The current negotiations with so-called Conservative Democrats to get sufficient votes to pass the Health Care reform legislation reminds one of the verity of the following adage: “There are two things you do not want to watch being made, sausage and legislation.” The process is ugly and we would rather not be exposed to the ugly and sometime disgusting steps in the process.
Rep. Stupak is apparently trying to hold the legislation and potential health care benefits for millions of US citizens hostage over language that MIGHT allow some insured to obtain a pregnancy termination procedure that is covered or partly covered by insurance premiums that MAY OR MAY NOT be subsidized by federal funds. As such, Stupak’s position is not about principles, not about health and welfare of his constituents or the public and not really even about abortion. First of all EXISTING US policy prevents the expenditure of federal funds for abortion procedures, so the posturing by Stupak is unnecessary. The Catholic Church, which opposes abortion on doctrinal or dogmatic grounds, has not declared opposition to legislation that will insure 30 million more people and save millions of lives.
His position is simply about public posturing on a controversial issue to bring attention to himself. The patients who may get federal support for a medical procedure that should be a personal choice will be denied that option if Stupak is successful. At the same time, the clumsy nature of legislation will also deprive many women of health care whether or not they arrive at the decision to seek to terminate a pregnancy, by choice or of necessity. To comply with the type of restrictions Stupak is demanding, insurance companies will be required to impose blanket exclusions for pregnancy related care. Health care providers fearing sanctions or loss of reimbursement will decline to see or treat women at the prenatal stage in order to assure that they do not get involved in a pregnancy termination. Arguments that the providers could review procedure records after the fact and then deny reimbursement are naïve and unrealistic. Stupak is seeking not only to deny funding, but to insure that no pregnancy termination procedures occur under the aegis of federally subsidized insurance coverage.
The problem with these tactics and grandstanding is that such measures have never had any real impact on the availability or performance of abortion procedures. Nor have they even attempted to address the social and medical issues that lead up to a woman’s decision whether to have an abortion. Let us set aside the very real question whether including the types of provisions that Stupak seeks are unconstitutional attempts to “establish religion” through federal statutes. The more practical question is why the entire legislation should be held hostage to the inclusion of language that is ineffectual even for the purported reason it is advanced. Millions of children will be denied preventive as well as remedial health care because Stupak wants to make a personal political statement. That makes no sense, logically, ethically, politically or morally. Were his objections based upon the cost of the legislation, that it fails to contain measures that would effectively deliver what it promises, or even that the government should not be in the business of providing health insurance subsidies his opposition could be rationalized as legislative discretion. But holding legislation hostage over a point that will not be achieved even if his demands are met is irresponsible.
The greater question is why the Democratic leadership feels the need to negotiate with this type of political or legislative terrorist? The label may seem harsh, but what else would you call someone who seeks deliberately to cause the death and denial of necessary health services to millions of innocent people simply to make a political statement? Other Representatives who either support the right of women to make personal decisions about medical procedures with the aid of their physicians, and others who recognize that the demands of Stupak are pointless from a practical standpoint, ought simply to say that THEY will oppose the legislation IF the Stupak demands are appeased. They should also state quite clearly that the reason for their position and the potential failure of the legislation must be laid directly at the feet of Stupak. If this Representative thinks he is playing to his constituency, then let him explain why the majority of them lack health care insurance because of his grandstanding and ego.
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