Reader Elmer sends the text of the letter he received from Eric Massa explaining his healthcare vote. Text of the letter after the break:
Because you have previously been in touch about health issues, I am
writing to let you know why I voted "no" on the 2009 major health care
reform bill (H.R. 3962). Being accountable to you for my actions,
perhaps you will forgive a detailed response.
Since entering Congress on January 6, 2009, I have devoted more time and
thought to health care reform than any other issue. Health care has
been discussed this year in every one of my more than 60 town halls and
300 house parties. My staff and I read, digested and replied to over
15,000 letters, faxes, emails and phone calls, went over countless
briefs, white papers, studies and analyses, reflecting every possible
perspective and interest.
Not a single day went by without representatives of professional health
care providers, patients, specific disease groups, insurances companies,
unions, academic experts, think tank executives, medical students,
medical supplies sales people, hospital executives and a surprising
number of sick people, contacting us. Every single voice and concern was
carefully listened to.
Various draft bills were read and discussed with Congressional
colleagues and the House leadership. I continuously listened and read;
and tried my very best to absorb and understand all this information.
At the very beginning of this debate, I made clear my support for a
single-payer health system. This is rooted in experiences in the US
Navy and as a survivor of a deadly cancer. Achieving health care reform
is - and remains - a very high priority.
Having spent much of the last ten months studying, listening to
constituents and considering this, I could not support H.R. 3962, the
health reform bill presented to us by House leadership. This position
is best for my constituents and best for our country.
Now let me briefly explain my vote.
At the start of the debate earlier this year, many agreed the objectives
were to: make clinically needed health care available to all Americans;
to ensure health care is affordable for most individuals and families,
so more Americans could pay for their own coverage; bring total annual
health care expenditures into line with the rest of the developed world,
below 17.7% of gross domestic product; ensure consistently high quality
care; and reduce the total money spent on system waste, fraud
inefficiency and poor management.
Unfortunately, H.R. 3962 will not deliver these goals. Its primary
strategy is to achieve more and better care by the federal government's
regulation of the private insurance industry. But the so-called "Public
Option," which is supposed to compete for customers with private
providers, is too weak to be much of a competitor. Estimates are that
it will attract only six million customers; and this will make its risk
pool too small and too dominated by lower-income, less healthy
purchasers whom the private companies do not much want anyway. This
will ensure our national dependence on publically subsidized and
partially regulated private insurance, provided through employers, the
permanent and central element of U.S. health care for the indefinite
future. But if private insurance sold to employers was the answer, we
would not be in the mess we are.
Private insurance premium costs will continue to increase and more
people will lose access to care. Further, the individual mandate
forcing private citizens to buy mostly private care or face substantial
annual fines, may not be constitutional. And burdening private
businesses with the legal burden of providing health care insurance will
leave them at a serious competitive disadvantage with foreign companies
who face no such costs. Many firms will be fined and further harmed for
not providing care.
The bill, compared to the size of the problem, does little to truly
force out waste, fraud, abuse and mismanagement; and this in turn
increases the money that must be raised either by new revenue streams or
reductions in existing health programs, to pay the new bills.
The bill leaves rural health care providers permanently disadvantaged.
And the expansion of Medicaid eligibility could lead to significant
pressures for higher New York state taxes and county real estate taxes.
The middle of an economic down-turn is a bad time for tax raises.
It does very little to increase the number of primary care or family
physicians who, along with advanced practice nurses and nurse
practitioners, are central to more prevention and wellness programs.
Overall, this bill makes our national health care system
administratively more cumbersome, bureaucratic and unnecessarily
expensive.
So I entered the House of Representatives on Saturday, November 7th,
2009 and voted "no." This decision bitterly disappointed some of you.
It saddens me too, as the nation badly needs a system which can do a
better job of helping us to be healthier, at lower costs. Unfortunately,
the House bill's passage through the Senate and a subsequent conference
will almost certainly further weaken an already-flawed piece of
legislation.
So what can I say to those who need health reform now?
Whether or not any act emerges from Congress, the health reform process
will go on; and I am sworn to work with all constituents to build a
better system. In the days ahead you will be hearing from me on
continuing steps to reform our nation's health care system.
We cannot give in to apathy or cynicism. That would be a betrayal to us
and our children.
Sincerely,
Eric J.J. Massa