11/19/2009 — 

Mr. REED. Mr. President, I commend Senator Merkley, Senator Whitehouse, and Senator Reid of Nevada for their eloquent and accurate description of the situation that faces several States.

Throughout this country, there is a crisis in unemployment. But in States such as Michigan, Oregon, Nevada, and Rhode Island, it is a catastrophe--over 12 percent unemployment.

As my colleague pointed out, that is just the official number. That number does not include those who have lost their job, but not filed their official employment status. That number does not include those people who are looking for work and not finding employment. It is a situation that is extremely difficult on the individuals and families of Rhode Island.

We are engaged in a very serious debate about health care reform. There seems to be a consensus that the status quo will not work. Yet our proposals to change it are dismissed without appropriate response in terms of alternatives. Our colleagues in the minority are simply saying the status quo is bad, but it is good for us.

We have to make changes, and we have to make those changes that recognize not only the inefficiencies in our medical care system but also the overall economic system.

One of the impetuses for this reform is not just access and affordability of health care, it is the economic future of the country. Again, in States such as Rhode Island, Michigan, Oregon, and Nevada, this is an issue that is incredibly important.

We understand that some States have taken a much more aggressive approach to their Medicaid populations. In recognition of our costly health care system, they have tried to enroll as many people as they could. They recognize a higher level of poverty, one that I think is going to be recognized in federal reform initiatives. But effectively, these States, unless they are given some help, will be punished for being ahead of their colleagues, for trying to extend health care coverage before the Nation was ready to do that. In that sense, we have to also recognize the need to support the Medicaid Program and also support particularly those States that are in this economic catastrophe.

As Senator Whitehouse pointed out, we routinely come together and recognize the special needs of regions and States--wildfires in California, agricultural disasters throughout the middle of the country and elsewhere, the great crisis of Katrina. To say now that we cannot recognize something as extraordinarily important, such as health care, to several States, including my own of Rhode Island, is, I think, neglecting what we do here on a relative routine basis.

The other fact is that some of the criticism directed at proposals that have been made in the Finance Committee have been made by Governors who simply say you cannot shift the burden to us, and that is particularly the case in Rhode Island. We are facing a significant crisis in State funding. If we give them a responsibility without resources at a time of this great unemployment crisis, it would add a further burden. We would be, I think, not only disadvantaged by the economic situation but, as I suggested before, punished for a good deed, which is to try and incorporate more people into our Medicaid system.

We have to support the Finance Committee's approach. In fact, I thank the Finance Committee and Senator Baucus for considering this issue. This is critical. Again, we all wish we would be in a situation where unemployment could confidently be seen in the future as not a factor to support the States, but we know it is going to be.

The support the chairman and the members of the Finance Committee have given is appropriate. I strongly support it and urge my colleagues to do so, as well.