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tv   U.S. House of Representatives U.S. House of Representatives  CSPAN  February 6, 2019 1:31pm-3:53pm EST

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house will be in order. proceedings will resume on questions previously postponed. votes will be taken in the following order. motion to suspend the rules and pass h.r. 831 and h.r. 66. the first electronic vote will be conducted as a 15-minute vote, pursuant to clause 9 of rule 20, remaining electronic votes will be ducted -- conducted as five-minute votes.
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pursuant to clause of rule 20, the unfinished business is the vote on the motion of the gentlewoman from the district of columbia, ms. norton, to suspend 831.ules and pass h.r. on which the yeas and nays are ordered they feel clerk will report the title. the clerk: h.r. 831, a bill to direct the secretary of transportation to request nominations for and make determinations regarding roads to be designate under the national scenic byways program and for other purposes. the speaker pro tempore: the question is will the house suspend the rules and pass the bill. members will record their votes by electronic device. this is a 15-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 404. the nays are 19. 2/3 having responded in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid on the table. pursuant to clause 8 of rule 20, the unfinished business is the vote on the motion of the gentlewoman from the district of columbia, ms. norton, to suspend the rules and pass h.r. 66, on which the yeas and nays are ordered. the clerk will report the title. the clerk: h.r. 66, a bill to establish the route 66 centennial commission to direct
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the secretary of transportation to prepare a plan on the preservation needs of route 66, and for other purposes. e speaker pro tempore: the question is will the house suspend the rules and pass the bill. members will record their votes by electronic device. this is a five-minute vote. [captioning made possible by the national captioning institute, inc., in cooperation with the united states house of representatives. any use of the closed-captioned coverage of the house proceedings for political or commercial purposes is expressly prohibited by the u.s. house of representatives.]
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the speaker pro tempore: on this vote the yeas are 399. and the nays are 22. 2/3 having responded in the affirmative, the rules are suspended, the bill is passed, and without objection the motion to reconsider is laid on the table. the house needs to be in order, please.
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the speaker pro tempore: the ouse will be in order, please. for what purpose does the gentleman from california seek recognition? >> madam speaker, i ask unanimous consent that the committee on judiciary be discharged from further consideration of h.r. 962, the born alive abortion survivors protection act and ask for its immediate consideration to the house. the speaker pro tempore: under guidelines consistently issued by successive speakers, as recorded in section 956 of the house rules and manual, the chair is constraint not to
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entertain the request unless it has been cleared by the bipartisan floor and committee leaderships. mr. mccarthy: parliamentary inquiry. the speaker pro tempore: the gentleman, please state your inquiry. mr. mccarthy: madam speaker, i can assure there are no objections on the republican side. does the chair say leadership has not cleared this bill that an protect children born alive. the speaker pro tempore: that would have to have receive clearance by the majority and minority floor and committee leadership. the chair is unaware of such clearance. therefore, the chair cannot entertain that request at this time. mr. mccarthy: further parliamentary inquiry. the speaker pro tempore: say your inquiry. mr. mccarthy: madam speaker, as i said, there is no objections on the republican side. it is just 2:00 p.m. on a wednesday.
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is the chair saying there is not enough time left today to consider this bill that would save lives of a child who was born alive? the speaker pro tempore: the gentleman has not stated a parliamentary inquiry. mr. mccarthy: no further inquiries. the speaker pro tempore: for what purpose does the gentlewoman from wyoming seek recognition? ms. cheney: mr. speaker, by the direction of the republican conference, i send to the desk a prifrpbled resolution. the clerk: house resolution 103 -- ms. cheney: madam speaker, i ask unanimous consent that the resolution be considered as read. the speaker pro tempore: without objection, the resolution is agreed to and the motion to reconsider is laid on the table.
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the chair will now entertain requests for one-minute peeches. for what purpose does the gentleman from new jersey seek recognition? >> i ask unanimous consent to address the house for one minute and to revise and extend my remarks. e speaker pro tempore: without objection, the gentleman from new jersey is recognized for one minute. mr. payne: madam speaker, i rise today to honor trail blazing first responder from new jersey. on december 19, last year, raina was sworn in as the first-ever woman firefighter in rozelle, new jersey's history. she's been called a hero, not because she's a firefighter, but also because she's paving a
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path for young girls who might want day become firefighters in their own communities. reina has lived most of her life in rozelle and she's spent the past five years preparing to become a firefighter. that's because helping people has always been her passion. reina had told a local newspaper a while ago. before setting her sites on the fire department, reina was a corrections officer. that gave her greater appreciation for first responders. she didn't set out to become the first female firefighter in rozelle. reina just wanted to align her passions and her strengths. madam speaker, i ask my colleagues to join me in honoring reina lattimer for her service to rozelle, new jersey, and for inspiring young people throughout her community, and with that i yield back. the speaker pro tempore: for
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what purpose does the gentleman from florida seek recognition? >> madam speaker, i ask unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. >> madam speaker, i'd like to take this time to recognize one of my constituents, armand, who was named the 50th annual spelling bee winner on january 18, 2019. he's currently in the fifth grade where he is a a straight a student. during his young life, he has faced many obstacles. he excelled at school with the support of his teach earns family. mr. yoho: in order to compete in putnam spelling bee, he spent his free time memorizing over 450 words. his winning word was apricot. his family, friends, as i am, are extremely proud of him for competing and winning this spelling bee. d like to congratulate him for his outstanding accomplishment. he moves on to compete in the
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first coast spelling bee at jacksonville utah. -- l-u-c-k. -u cru the speaker pro tempore: for what purpose does the gentlewoman from from florida seek recognition? >> ask unanimous consent to address the house for one minute. the speaker pro tempore: without objection, the gentlewoman is recognized for a inute. >> i rise for rodney and michelle roberson and their daughter who was fatally shot in a road rage incident in june of 2017. by yanga had recently graduated from high school in my district. she was coming back from a precollege shopping trip when she found herself in an encounter with someone who tried passing her in a merge lane and then in a horrific act pulled out a loaded firearm, fired a single shot, and fatal shot at her. she was a beautiful and smart
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young lady who was tragically taken from us too soon because of senseless gun violence. i rise for the 16,035 other pennsylvanians whose lives were cut short in 2017 because of gun violence. i'm a third generation veteran and i support responsible gun ownership. unlike many in my community, i support commonsense safety measures that a congress should act on to curtail gun violence in our communities. we must act now. i yield back the balance of my time. the speaker pro tempore: for what purpose does the gentleman from georgia seek recognition? >> ask unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman from georgia is recognized for one minute. mr. carter: madam speaker, i rise today to remember the life of mr. david soften who passed 772nd january 25, his birthday. he had an enormous impact in
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savannah throughout his life. in 1983 he joined the windy senior management team which led him to our community where he owned nearly a dozen restaurants. outside of his exceptional management skills, he was dedicated to growing the arts in coastal georgia. to that end, he worked with the savannah book festival to o provide office space and find critical funding opportunities. now the savannah book festival is in its 10th year and brought a total of over 400 authors to our area. in addition to the book festival, he volunteered with the boy scouts. the salvation army, savannah technical college, and the chamber of commerce. i'm deeply thankful for all of this work which has made savannah a better place to live. his family a and friends will be in my thoughts and prayers during this difficult time. thank you, madam speaker, and i yield back. the speaker pro tempore: thank you. for what purpose does the gentleman from pennsylvania seek recognition?
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-- california. >> i ask unanimous consent for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman is recognized for one minute. last night we heard from a president who is clearly out of touch with the true state of our union. his rhetoric of compromise failed to meet the reality of the highly divisive policies he offered. the president failed to acknowledge that his tax scam is unfairly benefited big corporations, c.e.o.'s and wealthiest americans at the expense of working people. he failed to acknowledge the severe shortcomings of his own administration when it comes to middle class families. he failed to acknowledge that his administration has ripped away protections for those with pre-existing conditions. the president continued to use harmful rhetoric towards immigrants and declined to acknowledge that his anti-immigrant agenda has torn families apart, put kids in cages, and turned away those
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seeking asylum and safety. the president also failed to address one of the biggest crises we face and that's the impact of climate change on our planet. we're witnessing more intense storms and stronger wildfires as a result of climate change, but instead of acknowledging those facts, the president denied climate science, nominated fossil fuel lobbyists to run the e.p.a. and department of ininterior and undone critical environmental protection. we need a comprehensive agenda to combat climate change and a monument shift to renewable energy, and more energy efficient buildings. i yield back. the speaker pro tempore: the gentleman's time has expired. for what purpose does the gentleman from pennsylvania seek recognition? mr. thompson: madam speaker, request unanimous consent to address the house for one minute. revise and extend my remarks. the speaker pro tempore: without objection, the gentleman from pennsylvania is recognized for one minute. mr. thompson: thank you, madam speaker. madam speaker, for more than 50 years we observed february as american heart month. heart disease is the nation's number one killer.
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during this month we reaffirm p our commitment to combating heart disease and educating all people about the benefits of a healthy active lifestyle. madam speaker, before i came to congress i worked for nearly 30 years as a rehabilitation their pist and licensed nursing home administrator. understand the unique challenges facing individuals who suffered a stroke or other life changing injuries. often it is a long road to recovery. but an active lifestyle can can help lower blood pressure, boost levels of good cholesterol, improve blood flow, and more. cardiovascular disease including heart disease and stroke remain the leading cause of death. by making healthy choices including balanced diet, regular exercise, individuals can can lower the risk for cardiovascular disease by as much as 80%. i hope that heart month 2019 inspires more americans to take control of their cardiovascular health and begin a healthy lifestyle journey. thank you, madam speaker.
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i yield back the balance of my time. the speaker pro tempore: thank you. for what purpose does the gentleman from california seek recognition? >> a seek unanimous consent to address the house for one minute. the speaker pro tempore: without objection. the gentleman is recognized for one minute. >> thank you, madam speaker. mr. lamalfa: i rise today to recognize president trump's effort last night and congratulate him on that state of the union address. the president's message was indeed clear. america has unlimited potential, we just have to unlock it. unthe two years of this administration the economy has consistently added jobs at record rates while simultaneously growing wages. according to a cbs poll last night 7 % of americans approved of what they heard the president say. even more telling, 72% said they approve of the president's ideas on immigration and our border. it shouldn't be a surprise, most americans agree we need increased border security and we need it now.
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since a physical barrier was condructstrukted in san diego, california, 23 years ago, illegal immigration has plummeted in that region by 92%. that's just one of many examples. we have a limited window of time with our current hree-week agreement and with more caravan hordes amassing beload our southern border, we need to take action. i yield back. the speaker pro tempore: are there any further requests for time? under the speaker's announced the of january 3, 2019, gentleman from new york, mr. espaillat, is recognized for 60 minutes as the designee of the majority leader. mr. espaillat: thank you, madam speaker. i'm glad to see yet another member of our congressional hispanic caucus presiding over the house this afternoon as i did, had the honor, distinct honor to do yesterday.
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madam speaker, i have the privilege of serving as the whip of the congressional hispanic caucus during this the 116th congressional session. which is the most diverse in the history of this august body. and this congress we celebrate the largest class of latino members of congress in the history of the united states of america. we're proud of the diversity and the talent in our caucus. we boast about members representing communities across our nation from as far as guam to the northern mariana islands. leaders from all walks of life, doctors, lawyers, labor organizers, teachers, clean energy experts, leaders of all different hispanic heritage. some born right here in the united states. others who came here with their families to pursuit the american dream.
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from mexico, from puerto rico, from guatemala, from cuba, some portuguese. some ecuadorian, as yourself, madam speaker. and of course from the dominican republic as myself. as the c.h.c. whip, i want to showcase this incredible diversity of challenge, expertise, and culture. that's why we're organizing this monthly c.h.c. special order hour. each month members of our caucus will join me to discuss a set of issues affecting hispanic communities across america. this issue we're discussing tonight will come as no surprise you to anyone the need for comprehensive immigration reform. the congressional hispanic caucus has been working over the past few years to lay out our border immigration reform principles, and we have been working closely with house
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leadership as policies are put forward on this critical issue. tonight you will hear from a number of the colleagues in the c.h.c. about why we believe we must fix our broken immigration system. but first let me start with a brief history. let me start with the history guatemalan mom named jenny gonzalez. madam speaker, last night in this very chamber we heard from the president of the united states. once again he painted immigrants as violent criminals, claiming that the only way to keep america safe is a useless, medieval wall along our southern border. by all accounts president trump has made immigrants demons. he has demonized immigrants, especially undocumented immigrants.
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a central theme of his presidency. and last night was by no means any exception. but as a former undocumented immigrant myself, i see it as my mission to counter the many lies coming from the white house pertaining to immigrants. one of the ways we can can do that is to introduce the american people to immigrants and to tell them our compelling stories. that's why i brought as my guest to the state of the union this young guatemalan mom, jenny gonzalez, one of the many people impacted by the trump administration's hateful and heartless zero tolerance policy. jenny and her family are refugees from guatemala. jenny is from a a small agricultural town and grew fearful for her children's safety as violence continued to
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surge in her community and throughout central america. in the face of break-ins at her home and worried that haven't gangs would try to recruit her 11-year-old son, jenny did what any mom would do. what any reasonable mom would do. she chose to seek safety. jenny got herself, her children all the way through mexico and up to yuma, arizona, where she was apprehended by border patrol. she was not charged with a single crime. no one pressed any charges against her, but still she was taken into custody and placed in an immigration detention facility where our own american government treated her in ways we condemned other governments across the world for doing so. the facility she was held in became known as, the icebox. i want to tell the american people what that is.
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the icebox, because it's so brutal and so uncomfortably cold that many immigrants that are held there call it the icebox. and according to jenny, no one was given any food to eat for two straight days. not even her young children. . a few days later, jenny watched as her children were being released from detention, but she was forced to stay. and what's worse, no one will tell her where they were being sent to. imagine just for a moment, madam speaker, you fled your home, the only place you'd ever known because it's no longer safe to be there with your children. you travel a long journey, nearly a thousand miles, just to get your kids to a place that's safe. you arrive in this new place hoping to find some security, and what happens to you? you're locked up in a freezing
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cell called the icebox, given no food to eat and have your children sent off without you knowing where they really are. you left a violent place to give your children a better, safer life, and you have them taken away from you. the horrors this woman was forced to suffer are beneath the values upon which this great nation was founded. but despite this cruel policy of the current administration, the kindness and goodwill of the american people has not for one moment wavered. jenny was eventually released and able to touch base with a relative in north carolina. she found out her children were sent to a facility in my own congressional district, in manhattan, in harlem. and through the work and support of volunteers, complete strangers that have never met
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her before, just trying to do the right thing and right the wrongs of their government, jeppy was driven all the way -- jenny was driven all the way across the country. it was a cross-country trip that she took to finally reunite with her children. i was able to work with her attorneys and the foster care facility to finally reunite jenny and her children. it was a touching moment for everyone involved to see jenny finally reunite with her family. those volunteers, they are the america that i have come to know and love. those people that put their own needs aside to help a complete stranger who they knew nothing about, only that she was in distress. they represent the vals that america stands for. as a father and as a former
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undocumented immigrant myself, i was proud to play even a small role in this incredible story. you see, madam speaker, a woman seeking refuge for the safety of her children is not some violent criminal, as was portrayed here last night by the president of the united states. no matter what he said here last night, jenny gonzalez is not a violent criminal. and if you've ever seen a mother in distress for the safety of her children, you know that no wall, no matter how high, will stop her. and so now it is our duty to deal with the many immigration myths that were perpetrated on this floor last night as america watched. now for the first -- let me say o you that i want to begin a
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bit of immigration myth busting, and i hope that on dent trump and those fox news are watching. let's start with my favorite. myth number one. immigrants are violent criminals. false. in fact, all immigrants, documented or undocumented, actually commit far less crime, lower rates of crime than any native-born american or any naturalized american, like you and i, madam speaker. as you can see, this chart, published by the cato institute, shows that undocumented criminals commit crimes at far less than half e rate of native born u.s. citizens. and undocumented immigrants
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commit crimes even -- at even lower rates. now, when you think about this, it makes perfect sense. not many immigrants come to the united states in the first place to flee strive in their own countries -- strife in their own countries and why would those fleeing crime just commit crime in a new country that's harbored them? i don't know a man or woman that leaves their house to go to work seeking to get arrested , to then be deported. that is a myth and it is irrational. myth number two. the number of undocumented immigrants is growing due to poor floor -- he southern border and people are flowing in. false. not only have the number of undocumented immigrants decreased over the past few years, but the way most undocumented immigrants arrive
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in the u.s. has completely changed from what it was just 15 years ago. the data shows that only half as many people arrive by crossing our border as those who legally enter the united states and overstay their visa. those crossing at the mexican border continues to decrease. three. lly, myth number there is a crisis on other southern border. again, false. as you can see right here, in this chart, madam speaker, the data shows border crossings are at historic lows. unlike what the president said here last night. unlike what he tweets on any given night. there is no crisis at the border. this has been fabricated. in fact, border crossings are at a historic low.
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only a third as many people were apprehended and turned away from the border in 2017 as they did in 2005. the only crisis at the border is the humanitarian crisis that the president himself has created. so now that we dispel some of these myths, let's talk about what we need to do to actually fix our broken immigration system. first and foremost, we must protect dreamers. dreamers are young people that came here at a very young age. they are doctors. they are homeowners, small business owners. they're police officers. they're members of our armed forces. they are teachers, and they deserve to stay here in our nation. democrats have been talking about this for years, and president obama did what he
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could in the face of republican opposition to make sure that these young people have some stability and certainty. but president trump cruelly chose to take that away, and the federal courts had to step in and say, no, mr. president, those young people deserve to stay here. and now he wants to use them as a bargaining chip. we will not allow that to happen. next, we must protect recipients of temporary protective status, t.p.s. -- the countries t.p.s. recipients came from are dealing with extraordinary crisis. we can't send them back en masse. they deserve certainty too. next, we have to address family separation and the need to mprove family reunification. president trump angry refers to this as chain migration.
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we call it family reunification. we know when a family is together, that family is stronger. and if that family is stronger, our nation is stronger. and so we want to continue to work to ensure that families are kept together. but what he doesn't understand is that our immigration systems has been made stronger by allowing individuals to have their families here with them once they are permanent residents. if my colleagues on the other side of the aisle truly stand for family values and family values has been touted by those folks on the other side of the aisle for decades, if they truly stand for family values, they should support the efforts to strengthen families and support family reunification policies. finally, any reforms we make
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must reduce the outrageous backlog in processing applications for legal status. over the past few years, we have seen waiting time grow and grow and grow. since 2014, the average processing time for cases has nearly doubled. in some cases, by the time someone turns -- comes up, they have aged out of their situation and now they are no longer applicable, making them no longer eligible for permanent legal status. this administration's backlog just adds more undocumented immigrants to our population and is the perfect example of ow our broken system is. over the last of the hour, some of my c.h.c. colleagues will talk more about the specific issues we must address in comprehensive immigration reform. but many of us agree to do the
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right by the american people, the right thing by the american people. we must start from the same set of facts and establish a shared set of values. thank you, madam speaker. i yield back. the speaker pro tempore: the gentleman, thank you. embers are reminded to refrain from engaging in personalities toward the president. under the speaker's announced policy of january 3, 2019, the gentleman from the northern mariana islands, mr. sablan, is recognized for the remainder of the time. mr. sablan: thank you, madam speaker. i thank my friend from the great state of new york and the great city of new york for inviting me to speak on the need of comprehensive immigration reform for the nation as a whole and specifically how the broken immigration system hurts people i represent in the mariana
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islands. in 2013, the senate passed a comprehensive immigration reform bill with republicans and democrats voting together that would have gone a long way to fixing immigration. the bill gave people who came here illegally but are not contributing to the economic prosperity of all americans a way to come out of the shadows and provided for substantial improvements in border security. just what the president says he wants. the republican-led house decided not to take that path the senate had courageously shown us in 2013, but i hope that in this 116th congress we can dust off that comprehensive immigration reform bill and breathe new life into it. because our immigration problems still need fixing and we have a solution that already passed the senate with republican and democratic votes. i worked with the gang of eight in the senate who drafted that
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legislation. i was able to include a section that dealt with groups of people in the marianas who fell through the cracks when congress extended u.s. immigration law to my island in 2008. let me begin by saying that not all the people i wanted to help came into our country legally or stayed legally. they were all lawfully present but their situations were not understood or accounted for when federal law was applied to the marianas. i have wanted to help them since my first days in congress, 10 years ago, and i will not stop working until they're pulled out of the limbo we left them in. and let me tell you about these people. imagine -- imagine you're the daughter or son of parents who came to the marianas before 1976, before our islands were even part of the united states. the marianas is your only home. you grew up in the islands, went to school, have worked there ever since, raising your
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own family, always lawful ofly present. then three decades later, congress decides to extend america's immigration borders. suddenly, you're told you're a foreigner, you need a work visa or humanitarian parole or otherwise you would have to leave the only home you have ever known. imagine. the senate comprehensive immigration reform bill would have fixed it. imagine you're living in the marianas and the local government passes a law, as it has every right to do to give you permanent resident status. then, along comes congress 25 years later and says the marianas is within u.s. immigration borders now. and oh, by the way, you permanent residents, you do not have that status anymore. if you want to stay you need a work visa or humanitarian parole or otherwise you will have to leave your home, your
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children, your family. imagine. the senate comprehensive immigration reform bill would have fixed that. imagine coming to the marianas as a foreign worker. you have contributed to the economic growth and have been for decades.dent congress passes a law and suddenly your status changes. even if you have a spouse or children who are u.s. citizens, they cannot petition for you because they are too poor or under age. under the obama administration, at least, you were granted humanitarian parole. . but the trump administration wants you gone by june 30, june 30 of this year. you must uproot your family, pull your children out of school, or leave them behind as or fans -- orr fans. imagine the senate comprehensive immigration reform bill would have fixed that, too. madam speaker, i come from a
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very small community compared to my colleagues here in the house. just 50,000 people. so when i ask you to imagine the pride of those who were forgotten when congress extended federal immigration law to the marianas, i do not have to imagine who they are. i know them. individually. they are my neighbors, some are my relatives, none are strangers to me. they are good people who came in legally and remained you lawfully present. but their lives are precareous and the trump administration is tightening the noose. we do not have to imagine how to help them. the solution is before us. the senate passed comprehensive immigration reform in 2013, a a bipartisan vote -- a bipartisan vote, strengthen border security, i dare say could pass this house today. let us act.
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again i thank the gentleman from new york for giving me this time to speak. and madam speaker, i would yield to my colleague from illinois, mr. garcia. the speaker pro tempore: the kind gentleman from illinois. mr. garcia: thank you, madam speaker. and i thank my colleague, representative espaillat and representative sablan for yielding this time. and for organizing this important hour to speak truth to power and provide an opportunity forethe american -- for the american people to hear the truth in contrast to the lies told by president trump nd how he prop began diesed -- propagandized about immigrants. i take this issue personally. the way the president has characterized immigrants denigrates the dignity and the humanity of millions around the
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world, including myself. you see, madam speaker, i was born in a tiny village called los pinos in the mexican state of durango. i am an immigrant. my mother raised me, the youngest of four, while my father worked in the united states as part of a world war ii-era program. he was a migrant seasonal worker, a pioneer of what would later come to become the h-2-a visa program. eventually my father got a job in a storage plant in chicago and my family immigrated to the u.s. in 1965. i still remember my first american meal at a gas station in el paso, texas, a baloney sandwich. today i stand on the floor of the u.s. house of representatives with great pride to have been elected a
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member of congress, but also i carry a heavy burden both on my conscience and on my shoulders. the president's grow tresk characterization of immigrants -- grow it's being characterization of immigrants is an affront to me, my mother, my family, most importantly an affront to my community and every single american. lest forget that our nation values immigrants. last night the president doubled down on his rhetoric of hate since once again falsely describing a security crisis at the border. today i want to make clear three points on why we so desperately need immigration reform. first, let me be clear there is no crisis at the border. the only crisis we face is the inadequate response to the humanitarian relief that women,
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children, asylum seekers, and refugees want while this advocates on america's moral duty to serve and welcome those most in need. the truth is, madam speaker, that migrants are escaping some of the harshest regimes in central america where political and economic turmoil threatens their lives. that's why they come. contrary to the president's fear mongering, analyses from "the new york times" and the center for american progress show that illegal immigration is near an all time low. in fact, apprehensions at the border have declined more than 75% since the year 000. most -- 2000. most drug trafficking is coming through our ports of entry, not rural sections of the border.
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just last year we witnessed the horror of young children being ripped aa part out of the arms a of their parents. the children were detained and held in cold, lifeless cages like animals, where they slept on concrete floors and were given little more than aluminum sheets to keep them warm. what a disgrace, madam speaker. how can the richest, most powerful country in the world not have the ability to do better? my second point on the need for immediate immigration reform is that we face a tremendous crisis here at home where millions of hardworking, law-abiding individuals, our neighbors, relatives, and friends live in constant fear of being ripped apart from all they know and those they love. madam speaker, there are more than 11 million individuals,
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including children, living in the united states who are currently undocumented. of those, there are over 3.6 million dreamers, children who entered the u.s. before their 18th birthday, and over 1.8 million children eligible for daca because they were brought to the u.s. before their 16th birthday. their parents brought them seeking refuge, opportunity. a chance to give their children a life free of the fear from hunger, from abject poverty, and the violent drug wars that are ravaging central america. at this point i'd like to just shine a light on one young dreamer who lives in my district in illinois in a a suburban community of chicago and how she studies, she works, and she helps build
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communities. back home in the community of little village where i have lived for the past 49 years, there is a story about a young woman named elizabeth. and the tamales that are making her dreams come true. her mother began working at a tamales street vendor when she arrived in chicago so that she could save money and bring her children from mexico to join her in the u.s. when she arrived about 7 years old, she immediately began helping her mother make tamales. she would wake up at 3:30 a.m. to prepare the cart and sell tamales until 7:30 a.m. before going to school. she grew up in the united states, saved up money from selling t a amales, and paid for college tuition.
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first at morton college, and now at the dominican university. her immigration status, however, continues to present a challenge tea spite all her hard work, her study, her future is uncertain because she is a deferred action recipient. she doesn't know what will happen next. despite these obstacles, she has proven that she values resilience, self-reliance a, and ingenuity. those are her values and a they are american values as well. her story speaks to the values that make our country great. unfortunately, i.c.e. raids continue to terrorize immigrant communities and traumatize hildren like her who live in constant fear of losing their parents and their own futures. these young people yearn to go to college, to serve in our military, and enrich our
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communities with their entrepreneurial spirit. madam speaker, congress must create a path to citizenship to prove that beyond a doubt we welcome her and those like her to america. i want to end and make my third and final point. the status quo cannot remain and the current legal immigration system is broken. creating decades long delays for family reunifications and exacerbating work force gaps that harm our economy. madam speaker, when we hear naysayers complain that immigrants should come to america using the legal route but fail to ack a knowledge the antiquated and broken state hat our system is in, for many processing time for family reunification visas can last between 18 and 23 years.
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imagine, how much can happen in 18 to 23 years. madam speaker, as of november, 2012, there were 4.3 million people on the wait list for mily visas and 113,000 waiting for employment-based visas. those years-long wait times cause others to make an even more difficult choice. in mexico a a group now referring to as the invisible ones, is growing. these invisible young people refers to over 600,000 american-born u.s. children living in mexico. because our broken system keeps families apart for so long, or tears mothers and fathers away from their children, some have elected to leave america all together.
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a real tragedy. a real loss for us. perhaps in another life i would have been one of those children. because of the anti-immigrant policies of today's administration, the next u.s. congressman won't stand here in the future to share the immigrant experience that i share with all of you today. the true crisis we face, the true danger we face is that the president's propaganda that flies in the face of truth. immigrants don't worsen the national -- the nation on the contrary immigrants help keep this nation the strongest nation the world has ever known. we are your mechanics, your nurses, your farmers, your local brewer. we're your teachers, engineers, and your law enforcement officers. we're fighter fighters, plumbers, and doctors. in some lucky instances we're
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your representatives in washington a. as the proud immigrants representative from a district that is over 2/3 foreign born, i he refuse to back down and -- i refuse to back down and sit silent while the president denigrates me, my family, and my constituents. as a congress we cannot sit idly by while thousands are denied humanitarian relief at the border. while millions live in fear here in our communities and while millions more wait separated from those they love and care for. i thank the gentleman, mr. sablan from the mariana island for yielding me the time to share my story. i yield back the balance of my ime. mr. sablan: madam speaker. the speaker pro tempore: thank you. mr. sablan: madam speaker, i now yield to the -- to my colleague from texas, the
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c.h.c. freshman representative, ms. escobar. ms. escobar: thank you congressman and madam speaker. i am here to correct the record, to bust the myth. to make sure that americans know the truth about my wonderful, generous, incredible community, el paso, texas. last night in this chamber as i was seated in the audience listening to the state of the union address, i heard our president misinform the american public. he said that el paso, texas, was once one of the most dangerous cities in america and then a wall was built. well, my friends, that is not true. el paso is one of the safest cities in america. however, we have been a safe community, we have been a a safe city, we're right on the u.s.-mexico border, and we have been safe for decades.
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the wall was built in el paso, texas, in 2008. our ranking as one of the safest communities in america dates back to the 1990's. and many people wonder why is el paso so safe? why is el paso, which is, again, right on the u.s.-mexico border, one of the safest communities in america? and i pointed last night in those conversations to my guest at the state of the union address, a dreamer. she's a teacher, she's an activist. she is exactly the kind of community member, constituent, citizen who makes el paso and the country great. as these debates over comprehensive immigration reform, border security continue to get louder and in fact uglier here in washington, d.c., el paso has been in many
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ways at the center of those debates and those discussions. and i will tell you they should be. el paso should be at the center of that debate. and the reason why el paso should be at the center of that debate is not because we were the site of the president's zero tolerance policy, not because we were the site of the tent city, not because in our processing center, that is the site of detainees right now being force fed through a nose tube against their will. but we should be at the center of deciding the future of this country in terms of comprehensive immigration reform because of our generosity, because of our goodwill, because of our kindness. el paso absolutely has set an example for our country, and we have done it with the way that
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we have opened up our arms to everyone and treated people with the dignity they expect. congressman, thank you for the opportunity to correct the record. madam speaker, thank you for the opportunity. i yield the remainder of my time. mr. sablan: thank you. thank you very much to my colleague. madam speaker, i just realize that today, this special order, we actually have four speakers, three of whom are immigrants. the gentleman from new york, the gentleman from illinois, and this gentleman from the northern mariana islands. we are immigrants. the sky hasn't fallen down. so there's nothing to be afraid of. we are a country of immigrants, and so -- but i want to thank my colleague, mr. espaillat, for organizing this special order on the need for immigration reform and, madam
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speaker, i yield back my time. the speaker pro tempore: the gentleman yields. thank you. under the speaker's announced policy of january 3, 2019, the gentleman from pennsylvania, mr. perry, is recognized for 60 minutes as the designee of the minority leader. mr. perry: thank you, madam speaker. i'm here today to talk about something that's completely unimaginable to me, can't imagine i'm here to talk about it on the floor of the house of representatives, can't imagine that it occurs in the world, can't imagine that it occurs on this very day in this world, i can't imagine that it occurs in our country but it does. madam speaker, i rise today in solidarity with all who condemn a horrific practice on this, the international day of zero tolerance for female genital mutilation. today, i introduced a
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bipartisan resolution with my colleague, the gentlelady from florida, congresswoman lois frankel, which calls for a coordinated response from the united states and the international community to end this horrific and cruel practice. the numbers surrounding f.g.m. are shocking. they are staggering. 200 million -- 200 million women and girls alive today are survivors of f.g.m. of those 200 million, 44 million are girls at or under the age of 14. madam speaker, these are children. these are children. these are the little girls that you see going to elementary school in your community. this year alone, an estimated three million girls are at risk of being genitally mutilated. in 25 countries where f.g.m.'s routinely practiced, between 2015, 2030, an estimated 68
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million girls will be cut unless we take concerted and accelerated action -- accelerated action. this is an urgent situation when you imagine -- and i am going to go through it with you what happens. people say what exactly is f.g.m.? until just a few years ago when i read about it and met some of the ladies that had to endure it, i didn't know and i wasn't aware, but f.g.m. comprises all procedures that involve partial or total removal of the external female genitalia or other injury to the female genital organs for nonmedical reasons. there is no medical necessity to do this whatsoever. it's most commonly performed on girls from infancy to age 15. just think about that. no an theeshia, no forewarning, no approval -- an stheeshia, no
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forewarning, no approval. f.g.m. is classified into four major times ranging from pricking, nicking, scraping and at rising to total infibulation. f.g.m. is widely recognized as the international community as a violation of women's and girls' basic human rights. the right to -- the right to their own body. their very own body and no one else's and what happens to it. organizations that condemn f.g.m. include the united nations, the african union, the european union, and the organization of islamic cooperation. the world health organization says this practice has no health benefit for women and girls and instead can have and long-term impacts on the sexual and reproductive lives of these
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hapless girls. it includes obvious severe pain, excessive bleeding, fever, uniary issues, shock and death. and that's just the beginning and the long term girl may experience cysts, insepticemia, painful and difficult urination and menstruation and increased risk of death during childbirth and for the mother and the unborn child both. the pain inflicted by f.g.m. doesn't stop with the initial procedure. it often serves as an ongoing torture throughout the woman's life, for her whole life. who practices f.g.m.? f.g.m. is a deeply rooted cultural practice. different communities give different speculations for why they insist upon f.g.m., which usually involves unfactual, misleading and frankly insulting arguments about cleanliness and womanhood.
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f.g.m. communities often consider the practice as necessary -- as a necessary part of raising a girl and a way to prepare her for adulthood and marriage. literally unbelievable. it is viewed as a way to ensure premarital virginity and marital fidelity. it's more likely to be carried out by communities that believe that this mutilation increases marriage ability. in other communities, f.g.m. is practiced under the notion that girls are more clean and beautiful after removal of body parts that are considered unclean, unfeminine or male. as an international community, we must work with these communities to provide accurate information about the harm of this practice, about the long-term harm of this practice to women and girls and change the narrative that somehow f.g.m. is ok or tolerable for any reason whatsoever.
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it is not ok. it is not tolerable for any reason under the sun. people say, well, where is f.g.m. practiced? f.g.m. is primarily concentrated in 30 countries, in africa, the middle east, and asia. currently for girls 11 and younger, f.g.m. has the highest prevalence in gambia at 56%. moritania at 54% and indonesia at 50%. it is most common in somalia, djibouti where 90% of girls aged 15-49 are mutilated on a regular and systematic basis. make no mistake, however, f.g.m. is a global problem. the world health organization warns growing migration has increased the number of girls and women living outside their country of origin who have undergone f.g.m. or who are at risk in europe, australia, latin america, and north
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america. just last friday, february 1, the united kingdom handed down its first-ever guilty verdasco of a woman who committed. -- vert of a woman who committed -- verdict of a woman who committed f.g.m. on her 3-year-old daughter. i have daughters. it's just unimaginable to me. the largest health network in belfast saw 17 cases of f.g.m. in just nine months between april, 2017, and january, 2018. now, unfortunately, unbelievably, f.g.m. has also made headlines in the united states. in april, 2017, federal prosecutors for the first time used a 1996 federal criminal statute -- statute criminalizing the practice of f.g.m. to bring charges in michigan against doctors atar and nargalia. ey are accused of performing
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g.m. on underage girls youngest 9. i have pages against one doctor. this is what happened, according to investigators and the victims themselves. these are direct excerpts. on april 10, 2017, victim one was interviewed by a child forensic interviewer employed by the f.b.i. she is 7. she is 7 years old. she stated that she was brought to detroit, michigan, with victim two for a special girls' trip. after they arrived at the hotel victim one was advised she and victim two had to go to the doctor because our tummies hurt. while the doctor's -- while at the doctor's office, a procedure to get the germs out of her was performed. victim one identified an
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unmarked photograph of dr. nargalia and said she was the person who performed the procedure. victim one said she took off her pants and her underwear and laid on an examining table with her knees near her chest and her legs spread apart. she said she pinched her in the place why she goes pee and she was given a pad to where in her underwear as she left. told not to talk about the procedure. on april 11, 2017, the medical doctor in minnesota performed a complete medical examination of victim one pursuant to a search warrant. spoken with the medical doctor who performed the examine and the doctor's preliminary findings are that her genitals are not normal in appearance. her labia minora had been altered or removed and her clitorial hood is abnormal in appearance. the doctor observed some small
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scarring and lacerations. on april 10, 2017, victim two was interviewed by a child forensic employee employed by the f.b.i. also 7 years old. she said she came to detroit with victim one and she twonet a doctor's office. she identified a photograph of nargalia as the doctor who she saw in detroit. victim two said that in the examination room nargalia took off her pants and underwear and put her on the table. she said she got a shot and that it hurt really, really bad and that she screamed. she said the shot was in her upper right thigh. she drew a picture of the room and she drew an x to indicate blood on the examining table. she said her parents told her the procedure is a secret and that she is not supposed to talk about it. she said after the procedure she could barely walk and that she felt pain all the way down to her ankle. she said that nargalia told her
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that she was fine. and she said that she left one of her winter gloves in the medical office. this is a little 7-year-old girl. on april 10, 2017, a search warrant was executed at the medical clinic during the search agent's found a child's winter glove in the medical clinic. the glove had victim two's name written on it. 19 months later in november, 2018, a federal judge in the eastern district court of michigan ruled the 1996 federal statute unconstitutional and actually dismissed several charges against these so-called doctors and their co-conspirators. in the michigan case, judge friedman of the eastern district court of michigan wrote that congress overstepped its bounds by legislating to prohibit female genital mutilation. local criminal activity is for the states to regulate, not congress. and because of that and because of that disappointing and orrific news, i and the good
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gentlelady from florida are offering a bill that works within the federal government's jurisdiction to combat this reprehensible practice. on monday, i introduced two bills. the first, the bipartisan protect our girls act, h.r. 959, which will expressly criminalize the transport of minor across state lines for the purpose of female genital mutilation. the majority of these girls involved in the recent case were from minnesota and illinois, while the mutilation was performed in a clinic in michigan. my second proposal adds female genital mutilation in the violence against women's act. it will focus on providing assistance in the criminal justice system and support from social service organizations to these ladies, these ladies and
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little girls. this is the first time that vawa programs will focus on f.g.m. and allow victims to have the same opportunity to receive assistance as victims of other crimes. the bill also adds female genital mutilation as a separate crime under the f.b.i.'s criminal reporting system. the bill lays the foundation for collecting information as it occurs across states. reporting will assist in identify measures to bolster prosecution. before i yield to my good friend from florida. i would like to tell folks, that one of the things we hear when we go to the states because law enforcement typically happens at the state level and we say would you consider a law for this and
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so people aren't encouraged to practice it. they'll say, it doesn't happen here. we don't have any cases of it being reported. not going to be reported folks. the people that are doing this are doing it in secret. and once it has happened to a young girl or a lady i imagine the fear and going to the doctor and not reported for a reason. it is becoming more prevalent. we just can't allow that to happen. so at this time, i would like to recognize the gentlelady from lorida for as much time as she may consume. ms. frankel: mr. speaker, thank you, representative perry. you know what? i have to say it was quite difficult to listen to you, not because you are not articulate
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but because these stories are horrific. and i say thank you on a bipartisan basis that we can address this horrible, horrible situation. so i'm rising here today and joining representative perry on international day of zero tolerance for female genital mutilation. i want to say that every girl, no matter where she is born, should have a right to live free of violence. when women and girls are empowered, when they are provided access to quality health care and education, communities thrive. in fact, the best present dector of a country's peacefulness is how well its women are treated. uplifting the value of women around the world is an american
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value that must continue. and still, there are horrific norms and culture practices like female genital mutilation or f.g.m. in short. and holding back women from reaching their full potential. this ally met a victim of very, very cruel act last year. . e came to a panel discussion womanme was jaha, a young from gambia. and she said when she was born, when she was one week old, she was mutilated. and age 15, she was married off. and was told, this is very common and happening to something like 200 million women today.
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w, jaha, she is a champion because she broke away, she broke away from her marriage and became a champion advocate -- she stood for her daughter. she became an advocate and through her advocacy, f.g.m. is now banned in gambia. she has shown us that it can be done. 200 million girls and women today have been cut, leaving them with irreversible emotional and physical damage, which can lead to infections, complications at childbirth and increased newborn deaths. it is horrific and inhumane and gross violation of human rights. and not just turned to one religion or culture. it can happen anywhere and
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unbelievable to say it happens in the united states of america as you so aptly pointed out. so i'm happy to be here with you and proud to be here with you to send a clear message that f.g.m. is unacceptable and must stop and i'm pleased to join you in our efforts to stop this practice. and i want to add something, and i do think we can also -- the united states can do more in terms of resources. at least $15 million is needed annually to continue our efforts. i would like to see us put into law the u.s. strategies and prevent gender-based violence globally and empower adolescent girls, recognizing that f.g.m. is a gender-based violence.
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and as importantly, we must, we must restore our funding to the u.n. population fund, which is providing care to two million survivors around the world. it is time we recommit to ensuring the safety and empowerment of women and girls. and i know representative perry, you would say that when women succeed, so does the world. and i yield back. mr. perry: i thank the gentlelady see so much. this is a sensitive, uncomfortable topic, but it must be discussed. we just can't close our eyes and turn our head from uncomfortable things. and i'm proud and thankful you are standing up for these young ladies all around the world and in the united states as well and make no mistake, ladies and gentlemen, this is violence.
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this is violent. now, i will tell you a friend showed me a picture and it's one of those things that you sometimes wish you hadn't seen something that you seen. but it had such an impact on you and have that picture now. i'm going to continue to talk about that a little bit. this is a picture from the national geographic magazine. and when we talk about the cultural aspects of this, this poor little girl and see the grimace on her face, there is no sanitation so to speak. this is not necessarily performed in a doctor's office. looks like a school with a bunch of people around. no anesthesia. they are holding her down, three of them holding her down. this lady is smiling in her
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face. i can't imagine this little girl. wherever she is from, whoever she is, i can't imagine that this is somehow acceptable anywhere. i feel it is my duty as -- our duty to speak out and say something about this to make sure it doesn't happen anywhere. doesn't happen in our homes or happen to one more little girl. i call for an end to this horrific, barbaric practice. internationally. only 28 of our united states have statutes criminalizing f.g.m. to any varying degree. i have gone to my state and said, please, will you do something. well, this isn't happening. we don't have any reports of it. you don't have any reports of it because it's legal. if it was illegal. when this little girl goes to
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the doctor some day, they would report it. i ask that the 22 states that currently have no law banning f.g.m. to pass legislation immediately. i'm asking right here, right now today on this day of international condemnation of this barbaric practice. this is the international day of female rance, f.g.m., genital mutilation. these are little girls whose mothers and fathers take them to do this to them. you have heard them. little girls that trust, they trust their parents and mother would never hurt them. voiceless. this must be criminalized, this horrific practice of f.g.m. it has no place in america or anywhere else in the world. again, there is no medical
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reason to do this whatsoever. none. it is unconscionable. f.g.m. is unconscionable. it is a system attic form of abuse perpetrated against the youngest and most vulnerable amongst us. and it just doesn't end right here. she has to heal, which might take weeks, months or longer, physically. but the scars of what happens to this little girl and millions around the world and in our country as well, lasts the rest of their lifetime. for what? has our society becomes more transient and diverse, we must strengthen our efforts to stop this practice. it simply must end immediately. those who perpetrate it must be brought to swift justice in the united states. we can no longer have somebody report and put themselves out
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there, imperil themselves and make themselves possible for retribution. i'm not here to criticize the judge and said it's not our place. but it's our job in congress to get this right. one way or the other, this is the problem in our country. we don't accept this and reject this. those little girls can't protect themselves. they have no protection whatsoever. they are counting on their parents and the adults in their lives. i want to thank my colleague from both sides of the aisle and across the political spectrum for their support of bipartisan solutions to condemn and stop this atrocity. we've got great support and we think we will get even more bipartisan support. this is one thing -- look, there are not many things that
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democrats and republicans and conservatives and liberals across the country can agree upon, but we can all agree that if that was our little girl, there's no way in hell we would let that happen. there's no way. and so, not only us as different people on different sides of the aisle here in this united states congress but the international communities are weighing in on this. they said enough is enough. bad enough it's happening in other parts of the world. but in the 21st century, 2019, this is happening right here in the united states of america and americans need to be aware. they need to be informed. the medical practitioners need to be informed and law enforcement needs a tool, they need something to ensure that the people that are contemplating doing this will contemplate not doing it. that people who think it is
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culttrally acceptable, that it's not. and they must do this to their little girl and then force her into some marriage and will be acceptable to the partner that she is forced into. that is no longer acceptable. it neither was and not acceptable in the united states and make sure it is not acceptable anywhere and starts right here and starts right now. we have waited too long and it's just been my privilege to speak up on this issue. it is sensitive and that's why people don't want to speak. it is embarrassing to talk about and afraid of the embarrassment. but i'm not. ladies and gentlemen, somebody has to speak up for these little girls that have nothing. they only have us here. people that don't know them. people that probably never know them. they have us. it is our job and duty to stick
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up for them and if it takes being uncomfortable, that's what it takes. madam speaker, i'm missile defense to be here today to offer this. i would any colleagues if you haven't heard at these, please look at these pieces of legislation and i appreciate your input. if you have ways to improve them and concerned about what we are trying to do or overreaching, i would appreciate your input. we are making sure to do the best job we can and doing the best job that we can for i little girls and having their body parts cut of of them because of some culture and some idea that they will be worthy in their community once they are mutilated. that's our job here. madam speaker, with that -- mr. speaker, i yield back the balance of my time. .
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the speaker pro tempore: the gentleman yields back. under the speaker's announced policy of january 3, 2019, the chair recognizes the gentleman from arizona, mr. schweikert, or 30 minutes. mr. schweikert: let's see. there we go. thank you, mr. speaker. what we're doing today is sort of a continuation of the theme that since the beginning of this congress we've been walking through. so let's put this sort of in context. this is probably our fourth or fifth time to come to the floor and do part of this theme. the first time we did this we took almost an hour and we actually sort of walked through what's happening in our society. when you actually did the math of the massive unfunded liabilities in medicare. the issues with the fact that in nine years, 50% of these
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spending, noninterest spending, 50% of the noninterest spending of this government in nine years will be to those 65 and over. sort of what's happening with us demographically, and much of that difficulty that's coming towards us is the fact of the matter about health care costs. and one of my passions has been trying to get an understanding of there's a number of things we can do to actually deal with the fact we're getting older as a society. you've seen what's happening in our birth rates. the fact of the matter, those of us who are baby boomers, there's 74 million of us, and in nine years, all the baby boomers will be functionually 65 and older. it's a demographic bubble moving through our society and there are benefits we as a society have promised. what do you do? how do you make sure you have a vibrant enough economy to keep
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our promises? how do you make sure we have a vibrant enough economy not to crush the young and their opportunities, and we've been laying out sort of five little legs -- we'll call them our proposals -- everything from an immigration system that is talent-based. so you maximize economic vitality. policies such as tax, regulatory, trade, that maximizes economic growth. policies that are all up and down, whether it be the -- our programs within the social safety net or just incentives within social security, medicare, other programs to stay in the workforce or enter the workforce because labor force participation is crucial. we had a good number last month where we broke over 63% labor force participation. i know this sounds a little geeky but it's crucial. the fifth one -- and we'll come back to the fourth. the fifth one is looking at our
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retirement entitlements and how we design them to incentivize everything from being a good consumer to staying in the labor market longer. but the fourth one we keep talking about over and over and over is tech noll. once again, i put up -- over and over is technology. once again, i put up this graph . in a decade, you and your partner -- if you have jobs, there will be two people working for every one person in retirement. in 10 years, two workers, one retiree. and understand medicare, social security are functioning right now, pay-as-you-go programs, because we're using today's income to pay today's retirees. so the next slide is just to emphasize the scale of the unfunded liability. when you look at this slide, you'll see up on the top, this is the 30-year projection. it's not adjusted for
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inflation. so if you want to adjust for inflation you can remove a third of the value. but functionally over the next 30 years, you have an 84 -- let's make sure i get it right. $84 trillion unfunded liability. when you add in the cost of the programs and the interests related. $84 trillion over the next 30 years. if you take a really close look, almost all of that comes from social security and medicare. the rest of the budget has about a $16 trillion on the positive side. so you got an $84 trillion shortfall. so what do you do as solutions? well, we are going to show some slides of some creative ideas and, remember, we're working on we have five tiers. we will talk about our technology tier. just to get your head around these numbers. 2008, -- 2008 to 2028, those years, the calculation is 91%
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of the increased spending of this federal government will be interest, social security, and health care benefits. your government is functionally an insurance company with an army. so how do you -- how do you have a revolution in health care costs? we have lots of proposals around here. if you listen to them -- and we got to be brutally honest. think about the a.c.a. many of you know it as obamacare. some of our alternatives, we're often having a debate who gets to pay. those don't have a revolution. they don't have a disruptive nature in the cost of health care services. we're just moving around saying we want more government subsidies. no, we want more government -- nongovernmental private sector competition. but we're often moving around who gets to pay. our argument is, we're in the middle of a technology revolution. how many of you have a watch
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that helps you manage your blood pressure? how many of you have seen the patch that helps you manage your blood oxygen? there are a number of these sorts of things. we call them digitalcuticals that are coming onto the market. we as a body need to drag technology into this debate so technology brings us a disruption in the cost. and i say this over and over and over, but it's a good visual. when was the last time you went to blockbuster video? didn't it feel like almost overnight from going down getting the little silver disk and getting a movie recommendation to now you go home and hit a button? we're living in a society that's having amazing technological revolution. what happens when this in your pocket, this supercomputer in your pocket, is functionally
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your primary care physician? tushes out that technology is -- turns out that technology is here today, but we as a body need to talk more about who gets to pay and more about lowering the price of health care, and i will argue that the elegance of dragging this technology, removing the barriers, removing our inequities in the compensation for using this health care i.t. is we will be healthier, we will deal with our issues much faster. and particularly for those of us that have very busy lives, your ability to deal with something instead of waiting for that appointment. so i want to just show some of the revolution that's already out there. these things are already out there in our society. this next slide, this is a hand-held ultrasound. it's basically the size of your phone.
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you plug it in to your -- you bluetooth it or plug it into whatever iphone -- at least i think this one is an iphone -- and it's a hand-held ultrasound. what happened to the days when you had to go to a medical clinic that had the specialty equipment so you would sit there and find out you had a bone chip in your heel? and now you're at your office, your nurse's office, your company office, you can actually buy this as an individual. you can actually see. and we're reading articles that are saying very soon you won't actually look at the picture. you'll use this hand-held ultrasound and the algorithm will actually tell you what it's seeing. this is a revolution. and right now i think you can buy one of these on amazon for under $2,000. just conceptually something that used to be a large piece of equipment is in the palm of your hand.
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that's a revolution. so we're about to have a series of discussions about drug pricing and drug pricing is a huge component of what we do to have a revolution in the cost of health care. a quick thought experiment. if i came to you and said, 50% of the pharmaceutical prescriptions that will be written this year will not be . operly used or used at all so just the thought experiment. half the pharmaceutical prescriptions written this year just won't be used at all or will be misused. well, right there -- look, it's absurd to say if we would fix this problem you have a 50% reduction in the needs to pay for pharmaceuticals but it could be a huge impact. and this has less to do with fighting over the formularies, mechanisms over here, will we
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have enough money for health care reerch, this is just about the proper utilization. -- research, this is just about the proper utilization. what if i come to you right now and i say, i have a relative who has some dementia issues, or did you take your hypertension medicine this morning? turps out we can actually put on -- turns out we can actually put on a bottle cap that actually will take to your phone saying, hey, you did not take your pill today. hey, you did not take your pill in the time prescribed you are supposed to take it. just something like this, as simple as this, is a technology solution to an issue where we know we have lots and lots of seniors that don't take their medicines on time or in the proper fashion. we even have more complicated ones, in the same vain, what if you're someone that has multiple pills you take? and this one was particularly designed for seniors with some memory issues combined. this is a dispensery that was just shown at the consumer
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electronics show in las vegas -- what is it -- two weeks ago, three weeks ago, and at a certain time it notifies you and drops the prescribed combination of pills into a little cup for you. it's a technology solution for drug utilization where we know that 50% of pharmaceuticals are not being properly used. i beg of us as a body, we need to get out of our rhetoric sounding like it's the late 1990's. there's a technology revolution around us. let's drag that creative thought, creative design into our debate and say, this is more than the continuing debate of who pays, who doesn't pay. it is, we need a revolution in how we stay healthy. is this republican or democrat? i'll make the argument, it's technology. now, as we joke in our office,
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eventually we'll figure out one party will take a side so we can fuss at each other, but at least right now this discussion of dragging technology into our own personal health care is not partisan. it's a solution. so let's go on to the next slide. about two years ago, i had a situation where i was cooking. it was a sunday evening. i love to cook. and i almost chopped off my pinkie. so i'm at the emergency room in scottsdale, arizona, and i'm bleeding like crazy. and the wonderful person who's on the intake side in the emergency room as i'm bleeding down my arm is saying, david, do we have your medical records? are you allergic to anything? and i'm going, i'm bleeding. well, the absurdity is, my medical records were in the office that was closed because it was sunday evening. i should have my medical records. you should have your medical records with you.
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it's not that hard. turps out others agree. -- turns out others agree. the technology is out there. now, i have the blessing of being the co-chair of the block chain caucus. i believe there is a really elegant way of using an encrypted, what we use block chain, distributive ledger with levels of permission so it's more than just my medical records. because as we're going to show in a couple more slides, this is actually just the beginning. if i can carry my medical records with me on this, why can't i have that wearable that helps me manage my diabetes, also doing 24 hours, seven days a week data, the thing that actually helps me deal with my heart arith mia, seven days a -- 24 hours -- arith arythmia, seven days a week, 24 hours? instead of a medical
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professional will find out i have an issue in the 15 minutes i am in their office. this is more than a medical record concept. f i'm able to have digitalceuticals, wearables, to help me manage micronic conditions, will i will be healthier? it's like managing your blood glue close talking to your pump that doesn't let you crash. you see that technology on a number of people's shoulders today where it is actually bluetoothing into the pump. the revolution is already around us using these technologies. we as a body need to have a very honest conversation of, how do we remove barriers? and we will need our friends at the state and local level to also remove some of their regulatory barriers to allow the adoption of these types of technologies.
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in the scottsdale area, we now have five, six, maybe seven of them, autonomous health care clinics. it's a crazy thought. you walk in and sign in on an ipad and take a picture of your insurance card. the aftera tar shows you, can you do this, put it in your ear, turn it. down your throat. it is autonomous. think about the cost savings and they do a calculation and says we are actually calculating you have the flu and that is remarkable accurate. today's world, a doctor comes on the screen and talks to you and the doctor could accept that. but think about that. what if that type of technology
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wasn't just sitting in an autonomous health care clinic, your office, how about it got inexpensive enough so it was at your home? how many of us have had the occasion where we had the cold or the flu and we suffer with it and then say, maybe i could get an appointment, by the time you show up, you are actually on the mend. -- ok -- i wasto going to do one more board. but i have a picture of my phone of something that looks like a large zoo. and here's the final part. you blow into this and it is able to tell you if you have a viral infection, the flu, a cold.ial infection like a
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it will say we are ordering your anti-virals by a drone or autonomous vehicle and delivered to your home a couple hours later. how much healthier did our society get? that you were able to deal with this almost immediately and the time getting your pharmaceutical and manage this infection and the moment you were feeling sick are now hours. and how much costs did you just save out of the medical system? i need us all to be creative and think this issue through. if 50% of our health care costs is our 5% of brothers and sisters with chronic conditions, we already know these technologies are helping us manage individuals needs and
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issues. we saw the pill bottle to make sure if there is a way of 50% of pharmaceuticals that are not being used at all, are being properly managed. o manage these health care devices. this is very, very simple. as we have the arguments about drug pricing, as we have the arts about health care costs, we need to have the discussion of the time for technology revolution and we need to drag that technology solution into the debate and how we regulate because i ncentive will you the argument, this is the moment, if you remember the most couple of slides, it is the health care costs we have committed to as a society that
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consume every incremental dollar of our future. what would your future look like if we were able to bend that cost curve because we actually found and embraced the technology disruption that is on our doorstep? wouldn't this be a much morelle gant debate and much more optimistic conversation? that's what i have for today. we will do the next phase next week to walk through these pillars where there is a path that we can make this work. with that, i yield back. the speaker pro tempore: the gentleman yields back the balance of his time. and pursuant to clause 12 of rule 1, the house stands in recess subject to the
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