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Cecile Richards

Cecile Richards

Posted: December 21, 2009 05:41 PM

Women on the Verge

What's Your Reaction:

A reporter asked me today if I was surprised that the issue of abortion has become, yet again, the midnight issue in health care reform bills. Once again, at the final hour, women's rights and access have been traded away in the new Senate health care bill. Rights and access that we may not get back anytime soon, if ever.

It's hard not to be discouraged when health care access for millions of women is traded away for one vote -- but that's exactly what happened. Senator Ben Nelson put his colleagues in the Senate in an impossible position, forcing them to agree to an illogical provision in order to move the health care reform process forward.

The new Nelson abortion provision is definitely not the status quo, as it doesn't reflect current law. But not only that, it doesn't even make sense. The purported reason to add additional language to the Senate bill was to insure that federal funds aren't used to pay for abortions -- but the Nelson amendment does absolutely nothing about that. All the Nelson amendment does is impose new, additional obstacles for women to get coverage -- even for medically necessary abortions. This goes way beyond any legislation that currently exists, and no matter how you look at it, it's a huge step backward for women's health.

Under this new language, anyone -- men and women of all ages -- who participates in an insurance plan that includes abortion coverage is required to write two separate premium checks each month: one for abortion care and one for everything else. I'm just trying to picture my son writing out his health insurance payment, and then writing another check for his part of the "abortion coverage." Is this really happening?

This new "extra" payment for abortion coverage is akin to an abortion rider -- as if women would take these extra steps to pay for insurance, with a separate check, that included abortion coverage. Women don't plan an unplanned or problem pregnancy any more than they plan for a heart attack. But they expect that they have coverage nonetheless.

Requiring people to write two separate checks for their health coverage doesn't accomplish anything other than the real goal -- making the system unworkable -- which is exactly what health care reform opponents want. Like the Stupak abortion ban, the Nelson abortion provision creates such complicated administrative burdens for health plans that it's highly unlikely insurers will offer abortion coverage at all.

The inanity of the Nelson provision is dawning on folks everywhere -- it doesn't make good health care sense, and it won't work. In fact, I'm not even sure I can explain it to my husband. He's pro-choice, but I'm not sure he's going to get why he's supposed to write a check each month to pay for abortion coverage.

This process isn't over. There are two very different bills to be reconciled, and lots of new information coming out every day about exactly what this amendment would do to women's health care. So let's focus on what's important: This is a health care bill, and the purpose of this health care bill is to increase health care coverage, not take it away. We need a health care bill that treats women and women's health just like everyone else -- that's all we're asking for.

 

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

 
 
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ShakeYourComplacency
Commonsense Progressive
07:02 AM on 03/12/2010
Cecile, thank you for your very good post. Unfortunately, this bill will pass and it will be a shameful attack on women's rights and health. It's a disgrace that it was even up for discussion. The response to anti-abortionists should have been this:

"As anti-abortionist conservatives, you don't represent my constituents, nor do you respect current law. Abortion is a legal medical procedure, and will be treated as such in this health care bill. As elected officials committed to upholding and enforcing the law, I refuse to create restrictions which can be challenged as unconstitutional or illegal, or both. If you oppose the idea of abortion, then I suggest you work through legitimate channels, not backdoor channels, and open a debate on Roe v Wade. I then suggest you attempt to reverse the Roe vs Wade ruling, and pass a federal law making abortion illegal. Good luck with that. Now get out of my office."
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HUFFPOST SUPER USER
jcwtts1
Elections have consequences
02:14 PM on 12/27/2009
This isn't prohibiting abortions, this is reaffirming hyde. If women didn't want hyde discussed they should have agreed to a basic expansion of hyde that says, hyde is in force with federal money. But they didn't. They decided that no one else was smart and no one else could figure out that hyde didn't cover insurance. They figured they finally had a work around of hyde that didn't include actually voting on abortion. Because women know that they can't win a vote on abortion. They never have. Abortion isn't legal. It is unconstitutional to prohibit abortion. That is a very fine distinction but it is a real one. There has never been a vote saying women can have abortions. At least not that I can remember. So hyde is in force and frankly when you get cute and try to step around an existing law you get what you get. I am pro choice but we aren't sinking the bill for hyde. Especially not when people can buy a rider to get coverage and or privately pay for an abortion, which costs an average of 300 dollars. If you want to set up a fund to pay for poor women's abortions send me a link I'll give money. But Hyde is the law of the land. Heck, if you want to fight hyde which is a disgusting, I'll fight it. But this isn't the bill to fight it in. Especially not back door.

J

J
10:40 AM on 12/27/2009
Abortion is a very complex and difficult issue. If resolution the entire matter of the health care crisis here in the US depended on the management of abortion expenses, the debate could on indefinitely. The largest issues of the crisis are universal access and the destructive effect that corporate control of the system has on the national economy. Piratically speaking, these are the issues that should drive the debate toward any resolution.

That being what it is, political ideology and money are what are driving the current process of addressing the crisis. There are 17 women in the sitting US Senate, four of whom are Republicans. The four Republicans voted against the Senate bill, as they would against any Senate bill, for political reason. The thirteen Democratic Senators who are women voted for the bill for political reasons (and in some cases for monetary reasons as well). I strongly doubt that the abortion issue as framed by Nelson played much of a roll.
07:50 AM on 12/27/2009
This is just the tip of the iceberg that these religious fools want. They are trying to make women feel ashamed to have an abortion and people who care about equality better wake up and fight these idiots before it is too late. Where are the women in congress? Are they willing like Obama to sacrifice women's rights to get this corporate welfare bill passed?
12:32 AM on 12/27/2009
President Obama even that this is a Healthcare bill NOT an abortion bill.
You ladies already have Roe, so leave the rest of us who are NOT responsible for your unplanned pregnancies alone.
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PartyofLogic
Proudly progressive
09:42 AM on 12/27/2009
"your unplanned pregnancies"...??

i believe you have proven Ms. Richards' point. And emphatically at that.
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synaesthete
07:24 PM on 03/11/2010
Under your logic, those of us who don't have children should not be paying taxes that go towards supporting public education, childcare, and other services that are unnecessary to us because we are "NOT responsible" for your offspring. Contributing to the greater good, despite not necessarily directly benefiting from it, is part of being in a community -- especially one as convoluted and expansive as a nation.
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Heidi McClure
09:36 PM on 03/11/2010
They'd probably like that. Lack of education is where we get Tea Party members.
09:55 AM on 12/23/2009
Howler, all I can say is that you must be a man. No woman would believe that it's that simple to walk away from an abuser. If it were, there would be no abused women, no pregnancies resulting from rape, no shelters, no women living on the edge with their innocent children, and probably a lot of dead and dismembered men lying about.

Cause aside, a medical procedure is a medical procedure. Shall we return to the days of my pre-Roe-v-Wade youth when a pregnant teen's best friend was a wire coat hanger and college health clinics handed out pitocin syringes on a take-home and bleed to death basis? When men stop impregnating women against their will and take responsibility for the outcome, none of this will be necessary, will it?
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ShakeYourComplacency
Commonsense Progressive
06:38 AM on 03/12/2010
Did you hear the new Utah law? It's now HOMICIDE to use the coat hanger. The woman goes to jail. I believe that at this point, Roe vs Wade is dead, because it's not being enforced at all. This is exactly why the smarter anti-abortion groups did NOT want to challenge Roe v Wade in open court. Because they knew they'd lose. They also knew the general public was in favor or keeping Roe v Wade. The solution for them was to take the teeth out of the ruling. To regulate abortion to death, to close clinics, to make laws restricting crossing state lines to a clinic that's NOT closed, to frighten and invade the privacy of patients with broad-based subpoenas of medical records....I can go on and on.

Do you know what this is like? This is like Blacks being given the right to vote, but not letting them vote. Can you imagine NOT having the Voting Rights Act? It was the only thing that allowed African-Americans to actually use their right to vote.

All this crap is Jim Crow for women's rights. The abortion rider, along with dozens and dozens of other laws, is preventing free, fair and safe access to abortion the same way Jim Crow laws prevented voting.
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HUFFPOST SUPER USER
billw8017
History looks like this
06:51 AM on 12/23/2009
What is needed is an inexpensive and freely available abortifacient drug.

While this should ideally be administered under medical supervision, the need of medical supervision would be obvious after the fact but not the same thing as giving an abortion. There are herbs, vitamins and chemicals that function as abortifacients and medically knowledgeable people can probably prepare them outside of the medical profession.

This may seem distasteful, but women not choosing to carry a baby to term have resorted to desperate expedients. There is a vast mythology over this field, but suicidal procedures have been practiced. It was because such abortions were a veritable plague among American women that the Supreme Court decided Roe as it did. Say, we got serious, and published best methods -- the internet must be worth something -- the whole issue of abortions must pass out of the possibility of legal restriction.

Frankly, in view of this, I don't feel the movement in support of choice is about abortions as such, but it is about dignifying the choice to have an abortion. This is not the same thing as picking a pointless fight, but it is close.
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HUFFPOST SUPER USER
Heidi McClure
09:43 PM on 03/11/2010
Herb-induced abortions are dangerous, and can be deadly. Google Abortion and Kris Humphrey. She died taking pennyroyal and black cohosh, rather than going to a clinic and having the procedure done safely.

But I agree wholeheartedly with the rest of what you said.
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HUFFPOST SUPER USER
billw8017
History looks like this
03:07 AM on 03/12/2010
Still, the Bible uses abortifacients in the ritual of abortion (Numbers 5). The reference to "bitter water" refers to an herbal which was the state of the art 2500 years ago and also advised by Hippocrates. I suppose the "day after" pill would be the modern equivalent. The Bible procedure has certain legal fictions to justify it: The man has to instigate it, presumably from jealousy though the laws that provide for death by stoning for the "unfaithful" wife are ignored in this instance. The woman is expected to be agreeable and say, "Amen." Sometimes, the Bible is almost funny.

American abortions were often herbal. One relevant herb having the popular names, "devil's spit" and "nectar of the gods." My book of wild foods lists it as poisonous and particularly to be avoided by pregnant women.
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HUFFPOST SUPER USER
billw8017
History looks like this
03:21 AM on 03/12/2010
I may just simply be wrong. Abortion is a serious procedure no matter how it is done, and medical observation may be the difference between life and death.

Before Roe, girls would do things like roll down a flight of stairs to induce a miscarriage. A man I knew had his mother in law stay with his wife while he worked just to protect their infant child. I do not doubt these are serious matters.
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Sam1jere
Open-minded, sports lover, Red
01:57 AM on 12/23/2009
There are a number of issues a neutral person should consider here. How much will already overburdened citizens continue to incur by way of expenditure, at a time when many face long-term joblessness and fail to even balance domestic budgets? The other issue is, the society has a sizable pro-life group. How do they take making out two cheques, one of which covers an issue they're obviously sensitive about? Sounds very inconsiderate and seems to trample on certain individual liberties. Isn't legislation supposed to begin from the side of public interest? While not fully informed on this matter, I feel that issues like abortion will detract from the central purpose of such a bill. The govt should ensure abortion is standardized and made safe for all, and this comes from an anti-abortionist. It will in turn prevent needless deaths. I feel that more debate is needed in such a matter.
09:01 PM on 12/22/2009
I'm not sure the author of this article understands the point of insurance.

"Women don't plan an unplanned or problem pregnancy any more than they plan for a heart attack. But they expect that they have coverage nonetheless. "


Do on having your house consumed by a wildfire? What about a flood, or hurricane, or accidental death and dismemberment? Do you know that life and disability insurance have riders specifically called "accidental death and dismemberment"? I'd even be willing to bet that the author of this article has this rider. Is she planning on being decapitated? Of course not. But each of these things are separately administered and accounted for riders on life, property, and casualty insurance policies. They are not ever part of the core protection.

So...does the author prefer the Stupak language so that she can be prevented the horror of having to write two checks? Next thing you know, we'll be discussing why having Botox treatments covered is necessary because nobody plans on getting wrinkly.
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Idea1013
09:08 PM on 12/22/2009
What a ridiculous non-argument. People who have, for instance, accidental death and dismemberment rider through the same company as their health or life insurance are not asked to write a separate check to pay for it- the insurance company handles that. This is Ben Nelson's way of trying to frustrate or embarrass people out of paying for a part of their insurance coverage he doesn't believe they should have the right to.
09:00 PM on 12/22/2009
If men could get pregnant, it would not be an issue. Women deserve health care coverage at the same level as men. If women's reproductive health is not covered, men's reproductive health (prostate trouble and ED) should not be covered. For women it may be a matter of life and death. For men, ED is not. I don't know why we are even arguing this. A woman's body belongs only to herself, not the government or any other person. Health care is a human right, not a privilege.
09:10 PM on 12/22/2009
Personally I agree...ED isn't a "health" issue from the standpoint of achieving an erection, though there may be serious conditions behind it. So supplying viagra or any other medication simply for achieving an erection should not be covered, on this we agree. I also agree that a woman's body is her own...so if a woman wishes to terminate a pregnancy for any reason other than rape, incest or her own physical health (real healthcare issues)...she should pay for it just like the man should pay for his viagra.
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synaesthete
07:31 PM on 03/11/2010
The only problem is that many women who need abortions (according to the last set of statistics I viewed, anyway) do not have the financial resources to care for a child, nor to end that pregnancy. It's a lose-lose situation for that woman, if there is no government-sanctioned "safety net", so to speak. The alternatives, of course, include having that woman take drastic and potentially fatal action to end that pregnancy, or having a child born into a disadvantaged family, and eventually becoming the responsibility of the government anyway, via welfare payments.

Personally, I think paying a nominal amount to cover the termination of an unwanted pregnancy is far preferable than my taxes being used to support a whole child until he or she reaches adulthood, or bearing a desperate woman's (albeit, much-proxied and -diluted) blood on my hands. But perhaps that is just my financial frugality talking.
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Idea1013
08:18 PM on 12/22/2009
Howler,
I find it difficult to believe that you have some to understand abused women when the attitude you put forth is "I pay for and learn from my mistakes I don't whine about them, that gets you nowhere fast. Anyone that doesn't do that deserves what they get."
08:29 PM on 12/22/2009
I don't condone abuse of anyone ( nice quote taken out of context btw). If someone is being abused they need to get help to change the situation not a crutch to help justify being in the situation. Free abortions (the topic of this discussion primarily) don't solve anything. They are just a crutch.
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Idea1013
08:37 PM on 12/22/2009
Out of context? You were replying to a story about an abused woman who found herself pregnant by her abuser once again- how is that out of context? An abortion is not a crutch. In her case in particular, having another child would have made it that much more difficult for her to leave the home in which she and her child were being abused. Also, the only person talking about FREE abortions is you. The rest of us are discussing the abortion coverage already in many private insurance plans that Ben Nelson and others are trying to get taken away. The last time I checked, private health insurance is not free.
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Idea1013
08:16 PM on 12/22/2009
LAGUNAN- Though you piece-mealed my statement without really answering it, I'd like to respond.

"Birth control and the morning-after pills are different. One is used before conception, the other after conception may have occurred."
Yes, they are different pills with different purposes; my reference to the morning after pill had to do with pharmacists and doctors who refuse these pills to young women based on personal beliefs, to which I say, if you cannot do your job without your beliefs interfering, you should find a new line of work that is more consistent with your beliefs.

"Also, anyone who advocates limiting birth control is irresponsible, regardless of their stance on abortion."
It is incredibly irresponsible but religious groups across the country- the same ones fighting against a woman's right to an abortion- are advocating against birth control as well, creating a fail/fail situation.

"Birth control for minors, without parental knowledge, is another issue entirely, right?"
Though I would hope that my daughter will come to me when she is thinking about starting birth control, the children of those mentioned above will not feel that they have that choice. Therefore, no, I do not believe birth control for minors is a separate issue, though I hope one day, with the spread of education, that it can be.
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synaesthete
07:34 PM on 03/11/2010
I know a medical receptionist who refuses to dispense abortion information to women. She tells me she works in medicine to assist people, but she does not wish to assist in an abortion. To which, my only response is that she isn't really doing much to help someone who is actually in desperate need, per se, and it is not up to her to decide who is worthy of being helped and who is not.

Sadly enough, her opinion is not unique amongst the medical professionals I know; and having both parents as medical doctors, I know quite a few. Perhaps many of them need to be reminded of the Hippocratic Oath to do no harm, and that refusal to assist can be just as harmful, if not more so, than direct, active interference in a person's decision.
06:48 PM on 12/22/2009
@ Cecile Richards
5:45 PM CST

Quote :

"...Women don't plan an unplanned or problem pregnancy any more than they plan for a heart attack..."

...Sorry Cecile, I take strong exception to your red herring article here and your equating (and trivializing) a "heart attack" to "unplanned pregnancy".

Part of a humane society's obligations in "health care" is to educate it's population to a level that there are fewer "unplanned pregnancies". A woman (not the "man") owes it to herself to determine whether she wants to procreate; if not, then it's time for one or the other partner to decide who's tubes gets cut/tied first. It's that simple.

In human dimensions, especially within the obsessive, commercially warped sexuality of our dysfunctional culture, I know you're gong to say I'm not being practical; or that my "social vision" neglects the shallowness of the American sexual template. I am aware of these realities, and to that I say America needs a huge dose of aversion therapy.

As to "problem pregnancies", yes of course this should be included coverage, and it is outrageous that anyone could think otherwise.

But the bottom line here is the congressional failure to radically reform health in not a gender issue.

...(continued)...
06:50 PM on 12/22/2009
...(conclusion)...

We should stay focused on the issue :

47, 000, 000 Americans continue to be denied what should be a basic human right to health care, as it is a right in all other civilized, industrial countries. Millions of other uncounted Americans are inadequately insured and even if insured, are still being denied for frivolous reasons borne out of pure greed, practiced by out of control parasitic insurance companies.

That is the issue. Divisive gender issues have no place in this discussion.

J.B.
12/22/09
07:06 PM on 12/22/2009
it is not *women*, mr ballard, who brought this "divisive gender issue" into the discussion ~ it was the MEN in congress. so please ~ spare us your preaching about what is and is not appropriate.

your suggestion that we all get ourselves "cut/tied" to avoid pregnancy is offensive in the extreme. the fact that one does not want to have a child at 14, or when struggling to make ends meet without a job, or at any other time of our choosing, does not mean we should be relegated to such extremes.

the bottom line, in my view, is that EVERY CHILD SHOULD BE A WANTED CHILD. not forced to be born into a home situation where it can never thrive ~ and maybe worse.

while it is true that better information and education owuld prevent some unwanted pregnancies, it will not prevent all ~ there's a reason that NO method of birth contrl professes 100% effectiveness.

and what of women who learn well into their pregnancy that their health is at stake or the fetus is not viable? what is your solution to that?

never mind. based on your expressions above, i don't really want to know ~
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Peter Noble 2
06:11 PM on 12/22/2009
You think merely lobbying about this will work?

Time for democracy is over. Time for action though is right now.
06:32 PM on 12/22/2009
both
06:00 PM on 12/22/2009
It's time to remember (AND NEVER FORGET!) the words of Margaret Sanger:

“A woman’s body belongs to herself alone. It is her body. It does not belong to the church. It does not belong to the United States of America or to any other Government on the face of the earth. The first step toward getting life, liberty and happiness for any woman is her decision whether or not she shall become a mother. Enforced motherhood is the most complete denial of a woman’s right to life and liberty.”

Margaret Sanger
"The Woman Rebel"
March 1914

quoted in
"Margaret Sanger, Her Life in Her Words"
by Miriam Reed, Ph.D.
Foreword by Margaret Sanger Lampe
2003 First printing
p. 46
06:18 PM on 12/22/2009
I haven't read the book.

Wikipedia has this:

"Sanger believed the responsibility for birth control should remain in the hands of able-minded individual parents rather than the state, and that self-determining motherhood was the only unshakable foundation for racial betterment."

After 30 years of legal abortion, are we seeing any improvement in our society?
Technology has improved our standard of living, but has Sanger's type of eugenics helped create racial betterment?

Or is it that there are not enough abortions being performed?

Maybe not enough people have been "enlightened" about the benefits of abortion.

Maybe as a society, we have not targeted the right adolescent girls or women and convinced them of the benefits of abortion to our society as a whole.

For me, the fact that the Wikipedia articles need to differentiate between Sanger's eugenics and that of the Nazis, is a strong sign that holding up abortion rights is a move in the wrong direction.
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Idea1013
06:29 PM on 12/22/2009
Two points: 1. Wikipedia is not an acceptable reference- it's open source which means anyone can add anything.

2. Sanger comments, atrocious as they may be, need to be taken in historical context. In 1914, her work and attitude was considered to be not only progressive, but extremely liberal. Pre-life groups often try to use her words against the pro-choice movement by insipidly removing them from context and ignoring what society was like when her writings were published.
06:35 PM on 12/22/2009
what does abortion rights have to do with racial justice?
are you suggesting ms sanger was a racist??? to the contrary, she supported rights for ALL women, but her special concern was for POOR women ~ regardless of their color. and in her day, in ny, the majority of poor women were poor immigrants ~ from europe ~ thus white.
06:18 PM on 12/22/2009
I completely agree with womens rights in all regards...including that of choice. BUT when you have rights you have responsibilities that go along with them...which includes being personally responsible for the choices you make. No where in this legislation does it prohibit a woman from being personally responsible. In fact it encourages personal responsibility.
06:37 PM on 12/22/2009
once again, your grasp of the real world challenges faced by poor, disadvantaged women is incredible. it *should* prevent you from offering your woefully ill-informed opinions ~ and yet it does not.
09:52 PM on 12/22/2009
Heart attacks are generally brought on by lifestyle choices, as are sports injuries, car accidents, type II diabetes, many cancers, sudden cardiac deaths, power tool injuries, farming accidents, drug overdoses, cirrhosis, food poisoning from undercooked meat or vegetables, injuries from drunken bar fights, etc. and on and on. Now let's talk about your personal responsibility and how you're going to ensure we aren't paying for your bad choices with this bill.