Abortion - Why It MUST Be Covered by Health Insurance

"Why would a woman seek an abortion from Dr. Kermit Gosnell?" - a Philadelphia abortion provider who has been accused of murders by the district attorney. Susan Schewel, executive director of the Women's Medical Fund, a high-quality, respected abortion provider in Philadelphia, answers that question with facts that we must not ignore, no matter how monstrous Gosnell may be (if convicted). The case of Gosnell quite simply illuminates the tremendous injustice that will be done if legislative attempts succeed to ban insurance coverage of abortion under health care reform.

Whatever you think about abortion, please read this.

Schewel writes:

Abortion is a legal, common and routine medical procedure. Yet for 25 years, Pennsylvania has banned Medicaid funding for abortion. Abortion is the only routine medical procedure not covered by Medicaid, and this prohibition leaves desperate women vulnerable to substandard providers such as Gosnell.

She reviewed records of women who lived in the neighborhood where Gosnell practiced and who went to him before going to her excellent practice. During January and February 2010, she found six women, ages 21 to 36.

Five were mothers. Four were enrolled in Medicaid; two had no health insurance at all. Two received unemployment checks, and one had just been laid off a few days before she called. One worked at McDonald's and earned $450 a month, $200 of which went to rent.

One was obtaining a protection-from-abuse order against her violent husband. Another was pregnant due to a rape. One was living in a homeless shelter with her young child. She received $316 a month in welfare. The average monthly income of these six women was $503.

When they arrived for their appointments (at Gosnell's office), they were told that they needed $350 to $450 for an abortion procedure. As you can imagine, this seemed like a fortune. And not one had insurance to cover the cost. Thankfully, they turned to us at the Women's Medical Fund, and we were able to help.

The Gosnell story powerfully demonstrates the consequences of the unconscionable public policy under which, if you are poor, pregnant and don't want to be, you are out of luck and on your own. This story reminds us of the lengths to which desperate women will go to terminate an unwanted pregnancy.

How do we help these women - and thousands others? Not by closing a bad practice or unnecessary additional regulations.

What will solve the problem is lifting the ban on public funding for abortion and providing equitable health coverage for all.

Yet right-wing (Republican) legislators are intent on doing the opposite - making it impossible or difficult to get abortion coverage in the exchanges that are being set up and due to be operational in 2014. In Virginia, two bills are now in the General Assembly - HB 2147 in the House of Delegates introduced by Delegate Cline, and SB 1202 in the Senate, introduced by Senator Obenshain. Both are - simply - immoral and should be defeated.

The cry "no taxpayer funding for abortion" is simplistic and misleading. It appeals to our worst nature - to a self-righteous desire for punishment - in this case, of the most vulnerable. (Of course, one of "us" would never be in that situation - right?) Pregnancy occurs for many reasons - including that a woman feels compelled to have sex and cannot convince the man to use protection. We are talking about power, not morals or lack of morals. Why are so many Americans convinced it's ok to treat women as moral degenerates - and to give men a pass. Why do we want to blame those who most need help? Why won't we treat women decently, morally, humanely? Why won't we work on lifting up women - not keeping them permanently victimized.