Which Families Matter: Some Healthcare Revelations
Dustin on Sep 25th 2007
It’s no surprise to LGBTQ parents that the insurance industry discriminates against them and their families. From marriage and partner recogniction to legal parent status and children’s access to health benefits, there are any number of obvious ways that insurance excludes LGBTQ people and their kids.
But rather than just thinking about how the insurance industry discriminates and excludes, I think it’s helpful to take it a step further, to truly wrap our brains around what’s going on:
The benefits packages that insurance companies provide not only discriminate and exclude, they define what specific illnesses, procedures, treatments, and, yes, even families are worth encouraging and supporting.
My package, for instance, includes funds for childbirth classes and support and education programs for expectant mothers, but says nothing of preparing parents who are adopting children, even infants who will be in their care from the first moments of life. The first thing to note here is that insurance companies often apply the term “medically necessary” as a rationale for providing benefits or not. In my reading, there’s nothing “medically necessary” about parent education classes for anyone, really. If parent education classes were “medically necessary,” why wouldn’t my insurance also cover home care assistance for chronically ill people, such as providing funds to hire someone to assistance in daily tasks like dressing, cleaning and feeding oneself. My insurance covers home care assistance for things like physical therapy, administration of drugs and other at home “treatments,” but not day-to-day personal care tasks, things that can vastly improve one’s quality of life and can be excessively difficult to do when debilitated by illness.
Elsewhere in my package there’s funding for gym memberships and nutrition counseling–also, in the strictest sense, not “medically necessary.” So what’s going on here? If insurance is willing to subsidize preventive care and health maintenance, which would include classes to educate new parents on how to best care for their kids, why not apply that rationale equally?
Whether insurance companies intend this or not, their current support of one type of parent (mothers who give birth) over others privileges one type of family over others. Why should lesbian moms or gay dads, for instance, not receieve benefits for parent education classes when they pay their premiums, as well? For that matter, why should any prospective parent who is not a pregnant woman be excluded from these benefits? If the health and well-being of the children is primary purpose behind a parent education benefit, why not equally care for all children?
This is just one of the many questions we must ask the insurance industry, which so greatly shapes our lives through our health. Anyone reading this post who feels categorically discriminated against or excluded from their insurance coverage should think not only about how they’re excluded but who is included and why. What groups and kinds of people are held up over others? Who receives benefits, who has coverage? None of this is black and white and all of it can change.
If you want to take action, assess your benefits package and see if you and your family are inappropriately excluded. You may not be able to get your provider to cover your partner without legal marriage, but you may make waves around things like parent education class benefits and other, less “political” subjects.
Filed in general, health, politics | One response so far
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