Wednesday, February 29, 2012

"Blunt" force trauma to women's health

The Senate is voting tomorrow on a transportation bill, to which is attached the Blunt Amendment. The name of the section to be inserted into the bill is "Respect for Rights of Conscience." Aside from the fact that it's a funny bit of language to put into a piece of transportation legislation, it's Tea Bagging constitutional bullshit.

This is the GOP's play to deny birth control coverage to women, and not just if the employer is a religious institution. If the CEO at Big Corporation, Inc. decides s/he is morally opposed to birth control (or blood transfusions or vaccinations), that's it. No more coverage and a big flip of the bird to the Affordable Care Act.

All this under the guise of upholding religious freedom.

The GOP claims that the Obama administration has "trampled" on the Free Exercise Clause of the Constitution by requiring all employers, including religiously affiliated institutions, to provide birth control to their employees under the new healthcare law. Churches are exempt from this provision, but anti-choice loons are saying that any organization that provides a secular service, i.e. university, hospital, etc., with ties to a church ought to be exempt. By the way, please note that I'm using "anti-choice" to talk about run-of-the-mill birth control -- as in, the pill. And as mentioned above, Senator Roy Blunt's amendment (R-MO) would extend that exemption to allow any employer to deny birth control coverage to its employees if doing so would be contrary to its "religious beliefs or moral convictions."

Let's be clear: this is not really about religious freedom for the GOP. This is about shoving women back into the 1950s and trying to hide behind the Constitution while doing it. This is about the GOP making a sharp right turn in an election year and attempting to take the rest of the country with them. This is about giving corporations more say over women's health choices instead of leaving it to, say, women.

But let's pretend for a minute that passing the Blunt Amendment is really about rectifying an alleged free exercise violation built into the Affordable Care Act. And let's also pretend that the Affordable Care Act was passed by Congress, signed by the President, and is therefore the law of the land until the Supreme Court takes it under consideration... oh wait, that second part is reality. Right.

So the question here is: Does a certain population deserve an exemption from complying with the Affordable Care Act due to their religious views on birth control?

Playing the free exercise card is, in theory, a good tactic. The American people are all about free exercise (unless you're a Muslim). Establishment clause... I think some people are a little vague on that one (stop trying to put the Ten Commandments in every public space -- sheesh), but free exercise can be summarized with small enough words for people to understand: the government shouldn't interfere with religion.

But in practice, free exercise is not a "Get out of jail free" card for disobeying a generally applicable law. For example, I'd have been in serious trouble had I refused to pay taxes based on my moral opposition to the war in Iraq: tax evasion is a crime. In 1983, Bob Jones University lost its tax-exempt status because of the university's policy prohibiting interracial dating, a policy allegedly grounded in the university's religious values: can't take money from the feds and have institutionalized racism. And in 1989, the Supremes (I'm nothing if not reverent on this blog) decided that use of an illegal drug during a religious ceremony still counts as illegal use: illegal drugs are illegal (like that logic?).

The Supreme Court does not have a strong track record of upholding individual religious beliefs over obeying valid laws. Exemptions to complying with an otherwise constitutional and generally applicable law are rare, which is what Senator Blunt and his fellow GOP goofballs are asking for.

One Supreme Court Justice in particular has done some fascinating work on this issue. To illustrate my point and simultaneously stick it to the conservatives, I turn to that bastion of conservative goofiness on the U.S. Supreme Court, Justice Antonin Scalia.

Justice Scalia has a brilliant legal mind. Like Vincent Van Gogh, this brilliance is accompanied by a fair portion of loony, his of the conservative jurisprudence variety, as opposed to the ear-chopping type. But loony or not, Justice Scalia is smarter than anyone reading this blog.


Justice Scalia and his doppelganger, Mr. Bates, the brooding valet of Downton Abbey.



One of the cases I references above was a 1989 decision, a result of Employment Division v. Smith. Back in the 1980s, a couple of guys in Oregon were fired from their jobs and denied unemployment benefits after participating in a Native American religious ceremony which involved smoking peyote. Peyote is classified as a Schedule 1 controlled substance by the DEA, and at the time of the employees' firing, this drug was illegal in Oregon. "Free exercise!" they yelled. "That law infringes upon my right to practice my religion!"

"Nope," said the Supreme Court.

Justice Scalia wrote the opinion in this case. As I've said, the man has some goofy ideas about constitutional interpretation, but in this instance, he articulated the real interest the United States has in narrowly defining the scope of free exercise.

One of the first points the Court addresses in this decision is the idea of a generally applicable law and its relation to the Free Exercise Clause. A law that specifically targets a practice "because of [its] religious motivation" would be unconstitutional. However, an individual is not exempt from complying with a law that is "not specifically directed to religious practice and is otherwise  constitutional as applied to those who engage in the specified act for nonreligious reasons."

Later in the opinion, Justice Scalia writes:
To make an individual's obligation to obey such a law contingent upon the law's coincidence with his religious beliefs, except where the State's interest is "compelling" -- permitting him, by virtue of his beliefs, "to become a law unto himself," Reynolds v. United States, 98 U.S. at 98 U. S. 167 -- contradicts both constitutional tradition and common sense.
He continues:
What it produces in those other fields [where an exemption would be granted] -- equality of treatment, and an unrestricted flow of contending speech -- are constitutional norms; what it would produce here -- a private right to ignore generally applicable laws -- is a constitutional anomaly.

And finally, Justice Scalia sums it up nicely:
We have never held that an individual's religious beliefs excuse him from compliance with an otherwise valid law prohibiting conduct that the State is free to regulate.

Whaddya say about liberal activist judges now, GOP?!

Ahem.

It's not a perfect comparison to what's happening with the Affordable Care Act, so please don't jump on me over the nitty gritty. The point I am trying to make, though, is that the Supreme Court has held that a religious or moral opposition to a law does not automatically constitute a violation of the Free Exercise Clause. I am morally opposed to a lot of things, but that does not mean that the law has to accommodate my every whim just because I claim a conscientious base for my opposition.

And in the case of complying with the Affordable Care Act's mandate that employers provide insurance coverage for birth control, I have seen nothing to suggest that a particular group's religious beliefs were targeted. In 2012, birth control is part of basic women's healthcare. I don't care who you are, you know at least ten women who are on the pill. You probably also know (*gasp*) a woman who has had an abortion.

And if we as a country have decided that universal healthcare is essential part of our public policy, you better believe that women are included in "universal." Please see the Fourteenth Amendment.

In conclusion, GOP members of Congress need to read the Constitution of which they claim to be the sole protectors. I think they'll see that the founders built in a separation of powers; in addition, there's another constitutional tidbit called judicial review. So leave the constitutional interpretation to the guys in the black robes. Believe me, they're smarter than all of you.


Tuesday, February 21, 2012

Thin Mints - or Communist Cookies?

Breaking news, America: the Girl Scouts of America are evil.

Not only do they sell their delicious cookies to increasingly chubby Americans, but as it turns out, they're also a bunch of liberal feminists who are turning your daughters into sex-crazed Communist lesbians. (That is what "evil" means, right?)

According to an Indiana State Representative who apparently did a google search for "Girl Scouts, conspiracy, socialist" and is now an expert on the evils of the Sisterhood of Many Badges, GSA is a "radical" puppet organization for Planned Parenthood, backed by "radically pro-abortion" Michelle Obama and her husband, President B. Hussein Obama.

State Rep. Bob Morris sent a letter to his colleagues this week, encouraging them to join him in his refusal to sign a resolution celebrating the 100th anniversary of Girl Scouts of America. Bob decided to take this course of action after "talking to some well-informed constituents" and doing a "small amount of web-based research." Among other things, this champion of the innocent came across this astonishing tidbit:
Many parents are abandoning the Girl Scouts because they promote homosexual lifestyles. In fact, the Girl Scouts education seminar girls are directed to study the example of role models. Of the fifty role models listed, only three have a briefly-mentioned religious background—all the rest are feminists, lesbians, or Communists.
All this through a small amount of online research! The man is clearly an internet genius, as well a truly gifted writer.

I also did a small amount of web-based research on this Girl Scouts scandal. I will share my findings with you.

Here is a picture of State Rep. Bob Morris of Indiana:
Indiana State Representative Bob Morris

Here is Rep. Bob Morris' doppelganger:
Lenny the Lizard

Here is a picture of President Ronald Reagan fraternizing with the enemy:
The Gipper surrounded by little lesbian Communists

And here is a picture of the evil Girl Scouts, as depicted on a box of their Communist Cookies, raising the American flag in what I'm sure is actually a salute to Kim Jong Un:
Evil recruitment tool #1

Okay, enough research. I'm sure it's as comprehensive as Rep. Morris'.

Has my "small amount of web-based research" convinced you that Girl Scouts of America is trying to ruin the lives of thousands of young girls?

Or are you convinced that Rep. Morris should take some advice from my previous post and shut the hell up? Stop embarrassing your party, you nincompoop!

I was a Girl Scout back in the day. My mom was a Girl Scout and later my Girl Scout leader. Communism, homosexuality, abortion? I didn't learn about any of that from Girl Scouts. I don't think I even knew what those things were until I'd actually left the Girl Scouts.

Instead, I learned about respect, self-esteem, and being prepared.

I remember making a lot of crafts with puffy paint and sequins, and going to camp to make more crafts with more puffy paint and sequins. I also learned and promptly forgot how to tie some complicated knots.

I made a bunch of friends, went to a lot of pool parties, and took field trips to fire houses, churches, and libraries. I also learned how to stand up to bullies, how to work through arguments, and how to work together as a team. I spent a ton of time outside with my buddies and got to enjoy being a little girl.

If I ever have a daughter, she's going to join Girl Scouts and like it, damn it.

Does someone want to point out what I'm missing here?

S.T.F.U.G.O.P.

I've been saying it for years, and after last week I'm going to say it again: the GOP needs to shut up. I mean it. The GOP has got to slow down its descent into political madness. I'm a new blogger -- I can't keep up! I've got drafts of six posts that I had to abandon because the GOP embarked on some new round of idiocy before I was able to finish any of them.

But really, it's time for the GOP to take a moment. The middle-aged, white, male legislators of the GOP need to quit talking about contraception. It's embarrassing.

This whole mess over birth control is an embarrassment. Someday they will look back on it with that same feeling of humiliation and regret that tends to follow an especially festive night at the bar. Does the GOP really think this will end well for them? It won't. They're not going to win, and when they lose this battle, they'll also have lost what little credibility they had left with women.

Do they not hear themselves? Do they not cringe every time one of their party opens his mouth -- or holds a hearing? Women were told on national television (to a female interviewer, by the way) that family planning should go back to "keep your legs together." GOP presidential candidate Rick Santorum thinks that the pill is "harmful" to our society, that "if [sex is] not for purposes of procreation, then you diminish this very special bond between men and women." Are we really having this conversation in 2012?

Questions for Santorum, and let's include other Republican men for good measure:
  - Do you really feel diminished by all those people out there having sex who aren't married?
  - Are you so insecure in your own marriages that you feel diminished by the sexual relations of other couples?
  - And you, Mr. Santorum, expect people to believe you won't feel diminished by, say, China? Pakistan? Iran?

When we were younger and a kid on the playground was being mean, some adult usually told us that the other child was upset about something else. Putting other kids down was a way for the bully to cover up insecurities, to create a distraction from the real problem.

That's what I feel like is happening here. We're back on the playground. Congressional Republicans know that they can't win on real issues, like jobs, the economy, taxes, etc., so they throw themselves into these social non-starters, like birth control. It's a lot easier to stand up in a "hearing" and call unmarried women sluts than to work with Democrats to help the middle class. In Tennessee, it's easier to throw the gay kids under the bus than to work on our state's unemployment numbers.

Here's some advice for Rick Santorum in particular and for the GOP in general: Get some therapy, because you are seriously repressed; quit worrying about what other people are doing in their bedrooms; and until you get those feelings of inadequacy worked out, just shut up.

Monday, February 13, 2012

My Wallet, M.D.

Last week I walked into the waiting room of a doctor's office. Five minutes later, I walked out. I didn't see a doctor, I didn't speak with a nurse, I didn't have a single interaction with an actual healthcare provider. The only people I spoke with were in the billing department.

I walked into that office for a test. Apparently it's a rather routine test, but it was one that a specialist had recommended I get -- and quickly. Being a slight hypochondriac ("ohmigosh, it's a tumor, I know it"), I was a bit nervous going in. I wanted to get it over with and have the reassurance that I was going to live to see another day.

And then they told me how much my bill for the day would be: nearly $600.00.

"But I have insurance." Yes, but you have to meet your deductible before your insurance kicks in.

Oh don't worry, they said: we can work out a payment plan, and the full amount will be due in 90 days.

I remember one bit in particular from this conversation. The woman I was speaking with said something to the effect of, "But your doctor wants you to get this test. I really think you should reconsider." To which I responded: "How many ways do I have to say this: I cannot afford it."

From there, the conversation continued as one might expect: I burst into tears, canceled the appointment, and left.

What shocked me after I stopped crying (and I cried for a good 30 minutes) was how quickly I'd made that decision. My doctor told me to get this test -- as he was the one with the M.D., I listened -- but as soon as I heard that dollar amount, that test was not happening. Shut it down.

In one of my Susan G. Komen vs. Planned Parenthood rants, I said that women should not have to pit paying for healthcare against buying  groceries. Wouldn't you know it, that's exactly what I had to do. And I am employed! I have a small but steady paycheck, no dependents, and minimal debt. But right now, I cannot afford to be anything but healthy.

I'm not placing blame here: not on the doctor, not on the hospital, maybe a little bit on my insurance company. Thankfully my situation is small potatoes, but it's indicative of a system that needs to be fixed. Similar episodes are playing out over and over across the country, where patients are walking away from hospitals and clinics because they can't afford their services. The patients' wallets, instead of their doctors, are prescribing treatment.

I'd love to get your feedback on this. Have you had a similar experience? Has healthcare become a luxury good in this country? How do we combat the rising costs of medical care?

Friday, February 3, 2012

Five Friday Happys

I've spent all week being really mad: ranting, raving, "The world is going to hell in Susan G. Komen's hand basket!" kind of mad. I'm exhausted. That kind of rage takes serious work. And anyway, I wanted this blog to have a little less outrage and a lot more Miss Piggy.

By the time I get to Friday, I am often so full of my own ire that my stomach hurts. I need to take a step back and use the internet for its higher purposes: expanding trivial knowledge and watching funny videos on YouTube.

So instead of more ranting, here are five Friday Happys to take into the weekend. No commentary (well, maybe a little), just a few things to make you smile. To really get in the mood, you should start singing "My Favorite Things" right now.

Happy #1: Charles Dickens turns 200 next week, and the Queen of England is throwing him a birthday party! Get your favorite bookworms together next Tuesday and run around a restaurant saying, "Please, sir, I want some more."

Happy #2: This video of Rita Moreno singing "Fever" with Animal and Floyd is probably one of the greatest Muppets moments ever. Rita: 1, Muppets: 0.



Happy #3: Billy Ray Cyrus is writing his memoir, due out next spring. I really hope he spills the beans on who does his highlights (snark) and how he feels about... oh, who cares? Enough with the memoir craze, already.

Happy #4: More Muppets. The Swedish Chef making Swedish meatballs. Muppet gold.



Happy #5: And how's this for a Friday Happy? Susan G. Komen for the Cure just now released this statement. I'm so glad you came around, Susan. Gotta tell you, though, I'm still a little miffed that you would turn on me like that. Our friendship is on probation; I'd say we're frenemies. But I'm happy you're back. Sort of.

Happy Friday, everyone!

*Still singing "My Favorite Things." This is going to be stuck in my head all day...

Wednesday, February 1, 2012

Shame on you, Susan.


Susan G. Komen for the Cure, arguably the nation's leading charity for breast cancer research and eradication, announced yesterday that is was yanking its funding for breast cancer screenings at all Planned Parenthood affiliates.

Read that again. Now let's break this down.

Taking away funding... for breast cancer screenings... for women who can't afford to go to anywhere else.

Are you disgusted? I am.

Some background:

According to SGK, this move was in response to newly-adopted bylaws that forbid the funding of any organization under government investigation. Thanks to Rep. Cliff Stearns (R-FL), congressman from the second worst state in the union (after Indiana), Planned Parenthood now falls into this category. This crusader against women's healthcare initiated a congressional investigation into Planned Parenthood's use of federal funding, an obvious play to his anti-choice supporters going into an election year.

[A word on federal funding for abortions: it hasn't happened since 1976. There's this thing called the Hyde Amendment, named after Rep. Henry Hyde (R-IL), which has been tacked on to every single appropriations bill for the past 34 years. It specifically doesn't allow for federal funds, i.e. Medicaid, to pay for abortions. So everyone needs to end it with this "federally funded abortions" bullshit.]

Now back to Susan G. Komen for the Cure hating poor women.

Oh yeah, I went there.

As an organization allegedly dedicated to funding research and treatment for breast cancer, they should probably change their mission statement: now they're "fighting every minute of every day to finish what we started and achieve our vision of a world without breast cancer... for rich people."

Because rich people don't go to Planned Parenthood; poor people do. With its 800 health centers around the country, in many cases a Planned Parenthood clinic is the only option some have, not only for reproductive and sexual health, but for primary care (think flu shots) and basic cancer screening. In the past five years, grants from SGK given to Planned Parenthood have paid for 170,000 clinical breast exams and 6,400 referrals for mammograms. (Note: those are screenings paid for exclusively by SGK; overall, Planned Parenthood conducted more than 700,000 screenings in the past year.) Those are some pretty good numbers. Now that funding is gone.

Granted, Planned Parenthood will make up the difference in funding. Women around the country are outraged, as they should be, and that outrage will manifest itself in donations to Planned Parenthood. But that's not the point.

The point here is that cancer screening for women in need is now a political issue. Breast cancer screening, which has less than nothing to do with abortions, is apparently something that poor women can live without. Susan G. Komen can now go to all of its corporate sponsors, who can then go to their consumers, and assure them they are not supporting an organization that, among other things, provides abortions.

Hooray! Poor women be damned! Let them eat cake -- and take out a loan to find out if they have cancer!

Ladies, this is only the latest in a series of outages against women's healthcare. Against abortion? Fine, don't have one. But your birth control pills should covered by your insurance, you should have an annual check-up with a gynecologist, and if you feel a scary lump, you should get yourself to a doctor and get that checked out without having to decide, "Well, I guess I won't buy groceries this week." This is our health, and we need individuals and organizations who will stand up to these anti-women crazies and demand decent healthcare.

So way to go, Susan G. Komen for the Cure: you gave into the pressure to cut women's healthcare and you probably lost a bunch of donors who expect better from you -- you've got at least one angry donor right here. I certainly can't in good faith continue to give to a charity that is so easily bought by right-wing nut jobs. And now I feel like a shit for yanking my own funds for cancer research.

Shame on you, Susan. We hoped for better.


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