Jessica Arons is the Director of the Women's Health & Rights Program at the Center for American Progress.
This is her really thoughtful guest commentary on
The Nation.
----
President Obama's healthcare proposal adopts language on abortion from the Senate health reform bill that requires insurers to segregate public and private premiums and use only private money to pay for abortion services. But Representative Bart Stupak will have none of it, claiming that the legislation still allows public funding of the abortion. In fact, the legislation very clearly prohibits direct government funding of abortion. But Stupak also objects to "indirect" funding, refusing to vote for a reform bill unless it prohibits taxpayer money from "subsidizing" health plans that cover abortion care.
The amendment Stupak sponsored, which is currently part of the House bill, does bar so-called indirect funding. It forbids insurers from selling plans that include abortion coverage to any people who receive help from the government in paying their premiums--a restriction that would apply to approximately 85 percent of customers in the new health insurance exchange and thus virtually eliminate abortion coverage from the exchange.
An analysis of Stupak's opposition to indirect funding, however, reveals implications that go well beyond the fight over abortion.
Money in Stupak's world is "fungible," or interchangeable, meaning whatever money the government gives you frees up private money for you to use on something else. So every dollar the government pays toward your health insurance premium allows you and the insurer to spend private funds in that plan that you might not otherwise have had on abortion. To Stupak, that subsidization is the equivalent of a direct payment.
More:
http://www.thenation.com/doc/20100315/arons