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Broad Rights: Reproductive Healthcare Effects Us All
Obama will be forced to decide whether reproductive health care is an essential service or merely a political chess piece.
After President Barack Obama signed his first piece of legislation, the Lilly Ledbetter Fair Pay Act, he remarked that it was a victory for workers and for civil rights. He did not say it was a victory for women but that "making our economy work means making sure it works for everyone."
I, for one, was thrilled. While the Supreme Court case that led to the Ledbetter legislation was mainly discussed in the context of gender discrimination, the rights restored by the passage of the Ledbetter Act truly are good for all workers. Hearing a president articulate this was nothing short of revolutionary. Women's rights are civil rights. Women's rights are human rights.
The reality that feminists have long grasped and conveyed to the public, with varying degrees of success, is that protecting women's rights is good for society as a whole. While different identity groups are often in need of different sorts of services or protections, their rights are, in fact, inseparable from those of the broader population. Yet historically, the rights of women, gay people, and people of color have been placed in separate boxes. Those who oppose these rights have not been taken to task for holding back society as a whole.
This dynamic is exceptionally stark in the debate over reproductive rights. If you ask most conservatives and even some liberals, reproductive rights are about women -- and, perhaps a bit more broadly, about women's role in society. Undercutting reproductive health is not seen as a blow to the overall health of the nation -- or indeed, the world. This is how we've gotten international policy that defines and regulates reproductive health services differently than other medical aid. This is why some insurance plans are allowed to deny coverage for contraception. This is why funding for core health services for low-income women remains a political football.
During the campaign, Obama's staff stated, "Sen. Obama believes that reproductive health care is basic health care," acknowledging that reproductive health care "is an essential service -- just like mental health care and disease management and other preventive services under his plan." And in a speech at Planned Parenthood in the summer of 2007, candidate Obama spoke at length about expanding the terms of the choice debate beyond the confines of abortion and contraception, to show how these rights are linked with the bigger, broader issues of health, work, and families.
But all that talk is pretty useless if, when it comes to actually passing legislation, President Obama caves to those who view reproductive health care as distinct from other types of care. In late January, as Congress debated the economic-stimulus package, Obama was eager to court Republicans by stripping out a provision that would have made it easier for states to access federal family-planning money. Rather than see this for what it was -- a way to reduce states' health-care costs -- Obama acquiesced to the right-wing view that these services were somehow inessential. At the time, other health--care provisions remained in the bill.
While Obama pledged to introduce legislation to help states access family--planning funds, he never publicly articulated why he felt such a provision didn't make sense in the stimulus package. Promoting preventive care is widely seen as a good way to reduce health-care costs, which makes regular gynecological care especially important; annual "well woman" exams are preventive in nature. According to the American College of Obstetricians and Gynecologists, many women consider their OB/GYN their primary-care doctor. (In fact, some health advocates have suggested creating a medical specialty for men's preventive health care as well, to get more men to see the doctor regularly.) And reducing the price tag of our health-care system is an effort that has clear bipartisan support. Ensuring more women are getting regular reproductive care is a means to that end.
This is not an isolated debate. Over the course of the next four years, there will be numerous fights over rights and health care, and Obama will be forced to decide, again and again, whether reproductive health is indeed an "essential service" or whether it is a political chess piece. In making tough decisions about health care -- in big ways as he pursues an overhaul of the health-care system, and in smaller ways as he makes decisions about funding existing programs -- I hope Obama applies the same broad lens through which he viewed the Ledbetter legislation.
After all, what's good for women is good for the country. Making our health-care system work means making sure it works for everyone.
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7 Comments so far
Show AllIf you ask most conservatives and even some liberals, reproductive rights are about women -- and, perhaps a bit more broadly, about women's role in society. Undercutting reproductive health is not seen as a blow to the overall health of the nation -- or indeed, the world.
This is only part of the problem. The other issue is about class. People who are poor are the ones who cannot afford to get birth control, or are not educated in their proper use, end up having more kids at inopportune times in their life perpetuating the class division.
It is indeed strange that reproductive health of women is an afterthought even after millenia of human civilization, especially since it makes a lot of economic sense.
Why is it that we cannot have a serious moral discussion about health-care in this country after all we have been through to get here?
a couple things. 1) don't they teach and preach birth control in High School? 2) ever heard of personal responsibility? oops I had a kid by accident, maybe I should be more careful next time?!? 3) do MEN have or get any "reproductive rights?" Since choice is so awesome, can men have "choice" to claim the kid (pay for it), if they don't want it? It is not something I'd do, but if women truly want reprodutive rights, then...
1] Not universally [but I think you already knew that].
2] Children should not be a punishment for a lapse in judgement, lapse in birth control or stupidty.
3] As soon as men gestate and give birth they will have the same rights. But as it is now it is the woman's right to ultimately decide. Think of it as a partnership; he has 49% of the shares and she has 51%.
do MEN have or get any "reproductive rights?" Since choice is so awesome, can men have "choice" to claim the kid (pay for it),...
Er, I hope this was in jest. So, to continue the theme, sure men can have the choice if they obtain wombs, and go thro' the hormonal swings of pregnancy and the pain of childbirth ;-).
Reproductive healthcare is hostage to conservatives.
Note to Ann Friedman,author of Broad Rights: Reproductive Healthcare Effects Us All: Your article is right, but your grammar is wrong.
EFFECTS IS A NOUN -- AFFECTS IS A VERB -- PLEASE REVIEW YOUR RULES OF GRAMMAR!
an article elsewhere reported:
a researcher studied and identified ZIP CODES in the USA....
and guess what?
the ZIP CODES of counties KNOWN to be GOP, "conservative" , strongholds...from where the christian conservatives often "congregate" - to denounce Homosexuality, gay marriage, abortion, anything "anti christian" according to THEM ....
turn out to be the SAME ZIP CODES with the DENSEST and HIGHEST concentration of DOWNLOADING PORN through the internet..........
hahahahahaa!!!!
many of them concentrated in EXACTLY what are called the "red states" and "red, conservative" voters...and "most christian"...........
i knew their "skeletons" in the closet INCLUDE a great amount of PORNOGRAPHY, sex, sex, sex, against which they broadcast themselves against as the "guardians" of "christian moral values" and "godliness".........
anyone wanna bet that these folks download a LOT of GAY porn as well?........from INSIDE the "christian" family COMPUTERS?.....
lol.
as a joke goes:
a "conservative is someone who gets upset that others are having FUN". ..and so --- does it on the SLY......
bwwwwwaaaaaahhhhaaaahahaaaaaaaaa....