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Hyde Restrictions Apply To The Health Care Bill


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[quote name='Raphael' date='21 March 2010 - 08:53 PM' timestamp='1269219209' post='2077238']
George Orwell was 26 years early in his predictions, but it sounds like he had his head on straight...
[/quote]

[i]George Orwell
Toward European Unity

A Socialist today is in the position of a doctor treating an all but hopeless case. As a doctor, it is his duty to keep the patient alive, and therefore to assume that the patient has at least a chance of recovery. As a scientist, it is his duty to face the facts, and therefore to admit that the patient will probably die. Our activities as Socialists only have meaning if we assume that Socialism can be established, but if we stop to consider what probably will happen, then we must admit, I think, that the chances are against us. If I were a bookmaker, simply calculating the probabilities and leaving my own wishes out of account, I would give odds against the survival of civilization within the next few hundred years. As far as I can see, there are three possibilities ahead of us:

1. That the Americans will decide to use the atomic bomb while they have it and the Russians haven't. This would solve nothing. It would do away with the particular danger that is now presented by the U.S.S.R., but would lead to the rise of new empires, fresh rivalries, more wars, more atomic bombs, etc. In any case this is, I think, the least likely outcome of the three, because a preventive war is a crime not easily committed by a country that retains any traces of democracy.

2. That the present ‘cold war’ will continue until the U.S.S.R., and several other countries, have atomic bombs as well. Then there will only be a short breathing-space before whizz! go the rockets, wallop! go the bombs, and the industrial centres of the world are wiped out, probably beyond repair. Even if any one state, or group of states, emerges from such a war as technical victor, it will probably be unable to build up the machine civilization anew. The world, therefore, will once again be inhabited by a few million, or a few hundred million human beings living by subsistence agriculture, and probably, after a couple of generations, retaining no more of the culture of the past than a knowledge of how to smelt metals. Conceivably this is a desirable outcome, but obviously it has nothing to do with Socialism.

3. That the fear inspired by the atomic bomb and other weapons yet to come will be so great that everyone will refrain from using them. This seems to me the worst possibility of all. It would mean the division of the world among two or three vast super-states, unable to conquer one another and unable to be overthrown by any internal rebellion. In all probability their structure would be hierarchic, with a semi-divine caste at the top and outright slavery at the bottom, and the crushing out of liberty would exceed anything that the world has yet seen. Within each state the necessary psychological atmosphere would be kept up by complete severance from the outer world, and by a continuous phony war against rival states. Civilizations of this type might remain static for thousands of years.

Most of the dangers that I have outlined existed and were foreseeable long before the atomic bomb was invented. The only way of avoiding them that I can imagine is to present somewhere or other, on a large scale, the spectacle of a community where people are relatively free and happy and where the main motive in life is not the pursuit of money or power. In other words, democratic Socialism must be made to work throughout some large area. But the only area in which it could conceivably be made to work, in any near future, is Western Europe. Apart from Australia and New Zealand, the tradition of democratic Socialism can only be said to exist — even there it only exists precariously — in Scandinavia, Germany, Austria, Czechoslovakia, Switzerland, the Low Countries, France, Britain, Spain, and Italy. Only in those countries are there still large numbers of people to whom the word ‘Socialism’ has some appeal, and for whom it is bound up with liberty, equality, and internationalism. Elsewhere it either has no foot-hold or it means something different. In North America the masses are contented with capitalism, and one cannot tell what turn they will take when capitalism begins to collapse. In the U.S.S.R. there prevails a sort of oligarchical collectivism which could only develop into democratic Socialism against the will of the ruling minority. Into Asia even the word ‘Socialism’ has barely penetrated. The Asiatic nationalist movements are either Fascist in character, or look towards Moscow, or manage to combine both attitudes: and at present all movements among the coloured peoples are tinged by racial mysticism. In most of South America the position is essentially similar, so is it in Africa and the Middle East. Socialism does not exist anywhere, but even as an idea it is at present valid only in Europe. Of course, Socialism cannot properly be said to be established until it is world-wide, but the process must begin somewhere, and I cannot imagine it beginning except through the federation of the western European states, transformed into Socialist republics without colonial dependencies. Therefore a Socialist United States of Europe seems to me the only worth-while political objective today. Such a federation would contain about 250 million people, including perhaps half the skilled industrial workers of the world. I do not need to be told that the difficulties of bringing any such thing into being are enormous and terrifying, and I will list some of them in a moment. But we ought not to feel that it is of its nature impossible, or that countries so different from one another would not voluntarily unite. A western European union is in itself a less improbable concatenation than the Soviet Union or the British Empire.

Now as to the difficulties. The greatest difficulty of all is the apathy and conservatism of people everywhere, their unawareness of danger, their inability to imagine anything new — in general, as Bertrand Russell put it recently, the unwillingness of the human race to acquiesce in its own survival. But there are also active malignant forces working against European unity, and there are existing economic relationships on which the European peoples depend for their standard of life and which are not compatible with true Socialism. I list what seem to me to be the four main obstacles, explaining each of them as shortly as I can mange:

1. Russian hostility. The Russians cannot but be hostile to any European union not under their own control. The reasons, both the pretended and the real ones, are obvious. One has to count, therefore, with the danger of a preventive war, with the systematic terrorizing of the smaller nations, and with the sabotage of the Communist Parties everywhere. Above all there is the danger that the European masses will continue to believe in the Russian myth. As long as they believe it, the idea of a Socialist Europe will not be sufficiently magnetic to call forth the necessary effort.

2. American hostility. If the United States remains capitalist, and especially if it needs markets for exports, it cannot regard a Socialist Europe with a friendly eye. No doubt it is less likely than the U.S.S.R. to intervene with brute force, but American pressure is an important factor because it can be exerted most easily on Britain, the one country in Europe which is outside the Russian orbit. Since 1940 Britain has kept its feet against the European dictators at the expense of becoming almost a dependency of the U.S.A. Indeed, Britain can only get free of America by dropping the attempt to be an extra-European power. The English-speaking Dominions, the colonial dependencies, except perhaps in Africa, and even Britain's supplies of oil, are all hostages in American hands. Therefore there is always the danger that the United States will break up any European coalition by drawing Britain out of it.

3. Imperialism. The European peoples, and especially the British, have long owed their high standard of life to direct or indirect exploitation of the coloured peoples. This relationship has never been made clear by official Socialist propaganda, and the British worker, instead of being told that, by world standards, he is living above his income, has been taught to think of himself as an overworked, down-trodden slave. To the masses everywhere ‘Socialism’ means, or at least is associated with, higher wages, shorter hours, better houses, all-round social insurance, etc. etc. But it is by no means certain that we can afford these things if we throw away the advantages we derive from colonial exploitation. However evenly the national income is divided up, if the income as a whole falls, the working-class standard of living must fall with it. At best there is liable to be a long and uncomfortable reconstruction period for which public opinion has nowhere been prepared. But at the same time the European nations must stop being exploiters abroad if they are to build true Socialism at home. The first step toward a European Socialist federation is for the British to get out of India. But this entails something else. If the United States of Europe is to be self-sufficient and able to hold its own against Russian and America, it must include Africa and the Middle East. But that means that the position of the indigenous peoples in those countries must be changed out of recognition — that Morocco or Nigeria or Abyssiania must cease to be colonies or semi-colonies and become autonomous republics on a complete equality with the European peoples. This entails a vast change of outlook and a bitter, complex struggle which is not likely to be settled without bloodshed. When the pinch comes the forces of imperialism will turn out to be extremely strong, and the British worker, if he has been taught to think of Socialism in materialistic terms, may ultimately decide that it is better to remain an imperial power at the expense of playing second fiddle to America. In varying degrees all the European peoples, at any rate those who are to form part of the proposed union, will be faced with the same choice.

4. The Catholic Church. As the struggle between East and West becomes more naked, there is danger that democratic Socialists and mere reactionaries will be driven into combining in a sort of Popular Front. The Church is the likeliest bridge between them. In any case the Church will make every effort to capture and sterilize any movement aiming at European unity. The dangerous thing about the Church is that it is not reactionary in the ordinary sense. It is not tied to laissez-faire capitalism or to the existing class system, and will not necessarily perish with them. It is perfectly capable of coming to terms with Socialism, or appearing to do so, provided that its own position is safeguarded. But if it is allowed to survive as a powerful organization, it will make the establishment of true Socialism impossible, because its influence is and always must be against freedom of thought and speech, against human equality, and against any form of society tending to promote earthly happiness.

When I think of these and other difficulties, when I think of the enormous mental readjustment that would have to be made, the appearance of a Socialist United States of Europe seems to me a very unlikely event. I don't mean that the bulk of the people are not prepared for it, in a passive way. I mean that I see no person or group of persons with the slightest chance of attaining power and at the same time with the imaginative grasp to see what is needed and to demand the necessary sacrifices from their followers. But I also can't at present see any other hopeful objective. At one time I believed that it might be possible to form the British Empire into a federation of Socialist republics, but if that chance ever existed, we lost it by failing to liberate India, and by our attitude toward the coloured peoples generally. It may be that Europe is finished and that in the long run some better form of society will arise in India or China. But I believe that it is only in Europe, if anywhere, that democratic Socialism could be made a reality in short enough time to prevent the dropping of the atom bombs.

Of course, there are reasons, if not for optimism, at least for suspending judgement on certain points. One thing in our favour is that a major war is not likely to happen immediately. We could, I suppose, have the kind of war that consists in shooting rockets, but not a war involving the mobilization of tens of millions of men. At present any large army would simply melt away, and that may remain true for ten or even twenty years. Within that time some unexpected things might happen. For example, a powerful Socialist movement might for the first time arise in the United States as ‘capitalistic’, with the implication that this is something unalterable, a sort of racial characteristic like the colour of eyes or hair. But in fact it cannot be unalterable, since capitalism itself has manifestly no future, and we cannot be sure in advance that the next change in the United States will not be a change for the better.

Then, again, we do not know what changes will take place in the U.S.S.R. if war can be staved off for the next generation or so. In a society of that type, a radical change of outlook always seems unlikely, not only because there can be no open opposition but because the régime, with its complete hold over education, news, etc. deliberately aims at preventing the pendulum swing between generations which seems to occur naturally in liberal societies. But for all we know the tendency one generation to reject the ideas of the last is an abiding human characteristic which even the N.K.V.D. will be unable to eradicate. In that case there may by 1960 be millions of young Russians who are bored by dictatorship and loyalty parades, eager for more freedom, and friendly in their attitude towards the West.

Or again, it is even possible that if the world falls apart into three unconquerable super-states, the liberal tradition will be strong enough within the Anglo-American section of the world to make life tolerable and even offer some hope of progress. But all this is speculation. The actual outlook, so far as I can calculate the probabilities, is very dark, and any serious thought should start out from that fact.

1947

THE END[/i]

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[quote name='SaintOfVirtue' date='21 March 2010 - 10:11 PM' timestamp='1269220299' post='2077251']
The Hyde Amendment is not in the Health Care Bill. Its liberal propaganda to try and make the bill seem more appealing to pro-life democrats.
[/quote]
Source?

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[quote name='LivingStone' date='21 March 2010 - 10:16 PM' timestamp='1269220599' post='2077256']
What does that leave us with the specs on the abortion issues with this health care bill being passed this evening by the House?
[/quote]


This is the text of the Executive Order:

[quote]EXECUTIVE ORDER

- - - - - - -

ENSURING ENFORCEMENT AND IMPLEMENTATION OF ABORTION RESTRICTIONS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT

By the authority vested in me as President by the Constitution and the laws of the United States of America, including the "Patient Protection and Affordable Care Act" (approved March __, 2010), I hereby order as follows:

Section 1. Policy.

Following the recent passage of the Patient Protection and Affordable Care Act ("the Act"), it is necessary to establish an adequate enforcement mechanism to ensure that Federal funds are not used for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), consistent with a longstanding Federal statutory restriction that is commonly known as the Hyde Amendment. The purpose of this Executive Order is to establish a comprehensive, government-wide set of policies and procedures to achieve this goal and to make certain that all relevant actors--Federal officials, state officials (including insurance regulators) and health care providers--are aware of their responsibilities, new and old.

The Act maintains current Hyde Amendment restrictions governing abortion policy and extends those restrictions to the newly-created health insurance exchanges. Under the Act, longstanding Federal laws to protect conscience (such as the Church Amendment, 42 U.S.C. ?300a-7, and the Weldon Amendment, Pub. L. No. 111-8, ?508(d)(1) (2009)) remain intact and new protections prohibit discrimination against health care facilities and health care providers because of an unwillingness to provide, pay for, provide coverage of, or refer for abortions.

Numerous executive agencies have a role in ensuring that these restrictions are enforced, including the Department of Health and Human Services (HHS), the Office of Management and Budget (OMB), and the Office of Personnel Management (OPM).

Section 2. Strict Compliance with Prohibitions on Abortion Funding in Health Insurance Exchanges. The Act specifically prohibits the use of tax credits and cost-sharing reduction payments to pay for abortion services (except in cases of rape or incest, or when the life of the woman would be endangered) in the health insurance exchanges that will be operational in 2014. The Act also imposes strict payment and accounting requirements to ensure that Federal funds are not used for abortion services in exchange plans (except in cases of rape or incest, or when the life of the woman would be endangered) and requires state health insurance commissioners to ensure that exchange plan funds are segregated by insurance companies in accordance with generally accepted accounting principles, OMB funds management circulars, and accounting guidance provided by the Government Accountability Office.

I hereby direct the Director of OMB and the Secretary of HHS to develop, within 180 days of the date of this Executive Order, a model set of segregation guidelines for state health insurance commissioners to use when determining whether exchange plans are complying with the Act's segregation requirements, established in Section 1303 of the Act, for enrollees receiving Federal financial assistance. The guidelines shall also offer technical information that states should follow to conduct independent regular audits of insurance companies that participate in the health insurance exchanges. In developing these model guidelines, the Director of OMB and the Secretary of HHS shall consult with executive agencies and offices that have relevant expertise in accounting principles, including, but not limited to, the Department of the Treasury, and with the Government Accountability Office. Upon completion of those model guidelines, the Secretary of HHS should promptly initiate a rulemaking to issue regulations, which will have the force of law, to interpret the Act's segregation requirements, and shall provide guidance to state health insurance commissioners on how to comply with the model guidelines.

Section 3. Community Health Center Program.

The Act establishes a new Community Health Center (CHC) Fund within HHS, which provides additional Federal funds for the community health center program. Existing law prohibits these centers from using federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered), as a result of both the Hyde Amendment and longstanding regulations containing the Hyde language. Under the Act, the Hyde language shall apply to the authorization and appropriations of funds for Community Health Centers under section 10503 and all other relevant provisions. I hereby direct the Secretary of HHS to ensure that program administrators and recipients of Federal funds are aware of and comply with the limitations on abortion services imposed on CHCs by existing law. Such actions should include, but are not limited to, updating Grant Policy Statements that accompany CHC grants and issuing new interpretive rules.

Section 4. General Provisions.

(a) Nothing in this Executive Order shall be construed to impair or otherwise affect: (i) authority granted by law or presidential directive to an agency, or the head thereof; or (ii) functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This Executive Order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This Executive Order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity against the United States, its departments, agencies, entities, officers, employees or agents, or any other person.[/quote]

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[quote name='LivingStone' date='21 March 2010 - 10:11 PM' timestamp='1269220270' post='2077249']
Do we know what the ramifications of this bill passing in the House in regards to abortion yet? I've been looking for stuff on Catholic News sites but there hasn't been too much helpful so far.
[/quote]
I'm not sure anybody really knows.

Edited by XIX
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Regardless of the executive order, abortions will be paid for indirectly with tax funds, and the government will require people to buy insurance, which means that individuals by purchasing a plan will fund abortions (again indirectly).

This is a sad day for America.

Edited by Apotheoun
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"Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive. It would be better to live under robber barons than under omnipotent moral busybodies. The robber baron's cruelty may sometimes sleep, his cupidity may at some point be satiated; but those who torment us for our own good will torment us without end for they do so with the approval of their own conscience."

+ C. S. Lewis

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I should add that my current health care plan costs me $35 a month. It doesn't cover dental, preventative, or vision, and it has a $5000 deductible, but after that it covers 100% of everything. So for $420 a year I have emergency medical coverage. If I get ea $250,000 phone bill from having to be medivacced to Seattle (as the Juneau hospital can't cover a lot of major emergencies), I only pay $5000 and don't have to go into bankruptcy. Or if I just have to have like a $10-20k operation, I only pay 5k. 5k is still a lot, but much much better than what it could end up if I didn't have my cheap insurance coverage.



the $220 a month is what I will switch to when married, it is one of a few options through my job

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Thy Geekdom Come

[quote name='Slappo' date='22 March 2010 - 12:21 AM' timestamp='1269231676' post='2077359']
I should add that my current health care plan costs me $35 a month. It doesn't cover dental, preventative, or vision, and it has a $5000 deductible, but after that it covers 100% of everything. So for $420 a year I have emergency medical coverage. If I get ea $250,000 [b]phone bill[/b] from having to be medivacced to Seattle (as the Juneau hospital can't cover a lot of major emergencies), I only pay $5000 and don't have to go into bankruptcy. Or if I just have to have like a $10-20k operation, I only pay 5k. 5k is still a lot, but much much better than what it could end up if I didn't have my cheap insurance coverage.



the $220 a month is what I will switch to when married, it is one of a few options through my job
[/quote]
Phone bill?

What hurts perhaps more than anything else about my insurance is that I've never made a claim on it. Haven't been to a doctor that I can think of in about 5 years.

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[quote name='Raphael' date='21 March 2010 - 09:25 PM' timestamp='1269231909' post='2077366']
Phone bill?

What hurts perhaps more than anything else about my insurance is that [b]I've never made a claim on it[/b]. Haven't been to a doctor that I can think of in about 5 years.
[/quote]



er..... did I REALLY write phone bill? Wow.... I MEANT to write medical bill. :mellow:

I guess long distance charges from a helicopter are expensive :mellow: :lol_roll:


Thats why I'm going with the low income $35 a month plan right now. I don't have any plans to go to the doctor. Well.. I didn't when I signed up for the plan but now I have plans to get tested for STDS :annoyed: :sadder: , but hopefully that won't cost much. Either way the tests would have hit my deductible and I'd have had to pay the first $250.

When I switch plans though, I'll go in and get the dental check up I need, and maybe a physical. I'm concerned about my health due to bad eating habits.

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[quote name='Apotheoun' date='21 March 2010 - 11:01 PM' timestamp='1269223274' post='2077280']
Regardless of the executive order, abortions will be paid for indirectly with tax funds, and the government will require people to buy insurance, which means that individuals by purchasing a plan will fund abortions (again indirectly).

This is a sad day for America.
[/quote]
Erm...you lost me. How is the money actually going to get to the abortion mills?

How does buying insurance lead to more abortions?

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[quote name='XIX' date='22 March 2010 - 12:47 AM' timestamp='1269233263' post='2077380']
Erm...you lost me. How is the money actually going to get to the abortion mills?

How does buying insurance lead to more abortions?
[/quote]
Makes it more accessible by making it more affordable. It's more affordable because the premiums on the insurance which pay for the abortion are partially paid for by all American tax payers. Well, except for the poor.

For those who are in the camp of "In Executive Order We Trust," food for thought.

[quote]The Order [Yuval Levin]

Upon first hearing there was talk of an executive order yesterday, I wondered how the administration’s lawyers thought such an order could go beyond the letter of the law in restricting abortion funding. This was a question the Bush administration examined quite extensively on several occasions, and the lawyers involved always agreed that the legal precedents from the time between the Roe decision and passage of the Hyde amendment, as well as some after the Hyde amendment, are extremely clear in stating that federal funds cannot be denied to the provision of abortion except by explicit legislative prohibition. That’s why the Hyde amendment was necessary. [b]But the Hyde amendment wouldn’t apply to this bill, since it applies only to the annual HHS appropriations bill.[/b] Hence Stupak’s concern. So what could the White House possibly give Stupak that would not be thrown out by any federal judge in a second?

Looking at the executive order (which you can read here), the answer is clearly nothing. [b]The executive order quite literally does nothing that the Senate bill does not already do[/b], and it is careful to say as much. It offers a kind of narrative of what champions of the bill claim it does with regard to abortion (claims that Rep. Stupak among others has disputed for months), and then says the executive branch will make various people aware of this understanding of what the law says. [b]It orders no action (only the usual promulgation of regulations the law requires anyway) and offers no interpretation beyond that.[/b]

If Rep. Stupak and his fellow pro-life Democrats were not satisfied with the protections against taxpayer funding of abortion in the Senate bill (as they rightly were not), there is simply nothing in the text of the order that should change their minds.

[url="http://corner.nationalreview.com/post/?q=ODAxYWJiMzliZjA3NGJiYjZmNDdjMzNmZDgyNTZjNjc="]Source[/url]
[/quote]

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I have found the whole debate over there fascinating.

Medicare is Australia's publicly-funded universal health care system, operated by the government authority Medicare Australia. Medicare is intended to provide affordable treatment by doctors and in public hospitals for all resident citizens and permanent residents. The programme was introduced in 1975 as Medibank, and supplemented by a government-owned private health insurance fund in 1976. It was renamed Medicare in 1984.

To help fund the scheme, resident taxpayers are subject to a Medicare levy. The Medicare levy is calculated at the rate of 1.5% of your taxable income.

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Thy Geekdom Come

[quote name='Apotheoun' date='22 March 2010 - 07:06 AM' timestamp='1269256015' post='2077446']
[img]http://sites.google.com/site/thetaboriclight/metamorphosis/obamacare.jpg[/img]
[/quote]
+1

This is one of those moments I wish I could +20.

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