Re: Guest Post - Save for the queue - wait till the work week

1

Yeah, most women wouldn't buy it. The problem with Planned Parenthood is that they won't pay for you to get a procedure done by your regular doctor/health center/hospital.


Posted by: Bostonian girl | Link to this comment | 05-14-16 10:53 AM
horizontal rule
2

The post appears to contradict its own title.


Posted by: NickS | Link to this comment | 05-14-16 10:56 AM
horizontal rule
3

It's my fault for having the best sense of humor a roommate ever dreamed of.


Posted by: E. Messily | Link to this comment | 05-14-16 11:02 AM
horizontal rule
4

3: I was a tiny bit annoyed.


Posted by: Bostoniangirl | Link to this comment | 05-14-16 11:08 AM
horizontal rule
5

Well, I laughed pretty hard, so I guess it all evens out in the end.


Posted by: E. Messily | Link to this comment | 05-14-16 11:11 AM
horizontal rule
6

My roomie is super funny!


Posted by: Heebie | Link to this comment | 05-14-16 11:30 AM
horizontal rule
7

To give a more serious answer, there are existing non-profit abortion funds. They aren't set up as insurance, just as an organization to help women pay for abortions, but they exist to try to fill in the gaps that you're talking about.

I'm not deeply familiar with their work. There is an umbrella organization, the National Network of Abortion Funds, but if you feel like donating I would encourage you to find your local fund and give them money.


Posted by: NickS | Link to this comment | 05-14-16 11:30 AM
horizontal rule
8

They do, of course, also work to try to organize for abortion access as well as direct funding.


Posted by: NickS | Link to this comment | 05-14-16 11:31 AM
horizontal rule
9

And now, of course, a bigger expense than the actual procedure can be the transportation and lodging to the place you can get it done.


Posted by: Minivet | Link to this comment | 05-14-16 11:33 AM
horizontal rule
10

Wait, has E Messily been given the keys to the kingdom? Is she now operating as the power behind the throne? Is Heebie just a figurehead???


Posted by: R Tigre | Link to this comment | 05-14-16 11:57 AM
horizontal rule
11

I don't need keys. I just boss Heebie around from behind the throne.


Posted by: E. Messily | Link to this comment | 05-14-16 12:24 PM
horizontal rule
12

One practical obstacle to abortion-specific insurance plans would be America's violent loners: it might be hard for to identify, or have identified by talk radio etc., a sufficiently patently culpable executive at Kaiser or Blue Cross/Blue Shield to get your lone-wolf Phineas Priesthood (don't Google that if you value your peace of mind) ya-yas out, but your friendly neighborhood (or regional, or state) family-planning cooperative would offer a shorter, narrower cast of characters for smearing, harassing, threatening, etc.


Posted by: Flippanter | Link to this comment | 05-14-16 12:59 PM
horizontal rule
13

9: right. But that would be an issue even if it were covered. It's an issue for lots of sick people who have to go to an academic medical center.


Posted by: Bostoniangirl | Link to this comment | 05-14-16 1:48 PM
horizontal rule
14

13: Yes, but more movable with policy change. It's a simple procedure that could be provided everywhere big enough for a women's health clinic if we let it, not specialized care that only, say, a dozen places in the country could do.


Posted by: Minivet | Link to this comment | 05-14-16 1:55 PM
horizontal rule
15

This would be great but...it has no chance of passing, right?

Plus, Amendment 69. Nice work, Colorado.


Posted by: F | Link to this comment | 05-14-16 2:17 PM
horizontal rule
16

11: Rookie mistake. You're supposed to put the throne against the back wall so that nobody can be the power behind it.


Posted by: Walt Someguy | Link to this comment | 05-14-16 2:24 PM
horizontal rule
17

5: Tough, but fair.


Posted by: Moby Hick | Link to this comment | 05-14-16 3:08 PM
horizontal rule
18

14: Well yeah. So, should people support or oppose the single payer law if they care about abortion rights but also want single payer?


Posted by: Bostoniangirl | Link to this comment | 05-14-16 4:08 PM
horizontal rule
19

Isn't this a no brainier? You can have everything covered but not abortion, or you can have nothing including not having abortion covered.


Posted by: SP | Link to this comment | 05-14-16 5:28 PM
horizontal rule
20

19: There are probably a lot of middle and upper income women whose private insurance now covers abortion who would lose that coverage when they went on a public program. I'd be inclined to support the single-payer option, but I don't hold out much hope that we'd be able to cover abortion for a long, long time.


Posted by: Bostoniangirl | Link to this comment | 05-14-16 5:37 PM
horizontal rule
21

We should fund abortions through a tax on condoms. That's a good idea, right?


Posted by: Spike | Link to this comment | 05-14-16 6:07 PM
horizontal rule
22

Alcohol tax actually would be logical.


Posted by: SP | Link to this comment | 05-14-16 6:17 PM
horizontal rule
23

21: Perverse incentives, and not the good kind.


Posted by: Moby Hick | Link to this comment | 05-14-16 6:20 PM
horizontal rule
24

Maybe condom wrappers could be like box tops. If you collect enough, you can send them in for a free abortion.


Posted by: Spike | Link to this comment | 05-14-16 6:59 PM
horizontal rule
25

My other idea would be to pay for abortions with a tax on Bibles. But that might not go over well in some quarters.


Posted by: Spike | Link to this comment | 05-14-16 7:01 PM
horizontal rule
26

20: Hard to say. Real coverage for everyone would be a boon to lots of lower-income women, and it could conceivably save people of most income levels enough on average to make out-of-pocket abortion more affordable. Also women's health services that provide abortions would be put on a sounder financial footing by not having to provide sliding-scale services to the un-/underinsured for everything other than abortion. But if it actually takes away coverage from millions of people? Tough call.


Posted by: Minivet | Link to this comment | 05-14-16 7:53 PM
horizontal rule
27

I don't hold out much hope that we'd be able to cover abortion for a long, long time.

It's important to campaign for a repeal of the Hyde amendment.

A common misconception is that the government's ban on abortion funding through the Hyde Amendment...has the force of permanent law. It does not. It is merely a rider routinely attached to annual appropriations bills. Should the appropriations committees in Congress decide one year not to attach it, then [Department of Health and Human Services] will become free to fund abortions. Pro-lifers live in fear that this will happen, but they don't want to draw too much attention to the possibility, lest they discourage the public from thinking the Hyde Amendment is writ in stone.

Posted by: NickS | Link to this comment | 05-14-16 8:17 PM
horizontal rule
28

In Colorado's case it appears to be a constitutional amendment from 1984, which would take more active voting to repeal.


Posted by: Minivet | Link to this comment | 05-14-16 8:26 PM
horizontal rule
29

Women in the military must go to an outside provider for an abortion and pay for it themselves. But, getting any such outside health care must be approved by a person's command. As you can guess, that is rarely done in these cases. No CO wants to be on record approving or disapproving of an abortion. Nor do servicewomen want to make such requests. This does leave the women in a vulnerable legal position as they have violated regulations.


Posted by: md 20/400 | Link to this comment | 05-14-16 8:27 PM
horizontal rule
30

As soon as I read the condom wrapper idea, my first thought was "interesting" ... A few seconds later I was like - Erm, what did they do with the condoms coz they sure as heck didn't use em.

Funnies aside, this is a hot topic and an important one. I'm for abortions simply because I think people should have a choice. However, there's a lot of people out there who want kids and can't have them.


Posted by: The Unseen Voyeur | Link to this comment | 05-15-16 1:30 AM
horizontal rule
31

30.1. They've been known to break.


Posted by: chris y | Link to this comment | 05-15-16 4:11 AM
horizontal rule
32

I'm for abortions simply because I think people should have a choice. However, there's a lot of people out there who want kids and can't have them.

I think especially if we delete the "However" you'd get close to unanimous agreement here, but what's the connection between the two?


Posted by: Thorn | Link to this comment | 05-15-16 4:14 AM
horizontal rule
33

If people had access to decent and reliable birth control -- which I think we'd get, with single-payer health care -- the need for abortion would go way down.

It wouldn't vanish, obviously. (I had this argument just recently with an otherwise intelligent conservative person, who insisted that people who used birth control couldn't get pregnant, and therefore would never need an abortion. Ai. Because [a] no and (b) yes, there's never any reason people get abortions besides accidental pregnancies, fuckwit.)

But the need might drop down into the number that, say, a private fund could handle.


Posted by: delagar | Link to this comment | 05-15-16 9:33 AM
horizontal rule
34

I love this post title so much. Good work roomie o geebies!


Posted by: dairy queen | Link to this comment | 05-15-16 11:54 AM
horizontal rule
35

Colorado has already significantly decreased both teen pregnancy and abortion rates by improving access to long-term birth control thanks to a grant from Warren Buffet, but gawdforbid the state get too involved in that either. Still, an answer like 33's is what mine would be but I think not what was being suggested in 30.


Posted by: Thorn | Link to this comment | 05-15-16 12:04 PM
horizontal rule
36

If single payer care is anything like my Obamacare coverage, the 100s-1000s of dollars in savings from everything else would allow people to better pay out of pocket for abortions. Right now health insurance usually has a deductible of several hundred, plus co-pays plus less than 100% coverage for treatment. With Obamacare, I have no deductible, no co-pays, and 100% coverage. If something isn't covered or someone's out of network, I get informed ahead of time and change my treatment plan.

For low-income women, more effort should be made to provide funding available, either through abortion funds or through direct donations to planned parenthood. When I got my abortion, PP charged a flat rate of $450 for everything if paid upfront in cash (actual cost of procedure was about $1200), and if my insurance covered more than that, they'd reimburse the difference. (If it covered less or I were uninsured, I would have just paid the $450). I actually had pretty decent abortion coverage on my insurance, but I still ended up getting only $50 back.


Posted by: Buttercup | Link to this comment | 05-15-16 12:12 PM
horizontal rule
37

Pwned by multiple people, and 33 said much more clearly and directly what I was thinking.


Posted by: Buttercup | Link to this comment | 05-15-16 12:15 PM
horizontal rule
38

With Obamacare, I have no deductible, no co-pays, and 100% coverage.

This is, to put it mildly, not the typical experience.


Posted by: Minivet | Link to this comment | 05-15-16 12:54 PM
horizontal rule
39

38: It's certainly what my experience of Medicaid (as a foster/adoptive parent; I have my own private coverage) has been like. I think there's often a lot of confusion about whether "Obamacare" is referring to insurance bought on health exchanges or Medicaid expansion or something else up to and including apocalypse.


Posted by: Thorn | Link to this comment | 05-15-16 1:01 PM
horizontal rule
40

It varies a huge amount by state, too. ACA exchange plans in Texas are super shitty, and there is no way to buy better ones- it seems to be a pretty blatant attempt from both health care providers and insurers to break Obamacare from the inside.


Posted by: E. Messily | Link to this comment | 05-15-16 1:11 PM
horizontal rule
41

So true! I'm waiting to see how bad things will get here with a hostile governor.


Posted by: Thorn | Link to this comment | 05-15-16 1:14 PM
horizontal rule
42

I assume B Cup just means Medicaid. I don't think even Gold exchange plans are deductible-free.


Posted by: R Tigre | Link to this comment | 05-15-16 1:17 PM
horizontal rule
43

The exchange system here is well into death-spiral territory; one of the two remaining insurers participating is pulling out as premiums continue to grow massively each year. I think in this case the private insurance market is just too small to support the exchange model.


Posted by: teofilo | Link to this comment | 05-15-16 1:19 PM
horizontal rule
44

Oh yes, Medicaid is much better as far as cost-sharing goes.

The insurance picture varies a lot by state - death spiral for one could happen but might have little impact on anywhere else. Maybe impetus for bringing in public option?


Posted by: Minivet | Link to this comment | 05-15-16 1:41 PM
horizontal rule
45

Right, a lot of the problem that leads to death spirals is doing this state-by-state, which systematically disadvantages states with small populations and high costs (hi!). It's not surprising that that's how Obamacare does it since it's how the existing system was set up, but it does show some of the limitations of the incremental approach. Single-payer would presumably fix the problem Alaska is having, but given the general dysfunction of our state government I don't see it happening any time soon. We didn't even get Medicaid expansion until the governor did it unilaterally, and the legislature responded by suing him.


Posted by: teofilo | Link to this comment | 05-15-16 1:48 PM
horizontal rule
46

A public option, which looking back is what Minivet suggested rather than single-payer, would probably work too. Still, unlikely to happen.


Posted by: teofilo | Link to this comment | 05-15-16 1:50 PM
horizontal rule
47

I'm OK with 1/50 states having a health care system based on ice floes and sky burials. We may need the services of a tough, death-hardened band of Northmen with no invalids to care for when the shit goes down.


Posted by: R Tigre | Link to this comment | 05-15-16 1:54 PM
horizontal rule
48

Okay, but those services won't be free.


Posted by: teofilo | Link to this comment | 05-15-16 1:56 PM
horizontal rule
49

43 seems to be what's happening here, too.


Posted by: heebie | Link to this comment | 05-15-16 2:01 PM
horizontal rule
50

It's too bad that the co-op model seems not to be working out as planned. (A deliberate consequence of Republican sabotage, says the author of that part of the ACA.)


Posted by: | Link to this comment | 05-15-16 2:04 PM
horizontal rule
51

Or what E said.


Posted by: heebie | Link to this comment | 05-15-16 2:04 PM
horizontal rule
52

Dammit!

(50 was me)


Posted by: CharleyCarp | Link to this comment | 05-15-16 2:05 PM
horizontal rule
53

51 was to 49, not to you! That would be rude.


Posted by: heebie | Link to this comment | 05-15-16 2:10 PM
horizontal rule
54

There was a post on some bulletin board from a woman covered by Tricare who was carrying triplets. They were crowding each other out, so her doctors advised her to have a selective reduction. Tricare wouldn't cover the procedure, because it was abortion even though the other fetuses were at risk. she was looking at having to spend $8k. That's just not something a planned parenthood can handle, and it's a real burden for her.


Posted by: Bostoniangirl | Link to this comment | 05-15-16 2:38 PM
horizontal rule
55

I'm not really up with the complexities of the American health care system but I assume that what the republicans want is a single prayer system


Posted by: NW | Link to this comment | 05-15-16 2:48 PM
horizontal rule
56

|| Friend is 10 weeks pregnant. Employer, not yet informed, offers substantial promotion -- more hours, more money, benefits, the whole thing. Tell employer now, before accepting offer, or later? No brainer, right? |>


Posted by: Asking for a Friend | Link to this comment | 05-15-16 3:45 PM
horizontal rule
57

Seems relevant to note: in front of the local Spite House is a Little Library.


Posted by: Minivet | Link to this comment | 05-15-16 3:58 PM
horizontal rule
58

Later.


Posted by: LizardBreath | Link to this comment | 05-15-16 4:07 PM
horizontal rule
59

Literally no question. Unless you've left out the fact that it's a family-owned business and the employer is her mother. Otherwise, tell when she thinks she's unambiguously showing plus three weeks, because she'll probably guess early on what's unambiguous.


Posted by: LizardBreath | Link to this comment | 05-15-16 4:09 PM
horizontal rule
60

55: Tricare is the coverage for military retirees and dependents, so a single prayer system seems apposite.


Posted by: Bostoniangirl | Link to this comment | 05-15-16 4:31 PM
horizontal rule
61

My sister is very visibly pregnant. I was going to try to convince her to not mention this to anyone at work and to deny if asked. Apparently, her sense of whimsy is compromised at the moment.


Posted by: Moby Hick | Link to this comment | 05-15-16 4:40 PM
horizontal rule
62

I can't see any reason to tell the employer at that point, unless it's literally in the context of "I would really like that job but I'm sorry I'm pregnant so I have to turn it down". Once it gets to the point where there might be an effect on her work, or where it would just be silly to deny it then obviously tell the employer. But up till that point, unless they're the sort of very close friend and confidant where turning down a much nicer position in order to help them out would make sense, then there's no reason to tell them.


Posted by: MHPH | Link to this comment | 05-15-16 4:46 PM
horizontal rule
63

In MA there's

(1.) straight Medicaid either through the state or non-profit managed care companies. No deductibles, no office co-pays but $3 drug co-pays except for birth control which is free.

(2.) Subsidized Connector Care plans which do not have deductibles and have low premiums and co-pays offered by teh same non-profits which also do manage the Medicaid managed care programs (up to 300% of poverty)

(3.) Exchange plans which are not subsidized and have high deductibles.

Plans of type 2 are not always accepted by private practice docs, but most doctors here are affiliated with hospitals and salaried.


Posted by: Bostoniangirl | Link to this comment | 05-15-16 4:55 PM
horizontal rule
64

Thorne: at what age do you think you'll talk to your girls about birth control. I sort of fear that I'll be dragging an 11 year-old to a gynecologist to get an IUD to be safe, and she won't even be thinking about sex until she's 15 or 16.


Posted by: Bostoniangirl | Link to this comment | 05-15-16 6:56 PM
horizontal rule
65

Here, birth control is part of the conversation about menstruation, that it's a response to that and will initially be about regulating and minimizing bleeding but that longer-term it's about not having babies until you're ready to care for them in a way that's appropriate for you and for them. I assume we'll get another round of conversation when the cats get fixed in another six weeks or so.


Posted by: Thorn | Link to this comment | 05-15-16 7:11 PM
horizontal rule
66

65: So, you've already started talking to them about it. That's great!


Posted by: Bostoniangirl | Link to this comment | 05-15-16 7:17 PM
horizontal rule
67

The older girls are 8 and 9, so the sex/birth part is still pretty remote and they still think it sounds gross. We've definitely had conversations, though. I want to get it started as early as possible because I need to be able to talk openly and without shaming them about their relatives who had children really young, that my mom is opposed to birth control and I need to know if she ever pressures them about it, that they understand the reasons they're at increased risk of teen pregnancies although I wouldn't really want to put it in those words, that their moms have made very different choices about whether and when to have more children, plus we haven't really had the personal rape discussion yet and I need to be laying the groundwork for that.


Posted by: Thorn | Link to this comment | 05-15-16 7:35 PM
horizontal rule
68

How old do you have to be before the birth part doesn't sound gross?


Posted by: Moby Hick | Link to this comment | 05-15-16 7:44 PM
horizontal rule
69

To be fair, the cat birth they watched a few weeks ago was quick and seemingly painless. Plus you get a kitten out of the deal. So at the moment that part is a lot less horrifying than, say, kissing.


Posted by: Thorn | Link to this comment | 05-15-16 7:47 PM
horizontal rule
70

If you always got kittens, I would probably be a lot easier for everyone involved.


Posted by: Moby Hick | Link to this comment | 05-15-16 7:55 PM
horizontal rule
71

"Cancel the Cesarean. This head is the size of a walnut."


Posted by: Moby Hick | Link to this comment | 05-15-16 7:58 PM
horizontal rule
72

56: Telling the employer about the pregnancy before accepting the promotion would seem to imply that the pregnancy would be an acceptable reason for the employer to revoke the offered promotion. I can't think of a situation in which that would be true.


Posted by: DK | Link to this comment | 05-15-16 8:06 PM
horizontal rule
73

Vice-president in charge of lead fumes?


Posted by: Moby Hick | Link to this comment | 05-15-16 8:09 PM
horizontal rule
74

OK, well maybe. Or Mother Superior probably.


Posted by: DK | Link to this comment | 05-15-16 8:14 PM
horizontal rule
75

Or anything in Arby's Test Kitchen.


Posted by: Moby Hick | Link to this comment | 05-15-16 8:16 PM
horizontal rule
76

That's where they test and perfect the recipies found in Arby's Illustrated.


Posted by: R Tigre | Link to this comment | 05-15-16 8:26 PM
horizontal rule
77

|| Friend is 10 weeks pregnant. Employer, not yet informed, offers substantial promotion -- more hours, more money, benefits, the whole thing. Tell employer now, before accepting offer, or later? No brainer, right? |>

Not even close to being a brainer.


Posted by: nosflow | Link to this comment | 05-15-16 8:28 PM
horizontal rule
78

"Cancel the Cesarean. This head is the size of a walnut."

Even Zika can have a silver lining.


Posted by: gswift | Link to this comment | 05-15-16 8:30 PM
horizontal rule
79

Brain the size of a walnut, but also back plates and tail spikes; maybe keep the surgeon on call.


Posted by: lourdes kayak | Link to this comment | 05-15-16 9:12 PM
horizontal rule
80

"Too many episodes of Dinosaur Train" IYKWIMAITYD.


Posted by: R Tigre | Link to this comment | 05-15-16 10:17 PM
horizontal rule
81

Women in the military must go to an outside provider for an abortion and pay for it themselves. But, getting any such outside health care must be approved by a person's command

WTF?


Posted by: Ginger Yellow | Link to this comment | 05-16-16 4:41 AM
horizontal rule
82

56: Congrats and congrats to your friend!


Posted by: politicalfootball | Link to this comment | 05-16-16 5:25 AM
horizontal rule
83

Even civilian women can't have bear arms if somebody sends an email about it.


Posted by: Moby Hick | Link to this comment | 05-16-16 5:27 AM
horizontal rule
84

The email probably came from PETA.


Posted by: Ginger Yellow | Link to this comment | 05-16-16 5:34 AM
horizontal rule
85

Probably some guy who can't masturbate to the weather because the woman is distracting him.


Posted by: Moby Hick | Link to this comment | 05-16-16 5:42 AM
horizontal rule