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June Carbone

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How We're All Paying for Rush Limbaugh to Take Viagra (And Why it Costs a Lot More Than Contraception)

Posted: 03/15/2012 12:23 pm

When conservative blowhards rant, you know they have something on their minds and it's almost always themselves. So the people who yell loudest about class warfare have waged it successfully on behalf of the 1 percent. And the conservatives complaining about death panels did not object to the real ones in states like Arizona that denied Medicaid benefits to patients who died because of the transplants they could not get as a result. Similarly, you then hear Rush Limbaugh objecting that a mandate that university health plans cover contraception would mean taxpayers paying people to have sex, it can only mean that he is describing himself. And he may very well be. Let me explain.

First, Rush's comment. As anyone who had listened to the media over the last week should know by now, the conservative radio commentator insulted Georgetown law student Sandra Fluke when she tried to testify before Congress. Fluke's testimony maintained that contraceptive coverage was important to women because, without coverage, it could cost as much as $3,000 over the course of university enrollment and some women needed the birth control pill to control medical conditions such as ovarian cysts. Fluke told the sad story of a classmate who could not afford the pill and faces early menopause in her 20s as a result. Limbaugh called Fluke a "slut" and a "prostitute" and insisted that she "wants you and me and the taxpayers to pay her to have sex" and he later added "as many times and as often as they want, with as many partners as they want."

The Obama administration, however, mandated that private plans cover contraception because doing so will save money, unlike coverage of Rush's Viagra, which does cost the taxpayers money if he bought it through an employer-provided plan. Limbaugh made the news pages sometime ago when he was stopped with a bottle of Viagra as he was returning from the Dominican Republic, with four men to whom he was not married. He was detained because the Viagra was issued pursuant to a prescription in his doctor's name, but once he signed an affidavit that it was in fact for his personal use, the matter was dropped.

Now, I don't begrudge Rush his Viagra, if he has a problem with erectile dysfunction (though I certainly too do not favor posting his activities on YouTube). It would be nice, however, if Rush were to admit the taxpayer role in paying for his pills. Our existing healthcare today is a massive subsidy from the uninsured to the insured. The U.S. does not have a state-sponsored healthcare system partly because of a historical accident. The earliest forms of health insurance were modestly sized, physician-sponsored Blues programs. But it took U. S. government-imposed price controls during World War II to really grow the concept.

In the 1940s, private employers started to offer healthcare benefits to compete for new employees during a tight labor market. Employers deducted the cost of the programs as a business expense, but employees did not have to report the benefits as income on their tax returns. The result is a huge tax subsidy for healthcare benefits. The more money an employee makes - and the higher the marginal tax rate on the employee's income - the more the employee might prefer additional income in the form of an untaxed medical benefit. So the best employer-provided healthcare plans, the so-called "Cadillac plans," often go to the most highly compensated employees. CEOs love them. Mitt Romney as head of Bain Capital, highly sought-after commentators like Limbaugh, and some of the most generous union plans tend to have the most extensive coverage. While the Affordable Health Care Act proposes higher taxes on these plans, the changes won't take place for years. And, in the meantime, the more extensive the employer-provided plan and the higher the marginal tax rate of the recipient, the greater is the effective taxpayer subsidy.

The fact that high-end medical insurance plans cover a drug like Viagra also affects what new products come to market. Researchers are more likely to invest in the development of medical innovations with a guaranteed market (and the ability to charge a high markup) than in medical care that depends on individual ability to pay. So not only do taxpayers subsidize Rush's Viagra along with a host of other medical treatments, but the existence of healthcare plans that more heavily subsidize the wealthy and the employed increases the odds that less subsidized medical treatments will be less effective or more expensive.

In contrast, you as a taxpayer or an insurance buyer pay more if contraception is not included in healthcare plans like those at Georgetown. The administration mandate required that private employers provide contraception as part of preventive care because it is less expensive than the health costs of the delivery and birth of the unwanted child. Healthcare premiums for private insurance plans, such as those provided by Georgetown University, vary with the overall costs of coverage.

Since the Obama administration decision was based on a calculation that this would result in lower healthcare costs overall, it would not raise the premiums paid to insurance companies by private employers, employees, or university students. Moreover, students like Sandra Fluke receive no taxpayer subsidies. The savings, however, should be even greater for publicly funded programs such as Medicaid, which now pays for 40 percent of U.S. births. It is infinitely less expensive to fund contraceptive services than to pay for pregnancy and childbirth -- or avoidable hysterectomies.

So Rush is wrong not only about how the birth control works, but how the insurance mandate works. We may all be paying for Rush's Viagra. But we would not pay a dime for Georgetown's proprietary health insurance program to extend its healthcare coverage to offer the full range of preventive services to Sandra Fluke and her classmates. We are, however, paying a very high price, as taxpayers, citizens and health insurance customers, for the cost of unwanted pregnancies.

In fact, before the new administration mandate, private insurance coverage of contraception - as well as Viagra - had been expanding. Twenty-eight states already mandate coverage, with varying exceptions for religiously based institutions. According to the Guttmacher Institute, the expanded coverage has contributed to the growing class-based gap in unintended pregnancy. For women 200 percent above the poverty line - the group most likely to benefit from employer-based plans -- unintended pregnancy rates fell by 29 percent. For poor women, contraceptive access has been declining and the unintended pregnancy rate increased by 50 percent

Subsidizing the well-off and dismantling the infrastructure that helps poorer families is class warfare and it has had a devastating toll on American families.

Cross-posted from AlterNet.

 
When conservative blowhards rant, you know they have something on their minds and it's almost always themselves. So the people who yell loudest about class warfare have waged it successfully on behalf...
When conservative blowhards rant, you know they have something on their minds and it's almost always themselves. So the people who yell loudest about class warfare have waged it successfully on behalf...
 
 
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08:12 AM on 03/17/2012
SO SOME STATES WANT WOMEN TO HAVE A SONAGRAM SO THEY CAN SEE WHATS IN THEIR BELLY, TRUST ME THEY KNOW WHATS IN THEIR BELLY.
06:08 AM on 03/17/2012
The sooner people realize limbaughh is nothing more than a propagandizing, attack dog, he will go away! Remember even the football people didnt want his rants...If a conglomerate pays to have their MAN spinning tales on 500+ stations of course he will become noteable...
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Snoopie141
Please don't follow shiny objects.
10:44 PM on 03/16/2012
All I have to say is all these men posters that are so clueless about womans health care, birth control and uses, and posting totally idiotic statements. It scares the bajeezus out of me, can you just imagine the all men congressional meetings with same type of people. No wonder we are going backwards instead of forwards.
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Razpooten
Nil homini certum est
01:54 AM on 03/17/2012
I concur (male).
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nazztea
And they called dis here cat ... Da Nazz!
11:52 PM on 03/18/2012
Isn't that how the whole Sandra Fluke saga began? The all-male congressional hearing that SF dared to buck, so the Republicans sent their attack dog, Rush to belittle her for having the courage to defy an edict from Committee on Oversight and Government Reform chairman Darrell Issa (R-Calif.) and actually testify to deficiencies in her universities insurance program?
Ditto-heads on these boards continue his slander to this day. I hope this is providing evidence in a future lawsuit for defamation.
10:24 PM on 03/16/2012
Getting information from Rush is like asking Newt for advice on marriage.

We should end this all right here and now and threaten Syria and Iran with the Limbaugh show and Newt's brain. I suggest we could also use them as weapons of mass destruction dropped from 50,000 feet onto Iran's nuclear facilities as bunker busters.

It's a terrible threat, but like Harry Truman I'm willing to drop the big one, first Rush on Iran and then Newt on Syria. Call me heartless I don't care.
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Razpooten
Nil homini certum est
01:55 AM on 03/17/2012
You are heartless. (snicker)
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HUFFPOST SUPER USER
1highstepper
IT'S OK! JUST RELAX AND ENJOY THE RIDE!
02:40 AM on 03/26/2012
OOh,ooh! Pick a country for Sarah and Michele too!!
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fauxnews lol
i am on the left so i must be right!
10:15 PM on 03/16/2012
wow hp is slow this time ...i said this day one when the story broke with fluke................
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movnforward
Not inclined to be defined
10:04 PM on 03/16/2012
How many times do we have to reemphasize the "double standard"? It is a full blown attack on
women's right to healthcare, education and free speech. Why is birth control an issue now
after all these years. Really!?!
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jimme
Being liberal is true freedom.
07:17 PM on 03/16/2012
So now he's officially known as R.Limpaugh.
05:07 PM on 03/16/2012
The truth is most men use Viagra recreationally. Most men who suffer from impotency are over 50. Impotency is a natural part of aging when the prostate enlarges and restricts blood flow causing erections to be 'softer" and shorter in duration.

I have no problem with men using Viagra for whatever reason, but "not being able to get it up" is no more a medical condition than menopause..

Just look to Africa or other poor, less developed countries to see the effects of limited access to contraception.
03:31 PM on 03/16/2012
call, email, tweet.......

The Republican war on women continues.... it is time to respond.

Local advertisers and radio stations need to know that hate speech and hate radio is unacceptable.

http://stoprush.pbworks.com/w/page/51650254/FrontPage
03:03 PM on 03/16/2012
Such a load of crap. You know damn well the left is trying so hard to make this the "Extreme" rightwing war on women. If you believe that then there is really no hope. We fund 1/3 of Planned Parenthood with Federal monies (our money) Anyone can get appropriate testing and Birth Control for Free.. This is NOT about women. This is the left trying to divert the message and USING women as a platform for re-election.
04:57 PM on 03/16/2012
Are you serious? Mandated trans-vaginal probes, "personhood" amendments, excluding contraception from insurance coverage? While supporting the use of Viagra?!

Birth Control is a health care, family planning is intrinsic to a health life.

The Catholic Church should be subsidizing all the unfettered breeding their doctrine espouses and leave responsible people who use contraception alone. I'm sick of subsidizing religious entitlements.

Even Italy ignored the Catholic Church and provides contraception through universally. Why the Catholic Church has more influence in the US is truly disturbing.
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jimme
Being liberal is true freedom.
07:19 PM on 03/16/2012
Beware KAZPORT, the hydra's teeth are sharp.

#40 hydra. Excellent rebuttal to an absurd post.
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movnforward
Not inclined to be defined
09:58 PM on 03/16/2012
F/F
10:28 PM on 03/16/2012
Actually the war against women has been extant for centuries by the Roman Catholic Church only now they are using the GOP/TP to maintain that war under the guise of "politics."
12:31 PM on 03/16/2012
The government should not mandate how medicine should be practiced. There are medical schools, and medical boards and medical organizations and medical ethics committees that guide American medical practice. Unless it is medically necessary to prove an intrauterine pregnancy (vs an ectopic)- (which is a Medical decision- NOT a government decision), then the use of ultrasound and other health practices would be waste, fraud and abuse.
10:16 PM on 03/16/2012
It's not about practice, it's about access, there's a difference and I could explain it by why waste my time?
11:02 AM on 03/16/2012
Fog buster, CONTROLLING is what rush and the church are trying to do. Control access and availability, so they can limit a woman's choice.
04:10 PM on 03/16/2012
Okay, let's "chuck" the Bible and it's religious values. Let's adopt the progressive line and "if it feels good do it" mentality. Will that do it for you?
04:49 PM on 03/16/2012
The progressive line is based on rational reasoning something Thomas Paine wrote about in the "Age of Reason". A philosophy espoused my many of the founding fathers that were DEIST and fervently believed in the separation of Church and State in writing the Constitution. They would be rolling their graves to witness the blurring of the lines between Church and State in today's American. No were not, nor EVER a "Christian Nation".

It is tragic that you are incapable of rational and moral conduct without religion, don't impose your intellectual failure on the rest of us.
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jimme
Being liberal is true freedom.
07:21 PM on 03/16/2012
Pretty much, yeah.
10:57 AM on 03/16/2012
Covering erectile dysfunction because a man cannot achieve an erection at all, is one thing, but how many men use Viagra simply so they can extend the sexual encounter? Is that really a “medical condition"? Do they have to submit that in a letter to their employer?

Erectile Dysfunction is defined as a man unable to achieve or maintain an erection. What is the standard for “maintain an erection” anyway? Is it until his partner reaches a climax? Is it until he’s had multiple climaxes himself? Again, are those medical conditions? It seems odd to me that companies would provide coverage to enable men to have more sex, but not provide coverage to help prevent preganancies.

If we want to look at the dollars and cents of it all, which seems to be the focus anyway, then consider this… is it really more economical to pay for a pregnancy, including high risk pregnancies and all the expenses that can entail, and then care for that child once he/she is born, with the multiple well and sick doctor visits, specialist visits, vaccinations, treatment for various medical conditions, etc… all this over possibly an 18 to 26 year time period (however long the child is on mom or dad’s insurance plan), not to mention the cost to tax payers when poor women on welfare have more children, or is it more economical to pay for birth control?? Seems like a no brainer.
bipolarbears60
common sense isn't so common
02:46 AM on 03/17/2012
Why this is difficult for some to understand is baffling.

F & F
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HUFFPOST SUPER USER
Watching rock grow
FE = Iron, and Female = Iron Male :)
10:40 PM on 03/18/2012
ED and medical intervention in it is why we need Viagra laws in all of our states to safe guard the health and welfare of the men. That might not fully understand its purpose or effects!
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HUFFPOST SUPER USER
scorpions5
Facts do not cease to exist when ignored.
10:44 AM on 03/16/2012
Good article, but in no way will it matter. Viagra is not the issue. Viagra is a pill that gives men the ability to have an erection to have sex. Birth control gives women the protection of getting pregnant. There is a huge difference. Men do not have any consequences by having unprotected sex, except for STD's, but women are the ones that have to deal with the results of an unplanned pregnancy and the decision on what to do with it. It doesn't end for women after the 15 min. of fun, like with men. Even if they are on the pill, they still worry becaue it is not 100% full proof. Sex for women can affect them the rest of their lives. Sex for men doesn't affect their lives in the least bit.
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HUFFPOST SUPER USER
giftsthatpurr
zestful life
03:08 PM on 03/16/2012
Agree - except 15 minutes? LOL
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HUFFPOST SUPER USER
scorpions5
Facts do not cease to exist when ignored.
04:17 PM on 03/16/2012
Sometimes less LOL!!
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Razpooten
Nil homini certum est
02:14 AM on 03/17/2012
Contraceptives, unlike viagra, are not about sex. Many women who are not sexually active take them for:
Health benefits of oral contraceptives:
- Reduce the incidence of ovarian cysts
- Reduce the discomfort of ovulation pain (Mittleschemerz)
- Reduce acne and hirsutism (excessive hair growth).
- Increase bone desnisty
- Reduction in the risk of ovarian and endometrial cancer.
- Reduction in dysmenorrheal (painful menstruation) and chronic pelvic pain.
- There are more.
[Ncbi.nlm.nih.gov]
09:17 AM on 03/16/2012
So Rush is upset that women might want to have sex "as many times and as often as they want, with as many partners as they want." So? I thought that was what most heterosexual males were looking for. Pregnancy and childbirth as a punishment for having sex. Really? For whom? This is not only class warfare but gender warfare as well.
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jimme
Being liberal is true freedom.
07:22 PM on 03/16/2012
#2 rev. Good post.
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HUFFPOST SUPER USER
Watching rock grow
FE = Iron, and Female = Iron Male :)
10:45 PM on 03/18/2012
I really don't understand the conflicted reasoning these people exhibit, all the time. Women having sex is bad but a pregnancy is a gift from God?