[Congressional Record (Bound Edition), Volume 155 (2009), Part 20]
[House]
[Pages 27149-27156]
[From the U.S. Government Publishing Office, www.gpo.gov]




                              HEALTH CARE

  The SPEAKER pro tempore (Mr. Murphy of New York). Under the Speaker's 
announced policy of January 6, 2009, the gentleman from Iowa (Mr. King) 
is recognized for 60 minutes.
  Mr. KING of Iowa. Thank you, Mr. Speaker. I appreciate the privilege 
of being recognized by you, the Speaker and address on the floor of the 
House of Representatives in this seamless effort that we have to stand 
up and defend the freedom that this country needs. This has been for a 
long time about socialized medicine, socialized health care, the reason 
that so many people came to this Capitol and so many people have all 
across this country laid out and stood up and gone to congressional 
offices and joined in their groups, the tens of thousands of people who 
were here yesterday and so maybe people that are looking across the 
country, jamming the telephone lines, doing everything that they can. 
Mr. Speaker, the American people don't want this socialized medicine. I 
understand that the gentleman from Arizona has a presentation that he 
would like to make in a window here for a few minutes, and I am happy 
to yield to the gentleman from Arizona for that period of time before 
we pick up the balance of this exchange.
  Mr. FRANKS of Arizona. Well, I certainly thank the gentleman. In the 
last hour, I tried to talk about some of things that the Republicans 
were for, but I had made a commitment to give some remarks on the 
Pelosi health care plan. So I really appreciate everyone's indulgence 
here because I feel like I'm taking more than my share, but I will make 
these comments and then I will make myself scarce, if that will be all 
right.
  Mr. Speaker, only 1 week ago, on Friday, October 29, Speaker Pelosi 
and her fellow liberal Democrats introduced H.R. 3962. But they grossly 
mislabeled the Affordable Health Care for America Act. The bill would 
more accurately be entitled, The Big Spending, Big Taxing, Big 
Entitlement Pelosi Plan for Big Government Takeover of America's Health 
Care Act.
  Despite House Majority Leader Steny Hoyer claiming during their press 
conference that the health care bill was part of an open and 
transparent process to reform our health care system, the American 
people were oddly prohibited from even attending the liberal Democrats' 
publicity rally on the steps of the Capitol. Mr. Speaker, this really 
isn't surprising considering the Democrats' habit of closing 
Republicans completely out of the legislative process and negotiating 
the provision of this current health care plan behind tightly closed 
and locked doors.
  Mr. Speaker, the new Pelosi plan looks and sounds starkly similar to 
the Democrats' first attempt at a Big Government takeover of health 
care, H.R. 3200. That is because essentially it is the same Big 
Government socialist nonsense Speaker Pelosi introduced months ago, the 
same plan that caused literally millions of Americans to speak out 
against it through letters, petitions, protests, and by showing up to 
register their staunch disapproval at town hall meetings throughout the 
country all summer and fall.
  Now it seems clear that the voice of Americans have fallen upon deaf 
ears in this House of Representatives, Mr. Speaker, and Ms. Pelosi and 
Mr. Reid are determined to shove this partisan nightmare down the 
throats of the American people.
  Now, buried within the contents of this 2,000-page bill as well as a 
separate 13-page bill that would increase the deficit by more than $200 
billion are details that will see a massive Federal intrusion in the 
health care of every American. For instance, Mr. Speaker, the Pelosi 
health care plan creates 111 new offices, bureaus, commissions, 
programs bureaucracies over and above

[[Page 27150]]

the entitlement expansions. This includes, Mr. Speaker, a government-
run insurance program that could cause as many as 114 million people in 
America to lose their current coverage. The Pelosi health care plan 
also abolishes the private market for individual health insurance, 
forcing individuals to purchase coverage in a government-run exchange.
  The Pelosi health care plan enacts insurance regulations that would 
raise premiums and encourage employers to drop coverage. The Pelosi 
health care plan enacts trillions of dollars in new Federal spending 
that would exacerbate the deficit and imperil the Nation's long-term 
fiscal viability. The Pelosi health care plan also taxes all Americans: 
individuals who purchase insurance, individuals who do not purchase 
insurance and millions of small businesses.
  Mr. Speaker, this will absolutely kill millions of jobs and raise 
health care premiums across the board. Mr. Speaker, the Pelosi health 
care plan also cuts Medicare by $500 billion, which will devastate the 
Medicare Advantage program and result in higher premiums and dropped 
coverage for more than 10 million seniors. And nearly 70,000 of those 
seniors, Mr. Speaker, live in my district alone.
  The Pelosi health care plan would eliminate more than 5.5 million 
jobs as a result of taxes on businesses that cannot afford to provide 
health care insurance coverage, and this is according to the model 
developed by Christina Romer, the chairwoman of the President's own 
Council of Economic Advisers.
  Mr. Speaker, in 2008 health care spending in the United States 
reached $2.4 trillion, and it was projected to reach $3.1 trillion in 
2012 and $4.3 trillion by 2016.

                              {time}  2240

  Health care spending is 4.3 times the amount that we spend on 
national defense. And now the Congressional Budget Office has testified 
before Congress that the Democrat health care plan will actually 
increase that already sky-high health care spending.
  Only weeks ago, Mr. Speaker, President Obama stood on this very floor 
and promised a joint session of Congress and the American people that 
he would ``not sign health care legislation if it adds one dime to the 
deficit now or in the future.'' But, unfortunately, Mr. Speaker, that 
is one of the many promises that will unequivocally be broken by the 
Pelosi health care plan. Adding in the more than $200 billion cost of 
the unfunded companion ``doc fix'' bill, H.R. 3961, the health care 
``reform'' agenda proposed by liberal Pelosi Democrats totals more than 
$1.5 trillion, nearly double President Obama's stated figure.
  Mr. Speaker, that unequivocally breaks the President's promise by 
increasing the deficit to the tune of hundreds of billions of dollars. 
Add the $1.5 trillion projected cost of this bill, and it's still a 
conservative estimate given the historic precedent of drastically 
underestimating the cost of government programs, Mr. Speaker.
  When Medicare passed in 1965, the Congressional Budget Office 
predicted it would cost $12 billion per year by 1990. In reality, the 
cost of Medicare in 1990 was $110 billion, more than nine times greater 
than projected. Likewise, the Medicare expansion of it in 1987 was 
projected to cost $1 billion annually. By 1992, the actual cost was $17 
billion, or 17 times the amount projected. What makes us think that a 
government takeover of more than one-sixth of our economy is going to 
be any different, Mr. Speaker?
  Someone recently pointed out that a nearly 2,000-page bill of over 
400,000 words that costs as much as this one does, that that plan 
amounts to over $2.2 million per word, and there are a lot of words in 
this bill, Mr. Speaker.
  Moreover, the Pelosi health care plan is a massive increase in the 
size and scope of government, creating, expanding, or extending at 
least 43 entitlement programs and 111 additional offices, bureaus, 
commissions, programs, and bureaucracies over and above the entitlement 
expansions.
  During the worst economic recession since the Great Depression, this 
bill would impose numerous new taxes.
  Number one, it would impose a 5.4 percent surtax that would primarily 
be shouldered by small businesses. It would impose a 2.5 percent 
penalty tax on those who do not acquire health care insurance. New and 
increased taxes on a wide variety of health plans, including HSAs and 
HRAs. An ironic, and this one kills me, an ironic 2.5 percent tax on 
medical devices. And an 8 percent tax on businesses that can't afford 
to provide health insurance for employees, just to name a few, Mr. 
Speaker, bringing the total to $729.5 billion in new taxes on small 
businesses. Individuals who cannot afford health coverage and employers 
who cannot afford to provide coverage to meet the Federal bureaucrats' 
standards created under this bill will all pay the bill.
  Now, our top marginal income tax rate right now is 35 percent. Mr. 
Obama wants to boost the top rate to nearly 40 percent in 2011 by 
allowing some of the tax cuts enacted under former President George W. 
Bush to expire. The new health care taxes imposed by this bill would 
come on top of that. This would mean that just the Federal tax rate 
alone would be 45 percent. And when you add in the State and local 
taxes, individuals and small businesses could see total tax rates of 
close to 60 percent, Mr. Speaker.
  The cost of the Pelosi government takeover of health care and new 
taxes it would impose alone are a disaster of the first magnitude for 
America. But the monstrosity of the Pelosi health care plan doesn't 
even end there.
  On September 9, during his address to the joint session of Congress, 
President Obama stated verbatim the following quote: ``One more 
misunderstanding I want to clear up--under our plan, no Federal dollars 
will be used to fund abortions.''
  But despite promises and statements made by the President to the 
contrary, Mr. Speaker, this bill explicitly allows Federal funding of 
abortion and permits Federal subsidies to go to private insurance plans 
that cover abortion, making this bill potentially the largest expansion 
of abortion on demand in America since Roe v. Wade.
  White House health adviser Zeke Emanuel is a longtime proponent of 
rationing as a means for controlling and distributing the vital health 
care services Americans need. And for all the furor over the ``death 
panels,'' a term that the Democrats so viciously mocked, H.R. 3962 
would establish a new ``Center for Comparative Effectiveness 
Research,'' perhaps more accurately labeled a ``life and death panel,'' 
since the panel would be allowed to deny lifesaving treatments to 
patients on the grounds of cost savings, the same sort of rationing we 
see in Britain's national health care service which routinely denies 
costly patient treatments to those whose lives are deemed less worth 
saving.
  This is the inescapable reality of government health care, Mr. 
Speaker. The scarcity of resources and the inevitable unresponsiveness 
of massive bureaucratic systems result in rationing of health care 
services, deciding on who may receive care and who is forced by the 
government to go without. And this should not happen in America.
  These ``decisions'' would be in the hands of President Obama's new 
``health czar,'' or the ``Health Choices Commissioner'' created by this 
legislation. The ``health czar,'' or the ``Health Choices 
Commissioner,'' could forcibly enroll individuals in government-run 
insurance, and they would be required to conduct random compliance 
audits on health care benefits, allowing the Federal Government to 
intervene in the business practices of all employers who offer coverage 
to their workers. And that is unbelievable, Mr. Speaker.
  The Pelosi bill also contains numerous so-called ``sweet treats'' for 
the notorious allies of liberal Democrats. The Pelosi plan makes groups 
like ACORN and Planned Parenthood eligible for Federal grants 
administered by the health czar. It refuses to address frivolous 
medical lawsuit reform while it actually creates new incentives for the 
trial lawyers to sue the doctors and medical industry into the stone 
age. Speaker Pelosi and her liberal colleagues are shamelessly sticking 
their

[[Page 27151]]

thumbs in the eyes of the American people.
  Mr. Speaker, Republicans have offered more than 40 alternative health 
care plans that would implement true health care reform in this 
country, including empowering those who cannot afford insurance with 
the ability to purchase their own insurance policy from the private 
sector; allowing families and businesses to purchase health care 
insurance across State lines; allowing individuals, small businesses, 
and trade associations to pool together and acquire health care 
insurance at a lower price, the same way large corporations and labor 
unions do; giving States the tools to create their own innovative 
reforms that lower health care costs; and ending frivolous lawsuits 
that contribute to higher costs.
  Unfortunately, Mr. Speaker, it is clear that instead of listening to 
the American people and embracing these real solutions, Speaker Pelosi 
and her liberal colleagues have chosen to placate their most liberal 
allies, from ACORN to Planned Parenthood to trial lawyers, and to 
forcibly shove this bill down the throats of the American people.
  But, you know, Mr. Speaker, in closing, of all the egregious things 
that I have just told you about this bill, the worst of it is the way 
that it steals America's freedom with the word ``shall.'' Mr. Speaker, 
the word ``shall,'' as we all know in this Chamber, is the key word in 
all government mandates and control. The word ``shall'' is government 
force. Unbelievably, the word ``shall'' appears in the Pelosi health 
care plan more than 3,425 times. The Obama-Reid-Pelosi Federal 
Government is using the force of law with the word ``shall'' 3,425 
times to steal the freedom of the American people and forcibly insert a 
bureaucrat between patients and their doctors. The Pelosi health care 
plan is nothing but 2,000 pages of Big Government, higher taxes, and 
literally thousands of government mandates.
  Mr. Speaker, flying in the face of Nancy Pelosi's claim that the 
health care bill that she has would be posted online for 72 hours for 
review before final vote, it looks like tomorrow this body will be 
forced to vote on a bill that will completely overhaul one-sixth of the 
economy and potentially devastate our health care system all against 
the will of the vast majority of Americans. And I encourage every last 
one of them, Mr. Speaker, for the sake of their children and future 
generations, to stand up against this bureaucratic socialist 
monstrosity.
  With that, Mr. Speaker, I thank the gentleman from Iowa for his 
kindness in allowing me to keep this commitment.
  Mr. KING of Iowa. I really thank Congressman Trent Franks. Mr. 
Speaker, that presentation that we just heard over the last few minutes 
is something that I know he sat in his office in late hours and put 
this together and brought through and brought out some of the most 
significant components in this 1,990-page bill that has a 40-page 
amendment and makes it 2,030 pages altogether.
  As we speak here tonight, the Rules Committee is off into something 
that started up at about 2 o'clock this afternoon, and it's 10 minutes 
to 11 tonight.
  The real debate on this bill is us down here talking, Mr. Speaker, or 
the people up in the hole in the wall that finally has television 
cameras in it. For the first time, I think, in the history of the 
United States Congress, we see at least a significant bill that's being 
televised.

                              {time}  2250

  I have gone up there, and the Rules Committee by the way, Mr. 
Speaker, I don't disrespectfully refer to it as the hole in the wall. I 
am the person who thinks so much of the Rules Committee, up where they 
deny amendments to be offered here at the floor, at the direction I 
believe of the Speaker, up on the third floor of the Capitol, a little 
old room that doesn't even have room for all of the Members that want 
to engage in this, let alone staff, so the hallway is full of staff and 
Members. If there is information that needs to go in, they pass in 
papers like a bucket brigade to make an argument before a Rules 
Committee that is being asked to be an expert on everything that 
Congress, all of us, might want to know or vote on.
  This is a piece of the process that for the first time the American 
people are learning about because they can now see on television what 
goes on. It has changed the dynamics in that room. I came down here 
2\1/2\ years ago and called for television cameras in the Rules 
Committee. They weren't too impressed with that request, so I 
introduced a resolution to move the Rules Committee down to the floor 
of the House of Representatives because that is where the debate is 
taking place so the American people can see it.
  Now we are on about maybe the third panel of the Rules Committee and 
the American people, some of them, and I have had people ask me would 
anybody go up and watch the debate in the Rules Committee. Well, people 
all over America are doing that. Some are watching this tonight. Some 
have keyed into the channel that is showing the Rules Committee. It is 
going on and on. There are people that seemed to be a little bored by 
that. Who is watching? Watch your e-mail account, Members, because they 
are sending messages in. The people who are watching the Rules 
Committee with eyes like an eagle are the ones who came to this Capitol 
yesterday by the tens of thousands and filled this place up and said, 
Keep your hands off of my health care. They want to see how this system 
works. Some of them are becoming experts. They are going to be, some of 
them, the future leaders that come into this Congress because they are 
fed up.
  Mr. Speaker, the American people are fed up with the assault on 
American freedom and the complete disregard for the very foundations of 
American exceptionalism. In fact, I don't know if some of these people 
who are supporting this bill couldn't actually say the word sincerely 
that American is an exceptional country. We have a whole lot of reasons 
why we are exceptional, and at the core of each of them are freedoms. 
So that, Mr. Speaker, is the backdrop of what all is going on here.
  The schedule is to bring a rule down and have a vote about 9 
tomorrow, and then start carrying out a debate, and a debate that will 
be limited. It has already been announced by the chair of the Rules 
Committee, Louise Slaughter, that they are only going to accept two 
amendments to the bill. Now when the public has been told by the chair 
of a committee that there are only going to be two amendments that will 
be allowed to be debated on the floor of the House and voted on, and I 
presume one of them will be the Republican leader's amendment and the 
other one may be a motion to recommit, but only two, I think it tells 
everybody in America who is watching this show up here in the hole in 
the wall of the Rules Committee, what the deal is.
  If you are going to go to a committee and offer amendments to perfect 
legislation and in all good seriousness engage in the debate, and 
debate for hours and hours and hours before a chair and a committee 
that has already announced to the world that all of those amendments 
that are being offered save two will be rejected and have no value, 
that, Mr. Speaker, is what is going on right now. The American people 
are figuring it out. They have a nose and a sense for this.
  So what I would like to do as this evening unfolds is recognize the 
gentleman from New Jersey (Mr. Garrett) who has been such a strong and 
articulate voice and a dynamic leader. Mr. Speaker, anybody who is here 
tonight loves this country and loves our freedom and is absolutely 
opposed to socialized medicine.
  I yield to the gentleman from New Jersey (Mr. Garrett).
  Mr. GARRETT of New Jersey. I thank the gentleman from Iowa for 
leading off with this discussion this evening with regard to the 
legislation that is going to be coming down the road very quickly. How 
quickly we do don't know, but obviously more quickly than Speaker 
Pelosi promised.
  Before you got here, on September 4, Madam Speaker said at that time 
she

[[Page 27152]]

would allow Members of this body, Republicans and Democrats alike, and 
she also promised the American public they would have 72 hours in order 
to look over the bill, read the bill, and understand the bill. She made 
that promise.
  Now, as you point out as we speak here on Friday evening, almost 11 
in the evening, we still don't know what the final bill is. That is 
somewhat ironic because a number of Members on the other side of the 
aisle, 190 or so, have already been out in the press saying that they 
will be supporting the bill when it comes up.
  I have to ask, How are you saying you will be voting when the final 
version of the bill hasn't been printed yet, when you don't know what 
the amendments are or what the text is? But there are 190 who have said 
they will be voting ``yes'' on the bill at the first opportunity.
  Speaker Pelosi said she would give us 72 hours for Members and the 
American public to look at it, but she has gone back on that promise. 
She said she didn't really mean with that period of time, so at 11 
tonight or 1 in the morning, we may then see the final version of the 
bill out of the Rules Committee, whenever they decide to do it, in the 
dead of night, perhaps. And then the bill will come up as soon as they 
want it to. So, so much for that promise.
  The other point, there is a much larger issue, and I think this issue 
was somewhat addressed at the rally yesterday on the steps of Capitol 
at noon Thursday, and that is the constitutional issue here. We 
discussed this a little, and other Members have come here with their 
Constitution, and it reminds Members of Congress and the public that we 
live under the rule of law in this country and the Constitution, and we 
can't go outside of those parameters. And the Constitution says there 
are certain rights and responsibilities and powers that the Federal 
Government has, and the 9th and 10th Amendment tells, the 10 Amendment 
specifically, all rights not specifically delegated to the States are 
retained by the States and the people respectively.
  So you have to ask, How is it that this body believes, the Democratic 
majority and President Obama believes that we can impose a personal 
mandate on the American public? How can they begin under our 
Constitution to start telling people that they actually have to buy a 
certain product by private industry or through the public option, 
basically through the government, whether they like it or not?
  I will just digress on that point for a moment. If you don't like it, 
if you don't purchase an insurance policy that the government tells you 
you have to, you will be fined. You will be fined upwards of 2\1/2\ 
percent of your income. The legislation also says if you do not pay 
that fine for not buying that insurance, then what will happen? Well, 
of course, section 7201 of the code says you can be fined an additional 
$250,000, a quarter of a million dollars, and you can be sent to jail 
for 5 years.
  Mr. KING of Iowa. Would that be debtor's prison then in the bill? If 
you don't pay the fine, then you go to jail?
  Mr. GARRETT of New Jersey. I would almost presume so. Think about it. 
Who is that language targeted for? Is it targeted for the Bill Gates of 
the world who probably can buy any sort of Cadillac insurance that they 
want? Or the people on Wall Street who have the expensive Cadillac 
coverage because their employers provide it for them? No, of course 
not.
  Is that aimed at the poor, nonworking American who can't afford 
insurance because they are disabled or whatever? No, because those 
people are protected currently under U.S. law, under Medicaid, and they 
get health care insurance through Medicaid.

                              {time}  2300

  So who is that language in the bill really targeting? That is 
basically the middle class, those people who are struggling right now, 
with around 10 percent unemployment we're looking at in this country. 
Actually, it's 10.2 percent, I think, is the last number, looking at 
10.2 percent. Those people are struggling and they're saying, I'm 
paying all my other bills--my mortgage, my credit cards, my kids' 
college education, and right now I have to make the decision that I'm 
not going to be able to afford to buy insurance right now. Guess what? 
Too bad. Under their bill, you are going to be fined for not buying 
that insurance policy. And if you don't pay that fine, you could be 
subject to punishment.
  One last point on this, if I may, and then I will yield back to the 
gentleman. The other person, the other group that this is targeted at 
is the young. Before you came to the floor, the previous gentlemen were 
talking about how this relates to No Child Left Behind and that sort of 
thing and how the Federal Government is intruding in our lives in so 
many other areas, and how No Child Left Behind just didn't work at all, 
that's why I didn't support it.
  And I coined the phrase--or maybe somebody else coined it before me--
that actually this health care legislation is ``No Child is Left a 
Dime.'' And the reason that no child is left a dime is because this is 
a $1.2 trillion expenditure, and where is that $1 trillion coming from? 
Well, it's really not coming from you and I because we're already 
looking at, what is it, around $1.6 trillion, $1.7 trillion that we're 
in deficit right now? In other words, we don't have the money to pay 
for this bill. So who's going to pay for this bill? Your kids, my kids, 
America's kids, our grandkids.
  So the benefits that are going to be paid to people today, you and me 
and the other people who are listening tonight here in the gallery and 
elsewhere, the people that are going to enjoy the benefits of this 
legislation today, such as they are, are going to be paid for by future 
generations. So there may be a lot of people who consider they're 
supporters of Obama, young people that in the past campaign said he's 
going to do great things for us. What is he really doing for the young 
people of today? Putting a tremendous burden on them as far as what 
they're going to have to pay for the people who are living today.
  I will give you one example of that. There is something in the 
legislation called the ``class provision'' or the ``class act.'' What 
that basically is--yes, the class act, treatment of class act as long-
term care insurance. What that basically is is trying to set up a 
program--good idea in concept--of trying to get people to have long-
term care insurance. This is one of those budgetary gimmicks that's in 
the bill that makes it look as though we're actually saving money 
today. It makes it look as though the budget deficit is going down so 
they can say, hey, we're actually saving money. What are you talking 
about, Republicans? We're actually helping the budget deficit. Well, 
it's really a budgetary trick, and I can explain it in 30 seconds.
  What that does is this: it starts collecting taxes today basically on 
people who are working, what have you. So young people today will be 
paying taxes today, and over the next 10 years those young folks will 
be paying in, what, $72 billion, a huge amount of money. But of course 
young people today will not be getting any advantage of that money. As 
a matter of fact, that money won't be going out the door to any large 
extent over the next 10 years because young people won't be needing 
long-term care coverage or insurance.
  So basically you're putting in the bank all that money for the next 
10 years. That makes the budget deficit look better, but in reality 
it's young people paying for benefits for people today. And their 
benefits--I'm not sure who's going to be around to pay for them and all 
of their needs and what have you. So it's a budgetary gimmick to make 
it look as though things are better than they really are to bring down 
the deficit. At the end of the day, after those 10 years, costs explode 
again and the next generation, our kids and grandkids, will be the ones 
who are not left a dime because it will all be right here in Washington 
paying for these benefits.
  And with that--I see you have a chart to perhaps explain all of this 
to us--I yield back to the gentleman from Iowa.
  Mr. KING of Iowa. I thank the gentleman for his relentless effort 
and, I

[[Page 27153]]

will say, a thorough understanding of what we know about these 1,990 
pages-plus-40. And we do know that's 2,030 pages at least.
  I have made the statement, Mr. Speaker, and I think it's important 
that the American people know this: yes, we should have an opportunity 
to evaluate all of the implications. There are going to be amendments 
that will come out that we have not seen that are likely to be approved 
by the Rules Committee because they will be giving direction, not 
because they will be doing a significant analysis.
  The American people want to read this bill. We handed this bill out 
yesterday to the tens of thousands of people that came here to this 
United States Capitol, the 2,000-page bill. I don't think I will ever 
forget the image of John Culberson standing on the wall tossing pages 
of the bill out to people who passed it around. They would each take 
one page and pass it to somebody else. And they went around this Hill 
and they began asking Members of Congress, tell me what this means, 
tell me what this page means. There were not enough pages of the bill 
to go around to all the people that came to oppose this bill yesterday, 
and there won't be enough pages to go around to all the people that 
come to oppose this bill tomorrow at 1 o'clock, east side steps of the 
Capitol. We've got another wave of American people that are coming in 
here to express their rejection for socialized medicine.
  It is so important to understand this. When people say, well, I sat 
up and I read the bill, there are people out there, salt of the Earth, 
good regular people that took it upon themselves to read what's 
available for them to read, to work through those 1,990 pages, and they 
will do everything they can to understand it. If they don't understand 
it, they sometimes feel like they're inadequate because they're not a 
lawyer or they're not educated or they're not a legislator. Here is the 
statement that I think is important for the American people to know, 
Mr. Speaker, and that is, you can take the smartest person in the world 
and you can shut them up in a room with a desk or a table and a chair 
and give them 6 months in that room to read this bill and ask them to 
write up a summary of what the bill does, the effects, the costs, the 
implications, and the nuances that would be interpreted one way or 
another with the latitude and license that's in the bill.
  You can ask the smartest person in the world to analyze the 3,425 
``shalls'' that are in the bill; you can ask that smartest person in 
the world to analyze what it means, this one--there is more than one 
``may,'' but one of the most important ``mays'' in the bill is, Members 
of Congress ``may'' utilize the newly formed government option. The 
government option for all this right over here, this public health 
plan, Members of Congress ``may.''
  There was an amendment offered in Energy and Commerce--or maybe it 
was Ways and Means, or both--that said anybody that votes for this bill 
would be compelled to live underneath the health insurance policy that 
they would create under the Federal Government, the government option.
  If Congress thinks this is such a good deal, they've got 3,425 
``shalls'' in the bill, why not make it 3,426 ``shalls'' in the bill 
and make ``Members of Congress shall live underneath this law.'' That 
would be the actual poison pill for this bill. If the people over here, 
the ones that have signed on to whatever document it is, the 190 or so 
that say they will vote for whatever bill Nancy Pelosi thinks should 
come to this floor, if they had to live underneath the law that they 
are imposing on the American people, all they have to do is do a little 
amendment that says, Members of Congress ``shall'' use the government 
option, not ``may.'' Strike ``may,'' put in ``shall,'' kills the bill, 
or it makes it a policy good enough that we can all live with and the 
American people wouldn't have to come and storm this Capitol. They 
wouldn't have to take this hill; they wouldn't have to hold this hill 
until we kill the bill. But we're going to have to do that. We have to 
keep this up.
  We fought a great battle yesterday. There is a good battle going on 
up in Rules right now. There is another battle tomorrow at 1 o'clock 
here at the Capitol on the east side of the steps, Mr. Speaker. And 
this has to go on and on and on until this bill is killed.
  This idea was killed back in 1993 and 1994. A bill never came to the 
floor then. I will give President Clinton credit; he wrote a bill, but 
it never came to the floor because the American people took it apart 
and rejected it. And someplace over there against the wall I have a 
chart of the original ``HillaryCare'' that we took off of the archives 
of The New York Times. It is a scary thing. It is a very scary thing. 
And if we can find it over there I will put it up, Mr. Speaker, so 
everybody can see it. It's in black and white.
  This is the real color version of the original House bill, which is 
H.R. 3200. This bill and this analysis comes from Kevin Brady in the 
Ways and Means Committee. He has done a fantastic job of educating the 
American people. The flow chart that was created in 1993 and 1994 is 
the one that scared the living daylights out of me and caused me to get 
engaged in the political world because I could not tolerate what 
government was doing to me.
  The people that believe that they are intellectual elitists, that 
think that they know more than the American people know and want to 
take away our freedom had drafted a bill called HillaryCare that really 
did swallow up at that time one-seventh of the U.S. economy. It didn't 
come to the floor because it was killed because the American people 
found out about it.

                              {time}  2310

  This is the flowchart that is now 15 years later.
  This is the organizational chart of the House Democrats' original 
health care plan.
  This is H.R. 3200. The new one is uglier, but I can tell you this is 
all pretty much in here. The colored boxes are new agencies. There are 
at least 32 colored here, and there are 53 in the bill. In the bill 
before, it was amended with a Ways and Means component of this thing, 
and it went from 1,000 pages to 2,000 pages. These 32 agencies colored 
and 53 all together now have grown to 111 new Federal agencies so that 
we can have a complete nanny state that will direct our lives from 
conception to natural death.
  That sounds like a pro-life statement. Well, for me, it generally is, 
Mr. Speaker.
  This bill of 2,000 pages that is before us does affect us from 
conception to natural death because it funds abortion and it has death 
panels and it regulates everything that has to do with our health 
care--the cost, the access--everything that has to do with it from 
conception to natural death.
  On these charts with colors on it, I'd focus your attention to two 
things or, actually, to three things, Mr. Speaker. This one is the 
health choices administration, which we've heard the gentleman speak 
of. This is where they would regulate everything--all of the health 
insurance in America, all of the health care in America. This is the 
HCA commissioner, the health choices administration commissioner. He is 
the new czar. As I talk about the black-and-white version of 
HillaryCare, this is what we saw in 1994. This is the black-and-white 
flowchart that was created by the closed-door meetings that Hillary 
Clinton had when she was appointed the individual to write this all up.
  Now, again, I give them credit. They wrote a bill. They met in 
secret. They met behind closed doors a lot of the time, and that caused 
them some problems.
  Phil Gramm, who was down at the other end of that hallway--right out 
the center to the other end--stood on the floor of the United States 
Senate, and he said, This bill passes over my cold, dead, political 
body.
  It was this scary flowchart that scared the living daylights out of 
me, and it scared me into the public service/political life to try to 
put the brakes on the overgrowth of government. The American people 
rejected this in 1994. They threw this out, and the bill never came up 
for a vote anywhere.

[[Page 27154]]

  Now we have this full-color monstrosity of H.R. 3200, which is even 
scarier, but the focus down here is on the public health plan side 
which has to compete with the private sector side. These two boxes 
exist today--private insurers and traditional health plans.
  Private insurers: 1,300 companies selling insurance, not policies. 
1,300 companies, Mr. Speaker, right here. There are 100,000 policy 
varieties to choose from, which is a tremendous amount of competition. 
There are some States that don't have much because it's like 70 to 80 
percent in a few States where a single provider has that market share.
  So what we do is we open it up to sell insurance across State lines. 
That provides the competition. It's all the competition we need, and 
it's more competition than the Democrats in this Congress are willing 
to accept.
  So, Mr. Speaker, this public health plan which will be run by the new 
health choices administration czar--commissioner, commissar-issioner--
will write the rules to benefit the Federal plan that will be 
subsidized by taxpayers. Then it will make it difficult, if not 
impossible, for the private health plans to compete against the public. 
We've seen it in the school loan program. We've seen it in the flood 
insurance program. This bill must not pass or that's going to happen to 
everybody's private insurance.
  By the way, this bill that's up there before Rules right now cancels 
every health insurance policy in America in either 2011 or at the end 
of 2013, depending on the definition.
  I yield to the gentleman from Texas.
  Mr. GOHMERT. I thank my friend from Iowa.
  I thought it was a point worth making since we heard on Thursday that 
AARP has now endorsed the plan. They came out at first and endorsed the 
Obama-Pelosi plan earlier this year, and then they lost so many members 
that AARP said, Well, we were basically endorsing a concept but not 
this particular bill, because people were mad about it. They came out 
on Thursday, and they put their stamp of approval on it.
  It turns out, apparently, that AARP makes more money from selling 
insurance than they do from their membership dues. They apparently got 
a heck of a sweetheart deal that was cut with the administration. So, 
yeah, they're willing to put their stamp of approval on it because 
there's money in it for them, not for their members. Now, their members 
are going to get screwed around pretty big. They're going to have a 
$500 billion cut to Medicare. They're going to really get hurt badly, 
but the AARP people who run AARP are going to come out real good.
  Then I noticed an article tonight that came out, which says: AMA 
members revolt over ObamaCare endorsement.
  It turns out the association, or the AMA's board of trustees, failed 
to obtain delegate approval before endorsing this new Pelosi-Obama 
monstrosity. Let's see.
  The president of the Florida Medical Association said: The delegates 
are pretty upset with the board of trustees right now, and they were 
submitting an emergency resolution to revoke that endorsement. The 
trouble is it probably won't come to a vote until Monday.
  This article says: Rescinding the AMA endorsement would be a 
significant blow to ObamaCare at a critical point in the debate as 
reflected in the Democrats' reaction Thursday when they won 
endorsements from the AMA and AARP.
  Well, we know why AARP endorsed.
  Anyway, this says: AMA sources confirm a resolution that would 
effectively revoke the AMA's endorsement will be introduced during the 
delegates' conference at the association's general meeting in Houston.
  The article also points out that the AMA board issued a similar 
endorsement back in July without delegate approval when it declared the 
AMA support for the earlier House version of the bill.
  Then this article points out that, after that endorsement, 10,000 
physicians logged onto Sermo.com. Ten thousand physicians. It's an 
online physicians' community. They logged on to voice their opinions. 
According to the Sermo Web site, of the doctors who responded, 94 
percent do not support the bill, and 95 percent state that the AMA does 
not speak for them with its endorsement.
  Isn't that something? The AARP is not speaking, really, for retired 
people. It's speaking for the executives at AARP who are going to do 
really well. I understand there are some waivers and some neat stuff 
for them in there. The AMA board, apparently, is not speaking for the 
medical doctors in America.
  I would be glad to yield back.
  Mr. KING of Iowa. I reclaim my time, and I yield to the gentleman 
from New Jersey.
  Mr. GARRETT of New Jersey. You raise a fascinating point, and I posit 
two questions to you.
  If the Congress were to pass this bill, we know what some of the 
ramifications would be. It's going to be raising premiums. That is 
according to the CBO, the Congressional Budget Office. It's going to 
reduce health choices. It's going to cause delays and denials of care. 
Here is the one where I'll put a question to you:
  $500 billion in Medicare cuts. Why would it be in the best interest 
of senior citizens, which I presume are who AARP would supposedly be 
looking out for--why would they suggest that they would be looking out 
for seniors when they're going to be cutting benefits to seniors for 
$500 billion?
  That's not my number that I came up with. That is language right out 
of the bill, and it can be verified with the CBO.
  So it's counterintuitive that any organization would be doing 
something against their measures unless--and I just came in at the 
point when you were saying this--an organization is, maybe, making more 
money out of the deal for themselves than for the people whom they 
represent.
  I'll yield.
  Mr. KING of Iowa. Reclaiming my time, I would make this point.
  I'm trying to run through the list of organizations in my mind that 
support this bill, and there are quite a lot of them. Then I'm trying 
to come up with a name of an organization that supports the bill that 
doesn't have a vested interest, and it seems as if it's a very broad 
approach to this from the perspective that--let's just say, as for the 
AMA, they get more dollars into the industry. They've done a 
calculation. It seems a little cynical. That's how it is. AARP, they're 
willing to take a $500 billion cut in Medicare benefits because they 
can make it back--and then some--by selling insurance through the 
exchange.

                              {time}  2320

  I would pose this question to the gentlemen that are so knowledgeable 
on this subject that are here on the floor, or anyone that would care 
to come down here, and I would be glad to yield to a knowledge base, if 
it exists, on the other side of this aisle as to where are the unvested 
interest supporters for socialized medicine? Who are they? Where are 
they? Can you name one? Is there either one of you that could answer 
that question or anybody here in the Chamber tonight that I could yield 
to that could speak to that? I am completely flummoxed when I think 
about altruism behind socialized medicine. Where are they? I would like 
to know. I'm finding all kinds of patriots that are for killing this 
bill.
  I saw altruism like I had never seen before yesterday, patriotism in 
its purest form, of people that dropped everything. I shook hands with 
people from San Francisco and Oregon and most of the States in the 
country. I am convinced that we had people here from every State in 
America yesterday. They just want to have their freedom to buy the 
health insurance policy that they choose; they want the freedom to 
succeed; and they want the government to stop growing and start 
shrinking and un-tax them and take the burden off of children and 
grandchildren. And I see that. I see those salt-of-the-Earth Americans 
that are there. Any one of them could have showed up at a church

[[Page 27155]]

picnic at my house or my place in my neighborhood. And the tears run 
down their cheeks because of what's happening in America. It's not just 
because of the song, it's not just because of the prayer. It's 
afterward, hours afterwards, and they're saying, What can I do? What 
can I do? I'm losing my county. And their faces are being washed with 
tears, and the cynicism that grows within me because of the vested 
interest, and nobody can answer me, where is the contingency of the 
people that just want to have what's best for America? I can't find 
them.
  Mr. GOHMERT. Well, I can't name you one without a vested interest 
that supports this, but apparently just today the American Association 
of Neurological Surgeons and the Congress of Neurological Surgeons, two 
different groups, announced their opposition to the House bill.
  I know from personal experience, when a brain tumor was killing my 
mother and eventually took her life, these neurologists and 
neurosurgeons are the ones that knew the most about what was best for 
my mother in those last years that the tumor was taking her; a brain 
tumor. Wow. An incredibly brilliant bunch of people, those doctors that 
work on the brain.
  They apparently made no bones about it. They were not happy, 
apparently, that the AMA came out and endorsed it. They made it a 
matter of the minds on which they have, since they work on the mind, 
that this is not a bill that's going to be good for America, it's going 
to devastate America. In fact, the Congress of Neurological Surgeons' 
president stated, ``Overall we believe this legislation will ultimately 
limit patient choice by putting the government between the doctor and 
the patient which will interfere with vital patient care decisions. As 
it stands, this House bill could amount to a complete government 
takeover of health care.''
  Mr. GARRETT of New Jersey. You raise another interesting point. 
Again, we have to start from the premise with what is in the bill right 
now, what the CBO has told us and what the bill will do, if they do 
pass it tomorrow or Monday, what it will do is raise our premiums for 
insurance, it will reduce our health choices, it will delay or deny 
care, it will take away half a trillion dollars from our seniors in 
Medicare, and it will raise taxes by $729 billion.
  We know those are the facts. That will happen if this bill passes. 
But you were saying with regard to the delegates, the doctors out 
there, the real doctors that you and I have are fighting back and 
saying that they may take back the endorsement from the AMA. But it may 
be too late; which raises this question, then: What is the rush? What 
is the rush to judgment? Why are we doing this on a Saturday or maybe a 
Sunday? We have only ever voted on a weekend when it's an emergency 
situation, like for a war resolution or things dealing with the 
military or what have you.
  Is there any reason why this bill could not lay over for a week while 
the Members go back to their districts for Veterans Day and meet with 
veterans, meet with seniors, meet with doctors, meet with the other 
real folks? I cannot think of one reason why Speaker Pelosi would not 
allow us.
  I would ask, I am sure she is up at this hour--and we have a few 
minutes left--I would appreciate it if Speaker Pelosi could come down 
here right now and explain to us why we can't have a week when the 
veterans and everybody else gets to comment on this.
  Mr. KING of Iowa. Reclaiming my time, I would make this point, that 
the legislative strategy for them is this, that they were queued up to 
ram this bill through before the August break. That's what they wanted 
to do. They rammed cap-and-tax through before the August break, and no 
one read the bill. Mr. Gohmert from Texas stood here on this floor and 
he posed a series of questions, and the one that stands out in my mind, 
it will be historically remembered, I think, forever, that there was no 
bill in the well. There was no real copy of the bill. And I know no one 
read the bill because the bill didn't exist.
  Congressman Gohmert finally said, after 35 minutes of holding up the 
debate, ``Madam Speaker, if the House of Representatives passes a bill 
that doesn't exist, is it possible to message a bill that doesn't exist 
to the United States Senate?''
  That was the question, Mr. Speaker. The result was, apparently, yes. 
Apparently in this Congress we can pass a bill that doesn't exist and 
message a bill that doesn't exist to the United States Senate. That's 
the subject matter that I think is important. And this 2,000-page bill 
that we have now, the reason that they are pushing on it is because we 
went home for August, and the town hall meetings were jam packed full 
all over the country. We saw real-time footage that came out, angry 
people, frustrated people, people that just want to be left to succeed 
and left to be free, filled up these buildings, filled up the community 
buildings, jammed these places. There were meetings held in Iowa 
outside because we didn't have buildings big enough for the town hall 
meetings. The tiny little down of Adel, over 600 people in a meeting 
just like that. What the message from that was, the American people 
don't want this bill. They don't want socialized medicine. They want to 
kill this bill. They made their opinions known loudly and clearly for 
the entire month of August and into September.
  But now these Members of Congress have been in Speaker Pelosi's echo 
chamber since then, they haven't really been back home listening to 
their constituents the way they were in August; and now they have gone 
all wobbly again. She is afraid to let them go back home to be braced 
up by their constituents.
  That's the calculation. It's a political calculation. It's not a 
logical one. I recognize the gentleman from New Jersey asked for a 
logical one. There is a difference between reasons and excuses. There 
isn't a reason. There are only excuses.
  I yield to the gentleman from Texas.
  Mr. GOHMERT. I think my friend from Iowa just made a great point 
about why there needs to be this rush to bad judgment by the Speaker 
and by the administration, and it answers the question of our friend 
from New Jersey about why this rush to bad judgment. That is exactly if 
the Democrats go home for the weekend, just when they think they are 
about to get the last vote by adding something that will get their 
vote, by twisting the arm--I don't know if we are threatening losses of 
committees, I understand that's gone on around here in the recent past, 
but they are so close, they think, to getting this vote done, this 
travesty against the American people, if they go home, they are going 
to hear about what's going on.
  What I can't help but come back to, when my friend, Mr. Garrett from 
New Jersey, asked about why rush? We have heard our President and all 
of those who seek to make excuses for him trying to make up his mind on 
what to do in Afghanistan say, He doesn't want to rush and make a bad 
decision. He wants to take his time.
  Can you imagine the stress being heaped upon our soldiers who are 
either in harm's way in Afghanistan or get news, you are about to be 
sent into harm's way into Afghanistan, and you have a President that 
can't commit to whether he is going to give them what they need to win 
in Afghanistan?
  I can't imagine anything more stressful and debilitating to hear, You 
are going to send me into harm's way? You've got a report that has been 
sitting on your desk since August that says if you don't give us the 
troops we need, we're going to lose this war. That means I am likely 
going to be killed while you are trying to make up your mind, and you 
are playing footsie with different groups and shows and doing all these 
fun things, and we are over here in harm's way; you can't make up your 
mind.
  Okay. We will give him that he needs to take his time. We understand 
that he voted ``present'' probably more than anybody else in recent 
history in the Senate because he couldn't make up his mind down there, 
but how about giving us the same benefit of the huge doubt we have 
about his decision-making? Give it to the Congress.

[[Page 27156]]



                              {time}  2330

  Let us have time so a mistake, a huge mistake, is not made here. This 
is scary stuff, what is about to be heaped on us. Let us have the same 
amount of time that he has demanded.
  Mr. KING of Iowa. Reclaiming my time, this is a destiny bill. This is 
a piece of legislation that changes the direction of the United States 
of America, Mr. Speaker, forever. There is no going back to a point. It 
isn't like we missed an exit on the interstate and we will just go to 
the next exit and get off and turn around and go back. This is taking 
the off ramp from freedom, and it is going into the abyss of socialism. 
It is the leap off into the abyss of socialism.
  This bill, this is a socialized medicine bill that is the crown jewel 
of socialism. There is no other way to define it, when you take over 
17.5 percent of the economy, one-sixth of the economy. This legislation 
cancels every single health insurance policy in the United States of 
America, a good chunk of them at the end of 2011 and all the rest of 
them by 2013.
  The promise that the President of the United States made was that if 
you like your health insurance policy, you get to keep it. Well, you 
get to keep it until they cancel it. Can you keep it until 2011 and 
think the President kept his word? I will leave that out there as a 
rhetorical question, Mr. Speaker. But that is something that brings me 
great concern.
  We aren't going to raise taxes on anybody that makes under $250,000 a 
year. We know it raises the taxes on everybody.
  We aren't going to hurt the little man. Here is a little, little man 
piece. It hurts them all. If they go with this rating that is in there, 
just in the individual market, a 25-year-old male in Indianapolis, we 
will pick that, that happens to be the state of our conference chair, 
he would be paying about $84 a month for his premium. If this bill 
passes, it jumps to $252. It is a 300 percent increase in the premium 
that he is paying.
  Now, this is a young man that is trying to get into the workforce, 
that is trying to build an economic base. Usually when you start in, 
that is when you make the least, and you grow your income stream. You 
are young and healthy. You can't afford much insurance. You don't need 
much, because you are young and you are healthy. But this would triple 
the insurance premiums for a 25-year-old man and fine him or punish him 
if he doesn't buy the policy, and eventually put him in jail.
  Then you have the family of four, roughly 40-years-old, a couple of 
kids. They would be paying today in Indianapolis about $535 a month for 
insurance. They can probably afford that, if they have been raising 
their income up. It is tough, I know, but usually they will find a way 
to maneuver. But this bill makes it so much worse. Now that $535 
premium would go to $1,087. The premiums would be a 221 percent 
increase.
  I can go on down the line, Mr. Speaker. I recognize the clock is 
ticking. I want to make sure if any of my colleagues have a last thing 
they have to say, they will let me know.
  I yield quickly to the gentleman from New Jersey.
  Mr. GARRETT of New Jersey. Just one last point, because I know the 
time is up here, is that going to the point of rushing through this, we 
are not in control. We are in the minority party. We cannot set the 
agenda. This bill could come up in an hour from now, or this bill could 
come up Saturday morning or Saturday afternoon.
  We hope and wish the leadership on the other side, Speaker Pelosi, 
would give us the time they promised, at least 72 hours. We have the 
whole week to do so.
  But there is still an opportunity, however, for the American public 
to come back here tomorrow at 1 o'clock and have their voice heard on 
the green here by the Capitol.
  With that, I yield to the gentleman.
  Mr. KING of Iowa. Reclaiming my time, I appreciate the gentleman from 
New Jersey bringing this up again.
  Here is the message. We have had all kinds of battles in this country 
and people have paid a huge price. We had Lexington and Concord. We had 
patriots that marched through the snow with bloody feet to go to 
Trenton. We had Saratoga. We had Yorktown. We had Hamburger Hill. We 
had Pork Chop Hill.
  We had the battle of Capitol Hill yesterday, and the American people 
took this hill. We have to come back to this hill tomorrow at 1 
o'clock. We have to hold this hill until we kill this bill.

                          ____________________