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Senate Proceeding on Dec 14th, 2009 :: 5:57:10 to 6:13:40
Total video length: 6 hours 13 minutes Stream Tools: Stream Overview | Edit Time

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Amy Klobuchar

5:57:07 to 5:57:27( Edit History Discussion )

Amy Klobuchar: reform and to support the thank you ms. klobuchar: mr. president? the presiding officer: the senator from ms. klobuchar: thank you very much, mr. president. and thank you to the senator from new hampshire mentioning the mayo clinic along with several other great facilities across this country that have done things a little

Amy Klobuchar

5:57:10 to 6:13:40( Edit History Discussion )
Speech By: Amy Klobuchar

Amy Klobuchar

5:57:28 to 5:57:50( Edit History Discussion )

Amy Klobuchar: differently, mr. president. they've done things by focusing on the patient, by saying what's best for the patient is best for all of us. and when you do what's best for the patient, you get higher-quality care. and when you get higher-quality care, you actually get lower cost. i think when people think of, say, going to buy a hotel room or pay for a hotel room, they always think, well, if i pay

Amy Klobuchar

5:57:51 to 5:58:11( Edit History Discussion )

Amy Klobuchar: more, i'll get of get a better room, a better view. that's actually true. but not true in health care. the states and the metropolitan areas have that have the least efficient health care, least efficient, toned cost the most. and that's what we need to change if we want true cost reform. it's good for states like minnesota wisconsin. why? because we tend to have

Amy Klobuchar

5:58:12 to 5:58:32( Edit History Discussion )

Amy Klobuchar: higher-quality care at lower cost. so it will reward us for that. but it is also good for the states that need to get their quality of care up so we don't see those massive readmissions to hospitals. who when they go into a hospital and they're sick want to go back in again because they get sick in the hospital? that's not good. or who wants to have something go wrong in the hospital so they

Amy Klobuchar

5:58:33 to 5:58:54( Edit History Discussion )

Amy Klobuchar: have to go back in again? who wants to go to an area of the country where they have massive fraud so all this money gets drained to the tune of $60 billion a year in medicare spending to con men and people, frauds that's what happens in so many parts of the country. and that's why this delivery system reform, the brave thing, the courageous thing to look at this, step back and say, how do

Amy Klobuchar

5:58:55 to 5:59:16( Edit History Discussion )

Amy Klobuchar: we do this better, how do we do it so that we're rewarding, as the senator from new hampshire staitd stated, stated, so we're rewarding quality not just quantity so that we're putting t patient first? that's what this bill is about. why does this matter? i think anyone who's got a checkbook understands why this matters. at $2.5 trillion a year, health care spending represents close

Amy Klobuchar

5:59:17 to 5:59:37( Edit History Discussion )

Amy Klobuchar: to 17% of the american economy and it will exceed 20% by 2018 if the current trend continues. hospitals, clinics, every part of the country providing an estimated $56 billion in uncompensated care. that's taxpayer money going down the tubes. $2.4 trillion per year. that's where we are right now.

Amy Klobuchar

5:59:38 to 5:59:58( Edit History Discussion )

Amy Klobuchar: so everyone knows, it's costing them. it's costing our cufnlt it's making it very difficult for big businesses to compete against businesses from other countries that have more efficient health care systems. it is making it impossible for small businesses to keep all of their employees on health care. why? well, their cost costs are 20% more than big businesses. how -- the small businesses

Amy Klobuchar

5:59:59 to 6:00:20( Edit History Discussion )

Amy Klobuchar: creating 64% of the jobs in the last decades in this country. we have to allow them to continue to thrive, not with this health care costs tt are a drag businesses. i always tell people, just remember three numbers. it's the easiest thing to do here. 6, 12, and 24. ten years, the average american familyas paying about $6,000 in premiums. now they're paying $12,000.

Amy Klobuchar

6:00:21 to 6:00:45( Edit History Discussion )

Amy Klobuchar: that's an average, because we've got a lot of small business owners all over our state who are paying, like, $20,000 a year, $23,000. well, if we don't do anything at all, ten years from now, it's going to cost between $24,000 and $36,000, average, in this country for individual families to buy health care.

Amy Klobuchar

6:00:46 to 6:01:06( Edit History Discussion )

Amy Klobuchar: $24,000 to $36,000 average per family. that's why we must act. we know that inaction is not an option. if we do not act, costs will continue to skyrocket, and 14,000 americans will continue to lose their health insurance every single day. well, so what does this bill do, mr. president? well, first of all, it gives

Amy Klobuchar

6:01:07 to 6:01:28( Edit History Discussion )

Amy Klobuchar: coverage to 31 million people that don't have coverage now. some people think, wow, where are they getting health care coverage now? it's the emergency room. like in the hospital i used to represent when i was the county attorney f the biggest county in minnesota. that was paid for by the taxpayers whvment someone doesn't have health insurance and a doctor and they've got diabetes and they're supposed to

Amy Klobuchar

6:01:29 to 6:01:50( Edit History Discussion )

Amy Klobuchar: be doing their insulin and they watch their diet, you know where they understand up? in the emergency room and they get their leg cut off. it is a disastrous quality of life for the person involved. that's rulely going on in this country. last year i was down in one of our smaller towns in southern minnesota, and i heard the story of how one hospital, a small

Amy Klobuchar

6:01:51 to 6:02:11( Edit History Discussion )

Amy Klobuchar: science hospital, had three people come in with stomach problems, pen did i site is attacks. they are appendix burst. how come you didn't come in earlier? well, two of the people said, well, because we work at a small business and we didn't want the premiums to go up. it would have, like, hurt everyone at the small business. another person said, i had such high premiums, that i would have

Amy Klobuchar

6:02:12 to 6:02:32( Edit History Discussion )

Amy Klobuchar: to pay that i didn't want to come in and have it checked out. you see, if you don't have that kind of safety net in place for people, you get more expenses on the far end, and that's what this bill does. it changes the delivery system, insuring what else does it do? it helps to reduce the deficit.

Amy Klobuchar

6:02:33 to 6:02:56( Edit History Discussion )

Amy Klobuchar: that was what i always said from the beginning, that i want to support a -- this i don't want to support a bill if it's going to add to the add. this one reduces the deficit, reduces the deficit by billions and billions of dollars. third thing, what does this bill have? insurance refornls. what does that mean? that means is that if you've got a sick kid, you're no longer

Amy Klobuchar

6:02:57 to 6:03:17( Edit History Discussion )

Amy Klobuchar: goingoing to lose your insurance. you are not going to be put off in the deep and he all by yourself if your kid gets sick. if you have a kid that's going to college, you can keep them on your own insurance until they're 26 years old. that's what this bill does. it gives that kind of safety net, protections, consumer protections that the people in this country have demanded. finally, with medicare, adds

Amy Klobuchar

6:03:18 to 6:03:38( Edit History Discussion )

Amy Klobuchar: nine years onto the life of medicare. right now medicare is scheduled to go in the red by 2017. no one eelly likes to talk about it. what this bill does, it keeps it solvent for nine more years. i can tell you, you know, my mom who is 82, she wants to stay on medire until she is way into

Amy Klobuchar

6:03:39 to 6:04:00( Edit History Discussion )

Amy Klobuchar: her 90ess. people nor their 60's and want to get onto medicaid in their 90's, this bill, with the reforms in this, by closing part of the doughnut hole that's so difficult for our crns seniors, -- that's so difficult for our

Amy Klobuchar

6:04:01 to 6:04:22( Edit History Discussion )

Amy Klobuchar: seniors, it closes that. this bill doesn't going to be perfect for everyone, mr. president. when i think about the people that i've heard from, the woman who wrote to me from northern minnesota, and she wrote this just heartfelt letter about how she had just gotten a call from her daughter whose husband worked at a small business and she said that that husband, her son-in-law, had just found out

Amy Klobuchar

6:04:23 to 6:04:43( Edit History Discussion )

Amy Klobuchar: that they weren't going to have insurance anymore at his small business. and the woman who wrote the mom said she couldn't even understand her daughter. her daughter was sock and sobbing. she kept saying, what's wrong? she said, i lost my snuns. you know why this mattered so much to this family? her daughter has cysti fibrosis.

Amy Klobuchar

6:04:44 to 6:05:05( Edit History Discussion )

Amy Klobuchar: her daughter needs this insurance every moment of her life. and when that small business yanked that insurance coverage because they probably had to dirnl ale sure they didn't want to but just coun't afford it anymore -- that daughter has to go out on the open market now, which when you have a preexisting condition, that's not an easy thing to do. she may not get insurance. that's what we're talking about when we talk about this bill.

Amy Klobuchar

6:05:06 to 6:05:26( Edit History Discussion )

Amy Klobuchar: and the end of this lerks the mom said -- the mom said, i need you to be my daughter's voice. she's not going to be able to go to washington, d.c., and lobby for this like some of the -- all the companies that have come over here and lobbied for this thing and that thing much she needs us to be her voice. and that's what this is b now, the good thing here, mr. president, is we look at some of the things that are in

Amy Klobuchar

6:05:27 to 6:05:48( Edit History Discussion )

Amy Klobuchar: the bill -- i didn't get everything i wanted to reduce costs in this bill. but there are some great things in this bill. look at this. first of all, according to researchers at dartmouth medical school, nearly $70 million is wasted on ineffective health care. that's 30% of total health care spending.

Amy Klobuchar

6:05:49 to 6:06:10( Edit History Discussion )

Amy Klobuchar: to rein in costs, we introduced a value index that -- i introduced the bill, senator cantwell, senator gregg were coyoauthors of the bill and senator can't bell got it on the finance committee bill and it's still in the merged bill today t says when you look at the medicare fees, evaluate them on a lot of things but make sure you evaluate them on value.

Amy Klobuchar

6:06:11 to 6:06:31( Edit History Discussion )

Amy Klobuchar: this index willing help reduce unnecessary procedures because those who produce more will need to also improve care or the increased volume will negatively impact their fees. doctors will have a financial incentive to maximize the quality and value of their services. my doctors in the state of minnesota support this.

Amy Klobuchar

6:06:32 to 6:06:52( Edit History Discussion )

Amy Klobuchar: they endorse this bill. and they understand that if we want to get that high-quality care like you see in minnesota at places like the mayo clinic, like you see at iran mountain, all over this country, you have to have those kind of incentives in place. this bill also focuses on bundling and integrated care.

Amy Klobuchar

6:06:53 to 6:07:13( Edit History Discussion )

Amy Klobuchar: i was thinking as i watched the viking game this weekend, mr. president -- yow if you noticed, but the vikings won again. brett favre is quarterback. we're talking about a primary care provider that works with a team. we have one person in charge,

Amy Klobuchar

6:07:14 to 6:07:34( Edit History Discussion )

Amy Klobuchar: the quarterback in football, primary care doctor in medicine, working with a team, with the wide receiver, with a tight end, with all the team that they have working together, whether it is a cardiologist, urologist, whether it is any kind of a doctor that they want to work with as a team, depending on what the illness s that's what integrated care is. that you work as a teernlings

Amy Klobuchar

6:07:35 to 6:07:55( Edit History Discussion )

Amy Klobuchar: you share medical records, patients don't get lost in the shuffle, don't get sent to another specialist and another specialist without anyone watching over their care. that's what integrated care is about. a quarterback with a team. the other thing about this bill is that we start to focus much more, as i mentioned, on

Amy Klobuchar

6:07:56 to 6:08:16( Edit History Discussion )

Amy Klobuchar: reducing readmissions, on rewarding places like health partners or st. mary's in did he luge, places that work to have this integrated care, places that make sure we have less readmissions in the hospitals. and finally, and i am pleased that we got this in the freshmen package that's coming out, there is a much bigger focus on fraud

Amy Klobuchar

6:08:17 to 6:08:37( Edit History Discussion )

Amy Klobuchar: in the system. $60 billion a year going down the tubes, going to fraudsters, going to conmen, getting sigh siphoned off the system, claiming that they should get some of the reimbursements that should be going to our seniors. that's $60 billion in medicare fraud alone every single year. so increased penalties with some

Amy Klobuchar

6:08:38 to 6:08:58( Edit History Discussion )

Amy Klobuchar: tools to make sure we're better enrcing the law. we can reclaim some of that money and give to to the american taxpayer, give it to our seniors. those are the things. that's just a few of themmism be talking about more this week when we talk about cost dploal this bill. so, mr. president, thank you so much for allowing me to share some of my thoughts on cost control.

Amy Klobuchar

6:08:59 to 6:09:20( Edit History Discussion )

Amy Klobuchar: but, again to rember three numbers -- 6, 12, 24. ten years, average american family, $6,000 for their premiums. now what are they spending? $12,000. what are they going to spend ten years ago if we don't do anything about it? er somewhere between $24,000 to $36,000 a year. this isn't going to be sighs to bend this cost curve.

Amy Klobuchar

6:09:21 to 6:09:44( Edit History Discussion )

Amy Klobuchar: we know there's going to be bumps in the road. it is not automatically going to turn around. but to just do nothing to put our heads in the sand at this moment in history is just plain wrong. the american people deserve to have better health care. they deserve to have that high-quality, low-cost care. and this bill is the beginning. well, thank you very much, mr. president.

Amy Klobuchar

6:10:30 to 6:10:50( Edit History Discussion )

Amy Klobuchar: ms. klobuchar: mr. president? the presiding officer: the senator from minnesota. ms. klobuchar: mr. president, i ask unanimous consent that the vote order with respect to the lautenberg and dorgan amendments to h.r. 3590 be reversed to dorgan and then l the presiding officer: without obje ms. klobuchar: i ask unanimous consent that the senate proceed

Amy Klobuchar

6:10:51 to 6:11:12( Edit History Discussion )

Amy Klobuchar: to the immediate consideration of c the presiding officer: the clerk will report. the clerk: calendar number 224, s. 1755, a bill to direct the department of homeland secuty to undertake a study on emergency communications. the presiding officer: without objection, the senate will

Amy Klobuchar

6:11:13 to 6:11:35( Edit History Discussion )

Amy Klobuchar: proceed to t ms. klobuchar: mr. president, i ask unanimous consent that the bill be read a third time and passed, the motion to reconsider be laid on the table with no intervening action or debate, and any statements related to the bill be placed in the record at the appropriate read. the presiding officer: without objection. ms. klobuchar: i ask unanimous consent that the senate proceed

Amy Klobuchar

6:11:36 to 6:11:56( Edit History Discussion )

Amy Klobuchar: to the immediate consideration of h.j. res. 62, w receiv clerk will report. appointing the day for convening of the second session of the 111th congress. congress. the presiding offir: without objection, the senate will proceed to the measure. ms. klobuchar: i ask unanimous

Amy Klobuchar

6:11:57 to 6:12:17( Edit History Discussion )

Amy Klobuchar: consent that the joint resolution be read three times and passed, the motion to reconsider be laid on the table with no intervening act debate, any statements rel to the measure be placed in the record at the as if read. the presiding officer: without objection. ms. klobuchar: mr. president,

Amy Klobuchar

6:12:18 to 6:12:38( Edit History Discussion )

Amy Klobuchar: senate now proceed to the consideration of s. res. today. the presiding officer: clerk will report. the clerk: s. res. 375, honoring the life and service of breast the presiding officer: without objection, the senate will proceed to the measure. ms. klobuchar: i ask u

Amy Klobuchar

6:12:39 to 6:13:01( Edit History Discussion )

Amy Klobuchar: consent that the resolution be agreed to, the preamble be agreed to, consider be laid on the table. th objection. ms. klobuchar: mr. president, i ask unanimous consent that the appointments at the desk appear separately i made by the chair. the presiding officer: without ms. klobuchar: mr. president, i ask unanimous consent that when the senate completes its

Amy Klobuchar

6:13:02 to 6:13:24( Edit History Discussion )

Amy Klobuchar: business today, it adjourn until 10:00 a.m. tuesday, december 15, that following the prayer and pledge, the journal of proceedings be approved to date, the morning hour be deemed expired, the time for the two leaders be reserved for their use later in the day, and the senate resume consideration of h.r. 3590, the health care reform legislation, as provided for under the previous order.

Amy Klobuchar

6:13:25 to 6:13:40( Edit History Discussion )

Amy Klobuchar: finally, i ask that the senate recess from 145 p.m. until 3:15 p.m. to allow fog for the weekly caucus luncheons p. the presiding officer: without object ms. klobuchar: mr. president, senators should expect a series of four roll call votes to begin

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