The next round of debate on birth control access

This is an issue we talk a lot about on the show, in large part because it doesn’t get nearly enough coverage in the traditional media. The U.S. Supreme Court has decided to take up another case in the right-to-choose debate, this time on birth control and the Affordable Care Act (“Obamacare”).

Here’s a brief summary of the case from Slate:

The precise question before the court is whether for-profit corporations can claim a religious freedom exception to the contraception mandate—the requirement under Obamacare that employers offer contraception coverage as part of health insurance for their employees. Exceptions already exist for religious organizations, for certain religiously affiliated nonprofits, for grandfathered employers, and for profit-seeking corporations with fewer than 50 employees. But no such exception exists for large companies. As a result, some corporations controlled by owners with religious objections to contraception have sued, contending that religious freedom laws exempt them from the contraception mandate.

All I can say is that the Supreme Court had better not screw this up. If we have an employer-based health care system in this country, which almost everyone in government seems committed to continuing, we can’t just let any old corporation start applying the personal beliefs of senior management to every employee and their family members. That’s utterly absurd.

Contraception is extremely expensive relative to many other health services. For basic access, many American women will be counting on the ACA’s requirement that insurance plans cover it. Non-religious companies should have no say in what the plans cover because it’s none of their business what health services their employees need access to. So the Court needs to uphold the coverage mandate or else we need a non-employer-based health care system, and clearly the latter isn’t going to happen.

The rest of the article linked above explains, in more depth, how the line of reasoning argued by the company in question went mainstream — essentially hijacking the already strained people-have-free-speech/corporations-are-people arguments upheld in the Citizens United decision and attempting to re-apply it here even when it’s a pretty different context.

AFD 62 – Role of Government

Latest Episode:
“AFD 62 – Role of Government”
Posted: Wed, 06 November 2013

Sasha discusses the Kentucky Health Insurance Exchange. Then Bill assesses the progress of implementing the rest of the exchange and discusses the role of government in 21st century America.

Additional links:

www.slate.com/articles/business/billion_to_one/2013/10/sweden_s_billionaires_they_have_more_per_capita_than_the_united_states.html

AFD 59: Health Reform History, UN News

Latest Episode:
“AFD 59 – Health Reform History, UN News”
Posted: Tues, 08 October 2013

Guest Luke Vargas reports from the United Nations. Then Bill examines the history of health reform in the U.S. and explains the Affordable Care Act and current shutdown.

Shutdown Myth 1: It’s about Obamacare costs

Reality: The Affordable Care Act has 10 years worth of self-contained funding and existing appropriations in it. It has no direct impact on the government shutdown, nor does the government shutdown affect it. Republicans have only linked the two by holding the shutdown as a hostage to try to force renegotiation on the ACA. It’s frustrating reading uninformed comments of people insisting that the problem here is the President and Senate Dems being unwilling to compromise on an unrelated program that is already paid for. The actual problem centers on agreeing on new spending for other things, so there’s no functional need to bring up the ACA at all. It’s purely a political connection, not a fiscal one.

AFD 58 – Yet Another Shutdown Showdown

Latest Episode:
“AFD 58 – Yet Another Shutdown Showdown”
Posted: Tues, 23 September 2013

Bill and guest host Sarah discuss health insurance exchanges, government shutdown, default, John Boehner, and Ted Cruz. Then we look at New Mexico’s legal battles over marriage equality. Finally, Bill argues in favor of diplomacy with Iran.

AFD 47 – Unemployment and Government

Latest Episode of Arsenal for Democracy:
“AFD Ep 47 – Unemployment and Government”
Posted: Mon, 13 May 2013

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Description: Guest commentator Sarah joins Bill from Idaho to talk about youth unemployment, unemployment insurance, and public sector job cuts. Then Bill highlights economic benefits of the EPA and the early results of Obamacare implementation.

Why the Stupak Amendment is so bad

Perhaps the United States House of Representatives believes that all men are created equal—but it does not believe that all women are created equal, or that women are equal to men. These views it has made clear with the passage of the Stupak Amendment, which limits the right to choose for women who can afford to pay for an abortion up front, or for women who can afford a private insurer whose policy covers abortion.

As for the rest, well, that’s what coathangers are for.

HR-3962 describes itself as “[an act t]o provide affordable, quality health care for all Americans.” Abortion is legal in the United States to provide quality health care; in delivering the opinion of the Court on Roe v. Wade, Justice Blackmun explicitly stated that one reason for legalizing abortion was that, unregulated, it was deadly, but regulated it was much safer: “Mortality rates for women undergoing early abortions, where the procedure is legal, appear to be as low as or lower than the rates for normal childbirth. (…) The prevalence of high mortality rates at illegal “abortion mills” strengthens, rather than weakens, the State’s interest in regulating the conditions under which abortions are performed.” The passage of the Stupak Amendment, then, undermines the purpose of the healthcare reform bill, because it does not provide affordable, quality health care for all Americans. Not only does it bar the public health option from covering abortion, it also bars people who receive “affordability credits”—reduced premiums granted to people with lower income levels—from using those credits to purchase an insurance plan that covers abortion.

The consequences will be exactly those that Roe v. Wade tried to prevent: despite abortion limitations and bans, women will get them anyway, and the risks they incur will be much more severe.

In the United States, abortion is a legal medical procedure. For a bill whose purpose is to provide affordable healthcare to explicitly ban funding for abortions is absurd. Furthermore, the Stupak Amendment makes it in private health insurance companies’ best interest to take abortion coverage out of their policies: because of affordability credits, more people will be able to buy government-subsidized private health insurance, but only companies that don’t provide abortion coverage will see any of that new money. They can get more customers through the insurance exchange if the new customers get subsidies, but they can only get those customers if they don’t include abortion coverage.

I should add that this amendment is not about saving a fetal life, but about using pregnancy as punishment for sexual activity. If it were equating a fetus to a child, it would not permit abortion in cases of rape or incest; killing a child because it is the result of incest or rape would still be infanticide.

Many women simply cannot afford children or even childbirth right now—and given that many health insurance companies will not cover a c-section if a women has already had one, and that over 30% of births are c-sections, that’s understandable (the lowest price estimation I have seen for an uninsured c-section is $5,000, and most are upwards of $10,000 assuming everything goes smoothly). Consequently, the Stupak Amendment puts women in a damned-if-we-do, damned-if-we-don’t position.

Advocates for free-market capitalism ought to oppose the Stupak Amendment because it imposes a de facto artificial handicap on health insurance companies, without allowing customers to vote with their money. Advocates for socialism ought to object to this gross gap in healthcare provision between rich and poor women. Women ought to object because their rights are being stripped. Men ought to object because their lovers, daughters, sisters and friends could soon find themselves in the emergency room –or in a coffin– after an unsafe abortion. This amendment benefits no one and is a dangerous step backward for everyone.

This post originally appeared at Starboard Broadside.