“Decimation Of Health Care For The Poor And Uninsured”: Mitt Romney Puts Women’s Lives At Risk
If you want to see what women’s health care in America will be like if Mitt Romney becomes president, just look at Texas and Arizona.
Both states are in the news these past few weeks for trying to prevent women from getting health care at Planned Parenthood. It’s wrong, and it will have devastating consequences for women for years to come—and Mitt Romney wants to do it in all 50 states.
Romney said in November that he wants to eliminate the nation’s family-planning program, which was signed into law by President Richard Nixon in 1970 and provides essential preventive health services to more than 5 million people a year, the vast majority of whom are poor and uninsured.
Beyond the millions of people who are helped by this health-care program, investing in family planning saves the government money—for every dollar spent on family planning, experts say taxpayers save around $4.
Romney said in March that, if elected president, he would “get rid of” Planned Parenthood. He clarified his remarks to say he would end federal funding for Planned Parenthood. Either way, he would seek to dismantle a nationwide network of community-based health centers that one in five American women rely on for care at some point in their lives.
This isn’t about abortion. These health-care programs provide blood pressure and cholesterol monitoring, flu shots, breast-cancer screenings, Pap tests, and birth control. Planned Parenthood is the only medical care many women receive all year.
Michele Azzaro knows what Mitt Romney’s America would look like—because she’s already experiencing it in Texas.
Azzaro has been a Planned Parenthood patient in Dallas for more than 20 years. Planned Parenthood was there when she had a breast-cancer scare, and her local health center has been there when she needs her yearly cholesterol test.
Last year, Texas drastically cut its family-planning funding, the same way Mitt Romney says he would cut federal funding. Michele lost access to annual breast screenings and the birth-control pills she needs to manage her painful uterine fibroids.
She isn’t alone.
An estimated 160,000 women lost their health care when Texas slashed its family-planning program last year. Now, the state is trying to throw more women off health care by taking Planned Parenthood out of the state’s Women’s Health Program. Planned Parenthood health centers provide care to 52,000 women in the program.
Texas’s program provides low-income working women in Texas with lifesaving cancer screenings, well-woman exams, contraception, screenings for diabetes and high blood pressure, and testing for sexually transmitted infections. The program was sponsored and implemented by Republicans less than a decade ago—an indication of how far to the right some in the party have gone in just a few years.
Planned Parenthood sued the state in federal court in order to continue providing these critical health services to women, and last week a federal appeals court blocked the state’s effort to deny women the health care they rely on at Planned Parenthood while the lawsuit proceeds.
Meanwhile, Arizona Gov. Jan Brewer recently signed legislation that cuts state funding for Planned Parenthood’s preventive care. The new law could cut 4,000 women off from the health care they need.
What’s happening in Texas and Arizona isn’t about Planned Parenthood. It’s about Michele Azzaro—and the 3 million people a year who rely on us for cancer screenings, birth control, and well-woman exams.
Our patients aren’t making a political statement when they come to Planned Parenthood. But they’re not afraid to make a political statement to keep the health care they rely on when they vote in November.
“Politics Over Common Sense”: Jan Brewer’s Abortion Grenade, Defunding Planned Parenthood
Arizona’s governor threw yet another political volley at Planned Parenthood Friday night, inking a law aimed at preventing thousands of women on state Medicaid rolls from accessing family-planning services—including breast exams and pap smears—from organizations that also offer abortions.
Jan Brewer signed HB 2800 into law at a gathering of the Susan B. Anthony List, a group that claims on its website that its “grassroots activists” are “on the front lines in the battle to defund America’s abortion giant—Planned Parenthood.”
The bill drew swift reaction from former U.S. surgeon general Richard Carmona, Arizona’s Democratic candidate for senator. At an opening of his campaign office in Phoenix on Saturday, Carmona told The Daily Beast that “anything we do to diminish access of health care to women” is bad policy.
A longtime preventive-health-care advocate, Carmona said in a statement released today: “This is an example of how politics and overheated rhetoric get in the way of common sense. Planned Parenthood provides a vast array of women’s health care services, often reaching under-served communities where health and economic disparities make access to quality care difficult.”
Bryan Howard, president and CEO of Planned Parenthood Arizona, struck a similar note, telling The Daily Beast that the intent of the law is to “score political points” and “demonize” Planned Parenthood to “appease certain segments of the voting public.”
The law will reduce Planned Parenthood’s clients by about 10 percent. About 4,000 women on Medicaid, out of a total of 40,000-45,000 patients overall, visit the organization’s 14 Arizona offices, Howard said.
But the law will likely also impact thousands more who may seek family-planning services from Planned Parenthood when the Affordable Health Care for America Act takes full effect in 2014.
As late as last month, Medicaid officials were still trying to figure out the economic ramifications of the bill, according to The Arizona Republic. Officials were not available for comment on Saturday.
In a statement released in the wake of the ceremonial bill signing, Brewer said: “This is a common-sense law that tightens existing state regulations and closes loopholes in order to ensure that taxpayer dollars are not used to fund abortions, whether directly or indirectly.”
Asked about the political strategy behind signing the bill alongside the Susan B. Anthony List, the governor’s spokesman, Matthew Benson, wrote in an email: “Susan B. Anthony List is one of the nation’s most prominent supporters of pro-life elected officials, and HB 2800 was a high priority of the group. It only made sense to sign the measure into law in front of this group and its members.”
According to the Center for Responsive Politics, the Susan B. Anthony List donates mostly to Republicans. It contributed $511,416 to Rick Santorum’s presidential campaign in 2012, and in 2010 donated about $23,000 to attempt to defeat congressional Democratic pro-choice candidates Gabrielle Giffords, Raul Grijalva, and Ann Kirkpatrick. (Kirkpatrick lost; the other two won their bids.)
Brewer held off signing the HB 2800 until Tea Party legislators passed one of her top priorities: a bill that would make it easier for her to fire and discipline state employees.
Planned Parenthood is considering a legal challenge as its next step. It’s not “acceptable,” Howard said, to have the state prohibit women from choosing where they want to get birth control.
By: Terry Greene Sterling, The Daily Beast, May 5, 2012
There’s More To Women’s Health Than Contraception
If you have been listening to the contraception debate in Washington (sort of hard to avoid, isn’t it?), you may be under the impression that preventive health for women equals contraception. Or contraception equals women’s preventive health. (We’re putting aside, for the purpose of this post, the debate about religion, conscience and the role of government).
The Senate has defeated one bid to overturn the administration rule requiring employers to provide an insurance plan with first-dollar coverage of birth control, and it’s not clear what the House will do. But the issue is likely to percolate in Washington, state legislatures and the courts for some time to come.
The health reform law, and the regulations being developed to implement it, has a far more expansive definition of prevention and what it means for women’s health. Here are more details on the new regulations and a tutorial from Kaiser.edu. According to the new women’s preventive health rule, new health plans must cover, without cost-sharing, a lot more than the pill:
- well-woman visits;
- screening for gestational diabetes;
- human papillomavirus (HPV) DNA testing for women 30 years and older;
- sexually-transmitted infection counseling;
- human immunodeficiency virus (HIV) screening and counseling;
- FDA-approved contraception methods and contraceptive counseling;
- breastfeeding support, supplies, and counseling; and
- domestic violence screening and counseling.
These requirements will go into effect in August (with another year allowed to finalize how the religious exemptions will work). Grandfathered plans won’t have to follow the new rule, while they maintain their “grandfather” status. Over time, many health plans will go through changes that will mean that they will no longer be “grandfathered.” Then they too will have to follow the new regulations.
Of course, more women will get these benefits, simply because more women will be insured. Approximately one in five women of reproductive age is currently uninsured. Most of them will get coverage, including preventive services, starting in 2014 whether through Medicaid, through subsidized coverage in the exchanges or by buying coverage. Right now, coverage of maternity benefits is spotty on the individual insurance market, but the plans in the health exchanges will cover it.
The law also requires many other preventive services – some free – for men, women and children. They have not gotten much attention in the polarized birth control debate.
The conversation (and press coverage) about the contraceptive rules have included lots of misinformation about abortion. Politicians who misstate policy don’t help, but reporters need to know what the law does and does not do.
The health law does not mandate abortion coverage and this preventive health rule does not change that. In fact, states under health reform have the explicit ability to limit abortion coverage in policies sold in state exchanges and several have already taken action to do precisely that. Plans that do cover abortion in the exchange will have to wall that off in a way to keep it apart from the federal subsidies.
A few more stray but relevant facts:
According to the Kaiser.edu materials, about two-thirds of women aged 15 to 44 use contraception – and do so for about 30 years.
Most employer-based insurance plans do cover contraception, though there are often co-pays. Among large employers, more than 80 percent cover contraception.
Federal Medicaid dollars do not cover abortion under the Hyde Amendment (except for rape, incest or when the life of the mother is in danger) – although some states use their own money to cover abortion in some circumstances. But Medicaid does cover contraception. In fact, Medicaid pays for more than 70 percent of publicly financed family planning services.
And Title X funds family planning clinics (created in 1970 under the Nixon presidency). According to HHS, about 5 million women and men get family planning services through more than 4,500 community-based clinics. Someone with religious objections to providing contraceptives for employees is indirectly paying for Medicaid birth control coverage – and indirectly for the tax subsidies of employer-sponsored insurance – just as we all pay taxes that fund some things we agree with and some we don’t.
By: Joanne Kenen, Association of Health Care Journalists, March 1, 2012
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