Splitting the Health-Reform Baby: What Women Lost by Winning

by Gloria Feldt on July 5th, 2010
in Health Care Reform and tagged , , , , , , , , , , ,

This is part two in my three-part series about what the Affordable Health Care Act means in tangible terms to each of us. The first post in the series was Barbara O’Brien’s optimistic “Health Care Reform Will Help Everybody.” Today, in a post that originally appeared in the Women’s Review of Books blog, I address women’s health specifically in both a personal and political context.

Remember, that the Department of Health and Human Services launched a new website, HealthCare.gov, on July 1 to help consumers wade through the new law’s provisions and how they will affect our access to health care. So do check that out, and as always, your comments and ideas are very welcome here.

Let me be clear: Had I been a member of Congress, I would have pressed the “yes” lever for the health-reform bill when it came down to the vote for final passage. It was incredibly important that we start somewhere to make health care accessible and affordable to all Americans. And we can celebrate, as Ms. magazine recounts in “What the Health Care Bill Means for Women,” that contraceptives will be covered, gender rating that discriminates against women has been eliminated, and preventive services such as pap smears will be covered without co-pay under the new plan.

But sometimes when you win you lose.

I am spitting mad about the way my values—and those of so many women and men, including the band of forty or so Congresswomen, led by pro-choice caucus chair Rep. Diana DeGette, who fought valiantly against the Stupak-Pitts amendment–were callously pitted one against another. Stupak-Pitts would have written into permanent law the current Hyde Amendment ban on coverage for abortions for women whose health care is paid for by the federal government. And it would have extended the ban to the rest of us if we purchased insurance with private funds through a federal insurance exchange

This Solomon-like decision represents not the proverbial win-win compromise that politicians are supposed to seek but a net loss for women. The loss of important health coverage hurts, but I predict the political loss will ultimately turn out to be even more devastating.

In the end, President Obama himself, who during his campaign supported getting rid of the Hyde amendment, issued an executive order that implements restrictions almost identical to Stupak-Pitts.

And candidate Obama, who in 2008 enthusiastically promised to pass the Freedom of Choice Act to guarantee reproductive right including access to abortion, just a year later as president said FOCA wasn’t on his legislative agenda.

As RH Reality Check put it, insurance coverage for abortion is now an endangered species.

This show of weakness by the president, the congressional leadership, and the women’s movement for not holding politicians’ feet to the fire has serious political consequences. The women’s groups early on acceded to the so-called “compromise” Capps Amendment that would have maintained the status-quo Hyde restrictions: leaving poor women out in the uncovered cold but retaining coverage for women with private-pay insurance.

Once they had given in on that key principle, there wasn’t much women’s groups could say or do to establish their moral authority or political power to buck the administration’s appeasing ways. Appeasing is like throwing a hungry jackal a small piece of red meat—it just howls for more.

Predictably, a proliferation of state measures aimed at restricting abortions, punishing women who seek them, and serving as test cases to overturn Roe v. Wade, has been unleashed. In “A Spreading Peril for Women’s Privacy and Freedom,” Dorothy Samuels catalogued these new threats the New York Times.

“We have to use every opportunity to improve this badly flawed legislation,” Judy Norsigian, executive director of the Our Bodies, Ourselves women’s health collective recently told me. “We have to keep the anti-abortion folks from doing even more damage as they now try to push through state-level restrictions on abortion coverage in private health plans. And we have to work at the state level to keep educating the public about what single-payer health care is all about.”

Fights about abortion aren’t about abortion at all but about the nature and purpose of human sexuality and gender roles. So no surprise that abstinence-only sex education funding also stealthily made a return appearance in the health bill to the tune of $50 million, along with funding for more comprehensive education that includes abstinence but gives young people medically accurate information about sexuality, sexual health, and contraception.

A strategy that didn’t require women to choose which important health-care service to sacrifice would have taken us much closer to universal coverage and coverage for all reproductive health services. That includes abortion with no refusal clauses for institutions and individuals who oppose legitimate women’s health-care services (which often include refusing to provide emergency contraception, certain infertility treatments, and even birth control).

Had we done that, we might not have succeeded in eliminating the Hyde Amendment yet. But that sort of loss, rooted in principle and justice, would have constituted a win by elevating the issue and demonstrating that reproductive rights are indivisible—either everyone has them or no one has them.

It would have been a step toward taking us beyond Roe and toward reproductive justice for women.

It’s no small matter that a health-reform bill was passed. But we’re a very long way from finishing the job, especially when it comes to women’s health care. The question is whether we women will use our power to demand it in the next round.

Gloria Feldt is the author of No Excuses: 9 Ways Women Can Change How We Think About Power. Buy the book here. Engage Gloria for a Speech or Workshop. Tweet @GloriaFeldt and connect on Facebook, LinkedIn, and Google+ Gloria is the co-founder (with Amy Litzenberger) of Take the Lead, a new initiative to prepare and propel women to leadership parity by 2025. Find them @takeleadwomen and on Facebook.

Take The Lead Presented and Connected in 2014—and Wants Your Suggestions for 2015

IMG_6939-X3Understanding the Role Confidence Plays Would workplaces become more balanced and society more equitable if women exhibited more confidence? Katty Kay and Claire Shipman created a stir with their book The Confidence Code and their article, “The Confidence Gap” in The Atlantic. To continue this important conversation, we were honored to have Shipman speak to the Take The Lead community in July about how personal confidence relates to women advancing in the workplace and in society. Yes, women face very real barriers, no matter how confident we are, but leading with confidence expands our possibilities in ways that change our lives and the lives of other women. (Like this quote? Tweet it!) Did you attend this event with Shipman? What did you learn? This confidence question will surely be an ongoing conversation, so we’d love to hear your thoughts! TakeTheLead-80-X3The Solution to Feeling Stuck: Get a Coach! At Take The Lead we teach women to define their lives and careers on their own terms. But history has also told us how crucial it is to seek help when we need it. That’s why we were so excited to gather some of the best coaches we know for an event in NYC sponsored by the fabulous ALEX AND ANI. Alisa Cohn, Robyn Hatcher, Bonnie Marcus, Dana Balicki, Audrey S. Lee, Maggie Castro Stevens, and Leslie Grossman joined us to share their wisdom and generously donate hours of coaching time to attendees. See photos from the event and learn more here. 15777710358_506c524d16_o-X3Circling Up! One way we achieve leadership parity at Take The Lead is by working with women across all backgrounds, generations, and professional fields. And we’re proud to collaborate with a larger resurgent women’s movement. One way we create connections among women is through our online Take The Lead Community. If you haven’t signed up yet, please do so to network and get honest, actionable advice from other accomplished women having valuable conversations. Soon we’ll be adding a mentoring component you won’t want to miss. Gearing Up for 2015 Stay in touch with Take The Lead by signing up for our newsletter, and following us Facebook, Twitter, and LinkedIn. Thanks again to everyone who joined us this year and stay tuned for exciting developments in 2015! Remember! Please take a moment in the comments section to tell us what’s bugging you, highlight learning topics you want to see in our webcasts, courses, or blog, and suggest experts you admire. You can also tweet us at @takeleadwomen using the hashtag #takeleadwomen2015. If you’re moved by the work Take The Lead does to give women and men true parity across all sectors, it’s not too late to donate to enable us to Teach, Connect, and Present to more people next year. Read more about our strategy for change, Take The Lead’s 4 keys to leadership parity, here.