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From the desk of ... Elizabeth Sepper, Repro Health Watch

What’s at Stake in the Supreme Court Birth Control Cases? More Than You Might Think.

By Elizabeth Sepper, Associate Professor of Law, Washington University School of Law

Elizabeth Sepper, Associate Professor of Law , Washington University School of Law

Access to contraception long seemed settled and remote from the culture wars. After all, 99 percent of American women use birth control during their lives. Twenty-eight states already require insurance to cover contraceptives. Yet, contraception has emerged as the most hotly contested legal issue of 2014. Next week, the Supreme Court will hear a challenge to the Affordable Care Act’s requirement that health insurance nationwide cover contraceptives. The challengers – Hobby Lobby, a craft store chain, and Conestoga, a cabinet manufacturer – are just two of the many for-profit, secular businesses to claim that contraceptive coverage violates corporate free exercise of religion under the Religious Freedom Restoration Act and the U.S. Constitution.

The right of women and men to control their reproductive lives – without their boss’ say-so – hangs in the balance. More than half of U.S. women between ages 18 and 34 cannot afford birth control. Poor health outcomes for mother and child result from unintended pregnancies. Requiring employee insurance to cover contraception is key because half of Americans are insured through their jobs. Before the ACA, many insurance plans did not cover the most effective contraceptives, such as IUDs. Women paid 68 percent more in out-of-pocket health costs than men, in part due to the costs of contraception and reproduction.

But the importance of the Hobby Lobby and Conestoga cases isn’t limited to contraception. For the businesses to prevail, the Court would first have to decide that corporations can exercise religion like human beings – a radical proposition. It would then have to conclude that contraceptive coverage is a burden on corporate religion that can’t be justified by the significant public health and gender equality benefits that birth control coverage brings.

If the Court sides with Hobby Lobby, employees will bear the costs of religious beliefs of corporations. Employees in all workplaces could lose the benefit of any insurance mandate. Corporations could resist covering counseling and testing for sexually transmitted infections. Unmarried women could be denied prenatal care. Employers could oppose covering the HPV vaccine based on the misguided belief that it causes promiscuity. Still others could refuse to include depression screening or kids’ vaccinations in employee insurance.

And that’s just where it begins. A win for Hobby Lobby could resurrect businesses’ attempts to exempt themselves from Social Security, minimum wage, worker’s compensation, antidiscrimination, health, and safety laws. Courts had long rejected such claims. Under the logic of Hobby Lobby, businesses might now prevail, at significant cost to their employees. Employees everywhere would have to worry that their companies might refuse to comply with laws that protect equality and create a safety net. Businesses could argue that religious belief entitles them to pay women less, fire pregnant women, or deny spousal benefits to same-sex couples. Consumers could face heightened discrimination as well. Pharmacies could refuse a patient HIV medication. Hospitals could bar a man from visiting his same-sex spouse. A hotel could disallow bookings by unmarried couples.

A win for Hobby Lobby would open the door for secular, for-profit companies to find religion and demand a veto over their employees’ private decisions. At heart the question for the Court is: Can a corporation have a “conscience” that trumps individual freedom and allows business owners to impose their beliefs on employees and consumers? In the past, the Court answered that question with a resounding 'no' – equality in the workplace and the marketplace rides on the Court doing so again.


Comments

Submitted by Tom on March 26, 2014
I'll never shop hobby lobby!
Submitted by Fr. / Dr. Larry on March 26, 2014
Our family will never walk into a Hobby Lobby again for at least 50 years, or less once they have come to their senses.
Submitted by mary cay on March 23, 2014
Employers making these decisions is outrageous.
Submitted by Lammypie on March 22, 2014
It must be our chiice! Government needs to stay out of our bedrooms! Men have no right to my body.
Submitted by meechbuzz on March 21, 2014
I am an artist. A woman. And I get my art supplies largely from Hobby Lobby... I will have to find somewhere else. This cannot be allowed to happen or we're going back in time instead of forward. This would open up cans of stink worms the likes of which we wouldn't even want to imagine! The founding fathers came up with separation of church and state for very VERY good reason... Let us not regress post-1776!!!
Submitted by Jules on March 21, 2014
We must not allow Corporations or Religious Groups to have the ability to dictate any personal choices for women or men
Submitted by ERO on March 21, 2014
#getoutofmyvag
Submitted by wildthang on March 21, 2014
They would be able to control employees lives like they did when they had company towns. Effectively taking away all human right for their religious principles. Secular society is supposed to inhibit religious culture wars on personal freedoms of others and render them slaves.
Submitted by Lynn on March 21, 2014
It is outrageous that some business owner's belief system can even be slightly considered more important that the health choices of a woman-even if she is "only" an employee. The far right politicians and their supporters seem to think that women are incapable of making their own decisions. These birth control decisions are carefully thought through by each and every woman at some point in her life. The government and politicians should stay OUT of this decision. I used birth control in my 20s because it was not the time for us to start our family- we were both in college and just starting our married life. It was our decision and no one else's.
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