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

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

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

IUDs and Implants: It’s Not Too Late for LARCs

Access to contraception is coming under attack, and reproductive-health advocates are scrambling to find ways to protect it. In December, Obama did what he could to protect Planned Parenthood from losing its ability to serve Medicaid patients. In New York, the state’s attorney general has moved to ensure that New Yorkers will continue to receive no-copay birth control as part of their insurance benefits, and Massachusetts moved to defend Medicaid patients’ right to use Planned Parenthood’s services in the event of federal interference. And, across the country, people at risk for unintended pregnancy are clamoring for highly effective, long-term birth control to see them through the next four tumultuous years.


IUDs and implants can help you and your uterus make it through the Trump administration.


Tom Price, who was confirmed as secretary of health and human services last month, represents the most immediate threat to our birth-control access. As HHS secretary, Price has the power to declare that contraception is not a “preventive” service insurers must make available to their customers with no copay. In one fell swoop, Price could undo the enormous progress the Obama administration made in expanding access not just to all forms of contraception, but to highly effective forms of contraception that had for so long been out of reach to so many.

Before the Affordable Care Act, long-acting reversible contraception (LARC) methods like IUDs and implants were known to be highly effective — not just cost-effective, but also simply the most effective in terms of preventing pregnancy. However, the high upfront costs closed the door to many potential users. Let’s do some quick-and-dirty math: A copper IUD could set you back anywhere from $500 to $932, but it lasts for 12 years. That means it costs $3.50 to $6.50 per month, compared to the Pill, which can cost $10 to $50 a month out of pocket. Clearly, the IUD makes the most financial sense, but for many of us, a medical bill charging upward of $500 doesn’t fit into our budgets. Better to rely on methods like the Pill, which cost more over time, but aren’t as hard on the wallet of someone living paycheck to paycheck or on an otherwise tight budget. Continue reading

A Visit to Jeff Flake’s Office: Fighting for Health Care

Jeff Flake, 2014. Photo: Gage Skidmore

January 24 was a national day of action called by the groups MoveOn, Indivisible, and the Working Families Party. The goal was to visit our senators’ offices around the country with concerns about Donald Trump’s cabinet appointments. In Tucson, there was an action outside Sen. John McCain’s office, but instead of joining that, I decided to go by myself to Sen. Jeff Flake’s office to tell someone on his staff my health care story. I was surprised and delighted to find a group from the SaddleBrooke Democratic Club there before me, standing partly inside and partly outside the office, talking specifically about Trump’s cabinet nominees Jeff Sessions and Betsy DeVos. Someone offered me a letter about DeVos, which I refused, not wanting to dilute my message. I joined the group, and a few others straggled in.


We are stronger when we work together, and there is room for whatever kind of action you are able to take.


Several people spoke to a staff person about education and civil rights. One woman brought up the Affordable Care Act (ACA) and how it has helped her family, hoping that Flake would hear people like her who are afraid of what repeal would mean. Someone asked whether Sen. Flake received letters; he had sent in several with no response. There was also talk about what kinds of communications are most likely to receive the senator’s attention. Hint: It was not mass emails sent in by organizations. Personal communications in person or by phone, or personal letters, are more likely to get attention than emails.

A Latina woman sat down with me to get my information. When I asked what her position was, she said this was her first day as an intern in the office. I wished her well and congratulated her, but told her I wanted to speak with someone on the staff. The intern took my name and address, then referred me to a staff member, the same woman who had met with the group from SaddleBrooke. She was interested and friendly. I said I was there to discuss Medicare and Medicaid specifically because they were the reason I was alive today. More than nine years ago, when I had valley fever and developed lumps on my legs, my doctor sent me for a chest x-ray, which showed a spot on my lung. The radiologist recommended a CT scan for a better look at it. Continue reading

Tom Price, Secretary Against Health and Human Services?

Protesters at Sen. McCain's Tucson office, December 20, 2016.

Protesters at Sen. McCain’s Tucson office, December 20, 2016.

On December 20, I took part in a demonstration opposing changes to Medicare, Medicaid, and the Affordable Care Act (ACA). We gathered outside Sen. John McCain’s Tucson office and told our health care stories. Almost all of us were women, but our stories included issues like the cost of diabetic testing supplies and insulin, the difficulties with employer-provided health plans that don’t allow specialized testing and care outside of their network, the prohibitive cost of medication for chronic conditions like AIDS, and my story of a CT scan (which I could only afford with government assistance) for something unrelated that found my kidney cancer. We were unable to meet with anyone from the office, but the written stories were given to staff and a later meeting was set up.


Tom Price is among those who could do the most harm to the greatest number of Americans.


I begin with this story because Tom Price, Donald Trump’s nominee for secretary of health and human services, doesn’t think the government has any place in our health care system. He fits very well among Mr. Trump’s choices to head government departments and agencies, a group of people who don’t believe in the work of their respective departments: Jeff Sessions for attorney general, who was denied a federal judgeship because of his racist comments and judicial overreach as Alabama’s attorney general; Scott Pruitt, who has sued the Environmental Protection Agency 13 times because he opposes regulations and doesn’t believe in climate science, to head that agency; Betsy DeVos for secretary of education, who has no background in education and has spent millions of dollars lobbying to get money away from public schools; and Rex Tillerson, who worked all his life for Exxon, which had a large deal with Russia put on hold by sanctions imposed after Russia annexed Crimea, as secretary of state, with the ability to lift those sanctions. And that’s just a sample.

Since 2009, Price, an orthopedic surgeon, has been a member of the American Association of Physicians and Surgeons (AAPS), a group whose members sign a “declaration of independence” renouncing payments from third-party payers, whether government or private insurers. Their journal has published articles opposing taxes on cigarettes, linking abortion and breast cancer, doubting whether HIV causes AIDS, and opposing mandatory vaccinations. They oppose regulating medical practice even as far as hospital peer reviews, and are fiercely for free-market medicine. Continue reading

Pro-Choice Friday News Rundown

  • orange-kool-aid-man-205As all of us know by now, the moronic stooges of the incoming administration pose a serious threat to our reproductive rights. Trump’s pick for HHS secretary, Tom Price, has twice co-sponsored federal legislation that would define fertilized human eggs as legal persons. Vice President-elect Pence co-sponsored these legislative attempts. Paul Ryan has supported such legislation as well! Is it realistic that the push to legally recognize an egg as a “person” could succeed? Could stem cell research lose federal funding? Could Price make it easy for insurance companies to stop covering birth control? Yes to all of the above. (Scientific American)
  • There has been a lot of chatter about “faithless electors” refusing to grant their states’ electoral votes to Donald Trump next week. Personally speaking, I’m keeping my expectations low and preparing for the orange version of the Kool-Aid man to be in office come January 20, 2017. (Time)
  • Did you know that the fear-mongering weasels in Texas drafted a cockamamie booklet full of idiotic, disproven lies called “A Woman’s Right To Know” that is required to be given to women seeking abortions? Of the many blatant falsehoods cited in the book, they try to scare women into thinking having an abortion increases one’s risk of breast cancer. Fun fact: it doesn’t. (Huffington Post)
  • Republican legislators in Ohio, completely IGNORING the fact that federal courts have previously deemed such laws unconstitutional, advanced a law to outlaw abortion as early as six weeks into a pregnancy. Which is before most women even show signs of being pregnant. Infamously anti-choice Gov. John Kasich vetoed this bill and instead passed a 20-week ban based on the notion that this is when a fetus can feel “pain.” (NBC News)
  • Notably, the American Medical Association concluded more than a decade ago that fetal perception of pain is “unlikely before the third trimester.” They concluded that the capacity for pain probably does not even exist before 29 or 30 weeks. (Fact Check)
  • Various Arizona artists are planning a “Nasty Women” art exhibit in downtown Phoenix January 14 to 20, and they’re donating the proceeds to Planned Parenthood Arizona! (Phoenix New Times)
  • Our Knight in Shining Brown Armor, Barack Obama, just made it super hard for individual states to defund Planned Parenthood! (NY Times)
  • Donald Trump doesn’t have time to be bothered with daily intelligence briefings, but he does have time to meet with rappers. #Priorities (Rolling Stone)
  • 30 million people will lose their insurance if Obamacare is repealed. Thirty million. (NBC News)
  • Maybe this scathing Trump op-ed in Teen Vogue will make you optimistic about the next generation. (Teen Vogue)
  • Ya know what I don’t wanna see when I walk into a public restroom at a restaurant, bar, hospital, hotel, or school? Anti-abortion graffiti propaganda written all over the damn wall. Well, Oklahoma passed an atrociously asinine law requiring anti-abortion rhetoric to be posted on bathroom walls in public restrooms. And business owners would have to pay the costs for this nonsense! The state claims it wants to achieve an “abortion-free society.” Wow. That sounds amazing. Know what will help get us there? Widespread access to affordable birth control and comprehensive sex education in all schools. Oklahoma notoriously does not support either of those initiatives, though. (NY Mag)
  • Speaking of Oklahoma, they lost a battle in the TRAP war. (Slate)
  • Roe v. Wade will be fine (according to this optimistic writer, who is banking on the longevity of the very old liberal members of SCOTUS). (Slate)
  • In my last rundown I shared the news of Texas trying to force the burial of fetal remains (only the ones resultant from abortion, not miscarriage — cause apparently those are less sacred and valued to legislators). Well that’s canceled. For now. (Texas Tribune)
  • Guess what? Abortion does not harm women’s mental health. The medical field has spoken. Definitively. (NY Times)

Pro-Choice Friday News Rundown

Won the popular vote by more than 2 million. Just sayin'.

Won the popular vote by more than 2 million. Just sayin’.

I hate being the bearer of bad news. Unfortunately, it feels like I’ll be showering our dear readers with doom and gloom for the next month, as well as the full 208 weeks of Donald Trump’s presidency.

First, let’s get the worst out of the way:

  • We at Planned Parenthood are now in grave danger of being defunded. The president-elect has promised this and the Republican-controlled Congress will likely be more than gung-ho to gut us once and for all. I don’t shill for donations often (at all, really) on this blog, but if you can find it in your heart (and wallet) to help us, we and the millions of women we serve would be so thankful. (NY Mag)
  • Trump’s pick for secretary of health and human services, Tom Price, is a creep who espouses radical beliefs about “personhood,” thinks women should have no control over their bodies, doesn’t support insurance coverage of birth control, and is on the “defund Planned Parenthood” train. (The Daily Beast)
  • He’s also a Lying McLiarFace who asserts that “not one woman” ever struggled to afford birth control. (The Atlantic)
  • As of now, Hillary Clinton has trumped The Donald in total votes by more than 2 million (and counting). That isn’t a small margin. It’s “YUGE” and “bigly” (as the president-elect would say). Our soon-to-be commander in chief is not taking kindly to the news that he LOST the popular vote by such a large margin: The reckless, thin-skinned toddler in a 70-year-old body hopped on Twitter (his favorite platform) to assert that, had “millions” of people not voted illegally, he would have won the popular vote.

    First of all — this is a highly dangerous statement as there is literally ZERO evidence of “millions” of people voting illegally. However, if there were even the slightest possibility this could be true (it isn’t), how in THE WORLD can he take the giant leap to posit that everyone voting illegally voted for Hillary Clinton? Couldn’t it be equally possible that these millions of (non-existent) fraudulent voters voted for him, which calls into question whether he REALLY won the election? Funny how he only tosses out accusations of widespread voter fraud when it threatens his ability to claim victory and deem himself the winner. (NBC News)

  • Hillary Clinton wasn’t just failed by the Electoral College. Widespread voter suppression tactics (enacted by Republicans in 2010, right after Barack Obama’s history-making win — coincidence, I’m sure!) closed down at least 868 polling places nationwide and kept potentially millions of people (mostly minorities … probably another coincidence!) from voting. (WaPo)
  • Texas: Epicenter of anti-choice, anti-woman malarkey. They stay on the front lines of the War on Women! The abhorrent legislators there have decided that beginning December 19, all fetuses surgically aborted must be buried or cremated, regardless of gestational stage. Gov. Greg Abbott is claiming this measure is being taken for the “enhanced protection of the health and safety of the public.” Yet this mandate doesn’t apply to women who have miscarried in their own homes? How is this related to health and safety, then? Jeez … I’m sure their aim is not to SHAME women or make them suffer for choosing to abort, right? And I’m sure it’s definitely NOT meant to make abortion providers jump through potentially insurmountable obstacles in finding nearby funeral homes willing to provide fetus funeral services, which can cost upward of $2,000? Oh, and I must mention, Mike Pence did this in Indiana during his tenure as governor. (Broadly)
  • Speaking of vice president-elect Bad Hombre, he is practically dancing on Fidel Castro’s grave and had the gall to refer to him as a “tyrant.” Friendly reminder — Gov. Pence is the man who supported putting a woman in jail for having a miscarriage. #PotMeetKettle (ITV)
  • Could the orange menace known as Donald Trump ax our copay-free birth control unilaterally with no help from Congress? Unfortunately, yes. (Vox)
  • The megalomaniac in chief’s ultra-petty Twitter account is a frightening death spiral into madness. This man is not OK mentally, and that should terrify us all. (Mother Jones)
  • And his cabinet is a crapshow too! It’s shaping up to be the most conservative in decades. (Politico)

Speaking of Trump’s cabinet, I can’t “get the worst out of the way” until I introduce you to our future attorney general: Continue reading