Birth Control And Health Care

If the pandemic has taught Americans anything, it is just how inadequate–and let’s be honest, discriminatory and stupid–our healthcare system is. (Actually, every time I write “healthcare system” I am reminded of the student who was studying to be a hospital administrator, who told me the phrase was inaccurate–“We don’t have a healthcare system. We have a healthcare industry.”)

A few days ago, the Supreme Court handed down an indefensible decision that denied women healthcare if they are unlucky enough to have an employer who has “religious qualms” about allowing their health insurance to include birth control.  Gail Collins provided a perfect analogy:

Let’s pretend there was an order of nuns with a particular devotion to the Sacred Heart of Jesus. So much so that the order had, over the years, decided that any human heart was a holy symbol, and it was immoral to mess with it, even if you were a physician doing cardiac surgery.

Following their consciences, these nuns banned heart-related care from their employees’ health policies. That affected thousands of workers, many of whom did not share their religious convictions. Still, the nuns noted, their insurance coverage was generous. Except for that one thing.

The Court affirmed the right of employers to omit birth control coverage from their group health policies. But that “right” is misleading.  The Obama administration had arranged for the federal government to intervene when religious employers had ethical objections. All the employer had to do was file a form, and they’d be off the hook; the government and the health insurance companies would provide the coverage. The employer wouldn’t need to spend a penny on a sinful women’s health measure.

But that wasn’t good enough. Filing a form would make them complicit. Trump, of course, pandered to the “religious” employers who placed their purported moral purity above the actual health and well-being of their female employees, and the Court acquiesced.

An  estimated 70,000 to 126,000 women will lose their current free contraceptive coverage–and contraception isn’t cheap. As the Times Editorial Board wrote, 

It bears reminding that the cost of birth control can be significant, and that many women rely on it not just to prevent pregnancy but to treat medical issues. Sometimes, the contraceptive method that works best — or the only one a person can tolerate — costs many hundreds of dollars without insurance coverage.

As the Editorial Board also noted,

It’s hard to imagine the conservative justices of this court, especially, allowing employers to claim a moral exemption and require their employees to pay out of pocket for, say, a treatment for Covid-19. That sounds absurd. And yet, when it comes to birth control, such state interference with personal health decisions is considered a legitimate matter for public debate.

The health care industry in this country is the real “American Exceptionalism.”

America could solve conflicts like this one–not to mention racial and economic inequities in access to health care–by emulating other advanced, civilized nations and moving to a single-payer system of health insurance. Not only would such a move eliminate the ability of some Americans to impose their religious convictions on others, not only would it ameliorate a number of racial and economic inequities, not only would it vastly reduce personal stress and the country’s high rate of personal bankruptcies, it would introduce cost-controls to a system that costs far more and delivers far poorer results than others.

How much of our stubborn refusal to provide universal health insurance is due to inertia, to misunderstanding of how markets work or don’t, or a false belief in American superiority–and how much of it is due to a shameful reluctance to extend the social safety net to “others”–minorities and women?

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Religion, Vouchers And The Court

I was sitting at my desk Wednesday when the news alert came across my screen. The New York Times was reporting on the most recent decisions being handed down the Supreme Court.

I will comment on the truly offensive decision in Little Sisters of the Poor tomorrow. Today, I want to address the decision allowing religious schools to discriminate in employment.

Here’s the lede:

The Supreme Court ruled on Wednesday that federal employment discrimination laws do not apply to teachers whose duties include instruction in religion at schools run by churches.

The vote was 7 to 2, with Justices Ruth Bader Ginsburg and Sonia Sotomayor in dissent.

The court has been active in considering the relationship between church and state, generally siding with religious groups. It has ruled in recent years that a state must let a church participate in a government aid program, that a war memorial in the shape of a cross could remain on public property and that town boards may start their meetings with sectarian prayers. Last week, it said state programs that provide scholarships to students in private schools may not exclude religious schools.

The new cases considered another aspect of the church-and-state divide — what role the government can play in regulating religious institutions.

I have my reservations about several of these cases–not to mention my suspicions about the religious and ideological perspectives of the more conservative Justices–but I actually don’t disagree with this one.

What I do disagree with–strongly–is those “state programs that provide scholarships to students in private schools.”

I have written before about voucher programs. Not only have I blogged about them, but I’ve written academic articles explaining the multiple reasons these programs were ill-conceived to begin with, and  pointing out that–in addition to the substantial harms they have caused– they have failed to deliver the benefits they promised (they now have been functioning long enough to permit assessment).

They are also a scam. 

How wasteful/counterproductive is our state’s largesse to private (mostly religious) schools? Let me count the ways: the promised improvement in student achievement did not materialize; badly-needed funds are being diverted from the public schools that most Hoosier children still attend; taxpayers are subsidizing discrimination (schools getting millions of dollars are discharging teachers and counselors for the “sin” of being in same-sex marriages); and there are no requirements that recipients of vouchers teach civics.

In addition to all that, lack of oversight has facilitated a massive rip-off of Hoosier taxpayers. Doug Masson wrote a scathing summary of that problem last year after Chalkbeat reported on fraudulently inflated enrollment numbers at Indiana’s then-virtual schools.

Doug also succinctly summed up the actual motives of voucher supporters. The real impetus for voucher programs wasn’t the purported one: to allow poor children to escape failing schools. It was–and remains–threefold: to weaken teacher’s unions, subsidize religious institutions, and redirect public education money to cronies.

Also, a reminder: vouchers do not improve educational outcomes. I get so worked up about this because the traditional public school is an important part of what ties a community together — part of what turns a collection of individuals into a community. And community feels a little tough to come by these days. We shouldn’t be actively eroding it.

In Indiana, far from excluding religious schools from the nation’s largest voucher program, well over 90% of the schools receiving vouchers paid for by our tax dollars are religious. Some of those schools allow religious dogma to influence what they teach– creationism rather than science, for example– and a number discriminate against teachers and students on the basis of their theologies.

So here’s where I agree with the Court: if your church or mosque or synagogue wants to ensure the “purity” of your doctrine, fine. The Free Exercise Clause–as I read it, and as the Court has now read it–says okay. You don’t have to hire or retain employees who violate your religious tenets.

But as I read the Establishment Clause, your religious institution doesn’t get to do those things with my tax dollars.

So the Catholic Archdiocese gets to exclude trans kids from Catholic schools, and fire excellent teachers and counselors for the “sin” of same-sex marriage. Fine–but not with my tax dollars.

The case that was wrongly decided was Zelman versus Simmons-Harris. In that intellectually dishonest 2002 ruling, the Court pretended that the tax dollars going to vouchers were really being paid to parents, who would then exercise “independent choice.” That has never been the case.

There is now a substantial body of research confirming that vouchers are bleeding resources from our public schools (without improving student performance), eroding civic identity, benefitting religions in violation of the Establishment Clause, and– as a bonus– crippling teacher’s unions.

I’m all for letting churches and religious schools practice what they preach. However, I am adamantly opposed to having taxpayers foot the bill.

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Whataboutism

I’ve gotten used to “whataboutism”–most vividly illuminated by Republicans who respond to every criticism of Trump with “But what about Hillary’s emails!” There are lots of other examples: think of the people who respond to incidents of racist violence with “But what about black on black crime?”

What is so infuriating about this particular deflection technique is how intellectually dishonest it is. Whatever one’s position with respect to Hillary’s emails or black on black crime, they are irrelevant to the issue being raised. 

Recently, Bret Stephens wrote a “whataboutism” column for the New York Times decrying liberal intolerance and excoriating left-wingers who “believe all the old patriarchal hierarchies must go (so that new “intersectional” hierarchies may arise), who are in a perpetual fervor to rewrite the past (all the better to control the future), and who demand cringing public apologies from those who have sinned against an ever-more radical ideological standard (while those apologies won’t save them from being fired).”

Stephens is a conservative, so coming across a conservative takedown of the column was particularly satisfying.

Tom Nichols is the author of The Death of Expertise (a book I recommend highly, by the way). Nichols is a conservative professor at the Naval War College, and like Stephens, a Never-Trumper. He took to Twitter to respond to Stephens’ column, and the thread was captured by AlterNet.I’m reproducing it in full, because it’s well worth reading in its entirety.

Yes, I read the Bret Stephens piece. Ho hum. Yes, the intolerant left is a threat. Stipulated. However, I have excoriated people on the left for most of my career. But only opposing Trump produced harassment, demands to fire me, and death threats. Cancel culture, indeed. /1
 
I mean, I have blistered everyone from Obama to Hillary Clinton, and across the seas to Putin and Assad. For years, I was an outspoken conservative. But I never encountered McCarthyist thuggery like the kind I’ve gotten from the Cult of Trump. So spare me the hand-wringing. /2
 
I am not blind to the totalitarian streak on the left. I wrote about it – and at The Federalist, back in the day, no less. Amazingly, no one on the left tried to get me fired for it or told me I’d be hung as a traitor or left endless f-bombs on my voicemail at work. Imagine. /3
 
Look, the Democrats always have short-pants Stalinists in their midst. The GOP has always had theocratic wanna-be ayatollahs in *their* midst. The difference is that the GOP is now in power and owned, completely, by its fringe – one that is frantic with fear and anger. /4
 
The people who want to pull down statues without reading the nameplates (or without reading a book) are idiots. Many are the children of privilege. Some are even stupid enough to think they’re leading a revolution. They’re not. Calm down. /5
 
Leftist revolution here is about as likely as the Civil War 2.0 porn that Trump’s kooks love so much (not least because those same young people would freak out if no-kidding socialism was ever implemented).
Meanwhile, right-wing attacks on the Constitution? Happening now. /6
 
“Oh noes, the college kids are gonna take over the country!” is one of those cyclical things that conservatives worry about – usually as an indication of how little faith conservatives have in their own ideas and how much they fear their own personal weaknesses./7
 
But what about the culture war, right? Here’s an open secret: most GOPers never really cared that much about the culture war. They say they do, and they wave the flag and decry the behavior of poor people and brown people and people in cities, but that’s mostly a show. /8
 
How can I say this? Because you don’t see much of that culture war reflected in the personal behavior of most self-identified conservatives, who are as decadent as anyone else. These are not Amish stoics. They just don’t like *other* people being decadent, too. /9
 
What are they, then? They’re white people, who liked the world (or imagine they did) the way it looked when they were kids, and use the culture war as a proxy for resentment and nostalgia. The behavior of political evangelicals since 2016, especially, finally outed all that. /10
 
You want me to worry about college Marxists? Yeah, I’ll get right on that as soon as we dislodge the febrile anti-constitutionalists of the GOP.
I have plenty of concerns about the left. But right now, I’d like to deal with the obvious and demonstrated threat from the right. /11
 
I’ve been hearing about leftists taking over the country since I was a kid. It was supposed to happen in the 60s, after the 80s, etc etc. And the culture war, such that is, was over decades ago. But I never thought I’d have to fight over the Constitution – with the *right*. /12
 
So take all your fears of rampaging drag queens and how Joe Biden is controlled by the College Spartacists, and put ’em in a sock, pally. I’ll be first in line to oppose extremist left-wing dumbassery – once we defeat far more dangerous people like Barr and McConnell. /12x

You go, Tom!
 
 
 

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Suburban Republican Religion

A recent article in the Washington Post reported that, in the wake of Trump’s increasingly blatant racism, a number of Republicans who have long enabled him are now afraid of losing power and “forever associating their party with his racial animus.”

A bit late, aren’t they?

If Republicans serving in the House or Senate had pushed back on Trump’s bigotry–not to mention his constant corruption and his equally horrible Cabinet nominees–they might not now be fretting over his embrace of white supremacy and his defense of its symbols. (Not that most of them are fretting over the racism itself–just over the likelihood of an electoral rejection of it.)

White House insiders say that Trump has ignored the public criticism and reproofs from Republican operatives, and “remains convinced that following his own instincts on race and channeling the grievances of his core base of white voters” will carry him to victory. 

I don’t believe his base is large enough to hand him that victory, but one of the most depressing aspects of the past 4 years has been the incontrovertible evidence that the racists that comprise his base represent a much larger number of Americans than I would ever have imagined. Until this administration gave them permission to crawl out from under their rocks, I would have pegged the “deplorable” portion of the electorate at around 10%, not the 30% or so it evidently is.

A recent dust-up in Carmel, Indiana,  a prosperous suburb of Indianapolis just rubbed my face in it. 

The conflict began with a message written by a Catholic priest in his church bulletin, addressing the Black Lives Matter movement. Here’s a selection:

The only lives that matter are their own and the only power they seek is their own,” Rothrock wrote of Black Lives Matter organizers. “They are wolves in wolves clothing, masked thieves and bandits, seeking only to devour the life of the poor and profit from the fear of others. They are maggots and parasites at best, feeding off the isolation of addiction and broken families, and offering to replace any current frustration and anxiety with more misery and greater resentment.

The message was (understandably) met with outrage and (apparently in response to the blowback) the priest was suspended. I assumed that would be the end of it–or perhaps that anti-racists in Carmel might use the incident as a teaching tool. But it appears that lots of Trump people live in historically (and reliably) Republican Carmel.

Both inside and outside St. Elizabeth Seton Catholic Church on Sunday, the statement “Black lives matter” was said with conviction and met with opposition.

Outside, it was written on signs and chanted through megaphones by members of the community protesting remarks made late last month by the Rev. Theodore Rothrock calling Black Lives Matter organizers “maggots and parasites.”  

Those “Black lives matter!” chants were met with chants of “Go Father Ted!” from counterprotesters who oppose the suspension handed down to Rothrock and argue that he was speaking the truth.

The article quoted several of the people who had turned out to support Rothrock.  Mark J. Powell, who identified himself as a Lutheran pastor, chanted in support of Rothrock and verbally sparred with protesters.

The group Black Lives Matter is a Marxist front organization,” he said. “This is a call, as well as what Father Ted was saying, for people to wake up to what Black Lives Matter the organization is doing. They’re using race to destabilize and to divide this country over race during the time of a presidential election.”

Another group, organized by Jill Metz, gathered and prayed in support of Rothrock. Metz was quoted as saying

We feel that Father Ted spoke out in truth, and we’re to peaceably pray in support of all lives,” she said. “This should not be about Black lives. All lives matter. All lives.

I really have trouble getting my head around the fact that there are prosperous, privileged white suburbanites willing to join a public demonstration of support for a man who called Black activists “maggots and parasites”–not because they were counseling forgiveness for a racist message, but because they agreed with it.

In November, I guess we’ll see just how many of them there are, and whether those sudden Republican qualms are well-founded.

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One Of These Things Is Not Like The Other

There’s a children’s jingle/question that keeps popping into my head: “one of these things is not like the other.” It is a common lead-in to exercises encouraging children to distinguish between shapes, colors, etc.

If the Coronavirus has demonstrated anything, it is that Republicans can’t tell one thing from another.

Trump’s inability to tell the difference between science and superstition (let alone fact and fiction) is a given, but when it comes to science, the entire GOP has demonstrated cognitive dissonance and an astonishing capacity for incoherence.

Anyone who has followed what passes for Republican policy these days can give numerous examples of ways the party has rejected science. A May column in the New York Times by Michelle Goldberg was titled “We’re All Casualties of Trump’s War on Coronavirus Science.” She enumerated the multiple attacks on medical science and scientists by Trump and the dimmer bulbs in the GOP’s Congressional delegation.

The column began by referring to a 60 minutes investigation into the abrupt termination of an NIH grant to the EcoHealth Alliance, a nonprofit research organization focused on emerging pandemics.

The reason, as “60 Minutes” reported on Sunday evening, was a conspiracy theory spread by Representative Matt Gaetz, the Florida Republican who in March wore a gas mask on the House floor to mock concern about the new coronavirus. On April 14, Gaetz appeared on Tucker Carlson’s Fox News show and claimed that the N.I.H. grant went to the Wuhan Institute, which Gaetz intimated might have been the source of the virus — the institute may have “birthed a monster,” in his words.

The first of Gaetz’s claims was flatly false, and the second unlikely; the C.I.A. has reportedly found no evidence of a link between the virus and the Wuhan lab.

True, Trump’s ignorance of and contempt for science has consistently undermined the country’s coronavirus response. But as Goldberg points out, his is just an extreme example of a longstanding anti-science bias on the part of conservatives. Republicans have tried to keep science classes from teaching evolution; they’ve objected to NIH or other government funding for stem cell research; and their dismissal of climate change has been a national embarrassment since well before Trump took the party down crazy lane. Goldberg attributes this hostility to a combination of factors, including populist distrust of experts, religious rejection of information inconsistent with biblical literalism, and efforts by corporations to protect their bottom lines.

Until recently, it seemed as if Trump’s sabotage of efforts to combat climate change would be the most destructive legacy of his disregard for science. But the coronavirus has presented the country with an emergency that only sound science can solve. That means that the Trump administration’s disdain for expertise, its elevation of slavish loyalty over technical competence, has become a more immediate threat.

Since Goldberg’s column, the administration’s response to the pandemic has only gotten worse. But that, ironically, is where the cognitive dissonance comes in.

The President whose Magical Thinking veers from promises that the virus will “just disappear” to suggestions that drinking bleach might protect you (in all fairness, it might; dead people don’t get sick), is counting on real scientists to produce a vaccine. Quickly. There are predictions that announcement of such a breakthrough will be the election’s “October surprise.”

Given the collective brainpower of a GOP base that equates refusal to wear a mask with patriotism, it will be interesting to see the response of those “patriots” to a genuine eventual vaccine. Will the know-nothings of a political party that pooh-poohs climate change and conducts a vendetta against “smarty-pants elitists” (i.e., scientists who actually know what they are talking about) nevertheless line up to take advantage of a product of medical science?

The Neanderthals rejecting science and expertise all seem willing to drive cars and use IPhones and computers and other products of science and technology. When it comes to medical science, most apparently do have doctors–and if TV advertising is any indication, they’re part of a robust market for all sorts of medications.

One of these things is not like the other……

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