Election year politics are always ridiculous, but this year is the ridiculous-est.
The recent dustup over Obama requiring the Catholic institutions to provide contraceptive coverage is a red meat issue for a primary, but general election voters will be tired of this barbecue come November.
In reality, the Patient Protection and Affordable Care Act (PPACA aka Obamacare) already has exemptions for religious groups, but to hear some politicians and talking heads tell it, Obama wants to force churches to provide a birth control pill with communion wafers.
The debate boils around the Catholic Church and affiliated institutions, but most Catholic entities like universities and hospitals already provide contraceptive coverage for employees, many of whom are not Catholic.
It seems simple enough, if I’m an employer and have moral objections to some service or drug included in my insurance plan, then I, and employees of like conviction will not use those. If my religion prohibits me from eating Brussels Sprouts, my employees should still be able to get them if they choose.
Requiring employers to cover contraceptives is not new. In 1978, the Senate passed the Pregnancy Discrimination Act, an amendment to the Civil Rights Act of 1964 by a margin of 75-11. Republicans were a lot more liberal in those days. The PDA addressed the practice of some employers providing access to prescription drugs, but not birth control.
Individual states have had laws in place for years that deal with this same issue.
Here are some numbers:
26- States that already have laws requiring insurers to cover any FDA-approved contraceptive.*
20- States that offer exemptions from contraceptive coverage (usually for religion) for insurers or employers in their policies.
6- States that don’t allow exemptions for religious beliefs. Even Obamacare doesn’t go that far.
Where has the outrage been all this time? This isn’t about the 1st Amendment at all. And the GOP is seeking to stunt access in a wider arena.
Senator Roy Blunt, (R)Missouri, recently introduced an amendment to a $109 billion bipartisan transportation bill. It may prove to be a poison pill for the jobs carried in that bill. It’s so broadly written that all employers, not just faith-based employers, would be able to tailor their health insurance plans using the cut of their personal conscience.
I’m not going to paste the legislation-ese**, but one provision uses a lot of words to say that PPACA didn’t go far enough by carving out exemptions just for religious organizations, it needs to also allow for the conscientious objection of any employer to any medical services covered in an insurance plan.
As written, Blunt’s amendment means that:
- · Abortion
- · Contraceptive drugs
- · Vasectomies
- · Tubal Ligation
- · Immunization
- · Biopsies
- · Blood transfusions
- · Psychotherapy
- · Antidepressants
- · Drug therapies of any kind
- · Surgery of any kind
are all on the table to be excluded from an employers health plan on religious or just plain conscientious grounds.
If someone of a certain moral position can make policy for the company’s health insurance plan, then they can decide that no employee should have access to medical interventions that run counter to that policymaker’s conscience.
This seems to be the fight the GOP is waging to beat Obama in 2012. With the economic picture improving on multiple fronts, albeit slowly, their thunder on the economy is not as loud. We see the lightning, but the sound is taking longer to get here as the storm recedes.
They need a new issue, a wedge. So, we find ourselves revisiting the 1990s and dusting off the culture and moral wars of that era. But Republicans’ time-travel has gone back back back and landed them in a time when even contraception was controversial.
Instead of recalibrating their Wayback Machine, they’re saying, “This is nice. We’ll plant our flag here.”
They plopped down in a place that most Americans and a majority of Catholics*** don’t care to be. Even the Catholic Health Association said that Obama “responded to the issues [they] identified that needed to be fixed.” Did Republican leadership find these facts daunting? Nope.
Faux outrage over non-issues can provide some fireworks to pop for the primaries, but it’ll fizzle at the polls in November.
*National Conference of State Legislatures- http://www.ncsl.org/issues-research/health/insurance-coverage-for-contraception-state-laws.aspx
** Read Roy Blunt’s amendment here: http://blunt.senate.gov/public/_cache/files/ce0de928-f717-436e-9da0-4a3e7fee0302/S.%201813%20Amendment.pdf