Girl Talk

The Affordable Care Act: Why All the Ladies Are High-Fiving

So what’s the big deal about this new part of the Affordable Care Act (ACA), aside from proving, once again, that some conservatives can’t handle big-science words like “menstruation” being uttered on the Senate floor? Well, for one thing, it acknowledges that women have actual health-care needs. More importantly, it does something about it in a very real, useful way. After all, for most of medical history, “the body” was actually just the male body, so things like ovaries and breasts and uteri weren’t really paid attention to all that much. For anyone appalled by the language in that previous sentence, I would just like to say: ovariessssssssssssssssss.

You would think that since women are the ones who make babies, the bodies and organs with which they make this happen would be valued enough to be cared for and not, I don’t know, stifled with all sorts of legislation. I don’t know if you’ve ever applied for individual health insurance, but just having that second X chromosome jacks up rates. If you’re planning on having children anytime soon, that’ll cost you an extra arm, leg, and firstborn child unless you can guess Rumplestiltskin’s name. Your ovaries are just too darn expensive!

Finally, last week, some sense was introduced into the system via the ACA, when its women’s health coverage bits kicked in. For 47 million women this means they can afford regular maintenance of their lady parts without going into debt and stressing over medical bills endlessly. Suddenly, a mammogram is not the Marc Jacobs bag of cancer prevention!

If you’re like me, you like lists. Here’s one with all 8 (EIGHT!) new prevention-related services that the ACA has handed women, that were problematic at best to come by for a giant chunk of  American ladies:

  •     Well-woman visits.
  •     Gestational diabetes screening that helps protect pregnant women from one of the most serious pregnancy-related diseases.
  •     Domestic and interpersonal violence screening and counseling.
  •     FDA-approved contraceptive methods, and contraceptive education and counseling.
  •     Breastfeeding support, supplies, and counseling.
  •     HPV DNA testing, for women 30 or older.
  •     Sexually transmitted infections counseling for sexually-active women.
  •     HIV screening and counseling for sexually-active women.

Of course, religious institutions may not be comfortable with covering all of these services (like contraception-related anything), and they are exempt. I’m going to put away my own thoughts of judeo-christianity’s manifestation in this country and its attitude towards women and sex, and just acknowledge how open-minded and respectful it is of the ACA to purposefully stay out of religion’s business. This, of course, makes those fighting to make any of these services harder to attain for women just look kind of silly. And by silly, I mean monumental jerks.

These services are vital for women. They protect us, our potential children, and enable us to be stronger and therefore contribute to society better. The biggest issue, of course, is contraception, because it always is. As religious institutions and houses of worship are exempt, however, hopefully we can move on to bigger and more relevant topics, such as, I don’t know, job creation and public safety.

One last note, just because it’s a personal pet peeve: the birth control pill needs a new name, you guys. So many women use it for non-contraceptive purposes that such a misnomer is detrimental to all of us. It’s a hormone pill. It treats ovarian cysts (eep), endometriosis (having your period on the outside of your uterus, crazy-painful), irregular periods and intense PMS. I don’t mean intense PMS like eating a whole pint of Cookie Dough. I mean fetal in a corner for days with blinding headaches and vomiting, which some women have and I can’t even imagine doing once, let alone every month.

Aside from the enormous amount of financial ease the ACA has just given women by making access to standard health care available, it also makes a huge statement. Everything, from covering PAP-smear and gyno co-pays to domestic violence counseling is sending the message that women are being taken seriously. The conservative right has been wreaking havoc on our rights in the last few years especially, pushing for invasive and unnecessary tests and, in some states, legally prohibiting doctors from removing a stillborn fetus (because animals do it), thus endangering the mother’s life. I can’t even make this stuff up, you guys, the basis for that law was literally that if livestock can do it, so can women. I don’t know about you, but I am not f*cking livestock, how dare you?

With that kind of attitude, it is a gigantic statement of support that the ACA is paying attention to what women need and making sure they can access it. In a Congress where medical terms like “vagina” and “menstruation” are met with balking, outraged reactions from the right, it’s clear that medical, humane health coverage is closely tied in with archaic patriarchal ideas of gender roles, which, frankly, won’t help much when a PAP smear could save your life but the co-pay cost has to go to feeding your kids. It’s nice to see that at least part of our government is being managed by adults.

  • Maggie McWilliams

    Holy crap, I just read that article you linked to and I’m literally scared for the future of this county. My jaw was dropped in shock the entire time.

    Great article by the way! Its nice to see the benefits of this bill written out so clearly :)

  • Elisabeth Miller

    You rock. Seriously. I was so psyched to see this part of the ACA go into effect. I love your writing and I love following your Instagram as you travel the world!

    • Julia Gazdag

      Awww, shucks! Thanks, lady!

  • Emma Jones

    it is so shocking that the States didnt have anything like this sooner and so strange to me as it is the norm in the UK, it really is awful that this was never brought in earlier and the stress that insurance can bring, just paying for the insurance let alone any medical bills!

  • Dana Maria

    I was so stoked about this until I read the fine print regarding birth control pills. Free birth control is pretty much false advertising. The specification that the waiving of copays only applies to GENERIC birth control was not communicated well enough. You can’t believe how overjoyed I was when I initially thought that I would no longer have to pay $70/mo. for my Yaz prescription. Cut to a few days ago when I called my insurance and heard the truth. I’ve tried Yaz’s generic formula, Gianvi, in the past and reacted horribly to it (the worst acne I have ever had in my entire life– many others have had a similar experience). I’ve tried many other pills and Yaz is the only one that works for me. Alas, the Affordable Care Act has yet to make my birth control more affordable. The government needs to recognize that many women cannot take the generic “equivalent” of their prescribed birth control.

    • Julia Gazdag

      You’re still a step ahead of me, I just react horribly to birth control in general. A lot of the ACA came out of compromises with other members of Congress (not going to point to any sides, but let’s just say the ACA had to go through the wringer to be bi-partisan). So it ended up missing some useful elements that would help even more women, because certain politicians just wanted to promote their personal interests and be contrary with the ACA’s authors. Still, 47 million women is better than none, and a sizeable portion of the population still benefits from generic pills too!

  • Anastasia Warzinski

    As a vet student who’s spent a lot of time on farms, I have a particular bone to pick w/ Rep. Terry England over his women-as-livestock statements. Honestly, no farmer worth his/her salt is going to knowingly make an animal carry a stillborn fetus. The farmer or a vet will pull it, because it’s a major infection risk for the dam. Even putting aside the glaring fact that women aren’t farm animals, it’s horrifying to suggest they shouldn’t even get at least the kind of minimal care a cow would.

    • Julia Gazdag

      Wait.. are you implying that women are NOT animals, and that animals should be treated humanely? I’m not sure your attitude is conducive to female oppression. Stop thinking, lady brains are supposed to cook laundry while making babies and nothing else.

  • Phoebe Ho

    Thanks for this amazing post! Just saw the link to it posted on my friends Facebook wall, and it just seemed to be good timing all around. Mostly because I’m thinking about moving to the States and wasn’t sure what to expect. It’s good to hear that the US is slowly approaching what I’m familiar with in both Canada and Australia though. Incidentally can I ask (and this is why I say this was amazing timing to read your post too), would you (or anyone else who ends up reading this comment :D) happen to know of anywhere besides Planned Parenthood that inserts Implanon, and if it’s one of the birth control methods that’s covered under this new scheme?

    • Julia Gazdag

      I don’t know all of the details, but you should be able to find everything you’re looking for here:

      • Phoebe Ho

        thank you! :)

  • Katie Morhen

    Great and very interesting article. Here in the UK, the pill is free and for prevention from the age of 25 we get cervical cancer screens every year/2 years. Oh and from 45, we get free breast screenings to help prevent breast cancer. Remember this is on top of the NHS. I think it is time the US government recognised the importance of all health!! COME ON MEN – wake up, it’s not that difficult!!

    • Amy Danielle

      I know, you’re think that this, ahem, “Christian nation” (obviously, the people to whom I am referring are the ones that actually believe that America is a Christian nation… which says a lot, I think) would be a bit more into.. I don’t know.. helping other people? The horror!

      If the UK would just allow me to bring my pit bull, I would be there in an instant. So you guys work on that, and we’ll work on…god, everything else.

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