Tag Archives: preventive health care

The American Health Care Act, Act 2

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It’s time to raise your voice.

When the House of Representatives failed to pass the American Health Care Act in March, we thought they would move on to other things. They had already faced the wrath of their constituents in town halls across the country, defending themselves against charges that they were taking people’s health care away.

But a promise is a promise, and the Republicans had promised their voters they would get rid of Obamacare. So they began to negotiate — only instead of negotiating with the moderates in their party and perhaps some Democrats, they chose to work with the tea party faction, who now call themselves, without irony, the Freedom Caucus — which had disparaged the original AHCA as “Obamacare-lite.” If the angry constituents packing town halls to capacity thought the first iteration of the AHCA was too extreme, what on earth made House Republicans think a Freedom Caucus makeover would produce a bill that would inspire less animosity than the first?

We must insist that our representatives remember that health care is a matter of life and death.

So Tom MacArthur, a supposedly moderate Republican who makes Ronald Reagan look liberal, and Mark Meadows, the Freedom Caucus leader who makes Reagan look like a full-blown socialist, hammered out a deal. The tea party objection to the AHCA was that it didn’t get rid of the ACA’s regulations on insurance companies — such as barring insurers from charging more money to women, older patients, or patients with preexisting conditions, or requiring them to cover essential services like preventive health care without cost to patients, emergency services, prescription drugs, and prenatal care. MacArthur and Meadows’ supposed compromise allows states to apply for waivers to opt out of these essential services, or to allow higher rates for those with preexisting conditions if they set up “high-risk pools.” MacArthur’s constituents were not pleased. Continue reading →

What’s in a Name: Repealing the Affordable Care Act

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Supporters drop off petitions and rally at Rep. Martha McSally’s Tucson office, March 15, 2017

As this post goes to press, word has come that Speaker Paul Ryan has pulled the American Health Care Act, being unable to muster enough votes to pass it. So we have escaped that disaster, and it appears no attempt to repeal the Affordable Care Act will proceed in the near future. But the fight is not over. Aspects of this bill will come up in other forms and we will have to be vigilant. But this is a victory for activism, so many thanks to all of you who made phone calls, demonstrated, told your stories, and reminded the Republicans that destroying something is not the same as governing.

So as you read this, realize what we have escaped, and what we need to watch out for as we proceed.

People were going to die. But the free market would have triumphed.

Republicans called it Obamacare, and used that name as a slur to run against President Obama in 2012. It didn’t win that race for them, but there are enough people in this country for whom the name Obama is enough to damn a program. One woman, whose son lost his job and had his monthly insurance premium fall from $567 to $88, attributes that decrease to the tax credits in Trump and Ryan’s new American Health Care Act. You know, the bill that never passed. In actuality, her son became eligible for a subsidy under Obamacare — the Affordable Care Act — which is still the law.

Paul Ryan and his cronies in the House of Representatives hated the Affordable Care Act before it was written. They hated it even more when it passed and more than that when it was implemented.

What did they hate about it? Continue reading →

Meet Our Candidates: Felecia Rotellini for Arizona Attorney General

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The Arizona general election will be held on November 4, 2014, and early voting is already underway! Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” Make your voice heard in 2014!

felecia-rotellini scaled[F]elecia Rotellini is running for Arizona attorney general. The role of Arizona’s attorney general is to serve as chief legal officer on behalf of the state of Arizona. She boasts nearly 30 years of prosecutorial experience, including in her current role as a prosecutor for a private law firm in Phoenix and her previous position as superintendent of the State Banking Department in Arizona under Gov. Janet Napolitano.

Ms. Rotellini’s opponent is Mark Brnovich, who publicly spoke out in favor of businesses instead of people during the case of Sebelius v. Hobby Lobby, which eventually allowed businesses to exclude contraception from the health insurance plans they provide their employees on the grounds of religious beliefs. Putting faith before the law, Brnovich has made clear his intention to legally protect every demographic but women when he states, “Whether that be protecting the rights of the unborn, children, seniors, or our veterans, we have a solemn obligation to protect those who cannot protect themselves. My faith and my experience as a prosecutor teaches me that.” Brnovich goes further in implying that he feels no obligation to protect and defend laws that concern women when he specifies: “We also have an obligation to protect and defend our laws that concern the unborn.”

Ms. Rotellini takes a broader approach to inclusiveness as she seeks to uphold the law to protect all Arizonans, including members of the LGBTQ community. As Arizona’s attorney general, she pledges to “support equal protection under the law for one and all, with no exceptions.”

Ms. Rotellini was kind enough to speak with us on October 28, 2014.

“I’m disappointed that my opponent supports a new version of SB 1062 to legalize discrimination against LGBT individuals.”

Tell us a little about your background.

I have lived in Arizona for 28 years; I’ve been a practicing attorney for 28 years. Eleven of those have been in the private sector as a litigation attorney, and 17 of those years as a public lawyer. I worked as a prosecutor in the attorney general’s office for 13 years in both the civil and criminal divisions from 1992 to 2005. And then I ran the Arizona Department of Financial Institutions as superintendent in the cabinet of Gov. Napolitano and also Gov. Brewer. I was in that job from 2006 to 2009. Over 17 years, I was in uninterrupted public service. I had the opportunity to work primarily in financial fraud, consumer fraud, and senior fraud.

I have had some very big cases. Because of my background as a trial lawyer, I did jury trials in my civil practice from 1986 to 1992. I was the lead lawyer for the state against Arthur Andersen, the accounting giant, for the failed audits of the Baptist Foundation of Arizona, where there were 11,000 investors who lost their retirements, and we were able to return $217 million to the victims, mostly working-class and senior citizens. Continue reading →

Let’s Talk Contraception: Birth Control Pills — Not Just for Preventing Pregnancy

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pillThere has been a lot of political posturing recently about whether the government should require health insurance to provide birth control without a co-pay as part of a preventive health care package. So many people, including politicians, can only “see” the contraceptive side, which is pretty important, by the way. Approximately 15.8 in 100,000 women in the United States die from pregnancy or pregnancy-related issues yearly, and that number has doubled in the past 25 years. We have one of the worst maternal death rates of all developed nations, right near the bottom of the list.

Birth control pills can be used to treat a variety of conditions, including painful periods, acne, endometriosis, and uterine fibroids.

But putting all that aside, let’s look at the how oral contraceptives pills (OCPs) are actually used in this country, and for what reasons besides contraception. You may argue that many birth control pills are only approved for contraception purposes by the Food and Drug Administration (FDA), so other uses are not valid. But many drugs that may have narrow conditions of approved use are often prescribed off-label by physicians when they have data and information about how effective they can be for other conditions where not much else works.

According to a 2011 study using data from the 2006–2008 National Survey for Family Growth, the Guttmacher Institute reported that 14 percent of all women using birth control pills — that’s 1.5 million women — use them for purposes other than preventing pregnancy. Granted, 86 percent of OCP users report using them for birth control. But over the years, these OCPs have helped many people as treatments for dysmenorrhea, menorrhagia, endometriosis, menstrual-related migraines, acne, uterine fibroids, and polycystic ovarian syndrome. Continue reading →

Celebrating Affordable and Accessible Contraception

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plannedparenthoodactionorgThe following guest post comes to us via Morganne Rosenhaus, community engagement coordinator for Planned Parenthood Arizona.

How appropriate that, today, World Contraception Day is only five days before the health insurance exchange opens. Not only can we celebrate the advances we have made in contraceptive development over the years, but we can also rejoice around the fact that birth control is now affordable and accessible to even more women.

Obamacare allows you to visit Planned Parenthood for the same preventive health care  — with no co-pays!

Let’s start by celebrating the fact that women have options. Between rings, patches, pills, injections, IUDs (intrauterine devices), and implants — a woman can find a method that works best for her lifestyle. Of course, the search for the “perfect” method will continue — the contraceptive that not only prevents pregnancy and sexually transmitted diseases, but also tastes like chocolate. Fingers crossed!

Next, let’s take a moment to celebrate the fact that women have access to these methods. Through the Affordable Care Act (also known as health care reform or Obamacare), all health insurance plans must provide specific, no-cost, preventive health care coverage to women, which includes … drum roll … birth control!

Free birth control?!

On August 1, 2012, Food and Drug Administration-approved contraceptives became available to women for free (or without co-pay), and starting in January 2014, this benefit will apply to most private health insurance plans and health insurance plans through the exchanges.

As with all good news, there are always a few limitations. In the case of no-cost birth control, there are two things to watch out for:

  • Women who are participants or beneficiaries in group health plans sponsored by religious employers might not be able to access this benefit. Why? As of August 1, 2013, group health plans established or maintained by certain religious employers, and insurance coverage provided in connection with such plans, are exempt from the requirement to cover contraceptive services.
  • Yes, insurance companies are required to have all FDA-approved methods of contraceptives available. However, the specific brand of birth control pills that you like might be covered by one health care insurance plan and not another. It depends …

Some people might be thinking, “This is a great benefit, but I don’t have insurance, so it doesn’t really do me any good.”

Not true! The exciting news is, if you don’t have any kind of health insurance, the health insurance exchange opens on October 1, only five days from now. Through the health insurance exchange, you can find a plan that fits your needs and your budget. Plus, no matter what level of health insurance you choose, birth control without co-pay is included. Whew!

Now you might be thinking, “If I have health insurance, I guess I don’t need to come to Planned Parenthood anymore.”

Not true! Planned Parenthood accepts most insurance plans, both through the health insurance exchanges and private insurance. Whether you have insurance or not, Planned Parenthood is here for you.

Happy World Contraception Day, and cheers to more accessible and affordable contraception here in the United States!

Read more about Obamacare here: www.plannedparenthood.org/healthinsurance

Over 90 Percent of What Planned Parenthood Does, Part 17: Primary Care Services

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doctorWelcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl never knew about.

The following guest post comes to us via Morganne Rosenhaus, community engagement coordinator for Planned Parenthood Arizona.

Feeling a little under the weather with a sore throat, aches, and stuffy nose? In need of a medical professional to tell you what the rash all over your arms might be or help you make a plan to stop smoking? These are the moments when you visit a primary care physician, right?

Planned Parenthood Arizona now provides primary care, a necessary service for the community.

Well, what happens when you can’t find a primary care physician in your area or you find one but he or she isn’t taking any new patients? What happens if you don’t have insurance to cover the visit in the first place? You might get some over-the-counter medication to help with the stuffy nose, you might go to the hospital because that rash is not looking any better, but emergency department visits can be expensive. Or maybe you don’t do anything at all.

Starting this month, you have another option. Planned Parenthood Arizona will be offering primary care services at our Central Phoenix location. Continue reading →

Meet Our Candidates: Dr. Richard Carmona for U.S. Senator

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The Arizona general election will be held on November 6, 2012, with early voting starting on October 11. After the many recent legislative challenges to reproductive health care access, both nationally and statewide, the importance of voting in November can’t be overstated. To help voters, Planned Parenthood Action Fund has endorsed candidates who have shown strong commitment to reproductive health and freedom. Along with those endorsements, we are spotlighting our endorsed candidates in a series called “Meet Our Candidates.” To vote in the general election, you must register to vote by October 9 — and can even register online. Make your voice heard in 2012!

[W]hen announcing Dr. Richard Carmona’s endorsement by Planned Parenthood Action Fund, President Cecile Richards said that “Arizona women need a champion who has long fought to protect and promote women’s health representing them in Washington” — and as a former U.S. surgeon general, Carmona is uniquely positioned to advocate for scientifically driven, rather than agenda-driven, policies on health and medicine.

“Health care should not be politicized.”

Carmona already has experience fighting for evidence-based health policy in an increasingly polarized political climate. After leaving his position as surgeon general, Carmona testified before Congress that the George W. Bush administration continually hampered his attempts to present scientifically sound public health policy when it conflicted with their political agenda. As Carmona said in his testimony, the Bush administration silenced him on many issues, including emergency contraception and comprehensive sex education — and the public was denied access to the latest unbiased evidence on important public health issues.

Carmona is running against Republican challenger Jeff Flake to succeed Jon Kyl as U.S. senator from Arizona. Flake’s congressional voting record is problematic, and includes support for an amendment to the Affordable Care Act to prohibit abortion coverage, support for defunding Planned Parenthood, and a vote against expanding the Children’s Health Insurance Program (CHIP).

As a U.S. senator, Carmona can bring his lifetime of experience as a physician and public-health expert to the legislature. When it comes to our medical care, no matter our political affiliations, we all need access to the best scientific evidence, and we need someone who will be a champion for our health in the U.S. Senate.

Dr. Carmona generously took time for an interview with us via telephone on October 3, 2012.

Many of us, including myself, are becoming increasingly concerned about the hostility toward science exhibited by some of our current lawmakers. What can you do to inject reason and scientific evidence into an increasingly politicized discourse about public health?

Well, first and foremost, if you remember my tenure as surgeon general, I had to do that. There was a lot of ideological, nonscientific-driven sentiment, and when necessary I stood up and I addressed the issues appropriately. It wasn’t a perfect world, especially when you have many of those ideologues thinking differently, but nevertheless, I will do the same thing as a senator.

And I think I enter the Senate with, if you will, the imprimatur of being a surgeon general and a trauma surgeon and a registered nurse and a paramedic. I bring all those years of cumulative science to the table as I discuss things with my colleagues. And although they may be ideologically driven, and I will certainly acknowledge their personal beliefs, that’s not science and it’s not fact. Continue reading →