Last week, the Obama administration updated its proposed regulations regarding birth control coverage under the Affordable Care Act. It refused to create an exemption for for-profit employers who object to provide contraceptive coverage on religious grounds, but it left a lot of people, reporters included, confused about how religiously affiliated employers would be accommodated, and who—the insurer, a third-party provider, or the federal government—would be left footing the bill for the coverage.
To find out whether you can access no-copay birth control through the ACA, check out the infographic below!
A few hours after watching this tearjerking ad run by the Maine marriage equality campaign—in which an elderly man, arm around his gay granddaughter, says “It takes a lot of bravery to be a lesbian”—I read an oddly deflating Slate piece about how the gay marriage battles in Minnesota, Maryland, Maine and Washington (yes, all four) were won. Spoiler: it’s not because a majority of voters in those states witnessed a particularly persuasive kiss-in at the local mall. Instead:
For decades, gay advocates had framed their arguments in terms of equal rights and government benefits, often using rhetoric that was confrontational (“We’re here, we’re queer, get used to it”) and demanding (“We deserve equal rights now!”). Third Way, a centrist think tank working in the coalition with Freedom To Marry, began to unpack exactly how straight people reacted to such tactics. The group found that when straight people were asked what marriage meant to them, they spoke of love, commitment and responsibility. But when asked why they thought gay people wanted to marry, they cited rights and benefits. Tapping into anti-gay stereotypes, they suggested gay people wanted marriage for selfish reasons while they themselves wanted to express love and commitment.
Precious little time during last night’s vice-presidential debate was devoted to an issue the Republicans have been hellbent on politicizing since they took control of the House in 2010. That, of course, was the niggling question of whether Romney and Ryan would work to further restrict access to abortion and contraception—or outlaw it altogether—if they win on November 6. Romney’s long career of flip-flopping on this issue has hit some kind of time-lapse photography in recent weeks, with his flips and flops coming fast and furiously: in Des Moines on Tuesday, he told an audience “There’s no legislation with regards to abortion that I’m familiar with that would become part of my agenda.” Perhaps he should alert his running mate, who’s a co-sponsor of no less than thirty-eight abortion-restriction bills. (Romney’s staff walked back his statement the next morning.)
Debate #2 was a good time to clear this up, since Jim Lehrer failed to raise the issue in last week’s Obama/Romney match-up. And, with about ten minutes left in the debate, moderator Martha Raddatz finally did. But many of us watching at home, the question she asked left a lot to be desired:
RADDATZ: I want to move on, and I want to return home for these last few questions. This debate is, indeed, historic. We have two Catholic candidates, first time, on a stage such as this. And I would like to ask you both to tell me what role your religion has played in your own personal views on abortion. Please talk about how you came to that decision. Talk about how your religion played a part in that. And, please, this is such an emotional issue for so many people in this country…
Today, the Department of Homeland Security threw a lifeline to undocumented immigrants who are in same-sex relationships with US citizens. New federal guidelines will allow ICE officers to take into account a same-sex relationship with an American partner when determining whether to pursue a removal proceeding. This doesn’t offer immigrants a path to permanent legal status, but it does provide “a way to mitigate the harshest consequences of the lack of immigration equality and prevent some couples from being physically separated,” said Victoria Neilson, an attorney with Immigration Equality.
These guidelines build on DHS’s 2011 directive to concentrate enforcement priorities on immigrants with criminal records and stall the deportation proceedings of those who have not committed crimes. A same-sex relationship can now help qualify an immigrant as “low-priority” for deportation.
Immigration Equality and other advocates in Congress are still calling for a comprehensive reform that would enable the 36,000 Americans in same-sex relationships to sponsor their spouses for permanent residence just as opposite-sex spouses can. For that, they’d need DOMA to be overturned, comprehensive immigration reform to be enacted, or the Uniting American Families Act to be passed. But momentum is clearly building in their favor. In 2009, Greg Kaufmann noted that recognition for LGBT couples had been included in a broader immigration reform bill for the first time—and three years later, it’s in the Democratic Party platform.
As seen on Facebook.
The Guttmacher Institute today released a nationally representative study, the first of its kind, finding that most women seeking abortions had experienced at least one “disruptive event” in the year prior to their abortion. Such “social shocks,” as study author Ann Moore called them, include moving multiple times, being unemployed, separating from a partner, falling behind on rent or a mortgage or having a partner incarcerated, among others. Physical or sexual abuse is another kind of “disruptive event,” one that seven percent of women obtaining abortions reported. “Women with abusive partners are substantially over-represented among abortion patients,” the study concluded. Perhaps surprising to some, more than half of the women surveyed reported using a contraceptive method in the month before they become pregnant.
The study comes as a needed reality check after Missouri Republican Senate candidate Todd Akin’s ridiculous remarks about the likelihood of pregnancy after “legitimate rape.” As this and other studies suggest, rape and sexual coercion play a role in a significant number of pregnancies. The link found in the Guttmacher study between intimate partner violence and unintended pregnancy in particular calls out for further examination, said Moore. “There are direct ways that violent partners, and nonviolent partners, can interfere with a women’s ability to prevent unintended pregnancy. There’s also a relation between the instability that comes with being in a violent relationship.” Two years ago, Lynn Harris reported on a crop of studies that identified a phenomenon researchers called “reproductive coercion” among teens in abusive relationships, “in which abusive partners subject young women already at risk of violence to the additional health risks of pregnancy and sexually transmitted infections.” Birth control sabotage also showed up in the Guttmacher study released today, with six respondents of forty-nine saying their partners had undermined their efforts to prevent pregnancy, for example by tampering with contraceptives. Researcher Elizabeth Miller has called for more study into whether “pregnancy ambivalence”—the term researchers use to describe sexually active women who don’t want to get pregnant but aren’t trying to prevent it—is really “male-partner influence on women’s reproductive health and autonomy.”
From the Department of I Was Worried Enough About Obamacare Already, Thanks: the Catholic Health Association, a key ally of the Obama administration in passing the Affordable Care Act, has changed its mind about supporting the compromise on birth control coverage. That was the “miraculous” accommodation that ensured no-cost contraceptive coverage to employees of religiously affiliated organizations, while making insurers, rather than the religious employers, responsible for picking up the tab. When the compromise was offered in February, CHA gave initial support. But CHA has now sent a letter to the Department of Health and Human Services opposing the compromise.
In an interview with Kaiser Health News’s Mary Agnes Carey, Sister Carol Ann Keehan, head of CHA, says:
I wouldn’t say as much as we withdrew support. What we said very clearly was that it is just too cumbersome. And I’ll tell you why.
There’s been a lot of over-thinking it about poor Julia, the composite character created by the Obama campaign team. In my book, she’s a success despite the backlash, because, in keeping the focus all about policy, the infographic of her life got even her detractors to spell out the popular stuff that they’re against. Ross Douthat, usually a master of obfuscation, is forced to tick off the injustices:
The list of Obama-bestowed benefits includes Head Start when Julia’s a tyke, tax credits and Pell grants to carry her through college and low-interest loan repayment afterward, guaranteed birth control when she’s a 20-something and government-sponsored loans when she wants to start a business, all of it culminating in a stress-free retirement underwritten by Medicare and Social Security.

Nancy Keenan, president of NARAL Pro-Choice America, addresses at the Democratic National Convention in Denver, Monday, Aug. 25, 2008. (AP Photo/Ron Edmonds)
Nancy Keenan, president of NARAL Pro-Choice America, will step down from her position in January 2013. She could have departed the way presidents and executive directors usually do, amid a cloud of platitudes about the strength of the organization she’s leaving and the health of the movement it represents. But while the release announcing her departure covers those bases, she also gave an interview to the Washington Post’s Sarah Kliff that’s a little more interesting.
Nebraska’s state legislature, one of the more inventive when it comes to finding ways to restrict access to reproductive healthcare, is poised to override Governor Dave Heineman’s veto of a bill that would extend prenatal care to undocumented immigrants. Heineman, who is strenuously anti-choice, is apparently equally strenuously anti-immigrant. But other Republicans and anti-choicers in the state evidently are not: the legislation is endorsed by the Republican speaker of the legislature, Mike Flood, who has sponsored legislation to ban late-term abortions, as well as a number of other anti-choice lawmakers, and by Nebraska Right to Life and the Nebraska Catholic Conference.
The bill would restore coverage for prenatal services to pregnant women who are ineligible for Medicaid for reasons other than income (those are largely undocumented women, though not solely). Nebraska provided that care until two years ago, when the federal government said it could no longer use Medicaid funds to do so. The state could have preserved funding simply by switching its funding stream to SCHIP, but declined to do so. Sixteen other states provide such coverage to undocumented women, but no neighboring states do; Governor Heineman claims that the legislation would turn Nebraska into a “a magnet for illegal aliens.”
If the bill has made enemies of friends, it has also made for allies of usual opponents, including Right to Life and the pro-immigration reform, pro-universal health care group Nebraska Appleseed Center for Law in the Public Interest. Jennifer Carter, director of public policy at the Appleseed Center, told me “This is first time we’ve had a common focus that I can recall” but “there’s been a lot of common ground on it from the perspective of protecting the health of unborn children. it’s foundational: you have to start with good prenatal care.” The local Planned Parenthood affiliate, Planned Parenthood of the Heartland, supports the bill and has mobilized “friendly senators and our supporters” but has mostly stayed out of the coalition’s way. “Particularly in Nebraska, there is some politics that enters in whenever Planned Parenthood shows up. In this instance, we don’t want politics to get intermixed with what’s right for a women and her healthcare,” says Kyle Carlson, director of legal and public policy at Planned Parenthood of the Heartland.
In recent months, a bubbling stew of Republican extremism, tone-deafness and rank misogyny aimed at a series of poorly chosen targets (Planned Parenthood, Sandra Fluke, breast cancer activists who also use birth control) have turned pro-choice women into a potent and wide-awake political force. A DCCC appeal decrying the “war on women” raised over $1 million. In last week’s cover story, Elizabeth Mitchell reported that Planned Parenthood drew 1.3 million new supporters in 2011 and raised $3 million in the wake of the Komen controversy alone. Viewed one way, what should be happening is happening: women are waking up (E.J. Graff), making their displeasure known, and wielding political capital accordingly (Irin Carmon). The attacks on birth control are turning off independent and moderate women, who are now taking a second look at the once-beleaguered president. And Obama will be ready for them: he is staking his re-election in large part on women voters.
Moments like this are clarifying, and can act as a teaching tool. Americans, who strongly support access to birth control and the birth control coverage mandate in specific, are catching on to Republican hostility to a key tenet of contemporary American culture. The attacks on birth control are demonstrable proof that the religious right, including the Republican presidential candidates, intends, at root, to re-impose archaic sexual mores and roll back the clock on women’s equality. It is about women, not about unborn babies. Irin credits the amped-up outrage to the “growing realization that these aren’t isolated incidents, but rather systematic attacks based on a worldview that is actively hostile to female self-determination.”
But we can’t forget the conversation we’re having is about defending what we have, not demanding what we don’t. The Affordable Care Act will increase the number of women who, directly or indirectly, access birth control with government support, but the federal government’s family planning program, Title X, already exists and enjoys broad public support. By contrast, the using of healthcare reform as a moment to reopen the debate over public funding for abortion in the debate over healthcare reform was a non-starter. The compromise we ended up with will require women receiving government assistance to obtain insurance through the exchanges to sign up for a separate rider that covers abortion—paid for with their own money. Reconsidering the Hyde Amendment was not up for discussion.


