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Reports

Three Abortion Coverage Myths

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Posted on Nov 18, 2009

By Ruth Marcus

Let’s dispense with three fallacies swirling about the question of abortion coverage in health care reform. Two are being peddled by anti-abortion forces. One, perhaps the most relevant, is being pushed by the pro-choice side.

To be clear about where I am: firmly pro-choice. Firmly opposed to the amendment from Rep. Bart Stupak, D-Mich., which would effectively prevent women who purchase insurance on the newly created exchanges from obtaining abortion coverage.

But also: respectful of the convictions of those who disagree. And, consequently, sympathetic to the notion that taxpayers should not have to pay for a procedure they believe is tantamount to murder.

The pending proposals on health reform entangle the government in insurance in a different way than it has been previously, and therefore call for a new, nuanced approach to the issue. Of course, nuanced and abortion don’t generally occupy the same sentence. Hence, the fallacies about abortion coverage.

Fallacy No. 1: The Stupak amendment is necessary to maintain the status quo, in which no federal money is used for abortions, except in cases of rape, incest or to preserve the life of the mother.

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As it went to the floor, the House bill included an amendment, by California Democrat Lois Capps, that would have required all insurance plans in the exchanges to segregate public and private dollars to make certain that the public subsidies would not be used to underwrite abortion coverage.

But if the Capps restrictions do not go far enough, existing efforts to segregate federal funding from abortion coverage fall short as well. For example, Medicaid is a joint federal-state program. Federal law prohibits federal Medicaid funding for most abortions. But the law also lets states decide to use their own money for abortion coverage, and 17 do. How is that different from separating public and private dollars in the exchange? Likewise, current law allows family planning funds, national and international, to go to clinics that perform abortions, so long as the federal money is kept separate.

And no one questions—not yet, anyway—the fact that millions in tax dollars subsidize abortion coverage through the employer exclusion, which allows health insurance to be provided as a tax-free benefit. News alert: The single-largest subsidy in the tax code is going to pay for abortions!

Fallacy No. 2: Your money is fungible but mine isn’t.

The wall of separation between public and private funds is always going to have some degree of permeability. It’s just that some fungibility is deemed acceptable, and some not. It depends, it seems, on who gets the money.

The same folks who squawk about money being fungible when it comes to federal funding and abortion take the opposite view when it comes to federal funding and parochial schools or federal funding and faith-based programs.

When the Catholic Church takes government money to run homeless shelters or soup kitchens, it frees up dollars for other, religious expenses that wouldn’t be a permissible use of government funds. Somehow, the U.S. Conference of Catholic Bishops, which pushed the Stupak amendment, isn’t bothered by this reality. 

When the government gives low-income families school vouchers to use at parochial schools, or sends educational material and equipment to parochial schools, the bishops aren’t worried about whether that money is being commingled to subsidize religion.

“The simple fact that broad governmental social programs may have some effect of aiding religious institutions ... cannot be cause for invalidating a program on Establishment Clause grounds,” the bishops argued in one case before the Supreme Court. 

Fallacy No. 3: The Stupak amendment is such an intolerable intrusion on the rights of women to choose that it cannot be allowed to stand.

I’ve come to the reluctant conclusion that this is wrong, and that pro-choice forces may be making a mistake in elevating the importance of the amendment to the degree they have. The Stupak amendment is not worth killing health reform over.

The women most hurt by the amendment stand to gain much more from expanded insurance coverage. And while having coverage is preferable, it is not the same as putting an insurmountable obstacle in the way of abortion rights. Women who lack insurance still obtain—and, if the amendment survives, still will be able to obtain—abortions. It’s possible that the exchanges will evolve to supplant employer-based insurance, making the amendment’s impact far greater than it now appears.

That remote risk isn’t worth the greater danger: losing the opportunity to get reform now.

Ruth Marcus’ e-mail address is marcusr(at)washpost.com.

© 2009, Washington Post Writers Group


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By MJ Moore, November 23, 2009 at 10:32 am Link to this comment
(Unregistered commenter)

Hey, Bob Sheer, how about a true pro-choice post on this issue instead of the waffling of so-called progressives like E. J. Dionne and Ruth Marcus. Have you read Katha Pollit’s column in The Nation?

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By mandinka, November 22, 2009 at 7:48 pm Link to this comment

Tooloose you must be looking at 1960’s data, the majority of people 55% in the polls taken this year agree that abortion is wrong and immoral. The only time its even palatable is rape and if the mother stands to die by giving birth.
To see just how delusional your thought process is I just returned from China. In that country the grooms parents are responsible for paying for the wedding, apartment, furnishings and an automobile. As a result many women are aborting boys because they can’t afford the liability…SICK

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By TooLoose, November 22, 2009 at 3:11 pm Link to this comment
(Unregistered commenter)

Mandinka can have HIS (a reasonable assumption) views on abortion as murder based on his RWNJ religious views—we do have religious belief freedom in the U.S.—but that does not make his viewpoint SANE or LEGALLY applicable or even close to that of the majority of people in this country (70% of whom are Pro-Choice, including 70% of Catholics).

The issue of removing cells that have glommed onto each other in a woman’s personally-owned uterus may be a religious one for Mandinka and the other misogynists lurking out there posing as “compassionate” human beings, but for me and that 70% majority, abortion is a (once again) LEGAL and RATIONAL (not insane), (deemed so by the highest court in the land), MEDICAL PROCEDURE, which a woman can choose to have (or not), if she wants to or needs to.

Simply because Mandinka, and a rabid minority of nutjobs, consider Roe v. Wade a travesty, does not make it so, regardless of whether Roe “changed her mind” (after considerable pressure, it has been reported, from the Anti-Woman forces). However, just as one cannot change one’s mind about prosecuting a criminal who violated you and the law once a District Attorney has decided to prosecute, once a case goes to the Supreme Court, it is theirs to decide and we all must live with that decision—according to The Constitution.
 
If The Right to Choose had not been carried out by
Roe v. Wade, you can bet your boots it would have been carried out by at least millions of other possible case names, including mine.

Speaking of “tiring…”  NO ONE I know in the Pro-Choice movement considers abortion comparable to a toenail clip or tooth-filling,  as Mandinka absurdly,  ignorantly, and disrespectfully asserts.  To have an abortion is a serious decision and the procedure is not trivial or fun.  Before Roe v. Wade, over 100,000 women a year in the United States alone died from back alley and self-inflicted pregnancy terminations.  Countless others were maimed for life.  That is why we fought for safe, professional, legal, and affordable access. 

Throughout history women have sought ways to terminate pregnancies when they did not want to have children, or have MORE children.  And we will continue to do so.  We cannot go back to the back-alley butchers, dangerous chemicals, or self-mutilation.  We WILL NOT go back.

Intelligent people continue to debate the issue of when consciousness or “spirit” (if that is your predilection) enters the body.  NO ONE KNOWS FOR SURE.  This is a religious issue.  Abortions are almost always done in the first 1-3 months of cell-glomming. Late term abortions are extremely rare and only done when the actual survival of the monther or fetus is at stake.

The statistics are clear—at this stage of pregnancy women do not choose to terminate unless required for her survival or it is clear that the fetus is profoundly beyond hope of its own survival or chance at a quality life (like, perhaps, half of the brain is missing, or there is no brain at all).  This is a situation of unbearable grief and absolutely demands our compassionate response as a society.

Once again—a PUBLIC OPTION MUST INCLUDE ACCESS TO ABORTION.  Otherwise, it is a violation of the separation of church and State.

Just as Mandinka and his ilk want to impose their religious views on the rest of us, I, as a secular, non-believing compassionate human being will resist
that imposition and fight to the end of my life for
the right of women to choose whether or not, if, and/or when to reproduce.

And, finally, Mandinka you (and yours) are gonna lose this one.  The planet will not support the massive population that currently sucks it dry, let alone the increases that will ensue if we don’t encourage significantly greater population control NOW.  Check out what the more enlightened conservationists, as well as massive numbers of religious leaders who support justice and survival of the planet and species, are saying.

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By politicsmakin'mecrazy, November 20, 2009 at 6:35 pm Link to this comment

If a fetus dies but does not self abort, a woman needs an abortion to remove it. This is actually a common reason for an abortion.

Here’s a situation. You are in a lab with a scientist who is showing you frozen embryos. The scientist is there with his 15 month old daughter because he kept his appointment to show you the facility though the baby sitter wasn’t available. He hears a loud noise and asks you to watch the child while he investigates. He leaves you with the child in a carrier and a tray of 100 embryos sitting on the counter. He leaves the room, shuts the door and walks away and there is an explosion filling the hall with smoke and flames. You can escape through the window and can take with you the frightened baby or the tray of 100 embryos. What is your choice?

One warm, living, crying child who will die if left or will live if rescued by you or a tray of frozen embryos?

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By mandinka, November 20, 2009 at 6:14 pm Link to this comment

Its tiring hearing the LWNJ keep carping that abortion is a medical procedure as if its the same as getting your toenails cut or a cavity filled. Abortion is nothing short of murder to view it as anything else is PC run amok.
The SC ruling in Roe was a travesty of justice and even the original litigate has said she erred in bringing the suit and has said its murder.
So for the federal government to say I’m taking your taxpayer $$$ to fund something that is fundamentally wrong is insane

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By Alice27, November 20, 2009 at 2:33 pm Link to this comment

Thank you, “Tooloose” for your great comment.

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By TooLoose, November 20, 2009 at 12:57 pm Link to this comment
(Unregistered commenter)

Ruth Marcus states she is: “respectful of the convictions of those who disagree. And, consequently, sympathetic to the notion that taxpayers should not have to pay for a procedure they believe is tantamount to murder.”

If abortion were considered “murder,” by The State, the Supremes would never have made it legal.

Abortion is a legal medical procedure, often necessary to save the life of a woman (including however SHE defines HER life), and it is the right of every woman to choose to have one…OR NOT.  In the latter case, those who are opposed to abortion are almost always opposed on religious grounds. 

To deny all women the right to have health care coverage provided by PUBLIC funds for a LEGAL MEDICAL PROCEDURE, deemed so by the highest court in the land, would be a VIOLATION OF THE SEPARATION OF CHURCH AND STATE.

I agree with previous contributor Yokota—if abortion is considered murder and therefore an opt-out re paying for it by some Americans, then the rest of us should be able to opt-out on paying for war, the military/industrial/corporate complex (including everything they do in foreign countries, such as setting up or toppling governments), along with capital punishment, all of which involve murder.

The Stupid Amendment is a dangerous door-opening to further erode a Woman’s Right to Choose.  It is not a “remote risk” we should ignore just to get some kind of health care plan.  Reactionaries are like water, wearing down the rocks a drop at a time.  Every “win” is seized upon and expanded.  We don’t need to make this kind of compromise in order to have a public health care option.  And I don’t think our lawmakers will leave the Stupid Amendment or anything like it that erodes choice in the final bill. 

In fact, there should, for reasons previous stated about separation of church & state, be NO restrictions on the use of PUBLIC funds for abortions.  Obama has taken a weak stand on this.
He should be called on it.

Finally, to all you progressives out there, I urge you to stop calling those opposed to our right to choose “Pro-Life.”  Most of them are Pro-War
and Pro-Capital Punishment.  Not exactly Pro-Life. And they are certainly not Pro MY life.  Call them what they are on the issue of Choice—ANTI-WOMAN.

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By Alice27, November 20, 2009 at 6:27 am Link to this comment

The government takes our taxes and uses a percentage for chartitable contributions. Shouldn’t we be able to deduct that as a chartitable contribution? Just wishing.

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By politicsmakin'mecrazy, November 20, 2009 at 5:07 am Link to this comment

I wish for people to be respectful of my convictions. I don’t want my tax dollars used to murder people in wars or used for the sanctioned murder of capital punishment. Who will speak for me?

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By John Miller, November 20, 2009 at 4:10 am Link to this comment
(Unregistered commenter)

I support funding abortion because I believe no unwanted child should be
brought into the world.  I have observed the miserable lives these children lead. 
Of course contraception is better for everybody, whether it be the condom, the
diaphragm, birth-control pills, or even “Plan B”.

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By Filler Crowley, November 19, 2009 at 10:57 am Link to this comment

@Jaded Prole

While it would be a great idea, the line-item veto has been declared unconstitutional by the Supreme Court.

I said in another recent article that we should abolish the Senate: seems like the Supreme Court could use a good abolishing too.

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By AlanSmithee, November 19, 2009 at 10:22 am Link to this comment
(Unregistered commenter)

So, it’s okay to deny women their right to control their own bodies AND force them to buy crappy insurance that doesn’t cover jack/squat (or pay a fine.) 

Well, at least it’s good to know that pwogwessives are as spineless as their corporate democrat masters are manipulative.

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By the tshirt doctor, November 19, 2009 at 4:35 am Link to this comment

It’s possible that the exchanges will evolve to supplant employer-based insurance, making the amendment’s impact far greater than it now appears.

i think that’s likely to come about.  but hey, it’s the government’s body anyway.  next year, or the year after that, we will get mandatory vaccinations under threat of arrest and/or fines.  the FDA won’t let you buy caffeinated alcohol drinks because it may harm your body.

of course, the rich don’t have to worry about it.  all the have to do is go on a medical vacations, you know, the same medical vacations that the foreigners used to go on when then came to america.  i wouldn’t call it abortion vacations, that may upset some people.

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By Jaded Prole, November 19, 2009 at 4:07 am Link to this comment

It would be good if Obama remembers the line item veto often used by his predecessor as he goes through the final bill rather than just signing it.

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By yokota, November 19, 2009 at 1:29 am Link to this comment
(Unregistered commenter)

taxes pay for things we agree with and things we don’t.

if pro-lifers’ refusal to pay for abortions is justified, can i opt-out of funding brutal wars and the military industrial complex?

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By Filler Crowley, November 18, 2009 at 9:32 pm Link to this comment

Oh, woops, sorry everyone. The other day I said an article by a WashPo-ite wasn’t completely terrible; guess I jinxed it.

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