Liberal Dan Radio 5/23/2013: DNA Ownership, Assault and Abortion

Thursday, May 23rd, on Liberal Dan Radio:

Does your DNA belong to you? A lawsuit has been filed against Myriad Genetics. Myriad claims to own the gene BRCA1, the same gene used to determine that Angelina Jolie has a higher risk of breast cancer than normal. It also claims to own the BRCA2 gene as well. Can one own a patent on a gene that your own body creates? Can one own a patent on a design on how to test for those genes? Can one own a patent on all forms of ways to test for those genes regardless of if they develop those tests or not? I will go over the myriad issues surrounding this case and what it means for individuals who are seeking to see if they are also at risk.

Also, a Florida high school student who is 18 has been charged with raping her 15 year old female classmate. Some are blaming the religious beliefs of the 15 year old girl as the cause of the charges against the older student. Is it really correct to make this a gay rights issue? Would religious parents have accepted it had the 18 year old student been male?

Finally, a new Planned Parenthood will be opening in New Orleans. I will go over the arguments made by those opposed to the opening of this new center and explain why they are horribly wrong.

Those stories, headlines, redneck words of wisdom, an update by Cool Mini Or Not and your calls on Liberal Dan Radio: talk from the left, that’s right.

The Reason Bobby Jindal Supports OTC Birth Control

In an op-ed, Louisiana Governor Bobby Jindal stated his support for allowing birth control pills to be made available over the counter.

He also stated that he opposes the requirement that insurance policies not only cover oral contraception but do so at 100% first dollar.

To some it might seem counter-intuitive to support increased access to oral contraception while also seeking to allow employers to not cover oral contraception in health insurance policies (that are paid for by the work of their employees).

However, by making oral contraceptives available over the counter, the pills would no longer be covered under an insurance plans prescription coverage. So not only would Jindal make sure that his religious fundamentalist buddies would get their way by allowing them to offer their employees insurance without oral contraception coverage, he would also end up making it harder to obtain birth control (especially for those women who cannot use the simple generic version of the drug) because it would no longer be covered at 100% first dollar .

When I first heard of his support for making oral contraceptives available over the counter I  refused to believe that he was doing so to increase access to birth control for women. All I needed was a little time to uncover the method behind Jindal’s madness. So for those people who believe that Jindal has all of a sudden become more friendly to women’s issues, don’t kid yourself. That will never happen.

Update: Other bloggers have also seen through this facade.

Why Bobby Jindal is not your Birth Control Buddy also points out that this is about reducing access to oral contraception and questions Jindal’s inclusion of age into the argument.

Update 2: It is a little disturbing that Think Progress believes Jindal is waking to popular opinion and is pushing for increased access to birth control coverage. He is, in fact, distorting popular opinion to push his radical right wing agenda of restricting access to women.

Benefits come at no cost? Not really.

I was watching Rachel Maddow this evening after watching the USA win a bunch of medals. She was making a lot of good points about all of the new benefits that “Obamacare” gives insureds. However, she made one point that I disagree with. She stated that the benefits that come covered 100% first dollar are at no cost, that they are free.

Well, that is wrong. I work very hard for my benefits, including my insurance. Every premium dollar paid is reimbursement for my contributing to the total net income of the company I work for. Because of that, I get a salary and a health insurance plan.

So don’t say that the preventive care that “Obamacare” requires to be covered 100% first dollar is “free”. It helps to propagate the Conservative narrative that people are getting stuff “for free”. Of course it isn’t free. We pay for it with our labor and should demand to get what we pay for.

Louisiana and Healthcare Reform

WLAE aired “Louisiana the State We’re In” tonight and it had several people on to discuss the Affordable Care Act and how it impacts the State of Louisiana. Republican Congressman Bill Cassidy, Louisiana State Senator and Louisiana Democratic Party head  Karen Carter Peterson and Steve Spires, head of the Louisiana Budget Project were all guests.

They first discussed the scheduled July 11th House repeal vote. Congressman Cassidy stated that the reason it is important to have this vote, even though it wont make the Senate and wouldn’t get signed by the President, is that we need to continue the discussion. Uh, what discussion? There has been no discussion on the part of the Republican Party on this issue. They never wanted to come to the table and deal with the Democrats on how to best reform Healthcare as they had no intent on ever helping Obama gain a political victory. He still managed to get one despite their best efforts, but they never wanted to discuss it so I cannot imagine they would want to discuss anything now. They are absolutely welcome to prove me wrong and I would be the first person to admit if I was wrong on it. They likely just want to use their Congressional platform to wave their banner and give more lies about the law instead of doing what they should be doing and creating a jobs bill to help put the American people back to work. Unfortunately, they don’t want Americans going back to work until a Republican President takes office.

Peterson and Cassidy debated the idea of Bobby Jindal rejecting the additional help for Louisiana’s working poor to help them get insurance via Medicaid when they normally wouldn’t be able to have any health coverage. Peterson described this as a callous disregard for the decision of the court and harmful for 500,000 Louisiana Citizens. Cassidy described this as Governor Jindal coming to the rescue and helping to save us from “bad policy”. He also said that states are spending more money on Medicaid than on education and that an education is more likely to get someone out of poverty than healthcare. Peterson countered by claiming that if the child is sick they won’t be able to benefit from an education.

Senator Peterson is right, however, in Louisiana, even if they get an education it might include from state dollars that are spent teaching people that the Loch Ness Monster is proof against evolution. I find it hard to believe that such an education would help anyone escape poverty. There are also many issues with the government vouchers that Louisiana is implementing that I have some huge problems with. But that is beyond the scope of this post. But one thing that Bobby Jindal has some experience doing is cutting services to people on Medicaid. So nobody should be surprised that Bobby Jindal would refuse expanding medical service to people who need them. Steve Spires added that there is an economic benefit to Louisiana for accepting these funds. It would not only lift the burden on some state plans that are only funded by state tax dollars before the expansion of coverage, but it would also help reimburse some doctors who provide treatment without compensation.

I kinda felt sorry for Mr. Spires on the show. You had two politicians and a guy with a lot of facts and figures who kept getting drowned out by the rhetoric. I wish he could have been allowed to speak more about the actual numbers.

The thing I found amazing about the show was Bill Cassidy complaining that the prohibition of insurance companies denying children coverage because of preexisting conditions was causing a death spiral in the market and causing insurance companies to no longer provide coverage for single children. What he doesn’t mention is that the fix to that is the mandate. Once they are required to have coverage, people cannot just wait until they are sick to buy insurance. They are required to either have it or pay the penalty to the IRS. Unfortunately, Congressman Cassidy did not go into detail of anti-selection and why mandates prevent it. Fortunately, Mr Spires jumped right on it and explained why the mandate solves the problem of the death spiral.

Mr. Spires then added that the state based exchanges would help bring prices down in the individual market  and make it more affordable. Unfortunately, Governor Jindal is refusing to implement those as well.

It was a good watch for anyone who wants a little more information about how this law impacts the citizens of Louisiana in a positive way and how Governor Jindal’s actions may very well hurt the citizens of Louisiana. I just wish Mr. Spires would have been given more time.

Howard Dean is just wrong on the Insurance Mandate

Howard Dean has been making the rounds on the news circuit claiming that the Supreme Court should throw out the individual mandate but keep the rest of the law.

Here is the problem. If you keep every other part of the law but toss out the mandate, it cannot work. In order to understand the rest of this post you need to understand the concept of anti selection. If that link is too long for you to read, the simple explanation is this. If there is no reason for an individual to buy insurance when well, people will just wait to buy insurance until they are sick. This would mean that the only people buying insurance would be those making claims and insurance companies would become no more than really expensive discount plans. It would ultimately drive insurance companies out of business, leaving more people uninsured.

Now, the insurance companies previously compensated for this possibility with the preexisting condition clause. It basically protected the insurance companies from people who would just wait until they were sick to buy insurance. Now, these clauses were misused and abused by insurance companies. That is one of the reasons they were eliminated in the healthcare law. However, there needed to be a way to counter anti selection and the way to accomplish this was the individual mandate. With a mandate, people cannot practice anti selection because they are required to have insurance.

Since Former Governor Dean supports the elimination of preexisting condition clauses (because he wants the rest of the law intact), supports the elimination of the mandate, and has not provided us with another way to avoid anti selection, he has proven himself to not understand the issue enough and really should just be ignored on this issue. (And that is pretty sad seeing his background in Medicine, he really should understand this issue much better).

Now, Former Governor Dean is welcome to present another way to prevent anti selection that would be more popular than a mandate and incapable of being abused by insurance companies. If he presents a valid way to do so, we could replace the mandate with his way. However, if the mandate is ruled unconstitutional while keeping the rest of the law intact, until that alternative way is found we will have anti selection and that would just be very bad.

I know Dean wants single payer, but win the argument by convincing enough people that single payer is the right way to go. Don’t completely break the system harming many in the short term.

And you know the worst part of all of Dean’s ranting about this is? He doesn’t even give a legal reason WHY the mandate should be overturned. He just wants it to be. (And that likely because is that there is no legal reason why it should be overturned. It is an amendment to the tax code. Congress has the authority to change the tax code).

 

People I won’t debate the mandate of birth control coverage with.

There are a lot of people raising religious liberty arguments about the mandate to cover oral contraception in all health insurance plans. Now, if you want to see why I support coverage of oral contraception, read here.

But there is one group of people who I wont debate this issue with: People who wish to ban oral contraceptives for religious reasons. You cannot tell me that something is a violation of your religious beliefs in one breath and then seek to push your religious beliefs on other people in another and then expect me to participate in a debate with you on why you feel your religious beliefs are being trampled.

On Benefits and Birth Control

There is a big argument going on now about the rules that would require all health insurance plans, even group plans for people who work for religious backed organizations, to cover the birth control pill at no cost. Some are framing this as a freedom of religion issue. They are wrong. There are three reasons why this is not about freedom of religion. There is the simple reason. There is the hypocrisy reason. And then there is the reason that I feel is being missed and is the main purpose of this blog post.

The simple reason is that health insurance covers many items that others may not agree with or use. The insurance that covers the male coworkers in my group covers birth control pills. They will never use that benefit. The insurance that covers female coworkers in my group covers Viagra. The women will never use that benefit. So the idea that a benefit is being offered does not mean it has to be used. And as many have said, Catholic women who choose to not use oral contraception are not forced to do so just because the plan offers it as an option. So nobody’s freedom of religion is being trampled on because everyone pays for items in their insurance plans that they will never use. The only time ones freedom to practice one’s religion would be trampled on would be forced consumption of oral contraceptives. That is not even an issue here. But many have dealt with this first reason, so lets move on.

The second reason is a bit of hypocrisy here. The compromise that allowed the healthcare bill to go through included a prohibition on these plans from covering induced abortions in cases other than rape, incest, or the life/health of the woman. So abortion in the case of rape is being covered in these plans yet we do not hear a peep out of the Catholic Church about them being forced to pay for those services as well. The Catholic Church does not consider rape a good enough of a reason to terminate a pregnancy. But they only complain about birth control pills. So there is some hypocrisy there. They are just picking and choosing their battles and I feel that is just a matter of politics. But this is also not the main reason I made this post.

The conversation we should be having here is about the nature of benefits as a whole and what does it mean when someone works for a company. When I was hired by my company, the human resources department did not just base the decision on if I could be hired by just my salary alone. There is a cost to employ someone that goes beyond the base salary of the employee. Let’s hypothetically say that for an employee making $50,000 a year the cost to employ would be $60,000. For simplicity’s sake we are going to drop all the other benefits that an employee might have and just deal with insurance. Let’s say a family plan costs $10,000 and that makes up the difference between the annual salary and the cost of employment.

The Catholic Church is arguing that it is paying for the cost of insurance. It is arguing that IT is paying $10,000 out of its own pocket to cover the insurance costs. But this is incorrect. It is the work that the employee contributes to the employer that purchases the benefit. The moment that an employer pays the employee a dollar in salary the employer loses all say in how that money can be spent. It now belongs to the employee. In this case, the woman employee has her pay and now has her say on how that money should be spent.

Now, consider insurance. Let’s say that instead of paying the employee a $50,000 wage and a $10,000 health insurance plan that the employer pays a $60,000 wage and contributes nothing to a group plan. However, the employee can pay the $10,000 towards that group plan and buy the same insurance. Because of the way that the tax code is set up, all $10,000 in premiums would come off the top as a pre-tax deduction. So the net result would be no difference. In this case we would all agree that the woman is paying the insurance with the work generated to create a salary of $60,000 and then buy $10,000 in insurance. So why isn’t it exactly the same thing if the woman is given $50,000 in salary and $10,000 as a benefit. The moment the benefit is paid it is hers, paid for by her work, and the church should have no say in what is provided in that benefit. It is her pay, and her say.

Now, I tried to explain this on twitter earlier and because of the character limit I could not adequately explain what i was meaning by my hash tag #herpayhersay. So to anyone who read my twitter posts earlier, this is what I meant when I said there was no difference between her pay paying for insurance and her insurance being directly funded by her labor and provided as a benefit. At the end of the day, she still has the same net salary. At the end of the day it was her labor that provided the entirety of the benefit package that is awarded to her. So at the end if the day it is not the churches money that is paying for any of the benefits provided in the pay package provided to her.

And because it is her pay, it should be her say as to what benefits she wants to take advantage of in that plan. #herpayhersay