ThinkProgress Logo

Health

NEWS FLASH

Fewer Workers Receiving Insurance Through Their Employer | A new report from the Employee Benefit Research Institute (EBRI) shows that a brief increase in the number of workers receiving health coverage through their employer “has not endured.” After rising between 2007 and 2009, the percent of employees with employer-based coverage fell from more than 60 percent in June 2009 to almost 56 percent by April 2011. An earlier report showed that 75 percent of lower-wage workers lack employer-based health insurance. One of the key purposes of Obamacare is to expand health coverage for Americans who don’t have access to needed care, like workers without employer-based coverage.

Justice

What You Need To Know About The Law Behind The Catholic Church’s Anti-Birth Control Lawsuit

Shortly after the Obama Administration announced its new rules to help ensure all women have adequate access to birth control, conservative lawmakers denounced it as unconstitutional under the First Amendment guarantee of religious liberty. This argument is meritless. As conservative Justice Antonin Scalia explained in Employment Div. v. Smith, a law that applies evenly to the faithful and the non-faithful alike does not violate the First Amendment.

In light of this fact, the rules’ opponents have wisely pivoted to a 1993 law known as the Religious Freedom Restoration Act (RFRA) which imposes additional restrictions on the federal government above and beyond what’s actually required by the Constitution. Indeed, the several conservative Catholic groups challenging the birth control rules in court cite RFRA in their very first claim against the rules.

RFRA was enacted very much due to a backlash against Justice Scalia’s opinion in Smith. That case involved a relatively obscure Native American religion whose members wanted to ingest the illegal drug peyote during one of the faith’s sacred rituals — Scalia’s opinion said they were not exempt from this law because the ban on peyote applies evenly to all persons regardless of whether they believe the drug has a sacred purpose or not. RFRA’s supporters, including some very prominent progressives, feared that Scalia’s decision would fall heavily on minority religions because they lacked the political power to stand up for themselves in the legislature. Lawmakers who support a ban on sacramental wine, for example, would soon run afoul of their many (and often, powerful) Christian constituents. But lawmakers who want to ban drugs used in relatively uncommon faiths would experience no such backlash.

For this reason, the conservative Catholics’ suit is a bit unusual since they are not the kind of minority faith that many of RFRA’s supporters sought to protect. The Catholic bishops who are driving this effort are politically powerful, so powerful, in fact, that top political leaders like Speaker John Boehner (R-OH) have rallied to their cause. Nevertheless, there’s nothing in the language of RFRA itself which prevents powerful religious groups from invoking it. Under RFRA, the federal government cannot “substantially burden a person’s exercise of religion” unless the law that does so:

(1) is in furtherance of a compelling governmental interest; and
(2) is the least restrictive means of furthering that compelling governmental interest

Even assuming that the birth control rules “substantially burden” conservative Catholics, however, there are strong arguments that the rules survive RFRA’s test. In Roberts v. United States Jaycees, the Supreme Court established the government has a “compelling interest in eradicating discrimination against its female citizens,” and extending access to birth control clearly advances this goal. As the California Supreme Court explained when it upheld a very similar birth control law in 2004, “women during their reproductive years spent as much as 68 percent more than men in out-of-pocket health care costs, due in part to the cost of prescription contraceptives and the various costs of unintended pregnancies.” Expanding access to contraception targets this problem directly.

The more difficult question is whether the Obama Administration’s rules use the “least restrictive means” of achieving its goal — meaning that there is no way to accomplish the same goal without placing the same burden on religious exercise. In the California suit, the plaintiffs claimed that California could have simply created an entitlement program that provides contraception, rather than enacting a law that led to religious employers paying health insurance premiums that covered some women’s birth control. The Obama Administration’s opponents make a similar argument now, that conservative Catholic employers object that a portion of their premium payments would go to contraception, while an entitlement program would not raise this problem.

This is only half true, however. While it is true that conservative Catholics would not have to pay premiums that cover birth control if the government created an entitlement program, conservative Catholics would still pay taxes that fund that entitlement program. It’s not at all clear why one places a different burden on the rules’ religious objectors than the other.

So there are strong arguments in favor of the birth control rules — strong enough, in fact, that one of the most Republican courts in the country upheld a very similar California law just eight years ago. Of course, that was before the Roberts Court indicated they might embrace an utterly meritless case against the Affordable Care Act, so there is always a risk that partisanship will trump law if this case reaches the Supreme Court. Assuming the justices are in the mood to follow the law, however, the administration has a strong argument to offer against the RFRA challenge.

82 Percent Of Catholics Say Birth Control Is ‘Morally Acceptable’ Despite Catholic Institutions’ Crusade Against It

More than 40 Catholic institutions filed 12 separate lawsuits this week against the Obama administration’s regulation requiring employers and insurers to cover contraceptive services at no additional cost to employees — arguing that it violates Catholic institutions’ religious liberty. But most U.S. Catholics don’t consider birth control to be a threat to their religious belief. In fact, 82 percent of Catholics say contraception is “morally acceptable,” according to a Gallup poll from earlier this month.

Although Catholic Church leaders have transformed contraception into a culture war issue over the past few months, their position does not have the backing of the majority of Catholic adherents, especially when compared to the American public as a whole. The poll demonstrates that Catholic support for birth control is a mere 8 points below the 90 percent of non-Catholic Americans who have no moral objections to birth control:

The Obama administration has already amended its contraception regulation to provide accommodations for employers and insurers who object to covering birth control for religious reasons. A third-party insurer may pay for the birth control, ensuring no additional cost to either the employee seeking coverage nor the religious institution. Nonetheless, prominent Catholic figures such as Cardinal Timothy Dolan have referred to the contraception rule as a method of “strangling” religious freedom.

Dead Child’s Family Struggled To Pay Medical Bills After Florida Slashed Health Care Assistance

Joey Cosmillo via The Orlando Sentinel

A boy who nearly drowned five years ago passed away this week, after state budget cuts increased the cost of his care.

Joey Cosmillo almost died as a one year old after he fell in a pool, but was rescued and survived another five years with extensive medical assistance. Then two years ago, Florida lawmakers slashed health care funding for low-income people in favor of corporate tax cuts, and Cosmillo fell victim to the cuts.

According to his grandmother, the family struggled to pay Joey’s mounting medical bills, and the state assistance that used to help them wasn’t an option anymore:

Joey received 24-hour nursing care at home until state cutbacks two years ago gradually began taking that away. Long-term care of near-drowning victims can cost $180,000 a year and more than $4.5 million over their lifetimes, according to thepoolsafetyresource.com

Our family went broke trying to take care of him,” his grandmother said. [...] Joey’s mother Angela and his grandfather Richard “Rich” Cosmillo shared night care duties at their side-by-side apartments in Maitland. [...]

On Sunday night, Joey died at home. The next day, his grandfather was hospitalized.

“It was one of those horrible times when we didn’t have nursing all weekend,” his grandmother said. “We don’t know what happened.”

While Joey’s family suffered, Florida Gov. Rick Scott (R) gave corporations hundred of millions of dollars in tax breaks. Scott called his budget “fun” and “exciting,” and said that “jobs are going to grow like crazy” in Florida. But Florida unemployment remains among the highest in the country.

Woman Kicked Off Flight For Wearing A Pro-Choice T-Shirt

A woman was not allowed to board her connecting flight Tuesday because she was wearing a pro-choice shirt that was too offensive, according to American Airlines.

The woman emailed Jodi Jacobson, editor-in-chief of RH Reality Check, recounting the experience:

Right before we were set to land the flight attendant from first class approaches me and asks if I had a connecting flight? We were running a bit behind schedule, so I figured I was being asked this to be sure I would make my connecting flight. She then proceeded to tell me that I needed to speak with the captain before disembarking the plane and that the shirt I was wearing was offensive.

The shirt was gray with the wording, “If I wanted the government in my womb, I’d fuck a senator.” I must also mention that when I boarded the plane, I was one of the first groups to board (did not pass by many folks). I was wearing my shawl just loosely around my neck and upon sitting down in my seat the lady next to me, who was already seated, praised me for wearing the shirt.

The shirt’s words are actually lifted from a sign used by Oklahoma state Sen. Judy McIntyre (D) at a pro-choice rally. McIntyre told critics who found her sign offensive that “I would hope they would have that same passion about how offensive it is for the Republican Party of Oklahoma to ramrod, because they have the votes to do so, bills that are offensive to women and take away the rights of women.”

American Airlines has an exceptionally strict dress policy, according to CNN. It says that “it can refuse to transport you, or may remove you from your flight for reasons including ‘being clothed in a manner that would cause discomfort or offense to other passengers.’”

GOP Blasts Obama For Advertising Benefits Of Obamacare, Ignores Much Larger Campaign Under Bush

Republicans are criticizing the Department of Health and Human Services for signing a $20 million contract with a public relations firm to educate Americans about the preventive health benefits included in the Affordable Care Act. The campaign — mandated by the law — “must describe the importance of prevention while also explaining preventive benefits provided by the healthcare law,” essentially informing the public about the availability of preventive services without additional co-pays.

The GOP touted the benefits of preventive medicine before Obama signed health reform into law and claimed that it could help lower the nation’s skyrocketing health care costs. But they’re now denouncing this campaign as an “unconstitutional” “propaganda” effort:

– SARAH PALIN: “This is one of the stupidest things I’ve heard coming out of the Obama administration. Not only is this, of course, pending in court, and I think it will be deemed unconstitutional, but this is a propaganda piece, which I think violates many of the procurement laws and other laws applicable to government contracts. This is propaganda. It’s just promoting ‘ObamaCare.’” [Fox News, 5/22/2012]

– JOHN MCCAIN: “Outrageous waste of taxpayer $ to promote #Obamacare – ‘HHS signs $20M PR contract to promote healthcare law’ [Twitter, 5/22/2012]

– ROY BLUNT: “It’s unacceptable that Pres Obama intends to waste $20M on the taxpayer’s dime to sell U.S. on unpopular #ObamaCare” [Twitter, 5/22/2012]

– RON JOHNSON: “$20M for marketing #ObamaCare? This is a wasteful & inappropriate use of taxpayer dollars.” [Twitter, 5/22/2012]

President George W. Bush also used federal funds to promote the 2003 Medicare Modernization Act (MMA), which established the existing prescription drug benefit. In that case, however, an investigation by the Government Accountability Office and HHS’s own inspector General concluded that the federally funded campaign was “misleading” and “may also have illegally used public money to make what in effect were fake news reports about the law that did amount to propaganda.”

In February of 2004, the administration distributed brochures and launched a $12 million radio, television, and Internet ad campaign to promote the Medicare reforms. “We’re going to provide seniors with straight answers,” said then-Health and Human Services Secretary Tommy Thompson. “We’re going to let them know what benefits are coming and when.” Critics charged that the ads were misleading and some stations even stopped showing the spots.

In 2009, the GOP also defended Humana’s alleged use of federal dollars and data to send deceptive brochures warning Medicare customers that health reform will cut “important benefits and services.” Republicans rallied behind the insurer and accused Democrats of “trying to keep seniors in the dark about the consequences of congressional Democrats’ costly government-run health care bills.” But now they’re trying to undermine a campaign that will shine a light on prevention. Perhaps they’re worried that the more Americans learn about the law, the more they’ll like it.

Update

The Congressional Research Service tells ThinkProgress that in FY2006, the Administration (through CMS) requested $154.3 million for the National Medicare & You Education Program (NMEP) for MMA education and outreach activities.

NEWS FLASH

School Nurse Refused To Give Student His Inhaler During Asthma Attack | The nurse at a Florida high school would not give 17-year-old Michael Rudi his inhaler during an asthma attack because his mother had not signed a medical release form allowing him to use the prescription medication at school. A school official found the medication in Rudi’s locker, but without the form, officials took away the inhaler even though Rudi was having trouble breathing. When his mother Sue Rudi arrived, she told a local TV station that she saw her son collapsing from his asthma attack while the nurse watched him. “How dare you deny my son something that we all take for granted, breath,” said Sue Rudi. “Why didn’t someone call 911?” A school official said it was policy to call 911 when a student can’t breathe, but didn’t know why no one called during Rudi’s asthma attack.

Pennsylvania Legislature Will Consider Defunding Planned Parenthood

A bill to defund Planned Parenthood will be introduced in the Pennsylvania state legislature this week.

The bill, like similar efforts in Texas and Arizona, will put the women’s health provider at the end of the list for any federal funding, according to the Huffington Post. But it isn’t even written by the Pennsylvania state legislature. Rather, the bill is an effort by the anti-abortion group the Susan B. Anthony List:

[State Rep. Daryl] Metcalfe’s bill, the Whole Woman’s Health Funding Priority Act, would put health care providers that offer abortion services at the bottom of the priority list for state funding. The anti-abortion activist group Susan B. Anthony List wrote the bill, which closely resembles the one Arizona lawmakers used to defund Planned Parenthood earlier this year.

Planned Parenthood clinics receive a substantial percentage of their money through state and federal government funding streams, including Medicaid and Titles V, X and XX. The clinics use the funds to offer breast cancer screenings, STD testing and treatment, pap smears, maternity care and other medical services for low-income and uninsured patients.

Federal funding cannot be used for abortion services at Planned Parenthood. However, that funding is used for vital well woman care, particularly for low-income women, and women who live in rural areas and have few health care options.

Switch to Mobile
ThinkProgress Signup Overlay Skip and Continue to ThinkProgress Skip and Continue to ThinkProgress

Sign Up