November 20th, 2009 - Mr. ALEXANDER. Mr. President, the debate has begun. The debate is about reducing health care costs -- the cost of premiums every American has or the cost to the government that every American has to be responsible for. The bill we have been presented goes in the opposite direction. It raises taxes. It means higher premiums. It cuts Medicare. It transfers major new costs to States which, in turn, will damage higher education and/or increase taxes or both.