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Terry O'Neill

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The Romney-Ryan Budget: Taking Aim at Women's Health Care

Posted: 08/06/2012 3:45 pm

This is Part 2 in a series. Read Part 1 here.

The leaders of the Republican Party claim to be on a mission to reduce this nation's "crushing burden of debt." The centerpiece of this effort is Rep. Paul Ryan's 99-page 2013 budget proposal. Because GOP presidential candidate Mitt Romney has embraced it wholeheartedly, I call it the Romney-Ryan budget plan. From the very beginning, the plan states that a federal budget "also serves as an expression of Congress's principles, vision, and philosophy of governing."

You can say that again. And the federal budget's vision isn't just a lofty collection of ideals -- it has real-world implications for real-life people. The Romney-Ryan budget plan does not have the support of the Senate, so at this point it is only an expression of the values of the conservative-led House and its cronies. But many of these folks are asking for our votes this November. That's why I'm writing this series of posts on the Romney-Ryan budget plan. Women, in particular, must take a careful look at the economic proposals emerging from our nation's increasingly radical right wing. Just how do Romney and Ryan think they can help the people of this country "build a prosperous future for themselves" while "safeguarding America from the perils of debt, doubt and decline"?

The first thing women should know about the Romney-Ryan budget is that it has been called the single largest transfer of wealth from middle- and low-income earners to millionaires and billionaires in our country's history. Since women are over-represented in the ranks of middle- and low-income earners, not to mention drastically under-represented among billionaires, it's fair to say the Romney-Ryan budget disproportionately takes from women to give, overwhelmingly, to people who look (and have bank accounts) like Mitt Romney.

Of the many ways in which Mitt Romney and Paul Ryan's economic vision is bad for women, a good place to start is with women's health care. The Romney-Ryan budget repeals the Patient Protection and Affordable Care Act (known as the ACA or "Obamacare") in its entirety, thereby snatching away from millions of women the health care services that the law is just now beginning to make affordable.

For women, repealing the ACA goes in exactly the wrong direction. By the time it is fully implemented, the law will have opened up access to comprehensive health coverage to nearly all of the 19 million women in the United States who were uninsured when it was signed into law in 2010. Moreover, at the time the law was passed, the Congressional Budget Office (CBO) concluded that it would produce "a net reduction in federal deficits of $143 billion over the 2010-2019 period."

The reality is that the ACA is a good first step toward getting the nation's health care costs under control. Women especially need this to happen because, throughout a lifetime of unequal pay, in jobs that frequently don't offer health benefits, women don't have a lot of savings to fall back on to pay for sky-high medical expenses.

The National Partnership for Women & Families calls the ACA "the greatest advance for women's health in a generation." Unquestionably, the law helps women in five key ways by:

  • Requiring insurers to cover a range of preventive reproductive health care services, including contraception, mammograms, pap tests and STD / HIV screening without co-pays or deductibles;
  • Prohibiting insurers from charging higher rates for women than men for the same coverage;
  • Stopping the insidious practice of refusing coverage due to pre-existing conditions, which insurers have used to refuse prenatal care -- and we know that without prenatal care women are two to three times more likely to die in childbirth, and have babies who are six times more likely to die in infancy;
  • Expanding Medicaid coverage to low-wage workers (disproportionately women) who earn below 133 percent of the federal poverty level; and
  • Subsidizing other low- and middle-income earners (again, disproportionately women) so they can afford quality health insurance for themselves and their families.


Healthier women with more money in their pockets sounds like a win-win to me.

But the Romney-Ryan budget plan would put an end to all that. It promises to repeal the ACA and replace it with ... well, they don't say. They claim an intention to "move toward patient-centered reform." Please note that whenever a conservative offers up a "patient-centered" or "consumer-centered" approach, that means they're passing more of the cost on to you. What would really happen after repeal of the ACA is that we would go right back to where we were during the Bush years, with health care costs spiraling out of control, patients denied coverage of lifesaving health care by profit-hungry insurers, and the worst overall health outcomes in the entire industrialized world.

And it gets worse, as Romney has promised to "get rid of" Planned Parenthood and fully supports Ryan's votes to zero out funding for all Title X family planning clinics. Now, the advantages of family planning funding couldn't be more clear. The ability to plan one's family, to choose whether and when to have children, is both a matter of women's reproductive freedom and a public health issue. Unplanned pregnancies, sexually transmitted diseases, breast and cervical cancer -- these are issues that have an economic impact on this country, and we can't turn away from them because of outdated, sexist notions about women's reproduction.

Contraception helps young women postpone getting pregnant until they finish school or job training. The typical U.S. woman wants only two children; to achieve that goal, she will need to use contraception for about 30 years. Yet, the cost of contraception often deters women from choosing the method what would work best for them. This is especially true of methods with high up-front costs, like long-acting IUDs and implants. Consider these twin facts: According to Planned Parenthood, "34 percent of women voters report having struggled to afford prescription birth control at some point in their lives and, as a result, used birth control inconsistently;" meanwhile, according to the Guttmacher Institute, women who use birth control consistently and correctly account for only five percent of unplanned pregnancies each year.

For many women, Planned Parenthood centers and other government-funded family planning clinics are their only source of health care. Planned Parenthood alone serves 2.9 million clients in the U.S. each year, 72 percent of whom have incomes at or below 150 percent of the federal poverty level. These clinics provide preventive, primary care that includes testing and treatment for sexually transmitted infections, cancer screening and prevention, as well as contraceptive services.

According to the National Center for Health Statistics, one out of seven women age 18-64 has no usual source of health care. The ACA changes that. Without health care reform or family planning clinics, where exactly should these women go?

So let's review. Obamacare -- and incidentally, I'm willing to embrace that term because President Obama does care about women's health -- helps millions of women gain access to affordable contraception, mammograms, cervical cancer screenings and other health services. That's right, millions. Fully funding Title X family planning clinics helps many more. By contrast, instead of thinking responsibly about the women who would love to have health insurance if only they could afford it, the Romney-Ryan budget would send us back to where we were in the Bush era, except this time there would be no federally-funded family planning clinics, leaving millions of women more vulnerable to illness and financial hardship than they are today.

On that basis alone, voters should reject the Romney-Ryan budget and its standard-bearer, presidential contender Mitt Romney. But there are many more things wrong with the Romney-Ryan budget, which I'll explore in future posts. Stay tuned.

 

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08:08 AM on 08/12/2012
I'm disappointed in this article because, frankly, it restates what nearly all of us know about the budget, but mentions NOT ONCE the serious economic implications this budget has for low-income women and children. For example, where are facts/figures about what it would do to Medicaid? SNAP? Education? What increasing the defense budget at the same time it proposes nearly 65% of its cuts from social welfare programs? And where is information about what such a budget has in store for Medicare/Social Security? I depend on S.S./Medicare, as do many of the women I know! My concern is that we seem stuck on two points: what the budget, or Romney-Ryan team means for ACA and PP/reproductive rights. We can't afford to sacrifice the larger demographic of women - seniors/retirees, low-income, and women close to retirement in favor of repeated appeals to the reproductive rights issue, or ACA. It's too simplistic and essentially cuts out a huge chunk of the devastation this budget will cause for low-income women, women nearing retirement, and those already receiving Social Security/Medicare. I'm hoping there will be additional posts, with additional information on these hugely important pieces of Ryan's "plan". We MUST bring women to this election in force this year. We cannot afford to ignore any age/generation of women!
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HUFFPOST BLOGGER
Terry O'Neill
05:38 PM on 08/13/2012
This is one in a series of blog posts. Terry will be covering Medicare, Social Security, Medicaid and other safety net programs in upcoming posts.
05:18 PM on 08/07/2012
Why does NOW believe they know whats best for all women? They seem to have very little tolerance for women who don't agree with them.
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HUFFPOST SUPER USER
CA93010
Pest Controller
07:00 PM on 08/07/2012
I'm pretty sure NOW knows a lot more about women than the men in the GOP.
08:16 PM on 08/07/2012
Fair enough, provided democratic women never speak about issues that affect men.
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Salleyanne
07:04 PM on 08/07/2012
And you have no tolerance for someone that doesn't adhere to your view.
08:14 PM on 08/07/2012
How would you know that if I never mentioned what my views are?
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Iamrebelriser
iamrebelriser
04:12 PM on 08/07/2012
What in the heck happened to Romney between before running for president and then actually beginning to campaign? I guess the tea baggers, Eric Canter, Paul Ryan, probably Grover Norquist, McConnell plus corporates and one percent with very deep pockets took him by the collar, or should I say his pocket book? Nothing new here, because the current Republican party takes from the vulnerable to give to the millionaires & billionaires. It is easier to take away from women, elderly and the poor who have no billions to give him. Pay back is the Republican reason for giving to the wealthy.These people have hearts & souls made of stone. I pray to God that their punnishment is swift and harsh. If you haven't a lot of money, why in God's name do you vote for them to take from you?
03:33 PM on 08/07/2012
"...Romney has promised to "get rid of" Planned Parenthood..." Correct me if I'm wrong, but didn't Romney say he would "get rid of" federal funding for Planned Parenthood, not the entire organization? Even without federal funding, PP should be able to continue. They often run a surplus; using that, supplemented by increased contributions from supporters, PP would be viable.
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Demetersgrl
Liberal, Atheist, Feminist
09:46 AM on 08/11/2012
Romney: "Of course you get rid of Obamacare, that's the easy one, but there are others," he said. "Planned Parenthood, we're going to get rid of that."

Sure sounds like he said he'd get rid of it to me. He and his pals can afford health care...he just doesn't think anyone is "entitled" to it.
03:07 PM on 08/07/2012
"The first thing women should know about the Romney-Ryan budget is that it has been called the single largest transfer of wealth from middle- and low-income earners to millionaires and billionaires in our country's history." Just wondering what is the source of this information? I googled the quote, and only found it in the above article. Perhaps someone else here could come up with the source. Thanks.
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Demetersgrl
Liberal, Atheist, Feminist
10:01 AM on 08/11/2012
The "quote" as you call it, is from Terry O'Neill, the author of this article which is why you can't find it anywhere else. You do realize original thoughts are presented when a person writes an article, don't you? Not every word is a quote from someone else, but rather the expression of facts as understood by the author. Since I don't know Ms. O'Neill I don't know her sources, but there's certainly plenty of articles out there that would lead one to the same conclusion that she came to. Like this one:

http://crooksandliars.com/jon-perr/its-romney-ryan-plan
02:03 PM on 08/07/2012
You forgot to add the new system of health care many doctors are adopting: They join organizations like MDVIP which require patients to pay a premium (not covered by Medicare or Supplementary insurance) of between $1,500-$2,500 annually if they want to be attended by physicians within the organization. What this does is add more financial burden to patients while allowing doctors to secure an annual retainer from those patients willing or able to pay the membership fees. Seniors, being the larger percentage of patients in the country, are mostly on limited incomes already stressed by their Medicare and Supplementary insurance premiums. It would be difficult for them to afford the premiums for what some doctors are calling "21st Century Medicine" through companies like MDVIP. So who would be able to partake of this new system? The wealthy. See where this is going? Under this system, medical services will be available on a "Very Important Person" (VIP) basis. Other patients, if the doctor doesn't close his/her doors to them, would be left to try to find new doctors who are still taking in new patients, or, like most uninsured people do now, go to the emergency rooms for attention. Add to that the fact that America is suffering from a lack of interest in our youth to enter the medical profession. Just take a look around and you'll see the large number of foreign doctors, technicians, and nurses now serving hospitals and in private practice in the country.
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Iamrebelriser
iamrebelriser
04:19 PM on 08/07/2012
We've also seen the situation where hospitals have less staff who do the actual care of patients. They're laying off and cutting hours in those departments, and if you're unlucky enough to end up in a hospital, you'll see what some of us have already experienced. It is about cutting corners at the expence of patients and lowly workers. We ALL must get after our legislators about medical facilities paying millions for television, radio, magazine &newspaper Ads to get paying patients away from other hospitals. A state Senator told me this is the reason they advertize. Tell your legislators the hospitals & clinics across the country MUST stop advertising and pass savings on to the patients.
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MARCUS PHILLIPS
01:58 PM on 08/07/2012
Promising welfare for women will NOT win the democrats this election. The majority of women in the US are hard-wording and self-supporting. The wards of the state that we not only feed, but subsidize their promiscuous lifestyle will vote democratic anyway.
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Iamrebelriser
iamrebelriser
04:26 PM on 08/07/2012
You are completely misinformed, Marcus, and you believe the FOX lies at your own peril You don't realize that the hard working women are earning, what is it now, only sixty or seventy some percent of what is paid to males for the same work. Sure, "hard-working, "self-supporting" at what pay? Unfairly earninbg less then males does NOT make women promiscuous, and you'd better get your thinking straightened around there.
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MARCUS PHILLIPS
05:39 PM on 08/07/2012
I have seen ZERO evidence that women make less than males doing the same work. Women tend to look for jobs that are "rewarding" rather than high-paying. I defy you to name me ONE instance that YOU know of personally where equally qualified and experienced men and women are paid differently. This is a myth created by womens groups who want to take advantage of the "victim" status that is rampant in this country. Show you're a victim and cash in...incompetence, inexperience, lazy work habits accepted.
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Isidis St Claire
06:20 PM on 08/07/2012
Marcus, my my how judgmental we sound! If you believe the state is funding women's "promiscuous lifestyle" then what do you say for the men these women sleep with?

Most women who use birth control are married. My mother - a card carry conservative - used it and I would hardly call her "promiscuous". I have worked since I was 16 and since 2001 none of the companies I worked for offered insurance. Sometimes I could afford my own - sometimes not. In the latter case, I would have physicals at the places you denegrate. One of my friends' life was saved when PP found a tumor (her doctor wouldn't see her because she was out of work and didn't have any money).

We don't want anything for free: We just want to be able to access services we need. If the Healthcare Reform Bill is revoked, millions of women will be without insurance. Those with it will have to pay out-of-pocket for services that are now covered. Before you grouse about the unfairness of that, please see what services insurance allows men. I am sure they are totally covered. (my paps, mammograms and lab tests were NEVER covered until now and I usually paid upwards of $2,000 for a physical and that is WITH insurance).

The Democrats WILL win over women because they at least don't speak down at us or - like you - call holy judgement on the lot of us without any idea of what women
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MARCUS PHILLIPS
07:47 PM on 08/07/2012
When Obamacare was before Congress, democrats liked to compare it, over and over again, to the VA. As in, "The VA is govt care and it is excellent." I happen to be a disabled veteran and I thank God for the VA. Now what I want to see are you and the woman you may see in the Dr's office in mink and high heels being told that the clinic 2 miles from you house is full so you must drive 60 miles. Then I want to see you stand in line at 7 in the morning to have blood drawn. In addition to its many other faults, Obama care will seriously degrade health care in the US. Clinics will be FLOODED by nonsense complaints, people faking to get pain meds, and others who have nothing better to do. Wait 5 years. You will SEE that you have made a grave error.
esilversurfer
progressive policies make the country better
01:35 PM on 08/07/2012
Romney would rubber-stamp all the increasingly far right radical ideas coming from the House. He hasn't shown the backbone to stand up to the lunatic fringe.
This user has chosen to opt out of the Badges program
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01:16 PM on 08/07/2012
The Republican party has come down to taking away everything from the 99% and giving it to the 1%. They won't be happy until they have it all. The Republican party is like the pharaoh of Egypt and just won't let the 99% go free as is written in our Constitution. The GOP use good names for them self to somehow make them good and give bad names to those that are good to make you think this makes them bad in the game they give us of Trick or Treat and we should know who gets the treat and who gets the trick.
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alex61
01:04 PM on 08/07/2012
Liberals think that everything they want is somehow a "right." Having designated something a right, they then think they are entitled to have someone else pay for it. That needs to change.
Liberals think that anyone (usually the adults on the right) says, "We can't afford that; we are !6 trillion in debt," is 'mean-spirited' beause they "don't want to help people."
Liberal women think that anyone who doen't want to give whatever it is that some woman wants is "waging a war on women."
Liberals think that because the GOP wants to dump the very flawed bill known as Obamacare, they don't want a better bill, one that removes the bad things and puts in some good things that the Democrats left out.
Liberals think that they are wonderful, superior human beings.
Don't liberals ever get anything right?
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Andrew Stead
Conservative Liberal British ex-pat atheist
04:02 AM on 08/08/2012
Wow - let me try this psychic stuff too!

Conservatives think that everything they want is somehow a "right". Having designated something a right, they then think they are entitled to rip rights away from others to get it. That needs to change.
Conservatives think that that anyone (usually the adults on the left) says "We need to be able to afford that; taxes have to rise" is a communist trying to steal hard-working peoples money.
Conservatives think that insitutional sexism and tearing away rights from women is not a 'war on women'
Conservatives think that because the Obamacare bill was pushed through by a Democrat president, it's automatically evil (when it was based on the state bill pushed through by a Republican).
Conservatives think that they are wonderful, superior, harder working human beings.
Don't conservatives ever get anything right?

Woohoo, I can do it too!
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Nomccain
12:38 PM on 08/07/2012
The Ryan budget takes aim at EVERYTHING EXCEPT the rich and the bloated military. Better read it and if you're not scared, you're not an American.
11:46 AM on 08/07/2012
The right-wing Republican country-clubbers and the evangelicals want to return to the Gilded Age in more than just economic terms. They'd go giddy if the social safety net was returned to what it was back in the 1890's - which means NO safety net whatsoever. These people belong in the Middle Ages - too bad we don't have a time machine that could send them back.
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alex61
02:15 PM on 08/07/2012
Wrong, corporal (you have been demoted). You liberals live in your own little world in which you are all wonderful human beings and the conservatives are all evil, hate people, are waging "wars" etc.
You need to snap out of it. That attitude is one of America's biggest problems right now. You have done a lot of damage to our country and you refuse to acknowledge any fault, you are never responsible, never wrong, and every policy (experiment with our culture) has been a huge success, etc.
You need to engage in some honest self-examination. Politically speaking, liberals are NOT the wonderful people they think they are-not by a long shot.
11:35 AM on 08/08/2012
Neither are you right-wing elitists who want to turn the clock back. Get a life and read some history. Your selective memory of what you think it was is contradicted by the cold hard facts of how life REALLY was 100 years ago. Facts hurt, don't they?
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Iamrebelriser
iamrebelriser
04:43 PM on 08/07/2012
I agree, Nomccain. Also, set the Republicans pay back to the scale of the 1800s.They want buffet where they can first select what they want, which is everything, and leave the crumbs for the rest of humanity.The dumbed down who are here repeating the FOX lies don't read anything, and it shows by their misguided interpretations of these articles. They probably can't read, or why would they liisten to Limbaugh or FOX all day?
01:28 AM on 08/08/2012
When you run out of valid arguments, you can always win the debate by citing how dumb people are that watch FOX or listen to talk radio.
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tazscanner
11:42 AM on 08/07/2012
Right, I can really believe those headlines coming from N.O.W., The mentally confused organization that fought so valiantly for the right to abort children in the process of being born.
11:18 AM on 08/07/2012
While Paul Ryan is out there eliminating just about every social program, my question to him in his passion to reduce spending is.......is congress going to cut their own pay? eliminate their health benefits? eliminate their federal pensions? because as far as I can tell, states are doing it to their own employees and since Paul Ryan believes he is spreading the hurt, take up your own pay and benefits also. Until then, this budget is not to be taken seriously.
01:02 PM on 08/07/2012
While I wouldn't disagree with cutting congressional pay, that pay is meaningless when you look at the whole of our budget deficit

His goal, btw, is not to "spread the hurt" but to balance the budget responsibly.
01:51 PM on 08/07/2012
The question is how reponsible is it without raising revenue through taxation?
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Iamrebelriser
iamrebelriser
04:48 PM on 08/07/2012
We've heard quite enough of "you can't cut benefit or tax cut, since it wouldn't help the deficit." It ALL helps, bozos. Between more tax paying by the 1%, cutting pay of all politicians, cuting oil company subsidies, and probably lots of pork that I can't recall now or that we don't know about, it would make a difference.
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alex61
01:06 PM on 08/07/2012
The deeper Obama and the free-spending Democrats get us in debt the more cuts we will need.
Go to the blackboard and write these words 100 times:
$16 trillion in debt, $16 trillion in debt.......
01:24 PM on 08/07/2012
In all honesty, can you deny that the debt was not due to Bush also?  And so you do cut the programs.  You cut taxes on the wealthy, you raise taxes on middle class.  Can you say that a 20% increase in costs for living affects a millionaire the same way it affects a family with a combined income of 50,000? Who is going to buy the products that made them millionaires?  We had a surplus before Bush.  People understand that the financial boondoggle is not going to turn around over night.  Republicans use the debt as a scare tactic because if they were truly concerned about it, they would have dealt with it during the Bush years.
03:22 PM on 08/07/2012
Now you go write these words: Debts can be canceled, Debts can be canceled...

Our credit based monetary system demands ever-increasing debt. All we have to do to fix this is to go to pure fiat money and cancel those debts, as they are mostly owed to people who did nothing to earn the money behind the debt. Having eliminated the credit basis of money, there would be no need to ever go into debt again, and we could still have a healthy economy, in fact, it would be much healthier because we would have eliminated the single largest factor that produces booms and busts.
DrinkerOfTheRye
Eschew obfuscation
11:13 AM on 08/07/2012
Thanks Terry. Your article helped me realize that this is more than the typical Regressive War on Women, it's also a redistribution of poor and middle income women's wealth to the vulture capitalist. That's spreading it in the wrong direction. Like the great, new Obama ad says, "It's a scary time to be a women". There’s so much to do in our country, the focus must be to attack our problems, not a woman’s affordable choice. I get so sick of the Republicans trying to hid their attacks on affordable contraceptives behind the Constitution, when the truth is that Americans are entitled to unfettered access to free birth control. Our Declaration of Independence affirmed that we are endowed (entitled) with certain unalienable (aliens too, documented or not) Rights, that among these are Life, Liberty and the pursuit of Happiness. And to ensure we get what we are entitled to we instituted Government. Now, without free birth control we may risk Life (pregnancy has medical consequences), unwanted pregnancy certainly inhibits our Liberty and you can't pursue happiness (hook-ups) if you're worried about unwanted pregnancy or the cost to prevent it. Our President is a Constitutional scholar so he recognized this Governmental gap and closed it, it's really that simple. FORWARD progress.
01:05 PM on 08/07/2012
Is it your belief that the republicans are opposed to government funded birth control only because they are mean?

I read the Constitution, and I don't remember seeing the line that says the government should be giving anything away.
DrinkerOfTheRye
Eschew obfuscation
03:51 PM on 08/07/2012
No, not all are mean and some mistakenly think birth control is an improper enlargement of the Federal Government. You wouldn’t find a line in our Constitution about “giving anything away”, as that isn’t an enumerated power. It does however, fit into the Necessary and Proper Clause provision in Article One, section 8, clause 18:
The Congress shall have Power - To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof. This clause has been paired with the Commerce Clause to provide the constitutional basis for a wide variety of federal laws. To keep us moving FORWARD, we must continuously grow the role, responsibilities and resources of the Federal Government until we have a totally fair and just society.
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Iamrebelriser
iamrebelriser
04:58 PM on 08/07/2012
The Constitution says we ALL have equal rights. Since Insurance companies have been providing free Viagra for men so they can get women pregnant, how dare you think birth control being also provided is not also important? Stop repeating FOX lies here. We kinow the difference.
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alex61
02:23 PM on 08/07/2012
And your letter made me realize (again!) that liberals are living in an ego-driven fantasy world in which they are superior human beings and entitled victims at the same time.
Anf they can't write a letter without calling conservative some infantile name.
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Iamrebelriser
iamrebelriser
05:03 PM on 08/07/2012
Better take a look at the beam in your own eyes, alex. Your Conservative, tea party talking points contain some pretty raunchy nouns & titles. If you don't like us here, stay away, and we won't miss you.
01:04 AM on 08/12/2012
Amazing, that sounds like every conservative ever. Nobody martyrs like a conservative whilst simultaneously thinking that they're morally superior to everyone else. See the frightwingers shrieking "FREEEE SPEEECCCHH!!" every time a homophobe faces consequences for their bigotry.