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Executive Session

Floor Speech

By: John Barrasso

Date: May 22, 2019

Location: Washington, DC

Issues: Health Insurance Health and Health Care

BREAK IN TRANSCRIPT

Mr. BARRASSO. Mr. President, I come to the floor again today to discuss Washington Democrats' one-size-fits-all healthcare scheme. Every American needs to know about this very radical plan.

Democrats essentially want Washington, DC, to take over all of healthcare in this country and to abolish private health insurance that 180 million Americans get through their jobs. Incredibly, this proposal offered by Senator Bernie Sanders has the backing of many leading Democrats running for President and 109 Democratic Members of the House of Representatives.

So I want to continue the debate today by focusing on the terrible impact this radical scheme will have on all of the fine men and women who provide healthcare to people across the country. Of course, the impact on them will impact the patients for whom they provide care and services.

I am talking about the Nation's dedicated medical professionals, especially those who serve in our community hospitals. I actually know many of these healthcare providers because I am one of them. For many years I practiced orthopedic surgery in Casper, WY. I was a medical doctor, a physician, and chief of staff at the Wyoming Medical Center.

When practicing medicine in Casper, WY--or anywhere in the Presiding Officer's home State of Nebraska--you really treat patients from all over the State. That is because many people in Wyoming live in small towns. I am talking about patients in towns like my wife's hometown of Thermopolis, WY. My wife's parents are there. When they need specialty care, they go to Casper. For those who haven't traveled in Wyoming, it is about a 2-hour drive one way when the weather is good.

My point is, when you work in the Casper hospital, you are actually covering a large area in our State, and that is often the case in many States. So when I hear that Washington Democrats want to have a one- size-fits-all healthcare plan, I wonder if they have given any thought to people in the Nation's heartland, to people out west. Are they considering people in rural communities at all?

I will state that I think about the people of Wyoming every day. I am there every week. The staff at small hospitals who serve rural communities like Thermopolis, Rawlins, Lusk, Kemmerer, and at the Lovell hospital, where I attended a health fair this past Saturday, talking to all of the folks there--their needs are things I am not convinced Washington Democrats have any knowledge of or care for at all. The people at these hospitals work hard just to keep the doors open so that they can continue to care for patients right there.

So alarm bells go off when I see headlines like the one from the Washington Post that said:

``Who's going to take care of these people?'' As emergencies rise across rural America, a hospital fights for its life.

That is the headline in the Washington Post, referring to a community hospital in Osage County, OK. The hospital has a sign out front that reads: ``A small community is only as healthy as its hospital.'' That is the truth.

Hospitals across rural America are struggling. Many are, in fact, fighting for their lives. Still, Democrats are offering a plan that will destroy private health insurance in America, which is the lifeblood of our Nation's healthcare system; 180 million Americans get their insurance this way.

Democrats want to drastically reduce provider payments which, of course, would drive many doctors from practice and shutter many small hospitals. The Centers for Medicare & Medicaid Services Administrator has said a one-size-fits-all system ``would decimate physician networks, creating a permanent physician shortage.''

So how can rural hospitals survive with no financial cushion if Democrats' one-size-fits-all healthcare plan passes? Just ask the New York Times, of all people. Last month, the Times ran with this headline: ``Hospitals Stand to Lose Billions Under `Medicare for All.' '' Hospitals stand to lose billions.

The Times cites a study from George Mason University that found Medicare provider reimbursement rates are more than 40 percent lower than private insurance rates--40 percent lower. At these payment rates, the Times says, ``[s]ome hospitals, especially struggling rural centers,'' like those in the Presiding Officer's home State and mine ``would close virtually overnight.''

There would be an overnight closure of hospitals under Bernie Sanders' and the Democrats' one-size-fits-all scheme for medicine in America.

I am sure a lot of people listening out there are thinking, maybe it is all a mistake; maybe Democrats don't really mean to threaten hospitals. Well, the fact is, Democrats have long argued that hospitals need to close. That is what they have said.

Look at what Dr. Ezekiel Emanuel, who is an architect of ObamaCare and a professor in Philadelphia, said on the subject. He actually wrote a book outlining all of this. It is titled, ``Reinventing American Health Care.''

He predicted that 1,000 U.S. hospitals would close by 2020. Well, we are approaching that year. We haven't closed 1,000 in this country, but over 80 have closed, and those are rural hospitals.

Last year he published an op-ed in the New York Times--the same Dr. Emanuel--ominously titled, ``Are Hospitals Becoming Obsolete?'' He writes:

Hospitals are disappearing. While they will never completely go away, they will continue to shrink in number and importance. This is inevitable and good.

Well, not in rural America--``good,'' he says, that thousands of hospitals and patients who rely on them are forced to close their doors for good. I disagree fundamentally with this principle and what he is saying.

Of course, all people who practice medicine in small towns want to keep the doors open because they know the impact on the lives of the people who live in those communities. Just last week I had a chance to visit with Dr. Mike Tracy, a family physician in Powell, WY. He is past president of the Wyoming Medical Society. He is passionate about caring for his patients, and guess what. He doesn't participate in Medicare at all. Instead, he provides his services privately by charging his patients a set, transparent monthly fee. He does what he does to keep his practice open. His focus is on his patients, not on Washington paperwork, and his patients are very happy. His practice is successful. The patients are happy with the time he is able to sit and be with them and look at them and focus on them, instead of the mandates of a Washington computer screen.

So you see, there are doctors like Mike all across the country who don't want a one-size-fits-all healthcare system. Many doctors and many small community hospitals cannot afford it, and they will not survive it. Certainly, many rural communities can't survive it.

As the Presiding Officer knows better than most, as he has traveled his State and as I have traveled mine, if a small community loses a hospital, it is harder to attract doctors, nurses, teachers, businesses--all of the things that are vital for a community to have. So the threat is very real in terms of what the Democrats and what Bernie Sanders and the one-size-fits-all healthcare plan would bring to our country.

Let me just tell people who are watching the debate right now: Democrats' one-size-fits-all healthcare--what this will mean for you is that you will pay more to wait longer for worse care. That is what it means. That is what it means to you. You will pay more to wait longer for worse care. That is what is at stake.

We all need to make our voices heard loud and clear: no to Democrats' one-size-fits-all healthcare scheme, yes to real reforms that improve healthcare and bring down the costs for all Americans.

BREAK IN TRANSCRIPT

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Executive Session

Floor Speech

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WSGI_APPLICATION	`'justfacts_project.wsgi.application'`
X_FRAME_OPTIONS	`'DENY'`
YEAR_MONTH_FORMAT	`'F Y'`

Signal	Receivers
class_prepared
connection_created	register_type_handlers
got_request_exception
m2m_changed
post_delete
post_init	ImageField.update_dimension_fields, ImageField.update_dimension_fields, ImageField.update_dimension_fields
post_migrate	create_permissions, create_contenttypes, create_default_site
post_save	create_user_profile, TagField._save
pre_delete	clear_site_cache
pre_init
pre_migrate	inject_rename_contenttypes_operations
pre_save	clear_site_cache, set_zip4_userprofile
request_finished	close_old_connections, close_caches, reset_urlconf
request_started	reset_queries, close_old_connections
setting_changed	reset_cache, clear_cache_handlers, update_installed_apps, update_connections_time_zone, clear_routers_cache, reset_template_engines, clear_serializers_cache, language_changed, localize_settings_changed, file_storage_changed, complex_setting_changed, root_urlconf_changed, static_storage_changed, static_finders_changed, auth_password_validators_changed, user_model_swapped, update_toolbar_config, reset_hashers, reload_api_settings, reload_api_settings, uninstall_if_needed, clear_caches, FileSystemStorage._clear_cached_properties, FileSystemStorage._clear_cached_properties, FileSystemStorage._clear_cached_properties, FileSystemStorage._clear_cached_properties, StaticFilesStorage._clear_cached_properties

Path	Location
.DS_Store	/var/www/justfacts/assets/.DS_Store
.well-known/apple-developer-merchantid-domain-association	/var/www/justfacts/assets/.well-known/apple-developer-merchantid-domain-association
pdfs/Mobile_Messaging_Terms_and_conditions.pdf	/var/www/justfacts/assets/pdfs/Mobile_Messaging_Terms_and_conditions.pdf
pdfs/CNIP-signed-bylaws-2023.pdf	/var/www/justfacts/assets/pdfs/CNIP-signed-bylaws-2023.pdf
pdfs/PolicyforFundraisingandGiftAcceptance_1.3_Edition.pdf	/var/www/justfacts/assets/pdfs/PolicyforFundraisingandGiftAcceptance_1.3_Edition.pdf
pdfs/CNIP2018.pdf	/var/www/justfacts/assets/pdfs/CNIP2018.pdf
pdfs/CNIP2019.pdf	/var/www/justfacts/assets/pdfs/CNIP2019.pdf
pdfs/2021/162017-Vote Smart-Brochure-Proof.pdf	/var/www/justfacts/assets/pdfs/2021/162017-Vote Smart-Brochure-Proof.pdf
pdfs/2021/990-2021.pdf	/var/www/justfacts/assets/pdfs/2021/990-2021.pdf
pdfs/2020/CNIP2020.pdf	/var/www/justfacts/assets/pdfs/2020/CNIP2020.pdf
pdfs/2020/Vote-Smart-FY21-Audit-Report-Final-Signed.pdf	/var/www/justfacts/assets/pdfs/2020/Vote-Smart-FY21-Audit-Report-Final-Signed.pdf
pdfs/2020/VoteSmartbrochure.pdf	/var/www/justfacts/assets/pdfs/2020/VoteSmartbrochure.pdf
pdfs/forcandidates/2023_states/2023_New_Jersey_State_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/2023_states/2023_New_Jersey_State_PCT.pdf
pdfs/forcandidates/2023_states/2023_Mississippi_State_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/2023_states/2023_Mississippi_State_PCT.pdf
pdfs/forcandidates/2023_states/2023_Virginia_State_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/2023_states/2023_Virginia_State_PCT.pdf
pdfs/forcandidates/2023_states/2023_Kentucky_State_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/2023_states/2023_Kentucky_State_PCT.pdf
pdfs/forcandidates/2023_states/2023_Louisiana_State_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/2023_states/2023_Louisiana_State_PCT.pdf
pdfs/forcandidates/states/2022_MS_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MS_PCT.pdf
pdfs/forcandidates/states/2022_IN_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_IN_PCT.pdf
pdfs/forcandidates/states/2022_AL_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_AL_PCT.pdf
pdfs/forcandidates/states/2022_WY_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_WY_PCT.pdf
pdfs/forcandidates/states/2022_NY_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_NY_PCT.pdf
pdfs/forcandidates/states/2022_NJ_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_NJ_PCT.pdf
pdfs/forcandidates/states/2022_SC_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_SC_PCT.pdf
pdfs/forcandidates/states/2022_MA_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MA_PCT.pdf
pdfs/forcandidates/states/2022_NM_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_NM_PCT.pdf
pdfs/forcandidates/states/2022_NB_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_NB_PCT.pdf
pdfs/forcandidates/states/2022_MD_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MD_PCT.pdf
pdfs/forcandidates/states/2022_MO_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MO_PCT.pdf
pdfs/forcandidates/states/2022_MINN_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MINN_PCT.pdf
pdfs/forcandidates/states/2022_AZ_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_AZ_PCT.pdf
pdfs/forcandidates/states/2022_PA_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_PA_PCT.pdf
pdfs/forcandidates/states/2022_OK_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_OK_PCT.pdf
pdfs/forcandidates/states/2022_OH_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_OH_PCT.pdf
pdfs/forcandidates/states/2022_NV_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_NV_PCT.pdf
pdfs/forcandidates/states/2022_WA_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_WA_PCT.pdf
pdfs/forcandidates/states/2022_FL_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_FL_PCT.pdf
pdfs/forcandidates/states/2022_MI_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_MI_PCT.pdf
pdfs/forcandidates/states/2022_CO_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_CO_PCT.pdf
pdfs/forcandidates/states/2022_OR_PCT.pdf	/var/www/justfacts/assets/pdfs/forcandidates/states/2022_OR_PCT.pdf

Path	Location
admin/img/icon-no.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-no.svg
admin/img/README.txt	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/README.txt
admin/img/icon-yes.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-yes.svg
admin/img/inline-delete.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/inline-delete.svg
admin/img/selector-icons.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/selector-icons.svg
admin/img/icon-calendar.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-calendar.svg
admin/img/search.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/search.svg
admin/img/LICENSE	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/LICENSE
admin/img/icon-unknown.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-unknown.svg
admin/img/icon-viewlink.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-viewlink.svg
admin/img/icon-changelink.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-changelink.svg
admin/img/calendar-icons.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/calendar-icons.svg
admin/img/icon-alert.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-alert.svg
admin/img/icon-unknown-alt.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-unknown-alt.svg
admin/img/tooltag-add.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/tooltag-add.svg
admin/img/icon-addlink.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-addlink.svg
admin/img/sorting-icons.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/sorting-icons.svg
admin/img/icon-clock.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-clock.svg
admin/img/icon-deletelink.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/icon-deletelink.svg
admin/img/tooltag-arrowright.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/tooltag-arrowright.svg
admin/img/gis/move_vertex_off.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/gis/move_vertex_off.svg
admin/img/gis/move_vertex_on.svg	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/img/gis/move_vertex_on.svg
admin/fonts/README.txt	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/fonts/README.txt
admin/fonts/LICENSE.txt	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/fonts/LICENSE.txt
admin/fonts/Roboto-Regular-webfont.woff	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/fonts/Roboto-Regular-webfont.woff
admin/fonts/Roboto-Light-webfont.woff	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/fonts/Roboto-Light-webfont.woff
admin/fonts/Roboto-Bold-webfont.woff	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/fonts/Roboto-Bold-webfont.woff
admin/js/SelectFilter2.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/SelectFilter2.js
admin/js/nav_sidebar.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/nav_sidebar.js
admin/js/core.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/core.js
admin/js/popup_response.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/popup_response.js
admin/js/collapse.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/collapse.js
admin/js/autocomplete.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/autocomplete.js
admin/js/change_form.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/change_form.js
admin/js/jquery.init.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/jquery.init.js
admin/js/calendar.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/calendar.js
admin/js/urlify.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/urlify.js
admin/js/cancel.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/cancel.js
admin/js/prepopulate_init.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/prepopulate_init.js
admin/js/actions.js	/usr/local/lib/python3.12/dist-packages/django/contrib/admin/static/admin/js/actions.js