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House Proceeding 09-30-09 on Sep 30th, 2009 :: 3:57:50 to 4:34:55
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Anthony D. Weiner

3:57:36 to 3:57:56( Edit History Discussion )

Anthony D. Weiner: the clerk: conference report to accompany h.r. 2997 making appropriations for agriculture, rural development, food and drug strapings for the fiscal year september 30, 2010 and for other purposes. the speaker pro tempore: ordered pribted. under the speaker's announced

Anthony D. Weiner

3:57:50 to 4:34:55( Edit History Discussion )
Speech By: Anthony D. Weiner

Anthony D. Weiner

3:57:57 to 3:58:17( Edit History Discussion )

Anthony D. Weiner: policy of january 6, 2009, the chair recognizes the gentleman from new york, mr. wiener, for 60 minutes. mr. weiner: thank you very much, mr. speaker, i appreciate your indulgence and before with the subject i want to summarize the last hour. apparently acorn is going to kidnap your children and going

Anthony D. Weiner

3:58:18 to 3:58:39( Edit History Discussion )

Anthony D. Weiner: to kidnap your children and force them to have national health care ffment you are having troubling following that, so are the rest of us. for you and anyone watching, if you are looking for a one-hour script about the ghost that lurked in the closets of our government, i can't help y.

Anthony D. Weiner

3:58:40 to 3:59:03( Edit History Discussion )

Anthony D. Weiner: but i would like to have a little bit of a conversation about the discussion that we're having around dining room tible and diners and church basements about the health care we provide americans, how we pay for it and what we should do to make it better. to my republican colleagues who

Anthony D. Weiner

3:59:04 to 3:59:26( Edit History Discussion )

Anthony D. Weiner: are watching, this is kind of quiet at this hour, i'm interested in having real discussion and real debate. there are things that we disagree with. there are sill soff call differences that have emerged but a lot of the debate has been too much like the last hour, which is just something bordering onsense.

Anthony D. Weiner

3:59:27 to 3:59:48( Edit History Discussion )

Anthony D. Weiner: but let me just start with the notion that we are really trying to solve with health care three problems, two of which are r of which is very difficult to solv the first problem we are trying to solve is that there are a lot of people who don't have health care. well, i shouldn't say that. they don't have health insurance.

Anthony D. Weiner

3:59:49 to 4:00:09( Edit History Discussion )

Anthony D. Weiner: they get health care. everyone who has insurance, t insurance, documented, undocumented, old, young, get health care. what i mean is that if someone right now outside the steps of this capitol falls down with a stroke, there is going to be an wlans that will take them to ar

Anthony D. Weiner

4:00:10 to 4:00:30( Edit History Discussion )

Anthony D. Weiner: hospital and revive them and make them healthy. the only question is how do we pay for that service? if we have health insurance, you pay for it one way. if you have medicare, you pay for it another way. if you have no heah insurance at all, we the taxpayer pay that bill.

Anthony D. Weiner

4:00:31 to 4:00:51( Edit History Discussion )

Anthony D. Weiner: and it'a lot of money. it's a small number of people who are uninsured but the expenses they have are very, very high because when you go into a hospital emergency room expensive care and it might not come back to us in taxes, but it

Anthony D. Weiner

4:01:14 to 4:01:35( Edit History Discussion )

Anthony D. Weiner: that the people who are not insured frankly if they can pay to pay, they do, but in a lot of cases they pass the expense to us. but that case is easy to solve. you give them to money or tax benefit or tax credit and you say go out and go shopping for health insurance, go buy some.

Anthony D. Weiner

4:02:18 to 4:02:38( Edit History Discussion )

Anthony D. Weiner: they're deciding how to set a price, do they price it in an unfair way so we are priced out. that is relatively easy to solve. no one should be able to drop someone from pre-existing conditions and now that we are in charge of this chamber, we will pass something to fix that. insurance companies are

Anthony D. Weiner

4:02:39 to 4:03:01( Edit History Discussion )

Anthony D. Weiner: regulated in all 50 states, a lot of states have tried to do those things, some with more effect than others. but the third problem and it's the mother of all prlems, the overall costs to the system, the overall costs to those of us who have insurance, the overall costs to us who are taxpayers is

Anthony D. Weiner

4:03:02 to 4:03:22( Edit History Discussion )

Anthony D. Weiner: getting drowning everything else in the economy and the question is how do you solve that problem? now, what has been suggested by the president and the majority party in congress through the various committees is what you try to do is if you require everyone to get insurance, meaning insurance companies have

Anthony D. Weiner

4:03:23 to 4:03:44( Edit History Discussion )

Anthony D. Weiner: more people to cover, that hopefully what thawill mean is more money coming in from lower cost people, meaning people who don't have a lot of illnesses and the insurance companies will be together and lower their prices. that's basically what the argument is. maybe theags right. maybe that's what will happen here.

Anthony D. Weiner

4:04:07 to 4:04:29( Edit History Discussion )

Anthony D. Weiner: they don't provide checksups. they don't provide clinical services and don't operate or. what do they do? they take your money, my money, they take the money from your employer, but what do they do? unlike any other insurance plan, they don't apportion risk because they don't cover anyone over 65.

Anthony D. Weiner

4:04:30 to 4:04:50( Edit History Discussion )

Anthony D. Weiner: think price a lot of people out of the market by saying to people like my father's age, we're go to go charge you $15,000 for a policy. so the question becomes what does insurance companies do? they take money. they take money out of your pocket, give it to doctors and take money for themselves. how much?

Anthony D. Weiner

4:04:51 to 4:05:13( Edit History Discussion )

Anthony D. Weiner: up to 30%. and the question that many of us are asking in the context of this debate is why do it tt way, why not try something different. why not try to say if you're go to go take your money and give it to your doctors and insurance companies, why don't you do it directly, why don't you do it the way we fund the fire

Anthony D. Weiner

4:05:14 to 4:05:36( Edit History Discussion )

Anthony D. Weiner: department -- i don't know, the fire department our the sanitation department. why not treat it as if it's a service. frankly, the fire department model is a pretty good one. if you think about it it's pretty similar. you don't need the fire department every day. day in and day out you go without the fire department, but when it's there, you need it.

Anthony D. Weiner

4:05:37 to 4:05:57( Edit History Discussion )

Anthony D. Weiner: you can't put out the fire yourself. you need the fire department to come to your home and put out your fire. we all put in money for the fire department and when there's a fire, we service we willingly pay for. but you don't have to say what

Anthony D. Weiner

4:05:58 to 4:06:19( Edit History Discussion )

Anthony D. Weiner: it would be like in health care to have a government-run health care health care plan. i'm borrowing the language of our opponents. i mean government running the reimbursement system. we do have some experience with that and it'called medicare. now, people have different views of medicare.

Anthony D. Weiner

4:06:20 to 4:06:40( Edit History Discussion )

Anthony D. Weiner: people either love it or they like it a lot or they think, oh my goodness, it's not going to be there for me or it's going broke. in a way, both sides are right, both groups are right. medicare has been an exquisite model of efficient government care and government for 44

Anthony D. Weiner

4:06:41 to 4:07:01( Edit History Discussion )

Anthony D. Weiner: years. it didn't start out being all that much of a bipartisan program t now it is, as you see from my republican friends who thump their chesses about defending medicare. -- chests. but they say i'm against anything that's government run.

Anthony D. Weiner

4:07:02 to 4:07:22( Edit History Discussion )

Anthony D. Weiner: i'm not quite sure i see the disconnect. some of them argue, isn't medicare on an unsustainable financial track. no doubt about it. all health care is. i'm going to borrow some of the what that means. .

Anthony D. Weiner

4:07:23 to 4:07:43( Edit History Discussion )

Anthony D. Weiner: this is the average health insurance premium from 1999 to 2008. went -- went from about $5,800 to $13,000 from 1999 to 2008, seven years. it essentially doubled. that's unsustainable. and this is private insurance.

Anthony D. Weiner

4:07:44 to 4:08:04( Edit History Discussion )

Anthony D. Weiner: now, it is true that medicare is also seeing that type of srain. degree it's a victim of its own success. today the average life expectancy of someone is about 10 years longer than it was 44 years ago when medicare was created. and by the way, mr. speaker, you're not getting those 10

Anthony D. Weiner

4:08:05 to 4:08:25( Edit History Discussion )

Anthony D. Weiner: years when you're a teenager, get them at the end of your life. so that's adding to a lot. technology is adding to a lot of expense and there's a lot of things we do in medicare that don't make a lot of sense that we could do to save money. a lot of them i hope we're going to do in our national health care fix that we're going to do. but one thing you can absolutely say, no money is going for

Anthony D. Weiner

4:08:26 to 4:08:46( Edit History Discussion )

Anthony D. Weiner: profits, no money is going for or very little money is going for overhead, 3.5%. compared to a 30% overhead for private health insurance companies. so the question has to be, what are the benefits that we're getting from those private insurance companies? well, my colleagues frequently

Anthony D. Weiner

4:08:47 to 4:09:08( Edit History Discussion )

Anthony D. Weiner: say, you get competion. really? competition? explain to me how competition works in the health care business. if i fall down here, again, not to keep using morbid examples, but if i fall down and i have an appendicitis attack right now and i have to get my apen dicks replaced, tell me about competion.

Anthony D. Weiner

4:09:09 to 4:09:29( Edit History Discussion )

Anthony D. Weiner: do i geto shop around to see maybe i'll have a liver or spleen instead? of course not. do i get to the say, well, i'm not going to get my appendix done right now, i'm going to wait and i'm going to go get it done in december when i hear they go on sale? no. in fact, i also can't go out and say, you know what?

Anthony D. Weiner

4:09:30 to 4:09:54( Edit History Discussion )

Anthony D. Weiner: wait a few years, don't operate on me, i'm going to go to medical school and learn how to do it myself? the notion of competition is further follow folly in that for most people who have health insurance at their work, they don't have a choice of plan. the employer comes in and says,

Anthony D. Weiner

4:09:55 to 4:10:19( Edit History Discussion )

Anthony D. Weiner: on the floor of the you're going to get etna. that's our plan. i'm going to pay 60%, you're going to pay 40%, that's it. i'm going to do blue cross instead. there's not real effective competent he fission in that context as well. most peoplget their insurance through their work. but remember something, the

Anthony D. Weiner

4:10:20 to 4:10:40( Edit History Discussion )

Anthony D. Weiner: basic element of competition doesn't deal with medicare in a very important way. patients have their choice of what doctor to go to. they have the choice of what hospital, whatically nigs to go to. they have absolute choice. so we're right back to where we started. both private insurance and medicare both have financing problems, the financing problem is worse.

Anthony D. Weiner

4:10:41 to 4:11:01( Edit History Discussion )

Anthony D. Weiner: they both have some elements of choice, mecare more choice than the private insurance. but the difference, and this is that third problem we're trying to solve, the difference is how much private insurance companies take out of the pot for their shareholders, for advertisement, for overhead.

Anthony D. Weiner

4:11:02 to 4:11:24( Edit History Discussion )

Anthony D. Weiner: it's an enormous amount and we should want if back. some have suggested -- want it back. some have suggested and i keep trying myself to do the other -- try my best do the other side of the argument, because none on the other side of the aisle have taken my offer to discuss it tonight. some have said, well, you know, those insurance companies, the

Anthony D. Weiner

4:11:25 to 4:11:45( Edit History Discussion )

Anthony D. Weiner: money that they're taking, they employ a lot of people. the shareholders have a right to take that money from the taxpayer. to take that money from patients. you know, that might be an argument that you make in a shareholders meeting but it shouldn't be an argument you make on the floor of congress. we shouldn't be standing up fighting for shareholders. i mean, i guess the equivalent

Anthony D. Weiner

4:11:46 to 4:12:07( Edit History Discussion )

Anthony D. Weiner: wod be in the 1980's wh discovered we were paying $700 for toilet seats for the department of defense. i guess i would have heard my colleagues say, but, yes, there are many hardworking people making those toilet seats. can't take that money away from them. of course not. we said, we'll find a way to get a $10 toilet seat like everyone else because we're here fighting for the taxpayers' money and

Anthony D. Weiner

4:12:08 to 4:12:29( Edit History Discussion )

Anthony D. Weiner: we're here fighting to improve the love the -- lot of patients. so i believe where we have to start is taking an example of something that works, which is medicare. now medicare, as you all know, begins when you turn 65. so the speaker has about another 30 years before he has to worry about that. but frankly i don't understand

Anthony D. Weiner

4:12:30 to 4:12:50( Edit History Discussion )

Anthony D. Weiner: what the magic is about the 65 birthday that makes it a plan that works. 96% -- every year we do a survey of people on medicare, we ask them to grade the care that they get, the efficiency of the care, the quality of the care. they give it a 96 this year. 96%. we also asked the contractor, we always hear how rrible

Anthony D. Weiner

4:12:51 to 4:13:12( Edit History Discussion )

Anthony D. Weiner: medicare is for providers. we also ask each year, c.m.s., asks the providers, they call them contractors, they gave it a 4.5 out of six. so you basically got both elements are pretty happy th it. but we started at -- it at age 65. next time you go to the

Anthony D. Weiner

4:13:13 to 4:13:35( Edit History Discussion )

Anthony D. Weiner: supermarket, soldier who looks ke they're 65 or 60 and say, hey, would you like to have medicare now when you're 55 or 6 to 0? they'll say, heck yeah, because those are the people for whom shealt insurance is the most ex those are the people most likely to be laid off. that in between group. yet we don't offer it to them. why?

Anthony D. Weiner

4:13:36 to 4:13:56( Edit History Discussion )

Anthony D. Weiner: we have a system that works, medicare, and yet instead of trying to figure out a way to take this and expand it to more people, we say, no, it's got to be 65. why don't werovide medicare for those that are like 21 to 25, who are just off their parents' plan or just out of college?

Anthony D. Weiner

4:13:57 to 4:14:17( Edit History Discussion )

Anthony D. Weiner: those are people that we'd like to have covered, those are the so-called invincibles, those are the people that have trouble finding health care. why don't we provide them with medicare? now, some have suggested, oh, wait a minute, you're taking over health care. socialized medicine. well putting aside for a moment

Anthony D. Weiner

4:14:18 to 4:14:38( Edit History Discussion )

Anthony D. Weiner: that socialism has a meaning, the doctors are still going to be the doctors, the hospitals are still going to be the hospitals, if you take a look at that argument you realize that, i don't know, what do you think, mr. speaker, 50% of this place has medicare? 60%? i don't see them complaing. th don't seem to mind

Anthony D. Weiner

4:14:39 to 4:15:01( Edit History Discussion )

Anthony D. Weiner: socialized medicine when they're getting. it i don't see any of them saying no. how come members of congress don't take the public plan? hey, they do have the public plan. they've got medicare. and by the way, when i turn 65, sign me up. it's going to be a while, mr. speaker, so don't rush me. but, look, the fact is, we have a model of something that works. now as i said, and i want to

Anthony D. Weiner

4:15:02 to 4:15:23( Edit History Discussion )

Anthony D. Weiner: stipulate to this, that it's expensive and we need to contain that cost. but this brings us to the ideas about how you do it and i will say this at the ri of antagonizing any of my cliges -- colleagues or breaching the

Anthony D. Weiner

4:15:24 to 4:15:44( Edit History Discussion )

Anthony D. Weiner: rules, i wanted to see if the particletarian might perk up, my colleagues have not been honest when it comes to the cost. they've said thingsrepeatedly. tort reform. we have tort caps in 46 of the 50 states. 46 of the 50 states and some of the states that have the toughest caps, you've got the greatest rate of increases in

Anthony D. Weiner

4:15:45 to 4:16:05( Edit History Discussion )

Anthony D. Weiner: health insurance in a malpractice. why? it's obvious why. the health insurance companies lobby for these capps, then they keep the money. they don't pass it along to us and their shareholders cheer. tort reform, they say. well, we asked them by the way, we said to the congressional budget office, the c.b.o., we

Anthony D. Weiner

4:16:06 to 4:16:26( Edit History Discussion )

Anthony D. Weiner: said, what would happen if you overnight can reduce 30% of all tort claims sna what would happen? they said, you'd get savings. .4%. we went back to this and said, how can this be, if you are you december that? they said to us, and these are propeller heads, they're just

Anthony D. Weiner

4:16:27 to 4:16:47( Edit History Discussion )

Anthony D. Weiner: pencil pushers, they're not politicians, they said, yeah, because we looked at the different states and what did we find out? we find out when you get caps the insurance companies eat the money. that's one thing about cost containment and that clearly doesn't prove to be right. then they said something else that's interesting. they say, why don't we let all insurance companies, all health

Anthony D. Weiner

4:16:48 to 4:17:08( Edit History Discussion )

Anthony D. Weiner: insurance companies, compete in every other market? essentially adding to competition. now this because it kind of argues for the public option in an odd way. but let's take it where it goes. now, first of all, let me make it clear, there is a reason that a health insurance company in maine doesn't come in and offer a health insurance policy in new

Anthony D. Weiner

4:17:09 to 4:17:29( Edit History Discussion )

Anthony D. Weiner: york. because first thing they have to do is develop their network of doctors in new york. that's very expensive and difficult. but new york has made it very than happy, there are no applications pendsing for someone who wants to offer insurance. that's true for most of the states. why is it you need to apply to a state? this is where my republican

Anthony D. Weiner

4:17:30 to 4:17:50( Edit History Discussion )

Anthony D. Weiner: friends tie themselves in a little bit of an intellectual not. insurance is regulated by the 50 various states. why is that? because, and this is a place where as much as i'm critical you of insurance companies, i kind of agree, health insurance companies say, listen, we need to be able might be deemed anti-competive under other laws. we need an exemption from the anti-trust laws so we can share

Anthony D. Weiner

4:17:51 to 4:18:12( Edit History Discussion )

Anthony D. Weiner: information across state lines and among companies. essentially, that's too strong of a word, collude. share information about patients. you don't want someone who gets into car accident in new mexico to be able to hide it by going to new jersey. so each and every state, this is not regulated federally, it's not interstate commerce, each

Anthony D. Weiner

4:18:13 to 4:18:33( Edit History Discussion )

Anthony D. Weiner: individual state has it. each own process for allowing insurance companies toome in. you know what? nobody's saying no. you look at the 50 states' insurance commissioners, they're not getting overrun. they're not doing that insurance companies have no real interest in competing on price. so once all the customers are

Anthony D. Weiner

4:18:34 to 4:18:54( Edit History Discussion )

Anthony D. Weiner: locked up, there's no interest in coming in. but i guess the logical extension of the argument for people who want to have that type of competition so take away the anti-trust exemption interest insurance companies. you can do that. i don't think that your patrons, thinsurance industry, who provide so much funding for

Anthony D. Weiner

4:18:55 to 4:19:16( Edit History Discussion )

Anthony D. Weiner: campaigns, will be very happy about that bill. what is it that the preside proposes? and what is it that h.r. 3200 proposes. it proposes that for some americans, not many, to be honest, some americans, meaning those that don't have insurance through their work, are not working but are not eligible for

Anthony D. Weiner

4:19:17 to 4:19:38( Edit History Discussion )

Anthony D. Weiner: medicaid, who are individuals who are just looking to get insurance, bru not covered, that's relatively small group of people. remember, 45% or so of all medicaid, department of -- health care through the department of defense, veterans' affairs or bureau of indians affairs.

Anthony D. Weiner

4:19:39 to 4:19:59( Edit History Discussion )

Anthony D. Weiner: 55% to 60% have through private insurance. 10%, 5%, 8% who are -- we're going to give them a tax benefit, they're going to then go shopping. but in order to make sure that there's some competion so that the rate of health insurance that they're buying doesn't keep going up, we're going to have a

Anthony D. Weiner

4:20:00 to 4:20:22( Edit History Discussion )

Anthony D. Weiner: public plan like medicare that is going to be introduced for those people. now, it is anticipated that maybe 1/3 of all those people at most would go into the public plan. so you have a tiny sliver, if are you covered by insurance at your home, at your work, rather, theoreticallyou can say to your employer, kep your money, keep your money, i'm going to

Anthony D. Weiner

4:20:23 to 4:20:43( Edit History Discussion )

Anthony D. Weiner: absorb all the cost and go try and shop for the public option but that's not going to realistically happen according to c.b.o. if you have your insurance company, if you have medicare you're not going to be able to do it but you're going to be able to get something resembling a choice if you're one of those people. and the argument that h.r. 3200, which is the bill we've all been discussing, and an argument that president obama made before he

Anthony D. Weiner

4:20:44 to 4:21:06( Edit History Discussion )

Anthony D. Weiner: spoke to us before congress, is that if you have that element of choice you'll have low overhead, you won't be advertised, you won't be given bonuses and taking money after shareholders and that people, that company, that public option will hold down costs.

Anthony D. Weiner

4:21:13 to 4:21:34( Edit History Discussion )

Anthony D. Weiner: . people who argue for single high payer says it will be effective because people are going to like the low overhead and the like. people who are opes owesed to it -- opposed say people are going to choose that plan and private insurance companies won't be

Anthony D. Weiner

4:21:35 to 4:21:55( Edit History Discussion )

Anthony D. Weiner: compete. in both cases, they are saying the same thing that citizens are going to go to the public option and go to medicare for everyone else, whatever we're go to go call it. so the question gets begged, why not go there directly?

Anthony D. Weiner

4:21:56 to 4:22:17( Edit History Discussion )

Anthony D. Weiner: why give people tax benefits when they can buy in the private market and take 0% off the top and why not expand a program like medicare and find cost savings by doing things like not paying $900 for a slip and fall, but maybe, i don't know, $30 to

Anthony D. Weiner

4:22:18 to 4:22:38( Edit History Discussion )

Anthony D. Weiner: build a hand rail next to their shower. why spend an enormous amount of money in the final days of life and do nothing in the early days to try to get people to live a better life, live a healthier life. does the the gentlewoman from california seek time? go ahead.

Anthony D. Weiner

4:22:39 to 4:22:59( Edit History Discussion )

Anthony D. Weiner: fire away. >> thank you, mr. speaker. report from the committee of rules for filing under the rule. the clerk: report to accompany house resolution 789, resolution providing for consideration of the conchts report to accompany the bill h.r. 34183 making

Anthony D. Weiner

4:23:00 to 4:23:21( Edit History Discussion )

Anthony D. Weiner: appropriations for energy and water development and related agencies for the fiscal year ending september 30, 2010 and for the speaker pro tempore: referred to the house calendar and ordered printed. the gentleman from new york. mr. iner: the question comes back to how you do get the savings.

Anthony D. Weiner

4:23:22 to 4:23:42( Edit History Discussion )

Anthony D. Weiner: and it also comes back to who's accountable for those savings. i believe we have to get savings in medicaid anmedicare and savings -- this is not just something that has to be done by the private insurance companies. we have to find savings because as the president said when he stood there, virtually our entire deficit right now is

Anthony D. Weiner

4:23:43 to 4:24:03( Edit History Discussion )

Anthony D. Weiner: health care costs. health care costs are are paid for by the taxpayer are going up. and people say why is that happening? well, everyone watching this broadcast tonight is not only paying their premiums, not only paying their co-payments, but they are paying taxes that are

Anthony D. Weiner

4:24:04 to 4:24:27( Edit History Discussion )

Anthony D. Weiner: supporting the city workers in your town for health care. they are supporting the state workers, the federal workers, all of the retirees, your -- you are paying an increasing amount because that health care inflation is coming back to you in many ways.

Anthony D. Weiner

4:24:50 to 4:25:13( Edit History Discussion )

Anthony D. Weiner: so you might not see that you are paying it, but you're paying it and we need to turn the cost down. before i yield back the time, i want to try to address some of the kind of the advice ral concerns that the opponents have had. one i have touched upon and one is the notion that it's going to

Anthony D. Weiner

4:25:14 to 4:25:36( Edit History Discussion )

Anthony D. Weiner: be a government-run progra and by definition, government-run programs are not good programs. there are some good governnt-run programs and not so good government-run programs. social security is a program that worked. people are talking about how it's unsustainable. it has giant surpluses.

Anthony D. Weiner

4:25:37 to 4:25:57( Edit History Discussion )

Anthony D. Weiner: i think medicare has worked. i think that people haven't gotten rich off of it but it took a group of seniors who had a 28% poverty rate and lifted them to the point where we have single digits and it is so popular now that the chair of the republican national party

Anthony D. Weiner

4:25:58 to 4:26:19( Edit History Discussion )

Anthony D. Weiner: put out a couple of weeks ago, the republican plan to protect medicare, which i thought was unintentionally ironic because in the same time he was lamenting the growth of government-fubbedr funded health care. there are some programs that aren't so good. that will work.

Anthony D. Weiner

4:26:20 to 4:26:40( Edit History Discussion )

Anthony D. Weiner: and there is a certain level of phoneiness of going home to our districts and they rail against government-funded plans and then embrace medicare. but listen to what the choice is. the choice is health insurance companies. now some of my colleagues have

Anthony D. Weiner

4:26:41 to 4:27:01( Edit History Discussion )

Anthony D. Weiner: come to the floor with this clever and creative boxes showing different where your money goes to show how to bureaucratic health care is. this is the way private insurance operates today.

Anthony D. Weiner

4:27:24 to 4:27:46( Edit History Discussion )

Anthony D. Weiner: why is it we have health care that is provided by our employers? where did that come from? why did a shoe store have a different obligation to its workers than on the other side? why what health care they have? that's what happens. if joe's shoe store decides i want to do the right thing and

Anthony D. Weiner

4:27:47 to 4:28:07( Edit History Discussion )

Anthony D. Weiner: cover my employees, i'm going to put $7,000 an employee into the till and the guy across the street says no, i'm going to provide no iurance and send them to the neighborhood emergency room for their health care and since i'm saving $7,000 an employee, i will cut the cost

Anthony D. Weiner

4:28:08 to 4:28:29( Edit History Discussion )

Anthony D. Weiner: of my shoes by 15%. how is that fair? medicare says we aren't going to do it based on employer and we should do that. ask your neighborhood employer who is wrestling with trying to keep a business afloat with having to keep business health care afloat. it ain't medicare.

Anthony D. Weiner

4:28:30 to 4:28:52( Edit History Discussion )

Anthony D. Weiner: the doctors say it is sufficient. patients say it is sufficient. but getting back to this, this is the way that private insurance is modeled right now, because they have to go and negotiate with doctors, they deal with drug companies and then they're dealing with th goods and administration of

Anthony D. Weiner

4:28:53 to 4:29:14( Edit History Discussion )

Anthony D. Weiner: c here's what medicare looks like on a chart. patients get health care. the patients pay taxes and the doctors, that's it. pretty simple. the only thing is more simpler

Anthony D. Weiner

4:29:15 to 4:29:35( Edit History Discussion )

Anthony D. Weiner: is taking money out of your ckets. they have been able to do it much more efficiently. the other thing to keep in mind as we take a look at this is that there's a lot of money being spent on health care that we don't see. if you do a single payer plan as i ggested here, no longer will you have cities and states

Anthony D. Weiner

4:29:36 to 4:29:57( Edit History Discussion )

Anthony D. Weiner: holding the bags for unreimbursed expenses. what happened to my colleagues lamenting the unfunded mandate? health care is the unfunded mandate. our businesses have to pay because you are doing nothing. that's the ultimate. what we're go to go do here as i

Anthony D. Weiner

4:29:58 to 4:30:19( Edit History Discussion )

Anthony D. Weiner: conclude, what we are going to do here is come up with a plan that provides additional choices for people that don't have oices right now, the uninsured. we are going to try to improve the circumstances and try to do something to introduce some element of competion to hold down cos. but i tell you, i don't think that's the right way to go and

Anthony D. Weiner

4:30:20 to 4:30:40( Edit History Discussion )

Anthony D. Weiner: i'm going to offer a different plan when we're on this debate in the next month or so. and i'm going to offer legislation modified version of h.r. 676 offered by congressman conyers with many co-sponsors that says, you know what? we're going to take a plan like medicare and offer it to americans.

Anthony D. Weiner

4:30:41 to 4:31:02( Edit History Discussion )

Anthony D. Weiner: take their payroll taxes and taxes they pay and fund the system. we're not going to do a backdoorway. we're going to do it federally. and not based on employer or based on the luck of the draw. i got lucky. i didn't get born with that. i got lucky. i didn't get it by a car. that's not the way we're going

Anthony D. Weiner

4:31:03 to 4:31:25( Edit History Discussion )

Anthony D. Weiner: to choose who's going to get health care. we're go to go take hospitals and fund them globally. the bill. this is of people you have in it, this is the number of seniors you have in it, the number of people who have higher needs, here's your budget. if you come under, you keep it.

Anthony D. Weiner

4:31:26 to 4:31:48( Edit History Discussion )

Anthony D. Weiner: doctors, same as medicare. patient gets to choose. you come in and provide the service. and if you think we can't afford chart from a couple of years ago, for health care in this country.

Anthony D. Weiner

4:31:49 to 4:32:09( Edit History Discussion )

Anthony D. Weiner: it's actually $2.5 trillion today. this is the dreaded socialized part. medicare, medicaid, d.o.d., so essentially, this is what it americans. by the way, you are paying this out-of-pocket number and $200 billion in profits for this guy,

Anthony D. Weiner

4:32:10 to 4:32:32( Edit History Discussion )

Anthony D. Weiner: private insurance company. and what we're saying is that don't do it that way anymore. other countries don't do it that way. whenou hear people come to the floor and say you want to make a system like england or canada? no. i want to make a system like the united states of america where we tried something 44 years ago

Anthony D. Weiner

4:32:33 to 4:32:55( Edit History Discussion )

Anthony D. Weiner: that has been an abiding success and that's medicare. i want to try that. i want to try that plan don't get the exact number that would be a good thing to get, that half my colleagues have, a third of my colleagues. good enough for congress, why isn't it good enough if you are 55, 65 or 45?

Anthony D. Weiner

4:32:56 to 4:33:16( Edit History Discussion )

Anthony D. Weiner: that's the kind of plan we should have. if you think we can't afford to do it for less than $2.5 trillion, you're wrong. we can. because the present system is unsustainable. the question is not whether we ear going to do something. it's like budism. not whether you are going to

Anthony D. Weiner

4:33:17 to 4:33:38( Edit History Discussion )

Anthony D. Weiner: have change but what kind of a change it's going to be. we can continue along this arc. the 30-something group's charts our national health expenditures up. i have a better one here. here it is.

Anthony D. Weiner

4:33:39 to 4:34:01( Edit History Discussion )

Anthony D. Weiner: share of our g. dmple p. 20% of our d.g.d.p.? to grow? the answer isn't whether, but when. the what we should do is take a system like medicare that is sufficient, well liked, understood, that is simple and

Anthony D. Weiner

4:34:02 to 4:34:23( Edit History Discussion )

Anthony D. Weiner: extend it to more americans. we're not going to do is follow the advice and counsel of my friends on the other side who, for the hour preceding mine went on some screed about acorn, kidnapings, planned parenthood,

Anthony D. Weiner

4:34:24 to 4:34:44( Edit History Discussion )

Anthony D. Weiner: babies and bringing them into obama death camps. we aren't going to have a conversation like that. you can keep on doing that. i guess you have to feed the beast of the talk radio, but the adults of this institution and president obama and the senate, we are going to try to solve this problem because that's what we get paid to do.

Anthony D. Weiner

4:34:45 to 4:34:55( Edit History Discussion )

Anthony D. Weiner: and we have the luxury in this body of laying down our head tonight with pretty good insurance, medicare, many of my colleagues have. and i see no reason why all

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