This month, Rick Perry, Governor of Texas, signed into law a bill that bars all Texas clinics affiliated with abortion providers, even if they do not actually perform abortions themselves, from receiving public funding. In response, the federal government, saying that Texas’ move violates Medicaid regulations allowing women to choose their own health care provider, will stop subsidizing the state’s low income women’s health program, operated through Medicaid, that provides low income women with access to cancer screening, birth control, and regular checkups (the federal government provides about ninety per cent of the funding for this program). Over forty per cent of the women who participate in this program go to Planned Parenthood which is the main target of Texas’ new law. Because Planned Parenthood, as an organization, provides abortions (though even before this new law’s passage no state or federal money could be or was used for those abortions), all Planned Parenthood clinics, whether an individual clinic provides abortions or not, will stop receiving public money and many will be forced to close. This will effectively take away access to healthcare for millions of women throughout the state and will certainly make it much harder for some to receive health care. In some instances, Planned Parenthood is the only women’s healthcare provider in the area and without health insurance many low income women will go without the health screenings and yearly checkups that they need to ensure that they are healthy.
Something must be done about this situation but, looking at the current topics of debate in US politics, especially in the Conservative Right, this latest move in a thoroughly conservative state is only the most recent in a worrying trend. For some time now, the Republican Presidential candidates and the conservative-oriented media, in their debates and discussions, have taken particular exception to a portion of President Obama’s healthcare bill which mandates that the health insurance provided by employers (including institutions such as schools, universities, and hospitals, that are run by religious organizations though excepting churches) to their employees must include access to free birth control. The Republican Presidential candidates, conservative media outlets, and religious organizations (most notably the Catholic Church) have vigorously attacked this provision and many, including Presidential hopeful Rick Santorum, have labeled this provision a ‘war on religion’ and an attack by President Obama on religious freedom. This rhetoric is worrying and absurd. In fact, it would almost be funny if they were not actually serious simply for the fact that according to research done by the Guttmacher Institute, 83 per cent of Catholics use condoms, IUDs, birth control pills, or sterilization as a form of birth control (68 per cent use highly reliable forms of birth control such as the pill, IUDs, or sterilization) and the percentages are similar for both Mainline and Evangelical Protestants.
On top of these attacks, a Congressional hearing was held by the House Oversight and Government Reform Committee to discuss access to birth control versus religious liberty. While in and of itself a Congressional hearing on the topic may not have made the debate more absurd, the fact that the hearing featured an all male panel and the Republican Chairman of the committee barred anyone who supported women’s access to birth control from giving testimony made this hearing a complete farce. What kind of debate is this? Surely, it was a one-sided one. Where are the women? After all, the discussion was and is over women’s health and shouldn’t we women have a say in that? Because of this serious oversight, House Democrats invited Georgetown Law Center student Sandra Fluke, who had been barred from testifying at the House Oversight and Government Reform Committee meeting, to testify at the House Democratic Steering and Policy Committee meeting on the subject of women’s health and contraception. In this hearing, Ms. Fluke supported the healthcare mandate for the provision of birth control and testified to the benefits of birth control that extend beyond preventing pregnancies (birth control pills are used to lessen the cramps many women feel during their menstrual cycle so that they are able to function better, to prevent heavy bleeding during the menstrual cycle and prevent anemia, to control ovarian cysts, to prevent acne, need I go on?). For this, she was called a slut and a prostitute by conservative radio host Rush Limbaugh (a frequent rant-er) and told that if she wanted the government to pay for her birth control (not really at all what the issue actually is) so that she could have sex, then she should have to put tapes of herself having sex on the Internet for all to see (yes, he really said this and has since removed the recorded transcript from his show archives due to huge backlash and a drop in support from advertisers though you can see it here). To make things worse, the Republican presidential candidates, while disagreeing with Mr. Limbaugh’s semantics, did not disagree with his message and some conservative pundits even defended Mr. Limbaugh while framing the issue as a conspiracy by Democrats and the President to make conservatives look bad during an election year (believe me, they are doing a well enough job on their own with respect to this issue).
Despite all of this, I will not say that in making the issue of women’s birth control a political issue and by framing it in the way that they have the Conservative Right is waging a “war on women” because I believe that this rhetoric is poisonous and detrimental to the political system. Such rhetoric polarizes the debate and makes it even harder for the two sides to form a compromise on this and on other issues. On top of this, I do not believe that such a comment would be true. However, I will say that this debate and the way that it has been handled is biased against women. When the issue is brought up, the commentators are almost always men, when a woman did have her say she was called a prostitute for doing so, and I do not see a debate over condoms and their dissemination at Catholic universities or clinics.
This last point brings me to another (though bar far not the last) issue that I have with this whole debate over the provision of birth control. Recently, the news media have started to compare and equate women taking birth control pills to men taking erectile dysfunction drugs. The comparison is that if health insurance plans are not required to provide erectile dysfunction drugs to men free of charge then they should not be required to provide birth control free of charge to women. This comparison is completely absurd. Birth control pills and erectile dysfunction drugs do not serve the same purpose and have entirely different functions. Unlike what has been frequently said by conservative presidential candidates and the conservative media, birth control pills do not allow women to have sex and by providing them for their female employees, religious organizations are not paying for those women to have sex. As I outlined above and as many doctors have testified to, birth control pills have many vital uses aside from the prevention of pregnancy. In addition to this and more to the point, women can choose to have or not to have sex regardless of whether or not they take birth control pills and despite what many conservatives say, women will have sex regardless of whether they take birth control or not. It is just more responsible for them to have sex while taking birth control. After all, pregnancy out of wedlock is another pet peeve of religious organizations, is it not? In addition, because birth control is expensive and those that are unable to afford it (thus a large majority of those accidentally getting pregnant) are also unlikely to be able to afford to take care of a child, unplanned pregnancies would also be an increased burden on the social safety net and the healthcare industry thus costing tax payers and hospitals more money (if you really want me to put it bluntly).
On the other hand, unlike birth control pills for women, pills to help with erectile dysfunction are prescribed so that the men who need them are able to have sex (this is not to say that I do not want health insurance plans to provide coverage for such pills and in fact I have no issue with them doing so at all whether these plans come from religious institutions or not). These men, unlike those women who do not use birth control pills, would not be able to have sex without them. If these medications were part of the health insurance plans provided by religious institutions then here, in fact, those religious organizations would be paying for (or at least subsidizing) men to have sex. This is because erectile dysfunction drugs are taken to enable men who cannot have sex to do so and are often taken just for that purpose and only when sex is desired (unlike birth control pills which are taken regularly and not just when women desire sex). If a better male counterpart is needed to the provision of birth control pills for women, then perhaps it should be the provision of condoms which are often disseminated for free at universities (those run by religious organizations or not) and provided free of charge at many health clinics. Like birth control pills for women, men can still have sex without condoms and like birth control pills for women, it is safer and more responsible for men to have sex while using one. So why then, is the debate not about condoms? And what about the birth control medications for men that are currently being developed? Why is this debate not about that?
Beyond my above objections (and the many more that I did not outline) to the trajectory that this issue has taken, I am truly baffled about why this is even a political issue. Women’s health issues especially relating to birth control have not been so for decades now and it is worrying that they are so again. As an American, a resident of Texas, and as a woman, I am worried about the path down which my state and the Conservative Right have taken. While I am fortunate enough to have health insurance, what about those millions of women in Texas who do not and who must rely on clinics such as Planned Parenthood for their yearly checkups and women’s health needs? Where will they go now that Planned Parenthood has been forced to close its doors in Texas, a state that has the highest percentage of people without health insurance in the country according to the U.S. Census Bureau, as well as one of the highest percentages of people living below the poverty line (click on each state to see the percentage of people in that state living under the poverty line)? The answer is something that I shudder to think about.