Archive for medically necessary

Why did Senator Lisa Murkowski vote to make taxpayers support Planned Parenthood, Alaska’s number one abortion provider?

Posted in Abortion stats, FQHC, HRSA, Planned Parenthood abortion stats, Planned Parenthood politicians, Planned Parenthood state stats with tags , , , , , , , , , , , , , , , , on August 23, 2017 by saynsumthn

Senators Lisa Murkowski (R-Alaska) and Susan Collins (R-Maine) are being lauded by Planned Parenthood after the two Republican lawmakers voted against a repeal of ObamaCare because they did not want to defund the abortion corporation for one year. Murkowski and Collins are now making the rounds, touting Planned Parenthood as a health organization that women cannot live without. This, however, is totally untrue. Federal health centers, which outnumber Planned Parenthood by the thousands nationally, offer a wide range of primary care services as well as services identical to those offered by Planned Parenthood – except abortion, which is not healthcare, as clearly seen in the video below, in which former abortionist Dr. Anthony Levatino explains the most common type of abortion procedure:

These two Republican Senators are deceiving their constituents about the “services” Planned Parenthood provides while walking in lock step with the largest abortion chain in the United States.

In part one of this two-part series, we will examine Planned Parenthood’s services in Murkowski’s state of Alaska. In part two, we will scrutinize Planned Parenthood’s services in Maine and compare them to the claims of Senator Collins.

Sen. Lisa Murkowski (R-Alaska)

Senator Murkowski has spoken out of both sides of her mouth regarding Planned Parenthood for years. She once stated, “Taxpayer dollars should never be used to pay for abortions, but I will not vote to deny Alaskans access to the health services that Planned Parenthood provides.”

To Planned Parenthood’s benefit, Murkowski has kept that promise. In refusing to repeal ObamaCare, Murkowski has kept the nation’s largest abortion corporation funded to the tune of half a billion dollars annually. In doing this, she has also chosen to allocate vital health dollars away from more worthy federal health centers which offer a vast array of primary care services to women, men and children.

Live Action News has previously shown that Planned Parenthood has seen dramatic decreases in services like contraception, Pap tests, cancer screenings, and breast exams –  all while the organization’s government funding and abortions are increasing nationally.

And state trends are not so different from national numbers. In fact, Planned Parenthood is Alaska’s largest abortion provider. So how, in good conscience, can Senator Murkowski continually vote to keep taxpayer funding for the organization while ignoring this fact?

Here are some numbers from Murkowski’s state of Alaska:

Facilities 

Planned Parenthood operates just four centers in Alaska, yet there are 29 Federally Qualified Health Centers (FQHC) which provide services at 177 sites in Alaska, according to the Rural Health Info hub.

Patients

While Planned Parenthood of the Great Northwest and the Hawaiian Islands saw 79,532 patients in 2015 in the four states they oversee, federal health centers – listed under the Health Resources Services Administration’swebsite (HRSA) – saw 110,494 in Alaska alone.

When factoring in the additional three states (see numbers below) the federal health center numbers reveal how vast the federal program is compared to Planned Parenthood.

A look at Planned Parenthood’s own website shows that in Alaska the organization claims to serve 7,295 clients for whom they provided the services such as:

  • Contraception
  • STI tests
  • Cancer screenings

A media report claimed that just 4500 of Planned Parenthood’s clients in Alaska rely on Medicaid. That reduces the numbers drastically. Despite this, as previously pointed out, federal health centers cared for over 110,000 patients in 2015.

Contraception Care: 

An analysis conducted by Planned Parenthood’s former “special affiliate,” the Guttmacher Institute, which reviewed Planned Parenthood centers (PP), Federally Qualified Health Centers (FQHC), and Title X facilities for 2015 revealed:

  • 5 out of 28 counties in Alaska which provided publicly funded contraception care had at least one Planned Parenthood.
  • 27 counties had at least one FQHC site that provided contraception services.
  • 23 counties had no Planned Parenthood centers.
  • Slightly more than 3 percent (5 out of 157) of publicly funded family planning centers were operated by Planned Parenthood.
  • PP served 19 percent of contraception clients while FQHC sites served 45 percent.
  • In 4 of the 5 counties that had a Planned Parenthood, PP served fewer contraception clients than FQHC sites.

PP versus FQHC Contraception Care Alaska 2015 per Guttmacher

Cancer Screenings: 

While Planned Parenthood’s website claims the abortion corporation provided 2,667 cancer screenings in Alaska, a breakdown of clinical services published by HRSA shows that in 2015 alone, 43.3 percent (nearly 48,000) of the 110,494 patients served by federal health centers in the state received cervical cancer screenings there.

Abortions:

Planned Parenthood in Alaska is operated by Planned Parenthood of the Great Northwest and the Hawaiian Islands (PPGNHI), which runs centers in four states: Alaska, Hawaii, Idaho, and Washington.

PPGNHI was formed in April of 2015 from a merger between Planned Parenthood of the Great Northwest (PPGNW) and Planned Parenthood of Hawaii (PPHI).

In 2014, while cancer screenings made up just 8 percent of PPGNW’s services, abortions were 12 percent of the services PPGNW provided. In that same year (just prior to their merger) while PPHI’s abortion services totaled a whopping 21 percent, cancer screenings and annual exams at Planned Parenthood of Hawaii were just 5 percent of what it provided.

PPHI – more abortions than cancer screenings in 2014

By 2015, the affiliate’s annual report showed that abortion made up 13 percent of services, while cancer screenings were 11 percent of services. The vast majority of the services provided were family planning at 48 percent and HIV testing and treatment at 26 percent. Pregnancy testing was only one percent of the services PPGNWHI provided. Government grants totaled 19 percent of the affiliate’s revenue.

PPGNW – more abortions than cancer screenings

Statistics published by the Alaska Department of Health and Social Services Bureau of Vital Statistics show that in 2015, a total of 1,334 induced terminations were reported to the state. According to numbers made public in a recent lawsuit, Planned Parenthood committed 1,300 of those 1,334 abortions, making them the provider of 97 percent of all abortions in Alaska.

Tax Funded Abortions:

PP in Alaska pushed Medicaid for abortion customer

Live Action News has documented that Planned Parenthood abortionists in Alaska believe all abortions are “medically necessary,” thereby justifying the use of taxpayer funds to end the lives of preborn children in the state.

A recent call made by a Live Action investigator documented a Planned Parenthood staffer in Alaska coaching a prospective abortion patient as to how she could receive taxpayer-funded Medicaid to pay for her abortion.

Statistics published by the Alaska Department of Health and Social Services Bureau of Vital Statistics show that in 2015, 32.8 percent of the women who obtained abortions used Medicaid to pay for their abortions. In 2016, despite a decrease in the state’s abortions, those that were taxpayer-funded increased to 44.1 percent.

Medicaid (tax) funded abortions in Alaska 2015

According to the Alaska Induced Termination of Pregnancy Statistics reports, which include the total number of abortions covered by Medicaid, state taxpayers paid $135,637 for abortions in 2015 and $153,208 in 2016.

The truth is that every day, senators like Murkowski and Collins stand in the way of Congressional efforts to defund Planned Parenthood, and that means the American people will be forced to continue giving $1.5 million each day to an abortion business which will continue to kill 900 innocent preborn children every day.

  • This article is reprinted with permission. The original appeared here at Live Action News.

No Abortion Mandate ?

Posted in Abortion, birth control, Constitution, Euthanasia, Health Care, Obama, Planned Parenthood, Population Control, Sterilization with tags , , , , , , , , , , , , on September 9, 2009 by saynsumthn

Federal Courts Have Commonly Read Abortion Into Medicaid’s ‘Mandatory Categories’

by Heather Smith on September 8, 2009/ AUL

Since the 1970s, federal courts have regularly interpreted the “mandatory categories of care” within Medicaid to include abortion and thus mandate abortion coverage. That judicial interpretation of Medicaid will be adopted by courts in interpreting federal health care legislation, unless abortion is expressly excluded.

In addition to the leading case of Planned Parenthood Affiliates of Michigan v. Engler—where the Sixth Circuit held that “abortion fits within many of the mandatory care categories, including ‘family planning,’ ‘outpatient services,’ ‘inpatient services,’ and ‘physicians’ services.’ 73 F.3d 634, 636 (6th Cir. 1996)—at least six other circuit courts (the First, Third, Fifth, Seventh, Eighth, and Tenth) have held that abortion is covered under Medicaid (unless there is a specific statutory exclusion like the Hyde Amendment). Some, like the Sixth Circuit, have specifically held that abortion is covered under the broad “mandatory categories of care” including “family planning” within Medicaid (Title XIX of the Social Security Act, 42 USC 1396d(a)).

The First Circuit, in Preterm, Inc. v. Dukakis held that abortion is covered by Medicaid and implicitly concluded within the mandatory Medicaid categories. 591 F.2d 121, 125 (1st Cir. 1979).

The Third Circuit, in Roe v. Casey, noted with agreement that “[t]he district court took note of the fact that standard abortion procedures ‘involve most, if not all’ of the types or classes of services which are to be furnished to the categorically needy” within Medicaid. Roe v. Casey, 623 F.2d 829, 832 (3rd Cir. 1980).

The Fifth Circuit, in Hope Medical Group for Women v. Edwards, held that a state statute limiting Medicaid-funded abortion procedures was “inconsistent with the broad objective of Title XIX to provide needed medical care to qualified recipients.” 63 F.3d 418, 428 (5th Cir. 1995). The court stated, “[a]lthough Title XIX does not specifically include abortion as a mandatory service, the parties concede that abortion services fall under several of the eight broad categories of medical services mandated by the Act, including inpatient hospital services, outpatient hospital services, physician’s services, and family planning services.” Id. at 425.

The Seventh Circuit, in Zbaraz v. Quern, agreed with the First Circuit’s decision in Preterm “that limiting Medicaid assistance to life-threatening abortions “violate[s] the purposes of the Act and discriminate[s] in a proscribed fashion” 596 F.2d 196, 199 (7th Cir. 1979).

The Eighth Circuit in 1980 held that “[the Medicaid mandatory categories] include medical procedures to induce abortions.” Hodgson v. Board of County Com’rs, Hennepin County, 614 F.2d 601, 607 (8th Cir. 1980). And in Little Rock Family Planning Services, P.A. v. Dalton, the court held that “[a] state plan must cover medical services that a person’s physician certifies are “medically necessary.” 60 F.3d 497, 499 (8th Cir. 1995). Though the Dalton court admitted that “[Title XIX] does not identify any specific medical procedures, whether they are Caesarean sections, transfusions, bypass surgery, or abortions.” Id. at 499, it concluded that “[b]ecause abortion falls within several of these mandated categories [of medical service], a medically necessary abortion is a mandatory covered service.” Id.

The Tenth Circuit, in Hern v. Beye, held that “[a]bortion falls under several … ‘mandatory coverage’ categories, including ‘inpatient hospital services,’ 42 U.S.C. § 1396d(a)(1), ‘outpatient hospital services,’ id. § 1396d(a)(2)(A), ‘family planning services,’ id. § 1396d(a)(4)(C), and ‘physicians’ services furnished by a physician,’ id. § 1396d(a)(5)(A).” 57 F.3d 906, 911 (10th Cir. 1995).

In addition, several federal district courts have read abortion into Medicaid.

In Doe v. Busbee, the court concluded that “[i]t is clear that an abortion is a medical procedure which falls within the five general categories set out in Title XIX.” 471 F.Supp. 1326, 1331 (N.D. Ga. 1979).

In Smith v. Rasmussen, the court held that “[a]bortions . . . fall within several of Medicaid’s mandatory categories of care.” 57 F.Supp.2d 736, 755 (N.D. Iowa, 1999).

In Planned Parenthood Affiliates of Ohio v. Rhodes, the court broadly held that “[t]he ‘promotion’ of abortion, whether it consist of counseling, encouraging, referring, assisting or even performing medically necessary abortions is included in the five general categories.” Planned Parenthood Affiliates of Ohio v. Rhodes, 477 F.Supp. 529, 540 (E.D.Ohio, 1979).

Finally, in reading these decisions, it must be understood that a “medically necessary” abortion is—under the Supreme Court’s abortion doctrine—whatever an abortion provider, in his/her personal, subjective judgment, determines it to be. The terms “necessary” and “medically necessary” are virtually synonymous, because both vest the abortion provider, in his or her subjective judgment, with complete discretion to determine their meaning. As the lower federal courts have applied the terms, an abortion is “necessary” because a woman requests it, and it becomes “medically” necessary when the doctor agrees to it. Consequently, when these two terms are combined—“medically necessary” to preserve the “health” of the woman”—a “medically necessary” abortion means any abortion a provider agrees to perform for any reason.

Thanks to Americans United For Life for this report !