Affordable Care Act

David E. Wilson, Michael J. O'Dea, and Louis Brown Jr. introduce Christ Medicus Foundation CURO. Photo via Sally Morrow/RNS.

If you are a Christian who doesn’t smoke, abstains from sex outside your heterosexual marriage and can get your priest to vouch that you go to church at least three times a month, you may qualify for a new Catholic alternative to health insurance.

Taking a cue from evangelicals, a group of traditionalist Catholics on Oct. 2 unveiled a cost-sharing network that they say honors their values and ensures that they are not even indirectly supporting health care services such as abortion that contradict their beliefs.

Christ Medicus Foundation CURO, as the group is called, will be financially integrated with Samaritan Ministries International, which was launched in 1991 by an evangelical home-schooling dad. The SMI network now serves 125,000 people and is exempt from the Affordable Care Act.

“Think about the Gospels and how the Apostles lived,” said CMF CURO director Louis A. Brown Jr. at the program’s Washington, D.C., debut. “They very much shared and cared for each other. And we’re saying: ‘Catholics, you can do that too.’”

The nine Supreme Court justices, public domain

The nine Supreme Court justices, public domain

Five things to know about one of the most anticipated Supreme Court decisions of the year:

1. Corporations can’t pray, but they do have religious rights.

Hobby Lobby isn’t a person. It’s a chain of crafts stores owned by a religious family. And though the evangelical Green family objects to parts of the Affordable Care Act’s emergency contraception mandate, it’s not the Greens but the company that writes the check for employees’ health insurance. The first question the justices had to answer was this: Does Hobby Lobby have religious rights? To many Americans, this sounds a little nutty. Does a craft store believe in God?

A majority of the justices held that a closely held company such as Hobby Lobby does have religious rights. The court didn’t apply those rights, however, to publicly held corporations, where owners’ religious beliefs would be hard to discern.

But well before the justices had delivered their verdict on this question, many legal scholars said they wouldn’t be surprised were they to affirm the company’s religious rights. American corporations do have some of the rights and responsibilities we usually associate with people. And in the 2010Citizens United campaign finance case, the justices overturned bans on corporate political spending as a violation of freedom of speech — corporations’ free speech.

Supreme Court Building, Orhan Cam / Shutterstock.com

Supreme Court Building, Orhan Cam / Shutterstock.com

The Supreme Court on Monday sided with the evangelical owners of Hobby Lobby Stores Inc., ruling 5-4 that the arts-and-crafts chain does not have to offer insurance for types of birth control that conflict with company owners’ religious beliefs.

Beyond the specifics of the Hobby Lobby case before them, the justices broke new legal ground by affirming that corporations, not just individual Americans or religious non-profits, may claim religious rights.

Does Monday’s decision mean, however, that the religious beliefs of business owners stand paramount? That they are more important than a female employee’s right to choose from the full array of birth control methods she is promised under the Affordable Care Act? Or that a business owner may invoke his religious rights to deny service to a gay couple?

Not necessarily, legal experts say.

 
QR Blog Editor 6-30-2014
Hobby Lobby in Mansfield, Ohio. by Nicholas Eckhart, Flickr.com

Hobby Lobby in Mansfield, Ohio. by Nicholas Eckhart, Flickr.com

Closely held corporations cannot be compelled to pay for contraception coverage, the Supreme Court ruled Monday in its highly anticipated Burwell v. Hobby Lobby Stores case. The "contraceptive mandate" in the federal health care law was challenged under the Religious Freedom Restoration Act, which requires that the government show that a law doesn't "substantially burden" religious exercise.

According to SCOTUSBlog, the Court ruled that the government "has failed to show that the mandate is the least restrictive means of advancing its interest in guaranteeing cost-free access to birth control."

But the decision is applicable only to the contraceptive mandate, and does not apply to other health care mandates.

From Washington Post :

The justices’ 5-4 decision Monday is the first time that the high court has ruled that profit-seeking businesses can hold religious views under federal law. And it means the Obama administration must search for a different way of providing free contraception to women who are covered under objecting companies’ health insurance plans.

Hobby Lobby is an evangelical family-owned chain, and CEO David Green says that the Affordable Care Act infringed upon the family's religious freedom by compelling them to pay for certain contraceptives the family considers to be abortifacients, such as versions of the morning-after pill and IUDs.

Justices Ginsberg, Sotomayor, Breyer, and Kagan dissented.

Read the decision HERE.

Phil Haslanger 6-10-2014

City Profile With Dramatic Sky. Via Jan Carbol / Shutterstock

I’ve recently been thinking a lot about failure.

Not my failures, though I suspect we could come up with a few.

No, I’ve thinking about Scott Walker’s failed governorship in Wisconsin.

And Barack Obama’s failed presidency in the nation.

And our failed foreign policy.

And the failed Affordable Care Act.

And Walker’s failed jobs policy for the Badger State. And so on.

Then I started thinking about the failure of our political dialogue these days.

The National Council of Jewish Women Sacramento Section. Photo courtesy National Council of Jewish Women. Via RNS.

On one Friday earlier this month, more than 11,000 Muslims in mosques across the country heard a sermon about the Affordable Care Act.

Hindu and National Baptist groups, meanwhile, are posting online announcements about the White House’s “Faith and Community ACA Days of Action” this weekend.

Jewish women’s groups have visited college campuses to get students who think they’re “invincible” to sign up for health insurance.

As the national March 31 deadline for health insurance enrollment looms and with President Obama’s encouragement, organizations across a range of faiths are working to sign up uninsured Americans for coverage under Obamacare.

2-07-2014
She wrote in an article on the same topic for the magazine Soujourners, saying, “I can’t help feeling that while some of the concerns about the effects of a “birth control culture” may be valid, I also worry that to deny women access to contraception — especially when we’re talking about women in the developing world — is to trivialize what more children means in a place like Malawi, or, say, Somaliland, where women have a one in 14 lifetime risk of dying in childbirth.”
Carol Keehan 1-31-2014

Amid the political bombast, it’s easy to forget why we needed health-care reform in the first place.

Steve Green, President of Hobby Lobby, speaks at the Religion Newswriters Association Conference. RNS photo by Sally Morrow.

Conception. Pregnancy. Abortion. Abortifacient.

Those words today are in a rhetorical swamp where contesting religious, medical, and political views muddy understanding. And soon the U.S. Supreme Court will wade in.

On March 25, it will hear challenges to the Affordable Care Act’s provision that employers must provide insurance coverage with no co-pays for contraception.

Bob Smietana 1-23-2014

The Rev. Tom Zobrist, pastor of Liberty Bible Church in Eureka, Ill. Photo: Courtesy Samaritan Ministries International/RNS

Every time he goes to the doctor’s office, Daniel Eddinger takes a leap of faith.

Eddinger, a 28-year-old father of two from Lexington, N.C., doesn’t have health insurance.

But he’s not worried about the cost of getting sick.

Instead of insurance, he says, he relies on God — and the help of other believers — to pay his medical bills.

Micah Bales 11-05-2013
Bulatnikov / Shutterstock

Rather than stumbling into single-serving citizenship, what if we learned to be a body together? Bulatnikov / Shutterstock

This morning at breakfast, I was reading an article in the newspaper about how the Affordable Care Act is negatively affecting some individuals — especially those who buy their own insurance, rather than receiving it through an employer. The article was interesting, but what struck me the most was the way the problem was framed. Rather than approaching the story from a public policy angle, the article mainly focused on the reaction of consumers of health-care goods and services. The crux of the article was whether some individuals should be required to buy a product they might not want or need so that other individuals could have affordable access to health-care products they need desperately but might not be able to afford under the old regime.

The dilemma was presented as a story of tension between healthier consumers and less healthy consumers fighting to get the best deal for their health-care dollars. But could there be another way of thinking about health care, and about our society as a whole? Is there a framework that would allow us to consider these questions in a way that assumed connection, caring, and community between individuals, rather than the zero-sum competition of the market?

LaVonne Neff 11-03-2013
Kentoh/Shutterstock

Kentoh/Shutterstock

Yes, President Obama said that if we like our health insurance, we can keep it

Yes, that turned out to be false for a few million people.

Yes, the president chose his words poorly. Whether or not health reform became the law of the land, there’s no way any president could have known if we’d be able to keep our health insurance from one year to the next.

Christian Piatt 10-30-2013
Health care illustration, sheff / Shutterstock.com

Health care illustration, sheff / Shutterstock.com

The theatrics around the Affordable Care Act seem only to be matched by the public’s ignorance about what it actually is. Case in point: when late-night talk show host Jimmy Kimmel sent a reporter out on the street to ask people their opinions, they felt markedly better about the nuts and bolts of the Affordable Care Act than they did about Obamacare.

Never mind they’re the same thing (sigh).

It seems that a handful of lawmakers have seen to it that our ignorance is sown into full-blown fear, obfuscating the fact that the shutdown – which was largely a fight over the ACA – cost our economy about $25 billion. For those who have been following even on a cursory level, the arguments against the ACA are becoming quite familiar:

· The individual mandate infringes on my freedom not to have insurance.

  • The whole thing costs too much.
  • It’s a slippery slope to a single-payer system.

On this last point, we can only hope the critics are right, particularly since a single-payer health care system is the only model that has offered hard evidence of both covering everyone and reducing total costs. But since we’re not there yet, let’s consider what we do have with this new law.

Tom Ehrich 10-29-2013
healthcare.gov

healthcare.gov

It was a strange, but telling, spectacle when those who billed the government millions for working on its Affordable Health Care registration system denied any accountability for the portal’s astounding failure.

“The other guy did it,” as they say in court. The client kept changing specs, no one did any whole-system testing, other vendors are to blame — blah, blah, blah.

Whatever shred of truth lay in their blame-shifting ran up against another wall of non-accountability. The Republicans did it with their insane sequestration, said Democrats. The Democrats did it, said the GOP. Health and Human Services did it. The Oval Office did it.

In the end, of course, no one will accept accountability, for we live in an age when the “buck” never stops on one’s own desk, if it stops at all.

Tom Ehrich 10-23-2013

Demonstration against racism and police brutality held in Philadelphia, Pa. on Feb. 15, 1986. RNS file photo by Bruce Williams

Time was when a determined minority vowed to change the nation’s collective mind about racial integration and the Vietnam War.

I was in that minority. We considered our cause just. We called our tactics “civil disobedience,” “grass-roots organizing,” “protest,” “civil rights,” “saving America.”

It’s a bit disingenuous now for us to lambaste a conservative minority for wanting the same leverage and for using the same tactics. “Civil disobedience” can’t be relabeled “obstructionism” just because the other side is using it.

LaVonne Neff 10-08-2013
United States and Canadian flags,  ruskpp / Shutterstock.com

United States and Canadian flags, ruskpp / Shutterstock.com

This morning a Canadian woman wrote such an interesting comment on an old post of mine, "Rationing is not a four-letter word," that I want to share it with you. I don't know the author, her full name (though she tells me her first name is LaVonne, so she's obviously a great person), or her contact information, so I can't give her full credit. But thanks, LaVonne-in-Canada: I learned a lot from you.

Here's what she wrote about how Canadian health care works for her. I've added a few comments in italics, in case you want to compare the situation of LaVonne-in-Canada with that of LaVonne-in-the-United-States.

Yolanda Smith 10-07-2013
Medicine illustration, violetkaipa / Shutterstock.com

Medicine illustration, violetkaipa / Shutterstock.com

As people of faith, we sometimes don’t take time to prepare ourselves for what is ahead. With so many things vying for our time and attention, it is difficult to educate ourselves about all facets of critical matters. Even in our relationship with God, we gloss over important details that will guide us into a closer walk and become content with a distant half-hearted relationship. However, a casual walk with God is not one we should settle for. By delving into God’s Word, we are able to draw upon God’s wisdom for guidance and find a deeper relationship with God as we travel through this journey of life.

In a similar fashion, we cannot settle for casual knowledge of the Affordable Care Act, which is now upon us and “gives Americans unprecedented information about the health plan choices in their own communities.” The Kaiser Family Foundation reports in a recent poll that 51 percent of all Americans are still unsure about how the ACA will affect them. 42 percent of Americans thought that Congress had overturned the act or that the Supreme Court had ruled it unconstitutional. And, many Americans worry that they will have to shell out more money due to the new health reform law. This uneasiness and misinformation certainly warrants a closer look as we journey through the multiple avenues of the Affordable Care Act.

 

Jim Wallis 10-03-2013
Government shutdown illustration, Alice Day / Shutterstock.com

Government shutdown illustration, Alice Day / Shutterstock.com

One of the most depressing things I heard on the first day of the government shutdown was that it was a record fundraising day for both parties. Washington, D.C., is no longer about governing; it is just about winning and losing. But the people who will lose the most during a government shutdown — and then an impending United States government default on paying its debts — are those who live day to day on their wages, those at the lower end of the nation’s economy, and the poorest and most vulnerable who are always hurt the most in a crisis like this. And what happens to those people is the focus of the faith community; that is our job in politics — to talk about what happens to them. Faith leaders have been meeting to discuss what we must do in response to this political crisis brought on by absolute political dysfunction

The government shutdown seems to have gotten the attention of the nation. And if this ends in a default on our debt, the potentially catastrophic crashing of the economy will certainly wake us up. The only positive I see in this crisis is that the right issues — the moral issues — might finally get our attention.

Sandi Villarreal 10-01-2013
Image: U.S. Capitol Building, S.Borisov / Shutterstock.com

Image: U.S. Capitol Building, S.Borisov / Shutterstock.com

The federal government began shutting down overnight, for the first time since 1996, after Congress failed to compromise on how to fund federal agencies — battling instead over implementation of the Affordable Care Act.

From The Washington Post

The impasse means 800,000 federal workers will be furloughed Tuesday. National parks, monuments and museums, as well as most federal offices, will close. Tens of thousands of air-traffic controllers, prison guards and Border Patrol agents will be required to serve without pay. And many congressional hearings — including one scheduled for Tuesday on last month’s Washington Navy Yard shootings — will be postponed.

Faith leaders on Monday called on Congress to end partisan brinkmanship and consider the real damage their actions have on the American people.

LaVonne Neff 8-01-2013
Health care spending illustration, Andy Dean Photography / Shutterstock.com

Health care spending illustration, Andy Dean Photography / Shutterstock.com

Old News: U.S. spends more on healthcare, gets worse results

We Americans are first in the world when it comes to per capita healthcare spending, and yet we don't live as long (we're in 51st place), more of our mothers die in childbirth (we're in 47th place), more of our babies die in their first year of life (we're in 50th place) ... well, you've seen the statistics, and they aren't pretty.

Interesting Spin on Old News: Medical and social spending should be seen as a whole

"The truth is that we may not be spending more," wrote Elizabeth H. Bradley and Lauren Taylor in a 2011 New York Times article — "it all depends on what you count." If you count "the combined investment in health care and social services," such as "rent subsidies, employment-training programs, unemployment benefits, old-age pensions, family support and other services that can extend and improve life," we're in 10th place among developed nations.

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