{"id":2488,"date":"2015-08-05T07:51:49","date_gmt":"2015-08-05T13:51:49","guid":{"rendered":"http:\/\/admin.patheos.com\/blogs\/janetheactuary\/?p=2488"},"modified":"2016-01-22T08:10:46","modified_gmt":"2016-01-22T14:10:46","slug":"four-challenges-with-defundpp","status":"publish","type":"post","link":"https:\/\/www.patheos.com\/blogs\/janetheactuary\/2015\/08\/four-challenges-with-defundpp.html","title":{"rendered":"Four challenges with #DefundPP"},"content":{"rendered":"\n<\/head>

1) Is contraception \u201c(medically-necessary) health care\u201d or a wholly separate consumer-product category\u00a0of drugs and devices, some of which are FDA-regulated because of their potential side-effects? \u00a0The discussion over the last several days has been to emphasize that other Title X providers, such as community health clinics, actually provide a full range of healthcare services, which, much as PP claims otherwise, isn\u2019t the case there. \u00a0Here, for instance, is the text of Monday\u2019s (now pulled) Senate bill<\/a>:<\/p>\n

(1) State and county health departments, community health centers, hospitals, physicians offices, and other entities currently provide, and will continue to provide, health services to women. Such health services include relevant diagnostic laboratory and radiology services, well-child care, prenatal and postpartum care, immunization, family planning services including contraception, sexually transmitted disease testing, cervical and breast cancer screenings, and referrals.<\/p>\n

(2) Many such entities provide services to all persons, regardless of the person\u2019s ability to pay, and provide services in medically underserved areas and to medically underserved populations.<\/p>\n

(3) All funds no longer available to Planned Parenthood will continue to be made available to other eligible entities to provide women\u2019s health care services.<\/p><\/blockquote>\n

But if we push the conversation, in the context of provision of services for poor women, towards a notion that funds for contraception shouldn\u2019t be segregated but are all a part of healthcare and should be delivered as a part of a strengthened community health clinic model, then where does that leave conscientious objection to some or all types of birth control, on the part of religious employers?<\/p>\n

Is it better, from this perspective, to keep delivery of contraceptives to the poor segregated to a separate program, even if it were to operate differently than it does today, for instance, with food stamp-like vouchers?<\/p>\n

2) Planned Parenthood supporters do have a point when they say that, for better or worse, a significant number of women are accustomed to receiving services at their centers. \u00a0This article at MSNBC points out<\/a> some of the impacts that local bans have had, and, while it\u2019s clear that the author wants to prove a point, it is fair to say that, even if provided the reallocated funds rather quickly, community health clinics would not be able to immediately ramp-up their services to position themselves as successor providers to the local PP clinic. \u00a0Would it be more appropriate to phase out the subsidies, specifying, for instance, that for each of the next 4 years, a further 25% tranche of the Title X allocation is inaccessible to providers who also, in some component of their corporate structure, provide abortions?<\/p>\n

3) \u00a0Planned Parenthood\u2019s abortion services are clearly a big part of its business. \u00a0But here\u2019s the catch: \u00a0they\u2019re a profit center. \u00a0It\u2019s not as if Planned Parenthood is using some of the Title X cash to subsidize their abortion business, to provide abortions to poor women at reduced cost. \u00a0(OK, I haven\u2019t researched this just now, but I assume that I wouldn\u2019t hear so many stories of poor women scrambling to find the cash for the abortion if there were sliding-scale subsidies at the abortion side of the PP operation.) \u00a0Now, where the money goes, I don\u2019t know \u2014 does it simply mean that the abortion side of the business is better compensated, or that, in general, their employees are better paid that at a standard Title X clinic? \u00a0Does it fund their lobbying, or their pretty substantial expansion over the years? \u00a0 In any case, the rhetoric that the money is all intermingled is reasonable, but I\u2019m not sure that it\u2019s honest\u00a0to imply that Title X money is indirectly subsidizing abortion; at best, since they seem to provide abortion at a market rate, it just helps their abortion business be more profitable if grant money pays for the overall clinic overhead.<\/p>\n

4) \u00a0Wesley J Smith has proposed that we \u201cBreak Up Big Abortion<\/a>\u201d in the same manner as the government mandated that AT&T split up into the baby bells and the long-distance provider. \u00a0Now, I support this, but I don\u2019t know how easy it would be to keep these two entities operating genuinely at arm\u2019s length. \u00a0If Planned Parenthood and, let\u2019s say, Abortion Service, Inc., are obliged to become two separate entities (or do so in response to a de-fund of abortion-providing entities), would there be anything standing in the way of sharing the same office space, administrative staff, referring to each other, etc.?<\/p>\n

And, yes, I\u2019m playing devil\u2019s advocate here, in the hopes of generating some useful discussion. \u00a0But there it is.<\/p>\n<\/body><\/html>\n","protected":false},"excerpt":{"rendered":"

1) Is contraception \u201c(medically-necessary) health care\u201d or a wholly separate consumer-product category\u00a0of drugs and devices, some of which are FDA-regulated because of their potential side-effects? \u00a0The discussion over the last several days has been to emphasize that other Title X providers, such as community health clinics, actually provide a full range of healthcare services, which, […]<\/p>\n","protected":false},"author":2209,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[198,265],"class_list":["post-2488","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-abortion","tag-planned-parenthood"],"yoast_head":"\nFour challenges with #DefundPP<\/title>\n<meta name=\"description\" content=\"1) Is contraception "(medically-necessary) health care" or a wholly separate consumer-product category\u00a0of drugs and 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