Showing posts with label supreme court. Show all posts
Showing posts with label supreme court. Show all posts

Friday, July 4, 2014

Hobby Lobby ruling and contraception

Considering the Court's makeup, it was expected. It won't help the GOP win over more young women. I guess corporations continue to enjoy most individual rights but avoid many of the responsibilities/punishments.

"Approving some religious claims while deeming others unworthy of accommodation could be 'perceived as favoring one religion over another,' the very 'risk the [Constitution's] Establishment Clause was designed to preclude."

-Ginsburg dissenting opinion

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I suppose it's not surprising, but it still sucks. Ginsburg wrote a great dissent though, for whatever that's worth. 

What's funny about the ruling is that the prevailing opinion seems to want to restrict the ruling, by applying it only to "closely-held corporations with strong religious beliefs" but that can still apply to a significant number of companies with numerous employees. For example, the Mars corporation would qualify, especially because there is no test to be administered for "strong religious beliefs" so any company can essentially claim they have those. The funny bit (to me anyway) is that I get the impression that they thought there were being restrained in their conservatism with this ruling. As if they were saying "no no it's not all corporations who can deny you birth control coverage, just these certain ones!"

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I get his once we assume their freedom if religion was infringed RFRA says the gov must attempt to accommodate.

But how is the offer of health insurance that includes birth control legally distinguished from a paycheck that pays for an abortion?  Aren't both compensation which are offered at the discretion of the employer? 

I think I saw it mentioned somewhere that hobby lobby covered birth control etc prior to the aca apparently without issue.

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I actually had the same thought about their paychecks. Ginsburg had a great line about how if it's against someone's religion then I guess they don't have to follow any laws they don't want to.

Which pulls out some of Ginsburg's greatest hits on this ruling.

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Thx for the comments and links, guys. Yeah as you said, the majority opinion claimed that they were being really restrictive as to which org's this ruling could apply to, but really the language was anything but. NPR estimates that 90% of businesses are "closely held" (employing >50% of our workforce),  as in 5 or fewer individuals own more than half the firm value (IRS definition). Maybe this is an example why political appointees/Beltway lifers without much experience in the "real world" may not be the best candidates for a lifetime SC appointment where US society is literally at their mercy. And the ACA already exempted religious nonprofits and small businesses from covering contraception, so that is millions more Americans.




http://ocsotc.org/


In school I worked on a business case (similar to the link above) advocating that oral contraception should be available over-the-counter. It's really a no-brainer, and that's how it works in Catholic Mexico and other nations. This has been discussed for years, but the understaffed and political football FDA has yet to act. "Plan B" (the morning-after pill) is available no-questions-asked after a pharmacist consultation, but it's more expensive and doesn't reduce menstrual symptoms (also I believe there is some controversy as to what age range it is available to). Now, women can only get the pill after a yearly or quarterly visit to their OB-GYN, and awkward pelvic exams are often mandated prior to giving out an Rx. This is obviously time consuming and expensive, esp. if the patient doesn't have coverage.




Sure, I can imagine that drug companies may lose $ if the pill goes OTC and is subject to generic competition and market price pressures (like most other products!), and I guess OB-GYNs may stand to lose business too (some legitimately care and it's their medical opinion that regular exams are the best thing for their patients - so they need to link it to the pill Rx in order to get women to comply). But most major health org's worldwide say the OTC pill is an overwhelming improvement with very little downside (except for right wing Christian ire I suppose). And we are just talking about decades-old, well-validated, super-safe, cheap basic hormone pills. The fancy next-gen stuff can still be Rx for consumers who want it. Unintended pregnancies and menstrual symptoms are a huge cost on societies, and disproportionately affect women. So is that the problem - women have most of the responsibility and incur the suffering, but the men are writing the laws and enjoying the pleasure of sex without the consequences? Since there is practically zero medical/sociological/economic evidence to support the restriction of contraceptives, I can only assume that this is another manifestation of the "war on women". Conservatives claim to love freedom and liberty, but have this fixation to try to control female behavior. It's really bizarre. Maybe we can take them at their word and it's all about religious values and "morality". If so, then why don't they pony up and pay more taxes to help all the unintended mothers raise those kids? The US is probably the most hostile developed economy for working mothers - so how about changing those laws and norms first, and then you can restrict contraception coverage as much as you want.  


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For the 4th, here is a disturbing story that hasn't got much coverage: the US accepts non-citizens into its Armed Forces (often with the "promise" of citizenship at honorable discharge), but if those vets are caught in a crime (even a petty one like DUI or financial fraud) - the laws of the land require automatic deportation. Maybe deportation is justified for some crimes, but there has to be exceptions or at least a review process for non-citizen vets who served faithfully for years and got caught in one mistake. It's like the penal system in general - how can we claim to be civilized people, yet we judge and label criminals by the worst moment of their lives? Someone could be a productive worker and loving parent, son, brother, and neighbor for 99% of his life, but once they are in prison, they are henceforth known as "robber" or "drug user".

https://www.youtube.com/watch?v=N6rjCvgRkq0

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And lastly, on the lighter side of things, the Daily Show mocks bourgeois liberals for their stupidity/narrow-mindedness too!

http://www.huffingtonpost.com/2014/06/13/google-glass-daily-show_n_5491565.html
 

Thursday, June 28, 2012

Health care Court decision

http://www.npr.org/blogs/health/2012/06/18/155269171/supreme-court-upholds-care-health-law-rules-mandate-is-a-tax
http://www.kqed.org/a/forum/R201206280900

I think the health care economics effects of this legislation are still too opaque to comment on (plus I am fairly ignorant), but in terms of effects on the campaign, it should get interesting. Obviously it's a win for the Dems, but it may become a rallying cry for the GOP. Though if you look at things logically, I don't think this legislation should be the prominent conservative issue that it is (and why is it so unpopular and getting more so? misinformation?). I guess the right doesn't really have much else to work with besides the economy, though. The candidate the GOP chose is obviously not in a great strategic position to advocate Obamacare repeal. But really, I don't think true conservatives should so dislike this health care reform. It's far from perfect (and we all had plenty of debates together 2 years ago), but look at the underlying principles:

- Conservatives don't like "free riders" right? Insurance only works by spreading out risk, especially if they are now not legally able to price discriminate (or reject) based on customer traits (which most of us feel is ethical - shouldn't pregnant women be the first to be covered and not blacklisted?). It won't work if the healthy and young skip out on health insurance premiums, leaving only the older and sicker (and gov't) to pay - another manifestation of the generational conflict? And then when the uninsured need care, they often burden the system by using emergency services and may not pay full cost. The sick don't get off Scot free either, since they will still pay more into the system in the form of copays.

- Conservatives feel that the Constitution is their 2nd Bible, right? The conservative-leaning High Court ruled that most of the Affordable Care Act is constitutional, with the Chief Justice siding with liberals and writing the majority opinion (so it's not like the liberal justices hijacked the ruling - they can't anyway). They keep accusing the Dems of trampling on the Constitution, but what about now? And no one questions Roberts' conservative chops. He said that the Court's job is to decide whether Congress acted within its powers, not judge the merits of what the bill would do. So if the GOP don't like it, write a better reform. But now if they want to repeal Obamacare 100%, they're going to piss off people who think it's not right that the current insurance market excludes pregnant women and unemployed adult students.

- This Act doesn't force anyone or "take away" any freedoms (the "mandate" was kind of a misnomer). Americans still have a choice whether to buy coverage or not. They just have to fork over a small (~$300/year) fine/tax to pay for the social cost of their decision. Those funds will be used to make health care more affordable to the needy, which benefits everyone. The young and healthy may take that choice anyway, since the cheapest individual health plans they could get would run $1-2K/year, until the health exchanges maybe become efficient some day. Employer health care will be preserved, and customers may even get rebates. This is no different than other laws: I can have a non-neutered dog if I want, but I just have to pay a higher registration fee due to the risk I am imposing on my community.

But the problem is the anti-Obama crowd doesn't care about these facts. Everything he does is automatically evil and un-American, so he has to be stopped. They want to go back to 2008 (minus the recession I hope). So how to convince them that this really won't be as bad as they fear (and were taught to fear by the right wing media)? But by all means, if they have better ideas on how to reduce our health care expenditures (which is the highest % of GDP in the world, and in terms of raw dollars, and growing much faster than inflation) and make it more available, we're all ears.

PS - I think it's funny that Romney and Obama probably both had 2 versions of speeches (or more) prepared for today

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http://www.cbsnews.com/8301-3460_162-57464549/roberts-switched-views-to-uphold-health-care-law/?tag=contentMain;contentBody
http://news.yahoo.com/roberts-switch-health-care-signals-leaky-supreme-court-195755275.html

There's quite a bit of chatter on the possibly clerk-leaked revelation that Roberts changed his mind mid-course on the health care reform decision. If true, this would be an unprecedented breach of confidentiality and a major betrayal in Court history (especially considering that the leak came just 4 days after the Court revealed its decision). I guess some conservative circles (and maybe even Roberts' right-leaning peers) viewed his act as betrayal as well, but does that justify this significant breach of decorum? Like the Wikileaks fiasco with the State Dept, I think this leak will only serve to erode trust and collaboration on the Court, and ultimately hurt our ability to govern. I think people are allowed to change their mind sometime, especially when confronted with new evidence and arguments. People don't have to vote along party lines all the time, otherwise why not just have the parties rule the nation? And even within each party, there is quite a diversity of opinions (maybe begging the question: why not have more parties like the rest of the developed world?).

The right chastised Obama for supposedly deliberately leaking details of his anti-terrorism decisions to shore up his defense chops, but where is the outrage over this SCOTUS leak? But getting back to the Roberts court, this leak is another public example of the right's disrespect and intolerance (Barton yelling "You lie!", ludicrous birther/Muslim accusations, etc.). I know the right feels that "gov. is the problem", but I thought they also believed in the sanctity of the Constitution, respect for American traditions, US exceptionalism, etc.? Begging your pardon, but they're acting more like trailer trash Republicans than Lincoln or TR Republicans. Though I wonder where Roberts goes from here. Will his future decisions be more conservative in order to get out of Scalia's doghouse? Or will he be so offended by this act that it will push him more centrist or liberal? I am not sure what cases await them in the next Court session, but it should be interesting. Though I think the SCOTUS is one of those institutions that does a good job if it seems "boring" and stays out of the headlines. It would be a real tragedy if this controversy becomes new precedent, and the already over-politicized Court becomes more so in the future. 

Tuesday, April 26, 2011

A pharma marketing tactic you probably didn't know about

http://www.npr.org/2011/04/26/135703500/supreme-court-weighs-whether-to-limit-data-mining

Apparently the Supreme Court is hearing a case about using physicians' Rx habits to target drug marketing efforts. Retail pharmacies are legally required to keep records of every Rx filled, and then they turn around and sell that info to data mining firms, who in turn sell it to pharmas. This helps pharma sales forces see which doctors need the most persuasion and which products are the biggest threats to theirs. Of course patient info is confidential, but doctor Rx habits are fair game, even if it is very upsetting to some. So recently Vermont outlawed this practice (unless the doctor gives consent), though a pharma trade group sued on First Amendment free access to info grounds, and the case has reached the high court.

Depending on how the case plays out, there could be implications for all the other data mining industries out there (Google, Facebook, etc.).