You are browsing the archive for health reform.

On Contraceptive Coverage, It’s Not Up to Obama to Decide What is More “Catholic”

11:51 am in Uncategorized by RH Reality Check

Benedict XVI (Photo: catholicism, flickr)

Benedict XVI (Photo: catholicism, flickr)

Written by Frances Kissling for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

See all our coverage of the Birth Control Mandate 2011 here.

This article was amended at 2:22 pm Friday, November 25th to add a missing paragraph and missing words in three sentences.

When it comes to contraception Catholics have stopped listening to popes, bishops and other institutional leaders.  It seems the only person left listening is President Obama. Obama however lacks the theological training –and it would seem the scholarly advice –needed to figuring out if the bishops and various hospitals, universities and social service agencies clamoring for a “religious exemption” from new federal regulations really need them in order to be good Catholics. The regulations require insurance plans offered by employers to cover contraception without a co-pay, although they exempt churches and other specifically religious institutions from the requirement.

The President seems unaware of the fact that Catholic disagreement with the ban on birth control goes far beyond the average Catholic lay-person. Some bishops, many priests, religious orders, theologians and church-related groups have publicly and privately disagreed with blanket prohibition of contraception. All of them, individuals and institutions, are free to follow their conscience on contraception and there is ample evidence that many of the very groups asking for an exemption from the new federal regulations have not followed church regulations religiously. Some within the organizations may agree with the ban, but not all, and none are required to do so.

Of course, it would take courage for organizations such as the Catholic Health Association (which is now siding with the Bishops publicly in their fight to broaden exemptions) or Catholic Charities to publicly buck the U.S. bishops and just follow the law and give their employees health insurance that makes it possible to avoid pregnancies they cannot afford or do not want; but after all, being a Catholic is all about courage and helping the poor and marginalized. A fair number of employees of Catholic institutions are low-income workers, struggling to get by on a minimum wage. We Catholics are taught to follow our conscience rather than the positions of the Catholic church, even if it means getting kicked out of the church.  If Obama’s current religious advisors don’t know that, all he has to do is call one of the most trusted of Catholic theologians, Fr. Richard McBrien of  Notre Dame. McBrien will repeat what he has said in his widely used text Catholicism:

If, after appropriate study, reflection and prayer, a person is convinced that his or her conscience is correct, in spite of a conflict with the moral teachings of the church, they not only may but must follow the dictates of their conscience rather than the teachings of the church.”

Centuries earlier Thomas Aquinas said the same thing.  Yet, the Catholic-affiliated institutions asking for a religious exemption insist that corporations, like persons have a conscience. Read the rest of this entry →

The Other 99 Percent: Will Obama Betray Them?

12:56 pm in Uncategorized by RH Reality Check

the pill #1 (Photo: mr_b, flickr)

the pill #1 (Photo: mr_b, flickr)

Written by Carole Joffe for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

See all our coverage of the Birth Control Mandate 2011 here.

There is another 99 percent group in our country, distinct from but inextricably entwined with the now more familiar #99Percent, those everyday Americans, who–in such a brilliant framing by the Occupy Wall Street movement–are to varying degrees affected by the vast economic inequality that characterizes American society. I refer to the 99 percent of American women who have ever had sexual intercourse and have used a birth control method at least some of the time.

Contraception obviously is a deeply held value by American women. But the fact that in the United States a startling half of all pregnancies are unintended makes clear that birth control is used only sporadically by some. There are a number of reasons why this is so, but a chief one is that so many women cannot afford contraception, especially the most expensive—and most effective–methods, such as birth control pills, and long lasting reversible contraception, for example, the newer (and far safer) models of IUDs (intrauterine devices).  In short, the same economic disparities that pervade every other area of American life manifest here as well: poor women depend on publicly-funded programs for their contraceptive services, but, according to the Guttmacher Institute, only a little more than half of the 17 million women who need these services currently receive them.

This situation of tremendous inadequacy was supposed to improve considerably. In one of the best pieces of news in the otherwise embattled reproductive health world since the battles over health care reform began, the Obama administration announced last August that it would accept the recommendations of a special panel of the Institute of Medicine and include contraception—including all FDA-approved birth control methods—as part of the basic package of preventative health services that health insurance plans must offer, without co-payments. Read the rest of this entry →

It Don’t Come Easy: Changing Health Insurance in America, Part Two

9:05 am in Uncategorized by RH Reality Check

Written by Lucinda Marshall for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

Cross-posted with permission from Pre-Existing Pundit.

Photobucket

Several days ago, I wrote about the ordeal I have been going through trying to move my health insurance from Kentucky to Maryland.  Because I had a health insurance policy with Anthem Blue Cross in Kentucky, the local Blue Cross was obligated to offer me what is called a guarantee issue conversion policy that does not require underwriting (a good thing since I have several pre-existing conditions that would otherwise make it difficult for me to obtain health insurance).

As I reported earlier, the Maryland conversion policy was almost no insurance at all so one of the options I wanted to explore was what kind of policy CareFirst (the Blue Cross company that serves the Washington, DC metro area, including the Virginia and Maryland suburbs) would offer me if I lived in the District instead of in Maryland. I asked CareFirst to send me the information and when it arrived it was a stunner.  We are talking about maybe a 15-mile difference in location and the same company.  But the policies were radically different, which CareFirst attributes to insurance laws which vary by location.

If you live in Maryland, there is a $250 deductible and  for most things, you pay 25 percent, the plan pays 75 percent up to a very unrealistic lifetime maximum of $250,000 (most plans have a $1,000,000 maximum or no limit).  There is no cap on out-of-pocket expenses.  Premium for a 55 year old woman? $443.22, less than my Kentucky policy but for a lot less coverage and substantial risk.

But hop on the Metro and move into the District and wowswers–the guaranteed conversion plan there has a $750 deductible, pays 80 percent instead of 75 percent and there is a $3500 cap on out of pocket expenses for an individual.  There was nothing that I saw about a lifetime maximum.  Sounds good so far, but there is a catch and it is a big one–the premium.  Are you sitting down? $1448.  Per month. Aside from CEO’s of health insurance companies, not too many people can afford that. Read the rest of this entry →

All Those Alternatives to Planned Parenthood? In Texas, At Least, They Don’t Exist

7:47 am in Uncategorized by RH Reality Check

Written by Andrea Grimes for RHRealityCheck.org – News, commentary and community for reproductive health and justice.

Before I met with Texas State Representative Dan Flynn last month during Texas’ pro-choice lobby day, I truly believed that even the most passionate anti-choice conservative couldn’t look me in the face and tell me they didn’t really care whether I got the reproductive health care I needed. Who would seriously tell me their religious beliefs are more important than making sure hundreds of thousands of women just like me—women with high-risk HPV–don’t develop cervical cancer?

But like I said, that was before I sat in front of Rep. Flynn, in his Austin office next to his model airplanes and elect-Dan-Flynn gum, and told him how I’d lost my job and my health insurance and needed regular, affordable pap smears to keep an eye on my pre-cancerous cervical dysplasia. I told him Planned Parenthood could provide low-cost paps, breast exams and contraceptives to keep me healthy despite my lack of insurance, and I believed they should continue to be funded by government family planning dollars. He scoffed, waving around a handful of papers—spreadsheets and maps, it looked like—and told me that Planned Parenthood was nothing but a tax-evading abortion machine (he knew because he used to be a bank examiner and had heard some things from some people) and there were so many other options besides Planned Parenthood in Texas. I should and could go to one of those, he told me, so we could spread some of the wealth around to these smaller providers. It would be very easy, he said.

I asked him if he could give me that list he had in his hand, the long list of places I could get low-cost reproductive health care without insurance near my home in Dallas. He glanced at the list and rattled off some names, something about Dallas Emergency Services and Dallas County Hospital District. He didn’t exactly wait for me to get out my pen and pad. I filed out of Flynn’s office with the rest of the women I’d teamed up with for lobby day feeling surprised and disappointed. But I still wanted (needed!) to know where those low-cost health centers were that Flynn had referenced, because I knew the Texas Legislature to be hell-bent on cutting the family planning funds that keep Planned Parenthood and clinics like it afloat.

Planned Parenthood or not, I’d still need well-woman exams, birth control pills and suchlike, and I wanted to know where I could get these things if I had to spend weeks or months scraping by on a freelancer’s salary without health insurance. So here’s what I did: I spent my own time, money and energy trying to find a health care clinic that anti-choice conservatives, legislators and organizations would approve of—namely, to find a Federally Qualified Health Center or “look-alike” center that, by virtue of federal grant funding, cannot provide abortion services except in cases of rape, incest or threat to a mother’s life, as dictated by the 36-year-old Hyde Amendment. … Read more

Public Funding of Family Planning is Essential, Even Under Health Reform

7:06 am in Uncategorized by RH Reality Check

Written by Britt Wahlin and Amanda Dennis for RHRealityCheck.org – News, commentary and community for reproductive health and justice.

This week, as we celebrate the first anniversary of the Affordable Care Act, which promises to bring great benefits to women in this country, new threats to women’s health care have emerged. Last month the House of Representatives voted to eliminate federal funding of Planned Parenthood and cut entirely the Title X program, which supports family planning clinics across the country. Though the Senate has since rejected this proposal, House Republicans have vowed to continue to push for these cuts.

Many have spoken out about the harm this would have on low-income women, who rely on Planned Parenthoods and other family planning clinics for important preventive care like contraception and cancer screenings. Even in Massachusetts, where 98 percent of residents have health insurance due to groundbreaking state health reform, such cuts would be devastating.

Massachusetts has a robust network of family planning clinics, Planned Parenthood among them, which offer contraceptive services and counseling, sexually transmitted infection testing and treatment, and cervical and breast cancer screening on a sliding fee scale. In the wake of Massachusetts reform, family planning clinics continue to play a role in providing services to the Commonwealth’s most vulnerable residents.

In 2008, a year after Massachusetts’ health reform law took effect, Ibis Reproductive Health and the Massachusetts Department of Health Family Planning Program undertook research to explore the impact of reform on low-income women’s access to contraception. We conducted a survey and interviews with family planning providers and also held focus groups with English- and Spanish-speaking low-income women.

We found that health reform has provided a number of benefits to women and many women expressed relief over finally having insurance.

But our research also uncovered new barriers. … Read more

How to Stop the Right’s Campaign Against Rape Victims

8:40 am in Uncategorized by RH Reality Check

Written by June Carbone for RHRealityCheck.org – News, commentary and community for reproductive health and justice.

This post was originally published at New Deal 2.0, a project of the Franklin and Eleanor Roosevelt Institute.

The Republican leadership is at it again. House Republicans rode into office on claims that President Obama and the Democratic Congress were promoting a “liberal” agenda rather than focusing on the real task at hand — job creation. Yet the first act of the new Republican House was a symbolic repeal of health care followed by a focus on the true conservative passion: regulating the sex lives of the most vulnerable and politically powerless women. The latest proposal, which would limit benefits for rape victims unless they could show that the rape was “forcible,” reintroduces a distinction that women fought for decades to eliminate — the notion that “real rape” can only occur when a stranger jumps out of the bushes and holds a woman at gunpoint. Otherwise, the woman must necessarily be complicit in the resulting pregnancy and should be forced to bear the child.

Anyone who seriously cares about women’s lives will oppose the measure. Merely trying to defeat it, however, is not enough. It continues the practice of letting the far right define the reproductive debate while those who champion reproductive justice play defense. It is time to turn the tables and propose practical changes that would actually cut public expenditures, protect rape victims and make the anti-women animus that motivates these proposals visible for all to see. Read more

Anti-choice Politicians Beware: Large Majority Strongly Opposes Republican Leadership’s “Plans” for Women

7:13 am in Uncategorized by RH Reality Check

Written by Jodi Jacobson for RHRealityCheck.org – News, commentary and community for reproductive health and justice.

One thing you’ve heard over and over from politicians on the right in this month after the election is how focused they plan to be on jobs and the economy.

One thing you might not have heard so much about: While the new Republican House leadership has failed to articulate an economic strategy beyond “cut, cut, cut” and “make the rich richer,” they have a long list of bills they want to pass to restrict women’s health and rights.

Voters say: Not so fast.

A survey funded by Planned Parenthood Federation of America and conducted by Hart Research shows that large majorities of voters–including those who voted Republican or Tea Party in the last election–are strongly against proposed attacks on women’s health and rights.

The survey was conducted among 802 registered voters between November 5th and 8th, 2010. It measured support for and opposition to the GOP leadership’s policy proposals on women’s health, which come in part from the GOP’s “Pledge to America.”   Specifically, the GOP “Pledge to America” calls for “a government-wide prohibition on taxpayer funding of abortion and subsidies for insurance coverage that includes abortion.”

Read more