
As almost everyone in the world knows, Rush Limbaugh made some controversial comments about Sandra Fluke, a Georgetown law student who testified at a congressional hearing in support of requiring all health insurance plans to cover birth control pills for free.
Limbaugh said:
“What does it say about the college coed Susan Fluke [sic], who goes before a congressional committee and essentially says that she must be paid to have sex? What does that make her? It makes her a slut, right? It makes her a prostitute. She wants to be paid to have sex. She’s having so much sex she can’t afford the contraception. She wants you and me and the taxpayers to pay her to have sex.”
And later he said,
“So Miss Fluke, and the rest of you Feminazis, here’s the deal. If we are going to pay for your contraceptives, and thus pay for you to have sex, we want something for it. We want you to post the videos online so we can all watch.”
After almost all of the world erupted in rage at him, Limbaugh apologized.
Here’s my take: Yes, Rush made some bad word choices. It was somewhat mean to call Fluke a slut, not a perfect analogy to call her a prostitute, pointless to use the word “Feminazi,” and nonsensical to call for sex videos to be posted online. But he made a good point, which has been almost entirely overlooked: that indeed, to pay for someone’s birth control pills is to pay for them to have sex. Birth control pills are not essential, because they are only useful to people who have sex, and one can always make the choice not to have sex.*
The truth is, Limbaugh is right on this issue, and Fluke is wrong. Fluke and other proponents of free birth control are winning the public opinion war by making it seem like they are arguing for basic rights, and their opponents are trying to take these rights away. For example, Rep. Carolyn Maloney (D-NY) said, ”The right to space and time our children for our own health and the ability to manage our lives — this is a basic right, and they’re going after it.”
In actuality, Fluke and her allies are arguing a very aggressive position, one that violates the freedom of others. These people are outraged at the fact that there is some opposition to forcing all people to purchase health insurance that covers a discretionary product (birth control pills) preferentially to medically necessary products. Fluke does not just demand that she have access to birth control, or that she be able to make her own decisions about her life or her body. She does not even demand that health insurance plans cover birth control just as they would any other health service. Instead, she demands that all health insurance plans be required to cover birth control with no co-pays, co-insurance, deductibles, or cost-sharing measures of any kind; in other words preferentially to chemotherapy, antibiotics, heart surgery, casts for broken bones, and all other health services that actually treat a medical problem.
In other words, she demands that I be required to pay for a health insurance plan that does not work for me and that I cannot afford because it covers discretionary products that I will never use. Unwilling to make any sacrifices in her budget to accommodate her desire to be sexually active, she demands that I make sacrifices in my budget to accommodate her desire to be sexually active. Anyone who falls short of supporting this extreme position, advocating, for example, something as modest as allowing companies to charge a $10 co-pay for birth control pills as would be required for any other medication, is characterized as a misogynist who wants to control women’s bodies and lives. This is ridiculous. I am not trying to control anyone’s body or anyone’s life; I am simply trying to control my own money.
In summary, Fluke is advocating injustice, unfairness, and outright aggression against every American by advocating that we all be required to pay for something that we do not necessarily want and will not necessarily ever use. Maybe Fluke shouldn’t have been called a slut. But that doesn’t change the fact that on this issue, she is completely, utterly wrong.
Here are a few more random points that, in my opinion, people haven’t been paying enough attention to in the birth control debate:
- Fluke complained that birth control can cost someone $3,000 over the course of law school, or $1,000 a year. Apparently she mentions this because she thinks it’s a huge burden, but this is not an unmanageable price, especially if you consider that according to some sources, the price is actually as low as $9 per month. Unlike some medications that give people with cancer their only chance at life, birth control is reasonably priced even without insurance.
- Birth control is not a women’s issue. It really, really annoys me that commentators unanimously, casually, and without thought, refer to this as a “women’s issue.” It is not. Sex and reproduction (and sex without reproduction) have to do with both genders equally. People of both genders have an interest in being able to have sex without making a baby, and men do not want to become parents against their will any more than women do. It is demeaning to women to suggest that somehow they should be more associated with reproduction than men are.
- Why is there such an outrage about co-pays for birth control pills, but no outrage about co-pays for any other medication? For example, my dad, who takes statins for his cholesterol, wondered why no one is marching on Washington to demand free statins. Unlike birth control pills, statins are actually needed to treat a medical condition.
One of the only sensible articles I have seen about this issue is this one by Cathy Cleaver Ruse of the Family Research Council. I highly recommend it.
* Yes, birth control pills are sometimes used to treat medical conditions, and in these cases, they should be treated the same as any other medically necessary product or service. In this blog post, whenever I refer to birth control pills, I am referring to those used for birth control purposes.