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- <text id=94TT0971>
- <title>
- Jul. 25, 1994: Health Care:Hitting the Great Divide
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1994
- Jul. 25, 1994 The Strange New World of the Internet
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- HEALTH CARE, Page 24
- Hitting the Great Divide
- </hdr>
- <body>
- <p> The abortion issue, mostly ignored for months, suddenly threatens
- the outlook for Clinton's plan
- </p>
- <p>By David Van Biema--Reported by Julie Johnson/Washington and Richard N. Ostling/New
- York
- </p>
- <p> The leaders of the Roman Catholic Church in the U.S. were supporting
- Bill Clinton's health plan years before he was born. Universal
- coverage? In 1919 they wrote, "The state should make comprehensive
- provision for insurance against illness, invalidity...and
- old age." Employer mandate? They stated that the "insurance
- fund should be raised by a levy on industry." Sometimes dubbed
- socialists for their troubles, the bishops defended these radical
- notions for the next 75 years.
- </p>
- <p> Yet last week, as variations on the Clinton plan started heading
- toward compromise in Congress, the church dealt the process
- a sharp blow. Noting that three of the health-care plans emerging
- from committees listed abortion as part of a standard-benefits
- package, the National Conference of Catholic Bishops sadly but
- unanimously vowed to mount a grass-roots campaign against the
- final product if it followed suit. That announcement bred others:
- 72 members of Congress said they would have difficulty voting
- for any bill that doesn't include abortion as a benefit. Thirty-five
- others responded by making public a threat to oppose any bill
- that does. An awful possibility hovered before the Democratic
- congressional leadership: however they chose, the abortion issue
- might cost them the razor-thin margin by which any health plan
- would be expected to pass Congress. Politically at least, they
- would be damned if they did and damned if they didn't.
- </p>
- <p> It was in the hope of delaying such a showdown that Senate Finance
- Committee chairman Daniel Patrick Moynihan had cut a deal with
- his colleague John Danforth in late May. In return for the Missourian's
- attempt at compromise, the pro-choice New Yorker signed on to
- the result: two pro-life amendments to the committee's health-care
- bill. Like many other senior Democrats, Moynihan hoped to put
- the issue off for another day.
- </p>
- <p> Inevitably, that day dawned. In the trenches of abortion warfare,
- nobody has ever given anything up for free; yet until the bishops
- spoke, it looked as if the pro-choice forces might steal a march.
- Currently pro-lifers can avoid funding other peoples' abortions
- through their tax dollars or insurance premiums: Congress has
- prohibited the use of federal funds to pay for most Medicaid
- abortions, and many insurance companies do not underwrite the
- procedure. Under a universal employer-mandate system with an
- abortion benefit, however, all insurance companies would have
- to offer it. And employers would have to pay for it, passing
- on the costs to their employees. Thus, while the Clinton-inspired
- proposals emerging from the three congressional committees may
- seem to maintain the status quo, says National Conference spokeswoman
- Helen Alvare, "that's not the effect."
- </p>
- <p> Yet the bishops' counterproposal--that abortion should be
- made a "supplemental" benefit for which women could pay extra--would be a step backward for pro-choicers, most of whose
- insurance companies routinely finance the services. Says Colorado
- Congresswoman Patricia Schroeder: "We are totally opposed to
- women getting private insurance for their private parts."
- </p>
- <p> Only a minority of Americans, however, believes the health-care
- system should guarantee payment for abortion. In a TIME/CNN
- poll last week, 52% of those surveyed said they would oppose
- a universal health plan that paid for abortions, up from 44%
- opposition last year. Such disputes take on more importance
- in the face of a general erosion of health-reform support. In
- the TIME/CNN poll, only 37% of those surveyed support the Clinton
- plan, down from 48% in April.
- </p>
- <p> So far, no compromise on abortion has been hashed out. The Danforth
- amendments to the Finance Committee bill explicitly state that
- it does not require the creation and maintenance of abortion
- clinics and allows individuals and companies to refuse to pay
- for a benefits package that includes abortion. But such a system
- would ultimately give employers the power to make the decision
- for all workers. Another route may be to try to pass a health
- plan in which the standard benefits would be named later by
- an independent commission. In that case, pity the commissioners
- who must decide. Claims Schroeder: "There is no compromise on
- this issue." Louisiana Senator John Breaux, a conservative Catholic
- Democrat, maintains that "it can be worked out." At the moment,
- most people on the Hill seem to agree with Breaux. But if passions
- flame higher, America's most contentious issue could become
- a health-care deal breaker.
- </p>
- <p> If the government were to guarantee health insurance
- for all Americans, should the plan pay for abortions?
- <table>
- <tblhdr><cell><cell>1993<cell>1994
- <row><cell type=a>Yes<cell type=i>50%<cell type=i>41%
- <row><cell>No<cell>44%<cell>52%
- </table>
- </p>
- <p> Is it important to reform the U.S. Health-care system sometime
- this year or can it wait until next year?
- <table>
- <tblhdr><cell><cell>1993<cell>1994
- <row><cell type=a>This year<cell type=i>71%<cell type=i>50%
- <row><cell>Can wait<cell>24%<cell>45%
- </table>
- </p>
- <p> CREDIT: From a telephone poll of 600 adult Americans taken for
- TIME/CNN on Jul 13-14 by Yankelovich Partners Inc. Sampling
- error is plus or minus 4%, Not Sures omitted
- </p>
- </body>
- </article>
- </text>
-
-