Showing posts with label birth control. Show all posts
Showing posts with label birth control. Show all posts

Friday, February 24, 2012

The contraception mandate and you: the religious debate

President Obama has gotten more than he bargained for with the fire fight he is facing with religious groups over a mandate that even religious organizations include birth control as part of their insurance coverage. What was originally framed as a step in the right direction for woman's rights and universal healthcare quickly turned into a constitutional debate over the president's ability to force specific coverage onto everyone, including religious groups.
The president's so called 'accommodation' was nothing but a shell game: the mandate still requires religious organizations to subsidize and authorize conduct that conflicts with their religious principles. The very first amendment to our Constitution was intended to protect against this sort of government intrusion into our religious convictions. (Texas Attorney General)

The Texas Attorney General's argument is weak at best and I call into question his understanding of the First Amendment:
Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the government for a redress of grievances.

The mandate is not directed at religious groups, but rather the insurance companies themselves. Are religious groups affected? Sure they are but then again they are also part of the greater population so any decision that applies to the United States as a whole affects them. Greg Abbott, as are religious groups, are linking the idea that insurance companies offering contraception methods as part of insurance plans somehow "authorize(s) conduct that conflicts with their religious principles" but I beg to differ. Something like 42% of women use contraception methods for something other than preventing pregnancies (the real reason religious groups are up in arms) - let's just ignore that for the time being since the religious groups are.

Let's take a tangent real quick before we continue and look at my experiences with sex and religion. I was raised a Catholic. Went to Catholic school for 10 years of my life and have a pretty good understanding of the mindset utilized by similar groups. Since sex education was a required thing growing up, we were taught three basic ideas:

  1. Only way to not get pregnant is to not have sex. Actually was told numerous time:  "the use of any contraceptive is a sin"

  2. You need to wait until you're married to have sex

  3. If you have sex with more than one person, you will get a STD for life


Pretty grim stuff if you ask me, but the reality was that it was only part of the truth. If you read into these ideas a little, you sense a fear factor rather than that of love and compassion. Why is that? Why was the church pushing a harsher reality onto students in their early years? Plain and simple - they have always done it. My interpretation of the church is that if the general public were left to their own devices, morality would not exist and the integrity of people would be that of Sodom and Gomorrah. Since the church has little physical influence over the personal lives of their employees (free will), another avenue of control is required - making birth control somewhat fiscally out of reach through not providing it in insurance plans. You won't find any studies published on the cold, hard number of people who classify themselves as religious and their use of contraceptives but I'll go out on a limb and say that more than 80% of married couples practice it in some form.

I'm going to pull the religious card here. I was always taught that people are tested while here on earth but every decision was yours, including the decision to sin or not follow the church. How is the abstinence from contraceptives offered by an insurance company any different? The answer is it's not.

Enough tangent, back to the argument. Religious groups can harp all day on moral issues of offering birth control as part of their insurance plans but the reality that they do not want to face is that, regardless of it being available in the insurance plan, their congregation would still practice contraception methods in some form. The other side of the argument, that some how they are subsidizing the use of contraceptives is totally crazy. The mandate specifically says that rates will not go up as a result of this. Let's look at the insurance company for a minute because this is the best thing that could have happened for them. The insurance costs of raising a child are enormous compared to providing birth control so it's a win-win for them.

Obama is not shoving contraception down the throats of everyone but merely making it financially available to everyone. That's it. It's the person's decision to take it or not. Because it is a free will decision, arguing that this mandate violates the First Amendment is absurd. Now if it was "crazy religious fanatics are required to take birth control every day" then you have something, but merely making something available to the greater public and arguing it violates your rights? Give me a break.

The contraception mandate and you: the religious debate

President Obama has gotten more than he bargained for with the fire fight he is facing with religious groups over a mandate that even religious organizations include birth control as part of their insurance coverage. What was originally framed as a step in the right direction for woman's rights and universal healthcare quickly turned into a constitutional debate over the president's ability to force specific coverage onto everyone, including religious groups.
The president's so called 'accommodation' was nothing but a shell game: the mandate still requires religious organizations to subsidize and authorize conduct that conflicts with their religious principles. The very first amendment to our Constitution was intended to protect against this sort of government intrusion into our religious convictions. (Texas Attorney General)

The Texas Attorney General's argument is weak at best and I call into question his understanding of the First Amendment:
Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the government for a redress of grievances.

The mandate is not directed at religious groups, but rather the insurance companies themselves. Are religious groups affected? Sure they are but then again they are also part of the greater population so any decision that applies to the United States as a whole affects them. Greg Abbott, as are religious groups, are linking the idea that insurance companies offering contraception methods as part of insurance plans somehow "authorize(s) conduct that conflicts with their religious principles" but I beg to differ. Something like 42% of women use contraception methods for something other than preventing pregnancies (the real reason religious groups are up in arms) - let's just ignore that for the time being since the religious groups are.

Let's take a tangent real quick before we continue and look at my experiences with sex and religion. I was raised a Catholic. Went to Catholic school for 10 years of my life and have a pretty good understanding of the mindset utilized by similar groups. Since sex education was a required thing growing up, we were taught three basic ideas:

  1. Only way to not get pregnant is to not have sex. Actually was told numerous time:  "the use of any contraceptive is a sin"

  2. You need to wait until you're married to have sex

  3. If you have sex with more than one person, you will get a STD for life


Pretty grim stuff if you ask me, but the reality was that it was only part of the truth. If you read into these ideas a little, you sense a fear factor rather than that of love and compassion. Why is that? Why was the church pushing a harsher reality onto students in their early years? Plain and simple - they have always done it. My interpretation of the church is that if the general public were left to their own devices, morality would not exist and the integrity of people would be that of Sodom and Gomorrah. Since the church has little physical influence over the personal lives of their employees (free will), another avenue of control is required - making birth control somewhat fiscally out of reach through not providing it in insurance plans. You won't find any studies published on the cold, hard number of people who classify themselves as religious and their use of contraceptives but I'll go out on a limb and say that more than 80% of married couples practice it in some form.

I'm going to pull the religious card here. I was always taught that people are tested while here on earth but every decision was yours, including the decision to sin or not follow the church. How is the abstinence from contraceptives offered by an insurance company any different? The answer is it's not.

Enough tangent, back to the argument. Religious groups can harp all day on moral issues of offering birth control as part of their insurance plans but the reality that they do not want to face is that, regardless of it being available in the insurance plan, their congregation would still practice contraception methods in some form. The other side of the argument, that some how they are subsidizing the use of contraceptives is totally crazy. The mandate specifically says that rates will not go up as a result of this. Let's look at the insurance company for a minute because this is the best thing that could have happened for them. The insurance costs of raising a child are enormous compared to providing birth control so it's a win-win for them.

Obama is not shoving contraception down the throats of everyone but merely making it financially available to everyone. That's it. It's the person's decision to take it or not. Because it is a free will decision, arguing that this mandate violates the First Amendment is absurd. Now if it was "crazy religious fanatics are required to take birth control every day" then you have something, but merely making something available to the greater public and arguing it violates your rights? Give me a break.

Friday, February 10, 2012

Must employer-provided health insurance plans cover birth control?

Some people believe they must. Other people disagree. Two questions occur to me in connection with this debate: First, what does birth control have to do with health insurance? Second, what do employers have to do with their employees' health insurance?

Insurance is supposed to prepare the insured for unpredictable, expensive scenarios. Needing to purchase birth control pills is a perfectly routine event. The pill isn't very pricey, either. Why, then, do people buy them with their health insurance instead of just reaching for their purse? It's not like car insurance plans cover fuel expenses.

What's more, your employer has no say over what your car insurance plan covers. Why, then, does it have a say over what your health insurance plan covers? What's so special about health insurance?

Believe it or not, many economists say that we have the tax code to thank for these curiosities of the US health care system. The story begins with World War II. One of the ways in which the US government financed the war effort was by printing a lot of US currency, causing excessive inflation. The government responded with wage controls, among other measures, legally preventing wages from giving way to inflationary pressures. Of course, the laws of supply and demand cannot be legislated away. Employers responded to the inflationary pressures by offering workers benefits besides wages, most commonly health insurance, simply because doing so was legal.

As wage controls were relaxed, however, congress began to recognize employer-provided health insurance as a form of income, thus subjecting it to taxation. By that point, though, labor unions had become staunch defenders of the tax-free status of employer-provided health insurance, discouraging congress from closing the loophole. Ever since, employer-provided health insurance has been tax deductible. Sound like intelligent design to you?

Why does the tax-free status of employer-provided health insurance matter? Suppose you wish to buy birth control pills. If you decide to buy them with your employer-provided health insurance, then you will pay for them with pre-tax dollars, effectively rendering them less expensive. If, on the other hand, you decide to pay for them out of pocket, then you will pay for them with post-tax dollars, effectively rendering them more expensive. Note that this does not work if you purchase your own health insurance plan. Health insurance is only tax deductible if it is provided by your employer. This explains not only why most people receive their health insurance from their employer, but also why cheap, routine medical expenses tend to be covered under health insurance plans.

For these reasons, a perfectly straightforward policy issue (whether every woman should have financial access to birth control) is, in the context of our distorted health care financing system, transformed into a mystifying debate about the complex relationship between your health insurance provider, your employer, your government, and you.

So, what's my proposal to resolve this controversy? Reform the tax code. Only then will we be able to meaningfully debate the proper role of government. Also, everyone needs to take a pill. A chill pill, that is...