reasons we need to pass health care reform now.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories from my 
constituents in Colorado about why we need to pass health care reform.
  One of my constituents from Boulder, Colorado, Spence Havler, wrote 
to me the other day. He wrote about his experience a few years back 
when he was visiting friends in France and his wife had an accident and 
acetone entered her eye. This was a very serious emergency situation 
that if not dealt with urgently and correctly could jeopardize her 
eyesight.
  Their friends rushed them to a local ophthalmologist near Paris who 
immediately took her into his office. He had up-to-date, high-tech 
equipment to evaluate the condition of her eye, and his treatment was 
quick and effective. He also provided continued medication to speed the 
healing process. All of this, Spence writes, was free, absolutely no 
cost to a U.S. citizen under the French health care program.
  Spence writes, I hope this personal account will be of use in your 
efforts. We are most grateful to the French policy and hope that 
America might find a way to provide similar benefits.
  I have heard from many other constituents who have shared these 
stories of travels in Europe; and likewise, I have heard horror stories 
of visiting foreigners in our own land and their travails and shock 
when presented with high health care bills. The truth of the matter is 
we have a lot to learn from experiences in other countries.
  America spends over 15 percent of our gross national product on 
health care. The average among the Western European countries in the 
industrialized world is 8 to 9 percent. Now, we spend nearly twice as 
much. Would it, per chance, be worth it if we were the longest lived 
and healthiest people on the planet? Perhaps. But we are not. We are in 
the middle of the pack. Many of these same countries that spend 8 to 9 
percent of their gross national product on health care are healthier 
than us, have longer life spans than us, according to the World Health 
Organization.
  Spence's point is valid. And while this particular set of reforms 
that we're presenting to the United States Congress is not like the 
French system, not like the German system, not like the Canadian 
system, not like the British system, it is a uniquely American system 
that embraces the power of free enterprise that makes America great, 
promotes competition among insurance companies through the exchange, 
provides a public option, provides affordability credits to help 
middle-income families afford health care. It is a uniquely American 
solution. It is the right solution, and I encourage my colleagues to 
support health care reform.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories from Colorado, 
stories from real people who wanted me to share with you why we need to 
pass health care reform.
  I want to share with you the story of Joyce Essex of Colorado. Joyce 
has a concern for the many families like hers that are middle income. 
She is concerned about families that make $60,000, $80,000, $90,000 a 
year. Joyce is a retired teacher with 30 years, a decent pension. Her 
husband is a commissioned salesperson. They have a daughter in college. 
Their health care premiums are about $1,000 a month, and that doesn't 
include deductible amounts, drugs and copays and a TMJ disorder their 
daughter has. Their insurance has paid none of the $2,000 that they had 
to pay to get her help.
  Right now, Joyce has 3 months of COBRA payment from her husband's job 
change, as well as their regular health premiums. Her husband and 
daughter are on a separate plan, her plan as a retired teacher. They 
work odd jobs for additional income, like a lot of families. But more 
and more, Joyce sees medical bills taking a huge bit out of their 
income. And remember, she and her family are healthy and insured.
  Insurance, Joyce writes, is a necessary evil. Joyce writes that we 
should be sure that health care reform helps those of us that do not 
have excess money and who are not poor. We help so many in so many ways 
in this country. Help those of us, Joyce writes, who work hard, pay 
taxes, and appreciate the opportunities we have living in the United 
States of America.
  Through health care reform, we will provide affordability credits in 
the House version of the bill. It goes up to 400 percent of the poverty 
level. For a family of four, that's up to $72,000 a year. So if a 
family of four is making $60,000 a year, $65,000 a year, $68,000 a 
year, they will receive affordability credits, vouchers that they will 
be able to use to choose the insurance of their choice from any of the 
insurance options within the exchange, including the public option. 
This would empower families like Joyce to consolidate, to be on the 
same plan, to have access to hundreds of choices where today, none, 
none exist.
  Joyce has her retired teachers plan. Her husband, who switched jobs, 
is on the employer's plan. And for their daughter, they have to pay out 
of pocket for one plan or the other. Families like Joyce's will benefit 
tremendously from health care reform.
  We are not just talking about the very poor. We are talking about 
middle class American families like Joyce's and reducing the cost of 
health care insurance and giving them the security so that they can go 
to bed every night without worrying about losing their health care.
  Thank you, Mr. Speaker.

                              {time}  2300

  Mr. Speaker, I rise today to share with you stories from Colorado of 
real people, stories they shared with me of why we need to pass health 
care reform, stories I hold close to my heart as I do battle and 
encourage my colleagues to join in supporting President Obama's plan to 
improve health care in America.
  Jeremy Johnson from Colorado wrote to me the other day. He was born 
in Denver and lived in Colorado most of his life. Last November, like a 
lot of Americans, he lost his job. Subsequently, Jeremy lost his health 
care.
  That's the third time he has been laid off in his life. The first 
time he

[[Page 24716]]

was unemployed because there were budget cuts at the University of 
Colorado, the flagship university in my district and, like a lot of 
public enterprises, had fallen upon hard times and budget cuts and 
Jeremy lost his job there. He then went into several temp jobs and was 
eventually hired into a permanent position with Citibank in the spring 
of 2006.
  He became eligible for their benefits program and went onto their 
benefits program; but a year and a half later, they eliminated half of 
the people in his department and moved the rest to Maryland. Once 
again, Jeremy found himself unemployed and uninsured.
  After searching for months for employment without success, he applied 
for part-time seasonal jobs with a large home furnishings retailer and 
started work there to pay bills. He was able to earn insurance benefits 
for 3 months, but he lost those benefits when he was laid off due to 
the economic impact on the industry and on retailing.
  Now, shortly after his most recent layoff, Jeremy was diagnosed with 
a medical condition. He is afraid that when he finally gets insurance 
again, the treatment for that condition, the very condition he needs 
medical care for, will not be covered because it will be considered a 
preexisting condition.
  Jeremy is an athlete. He considers his health important. He has 
competed in the AIDS/LifeCycle from San Francisco to L.A. 2 years in a 
row. He has raised thousands of dollars for good causes through his 
races, raised money, ironically, for treatment for people who are not 
covered by our current health care system. Yet Jeremy himself lacks 
coverage through no fault of his own.
  What we accomplish in health care reform is encourage employers to 
provide health care, give them access to exchanges, provide 
affordability credits. For individuals earning up to $41,000, $42,000 a 
year, they will receive affordability credit to take to the insurance 
provider of their choice to acquire insurance.
  Health care will become more mobile through the exchanges. Jeremy and 
millions like him will be able to take health care from one employer to 
the other through the exchange.
  We owe to America that the millions of people in Jeremy's condition 
shouldn't need to worry about where their health care will come from 
should they suffer from an illness, have to worry about having a string 
of bad luck and layoffs because of the recession or job relocations. By 
passing health care reform today, we can give Jeremy and the millions 
like him the health care that they need to contribute to our great 
Nation.
  Thank you, Mr. Speaker.
  Mr. Speaker, I want to share with you a story that one of my 
constituents wrote from Colorado and asked that I share with you on the 
floor of the House of Representatives. She doesn't want her name to be 
used but wanted the power of her words to empower me to convince my 
colleagues of the urgent need to pass health care reform.
  Her partner was recently diagnosed with stage 3 breast cancer. At 
that time she was working at Regis University, a private university 
which provided insurance but didn't offer it to domestic partners.
  With the use of her flexible spending account, she was able to get 
her to a doctor. That doctor refused to diagnose her, not for some 
nefarious reason. He refused to diagnose her out of the goodness of his 
heart. How ironic. Why? Because he knew that she would get lost in the 
system and be refused treatment due to no insurance if she was labeled, 
labeled with the scarlet letter of a preexisting condition of breast 
cancer.
  Fortunately, this woman's partner did survive and win the battle with 
cancer. She was given the opportunity to be diagnosed by a referral 
from this doctor to a clinic who helped women with breast cancer.
  Now, I can't tell you whether what that doctor said or did was legal 
or illegal in not giving the right diagnosis, but I can tell you that 
that doctor did the right thing. I can tell you what the wrong thing 
is. It is putting a doctor in that situation where they have to deny 
and not give the very diagnosis that they know is medically accurate, 
because they know that the very diagnosis and the act of giving it 
could be a death sentence for their patient.
  ``Do no harm'' is the oath that doctors take, and the doctor that 
didn't diagnose this woman's partner upheld the highest and truest form 
of that oath in not making that diagnosis and allowing her partner to 
live.
  Thank you, Mr. Speaker.
  Mr. Speaker, I rise today to share with you stories of real people 
from Colorado and why we need to pass health care reform in this body. 
I had hundreds of constituents share their very personal stories with 
me. One of them, Mary Jo Schoolmaster from Colorado Springs. She and 
her husband are both retired teachers.
  In 2004, he suffered a brain stem bleed that hospitalized him for 5 
months: surgery, pneumonia, feeding tube, terrible, terrible ordeal. He 
came home and with stubborn determination he regained 95 percent of his 
functionality. He returned to work in 2005 as a dean of students and as 
a football coach.
  After retiring in 2006, he had a second bleed. He spent a full year 
in and out of hospitals, acute long-term care, in-patient rehab. He 
couldn't walk, eat, sit up or use his left side. He was on oxygen, had 
a feeding tube. Mary Jo writes that she was among one of the lucky ones 
that had insurance. They said it's been a constant battle to receive 
the benefits that he was entitled to, and he required her to become an 
advocate every step of the way.
  You know, I have had a series of town hall meetings, about 22 of them 
in the month of August across my district, and I would ask at those 
town hall meetings how many of you have had to fight denied claims of 
your insurance companies. It was an ideologically diverse crowd, maybe 
a third against any kind of health care reform, a third for single 
payer and a third somewhere in the middle. Eighty, ninety percent of 
the crowd, regardless of their ideology or their party, raised their 
hand and said I have been there, I have had to fight a denied claim of 
my insurance provider.
  Well, Mary Jo had to do that on behalf of her husband, had to fight 
every day to ensure that those bills were paid. Mary Jo is hopeful that 
health care reform changes this scenario for her and millions of 
others. We need choices, Mary Jo writes, and competition to force 
insurance companies to be transparent, not against us, every step of 
the way.
  Mary Jo is right. What this bill accomplishes is it provides 
competition among the insurance industry through the exchanges that are 
being created. With the public option, insurance companies in some 
markets for the first time ever will face real competition. Those who 
delay, who fight or who are bad at paying claims will quickly lose 
customers to leaner and more efficient insurance providers.
  That, Mr. Speaker, is why we urgently need to pass health care reform 
in this body, to ensure that people like Mary Jo and millions of other 
Americans don't have to fight their insurance companies every day. 
Because when we have this kind of scenario, who gets the short end of 
the stick? It's those who are not empowered and able to fight their 
insurance companies on denied claims.
  What about if Mary Jo hadn't graduated high school? What about if 
Mary Jo wasn't fluent in English? Mary Jo was a retired school teacher. 
She knew what she had to do to advocate forcefully on behalf of her 
husband to ensure that all of us who have policies get what we are 
paying for. We need to make insurance companies answerable, and that's 
why we need to pass comprehensive health care reform.
  Mr. Speaker, I yield back.

                          ____________________