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Congressional Record — Senate, S6518 (October 25, 2020)

Summary

Congressional Record, Senate, October 25, 2020, page S6518. Mr. SCHATZ expresses condolences to families affected by the coronavirus pandemic, says that over 220,000 Americans have died, and reads names of people who died. Mr. SCHATZ then voices concern that the Supreme Court nominee could help decide an election dispute, citing a 4–4 decision about an election dispute in Pennsylvania. Later text discusses coverage of addiction treatment, Medicaid coverage and insurance companies, and cites the Kaiser Family Foundation.

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“Congressional Record — Senate, S6518 (October 25, 2020).” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crec-crec-2020-10-25-crec-2020-10-25-pt2-pgs6518-2-387f2b62e9/, SHA-256 83a723dfb9822cb22771e2537ff2afb39a624df681cf9de553dd6d7e9010af82.

Full text

                                               S6518                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                                 The PRESIDING OFFICER. The Sen-                         Why would you even run for this job?                 order to hold onto political power. But
                                               ator from Hawaii.                                       Why would you even run for this job?                   she dodged these important questions
                                                                 CORONAVIRUS                           Just go be the executive vice president                and refused to defend democracy. I
                                                 Mr. SCHATZ. Mr. President, before I                   of the Federalist Society. If you don’t                have real doubts about her ability to
                                               talk about the Supreme Court, I want                    believe in the importance of the legis-                serve our Nation impartially, espe-
                                               to express my condolences to the fami-                  lative branch, don’t be a legislator.                  cially in the case of an election dis-
                                               lies and the loved ones who have expe-                    We are less than 2 weeks away from                   pute.
                                               rienced the human toll of the                           the most consequential decision, elec-                   There was a 4–4 decision which al-
                                               coronavirus pandemic.                                   tion, of our lifetimes. Almost 60 mil-                 lowed a lower court decision to be
                                                 Over 220,000 Americans have died, and                 lion Americans have already voted.                     upheld regarding—it is an election dis-
                                               millions of others have been forever                    And there are legitimate concerns                      pute in Pennsylvania. I won’t get into
                                               changed. I am going to read some of                     around an election dispute, and that is                great detail. The litigants now, because
                                               the names of those we have lost. The                    because of the President. The President                it was 4–4, are going right back to the
                                               families of these individuals have given                has proposed postponing the election.                  Supreme Court, figuring that Amy
                                               permission for their names to be read                   He has threatened to challenge the re-                 Coney Barrett will rule for them, in
                                               on the Senate floor, adding them and                    sults if he doesn’t win. He has called it              the middle of this election.
                                               their stories to the CONGRESSIONAL                      rigged in advance. He has refused re-                    This isn’t some theoretical, wild-
                                               RECORD: Mike Hawk, Stephen R.                           peatedly to commit to a peaceful                       eyed, internet-driven paranoia. This is
                                               Chatman, Milan Fryscak, Santos                          transfer of power.                                     happening. They went back to the Su-
                                               Gomez, Jack Larvin, Jeanne Lanson,                        He has openly admitted that one of                   preme Court to say: How about now?
                                               Wendy        Darling-Minore,        Rose                the reasons that he wanted to hurry in                 And I would be a little surprised if they
                                               DePetrillo,    Molly     Stech,   Larry                 confirming this nominee—one of the                     don’t rule 5–4 on behalf of Republicans
                                               ‘‘Grouse’’ Cummings, Sarah Ann Staffa                   reasons he wanted to hurry in con-                     who want to restrict the vote.
                                               Scholin, Elizabeth Woollett, Lorraine                   firming this nominee—is, in case there                   In moving forward with the con-
                                               Mallek,     Bob    Matusevich,    Javier                is an election dispute, to referee which               firmation, the Senate Republicans and
                                               ‘‘Chino’’ Ascencio, Joel Cruz, Michelle                 votes get counted.                                     the majority leader are going against
                                               Horne, Juan Carlos Rangel, Laura                          What is funny about this—not funny                   the precedent they set 4 years ago.
                                               Brown, Faye Ann Barr, Yoshikage                         like hilarious funny but kind of weird                   Look, I understand. I am reasonably
                                               Kira, Patricia Manning, Barbara John-                   funny—is that that is the kind of thing                good at politics. I know that hypocrisy
                                               son Hopper, Harry Conover, Stanley
                                                                                                       that, if I said that you are just putting              abounds. I understand that hypocrisy
                                               Gray, Mary J. Wilson, Richard Gordon
                                                                                                       this person in to referee an election                  abounds. I understand that, if we take
                                               Thorp, Joe Hinton, Angela Chaddlesone
                                                                                                       dispute, I would have expected the peo-                our case to the American voter and
                                               McCarthy, Gurpaul Singh, Paul J.
                                                                                                       ple on the other side to say: How dare                 say, ‘‘They are hypocrites,’’ the Amer-
                                               Foley Jr., Tim Mulcahy, Kelvin Lurry,
                                               Robert Wherry, Fred Westbrook.                          you make that accusation?                              ican voters are going to shrug their
                                                                                                         But, to the contrary, the junior Sen-                shoulders and say, ‘‘You’re all hypo-
                                                     NOMINATION OF AMY CONEY BARRETT
                                                                                                       ator from Texas actually said that is                  crites.’’ I get that.
                                                 Mr. President, the Senate used to be
                                                                                                       the reason they have to hurry: We had                    But I am a little bit old-school in the
                                               a body that valued bipartisanship, de-
                                                                                                       better get her in so she can rule                      following way: I come from a legisla-
                                               liberation, and compromise—a body
                                                                                                       against counting votes—in wherever                     ture, and I believe your word should be
                                               that balanced the demands for debate
                                               with the demands for action. But that                   the Democrats are counting their                       your bond. Otherwise, this kind of
                                               was in the past. The Senate no longer                   votes. That is what he said. This isn’t                place won’t work.
                                                                                                       a partisan accusation. It is literally                   When LINDSEY GRAHAM said, ‘‘Use my
                                               is the body that examines, considers,
                                               and protects our democracy.                             what TED CRUZ said.                                    words against me,’’ I actually believed
                                                 The Senate I see now is ruled by par-                   The President of the United States                   him. I have worked with LINDSEY be-
                                               tisanship and uncompromising ide-                       expects his nominee, Judge Barrett, to                 fore. I have had dinner with LINDSEY. I
                                               ology, and in their rush to jam through                 be Justice Barrett tomorrow night, to                  sort of personally like him. That prob-
                                               a divisive nomination days before the                   assist him with ensuring reelection, if                ably gets me in tons of trouble politi-
                                               election and before the American peo-                   necessary. These statements by the                     cally.
                                               ple get a chance to have their say, the                 President should alarm every Member                      But I just guess I thought that, if I
                                               majority leader and the Republican                      of this body—Democrat and Repub-                       am coming from the Hawaii Legisla-
                                               Party are inflicting procedural vio-                    lican. But, actually, it didn’t alarm                  ture, where your word is your bond,
                                               lence on the Senate itself and the                      certain Members. They found that to                    that is the most foundational rule of
                                               American people to achieve their ideo-                  be a justification for hurrying.                       politics. I remember when I was first
                                               logical objectives.                                       Disturbingly, in an exchange with                    elected in 1998. The National Con-
                                                 In fact, many Republicans bragged                     the Senator from New Jersey, Judge                     ference of State Legislatures, this
                                               that they had the votes to confirm the                  Barrett would not say that President                   training body for legislators, used to
                                               President’s nominee before the nomi-                    Trump should commit to a peaceful                      issue cassette tapes about how to be an
                                               nee was chosen. The world’s greatest                    transfer of power. When the Senator                    effective legislator.
                                               deliberative body, with the constitu-                   from California asked her if the Con-                    And I remember this. The first tape,
                                               tional responsibility for advice and                    stitution gives the President the power                I would stick it in my Nissan truck,
                                               consent and a special responsibility to                 to delay an election, Judge Barrett                    and I listened to it every day—Roz
                                               advise and consent on the highest                       said that she didn’t want to give off-                 Baker. Your word is your bond. That is
                                               Court in the land, decided that they                    the-cuff answers, even though the Con-                 the most important coin of the realm.
                                               were A-OK with whatever Donald                          stitution does not, in fact, give the                    And I get that. Look, most of the
                                               Trump decided, that their role in ad-                   President that power.                                  people in this body are pretty smart.
                                               vice and consent was to basically agree                   This is part of a pattern. I will take               So they are going to use their ample
                                               in advance and to abdicate their role.                  you through some of this stuff. Any-                   brains to justify their new position.
                                                 Now, we are not a parliamentary sys-                  time there is a live controversy—and                   But let’s be clear: This is the most
                                               tem. We are a separate, coequal branch                  by ‘‘live controversy’’ it is, basically,              rank hypocrisy I have ever seen in any-
                                               of the government, and we are sup-                      anytime Donald Trump says some-                        thing politically, and it is one of the
                                                                                                       thing—she is unwilling to cross him.                   most important things that I have ever




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                                               posed to have our own views. The Fed-
                                               eralist Society is not a branch of gov-                 She is unwilling to cross him.                         seen.
                                               ernment. Donald Trump should not run                      Our judges are supposed to be inde-                    It is not a trivial thing that you held
                                               the U.S. Senate. Nobody outside of this                 pendent and unbiased interpreters of                   up Merrick Garland. Now, do I go
                                               Chamber should be in charge of us, and                  the law. That means Judge Barrett                      around saying that on the cable shows
                                               to announce that you are for a nomi-                    should know what the law says and                      and whatever? No, because I know, out-
                                               nee, sight unseen, is an abdication of                  how to apply it, especially when the                   side of this body, nobody cares. Inside
                                               your role.                                              President threatens to break it in                     of this body, we are supposed to care



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                S6519
                                               about stuff like that. Inside of this                   judges, and that is how MITCH MCCON-                   whole political party who preapproves
                                               body, your word is supposed to count                    NELL wants it.                                         anybody on a list without even know-
                                               for something. It is not supposed to be                   It is especially egregious when so                   ing who is in it but also without even
                                               about the maximal use of power in                       many people need so much help. This is                 having a hearing. We do know how she
                                               tricking each other and tricking the                    a world historic event. You have 220,000               is going to rule, unfortunately.
                                               public.                                                 people dead. You have about 1,000 peo-                   The reason the Federalist Society
                                                 Here is what MITCH MCCONNELL said                     ple dying a day. You have businesses                   pushed so hard for Judge Barrett is
                                               about Merrick Garland: ‘‘The American                   closing forever. You have economic ex-                 that she is an originalist. This means
                                               people should have a voice in the selec-                tinction all over the country—red                      that she pledges to interpret the Con-
                                               tion of their next Supreme Court Jus-                   States, blue States, rural areas, urban                stitution as she determines the Fram-
                                               tice. Therefore, this vacancy should                    areas, suburban areas. The highest pri-                ers and the public intended at the time
                                               not be filled.’’                                        ority for MITCH MCCONNELL is stacking                  that the Constitution was written
                                                 The Senator from South Carolina                       the courts. That is really the game for                nearly two and a half centuries ago. To
                                               said:                                                   them.                                                  do this, she looks at world as it existed
                                                 I want you to use my words against me. If               It is important to know who Judge                    in 1787 and the values from that time.
                                               there’s a Republican President in 2016 and a            Barrett is. I want to be really clear—                   We are talking about a time when
                                               vacancy occurs in the last year of the first            she seems super pleasant. She is obvi-                 full citizenship was limited to White
                                               term, you can say, ‘‘LINDSEY GRAHAM said                ously incredibly accomplished aca-                     men, when most Black people were
                                               let’s let the next President, whoever it might
                                               be, make that nomination,’’ and you could
                                                                                                       demically. None of this is personal for                enslaved and considered property, when
                                               use my words against me and you’d be abso-              me. But she was groomed by this orga-                  women had no rights protections, being
                                               lutely right.                                           nization called the Federalist Society.                gay was punishable by the death pen-
                                                 The Senator from Texas said: ‘‘The                      We need to understand who they are                   alty. That is what she looks to in de-
                                               American people deserve to have a                       and what they do. They basically saw                   ciding how our country should be gov-
                                               voice in the selection of the next Su-                  that they had an opportunity to start                  erned today.
                                               preme Court Justice.’’                                  to identify and groom and place young                    The simple fact is, you cannot be an
                                                 It is not just my Republican col-                     ideologues. Those are the two key                      originalist and believe in full equality.
                                               leagues who have reversed their posi-                   words. You have to be young, and you                   You cannot look only at the Framers’
                                               tion. It is Judge Barrett herself who                   have to be pretty ideological, and then                intent and believe in protecting the
                                               actually    warned   against   making                   you are in the Federalist Society, and                 rights of women, people of color, Na-
                                               changes on the Court in an election                     then you can get a district court job.                 tive-Americans, and the LGBTQ com-
                                               year. She said:                                         Maybe you are going to be a prosecutor                 munity.
                                                 We’re talking about Justice Scalia, the               first, or maybe you are going to be a                    The two legal views are incompat-
                                               staunchest conservative on the Court, and               district court judge, or maybe you are                 ible. Striving for our Nation’s founding
                                               we’re talking about him being replaced by               going to run for office. But the whole                 promise of true equality for all or
                                               someone who could dramatically flip the bal-            deal is, this is their farm team.                      equal justice under the law requires
                                               ance of power on the Court. It’s not a lateral            The Federalist Society has very spe-                 leaving our outdated prejudices behind.
                                               move.                                                   cific views—socially conservative, anti-               The beauty of our country is that we
                                                 You know what else isn’t a lateral                    LGBTQ, super anti-choice. Impor-                       have the capacity to improve, to
                                               move? Ruth Bader Ginsburg for Amy                       tantly, they want to absolutely gut the                change each generation since our
                                               Coney Barrett. Our Democratic institu-                  regulatory state because where their                   founding has made this place better.
                                               tions depend on the trust of the Amer-                  money comes from is not primarily                      Originalism ignores all of that.
                                               ican people, and we cannot find that                    people who care about those social                       Precedent is the reason schools are
                                               bond of trust if we don’t have it                       issues. The money comes from pol-                      integrated. It is why anybody can
                                               amongst ourselves.                                      luters. That is what is going on here.                 marry the person that they love. It is
                                                 It is worth mentioning here that Sen-                   She comes from the Federalist Soci-                  why 20 million more people have
                                               ate Republicans are also choosing to                    ety. You know, before Trump, nobody                    healthcare. It is why women have the
                                               confirm Judge Barrett instead of ad-                    would have ever thought to provide a                   right to access reproductive freedom. It
                                               dressing the pandemic. You know, that                   list to the public of the potential Su-                is why we have cleaner air and cleaner
                                               is another thing that sort of sounds                    preme Court Justices that you would                    water.
                                               hypocritical because maybe I am exag-                   nominate. That was unheard of. You                       Those principles are not written into
                                               gerating it. But, no, that is actually                  are supposed to keep your powder dry                   the Constitution, but the progress we
                                               true.                                                   and try to be down the middle, if you                  have made in statutory law and in ju-
                                                 MITCH MCCONNELL is very clear. He                     can.                                                   risprudence is protected over time.
                                               didn’t want a COVID bill on the floor                     Obviously, a Democratic President                    Originalists are willing to throw those
                                               because he is worried that it would                     leans left, and a Republican President                 things out. That is why originalism is
                                               push this thing past the election. So it                leans right, but that is why you got                   so dangerous in a courtroom, especially
                                               is really clear, right? He said—I think                 kind of a mix of ideologies, even                      the Supreme Court in 2020. We should
                                               it was in May—he didn’t feel a sense of                 though some of these people who, you                   be very wary of those who wish to take
                                               urgency. He basically sat back and let                  know, after 20 years on the bench, you                 us back to a place where only some are
                                               Mnuchin and PELOSI negotiate, even                      can’t even remember whether they                       free. As we struggle to perfect our
                                               though whatever they come to will be                    were appointed by a Democrat or Re-                    Union, her nomination cements a con-
                                               blown up here because he doesn’t have                   publican. But what has happened in the                 servative majority and puts a lot of our
                                               the votes for hardly anything.                          last 10 years or so is you can definitely              hard-fought progress in jeopardy.
                                                 But let’s be really clear. His priority               tell who has been appointed by a Demo-                   The Court will hear cases that test
                                               is judges. His priority is always judges.               crat and you can definitely tell who                   our values and test our commitment to
                                               It is like a joke here. We fly in. A lot                has been appointed by a Republican.                    equality. Subscribing to originalism is
                                               of us fly out on the weekends. When we                    All of these votes are turning into                  just another way to say that Judge
                                               arrive, we say, What is on deck for this                partyline votes in the districts and the               Barrett will prioritize a handful of
                                               week? And everyone says: Nomina-                        circuits and now on the Supreme                        elite and wealthy Americans. Just like
                                               tions. You have a circuit judge. We                     Court. Nobody is really making up                      other jurists handpicked by the Fed-
                                               have a district judge. We have another                  their own minds. She came from the                     eralist Society, it is all but guaranteed




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                                               district judge. How many is it? Oh, it is               Federalist Society. Look, the Fed-                     that she will decide in favor of cor-
                                               five judges this week, no legislating                   eralist Society doesn’t appear to be                   porate power and the wealthy most of
                                               going on.                                               doing anything illegal. They are just                  the time.
                                                 That has become the way this place                    working the system.                                      What we need is a Justice who is
                                               operates. We are not the world’s great-                   It is worth asking whether this is the               committed to protecting and upholding
                                               est deliberative body. We are just like                 way we want to have our Supreme                        the rights of every American, regard-
                                               a little factory that approves Federal                  Court Justices selected. You have a                    less of race, religion, gender, national



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                                               S6520                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                               origin, or sexual orientation. While                    dating voters is illegal. I mean, this                 like a promising high school basketball
                                               Judge Barrett has been evasive in the                   isn’t a matter of interpreting constitu-               player, like being the 12th man on the
                                               hearings, her record is not unclear.                    tional law. This is Federal statute. She               LA Lakers. That is how I felt. I walked
                                                 I would like to walk through her                      also refused to say whether she be-                    in, and I thought: This is the big show.
                                               record on civil rights, LGBTQ rights,                   lieves voter discrimination still exists.              This is the place where we solve Amer-
                                               reproductive rights, and climate. Let’s                   She refused to say whether voter dis-                ica’s problems.
                                               start with civil and voting rights.                     crimination still exists. It is like worse               I have seen the inexorable destruc-
                                               Being named a Supreme Court Justice                     than I thought. Right? I am a Demo-                    tion of this institution because of a
                                               is an honor. A Justice should be a de-                  crat. I didn’t want anybody who didn’t                 lack of restraint on the Republican
                                               fender of human rights and civil rights,                share Ruth Bader Ginsburg’s views to                   side. I actually would love it if the
                                               and a Justice must have an unbreak-                     replace her. But I am alarmed. And be-                 blame were equally shared. It would be
                                               able commitment to fight for what is                    cause of her extraordinary skill and be-               easier for me because I don’t want to
                                               right and to lead the pursuit in making                 cause she comported herself well in the                sound like that. I don’t get anything
                                               America more free.                                      hearings, I don’t think people really                  out of that.
                                                 Judge Barrett has written that the                    know how dangerous this is about to                      I imagined these groups of people—
                                               entire 14th Amendment is ‘‘possibly il-                 be. I think people are in for a rude                   and it wasn’t always the moderates
                                               legitimate.’’ Yes, you heard that cor-                  awakening in terms of what this Court                  right in the middle. Nowadays, the
                                               rectly. Judge Barrett questions the le-                 is about to do to roll back the clock on               only people who are kind of cutting
                                               gitimacy of the very amendment that                     some stuff that we pretty much think                   deals in the middle are the moderates.
                                               is the cornerstone of civil rights and                  we already agree on: gay rights, 70 per-               But back in the day, it was Teddy Ken-
                                               equal protections in this country.                      cent of the public, like we have moved                 nedy and Orrin Hatch. It was Danny
                                                 The 14th Amendment was proposed                       on; reproductive choice, 70 percent of                 Inouye and Ted Stevens. And now there
                                               during Reconstruction following the                     the public, we moved on; the Affordable                is not even a desire to do big things
                                               Civil War when the Union was deciding                   Care Act, after 15 years or whatever it                here. There is a total lack of ambition
                                               how to readmit Confederate States and                   is, 12 years of fighting about it, we                  to solve America’s problems here, and
                                               restore their representation to Con-                    kind of moved on. Now, you have Re-                    there is a total lack of restraint when
                                               gress. One of the conditions for allow-                                                                        it comes to the exercise of power.
                                                                                                       publicans making ads saying, I am
                                               ing them to reenter was passing and                                                                              So the old Senate is gone. The old
                                                                                                       going to protect your preexisting con-
                                               ratifying the 14th Amendment. The                                                                              Senate is gone, and this body has re-
                                                                                                       ditions.
                                               theory that she uses to challenge its                                                                          invented itself over and over and over
                                                                                                         The American public has a consensus
                                               validity is that the South was strong-                                                                         again, and it is going to have to do it
                                                                                                       on a number of things. I think all of
                                               armed in the supporting it, so the                                                                             again. But that old Senate where you
                                                                                                       these people are prepared to undo that
                                               amendment never truly earned the sup-                                                                          could pour a scotch after yelling at
                                                                                                       consensus. Here is what is so alarm-
                                               port of the American people.                                                                                   each other on the floor, it is gone.
                                                                                                       ing—maybe it was this morning or                         I can’t tell you the number of times
                                                 That is crazy. There is nothing in the
                                               law to justify this position, and there                 maybe it was yesterday—the majority                    I have invited my Republican col-
                                               never has been. The Southern Poverty                    leader, Leader MCCONNELL, after giv-                   leagues to come down to the floor and
                                               Law Center calls this a White suprema-                  ing, to me, what was a weird speech—                   have a debate. We don’t even argue
                                               cist myth, perpetrated by Confederate                   not substantively. I knew the speech he                anymore. They go on FOX News. We go
                                               sympathizers, the KKK, and other ex-                    was going to give, essentially blaming                 on MSNBC. We line up. We smash hel-
                                               treme rightwing groups.                                 Harry Reid for everything. Fine. I                     mets. They win 52 to 48.
                                                 It is unfathomable to think that any-                 mean, I disagree with it, but I don’t be-                So what is happening in this time pe-
                                               body in the year 2020 would be opposed                  grudge him a partisan speech in this                   riod, which is to say in the next 24
                                               to the simple concept that every Amer-                  context.                                               hours, is sort of the culmination of
                                               ican should be treated equally under                      But the way he did it, he turned his                 Leader MCCONNELL’s philosophy about
                                               the law. It really should disqualify                    back—I mean, you are supposed to ad-                   what this place should do, which is, we
                                               Judge Barrett from the Supreme Court                    dress the Chair, right? Some of us                     do judges. We don’t do big things, we
                                               seat.                                                   move around. But this was weird. He                    don’t even try to do big things, and we
                                                 At the same time, she has repeatedly                  turned his back on the Democratic side                 never fail to maximally use our power.
                                               overlooked discrimination in the work-                  of the aisle and just stared at his cau-               That is a different model for our legis-
                                               place, concluding that separate can be                  cus and gave them a pep talk and                       lature. Frankly, it is how a lot of legis-
                                               equal. I mean, this is basic civics. I                  said—I am going to paraphrase right                    latures work; it is just not the way this
                                               have two teenagers. This is the stuff we                now, but it was basically, The stuff we                place used to work. But if that is the
                                               learned as bedrock foundational Amer-                   have done over the last 4 years is going               model, then Democrats are going to
                                               ican history in civics. She is saying                   to be undone in legislative terms as a                 have to wrap their minds around what
                                               separate can be equal. I read this opin-                result of coming elections, but what we                has happened because we can’t be the
                                               ion. She said that using a racial slur in               are doing on the Court will last a life-               only ones showing any restraint, right,
                                               the workplace does not necessarily cre-                 time.                                                  because that is just a recipe for getting
                                               ate a hostile work environment for the                    I get the point that he is making be-                rolled and rolled and rolled, and that is
                                               object of that slur.                                    cause he is just measuring his power.                  a recipe for entrenching minority rule.
                                                 Try to fathom a situation where                       But everybody should listen to what he                   I understand that the structure of
                                               someone is calling someone a racial ep-                 is saying. He is promising that it                     the Senate is what it is. It is enshrined
                                               ithet but that is not hostility in the                  doesn’t matter what we do over here                    in the Constitution, and far be it from
                                               workplace. Her brain is big; I don’t                    because they are going to undo it over                 me to argue that small States
                                               doubt it. But it is a pretty extraor-                   there.                                                 shouldn’t get two Senators. Small
                                               dinary stretch of a pretty extraor-                       This man who presents himself as an                  States should get two Senators. Wheth-
                                               dinary brain to try to assert that say-                 institutionalist is deciding that the                  er you have 1.5 million people or 50 mil-
                                               ing something racist to someone in the                  U.S. Senate’s role is to just stack the                lion people in your State, you should
                                               workplace is not a hostile act. It is                   judiciary and stop legislating, and that               get two Senators. I am for that. But
                                               definitely a hostile act. Maybe I just                  is alarming.                                           the way this is starting to work is that
                                               lack the educational attainment to un-                    I want to make one sort of final                     elected representatives who collec-
                                                                                                       point. I really worry about the Senate




SSpencer on DSK126QN23PROD with SENATE
                                               derstand how you get so smart that                                                                             tively have gathered 10 million, maybe
                                               you lose all of your common sense and                   itself.                                                12 million, maybe by the year 2030, 30
                                               all of your decency and all of your hu-                   I was so thrilled to be here. The cir-               million fewer votes than the minority
                                               manity and you forget what you                          cumstances of my entering the Senate                   party, are going to stack the judiciary
                                               learned in 6th grade and 9th grade and                  were tragic, actually, because of the                  and entrench minority rule.
                                               12th grade.                                             death of my predecessor. But I am not                    So something has to give. Yes, I
                                                 During the hearing this week, Judge                   going to lie—I was being sent to the                   know there are elections that can re-
                                               Barrett declined to agree that intimi-                  world’s greatest deliberative body. It is              solve this, and sometimes when things



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                 S6521
                                               feel stuck, maybe they are not as stuck                 this pandemic, but this is unthinkable                 lenting campaign from the Republicans
                                               as they feel, but the shoe is going to be               that our country has been ravaged by a                 to try to repeal the Affordable Care
                                               on the other foot.                                      virus that less than a year ago no one                 Act.
                                                 As my good friend Claire McCaskill,                   had ever heard of.                                       When I was in the House of Rep-
                                               the former Senator from Missouri,                         Sometime in November or December                     resentatives, the call from the Repub-
                                               says, you know, the door swings both                    of last year, COVID–19 started popping                 licans was to repeal and replace. The
                                               ways in Washington.                                     onto the international public health                   Presiding Officer will remember this
                                                 So I just think it is important for                   radar screen in China, and a few                       because I think we served together dur-
                                               every Member of this body to under-                     months later, it was here in the United                ing that period of time. The idea was,
                                               stand that the door swings both ways                    States. Most countries were able to                    of course, that the Republicans didn’t
                                               in Washington. If we are going to re-                   come up with a plan to control, con-                   like the Affordable Care Act, but they
                                               build this institution and rebuild the                  tain, or essentially eliminate the                     acknowledged that they couldn’t get
                                               trust that the public has in their elect-               threat of COVID–19 in a matter of                      rid of it with nothing else to replace it.
                                               ed representatives and the judiciary                    months. The United States was not, be-                 Now, that in and of itself was an ac-
                                               and public leaders, then we are going                   cause of an abysmal failure by this ad-                knowledgment of the merits of the Af-
                                               to have to be trustworthy with each                     ministration.                                          fordable Care Act. The Republicans
                                               other.                                                    We are now living with a third wave                  may not have liked the details, but
                                                 I feel betrayed. One of the most                      of COVID. As we speak on the floor to-                 given the fact that they were not sup-
                                               pleasurable aspects of working in this                  night, we are looking down the barrel                  porting repealing it but supporting re-
                                               place when I first got here, coming                     of 300,000 Americans dead by the end of                pealing it and replacing it with some-
                                               from an almost entirely Democratic                      this year. No one is safe. There are mil-              thing else, they knew the American
                                               State, was my ability to work with Re-                  lions of kids who can’t go back to                     public would not allow for the Afford-
                                               publicans. It was a unique professional                 school, businesses that have gone                      able Care Act to disappear and have
                                               challenge for me. I am looking at the                   under, and 10 percent of our workforce                 nothing else to stand in its place.
                                               Presiding Officer, and we did some                      that is out of work.                                     We waited month after month and
                                               pretty good work together, and it was                     This is an exceptional night because                 year after year for a replacement plan
                                               a pleasure. That was fun, and that was                  we are living in an exceptional mo-                    to be offered by the Republicans. We
                                               the way this place should work.                         ment, and I will talk over the course of               waited month after month and year
                                                 I worry about how frayed those rela-                  my remarks about the President’s fail-                 after year. That replacement plan
                                               tionships are, and I worry about the                    ure to meet the moment and to be able                  never arrived. The closest we came to
                                               fact that there is this kind of principle               to rescue this country from this pan-                  seeing a replacement plan was in the
                                               that all is fair in love and war. These                 demic—in fact, his daily actions now to                summer of 2017. As we were debating
                                               guys are about to do something even                     actively spread the disease. There is no               its repeal here in the Senate shortly
                                               worse, so you might as well punch                       one who is doing more to spread                        after the election of Donald Trump,
                                               them in the mouth preemptively, and                     COVID–19 across the country today                      Speaker Ryan, then still in charge of
                                               the kind of rah-rah speeches that I be-                 than the President of the United                       the House of Representatives, pre-
                                               lieve go on in the Republican con-                      States, who is holding daily super-                    sented a replacement.
                                                                                                                                                                The problem is the replacement was
                                               ference characterizing us as promising                  spreader events, who is shaming indi-
                                                                                                                                                              worse than simple repeal. The Afford-
                                               to do unusually aggressive things, and                  viduals who wear masks, and who is de-
                                                                                                                                                              able Care Act covers around 23 million
                                               therefore they might as well get it over                liberately trying to reduce the number
                                                                                                                                                              individuals, and the Congressional
                                               with in advance. By the way, Harry                      of tests that are done in this country.
                                                                                                         I also want to acknowledge that the                  Budget Office said that Speaker Ryan’s
                                               Reid did X, Y, and Z, and what about
                                                                                                       vote that we have pending, ready for                   replacement plan would have resulted
                                               Robert Byrd? And they get told a story
                                                                                                       action tomorrow, is directly connected                 in 24 million people losing healthcare,
                                               about how awful we are, and then that
                                                                                                                                                              going backward from the status quo
                                               justifies their breaking their bond with                to the question as to whether this
                                                                                                                                                              ante.
                                               us.                                                     country is going to be able to turn the
                                                                                                                                                                Seventy different times Republicans,
                                                 I understand that a lot of what hap-                  corner on COVID, because the first case                either in the House or the Senate, tried
                                               pens here is a result of polarization                   Amy Coney Barrett will likely hear                     to repeal all or part of the Affordable
                                               across the country—I would argue                        after she is confirmed by this body, as                Care Act. You may say: Well, that
                                               asymmetric polarization—but people                      it looks like will happen tomorrow,                    sounds unfair. It is not fair to create an
                                               matter, relationships matter, and trust                 will be a case on the Affordable Care                  equivalency between efforts to repeal
                                               matters. I have never felt so clear that                Act—a case that asks the Supreme                       all of the Affordable Care Act and ef-
                                               we as Members have been betrayed;                       Court to invalidate the entirety of the                forts to repeal just some of the Afford-
                                               that the arguments that were made in                    ACA.                                                   able Care Act.
                                               favor of holding up Merrick Garland                       It draws issue with one specific provi-                OK, on 31 different occasions, Repub-
                                               were BS, and we have a long way to go                   sion in the ACA, but the remedy it                     licans tried to repeal the entirety of
                                               to rebuild this institution.                            seeks—the remedy the President of the                  the Affordable Care Act—31 times,
                                                 I yield the floor.                                    United States is asking for—is the                     which is a lot—with no replacement
                                                 The PRESIDING OFFICER (Mrs.                           complete invalidation of the Affordable                that would have covered everyone that
                                               CAPITO). The Senator from Con-                          Care Act. That is 23 million people los-               receives coverage under the Affordable
                                               necticut.                                               ing healthcare. That is 130 million peo-               Care Act, with no meaningful effort to
                                                 Mr. MURPHY. Madam President,                          ple all across this country who have                   protect those who have preexisting
                                               first, let me thank the Presiding Offi-                 preexisting conditions potentially los-                conditions.
                                               cer, the staff on the floor, and the staff              ing protections that, under the ACA,                     My eyes were open to that. My con-
                                               in both caucus rooms, for putting up                    prohibit insurance companies from                      stituents were watching all of that. We
                                               with a very, very late night to take the                charging them more.                                    saw how Republicans, 31 times, tried to
                                               floor just past 3:30 in the morning. I                    I have heard my Republican col-                      repeal the Affordable Care Act.
                                               thank my friend Senator SCHATZ for                      leagues come down to this floor and go                   I have listened to Republicans out on
                                               picking up about an hour and a half,                    on television and give press con-                      the campaign trail. I have watched
                                               from 2 until 3:30, and I know that Sen-                 ferences in which they suggest that                    what Republicans have said to the
                                               ator KAINE will be joining the floor                    those of us who say the Affordable Care




SSpencer on DSK126QN23PROD with SENATE
                                                                                                                                                              press and to their constituents. We are
                                               shortly.                                                Act is about to be struck down due to                  not blind. We know that Republicans,
                                                 This is an exceptional night because                  the confirmation of Amy Coney Bar-                     for 10 years, have been trying to repeal
                                               we are living in exceptional times. We                  rett are engaging in hyperbole, that we                the Affordable Care Act. We know that
                                               are likely to see tomorrow a record                     are exaggerating. Well, I have been in                 for 10 years Republicans have not had a
                                               number of COVID cases diagnosed in                      the Congress for the last 10 years, the                replacement that would insure any-
                                               this country. I know that it now feels                  House and the Senate. My eyes haven’t                  where close to the number of people in-
                                               like the new normal 7, 8 months into                    been closed. I have watched an unre-                   sured by the Affordable Care Act or



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                                               S6522                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                               provide protections to people with pre-                 ured out that they weren’t going to be                 undo the Affordable Care Act, they
                                               existing conditions.                                    able to get it done through Congress,                  could essentially plant a constitutional
                                                 So don’t tell us that we are                          that the American people weren’t                       landmine in the Affordable Care Act
                                               overhyping this desire by Republicans                   going to let them.                                     and attempt to get it invalidated
                                               to take steps in this body that would                     So they decided to try another way.                  through the courts.
                                               lead to the repeal of the Affordable                    Later that year, the Republican tax                      Now, again, let me tell you, I don’t
                                               Care Act because that is the lion’s                     bill passed the U.S. Senate and the                    agree with the Supreme Court deci-
                                               share of what Republicans have been                     House of Representatives and was                       sion—I think it was in 2012—that sug-
                                               doing for the last 10 years.                            signed into law by the President of the                gested the Affordable Care Act would
                                                 In the summer of 2017, Republicans                    United States, and inside that tax bill                be invalid if you removed this tax pen-
                                               mounted their last stand to get rid of                  was a curious provision, a provision                   alty. But that decision stands, the
                                               the Affordable Care Act. They had con-                  that eliminated the tax penalty for in-                NFIB decision, and Republicans figured
                                               trol of the House, the Senate, and the                  dividuals who don’t have insurance.                    out that they could sabotage the Af-
                                               Presidency. This was the moment to do                   That was a really important part of the                fordable Care Act and run a case
                                               it.                                                     Affordable Care Act, not a super pop-                  through the court system that would
                                                 In fact, most of us expected that it                  ular part of the Affordable Care Act.                  end up getting done what they had
                                               was a foregone conclusion, having told                  Nobody likes putting a financial pen-                  been trying to do for 10 years—take in-
                                               the American public in the runup to                     alty on individuals who don’t have in-                 surance from 23 million people and the
                                               2016 that, If you elect us, we will repeal              surance, but it was really critical to                 preexisting conditions protection.
                                               the Affordable Care Act, and having                     protecting people with preexisting con-                  And that is exactly what they did.
                                               won the House and the Senate and the                    ditions.                                               That is exactly what Republicans did.
                                               Presidency, despite, by the way, get-                     I won’t go into the details of it, but               Twenty Republican attorneys general,
                                               ting less votes than Democratic can-                    I actually sat in the Presiding Officer’s              joined by a whole host of conservative
                                               didates for the Senate and the House                    chair during Senator CRUZ’s filibuster                 political organizations, launched a
                                               and their President having gotten less                  overnight, on a late night like this one.              court case claiming that because of the
                                               votes than the Democratic candidate                     I was probably presiding as a freshman                 change made in the 2017 tax bill, the
                                               for President, by virtue of the way in                  Member of the Senate at about this                     Affordable Care Act was now, all of a
                                               which     we    select    representatives               hour, and in that filibuster—I wouldn’t                sudden, unconstitutional. It had to be
                                               through      gerrymandered      districts,              recommend going back and looking at                    struck down.
                                               through the way in which States with                    it on tape, but you could—you would                      The case went before the district
                                               smaller populations have greater rep-                   listen to Senator CRUZ explain that, in                court, and a Republican-appointed
                                               resentation in the Senate and through                   fact, the individual mandate and the                   judge ruled in favor of the Republican
                                               the mechanism of the electoral college.                 tax penalty are critical to protecting                 attorneys general. The case then went
                                               Despite getting less votes than Demo-                   people with preexisting conditions. Be-                to the circuit court, and in a 2-to-1 de-
                                               crats all across the country in 2016, Re-               cause if you don’t require people to get               cision, with a Trump-appointed, Sen-
                                               publicans did take control of the                       insurance but you also require insur-                  ate-confirmed judge making the dif-
                                               House, the Senate, and the Presidency.                  ance companies to rate folks who are                   ference, they ruled in favor of the
                                               And those are the rules. Those are the                  really sick the same as they rate                      plaintiffs, and now that case sits before
                                               rules. Republicans played by the rules                  healthy patients, the whole insurance                  the Supreme Court, and it is to be
                                               in running for office in 2016. I am not                 system falls apart. Because if you                     heard by the Supreme Court in 2
                                               begrudging the fact that they did in                    aren’t required to get insurance but                   weeks—in 2 weeks.
                                               fact win control of all three lawmaking                 you are not penalized if you wait to get                 So now you might be starting to fig-
                                               chambers of U.S. democracy—the Pres-                    insurance until you are really sick,                   ure out why we are here. Why are we
                                               idency, the House, and the Senate. It                   then that is exactly what you will do.                 rushing through Amy Coney Barrett’s
                                               was to be expected that Republicans                     You won’t get insurance until you are                  nomination in record time? You never
                                               would repeal the Affordable Care Act in                 really sick. You won’t have to pay any                 had a Supreme Court Justice confirmed
                                               2017.                                                   more once you have that expensive                      this close to the election. In my polit-
                                                 But, curiously, they could not, and                   cancer diagnosis, for instance. Then,                  ical lifetime, I have never seen a Su-
                                               the reason they could not is pretty                     without any healthy people buying                      preme Court Justice rushed through in
                                               simple. Democracy took hold. The peo-                   into the system and with only sick peo-                this amount of time.
                                               ple of this country didn’t allow this                   ple part of our insurance pools, the in-                 We have been here all weekend. It is
                                               Congress to repeal the Affordable Care                  surance system collapses.                              3:30 in the morning. We took a vote on
                                               Act. They rose up in record numbers.                      So Republicans went into this 2017                   Saturday. It is now becoming apparent
                                               Thousands of people turned out to                       tax bill, and they removed the provi-                  why we are rushing this through.
                                               townhalls all across the country. The                   sion that would provide a financial                      It is probably partially because Re-
                                               phone lines here were lit up. There                     penalty. But it really wasn’t actually                 publicans are worried they are going to
                                               were protests that spring and summer                    that curious. It wasn’t that difficult to              lose their Senate majority in this elec-
                                               outside this building on a near daily                   figure out why they were doing that.                   tion and the President is going to lose,
                                               basis. It was 100 percent clear that if                   Republicans were doing that because,                 and it will be much harder to push
                                               Republicans voted to repeal the Afford-                 a few years before, the Supreme Court                  through a nominee in a lameduck ses-
                                               able Care Act and replaced it with                      had ruled that the Affordable Care Act                 sion. It is probably because there are
                                               nothing or made our healthcare system                   was constitutional because of the exist-               potentially cases to come before the
                                               worse, as Speaker Ryan’s plan would                     ence of that tax penalty. It was an in-                Supreme Court regarding this election,
                                               have done, there was going to be hell to                teresting decision, one that I disagree                and this President wants to make sure
                                               pay from the American electorate.                       with, but Justice Roberts ruled for five               he has as many of his nominees
                                                 Now, it turned out that there was,                    of nine members that the Affordable                    stocked on the bench as possible if
                                               anyway, because Americans watched                       Care Act could stand as constitutional                 there are any questions that arise be-
                                               the attempts to repeal the Affordable                   because of the existence of that tax                   fore the Court regarding the validity of
                                               Care Act and were just slightly less in-                provision.                                             the election.
                                               furiated than they would have been if                     So you didn’t have to be a rocket sci-                 But I think mostly the reason that
                                               repeal had actually gone forward.                       entist to figure out why Republicans                   we are here, rushing through Amy




SSpencer on DSK126QN23PROD with SENATE
                                                 But repeal failed. On this floor, late                had inserted this provision into the tax               Coney Barrett’s nomination, in the
                                               one night in the summer of 2017, the                    bill—because they believed that they                   dead of night, in record time, 1 week
                                               bill went down, and Republicans at                      had a new route, a new pathway, to in-                 before an election, is because the Af-
                                               that point had figured it out. Having                   validate the entirety of the Affordable                fordable Care Act case is up before the
                                               tried 31 times—70 times, whatever your                  Care Act.                                              Supreme Court in 2 weeks, and it is
                                               number is—to repeal all or part of the                    Now, having failed to be able to get                 likely—in fact, almost certain—that
                                               Affordable Care Act, Republicans fig-                   the elected branch of government to                    without Amy Coney Barrett on the



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                     S6523
                                               Court, that case brought by Donald                      licans in this Chamber didn’t pressure                 capacity in parts of our country, for
                                               Trump and Republicans across the                        him to do so.                                          over 20 million Americans to all of a
                                               country will not succeed, and that only                   Republicans here could have begged                   sudden not have the ability to pay for
                                               by rushing through Amy Coney                            the President, privately or publicly, to               healthcare.
                                               Barrett’s nomination 2 weeks before                     go to the court and ask for the portions                 We are in the middle of a pandemic,
                                               this case is to be heard by the Supreme                 of the act that protect people with pre-               but we are also in the middle of a giant
                                               Court can Republicans finally get done                  existing conditions to remain, but the                 depression; right? I mean, 10 percent of
                                               what they have been trying to do for 10                 President didn’t do that. He sent his                  America is out of work. Guess how
                                               years—repeal the Affordable Care Act                    lawyers to court. His lawyers will be in               those individuals get health insurance
                                               and end insurance for 23 million Ameri-                 Court in 2 weeks arguing that the en-                  when they are out of work—through
                                               cans and strip away protections for ev-                 tire Affordable Care Act be struck                     the Affordable Care Act. People that
                                               erybody who has a preexisting condi-                    down—the whole thing.                                  lose their job, many of them get insur-
                                               tion.                                                     So let me say it again. Don’t blame                  ance through the Affordable Care Act.
                                                 Now, I know my Republican friends                     us for watching what you do, rather                    They qualify for the Medicaid expan-
                                               get really angry when they hear us sug-                 than what you say. Republicans say                     sion in the Affordable Care Act, or they
                                               gest that their goal is to end insurance                they want to protect people with pre-                  end up buying insurance through these
                                               for 23 million Americans or to strip                    existing conditions, but then every-                   exchanges.
                                               protections away from people with pre-                  thing they do and everything this                        I have story after story from my con-
                                               existing conditions, and they will stand                President does seeks to destroy those                  stituents in Connecticut of people who
                                               up here and say: No, of course, that is                 protections.                                           lost their jobs in the middle of a pan-
                                               not what we want to do. We are going                      That is why we are here. We are here                 demic and were able to get health in-
                                               to protect people with preexisting con-                 because Republicans have gotten them-                  surance because of the Affordable Care
                                               ditions. We will find a way to insure all               selves on this train that they cannot                  Act.
                                               those people.                                           stop—this effort that has been under-                    It is not just that you have all these
                                                 And I truly do believe that my Re-                    way for a decade to strip away the Af-                 sick people who are going to lose insur-
                                               publican colleagues do, in a perfect                    fordable Care Act protections. Two                     ance when the Affordable Care Act is
                                               world, want people with preexisting                     weeks from now, the Republicans will                   repealed but also all these folks who
                                               conditions to be covered. The problem                   get a little bit closer to what they have              are out of work and have no other way
                                               is they have worked themselves into a                   been asking for, for 10 years, when this               to get insurance at an affordable rate
                                               trap that they can’t get out of and that                case comes before the Supreme Court                    other than the Affordable Care Act.
                                               they know they can’t get out of.                        and Amy Coney Barrett sits on it as                    Stripping it away in the middle of a
                                                 They say they want to cover people                    the deciding fifth vote to invalidate                  pandemic is just inhumane. On top of
                                               with preexisting conditions, but they                   the Affordable Care Act.                               that are all of the people who will have
                                               have never been able to put on the                        And why this matters more now and                    COVID as a preexisting condition.
                                               table a plan that would do that. They                   why I led my remarks referencing the                     Wayne lives in Rocky Hill, CT.
                                               have made this promise that they will                   COVID epidemic is because it is un-                    Rocky Hill is a small town south of
                                               repeal the Affordable Care Act, and                     thinkable in ordinary times for 23 mil-                Hartford. I wish his story were excep-
                                               they have put themselves on this path                   lion people to lose health insurance or                tional, but you have all heard these
                                               that they can’t get off of to repeal the                for folks that have a history of heart                 stories, my Republican and Democratic
                                               Affordable Care Act through legisla-                    disease to all of a sudden not be able to              friends:
                                               tion or through the court system, such                  buy insurance.                                           Thank you for your continued support of
                                               that, even though they say they want                      In my State, that is about 260,000                   the Affordable Care Act. Our family has ex-
                                                                                                       people who get their insurance through                 tensive medical needs, and we rely on the
                                               to protect people with preexisting con-                                                                        preexisting conditions and no lifetime cap
                                               ditions, they are acting in a way that                  the Affordable Care Act who would lose
                                                                                                                                                              coverage provisions that the ACA provides.
                                               does the opposite.                                      it. We are a small State, about 3.5 mil-               Both of our sons have serious health issues.
                                                 So you have to forgive us when we                     lion. A quarter million people losing                  Harrison is developmentally impaired. Has a
                                               say that you want to strip protections                  healthcare insurance in our State—                     rare genetic disorder, cerebral palsy, hearing
                                               for people with preexisting conditions.                 that is a humanitarian catastrophe at                  loss, and a rare form of intractable Epilepsy,
                                               Because despite the fact that you say                   any time, but in the middle of a pan-                  characterized by multiple, uncontrolled
                                               you don’t want to do it, everything you                 demic, that is a nightmarish, cata-                    daily seizures.
                                               are doing ends up in that result. So at                 clysmic dystopian future to wish for.                    Imagine having a son like that.
                                               some point, we have to watch what you                   In the middle of a pandemic, to take                     Jacob, who just turned 15, has Hemophilia
                                               do, not what you say.                                   health insurance away from 23 million                  A with an Inhibitor. If you are unfamiliar
                                                 Your President had the chance to go                   people, to go back to the days in which                with this disease, it means his body not only
                                                                                                                                                              lacks the protein needed to clot his blood in
                                               to court. Well, first of all, your Presi-               insurance companies could discrimi-
                                                                                                                                                              case of an injury, but it also rejects the typ-
                                               dent didn’t have to go to court at all                  nate against you because you had a                     ical medicine used to treat his bleeding dis-
                                               on behalf of the plaintiffs. In fact, 99                preexisting condition?                                 order. This means his only alternative for
                                               percent of the time, a President will                     COVID is going to be a preexisting                   treating his often spontaneous internal
                                               defend the statute that is being at-                    condition. Let me just level with you.                 bleeds is a very expensive synthetic clotting
                                               tacked, even if that President doesn’t                  There are 8 million people in this coun-               factor, which costs around $9,000 a dose.
                                               agree with the statute. That is gen-                    try who know that they have had                        When he has been injured in the past, he has
                                               erally seen as the responsibility of the                COVID. But, eventually, if people start                to receive doses every 2 hours for the course
                                                                                                       taking antibody tests, there will be                   of several days. This happened on over six
                                               executive branch, to defend the stat-
                                                                                                                                                              occasions since he was first diagnosed in
                                               utes of the United States, whether or                   five times that many who have a med-                   2011.
                                               not you agree with them. That doesn’t                   ical history that includes COVID. All
                                                                                                       those people will have a preexisting                     Think about how lucky you are if
                                               happen in every case, but that is gen-
                                                                                                       condition, and insurance companies, if                 you have healthy kids. I am lucky. I
                                               erally how it works.
                                                 In this case, not surprisingly, the                   the Affordable Care Act disappears, can                have two young boys who are healthy.
                                               President went to court and said: I am                  either decide to not insure those indi-                Harrison has cerebral palsy, hearing
                                               going to join with the plaintiffs. I am                 viduals or can jack up their rates. That               loss, epilepsy, daily seizures. Jacob has
                                               going to ask for the court to invalidate                is on top of the 130 million people who                hemophilia—medicine that costs $9,000




SSpencer on DSK126QN23PROD with SENATE
                                               the Affordable Care Act.                                have other preexisting conditions.                     a dose.
                                                                                                                                                                Wayne writes:
                                                 But President Trump could have                          So think about both of those things
                                                                                                                                                                We have had to maintain double insurance
                                               asked for only part of the act to be in-                happening. Think about, in the middle                  coverage through both my wife’s and my em-
                                               validated. He could have asked for the                  of a pandemic, when there are over                     ployers as well as Medicaid in Harrison’s
                                               part of the act that protects people                    1,000 people dying every day in this                   case. We would have easily been dropped by
                                               with preexisting conditions to remain,                  country, where we are seeing reports of                any number of insurance companies for ex-
                                               but he didn’t, and, frankly, Repub-                     hospitals literally being filled to total              ceeding both boys lifetime expense caps—




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                                               S6524                                             CONGRESSIONAL RECORD — SENATE                                                      October 25, 2020
                                                 Well over 1 million each—                             Barrett and four other Justices decide                 ments. . . . I am scared to death [she writes]
                                               and might not have been able to obtain in-              to rule for President Trump on his re-                 to imagine what would happen if I am not
                                               surance in the first place due to their pre-            quest to invalidate the entire Afford-                 able to return to work and I lose my bene-
                                               existing conditions. If these provisions were                                                                  fits. While my husband does have the oppor-
                                                                                                       able Care Act.
                                               not made law by the ACA, there would be no                                                                     tunity to get health insurance benefits
                                                                                                         Don’t tell us that we are overhyping                 through his employer, if the ACA were over-
                                               way we would have obtained or ever afforded
                                                                                                       this threat, that we are making up this                turned I might not be eligible for benefits be-
                                               health insurance. We would not have been
                                               able to keep our home and would likely have             idea that Republicans want the Afford-                 cause of my multiple pre-existing conditions.
                                               had to file for bankruptcy by now. Both boys            able Care Act to disappear. It is much                 This could mean financial ruin for my family
                                               together have been hospitalized on over 36              of what Republicans have been doing                    since I need continued follow up care even
                                               separate occasions, with Harrison having                for the last 10 years. There has been no               after I finish my chemotherapy treatments.
                                               spent almost his entire first 6 months of life          viable replacement plan that protects                    Julie is now in this sort of classic sit-
                                               in the NICU . . . at a cost of over $1,000 a            Wayne in the way that he needs and                     uation in which she has a preexisting
                                               day.                                                    Wayne’s children in the way that he                    condition. She is currently receiving
                                                 Remember, the ACA says insurance                      needs.                                                 treatment, and she is living in fear
                                               companies can’t deny you coverage be-                     While no one can be guaranteed as to                 about what will happen to her and her
                                               cause you have a preexisting condition.                 what the Supreme Court is going to do,                 family if all of a sudden the days of dis-
                                               They can’t deny your family coverage                    Donald Trump himself told you that he                  crimination against people with pre-
                                               because your child has a preexisting                    is only going to put people on the Su-                 existing conditions come back. She is
                                               condition, but the Affordable Care Act                  preme Court who will invalidate the                    also telling the story about what hap-
                                               also says insurance companies can’t                     Affordable Care Act. He criticized John                pened to her earlier in life when she
                                               cap your insurance. They can’t say:                     Roberts over and over again as a Re-                   went out and got herself reeducated to
                                               Hey, if you have an expensive disease,                  publican appointee for upholding the                   become a teacher but had fear about
                                               we are going to insure you for up to                    Affordable Care Act. He signaled to you                what was going to happen to her insur-
                                               this amount of money, and then we are                   that he was not going to appoint some-                 ance benefits because of that. That fear
                                               going to stop paying for healthcare.                    one to the Supreme Court like John                     doesn’t exist for Americans any longer
                                                 They can’t do that on an annual basis                 Roberts—someone who would find a                       because they have access to these pri-
                                               either. The Affordable Care Act says                    way to uphold the Affordable Care Act.                 vate healthcare exchanges when they
                                               they can’t, as an insurance company,                    He told you that was John Roberts’ pri-                lose their coverage, perhaps even vol-
                                               give a dollar amount of coverage over                   mary sin and that he wouldn’t make                     untarily because they want to go get
                                               the course of the year and then cut you                 that mistake again.                                    another job. Now she is in this classic
                                               off, because that is not really insur-                    He, in fact, told you once again just                situation in which she has a serious,
                                               ance, right? The whole idea of insur-                   a few days ago that he hoped the Su-                   serious illness. She talks about the fear
                                               ance is that you pay in whether you                     preme Court would strike down the Af-                  that she has about what will happen if
                                               are healthy or you are unhealthy, but                   fordable Care Act. If that is his hope,                the Affordable Care Act is struck down.
                                               you are banking money and you are                       then I don’t know that we can rely on
                                               using other people’s banked money in                                                                             I think that is important to recog-
                                                                                                       the idea that he would have then coin-                 nize, as well, because there is a genera-
                                               case you get really sick, in case your                  cidentally been picking Justices to
                                               family member gets really sick.                                                                                tion of young adults who, frankly,
                                                                                                       serve on the Supreme Court who would                   don’t even remember the days in which
                                                 If your insurance plan doesn’t cover                  follow through on that request.
                                               you in the case that you have kids like                                                                        you could be discriminated against by
                                                                                                         Julie is from Sandy Hook. Julie says:                insurance companies because of a pre-
                                               Harrison and Jacob, then it is not real-                  On March 25, 1994, I received a lifesaving
                                               ly insurance in the traditional form of                                                                        existing condition, who don’t know
                                                                                                       kidney transplant at Hartford Hospital. At
                                               insurance. That is why the Affordable                                                                          what it is like to obsess and obsess and
                                                                                                       the time I was working at a job that was not
                                               Care Act said: No, listen, health insur-                fulfilling, and I was trying to complete my            obsess over that question. There are
                                               ance is going to have to cover you if                   Master’s degree in Education to get my job             folks who are 30 years old today who
                                               you are really sick or your children are                in teaching. I finished my degree, got mar-            during their entire adult lives lived
                                               really sick, and they can’t pull that                   ried, had two children, and got a dog. Later,          under the ACA, who are having kids
                                                                                                       I finally landed a full time teaching position         now—kids who may have complicated
                                               coverage after a certain dollar amount                  at Newtown, CT. I know if the law were over-
                                               on an annual basis or a lifetime basis.                                                                        medical conditions—and don’t have to
                                                                                                       turned today, I would not have been able to            worry about that child living a life in
                                                 That is why Wayne talks about the                     transfer to my husband’s health insurance
                                               importance of the Affordable Care Act                                                                          which they are constantly chasing in-
                                                                                                       plan and ultimately would not have been
                                               for his family. He says: We would have                  able to achieve my dream of becoming a                 surance. It just doesn’t happen any
                                               had to sell our home. We likely would                   teacher.                                               longer.
                                               be bankrupt if not for the Affordable                     Now, that is a different story than                    Now that prospect has returned be-
                                               Care Act.                                               Wayne’s, right? It is not equally impor-               cause of this case before the Supreme
                                                 He says:                                              tant, but it is important. What Julie is               Court. Now those parents are starting
                                                 If these key provisions are removed—                  telling you is that she had a dream to                 to worry. What will happen if Amy
                                                 Which seems entirely likely—                          become a teacher, and she needed to                    Coney Barrett provides the fifth vote
                                               millions of individuals and families with               take the time out of the workforce in                  to invalidate the Affordable Care Act
                                               loved ones having serious illnesses will be             order to pursue that dream, and she                    as President Trump is asking the Su-
                                               adversely affected.                                     needed health insurance during that                    preme Court to do? What will happen?
                                                 That is a kind way of explaining                      time.                                                    Well, what likely will happen is those
                                               what would happen to Wayne’s family.                      What the Affordable Care Act has al-                 protections for people with preexisting
                                               They would be adversely affected.                       lowed for—and this was back in 1990s                   conditions will be struck down, and
                                               Wayne would lose everything if insur-                   that Julie is telling the story. Why she               once again, parents of children with
                                               ance companies were able to go back to                  is telling it is because the Affordable                complicated illnesses will spend their
                                               discriminating against people with pre-                 Care Act gives you the opportunity to                  lives worrying about how this illness
                                               existing conditions and placing back on                 maintain health insurance while you                    will define their child’s future. Now, if
                                               insurance plans these annual caps and                   are out of work or while you are                       you have a serious illness, it is going to
                                               these lifetime caps.                                    transitioning from one job to another.                 define your future no matter what, but
                                                 Again, the President of the United                                                                           on top of the daily search for treat-




SSpencer on DSK126QN23PROD with SENATE
                                                                                                       It provides a nimbleness, a flexibility
                                               States had the choice to go to court                    in the workforce that didn’t exist with-               ment and the daily search for wellness,
                                               and ask for the entire act to be invali-                out the Affordable Care Act protec-                    there is the worry of whether you are
                                               dated or for specific provisions to be in-              tions.                                                 going to be able to pay for that. It is a
                                               validated. He asked for the entire act                    Julie goes on to write:                              nightmare that we don’t have to
                                               to be invalidated, which means these                      In August of this year, I was diagnosed              choose to endure as a nation because
                                               provisions which protect Wayne and                      with B-cell Non-Hodgkin’s Lymphoma. I am               right now we have a law that protects
                                               his family will be gone if Amy Coney                    currently receiving chemotherapy treat-                against it.



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                 S6525
                                                 I always remember this very simple                    pany, they were able to provide em-                    people with serious mental illness to
                                               story from a few years after the Afford-                ployer-based insurance. All of that goes               get their hands on guns. It is probably
                                               able Care Act was passed. I was at a                    away. That cushion for entrepreneurs                   the most popular policy intervention in
                                               community pool in Cheshire, CT, with                    will disappear if this act is invalidated.             the country. I don’t know that there is
                                               my son, who was then 4 or 5 years old.                    These stories go on and on and on, in-               any other major piece of legislation
                                               This young guy—maybe a few years                        dividuals who will have their lives ru-                that we have proposed that is more
                                               younger than I—sheepishly approached                    ined and changed if the Affordable Care                popular than universal background
                                               me in the pool as I was playing with                    Act disappears. Again, we might be                     checks. It gets about 90 to 95 percent of
                                               my son. He said: Thank you.                             months away from that occurring—                       support in most polls. The majority of
                                                 I asked: For what?                                    months away from that occurring—in                     non-gun owners, gun owners, NRA
                                                 He said: I want to say thank you for                  the middle of a pandemic, people losing                members, non-NRA members—every-
                                               the Affordable Care Act. I am here with                 their insurance right at the moment                    body—wants        universal   background
                                               my son. My son has a rare heart condi-                  when they need it the most because of                  checks.
                                               tion. I used to stay up nights worrying                 the costs of confronting COVID, be-                      It makes a difference. The States
                                               about what his life was going to be                     cause of the fact that they lost their                 that have universal background checks
                                               like. I still have lots of worries, but                 insurance because of the recession or                  have lower rates of gun homicides, sui-
                                               now I have one less because of the Af-                  are at risk of losing insurance, like                  cides, and domestic violence crimes on
                                               fordable Care Act. Now I know we are                    Malaine’s family is. What a nightmare.                 average. It is maddening to me that we
                                               not going to go bankrupt paying for                       That is not my only worry, though,                   haven’t been able to pass universal
                                               him. Now, more than anything else, I                    when I think about Amy Coney                           background checks here, but that is a
                                               know his future is not going to be de-                  Barrett’s confirmation. Frankly, I nor                 political problem. That is a problem of
                                                                                                       my constituents have had enough time                   political power. The gun lobby has had
                                               pendent on whether or not he can find
                                                                                                       to really understand the consequences                  much more political power. Despite the
                                               a job that provides him healthcare ben-
                                                                                                                                                              fact that 90 percent of Americans want
                                               efits. He can pursue his dream without                  of Amy Coney Barrett’s nomination be-
                                                                                                                                                              universal background checks, it is just
                                               the constant worry of how he is going                   cause of how rushed this process has
                                                                                                                                                              a question of one side having more po-
                                               to pay for health insurance.                            been. In the middle of a pandemic,
                                                                                                                                                              litical power than the other. That is
                                                 That sounds like a simple thing, but                  when it is abnormally difficult to be
                                                                                                                                                              changing. Witness the House of Rep-
                                               it is not. For any parent here, the idea                able to communicate with your con-
                                                                                                                                                              resentatives’ passage of universal
                                               that your child can be whomever they                    stituents, we rushed this nomination
                                                                                                                                                              background checks last year. I think
                                               want to be or at least their life won’t                 through, which has made it almost im-
                                                                                                                                                              that we will be able to pass that in the
                                               be dictated by whether they can afford                  possible for people to figure out who                  Senate if the elections go a certain
                                               healthcare for their expensive disease                  she is, what she believes, and commu-                  way.
                                               that they have through no fault of                      nicate that in time to their Members of                  Yet Amy Coney Barrett has a dif-
                                               their own, through no choice of their                   Congress. I have a feeling there is a                  ferent idea as to what the barrier
                                               own—that is a big deal as a parent. The                 reason for that as well.                               should be to universal background
                                               Affordable Care Act relieves much of                      The rush job is because Republicans                  checks. Amy Coney Barrett believes
                                               that worry. That is why people are so                   need to get her on the Court in time for               there is a constitutional prohibition
                                               concerned about what Amy Coney                          the ACA case, because Republicans                      against preventing all felons from own-
                                               Barrett’s nomination to the Court will                  want to get her on the Court in time to                ing guns. Amy Coney Barrett wants to
                                               result in.                                              hear election disputes, because Repub-                 take away the choice from Congress of
                                                 Malaine from Branford says:                           licans want to get her on the Court be-                who can own a gun and who can’t own
                                                 In 2015, my husband co-founded a Bio-                 fore a lameduck session makes it hard-                 a gun. Now, that is not hyperbole. She
                                               technology company, which is located at the             er if the election goes against Repub-                 will tell you that this is her belief. She
                                               UCONN Incubator in Farmington.                          licans. But I have a feeling it is be-                 wrote it down in an opinion. She didn’t
                                                 That is exciting. That was an incu-                   cause they also don’t want people to                   serve on the appellate court for very
                                               bator that I helped conceive as a State                 figure out what she stands for.                        long, but while she was there, a case on
                                               legislator and then as a Congressman.                     One of the other areas of law in                     a State gun law came before her, and
                                                 She writes:                                           which Amy Coney Barrett is likely                      she wrote a dissenting opinion which is
                                                 He did this because the ACA made it pos-              pretty radical—certainly is radical—is                 a major outlier in Second Amendment
                                               sible for our family and the company em-                on the question of America’s gun laws.                 jurisprudence, and it contains in it
                                               ployees to have healthcare. The company                 Obviously I care about this deeply. I                  some pretty dangerous ideas that,
                                               now has 10 employees, all high-paying, Con-             have borne witness to one of the coun-
                                               necticut based jobs. This entrepreneurship
                                                                                                                                                              frankly, people haven’t had the time to
                                                                                                       try’s worst gun homicides in Newtown,                  consider because of how rushed this
                                               would absolutely, positively not have been
                                                                                                       CT. Right now, on the streets of Hart-                 nomination has been.
                                               possible without the ACA. In 2018, the com-
                                               pany transitioned to employer healthcare.               ford, CT, as in many other cities, gun                   In this case, the Kanter case, Amy
                                               Now through the Trump administration’s in-              violence is spiking.                                   Coney Barrett says that this felon—I
                                               competence    in   the   handling   of  the               It is not shocking. Gun violence                     think, in this case, it was a nonviolent
                                               coronavirus pandemic, sales of the com-                 tends to attract poverty when people                   felon—should be able to own a weapon.
                                               pany’s product—                                         are desperate economically. Whether                    This is notwithstanding the State law
                                                 They sell to other companies that are                 we like it or not, they often resort to                that says all felons can’t own weapons.
                                               still closed because of coronavirus—                    violence, and we are in a moment of                    Amy Coney Barrett comes to the per-
                                               have plummeted and so our company, like so              economic desperation. You should see                   sonal opinion, in this case, that this in-
                                               many, is struggling. If we lose our livelihood,         the food lines at food pantries and food               dividual is not dangerous. What she
                                               we also lose the company health insurance,              banks in Connecticut. It is not coinci-                says is that it is not for the legislature
                                               which means we co-founders . . . would need             dental to that economic desperation                    to decide who is dangerous and who
                                               to depend on the ACA’s health insurance, if             that we are seeing an increase in gun                  isn’t. It is for the courts to decide who
                                               it still exists.                                        violence.                                              is dangerous and who isn’t, and if the
                                                 Once again, this is another story                       Yet gun violence is made a lot easier                legislature can’t prove to me, Amy
                                               about how the ACA allows for financial                  in the Nation because of the ease of ac-               Coney Barrett, that this person is dan-
                                               innovation, allows for economic inno-                   cess to weapons. Our Nation is just                    gerous, then I will declare that the
                                               vation. This is a company that was                      flooded with weapons and many of




SSpencer on DSK126QN23PROD with SENATE
                                                                                                                                                              Constitution doesn’t allow for that per-
                                               started   in   Connecticut,    a   bio-                 them illegal weapons, many of them in                  son to own a weapon. The court now
                                               technology company. Because the ACA                     the hands of felons—dangerous people                   becomes the trier of fact.
                                               allowed in the early days for those en-                 who shouldn’t have them.                                 This isn’t unfamiliar because this has
                                               trepreneurs to insure themselves, their                   We are attempting to pass a uni-                     been a sort of interesting strain of ju-
                                               families, and their early employees                     versal background checks bill here in                  risprudence among this new Federalist
                                               through the Affordable Care Act before                  Congress that would make it harder for                 Society-vetted, conservative judicial
                                               they had enough money in the com-                       felons—dangerous         individuals—and               crowd.



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                                               S6526                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                                 That is sort of the issue in Shelby                   the question of healthcare that Amy                    anybody over the last 2 years of
                                               County as well. This voting rights case                 Coney Barrett is going to, potentially,                Obama’s term in office.
                                               comes before the Court, and the Su-                     fundamentally change this country.                       They essentially nullified that por-
                                               preme Court essentially says: We are                    Whether it be her likely vote to over-                 tion of his Presidency—his right under
                                               going to be the trier of fact with re-                  turn Roe v. Wade or the same-sex mar-                  the Constitution to nominate and have
                                               spect to whether there is discrimina-                   riage decision or her radical, out-of-                 considered judges to the Federal bench.
                                               tion in this country. We are going to                   the-box conception of American gun                     So, when Trump won and the Repub-
                                               determine      whether    discrimination                laws and the constitutionality of them,                licans maintained control of the Sen-
                                               against people of color exists such that                her views are not in the American                      ate, all of a sudden, they had more va-
                                               they need these voting protections.                     mainstream.                                            cancies than ever before. They have
                                               That traditionally would be a function                    Of course, that makes sense because,                 spent the last 2 years populating the
                                               of the legislature to decide whether                    increasingly, the Republicans aren’t                   bench, filling those vacancies. That is
                                               discrimination exists so that it is nec-                using the legislature to try to mold                   their right to do so, I guess, but it is
                                               essary to require these protections, but                this country into their world view, into               also part of the strategy to push a con-
                                               in Shelby County, the Supreme Court                     their political view, because their con-               servative political agenda through the
                                               says: No, we will make the decision as                  ception of how this country should be                  courts rather than through the legisla-
                                               to whether discrimination is a prob-                    is deeply unpopular. It is unpopular to                ture. Because that agenda is so un-
                                               lem, and if it is not, we will constitu-                repeal the Affordable Care Act. It is                  popular, if it were pushed through the
                                               tionally invalidate these provisions of                 unpopular to make it harder for the                    legislature, it would jeopardize the Re-
                                               the Voting Rights Act.                                  legislature to put into place universal                publicans’ chances of reelection. This
                                                 Well, in Kanter, what Coney Barrett                   background checks. It is unpopular to                  has been an unusually activist Court,
                                               says is that courts now will decide who                 allow States to criminalize abortion. It               but it is likely to get more so with
                                               is dangerous and who isn’t because I                    is unpopular to allow for more dark                    Amy Coney Barrett on the Court.
                                               believe the Second Amendment to only                    money to be spent in elections. It is                    I want to do two more things before
                                               allow for guns to be prohibited to indi-                unpopular to provide less regulation on                I yield the floor, and I know Senator
                                               viduals who are dangerous.                              the pollution—oil and gas—industry.                    KAINE will be here shortly. I want to
                                                 The second thing she says in that                       So, increasingly, the Republicans                    spend a few more minutes on why this
                                               case is equally as dangerous. She says                  don’t really try to push that agenda                   pandemic is so intimately intertwined
                                               she also would require a State or the                   through Congress because they have                     into this conversation about this nomi-
                                               Federal Government to prove that the                    this other way now—because the Su-                     nation and then finally say a word on
                                               law is efficacious in promoting public                  preme Court will get all of that done.                 process.
                                               safety. Now, that might not sound to                    The Supreme Court will eviscerate the
                                                                                                                                                                There are 220,000 Americans who have
                                               you unreasonable, but that is not what                  civil jury to make it easier for corpora-
                                                                                                                                                              died, and millions of others have had
                                               the Second Amendment says. The Sec-                     tions to prevail in their cases against
                                                                                                                                                              their lives changed forever by this pan-
                                               ond Amendment doesn’t say anything                      consumers. The Supreme Court will de-
                                                                                                                                                              demic. The number of people who have
                                               in there about gun laws only being con-                 clare that a woman’s right to a safe
                                                                                                                                                              been    laid   off   is  just   sort   of
                                               stitutional if they can be proven to be                 and legal abortion is not protected by
                                                                                                                                                              unfathomable to think about. The
                                               efficacious, and there is always going                  the Constitution. The Supreme Court
                                                                                                                                                              President tried a feckless travel ban in
                                               to be a study funded by the NRA that                    will invalidate the Affordable Care Act.
                                                                                                                                                              February and March. It didn’t work. It
                                               will tell you that, if you take guns                    The Supreme Court will stop legisla-
                                                                                                                                                              was not going to work. He, effectively,
                                               away from people, you make a commu-                     tures from passing universal back-
                                                                                                                                                              gave up after that. He just put the
                                               nity more dangerous. The NRA is real-                   ground checks.
                                                                                                         As the Republicans’ political agenda                 States in charge and then refused to re-
                                               ly good at telling you that the only
                                                                                                       has become less aligned with that of                   source the States in a way that would
                                               way to solve crime is with more guns.
                                                 So, conveniently, under Amy Coney                     the broad American public’s, it makes                  allow them to adequately and effec-
                                               Barrett’s conception of the Second                      sense that the Senate has stopped leg-                 tively confront the virus. One example
                                               Amendment, so long as she or others                     islating. It makes sense that the Sen-                 is the President’s refusal to stand up a
                                               on the Court can find a plausible argu-                 ate has just become this confirmation                  national supply chain so that we have
                                               ment that a gun law is not effective in                 simple machine.                                        been in constant crisis—first, with re-
                                               promoting public safety, it can thus be                   I have been here for the last 2 years.               spect to masks and face shields and
                                               ruled unconstitutional.                                 We haven’t debated any legislation of                  hand sanitizer and then, throughout
                                                 There are a hundred other courts out                  substance here. All we have done is                    the crisis, with respect to tests and
                                               there with Republican judges who have                   just confirm judges. I checked, and we                 testing equipment and cartridges.
                                               not found the Second Amendment to                       have done 20 pieces of legislation. That                 I was visiting testing sites in Con-
                                               say what Amy Coney Barrett says the                     is half as many as a normal Senate                     necticut just last week. I mean, we are
                                               Second Amendment says, and for                          would do. Most of the bills we have                    in—what?—month 8 of the pandemic,
                                               courts to, all of a sudden, micromanage                 passed have been—or not most of them,                  and still these testing sites in Con-
                                               decisions about who is dangerous and                    but, as I checked, one-third of the bills              necticut have no idea, from day to day,
                                               who is not dangerous and what laws are                  that we have passed have been of post                  how many tests they are going to have.
                                               effective and what laws are not effec-                  office renamings or commemorative                        I was visiting a hospital that is right
                                               tive sounds to me like the kind of judi-                coins, and we have passed half as many                 in the middle of a historic hot zone in
                                               cial activism that many of my conserv-                  bills overall as we would in a normal                  Connecticut. I did a roundtable, and
                                               ative friends have been warning                         legislative session. Legislation is just               there were a bunch of people there. On
                                               against. I think the natural con-                       kind of grinding to a halt here.                       my way out, one of the participants in
                                               sequence of that would be to invalidate                   Yes, some of that is because the                     the roundtable kind of followed me out.
                                               a whole host of background checks                       House is of a different party, and it is               It happens often, as my colleagues
                                               laws, perhaps to make it impossible—                    difficult to pass a law when you have                  know, and she wanted to have a private
                                               indeed, likely, to make it impossible                   different parties in charge of the House               word with me. She was the purchasing
                                               for us to be able to expand background                  and the Senate, but there aren’t a lot                 agent for that hospital who wanted to
                                               checks in a universal fashion as 90 per-                of conference committees happening,                    tell me before I left exactly how night-
                                                                                                       and there aren’t a lot of attempts to                  marish her life was for not knowing,




SSpencer on DSK126QN23PROD with SENATE
                                               cent of Americans want us to do.
                                                 So, while we are certainly spending                   reconcile our differences. In part, this               from day to day, how many tests they
                                               most of our time talking about the                      is because the Senate is just con-                     were going to be able to do and how she
                                               threat to Americans’ healthcare—be-                     firming judges—a record numbers of                     had to scramble every single day to fig-
                                               cause we are in the middle of a                         judges because, in part, there were                    ure out how to get the components for
                                               healthcare epidemic and because the                     record numbers of vacancies because                    the tests and how there was no way to
                                               consequences are so serious—it is im-                   MITCH MCCONNELL and the Senate Re-                     plan, how there was no way to say,
                                               portant to note that it is not only on                  publicans refused to confirm almost                    ‘‘OK, this week, I am going to go to



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                S6527
                                               this site and this site to do tests,’’ be-                These are just two pages of names of                 participate. So, over time, there have
                                               cause I don’t know where I am getting                   individuals who have died due to the                   been different rules about how many
                                               them from.                                              coronavirus.                                           votes are required for cloture or dif-
                                                 That is just one of the ways in which                   The numbers are, obviously, abso-                    ferent practices of how cloture was
                                               this President has just fundamentally                   lutely overwhelming, and it is, of                     used, how often it was used. But always
                                               let us down, but now it is something                    course, not just those who have died. It               there was an idea that this place would
                                               different. Now, the President isn’t try-                is those who have lost their jobs. It is               be a shared experience; minority and
                                               ing to stop the virus. He is actively                   all those people who have had the ill-                 majority would work together.
                                               trying to spread the virus. The Presi-                  ness. Eight million people have been                     Senator MCCONNELL has his version
                                               dent is holding these political rallies at              diagnosed with COVID. Who knows                        of history. I think Democrats have a
                                               which nobody is wearing masks and                       what the overall number is—individ-                    different version of it. But I don’t
                                               where people are standing shoulder to                   uals who had it who didn’t know it,                    think anybody can disagree that the
                                               shoulder. He knows what he is doing.                    thought it was something else, or peo-                 changes to the way in which the Sen-
                                               He knows that the effect of those ral-                  ple who were asymptomatic. But is                      ate operates have come faster and more
                                               lies is going to be to spread the virus.                that number 100 million? Is that num-                  furious during the years in which
                                               He is shaming people who wear masks                     ber 50 million? It is big, and all those               MITCH MCCONNELL has been majority
                                               and is chiding the Vice President for                   individuals now have a preexisting con-                leader than at any time before.
                                               always wearing one.                                     dition. All those individuals now could
                                                 He is now actively engaged in an ef-                                                                           I mean, just while I have been here,
                                                                                                       be discriminated against by an insur-
                                               fort to test people less because he                                                                            we have seen the eradication of the fili-
                                                                                                       ance company if the Affordable Care
                                               thinks that makes the country look                                                                             buster for Supreme Court Justices. We
                                                                                                       Act was to be invalidated, and that is
                                               bad. He is at war with his own sci-                                                                            have seen the time that we have to de-
                                                                                                       the ask of the Supreme Court—a Su-
                                               entists and regularly undermines his                                                                           bate Justices dramatically shrunken. I
                                                                                                       preme Court on which Amy Coney Bar-
                                               own officials at the CDC and the NIH.                                                                          think it is now down to 2 hours. We
                                                                                                       rett will be sitting if this nomination
                                               There is nobody who is doing more                                                                              have seen the elimination of the blue
                                                                                                       is pushed through.
                                               today to help this virus spread than                      That is why these two questions—of                   slip—the ability for Senators from a
                                               Donald Trump. Then, on top of that, to                  the Supreme Court nomination which                     particular State to have a say in the
                                               rush through a nominee who may end                      is before us today and the question of                 judges that are selected to serve in
                                               up invalidating the Affordable Care Act                 how we adequately confront the                         their State’s appellate courts.
                                               and leaving people with no insurance in                 coronavirus pandemic—are connected                       But we also saw this exceptional
                                               the middle of a pandemic that you are                   and why we talk about them together.                   thing happen in 2016, in which MITCH
                                               responsible for as President, that is                     Finally, let me say a word about                     MCCONNELL, as majority leader, de-
                                               cruelty built on top of cruelty.                        process. This is not the most compel-                  cided that he would not even consider
                                                 Some of my other colleagues have                      ling argument to the American people.                  Barack Obama’s choice for a vacancy
                                               done this as well, and I want to do it                  I don’t think they really care too much                in the Supreme Court, despite the fact
                                               just so that some of these people’s                     about the processes by which we choose                 that the vacancy came about 11
                                               names end up as part of history, as part                to conduct business here in the Senate,                months before the next President was
                                               of some record other than of lonely                     but we do. We should. We chose to                      to be sworn in.
                                               obituaries. I am just going to read into                serve in this body.                                      In retrospect, Democrats didn’t make
                                               the RECORD the names of a handful of                      I have thought a lot over the course                 a big enough deal out of it, I think, be-
                                               the people who have died due to                         of the last few weeks about the idea of                cause we thought that Hillary Clinton
                                               COVID–19 during this epidemic. I know                   restraint—the idea of restraint, the                   was going to win, and, thus, ulti-
                                               it sounds like a futile exercise, given                 idea of temperance. It has been a sort                 mately, while it would be a dangerous
                                               the fact that I will read 20 names and                  of seminal idea that humans have been                  precedent to live with, it might not
                                               that 220,000 have died, but I don’t really              considering for millennia—the idea of                  have a practical effect on the country.
                                               know what else to do at this point to                   deciding not to do something that you                  We just couldn’t imagine in the winter
                                               try to convince this President to stop                  have the ability to do, the decision to                and spring of 2016 that Donald Trump
                                               spreading the virus—to act in a respon-                 restrain one’s self, to not use the min-               was going to be the President of the
                                               sible way, like an adult—other than to                  imum powers available to you because                   United States.
                                               at least put some names to the num-                     of the downstream consequences of
                                               bers: Avigdor and Rachel Farin, Adam                                                                             In retrospect we should have made a
                                                                                                       your decision to operate at maximum                    bigger deal out of what was happening
                                               Russo, Maurice Berger, Robert Her-                      power, your decision to use all of the
                                               man, Mary Margaret Smith, Ingrid                                                                               in 2016, because this idea that Repub-
                                                                                                       facilities available to you. It is an idea             licans weren’t going to even consider—
                                               Kisliuk, Johnny G. Gonzales, Anne                       that humans have considered, as I said,
                                               Martinez, Amelia Michels, Giomar                                                                               even do a courtesy meeting, have a
                                                                                                       for thousands of years.                                hearing on—Merrick Garland was and
                                               Fuentes, Carmen Carlo. By the way,                        It is generally applied to this body. It
                                               those last four were related—a mother,                                                                         still is truly exceptional, and it fits
                                                                                                       is generally a very important facet of
                                               an aunt, another aunt, and a grand-                                                                            into this pattern we have seen under
                                                                                                       democracy because the Constitution
                                               mother in law. Dr. John Marvin Brown,                                                                          Senator MCCONNELL during the past
                                                                                                       says very little about how the Senate
                                               Sr.; Sylvia Livings; Howard Kramer;                                                                            few years, this pattern of forsaking re-
                                                                                                       will conduct business. It doesn’t micro-
                                               Robert Patrick Perry, Jr.; Hing S. Yee;                                                                        straint and using every conceivable
                                                                                                       manage our proceedings.
                                               Frank Small III; Steven D. Silverman,                                                                          power. Or let me back that up: using
                                                                                                         Certainly, if you read our constitu-
                                               MD; Alexander Malcolm MacMillan,                                                                               more powers available to the majority
                                                                                                       tional history, there was a belief that
                                               Jr.; Dean Pryor Perkins; Mary Castro;                                                                          than ever before in order to effectuate
                                                                                                       the Senate was supposed to be different
                                               Alfonso Ye, Jr.; Michelle Lee Carter;                                                                          a political agenda.
                                                                                                       than the House of Representatives. Ob-
                                               Jerome Mark Spector; John Robert                        viously, we are chosen very differently.                 What Republicans did in 2016 was un-
                                               Hicken; Frederick Harris; Bill Huening;                 At the outset, we were given different                 precedented—to just say: Forget it,
                                               Jim Sheehan; Barry Downes; Mark                         term lengths. The idea was that the                    President Obama. We are not consid-
                                               Blum; Florence Warshawsky Harris;                       Senate was supposed to be able to look                 ering your choice for the Supreme
                                               Kenneth Glover; Terrence Neil Thomp-                    out for the long-term health of the                    Court because you are a Democrat and
                                               son, Jr.; Gordon Pickering; Robert M.                   country in a way that was different                    we are Republicans.




SSpencer on DSK126QN23PROD with SENATE
                                               Flanders; Carlos Llamas; Juan Gilbert                   from the House of Representatives,                       Now, at the time, as we remember,
                                               ‘‘Tito’’ Dominguez; Sarah Ann Staffa                    given their requirement to answer to                   Republicans said that it wasn’t polit-
                                               Scholin; Anne Morreale; Roberta M.                      the people every 2 years.                              ical. It was because there was an im-
                                               Pepitone; Barbara Ross; Jacqueline                        So, over time, there was this under-                 portant rule they were enforcing—this
                                               Hoover; Kerman Hain; Mario Mendoza;                     standing that the Senate would have,                   rule that you couldn’t consider a Presi-
                                               John Pizzetti; and William Charles Ed-                  at its foundation, some concept of fair-               dential nominee to the Supreme Court
                                               ward Prince.                                            ness, some ability for the minority to                 in the last year of his or her term.



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                                               S6528                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                                 Now, I didn’t hear my colleagues say                  dent’s term, at least with respect to                    And it is not just the Republican ma-
                                               at the time that the rule was only ap-                  that core function of appointing Jus-                  jority that has done this. So has the
                                               plied when the President and the Sen-                   tices. And what is wild was that you                   executive branch. I listened to the Pre-
                                               ate were of different parties. In fact, I               didn’t have to go to the lengths that                  siding Officer give his maiden speech
                                               heard many of my Republican col-                        you did. Republicans could have voted                  on this floor about the overuse of Exec-
                                               leagues, including the chairman of the                  Merrick Garland down and, at least,                    utive power, and there were legitimate
                                               Judiciary Committee, say that the rule                  have recognized the legitimacy of the                  complaints about ways in which the
                                               was simply that, in the last year of a                  nomination—voted Merrick Garland                       Obama administration had used max-
                                               President’s term, you don’t consider a                  down and perhaps forcing a conversa-                   imum Executive power when the legis-
                                               Supreme Court Justice. Famously,                        tion about another nominee that might                  lature would not act.
                                               Senator GRAHAM said: Write down my                      be more amenable to the Republican                       But, again, it doesn’t compare with
                                               words. Hold them against me.                            majority. That wouldn’t be the first                   the ways in which this President has
                                                 And, at the time, we all knew that                    time that that has occurred.                           used maximum Executive power in the
                                               Republicans probably weren’t telling                       One of the statues here in the U.S.                 absence of authorization from Con-
                                               the truth. We knew that it was prob-                    Congress is of Oliver Ellsworth from                   gress. Both in the executive branch and
                                               ably just because it was President                      Connecticut, who was elevated to the                   in the legislative branch, under Repub-
                                               Obama and they did not want Justice                     Supreme Court because George Wash-                     licans, restraint as a practice inside de-
                                               Scalia, a conservative Justice, to be re-               ington believed his first pick couldn’t                mocracy is disappearing. Maximum
                                               placed by someone who was more lib-                     be confirmed by the Senate. So, in-                    power becomes the ethos, and that is a
                                               eral in their views. We suspected that                  stead, he chose one of Connecticut’s                   danger to democracy—maybe not
                                               this idea that they were enforcing a                    two U.S. Senators, who was beloved in                  today, but soon enough.
                                               rule was just a ruse to paper over what                 this body when it operated not far                       I don’t know how this body gets back
                                               was simply a political decision not to                  away. And Oliver Ellsworth went to                     into a conversation about comity. I
                                               give President Obama a seat on the Su-                  the Court because of a quiet negotia-                  don’t know how we get back into a con-
                                               preme Court.                                            tion with the Senate.                                  versation about how we govern to-
                                                 Well, now we know it was a ruse be-                      Republicans, under MITCH MCCON-                     gether.
                                                                                                       NELL, didn’t even engage in a process                    I have, frankly, voted for more of
                                               cause, all of a sudden, when presented
                                               with the exact same circumstance—                       with Merrick Garland. They just de-                    this President’s nominees to the execu-
                                               well, in fact, a different circumstance                 clared that the President’s choice was                 tive branch, to political offices, and to
                                               in that this vacancy occurred weeks                     illegitimate. And I can’t argue that                   the bench than almost all of my col-
                                                                                                       they didn’t—well, I can argue they                     leagues, maybe, on this side of the
                                               before the election rather than 9
                                                                                                       didn’t have the power, but certainly                   aisle, maybe with the exception of a
                                               months before the election—Repub-
                                                                                                       there was a colorable argument that                    few, because I generally have believed
                                               licans have now changed their tune be-
                                                                                                       Republicans in the Senate could just                   that if the nominee is in the conserv-
                                               cause it is just about politics. Right? It
                                                                                                       refuse to consider Merrick Garland’s                   ative mainstream and if the nominee is
                                               is just about politics. It is just about
                                                                                                       nomination.                                            generally qualified, they should get
                                               getting your guys on the Supreme                           But now having practiced that exer-                 their post, especially for executive ap-
                                               Court and stopping the other guy’s                      cise of maximum power, using the ma-                   pointments, for nominations to Sec-
                                               folks from getting on the Supreme                       jority to delegitimize a President in                  retary positions and Undersecretary
                                               Court.                                                  that way, you put Democrats, if they                   positions. I do that, in part, because I
                                                 And what MITCH MCCONNELL has said                     win control of the Senate, in a really                 think that it is important to not use
                                               is that we are going to use any power                   unenviable position. Do we just unilat-                maximum power and maximum lever-
                                               at our disposal in order to effectuate                  erally stand down and not choose to                    age, for me not to vote against every
                                               our agenda, especially when it concerns                 use the same tools that Republicans                    single nominee that the President puts
                                               the Supreme Court.                                      did in the majority? Would we expect,                  forward just because I disagree with
                                                 Restraint, which is a predicate for
                                                                                                       if we did that, that if Republicans re-                that nominee.
                                               the effective operation of democracy, is
                                                                                                       gain the majority, they would follow                     That conversation about how we re-
                                               disappearing. And, again, I know that                   our lead? Or would that be wildly                      store some comity and some restraint
                                               it sounds ridiculous to make this sug-                  naive?                                                 is an important one, but it is likely to
                                               gestion, but there is really no logical                    No, in fact, I think there are now new              be impossible in the next Congress be-
                                               end to how you can maximize your                        rules in the Senate, and I think Repub-                cause of how fundamentally broken
                                               powers as a majority body in the U.S.                   licans have set them. I get it that you                this body will be after what happened
                                               Senate. There is no constitutional pro-                 can claim Harry Reid’s rule change as                  to Merrick Garland and then, on top of
                                               hibition on the Senate majority saying                  the original sin that legitimizes every-               it, what is happening right now.
                                               that Members of the majority are                        thing that you have done since then,                     We are 8 days before an election. We
                                               going to get twice as much staff as                     but the changes Republicans have                       are 8 days before an election. We are
                                               Members of the minority. There is                       made have come at a dizzying pace—far                  jamming through Amy Coney Barrett’s
                                               nothing stopping the majority from                      more changes made, far more prece-                     nomination in record time, not because
                                               eliminating our speaking rights in                      dents shattered than anything that                     it is good for the country, just because
                                               committees, on the floor of the Senate.                 happened when Democrats were in con-                   you can—just because Republicans
                                                 There are a lot of things that the ma-                trol.                                                  can—and, likely, because it is really
                                               jority can do to make it increasingly                      And, of course, as to Senator Reid,                 important to effectuate your deeply
                                               impossible for the minority to have                     many of us would argue that the reason                 unpopular agenda through the Supreme
                                               any role here—to be able to protest, to                 that that change was made was be-                      Court.
                                               be able to carry out our agenda. And I                  cause Senator MCCONNELL doubled the                      We don’t legislate here anymore be-
                                               know that there is a lot of specula-                    number of cloture motions that were                    cause Republicans have found out a
                                               tion—much of it driven by the Repub-                    required in order to move legislation to               way to get their agenda done through
                                               lican majority—about what Democrats                     a final vote. The change in the use of                 the court system. Amy Coney Barrett
                                               will do if Democrats are given control                  the filibuster by Republicans during                   will likely be the fifth vote to invali-
                                               of the Senate. Will Democrats go to                     their time in the minority was what                    date the Affordable Care Act, a polit-
                                               new extraordinary lengths to maximize                   forced that change.                                    ical project for the Republicans for the
                                               their power, given the extraordinary




SSpencer on DSK126QN23PROD with SENATE
                                                                                                          But setting that aside, there is no                 last decade, unfulfilled through the
                                               lengths Republicans have gone to                        question that changes have come much                   legislative branch, now achievable in
                                               maximize their power?                                   faster and much more furious, and it                   the next several months through the
                                                 That is not a conversation that is                    just doesn’t bode well for the future of               judicial branch, but only if Amy Coney
                                               sort of ripe enough yet, but what do                    our democracy when everyone uses the                   Barrett’s    nomination     is    rammed
                                               Republicans expect? I mean, what you                    maximum power available to them,                       through right now.
                                               did in 2016 is really wild. You basically               with no concern for the minority                         The rewriting of the Second Amend-
                                               invalidated the last year of a Presi-                   party, in order to get what they want.                 ment is not available to Republicans



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                 S6529
                                               any longer in the legislative branch.                   cases since pandemic began.’’ Papers                   did jump-start serious negotiations be-
                                               The NRA’s priority list couldn’t even                   all around the country carry similar                   tween the White House and Democratic
                                               get a vote in the Senate with Repub-                    headlines.                                             leaders, and the negotiations saw the
                                               lican control—now available through                       Ten months into this crisis, there is                two sides growing closer and closer.
                                               the judicial branch if Amy Coney Bar-                   no national plan or strategy for dealing                 But there was a problem. The Senate
                                               rett is nominated. The consequences                     with it. The Chief of Staff to President               majority does not want a COVID relief
                                               for the country are serious if the                      Trump admitted defeat yesterday,                       bill. We could get there, but last week
                                               source of power in this town, the                       claiming that we are not going to con-                 the New York Times and other publica-
                                               source of policymaking and rule set-                    trol the pandemic. It can be controlled                tions made it plain that no deal was
                                               ting, moves from this body across the                   with testing, contact tracing, isola-                  forthcoming. Why?
                                               street to the Supreme Court.                            tion, and a commitment to mask-wear-
                                                 And not equally as dangerous to the                   ing,     hand-washing,     and     social                ‘‘McConnell moves to head off stim-
                                               Nation, but still perilous, is what will                distancing. That is how other nations                  ulus deal as Pelosi reports progress.’’
                                               happen to this body, if all that matters                are controlling the pandemic. But the                    ‘‘U.S. hits highest daily number of
                                               political power, when restraint van-                    Trump administration is admitting                      cases since pandemic began.’’
                                               ishes and whoever is in the majority                    surrender.                                               ‘‘McConnell moves to head off stim-
                                               uses every lever available to them to                     They now tell us that we will just
                                                                                                                                                              ulus deal.’’
                                               try to get what they want, to try to                    have to wait for vaccines and treat-
                                               stop the other side from getting what                   ments, but Americans cannot afford to                    This is what we should be working on
                                               they want.                                              wait. The economic devastation accom-                  right now, but the Senate majority
                                                 It is 1 week before an election. We                   panying this healthcare crisis is cata-                abandoned their commitment to help-
                                               are here all night, ramming through a                   strophic. The unemployment rate is 7.9                 ing Americans through this emergency
                                               Supreme Court nominee in record time                    percent, which is 65 percent higher                    on September 18—the day that Ruth
                                               simply because you can. That is not a                   than when President Trump took of-                     Bader Ginsburg died. Since then, rush-
                                               good enough reason.                                     fice. And that number actually under-                  ing Judge Barrett to confirmation has
                                                 I yield the floor.                                    states the magnitude of employment                     been all that matters to them—no mat-
                                                 The PRESIDING OFFICER (Mr.                            losses as millions have dropped out of                 ter that Americans deeply need COVID
                                               SASSE). The Senator from Virginia.                      the labor market to care for children                  relief; no matter that the rush to com-
                                                 Mr. KAINE. Mr. President, I rise in                   or their parents or other loved ones af-               plete a confirmation in 1 month from
                                               opposition to the nomination of Judge                   fected by this tragedy. Women have                     nomination to vote is unprecedented in
                                               Barrett to the U.S. Supreme Court.                      been hit disproportionately hard in                    modern times; no matter that the Sen-
                                               This process shows how misplaced the                    this forced exodus from the job market.                ate majority broke its word to their
                                               priorities of the Senate are at a critical              President Trump’s job losses are now                   colleagues and the American public
                                               moment in time.                                         the worst of any American President                    that a Supreme Court vacancy occur-
                                                 There is an epic national crisis that                 on record. Yet the Senate is doing                     ring in a Presidential election year
                                               we should be addressing—a pandemic                      nothing.                                               would not be filled until after the elec-
                                               that is raging and causing unprece-                       The largest public health crisis in 100              tion to ‘‘let the people decide’’; no mat-
                                               dented death and economic distress at                   years, the most significant economic                   ter that the rushed nomination jeop-
                                               a massive scale. Yet the Senate has                     collapse since the Great Depression,                   ardized the health of attendees at the
                                               been sitting on its hands since late                    and the Senate has done nothing to                     President’s      superspreading      White
                                               April when we passed our fourth and                     provide Americans relief for 6 months.                 House announcement and even staff
                                               final piece of COVID legislation then,                  This is inexcusable.                                   and Members of this Senate.
                                               reinfusing dollars into the small busi-                   The House acted by passing the He-                     My question is, Why? Why rush this
                                               ness protection program. The death                      roes Act in May. I knew that the Sen-                  nomination, ignoring Senate precedent
                                               toll in the United States was approach-                 ate majority would not simply embrace                  to do so, breaking your own word to do
                                               ing 63,000. We have done nothing since,                 a Democratic bill from the House, but                  so, violating health protocols to do so,
                                               and the death toll is now approaching                   I believed they would do something.                    rather than spending our time pro-
                                               230,000.                                                But the Senate majority would not                      viding comfort to families who are
                                                 Here are a few of the many Ameri-                     even surface a proposal until the very                 hurting and businesses that are strug-
                                               cans we tragically lost to COVID–19:                    end of July, just days before many                     gling and closing? There could be no
                                               Benigno     Hurtado-Andrade,      Amalia                CARES Act benefits expired and the                     good answer to this question, but the
                                               Pasqua, James Shanley, Verna and                        Senate went into a month-long recess.                  actual answer is particularly heartless.
                                               Clarence Cuyler, Betty Damato, Keith                    It was not until mid-September that                    The effort to rush the Barrett nomina-
                                               Mitchell Jacobs, Ward H. Harlow, Jr.,                   the Senate GOP finally brought up a                    tion is driven by the Republican desire
                                               Kyong He Park, James Norton, Char-                      vote on what we all called a skinny                    to destroy the Affordable Care Act.
                                               lotte Marie Sims, Guus Smeets,                          bill—one-seventh the size of the House                 That has been the goal for 10 years. I
                                               Charles Krebbs, Dr. Gaye Griffin-Sny-                   proposal and dramatically less than                    have seen it here on the floor virtually
                                               der, Hugh Freyer, Marcel Borg, Nancy                    what even the White House said was                     every day during the time I have been
                                               Standage Borbon, Albert Garcia, Helen                   necessary to deal with the crisis. That                in the Senate since January of 2013.
                                               Flores, Dean Pryor Perkins, Darrell                     bill contained no rent assistance as
                                               William Jones, Paul Abramson, Ever-                     millions face eviction, no mortgage as-                  The Republican majority—particu-
                                               ett Pike, Grant D. Ross, Isabelle                       sistance as millions face default or                   larly during the Trump Presidency—
                                               Papadimitriou, James Hughston, Jose                     foreclosure, no food assistance as mil-                has done everything they can in Con-
                                               Antoniao Reyes, William D. Shilling,                    lions face hunger, and no aid for State                gress, in administrative sabotage, and
                                               Jr., Ronnie ‘‘Bro’’ Baldwin, Larry Sing-                and local governments, whose falling                   in the courts to destroy the ACA and
                                               er, Leone (Kitty) Harriman, Sarah                       revenues jeopardize their ability to em-               take healthcare away from tens of mil-
                                               Roth, Sara Rose Varela, Kenneth E.                      ploy so many of the health and public                  lions of Americans. Congressional Re-
                                               Zwick, Sr., Pik Chi Chan, Melinda                       safety workers who we know to be es-                   publicans even engineered a complete
                                               ‘‘Nina’’ Wernick, Roger Diethelm, Alan                  sential right now.                                     shutdown of the American Government
                                               Zundl, Irvin Umberger, Dr. Kirk                           Democrats opposed the skinny bill in                 in October of 2013 to try to achieve
                                               Barnett, Danielita Brown, Jose San-                     the hopes that rejecting a partisan pro-               their goal, but they failed.




SSpencer on DSK126QN23PROD with SENATE
                                               chez.                                                   posal would lead to a bipartisan break-                  More States, even Republican States,
                                                 The number of new coronavirus cases                   through. That is just what happened in                 have embraced the ACA. It has grown
                                               is now reaching record peaks. The Sat-                  March with the CARES Act. We voted                     more popular every day with the Amer-
                                               urday headline from the Washington                      down a paltry partisan package and                     ican public. But by rushing the Barrett
                                               Post, which is the most-read daily                      days later found a robust bipartisan                   nomination, President Trump and the
                                               newspaper in Virginia, says it all:                     bill to help all Americans. Our ‘‘no’’                 Senate majority see one last chance. In
                                               ‘‘U.S. hits highest daily number of                     vote on the skinny bill in September                   2 weeks, the Supreme Court will hear



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                                               S6530                                             CONGRESSIONAL RECORD — SENATE                                                    October 25, 2020
                                               the case of California v. Texas, a co-                  do. They sent us here to raise their                   monthly premiums. She was uninsured
                                               ordinated effort by Republican attor-                   voices, represent their interests, and                 from December to March and had to ra-
                                               neys general, the Trump Justice De-                     provide them with the help they need.                  tion her insulin, putting her life at
                                               partment, and many in Congress to de-                     The American people are truly strug-                 risk. It was only when the pandemic
                                               stroy the Affordable Care Act.                          gling, and they are calling upon us to                 started and she lost all of her income
                                                 The death of Justice Ginsburg on                      provide them with real relief during                   that she was able to qualify for the es-
                                               September 18—who had often voted to                     this public health and economic crisis.                sential plan in New York’s ACA mar-
                                               uphold provisions of the ACA as an ap-                  That should be our No. 1 priority.                     ketplace and access her life-sustaining
                                               propriate exercise of congressional leg-                  Eight million Americans have fallen                  medication. If the ACA is repealed,
                                               islative power—offered a tantalizing                    into poverty during this pandemic, in-                 Allie will have nowhere to turn.
                                               chance to select as her successor some-                 cluding an outsized number of people of                   She is not alone. My friend Kyle lives
                                               one who has written critically of the                   color and children. The proportion of                  with Down syndrome. His father Bill
                                               act and of the Supreme Court’s 2012                     American children who sometimes do                     has multiple preexisting conditions.
                                               opinion upholding the law. If she can                   not have enough to eat is now 14 times                 Right now, Bill works part time in
                                               be rushed to the Court by November 10,                  higher than it was last year. Parents                  order to help Kyle, who needs to be
                                               she can participate in the resolution of                are now joining food lines for food                    with somebody 24/7. They are worried
                                               the case.                                               banks because they cannot feed their                   about cuts to Medicaid, which could af-
                                                 Getting her there quickly matters                     children. Cases of COVID are on the                    fect the job-coaching Kyle receives at
                                               more to the Senate majority than help-                  rise as we head toward our third peak.                 the pizza parlor where he works, and
                                               ing the millions who are suffering dur-                 Small businesses and their employees                   about the repeal of the ACA, which
                                               ing this crisis. If they are suffering                  don’t see a rebound on the horizon.                    provides them the only care they can
                                               now, imagine how the suffering would                    People are sick. They are struggling                   afford.
                                               have been magnified without the                         and scared about the future.                              Rushing to seat this nominee means
                                               ACA—millions without insurance to                         For months, my fellow Democrats                      rushing to put Allie’s life and Kyle’s
                                               help them through the health crisis;                    and I have been calling for a vote on                  life and millions of Americans in dan-
                                               millions of young people not able to be                 the relief package the House put for-                  ger. My colleagues are putting them all
                                               on family policies; millions turned                     ward to address these concerns, and we                 at risk only to further a very conserv-
                                               away from coverage because of pre-                      have been met with silence. Then, after                ative agenda. It is extreme.
                                               existing health conditions and now                      dragging their feet, Republicans put                      Their agenda is to seat a nominee
                                               having COVID as an additional pre-                      forward a totally inadequate $500 bil-                 who has called Roe v. Wade ‘‘barbaric,’’
                                               existing condition that will potentially                lion package that puts the needs of big                when nearly 8 in 10 Americans believe
                                               disqualify millions more; millions fac-                 businesses ahead of working families.                  that it is a fundamental, human, and
                                               ing termination of insurance as                         What is worse is that they know it has                 civil right for women to make deci-
                                               COVID-related health expenses run                       absolutely no chance of becoming law.                  sions about their bodies, including
                                               them up against lifetime coverage lim-                  Their only aim is to score political                   when or if or under what circumstances
                                               its.                                                    points, all the while the American peo-                they will have children; a nominee who
                                                 This rushed Supreme Court nomina-                     ple keep suffering.                                    referred to sexual orientation as a pref-
                                               tion not only ignores Americans’ de-                      The weeks we should have dedicated                   erence—language that is not just out-
                                               mand for help at a time of maximum                      to negotiating a real relief package                   dated but truly harmful when two in
                                               need, it is done in a way that will like-               have instead been spent rushing                        three Americans believe love is love,
                                               ly increase their suffering, with full                  through the confirmation of a Supreme                  believe in marriage equality, believe in
                                               knowledge that is the case.                             Court Justice. The hypocrisy is truly                  the right to marry the person they
                                                 I will not play any part in an effort                 stunning. The same people who denied                   love; a nominee who refused to admit
                                               of such calculated cruelty. This vote                   Merrick Garland a hearing months be-                   climate change is settled science and
                                               will hurt the body, hurt the Supreme                    fore an election are now trying to ram                 not a controversial issue, when 99 per-
                                               Court, and hurt millions of people in                   this process through while an election                 cent of scientists and 81 percent of
                                               crisis who are struggling, and even                     is already happening. Millions of bal-                 Americans believe that humans are
                                               dying, as the Senate ignores their                      lots have already been cast. Millions of               drivers of global warming.
                                               needs.                                                  Americans are already voting. Their                       So whose views does she represent?
                                                 Many of our Republican leaders                        futures are on the line. They should                   Certainly not those of the people who
                                               won’t even wear masks. They refuse to                   have a say in this outcome.                            sent us here. They believe in access to
                                               cover their noses and mouths to pro-                      We know why Republicans are rush-                    reproductive care. They believe in
                                               tect themselves and those around                        ing. They are rushing because they                     equal rights for the LGBTQ commu-
                                               them. But this soulless process shows                   know it is their last chance to impose                 nity. They believe in science. They be-
                                               that they are glad to cover their eyes                  a very extreme conservative view on                    lieve that this seat should be filled by
                                               and their ears to block out the pleas of                this country. They are rushing because                 the next President and confirmed by
                                               our suffering citizenry. I will oppose                  they see a clock ticking toward No-                    the next Senate. They have made it
                                               this nomination.                                        vember, when the Supreme Court will                    clear and don’t want the process of a
                                                 I yield the floor.                                    hear arguments on whether 129 million                  lifetime appointment rushed.
                                                 I suggest the absence of a quorum.                    Americans with preexisting conditions                     This is the wrong judge for this seat,
                                                 The PRESIDING OFFICER. The                            will continue to have access to afford-                and this is the wrong process for a life-
                                               clerk will call the roll.                               able healthcare. They are rushing to                   time appointment. It is hypocritical. It
                                                 The legislative clerk proceeded to                    seat Judge Barrett in time for her to                  is dangerous. It is not what the Amer-
                                               call the roll.                                          rule on that case—a case that could                    ican people want.
                                                 Mrs. GILLIBRAND. Mr. President, I                     strip    millions    of  Americans    of                  I ask my colleagues to stop ignoring
                                               ask unanimous consent that the order                    healthcare in the middle of a pan-                     the people who sent us here and to re-
                                               for the quorum call be rescinded.                       demic, at the very moment they need                    member that it is our job to look out
                                                 The PRESIDING OFFICER (Mr.                            it the most. It is simply inhumane.                    for their best interests—no one else’s.
                                               JOHNSON). Without objection, it is so                     The Affordable Care Act is a matter                  If we don’t do that, we don’t have the
                                               ordered.                                                of life or death. I recently spoke to a                right to be here at all.
                                                 Mrs. GILLIBRAND. I rise today to                      New Yorker named Allie Marotta, who                       I also want to express my condo-




SSpencer on DSK126QN23PROD with SENATE
                                               speak about the future of the Supreme                   has been living with type 1 diabetes                   lences to the families and loved ones
                                               Court, the future of our country, and                   since 2006. Last December, she turned                  who have experienced the human toll
                                               the responsibility this body has to the                 26 and aged off her parents’ insurance.                of the coronavirus pandemic. Over
                                               people of our Nation.                                   Because her work is contract-based,                    220,000 Americans have died, and mil-
                                                 It seems that my Republican col-                      she couldn’t enroll with an employer.                  lions of others have been changed for-
                                               leagues have lost sight of what the peo-                She made too much to qualify for Med-                  ever. I am going to read some of the
                                               ple of our States have sent us here to                  icaid but not enough to afford $400                    names of the people we have lost. The



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                                               October 25, 2020                                  CONGRESSIONAL RECORD — SENATE                                                                     S6531
                                               families of these individuals have given                the Supreme Court. I am worried that Judge             work for free just to have it. That is
                                               permission for their names to be read                   Barrett’s statements on the Affordable Care            what is on the line here.
                                               on the Senate floor, adding them and                    Act mean that, if confirmed, she would vote              Repealing the ACA would also mean
                                                                                                       to overturn the ACA. Millions of Americans             an end to the rules preventing insur-
                                               their stories to the CONGRESSIONAL
                                                                                                       with disabilities rely on the ACA to protect
                                               RECORD:                                                                                                        ance companies from charging women
                                                                                                       our right to healthcare. If the ACA is over-
                                                 Mark     Anthony      Urquiza,    Paul                turned, especially during a pandemic, mil-             higher premiums than men and requir-
                                               Osterman, Frederick Harold Quinn,                       lions of lives could be at risk.                       ing them to cover essential health ben-
                                               Richard Rosenberg, Charles Mahoney,                                                                            efits for women. That means women
                                                                                                         This is a concern I have heard over
                                               Felix Chidinma Oruh, Margaret R.                                                                               would not only have to pay more, but
                                                                                                       and over and over and over again.
                                               Hogan, Mahmooda Shaheen, Alan                             Meredith from New York City wrote                    it would also be harder for the more
                                               Kaplan, William W. Boyd, Breda C.                       to me about Stacy Staggs, the mother                   than 4 million New York women who
                                               Meadows, Jose Morales Ramirez, David                                                                           are covered by private insurance to
                                                                                                       of two young children who both have
                                               Benfield, John A. Alexiades, Michael F.                                                                        find coverage for maternity care, con-
                                                                                                       complex medical needs and disabilities,
                                               Hughes, Bob McDonald, Richard Proia,                                                                           traception, and cost-free screenings for
                                                                                                       who shared powerful testimony during
                                               Rashonne Smith, Jose ‘‘Joe’’ Ramirez,                                                                          breast cancer, cervical cancer, and
                                                                                                       the Supreme Court confirmation hear-
                                               Steve Petras, Sr., Fareeda Kadwani,                                                                            bone density. It would return us to the
                                                                                                       ings.
                                               Jean Yettito, Abby Spitzer, Robert                                                                             days when uninsured women could be
                                                                                                         Meredith wrote:
                                               ‘‘Bobby’’ McCoskey, Jose A. Matias,                                                                            denied coverage altogether if they are
                                                                                                         When she spoke, she spoke for me. The
                                               Erick      B.     Chavez,      Anastasia                ACA and disability rights are at stake. This
                                                                                                                                                              pregnant or have a health problem.
                                               Koiveroglou, Shafqat Rasul Khan, Ly-                    confirmation should wait until after the
                                                                                                                                                                It would also put our older adults at
                                               nette Scullen and Joan Scullen, Marue                   American people have chosen who should                 risk. Striking down the ACA would re-
                                               Santini, Buck McKinney, Christina                       pick the next justice.                                 open the prescription drug coverage
                                               Danielo,     Cal    Schoenfeld,    Gregg                  Parents across the State are also                    cap—the so-called doughnut hole—and
                                               Pappadake, Sarah ‘‘Sally’’ Bielen,                      worried about what the Court with Jus-                 could leave nearly 350,000 seniors in our
                                               Rolando Castillo, Nais Coque, David                     tice Barrett would mean for their chil-                State paying thousands of dollars in
                                               Tashman, Joseph LoBianco, Ramash                                                                               out-of-pocket costs for the medications
                                                                                                       dren.
                                               Quasba, Edward Alonzo.                                    Susan from Amherst wrote to me                       they need.
                                                                                                                                                                Thomas is one of those seniors. He
                                                 I would also like to share some con-                  about her daughter. She wrote:
                                                                                                                                                              writes:
                                               cerns of the people of New York over                      My daughter is an amazing young woman—
                                                                                                                                                                The price for the family insurance is high
                                               what a future without the Affordable                    and a lesbian—and an individual with pre-
                                                                                                                                                              and with our present administration will go
                                               Care Act would look like.                               existing conditions. Her depression has wors-
                                                                                                                                                              higher and millions of Americans will not be
                                                 While my colleagues try to rush this                  ened because she sees what a confirmation of
                                                                                                                                                              able to have insurance. And this is the time
                                               confirmation so Judge Barrett can be                    Amy Coney Barrett’s confirmation would
                                                                                                                                                              it is needed with the lack of the virus con-
                                               seated in time to rule on a case that                   mean to her and many of her friends. Even
                                                                                                                                                              trol. Many Americans are out of work and
                                                                                                       Pope Francis believes members of the
                                               could cause millions of Americans to                    LGBTQ+ community deserve to be part of a
                                                                                                                                                              will never be able to get a job that paid as
                                               lose access to their healthcare, I think                                                                       much as the previous job. . . . Many Ameri-
                                                                                                       family and should be able to participate in
                                               it is important that we remember how                                                                           cans have died because the administration
                                                                                                       civil unions. Please help! She needs to have
                                               that case will affect the people we are                                                                        would not treat the virus when it was start-
                                                                                                       hope! The rush to confirm Amy Coney Bar-
                                                                                                                                                              ing. Many homes now have less people bring-
                                               here to serve.                                          rett to the Supreme Court is concerning. Not
                                                                                                                                                              ing in money to pay bills because of this.
                                                 In New York, there are more than 8                    only have Senators not had enough time to
                                                                                                                                                              The administration has no plan to replace
                                               million people with preexisting condi-                  duly vet her, but we are in the middle of a
                                                                                                                                                              ObamaCare. . . . And with the second and
                                               tions who could face higher costs,                      highly consequential election in which mil-
                                                                                                                                                              third round of virus and flu, many more may
                                                                                                       lions have already cast their ballots. Fur-
                                               fewer benefits, and more trouble find-                                                                         die. . . . Seniors are on a fixed income and
                                                                                                       ther, Judge Barrett’s LGBTQ rights record
                                               ing the coverage they need if the ACA                                                                          seldom get any breaks when it comes to
                                                                                                       suggests she cannot be an impartial jurist on
                                               is repealed. There are more than 3 mil-                                                                        bills. Part D of Medicare prescriptions really
                                                                                                       these matters. I’m deeply concerned about
                                               lion people who could be denied cov-                                                                           went up this year. At the end of the year, we
                                                                                                       the future of rights for the LGBTQ commu-
                                                                                                                                                              fall in the doughnut hole and have to pay
                                               erage altogether over preexisting con-                  nity.
                                                                                                                                                              two to three or more times for our medicine
                                               ditions that are deemed uninsurable.                      These letters also send dire remind-                 than we were paying. And then at the begin-
                                               There are more than 470,000 people who                  ers of what life was like for too many                 ning of the year, we must pay the deductible
                                               have been diagnosed with COVID, each                    New Yorkers before the Affordable                      which, on the average, is 400 plus dollars. But
                                               of whom could find themselves paying                    Care Act—a history we should never re-                 remember we are on a fixed income, so that
                                               higher premiums for worse coverage.                     peat.                                                  means going without something else. Again,
                                                 My mailbox has been flooded with                        Jan from Ridgewood wrote:                            a zero-deductible plan does not cover much
                                               letters from New Yorkers who are can-                                                                          unless you pay above 70 dollars a month. Do
                                                                                                         I am 61 years old and have been self-em-             not expect the average American to have
                                               cer survivors and parents and people                    ployed for most of my working life. This cir-          much extra money. A lot of people live on
                                               with disabilities who are all worried                   cumstance has made me a healthcare voter!              Social Security alone, and the present ad-
                                               about their families not being able to                  For decades I thought I was the only one               ministration wants to stop that income.
                                               access the care that they need. Work-                   complaining about impossibly high health
                                                                                                       care costs. The cheapest plan that I could               The American people do not want to
                                               ing to take away their care, especially                                                                        lose their healthcare, not in the middle
                                               in the middle of a pandemic, is inhu-                   find had a monthly premium of $692. For me
                                                                                                       as an individual, with my husband—[who                 of a pandemic, not ever, and they cer-
                                               mane.                                                   was] also self-employed—and daughter it was            tainly don’t believe we should be
                                                 Jane from West Islip wrote:                           about 1,250. After my divorce, I went job-             prioritizing this nomination over pro-
                                                 As a cancer survivor, I am very concerned             hunting for health insurance. I was willing            viding them with real relief.
                                               about healthcare and pre-existing condi-                to work for free if I could be put on a health           Christine from Beacon wrote:
                                               tions. We’re facing a healthcare meltdown.              insurance plan. I didn’t find any.
                                               This next Justice could be the deciding vote                                                                     I find it appalling and horrific that instead
                                                                                                         The ACA put an end to that demeaning
                                               that determines whether health care for tens                                                                   of a humane relief bill for the people who
                                                                                                       search. My income fluctuates, so my pre-
                                               of millions of people, protections for pre-ex-                                                                 have lost family members, jobs, homes, the
                                                                                                       mium goes up-and-down, but it has never
                                               isting conditions, and other provisions of the                                                                 stability of their children’s shelter, food se-
                                                                                                       been as expensive as it was before
                                               ACA that benefit almost everyone, will stay                                                                    curity and education—not to mention the so-
                                                                                                       ObamaCare. There is ample evidence to sug-
                                               or go. Judge Barrett’s documented hostility                                                                    cial cost of interrupting normal childhood
                                                                                                       gest that Judge Barrett would overturn the
                                                                                                                                                              social development and just the terrible grief




SSpencer on DSK126QN23PROD with SENATE
                                               towards the ACA disqualifies her from a life-           Affordable Care Act. Confirming such a jus-
                                               time appointment to the Supreme Court. A                                                                       and fear [people are dealing with] . . . that
                                                                                                       tice during what is perhaps the worst public
                                               vote for Judge Barrett is a vote to end                                                                        instead of working on a relief bill, we have
                                                                                                       health crisis in American history, and while
                                               healthcare. Oppose her nomination.                                                                             another judge infuriatingly and unfairly
                                                                                                       the Senate refuses to act to address the
                                                                                                                                                              jammed in to the court. The Supreme Court!
                                                 Jane is not alone in her concerns.                    coronavirus economic and health crisis, is
                                                                                                                                                              My god . . . the lack of respect and audacity
                                                 Candice from Brooklyn wrote:                          unconscionable.
                                                                                                                                                              of beginning this process. There is wrong and
                                                 I am writing to urge you to oppose the                  Let me say that again: Healthcare is                 right. And to quote a great patriot: ‘‘This is
                                               nomination of Judge Amy Coney Barrett to                so important that she was willing to                   America. And here, right matters.’’




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                                               S6532                                             CONGRESSIONAL RECORD — SENATE                                                        October 25, 2020
                                                  Christine is right. Doing the right                  who rely on the law for health insur-                                      21 MILLION
                                               thing for the American people matters.                  ance. Its many provisions touch the                           PEOPLE WHO COULD LOSE THEIR HEALTH
                                               It is actually our job. New Yorkers and                 lives of most Americans, from nursing                                     INSURANCE
                                               people across this country who have                     mothers to people who eat at chain res-                  Of the 23 million people who either
                                               lost their jobs and their employer-                     taurants.                                              buy health insurance through the mar-
                                               based healthcare are calling on the                       Here    are  some   potential   con-                 ketplaces set up by the law (roughly 11
                                               Senate to provide them with the relief                  sequences, based on estimates by var-                  million) or receive coverage through
                                               they need to survive this health and                    ious groups.                                           the expansion of Medicaid (12 million),
                                               economic crisis.                                                            133 MILLION                        about 21 million are at serious risk of
                                                  Instead, the Republicans are pouring                      AMERICANS WITH PROTECTED PRE-EXISTING             becoming uninsured if Obamacare is
                                               salt in their wounds by rushing this                                      CONDITIONS                           struck down. That includes more than
                                               process in order to eliminate the Med-                     As many as 133 million Americans—                   nine million who receive federal sub-
                                               icaid expansions and marketplaces                       roughly half the population under the                  sidies.
                                               these newly jobless Americans have                      age of 65—have pre-existing medical                      On average, the subsidies cover $492
                                               turned to for coverage. Overturning the                 conditions that could disqualify them                  of a $576 monthly premium this year,
                                               ACA would immediately end the Med-                      from buying a health insurance policy                  according to a report from the Depart-
                                               icaid coverage nearly 1.9 million bene-                 or cause them to pay significantly                     ment of Health and Human Services. If
                                               ficiaries in New York are relying on.                   higher premiums if the health law were                 the marketplaces and subsidies go
                                                  These stories I have shared represent                overturned, according to a government                  away, a comprehensive health plan
                                               the fears and concerns of the people                    analysis done in 2017. An existing med-                would become unaffordable for most of
                                               who sent us here to represent them.                     ical condition includes such common                    those people and many of them would
                                               They are people with debilitating ill-                  ailments as high blood pressure or                     become uninsured.
                                               nesses, parents who are worried about                   asthma, any of which could require                       States could not possibly replace the
                                               sick children, adults who are worried                   those buying insurance on their own to                 full amount of federal subsidies with
                                               about elderly parents, and young men                    pay much more for a policy, if they                    state funds.
                                               and women who live with conditions                      could get one at all.                                                      12 MILLION
                                               like diabetes and are already strug-                       The coronavirus, which has infected                  ADULTS WHO COULD LOSE MEDICAID COVERAGE
                                               gling to find insurance that will help                  nearly seven million Americans to date
                                                                                                                                                                Medicaid, the government insurance
                                               them access the insulin they need.                      and may have long-term health impli-
                                                                                                                                                              program for the poor that is jointly
                                                  They are struggling, and it is our job               cations for many of those who become
                                                                                                                                                              funded by the federal government and
                                               to get them the help they need. The                     ill, could also become one of the many
                                                                                                                                                              the states, has been the workhorse of
                                               American people oppose this nomina-                     medical histories that would make it
                                                                                                                                                              Obamacare. If the health law were
                                               tion. They are watching, and one way                    challenging for someone to find insur-
                                                                                                                                                              struck down, more than 12 million low-
                                               or another, they will be heard.                         ance.
                                                  I would like to read from an article                    Under the A.C.A., no one can be de-                 income adults who have gained Med-
                                               in the New York Times by Reed                           nied coverage under any circumstance,                  icaid coverage through the law’s expan-
                                               Abelson and Abby Goodnough, entitled:                   and insurance companies cannot retro-                  sion of the program could lose it.
                                               ‘‘If   the    Supreme     Court     Ends                actively cancel a policy unless they                     In all, according to the Urban Insti-
                                               ObamaCare, Here’s What It Would                         find evidence of fraud. The Kaiser Fam-                tute, enrollment in the program would
                                               Mean.’’                                                 ily Foundation estimated that 54 mil-                  drop by more than 15 million, including
                                                                                                       lion people have conditions serious                    roughly three million children who got
                                                  ‘‘The Affordable Care Act touches the                                                                       Medicaid or the Children’s Health In-
                                               lives of most Americans, and its aboli-                 enough that insurers would outright
                                                                                                       deny them coverage if the A.C.A. were                  surance Program when their parents
                                               tion could have a significant effect on                                                                        signed up for coverage.
                                               many millions more people than those                    not in effect, according to an analysis
                                                                                                       it did in 2019. Its estimates are based                  The law ensures that states will
                                               who get their health coverage through                                                                          never have to pay more than 10 percent
                                               it.                                                     on the guidelines insurers had in place
                                                                                                       about whom to cover before the law                     of costs for their expanded Medicaid
                                                  What would happen if the Supreme
                                                                                                       was enacted.                                           population; few if any states would be
                                               Court struck down the Affordable Care
                                                                                                          Most Americans would still be able                  able to pick up the remaining 90 per-
                                               Act?
                                                  The fate of the sprawling, decade-old                to get coverage under a plan provided                  cent to keep their programs going.
                                               health law known as Obamacare was                       by an employer or under a federal pro-                 Over all, the federal government’s tab
                                               already in question, with the high                      gram, as they did before the law was                   was $66 billion last year, according to
                                               court expected to hear arguments a                      passed, but protections for pre-existing               the Congressional Budget Office.
                                               week after the presidential election in                 conditions are particularly important                    Losing free health insurance would,
                                               the latest case seeking to overturn it.                 during an economic downturn or to                      of course, also mean worse access to
                                               But now, the death of Justice Ruth                      those who want to start their own busi-                care and, quite possibly, worse health
                                               Bader Ginsburg increases the possi-                     nesses or retire early. Before the                     for the millions who would be affected.
                                               bility that the court could abolish it,                 A.C.A., employers would sometimes                      Among other things, studies have
                                               even as millions of people are losing                   refuse to cover certain conditions. If                 found that Medicaid expansion has led
                                               job-based health coverage during the                    the law went away, companies would                     to    better   access   to   preventive
                                               coronavirus pandemic.                                   have to decide if they would drop any                  screenings, medications and mental
                                                  A federal judge in Texas invalidated                 of the conditions they are now required                health services.
                                               the entire law in 2018. The Trump ad-                   to cover.                                                                    800,000
                                               ministration, which had initially sup-                     The need to protect people with ex-                        PEOPLE WITH OPIOID ADDICTION GETTING
                                               ported eliminating only some parts of                   isting medical conditions from dis-                              TREATMENT THROUGH MEDICAID
                                               the law, then changed its position and                  crimination by insurers was a central                    The health law took effect just as the
                                               agreed with the judge’s ruling. Earlier                 theme in the 2018 midterm elections,                   opioid epidemic was spreading to all
                                               this year the Supreme Court agreed to                   and Democrats attributed much of                       corners of the country, and health offi-
                                               take the case.                                          their success in reclaiming control of                 cials in many states say that one of its
                                                  Mr. Trump has vowed to replace Jus-                  the House of Representatives to voters’                biggest benefits has been providing ac-
                                               tice Ginsburg, a stalwart defender of                   desire to safeguard those protections.                 cess to addiction treatment. It requires




SSpencer on DSK126QN23PROD with SENATE
                                               the law, before the election. If he is                  Mr. Trump and many Republicans                         insurance companies to cover sub-
                                               successful in placing a sixth conserv-                  promise to keep this provision of the                  stance abuse treatment, and they could
                                               ative on the court, its new composition                 law, but have not said how they would                  stop if the law were struck down.
                                               could provide the necessary five votes                  do that. Before the law, some individ-                   The biggest group able to get access
                                               to uphold the Texas decision.                           uals were sent to high-risk pools oper-                to addiction treatment under the law is
                                                  Many millions more people would be                   ated by states, but even that coverage                 adults who have gained Medicaid cov-
                                               affected by such a ruling than those                    was often inadequate.                                  erage. The Kaiser Family Foundation



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