The bridge is yours.
-Why Tyler Perry’s name is in the titles of all his movies.
-Martin Scorsese wants to bring Gangs of New York to TV.
-Go write for the AV Club!
Thursday, July 11, 2013
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Why The Response To A Philadelphia Abortion Doctor’s Ongoing Murder Trial Gets It All Wrong
A Philadelphia-area abortion doctor is currently on trial for murder, based on gruesome reports about the illegal techniques that he and his staff used to perform late-term abortions for desperate, low-income women. Dr. Kermit Gosnell’s high-profile case is sparking understandable outrage, as evidence has emerged that he may have taken advantage of vulnerable women, violated multiple medical codes, and performed inhumane surgeries.
According to prosecutors, Gosnell’s clinic went 17 years without an inspection — and abortion opponents are leveraging that to go after other abortion clinics that have no affiliation with Gosnell or his crimes. “Unfortunately and tragically in Pennsylvania, facilities were going uninspected for years,” Maria Gallagher, a lobbyist with the Pennsylvania Pro-Life Federation, said in reference to the ongoing trial. That’s a big reason why abortion opponents like Gallagher were able to push Pennsylvania legislators to tighten restrictions on abortion clinics in 2011, updating state law to require abortion clinics to adhere to the same standards as outpatient surgery centers. According to NPR, Gosnell’s case was “mentioned frequently” as Pennsylvania lawmakers considered, and ultimately approved, the unnecessary new restrictions.
If proven guilty, there’s no doubt that Gosnell and his staff committed horrific crimes. But the knee-jerk reaction to his murder trial — the assumption that most abortion doctors aren’t adhering to medical standards, and that the women who visit health clinics are in grave danger of receiving unsafe care — is off-base. In fact, as the right-wing pushes for tighter abortion clinic standards to make sure nothing like this ever happens again, that crusade could end up having exactly the opposite effect.
Pennsylvania’s abortion clinic restrictions fit into a larger anti-choice effort across the country that is solely intended to force abortion clinics to close their doors. In states like North Dakota, Virginia, Indiana, Mississippi, and Texas, abortion opponents are pushing legislation to force abortion clinics to adhere to unneccesary new regulations in the name of “ensuring women’s safety.” That sounds like a noble goal. But these measures — known as the Targeted Regulation of Abortion Providers, or TRAP — aren’t really about ensuring women’s safety at all. As Mississippi’s Republican governor once admitted behind closed doors at an anti-choice event, TRAP laws are about indirectly restricting women’s access to abortion by shutting down health clinics.
In Pennsylvania specifically, one Planned Parenthood affiliate was forced to spend nearly a half a million dollars to get two of its clinics into compliance with the new regulations. That involved unnecessary updates like installing hands-free sinks, replacing the floors, and updating the air-conditioning system. The affiliate’s CEO, Dayle Steinberg, explained to NPR that the state’s stricter requirements didn’t actually do anything to improve the care provided to the women at her clinics, where the complication rate is already less than one-tenth of 1 percent. “They were thinly disguised as improving patient safety, when really it was about increasing the cost for abortion providers — hoping that some of them wouldn’t be able to afford it,” Steinberg said.
In fact, it’s quite the opposite. Women’s health advocates consider TRAP measures to be some of the most dangerous threats to women’s access to safe abortion services across the country. In North Dakota, where anti-choice Republicans are advancing the most stringently anti-abortion legislation in the nation, one doctor warned lawmakers that the new TRAP law will force women into dangerous, “backroom” abortion procedures. Retired pediatrician Ted Kleiman worked at a hospital before Roe v. Wade legalized abortion in 1973, and he watched women die from botched abortions. “The thought of returning to those days is really beyond imagination,” Kleiman told his state lawmakers, urging them not to shut down the only abortion clinic left in North Dakota.
Women’s health advocates, particularly those who work at health clinics, are extremely concerned about ensuring that women receive the highest standards of reproductive care. But clinics that allow women to terminate a pregnancy in the first trimester of pregnancy — which involves taking a pill, and is not actually a surgical procedure — aren’t analogous to Gosnell’s clinic, which performed incredibly late-term, illegal abortion services. Over-regulating the clinics like Planned Parenthood’s, where the vast majority of patients are already receiving incredibly safe care, will actually limit women’s options instead of keeping them safe. That could lead more desperate women who feel like they don’t have any other options left to seek out doctors like Gosnell.
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Sebelius: Some Could See Insurance Premiums Rise
Associated PressHuman Services Secretary Kathleen Sebelius speaks about the federal health care overhaul during a news conference at City Hall, Wednesday, Feb. 20, 2013, in Philadelphia. (AP Photo/Matt Rourke)Some people purchasing new insurance policies for themselves this fall could see premiums rise because of requirements in the health-care law, Health and Human Services Secretary Kathleen Sebelius told reporters Tuesday.
Ms. Sebelius’s remarks come weeks before insurers are expected to begin releasing rates for plans that start on Jan. 1, 2014, when key provisions of the health law kick in. Premiums have been a sensitive subject for the Obama administration, which is counting on elements in the health law designed to increase competition among insurers to keep rates in check. The administration has pointed to subsidies that will be available for many lower-income Americans to help them with the cost of coverage.
The secretary’s remarks are among the first direct statements from federal officials that people who have skimpy health plans right now could face higher premiums for plans that are more generous. She noted that the law requires plans to provide better benefits and treat all customers equally regardless of their medical claims.
“These folks will be moving into a really fully insured product for the first time, and so there may be a higher cost associated with getting into that market,” she said. “But we feel pretty strongly that with subsidies available to a lot of that population that they are really going to see much better benefit for the money that they’re spending.”
Ms. Sebelius added that those customers currently pay more for their health care if their plans have high out-of-pocket costs, high deductibles or exclude particular types of coverage, such as mental health treatment. She also said that some men and younger customers could see their rates increase while women and older customers could see their rates drop because the law restricts insurers’ ability to set rates based on age and gender.
Most people who buy their own insurance policies will begin doing so this fall through new online marketplaces, which federal officials believe will force insurers to keep their prices down.
“As a former insurance commissioner I have watched what transparency does to a market,” Ms. Sebelius said. “This is the first time ever in the history of the United States that insurance companies have to file their rates, it has to be very transparent, they have to offer the same kind of coverage without 5,000 tiny little lines and internal caps, and they have to compete for customers. And I am a believer in the market strategies that in and of itself will minimize the rate impact.”
As The Wall Street Journal reported last week, some insurers have already begun signaling they could dramatically increase prices for people buying policies in the individual market to compensate for restrictions on how they treat consumers, as well as new fees and requirements that they provide bigger benefits packages.
The Society of Actuaries, a nonpartisan professional association, has issued a new report warning that the cost of medical claims in the new individual-insurance market could rise by an average of 32% per person over the first few years the law is in place, as more people with higher medical needs get coverage, and that the impact will be very different depending on the state. Medical bills are another key factor in determining premiums.
As GOP Seeks Cuts To Child Nutrition Programs, Democratic Rep. Pushes To Expand School Lunches
Republican budget proposals have included deep cuts to social safety net programs, including those that are aimed at ensuring that needy children have access to nutritional food at school. Last year’s House Republican budget, for instance, would have kicked 280,000 children out of the program, and spending cuts that have been enacted have targeted it too.
Amid those efforts, though, Democratic Rep. Dina Titus (D) is pushing in the opposite direction. School lunch programs provide breakfast and lunch to children when they are in school, but they leave many children without food options on weekends and holidays during the school year. Titus wants to fix that by expanding the program through the Weekends Without Hunger Act, which she introduced last week and rolled out in her Las Vegas district Thursday.
That the Republican budget seeks to cut such programs is a statement of “how out of touch it is with our nation’s needs and priorities,” Titus told ThinkProgress in an email.
“With 50.1 million American living in food insecure households, including 16.7 million children, it is our responsibility to protect programs such as free and reduced school lunches, SNAP, and WIC that these families rely on every day just to get by,” Titus said. “The federal budget is a statement of our national priorities, and providing funding for nutritious meals to ensure that vacation from school does not mean hunger for children is one of my top priorities.”
The legislation is co-sponsored by Reps. Marsha Fudge (D-OH), Zoe Lofgren (D-CA), and Terri Sewell (D-AL) and is one of several efforts to expand child nutrition programs. Iowa Sen. Tom Harkin (D) has introduced a bill that would expand those programs to child care centers in an effort to get food to more low-income children.
The Great Recession drove up the number of children living in poverty, adding to the number of children who live without enough food. Nearly 15 percent — more than 17 million in total — American households were food insecure in 2011, meaning they had difficulty providing food at some point in the year. There are 20 million students who benefit from free and reduced lunches at school, and another 10.5 million who are eligible but don’t receive the benefits.
The school lunch program gets food to children during the week, but weekends and holidays create gaps that leave many hungry. “While school meals help keep children healthy and ready to learn during days that school is in session, there is currently no targeted Federal child nutrition program available to provide these children with food during the weekend or extended holidays when they do not have access to school meals,” a release from Titus’ office said when the bill was introduced. “Vacation from school should not mean hunger for children.”
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