Healthy Living

Wednesday, February 10, 2010

Hillary says this proposed rule threatens your basic healthcare rights (and could consider birth control as abortion)

I've been struggling with how to write about the issue of abortion in this presidential election. And while I've been meditating on how to fairly present the facts of how each candidate has voted on and spoken out about women's health, I almost didn't give enough attention to how abortion is being addressed right now.

I've been focusing so much on the presidential candidates that I almost overlooked a major event in our current administration.

An op-ed piece in the New York Times today pulled me back to the present. Written by Senator Hillary Rodham Clinton and Cecile Richards, the president of the Planned Parenthood Federation of America, the essay calls our attention to a rule proposed by the Department of Health and Human Services that is of concern to every woman in this country.

The rule, as Clinton and Richards write, "would require that any health care entity that receives federal financing — whether it’s a physician in private practice, a hospital or a state government — certify in writing that none of its employees are required to assist in any way with medical services they find objectionable." 

Perhaps this doesn't sound much different than the 30-year old laws that allow doctors to refuse to perform abortions. It is, however. This rule would also grant all employees and volunteers of medical facilities the right to refuse participation in any way with abortions as well as sterilization procedures and administration of contraception.

Women also need to know that this proposed rule does not define abortion, a frightening ambiguity that would give medical providers the authority to decide what is and isn't termination (including any kind of birth control). A previous draft of the rule did include a definition (one that Clinton and Richards say is "medically inaccurate") that did just that -- listing birth control pills, the IUD and emergency contraception as abortion methods.

As a woman, this scares me. And I think it should scare you too. The proposed rule might mean that you or I or your sorority sister or a mother of enough kids or any of us could be denied access to contraception.  The rule also throws in a vague "other medical conditions" that Clinton and Richards point out could cover a host of procedures from HIV tests to emergency contraception for rape survivors.  What if any of us (or all of us) were refused medical care or prescriptions that could save our lives, provide immediate treatment or keep us sane, safe and empowered?

I think we all need to be aware that the Department of Health and Human Services, the governmental agency putting forth this rule, estimates that it will cost $44.5 million a year to administer in the 600,000 hospitals, clinics and healthcare providers it will impact.

$44.5 million A YEAR. Can you imagine what that all that money could do if it was annually designated for research for ovarian cancer or endometriosis or one of the many other diseases that impact too many women each year?  Can you imagine how many women living under the poverty level could get health insurance or medical subsidies?

I am pro-choice and I believe in reproductive justice for all women. I also believe that birth control and decisions about pregnancy need to be openly discussed between women and their doctors. I don't believe the door should be shut or the prescription pad put away because someone in the medical office thinks the IUD is abortion or is morally opposed to pregnancy termination.

I believe that for the same reason I won't try to sway your opinion if you are against abortion. If that's what you believe, so be it. But let's leave it at that.

If we were to focus on whether abortion is right or wrong here, I think we'd get stuck and miss the bigger call to action. Rather than fight about whether we are pro-choice or we are not, women need to get up in arms about how our lives would be effected by this proposed rule.

We need to consider how our daily lives, our health, our bodies, our decisions, our families would be different if we didn't have the access to birth control that we have now.   We have to think about this as a personal and political issue.

Why this and why now? There is a period of time when commentary on the rule is taken into consideration. That period of time ends September 25, next Thursday. You can make your own opinion about this known to a senator or representative, to a women's health organization or in an op-ed of your own.

Hillary Rodham Clinton and Cecile Richards say that the reason why this is critical is that "basic, quality care for millions of women is at stake" and rather than focus on the morals of employees in a medical office, we need to be sure we are first protecting the patients.

We, as women, are those patients. What do you have to say about that?



First, make your commentary here. How would this proposed rule impact your daily life?



[photo credit: Stephen J. Boitano/Getty Images Entertainment]
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From the Community…

Comments 1-10 of 69
  • JoKTM's Avatar
    Posted by JoKTM Fri Sep 19, 2008 5:25pm PDT

    People who are aginst bcp are dumb.What is better using a pill that regulates a womans cycle, lightens her cycle,reduces cramping or hundreds of unwanted babies.I know tons of pro-life people who are not against the pill.

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  • ShaunaJ's Avatar
    Posted by ShaunaJ Fri Sep 19, 2008 5:31pm PDT

    I have no problem with birth control. Health care providers could work in another field if they don't wish to provide it, however no one could require me to assist in the termination of a pregnancy. There are Catholic hospitals which do not prescribe BC and the answer is to patronize one of the many health care providers who do. Incidentally, my last 2 doctors refuse to participate in abortion but will refer patients to other physicians who feel differently.

    I would like to ask how this differs in principal from a doctor who doesn't prefer to do back surgery all the time but refers their patients for physical therapy? This is the doctors's choice and should be for whatever reason. The patient has a choice to go to another doctor. This is pro-choice all around, I say.

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  • springtime's Avatar
    Posted by springtime Fri Sep 19, 2008 5:55pm PDT

    Jessica, we all know how powerful the pharmaceutical giants are. You know they have their high powered lawyers on this. Birth control and contraceptives are in the millions of dollars every month for them.

    I am soooooo very against the government telling women what they can and cannot do with their own bodies. So what's next? Should we put women on the rack for having premarital sex? Provide coat hangers for pregnant 13 year olds?

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  • Deborah R's Avatar
    Posted by Deborah R Sat Sep 20, 2008 4:50pm PDT

    I can't imagine that there are too many women in the healthcare field who would oppose contraception (those women are all home: jobless, barefoot and pregnant!)

    I agree with the comment by "springtime" that there is just too much money involved in the selling of contraception.

    However, women need to be up on political issues to protect their rights.

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  • ♥LaLa♥'s Avatar
    Posted by ♥LaLa♥ Sat Sep 20, 2008 7:00pm PDT

    I agree with you completely. I am Pro-choice, but I would think that if people were anti-Abortion, wouldn't they prefer women to take the BCP and the EC instead of risking an unwanted pregnancy? This is very frustrating to me. We as women have came so far, only for the ignorant to bring us ten steps back. You never hear of men denied condoms, insurance even pays for their viagra for crying out loud! And us women have to struggle just to protect our own bodies. Let's not even get started on keeping EC from the poor women and girls that are raped.

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  • jenn's Avatar
    Posted by jenn Sat Sep 20, 2008 7:45pm PDT

    see this is why i'm moving to Canada

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  • sylvia c's Avatar
    Posted by sylvia c Sat Sep 20, 2008 7:58pm PDT

    I agree completely that our rights are put on the chopping block , and that those of us that are using birth-control and are very ressponsible about that may have our health put at risk . I have a a genetic illness and am unable to have healthy children and suffer from painful cramps as well . It is very scarey to think because some people who are perfectly healthy want to not only judge others . They assume everyone uses birth-control to have casual sex.

    Well, I say think about this when you vote this election year.

    There are decent women in world just trying to maintain and protect

    our health

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  • Angela's Avatar
    Posted by Angela Sat Sep 20, 2008 9:15pm PDT

    No doubt the Catholic Church has a huge influence over this. The Catholic Church teaches that contraceptive devices are POISON and EVIL. Although a large part of the Catholic Church is SPLIT over this belief, including members of the clergy, purists still beleive that any "interference" with reproduction is a sin.

    A health care provider's religious beliefs should not take precedence over their patient's. Patients must be GUARANTEED the highest quality of care, especially in their greatest hour of need. Patient's need medical care that coincides with THEIR morals and beliefs, not their practitioner's. This bill must not be permitted to stand.

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  • DeAnn's Avatar
    Posted by DeAnn Sat Sep 20, 2008 10:40pm PDT

    I think this is more overreaction. A few select individuals who have begged and pleaded for the right to practice their religion, as the constitution lays it out, now have the means to do so without risking their jobs. Remember this does not extend to private practices, for profit hospitals, or any clinic that does not take public funding. They still have the right to discriminate against employees whose religions (whether it be Islam or Catholicism, or even Jedi), denounce reproductive intervention as sinful. I'm not saying all of these specifically condemn a person, I'm just giving examples, even though I know there will be some people out there dumb enough to try to call me on that point because they are right and no one else is.

    There's always been friction between what people's religious doctrine dictates, and the common practices and laws that might contradict what they believe. This not only covers reproductive issues, but end of life issues as well. Someone might believe that turning off life support is murder, and they would therefore be sinning if they participated in it.

    But I think all this talk about "you could be denied services you want to pay for" is a lot of BS. You will always be able to find the care you need/want and there will always be someone to take your money. This also is good for the economy, ensuring that publicly-funded health care institutions make sure they have enough staff on hand so that if one can't participate in a procedure, someone else can.

    Pro-choicers are having way too much of a cow about this. It's not going to affect anything, because as it is, America is pluralistic and atheistic enough. There's always someone who will fill in the gap. Where there aren't now, capitalism provides that someone else will find that niche. I'm sure new clinics will spring up providing such services at rather low cost in areas where there's a worry someone can't find the service. It's not that big a deal.

    I mean, really, we need to reform sex ed, don't get me wrong. I just don't think that it'll suddenly be impossible for women to get birth control or abortions if they really want it. You can order the stuff on the Internet easily enough if it's pills, or heck go to Walmart and get your prescription filled for cheap. It's not as big a deal as people think, and if it is, public outcry will change the policy. That's the way it works.

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  • KristaB's Avatar
    Posted by KristaB Sat Sep 20, 2008 10:59pm PDT

    ...nobody and i mean NOBODY should have the right to decide what i need based on their morals...

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Comments 1-10 of 69

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