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Republican Judge Jerry Smith Blocks Pro-Planned Parenthood Order Just Hours After It Was Issued

Last month, Republican Fifth Circuit Judge Jerry Smith pitched a tantrum in open court, demanding that the Department of Justice respond to some imprecise political rhetoric by President Obama in an attempt to embarrass the president. Today, the staunch Republican judge raised further doubt about his ability to separate politics from the law by suspending a decision benefiting Planned Parenthood just hours after it was handed down by another judge.

Yesterday afternoon, a federal trial court in Texas granted a preliminary injunction preventing the state from cutting off women’s health funds to Planned Parenthood. The trial court’s opinion was written by Judge Lee Yeakel — a George W. Bush appointee — and it is 24 pages long, including substantial analysis of difficult constitutional doctrines such as the scope of the First Amendment right to free speech and the “unconstitutional conditions” doctrine. Significantly, the Bush-appointed trial judge was concerned that Texas stripped funds from Planned Parenthood because it disapproved of the organization’s advocacy in favor of women’s health — a direct attack on Planned Parenthood’s First Amendment rights if Yeakel is correct.

This morning, less than 24 hours after Yeakel handed down his decision, Judge Smith handed down a two sentence decision of his own:

IT IS ORDERED that appellant’s motion for stay pending appeal is GRANTED pending further order of this court. This order is entered by a single judge pursuant to FED. R. APP. P. 8(a)(2)(D).

Several things are significant about this very brief order. First, Judge Smith is a court of appeals judge, and it is very rare for an appeals judge to act alone in this way. Federal appeals courts almost always act as three judge panels, and for very good reason. Judge Yeakel is no less a federal judge than Judge Smith, and he is no less competent that Smith to interpret the Constitution. A court of appeals’ legitimacy generally flows from the fact that it brings more minds to a legal question than a trial court — but this cannot happen when a single judge acts alone.

It is true, as Judge Smith notes, that the Federal Rules of Appellate Procedure permit a single judge to stay a lower court’s decision, but that rule only permits the judge to do so in “an exceptional case in which time requirements make that procedure impracticable.” It’s not at all clear what kind of exceptional time constraints justified allowing Judge Smith to act alone here rather than first consulting with two of his colleagues before issuing this unusual order.

More importantly, it’s unlikely that Smith gave his order much thought at all before handing it down. Judge Yeakel handed down his order weeks after this case was filed, and he produced a 24 page explanation of why it was justified. Smith spent, at most, a few hours — and he offered no explanation whatsoever.

If nothing else, today’s order highlights the foolishness of Smith’s partisan tantrum several weeks ago. Unusual orders — even unusual orders handed down by single judges — are sometimes justified even if the legal reasoning behind such an order is not immediately apparent. Nevertheless, the legitimacy of such orders flows from the public’s trust that they are motivated by obedience to the law and not by partisanship, ideology or personal grievances. Judge Smith thumbed his nose at that trust when he lashed out at Obama last month, and undermined the legitimacy of the entire judiciary in the process.

Minnesota Senator Who Sponsored Vetoed Anti-Abortion Pill Bill Calls Viagra A ‘Drug For Life’

Minnesota Gov. Mark Dayton (D) has vetoed an anti-abortion bill that would have required a doctor to be present for a woman to take the abortion-inducing drug RU-486, effectively banning “tele-med” abortions and disproportionately affecting women in rural communities. Dayton wrote in his veto letter that patient safety should always be a concern, but “a veto is warranted on legislation because it is driven by a specific political ideology rather than a broad-based concern for protecting all patients.”

Indeed, during debate about the legislation, a Democratic state senator asked why RU-486 should be regulated instead of erectile dysfunction medication. Sen. Paul Gazelka (R), the bill’s sponsor, said Viagra is a “wonderful drug” that “helps create life.” RH Reality Check’s Robin Marty asked Gazelka to clarify his comments about Viagra, and he said in response:

comparing Viagra to RU-486 was comparing apples and oranges or more like comparing life and death. Viagra is a wonderful medical advancement in that can help couples with sexual disfunction issues…it can even help in producing life. RU486 always destroys life by taking the life of the unborn child.

Gazelka did not respond to Marty’s questions about whether he would sponsor a bill to collect information about men who are prescribed Viagra, similar to “databases created in various other states to gather information on women who obtain abortions.”

Gazelka’s bill and his ensuing comments about Viagra highlight the unfair burden placed on women who seek abortions and related health care. State regulations continue to add additional hurdles women must overcome to access abortions and contraception, while no similar measures block the availably of Viagra for men.

A Primary Care Doctor Explains Why Attacking Prevention Is Not Fiscally Sound

Our guest blogger is Christopher Lillis, a full time private practice Internist in Fredericksburg, Virginia. He has been a member of Doctors for America since its founding in 2008.

This weekend, Speaker of the House John Boehner (R-OH) defended a GOP bill that offsets the costs of extending lower interest rates on federal student loans by eliminating the Prevention and Public Health Fund, a provision of the Affordable Care Act that seeks to bolster public and preventive health. Other opponents of the Prevention fund have maligned it as a “slush fund.”

As a practicing physician, I see investments in prevention and public health quite differently. Engaging in preventive care in my primary care practice allows for the early detection of disease, which eases the treatment of so many illnesses. Obtaining a mammogram, considered preventive care, allows for the early detection of breast cancers. Catching a breast cancer at its earliest stage allows for a cure, whereas detecting breast cancer at a late stage often means engaging in chemotherapy and radiation in an effort to extend survival without hope for a cure.

But we are not just talking about funding prevention at the individual level. We need to shift the focus of our health care system from one that only treats disease, to a more sensible system that prevents disease and encourages wellness.

Diabetes is a disease that is exploding in our nation. Two million new cases a year are being diagnosed in America. Twenty five million already have diabetes, and another 79 million have the precursor of diabetes: an elevated blood sugar. This one disease alone may cost America $200 Billion dollars annually. However, diabetes is distinctly preventable, even more so than most other conditions. By eating a healthier diet, getting daily exercise, and avoiding sugary beverages, many can avert diabetes completely. To attack the American diabetes epidemic, we need to focus on preventive health and public health. Better walking trails, nutrition education and coordinated care – all provided for in the Affordable Care Act – will be needed to stem the tide of new diabetes diagnoses.

In the United States, we spend a paltry 3 percent of all of our health care dollars on public health. For this, we trail the industrialized world in infant mortality rates and life expectancy. We can do better as a nation. We can do better as a health care system. My prescription: invest more in public health and preventive health – it will lead to a healthier country that can be more productive and significantly reduce our exploding health care costs.

In my home state of Virginia, $6 million has been allocated to bolster public health projects including tobacco cessation programs. In Colorado, funds went to improving the nutrition in public schools. In Ohio, funds were used to ensure that 4,000 additional students could safely walk to school. This is not a slush fund. This is investing in America’s health and wellness. To see how the prevention fund is being used in your state, check here.

NEWS FLASH

Study Finds Black Children Are Less Likely To Get Pain Medication In ERs Than Whites | A study by the Pediatric Academic Societies released last weekend found that black children are far less likely to receive pain medication in an emergency room than white children. According to the study, black children were 39 percent less likely to get the same medication as white children facing similar medical issues. In addition, the researchers found that black and Hispanic children were more likely to have longer hospital stays than white children. Previous studies have also found differences between how minorities were treated for serious illnesses, according to Raw Story.

-Zachary Bernstein

Obama Administration Tacitly Supports Abstinence-Only Curriculum

Abstinence-only education does not work, and is actually dangerous to women’s health. It prevents honest conversation about women’s reproductive health needs and keeps young women from getting information that could save their lives. And yet, without any notification by the Obama Administration, an abstinence-only curriculum was recently added to the pregnancy prevention program list endorsed by the Department of Health and Human Services.

The program, entitled “Heritage Keepers Abstinence Education,” made it onto the “evidence-based” list some time this month, according to RH Reality Check. And in fact, it’s not a new program at all:

[O]ne of the “new” programs is actually an old, dis-proven and dangerous abstinence-only-until-marriage program.[...]

Perhaps the Administration realized that the inclusion of Heritage Keepers Abstinence Education on this select list would call into question its commitment to young people and their sexual health. Once again, they have succumbed to the political pressure of social conservatives and allowed the ideology of the right to prevail over the health and well-being of the nation’s youth. The Obama Administration’s endorsement of this abstinence-only-until marriage program runs in direct contradiction to its stated commitment to the health and well-being of young people and, quite possibly, its promise to uphold science and evidence.

There have been many studies that prove abstinence-only education to be ineffective. In states that teach abstinence-only curricula, teen pregnancies are higher. One study found that teenagers who receive some type of comprehensive sex education are 60 percent less likely to get pregnant or get someone else pregnant. The Administration’s endorsement of this program is really tacit support for a completely ineffectual program that is bad for women.

GA Rep. Price: Opening Health Insurance To People With Pre-Existing Conditions Is A ‘Terrible Idea’

One of the most popular provisions of the Affordable Care Act prevents insurers from denying coverage to Americans with pre-existing conditions. But Republicans seek to repeal the law in its entirety and have gone to great lengths to oppose the new consumer protection. Just ask Georgia Rep. Tom Price, a medical doctor, who has introduced a replacement bill which would not require insurance companies to accept people with pre-existing conditions. When asked why he omitted that provision, Price was blunt in his assessment:

They are even divided over whether some of the popular pieces of Obama’s health law are a good idea. For example, most Republicans support the health law’s requirement that insurance companies accept all applicants — but the replacement plan put forward by the most prominent Republican ignores that idea.

“It’s a terrible idea,” Rep. Tom Price (R-Ga.), the sponsor of the plan, told POLITICO. He said Democrats only enacted the provision in order to require exactly what kinds of insurance Americans must have. He would rather expand coverage voluntarily.

Price may think opening coverage to Americans who need it most is a “terrible idea,” but for many of those Americans, it is a matter of life or death. As many as 122 million Americans have an illness which could result in an insurer denying them coverage; they paid as much as $4,844 more a year for health care than those without pre-existing conditions. And a study from 2009 found that 45,000 Americans a year died because they don’t have access to care.

Despite some Republican claims that this provision would somehow do more harm than good, children up to the age of 19 are already receiving care regardless of pre-existing conditions as a result of the law. By 2014, that provision will extend to everyone. If, on the other hand, the individual mandate is repealed, health insurers have already said they will return to the practice of denying coverage to sick Americans.

-Zachary Bernstein

Scott Brown Benefits From Obamacare, Despite Supporting Its Repeal

Sen. Scott Brown (R-MA) ran as the 41st vote against President Obama’s health care reform bill in a special election to replace the late Sen. Ted Kennedy and voted three times to repeal the law and take way health care coverage from the 30 million Americans who will benefit from the law by 2014 and the millions who are already taking advantage of its provisions.

But yesterday, this Tea Party champion and great opponent of Obamacare admitted something astonishing: his 23 year old daughter is one of the 2.5 million young Americans who are benefiting from a regulation that allows young people to stay on their parents’ health care plan until age 26:

Of course I do,’’ the Massachusetts Republican told the Globe. Brown is insuring his daughter Ayla, a professional singer who is 23 years old, under a widely popular provision of the law requiring that family plans cover children up to age 26.

Brown said the extended use of his congressional coverage is not inconsistent with his criticism of the federal law, enacted over his objection after he won a special election in 2010, because the same coverage could be required by individual states.

Brown is responding to charges of hypocrisy by claiming that “he still wants to repeal the law” because it is inferior to the measure enacted by then-governor Mitt Romney in 2006. “I’ve said right from the beginning, that if there are things that we like, we should take advantage of them and bring them back here to Massachusetts,” the senator said.

Brown has a history of denying to others the benefits he himself enjoys. After all, his first campaign for the senate was predicated on the notion that Massachusetts has enacted successful health reform and should not have to pay for a national effort to expand coverage and lower health care costs. Now he’s displaying this very same selfishness with the ACA, telling voters that while his daughter can stay on her parents’ health plan, their children should go out and pay for their own health insurance.

Morning CheckUp: May 1, 2012

Doctors say proposal on Medicare overpayments would impose burden: “A proposed rule aimed at reducing Medicare overpayments to doctors is onerous and needs another look, medical groups are telling federal regulators.” [The Hill]

GOPers split over how to reform health care: “Ask each of the 242 House Republicans what kind of health policy they’d like to enact instead of President Barack Obama’s health care reform law and you might get 242 different answers. Even after three years of railing against Obama’s plan, Republicans have coalesced around only a few basic tenets of health policy — let alone a full replacement plan.” [Politico]

Stand-off over exchanges in Minnesota: “With zeal, excitement and a meticulous attention to detail, the administration of Gov. Mark Dayton is trying to expand health insurance coverage and remake Minnesota’s insurance market along the lines envisioned by President Obama….But one notable group has been missing from the process: Republicans, who control both houses of the State Legislature.” [NYT]

Feds OK Walker plans to cut Medicaid costs: “Federal officials have signed off on plans by Gov. Scott Walker’s administration to cut costs in state health programs that will lead to an estimated more than 17,000 people leaving or being turned away.” [Journal Sentinel]

Minnesota governor issues another abortion veto: “Gov. Mark Dayton has issued his second veto of an abortion bill in as many weeks. The governor issued an expected veto Monday of a bill that would have required physicians to be physically present every time an abortion pill like RU-486 is prescribed, and again every time such a pill is swallowed.” [Star Tribune]

Oklahoma governor signs ‘heartbeat’ bill into law: “Oklahoma will be another state to ask women to listen to the sound of an embryo or fetus’s heartbeat prior to terminating a pregnancy thanks to the “Heartbeat Informed Consent Act,” which was signed into law by Governor Mary Fallin. However, unlike other heartbeat bills, such as the one in Louisiana, women will not be required to listen to the sound, but be asked if they want to do so.” [RH Reality Check]

Focus on risk-based mammograms for women under 50: “Regular mammography screening may be appropriate for women in their 40s who have certain risk factors for breast cancer, according to companion articles published in the May 1 issue of the Annals of Internal Medicine.” [Modern Healthcare]

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