![\"Cardinal-elect](\"http:\/\/www.nicksenger.com\/onecatholiclife\/wp-content\/uploads\/2012\/02\/DolanObama-500x280.jpg\" "\\"Cardinal-elect")
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On February 1, 2012, Cecilia Mu\u00f1oz wrote a White House blog post<\/a> intended to “make sure you have the facts,” about the ill-considered HHS ruling regarding religious institutions and health care plans.<\/p>\n Yesterday the USCCB responded to that post with its own statement<\/a>, which follows here in full:<\/p>\n The Obama administration, to justify its widely criticized mandate for contraception and sterilization coverage in private health plans, has posted a set of false and misleading claims on the White House blog (\u201cHealth Reform, Preventive Services, and Religious Institutions,\u201d February 1).In what follows, each White House claim is quoted with a response.<\/p>\n Claim: \u201cChurches are exempt from the new rules:<\/strong>\u00a0Churches and other houses of worship will be exempt from the requirement to offer insurance that covers contraception.\u201d<\/p>\n Response:<\/strong>\u00a0This is not entirely true.To be eligible, even churches and houses of worship must show the government that they hire and serve primarily people of their own faith and have the inculcation of religious values as their purpose.Some churches may have service to the broader community as a major focus, for example, by providing direct service to the poor regardless of faith.Such churches would be denied an exemption precisely because their service to the common good is so great.More importantly,the vast array of other religious organizations \u2013 schools, hospitals, universities, charitable institutions \u2013 will clearly not be exempt.<\/p>\n Claim: \u201cNo individual health care provider will be forced to prescribe contraception:<\/strong>\u00a0The President and this Administration have previously and continue to express strong support for existing conscience protections.For example, no Catholic doctor is forced to write a prescription for contraception.\u201d<\/p>\n Response:<\/strong>\u00a0It is true that these rules directly apply to employers and insurers, not providers, but this is beside the point:The Administration is forcing individuals and institutions, including religious employers, to sponsor and subsidize what they consider immoral.Less directly, the classification of these drugs and procedures as basic \u201cpreventive services\u201d will increase pressures on doctors, nurses and pharmacists to provide them in order to participate in private health plans \u2013 and no current federal conscience law prevents that from happening.Finally, because the mandate includes abortifacient drugs, it violates one of the \u201cexisting conscience protections\u201d (the Weldon amendment) for which the Administration expresses \u201cstrong support.\u201d<\/p>\n Claim: \u201cNo individual will be forced to buy or use contraception:<\/strong>\u00a0This rule only applies to what insurance companies cover.Under this policy, women who want contraception will have access to it through their insurance without paying a co-pay or deductible.But no one will be forced to buy or use contraception.\u201d<\/p>\n Response:<\/strong>\u00a0The statement that no one will be forced to buy it is false.Women who want contraception will be able to obtain it without co-pay or deductible precisely because women who do not want contraception will be forced to help pay for it through their premiums.This mandate passes costs from those who want the service, to those who object to it.<\/p>\n Claim: \u201cDrugs that cause abortion are not covered by this policy:<\/strong>\u00a0Drugs like RU486 are not covered by this policy, and nothing about this policy changes the President\u2019s firm commitment to maintaining strict limitations on Federal funding for abortions. No Federal tax dollars are used for elective abortions.\u201d<\/p>\n Response:<\/strong>\u00a0False.The policy already requires coverage of Ulipristal (HRP 2000 or \u201cElla\u201d), a drug that is a close analogue to RU-486 (mifepristone) and has the same effects.<\/a>[i]\u00a0RU-486 itself is also being tested for possible use as an \u201cemergency contraceptive\u201d \u2013 and if the FDA approves it for that purpose, it will automatically be mandated as well.<\/p>\n Claim:\u201cOver half of Americans already live in the 28 States that require insurance companies cover contraception:<\/strong>\u00a0Several of these States like North Carolina, New York, and California have identical religious employer exemptions.Some States like Colorado, Georgia and Wisconsin have no exemption at all.\u201d<\/p>\n Response:<\/strong>\u00a0This misleads by ignoring important facts, and some of it is simply false.All the state mandates, even those without religious exemptions, may be avoided by self-insuring prescription drug coverage, by dropping that particular coverage altogether, or by taking refuge in a federal law that pre-empts any state mandates (ERISA).None of these havens is available under the federal mandate.It is also false to claim that North Carolina has an identical exemption.It is broader:It does not require a religious organization to serve primarily people of its own faith, or to fulfill the federal rule\u2019s narrow tax code criterion.Moreover, the North Carolina law, unlike the federal mandate, completely excludes abortifacient drugs like Ella and RU-486 as well as \u201cemergency contraceptives\u201d like Preven.<\/p>\n Claim: \u201cContraception is used by most women:<\/strong>\u00a0According to a study by the Guttmacher Institute, most women, including 98 percent of Catholic women, have used contraception.\u201d<\/p>\n Response:<\/strong>\u00a0This is irrelevant, and it is presented in a misleading way. If a survey found that 98% of people had lied, cheated on their taxes, or had sex outside of marriage, would the government claim it can force everyone to do so? But this claim also mangles the data to create a false impression.The study actually says this is true of 98% of \u201csexually experienced\u201d women.The more relevant statistic is that the drugs and devices subject to this mandate (sterilization, hormonal prescription contraceptives and IUDs) are used by 69% of those women who are \u201csexually active\u201d and \u201cdo not want to become pregnant.\u201dSurely that is a minority of the general public, yet every man and woman who needs health insurance will have to pay for this coverage.The drugs that the mandate\u2019s supporters say will be most advanced by the new rule, because they have the highest co-pays and deductibles now, are powerful but risky injectable and implantable hormonal contraceptives, now used by perhaps 5% of women.The mandate is intended to change women\u2019s reproductive behavior, not only reflect it.<\/p>\n Claim: \u201cContraception coverage reduces costs:<\/strong>\u00a0While the monthly cost of contraception for women ranges from $30 to $50, insurers and experts agree that savings more than offset the cost.The National Business Group on Health estimated that it would cost employers 15 to 17 percent more not to provide contraceptive coverage than to provide such coverage, after accounting for both the direct medical costs of potentially unintended and unhealthy pregnancy and indirect costs such as employee absence and reduced productivity.\u201d<\/p>\n Response:<\/strong>\u00a0The government is violating our religious freedom to save money?If the claim is true it is hard to say there is a need for a mandate: Secular insurers and employers who don\u2019t object will want to purchase the coverage to save money, and those who object can leave it alone.But this claim also seems to rest on some assumptions: That prescription contraceptives are the only way to avoid \u201cunintended and unhealthy pregnancy,\u201d for example, or that increasing access to contraceptives necessarily produces significant reductions in unintended pregnancies.The latter assumption has been cast into doubt by numerous studies (see\u00a0http:\/\/old.usccb.org\/prolife\/issues\/contraception\/contraception-fact-sheet-3-17-11.pdf<\/a>).<\/p>\n Claim:<\/strong>\u00a0\u201cThe Obama Administration is committed to both respecting religious beliefs and increasing access to important preventive services. And as we move forward, our strong partnerships with religious organizations will continue.\u201d<\/p>\n Response:<\/strong>\u00a0False.There is no \u201cbalance\u201d in the final HHS rule\u2014one side has prevailed entirely, as the mandate and exemption remain entirely unchanged from August 2011, despite many thousands of comments filed since then indicating intense opposition.Indeed, the White House Press Secretary declared on January 31, \u201cI don\u2019t believe there are any constitutional rights issues here,\u201d so little was placed on that side of the scale.The Administration\u2019s stance on religious liberty has also been shown in other ways.Recently it argued before the Supreme Court that religious organizations have no greater right under the First amendment to hire or fire their own ministers than secular organizations have over their leaders\u2013 a claim that was unanimously rejected by the Supreme Court as \u201cextreme\u201d and \u201cuntenable.\u201dThe Administration recently denied a human trafficking grant to a Catholic service provider with high objective scores, and gave part of that grant instead to a provider with not just lower, but failing, objective scores, all because the Catholic provider refused in conscience to compromise the same moral and religious beliefs at issue here.Such action violates not only federal conscience laws, but President Obama\u2019s executive order assuring \u201cfaith-based\u201d organizations that they will be able to serve the public in federal programs without compromising their faith.<\/p>\n
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