Pamela Nash
MP for Motherwell, Wishaw and Carluke · Labour · United Kingdom
“By ending Tory austerity and increasing the settlement to the Scottish Government by nearly £12 billion, this UK Labour Government have provided adequate funding for the SNP to properly resource Scotland’s rural economy.”
“I appreciate that the right hon. Gentleman wants to make a political point about the Windsor framework, but does he accept that wide consultation was carried out by the Government in Northern Ireland ahead of these regulations?”
“I share the vision of my hon. Friend, and that is exactly what I for Dalzell in Motherwell. At the moment we have staff who are worried each month about whether they are going to get paid, as they see troubling headlines and hear rumours about their parent company.”
“This legislation is designed for extraordinary situations, so we are going to have to agree to disagree on that point. Motherwell remains the home of steel in Scotland.”
“I thank the hon. Gentleman for his very helpful intervention. For the reasons I have set out, we are getting to the point where we are losing experienced staff and equipment is in danger of going out of date. Time is running out very quickly for Dalzell.”
“I completely agree with my hon. Friend. That is certainly the experience we have had in Motherwell in my constituency, where a questionable buyer for Dalzell has caused many problems. I will go into that later in my speech.”
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“I thank the Minister for his comprehensive answer. I shall ask just one specific question, which I asked in my speech. Have the Government called in the Ugandan high commissioner here in London and if not, why not?”
“To coincide with today’s launch of the new all-party group on youth unemployment, figures have been published by the House of Commons Library that show that, despite the figures that the Prime Minister has just cited, the dole queue for under-25s still reaches from London to Edinburgh. Will the Prime Minister tell us whether he thinks that that reflects the success of his policies, and will he commit to meet the all-party group to discuss long-term solutions to this complex problem?”
“The Home Secretary has referred in previous answers to the police notebooks being kept by individual officers. Will she clarify whether all the 2,500 notebooks were recovered from individual officers, or whether some of them were collectively stored by the police and deliberately withheld from previous investigations?”
“I congratulate the hon. Gentleman on securing this extremely important debate. I would have been at the meeting last week, had I not been off with ill health. If the Bill is passed on 24 February, not only will it criminalise sexual acts, but it will mean that if somebody knows that another person is homosexual, they will be expected to report them. Does he agree that that will affect people who need treatment, because they might think that the doctor will be obliged to tell the authorities of their homosexual behaviour?”
“The sun is certainly not shining in Scotland; I have had to send my constituency office staff home because of the snow back in Airdrie. I am delighted to make a late contribution to this debate, the title of which—fairness and inequality—is the essence of why I got into politics. I am sure that many of my colleagues, at least on the Opposition Benches, would say the same. Much has been said already about the tragedy of in-work poverty, so I shall restrict my comments to the impact of welfare reform and Government cuts on inequality, and I will add my voice, and that of my constituents, to the call for a commission of inquiry to look into the impact of welfare reform and the Government’s other austerity measures on inequality and poverty.”
“That is damaging the development and visible progress of the last 20 years, during which time we have struggled to repair the damage done to our depleted heavy industry and manufacturing in the west of Scotland. Partly owing to our industrial heritage, my constituency has relatively high levels of disability and chronic illness—as a result of old injuries from those days—and that has made my community particularly vulnerable to the welfare cuts. Many households have a member living with a disability or illness, as I see every day. I have been particularly perturbed by the scrapping of crisis loans, which is affecting the most vulnerable in our society, and although many of the changes have been mitigated by the Scottish welfare fund, many people are still being left in dire straits.”
“It will not come as a surprise that while I agree with the majority of the motion, I am disappointed by its tone. It does not recognise what the Labour Government achieved on inequality between 1997 and 2010—in fact, it attacks that Government—so I will be abstaining, and I am glad to have had the opportunity to put on the record my reasons for doing so. In my region of north Lanarkshire, the welfare reforms will take £55 million out of the economy every year, which affects not just individuals whose benefits are being cut, but local businesses in our town centres which are now struggling to cope with a vast reduction in customer numbers.”
“I hope that the Government will heed the many important points that have been raised by members of all parties today, and that they will establish a commission of inquiry to examine the impact of welfare reform—on the most vulnerable in particular—and to investigate inequality throughout the United Kingdom. I also hope, for my constituents’ sake, that the Scottish Government will immediately take advantage of every lever that their devolved powers have made available to them to protect the people of Scotland, and will not continue to pretend that they are powerless to tackle inequality without independence.”
“It subsequently said that its hands were tied, but the Scottish Affairs Committee was told by the Scotland Office months ago that that was rubbish, and that the Scottish Government already had the power to mitigate the tax for all the people who were suffering in Scotland. I ask them now to think about the people who have suffered since the bedroom tax was introduced 10 months ago, and to consider apologising to those people and telling them how they will be recompensed. As I have said, I regret the tone of the motion, which does not acknowledge the progress made under the Labour Government in alleviating the poverty of families both in and out of work.”
“I welcome that measure, and I am glad that the Scottish Parliament eventually listened to the Scottish Affairs Committee—of which I am a member, although we are not allowed into the Parliament—but many people have already been affected by the tax, and I have to say that the “smoke and mirrors” approach taken by the SNP to one of the clearest examples of UK Government policy making the poor poorer has been nothing short of shameful. They have sat on their hands and done nothing when they could have taken action. The UK Government made it very clear that the Scottish Government had the power to mitigate the bedroom tax long ago. The SNP said that there was no cash, and then found £20 million.”
“Most of the jobs that will be available to that ex-serviceman will be part-time jobs, or jobs involving zero-hours contracts. Moreover, he depends on housing benefit to keep a roof over his head, and he has been hit by the bedroom tax. His child’s bedroom has been deemed to be a spare room by the Department for Work and Pensions, because the child also has a bedroom in the mother’s house, so he has had to pay bedroom tax for a long time in order to ensure that he still has regular access to the child. The Scottish Parliament recently passed a budget to fund complete mitigation of the bedroom tax.”
“The myriad statistics that have been shouted across the Chamber today, and all the political posturing, have sometimes made it difficult to bear in mind that individual people with whose cases we all deal as constituency Members are affected by the cuts that are taking place. An old classmate of mine from primary school came to see me a few weeks ago. He is a former serviceman, and when he came out of the Army he became a security guard, but he is now struggling to find employment. How can he be expected to find a job at a time when more than 2 million people are still unemployed, and at a time when many other servicemen and servicewomen will be joining him in the dole queue as further job cuts in the military are announced?”
“That does indeed upset me. When people come to me and tell me that their benefits have been subject to sanctions, it usually proves to have been due to an honest error; but are we really saying that, in this day and age, even those who have been sanctioned through their own fault should be starving? The only places that I can tell those people to turn to are my local food banks—and food banks throughout the country are confirming that benefit sanctions are one of the main reasons why people are going to them to obtain food just to survive. I know that time is limited, so I shall try to keep the rest of my comments brief.”
“With the public rightly concerned after the stalemate reached in the Haass talks and the severe security threats faced by Christmas shoppers in Belfast, to which the Secretary of State referred, as well as the huge costs of £55,000 a day of policing contentious parades in Northern Ireland, will she tell us whether 2014 is really the right time to be cutting the funds to the PSNI, or are the Government going to reconsider that decision?”
“With a few notable and brave exceptions, candidates and politicians told me privately that they did not feel they could speak about HIV. They were worried that the sensitive issues of HIV prevention would put voters off. A couple said that they were worried that voters would think that they were HIV-positive, and that that would damage their chances of being elected.”
“However, that all-party group had not quite taken off. When I was asked to go, I was concerned about the impact I could make; if David could not make a difference and set that group up, I did not see how I could. Surely, in a country as badly affected by HIV as Kenya, MPs would be falling over themselves to join a group that campaigned on it; it must be one of the biggest issues for their constituents. However, I found that HIV was not far up the political agenda—even just before the general election, when I was there. What I am saying is not a criticism of the Kenyan Government, who have in many ways been at the forefront of the AIDS response, but politicians were not discussing HIV as a major issue for Kenya or talking about the next steps of their response to it as part of the general election campaign.”
“That might seem an odd statement, given the attention paid to the issue on world AIDS day recently, and the fact that many non-governmental organisations and some of the biggest ever global campaigns and organisations now provide treatment. However, we are fighting a losing battle for the political will to end AIDS in some of the countries most at risk, because of the stigma attached—not to being HIV-positive, but to talking about the matter at all. The project in Kenya that I have mentioned was a follow-up to one carried out by my predecessor as chair of the all-party group, David Cairns, in Kenya two years previously. He helped the National Empowerment Network of People living with HIV/AIDS in Kenya— an umbrella organisation for HIV support groups—to set up an all-party group on HIV with Kenyan parliamentarians.”
“Although there has been progress since Mandela’s landmark press conference in his garden following his son’s death in 2005, I fear that the stigma attached to HIV still prevails in Africa and across the world. Mandela’s great work is not over. People are still dying from a preventable disease, and there are still 16 million people living with HIV without access to the treatment they require. We know that women, children and socially excluded groups are the people most affected by HIV, but one of the reasons for that is that they are least likely to have a political voice and are therefore not paid enough attention.”
“He said at the time: “That is why I have announced that my son has died of AIDS…Let us give publicity to HIV/AIDS and not hide it, because the only way to make it appear like a normal illness like TB, like cancer, is always to come out and say somebody has died because of HIV/AIDS, and people will stop regarding it as something extraordinary for which people go to hell and not to heaven.” Mandela had already established his well known campaign 46664—named after his prisoner number on Robben island—a couple of years before he knew of his son’s HIV status. The campaign aimed to raise not just money but awareness, to get people talking about HIV and AIDS and to attempt to alleviate the stigma that too often stops people from seeking the treatment they need.”
“When someone dies of AIDS in Kenya, the family will usually announce the cause of death as the secondary illness that was brought on by AIDS. Owing to the stigma attached, they keep their status quiet. The best known example of that comes from Nelson Mandela’s own family. When his daughter-in-law passed away at the age of just 46, it was announced that she had died of pneumonia. It was not until her husband, Mandela’s son, died just a couple of years later that Mandela took the brave decision to announce to the world that his son had died of AIDS. In the midst of huge personal tragedy, burying his own son, he decided to use the occasion to show leadership on an issue that he feared would destabilise his country and damage the progress he had made in South Africa.”
“We are 30 years into the epidemic, and AIDS is sadly still a major health and human rights issue, despite the leaps and bounds in progress we have made on prevention, testing and treatment. One of the main barriers to fighting the epidemic, which stubbornly remains, is stigma. Last year, I took part in a Voluntary Service Overseas placement in Kenya to help parliamentarians and civil society there to strengthen their own all-party group on HIV and AIDS in the Kenyan Parliament. As part of that, I was lucky to work closely with Llina Kilimo MP, a much respected politician and campaigner on HIV and women’s rights. I remember her telling me that no one dies of AIDS. I was confused for a few seconds, but then realised that she meant that no one talks about dying of AIDS.”
“It is a human rights issue because its effect on a country is dependent on that country’s wealth, and an individual’s social status still determines their risk of being infected and their ability to access treatment if they are. HIV is the sixth biggest cause of death in the world, but it is the second biggest in low-income countries and does not even feature in the top 10 causes of death in high-income countries. The 1.6 million people did not die of AIDS last year because treatment does not exist; they died because the medicines were too expensive for them to buy, or because the stigma was too much for them to seek help in time. AIDS and poverty are now mutually reinforcing negative forces in many developing countries.”
“Today’s debate is timely, not just because we recently commemorated world AIDS day, but because today is international human rights day. As we mourn Nelson Mandela, we remember him as one of the great advocates of the AIDS response. He summed up the challenges very aptly when he said: “AIDS is no longer just a disease; it is a human rights issue.” The universal declaration of human rights states: “Everyone has the right to a standard of living adequate for the health and well-being of himself…including…medical care”. The virus has so far infected 58 million people, become the sixth biggest killer in the world and left 1.6 million people dead in the past year alone. However, it is not just the scale of the epidemic that makes it a human rights issue.”
“It is a pleasure to open this debate and to see you in the Chair, Mr Dobbin. I thank Mr Speaker for granting us the debate and my colleagues for attending this morning. Many of them have shown great support to the all-party group on HIV and AIDS, which I have chaired for two and a half years. I am happy to see my hon. Friend the Member for Wirral South (Alison McGovern), in her newish role as shadow International Development Minister. I am also happy to see the Minister in attendance this morning; she has a strong personal commitment to the HIV response and has demonstrated that throughout her time at DFID. She has championed both the Global Fund to Fight AIDS, Tuberculosis and Malaria and UNAIDS, overseeing a significant increase in funding to both, which the all-party group has been delighted to see.”
“Truly excellent progress has been made in the global fight against HIV. I do not want to bore or bamboozle Westminster Hall with stats, but four recent figures from UNAIDS highlight the success so far. There has been a 33% decrease in new HIV infections since 2001, a 29% decrease in AIDs-related deaths since 2005, a 52% decrease in new HIV infections among children since 2001 and a fortyfold increase in access to antiretroviral therapy between 2002 and 2012. That last figure, in particular, is astonishing and shows just how far we have come. Such achievements should be applauded.”
“I completely agree. The problem is not unique to Kenya. In fact, I spoke at last year’s international AIDS conference in Washington, where I shared a platform with Ryuhei Kawada, who is a member of the Japanese House of Councillors. I believe that he is the first politician elected while openly being HIV-positive; I know that some have revealed their status later, but he was elected having already revealed his status. At last year’s event, he spoke passionately about his hope that he would be the first of many and that others would follow in his footsteps to try to relieve the stigma around HIV. It is clear that we need more public figures to reveal their status, but it is a big ask. Let me be clear that the news is not all bad. I did not come here to spread doom and gloom.”
“To conclude, I reiterate that HIV is not only a medical issue, but a social and a human rights one. It is one of our key human rights concerns today. I look forward to hearing the contributions of my colleagues and the Minister’s response.”
“At the AGM, the non-governmental organisation ONE reported that we are getting close to a tipping point in the epidemic, which it defined as the total number of people newly infected by HIV being equal to, and eventually lower than, the number of HIV-positive people newly put on ARVs. That is truly excellent news, which demonstrates that we are on the right track to end AIDS, although we cannot be complacent. We are still off track on some key millennium development goals for treatment and prevention. Funding is insufficient to control and ultimately defeat the disease. Much work remains to be done and, as we approach a new global architecture in the post-MDG framework, it is vital that that is recognised by the UK and other countries that lead the way in development.”
“Without affordable medicines, the AIDS response could not have existed and most certainly would not be sustainable in future. Will the Minister tell us what steps DFID will be taking to tackle this fundamental human rights issue of access to medicines for HIV patients? Has she had discussions with other Departments that might have influence? Rhetoric on HIV in recent years has spoken much of the end of AIDS being within our grasp—we have the means to do it. However, although it is true that we can now prevent people from being infected and that we can treat people living with HIV so that in practice they live a full life span, we are a long way off achieving the end of AIDS. Recently, I spoke at the annual general meeting of Stop AIDS, which is a fantastic organisation working to secure the global response to HIV and AIDS.”
“I am particularly concerned about access to antiretroviral treatment. Those who have been here longer than me will know that that was a focus of the all-party group long before I became an MP, with the group conducting an inquiry in 2009 resulting in a report titled “The Treatment Timebomb”. The report effectively laid out the case that people living with HIV are now living longer—thankfully—but that the cost of treatment will therefore continue to rise to levels unaffordable for many unless something is done to ensure that intellectual property rights and patents do not infringe on a person’s right to health. I appreciate that that presents a complex challenge to Governments throughout the world. DFID’s review mentions the challenge, but the little attention given does not reflect the magnitude of the issue.”
“The UK has historically shown great leadership in harm reduction over the years and in reducing the impact of HIV on injecting drug users. Would DFID therefore consider calling for a cross-Whitehall working group in the lead up to the 2016 special session, to ensure that the UK maintains its strong leadership on harm reduction policies across the world and that nothing happens to jeopardise it? Before I conclude, I want to touch on a future challenge for the global response to HIV—access to medicines. I was pleased that DFID carried out a review of its position paper on HIV and AIDS. The review is more than twice the size of the original paper and is testament to the Minister’s and the Department’s commitment to the issue. I remain concerned, however, that it is missing some key elements.”
“Children are looking after dying parents and surviving siblings.” In sub-Saharan Africa, an estimated 90% of care for people living with HIV is done in the home by family or community-based carers. Voluntary Service Overseas highlights that inequality between women and men continues to fuel the pandemic. What is DFID doing to encourage the Governments with whom it works in partnership to adopt policies that recognise the contribution of home-based carers affected by HIV/AIDS? I want to touch on harm reduction. I do not have the time to go into it in much depth, but I want to mention the upcoming United Nations General Assembly special session on drugs in 2016. Concerns have been raised with me that harm reduction practices for injecting drug users could be affected by the special session.”
“Although such funding is, of course, positive and given that civil society activism will be the backbone of the sustainable response to HIV/AIDS, will DFID be doing more for grass-roots organisations? I am cutting my speech short as I was not expecting such an attendance this morning and a few hon. Members want to speak, but I want briefly to discuss carers. HIV affects the human rights of not only those living with it, but also those who care for the ill and the orphaned. That effect impacts disproportionately on the poorest and most vulnerable in society. In 2005, Nelson Mandela said: “Women don’t only bear the burden of HIV infection, they also bear the burden of HIV care. Grandmothers are looking after their children. Women are caring for their dying husbands.”
“To honour both the memory of David Cairns and the heroic bravery of David Kato in his fight against prejudice, the David Cairns Foundation donated a staggering £10,000 to SMUG to help to establish Uganda’s first health care clinic specifically for the LGBT community in Kampala. It is projects such as that that will sustain the AIDS response in a country where homosexuality is criminalised. The most vulnerable populations need a place to get tested and treated without fear of imprisonment or death. I was pleased to see that DFID will be giving £4 million to the Robert Carr Fund for Civil Society Networks, a vital organisation that reaches global and regional civil society networks.”
“Men who have sex with men are also particularly vulnerable, partly because of punitive laws in many countries. Likewise, failure to provide access to education and information about HIV and AIDS treatment and care and support services further fuels the epidemic. I know that the Minister agrees that those elements are essential components of an effective response, but what does the Department for International Development plan to do specifically to ensure that human rights are at the heart of the HIV response? One way is to invest in grass-roots community groups. One organisation that is particularly in my and others’ hearts is Sexual Minorities Uganda—SMUG. Members will remember the tragic murder of its leader, David Kato, in 2011. David Cairns met David Kato during a visit to Uganda, and I remember him being deeply pained at his death.”
“I congratulate the Minister on her role in achieving that, but I must highlight a few areas where the Government could and should be doing more. Strategies to combat the HIV epidemic are intrinsically linked to each country’s human rights environment. Young people aged between 15 and 24 account for 45% of all new infections, according to the United Nations Commission on Human Rights. Two recent studies of women in Uganda and South Africa found that those who had experienced intimate partner violence were 50% more likely to have acquired HIV than those who had not experienced such violence. A study conducted in Malawi by the Salamander Trust, which works closely with the all-party group, revealed that women living with HIV were terrified that they would face violence if they told their partner or family about their status.”
“I completely agree. I believe that colleagues will touch on that subject today, so I will not go into much depth, but it is something that my all-party group has worked on along with the all-party group on global tuberculosis. I hope that the hon. Lady will join in with such campaigns in future. We cannot get carried away with progress, however. Many good news stories exist, but we have not yet reached our goal of ending the epidemic, the very nature of which means that we must continually work to eradicate HIV; if we do not, all our efforts will be overturned as it spreads further and further. I am delighted that the Government have increased funding to the key multilateral organisations that fight AIDS.”
“Before the Minister moves on from the Robert Carr fund and key populations, will she clarify whether any DFID money will go to grass-roots organisations? As I said earlier, the Robert Carr fund operates regionally and I know that a lot of money goes through multilaterals. It would be good to have some clarification on how we are getting money through to smaller groups.”
“I associate myself with the comments made across the House; my thoughts have clearly been with the emergency services, the victims and their families. Understandably, it is taking a lot of time safely and thoroughly to search the remains of the Clutha. Sadly, that leaves many families in limbo. Has the Secretary of State had assurances that the emergency services had all the equipment and expertise they required to ensure that no one was left alive in the Clutha in the immediate aftermath of the crash?”
“T3. In response to the question of my hon. Friend the Member for Newcastle upon Tyne Central (Chi Onwurah), the Minister said that he took very seriously the threat of cybercrime to small and medium-sized businesses. However, cybercrime has cost SMEs £800 million in the last year, yet the Government are giving only £5 million to spend on it across the board. What are the Government doing to tackle that problem?”
“I would appreciate some clarity on the SNP’s position. I presume that the UK Government will need help from the Scottish Government on the landlord checks and on the NHS proposals, as those areas are largely devolved. What is the SNP line on that?”
“I urge the Government to listen to the experts. I have a lot of information and letters on the subject to show that the measures could have a grave effect on tackling infection numbers and late diagnoses in migrant communities in the UK.”
“They have serious concerns. Currently, 100,000 people living in this country have HIV, a quarter of whom are undiagnosed. Half of new infections are passed by people who are undiagnosed. Evidence shows that the migrant communities are less likely to go to sexual health or specialist clinics to be tested because of the increased stigma for them and their communities. They are much more likely to go to a general practitioner because it is not as obvious that they are attending to be tested—the stigma is not related to GPs. My fear is that any sort of barrier erected between migrant communities and GPs and primary care access will be another contribution to the shameful increase in HIV infection in this country in recent years. GPs carrying out any sort of immigration check sends out the wrong message entirely.”
“I am grateful for the opportunity to speak on Second Reading. The debate has been, and will continue to be, wide ranging, but I shall restrict my comments to three specific matters, the first of which is the potential unintended consequences of the immigration health charge. Clauses 33 and 34 introduce the immigration health charge, but offer no clarity on the administration or policing of it. That leaves the presumption and fear that checks will be in place before people access primary care, even if there are no measures to that effect in the Bill. I am concerned that that will create serious risks to public health, including an increase in HIV infection. That is not only my view, but the view of many charities and organisations working in the field that have contacted me, as chair of the all-party parliamentary group on HIV and AIDS.”
“Can the Minister clarify how the Bill will affect reciprocal arrangements? Has he had discussions with representatives of those countries? Will we have new reciprocal agreements, or will they not be affected? The final area of concern is the devolved aspects of the Bill, which I mentioned in an intervention earlier. I am surprised by how vague this issue is in the Bill. There is no detail on how charges for devolved public services will be made, or on how landlord checks will work in the devolved nations.”
“It said: “Only a fundamentally different system and supporting processes would enable significant new revenue to be realised.” I would be grateful if the Minister provided more clarity about the administration of the proposals and the collection of the money from those who have entered the country. I am also concerned about the effect that the proposals will have on reciprocal arrangements with other countries, which has not really been mentioned today. The Bill refers to our EEA partners, but we have arrangements with 27 countries that are not in the EEA, including Australia and New Zealand. Many of our students go backpacking in those countries or to work on short-term visas, and they access health care free of charge, like the people who come here from those countries.”
“Therefore, the Bill clearly risks unlimited and unintended consequences to UK public health. The Bill may increase the risk that we will fail to tackle HIV in our communities, and it may also be costly. According to the Department of Health’s review of overseas visitors charging policy, referred to in the explanatory notes, a comparison of the administration costs of the current system with the amount actually recovered showed that it barely broke even. The Home Secretary failed to address that point, and I hope that the Minister will do so in his closing remarks. The new system may not be cheaper and we may fail to reclaim any money. According to the review, in order to recoup the money and achieve the Government’s aims, the NHS structure would need to be radically changed.”
“I appreciate the Minister’s intervention, but the fact is that there is no clarity in the Bill—it leaves that fear for communities seeking primary care. If they believe they will be kicked out of the country for going to the doctor, they might not go and therefore might not be tested. Public health experts agree that increasing the offer of HIV testing to a wide range of facilities is key to tackling the UK epidemic in all communities. In addition, the purpose of primary care is to assess the broadest range of health needs and identify how best to meet them. Anything that delays or prevents anyone with an infectious disease from seeking medical advice denies them the opportunity to be diagnosed and increases the chance of them passing on the infection to someone else. Someone on HIV treatment is 96% less likely to transmit it to others.”
“I thank the Minister for that intervention. The hon. Member for Perth and North Perthshire (Pete Wishart) was extremely animated and angry earlier—understandably so—about some of the aspects of the Bill, but when I asked about the SNP’s position, he simply replied that he remained to be convinced, instead of saying that it opposed it. I ask the Minister to provide some clarity about the discussions and agreements reached with the Scottish Government and the devolved Administrations in Wales and Northern Ireland. What impact assessment has been conducted on the cross-border issues that the Bill could bring about?”
“If the Bill removes long-held reciprocal agreements with countries that we are friends with and to which our constituents wish to travel, I would be very concerned. Finally, I am concerned that the Bill will cost constituents more than it benefits them.”