Voices of Alaska: Everyone must be heard in health care reform process

  • By Sen. Lisa Murkowski
  • Monday, September 4, 2017 8:48pm
  • Opinion

When Republicans assumed the majority in the Senate in January 2015, we pledged to return to “regular order,” governing openly, processing bills through committee, and opening the floor debate to members of both parties. Committee work takes time and floor debates can appear confusing, but they give the public a chance to contribute and allow input from all members in developing policy. Leader Mitch McConnell led us through a productive process that resulted in bipartisan achievements like the first multi-year highway bill in nearly a decade, the repeal of No Child Left Behind, the establishment of a more state-centered system for K-12 education, and comprehensive legislation addressing the opioid epidemic. By relying on good process, we began governing again.

There are 100 members in the Senate, each reflecting the diversity and complexity of our Nation. In addressing health care, an intensely personal issue to all Americans and one with significant impact on our nation’s economy, it’s imperative that everyone is heard. This is why I consistently advocated for regular order while the Senate health care proposals were being drafted so ideas from both parties could be considered and thoroughly examined.

That open process is beginning. The Health, Education, Labor, and Pensions (HELP) Committee will hold hearings this week and as a member of that committee, I will be deeply engaged through the process. I appreciate that Chairman Lamar Alexander is taking the extra step of opening the process to Senators outside of the committee for complete inclusivity. And Alaska’s voice will be heard as our state’s Director of Insurance, Lori Wing-Heier, will testify on September 6th about Alaska’s experience, our 1332 waiver, and the need for market stability which is expected to help reduce premiums by over 20 percent in 2018.

The immediate focus of the HELP Committee’s efforts will be to stabilize and strengthen the individual market, including funding cost-share reductions and helping the most vulnerable gain access to affordable coverage and care. We will also examine how to provide more flexibility to states to find solutions that work on a local level. These two measures are designed to prevent immense price increases that would surely take place in their absence. We must also evaluate the efficacy of mandates that have severely impacted small businesses and workers.

The Senate must also work toward long-term solutions. The President and I agree that the status quo with health care in the country is not acceptable, that fixing it will be complicated, and it will take time and hard work by us all. In Alaska, we have just one insurance provider on our individual market. Other parts of the country may have more providers, but even in those areas, premiums continue to rise. Many with insurance can’t afford the out-of-pocket costs that render their coverage practically worthless. However, we must not forget that many Alaskans now have coverage they did not prior to the Affordable Care Act (ACA). As Republicans, we need to acknowledge the beneficial provisions of the ACA while working to build on them. Likewise, Democrats need to acknowledge the ACA’s drawbacks while helping to repair things that are truly faulty and harmful.

If we want to lower insurance costs, we must address the underlying problem of the high cost of care. I stand ready and willing to work with all members of the Senate to achieve this goal. One approach may be to allow Americans to buy cheaper prescriptions from Canada, as Senator Bernie Sanders has advocated. Senator Ted Cruz and I are also exploring several proposals, such as expanding access to Health Savings Accounts for a broader range of health expenses, including for paying insurance premiums. We have also discussed the need for greater price transparency so patients can shop for care like any other service and allowing for cheaper plans to be sold on the exchange.

These are only a few ideas and our hard work has laid a strong foundation from which to build. I am convinced that by returning to regular order we can find a bipartisan solution of enduring policy that lives beyond this Congress. Members of Congress, private industry, non-profits, and stakeholders alike all have good ideas. With the committee process, we can unite to find policies that provide the choice, control, affordability, and quality of care all Americans need and deserve.

Lisa Murkowski represents Alaska in the United States Senate.

More in Opinion

Deborah Morel’s beachhouse near Ninilchik, Alaska. (Photo courtesy of Deborah Morel)
Voices of the Peninsula: The Dream Team saves the day

The story, I believe, speaks to the goodness of humankind.

teaser
Opinion: The truth Dunleavy should tell about COVID vaccines

Dunleavy made a political calculation to appease his party’s angry base by joining the lawsuits against the mandates.

Laura Black, owner of Fireweed Bakery, sells some of her wares during the Merry Little Christmas Market at the Peninsula Center Mall in Soldotna, Alaska on Nov. 7, 2020. (Photo by Brian Mazurek/Peninsula Clarion)
Opinion: Shop local this holiday season!

By Julie Anderson Shopping locally has never been as important or as… Continue reading

A resident casts their vote in the regular municipal election Tuesday, Oct. 6, 2020 at the Kenai Peninsula Fairgrounds in Ninilchik, Alaska. (Photo by Megan Pacer/Homer News)
Voices of the Peninsula: What do voting statistics say about our democracy?

Kenai Peninsula Borough total voter turnout in this past October 2021 municipal election was a sad 11.84%.

Tease
Opinion: Rural broadband is essential infrastructure

Broadband funding is available. The rest is up to Alaskans.

Nurse Sherra Pritchard gives Madyson Knudsen a bandage at the Kenai Public Health Center after the 10-year-old received her first COVID-19 vaccine on Friday, Nov. 5, 2021. (Camille Botello/Peninsula Clarion)
Alaska Voices: A mom’s and pediatrician’s perspective on COVID-19 vaccines for children

I want to see children and their parents who have yet to get vaccinated roll up their sleeves.

Larry Persily (Peninsula Clarion file)
Opinion: State defends its right to cut nonexistent taxes

This from a state that has no property tax on homes or businesses, only on the oil industry.

Gavel (Courtesy photo)
Opinion: The foolish men claiming self-defense

It’s not just misguided teenagers carrying guns who find themselves in trouble with the law.

Dr. Jay Butler, former chief medical officer for the State of Alaska, is seen in this undated photo. (Courtesy photo)
Alaska Voices: Feeling grateful this Thanksgiving for the COVID vaccines

The COVID vaccines remain our strongest tool in combating the pandemic and helping us return to our lives and the things we love and cherish.

Most Read