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Cecile Richards

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The Other 99%

Posted: 11/16/11 05:46 PM ET

There's not a lot we agree on in this country. And yet, there is one topic around which there is practically universal agreement: the right of women to access birth control.

That's right -- 99% of women in the U.S. who have been sexually active have used birth control. It's used by women of every demographic, every geographic location, every income level -- and every religious group.

So does it sound crazy that a small group of religious leaders and tea-party Republicans are fighting to eliminate women's access to birth control?

But that's exactly what's happening. Right now in Washington, D.C., a small but influential group is lobbying the White House to prevent millions of women in America from having equal access to birth control under insurance plans. It seems as though having one of the highest unintended pregnancy rates, not to mention the highest teen pregnancy rate, among the world's most developed countries isn't enough -- we've got to make it even harder for women to access family planning.

The dangerous proposal put forth by this vocal minority tries to take advantage of an unfair exemption crafted by the Department of Health and Human Services (HHS) that allows certain religious employers to opt out of the new federal requirement that insurance plans include birth control and other preventive services with no co-pay.

But here's the thing: The HHS definition of "a "religious employer" applies to nonprofit organizations that have instilling religious values as their purpose and whose employees and clients share their religious tenets. In other words, religious institutions such as churches are already exempted.

But these lobbyists are trying to expand this definition to include religiously affiliated colleges, universities, medical schools, hospitals, social service organizations, schools, you name it -- so that these organizations will be able to refuse birth control coverage for their employees as well. This, despite the fact that these institutions in large part neither employ nor serve individuals who share their religious beliefs. In fact, they are open to and serve the public.

The result of such an expansion would be nothing short of tragic for millions of Americans and their families. Nearly 800,000 people work at Catholic hospitals and there are approximately two million students and workers at universities that have a religious affiliation. This expansion would impact all of these individuals -- as well as their dependents, denying them a benefit that finally makes an essential health care service affordable.

An expanded refusal policy for any organization claiming to be "religious" would amount to the single most damaging refusal provision around birth control ever implemented. In fact, it would set a standard as bad as or even worse than the refusal provision that George W. Bush put into place near the end of his administration -- and that President Obama sensibly and swiftly dismantled.

In essence, this harmful and illogical measure would undermine the very purposes of the Affordable Care Act -- eliminating discrimination in health care coverage and making sure all Americans have insurance coverage that meets their basic, preventive health needs. In fact, the U.S. Equal Employment Opportunity Commission (EEOC) has declared that the exclusion of insurance coverage for prescription contraceptive drugs and devices in an employer health plan that covers prescription drugs is sex discrimination.

An expanded refusal policy not only undermines a fundamental tenet of the Affordable Care Act -- that every person in this country deserves a basic standard of health care coverage -- it could set a devastating precedent that goes way beyond reproductive health care. Down the line, it could open the door to refusals to provide or cover any service that might be deemed to violate religious beliefs -- whether it be a blood transfusion, condoms to prevent HIV transmission, end-of-life care, mental health services, or mere information about health care options.

Just last week, the voters of Mississippi overwhelmingly rejected a proposed "personhood" amendment, in large part because it would have prevented women from being able to access birth control. The American people support birth control, and American women use it. The beauty of birth control is if you don't want or need it, you don't have to use it. That's a decision women can make perfectly well on their own, without the interference of government or religion. And that's something on which we should all be able to agree.

 

Follow Cecile Richards on Twitter: www.twitter.com/cecilerichards

There's not a lot we agree on in this country. And yet, there is one topic around which there is practically universal agreement: the right of women to access birth control. That's right -- 99% of w...
There's not a lot we agree on in this country. And yet, there is one topic around which there is practically universal agreement: the right of women to access birth control. That's right -- 99% of w...
 
 
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06:38 PM on 12/02/2011
Miss Richards, where do you get your stats? 99% is not accurate. Why can you not tell the truth? 99% of women have tried birth control, but only ~70% use it. This is even from your bedmate's (Guttmacher) resarch. "(They) found that 69% of sexually active women from any denomination were using highly effective birth control methods including sterilization, the pill or other hormonal method, or an intrauterine device (IUD). In addition, almost all have reported contraceptive use at some point, a figure that is similar among Catholic women. Another key finding was that 68% of Catholics use one of the highly effective methods, but only 2% rely on natural family planning. That number is comparable to 73% of Mainline Protestants and 74% of Evangelicals." Also, where did you get that the US Bishops are wanting to eliminate artificial birth controls. They are asking for Amercians to not pay for it and for insurers to have the option to not have it. You have made numerous false allegations in your editorial. I'm so sorry to see you feel lying is the only to get people to support your pro-abortion agenda. Please, use facts and stop saying you are for women's rights.
03:40 PM on 11/18/2011
In 2005, the World Health Organiztion (WHO) put out a press release which stated that a team of scientists had determined that combined oral contraceptives (estrogen plus progestogen) and combined menopausal therapy are "carcinogenic to humans". This combination is now classified as a Group 1 "sufficient evidence of carcinogenicity in humans". The American Cancer Society still lists this combination as a carcinogen. If you are concerned about the environment, there are studies now in progress to evaluate how much of these compounds are in the public water supply, causing unintended damage to the general population and environment. Ladies be savy and healthy. Cancer is no fun. I can attest to that. There are other contraceptive methods other than hormonal contraceptives.
11:16 PM on 11/19/2011
Could you please provide a link to a source for this?
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relentless63
03:12 PM on 11/18/2011
That makes sense if they're also advocating celibacy for all men. But then, they know what that leads to. The idea that arrogant men, under the auspices of power, are deciding women's issues is an anathema to all thinking women. Are they going to force us to go on strike?
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mszimmie
11:50 AM on 11/18/2011
When will it ever end??? www.taxthechurches.com

Keep rosaries out of ovaries.
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Karissa36
Saving lost boys and fighting pirates.
09:38 PM on 11/17/2011
So what is the church's stance on viagra and vasectomies? How about testosterone supplements, which are also used to increase sexual ability. Should these all only be available to married men, consistent with the prohibition on unmarried sex? It drives me crazy that health care is only considered controversial when it is limited to women.
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Earl Gray
Lighting up straw men everywhere
08:35 PM on 11/17/2011
One reason these guys (yup, guys) get to keep playing this d@mn card is that our twisted tax policy makes health care coverage tax exempt and the insurance system pretty much guarantees that NOT having coverage makes health care completely unaffordable.

1) Highly regulate all patent medicine prices. We grant them "exclusives" in the form of patents, but then get nothing in return. We do it with electricity by limiting the price a utility charges its customers, so why not?

2) Regulate all prescription drug pricing. One price fits all. If the insurance companies did not demand deep discounts, the "retail" price of drugs would not be nearly as out of control. Let the market drive down the costs, isn't that what a "free market" is all about? Harshly punish profiteers and price fixers - not with a fine, but with a tax that lasts for years on both the current company and its successors and assigns.

3) Require insurance companies to include individuals in the "corporate plan" pricing. No more usurious plans for individuals.

4) Tax health benefits and use that money to reduce the tax brackets of families up to $500K per year. Make it a wash so that increased taxable income = lowered taxable rate.
ThinkCreeps
Seriously, it's time.
07:43 AM on 11/18/2011
1) If you paid the development costs you should have something in return. Issuing a patent is no different than issuing a driving license. It's something that states have to do. No-one's been hit recently by an ambulance-chasing lawsuit about electricity, and so electricity prices aren't inflated to deal with that cost.

2) Is the same issue as 1). The market does drive down costs - competitors are developed for successful drugs. The scary part of drug development is that chronic mild disease get drugs aplenty, while severe, acute and preventative drugs get ignored.

3) You can't spread risk over individuals. That's why their prices are higher, as they are for
small group plans. This is effectively covered already by mandating insurance and preventing exclusions for pre-existing conditions.

4) Why? If it's set to be a wash, then what's the point?
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Earl Gray
Lighting up straw men everywhere
12:50 PM on 11/18/2011
Tort reform is absoultely a piece of the puzzle, especially limits on what lawyers get to charge and on punitive damages, which ought to transform into fines more than windfalls.

As for the pricing scheme, look to Canada. The whole "not really the same" arguement is a total canard.

The inflated pricing schemes of the drug companies include deep discounts for the insurance companies such that without the insurance, many drugs are unaffordable. Those lower prices offer profits aplenty and do not need to be supplemented by raking individuals over the coals.

Group policies DO spread the risk over individuals. These big plans, again, are sustainable for the insurers at the lower prices. The higher cost of individuals is no more than taking advantage of the weaker negotiating position an individual has compared to a large corporation.

The last is the real heart of the matter. Certain groups want to control certain behavior. They claim that if the benefit is tax exempt, "they" are having to subsidize it. Abortion access is the prime example, as is this article's regarding birth control.

If the "benefit" was taxable, those who seek to stop it lose that leverage.

Of course, this is a poor arguement in any case, because there are those morally or religiously opposed to war, death penalty, etc. who don't get to prevent THOSE things from being "funded" (far more directly) by the government.
01:16 PM on 11/18/2011
"3) You can't spread risk over individual­s. That's why their prices are higher, as they are for
small group plans"

Depends on your age. If you are young you can buy a individual Blue Cross policy cheaper than the employer policy because the groups plans take in averages.

Personally, it think young and healthy should pay less as they are starting a family, building homes, and getting established. As people get older and have more frequent health needs, they should be established, have the home paid for and kids out of the house and thus able to pay higher premiums.
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AKansasComment
Don't it make my brown eyes blue
03:50 PM on 11/17/2011
Some of you act as if I want you to pay my pharmacy bill. Settle down and get a grip.
The point here is about insurance coverage which any participant is paying for... either out of pocket or by a reduction of their salary.
A monthly supply easily costs nearly $50 per month and many can't afford that. When I was younger and poorer I got mine from Planned Parenthood because I couldn't afford the full cost. But you want to cut out PP, too. What's going to happen to this ecomony when the birth rate goes ballistic?
Wendy420
Live Free
04:20 PM on 11/17/2011
I'll pay yours, if you pay mine! hahaha
03:36 PM on 11/17/2011
Wait, they aren't denying women's right to birth control, they're denying the government the responsibility of providing it
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HUFFPOST SUPER USER
hburns1351
I'm too old to be diplomatic
06:52 PM on 11/17/2011
No, they are allowing companies from providing insurance that covers birth control based on religion.
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Lady1genius
No se puede tapar el sol con un dedo
07:51 PM on 11/17/2011
Ky RM... stick to what you know. This has nothing to do with government providing anything.
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mszimmie
11:51 AM on 11/18/2011
Ahhh. Happy and relieved to scroll down and see you in this! Tell them sister!!!
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Kara Kramer
03:35 PM on 11/17/2011
The only thing the Tea party congress can agree on is their newest way to injure women.
What sort of women VOTE for these people?
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HUFFPOST SUPER USER
meelabean
A poster girl with no poster
09:21 PM on 11/17/2011
Brainless automatons who do what their daddies, husbands's priests/pastors/ministers tell them to do.
02:25 PM on 11/17/2011
Why do republicans and the tea party think they have right tell everyone how to live.............Do they think they are God
Wendy420
Live Free
03:12 PM on 11/17/2011
Everyone tells us how to live these days. We are no longer land of the free.
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myviewsofnow
12:18 AM on 11/18/2011
Good thing I don't listen ....
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3RawBob
My Bible: the Jefferson Bible
02:23 PM on 11/17/2011
President Obama got elected by people that believe in family planning. I think that he and HHS Secretary Katherine Sebelius, although a Catholic, are committed to expanding the availability of birth control. If they are not able to hold firm on this issue, the progressives, like me, will go crazy.
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Lady1genius
No se puede tapar el sol con un dedo
07:54 PM on 11/17/2011
Not only will progressives go crazy,everyone will pay exponentially more for insurance. Birth control is much cheaper than birth.
02:07 PM on 11/17/2011
Why do repubs want to only regulate which does not need to be regutaded by govt
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bighat
Truth as I see it
01:53 PM on 11/17/2011
Why is this even a problem? Women out number men. Due to the fact most men marry younger women and women live longer on the average than men they also have all the money. Hit the right people up for lobbyists or politician running for office
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Lady1genius
No se puede tapar el sol con un dedo
07:56 PM on 11/17/2011
I think most men marry within their own age group. Some marry younger, some older. I wouldn't trust that stereotype. By their own age group I mean five years or so either way.
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bighat
Truth as I see it
05:45 PM on 11/18/2011
If a man marries a woman 5 yrs younger and women live longer than men they still have the money and influence.

Unless you are arguing that men live longer than women
Wendy420
Live Free
01:12 PM on 11/17/2011
This article *really* speaks to the matter of having everyone share the cost of every day health needs, but ONLY the ones that the government and insurance companies agree upon. The whole notion is absurd. Every day health care should not be covered under ANY insurance policy. Insurance shouldn't be about co-pays and sharing the cost. It should be there as a just-in-case-something-horrible-happens. Like auto insurance, it's there if you're in an accident, but you HOPE to never use it. This cost-sharing thing started with the HMOs and it WAY out of hand. So-called cost-sharing has done nothing but raise costs for everyone.
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Lady1genius
No se puede tapar el sol con un dedo
07:59 PM on 11/17/2011
Wendy, as a nurse I MUST tell you that when people are incentivized to address small issues, that greatly reduces the chances of things becoming "horrible" in the first place. I'm a big believer in health care as opposed to sick care. I think most medical people agree with me.
01:32 PM on 11/18/2011
Hear is why I tend to agree with Wendy. When my wife was pregnant several years ago, when had bad reflux. The doctor prescribed Prevacid. When I went to the pharmacy, he told me that it wasn't on my plans list of preferred medications and there was no generic alternative so it would cost me $150. Then he said, I can sell you the Prilosec OTC for $25 a box off the shelf.

I called the doctor and he said either would do. I'm assuming he thought that we had good insurance with low co-pays when he prescribed a prescription medication for a problem that could be taken care of with an over the counter med. The problems is, he was going to have an insurance company pay $150 for a problem that could be addressed for $25.

If everyone was a cash customer for routine work, the doctors would start prescribing the best mix of low cost and maximum effectiveness. Currently, they are treating for maximum effectiveness with zero regard to cost.
01:24 PM on 11/18/2011
Great post. I'm surprised the liberals haven't demanded that car insurance policies include coverage for oil changes and tire rotations.
12:53 PM on 11/17/2011
Yet another barely veiled attach on the Catholic Church. Pitiful.

If people don't approve of any one church's position on a certain issue, LET THEM WORK SOMEWHERE ELSE. This is not hard. Religious institutions cannot simply "change" a position of moral principle for the purpose of individuals. Individuals, however, CAN change their employers if they wish.
I support Catholic nonproifts in not being forced to provide, THROUGH THEMSELVES, access to reproductive interventions which they find immoral.
01:38 PM on 11/17/2011
This has nothing to do with supporting or opposing any particular religion. A religious service organization has no moral or legal right to impose its own beliefs about private behavior on clients or employees who don't share those beliefs. So what if the insurance plan covers birth control? The people who run the organization are still free to not use the birth control themselves, so their own moral principles aren't compromised.
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PBMac
01:48 PM on 11/17/2011
Give me a break, in this economy!!! I happen to work at a Catholic university, in part because it is the only job I could get at the time. Get real, if the Catholic Counsel of Bishops has its way all women will be bare foot and pregnant. This is NOT tenable!