March 27, 2012
By: Jeanne Christensen, RSM
Editor of KC Olive Branch and Justice Coordinator, Sisters of Mercy West Midwest Community
The Affordable Care Act was passed as a reform law that would require all insurance plans to cover preventive care at no cost. This included free check-ups, free mammograms, immunizations and other basic services. This is important because many women cannot afford these basic preventive health care services; and it saves lives and money –- for families, for businesses, for government, for everybody. It is a lot cheaper to prevent an illness than to treat one.
It included, based on a recommendation from the experts at the Institute of Medicine, women’s preventive care should include coverage of contraceptive services such as birth control. In addition to family planning, doctors often prescribe contraception as a way to reduce the risks of ovarian and other cancers, and treat a variety of different ailments.
Because some religious institutions, particularly those affiliated with the Catholic Church, have a religious objection to directly providing insurance that covers contraceptive services for their employees, the original bill exempted all churches from this requirement -– an exemption that eight states didn’t already have.
In February, 2012, compromise rule was enacted. Under the compromise rule, women will still have access to free preventive care that includes contraceptive services, no matter where they work. So that core principle remains. But if a woman’s employer is a charity or a hospital that has a religious objection to providing contraceptive services as part of their health plan, the insurance company -– not the hospital, not the charity -– will be required to reach out and offer the woman contraceptive care free of charge, without co-pays and without hassles.
The result will be that religious organizations won’t have to pay for these services, and no religious institution will have to provide these services directly. These employers will not have to pay for, or provide, contraceptive services. But women who work at these institutions will have access to free contraceptive services their insurance companies pay for; and they’ll no longer have to pay hundreds of dollars a year that could go towards paying the rent or buying groceries.
Religious liberty will be protected, and a law that requires free preventive care will not discriminate against women. We live in a pluralistic society where we’re not going to agree on every single issue, or share every belief. That doesn’t mean that we have to choose between individual liberty and basic fairness for all Americans.
To overturn the Affordable Care Act to rid it of the contraception mandate, for which there is now a workable compromise, will endanger thousands of Americans. Those already covered under the Affordable Care Act will lose their coverage. This includes children up to age 26 who are now able to remain on their parents’ insurance, children with pre-existing conditions, restrictions to participation in Medicaid programs and the like. It would further penalize the most vulnerable among us. Many not-for-profit organizations who serve the poor support the Affordable Care Act for this reason. Is it not our moral responsibility to provide for the most vulnerable among us?