Please provide it. Note - you support your arguments by showing that did not provide documented evidence. Guess what - you repeated that same mistake. You leave all of those significant factors out in your criticism. Finally, you might want to interview Sr. Keehan again on family and women's healthcare; family planning; contraception; and the current state by state assault on the Catholic Social Justice belief that healthcare is a human right - not a luxury.
That article merely states that restrictions in various states on abortion providers has also resulted some of those providers not offering contraception services. It certainly does not argue or present any facts demonstrating as a result of imposing abortion restrictions that either the number of abortions actually increased or that such restrictions were the cause of any increase. Your oblique reference to "Courts and studies " supporting your thesis is unsupported by any reference. I certainly agree that abortion users cite economic considerations as the foremost reason for seeking that procedure but in the absence of a study that controls for such a variable as well as the variable of contraceptive availability in the context of new abortion restrictions, no one can reasonably assert a "cause and effect relationship " between imposing abortion restrictions and any subsequent increase in such procedures.
Stephanie - great article. I too like the fivethirtyeight site for its quantitative data and I completely agree that they wrote a very biased article in this case. There are 3, counties in the US and 5, hospitals 1, rural , or per county.
So, 45 is a small number. They are growing because they are better managed and do a better job. Let the atheists build their own hospitals in rural areas if they want to do their dirty work there.
It is very important to keep these sites honest, so well done. Stephanie, thanks for your comments and support of Catholic health care. I too was surprised by the lack of objectivity in the report.
Another thing they don't mention is that if Catholic health care did not step in, these 45 rural communities would have no hospital at all. I was part of decisions in which a failing community hospital was absorbed by a Catholic system and became the sole provider. True, we don't provide ALL services, but no hospital does. Every hospital has its specialities and also service lines it doesn't provide.
The fact that we receive federal reimbusement is irrelevant. All hospitals receive federal funds, and none of them provide every service. Another important fact is that not only is our CEO a woman, but virtually all of our hospitals were founded by women and largely in order to serve women and children. A trip of "tens of miles" is important in the event of a medical emergency. A mother needing an abortion in order to save her own life is a medical emergency.
There is a reason that maternal deaths are higher in the US than in any other industrialized country by a HUGE degree. Your source for jobs, books, retreats, and much more. Stephanie Slade July 26, Why is the A. Catholic hospitals are accused of sub-par care of women. Stephanie Slade Stephanie Slade, a contributing writer to America , is managing editor at Reason magazine.
Show Comments Comments are automatically closed two weeks after an article's initial publication. Board Responsibilities. Board Nominations. Administrative Regulations. Articles of Association. Membership and Dues. Vendor Ethics. Shared Statement of Identity. CHA Staff Directory. Award Recipients. Achievement Citation. Lifetime Achievement Award. New Report Reveals 1 in 6 U. May 5, Contact Information media aclu. New York , NY The magnitudes of these differences, however, were small.
Large differences exist, however, by Census regions. Nearly one-half The distributions of the least and most Catholic Marketplace networks were lower and higher than overall Catholic hospital market share, respectively.
We found that counties This table also estimates this summary measure separately among counties with low market shares and those with high or dominant market shares. Although the percentage of counties in each subgroup was similar, for the median case in the high or dominant group of counties compared with the low group Figure 3 classifies counties according to whether their least, median, and most Catholic Marketplace networks had lower Catholic market shares than their respective counties overall.
With the exception of counties 8. This occurs primarily in counties with higher Catholic hospital market share, which often have at least 1 Marketplace hospital network dominated by Catholic hospitals. In US counties, the median Catholic hospital market share was These counties at the high and dominant level, which are the counties at greater risk of reduced access to reproductive health services, were home to These findings suggest that Catholic hospital reproductive health policies are associated with access to reproductive health services for a substantial fraction of women who may require these services.
We also found that the Catholic hospital market shares in Marketplace health insurance networks were lower than the counties they served.
The median Marketplace network included a smaller share of Catholic hospitals, compared with the overall county Catholic hospital market share, in These findings suggest that Marketplace health insurance networks, on average, provide greater access to reproductive health services, compared with the counties they serve. Most counties with high or dominant Catholic hospital market shares were in the upper Midwest, spreading across the Pacific Northwest.
Notably, we did not observe large differences between the percentage of the population who are Catholic by the market share of Catholic hospitals. These findings suggest wide geographic variability in terms of whether the Catholic hospital market share might pose a barrier to obtaining reproductive health care. Other studies 28 - 30 investigating the effects of structural changes on the health care system suggest that reduced access to reproductive health services may be adversely associated with health outcomes.
For example, prior work has found that hospital obstetric unit closures in rural areas are associated with increased risk of preterm birth 29 and that restricting access to Planned Parenthood clinics is associated with a decrease in contraceptive use and a concurrent increase in maternal mortality.
Concerns about restricted access to reproductive health services could be mitigated if patients were able to accurately choose hospitals whose services meet their needs and values. Health insurance networks themselves may be opaque at the time when women enroll. State-based health insurance Marketplaces were created under the Affordable Care Act to improve health insurance coverage and access to care for nonelderly adults, and policy makers explicitly mandated that insurance cover both maternity and contraceptive services.
Hospital network adequacy standards exist and could be helpful for network-related limited access, 37 but they currently do not consider whether hospitals are Catholic. Adding this metric to network adequacy standards could be one policy option to monitor access to reproductive services in the Marketplaces. Major strengths of this study include nationally representative data and our ability to quantify how health insurance networks are associated with the market share of Catholic hospitals faced by patients.
This study also has limitations. First, the use of Marketplace network data precluded us from generalizing our findings about Catholic hospital market share to other insurance networks, such as Medicaid managed care plans.
This is an important limitation given that state Medicaid programs are the largest single payer for health care for nonelderly women. Medicaid managed care networks also may have charitable objectives in line with Catholic hospitals, which may mean that Medicaid networks are relatively more Catholic than their Marketplace counterparts.
We note that the overall estimates of Catholic hospital market share are national in scope. Second, we are unable to measure whether Catholic hospitals provide systems whereby patients could be referred for reproductive health services elsewhere. Even a referral system for reproductive health services would likely still pose a barrier to care for many patients, however. Third, our study examined the market share of Catholic hospitals, as opposed to the market share of Catholic health care systems.
Therefore, these findings are informative to understand geographic variability in access to reproductive health services occurring in inpatient settings or hospital-owned outpatient clinics, but do not necessarily generalize to access to outpatient services. This is the first study, to our knowledge, to provide national estimates of Catholic hospital market share in the United States.
We found that Marketplace health insurance networks tend to include a lower share of Catholic hospitals than the overall county share, suggesting that Marketplace networks are protective of access to reproductive health services. The geographic variation in availability of Catholic and non-Catholic hospital systems is an important factor for consideration in the study of reproductive health outcomes in the United States.
Published: January 29, Author Contributions: Ms Zhang had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Drake and Jarlenski contributed equally to this work as co—first authors. Critical revision of the manuscript for important intellectual content: All authors.
No other disclosures were reported. Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. Download PDF Comment. Figure 1. View Large Download. Figure 2. Figure 3. Table 1. Table 2. Providing quality family planning services: recommendations of CDC and the U.
Office of Population Affairs. PubMed Google Scholar. Ranji U, Salganicoff A. Womens Health Issues.
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