The house of representatives, and express great concern about the proposal as it relates to the people of michigan that i represent as well as people across the country, and, frankly, this proposal or whatever passes will be judged based on whether or not people pay more for their coverage if they can find it, whether theyre going to be able to get the health care that they need. The health care that they need. I want to speak about the Health Care Bill that has been laid out in that house now in the house of representatives and to express great concern of the proposal as it relates to the people of michigan that i represent as well as people across the country and free clean this proposal will be judged whether or not people pay more for their coverage whether they can get the health care that they need for health care is very personal despite the politics here in congress and the White House Health care is not political it is very personal. Can you go to a doctor . Can you take your child to a doctor . Can your parents get the nursing home care that they need a lawyer grandparents s quicks can you find insurance after you have had a heart attacks if there is a preexisting condition . Out, in then to look more and more details this proposal will create chaos in the Health Care System and frankly this will create a big man says the relates to the families that i represent that we all represent in our home states. This was written in secret. We have seen the stories of the other side of the aisle mici trying to get a copy of what was going on there is noes cost we dont know the overall cost to taxpayers we also dont know how many people can get health care h and who will be covered but or that falls into the category of higher cost for middleclass families and for poor families and less coverage. This is not the kind of deal that the people in michigans want to have for themselves and their families because its taxes for the wealthiest americans while making most americans pay more. It makes the seniors pay more we have heard it called the age tax or the senior tax but the reality is in a number of different ways that seniors will pay more new in that is mine understanding in the middle of this there is a sweetheart deal that would give them a pay raise. Eserve so this whole thing is stunning to me to be put forward with a straight face and then on top of Everything Else there is of a guarantee for preexisting conditions so in is unclear what will happen to somebody who has a heart attack i have have a new little baby grand niece who has had two heartim surgerys already and another when she will havek to have another year she is doing great deserving f incredible admiration for taking care of her she will have a preexisting condition prolife. Working to have a reconstructed part that will cause her various challenges and without the current guarantees that she cannot be blocked folks will have a hard time per whole life. Seeing so if we look more at the details you will see the tax increases for millions of families in been to afford insurance and by the way a even though they dont happen immediately the Insurance Company knows that it is coming will find themselves different decisions and i expect that insurance system to be destabilized immediately weil already see problems just pull the l. Based on the debate to repeal health w care. Is is if we look at the tax credits, it goes from helping those to the model income families to of afford insurance to be based on your age and your income. The higher the age thet higher the income the more taxpayer dollars that you get. That makes news no sense. Those who stop insurance that they can afford. This is not the values or perspectives that i think makes sense for people in michigan as well as across the country. And that 30 yearold working minimumwage will paid more and hoping that dont have a preexisting condition because they cannot find insurance at all. Peo then be fined 300 billion tax cut for the wealthiest americans. Than so somebody on a a minimumwage job that could very well see Health Insurance goal way callaway has that have been well somebody making more than 3. 7 million per yearng tas would save over 200,000. F that is what they would get back now in the form of a tax cut. More than what most people make certainly the majority of people in michigan. They work very hard but make less than 200,000. Just to underscore this is the of first bill out of the gate so we already say in to raise the Health Care Cost and the tax cuts are the star. Er the where we will see the whole debate happen again with my guess middle income people will pay the bill but to add insult to injury so the ceos can inject a pay raise to get more money while more people paid more. Avig but the bill does nothing to lower the cost of prescription drugs. Not so this is not health care for the majority of americans. Certainly not health care for those with who need to have access to Affordable Health care. Some and then back to our seniors who will pay more because of the changes of how Health Care Costs will be rated. We will essentially see older people of twice the tax credit but more cost. I am not sure how that will be with the preexisting conditions but i do know theac bill has a penalty if you have Health Insurance and for some reason with a s crisis you cannot continue, you drop that insurance then read and roll with 30 late enrollment surcharge. A and then just to other items that are very important. That is and i know thehe distinguished presiding officer shares a concern about this as well that the fact we can create more access to health care by expanding medicaid one ofou the Great Success stories in michigan today is 97 percent of our children in michigan canal see a doctor 97 we dont want to go backwards c every child should have the ability to say a doctor. Right now 97 to see a doctor because of the workwn that we did including including expanding medicaid. And instead what is proposed the that folks were talking about a block grant to the state now they call it percapita just like there were proposals to have a voucher for medicare now this essentially is a voucher for medicaid. If you need more than you are on your own if you have something happen if you have cancer and it goes above the voucher your on your own so it completely changes medicaid to a system where there is a voucher and millions and millions of children read the majority of seniors get their coverage through medicaid right now who get quality nursing home care will be severely impacted by the voucher with how much care they are able to receive and finally for over half of population we will see a turn to a woman being a preexisting conditionnder because prenatal care and Maternity Care which is not avail will in the majority of the private plans come you can get it but it is not viewed as basic and Insurance Companies say we will cover it but you have to pay more. gyn, p so women forever have paid more for the basic health care and under the Affordable Care act that changed berger as a womany you should not have to pay more for the basic care that you need. Mak and now all of that goes away under the house proposal. Women and just to make sure we see Womens Health care taken away, planned parenthood 97 percent of planned parenthood is obese you buy yen, a prenatal care care, mammograms, everything you need for annual visits. Backing is not funded. Complete the defunded. I want to congratulate everybody in the effort to make sure Birth Control is affordable for women. This is an economic issue. It is not a frill. Those who have worked hard to make sure but the good news is we are at a 30 year low. And with abortions since 1973 and because of that women have been able to get the health care that they need to get affordable Birth Control to manage health care to see the economy improved but we are seeing more and more informations are made available in thathe allows them to be in a situation where we see these historic but the nbc historic teen pregnancies and abortions. S where but in the Rural Communities pre where the planned parenthood thm clinic is the only providerlth for i en3 service freeze 56 health care and the only provider in more than half of planned parenthood and onethird of those women that this is the only Health Care Provider available to them. Neck s so Preventative Health care care, planned parenthood funding is cut completely. And other Essentials Services if you want that you compare more as a woman. On top of that we see Essentials ServicesLike Mental Health the we have said should be available. Health care above the neckle and below the neck should be viewed as essential services. All of this goes away withrd. Your proposal will. O so mr. President my judgment this is a mess and will create a mess. Lacoste, less service while asking the middleclass and lowincome families to pay more. Take this is simply not a good deal. Americans, i would welcome the opportunity to work with colleagues and something and to continue to move forward . Vero with 97 percent of the children in my state that is i worth keeping. That is the best of our values. We cannot go back words. I the proposal would take us back to a place that would hurt the majority of americans and strongly oppose that. Ss the ais thinking mr. President. The mr. President greg. W irrespective of how the a president ial election had come of this last livery would have a conversation about how to fix obamacare and there are many reasons for that of most importantly it is the sky rocketed cost for people of this country. Premiums have gone through the roof deductibles and copayments and out of pocket costs have been so expensive even if they have p coverage they cannot use their plans. When our colleagues across the aisle talk about the proposal from the law callseopln to try to drive down the cost for people in this country that is what this debate is about. Say what you want the fact of the matter in is this last year 2017 premium increases are 25 in the exchanges. Other say the premiums were t 50 percent i dont know how anybody can keep up with those premiums. The roof is blown off. O talking to people in south dakota all the time to share with me the excessive amount tod it costs to cover themselvesli and their families. And spoke to a family whose said they pay 22,000 per year for Health Insurance. That is not working. That is why we have a failure. In here will there are a third account these today it is hard to get a competitive rate with only one option so you have markets collapsing and insurers pulling out of and then leaving 8,000 people wondering and theyre will continue to cover themselves and the market is collapsing, choices are dwindling talking about how terrible the sings a be under the proposal but the fact is things are terrible today. S the key their obamacare should be repealed entirely your dramatically changed by any objective mr. And that is why we have this conversation that would have h happened respective of last fall. R, this is larry come up with a better solution for the American People to have the better quality of care with a doctor patient relationship but mr. President we have a recovery that began eight years ago but still feels like were in a recession. O so since the recovery began job wage growth has averaged a paltry eightpoint to percent threeyear one quarter of 1 increase of pay per year since to thousand nine. If you look at your life whether health care or the cost of education or the. Cost of energy or the cost of food that continues to go up did you get a point to 5 pay raise on an annual basis it is hard to feel like youre starting to sink. Good jobs and opportunities are too few and far between americans are workingic parttime. Evenas economic markersst have improved the virginia dismal 1. 6 and a few signs that things are improving it was 3. 2 average growth in the economy. Last year we were out one half of what the average has been with the Nonpartisan Congressional Budget Office over the next 10 years growth is that just 2 but the good news is dont have to resign herself to the status quo we can get the economy going again. Republicans are committed to that to identify the reasons for the longterm stagnation per our recent reportghtly, identified one important problem a lack of what the organization calls economic dynamism. The as it defines it that the rate to which new businessesor are born and die. But creation is high and significantly with the rate of business death. A new business creation has significantly dropped between 2009 and 2011 while the numbers of improved and is far from the historical norms the best year for business creation it fell far short of the worst year prior to 2008. This is deeply concerned because new businesses have a starkly been responsible for job creation not to mention the key source of innovation. New businesses are not created as workers face a whole host of problems and a less dynamic economy isre likely to feature fewer jobs of lower Labor Force Participation and slack wage growth and rising inequality. Paperwo exactly what we see today. Growta mr. President , to pass government regulations obviously some are necessary ama into anothers star of necessary with those paper work hours but the more resources they spent complying with regulation leslie have available. In innovation and to prevent many new businesses from getting off the ground small startups dont have the resources to hire individuals little old the lawyers to do the costly work the Obama Administration has spent time imposing burdensome and unnecessary regulations american businesses according to American Action forum and was responsible for implementing more than 675 major regulations that cost the economy more. Given those numbers it is no surprise the few resources dedicated to growing jobs. Rul part of that new business creation has dropped off during those years proposes a new congress began republicans have been focused on repealingare. Burdensome regulations we have already used this law to repeals read regulations buse and now we will do to more including the blacklisting rule with duplicativede requirements for businesses bidding on contracts and the blm methane rule to curb production by restricting c drilling. For those payments they could address and another area is obamacare. I mention revealing revealing will go a long way toward removing barriers to that growth to existing businesses. Reform. Another thing is to remove unnecessary barriers new and existing businesses rely on capital to help them ave and expand and create jobs in addition to removing burdensome regulations tax reform needs to be a priority to allow businesses to deduct startup cost to spur new business creation to help Small Business to thrive. Afford to that debate the american ne economy has always been known for being dynamic and innovative and we need to make sure that it stays that way. We need to freeze up be innovators and job creators hous so the next vat is a government buried before sees the light of day. T by removing burdens of regulations we can spur innovation and increase wages to put the economy on the path to Long Term Health to the historic level prior wages for American Families the look forward to working with my colleagues to achieve these goals and i am anxious for us to start passing bills to put policies in place better favorable to higher Economic Growth and better jobs and wages for American People and their families. I yield the floor. Mr. President , last night the the republicans then theli house we field their plan tol stop a california and replace it with something much worse. And trump care. Theyre so many things that our wrong with the bill with those 184 pages it is impossible to encapsulate all the difficulties of this legislation in one speech. I will highlight eight problems with this bill to start. First of all, it is a complicated mass despite the fact there was seven years to work on their own plan ameria they cobble together a bill that makes no sense in an effort to make everyone in the caucus happy they have made no one in the caucus happy that is why we see conservative groups and the Heritage Foundation to express opposition to legislation. This bill cuts medicaid the one everyone to understand that is cutting medicaid it is a euphemism this cuts a program that helps more than 70 million americans across the country to get of health care they need it means less care for pregnant moms, families with love ones and nursinghome spurt of benefits are trashed that will reduce medicaid to a level as seen before. By the way medicare does not the escape the act is also in trouble for reenact the house legislation becausemo trump care will move up the date of insolvency of the trust fund three years. In the year 2025. Ould that is not 30 years from now that is soon. Like medicare to be solventhe c and a accelerate the date medicare becomes insolvent. Third it hits the elderly with the age tax this is hell the law currently works it is the cap the when you can charge the you cannotio charge more than three times the amount for senior citizen. This would increase the cap of five times the cost the maximum under the currently law and now youre talking five times trolled hundred 50 per month. This is an age tax if there d is any difficulty the difficult this will be then ask the aarp bipartisan will respected organization working from every state and seniors across the country need to understand the age tax. Tax you will pay more for Health Insurance if the law passes as it is. Basically this is not a Health Care Bill because