With big data surveillance, church recruitment, government-funded, incomplete and biased medical information, and unregulated clinics providing “all wrap-around pregnancy, counseling and post-childbirth services”, HB2388 is Big Brother and Aunt Lydia’s love child.
Last week was draining– with multiple tax cuts in Ways and Means, fake pregnancy centers in Health and Human Services (HB2388), and passage of the Build Your Own Border Wall on the House floor on reconsideration. (Another Zombie Bill brought back from the dead).
I recorded the video (below) late in the day on Thursday after the end of a two-part, marathon health committee meeting with multiple ideological debates. I am proud to serve with Dr. Amish Shah, and Reps. Kelli Butler and Alma Hernandez. The four of us did a great job standing up for patient choice, reproductive rights, medically accurate and unbiased information, science, privacy and separation of church and state.
The Arizona Legislature’s Request to Speak (RTS) system should be on high alert for the House Health and Human Services Committee meeting on Thursday, Feb. 6.
We will be hearing Cathi Herrod’s funding bill for the fake pregnancy hotline bill (HB2388). This bill gives $1.5 million a year to the 211 information and referral line, but it has strings attached. The information provided will be tailored by the provider’s religious beliefs.
If this bill or the mirror bill (SB1328) passes, the free public 211 referral line would not be allowed to refer to anyone to any organization or clinic that provides abortions or to any provider that would offer other much-needed public health services like pap smears, pregnancy tests, birth control, HIV tests, and basic public health services… in addition to abortion.￼
These two bills are bad public health policy that force young women and their children into lives of poverty because of an unplanned pregnancy. They cost the state money because 52% of the lives births in Arizona are funded by AHCCCS, the state’s Medical program.
These two bills restrict your access to care based upon someone else’s deeply held religious beliefs. The government should not fund this.
Should healthcare providers and institutions be allowed to deny services to patients based upon the provider’s “sincerely held religious beliefs”? I don’t think so. Discrimination is not OK.
This is the fourth year in a row that I have proposed a Patient’s Right to Know bill which requires healthcare providers and institutions to disclose upfront if they have any religious restrictions that would preclude them from providing all legal drugs and services within their scope of practice.
Who can resist babies doing yoga coupled with multiple exclamation points?
As many of you know, maternal and child health has been my focus for nearly a year now, ever since my strong, adorable, and intelligent granddaughter Selah was born with gastroschisis. Her three months in the Nursery Intensive Care Unit (NICU) at Tucson Medical Center (TMC) in 2018 gave me a new appreciation for the human and financial costs related to adverse birth outcomes and high tech medicine.
When it comes to maternal and child health, I strongly believe that the state of Arizona can and should do better regarding:
Increasing access to prenatal, perinatal and postpartum care.
Decreasing the rates of premature and low birthweight babies.
Reducing the number of unintended pregnancies and nonmarital births.
Reducing toxic stress in and increasing opportunities for families and children by tackling chronic, systemic poverty in Arizona– particularly among single parent households.
What is the state of maternal and child health in the state of Arizona? Well, it certainly could be better.
Arizona ranks in the 40s (out of 50 states) in many areas related to the health of Moms and their babies.
Too many Moms and babies are dying preventable deaths after childbirth. Too many babies are born prematurely, with low birth weight or with birth defects. Not surprisingly, access to first trimester prenatal care has decreased, while beginning prenatal care late or not having prenatal care has increased.
Although the Arizona Department of Health Services recently received a CDC grant to study maternal mortality, there is more work to be done to improve the lives of Moms and babies.
Arizona should be doing more to prevent premature and low brithweight babies, increase access to prenatal and post-partum care for women, and increase post secondary educational opportunities (particularly for young girls).
I will talk about the State of Maternal and Child Health in Arizona and lead a discussion about challenges and solutions at the Salt of the Earth Labor College on Saturday, September 21, 2019, beginning at 2 p.m. (Facebook event here. Blog for Arizona event here.) The College is located at 1902 E. Irene Vista, Tucson.
One of the prevailing messages from the grassroots in 2018 was: no more tax giveaways until the schools are fully funded. Republicans didn’t get that message. They also didn’t get the Invest In Ed message that we — the people– think the rich could pay more in taxes to help fund education.
The Republican budget cuts income taxes, TPT and fees by $386 million and leaves education and other needs underfunded (or unfunded).
We started the year with a $1 billion surplus to invest in the People’s To-Do List: education, infrastructure, healthcare and safety and security. The Republicans have added bits of money to these areas — just enough to make it look like they’re doing something— but the need is much greater.
Republicans are ignoring multiple crises that are brewing in our state including unnecessary maternal and child death; rock bottom education funding; crumbling roads, bridges and school buildings; lack affordable and low-income housing; the shortage of teachers, doctors and nurses; too many people living in poverty; lack of access to affordable healthcare… need I go on?
Across the nation today, men and women were protesting stringent anti-abortion bills that have passed in at least eight states recently. There was an impressive rally with close to 200 people at the Capitol today in Phoenix and even more in Tucson.
Alabama’s bill is the most recent and the most stringent. It is essentially an all out ban on abortion because it does not exclude women who have been raped or who have been the victims of incest. It also criminalizes doctors. They can be charged with a felony for conducting an abortion.
Six states including Georgia, Kentucky, Missouri, Mississippi, and Ohio have passed heartbeat bills. This means that an abortion cannot be conducted after a heartbeat has been detected. This can be as early as 6 to 8 weeks. Often women don’t even know they’re pregnant by then. Utah and Arkansas ban abortions after the middle of the second trimester.
Some states, like Arizona, still have abortion bans that pre-date Roe v Wade on the books. If one of these 2019 right-wing bills gets to the Supreme Court and results in over-turning Roe, it is unclear what will happen, but Arizona’s law could go into effect.
I was in college at Ohio State, when Roe v Wade passed the Supreme Court. I remember what life was like for young women in the time before abortion was legal and when access to contraception was limited. Everybody was on the “Rhythm Method”, and everybody in the dorm knew if somebody was “late.” I knew at least a half a dozen women in the dorm who were driven to New York for abortions. I knew a guy who got three women pregnant and drove them all to New York City. (You’d think he could figure out that he was part of the problem!) When abortions became legalized in Detroit, my boyfriend and I gave his younger sister a ride to Detroit.
To get birth control pills, I had to take a 1.5 hour bus ride from campus to the Planned Parenthood Clinic in ghetto on the near East Side. The clinic was in a dingy storefront. The waiting room was filled primarily with African-American women and children who lived in the neighborhood nearby plus a handful of white college girls like me.
Although we had a short floor calendar on May 1, we had some rousing debates. The highlight was a two-hour debate on SB1085, association health plans. (Watch the action here, beginning at 19:32 min.)
The Republicans have had three bills this year to lower healthcare insurance costs by encouraging people to leave the healthcare marketplace. I agree that the Affordable Care Act is too expensive, particularly for sole proprietors (like my husband who was offered a silver ACA plan for more than $1000 per month just for him.) This is why I voted for direct care contracts. I believe those are a better deal for sole proprietors than association health plans.)
I get that costs are too high, but the association health plans are not the way to go. They could, indeed, lower costs for business owners, but they could be risky due to limited coverage. There are reasons why these plans will likely be cheaper. Remember the old adage “you get what you pay for”. If sole proprietor business owners want to take a risk with their own insurance and their own health, I have a mind to let them take their own risk. (Just don’t ask me to help you later with a Go Fund Me Request if it turns out I was right on limited coverage under cheap junk insurance plans.)
Where I object is when businesses are making these risky insurance decisions for their employees— just to save money.
Maternal and child health is in crisis in the state of Arizona. Too many infants die. Too many new
Maternal and child health is in crisis in the state of Arizona. Too many babies die. Too many new Moms die. Too many babies are born prematurely. Too many babies are born with birth defects. Too many pregnant women don’t get adequate prenatal care.
Some Arizona counties have been labeled maternal health deserts because of lack of medical care. Cochise, Graham, Gila, La Paz, Santa Cruz and Yuma are the worst off. Around 50% of the babies born in Arizona are born to unwed mothers (which makes them more likely to live in poverty with their Moms.) And around 50% of the live births are funded by AHCCCS (Arizona’s Medicaid program).
Arizona’s lack of attention to maternal and child health and our stingy social safety net policies have exacerbated the situation and cost the state lives and money. Each premature baby born under AHCCCS costs the state around $1 million. How many of these one-million-dollar babies are accidents due to lack of access to affordable birth control and the scarcity of women’s health clinics, particularly in rural Arizona? We should be funding women’s health and well baby clinics in rural Arizona and should be hiring community health workers to do outreach with pregnant women and new Moms. You can hire an army of community health workers for the cost of one or two premature babies.
In his January 2019 state of the state address, Governor Doug Ducey said Arizona has too many laws on the books. I agree!
The Republicans routinely pass 300+ bills each year. Many of them are unnecessary laws that favor special interest groups. He challenged lawmakers to find laws to repeal. I would start with the anti-abortion laws.