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Copyright 2000 The Courier-Journal  
The Courier-Journal (Louisville, KY.)

February 23, 2000, Wednesday MET/METRO

SECTION: FORUM Pg.10a

LENGTH: 608 words

HEADLINE: READERS' FORUM; BILL TO REQUIRE COVERAGE OF CONTRACEPTIVES

SOURCE: READER

BODY:


'Basic health care'

I am writing in support of House Bill 450 and appreciated your editorial doing the same. This bill would require insurance policies that cover prescription drugs to cover contraceptive drugs and procedures as well. I am dumbfounded that there are those who believe this bill is somehow subversive!

Contraceptive services are part of basic health care, allowing families to both adequately space desired pregnancies and avoid unintended pregnancy. The lack of contraceptive coverage in health insurance plans places many effective forms of contraceptives beyond the financial reach of many women, leading to unintended pregnancies. It is essential for women's health to plan and space pregnancies, unless we are saying that the alternative of 12-15 pregnancies during a woman's lifetime is medically acceptable. And I don't believe we are.

This bill should be a nobrainer, unless once again women's health care is being singled out for exclusion. Eighty-two percent of Preferred Provider Organizations (PPOs), 67 percent of Point of Purchase (POS) networks, and 61 percent of HMOs do not routinely cover the five primary reversible contraceptive methods: oral contraceptives, IUD insertions, diaphragm fitting, Norplant insertion and Depo-Provera injection. Coverage of all five methods is critical to women's health care since not all methods are appropriate for all women.

Please, legislators, is it not time to bring women's health care into the new millennium and join 10 other states so far that have passed similar legislation? I pray you will do so.

Rev. MARY J. KUHNS

Louisville 40223

'Deeply disturbing'

The recent debate in the General Assembly over House Bill 450, which would require medical insurers to cover contraceptives and outpatient birth-control procedures, was deeply disturbing.

The Feb. 9 story reported one faith-based institution's efforts to use its religious beliefs politically to control Kentuckians' access to health care. The institution's lobbyist shaped her argument to suggest that individuals have never before struggled between following their religious principles and buying health care that may include coverage for treatment they find objectionable. Many are aware that this is not a new issue; people have frequently been confronted with reconciling their personal, private values with public obligations.

The debate was disturbing because women's future access to medical care was being threatened by a lobbyist representing not a medical or health care group but a religious organization.

Faith-based institutions should have the right to provide their employees with health insurance policies that do not conflict with their beliefs. However, if this same institution receives federal or state funds or provides medical services to people who do not share the institution's religious beliefs, then it should not be allowed to intervene in efforts to make medical services as convenient and as affordable as possible to everyone, particularly services that could prevent more costly medical procedures.

In the course of passing laws, legislators at times must reach a consensus in their views concerning the separation between religious and state policy. In health-related matters, they should not pass laws that do any of the following: deny access to affordable health care, lead to costly medical procedures, or ignore one's right to participate in her own health care based on consultation with her physician and in accordance with her own values and beliefs. Failing to pass House Bill 450 would do all three.

KATHY KREMER

Louisville 40204

LANGUAGE: English

LOAD-DATE: February 24, 2000




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