Obama and Women’s Healthcare

While I was working on the last post about Akin, Ryan etc., I ran across this great summary of what the Affordable Care Act does for women.  In a column titled Obamacare(s) for Women, Katha Pollitt published in the Nation she provided this handy list of benefits.

Women will get a lot out of the Affordable Care Act. Here are just some of the ways:

1. As many as 10 million will get coverage in 2014 under Medicaid expansion, and by 2016, thanks to other provisions of the ACA, that number will grow to 13.5 million women.

2. By 2014, all plans sold to individuals will be required to cover maternity care. According to the National Women’s Law Center, 12 percent of those plans include that. Remember when Arizona’s Jon Kyl said he didn’t think his insurance should have to cover pregnancy and childbirth because he would never need it? The ACA destroys the mindset that care needed only by women is of no general concern.

3. More than 20 million women will get expanded coverage of preventive services—prenatal care, mammograms, pap smears, breast-feeding supplies, testing for sexually transmitted diseases, well woman checkups, immunizations, birth control and more.

4. Insurance companies will be barred from dropping women’s coverage when they become pregnant or sick.

5. Companies will be barred from denying coverage because of “pre-existing conditions,” like having had breast cancer, being pregnant (funny how that keeps coming up), having had a Caesarean or being the victim of domestic violence.

6. No more “gender rating”—charging women more for coverage just because they are women. This practice, already banned in some states but permitted in thirty-seven others, costs women a staggering $1 billion a year.

7. Older women will receive expanded preventive services through Medicare, like bone-density screenings for those at risk of osteoporosis.

8. The expansion of Medicaid will cover people who make up to 133 percent of the poverty line (about $31,000 a year for a family of four). True, enabled by the recent Supreme Court decision, at least eight red-state governors have said they will reject it. Let’s see how that works out for them.

9. The birth control provision is mammoth all by itself. Not only will it be costless to the patient; all methods must be covered. That means women will be able to choose the kind of birth control that works best for them, which means they are more likely to use it consistently. In particular, it means insurance must cover the most effective methods, including the IUD, which many plans exclude. At up to $1,000 upfront, it is too expensive for many women to shell out for, even though the IUD is one of the cheaper methods when you consider that it lasts for ten years or more. If anti-choicers really wanted to lower the number of abortions, they would be cheering this huge expansion of access to contraception. But no.

If Romney wins, women can wave goodbye to what Planned Parenthood has called “the single biggest advancement in women’s health in a generation.” Think about that next time someone tells you there’s no difference between the candidates. It’s just not true.

The President signs the Affordable Healthcare Act.  Photo by AP Photo/J. Scott Applewhite

Women and Health Care Reform

The House has passed both the Senate bill and “fixes” for reconciliation.  Both by more than the minimum number of votes.  Lindsay Beyerstein wrote today in the Nation

Last night, the House of Representatives passed comprehensive health care reform after more than a year of fierce debate. The sweeping legislation will extend coverage to 32 million Americans, curb the worst abuses of the private insurance industry, and attempt to contain spiraling health care costs.

The main bill passed the House by a vote 219 to 212, after which the House approved a package of changes to the Senate bill by a vote of 220 to 211. On Tuesday, President Barack Obama will sign the main bill into law. Then, the Senate will incorporate the House-approved changes through filibuster-proof budget reconciliation, perhaps as early as this week.

What role did women play in passage?  Beyerstein explains

As tea party protests raged outside, it seemed as if abortion might derail health reform. Rep. Bart Stupak (D-MI) insisted that he had the votes to kill the bill. At the last minute, Stupak was placated with an executive order from the president reiterating that the health care reform would not fund elective abortions.

The executive order is a red herring. It won’t impose any further restrictions, it just restates the status quo. Mike Lillis posted a copy of the order at the Washington Independent. The president might as well have reiterated a ban on federal funds for vajazzling. Health care reform was never going to fund vajazzling or abortion, but if Stupak finds the repetition soothing, so be it.

The chair of the pro-choice caucus, Rep. Diana DeGette (D-CO) acquiesced to the Stupak compromise, describing the overall bill as a “strong foundation,” according to John Tomasic of the Colorado Independent. Pro-choice groups will be angry, but realistically, the executive order was the best possible outcome. For a while, it looked like Democrats were going to have to make substantive concessions to Stupak. In the end, he flipped his vote for a presidential proclamation of the status quo.

In a last ditch effort to derail reform, the Republicans tried to reinsert Stupak’s strict anti-abortion language into the reconciliation package. The Republicans were trying to poison the reconciliation bill in order to threaten its chances in the Senate, explains Mike Lillis of the Washington Independent. The gambit failed. When Stupak rose to speak against the motion, he was shouted down by Republican representatives. One unidentified member called Stupak a “baby killer.”

Women who want to repeal the Hyde Amendment (and I’m one of them) are split.  Should health care reform have been the vehicle for repeal?  Anyone who thinks it is appropriate is mistaken. I’m with the pro-choice women in Congress who voted for reform.  I know that NOW and NARAL are upset that the President and Congress are “ignoring” women and “eroding” the right to choose.  I don’t see it that way.  As far as I’m concerned, I agree with Lindsay:  nothing has changed and if Bart needed cover to vote for the bill he got it.  We kept the status quo and Bart got to be called a “baby killer” and vote for the bill.  Millions of women will have access to health care and being a woman will no longer be a pre-existing condition.

Payback for Prochoicers

But I’m with Katha Pollitt.  Women need something

The way I see it, the Democratic Party and the Obama administration owe supporters of women’s rights a huge payback for cooperating on its signature issue.

Her list of suggestions includes full funding for Title X, passage of paycheck fairness, confront maternal mortality, pass CEDAW, and fully fund the Violence Against Women Act.  Not a bad list.  It is hard to pick which should come first, but I would fund the Violence Against Women Act and passing CEDAW.  Pollit says about CEDAW

Pass CEDAW. Jimmy Carter signed it back in 1980, but the United States is one of a handful of countries that have not ratified the UN Convention on the Elimination of All Forms of Discrimination Against Women. The others? Sudan, Somalia, Iran and a few Pacific islands. Despite the fact that Congress has burdened CEDAW with no fewer than eleven reservations, nearly all of which were placed there by Jesse Helms to please Concerned Women for America and other antifeminist and Christian groups, it still hasn’t come to a vote. So pass it, already–and Helms is dead, so dump the reservations. Don’t have the votes? Vote on it anyway. American women should know which senators think we should have fewer human rights than women in nearly every other democratic country in the world.

I don’t think repeal of the Hyde Amendment is in the cards anytime soon, but I do think we should get everything on Katha’s list.