National Catholic Register | March 5-11 2006
Mike O'Dea
has spent the past two decades working to restore conscience to health care.
He founded Detroit-based
Christus Medicus
Foundation, devoted to restoring Christ-centered values to health care,
and the insurance company
ValuSure Corp.,
which offers faith-based health insurance.
Married with seven children, O'Dea, 62, is working with an interdenominational
coalition in Washington, D.C., to reform American health care.
Register correspondent Valerie Schmalz spoke with O'Dea about some of the most
dangerous problems in health care today.
Can my child have an abortion, receive
contraception, be sterilized or treated for anything else without my knowledge?
Is there a difference depending on the state where I live?
All states allow surgical abortion for any reason to be provided children of
any age without parental consent. Even in those states with parental consent or
notification laws, where a judicial bypass is required by the U.S. Supreme
Court for all state parental consent or parental notification laws, most judges
will approve the bypass. Whether or not a parent will be notified depends on
whether parental notification laws are in effect. At last count, they were in
effect in a little more than 30 states.
Contraception is available to children of any age in all 50 states, without
parental consent. Contraception includes all FDA-approved chemicals (e.g., the
"morning-after" pill), and intrauterine devices (IUDs) that induce abortion.
Contraception also includes diaphragms, Norplant and injectable contraceptive
drugs (such as Depo-Provera).
In states that have mandated contraception in health plans that provide
prescription coverage, RU-486 is considered an FDA-approved drug and could be
given to children without parental consent. Contraceptive drugs and devices
that are available to adults in health plans are also available to children at
any age without parental consent. Sterilization is an area that needs to be
investigated state by state.
It is not a requirement of the federal government or most states that abortion,
contraception and sterilization - for any reason - be covered by insurance of
any kind.
What about private health insurance, paid by a
company or an HMO, or insurance bought by an individual? Would a parent know if
one of his or her children was receiving insured services such as abortion,
contraception of sterilization?
Yes, they could receive contraception in most plans, and no, a parent would not
be informed. In the case of abortion, it depends on the state parental
notification laws or lack of them.
If you are in an HMO or traditional health plan in the private sector, most
likely you are paying for abortion and contraception for children. The reason
most people do not know that abortion for children is covered in their health
plan is because either they have not asked or they have been told their
insurance plan does not pay for "elective," "voluntary" or "medically
unnecessary" abortion.
Here's the catch: "Elective," "voluntary" and "medically unnecessary" are terms
that do not have any definition. If an adult woman or pregnant teenager can
find a doctor who will agree to perform an abortion, it will be paid for by the
health plan, without parental consent. For a plan to exclude abortion, the
health plan has to clearly define what these terms mean in the plan design
filed by the insurance company with the state or federal government. The reason
most people do not know that contraception for children is covered in health
plans is that contraception has only recently become common coverage in most
private health plans.
Can you explain what happened with state health
insurance requirements and provisions for HMOs and other insurance plans?
The squeaky wheel gets the grease. Private sector policy leaders and plan
designers listened when the Alan Guttmacher Institute, Planned Parenthood,
National Organization for Women, NARAL, Pro-Choice America, health care
consultants and other "reproductive rights" groups quietly, subtly and
incrementally pushed confidential abortion, contraception and sterilization in
all health plans. Attorneys and health care consultants advised employers to
take the path of least resistance and include this coverage in health plans.
Whenever questioned about conscience, these plan designers would say, "They can
opt out of this coverage, so what's the big deal?" The problem with this
thinking is that we are deprived of our parental right to be the primary
educators of our children and our right to have the freedom to exercise our
right of conscience.
To opt out means parents and their children can decide not to use this
coverage. They are, however, still paying for these procedures in their health
plan. And, even if parents opt out, their children have access to it without
parental consent because of the way the plans are filed with the state and
federal insurance agencies. By our absence in this debate, the enemies of life,
liberty and justice for all have imposed their agenda on us.
What about end-of-life issues?
That's going to be huge in health care. At least with the unborn, you have the
pro-life community that is very much aware of the unborn, and they continue to
fight for them. But the elderly are going to die quietly and peacefully in
hospitals, and who's going to know they die?
The end-of-life issues are very scary. They can be done so subtly, and the
groundwork has been established. Society says, "Why should you live with pain
or live an unproductive life?"
The decisions that are going to be made on all the life issues - most if them
are going to be made in health care. It's interesting how the abortion
businesses want to become primary care providers. ... They're ahead of us.
Health care is the place.
What can be done?
For the past year, the Christus Medicus Foundation, the Catholic Medical
Association, the Heritage Foundation and some others have been working to form
a national faith-based alliance for health policy based on the need for
values-driven heath care reform. Right now, we've got some very major players
in Washington who see the need to reform health care financing and delivery as
the most significant issue dealing with life and morality issues. And the
strategy is to put together a conscience clause for the family, to assist
families to make decisions and purchase health care consistent with their
beliefs.
One very important bill, sponsored by Rep. John Shadegg [R-Ariz.] and Sen. Jim
DeMint [R-S.C.], is the Health Care Choice Act (HR 2355), which would allow
businesses to buy insurance across state lines, avoiding costly state mandates
in places like New Jersey and New York.
For people of faith, because of President George Bush and the Republican
Congress, now is our window of opportunity to really make a difference for
future generations for health care. I believe health care is where our culture
will be determined. That's where your life and death issues are faced.
Valerie Schmalz
writes from San Francisco
**
Valerie Schmalz, "Are You Paying for Someone Else's Abortion?," Reprinted with
permission from
National Catholic Register,
Volume 82, No. 10, March 5-11 2006