Monday, March 26, 2012

Supreme Court Hears Challenges to Affordable Care Act - Your Comments?

The Supreme Court hears challenges to the Affordable Care Act this week. Below, the Court’s links to hearing the proceedings; and a summary of the questions at issue from the NY Times. Please use the Comments space below to post your own succinct, relevant and illuminating comments on this historic debate, and links to other resources.
The Court will hear argument in the Patient Protection and Affordable Care Act cases on March 26, 27, and 28. Because of the extraordinary public interest in those cases, the Court will provide the audio recordings and transcripts of the oral arguments on an expedited basis through the Court’s Website.

The Court will post the audio recordings and unofficial transcripts as soon as the digital files are available for uploading to the Website. The audio recordings and transcripts of the March 26-28 morning sessions should be available no later than 2 p.m. The recording and transcript of the March 28 afternoon session should be available no later than 4 p.m.

Anyone interested in the proceedings will be able to access the recordings and transcripts directly through links on the homepage of the Court’s Website. The homepage currently provides links to the orders, briefs, and other information about the cases. The Court’s Website address is http://www.supremecourt.gov/.
http://www.nytimes.com/interactive/2012/03/19/us/guide-to-supreme-court-challenges-to-obama-health-care-law.html?ref=background

A Guide to the Supreme Court Challenges to Obama’s Health Care Law

Over three days starting March 26, the Supreme Court will hear arguments in an appeal from a decision largely ruling for 26 states, a business group and several individuals who contend that the 2010 health care law, President Obama’s signature legislative achievement, is unconstitutional. Related Article »

The Question: Is it too early to consider this case since the health law’s penalties do not start until 2014?

The central provision of the health care law, often called the individual mandate, requires most Americans to obtain health insurance or, starting in 2014, face a penalty.

A 19th-century law, the Anti-Injunction Act, forbids challenges to tax assessments until they are due, barring suits “for the purpose of restraining the assessment or collection of any tax.” The Supreme Court had interpreted the term “tax” very broadly for purposes of the law, and it has suggested that the act is “jurisdictional,” meaning that courts are powerless to hear suits barred by it even if both sides agree to proceed.

If the Supreme Court considers the individual mandate a tax under the Anti-Injunction Act, it may conclude that it cannot hear a challenge until April 15, 2015, when the first penalties become due.
The United States Court of Appeals for the Fourth Circuit and a dissenting judge on the District of Columbia Circuit agreed that the act requires courts to defer consideration of the challenge to the individual mandate.

The federal government initially argued that the act applied to bar the challenges, but it has changed its mind and now asks that the suits be allowed to proceed, agreeing with its opponents on this point. The states challenging the law say the act does not apply to them, as opposed to individuals, in any event. Because all of the parties agree that the Supreme Court may hear the case, the justices appointed a lawyer to argue that the act applies.

Among the questions the Supreme Court is likely to consider in connection with the act are whether a challenge to the mandate is the same thing as a challenge to how it is enforced, whether the penalties imposed by the health care law are taxes and whether the act is an inviolable jurisdictional command to courts.

Congress remains free, now or later, to amend the act to allow challenges to the health care law.
Date of Hearing: March 26
Time Allotted: 90 minutes
40 min.: Robert A. Long, friend of the court, appointed to argue that the suit is barred.
30 min.: Solicitor General Donald B. Verrilli Jr. says the challenges may go forward.
20 min.: Gregory G. Katsas, representing the National Federal of Independent Business and other private parties, agrees with the government on this point.

The Question: Is the individual mandate constitutional?

This is the heart of the case. The lower courts issued conflicting decisions in the numerous challenges to the health care law, and the Supreme Court agreed to hear an appeal from only one of them, from the United States Court of Appeals for the 11th Circuit, in Atlanta. That decision struck down the mandate. In contrast, the Sixth Circuit, in Cincinnati, and the District of Columbia Circuit upheld the law, while the Fourth Circuit, in Richmond, Va., said the constitutionality of the law was not yet ripe for review.

The federal government argues that Congress was authorized to enact the individual mandate under two provisions of Article I, Section 8 of the Constitution — its power to regulate commerce and its power to tax. The leading Supreme Court precedents support the mandate, too, the government says, because the health care law addresses a pressing national problem that is economic in nature.

Opponents of the law say that the requirement to buy a product or service is unprecedented, regulates inactivity rather than activity and would allow Congress essentially unlimited power to intrude on individual freedom. They say the government cannot articulate a principle that would limit its power were the law upheld.

Date of Hearing: March 27
Time Allotted: 2 hours
60 min.: Solicitor General Donald B. Verrilli Jr. defends the law.
30 min.:Paul D. Clement, representing 26 states, challenges the law.
30 min.:Michael A. Carvin, representing the private parties, challenges the law.

The Question: If the individual mandate is ruled unconstitutional, must the rest of the health law fall as well?

Should the Supreme Court strike down the individual mandate, it must decide whether some or all of the balance of the law must fall as well.

Though the lower-court ruling issued by the 11th Circuit determined that Congress had exceeded its constitutional authority in enacting the individual mandate, it said the balance of the law survived. Neither side agrees. The government argues that two provisions requiring insurance companies to accept all applicants at fixed rates are intertwined with the mandate and must fall along with it.

Opponents of the law say the mandate is its keystone, meaning that no part of the law can survive without it. Here, too, the Supreme Court has appointed a lawyer to argue a position that neither party advances – that the mandate may be surgically removed if the court holds it unconstitutional.

Date of Hearing : March 28
Time Allotted: 90 minutes
30 min.: Paul D. Clement, representing 26 states, argues that the entire law must fall.
30 min.: Deputy Solicitor General Edwin S. Kneedler argues that most of the law should survive, even if the mandate is struck down.
30 min.: H. Bartow Farr III, friend of the court, appointed to defend the ruling that struck down only the mandate.

The Question: Was Congress entitled to impose conditions on the states in expanding the Medicaid program?

The sprawling 2010 law contains many provisions not directly in front of the court. But the justices did agree to hear a challenge to a provision relating to Medicaid, a challenge by the 26 states that argues that Congress exceeded its constitutional authority by expanding the eligibility and coverage thresholds that states must adopt to remain eligible to participate in the joint federal-state program that provides health care to poor and disabled people.

The problem, they say, is that Congress did not tie the law’s new conditions only to new federal money but rather made the new terms a condition of continued participation in Medicaid, threatening states with the loss of all federal Medicaid funds.

The federal government argues that such shifting conditions are routine in all sorts of federal programs and that the Medicaid program itself specified at the outset that the rules could change.

Date of Hearing: March 28
Time Allotted: 1 hour
30 min. Paul D. Clement, representing 26 states, challenges the law.
30 min. Solicitor General Donald B. Verrilli Jr. defends the law.

Links to Briefs:
http://www.americanbar.org/content/aba/publications/preview_home/11-398_Anti-InjunctionAct.html
http://www.americanbar.org/content/aba/publications/preview_home/11-398.html (minimum coverage)
http://www.americanbar.org/content/aba/publications/preview_home/11-5683.html Medicaid expansion; consolidated

The Court heard arguments today, Monday, March 26, 2012, on the Anti-Injunction Act issue of the Patient Protection and Affordable Care Act cases. (Dept. of H&HS v. Florida, 11-398) The audio recording and unofficial transcript of the oral argument on the Anti-Injunction Act issue are available at this link: http://www.supremecourt.gov/oral_arguments/argument_audio_detail.aspx?argument=11-398-Monday



Saturday, March 24, 2012

For Trayvon Martin: Now Imagine

http://www.imdb.com/title/tt0117913/quotes

From "A Time to Kill," 1996.  Matt McConaughey as lawyer Jake Tyler Brigance, presents the summation defending his black client for attacking his daughter's rapists:

Jake Tyler Brigance: [in his summation, talking about Tonya Hailey] I want to tell you a story. I'm going to ask you all to close your eyes while I tell you the story. I want you to listen to me. I want you to listen to yourselves. Go ahead. Close your eyes, please. This is a story about a little girl walking home from the grocery store one sunny afternoon. I want you to picture this little girl. Suddenly a truck races up. Two men jump out and grab her. They drag her into a nearby field and they tie her up and they rip her clothes from her body. Now they climb on. First one, then the other, raping her, shattering everything innocent and pure with a vicious thrust in a fog of drunken breath and sweat. And when they're done, after they've killed her tiny womb, murdered any chance for her to have children, to have life beyond her own, they decide to use her for target practice. They start throwing full beer cans at her. They throw them so hard that it tears the flesh all the way to her bones. Then they urinate on her. Now comes the hanging. They have a rope. They tie a noose. Imagine the noose going tight around her neck and with a sudden blinding jerk she's pulled into the air and her feet and legs go kicking. They don't find the ground. The hanging branch isn't strong enough. It snaps and she falls back to the earth. So they pick her up, throw her in the back of the truck and drive out to Foggy Creek Bridge. Pitch her over the edge. And she drops some thirty feet down to the creek bottom below. Can you see her? Her raped, beaten, broken body soaked in their urine, soaked in their semen, soaked in her blood, left to die. Can you see her? I want you to picture that little girl.

Now imagine she's white.


Wednesday, January 4, 2012

Trust Women Week and the San Francisco Banner Project

The majority of Americans believe that women should have access to basic health care services and that decisions about reproductive health care including family planning and abortion should be left to each person.  But in 2011, extremist politicians elected with a mandate to fix the current economic crisis instead chose to divert the public's attention with policy battles about these private decisions. They have declared a “War on Women.”  The U.S. House of Representatives and state legislatures have particularly focused on eliminating access to basic health care services and contraception as well as abortion, with severe consequences for the most vulnerable.



Banners on Market Street in San Francisco aim to spark conversations and to help build momentum and solidarity among supporters of women’s rights, equality and autonomy and access to comprehensive health care, including reproductive health care services. see photos:



During Trust Women Week, January 20-27, we will engage the public in a Virtual March, with MoveOn, to express their support online for reproductive health, rights and justice.



The Trust Women/Silver Ribbon Campaign is a coalition of 42 national and local organizations. We include the groups represented on the banners: the Bay Area Coalition for Our Reproductive Rights (BACORR), Catholics for Choice, NARAL-ProChoice California, Planned Parenthood Shasta Pacific, and SisterSong/Trust Black Women[SY1] .



The main banner messages are:

·       Her Decision, Her Health

            Most women spend about 30 years trying not to become pregnant and only two years trying to become pregnant.  Whether and when to have a child is a personal decision that every individual has the right to make.  A healthy pregnancy is more likely for women who have access to basic health care services.



·       U.S. Out of My Uterus

            In 2011, a record numbers of bills were introduced or passed by state legislatures and the U.S. House of representatives restricting women's access to: basic health care services, family planning, and safe abortion care.  It has been called a "War on Women," Many women are shocked and dismayed by these attacks and want to send a strong message to policy-makers: Government should stay out of making decisions about what happens in my womb. I have self-determination, autonomy.



·       Fix the Economy, Support My Autonomy

            Many people are suffering due to the downturn in the economy, and are looking to our elected officials for real solutions. Too many policy-makers focus on whipping up divisions on social issues(such as restricting women’s rights) instead of creating jobs. Government has an important role in supporting and assuring the conditions for a healthy life. In these hard economic times, women's ability to conduct productive, independent lives depends on government support for fixing the economy, and providing the education needed to secure rewarding jobs and affordable health care, including reproductive health care.

·       Reproductive Rights are Human Rights 

            If women do not have the ability to decide what goes on in their bodies, then they are second class citizens.  Human rights describe the obligations of governments to create the conditions for all people to be as healthy as possible.  This includes respecting individual rights about our reproductive health and assuring access to affordable and comprehensive reproductive health care services.

San Francisco is Pro-Choice

            The majority of this country supports reproductive rights and feels that the decision about abortion should be left to the individual.



Partner banners:

Catholics for Choice

Legal Abortion is a Human Right: United Nations - BACORR

Freedom, Privacy, Choice - NARAL California

San Francisco Supports Planned Parenthood Shasta/Pacific

We Trust Black Women, Do You? - Sistersong

for background on women's reproductive health and on reproductive justice, see:

http://oursilverribbon.org/blog/wp-content/uploads/banners2-and-trust-women-week-background.pdf





Thursday, December 8, 2011

We Are All An 11 year old girl - and she is pretty annoyed

Women are the last remaining voting majority who are treated like a splinter group.  It will stay that way until we stand up for ourselves, together, and demand power.

The Democrats drove us away from the polls in 2010, and they're getting ready to do it again.  It's ok, though.  They need to focus on creating jobs.  We don't want to disturb them with anything controversial.

The Republicans don't care whether or not we experience regret after our abortions.  They want to pump up the fanatic religious extremists who they hope will give them control of the Senate and the White House in 2012.

The Pediatricians, Gynecologists, and Adolescent Medicine doctors deplore the decision yesterday by the Secretary of Health and Human Services to override "an evidence-based decision by the Food and Drug Administration (FDA) to approve an application for over-the-counter access without age restriction to the emergency contraception (EC) product Plan B One-Step. This move defies the strong data that EC is safe and effective for all females of reproductive age.

“As advocates for the health and well-being of all young people, the AAP recommends that adolescents postpone sexual activity until they are fully ready for the emotional, physical, and financial consequences of sex,” said Robert Block, MD, FAAP, American Academy of Pediatrics president. “However, as physicians who care for our nation’s children, it is our responsibility to protect the health of our teenage patients, and an unintended pregnancy can have significant implications for adolescents’ physical and emotional health.”

Presumably Sec. Sebelius was following orders from her boss, already jittery because the U.S. Conference of Catholic Bishops is offended that HHS has had the temerity to acknowledge that contraception is a preventive medical service, and should be covered without additional co-payments just like Pap smears.

You can join lots of important efforts to call the White House or sign petitions, including sites for NARAL, the National Women's Health Network, and the Feminist Majority.

Maybe, also, we can snatch some tactics from AIDS activists. Maybe we need to start bird-dogging policy-makers who have difficulty living up to their promises.  And working in communities where people who don't have jobs are being convinced to turn their anger against women who don't have rights. 

Thursday, November 17, 2011

God to Congress: OK to Gang Up on Women's Rights


"It is not our job as Catholics to tell God what we should do.  It is our job to learn and follow his teachings.  Conscience is not convenience. We must enforce the laws of God." Rep. Tim Murphy, Republican of Pennsylvania, having ascertained that the supreme deity is male, explained why Congress should deprive the employees of Catholic schools, hospitals and charities of the right to purchase affordable birth control, regardless of the employees' own beliefs or practices. The  hearing of the Health Subcommittee of the House Committee on Energy and Commerce took place on Wednesday, November 2, 2011.

Republicans in Congress are truly on the warpath against women's rights, and in many cases against reason. 

Just a few points here about women and contraception.  For starters, while it usually takes two to conceive a child, only women get pregnant. The right and ability to make independent decisions about whether and when to become a parent are fundamental to every other aspect of a woman's life: whether society recognizes women as autonomous, independent, responsible and competent; and whether women themselves experience the same opportunities as men to acquire education and employment, and to construct a meaningful life based on loving relationships.

Cost is a barrier to purchasing birth control for lower-income women.  More effective forms like new, safe intrauterine devices (IUDs) cost more than birth control pills or devices like diaphragms that can be bought in smaller, cheaper quantities, but also are less reliable. The rate of unintended pregnancies is soaring among low-income women, and at 132 per thousand (women aged 15-44) is 5 times higher than the rate for higher income women (those over 200% of poverty).  Low income women are more likely to have unplanned births. The costs of contraception are minute compared to the costs of pregnancy and delivery, in dollars as well as in human health. 

The new health reform law, the Affordable Care Act (ACA), calls for covering preventive health care services without requiring copayments, effective in 2010.  Copayments are fees individuals must pay when they go for care, in addition to their premiums, and are intended to discourage health care visits.  The problem is that they discourage people from getting care they need, particularly low-income people.  Preventive health care services like flu shots can protect health by avoiding illnesses entirely or catching them early, and also save money. The ACA eliminated these copayments for prevention. 

Except in the case of contraception.

In 1968, despite the recommendation of the majority of Catholic bishops, the Pope adopted the minority recommendation to declare that using birth control was inconsistent with the Church's beliefs.  Nevertheless, U.S. Catholics continue to use birth control, to the same extent as other Americans. The U.S. Conference of Catholic Bishops has grown increasingly insistent on enforcing the birth control ban.

Virtually all heterosexually active couples in the U.S. of child-bearing age use birth control at times, including Catholics.

As of August, 2011, after a year of studying whether or not contraception is a preventive health care service, the federal Department of Health and Human Services ruled that birth control would count as a preventive health care service.

In covering contraception as a preventive service without copayments, HHS granted an exception for actual churches who provide health insurance to their employees, but required all other religiously sponsored institutions such as hospitals that offer health benefits to follow the rule.

Catholic organizations have gone to court in the past to avoid state rules that require including coverage for birth control in the health care plans they provide for employees, and failed every time.  The Church sponsors large organizations including health care providers, universities and social service agencies, as well as churches. They employ millions of Americans, many of whom are not Catholic. Their work generates the funds their employers use to pay for health insurance.  Most economists assert that the costs of employee health benefits are reflected in lower pay; that is, employers calculate benefits as a form of compensation, and many reduce wages accordingly.  In effect, the money that pays for health insurance is really money that employees generate, and belongs to them.

Not good enough for the U.S. Conference of Catholic Bishops and the extremist Republicans running Congress.  While dire economic threats face many Americans, Rep. Joe Pitts of Pennsylvania decided to change the subject.  He called a hearing entitled “Do New Health Law Mandates Threaten Conscience Rights and Access to Care?”  [http://republicans.energycommerce.house.gov/Media/file/Hearings/Health/110211/Memo.pdf]

Now let's be very clear here.  The Republicans and the Bishops are claiming that institutions have a conscience.  Not a policy.  A conscience.

Here is Joe Pitts' description of his concern [and my comments in brackets]:

"Many entities feel that it [the proposed policy] is inadequate and violates their conscience rights by forcing them to provide coverage for services for which they have a moral or ethical objection. The religious employer exemption allowed under the preventive services rule -- at the discretion of the HRSA [Health Resources Services Agency] -- is very narrow.

"And the definition offers no conscience protection to individuals," [there is no involvement of any individual employer in this matter, or any issue of an individual's conscience except that of employees deciding to purchase and use contraceptives] "schools, hospitals, or charities that hire or serve people of all faiths in their communities. It is ironic that the proponents of the health care law talked about the need to expand access to services but the administration issues rules that could force providers to stop seeing patients because to do so could violate the core tenants of their religion."  [The rule requires employers' health plans to cover contraception without any additional copayment.  There are three parties involved here: employers, employees, and health plans.  No provider or caregiver is involved, nor is any patient, student, or recipient of charity. At the most extreme, every Catholic institution could claim it will close their doors absent this exclusion.  So far no such institution has done so where state requirements are in effect, and when Rep. Jan Schakowsky asked representatives of Catholic institutions at the hearing if they would close, they affirmed that they would not.]

Rep. Gingrey, GA, opined: "Imposing the dictates of the state on the will of employers sounds un-American to me."

And another gem: "Should we force religious employers to violate their consciences?  To recognize same-sex marriage?  Will we ethically neuter health care professionals?"

Articulate Democrats on the committee - Henry Waxman, Frank Pallone, John Dingell, Lois Capps, Tammy Baldwin, Jan Schakowsky, Edolphus Towns, Eliot Engel - to a person challenged this tripe.

Tammy Baldwin: "This is a war on women."

Lois Capps: "An employer is not a person. Your boss' conscience is not your own."

Witnesses Jon O'Brien of Catholics for Choice and Dr. Steve Hathaway were articulate and brilliant in defending the truth.

But Rep. Tim Murphy, a psychologist in his fifth term in the House, was on fire:

"Conscience is at the core of Catholic teachings... and it is not left up to individuals to decide, thank goodness. Father Anthony Fisher tells us that ...there is an objective standard of moral conduct.  Vatican II teaches us that the moral character of actions is determined by objective criteria, not merely by the sincerity of intentions or the goodness of motives. It is not, I repeat, it is not our duty as Catholics to tell God what he should do or what image he should adhere to, or what he should think, but it's up to us to shape our conscience to conform with the teachings he's given us.

"Conscience, sir, is not convenience.

"Conscience is formed through prayer, attention to the sacred and adherence to the teachings of the church, and the authority of Christ's teachings in the church.  So asking a group in a survey whether or not they have ever acted or thought of acting in a certain way that runs counter to the Church's teachings is no more a moral code than asking people if they ever drove over the speed limit as a foundation for eliminating all traffic laws.

"I end with a quote from John Adams, in 1776, when he was writing our Declaration of Independence of the United States:  'It is the duty of all men in society, publicly and at stated seasons to worship the creator and preserver of the universe, and no subject shall be hurt, molested or constrained from worshipping God in the manner most agreeable to the dictates of his own conscience, or for religious profession or sentiments, provided he does not disturb the public peace or obstruct others in their religious worship.' The foundation of our nation is not to impose laws that restrict a person's ability to practice their faith, sir."

Well, actually, Tim: Exactly.









Tuesday, November 15, 2011

Best NYT comment on clearing OWS

Well, the important thing is that now Jeff (642) can have a bench where he can sit and relax while eating his lunch and contemplating which policy he would like to have changed by exercising his right to vote. It was difficult to focus on that with inappropriate behavior going on and no place to sit. But now that the park has been cleared, and Jeff has his bench back, he can remember that, after all, he was perfectly satisfied with the way things are, that there are no policies he can think of that he would change, and that there isn't enough mayonnaise on his tuna sandwich.
695, Susan
Houston, Texas
November 15th, 2011
11:01 am

Thank you Susan!

Friday, October 7, 2011

Stand up for Our Rights?

Here is what we are up against:

28 Republican Senators have written to protest that the HHS decision to cover contraception as a preventive health care service interferes with the constitutional right of your religious employer to dictate whether or not you use birth control. (Technically, whether it should be a covered benefit and therefore affordable.)

That’s right: these Senators are distressed because your employer, if it has a religious affiliation, should have a constitutional right to mandate your personal sexual behaviors and to trample on your reproductive health choices.

The signers include, for example, David Vitter. His known use of the public funds that pay his salary for the support of sex workers might seem to contradict his right to dictate your own behavior.

Some on our side say these loony extremist statements rile up the Republican base and turn out their vote. We should keep our powder dry and ignore them, because smart pro-choice voters are motivated more by economics and other issues. But these crackpot ideas are too often turning into crackpot laws. Seems to me it’s time to connect the dots: Our human, economic and reproductive rights are our rights, and no elected official will stand up for us until we stand up for ourselves. The extremists are attacking our economic wellbeing and our freedoms at every level. What do you think?

Johanns/Hatch letter on contraception:
In addition to Sens. Hatch and Johanns, the letter to Secretary Sebelius was signed by Sens. Marco Rubio (R-Florida), Roy Blunt (R-Missouri), Kay Bailey Hutchison (R-Texas), Pat Toomey (R-Pennsylvania), Ron Johnson (R-Wisconsin), Dan Coats (R-Indiana), Jim Risch (R-Idaho), Rand Paul (R-Kentucky), Jon Kyl (R-Arizona), Jerry Moran (R-Kansas), John Cornyn (R-Texas), John McCain (R-Arizona), Rob Portman (R-Ohio), John Boozman (R-Arkansas), Tom Coburn (R-Oklahoma), and Kelly Ayotte (R-New Hampshire), David Vitter (R-Louisiana), Pat Roberts (R-Kansas), Johnny Isakson (R-Georgia), John Hoeven (R-North Dakota), Mike Crapo (R-Idaho), John Thune (R-South Dakota), Lindsey Graham (R-South Carolina), Mike Enzi (R-Wyoming), Chuck Grassley (R-Iowa), and Jim Inhofe (R-Oklahoma).