10 Reasons Abortion Must Be Covered By Health Insurance

From Salon.



1. Abortion is legal medical care. "Abortion is a legal right, and it takes medical care to exercise that right," says Judy Waxman, vice-president of health and reproductive rights at the National Women's Law Center. (For their healthcare reform campaign, click here.) The American College of Obstetricians and Gynecologists also chimes in here (PDF).


2. Abortion is common, mainstream medical care. It is one of the most common surgical procedures in America.


3. Abortion is already broadly covered. Between 50 and 85 percent of women who have private insurance, including employer-sponsored plans, have coverage for abortion care.


4. Covering abortion does not raise the abortion rate. As Gloria Feldt points out, "Countries like France, Germany and the Netherlands routinely cover abortion in their national health plans, and have some of the lowest abortion rates in the world."

5. Covering abortion makes abortion safer. Out of pocket, abortion can be expensive, all the more so as the pregnancy progresses. Yet women who take time to "save up" only wind up paying more -- and taking more risk. Feldt: "When abortion is covered, women who choose abortion do so earlier in their pregnancy, and with less risk to their health." Seventy-five thousand women die each year worldwide -- and many times that suffer lifelong disability -- due to unsafe abortions, usually obtained where abortion is illegal or highly restricted. "These are public health issues that also have economic ramifications beyond the cost of abortion," says Jodi Jacobson, senior political editor of RH Reality Check.

6. Covering abortion is what the people want. According to a recent poll by the Mellman Group, voters oppose reform that would prohibit insurance companies from covering abortion. The only subgroup of voters in which a majority favors such a restriction are established antiabortion voters. But even among them, 39 percent oppose restrictions on abortion coverage.

7. Excluding abortion from coverage sends us down a slippery "moral" slope. "Government policies that are based on the theory that private policyholders should not be forced to see their premiums used to cover things they consider immoral would result in a return to the days when contraception was not covered in individual plans for unmarried women and pregnancy was excluded in individual insurance plans and only covered in 'family plans,'" Frances Kissling told Broadsheet, recalling that this was the case when she entered the insurance market. Should people who oppose sex outside of marriage determine who gets covered for childbirth? By the same argument, we could also -- for example -- exclude coverage for HIV and AIDS if contracted through homosexual conduct." To which Katha Pollitt adds: "That many people disapprove of abortion is irrelevant. In a democracy, every citizen sees their tax dollars go for things they think are wrong."

8. And about that "elective" business. Kissling: "Let's have insurance companies hold an annual poll of subscribers and decide on a majority basis what gets covered. Let's especially ask if they want their premiums to pay for obesity-related diseases, smoking-related diseases, STDs, neonatal intensive care where the life expectancy is less than 5 percent and put a cap on care for people over 80."

9. Without coverage, there is no "choice." Sex -- a natural human drive for most -- entails risks. Even with the best prevention measures, there will be unintended pregnancies. Jacobson: "Women must be able to make the choice of whether or not to bear children because unintended pregnancy entails emotional, financial and psychic costs that will be borne only or largely by the woman."

10. Megan Carpentier, former Jezebel writer and current editor of News and Politics of Air America Radio, sums it up thusly: "Why should abortion be covered? Because sometimes abortion is medically necessary, and the government shouldn't be writing regulations from Washington that tell a woman in Kansas when that is. Because exempting cases of rape and incest, as the Hyde Amendment does, means that women who are victims of rape and incest don't get the coverage they're supposed to have anyway, because there's no way to police whether their pregnancies are the result of government-approved circumstances. Because there's no actual government money that's going to get spent on the so-called public option, so it's a question of whether you, with your own money, can get insurance that covers what you choose to have it cover. And because eliminating coverage that currently exists through federal law is just another back-door way for the antiabortion movement to make it more difficult and expensive for women to get a legal medical procedure, since they can't convince women not to have abortions on the 'merits' of their arguments."

From our friends at DayOne.

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