23 June 17
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politics are divided. They have been for a long time. And while I know
that division makes it difficult to listen to Americans with whom we
disagree, that’s what we need to do today.
I recognize that repealing and replacing the
Affordable Care Act has become a core tenet of the Republican Party.
Still, I hope that our Senators, many of whom I know well, step back and
measure what’s really at stake, and consider that the rationale for
action, on health care or any other issue, must be something more than
simply undoing something that Democrats did.
We didn’t fight for the Affordable Care Act for more
than a year in the public square for any personal or political gain – we
fought for it because we knew it would save lives, prevent financial
misery, and ultimately set this country we love on a better, healthier
course.
Nor did we fight for it alone. Thousands upon
thousands of Americans, including Republicans, threw themselves into
that collective effort, not for political reasons, but for intensely
personal ones – a sick child, a parent lost to cancer, the memory of
medical bills that threatened to derail their dreams.
And you made a difference. For the first time, more
than ninety percent of Americans know the security of health insurance.
Health care costs, while still rising, have been rising at the slowest
pace in fifty years. Women can’t be charged more for their insurance,
young adults can stay on their parents’ plan until they turn 26,
contraceptive care and preventive care are now free. Paying more, or
being denied insurance altogether due to a preexisting condition – we
made that a thing of the past.
We did these things together. So many of you made that change possible.
At the same time, I was careful to say again and
again that while the Affordable Care Act represented a significant step
forward for America, it was not perfect, nor could it be the end of our
efforts – and that if Republicans could put together a plan that is
demonstrably better than the improvements we made to our health care
system, that covers as many people at less cost, I would gladly and
publicly support it.
That remains true. So I still hope that there are
enough Republicans in Congress who remember that public service is not
about sport or notching a political win, that there’s a reason we all
chose to serve in the first place, and that hopefully, it’s to make
people’s lives better, not worse.
But right now, after eight years, the legislation
rushed through the House and the Senate without public hearings or
debate would do the opposite. It would raise costs, reduce coverage,
roll back protections, and ruin Medicaid as we know it. That’s not my
opinion, but rather the conclusion of all objective analyses, from the
nonpartisan Congressional Budget Office, which found that 23 million
Americans would lose insurance, to America’s doctors, nurses, and
hospitals on the front lines of our health care system.
The Senate bill, unveiled today, is not a health care
bill. It’s a massive transfer of wealth from middle-class and poor
families to the richest people in America. It hands enormous tax cuts to
the rich and to the drug and insurance industries, paid for by cutting
health care for everybody else. Those with private insurance will
experience higher premiums and higher deductibles, with lower tax
credits to help working families cover the costs, even as their plans
might no longer cover pregnancy, mental health care, or expensive
prescriptions. Discrimination based on pre-existing conditions could
become the norm again. Millions of families will lose coverage entirely.
Simply put, if there’s a chance you might get sick,
get old, or start a family – this bill will do you harm. And small
tweaks over the course of the next couple weeks, under the guise of
making these bills easier to stomach, cannot change the fundamental
meanness at the core of this legislation.
I hope our Senators ask themselves – what will happen
to the Americans grappling with opioid addiction who suddenly lose their
coverage? What will happen to pregnant mothers, children with
disabilities, poor adults and seniors who need long-term care once they
can no longer count on Medicaid? What will happen if you have a medical
emergency when insurance companies are once again allowed to exclude the
benefits you need, send you unlimited bills, or set unaffordable
deductibles? What impossible choices will working parents be forced to
make if their child’s cancer treatment costs them more than their life
savings?
To put the American people through that pain – while
giving billionaires and corporations a massive tax cut in return –
that’s tough to fathom. But it’s what’s at stake right now. So it
remains my fervent hope that we step back and try to deliver on what the
American people need.
That might take some time and compromise between
Democrats and Republicans. But I believe that’s what people want to see.
I believe it would demonstrate the kind of leadership that appeals to
Americans across party lines. And I believe that it’s possible – if you
are willing to make a difference again. If you’re willing to call your
members of Congress. If you are willing to visit their offices. If you
are willing to speak out, let them and the country know, in very real
terms, what this means for you and your family.
After all, this debate has always been about something
bigger than politics. It’s about the character of our country – who we
are, and who we aspire to be. And that’s always worth fighting for.
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