“A Dog’s Life Can Be Dizzying”: The Obamacare Opposition Has Finally Caught Its Own Tail
It’s time to pop the champagne and blow the kazoos: the war on Obamacare has officially reached its point of reductio ad absurdum. Two of the opposition’s favored fevered conspiracy theories about the law have clashed, like two asteroids headed for the planet that smash into each other before they can do any damage below.
First, there was the opposition’s demand that members of Congress and their staff be subjected to Obamacare—that they be forced to give up their coverage in the health plans for federal employees and join the new insurance exchanges on the theory that “if Congress was going to impose Obamacare upon the country, it should have to experience what it is imposing firsthand.” This never really made sense from the outset since the exchanges, at least for the foreseeable future, are meant only for people without employer coverage and for small businesses buying coverage for their workers. That is, most of “the country” is not going to have anything to do with the exchanges—they are just going to keep being covered by their employers.
Forcing the incongruous requirement that Hill employees enter the exchanges resulted, inevitably, in a snafu: the exchanges are not designed for employers and employees to share the cost of plans that are selected by workers, since the exchanges are meant for people buying coverage on their own. Congress, like most large employers, covers the lion’s share of their workers’ premiums, but wasn’t going to be able to do so as the law was written, leaving Hill workers with thousands more dollars a year in premium costs than they now pay. To fix this problem—which was never intended even by the members of Congress who wanted Hill staff to share in the burdens of Obamacare—the administration and Congress agreed on a tweak that would maintain the requirement for congressional staff to enter the exchanges, while allowing for the federal government to pick up its share of the costs. Conservatives decried this as an “exemption” from Obamacare, which was flatly untrue: in fact, the Hill is being included in Obamacare to an extent beyond what the law was built to allow for. For a pithy dismissal of the “exemption” trope, see the recent letter to the editor in the Wall Street Journal by the gentleman from Verona.
Meanwhile, opponents of the law have since the early days of its drafting been busy fanning flames on another front as well: charging that the law would allow for federal funding of abortions, which has been barred for years. This line almost managed to stop the legislation in its tracks before supporters settled on a highly unwieldy compromise—plans on the exchanges can cover abortions (as many insurance plans now do) but the abortion coverage must be offered in a supplemental plan, purchased separately from the main coverage, and without the help of the federal subsidies many people will receive to help them buy the plans. This is such a messy arrangement that abortion rights supporters fear that precious few plans on the exchanges will even bother to include abortion coverage. And the law also allows states to pass laws banning abortion coverage, period, from plans in their exchanges, as many states have already done.
Do you see where this is headed? The law forces Congress and its staffers into the exchanges…the law, in theory, allows for plans with abortion coverage to be sold on the exchanges…and, voila, the crash in the skies above. Take it away, Associated Press:
The politics of the abortion debate are always tricky for lawmakers. They may soon get personal. An attempt to fix a problem with the national health care law has created a situation in which members of Congress and their staffers could gain access to abortion coverage. That’s a benefit currently denied to them and to all federal employees who get health insurance through the government’s plan…
Abortion opponents say the regulation would circumvent a longstanding law that bars the use of taxpayer funds for “administrative expenses in connection with any health plan under the federal employees health benefits program which provides any benefits or coverage for abortions.” Unlike many private corporate plans, federal employee plans only cover abortions in cases of rape, incest or to save the life of the mother.
“Under this scheme, (the government) will be paying the administrative costs,” said Rep. Chris Smith, R-N.J., author of the abortion funding ban for federal employee plans. “It’s a radical deviation and departure from current federal law, and it’s not for all federal employees, but for a subset: Congress. Us.” Smith is calling on the Obama administration to specify that lawmakers and staffers must choose a plan that does not cover abortions. The funding ban, in place since the 1980s, is known as the Smith amendment.
This framing is actually off the mark. It’s not “an attempt to fix a problem” with the law that has created this situation. It was the original demand by Republicans (Iowa Sen. Chuck Grassley led the way) that members of Congress and their staff be forced into the exchanges. The administration is downplaying the whole matter, noting that, technically, Hill members and staffers who buy a plan on the exchanges that comes with the abortion coverage will be paying for that part of the coverage out of their own pocket. But yes, in theory, a member of Congress and his or her staff may now be able to have abortion coverage, which was not the case previously. The horror! After all, we know that some members of Congress have a messy track record with abortions—like, say, demanding that their mistresses get one.
So, tiger, how does that tail of yours taste?
By: Alec MacGillis, Senior Editor, The New Republic, August 20, 2013
“Cherry Picking The Facts”: Why The Right Doesn’t Really Want European-Style Reproductive Health Care
U.S. conservatives want Europe’s abortion restrictions, but they oppose the generous systems and legal exceptions that support women’s health.
Earlier this month, Texas lawmakers witnessed and participated in passionate debates about one of the nation’s most sweeping pieces of anti-choice legislation. That legislation, known as SB1, was initially delayed by Wendy Davis’s now-famous filibuster before Governor Rick Perry signed it into law last week during a second special legislative session. It bans abortions after 20 weeks, places cumbersome restrictions on abortion clinics and physicians, and threatens to close all but five of the state’s 42 abortion clinics. Throughout the many days of hearings, anti-choice activists relied on religious, scientific, and political evidence to argue that the new Texas law is just and sensible.
Many of those arguments are tenuous at best, but it is the continued reference to European abortion laws that most represent a convenient cherry-picking of facts to support the rollback of women’s rights. Many European countries do indeed regulate abortion with gestational limits, but what SB1 supporters conveniently ignore is that those laws are entrenched in progressive public health systems that provide quality, affordable (sometimes free) health care to all individuals and prioritize the sexual and reproductive health of their citizens. Most SB1 advocates would scoff at the very programs and policies that are credited with Europe’s low unintended pregnancy and abortion rates.
Members of the media have also seized on European policies to argue that Texas lawmakers are acting in the best interests of women. Soon after the passage of SB1, Bill O’Reilly argued that “most countries in the world have a 20-week threshold,” and Rich Lowry, editor of the National Review, wrote, “It’s not just that Wendy Davis is out of step in Texas; she would be out of step in Belgium and France, where abortion is banned after 12 weeks.”
It’s hard to imagine any other scenario in which O’Reilly and Lowry, and most conservative politicians and activists, would hold up European social policies as a beacon for U.S. policy. After all, the cornerstones of Europe’s women’s health programs are the very programs that conservatives have long threatened would destroy the moral fabric of American society. One cannot compare the abortion policies of Europe and the United States without looking at the broader social policies that shape women’s health.
Both Belgium and France have mandatory sexuality education beginning in elementary school (in France parents are prohibited from removing their children from the program). France passed a bill earlier this year that allows women to be fully reimbursed for the cost of their abortion and guarantees girls ages 15 to 18 free birth control. Emergency contraception in both countries is easily accessible over the counter, and in Belgium the cost of the drug is reimbursed for young people and those with a prescription. Both countries limit abortion to the first trimester but also make exceptions for cases of rape, incest, and fetal impairment, to preserve woman’s physical or mental health, and for social or economic reasons. None of these exceptions are included in the new Texas law, and I’d guess it would be a cold day in hell before the likes of O’Reilly and Lowry advocate for more expansive health policies or for including such exceptions in abortion laws.
But it would be wise if they did. This availability of preventative care contributes to the overall health and wellness of women in Europe and enables them to make free and fully informed decisions about their bodies over the course of their lifetimes. The demonization and lack of progressive sexual health policies in Texas, and in the United States more broadly, drives high rates of unintended pregnancy, teen pregnancy, maternal mortality, sexually transmitted infections, and abortion.
Unfortunately, Texas couldn’t be further from France or Belgium when it comes to the care it provides to women and families before, during, and after delivery, as I’ve written about before. The Texas teen birth rate is nearly nine times higher than that of France and nearly 10 times higher than that of Belgium. Nearly 90 percent of all teens in France and Belgium reported using birth control at their last sexual intercourse, compared with only 53 percent in Texas. The infant mortality rate in Texas is twice that of Belgium and France. The poverty rate among women in Texas is a third higher than that of women in Belgium and France, and the poverty rate among Texas children is 1.5 times higher. Less than 60 percent of Texas women receive prenatal care, while quality care before, during, and after pregnancy is available to nearly all women throughout Europe.
None of those hard facts were compelling enough to amend – let alone negate – the new law. It seems impossible these days to find a common ground between anti- and pro-choice individuals, but if conservatives wanted to have a conversation about enacting European-style sexual and reproductive health policies in the United States, that just might be something that could bring everyone to the same table. The more likely scenario is that once conservatives have plucked out the facts that help advance their anti-choice cause, they will promptly return to tarring and feathering Europe’s socialized health system.
By: Andrea Flynn, The National Memo, July 24, 2013
“Political Regression”: 40 Years After Roe, Reproductive Rights Are In Grave Danger
Dr. John J. Sciarra remembers his time as a young doctor in New York City nearly half a century ago. He remembers watching young women die from botched, illegal abortions because they had no safe options. At the time, he felt powerless to help them, and that fact haunted him.
That’s why he decided to join 99 of his fellow OB-GYNs to express his support for legal abortion. In 1972, that group of doctors published a statement in the American Journal of Obstetrics and Gynecology to make the case that giving women the means to end their pregnancies is a public health issue. Their timing was prescient; Roe v. Wade ended up legalizing abortion just one year later.
But, in the 40 years since, Sciarra has been surprised to see the state of reproductive rights moving backward instead of forward. “We did not anticipate the backlash that has turned abortion into an ideological battleground,” the retired doctor writes in a op-ed published in the Chicago Tribune on Friday. “So I have again joined 99 of my fellow professors of obstetrics and gynecology in another statement on the issue, published earlier this year, in the very same American Journal of Obstetrics and Gynecology.”
In the new statement, Sciarra and 99 of his colleagues point out that even though abortion has been legalized and medical practice has evolved to accommodate a new range of reproductive care, the politicization of the issue still threatens to derail women’s reproductive rights. When Sciarra first advocated for abortion rights back in the 1970s, he and his fellow OB-GYNs imagined that the “increasingly liberal course of events” in the U.S. would create a rising demand for abortion care. They thought the biggest problem facing the country would be a shortage of doctors available to perform abortions. It turns out they were wrong — the biggest problem is actually the web of state-level abortion restrictions that come between women and their doctors.
“We have had 40 years of medical progress but have witnessed political regression that the 100 professors did not anticipate,” their official statement noted. “Forty years later, the change is not liberal. Its effects will threaten, not improve, women’s health and already obstruct physicians’ evidence-based and patient-centered practices.”
Sciarra is just one of two OB-GYNs who signed both statements — the original one before Roe v. Wade, and the new one earlier this year — because most of the doctors who signed on four decades ago have since passed away. Sciarra notes that none of the doctors who signed the 1972 statement ever changed their minds and rescinded their support for legal abortion rights. And now, a new generation of medical professionals is reaffirming that position with the 2013 statement.
The doctors’ new statement is well-timed. Despite the fact that Roe marked its 40th anniversary recently, reproductive rights are being chipped away from every angle. And 2013 is shaping up to be one of the worst years for reproductive freedom since abortion was first legalized. State legislatures have enacted a record-breaking number of new abortion restrictions this year, including some of the harshest bans ever seen in the past four decades.
Sciarra and his colleagues aren’t the only medical professionals coming out against the mounting pile of politically-motivated abortion restrictions. The nation’s largest group of OB-GYNs, the American College of Obstetricians and Gynecologists, also recently condemned anti-abortion laws for “imposing a political agenda on medical practice.”
By: Tara Culp-Ressler, Think Progress, July 11, 2013
“The Texas Rebellion”: Wendy Davis Gives New Hope To The Future For American Women
A rowdy crowd of women making demands as loudly as they can—and winning? That sort of thing doesn’t happen in Texas. Except that now, apparently, it does.
Beginning on Tuesday morning and stretching into the wee hours of Wednesday, Democrat Wendy Davis, a state senator from Fort Worth, became a national pro-choice hero as thousands of Texans flooded the state capitol to cheer her effort to stop a draconian anti-abortion bill. Governor Rick Perry had added abortion restrictions to the agenda halfway through a special session of the legislature originally intended to pass new redistricting maps. Before the session ended at midnight on Tuesday, Republican lawmakers hoped to rush through what would have been one of the nation’s most extreme anti-abortion laws. For 11 hours, Davis filibustered a bill that would have banned abortions after 20 weeks and shut down all but five of the state’s abortion clinics.
It was high drama: If Davis could hold out till midnight, she’d block the bill. It wouldn’t be easy. Under Texas’s strict filibuster rules, the senator could not eat, drink, use the bathroom, or even lean on the lectern. She couldn’t simply read from the phone book, either; she had to talk about the abortion bill or, after three warnings, the majority Republicans could force her to sit down. As the hours went by, Davis’s following grew. Nearly 180,000 followed the livestream from the Senate floor. The news spread on Twitter, where the state senator went from around 1,200 followers to over 67,000. Celebrities like Lena Dunham and Julianne Moore tweeted out support. So did President Obama, who wrote: “Something special is happening in Austin tonight,” with the hashtag “StandWithWendy.” The hashtag trended worldwide for hours.
But in the end it was the hundreds of pro-choice activists in the gallery who killed the bill in one of the most dramatic moments in Texas political memory. While Davis became the face of the effort, she was also just one part of a movement that organized swiftly and effectively. It was a feat of organization, and a show of progressive energy, that will provide a shot of energy for Democrats’ to turn the state blue.
The showdown began on Thursday with an unexpected turnout from pro-choice activists. When the House State Affairs Committee considered the anti-abortion measure, 600 activists flooded the hearing, conducting what they called a “citizen’s filibuster.” According to one lawmaker, 92 percent of those who came to testify opposed the bill. One after another, pro-choice Texans told their stories as hours ticked by. Around 4 a.m. on Friday, the Republican committee chair finally cut off testimony, calling the statements “repetitive.” The committee passed the bill quietly the next day and the House recessed until Sunday, when House Republicans planned to use technical maneuvers to fast-track the measure.
On Sunday, pro-choice activists again packed the gallery, far outnumbering the opposition. Progressives from across the country began sending food and coffee to show support. House Democrats managed to use amendments and points of order to delay the bill for more than a day, buying enough time to make a Senate filibuster possible. By the time the House finally passed the measure, it couldn’t be heard in the Senate until Tuesday. The filibuster was on.
Davis was the obvious choice to lead the filibuster. Since first being elected in 2008, when she unseated a powerful Republican lawmaker, Davis has stood out as a progressive firebrand unafraid of antagonizing her Republican colleagues. Her biography alone is impressive; a former teen mom living in a trailer, Davis put herself through both college and law school, where she graduated valedictorian. She’s unabashed in talking about her experiences with poverty and her reliance on Planned Parenthood for health care; during the filibuster, she called it “her medical home.” Davis had ended the regular legislative session in 2011 with a filibuster of $5.4 billion in cuts to public schools. That one only took an hour and a half, however, and was largely for show; the legislature came back in a special session and cut the money. But it earned Davis, who’s seen as a future statewide candidate, icon status among Texas’s long-put-upon progressives.
By the time Davis’s filibuster began on Tuesday morning, it wasn’t just the Senate gallery that was packed. Throughout the capitol and spilling outside, people wore burnt orange T-shirts, the color associated with the Texas cause (and not coincidentally, with the University of Texas). Many read, “Stand with Texas Women.” Davis read testimony from women who weren’t allowed to testify at Thursday’s committee hearing. She took questions defending her position. She spoke deliberately, was careful to avoid leaning on the podium, and occasionally paced slowly around her desk as she spoke.
As the hours ticked by, Republican senators watched like hawks for Davis to slip up. At the six-hour mark, Davis got her first warning for talking about funding for Planned Parenthood and women’s health programs—which, according to the chair, were not germane to a bill on abortion restrictions. She got another when a colleague helped her put on a back brace. The gallery was beginning to get restless when all hell broke loose around 10 p.m. With just two hours to go, Davis received her third warning—this time for mentioning a pre-abortion sonogram requirement the chamber passed last session. Her Democratic colleagues began trying to stall, raising parliamentary inquiries and appeals. Republicans scrambled to end the filibuster and take a vote before the clock hit midnight and the special session was over.
With 15 minutes to go, it looked like the Senate Democrats couldn’t hold out. Republicans were trying to vote as Democrats attempted to concoct more procedural delays. The spectators were subdued and anxious. Then things went crazy. First, the chair refused to recognize a motion to adjourn from Senator Leticia van de Putte, a Democrat who had just arrived from her father’s funeral. Van de Putte tried to make another motion, but the chair once again did not recognize her. Finally, exasperated, she called out: “At what point must a female senator raise her hand or her voice to be heard over the male colleagues in the room?
That did it. The spectators began to cheer, overwhelming the attempts of the chair to quiet them down. For a full quarter of an hour, they shouted and screamed with unceasing volume, as Republicans tried to get a vote on the bill. After midnight came and went, the Senate Republicans argued that they did take a vote and had prevailed. But the record showed otherwise; screenshots captured the Texas Legislative website showing the vote had been taken on June 26, after midnight.
Senators convened a closed-door caucus meeting to try and sort out what had actually happened. The gallery was cleared in the Senate chamber, but nobody left. People in burnt-orange T-shirts were everywhere—in the capitol rotunda, outside the building, in the hallways. It wasn’t until after 2 a.m. that word broke: The session was over, the bill was dead, and pro-choice Texans had won.
It was the kind of landmark victory that Texas progressives haven’t seen in years—a couple of decades, really. Not surprisingly, conservatives didn’t mince words about the proceedings. Lieutenant Governor David Dewhurst, who’s been blamed by Republicans for the madness in his chamber, complained that the activists were “an unruly mob.” State Representative Bill Zedler tweeted, “We had terrorist [sic] in the Texas State Senate opposing [the bill].”
But these activists weren’t terrorists. They were the Texans that national observers rarely see—and they are helping to plant the seeds of a progressive revival in the state. As I watched people happily file out of the capitol in the early morning hours, it was striking to see the vast array of ages and races. Young hipsters and older soccer moms all seemed united. Most of those who have talked about a potential sea change in Texas politics have focused on Latino mobilization. (I just wrote a feature on the subject.) But Texas women have also been under-organized (and less Democratic than in other states), and they are another key to any potential progressive movement in the state. And while Davis was the face of the effort, it was pro-choice women’s spontaneous burst of engagement that shook up Texas politics this week.
By: Abby Rapoport, The American Prospect, June 26, 2013
“Pro-Life With An Asterisk”: GOP Ignores Children Once They’re Outside The Womb
A recent road trip took me into the precincts of rural Georgia and Florida, far away from the traffic jams, boutique coffeehouses and National Public Radio signals that frame my familiar landscape. Along the way, billboards reminded me that I was outside my natural habitat: anti-abortion declarations appeared every 40 or 50 miles.
“Pregnant? Your baby’s heart is already beating!” “Before I formed you in the womb, I knew you. — God.” And, with a photo of an adorable smiling baby, “My heart beat 18 days from conception.”
The slogans suggest a stirring compassion for women struggling with an unplanned pregnancy and a deep-seated moral aversion to pregnancy termination. But the morality and compassion have remarkably short attention spans, losing interest in those children once they are outside the womb.
These same stretches of Georgia and Florida, like conservative landscapes all over the country that want to roll back reproductive freedoms, are thick with voters who fight the social safety net that would assist children from less-affluent homes. Head Start, Medicaid and even food stamps are unpopular with those voters.
Through more than 25 years of writing about Roe vs. Wade and the politics that it spawned, I’ve never been able to wrap my head around the huge gap between anti-abortionists’ supposed devotion to fetuses and their animosity toward poor children once they are born. (Catholic theology at least embraces a “whole-life” ethic that works against both abortion and poverty, but Catholic bishops have seemed more upset lately about contraceptives than about the poor.) While many conservative voters explain their anti-abortion views as Bible-based, their Bibles seem to have edited out Jesus’ charity toward the less fortunate.
That brain-busting cognitive dissonance is also on full display in Washington, where just last week the GOP-dominated House of Representatives passed a bill that would outlaw all abortions after 20 weeks of pregnancy. After the bill was amended to make exceptions for a woman’s health or rape — if the victim reports the assault within 48 hours — U.S. Rep. Paul Broun (R-GA) withdrew his support. The exceptions made the bill too liberal for his politics.
Meanwhile, this same Republican Congress has insisted on cutting one of the nation’s premier food-assistance programs: the Supplemental Nutrition Assistance Program (SNAP), or food stamps. GOP hardliners amended the farm bill wending its way through the legislative process to cut $2 billion from food stamps because, they believe, it now feeds too many people. Subsidies to big-farming operations, meanwhile, remained largely intact.
The proposed food stamp cuts are only one assault on the programs that assist less-fortunate children once they are born. Republicans have also trained their sights on Medicaid, the health insurance program for the poor. Paul Ryan, the GOP’s relentless budget-cutter, wants to turn Medicaid into a block grant to the states, which almost certainly means that fewer people would be served. About half of Medicaid’s beneficiaries are children.
The Pain-Capable Unborn Protection Act, whose name implies more medical knowledge than its proponents actually have, has no chance of becoming law since it won’t pass the Senate. Its ban on abortion after 20 weeks, passed by the House along partisan lines, was merely another gratuitous provocation designed to satisfy a conservative base that never tires of attacks on women’s reproductive freedom.
Outside Washington, however, attempts to limit access to abortion are gaining ground. From Alaska to Alabama, GOP-dominated legislatures are doing everything they can think of to curtail a woman’s right to choose. According to NARAL Pro-Choice America, 14 states have enacted new restrictions on abortion this year.
That re-energized activism around reproductive rights slams the door on recent advice from Republican strategists who want their party to highlight issues that might draw a broader array of voters. Among other things, they have gently — or stridently, depending on the setting — advised Republican elected officials to downplay contentious social issues and focus on job creation, broad economic revival and income inequality. Clearly, those Republican lawmakers haven’t gotten the message.
Still, GOP bigwigs get furious when they are accused of conducting a war on women. But what else is it? It’s clearly not a great moral crusade to save children.
By: Cynthia Tucker, The National Memo, June 22, 2013
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