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Subsidizing Healthcare.
November 11, 2009 2:23 AM

After The House passed the historic Health Care Reform bill this past Saturday, much has been made of Bart Stupak's amendment which would deny abortion coverage for anyone receiving government subsidies to purchase health care on the new Health Care Exchange. But as Ezra Klein at The Washington Post points out:

Rep. Bart Stupak's amendment did not make abortion illegal. And it did not block the federal government from subsidizing abortion. All it did was block it from subsidizing abortion for poorer women.

Stupak's amendment stated that the public option cannot provide abortion coverage, and that no insurer participating on the exchange can provide abortion coverage to anyone receiving subsidies. But as Rep. Jim Cooper points out in this interview, the biggest federal subsidy for private insurance coverage is untouched by Stupak's amendment. It's the $250 billion the government spends each year making employer-sponsored health-care insurance tax-free.

And where does all the $250 billion go?

That money, however, subsidizes the insurance of 157 million Americans, many of them quite affluent. Imagine if Stupak had attempted to expand his amendment to their coverage. It would, after all, have been the same principle: Federal policy should not subsidize insurance that offers abortion coverage. But it would have failed in an instant. That group is too large, and too affluent, and too politically powerful for Congress to dare to touch their access to reproductive services. But the poorer women who will be using subsidies on the exchange proved a much easier target. In substance, this amendment was as much about class as it was about choice.

How many Americans think of this subsidy this way? No religious leader who's against a Woman's Right to Choose thinks of this way, that's for sure. And yet, there's no difference. Whether the government gives a direct subsidy for a service, or gives that service to a citizen at a discount, it's the exact same thing. When will America wake up to this fact?

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