As enrollment season for 2017 health insurance coverage is underway, the Charlotte Lozier Institute in conjunction with the Family Research Council has updated its Abortion in Obamacare web site with a state-by-state list of health insurance plans that do not cover most abortions.
I have not independently verified their New Hampshire information, but I offer it as something to consider when you make your health insurance choices for next year. It’s not easy to keep our insurance premium dollars from being used to underwrite abortion, and I welcome the Lozier Institute’s efforts to shed light on the subject.
If readers have corrections to this information, send them to firstname.lastname@example.org.
On a related note, I’d like to hear from readers who have opted out of conventional health insurance in favor of medical cost-sharing programs like Medi-Share or CMF-Curo. How have these programs worked out for you?
In New Hampshire’s First Congressional district, incumbent Frank Guinta is facing former Member of Congress Carol Shea-Porter. This is the fourth time the two have gone head-to-head for the seat, with Shea-Porter holding a 2-1 edge.
Looking strictly at his pro-life record, Guinta has voted to keep taxpayers out of the abortion industry’s business, with exceptions for pregnancies resulting from rape and incest (Hyde Amendment language). The National Right to Life Committee has endorsed him. On his campaign web site, he writes “I believe in the sanctity of life and will work to make sure all children have the ability to grow up surrounded by their parents’ loving attention.”
Then there’s Carol Shea-Porter. She’s an EMILY’s List favorite, which speaks volumes. And in 2013, refusing to vote to weaken the Obamacare HHS/contraceptive mandate, she was willing to let the government shut down instead.
Recall her letter to me from 2013, which stands up pretty well as a guide to her attitude towards religious liberty and what constitutes health care. The subject was the potential government “shutdown,” her support for Obamacare, and her insistence on defending its provision that women are broken and need to be fixed via “preventive” contraceptive converage. She had (has?) no problem forcing employers who provide health insurance to employees to be involved in those employees’ decisions regarding contraception.
From the 2013 post, with excerpts from Shea-Porter’s letter set off in quotation marks:
Here’s the relevant portion of her message. I’ve added some bold-face emphasis.
“Last weekend, the House of Representatives voted on a Continuing Resolution that contained multiple provisions that had nothing to do with keeping the government operational. That version of the bill, which I voted against on September 29th, included a provision that would allow any employer or insurer to refuse to cover any health care services they might object to. This would give unprecedented control over personal healthcare decisions to employers and insurers, allowing them to deny coverage for important women’s preventive health services, including HPV testing to prevent cervical cancer, domestic violence screening and counseling, and birth control.”
Like the president whose water she’s carrying, she conceded no good will to people like me who see the down side of the “Affordable” Care Act. That makes her next sentence a punch line, albeit a lousy one.
“I stand ready to work with my Republican and Democratic colleagues on finding common ground and getting things moving here in Washington.”
I guess the First Amendment doesn’t qualify as common ground.
…In Shea-Porter’s view, it’s imperative that employers with religious objections to contraception be forced to subsidize it anyway. She thinks that affording such people freedom of conscience would amount to “unprecedented control” over a woman’s health care decisions.
Forcing an employer to pay for birth control pills is an “unprecedented control” of its own.
I take from this that Shea-Porter believes free pills must somehow trump religious liberty. Perhaps I take too dim a view. HHS Secretary Sebelius, when asked about the HHS mandate last year, couldn’t square it with religious liberty beyond saying, “I’m not a lawyer and I don’t pretend to understand the nuances of the constitutional balancing tests.” Madam Secretary is apparently not the only Washington denizen who has trouble with nuance. The difference between health care and health coverage, between choice and mandate, between cancer screening and fertility suppression: all are lost on my congressional representative.
One more thing: if Carol Shea-Porter wins in 2016, she’ll be entitled to a lifetime Congressional pension at her own option once she’s halfway through her term. That seems odd recompense for her support of the HHS mandate.
For now, the Little Sisters of the Poor and the numerous other faith-based agencies fighting the HHS contraceptive mandate will NOT be subject to federal penalties for refusing to be a party (via employer-provided health insurance) to provision of goods and services that violate their faith. A unanimous U.S. Supreme Court decision today made that clear, while sending thirteen challenges to the mandate back to lower courts.
“This is a game-changer,” said Mark Rienzi of the Becket Fund, representing the Little Sisters. “The Court has accepted the government’s concession that it can get drugs to people without using the Little Sisters. The Court has eliminated all of the bad decisions from the lower courts. And the Court has forbidden the government from fining the Little Sisters even though they are refusing to bow to the government’s will. It is only a matter of time before the lower courts make this victory permanent.”
I admire Mr. Rienzi’s optimism. I hope he’s right.
The eight Justices declined to rule on the legality of the mandate, which is a regulation that followed the federal Obamacare fiat that contraception for women is a basic “preventive” health service. This federal policy that women are basically broken and in need of fixing is left untouched by today’s Court action.
The federal government can go ahead and provide the coverage for contraceptives and abortion-inducing drugs and devices, under today’s Court action.
The bad news is that this means no majority could be mustered in the Court to reject the mandate altogether. That was the “decision” of the day: the mandate is still legal, despite numerous carve-outs and exemptions. From SCOTUSblog:
“The two issues that the Court had agreed to rule on, and then left hanging at least for now, were whether the [Affordable Care Act] mandate violates the federal Religious Freedom Restoration Act by requiring religious non-profits that object to contraceptives to notify the government of that position, and whether the move by the government to go ahead and arrange access to those benefits for those non-profits’ employees and students was the ‘least restrictive means’ to carry out the mandate.”
“A decision not to make a decision is still a decision.” Those words were drummed into my head by my public-policy professor more than three decades ago as I studied landmark Supreme Court cases. An important non-decision was made today: the mandate stands. So do at least thirteen challenges to it, though, and that’s good news.
If I could see the Supreme Court Justices today for one minute, all I’d say to them is this: leave the nuns alone, already. The president’s not listening. Maybe the court will.
The fuss over Obamacare’s contraceptive mandate may have been off the front pages for awhile, but the Little Sisters of the Poor are raising the mandate’s visibility again. Good for them. They and several other petitioners are at the U.S. Supreme Court today, politely asking the Justices to prevent the federal government from forcing the petitioners to act in violation of their faith.
The contraceptive mandate (also known as the HHS mandate, in a backhanded tribute to the federal agency that promoted it) is based on Obamacare’s definition of contraception as a “preventive” service for women. (Not for men, mind you.) The idea was for insurance plans, including employer-provided plans, to cover contraception without a co-pay. Employers offering health insurance as a benefit would thus have to subsidize contraceptive use by employees.
The Little Sisters, women one and all, are having none of it. So far, litigation has spared them the punishment the government promises to mete out to balky employers. Today, the litigation begins its final stage.
Contraceptives include abortion-inducing drugs and devices. You’ll recall that the Hobby Lobby decision, decided on extremely narrow grounds, rested on the company’s willingness to pay for most kinds of contraception but not the ones that actually induce abortion.
Where does that leave Catholic entities like the Little Sisters, when providing contraception goes against their religious beliefs? Making contraception available under their health insurance for employees, even indirectly, makes the Sisters complicit in activities their religion sees as immoral. When the federal Obamacare exchanges exist, allowing people to buy insurance independent of their employers, why should employers be threatened with ruinous fines for not bowing to the mandate?
This isn’t solely a Catholic thing. Other petitioners today include Baptist and Nazarene institutions. What unites the petitioners is a firm belief that the government has no business telling them what their respective religions allow. Read more about the challenges to the mandate on the web site of the Becket Fund for Religious Liberty.
The feds have come up with one supposed “accommodation” after another in an attempt to make religious objections to the mandate go away. The feds have failed.
One fact is particularly damaging to the government’s dogged insistence that “free” contraceptives for women are a basic right: companies and agencies employing a total of one-third of Americans are already exempt from compliance with the mandate. The federal government has let the military, the city of New York, and Exxon off the hook, to name just a few. For some reason, though, the Little Sisters of the Poor have to go to court to vindicate their rights.
The Sisters’ ministry is to the elderly poor. Fines for noncompliance with Obamacare will harm not only the Sisters themselves but the people they serve. “So cover the contraceptives,” say mandate supporters, sounding a bit thuggish. Nice clients you have there. It’d be a shame if anything happened to them.
The Supreme Court split 5-4 in favor of Hobby Lobby, with an extraordinarily bitter dissent from Justice Ginsburg. One of the five in the majority, Antonin Scalia, has since died and has not been replaced. A 4-4 split would leave lower court decisions intact, which would be bad for today’s petitioners.
The lawyers for the petitioners can do math. They know the odds. They also know the First Amendment is alive and well, including protection for freedom of religion. As with the rest of the Bill of Rights, the First Amendment was not put in place to protect selected majorities but to protect all Americans.
My mom, God rest her, once quipped that the three biggest lies in the world are “the check is in the mail,” “of course I’ll love you in the morning,” and “I’m from the government and I’m here to help you.” I can add a fourth to the list: “They’re coming for your birth control” – a lie that has gained some currency, as a quick Web search will verify.
Brace yourself for more. A year and a half after the Hobby Lobby cases, the U.S. Supreme Court has announced it is taking up more challenges to the contraceptive mandate of the so-called Patient Protection and Affordable Care Act. (The ghost of George Orwell groans with every repetition of that title. I’ll use “Obamacare,” hardly a slur if the President takes as much pride in the law as he says he does.) The Little Sisters of the Poor, among others, will argue that they should not have to be involved in employees’ decisions to use contraception. The Administration holds an opposing view.
The they’re-coming nonsense ignores a few facts: people who don’t want to pay for someone else’s contraception or abortion-inducing drugs are not “coming to take” them; access does not mean “free”; religious liberty under the First Amendment includes religious practice, not mere freedom to worship – at least until and unless the Supreme Court chooses to eviscerate the First Amendment; Americans with religious objections to contraception (myself, among others) want not to be forced to subsidize or provide it to others.
Recall that in this context, “religious” isn’t limited to Catholic. The Hobby Lobby case was won by evangelical Protestants, and the companion Conestoga Wood Products case involved Mennonites. Recall as well that those cases were decided on extremely narrow grounds, with the Court majority acknowledging that it was not addressing the First Amendment issues raised by the plaintiffs. Instead, the decision rested on a statute, the Religious Freedom Restoration Act (RFRA). It was left to Justice Ginsburg and the other three Justices in the minority to say that the First Amendment didn’t protect the plaintiffs in their claim at issue. One more Justice being swayed to that view could make the Little Sisters’ case what Hobby Lobby was not: a landmark in constitutional law.
I am indebted to SCOTUSblog.com and Helen Alvare, Esq. of Women Speak for Themselves for their research and reports on the cases to be heard by the Court. I am mentioning only a few of the issues. Any errors in the following summary are my own.
The Little Sisters are arguing that their sincerely-held religious beliefs, no less than those of the Hobby Lobby plaintiffs, are protected by RFRA. In order for the federal government to prevail, if the Court limits itself to the actual issue in question, it would have to show that the Obamacare contraceptive mandate and the Administration’s efforts to “accommodate” religiously-affiliated employers do not amount to a burden on the Little Sisters’ free exercise of their religious beliefs. Further, the government would have to show that it has a compelling interest in forcing the Little Sisters to violate those beliefs. It would have to show that there is no other way to get “free” contraceptives to the Little Sisters’ employees.
The federal government is quite comfortable making all those arguments. The President and his HHS secretaries – first Kathleen Sebelius, Obamacare’s virtual doula, and now Sylvia Burwell – will litigate challenges to the mandate regardless of time or cost required.
About that “accommodation” for religiously-affiliated employers: employers who provide health care for workers are supposed to advise insurers, or the agencies administering health insurance, to cover contraception as a “preventive” health care item. To accommodate employers like the Little Sisters, the Administration crafted a regulation that allows those employers to advise the government of its objections to the contraceptive mandate, but then requires the employers to provide the government with all the information it needs to provide contraceptive coverage to employees.
The Administration calls this an opt-out for employers. Nope, assert the plaintiffs. Under the accommodation, the government simply turns around and does the paperwork that makes contraceptive coverage part of the health insurance plan provided by the employer. The employer is thus forced to be a party to providing something in violation of the employer’s sincerely-held religious beliefs. To compound the burden on the employer, there are financial penalties for failure to cooperate with the mandate.
We’ve met you halfway, say the feds. You don’t get to tell us what constitutes a violation of our religious beliefs, say the plaintiffs.
Back to “They’re coming for your birth control”
Nowadays, when I hear anything about a threat to women’s basic preventive health care, I immediately go on high alert. The currency of language regarding health care has become so debased that no one can or should take it at face value. “Threat to basic preventive care” has become code for “someone’s trying to get out of paying for your contraception” – a far cry from denying “preventive” care.
The Little Sisters of the Poor are nuns, for God’s sake (literally). They care for the elderly poor. Their vision statement sounds like something that ought to be encouraged: “to contribute to the Culture of Life by nurturing communities where each person is valued, the solidarity of the human family and the wisdom of age are celebrated, and the compassionate love of Christ is shared with all. ”
These are the women who are challenging the mandate. Theirs is the ministry that will be crippled if they have to pay fines. These are the people the Administration and other mandate supporters want to force into compliance. The Sisters take a vow of obedience, all right, but in doing so the Sisters in the U.S.A. didn’t surrender their constitutional rights.
Most inconvenient truth of all, in the face of the mandate: women aren’t broken and they don’t need to be fixed. Calling contraception “preventive” health care is the same as saying that women in their childbearing years are defective. Treating contraception as a choice, an option, is far different from treating it as a public health imperative.
It just might take a group of nuns to drive that point home.