The Great Community Health Center Scam portion of the ACA Repeal

We have the House version of a repeal bill, such as it is. Why it took some seven years to compile a batch of pre-existing Republican conditions remains a mystery. However, there is a section which calls for the defunding of Planned Parenthood, and the “cover” for so-called ‘moderate’ Republicans is the “community health center” scam.  Gee, the argument goes, we could be funding community health centers instead of providing support for an organization that may provide abortion services.

First, a hat tip to Vox for an excellent summary of Planned Parenthood funding and its sources and uses.  There’s no reason to replicate the argument here when it is well presented elsewhere.  Further, the community health centers are not the answer to PPA services for several reasons.

About two years ago the Republicans distributed a “map” showing some 13,540 clinics which purportedly could perform the medical services provided by Planned Parenthood. Not. So. Fast.

Those who compiled the list did not specify their criteria for a replacement clinic, so most of the clinics listed on the map didn’t have an ob/gyn on staff. Nor did most have the equipment and staff on board to provide reproductive health care services.

Not only were they not staffed and equipped for reproductive health care services many were not set up to take on a massive influx of patients transferred from PPA to the community clinics.  Private clinics would also have to accept Medicaid patients, which many do not because of the reimbursement rate. Mother Jones summarized the situation:

“Additionally, the Congressional Budget Office estimated in a report issued earlier this month that if Planned Parenthood were defunded, as many as 650,000 women “in areas without access to other health care clinics or medical practitioners who serve low-income populations” would lose their reproductive health care. And a survey by the Guttmacher Institute found that women often value specialized family planning clinics such as Planned Parenthood over primary care clinics for reasons such as affordability, increased confidentiality, and a greater range of contraceptive options. Guttmacher also reports that in 103 counties, Planned Parenthood is the only “safety net” family planning service, meaning that a large portion of their patients are either uninsured or reliant on Medicaid.”

Many Republican members of the Congress, Senator Dean Heller included, are relying on the community health care clinic argument to deflect the contention that they are opposing contraception and family planning services.  The community health clinic as a replacement for Planned Parenthood reproductive health care medical services is founded on mischaracterizations of both the actions of PPA and the capacity of the community clinics. It is also a deflection from the real argument about the necessity of family planning services — in short, it is a way to say the individual opposes family planning services without coming right out and saying, “I am opposed to the prescription of contraceptives and other reproductive health care services by Planned Parenthood without having to say I am against Planned Parenthood.”

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Filed under Health Care, health insurance, Heller, Medicaid, Politics, Women's Issues, Womens' Rights

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