* Mr. SMITH of New Jersey. Madam Speaker, I rise today to respectfully ask that my colleagues reject Obamacare, which if enacted into law, will seriously undermine, erode, damage--and perhaps even destroy--health care in America.
* On substance, the Senate-passed text of over 2,700 pages now pending in the House is egregiously flawed. This is truly a bad bill and is anything but reform.
* On process, the near total lack of transparency and misuse of majority party power to ram Obamacare through the Congress, makes it the quintessential example of what's so dreadfully wrong with Washington.
* No wonder growing numbers of Americans are fed up, losing faith and angry at the Democrat-controlled Congress and the White House.
* No wonder millions of people including Tea Party activists are demanding accountability and defeat of Obamacare.
* This has been--and is--an unseemly process unworthy of a national legislature--any legislature for that matter--especially one with an enviable two-century-old history of lawmaking.
* If President Obama wins passage of this bill when it comes to a vote, it will be a Pyrrhic victory at best.
* This is not Congress' finest hour.
* Rest assured that if Obamacare was sound and prudent policy--fiscally and morally--and an efficacious way of facilitating quality heath care coverage, members of both sides of the aisle and across the ideological spectrum would be lining up to support it.
* If this was a good bill, persuasion, not pressure would convince a large majority of the members to embrace it.
* Instead, blunt force is being applied like a vice grip to ``convince'' the unconvinced and undecided to cave, conform and capitulate.
* On cost, Obamacare is riddled with accounting gimmicks--all designed to make the total price tag appear smaller than it really is.
* In order to avoid sticker shock, Obamacare collects new taxes, fees, and shifts billions from Medicare for a full four years before benefits kick in. This trick results in an estimated, but grossly misleading cost of care of $871 billion over 10 years.
* Let me underscore that point, the federal government will collect huge amounts of new taxes, fees and will rob Medicare for a full 10 years--before payouts for services begin four years from now.
* But when 10 years of revenue are matched with 10 years of benefits, the real cost comes in at a staggering $2.3 trillion.
* I would note parenthetically, that Obamacare will exacerbate Obamadebt. (When you eliminate double-counting of Medicare cuts, Social Security cuts, and the use of CLASS Act premiums, the Democrats claim of deficit reduction disappears into another massive wave of red ink of $466 billion over the first 10 years and $1.4 trillion over the second 10 years.) Even without passage of this bill, under the President's 2011 budget proposal, federal spending will increase to a record $3.8 trillion in 2011 alone. By 2020, the President's own 10-year budget analysis projects a more than doubling of debt to a record $18.6 trillion.
* Because Obamacare diverts $500 billion from Medicare, there is no doubt whatsoever that senior citizens and disabled persons will lose certain health benefits they now enjoy. Medicare Advantage is protected in Florida--the so-called Gatorade fix--but not in my state of New Jersey or anywhere else. Medicare Advantage is used by over 11 million people nationwide including 15,983 people in my Congressional district alone. The Senate bill slashes nearly $120 billion from Medicare Advantage plans, jeopardizing millions of seniors' existing coverage. So much for the President's promise that if you like your health plan, you can keep it; no you can't!
* Madam Speaker, for the first time ever, Obamacare forces Americans to acquire an approved health plan or pay a stiff penalty--like they committed a crime.
* The penalty is huge--the greater of $750 per person per year (up to $2,250 per family) or 2 percent of household income. No person in America should be coerced into buying medical insurance.
* Under Obamacare, premiums for non-group family insurance will increase by as much as $2,000 per year. The Congressional Budget Office (CBO) estimates that by 2016, premiums will increase by 10-13 percent over what would happen under current law. Conversely, CBO had estimated that the Republican plan which I strongly support would decrease some premiums by 5-10 percent.
* The Republican alternative focuses on lowering health care premiums for families and small businesses, increasing access to affordable, high-quality care, and promoting healthier lifestyles--without increasing taxes or adding to the crushing debt Washington has placed on our children and grandchildren and without cutting Medicare.
* Obamacare would also create nearly 160 boards, commissions and programs and would vest sweeping powers on bureaucrats to determine what benefits are covered and not and at what cost.
* Even though last September, President Obama stood a mere 20 feet away from where I am standing now, and told a joint session of Congress that ``no federal dollars will be used to fund abortions, and federal conscience laws will remain in place,'' his legislation today constitutes the largest expansion of abortion since Roe v. Wade itself, and makes a mockery of that pledge.
* Additionally, Obamacare fails to institute real medical liability reforms to end junk lawsuits and curb the costs of defensive medicine--these have long been identified as significant forces in driving up health costs.
* The goal of responsible health care reform should be to provide credible health insurance coverage for everyone, strengthening the health care safety net so that no one is left out, and incentivizing quality and innovation, as well as healthy behaviors and prevention. This means that the current private health insurance market will have to be reformed to put patients first, and to eliminate denials of pre-existing conditions and lifetime caps and promoting portability between jobs and geographic areas, including across state lines. The tax code should be modernized to promote affordability and individual control, provide assistance to low-income and middle-class families. Medicare requires reform to be more efficient and responsive, with sustainable payment rates.
* Of course, responsible health care reform will respect basic principles of justice: it will put patients and their doctors in charge of medical decisions, not insurance companies or government bureaucrats. It will also ensure that the lives and health of all persons are respected regardless of stage of development, age or disability.
* It's time to go back to the drawing board and address what's broken and fix it.
* The American public deserves better than what's on the table.