Same old – Catholic health systems buy up everything in sight and then refuse to prescribe birth control. Uh oh, you’re now screwed! Too bad. Have a nice life!
An OB/GYN who can’t prescribe birth control? It’s not some bad joke. It could be a reality if your doctor’s practice is purchased by a Catholic health system that then imposes the Ethical & Religious Directives for Catholic Health Care Services, a set of rules created by the U.S. Bishop’s Conference that prohibits doctors from doing everything from prescribing the Pill to performing sterilizations or abortions.
…Driven by health-care economics and incentives in the Affordable Care Act, health systems, which are a collection of hospitals and ancillary services, are acquiring physician practices at an unprecedented rate. The percentage of doctors who were employees of health systems increased from 20 percent to 26 percent between 2012 and 2013 alone; more than 40 percent of primary care doctors like OB/GYNs are now employed by health systems directly, and experts don’t see the trend slowing.
And with Catholic hospital systems accounting for eight of the 10 of the largest nonprofit health systems in the U.S., these hospitals are poised to become major owners of doctors’ offices, which could severely impede access to contraceptives if doctors are forced to follow the Directives. “The more we see these Catholic systems buying up these practices, the more we are going to see what Angela saw,” predicted Lorie Chaiten, director of the Illinois ACLU’s Reproductive Rights Project, who notes that such refusals are legal under Illinois’ Health Care Right of Conscience Act.
It’s their religious freedom. Yours, not so much.
Asked directly whether its doctors in Evanston and elsewhere in Illinois were prevented from providing contraception, Presence said in a statement, “We abide by the Ethical & Religious Directives, and there are certain services which we do not provide. It is our expectation that all physicians associated with Presence Saint Francis Hospital share with their patients the options that are available in accessing the care they seek.”
But telling women about their options isn’t a solution when they are denied access to contraception, says Chaiten. “Even if they tell you what your options are, you have to have a second appointment with another doctor to get birth control. This seems inconsistent with whole idea of OB/GYN practice.”
Not only do women have to face the inconvenience of making—and paying—for another doctor’s appointment to get one of the most basic gynecological services, but there’s also a bigger problem: “The more we stigmatize and silo reproductive health care, the more it seems like it’s OK to treat it as not basic health care,” says Chaiten.
And that’s exactly what they want. These bastards want total Catholic control of women’s reproductive care and of their minds. The Pope’s Revenge.
for some women, changing doctors may not be an option. Health insurers are becoming increasingly restrictive about which hospitals and doctors a patient is allowed to use and may charge a steep penalty for going out of the network of preferred providers. Smaller towns and rural areas may not have a large selection of OB/GYNs. The ACLU is backing a measure in the Illinois Legislature that would require health systems to tell patients beforehand what services they don’t provide and where they can get them. Chaiten also encourages women who have been denied reproductive health services for religious reason to report it to the ACLU, which is tracking this trend.
Ironically, Angela’s experience with her OB/GYN wasn’t her last run-in with Catholic health care. After she was refused a tubal ligation and a prescription for birth control, Angela’s husband decided to get a vasectomy. His doctor, who was also part of the Catholic system, said his practice couldn’t do the procedure or make a referral. “The whole situation is so unbelievable to me. I had no idea these limitations occurred,” she says. “When I tell my friends about it, they say it’s medieval. We have to worry that if they keep buying up all these practices, it will get harder and harder to find someone who can prescribe birth control.”
On the other hand, in the news today…
Insurance companies must accept all forms of federally approved methods of birth control for women free of charge or co-payments, the Obama administration announced Monday in a series of guidelines on the implementation of the Affordable Care Act.
Responding to reports that insurance companies were skirting requirements to cover all contraceptive methods approved by the Food and Drug Administration, the Obama administration sought to erase any ambiguity over what forms of birth control fall under the free-coverage mandate.
“As the law has been implemented, issues have been raised by some women and from members of Congress that insurance companies were not covering the contraceptive method recommended by doctors, as well as concerns from issuers that the existing guidance did not provide enough detail about how specific types of contraception should be covered,” the Department of Health and Human Services said in a statement.
That’s about insurance coverage, not the provision of the actual birth control – but maybe it’s a first step.
This shit has got to stop. Catholic bishops should not be controlling what medical services women can get.