Questions for Conservatives About Healthcare Reform

On Sunday evening as I was relaxing after dinner, my gallbladder violently rebelled against the meal (scrambled eggs and sautéed zucchini). This would not be worth writing about, except that, for the first time in my adult life, I don’t have health insurance. When, late last year, Blue Cross and Blue Shield of New Jersey informed me that my $600+ per month individual plan rate would increase to $753 (just for me), I knew I was done. My husband is retired with a work-related medical disability, you see, and we were fast approaching financial insolvency as we awaited the resolution of his decade-old workers’ compensation case. (That’s a story worth telling about the kinds of people who can outlast insurance companies in court, but one for another day.)

As I was doubled over in pain and retching in my bathroom, I begged God for relief so that I wouldn’t have to go to the emergency room and possibly have a surgery that would plunge my family into thousands of dollars worth of debt. I thought about the millions of people who have lived this reality for years and felt ashamed of myself for having been so indifferent to their plight for so long. God answered my prayer eventually, but I woke up Monday morning dry heaving from the taste of bile rising in my throat.

I made an appointment with my primary care physician, hoping he would give me the green light to delay the surgery that had been recommended last year until August, when I’ll be eligible for NJ Protect, a federally subsidized health insurance plan for New Jersey residents who have pre-existing conditions, but who haven’t had health insurance for at least six consecutive months. The doctor did give me the green light to wait, along with dietary and homeopathic recommendations and a prescription in case I have another attack. For this, I paid $100.

Do Economic Conservatives Believe Small Business Owners Will Be a Drain on the Economy?

Before he came into the room, however, I told his nurse that I would need him to fill out a form for NJ Protect affirming that I have a pre-existing condition. She began grilling me about my situation. “Can’t you get a job?” she asked. “I have a job. I’m an independent journalist,” I said. She wanted to know how I get paid. God only knows why I submitted to this inquest, but I told her I have contracts for steady work, but given the state of journalism (especially since fall 2008 when I moved from California back to New Jersey and began job hunting), it doesn’t matter how hard or much I work, I will never be able to afford $753-a-month for health insurance. I didn’t bother telling her about my supplementary work in catering or substitute teaching, and I didn’t tell her that I’d just been tapped for a coveted vocational school teaching job that I had to decline because of the kind of senseless bureaucratic regulations that many, including me, fear “Obamacare” will usher in.

Her rudeness got me thinking though. What is it, I wonder, about my free-market loving friends that makes them willing to suggest, even by default, that entrepreneurs and small business owners like me will be a drain on our national resources or that we have some sort of moral obligation to take corporate jobs in order to be deserving of affordable health care? I’m not speaking of her, of course, but of the plethora of conservative pundits who rail incessantly against the Patient Protection and Affordable Care Act in the name of freedom. I don’t get it. Are they saying I shouldn’t be free to choose the kind of work that best suits me, my God-given temperament, and the needs of my family? Or that if I do, tough luck when I get sick? If it weren’t for the exorbitant cost of health care, I’d be earning enough income right now to meet my family’s modest financial needs. We can even manage the subsidized plan at $369-a-month now that my husband’s case has settled, but that’s a function of the ACA, so they’d like to deny me that.

Do Family Values Conservatives Think Mothers Reentering the Work Force Are Undeserving of Health Care?

On Tuesday, someone asked me what I thought of the Supreme Court ruling on the ACA. I took a deep breath and said I was glad it wasn’t struck down, because I need affordable health insurance sooner rather than later and the ACA is the engine that will give it to me.

I probably would have opposed it a decade ago when my husband was earning a six-figure income in home improvement sales and we were owners of an apartment building in addition to our own home. But then my husband’s back gave out and he spent several years trying to do other kinds of work before he was forced to retire at age 47. He now lives in crippling pain every day and takes care of the house. His medical expenses will be covered for the rest of his life through Medicare, a supplementary plan that we pay for, and workers’ comp. He’s eligible, in part, for these benefits because he worked outside the home and was injured at work, while I mostly stayed home and raised children for 20 years.

So, what I’d also like to know is why the family values crowd thinks it’s okay to abandon women like me, who bought into their message and eschewed careers, but then had to re-enter the workforce because of death, divorce, or disability without the benefit of a strong work history? Is this really how they want to repay us?  You know, the uninsured mothers who serve as teachers’ aides in their children’s classrooms, or bring them their salad at The Cheesecake Factory, or wipe their aging parents’ bottoms so they don’t have to?

Does Pro-Life Concern for Women Only Extend to Their Utility as Symbols for a Cause?

And, what about my fellow pro-lifers? All they seem concerned about when it comes to the ACA is the contraception mandate. Don’t they care about women like me who dropped out of college to have our babies instead of aborting them because we heard and believed their message, but then are forever playing catch up career-wise? Don’t they owe us some level of fidelity for living out what they merely preach? Or did we only matter to them when our stories affirmed their cost-free convictions?

These are serious questions, not accusations. A freedom-loving, family values, pro-life writer is asking them.

Now, I understand that one reason an individual health insurance plan is so expensive in New Jersey is because insurers here are not permitted to discriminate against people with pre-existing conditions and insuring everybody drives up costs. But, I thank God New Jersey is ahead of the curve in this regard. In California, I could not purchase insurance for my son after he was routinely kicked off our family plan as a young adult and then diagnosed with a debilitating, uninsurable condition.

He eventually got well with the help of a generous doctor who treated him on the cheap and a county health service that he still uses because so few specialists take his lousy $190-a-month individual plan. You see, he works for a non-profit organization as a warehouse supervisor, but like many employers, his employer hires most of its workforce for just under the number of hours at which employer-delivered health insurance is mandatory. I know what “government” care looks like and it isn’t pretty, but it’s something and I thank God for it.

I frequently hear insured people say that if the ACA survives, it will mean they won’t have access to timely medical care. This tells me they not only believe they have a right to health care, but that they have a right to the prompt delivery thereof. And yet, they don’t seem to think people like me and my son have any right to it at all. Well, I disagree with them. I need heathcare reform and I think I deserve it, not from “the government,” but from the society that my family and I have contributed to and served for most of our lives. I’m not saying Obamacare is the answer. I’m only saying that we need to solve this problem and the uncaring rhetoric of my conservative friends is speaking so loudly that I’m finding it difficult to hear anything else they’re saying about healthcare reform.

*Please note: an editorial change has been made to this article.

Reclaiming Patriotism

What is patriotism? Who loves America?

On the 4th of July, millions of patriots will wave the flag and declare that they love USA. But which USA? Sometimes it seems we love a country that never existed, and despise the country we actually have. Do we really mean “God bless America”? Or just God bless myself?

The reality is we do a poor job of loving most of America.  We love the declaration of independence, but continue to live as though much of it is a lie. We do not believe we are all “created equal,” but instead that some of us are just plain lazy, stupid, ill-fit, and unworthy. We value ‘life, liberty, and the pursuit of happiness’ but deny it to the 49 million Americans living below the poverty line.

We rally around the Constitution but ignore its very first sentence, “We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility.” Have we forgotten this founding mission, even as we make false idols of our founders?

We fight to keep the Pledge of Allegiance intact at our schools, but ignore the words “and justice for all” — we like to pretend that it just says “with liberty.” We behave as though “liberty” and ‘justice’ are opposing forces, forgetting that they have always been, and must remain, inextricable allies. We pride ourselves on our freedom, while maintaining the highest incarceration rate in the world (we hold some 25% of the world’s prisoners in our cells).

We wear t-shirts with the Statue of Liberty, but bare our teeth at the immigrants she was erected to welcome. We love her flame held high, but spit at the plaque at her base: “Give me your tired, your poor/Your huddled masses yearning to breathe free.” But given our history, you cannot be a patriot of this country and a bigot toward our immigrants at the same time.

We declare “support our troops!”  But if you “support our troops” that means you must support our young, our poor, our people of color — the populations that are fighting our wars. Yet we claim we support our troops while maintaining the systems of injustice that oppress the soldiers fighting on our behalf.

If you “support our troops,” it means you keep their streets at home just as safe as they have kept the streets abroad. It means you give them access to the homes and jobs that they have kept secure. It means you provide the healthcare that keeps their families healthy. It means if they are legal to fight, they are legal to attend school, and that you admit them into your colleges.

We wage war against those that killed some 3,000 on September 11th, but turn a blind eye to the 245,000 poverty-related deaths that occur every year. Is our reaction different because of the identity of the victims, or that of the aggressors?

You say you are afraid of those that want to destroy our country. But so am I. I love America. So much so that I will not stand for the bigots, the oppressors, and the fear mongers who try to destroy it. We need to understand that our ‘American values’ are meaningless if they apply only to the privileged. We need to make clear everything that is anti-American about hate.

We need to reframe what it means to love America and who gets to be the patriots. It is patriotic to care for our neighbors. It is patriotic to educate our children, feed our hungry, and clothe our naked. We need to reclaim patriotism for all Americans.

This commentary originally appeared at By Their Strange Fruit. It is reposted here by permission.

Serious Summer Reads

From prisoners’ rights to lynching to Black women’s identity, the summer presents a unique opportunity for us all to engage in academic works that provide fresh perspectives on the world we live in. Scholars from a myriad of disciplines, investigating Black life in America, can aid us as we seek to strengthen our presence in communities addressing social needs. So here, from our friends at Urban Cusp, are just a few books that will enrich your mind and soul this summer:

THE CLASSROOM AND THE CELL: CONVERSATIONS OF BLACK LIFE IN AMERICA BY MUMIA ABU-JAMAL AND MARC LAMONT HILL

In what will possibly be remembered as one of the greatest contributions to the study of African American life, political prisoner Mumia Abu-Jamal and Columbia professor Marc Lamont Hill offer readers access to dynamic conversations and insight. From topics ranging from Hip-Hop to politics to love and relationships, these two men, living two different realities, give others a chance to hear from themselves what it means to navigate as Black men in today’s society.

THE CROSS AND THE LYNCHING TREE BY JAMES CONE

Possibly the most necessary voice in Black Liberation Theology formation, James Cone’s latest offering examines the parallel between the crucifixion of Jesus and the lynching of African Americans. Cone also analyzes why this connection has largely been ignored and the theological implications. The Cross and the Lynching Tree, if read as a collaborative exercise between Black and White congregations, could spark dialogue leading to true healing and reconciliation.

THAT’S THE JOINT!: THE HIP HOP STUDIES READER EDITED BY MURRAY FORMAN AND MARK ANTHONY NEAL

Many Black congregations have regarded hip-hop culture, for years, as “the devil’s playground.” That ideology has perpetuated the disconnect between younger and older generations of African-Americans. In That’s the Joint!, many of today’s leading intellectuals engage in Hip-Hop scholarship discussing its history, global impact, social activism and identity politics. This reader will be essential to any leader interested in understanding the full context of a culture often misunderstood.

REWEAVING THE FABRIC: HOW CONGREGATIONS AND COMMUNITIES CAN COME TOGETHER TO BUILD THEIR NEIGHBORHOODS BY RONALD NORED

Written by the late Rev. Ronald Nored, Reweaving the Fabric tells how one church in Birmingham, Alabama worked to regain the trust of their community and collaborated with them to completely revitalize the neighborhood. Complete with step-by-step procedures, surveys and substantive advice, Reweaving the Fabric is necessary for any congregation seeking to collaborate with their community for social change but needs help envisioning what it looks like.

THE RICH AND THE REST OF US: A POVERTY MANIFESTO BY TAVIS SMILEY AND CORNEL WEST

Using current statistics and stories from their national poverty tour, Smiley and West paint a portrait of poverty in America and provide 12 suggestions for what can be done to eradicate it. The Rich and the Rest of Us can help churches understand the economic challenges their members and surrounding communities face and steer them in a direction of shaping ministry initiatives to meet pressing needs.

ROOTED IN THE EARTH: RECLAIMING AFRICAN-AMERICAN ENVIRONMENTAL HERITAGE BY DIANNE D. GLAVE

Glave, in Rooted in the Earth, traces the historical and adverse relationship between African-Americans and nature, from crossing oceans during the transatlantic slave trade to lynchings from southern trees. Glave works to define the role Black communities can play in sustainable development initiatives. An area where many African-American congregations have been silent, Rooted in the Earth enables Black churches to find their voice in environmental justice and conservation efforts.

SISTER CITIZEN: SHAME, STEREOTYPES AND BLACK WOMEN IN AMERICA BY MELISSA HARRIS-PERRY

Through varied analyses, Harris-Perry traces some of the most prevailing stereotypes of African-American women and examines how these stereotypes impact their political engagement. Central to the book’s thesis is the notion of misrecognition, including how Black women misrecognize themselves. As an organization comprised of 85% women, Sister Citizen offers Black congregations an opportunity to speak openly and honestly about issues affecting women.

STREETS OF GLORY: CHURCH AND COMMUNITY IN A BLACK URBAN NEIGHBORHOOD BY OMAR MCROBERTS

In this work, McRoberts analyzes the religious ecology in one of the roughest neighborhoods in Boston, Massachusetts. He finds that 29 churches are within this one community and they are mostly run and attended by people who don’t live there but commute in for worship. With these characteristics, congregations are less likely to make strong connections with the community and participate in its social change. Streets of Glory is vital for leaders with congregations similar to those researched and helps those churches gain insight on how to build sustaining community relationships.

Are there any books that you’ve read from this list that you have thoughts on? What books would you add to this list? Let us know below.

 This post originally appeared at UrbanCusp.com. It is reprinted here by permission.

Court Strikes Mandatory Life Without Parole Sentences for Juveniles

There’s been a plethora of legal news here at UrbanFaith in the last week, what with the U.S. Supreme Court ruling on the Patient Protection and Affordable Care Act and Arizona’s Controversial immigration law, and a federal judge issuing a permanent injunction in the ongoing New York City public school worship ban battle. Neglected among these stories was another U.S. Supreme Court decision issued last Monday (June 25) that ends mandatory life without the possibility of parole sentences for juvenile offenders.

The court ruled that laws requiring youths convicted of murder to be sentenced to die in prison violate the Eighth Amendment’s ban on cruel and unusual punishment,” The New York Times reported.  In her majority opinion, Justice Elena Kagan referred to two earlier death penalty cases that limited penalties for juvenile offenders, according to The Times. In Roper v. Simmons (2005), the Court eliminated the juvenile death penalty and in Graham v. Florida (2010), it ruled that life without the possibility of parole was unconstitutional except in the case of a murder conviction.

“The decision was based on the consolidated cases of Kuntrell Jackson and Evan Miller, who were both given life-in-prison sentences with no chance of parole for their involvement in homicides when they were 14 years old. In essence the majority argued that children are not adults corrupted beyond redemption, but unformed people with the capacity to change and grow,” The Root reported. “The ruling does not automatically free any of the estimated 2,000 prisoners serving life sentences for crimes committed as juveniles (60 percent of whom are black); nor does it forbid such life terms for youths convicted of homicide,” the article said. “Rather, sentencing judges must first take into account the offender’s age, the nature of the crime and other mitigating factors.” The article also includes an interview with Bryan Stevenson, the executive director of the Equal Justice Initiative, who represented Jackson and Miller before the Supreme Court.

The ruling doesn’t bar sentences of life without the possibility of parole, The Christian Science Monitor reported in an editorial, but “judges and juries must first assess a minor’s capacity for reform” because, the court reasoned, “only a small percentage of adolescents develop entrenched patterns of problem behavior.”

“The court insists that these new theories about a child’s emotional and moral states reflect ‘the evolving standards of decency that mark the progress of a maturing society,'” the editorial said. In the paper’s view, “this materialist view of character development … relies too simply on the latest interpretations of brain science, which can create a sharp line of age in judging a person’s willingness to change.” The Monitor agreed with dissenting Chief Justice John Roberts, who it said, “chided” the majority “for not regarding those over 16 or 18 years old as also capable of rehabilitation.” Roberts was joined in his dissent by Justices Antonin Scalia, Clarence Thomas and Samuel A. Alito Jr.

The two cases under consideration were originally tried in Alabama and Arkansas, The Birmingham News reported. “Most” of its commenters think the Supreme Court got this decision wrong. A writer using the alias MOP, for example, wrote, “I don’t think I’m in the minority when I say I don’t want to see somebody who murdered anybody in cold blood set free. … I believe people can change, but anybody who takes the life of a helpless person would have to go a long way to convince me that they could be a good law-abiding citizen.”

Likewise, the families of Miller’s and Jackson’s victims told told The Daily Beast that they dread having to provide victim statements at new sentencing hearings. In Miller’s case, the Court cited his highly “pathological background” in its decision, the article said, but his victim’s daughter reportedly said, “Just because you have a bad childhood doesn’t give you an excuse to commit cold-blooded murder.” “We thought it was all behind us and done where you could move on,” the mother of the victim in Jackson’s case reportedly said. “Now it’s all being relived again.” Jackson was an accomplice in that murder.

The American Academy of Child and Adolescent Psychiatry took the opposite position in a brief it filed in the case. In a press release supporting the Court’s decision, AACAP said, “Recent research has also demonstrated that the brain continues to change and develop throughout the teen years and into early adulthood. As a result, adolescents are more likely to respond impulsively, utilizing a more primitive part of their brain. Additionally, the deterrent value of life without parole has yet to be demonstrated. It is particularly unlikely to deter adolescents from crime, as they tend to live in the present, think of themselves as invincible, and have difficulty contemplating the long-term consequences of their behavior.”

Already a 56-year-old Philadelphia man who has been in jail since 1975 for a murder he committed as a teenager has asked to be released in light of the ruling, the Associated Press reported today. “Pennsylvania prisons have nearly a quarter of the nation’s approximately 2,100 teen lifers because state sentencing laws give judges only two options for anyone convicted of first-degree murder: a death sentence or life in prison without parole. Also, Pennsylvania juveniles of any age can be tried as adults,” the article said.

What do you think?

Did the Supreme Court get this ruling right, or is juvenile brutality a good enough predictor of future action to justify life in prison without the possibility of parole for juvenile offenders?

Evicted NYC Churches Win Again

More than 60 New York City churches that have been fighting for the right to continue worshiping in the city’s public schools were granted another reprieve Friday (June 29). Judge Loretta A.  Preska, of the U.S. District Court for the Southern District of New York, issued a permanent injunction against the city’s Board of Education and the school district that initially barred the Bronx Household of Faith from holding worship services in one of its public schools.

Preska reiterated her opinion from February, when she issued a preliminary injunction against the city. She said again that its policy violates the First Amendment because it requires excessive entanglement with religion. She also repeated her previous assertion that allowing worship in public schools does not violate the Establishment Clause of the First Amendment.

Yes to Excessive Entanglement

In making this argument, Preska referred to an email exchange that took place between a BOE official and Marilyn N. Cole, an elder at Unbroken Chain Church. Cole had inquired as to whether or not midweek prayer meetings and Bible study would be allowed in the public school where her church meets. The official replied that “Bible study would be ok, but not prayer meetings.” This response reaffirmed Preska’s conclusion that “the Board has evidenced a willingness to decide for itself which religious practices rise to the level of worship services and which do not, thereby causing the government’s entanglement with religion to become excessive.” She reasoned that the BOE and the school district “are not immune from excessive entanglement once they begin to verify the qualitative nature of specific religious practices.”

No to Establishment of Religion

On the Establishment issue, Preska said the city’s argument that the Bronx Household of Faith could meet elsewhere is “stale.” She debunked its reasoning that “the free exercise of religion means, first and foremost, the right to believe and profess whatever religious doctrine one desires.” Instead, citing the U.S. Supreme Court’s 2011 ruling in the Hosanna-Tabor case, she said the Free Exercise Clause “also bans government interference with religious ‘outward physical acts,’ such as the conduct of worship services at issue in this case.”  She argued that “given the uniquely expensive and crowded real estate market in which the [Bronx Household of Faith] resides, eviction from the Board’s schools would amount to a concrete loss of religious freedom.”

Framers’ Allowed Worship in Public Buildings

Preska also said the city’s Establishment concern is “contradicted by history.” She quoted from a Becket Fund brief that was filed in the case to argue that “history suggests that the Framers would not have given much credence to [the city’s] purported Establishment Clause concern.” The Becket Fund quote said Presidents Washington and Jefferson allowed religious groups to conduct worship services in U.S. Capital buildings, including the U.S. Supreme Court chamber, “as early as 1795.”

Most NYC Permits Go to Non-Religious Groups

The Bronx Household of Faith’s battle with the city began in 1995. Since then, the church has moved locations five times because of growth and is currently constructing its own building, Preska stated. It has been in its current location since 2002 and has 90 members, including 30 children, she said. She also said the city received 122,874 permit applications for public school use in 2011 and that nearly 95 percent of permits issued went to community-based organizations that do not engage in religious activity. Of the 23 religious organizations that were meeting in public schools in 2005, only seven were still doing so in 2011, she said. The city is expected to appeal her decision.

UrbanFaith Reporting Highlights

UrbanFaith has been following this story since last summer when we spoke to the Rev. Sam Andreades, pastor of The Village Church in Greenwich Village. His church was highlighted in a New York Times op-ed as the kind of group that shouldn’t be meeting in the city’s public schools because of its affiliation with Exodus International, a ministry to homosexuals and their families. We later interviewed Katherine Stewart, the author of that op-ed, and have reported on protests against the city’s policy and new court rulings as they have emerged. We last reported on a June protest organized by two pastors outside the home of New York State Assembly Speaker Sheldon Silver. The pastors accused Silver of refusing to bring a bill that would allow worship in public schools to the House floor for a vote.

What do you think?

Does this story have wider religious freedom implications?

‘Obamacare’ Prevails: Supreme Court Upholds Healthcare Law

In a 5-4 vote, the U.S. Supreme Court upheld the Patient Protection and Affordable Care Act today, including the controversial individual mandate that requires all Americans to buy health insurance beginning in 2014. However, the ruling limited the federal government’s power to punish states for not expanding Medicaid coverage, as the ACA required.

“The Court did not sustain it as a command for Americans to buy insurance, but as a tax if they don’t. That is the way Chief Justice John G. Roberts, Jr., was willing to vote for it, and his view prevailed. The other Justices split 4-4, with four wanting to uphold it as a mandate, and four opposed to it in any form,” Lyle Denniston, the 81-year-old reporter, wrote on SCOTUS blog today.

The immediate sense is that this is a major victory for President Barack Obama and the signature legislation from his first term in office. “Whatever the politics,” the president said after the ruling, “today’s decision was a victory for people all over this country whose lives will be more secure because of this law and the Supreme Court’s decision to uphold it.”

But the decision also was an indication that the Supreme Court perhaps isn’t as predictably partisan as many believed prior to the announcement. Breaking with the court’s other conservative justices, Chief Justice Roberts announced the judgment that allows the law to go forward with its mission of covering more than 30 million uninsured Americans. Many observers speculate that Roberts’s ruling reflected his attempt to avoid going down in history as an activist chief justice on what might be the most important decision of his tenure.

UrbanFaith spoke to a variety of legal and medical experts about what the implications of today’s decision may be.

BERNARD JAMES: “An extraordinarily important substantive issue about the power of Congress under the Commerce Clause.”

Bernard James, professor of law at Pepperdine University in Malibu, California, along with three other sources UrbanFaith talked to earlier this week, expected the individual mandate to be struck down, but said the ruling has the potential to answer “an extraordinarily important substantive issue about the power of Congress under the Commerce Clause.”

The Commerce Clause refers to Article 1, Section 8, Clause 3 of the U.S. Constitution. It gives Congress the power to regulate commerce with foreign nations and among the states.

“Once it’s clear what the Commerce Clause permits and what it requires, not just health care, but all other subjects on the current agenda for this Congress will be more easily pondered and legislated,” said James.

“There were not five votes to uphold [the individual mandate] on the ground that Congress could use its power to regulate commerce between the states to require everyone to buy health insurance. However, five Justices agreed that the penalty that someone must pay if he refuses to buy insurance is a kind of tax that Congress can impose using its taxing power,” editor Amy Howe wrote on the SCOTUS blog. “Because the mandate survives, the Court did not need to decide what other parts of the statute were constitutional, except for a provision that required states to comply with new eligibility requirements for Medicaid or risk losing their funding. On that question, the Court held that the provision is constitutional as long as states would only lose,” she wrote in her summary of the ruling.

JAMES A. DAVIDS: “This is like federalism on steroids.”

James A. Davids, former president of the Christian Legal Society and a joint professor at the Robertson School of Government and the School of Law at Regent University in Virginia Beach, Virginia, said that ever since the New Deal was implemented in the 1930s, the Supreme Court has viewed federal power “expansively.” That vision of federal power was “tweaked” under the Renquist court, Davids said, in its rulings on two bills, the Violence Against Women Act of 1994 and the Gun-Free School Zones Act of 1990. As with today’s ruling, the court said then that there may be good reasons to enact these laws, but not under the Commerce Clause. “There were exceptions going into the power of the government under the Renquist court, under federalism issues, and this is like federalism on steroids,” said Davids.

Davids also said the Rehnquist court ruled that it was constitutional for the federal government to withhold highway funding from South Dakota when the state refused to comply with the National Minimum Drinking Age Act. In this case, the Court said current Medicaid funding cannot be revoked, but new funding can be withheld.

“Nothing in our opinion precludes Congress from offering funds under the ACA to expand the availability of health care, and requiring that states accepting such funds comply with the conditions on their use. What Congress is not free to do is to penalize States that choose not to participate in that new program by taking away their existing Medicaid funding,” Chief Justice Roberts wrote in his opinion. Roberts, who was appointed by President George W. Bush, cast the deciding vote to uphold the ACA.

DR. BEN CARSON:“We got what could be expected” from politicians.

For Dr. Ben Carson, the world-famous neurosurgeon and director of pediatric neurosurgery at Johns Hopkins Children’s Center in Baltimore, Maryland, the outcome of today’s decision doesn’t change much. “The impetus behind the bill was the fact that we had these escalating costs and people who weren’t adequately covered … even though we spend twice as much per capita on healthcare as anybody else in the world,” said Carson.

He supports the concept of health-care reform, but doesn’t think the ACA was done right and compared the effort to hiring pundits to rebuild a bridge instead of hiring structural engineers. “It was done by politicians and special interest groups as opposed to by people who actually know what the problem is and know how to deal with it,” said Carson. “We got what could be expected in that situation.”

Escalating beaurocracy and a lack of comprehensive electronic medical records make the practice of medicine more difficult than it once was, Carson said. In his new book, America the Beautiful: Rediscovering What Made This Nation Great, he includes a chapter on health-care reform. He suggests using “health stamps” to incentivize the uninsured to use  clinics rather than emergency rooms for their primary care. This would lead not only to cost savings, but to better care for patients with chronic illnesses, Carson said.

He also advocates Tort reform to rein in the costs of medical malpractice suits. “We’re the country in the world that has the biggest problem with that. Is it because we have the worst doctors? Of course not. It’s because of special interest groups. The Trial Lawyers Association. We will not deal with them. Every time it has come up before Congress, the House has passed it, but the Senate will not vote on it, because there are some filibustering senators who are in the hip pocket of the Trial Lawyers Association,” said Carson.

Finally, Carson said we have to come to grips with the fact that insurers make money by denying people care. “That’s a basic inherent conflict of interest. We have to find a way to deal with that,” he said.

TONY MEGGS: “We’re grateful that congress, both left and right, saw healthcare sharing ministries like ours … as being part of the solution.”

Some Christians, especially the self-employed and small business workers, are participating in medical cost sharing ministries like Medi-Share because they can’t afford the high cost of individual health insurance plans. Today’s ruling won’t have a direct impact on them, said Tony Meggs, the president and CEO of Medi-Share’s parent organization, Christian Care Ministry.

As part of an alliance of three cost sharing organizations, Medi-Share lobbied for and won an exemption from the individual mandate for its members. “We’re grateful that Congress, both left and right, saw healthcare sharing ministries like ours and the other two ministries as being part of the solution,” said Meggs.

His organization’s 19-year history of paying every eligible bill (approaching $700 million to date) and its focus on wellness and preventative care helped convince legislators that cost-sharing ministry members deserved an exemption, he said.

“They understand that they need to bend the cost curve in some way in getting people to make better choices in terms of how they live their lives. From a diet and exercise perspective, those are things that Congress was interested in, and so I think it was a combination of [that and] the fact that we’ve been here for a long time. This is how we help people. It’s credible. We’re not scamming people,” said Meggs.

Medi-Share’s steady growth “accelerated” after the ACA was enacted, Meggs said, and he expects that growth to continue because he says there is about a 40 percent cost difference between an individual health insurance plan and a monthly Medi-Share contribution.

There are differences, however. Medi-Share participants must sign a statement of faith and agree not to abuse drugs or alcohol or engage in extra-marital sex, Meggs said. Medical problems resulting from violations of these agreements are not generally “shared,” nor are mental health problems or some pre-existing conditions. Additionally, insurance companies are contractually obligated to pay for eligible services, but “sharing” medical expenses is voluntary for Medi-Share members. “There’s no guarantee. There’s no contract. Our program is strictly voluntary, but what I can tell you is that over a 19 year history, a 100 percent of every eligible bill that we’ve ever published has been shared,” said Meggs

What about you?

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