Tuesday, February 14, 2012

Are abortion and contraception health care?

I’ve had two abortions. Shocked? I certainly was when I learned D & Cs (dilation and curettage) are often coded as abortions for insurance purposes. Suddenly, abortion became a very personal issue.

When my husband and I were ready for a second child, I went through what was diagnosed as “recurrent miscarriages.” At one point, my body was expelling embryos so fast, the doctor could barely document the pregnancy.

And I carried two babies 12 weeks only to lose them. In both cases, our doctor recommended a D & C to prevent infection and future complications. I credit her care for the eventual birth of our daughter.

These memories come flooding back whenever abortion and contraception re-emerge as political footballs. Both are health care issues best left to individuals and their doctors. And their complicated nature is illustrated by personal stories.

For example, I read an account in Salon Magazine several years ago by a Catholic nurse whose family wanted a fourth child.

However, when they learned (after 20 weeks) their much anticipated daughter had a fatal condition that would precipitate her death shortly after birth – and one in which she would suffer – they felt they must make an unwelcome decision.

As a nurse, this woman did research to locate a facility that would perform a dilation and extraction to allow her family to bury their child and say goodbye.

But the pain didn’t end there. At a time when this family needed love and support, they were ostracized by friends, some family and their faith community.

Even the birth later, of a healthy fourth child, could not ease that pain.

So lately with the manufactured outrage over the decision to require all employers, including faith-based organizations (hospitals, charities, universities) to cover contraception as part of health insurance benefits for employees, I have been remembering all the women I know whose doctors have prescribed contraception to treat conditions like endometriosis or to prevent pregnancies that would endanger their lives due to other chronic conditions.

These memories prompt me to ask how we can deny that contraception (or abortion) is part of women’s health care?

And how can legislators in good conscience limit or deny access to treatments doctors need to care for patients?

With regard to this latest decision on contraception, it’s not really a controversial issue. As a story on ThinkProgress.org notes, DePaul University, as well as a number of other Catholic institutions, offers their employees a contraception benefit with their health insurance in accordance with state and federal law.

ThinkProgress also notes: “DePaul’s home state of Illinois is one of 28 to have adopted a contraception coverage requirement.

Eight of those states provide no opt-out clause for religious institutions and the administration’s new rule would expand conscience protections to those parts of the country.”

The story also referenced a Public Religion Research Institute poll indicating a majority of Americans, including a majority of Catholics, support the new coverage requirement.

So if the Obama administration is waging a “war on religion,” why did their decision “expand conscience protections to those parts of the country?” In other words, this decision allows more groups an exception to providing contraception.

Once again the mainstream media and politicians are using women’s health issues as a political football – to the detriment of women’s health.

So the libertarian in me wants to know, “Why do ‘small government’ Conservatives want to meddle in my health care?”

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