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The Answer Blog

Posts Tagged ‘Health Care’

No Co-Pays for Women’s Health Care: Better But Not Perfect

August 9, 2011

Birth controlIn a groundbreaking move, the U.S. Department of Health and Human Services announced last week that, as part of the Affordable Care Act, it would for the first time ever require new health insurance plans to include coverage for the costs of a wide range of preventive health services for women without co-pays. At Answer, we were particularly delighted to see sexually transmitted disease (STD) counseling, HIV counseling and testing, and FDA-approved contraceptive methods included on the list of preventive services. Finally, an administration that has elevated the health needs of women and their families to where it needs to be!

I truly do believe this decision is unprecedented. At the same time, however, having worked in the nonprofit sector for nearly 25 years, my social justice autopilot is permanently set on “who’s missing?” So when I read the announcement, the first question that came to my mind was, “What about all the people who do not have health insurance?”

In 2010, 39 percent of people ages 64 and younger had no health insurance, according to the Centers for Disease Control and Prevention (CDC). This is the highest rate since 1997. That translates to roughly 48 million people. Hispanic and African-American individuals were, as always, disproportionately represented among those who did not have insurance. And when the CDC says “uninsured,” that means no private health insurance, Medicare, Medicaid, Children’s Health Insurance Program, state-sponsored or other government-sponsored health plan or military plan. Unfortunately, none of these people would benefit from the Affordable Care Act’s provision.

Historically, uninsured individuals could go to their local family planning organization for their health care needs, but not any more. Not when more and more state governments continue to irresponsibly eviscerate the funding budgets for those organizations, many of which are the only places women and men go to for their health needs. This remains one of the biggest oversights and tragedies of the conservative agenda to eliminate family planning services. In doing so, they are often eliminating the only health care some people will ever have access to or receive. And the fewer preventive services that are available, the higher the cost down the line for treatment and care for the illnesses that can result—for women AND men. See, according to the HHS announcement, “Women are more likely to need preventive health care services.” But according to the CDC, boys and men are more likely than girls and women to be uninsured. This issue affects everyone, regardless of gender or age.

So as we celebrate this bold move—and truly, we must—we cannot rest on our laurels for very long. We must remember that well-woman visits are invaluable for early detection, diagnosis and treatment of illnesses for which the uninsured remain disproportionately at risk simply because they do not have access to these services. We must remember that at the same time that well-woman visits are imperative, so too are preventive and well-care services for boys and men. And in the same breath with which we celebrate victories like this, we need to remember those who are habitually forgotten and neglected, and whose lives can be made or broken based on politics and reckless cuts to invaluable programs and services.

From N.J. to D.C.: How – and Why – I Lobbied to Stop the Stupak Amendment

December 11, 2009

Some women like to go shopping when they want a break from their busy lives; others like to lunch. Not me. I like to lobby. In particular, I like to lobby my Congressional representatives in Washington, D.C., on causes I care about.

I love the give and take of reasonable argument and discussion; I like learning facts; I like testing my ideas; I like to plant the seed of change in another person’s mind or heart; I like to understand the reasons why they oppose my views; I like to try to make a difference in the formation of public policy.

Last week was a banner one for me. I went to Washington, D.C., with eight friends to participate in National Lobby Day to “Stop the Abortion Coverage Ban,” organized by Planned Parenthood Federation of America and other women’s reproductive health and rights groups after the passage of the House of Representatives’ bill containing the Stupak amendment.

The amendment would prohibit millions of women from purchasing health insurance coverage that includes abortion in the new exchanges, even with their own money.

The day’s purpose: for women across the nation to lobby their Senators to “Pass Health Care and Stop Stupak!” and to ensure that language similar to the Stupak amendment would not be included in the Senate bill.

The organizers didn’t want anti-choice groups to use abortion coverage as a way to hijack health care reform. They wanted to counter with their own overwhelmingly female lobbying force. (After all, women do hold up half the sky.)

As we sat on the early morning train from Trenton to Washington, my friends and I agreed that we supported the passage of health care reform legislation to cover the millions of Americans who have no insurance and to reduce the ever-growing health care cost burden on our economy.

But we also agreed that we did not want this bill hijacked by anti-choice forces and new restrictions placed on a woman’s right to choose.

The energy in the auditorium of the Dirksen Senate Office Building could have lit the White House Christmas tree without a switch. The room was brightened by Planned Parenthood staffers’ pink T-shirts proclaiming “Health Care for Every Community.” We picked up a packet of papers, pasted “Pass Health Care! Stop Stupak!” stickers on our chests, and attended one of several Lobby Day trainings. We learned the essentials of lobbying in a nutshell: “Be Concise, Compelling, Relevant, and Credible.”

Cecile Richards, the friendly, low-keyed president of the Planned Parenthood Federation of America, thanked us all for coming. She told us that we represented every region of the nation and that busloads had come from as far away as Maine, Wisconsin, and “the deep South.”

The morning speakers were diverse: African-American women, Latina women, old women, young women, and even a smattering of men. I most appreciated the fiery Billie Avery, a longtime grassroots organizer for black women’s health, who urged us to tell our legislators that “women demand to have control over our own bodies. … If they turn their back upon their female constituents, you tell them, ‘You are in danger of losing your base.’ ”

Luckily, we caught Senator Frank Lautenberg as he left his office for a meeting on the health care legislation; he stopped and greeted us warmly. He knew why we were clustered outside his door: our stickers spoke volumes. Always a friend of reproductive choice over his many years of public service, he didn’t have to tell us his position on the bill. But he said that we would meet with his aide on health care and she would pass along all our ideas.