Two issues alone will have a devastating affect on any
religious business or corporation's employees, but after doing a cursory
reading of the Hobby Lobby et al complaint …
The idiom “scratch the surface” generally means just
beginning to find out about something, or only superficially examining
what could be a very complex issue. The complexities of the Hobby Lobby
decision are far deeper than just giving a corporation religious
freedom, or allowing religious corporation to withhold contraceptives
from their organization’s healthcare prescription plans. Those two
issues alone will have a devastating affect on any religious business or
corporation’s employees, but after doing a cursory reading of the Hobby
Lobby et al complaint, the High Court decision will immediately affect
more than just their employees.
Throughout the Hobby Lobby case, Americans heard ad
nauseum that the artificial legal entity’s religious objection was about
including contraception in their employees health insurance
prescription plans. By now, most Americans are aware that the Green
family insisted that their female employees, and male employees with
wives, must pay separately for their own contraceptives even though they
are already paying for their own contraceptives through their health
insurance prescription coverage.
However, Hobby Lobby was not only objecting to
prescription plans that covered contraceptives, they and their
co-petitioners vehemently objected to
health insurance plans that cover “related education and counseling for
contraception.” In other words, the religious corporations appealed to
the Supreme Court for constitutional authority to do precisely what repugicans lied about what the ACA would do; get between a doctor and
their patient.
Of course the ACA does no such thing. But Hobby
Lobby, other religious corporations, and private businesses can insert
their corporate selves in a doctor’s examination room, right between a
doctor and their patient, and prohibit physicians from giving routine
reproductive medical counseling during office visits to their patients
employed by Hobby Lobby or any other religious business, corporate or
otherwise.
According to Hobby Lobby et al’s complaint,
their religion objects to health care plans and issuers that provide
education and counseling for all women beneficiaries with reproductive
capacity. They also complained that a physician “counseling and
educating women on reproductive health is incompatible and
irreconcilable with Plaintiffs’ express messages and speech.” What that
means is that Hobby Lobby will not tolerate being contradicted regarding
the use, prescribing, or counseling women about their reproductive
health choices and the High Court agreed. After the Hobby Lobby
decision, the American College of Obstetricians and Gynecologists issued
a statement and warned “the decision allowed employers to interfere in
the doctor-patient relationship by limiting what discussions and options
patients would be presented with.” But that was the express intent in
including the gag order in the lawsuit. It is, not only infringing on a
physicians freedom of speech, it also infringes on their ability to
render their professional judgment and practice medicine.
Perusing the Hobby Lobby complaint exposes another
fallacy from screeching heads on the lunatic fringe who claim that if a woman or man with a
wife works for Hobby Lobby and seeks a doctor’s advice, and
prescription for contraceptives, all they have to do is ask for it and
then pay for it out of their own pocket. That is incompatible with Hobby
Lobby’s religious liberty and they won the right to disallow women from
using their own health benefit compensation package to make
reproductive health choices. For the religious conservatives that scream
it is no burden for women to spend only $9 a month for their own birth
control, the cost for a prescription not covered in a group prescription
plan is closer to $390 annually (IUD’s can cost over $900). It is true
employees can opt out of religious corporations’ health plans, but
purchasing healthcare on the open individual market can cost over 3
times more than a group plan.
Another unreported fallacy about Hobby Lobby’s
lawsuit was that they claimed emergency contraceptives like Plan B and
Ella were “abortifacients; that is patently false. They said they were
abortion because in their religious minds, Plan B, Ella, and certain
IUDs cause the death of the embryo. Their complaint said, “The use of
artificial means to prevent the implantation of a human embryo in
the
wall of the uterus constitutes an “abortion” as that term is used in
federal law.
According to all known medical science, and an
amicus brief filed by the American College of Obstetricians and
Gynecologists and several other medical associations; “there is no
scientific evidence that emergency contraceptives available in the
United States and approved by the FDA affect an existing pregnancy.
Instead, they prevent ovulation, so there is no egg to fertilize, and no
egg, like no implantation, means no pregnancy and no abortion.” The
High Court ruled that it does not matter what medical science says,
Hobby Lobby said emergency contraceptives are abortion and because that
is their ‘deeply-held religious belief,” then contraceptives are
abortion, their word is law, and medical science be damned.
Essentially, because Hobby Lobby and Conestoga Wood
were successful, they won the right to refuse coverage for doctor’s
visits that include medical advice about contraception generally
discussed during routine general gynecological appointments or annual
checkups. Now, if a woman, or gynecologist as much as acknowledges birth
control during that appointment, the doctor must render the visit
ineligible for coverage by the woman’s health care plan and the employee
not only pays for full cost the prescription out of pocket, they have
to pay for the entire doctor visit out of pocket in addition to their
cost of being enrolled in the company health plan.
The real travesty is that the wingnuts on the
Court did not deny that the contraception mandate, or doctor’s giving
reproductive medical advice, did not meet a “compelling need for women’s
healthcare;” they admitted that it did. But still ruled it was
unconstitutional simple because Hobby Lobby did not like it. There have
been suggestions that a viable option is a providing a religious health
plan that expressly excludes contraceptive coverage, or a doctor
speaking about reproductive health, without imposing “any cost-sharing
requirements on the eligible organization or the group health plan.”
The attorney for Hobby Lobby has said she and the
Greens have not even considered whether they would find that
accommodation acceptable. It is highly likely they will not find it
acceptable because other church-based organizations have already
received this kind offer and are still going forward
with contraception lawsuits. The reason is the idea of employees, or
students in religious colleges, having access to reproductive
healthcare, even if it is of no cost to the organization, is
unacceptable.
The more one looks into what Hobby Lobby, and their
substantial list of co-plaintiffs, demanded and won according to their
religious liberty, the more it appears that there is no end to the
damage they will impose on Americans. It was unfathomable they had the
temerity, and the Court agreed, that their corporate religious liberty
allows them to control their employees reproductive health choices, but
the concept of prohibiting doctors from counseling their patients is
beyond the pale. The tragedy is that the ruling affects much more than
just Hobby Lobby’s employees, or physicians, because the ruling gives
every “religious” business authority over their employees healthcare
decisions and medical providers’ ability to do their jobs, and one just
shudders at what else evangelical fanatics’ religious liberty has in the
offing. One thing is clear; it is not going to end well for any
American and it is just the beginning.
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