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A doctor's point of view on Obamacare mandates

Posted by on Mar. 27, 2014 at 6:44 PM
  • 63 Replies
2 moms liked this

Opinion: Health Insurance Yes, But Taking Away Our Religious Freedom? Hell No

  • Plan B
    FOXCharlotte

This week marks the fourth Anniversary of the Affordable Care Act. Like much of the rest of the country, I have been enthralled, and often deeply worried, as I’ve watched it take form and gather speed. I’ve been more focused on it than most, perhaps, since I am a physician and serve an underserved, under-insured Hispanic community. 

It is hard to understand why the administration would risk alienating so many people, just to provide something that was already cheap and plentiful like birth control.

- Gracie Pozo Christie

For years I have found ways to help people get the care they need while uninsured. I have told people I care about, who are deeply worried about a loved one, that we can take care of this at home, I can visit them and bring the medicine they need, we can manage just fine without the hospital. Because a crushing hospital bill is something to be avoided at all costs. 

The ACA was formulated expressly for the purpose of relieving people like that, a laudable goal. Four years later, though, we find out from the Congressional Budget Office that most of those people who were uninsured before the law was passed will remain without insurance. But the bad news does not stop there, and seemingly every day we learn of another damaging, unintended consequence of the law, like its perverse disincentives to work and advancement. 

This week will also find one of the intended consequences of Obamacare before the Supreme Court:  the contraceptive and abortifacient mandate. This mandate makes certain drugs that cause early, or chemical, abortion, like PlanB, “free” without a co-pay in every single plan. Employers must purchase these insurance plans for their employees, even though it will make them effectually complicit in an act some find morally repugnant. Like many of the law's requirements, this one has created virulent opposition and division. Unlike many of the mandates, it has not been eased, delayed or repealed by the administration. 

From a physician’s perspective, this is pure madness. Never, not once, have I heard from my patients that they are having trouble finding or paying for birth control. My patients are not law school students looking forward to lucrative jobs like Sandra Fluke, or soccer moms who drive Range Rovers and find that two children is all they can juggle. They are people working hard at the lower rungs, many of them illegal and in constant risk of deportation. They know that birth control is cheap and even free, if you take the time to find one of the lavishly funded Planned Parenthood offices that mysteriously are always located in neighborhoods like theirs. Oh, and there’s always the calendar!

Yet, the administration has refused to budge on this mandate, no matter who they alienate and no matter how it tramples conscience rights. Catholic schools and charities, groups that wanted to support the ACA, have found themselves suing for the right to serve the public and still be faithful to the teachings of their religion. This week, the Supreme Court will decide whether for-profit companies like family owned Hobby Lobby can expect religious freedom protections. I would like to think that a just reading of our First Amendment rights will prevail.

At first glance, it is hard to understand why the administration would risk alienating so many people, just to provide something that was already cheap and plentiful like birth control. It can’t be women’s health, since any physician will tell you that women are dying of heart disease, diabetes complications, and undetected cancers, not unavoided children. I suppose it’s a cold political calculation, because it fans the flames on the “War on Women” meme. On one side, freedoms of conscience that are the envy of the millions of oppressed peoples of the world, and on the other, a hammer to pound your political opponents with. The administration will continue to cling to the hammer but I hope the highest court in the land will side with freedom. George Washington put it perfectly, when he wrote: “The conscientious scruples of all men should be treated with great delicacy and tenderness.”

Dr. Grazie Pozo Christie specializes in radiology in the Miami area and serves on the advisory board for The Catholic Association 

by on Mar. 27, 2014 at 6:44 PM
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Replies (1-10):
TranquilMind
by Platinum Member on Mar. 27, 2014 at 6:50 PM
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 This:

Four years later, though, we find out from the Congressional Budget Office that most of those people who were uninsured before the law was passed will remain without insurance.

And this:

Never, not once, have I heard from my patients that they are having trouble finding or paying for birth control. My patients are not law school students looking forward to lucrative jobs like Sandra Fluke, or soccer moms who drive Range Rovers and find that two children is all they can juggle. They are people working hard at the lower rungs, many of them illegal and in constant risk of deportation. They know that birth control is cheap and even free, if you take the time to find one of the lavishly funded Planned Parenthood offices that mysteriously are always located in neighborhoods like theirs

 

LiveinJoy
by on Mar. 27, 2014 at 6:53 PM
3 moms liked this
I don't understand why birth control needs to be paid for 100% by insurance. I would rather see every citizen get well visits and necessary medical visits covered first.

lga1965
by on Mar. 27, 2014 at 6:53 PM
2 moms liked this

 Why does this guy keep saying that Birth Control is cheap and plentiful?

 EDIT:

i HAVE BEEN TOLD THAT IT IS A WOMAN,NOT A MAN.

I AM VERY SORRY.

jobseeker
by Bronze Member on Mar. 27, 2014 at 6:59 PM
1 mom liked this

 the author is  woman physician.  not a guy, and she is mirroring what her patients tell her, and what her experience is in her part of the country.  This may not be true in EVERY part of th country.  I live in a large city and there are planned parenthood and like clinics very acessible, but I knwo that this is not the case in smaller towns

Quoting lga1965:

 Why does this guy keep saying that Birth Control is cheap and plentiful?

 

 

motha2daDuchess
by Bruja on Mar. 27, 2014 at 7:05 PM
4 moms liked this
this is someone's opinion....
lga1965
by on Mar. 27, 2014 at 7:19 PM
1 mom liked this

 Okay, why does this woman say it is cheap and plentiful ( I know she remarked about the Planned Parenthoods, saying they are so plush, etc) but as far as ordinary clinics, it isn't cheap. For example, when my daughter was diagnosed with endometriosis in the early 90's, they put her on The Pill and a three month supply wasn't cheap. She had health imsurance from her employer and her co-pay was $15.00. What if a woman needs the pill and there is no PP in her area.??? Everyone needs Health Care and ---Birth Control should be free or actually cheap! It is preventive---women have to plan their pregnancies. Or, more importantly,  prevent pregnancies.

I don't need Birth Control anymore ( I went through menopause 15 years ago) but I would gladly pay more taxes( more than I already do LOL ) to make free birth control available to all women in the USA.

Quoting jobseeker:

 the author is  woman physician.  not a guy, and she is mirroring what her patients tell her, and what her experience is in her part of the country.  This may not be true in EVERY part of th country.  I live in a large city and there are planned parenthood and like clinics very acessible, but I knwo that this is not the case in smaller towns

Quoting lga1965:

 Why does this guy keep saying that Birth Control is cheap and plentiful?

 

 

 

Sisteract
by Whoopie on Mar. 27, 2014 at 7:50 PM
2 moms liked this

How come business owners do not need to comply with business laws?

Just like I have to follow all the guidelines and legalese attached to my license and place of employment, how come business owners do not believe that they need to do the same?

And you know what people would say if I complained about the guidelines that I am mandated to follow in the course of preforming my job? I would be told that I choose that job/career and that I could quit and find something that more suits my wants/needs./desires/convictions. I have seen this same response posted in this group time and time again.

Why don't the same criteria and personal choice/responsibility guidelines apply to business owners???

If you do not want to follow the business laws attached to having employees, do not open a business that requires and hires employees. Pretty simple.

btamilee
by Silver Member on Mar. 27, 2014 at 8:25 PM
1 mom liked this

 Well.....it was costing me about $48 for a three month supply for my daughters birthcontrol pills from CVS.  I don't consider $16 a month expensive.  Heck...thats what about three coffees a month at Starbucks cost. 

Quoting lga1965:

 Okay, why does this woman say it is cheap and plentiful ( I know she remarked about the Planned Parenthoods, saying they are so plush, etc) but as far as ordinary clinics, it isn't cheap. For example, when my daughter was diagnosed with endometriosis in the early 90's, they put her on The Pill and a three month supply wasn't cheap. She had health imsurance from her employer and her co-pay was $15.00. What if a woman needs the pill and there is no PP in her area.??? Everyone needs Health Care and ---Birth Control should be free or actually cheap! It is preventive---women have to plan their pregnancies. Or, more importantly,  prevent pregnancies.

I don't need Birth Control anymore ( I went through menopause 15 years ago) but I would gladly pay more taxes( more than I already do LOL ) to make free birth control available to all women in the USA.

Quoting jobseeker:

 the author is  woman physician.  not a guy, and she is mirroring what her patients tell her, and what her experience is in her part of the country.  This may not be true in EVERY part of th country.  I live in a large city and there are planned parenthood and like clinics very acessible, but I knwo that this is not the case in smaller towns

Quoting lga1965:

 Why does this guy keep saying that Birth Control is cheap and plentiful?

 

 

 

 

stormcris
by Christy on Mar. 27, 2014 at 8:31 PM
1 mom liked this

What I still do not understand is why everyone has to pay for maternity insurance. I also think it is horrible that most of the country will still be without insurance despite this. It isn't that they didn't try to get on the ACA. It is that if you make under a certain amount you do not qualify. People want to blame the states, but if this is federally mandated then it is up the the federal to insure everyone can sign up. This has been the way with federal laws up until now. Why is it suddenly ok for them to make a law, provide it to be affordable, but everyone is not about able to get on this? 

lga1965
by on Mar. 27, 2014 at 9:19 PM

 Good grief---who spends that much at Starbucks? Only people who are well off and don't care about what birth control costs.  I can't afford to spend that much at Starbucks. I never do. I make my own coffee.

Wow...you really don't know what it is like for average people,do you? Or lower middle class or people who are on a fixed income?

Quoting btamilee:

 Well.....it was costing me about $48 for a three month supply for my daughters birthcontrol pills from CVS.  I don't consider $16 a month expensive.  Heck...thats what about three coffees a month at Starbucks cost. 

Quoting lga1965:

 Okay, why does this woman say it is cheap and plentiful ( I know she remarked about the Planned Parenthoods, saying they are so plush, etc) but as far as ordinary clinics, it isn't cheap. For example, when my daughter was diagnosed with endometriosis in the early 90's, they put her on The Pill and a three month supply wasn't cheap. She had health imsurance from her employer and her co-pay was $15.00. What if a woman needs the pill and there is no PP in her area.??? Everyone needs Health Care and ---Birth Control should be free or actually cheap! It is preventive---women have to plan their pregnancies. Or, more importantly,  prevent pregnancies.

I don't need Birth Control anymore ( I went through menopause 15 years ago) but I would gladly pay more taxes( more than I already do LOL ) to make free birth control available to all women in the USA.

Quoting jobseeker:

 the author is  woman physician.  not a guy, and she is mirroring what her patients tell her, and what her experience is in her part of the country.  This may not be true in EVERY part of th country.  I live in a large city and there are planned parenthood and like clinics very acessible, but I knwo that this is not the case in smaller towns

Quoting lga1965:

 Why does this guy keep saying that Birth Control is cheap and plentiful?

 

 

 

 

 

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