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Congressional Record United States Th of America PROCEEDINGS and DEBATES of the 107 CONGRESS, SECOND SESSION

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Congressional Record United States Th of America PROCEEDINGS and DEBATES of the 107 CONGRESS, SECOND SESSION E PL UR UM IB N U U S Congressional Record United States th of America PROCEEDINGS AND DEBATES OF THE 107 CONGRESS, SECOND SESSION Vol. 148 WASHINGTON, FRIDAY, JUNE 14, 2002 No. 79 House of Representatives The House was not in session today. Its next meeting will be held on Monday, June 17, 2002, at 12:30 p.m. Senate FRIDAY, JUNE 14, 2002 The Senate met at 9 a.m. and was I pledge allegiance to the Flag of the Republican leader or his designee. At called to order by the Honorable United States of America, and to the Repub- 9:35, we are going to have two votes. BLANCHE L. LINCOLN, a Senator from lic for which it stands, one nation under God, Following that, the main reason for me the State of Arkansas. indivisible, with liberty and justice for all. appearing this morning is to tell Mem- f bers S. 2600 will be open for amend- PRAYER APPOINTMENT OF ACTING ment. We hope people will come over The Chaplain, Dr. Lloyd John PRESIDENT PRO TEMPORE today. There will only be two votes. Ogilvie, offered the following prayer: We didn’t have a good day yesterday. Almighty God, Sovereign of this Na- The PRESIDING OFFICER. The We had a couple of amendments, but tion and Lord of our lives, we thank clerk will please read a communication the rest was not very serious business You for the outward symbols of inner to the Senate from the President pro related to the extremely important meaning that remind us of Your bless- tempore (Mr. BYRD). antiterrorism insurance legislation. ings. The sight of our flag stirs patriot- The legislative clerk read the fol- We hope people will begin to move ism and dedication. It reminds us of lowing letter: forward on this legislation. The major- Your providential care through the U.S. SENATE, ity leader indicated we are going to years, of our blessed history as a peo- PRESIDENT PRO TEMPORE, pass this legislation. It is just a ques- ple, of our role in the unfolding of Your Washington, DC, June 14, 2002. tion of whether we are going to do it American dream, and of the privilege To the Senate: with or without cloture. we share living in this land. Under the provisions of rule I, paragraph 3, Today, as we celebrate Flag Day, we of the Standing Rules of the Senate, I hereby f appoint the Honorable BLANCHE L. LINCOLN, repledge allegiance to our flag and re- a Senator from the State of Arkansas, to RESERVATION OF LEADER TIME commit ourselves to the awesome re- perform the duties of the Chair. The ACTING PRESIDENT pro tem- sponsibilities that You have entrusted ROBERT C. BYRD, pore. Under the previous order, the to us. May the flag that waves above President pro tempore. leadership time is reserved. this Capitol remind us that this is Mrs. LINCOLN thereupon assumed f Your land. the chair as Acting President pro tem- Thank You, Lord, that our flag also pore. MORNING BUSINESS gives us a bracing affirmation of the unique role of the Senate in our democ- f The ACTING PRESIDENT pro tem- racy. In each age, You have called pore. Under the previous order, there RECOGNITION OF THE ACTING will now be a period for the transaction truly great men and women to serve as MAJORITY LEADER leaders. May these contemporary patri- of morning business not to extend be- ots experience fresh strength and vi- The ACTING PRESIDENT pro tem- yond the hour of 9:35, with 20 minutes sion, as You renew the drumbeat of pore. The Senator from Nevada is rec- being under the control of the Senator Your Spirit, calling them to march to ognized. from Washington. the cadence of Your righteousness. In f The Senator from Washington is rec- ognized. the Name of our Lord and Saviour. SCHEDULE Amen. f f Mr. REID. Mr. President, we are going to be in a period of morning busi- HEALTH CARE CHALLENGES IN PLEDGE OF ALLEGIANCE ness until 9:35 a.m. Senator MURRAY THE STATE OF WASHINGTON The Honorable BLANCHE L. LINCOLN has the first 20 minutes. The remaining Mrs. MURRAY. Madam President, led the Pledge of Allegiance, as follows: time will be under the control of the seniors in Washington State cannot get ∑ This ‘‘bullet’’ symbol identifies statements or insertions which are not spoken by a Member of the Senate on the floor. S5563 . VerDate 11-MAY-2000 02:08 Jun 15, 2002 Jkt 099060 PO 00000 Frm 00001 Fmt 4637 Sfmt 0634 E:\CR\FM\A14JN6.000 pfrm04 PsN: S14PT1 S5564 CONGRESSIONAL RECORD — SENATE June 14, 2002 the medical care they need, and I have ments, providers cannot shift the costs State they live in. Washington seniors come to the floor today to explain the as they could in the past. In addition, pay the same, but they do not get the problem and to offer a solution that Washington State is facing a budget same access to care, and that is not has the support of doctors, nurses, hos- shortfall and that has affected funding fair. pitals, and patients throughout Wash- for Medicaid. Second, the reimbursement rates do ington State. As we in Washington State try to ad- not reflect the true costs of providing While many States are facing chal- dress those national challenges, we are care. The cost of treating a patient lenges in health care, the problems are starting out several steps behind. That does not magically drop when you especially severe in my home State, is because Washington State receives cross the border into my home State of where providers are struggling to care far below the national average in Medi- Washington. The health care pressures for patients in a system that is falling care payments per patient. As this we are facing do not stop at the State down around them. There are many chart behind me shows, Medicare rates line, but payments do, and that is forc- reasons for this crisis, but one of the vary by State. Shown here are the av- ing doctors to choose between helping most fundamental is the unfair way in erage Medicare payments per bene- patients and staying in business. That which Medicare reimburses doctors and ficiary. These figures come from the is not fair. providers. Federal agency that manages the pro- Third, health care today is affected Just look at what happens to the sen- gram—the Centers for Medicare and by national trends that require more iors I represent. They have spent their Medicaid Services, known as CMS. equal reimbursement rates throughout lives working hard, raising their fami- These figures are for fiscal year 2000. I the country. Two of those trends are lies, and paying into the Medicare sys- would love to show more recent num- the shrinking pool of available doctors tem. In fact, they have paid the same bers, but I understand CMS has decided and the growing need for expensive percentage of their income into Medi- they are no longer going to calculate medical equipment. care as Americans from every State. or distribute these figures. There are a limited number of med- But when they retire, they find that Looking at this chart, you can see ical professionals, and every State is their access to health care depends that these figures vary dramatically now competing to attract them. Be- upon where they happen to live. If they between States. At the top is Lou- cause Medicare rates are so much lower live in Washington State, they can ex- isiana. They get, on average, $7,336 per in my State, we cannot offer the same pect far less access and far fewer bene- Medicare patient. At the bottom is salaries or the same recruitment incen- fits than seniors in other States. That Iowa, which receives less than half tives. is because Medicare reimbursement that, just $3,053. When you include the Hospitals face this challenge when it rates vary State by State. District of Columbia, Washington comes to medical technology. Today, Today, those reimbursement rates State, my State, ranks 42nd in the Na- health care relies increasingly on so- don’t reflect the true cost of providing tion in Medicare reimbursement bene- phisticated expensive technology. An care, and they are penalizing patients ficiary. The Presiding Officer’s State of MRI machine costs the same amount and providers throughout Washington. Arkansas ranks right here at about for a hospital in Florida as a hospital Madam President, in recent years, we 28th in the Nation. It is well below the in Washington State, but the only dif- have lost many physicians and clinics, average of what most States get. The ference is the hospital in Washington especially in our rural areas. These un- national average is $5,490. Washington State receives far less money from fair Medicare rates are making the State, my State, receives $3,921 per pa- Medicare to pay for it. Overall, that problem even worse by encouraging tient. means our State cannot attract the doctors to retire early, to move, or to In fact, in New York, a doctor can be providers or buy the equipment that stop seeing Medicare patients alto- reimbursed at twice the rate as Wash- other States can, and that is not fair. gether. ington State for some procedures. That I recently heard from doctors with At the same time, these rates make affects the stability of our doctors, Olympia Radiation Oncology in Olym- it even harder for us to attract the new hospitals, clinics, and home health care pia, WA, and they said: doctors, nurses, and health care profes- providers.
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