Lucylastic -> RE: SCOTUS on HOBBY LOBBY and religious freedom (7/5/2014 6:40:54 AM)
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Lucy just wanted to show her beautiful butt pic again in defense of the defenseless Ken. (this statement is completely true) And screw you... The media coverage surrounding the upcoming challenges has mainly focused on the first part of that argument, as reproductive rights advocates point out that women need access to affordable contraceptive methods regardless of their boss’ personal beliefs about birth control. However, the second part threatens to have incredibly far-reaching ramifications for women and doctors in this country, too. Essentially, if Hobby Lobby and Conestoga Wood are successful, they’ll win the right to refuse to extend coverage for doctor’s visits that include discussion about certain forms of contraception, like IUDs or the morning after pill. “It’s frankly a rather radical idea — the idea that someone can say that if your visit to your doctor is going to receive payment from your insurance company, then your doctor can’t talk to you about certain subjects,” Adam Sonfield, a senior public policy associate at the Guttmacher Institute, explained in an interview with ThinkProgress. “Counseling and education about contraception has been a basic part of a medical visit forever, even before the methods themselves were covered. Before we had prescription drug coverage, we certainly had coverage for the visit to your doctor, and there were never any limitations about what you could talk to your doctor about.” And particularly when it comes to contraceptive counseling, simply skipping over certain methods isn’t an option. In order to obtain informed consent from their patients, doctors are obligated to explain the full range of options available. According to Clare Coleman, the president and CEO of the National Family Planning & Reproductive Health Association (NFPRHA), informed consent is the “bedrock” of medical ethics. “Coverage of counseling is essential. It’s a conversation about intention and life stage as much as it’s a conversation about the actual prescription — in family planning, we have to meet the patient where she is, and find the method that’s right for her,” Coleman told ThinkProgress. “That conversation needs to be careful and detailed before the patient agrees to any medical intervention.” So, since many doctors wouldn’t feel comfortable limiting the contraceptive options that they tell their patients about, this could force the employees who work for companies like Hobby Lobby to make a difficult choice. If they want their doctor’s visit to be covered by their insurance company, they’ll have to avoid talking about birth control altogether. Or, if they do want to discuss contraception, they’ll have to pay for the visit out of their own pocket. They’ll essentially have to choose between a potential financial burden or a potential health burden. Or they may not understand what’s at stake in the first place. Coleman pointed out that, in a scenario where bosses are allowed to refuse to cover contraceptive counseling, their employees might not realize those restrictions exist. “Having a white card in your wallet does not mean you understand how your insurance works,” she noted. “The patient will not necessarily come armed with this information.” To make matters more complicated, companies that withhold coverage for some types of services often resist full disclosure. They may not explain to their workers exactly what their plan excludes, or provide them with a referral to access those services elsewhere. From the AMA Opinion 8.08 - Informed Consent The patient’s right of self-decision can be effectively exercised only if the patient possesses enough information to enable an informed choice. The patient should make his or her own determination about treatment. The physician's obligation is to present the medical facts accurately to the patient or to the individual responsible for the patient’s care and to make recommendations for management in accordance with good medical practice. The physician has an ethical obligation to help the patient make choices from among the therapeutic alternatives consistent with good medical practice. Informed consent is a basic policy in both ethics and law that physicians must honor, unless the patient is unconscious or otherwise incapable of consenting and harm from failure to treat is imminent. In special circumstances, it may be appropriate to postpone disclosure of information, (see Opinion E-8.122, "Withholding Information from Patients"). Physicians should sensitively and respectfully disclose all relevant medical information to patients. The quantity and specificity of this information should be tailored to meet the preferences and needs of individual patients. Physicians need not communicate all information at one time, but should assess the amount of information that patients are capable of receiving at a given time and present the remainder when appropriate. http://www.ama-assn.org//ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion808.page also http://www.guttmacher.org/pubs/gpr/17/1/gpr170102.html but keep pretending that its not important and religious bullshit (not factual) must win over womens rights to all options for BC, and ignore my other questions to you and keep playing your sad little game. Not being able to discuss all options on the table for birth control is crass. You do not see it, but it doesnt surprise me. The unwanted pregnancy numbers are spiralling in states where they have cut title X and other family planning to the bone. fucking ignorance about it, is rife and you are certainly guilty of parsing it with little regard for the reality for women.
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