Health Reform Bill “Bitter Compromise” for Women
The 1990-page Affordable Health Care for America Act (H.R. 3962) – aimed at extending health coverage to 36 million low and middle-income Americans - narrowly passed the House with a vote of 220 to 215. The bill makes provisions for a government–run public option as well as a federally subsidized exchange for private insurers.
And although insurers would no longer be able to charge higher premiums on the basis of gender or medical history, the bill’s anti-abortion language supports gender-based discrimination in medical coverage. The final bill contained the Stupak amendment, which in one fell swoop radically altered a woman’s right to choose.
Introduced by Rep. Bart Stupak (D-Mich), the amendment’s inclusion is being rejected by women’s rights and pro-choice advocates.
“This amendment is a back door way of overturning Roe v. Wade; it is a disservice and insult to millions of women throughout our country,” said Illinois Democrat Jan Schakowsky, the co-chair of the Congressional Women's Caucus.
If enacted in the final healthcare legislation, the Stupak amendment will deny women who have private insurance - a right that they currently have: access to health insurance coverage for terminating a pregnancy.
Under the recently passed House bill, federal money cannot be used to fund abortions for those enrolled in the public option unless the mother’s life is in danger or the pregnancy is the result of incest or rape. Private insurers that participate in the federally established exchange will be held to the same coverage restrictions for abortion procedures.
Through the exchange, federal subsidies will be made available to private insurers to make premiums more affordable to low-income individuals and families who are ineligible for Medicaid.
Medicaid already restricts federal funds for abortions unless in the case of rape, incest or endangerment of the mother’s life. Following the federal government’s lead, these restrictions inspired 32 states and DC to limit their own funding of abortions through Medicaid to only cases of rape, incest or life endangerment.
“This amendment says that a woman CANNOT purchase coverage that includes abortion services using her own dollars; middle class women, using exclusively their own money will be prohibited from purchasing a plan including abortion coverage in every single public OR PRIVATE INSURANCE PLAN in the new health care exchange,” Schakowsky said. “This amendment is a radical departure from current law and will result in millions of women losing coverage they already have.”
According to Slate.com’s Timothy Noah, “Pelosi…accepted what was for her a bitter compromise on the issue of abortion in order to secure the votes needed to pass the measure.”
Pro-life Republicans and Democrats alike worked to satisfy the demands of the Catholic Church. Apparently the U.S. Conference of Catholic Bishops served an influential role during the health care debate on abortion. The Conference issued a memo criticizing compromise language in the bill, because it left “loopholes that could allow federal funds to go toward abortions,” reports CNN.
This begs the question – how could Congress so blatantly disregard the spirit of the First Amendment, which acknowledges the “separation of church and state”?
Initially Stupak's amendment failed in committee, but the Congressman kept fighting to incorporate it into the final House bill. The amendment made it into the bill on a Friday vote, passing 240 to 194.
“Here's the mistake people make. They think the public option is like public funding, but in truth the public option is funded with private money. So if you say a public option can't offer a legal medical procedure, what you are doing is greatly restricting a woman's right to choose,” said Rep. Diana DeGette, (D-Colorado).
One-fifth of the 6.4 million pregnancies in the U.S. will end in abortion, of which 48% are sought by women who are 25 years of age and older. The yearly cost of abortions in the U.S. is approximately $550 million, based upon the average cost for the procedure of $430. Abortions are higher among low-income women. These are just the sort of individuals who would most likely be covered by a public option or qualify for the subsidized premiums made available in the exchange.
Curiously pious Catholics are supportive of insurance re-imbursement for impotency drugs such as Viagra, but not for birth control, which would prevent most unwanted pregnancies in the first place.
In 2008, the Director of Education at the National Catholic Bioethics Center wrote: “one might say that Viagra fixes a broken system, while birth control breaks a perfectly working system.”
Even though the average age for ED prescriptions is around 60, men deserve this entitlement because a man is “capable” of fathering children at this age, says the Catholic Church.
Medicare eliminated its benefit for erectile dysfunction drugs in 2006 in the interest of saving money. Because getting it up ain’t cheap.
The spending per year on ED drugs is equal to roughly $2.4 billion. Yes, that‘s billion with a “B”.
Annually doctors prescribe impotence drugs to about 5 million men. Private insurers generally cover the drugs, which include Viagra, Cialis and Levitra among others. A 100-count bottle of Pfizer’s Viagra costs $1,457.
The price to prevent unwanted pregnancy is about $30 a month. But many insurers already require women to pay out-of-pocket for birth control pills.
H.R. 3962 will cost $1.1 Trillion over the next 10 years and funding for abortions would amount to a small percentage of that overall cost.
It is unclear whether there will be restrictions on male impotency drugs in the public option, but there is no reason to believe that private insurers would now deny men a benefit that they already possess. Why should women be any different?
Next the Senate must draft its own version of health legislation. Then the House and Senate bills must be reconciled, after which they must be approved once more by each chamber.
And while pro-lifers are up in arms about federal money being used to fund abortions, this process begs the question why it is acceptable for federal tax dollars to pay for faulty executions, botched police shootings or the collateral damage of war, but not terminate the life of the unborn.
Obama should refrain from signing any health bill that would federally subsidize discrimination against women, perpetuating the politicization of a medical procedure that is a private and painful decision for women, their partners and their families.
Labels: health care reform H.R. 3962 House Stupak abortion women





