The Medical Facts About Birth Control and Hobby Lobby—From an OB/GYN

Source: New Republic

Author: Jen Gunter

If you’ve read the Supreme Court’s ruling in Hobby Lobby or the reaction to it, then you know what sparked the lawsuit. The Affordable Care Act says that employer-provided insurance must include essential health benefits, including all medically authorized forms of contraception. The owners of Hobby Lobby objected to this requirement, because they believe that four common forms of birth controltwo versions of the “morning-after pill” and two kinds of intrauterine devices (IUDs)are “abortifacients.” In other words, the owners of Hobby Lobby think these contraceptives end pregnancies rather than prevent them. And they believe that is tantamount to ending a life.

The claim, which you can find on virtually any conservative website, has been making the rounds for a long time. It’s stuck because the science on how these particular drugs and devices work wasn’t that great. But recent advances in medical diagnostics and some ingenious studies have changed that. We know a lot more about how the contraceptives work. We can be very confident that three of the four contraceptives do not lead to abortion, even using the conservative definition of when life begins, and we can be almost (although not quite) as sure that the fourth does not, either.

There are essentially six ways to prevent pregnancy:

  1. Make the cervical mucus inhospitable (sperm can’t get to the egg)
  2. Inhibit ovulation (prevent the release of an egg)
  3. Affect fertilization (the ability of the sperm to meet up with and/or penetrate the egg).
  4. Affect the fertilized egg (prevent implantation)
  5. Create an inhospitable uterine environment (prevent implantation)
  6. Affect the implanted embryo

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As far as the medical establishment is concerned, pregnancy doesn’t begin until implantation. (In fact, 80 percent of fertilized eggs never implant.) So under this “medical” definition of pregnancy, only method #6that is, doing something to the implanted embryowould constitute a form of abortion. But religious conservatives hold that pregnancy and life itself begin at the moment an egg is fertilized. Under the “religious” definition of pregnancy, methods 4, 5 and 6 would all constitute forms of abortion.

What does that mean for the four types of contraception at issue in the Hobby Lobby case? Let’s consider each one.

Birth Control or "Abortifacient"?

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Plan B, which is one form of the morning-after pill, clearly wouldn’t. It works by inhibiting ovulation when given during a specific 48 hour window of the cycle. It has no other method of action. This is undisputed scientific fact. (Plan B is one of the best studied of all the methods of contraception).

Ella (the manufacturer uses a lower case “e”) is another version of the morning-after pill. It too works by inhibiting ovulation, only it is better at it than Plan B. The 30 mg of ulipristal in ella has no effect on sperm quality, a fertilized egg, or the lining of the uterus. Higher doses affect the uterine lining, potentially creating a hostile environment that could stop a fertilized egg from implanting. But a 30 mg dose has the same impact on uterine lining as a placeboin other words, it has no effect. The only gray area is if a woman were to take ella not realizing that she is already a few weeks pregnant (an unrecognized pregnancy). The impact of ella in early pregnancy is currently unknown.

Mirena, one of the IUDs, changes cervical mucus. It also inhibits ovulation for a small percentage of women in the first year of use, but that is unlikely a major method of action. The Mirena IUD does thin the lining of the uterus, but there is no evidence to suggest this impacts implantation of a fertilized egg.

That leaves the ParaGard, which is a copper IUD. The copper in the device damages sperm and eggs, affects how the sperm and egg travel to meet, and may affect implantation. Some very complex studies suggest that a very small percentage of cycles with a copper IUD (around 1%) may result in a fertilized egg that fails to implant. But, as physician Aaron Carroll noted recently at The Upshot, that’s also the normal failure rate of the IUD. The bulk of the studies do not support a post-fertilization effect.

The only caveat is that if either IUD fails (and while rare, they do fail about 1 percent of the time) the resulting pregnancy has a higher risk of miscarriage.

The facts are summarized in the table above. There is no evidence that Plan B, Ella, or the Mirena cause abortion by any definition. The evidence that the ParaGard might affect implantation for a small percentage of women, thus leading to what some conservatives would call abortion, is thin. But we don’t have the information to discount it completely.

Is that a rational basis for refusing to pay for these contraceptivesand reducing the reach of a health care initiative that provides enormous benefits? Religious conservatives think so. And thanks to the Supreme Court, they will get their way.

Dr. Jen Gunter is an OB/GYN and a pain medicine physician based in California. She blogs at drjengunter.com and authored the book, The Preemie Primer, a guide for parents of premature babies.

Emphasis Mine

See: http://www.newrepublic.com/article/118547/facts-about-birth-control-and-hobby-lobby-ob-gyn?utm_source=Sailthru&utm_medium=email&utm_term=TNR%20Daily%20Newsletter&utm_campaign=TNR%20Daily%20Zephyr%20with%20LiveIntent%20-%20July%207%2C%202014

I Worked at Hobby Lobby and Saw the Troubling World of Corporate Christianity

Source: AlterNet

Author: Charity R. Carney

It was the most difficult job I’ve ever had. I’ve been a history professor for years, toiled as a graduate assistant before that, and even did a stint as an IT technician. But the three months I worked at Hobby Lobby stocking googly eyes and framing baseball cards takes the cake. I wanted a break from academia but it ended up not being a break at all. I found myself deconstructing and analyzing all aspects of my job — from the Bible in the break room to the prayers before employee meetings and the strange refusal of the company to use bar codes in its stores. (The rumor amongst employees was that bar codes were the Mark of the Beast, but that rumor remains unsubstantiated.)

Three months was enough to convince me that there is something larger at work and the SCOTUS decision only confirms my belief that corporate Christianity (and Christianity that is corporate) has made it difficult for Americans to discern religion from consumption.

As a scholar of religious history, I observe the way that faith intersects with culture. I study and publish on megachurches and my interpretation of this week’s events is informed not only by my experiences as an employee at Hobby Lobby but also my knowledge of recent religious trends. My biggest question after hearing the decision was not about the particular opinions or practical repercussions (which are significant and have far-reaching and dangerous consequences). Instead, my first thought was: “What is it about our cultural fabric that enables us to attribute religious rights to a corporate entity?” In the United States we have increasingly associated Christianity with capitalism and the consequences affect both corporations and churches. It’s a comfortable relationship and seemingly natural since so much of our history is built on those two forces. But it’s also scary.

Hobby Lobby is a for-profit craft chain, not a church. I’m stating the obvious just in case there was any confusion because — let’s face it — it’s confusing. It’s as confusing as those googly eyes (do you really need three different sizes, Hobby Lobby, really?). Today, we see giant churches that operate like corporations and now corporations have some of the same rights as churches. Many megachurches adopt “seeker-sensitive” approaches to attract members, relying on entertainment and conspicuous consumption to promote their services. After a while, the spiritual and secular lines start to blur and the Christian and corporate blend. Ed Young, Jr.’s Fellowship Church, for instance, started a “90-Day Challenge” for members. The church asks congregants to pledge 10 percent of their income and promises “that if you tithe for 90 days and God doesn’t hold true to his promise of blessings, we will refund 100 percent of your tithe.”

Megachurches advertise on television, billboards, the Internet. They have coffee shops and gift stores. Some feature go-cart tracks, game centers, even oil changes. Many are run by pastors that also serve as CEOs. So when Hobby Lobby seeks similar religious rights as these very corporate churches, we have to reconsider our definition of religious organizations and maybe even say “why not?” We have normalized corporate Christianity to the point that the Supreme Court deems it natural for businesses to hold “sincere” religious beliefs. The religious landscape in the United States, including our familiarity with megachurches and celebrity pastors, certainly contributes to the acceptance of the church/company conundrum.

The “why not” can be answered, however, with the real costs of the decision. Women’s reproductive rights are compromised. The religious freedom of employees for these corporations is compromised. The sanctity of our religious institutions is also compromised. To protect religious pluralism and freedom of the individual we need clear demarcations between what is spiritual and what is economical. Otherwise, we sacrifice the soul of American religion and all that makes it good and why I study it on the altar of industry. I can’t get those three months at Hobby Lobby back (or the praise muzak out of my head) but I can see more clearly the dangers of allowing corporate Christianity to become the norm. Without clear boundaries, we risk distorting the very idea of religious freedom and the rich, diverse religious culture that makes us who we are. And that’s tragic — maybe not as tragic as praise muzak, but tragic nonetheless.

Carney is a historian of religion, gender, and the South.

Emphasis Mine

See: http://www.alternet.org/economy/i-worked-hobby-lobby-and-saw-troubling-world-corporate-christianity?akid=11985.123424.MazbC2&rd=1&src=newsletter1009384&t=5

Why Do Christian Right-Wingers Pretend America’s Laws Don’t Apply to Them?

Source: AlterNet

Author: Amanda Marcotte

The situation with Cliven Bundy of Nevada should be a no-brainer for people from both the left and the right. Bundy has been stealing from the taxpayers for years, illegally grazing his cattle on federal lands while refusing to pay for the privilege. Both liberals and conservatives pay taxes, so such blatant theft should outrage everyone equally. Indeed, conservative media claims to take theft from taxpayers very seriously, with Fox News spending so much time on the miniscule problem of food stamp cheats that the number of minutes spent on it has likely long ago exceeded the number of pennies lost to this non-problem.

Bundy has stolen far more than any hypothetical food stamp cheat ever did, but when the government tried to show up and take what was theirs, he met them with armed resistance, pushing him from the “ordinary fraud” category to the “violent criminal” column.

And yet, for some reason, Bundy’s outrageous theft of services from the taxpayers is not being taken seriously by the right-wing press. As Roy Edroso of Village Voice and Eric Boehlert of Media Matters have chronicled, the conservative response to the whole incident has ranged from minimizing the seriousness of the crime to outright cheering Bundy on in his efforts to use the threat of violence to continue stealing from the taxpayers.

It’s tempting to write this reaction off as a matter of idiocy married to identity politics. Bundy is a white guy in a cowboy hat wielding guns, which reads as “one of us” to many on the right, so they refuse to accept that he’s a bad guy no matter how much he threatens violence against federal officers simply for enforcing a law that applies to everyone. And no doubt that is part of what’s going on here. But really, what’s going on runs deeper than a knee-jerk desire on the part of the right to believe every white guy in a cowboy hat is a good guy. This is the logical extension of a push that’s grown in recent years from conservatives to argue that they, and only they, have special rights to simply disregard any law they don’t want to follow. And unfortunately that’s an argument that may be making headway this year in the Supreme Court.

The past couple of years have seen a surge in conservatives demanding special rights to disobey universally applicable federal laws on the grounds that they don’t believe in them. This argument has largely been treated favorably by right-wing media that would definitely not extend that courtesy to anyone else. The Hobby Lobby case is simply the most prominent. To recap,Hobby Lobby is arguing before the Supreme Court that because they don’t believe certain forms of contraception are allowed by their god, they shouldn’t be required to meet federal minimum standards requiring that contraception for healthcare plans offered to employees as part of their compensation package, even if the employees don’t believe in a birth control-hating god.

It’s alarming to think that Hobby Lobby is arguing that anyone should be able to ignore any law they want just by stating they don’t “believe” in it, but reading between the lines of their lawyer Paul Clemente’s arguments before the Supreme Court, it’s clear they think this right to exempt yourself from federal regulations should be exclusive to Christian conservatives.

When Justices Kagan and Sotomayor pressed Clemente to explain how being able to opt out of the contraception mandate wouldn’t lead to being able to opt out of offering insurance that covers vaccines or blood transfusions, Clemente waved their concerns off, saying that contraception was “so religiously sensitive, so fraught with religious controversy” in a way those other things aren’t. But, of course, there are religious groups that do think vaccines or blood transfusions are just as “fraught” as contraception, if not more so. The only difference is those groups don’t have the backing of the Christian right. Even without stating so explicitly, therefore, Clemente’s arguments rested on the assumption that the opt-out opportunities he’s pushing for would be for Christian conservatives and only them. The rest of you can go hang.

Similar logic was in play with the push in various states to pass laws giving rights to businesses to discriminate against customers or employees on the basis of gender or sexual orientation, as long as they ascribed their desire to do so on the grounds of “sincere religious belief.” Being allowed a special exemption to universally applicable laws doesn’t get any more blatant than that. There wasn’t even an attempt at propping up the illusion of fairness by, say, allowing gay or  female business owners to discriminate against religious bigots. Being a religious conservatives was the only way to be eligible for this special privilege of treating customers and employees like dirt if you want to.

While that spate of bills was defeated after public outcry, the narrative that conservatives have a special right—privilege, really—that no one else should have to defy any laws they happen not to like had rooted itself into right-wing media, which enthusiastically championed the idea that conservatives should be able to opt out of all sorts of laws as long as they wielded “religious belief” as an excuse.

Cliven Bundy doesn’t use religion as his excuse, but he still insists that since he doesn’t believe in the “United States government as even existing,” then he shouldn’t have to follow its laws. It’s a logical extension of the anti-gay and anti-contraception “opt out” arguments, rooted as it is in a belief that conservatives have a unique claim to simply reject any laws they don’t want to follow, even as they, like Bundy, take advantage of the amenities of citizenship.

No wonder conservative media is so warm to the guy. To be clear, none of these actions should be confused with civil disobedience, though some have tried. Civil disobedience is about changing unjust laws, not trying to get a special exception from the law for you and people like you. The only reason right-wing media is giving sympathetic coverage to Bundy is that he’s identifiable as a conservative and therefore his desire to make money off the backs of taxpayers without paying his fair share gets sympathetic treatment. But if he was black or female and got away with even a dollar more food stamps than he was owed, he would be treated like public enemy #1 by Fox News. Being able to shrug off laws you don’t like is a privilege reserved for the few in the world of conservative media.

Amanda Marcotte co-writes the blog Pandagon. She is the author of “It’s a Jungle Out There: The Feminist Survival Guide to Politically Inhospitable Environments.” 

Emphasis Mine

See: http://www.alternet.org/belief/why-do-christian-right-wingers-pretend-americas-laws-dont-apply-them?utm_source=Amanda+Marcotte%27s+Subscribers&utm_campaign=3c380f498a-RSS_AUTHOR_EMAIL&utm_medium=email&utm_term=0_f2b9a8ae81-3c380f498a-79824733