'Health Care' Archive
Weekly Pulse: DIY Abortions on the Border, Pawlenty Screws MN on Sex Ed
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by Lindsay Beyerstein, Media Consortium blogger
Women on along U.S.-Mexico border are buying black market misoprostol to induce abortions, according to a new report by Laura Tillman in the Nation. The drug is easily available over the counter in Mexico.
DIY abortion is cheaper—a bottle of misoprostol costs can cost as little as $70, a fraction of the price of a medical abortion. The DIY approach can also be more convenient and private. One abortion provider told Tillman that about 20% of his patients tried misoprostol before coming to see him.
He estimates that many others took the drug successfully. Misoprostol is about 80%-85% effective when used as directed, but if it doesn’t work the woman needs immediate medical help. Potential complications include severe bleeding and uterine rupture. For more information on misoprostol abortions, see last week’s edition of the Weekly Pulse. (more…)
Weekly Pulse: Stem Cell Hell, Bad Eggs, and DIY Abortions
by Lindsay Beyerstein, Media Consortium blogger
On Monday, U.S. District Judge Royce Lamberth ruled that all federally funded human embryonic stem cell (hESC) research is illegal, thereby throwing the scientific community into turmoil. The judge decided that any experiments on these cells is research “in which a human embryo is to be harmed or destroyed,” and is therefore disqualified for federal funding under an obscure provision known as the Dickey Amendment. Researchers called the ruling “absolutely devastating.”
The ruling flies in the face of science and logic. True, a human embryo must be destroyed in order to create a line of stem cells. However, once the line is established, the cells will keep dividing forever. In nature, stem cells have the potential to develop into any kind of specialized cell in the body. There are no guarantees, but in theory, stem cell research could lead to treatments for anything from severe burns to heart failure to blindness.
The lineage of stem cells
The first line of human embryonic stem cells was created in 1998. In 2001, President George W. Bush banned federal funds for research on stem cells created after Aug. 9, 2001. Even Bush acknowledged using old stem cell lines wasn’t destroying embryos. In 2009, President Barack Obama loosened the rules for funding human embryonic stem cell research. Under Obama’s rules, researchers can’t use federal funds to create new hESC lines, but they can study stem cell lines of any age, not just the ones created before 2001.
According to the judge’s logic, a scientist is destroying an embryo when she tests a drug on an embryonic stem cell that is the great-great-great-granddaughter of a cell that belonged to a 5-celled embryo that was destroyed in 1998. Hundreds of scientists all over the world might be working with cells from that embryo at this very moment. According to the judge, each of them is destroying an embryo that ceased to exist 12 years ago. So, every day, they all get up, go to work and destroy the same non-existent embryo? What happens when they come back from their coffee breaks? Do they destroy it again?
Ignoring the facts
“We strongly disagree with the judge’s ruling because, by definition, embryos and stem cells are two entirely different organisms. Today’s ruling is the case of one judge ignoring the scientific fact that research on pluripotent stem cells is not the same as research on an embryo,” Rep. Diana DeGette (D-CO) said in a strongly-worded reaction to Monday’s ruling. DeGette is a longtime champion of stem cell research, according to Scot Kersgaard of the Colorado Independent.
Lynda Waddington of the Iowa Independent asked officials of at the University of Iowa, a center of excellence in stem cell research, how the ruling might affect their work. The officials declined to comment, saying that they were still reviewing the implications of the injunction. The Obama administration announced that it would appeal the judge’s ruling.
What’s next? Bioethicist Arthur Caplan told Amy Goodman of Democracy Now! that the only way to get hESC back on a firm legal footing would be to abolish the Dickey Amendment. Dickey needs to go, but the judge’s latest appeal to Dickey is extremely weak. The notion that studying a 1-day-old cell descended from an embryo destroyed 12 years ago is harming that embryo is absurd. Of course, getting rid of Dickey would also open the door for federal funds to create new stem cell lines, which would be a boon to society in its own right.
Bad eggs
Half a billion eggs have been recalled because they may be tainted with deadly salmonella bacteria. The eggs may have already sickened thousands of people. Democracy Now! reports that the entire batch can be traced to just two factory farms in Iowa, Hillandale Farms and Wright County Egg. This is the largest egg recall in U.S. history. Critics say the mass contamination exposes deeper failures in the U.S. food system.
Steve Benen of the Washington Monthly notes that Wright County Egg’s parent firm has a rap sheet of health, safety, and labor violations stretching back two decades. However, Benen argues, the problem is deeper than one poorly inspected operation.
After the outbreak, former FDA Commissioner William Hubbard admitted in an interview that the George W. Bush White House would not let the FDA impose tougher standards on the egg industry because the administration was “very hostile to regulation.” If the Invisible Hand of the Market tries to make you breakfast, don’t eat it!
Back alley abortions are back
More women are inducing their own abortions with a drug called misoprostol, Robin Marty reports at RH Reality Check. Misoprostol, aka “Cytotec,” is usually prescribed to treat ulcers. Doctors use it in combination with the so-called “abortion pill” RU-486 to induce chemical abortions, but only under controlled conditions.
Misoprostol is a prescription drug in the U.S., but it is available over the counter in many other countries. Some women misuse misoprostol that is prescribed for other conditions, some buy it on the black market, and some have families send it from overseas. Unsupervised misoprostol abortions are risky because about 10%-15% of the time, the drug will start the process but not finish the job. If that happens the woman is at risk for bleeding, infections, and other complications.
The anti-choice movement has campaigned for decades to throw obstacles in the path of women seeking abortions. The longstanding ban on federal funding for abortion means that many poor, uninsured women are stuck paying the costs of an abortion out of pocket. Even a few hundred dollars for the procedure and the cost of transportation to the nearest abortion clinic may be beyond the reach of many women. It’s not surprising that these women are taking matters into their own hands.
Thanks to the machinations of anti-choicers and the compromises of the Obama administration, health care reform will provide little relief for women who can’t afford abortions.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Pulse: Insurance, Dispersants, and Teen Botox
by Lindsay Beyerstein, Media Consortium blogger
Is the IV Bag half-empty or half-full? Theda Skocpol, the author of a forthcoming book on President Barack Obama’s health care reforms, argues in the Nation that progressives are underrating reform.
Skocpal urges progressives to get over their disappointment over the lack of a public health insurance option and rally around the president to support health care reform in the midterm elections. Skocpol maintains that, for all its flaws and limitation, the Affordable Care Act will be a powerful antidote to rising inequality in American society:
[T]he White House certainly had to make choices about what to emphasize in the brief time it likely had to make headway. The administration chose comprehensive health care reform and a few other measures with profound economic import—and those will make an enduring difference for millions of ordinary Americans. (more…)
Weekly Pulse: Killer Summer Heatwaves, Air Pollution and Winger Docs
by Lindsay Beyerstein, Media Consortium blogger
“The average death rate in the city during normal times is between 360 to 380 people a day. Today, we have around 700. This is no secret. Everyone thinks we are trying to keep it secret. Look, it is 40 degrees Celsius on the street,” Andrei Seltsovsky, head of Moscow’s public health department, quoted on Democracy Now!
Russia is in the grip of the worst heatwave in its history. The country hasn’t seen temperatures like this since record-keeping began 130 years ago. Months of drought have turned the countryside into a tinderbox and wildfires are burning out of control. Moscow is besieged by acrid smoke and soaring temperatures.
Meteorologist Jeff Masters tells Amy Goodman of Democracy Now! that the heat wave could kill tens of thousands of Russians. A similar smoky heat wave in France in 2003 killed 40,000 people, most of them elderly. Even in the U.S., heatwaves kill more people than hurricanes, tornadoes, floods, and earthquakes combined. (more…)
Weekly Pulse: GOP Kills Health Care for 9/11 Workers, Rails at “Ground Zero Mosque”
by Lindsay Beyerstein, Media Consortium blogger
Last Thursday, Rep. Anthony Weiner (D-NY) launched into a righteous tirade against the GOP’s attempts to derail a health care package for 9/11 first responders. His House floor antics became an instant viral video classic. Weiner and the House Dems were trying to pass a $7 billion health care assistance package for first responders, cleanup workers and others injured at Ground Zero in the wake of the 9/11 attacks, many of whom developed chronic and poorly-understood health problems as a result of their service.
The gentleman will sit down!
The original bill would have paid for the fund through a tax on foreign owned businesses operating in the United States. The Democrats were seeking a two thirds majority in House to prevent the Republicans from tacking on an amendment to pay for the package with money set aside for health care reform. Weiner exploded at his GOP colleagues for paying lip service to 9/11 heroes while refusing to pass the bill. The bill died, of course, and Rep. Peter King (R-NY) went back to rabble rousing about the proposed Islamic cultural center two blocks from Ground Zero.
Weekly Pulse: Skewed Teen Sex Stats Lead to Multiplication
by Lindsay Beyerstein, Media Consortium blogger
The American Life League (ALL) has seized upon the Center for Disease Control’s (CDC) latest teen sex stats as proof that kids don’t need sex ed after all. The data show that 58 percent of girls and 57 percent of boys between the ages of 15 and 19 report that they had never had intercourse. According to the ALL, these stats somehow prove that sex ed is a waste of time.
Amanda Marcotte of RH Reality Check argues that ALL is disingenuously lumping all non-sexually active teens together: A 15-year-old virgin is not necessarily a committed proponent of abstinence. The CDC data suggest that many teens of these erstwhile virgins are doing their best to shed their virginity. Marcotte notes than only about 12 percent of teens are interested abstinence messages, and presumably, an even smaller percentage of those kids will live up to their ideals. What the study really shows is that nearly half of teenagers are already having sex, and many others are doing their best to get in on the action. It’s hard to imagine a more perfect audience for comprehensive sex ed. (more…)
Weekly Pulse: Uncovered Abortions, Toxic Mani-Pedis, and Kagan’s a Go
by Lindsay Beyerstein, Media Consortium blogger
Last week, the Obama administration preemptively caved to the anti-choice lobby by declaring that new high-risk insurance pools, a byproduct of recent health care legislation, will not cover abortions, even if states or patients pay for that coverage with their own money. Under health care reform, states must create high-risk insurance pools for people with preexisting conditions. These pools will be phased out in 2014 when the new insurance exchange comes online.
As you may recall, the Nelson amendment to the health care reform bill says that the federal government can’t pay for abortion coverage in the exchanges, but it doesn’t mention the high-risk pools. There is no overarching ban that would preclude federal funds for abortion coverage in the high-risk pools. The Obama administration’s ruling is purely a lack of political courage. In fact, as Jessica Arons explains at RH Reality Check, the pool rules are even stricter than Nelson’s rules for the exchange. (more…)
Weekly Pulse: The Religious Right vs. Birth Control
by Lindsay Beyerstein, Media Consortium blogger
Does health care reform’s promise of preventive care extend to free birth control? Officials at the Department of Health and Human Services have 18 months to decide whether to require insurers to provide oral contraceptives, IUDs, and other prescription birth control with no co-pay. With pro-choice Secretary Kathleen Sebelius at the helm, HHS is expected to say yes. [Update: The Wall Street Journal is reporting that birth control will not be on the White House's preliminary list of free preventive services, to be issued today. However, as Miriam Perez of feministing explains, HHS will ultimately have the final word. Observers, including Dana Goldstein who covers reproductive rights for the Daily Beast, are optimistic that the pro-choice side will carry the day at HHS.]
At this point in the process, social conservatives are shut out in the cold, quaking with impotent rage. Now that the reform bill is law, HHS has to interpret the rules—and the Obama administration officials at HHS can’t be swayed as easily as elected officials.
Religious right on the warpath
Predictably, the U.S. Conference of Catholic Bishops (USCCB), the National Abstinence Education Association, and the Heritage Foundation are up in arms. They’ve picked a deeply unpopular battle. Abortion remains controversial in some circles, but birth control is as American as baseball. The vast majority of sexually active women in the U.S. tell pollsters that they are not trying to become pregnant, and 89% of them are using some form of birth control.
“Seriously,” writes Monica Potts of TAPPED, “a battle over contraceptives?” Over 15 million Americans currently use hormonal contraception. Studies show that the vast majority of Americans are morally comfortable with birth control.
Expanding access to birth control is smart policy because it reduces health care costs, as Suzi Khimm notes in Mother Jones. Birth control is a lot cheaper for insurers than pregnancy and childbirth. Free birth control could change women’s lives for the better. In this economy, $30-$50 a month for hormonal birth control can be a major obstacle for many. As Michelle Chen notes in ColorLines, women of color are among those hardest hit by out-of-pocket costs.
Birth control as common ground?
Many centrists hope that contraception will be a source of “common ground” between the pro-choice and anti-abortion camps. The premise sounds reasonable. If anti-choicers oppose abortion, surely they will support measures proven to reduce the abortion rate, like expanded access to contraception. Political scientist Scott Lemieux argues in TAPPED that conservative opposition to birth control coverage is further proof that the common ground hypothesis is wishful thinking:
The problem with this line of reasoning is that it ignores the broader set of assumptions about women and sexuality on which actual opposition to abortion is based. Consider anti-choice Republicans, who consistently opposed expanding contraceptive use: Given the choice between reducing abortion rates and controlling female sexuality, they will always choose the latter. Thus the idea that contraception can be a means of achieving a ceasefire in the culture wars has always been a fantasy. Liberals and conservatives aren’t just divided by abortion but by broader questions of female equality and sexual freedom.
The USCCB clearly understands that birth control is broadly popular. Its lobbyists aren’t even trying to argue that birth control shouldn’t be covered because it’s sinful. Instead, they are playing semantic games about what constitutes preventative health care. According to the USCCB, birth control shouldn’t count because fertility isn’t a disease. Be that as it may, pregnancy is a life-altering health condition that can kill you. As a matter of fact, the Catholic Church is on the record as saying that pregnant women must sacrifice their own lives for their fetuses. Ergo, pregnancy prevention is preventive health care.
Approving free birth control would go a long way towards restoring the trust between the Obama administration and its pro-choice base, at low political cost. It seems unlikely that the USCCB and its allies have the power to fuel a national backlash on this one. After all, three quarters of U.S. Catholics disagree with their own church’s teachings on birth control.
Conscience concerns
Speaking of the Department of Health and Human Services, Megan Carpentier at RH Reality Check wonders what happened to President Barack Obama’s early promise to repeal the so-called “conscience clause” rule that allows health care workers to opt out of providing reproductive health care that conflicts with their anti-choice principles. The rule is still on the books, over a year after Obama pledged to repeal it.
FEMA Foul
Finally, how did some BP oil spill cleanup workers end up living in formaldehyde-laced FEMA trailers ruled unfit for human habitation? As I report for Working In These Times, Rep. Henry Waxman (D-CA) chair of the House Energy and Commerce Committee, wants answers from FEMA and the General Services Administration about how these trailers found their way back onto the market.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Weekly Pulse: Where are the Anti-Choicers at the Kagan Hearings?
by Lindsay Beyerstein, Media Consortium blogger
As Supreme Court nominee Elena Kagan begins her second week of confirmation hearings, Mother Jones’ Stephanie Mencimer wonders why the anti-abortion protesters have been uncharacteristically subdued this time around. Normally, they live for these hearings. For hardcore anti-choice activists, a Supreme Court confirmation is like Christmas, Mardi Gras, and the World Cup all rolled into one.
Mencimer suspects that the antis were caught off guard by a revelation about Kagan’s role in shaping a proposed partial birth abortion ban. Documents show that as a White House policy adviser Kagan worked with the American College of Obstetricians and Gynecologists (ACOG) to craft the organization’s position on the whether partial birth abortion is ever medically necessary. (more…)
Weekly Pulse: Kagan Hearings: Gags, God, Guns, and Gays
by Lindsay Beyerstein, Media Consortium blogger
Elena Kagan’s Supreme Court confirmation hearings kicked off on Monday. Her nomination has been met by glum resignation on the left and indifference on the right, as Adam Serwer notes in the American Prospect. Kagan is hoping to replace the Supreme Court’s most prominent liberal, Justice John Paul Stevens, who stepped down earlier this week. Progressives are counting on Kagan to shore up the pro-choice faction on the court.
Kagan has never been a judge and she hasn’t published very many academic law opinions. As a result, the confirmation process is leaning heavily on her counsels to President Bill Clinton as a White House adviser, her clerkship with legendary liberal Supreme Court Justice Thurgood Marshall, and her stint as Dean of Harvard Law School.
Kagan on choice
