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As
most
everyone
knows, the
problem of
the
uninsured
touches
communities
all across
our
country.
Thankfully,
we have made
tremendous
strides in
dramatically
lowering the
number of
uninsured
children
through
SCHIP which,
time and
again, has
proved to be
both a
successful
program and
a saving
grace for
millions of
American
families who
otherwise
simply could
not afford
to pay for
their
children’s
health
care.
The stakes
could not be
more
monumental.
The quality
of the
health care
that one
receives as
a child can
have
dramatic
implications
later in
life. And
there is not
a family in
America who
does not
want to
provide the
most
comprehensive
health
coverage
possible for
its
children.
While some
may
mistakenly
characterize
SCHIP
coverage as
a welfare
benefit,
what they
may not
realize is
that nearly
90 percent
of uninsured
children
come from
families
where at
least one
parent is
working.
Today, fewer
than half of
parents in
families
earning less
than $40,000
a year are
offered
health
insurance
through
their
employer – a
9 percent
drop since
1997. And
for many
working
families
struggling
to obtain
health care,
if benefits
are even
accessible
to them, the
costs
continue to
rise, moving
further out
of their
reach.
In my own
state of
Maine, a
family of
four can
expect to
pay $24,000
on the
individual
market for
its
coverage.
For most
families,
taking this
path is
unrealistic
and
unworkable,
especially
when
factoring
the cost of
mortgages,
heating
bills, and
myriad other
financial
pressures.
With lives
literally
hanging in
the balance,
we ought to
be building
on what
works.
Regrettably,
we have
heard a
litany of
reasons why
we shouldn’t
cover more
children
through
SCHIP. Some
have
expressed
concerns
about the
size and
cost of the
package. I
would
respond that
it should
inject a
dose of
reality on
the
magnitude of
the problem.
States have
responded to
the call of
families who
are
struggling
every day
with the
cost of
health
insurance
and are
assuming a
tremendous
burden in
the absence
of Federal
action.
In addition,
we should
bear in mind
that this
bill is $15
billion
below the
amount we
provided for
in the
budget
resolution.
Again, this
bill is the
product of
compromise.
Some of us
wanted to go
further.
Senator Jay
Rockefeller
(D-WV) and
I, for
example,
introduced
legislation
to
reauthorize
the program
at the full
$50 billion
-- a bill
that
garnered 22
bipartisan
cosponsors.
Although
there were
compromises
made along
the way on
various
policy
positions,
one point is
not up for
discussion
-- simply
maintaining
the status
quo of
current
levels of
coverage is
unacceptable.
And while
the Congress
and the
White House
argue over
philosophical
differences,
children are
either going
without
coverage, or
their
parents are
financing
their care
on credit
cards,
hoping they
can stay on
top of their
debt.
We are the
wealthiest
Nation on
Earth, and
if we are
unable to
provide
health
insurance
and medical
care to our
young
people, then
what does
that say
about our
values?
Some of my
colleagues
contend that
the SCHIP
reauthorization
we are
considering
is the first
step toward
government-run
health care
and that we
will
substitute
public
coverage for
private
insurance.
The fact is
that this
SCHIP
program came
into being
ten years
ago. We
haven’t seen
that evolve
from the
SCHIP
program. We
didn’t see
it
materializing
into a
government-run
health care
program, as
many have
alleged here
today. It
absolutely
hasn’t
happened.
What we did
was identify
a need and
address it
in a
bipartisan
manner.
These claims
ignore the
fact that
today 73
percent of
the children
enrolled in
Medicaid
received
most or all
of their
health care
services
through a
managed care
plan. In
fact,
America’s
Health
Insurance
Plans, AHIP,
a national
association
representing
nearly 1,300
member
companies,
has recently
endorsed
this
legislation,
stating “it
repairs the
safety net
and is a
major
movement
toward
addressing
the problems
that States
and
Governors
have been
trying to
address,
which is how
to get
access for
children.’’
The bill
also helps
shore up
employer-based
coverage by
granting
states the
option to
subsidize
employer-sponsored
group health
coverage for
families
that find
the coverage
beyond their
financial
means.
Some have
also argued
that SCHIP
should
reduce
coverage for
adults,
especially
childless
adults.
While I
believe that
coverage for
adults can
have a clear
benefit for
children –
both in
terms of
enrollment
of children
as well as
the simple
fact that
health
problems for
a working
parent can
lead to
economic
insecurity
for the
family –
this
approach
represents
an area
where we had
to
compromise.
But I find
it
contradictory
that the
Bush
Administration,
which has
been so
vocal in its
opposition
to the cost
and scope of
the
compromise
package,
granted the
majority of
the fourteen
adult
coverage
waivers
granted over
the past ten
years and
renewed a
waiver for
adult
coverage in
May!
Frankly, I
believe the
President’s
decision to
veto this
bill is an
outrage, and
a decision
that
seriously
misjudges
the genuine
concern
Americans
have about
access to
care --
particularly
for
children. In
a March New
York
Times/CBS
News poll,
84 percent
of those
polled said
they
supported
expanding
SCHIP to
cover all
uninsured
children. A
similar
majority
said they
thought the
lack of
health
insurance
for many
children was
a ``very
serious’’
problem for
the
country.
SCHIP has
been the
most
significant
achievement
of the
Congress
over the
past decade
in
legislative
efforts to
assure
access to
affordable
health
coverage to
every
American. We
must not
undermine
the
demonstrated
success of
this program
over the
past
decade.
Compromise
on both
sides of the
aisle helped
us create
this program
ten years
ago, and,
hopefully, a
renewed
sense of
bipartisan
commitment
will help us
overcome the
objections
before us
and
successfully
reauthorize
this vital
program.
-###-
Olympia J.
Snowe
represents
the State of
Maine in the
U.S. Senate.
She serves
on the
Health
Subcommittee
of the
Senate
Finance
Committee.
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