Duly Noted
Contraception Compromise: Insurers Take One for the Team
(Birth control pill image by Shutterstock)
The Obama administration struck an elegant compromise over birth control coverage under health care reform. When religious employers refuse to pay for contraception, their insurance companies will have to step up and cover the cost of birth control for those employees.
The scheme works because birth control saves money. If you were an flinty-eyed insurer, which group would you rather insure? People with guaranteed access to free birth control, or people without? Of course, you'd rather insure the folks with birth control coverage because they're less likely to get pregnant and have babies, which would cost you a lot more than the birth control. You could give away the birth control and still come out ahead.
Of course, just because birth control is relatively cheap doesn't mean it's free. It costs about $21.40 to add birth control pills, IUDs, and other contraceptives to an insurance plan. That money is going to have to come from somewhere.
It's unlikely the insurers will simply eat the cost, and the whole point of the compromise was to avoid passing the cost on to consumers. So, the money will probably come out of premiums paid by everyone (including religious employers) or out of premiums paid by nonreligious employers only.
Already Catholic special interests are objecting to funding contraception out of overall premiums because that means they're funding contraception indirectly. This kind of intransigence illustrates how foolish it was to try to compromise with this constituency in the first place. They are professionally unreasonable.
Compromise is illusory because these guys are doing spiritual accounting, they are not constrained by generally accepted accounting principles. They will make up the rules to get the result they want, namely, "We're being oppressed by your birth control!"
The U.S. Council of Catholic Bishops hates the fact that any woman might get free birth control under health reform. No matter how this program is administered, the sophists at the USCCB will come up with a sob story about how they are being oppressed by our contraception cooties. We live in a highly interdependent society with complex organizations and multiple intersecting streams of public and private money. If you're creative enough, you can always figure out why a dollar somebody else spends on birth control is tainting you.
Covering birth control out of the premiums of non-religious employers means that secular businesses would be subsidizing birth control for workers who aren't on their payrolls, which would be unfair. Why should General Motors pay extra to subsidize insurance for the employees of Catholic hospitals? Remember that health benefits are a form of compensation. Every extra dollar your employer spends on health insurance is a dollar that's not going to your salary. So, utlimately, if only non-religious employers end up paying for birth control, their employees are also taking a hit to indulge the bishops.
If this compromise shuts up the bishops and smooths the way for free birth control, it's worth doing. In the grand scheme of things, it's not very much money. As the employee of secular organizations, I'm okay with subsidizing somebody else's birth control. It's not fair, but unlike the bishops, I'm a pragmatist. The most important thing is getting birth control to people who need it.
But if the bishops won't accept this deal, Obama should stop trying to accomodate them. Respect for religious freedom does not include paying solemn lip service to the contraception cooties.

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Comments
That makes no sense. If covering contraception saves more money than the Pill costs, then premiums should go DOWN. It should cost LESS for a plan that covers contraception. THAT’s the whole reason for the mandate in the first place.
“If covering contraception saves more money than the Pill costs”
Please point out where the post says this. Then take remedial reading lessons.
“Of course, you’d rather insure the folks with birth control coverage because they’re less likely to get pregnant and have babies, which would cost you a lot more than the birth control. You could give away the birth control and still come out ahead.”
Did you really need to insult me? What did that do for you?
“That makes no sense”
I donno. What did insulting Ms. Beyerstein do for you? “I don’t understand” is a whole lot more neutral way to put it.
Anyway, her argument is plenty consistent. Insurance companies are going to be required to offer more coverage, which will cost them something. That it costs less than some other coverage is beside the point—
“Of course, just because birth control is relatively cheap doesn’t mean it’s free. It costs about $21.40 to add birth control pills, IUDs, and other contraceptives to an insurance plan. That money is going to have to come from somewhere.”
Ok, well it doesn’t make sense to ME then, because I see these two sentences in juxtaposition as indeed a contradiction:
“You could give away the birth control and still come out ahead.
Of course, just because birth control is relatively cheap doesn’t mean it’s free.”
I didn’t intend any offense, although I am perplexed that an insurance company that would charge more for taking less risk.
You obviously don’t work for the insurance industry, where extending coverage, though it costs less than other coverage, still costs money and must be sucked from the veins of the insured. Congratulations.That you imagine the insurance industry believes all its rhetoric about the terrible cost of risk (and that it would give you something back if its legendary risk declined) indicates you still leave cookies and milk out late in December.
Birth Control should be free and simple, and available to all. Likewise, abortion! 7 Billion Clowns is plenty for now!
“Catholic special interests” = Nuthouse!
Catholics are “professionally unreasonable” - nice way to put that they are out of their friggin’ skulls!
“respect for religious freedom” is a sneaky misnomer, which usually translates into “give deluded people more power to impose their repressive agenda on others.”