With audacious hypocrisy, government provides physical therapy, wheelchairs and other medical services only by medical necessity while President Obama mandates unlimited birth control for women.
Oral contraceptives can be prescribed as a medical necessity for a variety of women’s health conditions, including excessive uterine bleeding. Additionally, surgical procedures like hysterectomies and uterine ablations, which also have the effect of preventing conception, can be medically necessary. I have no argument with government paying for their use under those conditions.
So, what should be the requirements before government pays for oral contraceptives or IUDs? When should government pay for gynelogical procedures or surgeries for women? Let us look at how government determines when to pay for physical therapy and wheelchairs as we answer these questions.
No one gets a personal trainer or trips to the gym at the expense of government. Doctors prescribe physical therapy services with treatment goals in mind. Once those goals have been reached, patients are left to use a self-directed program at home or elsewhere at their own expense.
With wheelchairs, government pays claims when the chairs are needed to get the patient from bed to bath to food. Nothing beyond this basic perimeter is supported. This means government does not support trips to the grocery store, community events, church and recreation outside the narrow pathway.
The obvious answer is that government pays for birth control measures only when claims are because of medical necessity. Government should apply medical necessity equally. No one gets government to pay for an undiagnosed condition with no added benefits over a self-directed, home program. Likewise, government should not pay for women to meet their recreational interests.
I get it. Obama wants the single women’s vote. I get it, too, that he does not care whether he tramples religious freedom in his re-election quest by mandating religious health providers offer birth control to their employees.
The country awaits court rulings on Obama’s birth control mandate and the Supreme Court on the constitutionality of Obamacare. Yet, it is clear now Obama does not value religious freedom, individual responsibility and equal application of medical necessity. People like me with these values will not vote for Obama in November.