Well, folks, today is a much better day than I anticipated, as the ACA remains the law of the land, Medicaid remains intact, and I won’t anticipate my premiums skyrocketing more than usual next year. Let’s talk about health care anyway, and then maybe we’ll get a politics-light weekend.
Health care is a feminist financial issue.
The “Health Care Freedom Act” drafted at lunch yesterday but GOP senators and voted on around midnight last night permitted states in most cases to strip away the essential benefits the ACA determined. Many of those benefits apply to women. Free annual gynecology visits and maternity care (I’m not sure of the cost there–still copays? no copays?) and just two examples. The big one, hard fought, was accessible, free birth control. You still needed an insurance plan for these benefits (another issue–access and affordability are still not what they might be, or are in other countries) but still: that the ACA mandated coverage of basic women’s health needs was a tremendous jump forward. One of the reasons Mr Tenacious and I have the plan we have (work-sponsored) was because it became super affordable once, for example, my annual gyn visit was without copay, since it’s the only regular appointment I make.
When women’s health care is affordable and guaranteed, women are able to do much more in their lives. When we control our own fertility, we can make sound choices about our futures. We can plan our careers; run for office; and create families with children when and if we want them, not just when it happens to happen. While there has been a lot of rhetoric about why the ACA is bad and needs repeal, this point hasn’t been explored so much: that repeal is directly oppressive to women and their advancement. Perhaps that isn’t so much an accident, though I feel like a conspiracy theorist suggesting so.
During the second world war, the government sprung for day care all over the nation to facilitate women’s work in factories. When the war was over, rather than have a debate over the merits of better sex parity in the workplace and ignoring that many war-working women wanted to stay working, the government shut those free daycare centers down, lickety-split. The consequence was that women stopped working. The lack of women’s health provision (among so many others) in the various repeal-and-replace bills feels similar. While the ACA promises more social, political and work advancement for women when they don’t have to worry about unintended pregnancies and undetected cancers, the r-and-r bills shut those paths down.
While you may be healthy and able-bodied now, that doesn’t guarantee you will be forever. In the same way singles like me pay for schools for kids I don’t need (I have cat–she rejects education), we pay into health care so as to cover those of us who need it. If we learned nothing from this week’s health care roller coaster, it’s that we all need more women in the senate and the house. We need good, accessible, affordable health care for them to do so. All we need is the political will for both.