Deep Dive
The Senate Years
From 1969 to 1981, Schweiker sat on the Senate committee that wrote the country's health and labor law. The record he built there is the longest-lasting part of his career and the least known: two diabetes laws, federal backing for HMOs, early work on pension and mine-safety reform, and a market-based health plan of his own.
A Republican on the health committee
Schweiker won his Senate seat in 1968 as the only Republican to carry Pennsylvania statewide that year, and he went straight onto the Committee on Labor and Public Welfare (later Labor and Human Resources), which handled nearly every federal health, labor, pension and education law. He stayed there for all twelve years, eventually becoming the ranking Republican on the full committee and on its health subcommittee.
It was a committee of strong Democratic chairmen and activist liberals, and Schweiker worked alongside them more than against them, often with Edward Kennedy and New York's Jacob Javits. Of the 132 bills and resolutions he introduced as a senator, health was the largest single subject. His labor record was strong enough that in 1974 he became the first Republican senator the Pennsylvania AFL-CIO had ever endorsed. His other major Senate assignment, the intelligence investigations of 1975 to 1977, has its own Deep Dives: The Schweiker-Hart Report and MKUltra and the Ethics of Human Experimentation.
"Patron Saint of the Pancreas"
His signature law was the National Diabetes Mellitus Research and Education Act. He introduced a diabetes bill in the first week of the 1973 session, refined it that December, and saw it signed in July 1974 as Public Law 93-354. The act created a National Commission on Diabetes to draw up a long-range national plan; the commission's December 1975 report found that diabetes had become the country's third-leading cause of death and called for a sustained federal research effort.
He followed through. The Arthritis, Diabetes, and Digestive Disease Amendments of 1976, his bill with 28 cosponsors, became Public Law 94-562 and carried the commission's work forward, and in 1979 he introduced legislation to extend the National Diabetes Advisory Board and its research and training programs. The diabetes advocates he worked with called him the "Patron Saint of the Pancreas."
Building the HMO
Schweiker was one of the Senate's steadiest backers of prepaid group health plans, known as health maintenance organizations, as a way to restrain medical costs. His committee files include the 1973 HMO Act, which Kennedy led, and its floor amendments; in 1975 he introduced the follow-on HMO Amendments, which passed in their House version.
In 1978 he and Kennedy pushed a further expansion, seeking $500 million over five years to help new HMOs get started. The New York Times editorial page endorsed the "Schweiker-Kennedy bill," and the Carter administration came around to supporting it. The Senate passed a scaled-back version, $170 million over three years, by 71 to 1, and his bill became law that fall as the Health Maintenance Organization Amendments of 1978 (Public Law 95-559).
Pensions, mines and the workplace
In July 1972 he presided over the last of five Labor subcommittee hearings on private pensions, arguing that workers were losing pension rights when their employers went bankrupt, merged or closed, and predicting that pension insurance and early vesting would pass within a year. They passed two years later in the Employee Retirement Income Security Act of 1974, which Javits and Harrison Williams wrote and Schweiker's committee shaped.
He was among the senators who wrote the Coal Mine Health and Safety Act of 1969, and after two methane explosions killed miners at Kentucky's Scotia mine in 1976, he joined Williams and Javits in faulting the law's enforcement and pressing for stronger protections. He repeatedly introduced bills backing the Opportunities Industrialization Centers, the job-training network the Rev. Leon Sullivan had founded in Philadelphia. Late in his Senate career his approach to workplace safety turned more market-minded: his 1979 Occupational Safety and Health Improvements Act, cosponsored by Williams and Orrin Hatch, would have exempted workplaces with good safety records from routine inspections so the agency could concentrate on the most dangerous ones. OSHA and the AFL-CIO opposed it.
Consumer and public-health causes
Much of his work was smaller-scale consumer protection, often years ahead of the law. In 1971 he introduced a bill requiring food labels to list vitamin, fat, calorie and protein content, two decades before nutrition labeling became mandatory. He joined Kennedy in 1972 on legislation against lead-paint poisoning in children, pressed regulators to move faster on flammable children's sleepwear, and introduced bills to confine smoking to designated sections of airlines, trains and buses. In 1972 he proposed taking radiation-safety regulation away from the Atomic Energy Commission because of its conflicting roles as promoter and regulator of nuclear power; Congress split those roles two years later.
On medical ethics, he joined Kennedy and Javits in 1975 to propose making the national commission on human research subjects a permanent body. In 1977 he was among the health subcommittee members who gave a skeptical hearing to the campaign to legalize laetrile as a cancer treatment.
War, the draft and the Nixon years
He opposed the Vietnam War, and his first Senate years were spent largely at odds with the Nixon White House. He voted against the Supreme Court nominations of Clement Haynsworth and G. Harrold Carswell, joined William Proxmire in 1970 to try to restrict federal aid to Lockheed, and in 1971 offered, with Iowa's Harold Hughes, an amendment to extend the draft by one year instead of two, as a step toward the all-volunteer force he and four House colleagues had argued for in their 1967 book How to End the Draft. It failed, 49 to 43. His name later surfaced on the Nixon White House's "enemies list," and in 1974 he called on Nixon to resign. He never stopped opposing conscription: in 1979 he wrote to the Times against reviving peacetime draft registration, warning it would invite "military adventurism."
The turn
Some of his positions had always been conservative. He opposed gun control and abortion, and in 1973 he proposed constitutional amendments to allow voluntary prayer in public schools and public buildings. After joining Reagan's ticket in 1976 (told in The Schweiker Stratagem), the rest of his voting record moved toward them. His Americans for Democratic Action rating, 89 in 1975, fell to 15 in 1977; his aides argued the change was more gradual than the numbers suggested, and a December 1980 Times profile summed up his own account of it as "a way of sensing trends."
The clearest expression of where he ended up was his 1979 Comprehensive Health Care Reform Act. Instead of the government-run coverage he had cosponsored with Kennedy in 1975, it proposed that employers offer workers a choice of at least three health plans and give tax-free rebates to those who chose the less expensive ones, using competition to hold down costs while covering catastrophic and preventive care. It was an early version of the consumer-choice approach that would recur in health reform debates for decades, and it was the outlook he took to the Department of Health and Human Services two years later, as told in Two Years at HHS.
- Congress.gov — S. 2830 (93rd Congress), National Diabetes Mellitus Research and Education Act, Public Law 93-354
- Congress.gov — S. 2910 (94th Congress), Arthritis, Diabetes, and Digestive Disease Amendments of 1976, Public Law 94-562
- Congress.gov — S. 2534 (95th Congress), Health Maintenance Organization Amendments of 1978, Public Law 95-559
- Congress.gov — S. 1590 (96th Congress), Comprehensive Health Care Reform Act
- Congress.gov — S. 2153 (96th Congress), Occupational Safety and Health Improvements Act of 1980
- New York Times, Dec. 11 1975 — "Diabetes Rated 3d Killer; U.S. Panel Calls for Help"
- New York Times, June 10 1978 — "The Return of Prepaid Medicine" (editorial)
- New York Times, July 22 1978 — "Senate Votes, 71-1, to Back Fixed-Fee Health Plans"
- New York Times, July 18 1972 — "Reform of Private Pension Systems Urged"
- New York Times, Mar. 25 1976 — "Senate Group Assails Mine Act As Too Weak to Protect Lives"
- New York Times, Dec. 20 1979 — "Safety Inspection Cuts Urged in Legislation"
- New York Times, Oct. 24 1971 — "Bill on Food Labeling"
- New York Times, Jan. 19 1972 — "Paint Poison Curb Sought"
- New York Times, May 10 1972 — "Atom Safety Shift Urged"
- New York Times, Oct. 10 1975 — "Wider Role Asked for Research Unit"
- New York Times, July 19 1977 — "Laetrile Drive: Support Slows"
- New York Times, Aug. 12 1970 — "Two in Senate Seek Curbs on U.S. Aid Asked by Lockheed"
- New York Times, June 5 1971 — "Senators Reject Limits on Draft; 2-Year Plan Gains"
- New York Times, Sept. 29 1979 — "Letter: On Military Registration"
- New York Times, June 10 1979 — "Sen. Schweiker Offers National Health Plan With Rebate Feature"
- New York Times, Dec. 12 1980 — "Health and Human Services: Richard Schultz Schweiker; Plunge in Liberal Rating 'A Way of Sensing Trends'"
The 1973 HMO Act and ERISA were led by others — Kennedy for the HMO Act, Javits and Williams for ERISA. Schweiker's role in both was at the committee level: hearings, amendments and votes. The two diabetes laws and the 1978 HMO amendments were his own bills.
Bill counts and enactment details are from Congress.gov's records of the bills he sponsored; see the Legislation page for the full list.