Breast Exams, Birth Control, and Republicans

Two recent news articles have me very concerned relative to health care for American women. Both of these situations revolve around women’s rights, particularly the right to reasonably priced and available reproductive health care. I realize I am stepping into very volatile territory here. It is my belief that, in America, women should enjoy the same rights, freedoms, and protections that men enjoy. Your comments and criticisms are welcome, as always.

First, the Susan G. Komen Foundation announced they would no longer provide funds to Planned Parenthood Federation of America, citing a potential congressional review of Planned Parenthood’s financial practices. This review is headed by Representative Cliff Stearns, R-FL, and is encouraged by anti-abortion groups. Planned Parenthood provides, among other services, free or low-cost breast examinations, and ob-gyn examinations, for women without insurance or the ability to pay “full price” for this service. The funding Susan G. Komen Foundation provides is earmarked for these service, and its’ monies cannot be used for abortion. The question being raised in the review runs along the lines of determining if monies given to Planned Parenthood for non-abortion services are being used to provide abortions. In my opinion, this is a red herring, as Planned Parenthood's financial and operational practices were investigated in 2005 by the Bush Administration’s Department of Health and Human Services. The investigation found no irregularities in the organization’s finances or practices. In fact, Planned Parenthood Federation of America serves 3 million people annually, and only 3% of its services are abortions. After a huge public outcry, Komen reversed the decision and the funding will stay in place, for now.

Second, a policy from the U.S. Department of Health and Human Services requires all employers who provide employee health insurance to cover contraceptive methods, including but not limited to birth control pills, Plan-B and permanent contraceptive procedures such as sterilization, effective August 1, 2012. Republican presidential candidates Mitt Romney and Newt Gingrich have both come out against this policy, saying it is unfair to require employers (citing the Catholic Church as an example) to be “forced” to provide insurance for items that, if used, violate religious beliefs on birth control for women. For example, if a (non-Catholic) employee of a Catholic-operated hospital, covered by employer-provided health care, wishes to purchase birth control, it is not covered by insurance. The new regulation simply mandates that this coverage be included in the health care policy. It does not demand that anyone use birth control. Bowing to political pressure, the Administration has granted a waiver to religious-based organizations (such as Catholic-operated hospitals). This waiver, in my opinion, is a step backward for the Obama Administration and a major defeat for women wishing to control their reproductive lives.

So why am I concerned about these news items? I fear that these two examples illustrate a Republican party out of touch with America, and indeed with itself. In 1970, President Richard Nixon (a Republican) signed into law the the Family Planning Services and Population Research Act. Title X of that law provides funding for family planning services, including contraception and family planning. This was passed in Congress with wide-spread bipartisan support. Liberals saw it as increasing families’ control of their lives, and conservatives saw it as a way to reduce the number of people on welfare. President Nixon stated “no American woman should be denied access to family planning because of her economic condition.” In a scant 40 years, Republicans have gone from supporting policies that would reduce the number of people on welfare to arguing that women should not have the right to determine when or if they bear children.

It is commonly accepted that proper health care, including screenings for cancer, is much less expensive that treatments for medical conditions gone unchecked. Cancer of any type is a devastating condition, physically, mentally and financially. At it’s “best”, it causes severe emotional and financial stress, at it’s worst, a painful death. It is also true that preventing unwanted pregnancies is much less expensive than having children born into families that cannot support them, or the mental, physical, and financial price of abortions. In framing the decision (to include birth control in employer-provided health care) as “forcing” women to use birth control, and “forcing” employers to include contraception in insurance polices, the Republicans are spinning this regulation as government interference with business. In doing so, they are implying that women cannot make a decision (to use birth control or not) regarding their own physical and religious beliefs. There is nothing-nothing at all- that says a woman must use birth control. The regulation does require businesses that provide insurance to include birth control in the policies. The choice-to use birth control or not-is left to the individual.

During 1999–2008, the reported abortion numbers, rates, and ratios decreased 3%, 4%, and 10%, respectively. (Source: CDC Reproductive Health, data and statistics, Jan 12, 2012). In 2008 (latest complete data year) 825,564 medically-induced abortions were performed in the United States. Slightly less than 300,000 were at Planned Parenthood clinics nation-wide. (Planned parenthood is the only nation-wide provider of abortion.) I will argue that there were 825,564 abortions that should have been prevented by availability and proper use of birth control methods. However, Republicans and “religious right”, you cannot have it both ways. Either you allow women the right to low- or no-cost birth control, or you have abortions. If you have abortions, you can choose safe, legal abortions, or we can regress in time to the “back-alley” abortions.

In the final analysis, this is one more Republican attempt to “play to the base”, to argue that the current administration, and Planned Parenthood, is pro-abortion. Nothing can be further from the truth. No one is “forcing” women to use birth control, and no one, including Planned Parenthood, is promoting abortion. All that is being done is to require employer-based plans to include the availability of birth control, and for women to have the right to a safe abortion, if that is necessary.

On a very personal basis, I would hope that if my daughter, or granddaughters, were “sexually active”, they would have access to good, truthful information regarding birth control, and if they decided that an abortion was necessary, it would be available in a safe, legal, and accepting environment.

Thank you for reading and understanding.