Defying “A Throwback To 40 Years Ago”: Americans Still Support The Birth-Control Mandate
To go back to The Washington Post poll for a moment, there is a little good news if the Obama administration is still fretting over its handling of the contraception mandate.
By a margin of 61 percent to 35 percent, Americans believe that health insurers should be required to cover the full cost of birth control for women. This even extends to religious-affiliated employers—like hospitals—which were the focal point of the controversy. According to the poll, 79 percent of those who support the birth-control mandate also support it for religious-affiliated employers.
Now that the controversy is over, for the most part, it’s obvious that this is good territory for the administration, and they should continue to press their advantage. Already, as The New York Times reports, Republican missteps have created an opening for Obama to improve his standing with moderate and Republican-leaning women. Indeed, as the year goes on, I expect that this view will become a little more prevalent:
“We all agreed that this seemed like a throwback to 40 years ago,” said Ms. Russell, 57, a retired teacher from Iowa City who describes herself as an evangelical Christian and “old school” Republican of the moderate mold. Until the baby shower, just two weeks ago, she had favored Mitt Romney for president.
Not anymore. She said she might vote for President Obama now. “I didn’t realize I had a strong viewpoint on this until these conversations,” Ms. Russell said. As for the Republican presidential candidates, she added: “If they’re going to decide on women’s reproductive issues, I’m not going to vote for any of them. Women’s reproduction is our own business.”
In the same way that Democrats should avoid preemptive celebration, Republicans should proceed with caution. It’s one thing to alienate single women, who lean Democratic anyway. It’s something else entirely to scare suburban white women from the GOP coalition. In a world where that happens, it’s hard to imagine Republican control of anything, much less the White House.
By: Jamelle Bouie, The American Prospect, March 12, 2012
Denying Women Coverage Under Any Guise Is A Big Step Backward
Maybe you saw the pictures. Five middle-age men seated at a congressional hearing table to discuss freedom of religion and contraception. And not a single woman was on the panel. Unbelievable. Do you think Congress would ever have a hearing on prostate cancer and only have women speak? Of course not.
Washington is so out of touch with what’s happening to families across this country that the Senate is about to vote on an amendment that would allow any insurance company or any employer to claim a vague “moral conviction’’ as an excuse to deny you health care coverage. Here’s the really astonishing news: Senator Scott Brown is not only voting for this amendment, he is fighting to get it passed.
What does this mean? If you are married and your employer doesn’t believe married couples should use birth control, then you could lose coverage for contraception. If you’re a pregnant woman who is single, and your employer doesn’t like it, you could be denied maternity care. This bill is about how to cut coverage for basic health care services for women.
Let’s be clear what this proposed law is not about: This is not about Catholic institutions or the rights of Catholics to follow their faith. President Obama has already made sure religious institutions will not be forced to cover contraception – at the same time that he has made sure women can get the health care they need directly from their health care insurers. Carol Keehan, the president and CEO of Catholic Health Association, said that Obama’s approach “protects the religious liberty and conscience rights of Catholic institutions.’’
I support Obama’s solution because I believe we must respect people of all religious faiths, while still ensuring that women have access to contraceptives. Brown has rejected this compromise. Instead, he has cosponsored a bill that will let any employer or any insurance company cut off contraceptive care, maternity care, or whatever they want, and leave women without coverage at all for this basic medical care. This bill is about how to cut coverage for basic health care services for women.
It is shocking that in 2012, Brown and his Republican colleagues would try to pass a law to threaten women’s access to birth control and other health care. Women all across this Commonwealth should have the right to use birth control if they want to. Giving corporate CEOs and insurance companies the power to dictate what health care women can and cannot get is just wrong. Those decisions should be up to women and their doctors.
Our goal should be to ensure that everyone has access to affordable, high-quality health care. At a time when families are struggling with the costs of health care, we should be trying to strengthen our health care system – not finding ways to create loopholes that threaten the rights of women to obtain the health care they need.
Massachusetts has been a leader in every aspect of health care: increasing access, reducing costs, and engaging in the innovations and research that make higher quality care better. We need to keep moving forward – not take a big step backward.
By: Elizabeth Warren, Democratic Candidate for US Senate (MA), published in The Boston Globe, February 24, 2012-
Romney Shows He Hasn’t Read Obama’s Modified Birth Control Reg During Rowdy Maine Town Hall
Mitt Romney doubled down on his new-found objection to contraception coverage during a town hall in Maine on Friday. Romney — who remained mum as Massachusetts implemented a measure requiring insurance companies to cover contraception in 2003, signed into law a health care reform bill that has greatly expanded access to state-funded birth control, and required Catholic hospitals to provide emergency contraception to rape victims — told a rowdy crown in Portland, Maine that President Obama’s modified contraception rule does not go far enough:
At the event, Romney also waded into the political fray over the decision by the Obama administration today to require insurers, rather than private employers, to pay for coverage of contraception. The move reversed an earlier decision that would have required religious-affiliated organizations, such as Catholic hospitals, to provide the coverage, prompting an outcry from across the political spectrum.
“Today he did the classic Obama retreat all right, and what I mean by that is, it wasn’t a retreat at all. It’s another deception,” Romney said, arguing that that religious organizations still will have to pay for contraception after insurance companies pass the costs along to employers.
“Companies consist of people, and someone has to pay — the owners, the employees or the customers, and they pass those costs on to the customers,”
he said.
But it’s Romney who is being devious here. Actuaries and real world experiences in covering contraception in the Federal Employees Health Benefits Plan (FEHBP) have found that contraception coverage is at the very least cost neutral within the context of the benefits of the health care plan. And in announcing its compromise on Friday, the administration pledged to work with insurers to issue future regulations that would specifically stipulate that if a religiously affiliated nonprofit chooses to avoid offering contraception in its health care plan, “there be no charge for the contraceptive coverage” for the employer or the employee.
As a senior administration official explained to the Washington Post’s Sarah Kliff, “Our policy is saying that the Catholic hospital doesn’t want to cover contraceptives, and they don’t include that in their policy. It also says that Aetna needs to provide contraceptive services for free to workers in the plan. Aetna sets the premium, but it cannot be higher than it would have been without birth control. The premium does not include contraception.” “There is a sort of bank account,” says the official. So, in this particular hypothetical, “Aetna is sucking it up.”
In other words, providing contraception without additional cost sharing will become “a legitimate cost of doing business” for health insurers who work with religious nonprofits, and while they may not be all too thrilled at the prospect, administration officials expect them to agree “that this is going to be a cost-neutral benefit.”
By: Igor Volsky, Think Progress, February 13, 2012
Rick Santorum’s Cynicism: A Fine Day To Discuss The Value Of The Affordable Care Act
This morning brings some sad news, that Rick Santorum’s daughter, Bella, has been hospitalized in Philadelphia. The child has Trisomy 18, a particularly heartbreaking genetic condition.
I do not share the opinion that it is distasteful to discuss the political issues surrounding a tragedy, that there should be some kind of grace period. If you want to argue for or against gun control in the wake of a school shooting, have at it. Why should the very day an issue gets maximum media saturation be the one day we can’t discuss its political contours?
Point being, I think it’s okay to point out that under the Affordable Care Act, insurers can’t deny coverage to children with a preexisting condition or disability.
[T]he law actually prevents insurance carriers from denying coverage to individuals with pre-existing conditions (and disabilities), prohibits health plans from putting a lifetime dollar limit on benefits and offers new options for long-term care. This is why groups like the American Association of People with Disabilities, National Organization For Rare Disorders, and The Arc of the United States not only support the law, but have filed an amicus brief in its defense.
And it’s equally okay to remind voters that Santorum, in an act of startling cynicism, continues to equate the ACA with socialism, even suggesting that it would lead to the death of his daughter. His claim that he’s “fighting for Bella and other children like her” — and, by extension, proponents of the ACA are not — is spurious.
By all accounts, Santorum’s daughter has beaten the odds. She’s gotten marvelous healthcare. I have yet to encounter a decent justification from either Santorum or his fellow candidates for denying the nation’s children the same opportunity.
By: Elon Green, Washington Monthly Political Animal, January 29, 2012
The Truth About Waivers: Protecting Coverage For Millions Of Americans
Today, you might have seen news stories about waivers from certain provisions of the Affordable Care Act. There has been no shortage of confusion and deliberate obfuscation on this issue and we want to ensure you have the facts.
Under the Affordable Care Act, we have implemented new rules that phase out, by 2014, health insurance companies’ ability to slap restrictive annual dollar limits on the amount they will pay for your care. But between now and 2014, we also want to make sure workers are able to maintain their existing insurance, because on their own they would likely be shut out of the individual market or face unaffordable options. To do that, the Affordable Care Act allows the Department of Health and Human Services to issue temporary waivers from the annual limit provision of the law if it would disrupt access to existing insurance arrangements or adversely affect premiums, causing people to lose coverage. So far, we have granted 1,372 of these waivers to employers, health plans, and others in all 50 states, covering less than 2 percent of the insurance market and protecting coverage for more than 3.1 million Americans. We have been completely transparent about this process, announcing the waiver process in a regulation last summer, publishing clear guidance on the application process on our website, and posting a list of waivers we have granted on our website.
These temporary waivers will not be available beginning in 2014 when annual limits are banned and all Americans will have affordable coverage options. And millions of Americans – including many small business owners – will be able to shop for affordable coverage in new competitive marketplaces.
Some have raised questions about waivers that were recently granted to companies in California. So there’s no confusion, here are the facts:
- A company called Flex Plan Services is a third-party administrator that provides benefit administration services for employers in a number of states, including: California, Washington, Alaska, and Georgia. One type of plan they administer is known as a health reimbursement arrangements (HRA or employer contributions to a tax free account). Many of the company’s clients are hotels, restaurants and home health agencies, all of whom employ low-wage workers.
- On March 23, Flex Plan Services submitted 92 waiver requests on behalf of 45 employer clients. On April 4, 2011, HHS approved the request.
- HHS applied the same standard to the application from Flex Plan Services that it uses when reviewing any application for a temporary waiver. Waivers are only available if the plan certifies that a waiver is necessary to prevent either a large increase in premiums or a significant decrease in access to coverage.
- In addition, enrollees must be informed that their plan offers coverage with a restricted annual limit.
- No other provision of the Affordable Care Act is affected by these waivers: they only apply to the annual limit policy.
The Affordable Care Act puts an end to many of the worst insurance company practices including refusing to sell a policy to a family because someone had cancer or a child has asthma; cancelling coverage when a patient files claims because of an unintentional mistake in their paperwork; and slapping annual or lifetime limits on how much care you can receive. When these rules are fully in place in 2014, our country will be much better off and the cost of coverage will be within reach for the millions of Americans who now live day to day without coverage, worrying about an injury or an illness that could plunge them into bankruptcy. To get from today’s broken system to tomorrow’s patient-centered system takes time and patience through a reasonable transition period. But, together, we will get there.
By: Richard Sorian, Asst. Sec for Public Affairs, HHS, The White House Blog, May 17, 2011