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Senate Proceeding on Nov 30th, 2009 :: 3:00:45 to 3:31:54
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John McCain

3:00:43 to 3:01:03( Edit History Discussion )

John McCain: the reid bill is in the wrong the presiding officer: the senator from arizona. mr. mccain: i ask unanimous consent to this time a motion with instructions. the presiding officer: without

John McCain

3:00:45 to 3:31:54( Edit History Discussion )
Speech By: John McCain

John McCain

3:01:04 to 3:01:25( Edit History Discussion )

John McCain: objection. the clerk will report the motion. the clerk: the senator from arizona, mr. mccain, moves to commit h.r. 3590 to the committee on finance with instructions to report the same back to senate with changes that do not independent clu following: one -- mr. mccain: madam president, th

John McCain

3:01:26 to 3:01:48( Edit History Discussion )

John McCain: motion be dispensed with. the presiding officer: without objection. mr. mccain: madam president, simply put this motion would be a requirement that we eliminate the half dollars in medicare cuts that is envisioned by this bill. a half a trillion dollars in

John McCain

3:01:49 to 3:02:09( Edit History Discussion )

John McCain: cuts that are unspecified as to how, and half a trillion dollars in cuts that would directly impact the health care of citizens in dicare advantage cuts totaling $118 billion. an independent medicare advisory board that would cos

John McCain

3:02:10 to 3:02:31( Edit History Discussion )

John McCain: cost $23 billion. expansion penalties home health care cuts totaling totaling $42.1 billion. hospice -- of hospice, some $8 billion.

John McCain

3:02:32 to 3:02:52( Edit History Discussion )

John McCain: and the list goes on and on. all of these are cuts in the obligations that we have and are at the rightful -- rightful benefits that people have earned in our -- and citizens -- our senior citizens

John McCain

3:02:53 to 3:03:13( Edit History Discussion )

John McCain: across this nation. this is -- this eliminates a half a trillion dollars in cuts to medicare that are cuts which are unspecified. i will eagerly look forward to hearing from the authors of legislation as to how they can possibly achieve a half a

John McCain

3:03:14 to 3:03:35( Edit History Discussion )

John McCain: trillion dollars in cuts without impacting existing medicare programs negatively and eventually lead to rationing of health care in that's what this motion is all about. this motion is to eliminate those unwarranted cuts. now all of us know that there

John McCain

3:03:36 to 3:03:59( Edit History Discussion )

John McCain: are enormous savings in fud abuse an twheas can be eye -- and waste that can be identified. no expert that i know o believes that that would come up to a half a traldz. -- half a traldz. hospitals are cut b by $105 billion. nursing homes are cut b by $14.6 billion.

John McCain

3:04:00 to 3:04:21( Edit History Discussion )

John McCain: by $7.6 billion. these are not attainable cuts without eventually rationing health care in america and rationing health care for senior citizens who have earned these benefits and we have guaranteed them these benefits.

John McCain

3:04:22 to 3:04:43( Edit History Discussion )

John McCain: and for the life of aarp can support this 2,000-page legislation is beyond my imagination. seniors all over america and all over the state of arizona, including the 330,000 senior citizens in my state that are under the medicare advantage

John McCain

3:04:44 to 3:05:05( Edit History Discussion )

John McCain: program, which is going to be drastically cut by som some $120 billion, are outraged. and the more they find out about it, the more become. so here we from the great state of iowa and a leader on health care just

John McCain

3:05:06 to 3:05:26( Edit History Discussion )

John McCain: articulated, in a totally partisan measure before united states senate in which no member has been consulted in any way -- i would point out to my colleagues historically there has never been a major reform implemented by the congress of

John McCain

3:05:27 to 3:05:49( Edit History Discussion )

John McCain: the united states unless it's by a -- unless it's bipartisan in nature and i don't believe that e american people want this 2,000-and-some-pe monstrosity, which is full of -- which is full of all kinds of that they are either unaware of or even in the study of this

John McCain

3:05:50 to 3:06:10( Edit History Discussion )

John McCain: legislation many of us have also become unaware of. but fundamentally madoff accounting, the enron accounting that's been going on with this bill is dependent on envisioning a half a traldz in cuts --

John McCain

3:06:11 to 3:06:31( Edit History Discussion )

John McCain: in cuts are not attainable. if they are attainable, it would mean a curtailment or reduction in what we promised the senior citizens of this country. it's not acceptable. so what this -- what this -- this motion to commit does, it sends it back to committee. come back with another bill.

John McCain

3:06:32 to 3:06:53( Edit History Discussion )

John McCain: only this time don't put the cost of it on the backs of senior citizens of this country. don't do it. you k summer three months before he was elected president on a washington, d.c., now president obama vowed

John McCain

3:06:54 to 3:07:15( Edit History Discussion )

John McCain: health care, but to do it in a new way. he said i will have all of the negotiations around a big table, televised on c-span so people can see who is making arguments on behalf of their constituents an who are making arguments on behalf of the drug companies or the insurce companies. americans wanted to believe this would be true. republicans offered to work with the majority on our ideas, but

John McCain

3:07:16 to 3:07:36( Edit History Discussion )

John McCain: that was rejected. and so what has business as usual. let me read from a report this past weekend about business as usual. the associated press has moved a story saying that health care lobbyists and other interests have made $57 -- 575 visits to

John McCain

3:07:37 to 3:07:57( Edit History Discussion )

John McCain: the white house between january and august. the report is based on records released by the white hou wednesday. the timing of the release smells of a classic washington tactic. dumping bad news on the gettaway date before a long weekend. clearly the white house, who has prized itself on being the most

John McCain

3:07:58 to 3:08:18( Edit History Discussion )

John McCain: transparent administration in the history of the world, that this the four-day thanksgiving day weekend. top aid to president obama have met democratic political strategists and others with a stake in the administration of the national health care overhaul. white house visitor records

John McCain

3:08:19 to 3:08:39( Edit History Discussion )

John McCain: obtained wednesday b associated press. now, all of my fello citizens who are watching on c-span, i urge you, call the white house. say you'd like to appointment. you'd like to have an appointment to meet with the president or administration in the white house, were able to get in. why can't you

John McCain

3:08:40 to 3:09:00( Edit History Discussion )

John McCain: give them a call. tell them you'd like to meet with -- with members of the administration. that's what 575 lobbyists have been able to do. give them a call. the record shows a record broad section of the people most heavily involved in the health care debate, except for average citizens.

John McCain

3:09:01 to 3:09:22( Edit History Discussion )

John McCain: weighted heavily with those who want to overhaul the system. talks about whose among them, including the health plans, c.e.o. of blue cross blue shields, lobbyist who represents blue cross blue shield.

John McCain

3:09:23 to 3:09:43( Edit History Discussion )

John McCain: billy richard umdenstock, several lobbyists for care interests, including insurers, drug companies and large employers also visit the whit show.

John McCain

3:09:44 to 3:10:06( Edit History Discussion )

John McCain: so, again, citizens why don't call the white house and ask for an appointment. the lobbyists and interests, the big donors get it. they're not ambassadors, they're lobbying the white house on this issue. my friends, health ce reform should have been about both sides sitting down together an fixing what's -- and fixing what's broken.

John McCain

3:10:07 to 3:10:27( Edit History Discussion )

John McCain: reducing health care c preserving the highest health care quality in the world. somewhere -- somewhere in the course of this debate and the process of this legislation, we lost sight of the fundamental problem with health care in america and that's the cost of health care in america, not quality. and this legislation will

John McCain

3:10:28 to 3:10:48( Edit History Discussion )

John McCain: destroy the quality and the availablity if the cuts envisioned in this legislation, in this enron measure, where the first four years -- the first after this legislation -- after -- suppose that this legislation was signed on the first of january by the president of the

John McCain

3:10:49 to 3:11:09( Edit History Discussion )

John McCain: united states. immediately benefits begin getting cut, immediately taxes go up, and guess what? none of the benefits will be given to any american c for four years. so that's how you get deficit-neutrality. that's how you get

John McCain

3:11:10 to 3:11:30( Edit History Discussion )

John McCain: if you started giving the benefits at the same time you raise the you've got about $1.3 trillion in deficit in $2.5 trillion $2.5 trillion piece of legislation. my friends, here we are with the highest deficits in history,

John McCain

3:11:31 to 3:11:51( Edit History Discussion )

John McCain: with a deficit and debts as far as we can see, with the stimulus package that has been done so well we now have 10.2% unemployment, and many predict that it's even going higher, but wall street's doing fine. and these lobbyists fine.

John McCain

3:11:52 to 3:12:14( Edit History Discussion )

John McCain: this one mr. tozan, the pharma lobbyist, he's doing fine. i understand hisalary is around a couple of million dollars a year, not to mention all of the other perks. the average citizen, the 330,000 citizens of my state who have the medicare advantage program are going to see it cut and cut

John McCain

3:12:15 to 3:12:36( Edit History Discussion )

John McCain: and cut over about $120 billion worth. so what hap the white house engaged in the adition of handing out favors to special interest including pharma, and shame on aarp and shame on the a.m.a.

John McCain

3:12:37 to 3:12:57( Edit History Discussion )

John McCain: we -- we know there are many commonsense reforms that americans want. we know they can work. by the find me any significant real medical malpractice

John McCain

3:12:58 to 3:13:23( Edit History Discussion )

John McCain: medical malpractice, the threat practice defensive medicine. the c.b.o. estimates that it would be roughly a savings of $54 billion over ten years. that does not take into consideration the cost of defensive medicine that doctors have to practice because of fear of being sued. i -- i would ask the distinguished chair

John McCain

3:13:24 to 3:13:45( Edit History Discussion )

John McCain: committee where -- where is any meaningful this 2,000-page bill? hi a town hall meeting in arizona the other day as i do quite frequently and a lot of doctors came, they had requested it, doctors, nurses, and caregivers, and i asked them what do you do about mical

John McCain

3:13:46 to 3:14:07( Edit History Discussion )

John McCain: malpractice reform, and every one of them, every one of them said we practice defensive medicine. we prescribe additional tests and procedures. we have to do it because we find ourselves in court by the trial lawyers. do not underestimate, my friends, the many special interests and

John McCain

3:14:08 to 3:14:29( Edit History Discussion )

John McCain: this legislation, but do not underestimate the stunning success of the american trial lawyers association who have made sure that there is no provision in this bill to do with medical mal reform. and by the way, if there is if there is an called the state of texas.

John McCain

3:14:30 to 3:14:52( Edit History Discussion )

John McCain: the state of texas enacted meaningful and yet not draconian medical malpractice reform. premiums have gone down, cases have gone down, doctors are flooding bac texas, and it has wked. so you're going to hear from the other side that there may be demonstration projects, there may be this, may be that.

John McCain

3:14:53 to 3:15:15( Edit History Discussion )

John McCain: the demonstration project is the state of texas. that's all we have to do. it's already been proven. so instead of a reform which could save tens if not a couple hundred billion dollars, what are we going to do? we're going to cut hospitals by by $105 billion, nursing homes by by $7.6 billion, and the list

John McCain

3:15:16 to 3:15:36( Edit History Discussion )

John McCain: goes on and on, up to a half a trillion dollars. and my to the finance committee and tell them to remove unnecessary, unneeded, unwanted, harmful cuts in the medicare system which will not allow us to

John McCain

3:15:37 to 3:15:57( Edit History Discussion )

John McCain: senior citizens of this buried i legislation, as i mentioned, ten years of tax increases in medicare cuts that total over over $1 trillion. using c.b.o. numbers, this stack of partisan legislation costs costs $2.5 trillion over its ten-year implementation.

John McCain

3:15:58 to 3:16:18( Edit History Discussion )

John McCain: so let me -- let me put this different term suppose you want to buy a house, so you go and you buy the house but the terms of the contract of purchasing the house, you make the payments on the house for the first four years and after four years, you can move in. that's why this is bernie madoff

John McCain

3:16:19 to 3:16:39( Edit History Discussion )

John McCain: accounting. it's a sham. it's a it's a sham to make people pay taxes and have their benefits cut at the -- for four years and then only after four years do the benefits kick in. that's the way with this kind of

John McCain

3:16:40 to 3:17:02( Edit History Discussion )

John McCain: accounting they get to deficit neutral. it's crazy. it's crazy. so you increase taxes in medicare cuts begin impacting americans and days if this were let me repeat this. starting in january, 2010, just

John McCain

3:17:03 to 3:17:24( Edit History Discussion )

John McCain: one month from now, a maj begins tax increases and medicare cuts. starting in january. incredibly delays implementation of this bill for four years. that's 1,460 of new taxes and medicare cuts before implementation.

John McCain

3:17:25 to 3:17:46( Edit History Discussion )

John McCain: that is playing games with the erican people. if they weren't playing games by delaying the implementation of the bill four years after the tax increases and medicare we wouldn't even be discussing this pile of legislation because it would be scored as adding over a trillion dollars to our

John McCain

3:17:47 to 3:18:07( Edit History Discussion )

John McCain: if the other side wanted to be honest and reject accounting, they would be talking about the first ten years of real costs and the first ten years of their tax increases and medicare cuts. yo respected dean of the washington press corps, david broder, pointed this out jus

John McCain

3:18:08 to 3:18:30( Edit History Discussion )

John McCain: in h washington post" entitled "a budget buster in the making." by the way, the majority leader then felt compelled to come down and trash one of the most respected columnists in america who i don't need to take the time to defend. he can defend himself and so will many others who have great respect f

John McCain

3:18:31 to 3:18:51( Edit History Discussion )

John McCain: david simply not true that america is am biff leapt about everything when it comes to the obama health plan. the day after the congressional budget office gave its qualified blessing to the version of health reform produced by senate majority leader harry reid, quinnipiac university poll of a national cross-section of voters

John McCain

3:18:52 to 3:19:12( Edit History Discussion )

John McCain: reported its lest results. by a 16-point margin, the majority in this poll said they oppose the legislation moving through congress." david broder w "i have been writing for months that the acid test for this effort lies less in the publicized fight over the public option or the coverage than in the

John McCain

3:19:13 to 3:19:34( Edit History Discussion )

John McCain: plausibility of its claim to be fiscally responsible. this is obviously turning out to be the case. while the c.b.o. s the one reid has drafted meet obama's test by being "budget neutral," every expert i have talked to says that t has it rig.

John McCain

3:19:35 to 3:19:57( Edit History Discussion )

John McCain: these bills as they stand are budget busters. here, for example, is what robert bixby, the executive director of the concord coalition, a bipartisan group of budget the senate bill is better than the house version, but there's not much reform in this bill. as of now, it's basically a big

John McCain

3:19:58 to 3:20:18( Edit History Discussion )

John McCain: entitlement expansi plus tax increases. these are nonpartisan but republican budget experts such as former c.b.o. director douglas point with specific examples and ting language. he cites a long list of democratic sponsored budget gimmicks that made it possible

John McCain

3:20:19 to 3:20:39( Edit History Discussion )

John McCain: for the c.b.o. to estimate that reid's bill would reduce federal deficits by $130 billion by 2019. perhaps the biggest of these maneuvers was reid's decision to postpone the start of subsidies to help the uninsured buy

John McCain

3:20:40 to 3:21:02( Edit History Discussion )

John McCain: policies from mid 2 january, 2014. long after taxes and fees levied by the bill would have begun. even with that plenty in t suggest that the promised budget savings may not materialize. if you read deep enough, you'll find that under the senate bill, "fed

John McCain

3:21:03 to 3:21:23( Edit History Discussion )

John McCain: would increase during the 2010- 2019 period, not decline. the gross increase would almost $1 trillion, $848 billion to be exact, mainly to subsidize the uninsured. the net increase would be be $160 billion. but this depends on two big gambles

John McCain

3:21:24 to 3:21:44( Edit History Discussion )

John McCain: will future congresses actually impose the $420 billion in to medicare, medicaid, and other federal programs? they never have. so why don't we tell the truth to the american people and take these s bill?

John McCain

3:21:45 to 3:22:06( Edit History Discussion )

John McCain: and tell them the truth about what it truth that this expansion of entitlements but at the same time those presently eligible, those senior citizens who are -- are under the medicare advantage program in my home state of

John McCain

3:22:07 to 3:22:31( Edit History Discussion )

John McCain: arizona will not see that program maintained. we cannot reach these kinds of savings, t reductions, these kinds of cuts without impacting existing programs, and i know of no expert who says that it will

John McCain

3:22:32 to 3:22:52( Edit History Discussion )

John McCain: this is an objective observer. i believe that dr. coburn, dr. barrasso and others in the medical profession will say the same thing. every time that congress has en medicare or contemplated it, they have never taken place.

John McCain

3:22:53 to 3:23:13( Edit History Discussion )

John McCain: the doctor fix -- well, we took care of that problem. we just took it out of the but you know what we're going to do about the doctorix. every year we're going to delay it and delay it and delay it, every year, and it will never happen. that has been the history of the so-called doctor fix since its beginning.

John McCain

3:23:14 to 3:23:36( Edit History Discussion )

John McCain: and will this congress enact excise tax on high premium insurance policies, the so-called cadillac plans in reid's bill? obama has never endorsed them and house democrats union pressure turned them down in favor of a surtax on millionaires' income. the challenge to congrs and to obam

John McCain

3:23:37 to 3:23:57( Edit History Discussion )

John McCain: the promised savings real and don't pass along numbered -- unfunded programs to our children and our that means taking this legislation back, taking out these cuts in medicare and programs that are vital to our citizens of this country and come back with a realistic, a

John McCain

3:23:58 to 3:24:19( Edit History Discussion )

John McCain: realistic piece of legislation that has malpractice reform, ability to go across state lines to get the health insurance policy of your choice, rewards for wellness and expansion of health savings account, medical malpractice reform. there's many cost-saving measures that we can enact to

John McCain

3:24:20 to 3:24:41( Edit History Discussion )

John McCain: bring the costs of roll call in america under control and preserve the instead, we are doing just the opposite. if you're going to make these kindsf cuts, the in cuts to medicare and medicaid and other federal health programs, then you are going to

John McCain

3:24:42 to 3:25:02( Edit History Discussion )

John McCain: impact the provisions of health care in america. now, americans have been clear that overspending has to stop. nor do the american people believe that empowering washington bureaucrats in a new federal health care entitlement is health reform. the other side disregards the message from the american people

John McCain

3:25:03 to 3:25:26( Edit History Discussion )

John McCain: all across the country, and the bill just does the opposite. i want to talk just for about a provision in this bill that's very important, and that is the massive transfer of power in this bill health and human services.

John McCain

3:25:27 to 3:25:47( Edit History Discussion )

John McCain: this is a a search of federal giant under senate plan by susan fariccio. a quick search of the senate health bill will bring up -- quote -- times. that's becau health and human

John McCain

3:25:48 to 3:26:08( Edit History Discussion )

John McCain: services secretary kathleen sebelius would be awarded unprecedented new powers under the proposal, including the authority to decide wt medical care should be covered by insurers as well as the terms and conditions of coverage and who should receive them. i want to repeat that. in this bill, the

John McCain

3:26:09 to 3:26:31( Edit History Discussion )

John McCain: the authority to decide what medical care should be covered by insurers as well as the terms and conditions of coverage and who should receive it. now, we saw a little precursor of that just the oth the recommendations concerning mammograms. a board recommended that women

John McCain

3:26:32 to 3:26:53( Edit History Discussion )

John McCain: under 50 should not get mammograms. well, of course, the response was women all over america who are now alive today because they had mammograms prior to the age of 50, and so -- and the secretary of health and human services said that that wouldn't be

John McCain

3:26:54 to 3:27:15( Edit History Discussion )

John McCain: carried out, et cetera. we are creating a situation where the secretary of health and human services and a board would decide that. the legislation lists 1,697 times where health and human services is given the authority to create, determine, or define things in

John McCain

3:27:16 to 3:27:37( Edit History Discussion )

John McCain: the bill, said devin harrick, a health care national center for policy analysis. for example, on 2,079-page bill, the is given the power to establish, quote -- the basic per-month cost determined on actual actuarial basis including

John McCain

3:27:38 to 3:27:58( Edit History Discussion )

John McCain: coverage under a qlified health care plan. the h.h.s. secretary would also have the power to decide where abortion is government-run plan which has drawn opposition, obviously. and department to establish a center for medicare and medicaid innovation that would have the

John McCain

3:27:59 to 3:28:20( Edit History Discussion )

John McCain: authority to make cost-saving cuts without having to get the approval of congress first. quote -- "it's a huge amount of power being shifted to h.h.s. and much of it is highly discretionary," said edmond hausmaer, an expert in health care policy and insurance markets at the heritage

John McCain

3:28:21 to 3:28:41( Edit History Discussion )

John McCain: foundation, a conservative think tank. hausmaer said "one of the greatest powers h.h.s. would gain from the bill is the authority to regulate insurance. states currently hold this power, and under the senate bill, the federal government would usurp it from them. this could le -- this could lead to the restrictions and changes in place in destabilize the private

John McCain

3:28:42 to 3:29:02( Edit History Discussion )

John McCain: insurance market by forcing companies to lower premiums and other charges, he said. quote -- "health and human services doesn't have any experience with this, housemeyer said. i'm looking at the potential for this whole thing to just blow up on people because they have no idea what they're doing. who in the federal government regulates insurance today?

John McCain

3:29:03 to 3:29:24( Edit History Discussion )

John McCain: nobody. the health care reform legislation would rely on the u.s. preventive services task force for recommendations as to what kind of screening and preventive care should be covered. last week, the group, which operates under mentioned, drew sharp criticism for advising that mammograms

John McCain

3:29:25 to 3:29:45( Edit History Discussion )

John McCain: should begin at age 50, a decade later than the current standard. critics of the bill said this was an example of how the new bill would empower h.h.s. to alter health care delivery. but democrats arg rather have the government making these decisions. that's the key to it. they would rather have the government making these decisions.

John McCain

3:29:46 to 3:30:09( Edit History Discussion )

John McCain: if you like the way the post office is run, you will love the way h.h.s. runs health care in america. i understand the other side's amendment may address some of this, but under the reid bill that the senate moved to consider, beginning in 32 days, the language from the bill on

John McCain

3:30:10 to 3:30:31( Edit History Discussion )

John McCain: page1189 authorizes the secretary to modify benefits for health care purant to task force recommendations. as i mentioned, how many women would have died if the coverage provision guiding the new federal plan under mammograms had been implemented? and then on the following page,

John McCain

3:30:32 to 3:30:53( Edit History Discussion )

John McCain: authorized to deny payment for prevention services that the task force recommends against. so if this unelected panel changes a preventive recommendation for some other type of cancer, the federal plan won't cover it. i don't think the american

John McCain

3:30:54 to 3:31:14( Edit History Discussion )

John McCain: people want their health coverage decisions coming from a panel in washington. the reid bill drives up costs and just today, the c.b.o. released its assessment of what will happen to hurp health insurance premiums urn the new entitlement compared -- under the new entitlement compared with premiums today. the c.b.o. dealt a blow to claims that the health care bill introduce bide senator reid --

John McCain

3:31:15 to 3:31:35( Edit History Discussion )

John McCain: introduced by senator reid will lower premiums when they released an analysis showing that premiums will go up market. premiums for individuals without employer-sponsored coverage would increase $2,100 per family, in 2016.

John McCain

3:31:36 to 3:31:55( Edit History Discussion )

John McCain: the democrats' bill, therefore, requires individuals to purchase insurance that's more expensive than would be available under current law for small businesses and employers, the bill largely preserves the status quo and does little, if anything, to lor their costs. in fact, c.b.o. estimates that under the reid bill, the average

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