Health Care Reform Updates from Raising Women's Voices

We wanted to share some helpful updates--some of which deserve applause, or at least a sigh of relief, and some a frightening "gulp"--from the blog of Raising Women's Voices, a Ms. Foundation grantee that's closely involved in and following developments of the heated health care debate:

Kucinich proposes single-payer amendment
Dennis Kucinich proposed an amendment in the House of Representatives committee on Education and Labor last Friday that would make states able to set up single-payer systems independent of the federal government. His amendment passed in committee, so it may end up in the conglomerate health care bill at the end of the line.

Successes for comprehensive sex education in the House Energy and Commerce Committee
Last night there were amendments to the Affordable Health Choices Act of 2009 proposed and subsequently shot down by the Energy and Commerce Committee in the House of Representatives. These amendments would have expanded abstinence only education programs among other things.

The issue of abortion in health reform
This article from the New York Times gives an updated look into what the White House is saying about abortion coverage in health care plans in reform. Even though federal funds are explicitly excluded from funding non-rape, non-incest abortions for recipients of Medicaid, Republicans are worried about federal funds going toward abortions. This could potentially be the case, if subsidies given by the government to women of low income are used for abortion care.

Some of the quotes from the article are painfully out of date, with quotes from Kathleen Sebelius from April that are actually just wrong. She is quoted in the article as saying that most health insurance plans don’t cover abortion services. This isn’t true, and the Guttmacher Institute has found that about 89% of private insurance plans cover abortion care.

In other news...
RH Reality Check outlines the amendments put forward by Steve Buyer (R-IN) proposing higher premiums for those who engage in unprotected sex. Wow. Check out this other article ["Women's Concerns Often Missing in Health Care Debate"] from the AFL-CIO website that cites our own Amy Allina from the National Women’s Health Network, and this article that makes the case for including immigrants in health care reform.

Read more updates and continue to follow the health care reform debate on the Raising Women's Voices blog!

Outrageous Act: Be a Court Watcher

Court watchers make an enormous difference in domestic violence and sexual
assault cases. Become a court watcher in your community.

For more information on becoming an outrageous activist as a court watcher,
see Legal Momentum or Court Watching.

Ms. Foundation Grantees in the News - Congressional Edition

Two Ms. Foundation grantees are in the news with testimony and advocacy to Congress on Veterans' Affairs and Health Care.

Anuradha Bhagwati, Executive Director of Ms. Foundation grantee Service Women's Action Network, testified before the House Committee on Veterans' Affairs on the challenges faced by women in accessing health care and benefits, and in the processing of Military Sexual Trauma (MST) claims.

The Veterans' Administration routinely rejects claims for Post Traumatic Stress Disorder (PTSD) and Military Sexual Trauma (MST), regardless of the evidence a veteran submits.

Bhagwati's prepared testimony concluded with the following call for change:

Recommendations to Bridge the Gaps in Care for Women Veterans:

1. Require that the VA remedy the shortage of female physicians, female mental health providers and MST counselors at VA hospitals nationwide. Also require that the VA provide the option of female-only counseling groups for female combat veterans, and female- as well as male-only counseling groups for female and male survivors of MST.


2. Require the VA to implement a program to train, educate, and certify all staff, including administrative and medical, in federal Equal Opportunity regulations and MST, to reduce a discriminatory and hostile atmosphere toward women veterans.


3. Require the VA to increase accessibility of fee-based care for veterans (both male and female) who have been diagnosed with Military Sexual Trauma.


4. Require day-care facilities for veterans who are parents, as well as more flexible evening or weekend hours for working veterans and parents, at every VA hospital.


5. Require the VA to conduct a study into what percentage of claims are denied with a breakdown by gender as well as type of injury/condition, including both combat-related PTSD, and PTSD or other conditions resulting from MST.


6. Require that VBA claims officers undergo intensive training and education in MST and MST-related medical conditions.


7. Require that the VBA’s submission requirements for MST claims reflect a reasonable standard, such as proof of MST counseling during or after service, and diagnosis of MST-related medical conditions.


8. Require the DOD to conduct a retention study to determine the total impact of MST on re-enlistment rates of servicemembers.

Ms. Foundation grantee Raising Women's Voices is working to engage a broad array of women's health advocates in local, state and national health reform discussions to ensure that women's concerns will be addressed and the health care we get will be health care for all. They are cited for their mobilization in a Newsweek article about the negotiations on the subject of abortion and health care reform between Senators Grassley and Baucus. (See Raising Women's Voices and others in our earlier post Reproductive Health: Once Again, Ripe for Conservative Compromise.)

Ms. Foundation and National Women and AIDS Collective Submit Recommendations to Office of National AIDS Policy

This month, fourteen U.S. organizations working on issues related to human rights, women and HIV/AIDS, including the Ms. Foundation for Women and the National Women and AIDS Collective (NWAC), a project housed at the Ms. Foundation, submitted a series of policy recommendations to guide the Office of National AIDS Policy (ONAP) and related agencies in their efforts to achieve better outcomes for women living with and affected by HIV.

Since 1996, the Ms. Foundation has been supporting HIV positive women at the grassroots level to advocate for policies that address their unique and often unment needs. Desiree Flores, Ms. Foundation Program Officer, says, "These advocates have done crucial work in their communities, and we're especially proud of the role they are now playing in bringing these local experiences to bear on policy advocacy at the national level. As they often say, 'If you want to end AIDS now, ask a woman how.'"

Let's hope this administration is all ears.

The policy recommendations are part of a newly released report, Critical Issues for Women and HIV: Health Policy and the Development of a National AIDS Strategy [pdf], which calls attention to the factors contributing to disproportionate rates of HIV among low-income women and women of color, as well as poor health outcomes for women living with HIV, and proposes concrete solutions that integrate prevention and delivery of care. The group identified six key areas of focus for better policy and practices:

• Meaningful involvement by HIV-positive women in development of policy and monitoring and evaluation of programs;


• Greater consideration of HIV-positive people’s civil and human rights;


• Health disparities in the U.S. South and rural areas;


• Health care access;


• Integration of sexual and reproductive health services with HIV testing, prevention and care; and


• HIV prevention.

“Involving the expertise of HIV-positive people and those working on the frontlines of service delivery is critical to improve prevention and care outcomes for communities impacted by HIV. We must use a human rights framework as we reform health policy and develop a National AIDS Strategy that will truly reduce HIV incidence and increase access to care for women,” said Naina Khanna, a member of the NWAC leadership team and recipient of a 2009 Ms. Foundation Woman of Vision Award. Naina Khanna is Coordinator of the U.S. Positive Women's Network and Director of Policy and Community Organizing at Women Organized to Respond to Life-threatening Disease (WORLD), a Ms. Foundation grantee.

In addition to the Ms. Foundation and NWAC, the report signers include several current and former Ms. Foundation grantees: African Services Committee, New York, NY; HIV Law Project, New York, NY; Sisterhood Mobilized for AIDS/HIV Research and Treatment (SMART), New York, NY; the U.S. Positive Women's Network, a project of WORLD, Oakland, CA; and The Women's Collective, Washington, DC.

Representatives from the fourteen organizations plan to meet with Jeff Crowley, Director of ONAP, and other key White House officials in the upcoming months to discuss their recommendations and the development of a national AIDS strategy. In fact, NWAC representatives have already had initial meetings with Mr. Crowley to provide him with concrete, tangible recommendations for including women as a priority population for outreach.

Download Critical Issues for Women and HIV: Health Policy and the Development of a National AIDS Strategy [pdf]

Outrageous Act: Check Local Safety Standards for In-Home Daycare

Donna Wade, executive director of Ms. Foundation grantee the Idaho Women’s Network in Boise, suggests you check if local in-home daycare operates with minimum safety standards. If not, get active with local organizations, town councils and legislators.

For more information on becoming an outrageous activist, see the Idaho Women’s Network and its Activist Toolkit.

Collapsing 'Universe' in Health 'Reform'

Framed as yet another "wedge issue," and superfluous to true health care reform, immigrants' rights joins reproductive justice on the Congressional chopping block. Excuse us, but what ever happened to the term universal?

Deepak Bhargava, executive director of the Center for Community Change, shares his thoughts on the matter in the Huffington Post:

All of the plans getting serious consideration in Congress would exclude undocumented immigrants. Many proposals would even bar access to community health centers and emergency rooms -- a historic shift from America's humanitarian tradition that in an emergency no one should be turned away. Some proposals would exclude legal resident immigrants who have been in the United States for less than five years. Unless the debate takes a different turn, millions of immigrants will be left out of the system.

We should not enshrine discriminatory principles into a new health care system. A "universal" health care program that leaves out millions of Americans is a fraud. Just as we stand up for other core principles in the health care debate -- quality, affordability, a strong public plan -- we need to stand up for immigrant coverage as an essential component of just and effective health care reform. Read more

Reproductive Health: Once Again, Ripe for Conservative Compromise

With the health care reform debate in full swing, it's become frighteningly clear that key elements of reproductive health care are in danger of being barred from whatever package emerges from Congress. The National Women's Law Center, a Ms. Foundation grantee, today wrote, "Republican members of the Senate Finance Committee are demanding the introduction of health care reform language that will strip women's access to abortion." And it's not just Republicans. As Time Magazine reports, a group of conservative House Democrats sent a letter at the end of June to House Speaker Nancy Pelosi stating that they "cannot support any health-care-reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health-insurance plan."

Anti-choice demands from both sides of the aisle would have dangerous implications for women--and their families, and their communities. They would further cement the deeply discriminatory Hyde Amendment, which since 1976, has prohibited the use of federal funds to cover abortion, with an overwhelming impact on low-income women and women of color. They could also prohibit coverage of abortion for millions of women who are now guaranteed it by their private health insurance.

So, once again, women's health and human rights are framed as a "wedge issue" and as such, considered ripe for compromise. And it isn't just women, of course. As Raising Women's Voices, another Ms. Foundation grantee at the forefront of the health care debate, writes, "If conservatives get their way on health reform, we will soon have quality, affordable health care for all --- except for women, terminally ill patients, gays and lesbians, people with HIV and anybody else conservatives don't like!" And let's not forget that women's health is intimately connected to the health and economic well-being of children, families and communities. Nobody can afford to let this pass.

The Senate Finance Committee is meeting this week. Take action by contacting your senator at help_comments@help.senate.gov if s/he is on the Committee (find out here) and urge her/him to refuse such politically-motivated exclusions and ensure access to comprehensive reproductive health services for all women.