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Doctors' offices, community health centers and free clinics lack the capacity to take in an influx of patients who would no longer be able to access medical care at Planned Parenthood if the organization loses access to federal dollars. Especially in areas with few obstetrician-gynecologists, patients could end up going without medical care, waiting weeks or longer for appointments or being forced to travel, experts said.
"If Planned Parenthood tomorrow went away, there's a good number of patients just in my service area that no longer have a doctor or no longer have a place to go for OB/GYN services," said Mark DeFrancesco, a physician in Waterbury, Connecticut, who is president of the American Congress of Obstetricians and Gynecologists and published an op-ed this month opposing efforts to end Planned Parenthood funding. "If they start calling my office, it's going to be, 'Well, we could take you but it might be two, three months down the road.' If they call other places, it might be, 'We can't even take you.'"
Republican lawmakers and GOP presidential contenders are seeking to take away almost a half a billion dollars in federal money in response to a series of undercover videos that show Planned Parenthood executives discussing the donation of fetal tissue from abortions with people who pretended to represent research labs. A cadre of Republicans in the House and Senate has pledged to block federal spending bills that don't eliminate Planned Parenthood funding, fueling anxiety over another government shutdown the public opposes.
But while the underlying fight is about abortion -- and a GOP victory would further curtail access to those services -- access to a wide array of other medical care provided at Planned Parenthood clinics is also at stake, including testing and treatment for sexually transmitted infections, screening for breast and cervical cancer, and prescriptions for birth control. The government provides more than 40 percent of Planned Parenthood's funding.
Although visits to Planned Parenthood facilities represent only a small percentage of the total visits women make to health care providers every year, it's a safety-net organization that caters to women with Medicaid or who are uninsured -- patients who have the most difficulty finding doctors that can see them. Planned Parenthood treated 2.7 million patients in 2013, according to the organization. Federal Title X funding for family planning covered the cost of more than half those visits, but three-quarters of Planned Parenthood's revenue came from Medicaid patients.
Although the majority of women Planned Parenthood currently serves would be able to access care elsewhere if the gambit to cut off the organization succeeds, between 5 percent and 25 percent of them wouldn't, the Congressional Budget Office estimates. Analysts believe the most likely outcome would be 390,000 women losing their source of medical care -- although the number could be as low as 130,000 or as high as 650,000, the budget agency concluded.
"The people most likely to experience reduced access to care would probably reside in areas without access to other health care clinics or medical practitioners who serve low-income populations," the CBO report states.
Using that money to build more community health centers that employ more physicians and nurses amid national shortages of health care workers -- especially of OB/GYNs -- would take time, during which women would have fewer options to get medical care, DeFrancesco said. The rest of the health care delivery system is already strained, he added. "I wouldn't say there is a lot of capacity, because everybody right now is kind of working to capacity, from what I've seen."
The National Association of Community Health Centers declined to comment for this story, but Andie Martinez Patterson, director of government affairs for the California Primary Care Association, said that health centers couldn't treat all the patients that Planned Parenthood would have to turn away.
"Eliminating Planned Parenthood from our state's comprehensive network of care would put untenable stress on remaining providers," Martinez Patterson wrote to Sen. Barbara Boxer (D-Calif.) in July.
The concern isn't merely theoretical: providers in Texas were burdened when the state ended Planned Parenthood funding three years ago, and fewer women received medical care. In Louisiana, Planned Parenthood Gulf Coast is under threat of being cut off by Gov. Bobby Jindal (R), whose health department attempted to argue there were thousands of other physicians to treat women -- but included dentists and eye doctors on its list of alternatives to Planned Parenthood.
This year, the excuse is Planned Parenthood, an organization that performs a tiny number of abortions among the multitude of family planning, cancer screening and prenatal care services it provides for women across the country, especially poorer women.
Using some deceptive videotapes from an anti-abortion group as a pretext, Republicans have been claiming that Planned Parenthood profits from the sale of fetal tissue obtained from abortion procedures. It’s not true, but that hasn’t stopped the right wing. Its real objection to Planned Parenthood is that it provides family planning – in other words birth control – to women all over America, but saying so directly would be a tactical mistake. (By the way, Planned Parenthood is already barred from spending a dime of federal money on abortions.)
Today, speaking to the Business Roundtable, President Obama pointed out that “it’s not good sense to hold an $18 trillion global economy” hostage to an ideological antipathy toward “a women’s health care provider that receives 20 cents out of every thousand dollars in the federal budget.”
He was right, of course. And he was right when he went on to say that it is time for Congress to start “moving beyond some of the stale debates we’ve been having about spending and revenue.”
Top House Republicans are actively exploring a plan to avoid a government shutdown by targeting Planned Parenthood funding through a stand-alone budget tactic and passing a stop-gap measure that is free of restrictions on the abortion rights group.
The idea, which has been discussed for weeks by senior House Republicans, has not yet been explicitly endorsed by House Speaker John Boehner -- and it's far from clear that it will pass muster with House conservatives who are demanding the party leadership take a tougher line against the organization.
But the plan is gaining steam in the upper ranks of the House GOP conference -- and it would remove the most controversial barrier standing before House Republicans over how to attack Planned Parenthood without shutting down the government at month's end.
Under the proposal, the House would approve a short-term, stop-gap measure to keep the government afloat until later this fall. Republicans would instead target Planned Parenthood's roughly $500 million in annual funding through a legislative process known as budget reconciliation, which cannot be filibustered in the Senate.
President Barack Obama, however, could still veto the reconciliation legislation, and Democrats would still hold enough votes to sustain a veto.
But if successful, proponents argue it would send a message to Obama over Planned Parenthood without risking a politically damaging government shutdown. Indeed, some Republicans are arguing that pursuing a strategy that delivers a bill to the President's desk and forcing him to veto it is a better message than getting blamed for another shutdown.
originally posted by: Aliensun
a reply to: Krazysh0t
I see that this is just another thread that has been manufactured to support a particular (progressive) point of view.
It is all about women's rights and not one word about killing immature humans.
originally posted by: JetBlackStare
Sorry for the unfortunate analogy I'm about to use but - Why throw the baby out with the bathwater? I'm sure most Americans don't want to defund women's healthcare. Just abortion.
Sadly the hard left and Planned Parenthood (by its very name) have made the two issues (women's health and abortion) inseparable.....so exactly who is it that is really hurting women?
originally posted by: Aliensun
a reply to: Krazysh0t
I see that this is just another thread that has been manufactured to support a particular (progressive) point of view.
It is all about women's rights and not one word about killing immature humans.
originally posted by: Krazysh0t
The reason Planned Parenthood and abortion are interchanged is because CMP used PP as a stepping stone to attack abortion, NOT because the left tied them together. Please get your facts straight.
originally posted by: Krazysh0t
a reply to: introvert
Oh the left and informed independents will see past the charade, but you and I both know that many Republicans and right leaning independents will fall for it hook, line, and sinker. Remember your thread and what we talked about yesterday?
originally posted by: JetBlackStare
Sorry for the unfortunate analogy I'm about to use but - Why throw the baby out with the bathwater? I'm sure most Americans don't want to defund women's healthcare. Just abortion.
Sadly the hard left and Planned Parenthood (by its very name) have made the two issues (women's health and abortion) inseparable.....so exactly who is it that is really hurting women?
originally posted by: ratsinacage
a reply to: JetBlackStare
ive been beating this drum since the beginning and no one will touch it. The truly logical SOLUTION is to remove PP from the abortion and fetal tissue industry. If as they say it only represents 3 percent of what they do they wont even notice its gone.
originally posted by: JetBlackStare
a reply to: Krazysh0t
Because, besides women's health, PP is also in the business of facilitating fetuses. No matter how many posts or threads one might make to deflect it. That IS a fact.
Fetal tissue has been used since the 1930s for vaccine development, and more recently to help advance stem cell research and treatments for degenerative diseases such as Parkinson's disease. Researchers typically take tissue samples from a fetus that has been aborted (under conditions permitted by law) and grow cells from the tissue in Petri dishes.