Eroding the Birth Control Mandate

The Trump Administration made its boldest move against contraception access on Friday, when it reversed Obama-era policies requiring most employers to include birth control in employee insurance plans. Nonprofit companies, private firms, and publicly traded companies can opt out of providing birth control through employee insurance plans by claiming a “sincerely held religious or moral objection.” This change was made, effective immediately, with no period for public comment.


If you have insurance that still covers contraception, now might be the time to look into IUDs or implants, which can last for at least three years.


Previously, only a small group of religious employers was exempt from the requirement to include birth control in employee insurance plans; the new rule expands the types of businesses that can claim religious exemptions. Furthermore, these employers need not cite any particular religious beliefs, but can simply claim to have moral objections to birth control in order to opt out of including contraception in employee insurance plans.

The ruling drew condemnation from the American Congress of Obstetricians and Gynecologists, Planned Parenthood Federation of America, the American Civil Liberties Union, the National Women’s Law Center, and the Center for Reproductive Rights.

Under the provisions of the Affordable Care Act, contraception is considered a “preventive” service and, therefore, legally must be made available with no out-of-pocket costs to patients. Zero-copay birth control, as this is called, has saved users and their families billions of dollars in the years it has been in effect. Continue reading

The American Health Care Act, Act 2

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

Who Controls Your Birth Control?

On the day after Valentine’s Day, the National Domestic Violence Hotline released a report about disturbing behavior that may be displayed by many abusive partners. According to the New York Times, the hotline collected stories of abusers sabotaging their partners’ contraception, whether by hiding their birth control pills, poking holes in condoms, or refusing to use condoms altogether:

About a quarter [of respondents] said yes to one or more of these three questions: “Has your partner or ex ever told you not to use any birth control?” “Has your partner or ex-partner ever tried to force or pressure you to become pregnant?” “Has your partner or ex ever made you have sex without a condom so that you would get pregnant?”

One in six answered yes to the question “Has your partner or ex-partner ever taken off the condom during sex so that you would get pregnant?”

The survey was not part of a scientific study. The respondents were not made up of a representative cross-section of the general population, but rather were a self-selected group, already in abusive relationships and willing to talk about their experiences. From the data released by the National Domestic Violence Hotline, it is impossible to tell how widespread such forms of abuse are in society as a whole. Despite this, the data collected do point to a disturbing way that intimate partner violence can manifest itself. It is important to recognize interference with one’s birth control — and therefore one’s bodily integrity — as abusive behavior.  Continue reading