In remarks on the Senate floor Thursday, Sen. Jack Reed (D-RI) spoke about the Republican budget resolution.
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NewsTranscript
00:00Senator from Rhode Island. Thank you Mr. President. Well we're back here again with
00:05another variation on the Trump plan and the Republican plan to do further damage
00:14to our economy and to the working men and women of this country. It's been
00:23sliced and diced and repackaged and unpackaged but it still boils down to a
00:29very simple equation. Big tax cuts for the very very wealthy and cuts to
00:39Medicaid and other key programs that are essential to Americans. This resolution
00:46is going to cost a lot of money, about 5.8 trillion dollars with a T. Now today
00:56President Trump unveiled or yesterday I should say unveiled his tariff policies
01:01and today the markets reacted. They lost 2.5 trillion dollars in value. So he is
01:10just taking a sledgehammer to our economy and a sledgehammer to the
01:17working families who depend upon these programs like Medicaid and a sledgehammer
01:22to our universities and medical schools and research laboratories which have
01:30made us the premier center for research innovation and health care in the world.
01:37And with these sledgehammer blows I don't think we can maintain that status.
01:46These proposals by the President and my Republican colleagues are designed to
01:53take away the health care coverage from millions of Americans, seniors, kids,
01:58veterans, individuals with disabilities and they particularly seem to focus on
02:05Medicaid. Now Medicaid provides essential health care services for the most
02:12vulnerable population of the country. It covers nearly 80 million people if you
02:18combine those covered by the Children's Health Insurance Plan, CHIP. In my home
02:24state of Rhode Island over 300,000 people and that's about one-third of my
02:30state depend on Medicaid and the Republicans are talking about cutting
02:38this program by 880 billion dollars which would be devastating. And looking
02:46at the Medicaid recipients in Rhode Island it's interesting. One in five
02:54adults age 19 to 64 are covered. One in three children are covered and we all
03:02know how critical it is for health care for children because a childhood
03:08problem left untreated can lead often to much more serious health consequences
03:15as they grow older, much more dependency on social programs which are paid for by
03:22us. Good health care as a child guarantees in many many and most cases
03:30success in school, success in life, and a healthy life. One in three children. Now
03:36five in eight people residing in nursing homes are receiving Medicaid. So let me
03:45tell you what's going to happen when Medicaid is cut by this extraordinary
03:49amount of money, 880 billion dollars. A lot of nursing homes will close because
03:58their margin, their, their, the difference between opening the doors and closing
04:03them is the Medicaid money that we see. When that goes, where are you going to put
04:09your ailing mother or grandmother? I'll tell you what to do. You're gonna do it
04:15like they did it before Medicaid. When I was a young kid it was not unusual to go
04:20visit someone and in the front room there'd be the hospital bed and the
04:24grandmother and the mother was taking care of the person and that was health
04:29care back then. But after Medicaid we were able to create a much more
04:35effective health care system and this will touch not just the very poor, this
04:42touches the working families. It's the only way they can keep really their
04:48mother or father or older relative or a child with a very serious illness in a
04:56safe, protective place where they can receive appropriate care. Now three in
05:04seven Medicaid recipients in Rhode Island are working-age adults with
05:11disability. Now this is a situation where these people, because of their physical
05:17limitations, cannot work, need assistance. Some are severely disabled, others are
05:24significantly disabled, and they're going to be left literally out in the
05:30cold. And I must say there's a corollary here because just a few days ago the
05:39president announced that he was going to take the IDEA education program and move
05:45it into the Department of Health, which at the same time is trying to shed
05:50thousands and thousands of workers. So my fear, of course, is that again going
05:57back into the my youth, the 50s and the 60s, that children with disabilities will
06:04be sitting in the back of the room by themselves trying to keep themselves
06:11occupied because what we have created through IDEA, a system of education
06:18tailored to the individual child's disability, will be unsupportable. And
06:24that's the kind of damage he's doing, and it's the working people, it's the
06:29families, it's the kids, and it's, I think, inexcusable. Throughout the country, 38
06:37million children rely on Medicaid. 2.3 million children with disabilities, as I
06:44said, throughout the country rely on Medicaid. And also, as I said, throughout
06:53the country, not just Rhode Island, 7 million seniors count on Medicaid to
06:59afford nursing home care. So we're in a situation now where we are basically
07:07undercutting our health care system, and it's not just these people who feel it,
07:12everyone will feel it. If these Medicaid cuts go through, it will create so much
07:20turmoil in my state that our health care delivery system will be under great
07:29pressure, but I think so much pressure that it will not work. Where do people go
07:35when they don't have health care? They go to the emergency room. So if you or me
07:42or somebody who's, we might even have health care insurance, and then we have a
07:47serious problem, well, we can go to the emergency room and just get
07:53in the back of the line that's going all the way around the block and through the
07:56parking lot and every place else, because these hundreds of thousands of people
08:02without health care, that's where they'll have to go when they're so painful, they
08:07can't go to work. This is a disaster in the making. And again, we saw last week
08:21and weeks before, President Trump talking about, I'm gonna put tariffs in and we're
08:26gonna fix the whole economy. Nonsense. It's a disaster. It's killing our markets.
08:33And once again, oh, I'm gonna go in there and take out Medicaid, etc., etc. It'll be a
08:40disaster, and I think we must avoid it. We are better off because of Medicaid.
08:48Better health care outcomes in this country. A different country, literally,
08:52than it was prior to the introduction of Medicaid, and a better country. It provides
08:59health care coverage for, for example, 17 million women of reproductive age, so they
09:05can have the health care they need. And it helps families grow and prosper. And
09:12by making seniors and people with disabilities get the care they need, we
09:19are, I think, living up to the aspirations of this country, which is to
09:26ensure that those who need care get care. You know, there's been a lot of men and
09:35women who served in the Armed Forces of the United States, and I was proud to do
09:38it myself, and they weren't risking their lives so that a very wealthy individual
09:47could have five Mercedes rather than four. They were risking it so kids could
09:52have health care who needed it, who their mother and father could have a place to
09:56be when they were sick and ill in their older years. And what we're doing? We're
10:07forgetting that sacrifice, and we're saying, no, we're just here to pay off the
10:11rich people, the rich people who paid off so much through the president's
10:17campaign to get him elected. Now, one thing I want to emphasize, which is very
10:23important and often overlooked, going back to Rhode Island, 74% of adults in
10:31Rhode Island and Medicaid are working. There is this insidious notion that this
10:39is just a free giveaway to people who don't work, who don't deserve it, etc.
10:45That's why we can get rid of it. Seventy-four percent of the people on
10:50Medicaid are working, and they're working very hard. Oh, and by the way, my guess is
10:55they're not going to get a big benefit from these tax cuts because their minimum
11:00wage or a little bit more. So we are really doing something that is so
11:08unjust, and I believe un-American, of rewarding the wealthy, some of whom have
11:15worked hard to get it, some of whom just were lucky enough to be born to the
11:20right parents, and we're giving them a fortune, and we're taking away basic
11:28health care from working men and women. So we are in a very, very difficult
11:36situation. I don't think we can touch Medicaid, and for the moral reasons I
11:44tried to suggest, and for the economic reasons, if those 74% of Medicaid adults
11:51who are working can't get to work because they're ill, how do we get the
11:55jobs done? We don't. And the impact on the nation in terms of these cuts are
12:09going to be horrendous, and this impact is going to be every place in the
12:15country. I talked a lot about Rhode Island, but one of the ideas the
12:20Republicans are advancing to cut Medicaid is to eliminate the Medicaid
12:25expansion provided for under the Affordable Care Act. Now according to the
12:31Urban Institute and the Robert Wood Johnson Foundation, this cut would cost
12:3741 states over 44 billion dollars. States would have to increase their share of
12:44Medicaid spending by 25%. States like North Dakota, Indiana, Montana, and
12:52Nebraska would see their costs go up by 30%. So I hope my colleagues from these
12:58states are ready, willing, and able to go out and tell their constituents, your
13:05health care costs are going up 30%. Now obviously I oppose this resolution that
13:11is being proposed. We have to do more, not less. And it's not just about the
13:18moral commitment I feel we have to people who need health care coverage.
13:23It's about the economics of caring for people early before it becomes more
13:31expensive, providing facilities for people who need those facilities rather
13:37than let them languish at home. And Mr. President, with that I would yield the
13:44floor.