November 19, 2019 CONGRESSIONAL RECORD — HOUSE H9049 REPORT ON RESOLUTION PRO- I am the product of generations of Each of these sovereign nations has VIDING FOR CONSIDERATION OF people who planted and harvested since their own unique culture and tradition H.R. 1309, WORKPLACE VIOLENCE time immemorial. My ancestors cared and stories that add important threads PREVENTION FOR HEALTH CARE for the land, respected our air and our to the fabric of our Nation. AND SOCIAL SERVICE WORKERS water, and passed down those respon- I think about some of the most ex- ACT; PROVIDING FOR PRO- sibilities to their future generations. traordinary moments that I have had CEEDINGS DURING THE PERIOD It is because of my people and the as a Representative: FROM NOVEMBER 22, 2019, first people on this continent that we Visiting with the Quinault Indian THROUGH DECEMBER 2, 2019; AND stand here today on this floor. In fact, Nation along with the U.S. Commission PROVIDING FOR CONSIDERATION our Constitution was largely influ- on Civil Rights, and having conversa- OF MOTIONS TO SUSPEND THE enced by the Iroquois Confederacy. tions about some of the civil rights RULES Tribes here on the East Coast had offi- challenges, not just facing the cial relationships with the crowned Mr. DESAULNIER (during the Spe- Quinault Nation, but Native peoples heads of Europe. cial Order of Mr. AUSTIN SCOTT of Geor- throughout this country. When we talk about Native American gia), from the Committee on Rules, Visiting the Makah Tribe during history, we must recognize that Native submitted a privileged report (Rept. Makah Days, and going on a hike with American history is American history, No. 116–302) on the resolution (H. Res. the then-chairman of the Tribe, going and throughout this history, our ances- 713) providing for consideration of the out to the northwestern tip of the con- tors held fast to a belief that our peo- bill (H.R. 1309) to direct the Secretary tinental United States. My daughter ple would endure. was with us and she asked the Tribal of Labor to issue an occupational safe- We are reminded of our resilience by ty and health standard that requires chair: ‘‘Is this the end of the world?’’ people like: Joy Harjo, from the And he said, ‘‘We consider it the be- covered employers within the health Muscogee Creek Nation, the first Na- care and social service industries to de- ginning of the world.’’ tive American poet laureate in our Visiting the Quileute Tribe and par- velop and implement a comprehensive country’s history, named just this workplace violence prevention plan, ticipating in their festival out in La year. Push, which is one of the most beau- and for other purposes; providing for Our colleague, SHARICE DAVIDS, my proceedings during the period from No- tiful places on the planet. sister, as one of the first Native Amer- Visiting with the Hoh Tribe and cele- vember 22, 2019, through December 2, ican women elected to Congress in our 2019; and providing for consideration of brating a water project that that Tribe country’s history. had led the way on and touring with motions to suspend the rules, which Ruth Anna Buffalo, is a citizen of the their Tribe and seeing some amazing was referred to the House Calendar and Mandan, Hidatsa and Arikara Nation assets and also seeing some of the real ordered to be printed. from North Dakota, a State legislator challenges that they have. who is fighting to end the crisis of f Just recently visiting the Chehalis missing and murdered indigenous NATIVE AMERICAN HERITAGE Tribe, seeing some of their enterprises women and to make her State more eq- MONTH and seeing the value of the work that uitable for its indigenous citizens. The SPEAKER pro tempore. Under Tommy Orange, a Cheyenne and they do, how much it contributes to the Speaker’s announced policy of Jan- Arapaho award-winning writer from the local economy there, and how uary 3, 2019, the gentlewoman from Oakland. much it means to their ability to pro- New Mexico (Ms. HAALAND) is recog- Tatanka Means, a Navajo actor and vide services to their Tribal members. nized for 60 minutes as the designee of activist, and so many more. Visiting the Lower Elwha Klallam the majority leader. This month is set aside to celebrate Tribe and visiting their ancestral lands Ms. HAALAND. Madam Speaker, I the contributions that Native Ameri- and seeing the dam removal project rise today in honor of Native American cans have made to our country and to that occurred there that is giving new Heritage Month. And as part of this ac- recognize that there is so much more birth to the environment there in that knowledgment, I wish to state that we that the Federal Government must do region. are on Indian land. The Nacotchtanks, to ensure that Native nations have Visiting with multiple generations of known for trading right here through- every opportunity afforded to every the Jamestown S’Klallam Tribe, vis- out the Chesapeake area, were the American, which includes healthcare, iting their leaders and hearing about original inhabitants of the land we are education, public safety, housing, and the important role that fishing and standing on right now. economic development. shellfish growing has meant for their I am a proud member of the Pueblo of Madam Speaker, I yield to the gen- Tribe for generations and generations. Laguna in the great State of New Mex- tleman from Washington (Mr. KILMER). Visiting the Port Gamble S’Klallam ico. My mother raised me to be a Pueb- Mr. KILMER. Madam Speaker, I Tribe just this past year and hearing lo woman, and as such, I have an obli- thank Representative HAALAND, not about some extraordinarily innovative gation to my people and the quest of just for giving me some time to speak, work that they are doing to try to re- all Native American communities to but for being such a terrific leader and duce recidivism in our criminal justice safeguard our cultures and traditions being such an important voice, both for system and give people a second and do all I can to ensure that our peo- her district, and for people all over this chance. ple have a government that lives up to country. Sitting down just this past year for its trust obligations. She, along with SHARICE DAVIDS, are lunch with the leaders of the Trust obligations were promises two superstars of the freshman class Skokomish Tribe in a beautiful Tribal made to all of our Tribes in exchange who have been just terrific in adding center and hearing about some of the for the tens of millions of acres of land their voices to this body. challenges that their Tribe faces and that became the United States of I also want to recognize GWEN MOORE some of the opportunities that they America. As a child, I was taught to who has just been a tremendous cham- have. value our open space, our land, our pion on behalf of Native Americans and Visiting with the Squaxin Island water, and animals. has been a real leader on issues like the Tribe, visiting their child development In spite of the tremendous hardships Violence Against Women Act and has center and seeing the investments that my grandparents faced through their made a tremendous amount of progress they are making in kids and in future experiences in living through the In- for Native Americans throughout this generations. dian boarding school era, the assimila- country. Developing a friendship with the tion era, and being at the forefront of As was mentioned, November marks Suquamish Tribe with their chairman, moving our people into the modern era, Native American Heritage Month, a Leonard Forsman, who has come into I am here to advocate for the issues time to honor the first Americans. I this Chamber for the State of the and policies that will offer a clean am proud to represent 11 Tribes that Union, who has beaten me in basket- planet and opportunities now and for have called my region home since time ball, and hearing him speak passion- future generations. immemorial. ately about treaty obligations.

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That is a Tribe that is think about Thanksgiving, to celebrate a matter of fact, I grew up in a commu- very important in our region, and in Native American Heritage Month, con- nity where I had many friends, and I their ancestral homelands is where I sidering the welcoming of foreigners to learned so many things from my Na- almost proposed to my wife before I this land first inhabited by the Native tive friends. chickened out. peoples. I am extremely honored to now serve These communities have shown us This month really allows us the op- in this body with the first Native the importance of caring for iconic portunity to formally remember the American women—what a difference natural resources like salmon and great contributions that Native Ameri- one session makes—who have been shellfish that are found throughout the cans have made, and they continue to elected to this body and to be able to Pacific Northwest and have fought to make to bridge our communities and to work across the aisle, even before they protect our land and waters, not just improve our Nation. arrived, with concerned colleagues for themselves, but for future genera- All you have to do is walk right down with Native backgrounds, such as Mr. tions. the street to the Smithsonian National COLE and Mr. YOUNG, on legislation to They have shown all of us the impor- Museum of the American Indian to just address the needs of Native Americans. tance of honoring and respecting the get a glimpse of the many ways that Madam Speaker, I want to take just role of our elders, and never forgetting Native Americans have contributed to a few seconds, if the gentlewoman from the time-honored traditions that are the fabric of our Nation, despite the New Mexico will indulge me, to rein- passed down. many hardships, the broken promises, force my commitment to the first peo- They have defended our freedom by and trials they have faced. ples of this Nation. As they are citizens putting on the uniform of the United of this Nation, I want to remind the b 1645 States military. They play a key role body that Native people are dual citi- in driving our local economies. Indeed, as you walk through that mu- zens. Because of their treaty rights— This month, Native American Herit- seum, you will see the dozens and doz- and it is in the Constitution—they are age Month, reminds us that we have an ens and dozens of documentation of the sovereign nations, and we ought to opportunity to build a foundation of treaties that have been executed and double down on our efforts of the Fed- cooperation as partners to secure a violated in this country. eral Government to fully live up to brighter future for Tribes, not just in But the rich culture and heritage of the Pacific Northwest, but all around these trust obligations. Native Americans have still come Unfortunately, the history of our this country. through all of these hardships. They Unfortunately, the Federal Govern- country is not the same as our aspira- have been an indelible and undeniable ment has failed to uphold the promises tions. Our country’s policies toward impact on the American way of life. I made to these communities far too our Tribal communities is not a proud am reminded of that every single day often. So, today, as we mark Native one. It actually is quite horrifying, in my community. American Heritage Month, I want to which is why remembering, commemo- In fact, I hail from Wisconsin, where affirm my commitment, and I think all rating, and celebrating our Native Earth Day was inaugurated by the late, of my colleagues want to affirm their brothers and sisters is so important, in great Senator Gaylord Nelson because, commitments, to ensuring that the order to remember the great things but indeed, one of the things we have Federal Government honors its treaty also to remind us of where we have fall- learned in Wisconsin from our Native and trust obligations. en short so that we learn from our past I am grateful that earlier today the community is to have stewardship over and that our history never repeats House Natural Resources Committee our environment, one of the legacies of itself. held an oversight hearing on the recent the Native peoples. You have heard some of the things U.S. Commission on Civil Rights report My home State is proudly home to 11 that my sister DEB HAALAND has talked called: ‘‘Broken Promises: Continuing federally recognized Native American about here. She talked about the abro- Federal Funding Shortfall for Native Tribes, and I am so proud of the many gation of families and moving Native Americans.’’ contributions that these Tribes have American people into assimilation pro- A couple of years back I called on the made to the cultural and economic grams. Part of that legacy has come to Commission on Civil Rights to produce richness of my State. In fact, the city pass because we have not protected the this report, to give Congress a roadmap of Milwaukee, which I represent, has a sanctity of our Tribal obligations, re- for how to meet its treaty and trust ob- name that is derived from some of the spected sovereignty, and promoted the ligations for Indian Country. I am Native brothers and sisters who inhab- political, economic, and social self-de- proud to see Congress taking concrete ited the region: the gathering place by termination for Native American com- steps to address the recommendations the water, the beautiful land, or the munities. This is of paramount impor- outlined in this report. pleasant land. In fact, the host com- tance if we are not to repeat the same The decisions we make today should mittee from the Democratic National negative legacy. be with an eye toward how they will af- Convention is called the Good Land As we celebrate this month, let us re- fect our children seven generations Committee. dedicate ourselves to the numerous into the future. So I want to invite These Tribes have helped refine and bills and initiatives that can help make those at home and my colleagues to strengthen our State. In my home city a difference to our Native brothers and join us in celebrating the history and of Milwaukee, the Forest County Pota- sisters. Let this not be just some mo- culture of our Tribes and all Tribes watomi Foundation has not shied away ment, some little 5 minute or Special around this country. from helping to address some of the Order talking about how wonderful Na- Let’s recommit to working with our most intractable problems facing our tive Americans are. Tribal partners to make a brighter fu- communities, including high unem- One of our key legislative priorities ture for all. ployment, access to basic and higher this year is a strong reauthorization of Ms. HAALAND. Madam Speaker, I education, ensuring better access to the Violence Against Women Act. For yield to the gentlewoman from Wis- healthcare, and reducing health dis- too long, non-Native men could assault consin (Ms. MOORE), my friend and col- parities, among other things. Native American women with impu- league. I am so inspired by the dedication of nity. The Violence Against Women Act Ms. MOORE. Madam Speaker, I the Forest County Potawatomi to in- that passed the House earlier this year, thank the gentlewoman from New Mex- vest in Milwaukee and to give a help- sitting over in the Senate graveyard, ico for yielding. ing hand to those serving the most vul- would take more steps to end this

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But Native American women and children ican Heritage Month, a time for us to in 1982, a small group of Hawaiian lan- from domestic violence. reflect on and celebrate the rich his- guage educators came together and The need for affordable housing in In- tories and diverse cultures of our Na- formed the Punana Leo preschools, dian Country cannot be overstated. tion’s indigenous peoples. which focused on nurturing a new gen- Some of the poorest and most remote It is said that cultural heritage is the eration of Native Hawaiian speakers communities in this country are Na- sum total of the unique ways of living through education in the Native Ha- tive American communities. Native of a culture handed down from genera- waiian language, the Olelo. The first American elders and children are living tion to generation, be they customs, school was established in 1984 in in deteriorated housing with mold and practices, places, objects, artistic ex- Kekaha, Kauai. Today, there are many structures that cannot protect them pressions, language, and values, all such schools and thousands of Native against the harsh environment. amounting to a distinct identity and Hawaiian language speakers. NAHASDA, the Native American integrity as a people. Another ancient practice prominent Housing Assistance and Self-Deter- By that measure, most Americans in the Hawaii renaissance was the art mination Act, provides Tribal govern- have some familiarity with the rich of Polynesian voyaging. Hundreds of ments the ability to provide safe and cultural heritage of the indigenous peo- years had passed since the last voyage, affordable housing to Tribal commu- ples of the continental United States and the ancient ways of navigating had nities that is consistent with their sta- and Alaska. It is indeed gratifying to been lost. But in 1975, the Polynesian tus as sovereigns. We need to stop listen to my colleagues speak of the Voyaging Society built the Hokule’a, a punting and finally undertake a real rich diversity within our continental traditional outrigger canoe first cap- reauthorization to unlock the potential United States, from New Mexico to tained by Elia Kawika David of these programs to improve housing Florida to Washington and Wisconsin. Ku’ualoha, whose mission was to follow As we celebrate the heritage, iden- for all Native Americans. I continue to in the footsteps of Native Hawaiians tity, and integrity of these great peo- work with House and Senate colleagues and sail unaided across Polynesia. to find a path forward so we can finally ples this month, I want to highlight Today’s voyaging canoes sail freely that of another indigenous peoples of have this program reauthorized. across the Pacific and even around the our country, the Native Hawaiians. Ms. HAALAND. Madam Speaker, I world in the ancient ways, an amazing Because of Hawaii’s geographical dis- yield to the gentlewoman from Florida tance from the U.S. mainland and our symbol of cultural recovery. (Ms. MUCARSEL-POWELL). These kanaka are just a few of the unique history with the United States, Ms. MUCARSEL-POWELL. Madam tens of thousands of Native Hawaiians most Americans are not aware of the Speaker, each November, we take time almost 600,000 among us who identify, and others who simply decided that the to reflect upon the lasting contribu- in whole or in part, as Native Hawai- rich cultural heritage of the indigenous tions of Native Americans in our coun- ian. Some 50 percent still live in my peoples of Hawaii would not die but try. The rich traditions and history of home State of Hawaii, and I am deeply would be carried forward into genera- indigenous peoples shaped our Nation’s humbled to represent a native group tions to come. Their stories, and the democracy and cultural fabric long be- with such a deep and rich heritage all story of all Native Hawaiians, should fore the writing of the Constitution. its own. not be left unrecognized by this Con- Today, they continue to impact all Today’s Kanaka Maoli are descend- gress, either today or in the laws of our facets of American life and have en- ants of the original voyagers who made country focused on indigenous peoples. dured despite centuries of injustices. the incredible journey from Kahiki, to- I am honored to recognize them and We must remain mindful of our past day’s Tahiti and the Marquesas, some- their special contributions and legacy failures while moving forward to build where around 1,500 years ago, a full to our great country and to join all of a peaceful, mutually sustainable rela- 1,000 years before the universally rec- my colleagues who advocate so force- tionship between our government and ognized indigenous peoples of New Zea- fully for our indigenous peoples. Tribal nations. land, the Maori, arrived in Aotearoa. Madam Speaker, again, ‘‘mahalo nui At home, in Florida’s 26th Congres- By the arrival of the West through loa,’’ thank you very much, to the gen- sional District, it is an immense privi- Captain Cook in 1778, Native Hawaiians tlewoman from New Mexico for bring- lege to work with the Miccosukee had already long developed, practiced, ing us together to celebrate Native Tribe in Florida. The Miccosukee peo- and handed down a truly unique cul- American Heritage Month. May all ple are dedicated to the protection of tural heritage, from their own lan- Americans reflect on the diverse cul- their homeland, the Florida Ever- guage, dance, and music to customs tural legacy gifted to all of us by all in- glades, and have been a crucial partner and practices, values, and religion. digenous peoples of our Nation. in the fight for clean water and the res- They were truly their own people, in b 1700 toration of the natural flow of water every sense of the word. from the Kissimmee River to the Flor- However, like virtually all other in- Ms. HAALAND. Madam Speaker, this ida Bay. digenous peoples throughout our coun- Native American Heritage Month, let I am proud to have the Miccosukee try and world, the Kanaka Maoli en- us pay honor and respect to those who Tribe in my district, and I am so grate- dured cultural marginalization and dis- came before us. Let us never forget the ful for their vital participation in the crimination to the point that, by the genocide and racism that is so much of protection and the prosperity of south middle of the 20th century, their cul- our history. Let us all work together to Florida. As our country faces new chal- tural heritage was at risk for extinc- ensure that the future for the Native lenges, we should strive to include in- tion, as has happened with most other Americans and Native Hawaiians in digenous voices in our national con- indigenous cultures throughout our our country is as promising as it is for versation. history. any American living here currently. This month, let’s commit to hon- Beginning in the mid-1960s, though, a GENERAL LEAVE oring the legacy of Native nations and renewed interest in traditional Hawai- Ms. HAALAND. Madam Speaker, I celebrating the indispensable contribu- ian arts and culture began to emerge, ask unanimous consent that all Mem- tions of the first Americans. driving deep cultural pride and resur- bers may have 5 legislative days in Ms. HAALAND. Madam Speaker, I gence. The ranks of prominent Native which to revise and extend their re- yield to the gentleman from Hawaii Hawaiians include figures such as marks and include extraneous material (Mr. CASE). George Na’ope, a kumu hula who, with on the subject of my Special Order. (Mr. CASE asked and was given per- others, brought back the study and The SPEAKER pro tempore. Is there mission to revise and extend his re- practice of ancient hula. I had the objection to the request of the gentle- marks.) honor of presenting ‘‘Uncle George’’ as woman from New Mexico? Mr. CASE. Madam Speaker, I deeply a 2006 National Heritage Fellow here, There was no objection. appreciate my friend and colleague our Nation’s highest honor in folk and Ms. HAALAND. Madam Speaker, I from New Mexico leading this Special traditional arts. yield back the balance of my time.

VerDate Sep 11 2014 03:30 Nov 20, 2019 Jkt 099060 PO 00000 Frm 00091 Fmt 7634 Sfmt 0634 E:\CR\FM\K19NO7.054 H19NOPT1 Sspencer on DSKBBXCHB2PROD with HOUSE H9052 CONGRESSIONAL RECORD — HOUSE November 19, 2019 HEALTHCARE COSTS But that is hard because that isn’t molecules, even some of the synthetic The SPEAKER pro tempore. Under the model that we all think of. We genome type pharmaceuticals, don’t the Speaker’s announced policy of Jan- don’t future-proof our thinking of un- happen. uary 3, 2019, the Chair recognizes the derstanding where the technology is The logic is very simple, and we have gentleman from Arizona (Mr. today. If we don’t do that, we don’t hit seen this before in U.S. pharmaceutical SCHWEIKERT) for 30 minutes. the cost breakthroughs. manufacturing. If there is not the big Mr. SCHWEIKERT. Madam Speaker, As you look at the math here, you reward for the really big risks, you re- my wife accuses me of not being able to will start to see about two-thirds—ac- move the really big risks and just basi- speak without a chart, so now, when I tually, in some ways, it becomes three- cally take today’s pharmaceutical, am home, I walk around with a chart quarters if you work through some of make small improvements, small ad- for my 4-year-old, trying to explain the math—of the next 30 years is Medi- justments, and that is what you mar- what being a good girl is. So far, it is care. It is the unfunded liabilities in ket. That is where we were 20 years not working. Medicare of what we are going to spend ago, even 10 years ago. We try to do this every week, but to- and what it would cost to finance it. The disruption really has happened night, I am going to try to put some Remember, the next 5 years, just the just in the last few years because of more details into last week’s presen- growth of Social Security, Medicare, what we did here in this body by get- tation. healthcare entitlements equals the en- ting the policy right and, also, tech- The reason I have this first board up tire Defense Department. Every 10 nology. is, once again, to show the math on the years—that is two full Defense Depart- Part of the thought experiment to single biggest threat, I believe, to our ments—is just the growth. understand what those who support country and to our society and the ab- The next 10 years, 91 percent of our H.R. 3—you have to understand what surdity that this body isn’t dealing spending growth will be Social Secu- you are voting for or what you are pur- with it. rity, Medicare, and healthcare entitle- suing. If you look at this chart, this is from ments. Is that Republican or Demo- Over the weekend, I was reading the Manhattan Institute. It is now sev- cratic? It is just demographics. some of the mechanisms that are used eral months old. It is the 30-year win- It is one of my great heartbreaks: in Great Britain. There is a formula. dow. I am going to try to make this all The Ways and Means Committee, about Let’s say you had a new pharma- make sense. 3 weeks ago, moved a piece of legisla- ceutical. It is being presented to the If you remove Social Security and tion called H.R. 3—and I am going to folks who do the pricing in the Na- Medicare, we have $23 trillion in the try to tie this in on why the mecha- tional Health Service in Great Britain. bank 30 years from now. If you pull So- nism in that bill is so bad for the fu- How do they price it? cial Security and Medicare into the ture disruption in healthcare to crash One of the key aspects of their for- numbers, you see up on the top line, the price and make us all healthier. mula is very simple. It says if this were you are $103 trillion in debt. The advertised headline is: H.R. 3 is to extend someone 1 year of healthy If you, then, normalize it for, I be- about reference pricing U.S. pharma- life, what is that worth? In Great Brit- lieve, inflation-adjusted dollars, con- ceuticals to the five key European ain, it is $38,000. If this pharmaceutical stant dollars, it is like $83 trillion in countries, and we will adopt their pric- costs $40,000 but were to give you 1 debt. You are a couple hundred percent ing mechanism. more year of healthy life, it doesn’t get of debt to GDP. You have blown up the Do understand the revolution we are purchased. society. on the cusp of. A few years ago, this We are going to import that formula? Why can’t we just have an honest body, with a Democratic President and Look, we need to do something with conversation that our debt driver is de- a Republican Congress, passed some- pharmaceutical prices, but there are mographics? It is the healthcare por- thing called the Cures Act. We created things we can do on the financing side, tion of the demographics. How do we new channels and other ways to fi- on the incentives of the capital that have a revolution here around the cost, nance some speedier approvals for the goes in, the healthcare bond that I the availability of healthcare, instead drugs that are often referred to as bio- have come over and over to this floor of the absurd conversation we have logics. and talked about as the way to finance around this place all the time where it We have the cure for hemophilia the really, really expensive disruptive is about the financing? here. We are going to talk about cystic pharmaceuticals. Once again, let’s be honest, the ACA, fibrosis and other miracles that are When we are doing a reference pric- what many know as ObamaCare, was here. Remember, 5 percent of our ing in this pharmaceutical, if it is in substantially a financing mechanism, brothers and sisters, the chronic popu- Great Britain, it can be sold only if it who got subsidized, who had to pay. lation—that 5 percent—is the majority is under that $38,000 for being healthy Our Republican alternative was a fi- of our healthcare spending. If you want for a year. Is that really the reference nancing mechanism. It was about who to have a revolution in healthcare pricing mechanism we are all ready to had to pay and who got subsidized in- costs, do the two things I keep pro- go for? It sounds great until you start stead of what to pay. The what-to-pay posing over and over: adopt and legal- to understand what is underneath it. discussion is so difficult because you ize technology that allows us to be Let’s walk through my incredible op- really do challenge a lot of our vested healthier. Legalize the data, the ability timism of the technology cusp we are interests, a lot of our friends, a lot of for the thing you blow into that tells on the side of but, also, how this body preconceptions. you that you have the flu. Legalize it is going to have to figure out how we Just as a quick thought experiment so it can order your antivirals. make these cures available. to have this make sense, I think Re- The technology disruption is there to You all saw the news, and I just put publicans and Democrats both sort of keep us healthy. up this board because it is something I like the idea of telemedicine. Okay, The other side is the revolution is care a lot about, cystic fibrosis—only great. But most of us end up thinking here to cure our just horrible, debili- about 30,000 Americans. of telemedicine as I am going to grab tating diseases, but they are really ex- Some of the best efficacy drugs we my phone and talk to a nurse or a doc- pensive because we are dealing with have right now only take care of about tor. You haven’t thought it through very small populations and incredibly 6, maybe up to 20 percent of the popu- that, the fact of the matter is, where expensive research. lation. We have a breakthrough. We the technology is at today, you should The miracles are here, and God forbid have a huge breakthrough, but it is have one or two body sensors on, and if H.R. 3 were to become the law, the going to be, at least the current model you should be talking to an avatar that model itself. As you dig in and dig in right now—and it is a combination of is reading your body sensors that is and dig in, you understand that many different drugs functionally built on doing an algorithm that can give you of the things that would help us crash decades of research. But it is going to incredibly accurate information. That the future price of healthcare get be about $311,000 a year. would crash the price of that telemedi- ripped away from us because those cu- If you suffer with this disease, does cine. rative, revolutionary biologics, small our society have a moral obligation to

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