Transgender Students Can Use Facilities that Match their Gender Identity Within the 3rd Circuit

This decision covers those living in Delaware, New Jersey, Pennsylvania, and the Virgin Islands.  The case, known as Joel Doe et al v Boyertown Area School District et al, is another school bathroom case. Boyertown is a school district in Berks County in southeastern Pennsylvania.  The following blog was written by the Women’s Law Project, a Pennsylvania-based public-interest law center focused on the rights of women and girls.  They wrote one of the amici briefs in this successful gender-identity rights case.

[On May 24, 2018], the U.S. Court of Appeals for the Third Circuit affirmed a lower court’s ruling that upheld a Pennsylvania school district’s policy that permits transgender students to use restrooms and locker rooms that correspond with their gender identity.

Court observers had the opportunity to witness a rare spectacle. Rather than take weeks or months to issue an opinion after arguments, the three-judge panel convened for a less than 30 minutes before ruling in favor of Boyertown Area School District’s policy and by extension, the rights of transgender students.

The plaintiffs, four cisgender students who claimed they were harassed by the mere presence of a transgender person in the locker room or restroom, were represented by the Alliance Defending Freedom. The School District defended the suit, and the Pennsylvania Youth Congress Foundation, a coalition of LGBTQ youth leaders and youth organizations, intervened in the lawsuit. They were represented by the ACLU and ACLU of Pennsylvania.

Attorneys at the Women’s Law Project and co-counsel at Drinker Biddle & Reath, LLP filed an amicus (“friend of the court”) brief in support of the Boyertown policy that argues that the presence of transgender students in facilities corresponding to their gender identity does not violate Title IX. Rather, Title IX protects the rights of transgender students to use those facilities.

Twelve organizations signed on to the brief, including the American Association of University Women, California Women’s Law Center, Champion Women, Equal Rights Advocates, Gender Justice, Legal Aid at Work, Legal Voice, National Women’s Law Center, New Voices for Reproductive Justice, Pennsylvania Coalition Against Rape, Southwest Women’s Law Center, and Women’s Law Center of Maryland.

“This ruling is a huge victory for the rights of transgender students,” says WLP staff attorney Amal Bass, who co-authored the amicus brief with staff attorney Christine Castro and managing attorney Terry L. Fromson. “The momentum is undeniable, and the Third Circuit panel sent an important message today by issuing its decision unanimously and immediately.”

You can read or download our brief here.

For all of the documents, see here.

Background

Boyertown School District instituted a policy to allow students to use bathrooms and locker rooms that reflect their gender identity, rather than the sex identified on their birth certificates.

Four anonymous students represented by Alliance Defending Freedom, a legal advocacy group often focused on restricting the rights of LGBTQ people, challenged the policy, arguing that the presence of transgender student constituted sexual harassment under Title IX and violated the Constitution.

Title IX of the Education Amendments of 1972 is a federal civil rights law designed to eliminate sex discrimination in schools and education programs.

Our Argument

Our brief highlights the fact that the courts have previously ruled that a person’s reproductive anatomy is not, in all instances, an accurate signifier of a person’s sex. For transgender people, a person’s gender identity is the most accurate determinant of their sex. Thus, Title IX does not provide a legal basis for Appellant-students to deny transgender students equal access to an education.

To the contrary, Title IX requires the school district continue the current policy of enabling transgender students to use facilities matching their gender identity because the alternative—a policy that segregates students only by biology-based, assigned sex—would discriminate against transgender students by denying them use of facilities in accordance with their gender identity.

Indeed, when plaintiff’s counsel advised the judges that he was merely asking for a “return to the status quo,” meaning, a reversal of the recently enacted policy, Circuit Judge Theodore McKee responded by bringing up landmark segregation case Brown v. Board of Education, pointing out that changes are made when there is a problem with the status quo.

“The Momentum is Undeniable”

This victory comes on the heels of another big win for transgender rights in the United States. On Tuesday May 22, a federal court ruled against a Virginia school district, holding that federal law protects a transgender student who sought to use the boys’ bathroom at his school. A federal appeals court based in Chicago issued a similar ruling in a different challenge in May 2017.

The Women’s Law Project is a public interest law center in Pennsylvania devoted to advancing the rights of women and girls.

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via Victory: Third Circuit Court of Appeals Affirms Rights of Transgender Students — WLP Blog

In the US, women in general make 85% of a man's median annual earnings. Asian women make 90%, white non-Hispanic women make 77%, African American women make 63%, Pacific Islanders make 59%, Native American women make 57%, and Hispanic women make 54% of a non-Hispanic white man on a annual basis.

Equal Pay Day 2018

Tuesday, April 10, 2018, is the day on which women’s wages catch up with men’s wages from the previous year. This day varies year to year. It symbolizes how far into the year a woman must work, on average, to earn as much as a man made the previous year.  April 10 is six days later than Equal Pay Day 2017, two days earlier than Equal Pay Day 2016, four days later than Equal Pay Day 2015, one day later than Equal Pay Day 2014, five days earlier than Equal Pay Day 2013, and seven days earlier than Equal Pay Day 2012 when Ni-Ta-Nee NOW started tracking this date!

Since I started this blog at the end of 2012 (8 months after Equal Pay Day 2012), I’ve created a blog to provide some information on this day and its meaning to economic justice for women.  Each year, I created a flyer for Ni-Ta-Nee NOW that we distributed to the public in State College, PA on Equal Pay Day and then turned it into a blog for the general public. The previous blogs can be found here:

In the US, women in general make 85% of a man's median annual earnings. Asian women make 90%, white non-Hispanic women make 77%, African American women make 63%, Pacific Islanders make 59%, Native American women make 57%, and Hispanic women make 54% of a non-Hispanic white man on a annual basis.

A look at the national wage gap by gender and ethnicity on Pay Equity Day 2018. Data collated by AAUW.

The general theme of these previous blogs is that women’s wages are currently moving at a snail’s pace towards equity with men’s wages. At the rate of change since 1960, it will be 2059 before women achieve wage parity; but at the slower, snail’s pace rate of change since 2001, it will be 2119 before women’s wages reach parity.

Yet there is some bright news. On Tuesday, April 9, 2018, the eleven-member 9th Circuit Court of Appeals unanimously gave the idea of pay equity a boost by ruling that “employers cannot use previous salaries to justify higher payment for men than for women.” This decision only applies to the nine states within the 9th Circuit Court’s jurisdiction, but it is a start.

So to change my blog a bit, I thought I’d share Nel’s New Day‘s commentary on this decision and on Equal Pay Day 2018.  She talks about similar issues, including varying dates of pay equity for people of color and a more in-depth effort to debunk the reasons for pay inequity than I have done in the past.

She also talks about international pay equity, ranking the United States against other countries around the world. I, in contrast, looked at the ranking of PA as compared to the United States.  So I’ll add that bit and then share Nel’s commentary with you.

How About PA?

The wage gap is even worse in Pennsylvania than in the United States. When ranked among the other 50 states plus the District of Columbia, Pennsylvania’s wage gap places us at 29 out of 51 (tied with CT, TX, OR, & IL) among the states. The median annual income for a woman working full-time, year-round in Pennsylvania in 2016 (the last date data were available) was $41,047 compared to men’s $51,780 or 79% of what a man earns. This is a wage gap of 21%.

In  the Old PA 5th Congressional District where I live

In 2016, Pennsylvania’s old 5th Congressional District (CD)women in the district made $35,384 compared to the $45.640 that men earned or 77.5% of what a man earned (a BIG improvement over the 73.4% in 2015). The old 5th Congressional district ranks 9 out of 18 (up from 15) in the state in terms of the wage gap.  This is a wage gap of 22.5%. Philadelphia’s 1st CD fairs better than the rest of the state with a difference of just 13.7%.

[Side note: The Pennsylvania Supreme Court ruled on January 22, 2018, that Pennsylvania’s Congressional districts were unconstitutionally gerrymandered. After the General Assembly and the Governor failed to create a new map by the mandated February 15 deadline, the Supreme Court established and announced the new districts on February 19.  Due to this recent redistricting, the pay equity data for Pennsylvania’s new Congressional Districts has yet to be done.]

Lifetime Wage Disparity in Pennsylvania

A woman in Pennsylvania who is just starting her career now will earn, on average, $429,320 less than her white, non-Hispanic male counterpart over the course of a 40-year career (ranked 30 out of 51 states). For Asian-American women, it’s $418,280; for white, non-Hispanic women, it’s $463,960, for Black women, it’s $657,680; for Native American women, it’s $840,800; & for Hispanic women, it’s $679,920.

Equal Pay Day – Help from the 9th Circuit with a National and International Perspective on Pay Equity

via Equal Pay Day – Help from the 9th Circuit

If women got the same wages that men do for equal jobs, then Equal Pay Day would be December 31 each year. But we don’t, and women on the average have to work over three months longer to equal the men’s salaries each year because women make $.80 for each $1.00 that men make. This year, Equal Pay Day is April 10, and women can celebrate a great court win today.

Almost one year ago, a three-judge panel from the 9th Circuit Court ruled that employers can pay women less than men for the same work by using differences in workers’ previous salaries. The decision overturned a lower-court ruling and was appealed. Deborah Rhode of the Stanford Law School pointed out that this decision “perpetuate[s] the discrimination” because it “allow[s] prior discriminatory salary setting to justify future ones.”

Today, the eleven members of the 9th Circuit Court unanimously ruled that employers cannot use previous salaries to justify higher payment for men than for women. Judge Stephen Reinhardt wrote the majority opinion before he died last month at the age of 87. The case concerned a starting salary for Aileen Rizo, a math consultant with the Fresno County Office of Education, who was paid less than all her male colleagues. The decision applies to the nine states of the 9th Circuit Court.

Although April 10 is Equal Pay Day for all women, dates vary for different ethnic groups when compared to white non-Hispanic men:

  • Asian-American Women: February 22, 2018 ($.87)
  • White Women: April 17, 2018 ($.79)
  • Black Women: August 7, 2018 ($.63)
  • Native American Women: September 27, 2018 ($.57)
  • Latinas: November 1, 2018 ($.54)

People who refuse to believe in the existence of the gender pay gap spread these myths:

  1. Myth: Women choose lower-paying work. Women are consistently told that they cannot do as well in male-dominated fields such as finance and technology. As career fields have a higher percentage of female entering them, the salaries drop because male-centric jobs are more prestigious. For example, biology and design were higher paying when more males were employed in these fields, whereas computing paid less in early years because early programmers were women. The trend then reversed for all these fields—computing became more lucrative when men dominated, and biology and design paid less with more women.
  2. Myth: Women choose to work fewer hours and select more part-time work than men do. Again, this is not a choice because the U.S. lacks federally mandated family leave, and child care is prohibitively expensive. With salaries higher for men, households with one worker keep the woman at home. Gender biases also allow men to leave home to work, leaving women to care for the children.
  3. Myth: Women choose jobs with flexibility over high pay so they can care for families. Female-dominated workplaces—care work, primary education, and clerical—have far less flextime than other workplace.
  4. Myth: More women are getting college degrees than men, so the gap will close on its own. Women continue to select college majors with lower-paying jobs. At the current rate, the closure of the gender pay gap may not occur for another 200 years.

Take-home pay is not the only problem from the gender pay gap. The discrimination leads to trickle-down financial disadvantages causing income inequality and financial insecurity:

  1. The retirement savings gap: Women save about half ($45,614) as much as men ($90,189), and only 52 percent of women have retirement savings’ accounts such as a 401K, compared to 71 percent of men.
  2. The student debt gap: Although women have less student debt, they are less equipped to deal with this debt; 28 percent of women see their loans a “not at all manageable” compared to less than half this percentage for men at 13 percent.
  3. The financial literacy gap: Men are taught far more about managing their finance, and parents think that sons have a better understanding of their money’s value than their daughters.
  4. The work time gap: Women are twice as likely as men to have part-time jobs which fail to offer such benefits as health care, retirement investment, and transit support. Women’s expenditures are more than those for men without these advantages. Again, women are left at home to care for the children because of the myth that they have more skill in this area than men.
  5. The homeownership gap: Homes owned by men are worth more than those owned by women, and male-owned homes appreciate more. Times reported that “homes owned by single men on average are valued 10 percent higher than those of single women, and that the value of their homes have appreciated by 16 percent more than those of their female counterparts.” Women, especially those of color, are also far more likely to be targeted by predatory lenders. “In 2005, women were 30 to 46 percent more likely to receive subprime mortgage loans than men. Black women were a staggering 256 percent more likely to receive subprime loans than white men,” according to Salon.

The gender pay gap doesn’t need to exist. A new Iceland law requires employers to pay women the same as men. All public and private employers with 25 or more employees must obtain government certification of equal pay policies or face fines. The legislation was supported by Iceland’s center-right ruling party and the opposition.  The 2017 Global Gender Pay Report shows that Iceland has the most gender equality of any country in term of economic participation and opportunity, educational attainment, health and survival, and political empowerment.

The United States ranks 49th in gender equality, ahead of Kazakhstan but behind Uganda. The United States ranks 96th in political empowerment of women, behind Nepal, Algeria and Pakistan.

A major difference between the United States and Iceland is also the female participation in Iceland’s federal government. Almost 50 percent of Iceland’s parliament is female. Women make up just 19 percent of the U.S. Congress.

Iceland is smart in this legislation: equal pay can help a country’s economy. Equal pay for women can increase the GDP, adding women in senior management roles and corporate boards can boost companies return on assets, and raising women’s wage can cut the poverty rate for both working women and their children in half if women earn as much as men. The U.S. economy could add $512.6 billion in wage and salary income, equivalent to 2.8 percent of 2016 GDP.  Lifting women out of poverty would vastly decrease the need for costs in the nation’s the safety net.

Statistics surrounding U.S. pay will be unknown in the future, however, after Dictator Donald Trump (DDT) eliminated the requirement for large companies to report wages by race and gender. In Iceland, all pay data will be made public for transparency.

Conservatives claim that the 1963 Equal Pay Act covers all problems with the gender gap in salaries. Yet among the caveat for “equal” pay is “a differential based on any other factor other than sex.” This one was used when the three-judge panel from the 9th Circuit Court ruled last year that past salaries could be used to pay women less.

A consistent argument against the Paycheck Fairness Act in the United States is that men make more money because they work harder and their jobs are “riskier.” That came from GOP state Rep. Will Infantine in New Hampshire. He added, “[Men] don’t mind working nights and weekends. They don’t mind working overtime, or outdoors in the elements.” As if that wasn’t enough, he said that “men are more motivated by money than women are.” That was in 2014. The state house gave “preliminary approval to the Paycheck Equity Act,” and the law took effect in 2015. Infantine is no longer in the state legislature.

Women can also be destructive to decreasing the gender pay gap:

  • Rep. Marsha Blackburn (R-TN), now a candidate for Senate, said that women “don’t want” equal pay laws.
  • Rep. Lynn Jenkins (R-KS) said it is “condescending” towards women to work on policies intended to prevent wage discrimination.
  • Phyllis Schlafly, before her death, wanted the pay gap to be larger so that women could find a “suitable mate.”
  • Kirsten Kukowski, RNC Press Secretary in 2014, could think of any policies her party could support to improve pay equity.
  • Cari Christman, head of Texas PAC RedState Women, said that women were too “busy” to find a solution to the gender pay gap.
  • Beth Cubriel, the 2014 executive director of the Texas GOP, said that women needed to become “better negotiators” if they want equal pay.
  • Fox network’s Martha MacCallum declared, “Many women get paid exactly what they’re worth.”

GOP men are equally dismissive. Sen. Lamar Alexander (R-TN) wanted to know what gender pay fairness would do for men, and Rick Perry, Secretary of Energy, called the debate “nonsense.”

Many people on the far right are even questioning women’s right to vote.

  • White supremacist leader Richard Spencer said that women voting in U.S. elections isn’t “a great thing.”
  • Casey Fisher, a Davis County (UT) GOP precinct chairman, called voting rights for a “grave mistake.”
  • Davis County GOP chairwoman Teena Horlacher, Fisher’s colleague, defended him by saying that Fisher was following the beliefs of the Founding Fathers.
  • Alabama Senate candidate Roy Moore co-authored a textbook that was critical of the women’s suffrage movement.
  • Ann Coulter also opposes women’s right to vote, but her net worth was almost $9 million in 2016.

Imagine the gender pay gap if women couldn’t even vote. Happy Equal Pay Day!

Nestle doesn’t care about communities. We do.

The Spring Creek Watershed Commission is planning on holding a public forum on Nestle’s bottling plant being considered for location in Spring and Benner Townships here in Centre County, PA. Time and place for this forum have yet to be determined. The Commission can’t take sides on this issue but they can provide a platform for the public to air their concerns/support on both sides of this issue.

I’ll add a comment re time and place of the public forum once that is set up.

Peter Walks for Democracy

The people of Spring and Benner Townships have a difficult decision to make. Should the Nestle Corporation be allowed to build a bottling plant that would extract over 400,000 of gallons of water from the aquifer each day and sell it in single-use plastic bottles? The importance of this decision can’t be overstated. Given the public relations blitz the Chamber of Business and Industry of Centre County has put out there on Nestle’s behalf, I think we need to take a look behind the curtain.

According to Forbes, Nestle was worth just shy of $230 billion last year. They are among the world’s largest food and water companies. That monetary worth, though, has come at tremendous costs to communities across the United States.

On the arid Morongo Band of Mission Indians’ reservation in Cabazon, California, Nestle has continued to pump water during a record-setting drought. The tribe has little to no data to…

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Just In: Unlocking Abortion Coverage in the Keystone State

Info and link to a guide on abortion access under Pennsylvania’s Medicaid Program. As this shows, we need to have Congress repeal the Hyde Amendment.

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unlocking

The Women’s Law Project, in collaboration with the National Health Law Program, just published Unlocking Abortion Coverage in the Keystone State, an initiative of the Reproductive Health Data and Accountability Project.

Unlocking Abortion Coverage in the Keystone State is a report and guide for abortion providers that addresses rules governing coverage of abortion under Pennsylvania Medical Assistance, Pennsylvania’s Medicaid program.

Pennsylvania Medical Assistance provides public health coverage to low-income people who meet certain eligibility criteria. Though coverage of abortion care under Medical Assistance is extremely limited, federal and state laws and policies require Medical Assistance to cover abortions in cases of rape, incest, and life endangerment.

You can download or read the guide here.

Last week, Philadelphia became the 11th city to officially call on Congress to repeal the Hyde Amendment, the federal law that prohibits federal dollars from funding abortion through Medicaid except in these narrow…

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meme detailing the hypocrisy of the majority of the PA House of Representatives taking 9+ months to pass a budget but just 3 days to move a anti-abortion law to the floor for a final vote.

Hypocrisy: Abortion Ban More Important than the PA State Budget

With dangerous proposals like House Bill 1948, Pennsylvania politicians are once again inserting themselves in the most private and personal medical decisions best left between a woman and her doctor.

This bill would ban abortion at 20 weeks and ban one of the most common types of abortion procedures. Almost 99% of abortions take place before 21 weeks, but when a woman seeks a later abortion it’s often n very complex circumstances. Yet anti-abortion access legislators in Harrisburg want to make this private and personal medical decision for women & families in Pennsylvania by passing HB 1948.

It took this same legislature over 280 days to pass the 2015-2016 budget, yet it only took THREE DAYS to introduce (April 1) and send (April 4) this bill to the full House for a floor vote. The debate and final vote in the PA House of Representatives is expected as early as Tuesday, April 12.

The Hypocrisy? 3  days to make war on women’s bodies. 9+ months to pass state budget funding critical government safety programs, education, and the general running of state and local services!

meme detailing the hypocrisy of the majority of the PA House of Representatives taking 9+ months to pass a budget but just 3 days to move a anti-abortion law to the floor for a final vote.

The Hypocrisy of the PA Legislature

What’s wrong with this picture? If it were to become law, HB 1948 would create one of the most restrictive, harmful, and unconstitutional abortion bans in the United States. It would change the states abortion ban from 24 weeks (that’s the edge of viability) to 20 weeks.

It would also outlaw the safest form of 2nd trimester abortion procedure known as dilation and evacuation, according to the American Congress of Obstetricians and Gynecologists (ACOG). According to a statement released by ACOG, “these restrictions represent legislative interference at its worst: doctors will be forced, by ill-advised, unscientifically motivated policy, to provide lesser care to patients.”

Although relatively rare, 2nd trimester abortions done in a safe and timely manner are necessary. Here’s one woman’s story. As Julie says in this video, “This has nothing to do with politics. This has to do with the choices my husband and I needed to make.”

And here’s another story. This one is from Evelyn, who says, “It was the hardest decision I’ve ever had to make. Whether or not to have an abortion is a decision that should always be made between a woman, her family, her doctor, and her god.”

As you can see from these two women who were willing to come forward with their personal stories, it’s clear that lawmakers should not interfere with personal medical decisions. A woman considering an abortion is already facing challenging circumstances. We’re not in her shoes. We should not deny her the ability to make a decision in consultation with those she trusts. And no matter how we feel about abortion, we can all agree that a woman’s health, not politics, should drive important medical decisions. Lawmakers are not medical experts and this is not an area where lawmakers should be intruding.

HB 1948 also places women at risk by ignoring individual circumstances and health needs. Her health and safety is paramount. Providers and their patients may determine later abortion care is the best medical option for a variety of reasons. HB 1948 would take the decision out of the hands of patients and their trusted medical care providers and put it in the hands of politicians. This would endanger women and jeopardize safe, legal abortion care.

These types of attacks are aimed at criminalizing abortion and attack women’s constitutional rights. 20-week bans are unconstitutional and a clear attempt to erode Roe v. Wade at the expense of women’s health. In fact, 20-week ban proponents are outspoken about their goal to challenge the 1973 Supreme Court decision protecting a woman’s right to safe and legal abortion. Eliminating access to safe, constitutional and legal abortion services is a war on women from legislators attempting to impose their morality and narrow view of religious

The Supreme Court’s ruling in Roe v. Wade also recognized that different moral and religious traditions have differing views on abortion. Protecting a woman’s ability to make her own decision about ending a pregnancy is critical to respecting her religious freedom. It is unjust for lawmakers to privilege the views of those who oppose abortion and seek to impose those beliefs on everyone, as doing so would directly block a woman’s ability to make her own faith-informed decision on this personal matter.

Bottom Line: While a majority of abortions in the United States occur in the first trimester, it is important that a woman, her family, and her doctor have every medical option available whenever she needs it. Laws banning later abortion would take that deeply personal decision away.

If you are part of the majority of voters who opposes these bans, contact your legislator today and urge them to oppose HB 1948.

 

Action Alert: Help Prevent Domestic Violence Homicides in Pennsylvania

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Stop Violence Against Women NOW

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We need you to take one minute to help hold domestic abusers accountable.

Strangulation is the single most accurate predictor of a future domestic violence homicide. In fact, one widely accepted study indicates that strangulation domestic-violence victims are 800% more likely to be killed by their intimate partner during a future assault.

Last year, 141 Pennsylvanians were killed by domestic violence.

Historically, strangulation has been difficult to prosecute. Sometimes victims don’t show visible injuries, though in many cases, their esophagus swells later and they suffocate to death. Experts also recognize that strangulation is a uniquely terrifying form of physical abuse and psychological control used by domestic abusers.

In the last ten years, in response to a growing awareness of strangulation as a predictor of preventable homicides, at least 35 states have passed statutes to enhance victim safety and offender accountability.

Rep. Becky Corbin (R-Chester) has introduced a similar bill (

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Helping Reduce Rape Culture: Two Legislative Ideas

Picture of a sign at the Window of Opportunity rally that says "End Rape Culture."

What we need to do to reduce/eliminate sexual assault, stalking, and harassment in our community.

I live close Penn State University where the Kappa Delta Rho fraternity’s online cyber bullying activities using Facebook to show explicit pictures of nude and/or inebriated women occurred. As a result of this action and the now ongoing investigations by both Penn State University and the State College Police, Erin Matson’s idea of reducing the legal age for alcohol consumption might be something that states might want to consider. I don’t know where I stand on this, but Erin does make a decent argument here.

Drinking age is a state, not a federal issue. So, if the drinking age were to be lowered, it would have to go through the state legislatures and be signed into law. Just like when the drinking age was raised back in the 1980’s.

To some extent, the same is true for any law that might be enacted to deal with online cyber-bullying and stalking, often known as revenge porn. If interstate commerce is involved in the bullying and stalking, federal law can and has been created (see here and here). If not, then this issue has to be dealt with at the state level.

States across the country have recently enacted or are considering bills to punish perpetrators of revenge porn and online cyber bullying or stalking. Here in Pennsylvania, legislators passed a “revenge porn” bill known as the “UNLAWFUL DISSEMINATION OF INTIMATE IMAGE AND DAMAGES IN ACTIONS FOR UNLAWFUL DISSEMINATION OF INTIMATE IMAGE Act;” it became law on September 8, 2014. It however does not cover online bullying outside of dating or marriage relationships since the law restricts coverage to a victim who is a “current or former sexual or intimate partner.” This law makes the non-consensual dissemination of such images a misdemeanor offense.

I understand that the PA legislature may now revisit this bill to expand the law to cover such types of bullying activities outside of an intimate relationship as a result of the KDR incident. When they do, I would recommend that they expand the law to all forms of cyber bullying and stalking in addition to any non-consensual dissemination of such images. This would include severe harassment and bullying threats that place a person in reasonable fear of death or serious bodily injury.

This proposal would, I believe, help create a state-based law similar to federal law (18 U.S.C. 875 and 18 U.S.C. 2261a) that “ makes it a federal crime to transmit threats of bodily injury in interstate commerce and criminalizes the use of electronic communication to place a person in reasonable fear of death or serious bodily injury.”

Finally, there will be a Congressional hearing on on-line cyber-bullying and stalking on April 15. This hearing is being set up by Representative Katherine Clark (D-MA) with the assistance of the National Coalition Against Domestic Violence. This hearing will focus on concerns about gender violence in all forms of social media. I’ll post a comment here once I find out where and at what time the hearing will be held.

Universal Health Care: Let’s Do It!

I am not an economist. But I am a strong advocate for universal access to healthcare in the United States. See why here.

A couple of days ago, Thom Hartmann at The Big Picture RT posted a YouTube video on why economists are demanding a universal national healthcare plan. In this video he reports that more than 100 economists sent an open letter to Vermont’s Governor Peter Shumlin (D) after Shumlin “bailed” on implementing Vermont’s state-based single-payer healthcare plan.

Governor Shumlin stated that he was stopping the implementation process because he believes that “This is not the right time” for enacting single payer. He stated that there were too many costs associated with the program and could not go forward with the plan “at this time.”

The economists argued otherwise:

As economists, we understand that universal, publicly financed health care is not only economically feasible but highly preferable to a fragmented market-based insurance system…. Public financing is not a matter of raising new money, but of distributing existing payments more equitably and efficiently. Especially when combined with provider payment reforms, public financing can lower administrative costs, share health care cost much more equitably, and ensure comprehensive care for all.

We support publicly and equitably financed health care at federal and state level, and we encourage the government of the state of Vermont to move forward with implementing a public financing plan for the universal health care system envisioned by state law.

Hartman then goes on to say that part of the economic concerns about Vermont’s single-payer healthcare plan arises from its small population base. He believes that the economy of scale makes it harder for a small state to go it alone in “innovating” new healthcare plans as allowed by the Affordable Care Act starting in 2017. Then he goes on to urge the federal government to expand Medicare to all citizens over a 10-year period of time.

I agree that it would be great to have universal Medicare for All across the United States. But I also believe that the only way that will happen is if some states implement single-payer healthcare at a state level to concretely show that a universal healthcare plan is economically viable and distributes existing healthcare payments more efficiently and equitably while lowering administrative costs WITHOUT raising the overall cost to individuals, businesses or communities. In fact, in many instances, cost would be lower.

Studies on how this might happen have been done by well-known economists across the country. For example, Dr. Gerald  Friedman, Professor of Economics and Department Head at the University of Massachusetts-Amherst has done several of these studies, including one for Pennsylvania, one for Maryland, and one for expanding Medicare to all at the national level. Every economic impact study on implementing universal healthcare plans that I have read indicates that “A single-payer health care finance system would produce substantial health and economic gains” when implemented at either a state or the national level.

At least 14 statesCalifornia, Colorado, Hawaii, Illinois, Maine, Maryland, Minnesota, Missouri, New York, Ohio, Oregon, Pennsylvania, Vermont, and Washington—have community advocates and state legislators working towards implementing a state-level form of universal healthcare. And advocates across the nation continue to work for Medicare for All at the national level.

Whichever way comes first is fine with me. We just need to get moving and create healthcare for all in the USA.  Let’s make it sooner rather than later.

The Supreme Court, the ACA, Healthcare.gov, and an Alternative Plan

The US Supreme Court will be hearing a case – known as King v. Burwell – this coming week on whether or not the federal healthcare exchange program, known as Healthcare.gov, is legal. The question before the Court is whether or not the Affordable Care Act (ACA) allows for subsidies for healthcare premiums in any of the 34 states that refused to set up their own healthcare exchanges under the ACA.

The plaintiffs – four people from Virginia – argue that the federal government misinterpreted the ACA in regards to the subsidies. They argue that the law only allows for subsidies in states that set up a state-based exchange. Virginia in one of the 34 state who opted out of a state-based exchange. These four individuals, who don’t want to purchase insurance, say that without the subsidies, they would not have to either buy insurance or pay a penalty since they do not make enough to afford healthcare without the subsidy*. The Obama administration argues that this is a politically motivated argument to narrowly interpret a couple of words found in the ACA in order to gut it.

If the US Supreme Court invalidates the Healthcare.gov websites in all of the states that refused to set up their own healthcare exchanges, everyone who gets a subsidy to purchase their health care through the exchange will lose that subsidy. According to the Washington Post, this type of ruling would affect about eight million people across the country. That’s about 87% of all Healthcare.gov users nationwide in the 34 states that did not set up a state-based exchange receive. In Pennsylvania, somewhere between 70-84% of all users of healthcare.gov receive these subsidies.

The subsidies in Healthcare.gov currently reduces healthcare premiums by up to 72% of the full premium, depending on the size of one’s family and family income. So if the Court holds that subsidies within the Federal Healthcare exchange are illegal, premiums for individuals needing these subsidies will dramatically increase; out-of-pocket premium increase could amount to an average increase of 256%. This increase could begin in as little as 25 days after the ruling is made in June 2015. OR the Court could set a date further in the future to allow some time for transition.

What would the end of these subsidies mean?

Healthcare in the 34 states in the federal exchange program would destabilize. The predictions include lots of people – mostly the young and the healthy – ending their insurance, insurance companies pulling out of the exchanges in these states, lots of layoffs, and a return to uncovered people attempting to get care in hospitals without any coverage. Those left in the exchanges after the young and healthiest leave are the older and the sickest individuals. Insurance companies will begin to feel the pain and start to pull out of the exchanges as participation in the exchanges would no longer be financially viable. With fewer people seeking care on the federal exchange, thousands of people hired by the insurance companies and by the federal exchange system will likely face layoff. In addition, hospitals will once again see a surge in the uninsured arriving on their doorstep for care.

Here’s how the Kaiser Family Foundation summarizes this issue:

People Leaving the Market Followed by Premium Increases for Those Who Remain. As a result, the elimination of the subsidies would destabilize the individual insurance markets in states not running their own marketplaces. Under the ACA, insurers would still be required to guarantee access to coverage irrespective of health status and prohibited from charging sick people more than healthy people. Even without the subsidies, many people who are sick would likely find a way to maintain their insurance in the face of substantial premium increases. However, people who are healthy would likely drop their insurance.

Insurers in the affected states would immediately find themselves in a situation where premiums revenues were insufficient to cover the health care expenses of the remaining enrollees, who would be far sicker on average than what insurers assumed when they set their premiums for 2015. This would trigger a classic adverse selection “death spiral,” where insurers would seek very large premium increases, which in turn would cause the healthier of the remaining enrollees to drop coverage….

Insurance Companies Leave the Market and Layoff Employees…Under ACA regulations, premiums for insurance sold inside the marketplaces are locked in for a full calendar year. So, the earliest those premiums could change would be January 1, 2016, though even that would be tricky since insurers will have already submitted proposed 2016 premiums to state insurance departments by the time the Court issues a decision. Depending on state laws, premiums for products sold outside of the marketplaces could potentially be increased more quickly. And even if insurers could adjust rates, establishing stable and sustainable premium levels in this type of environment is extremely difficult, because as rates move higher, more of the relatively healthy enrollees drop their coverage.

Because this may all happen very quickly, it is possible that many or all insurers would choose to exit the individual markets in these states rather than facing significant losses in a quickly shrinking market. Insurers that remain in the market risk being one of the only carriers continuing to guarantee access to coverage to people in poor health (since people who lose coverage from exiting insurers have special enrollment periods to choose new coverage).

Since it is unlikely that Congressional opponents to the ACA would be willing to craft a law allowing for subsidies within Healthcare.gov should the Court overturn this portion of the ACA regulations, the burden of the fix falls upon each of the 34 states. Some of these 34 states will allow the healthcare exchange to die with the dire predictions quickly coming to fruition. Others, in advance of the Court’s hearing and decision of this case, are starting to talk about alternatives should the Court outlaw the subsidies in their states.

One of these states attempting to deal with this possibility is Pennsylvania, where I live. The insurance companies and hospitals throughout the state, fearing for their livelihood, are lobbying the PA General Assembly to set up a state-based exchange system. Tom Wolf (D), our new Governor, has said he is interested in setting up a state-based exchange.

The question then becomes, where would the money for the set-up of a state exchange come from in a state that has a large budget deficit since federal dollars for such a set-up are no longer available.

Might this be a great time to lobby for a universal health care plan for Pennsylvania? As well as in the other 21 states currently working towards such a solution as well?

Healthcare for All PA, in conjunction with some of our state legislators, are working on re-introducing the Pennsylvania Health Care Plan. This bill, if it becomes law, would

…create one insurance plan that has one single payer, to cover all Pennsylvania taxpayers.  The premiums for The Pennsylvania Health Care Plan would be a flat rate of 3% of income for individuals and 10% of payroll for businesses.  The Pennsylvania Health Care Plan would place you and your healthcare provider in charge of you and your family’s healthcare. The plan will be a public/private hybrid with the insurance function provided by the state government and the medical care would be privately delivered.

It’s cost effective. It covers everyone. It’s comprehensive in that it covers all medical treatment, dental care, eye care, physical therapy, mental health treatment,  hospice care, treatments for addiction, long-term care, access to wellness programs, prescription drugs and emergency transport. And you won’t need an army of navigators in either a state- or a federal-based healthcare exchange to help you interpret your plan.

Check out Healthcare for All PA for more information on this bill and become a citizen lobbyist for comprehensive health care that allows you access to the healthcare you need and want without bankrupting you, your family or your neighbors.

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*NOTE: The four plaintiffs in this case before the Supreme Court–David King, Douglas Hurst, Brenda Levy and Rose Luck—appear to be either ideologues and/or guinea pigs for the libertarian Competitive Enterprise Institute (CEI). CEI is an organization committed to overturning the Affordable Care Act. If the subsidies are overturned, all four of these individuals may not even be affected by the Court’s ruling according to a February 9 article in Mother Jones. Three of the four – Levy, King and Hurst – are now or soon will be fully eligible for Medicare. Two of them – King and Luck – already qualify for a hardship exemption from purchasing healthcare and/or paying a penalty due to their relatively low-income levels. However, the issue of “standing” (the legal argument that they would actually be harmed if the law were to continue), for some reason, has not been raised in this case by the Obama administration and will not be considered when the Court hears the case next week.

Home-Stretch Election Rallies

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Go Vote Button

It’s the home stretch. Candidates and volunteers are working overtime to get people out to vote on Tuesday, November 4. As part of that effort, prominent politicians are canvassing the country to assist candidates running for the US Senate, the US House of Representatives, and state Governorships.

Pennsylvania

In my home state of Pennsylvania, President Barack Obama came to Philadelphia to stump for Tom Wolf (D) on Sunday November 2. He is running for Pennsylvania Governor to replace the current Tea Party Governor Tom Corbett (R). I’m so looking forward to a victory tomorrow for Tom Wolf (see some of the reasons why here). It will be a win for the environment, for women, LGBTQIA people, low-income individuals who can’t access healthcare, and for better jobs and wages for everyone in the state.

New Hampshire

In New Hampshire the fight is not to replace a right-wing slate of elected officials, but to retain and reelect the four progressive women leading that state – Governor Maggie Hassan, Senator Jeanne Shaheen, Representative Ann McLane Kuster (NH-2), and Representative Carol Shea-Porter (NH-1). New Hampshire is the only state in the nation to have women in 100% of the top leadership positions in the state. And prominent female politicians have come to the state to stump for them. On October 25, it was Senator Elizabeth Warren (D-MA) stumping for her colleague Senator Jeanne Shaheen. And on Sunday, November 2, while President Obama was stumping for Tom Wolf, Former Secretary of State, Senator, and First Lady Hillary Rodham Clinton came to Nashua, NH to support these four women’s reelection efforts.

I was there at both events. I blogged about the Warren event last week. Today, here’s the Clinton event.

picture of NH Gov. Maggie Hassan and Sen. Jeanne Shaheen with Hillary Rodham Clinton standing on stage at a GOTV rally in Nashua, NH on Nov. 2, 2014

NH Gov. Maggie Hassan and Sen. Jeanne Shaheen with Hillary Rodham Clinton

About 1000 people gathered at Nashua Community College in Nashua, NH. The lineup of speakers was quite interesting. Except for State Democratic Chair Ray Buckley, every speaker was a woman – something I’ve never seen in a political event or rally before. Here are the speakers in order of their appearance:

Senator Jeanne Shaheen’s granddaughters singing the Star Spangled Banner

Picture of Caraline and Elle Shaheen singing The Star Spangled Banner

Caraline and Elle Shaheen singing The Star Spangled Banner

Chair Ray Buckley calling on the NH electorate to not only vote for the Democrats at the top of the ticket, but to also vote for the Democrats all the way down the ballot.

picture of NH Democratic Party Chair Raymond Buckley

NH Democratic Party Chair Raymond Buckley

He gave a rousing speech on the problems that NH had when Republican Bill O’Brian was leading the General Assembly and how the mostly female Democratic leadership turned the state around through bipartisan cooperation once the Republican party became the minority party two years ago. Here’s that speech:

 

Then the line-up of female political leaders began. Each talked about why NH is doing better now, how their bipartisan efforts have improved the economy of New Hampshire, and what has been protected in the state for women’s reproductive justice and pay equity, children’s and adults’ public and college education, marriage equality, access to health care for all and job restoration. Here are those speakers:

House Speaker Terri Norelli

NH House Speaker Terri Norelli

NH House Speaker Terri Norelli

State Senator Peggy Gilmour

Picture of  State Sen Peggy Gilmour

NH State Sen Peggy Gilmour

State Senator Peggy Laskey

Picture of NH State Senator Bette Laskey

NH State Senator Bette Laskey

Executive Council Member Debora Pignatelli

Picture of NH Executive Council Member Debora Pignatelli

NH Executive Council Member Debora Pignatelli

And then the headliners:

US Representative Ann McLane Kuster

Picture of US Rep. Ann McLane Kuster (NH-2)

US Rep. Ann McLane Kuster (NH-2)

Governor Maggie Hassan

Picture of NH Governor Maggie Hassan

NH Governor Maggie Hassan

Senator Jeanne Shaheen

Picture of US Senator Jeanne Shaheen (NH)

US Senator Jeanne Shaheen (NH)

And finally, Hillary Rodham Clinton!

Picture of Hillary Rodham Clinton

Hillary Rodham Clinton

In introducing Hillary, Senator Shaheen put forth this zinger that brought a roar from the crowd:

“She traveled 956,000 miles as Secretary of State – that’s nearly as many miles as Scott Brown traveled looking for a Senate seat to buy.”

Due to the low battery on my video camera, I was not able to record the speeches of the keynote speakers. After the video camera died, Hillary focused on women’s and family issues. Since I could no longer videotape the event, I took a few notes. Here’s some of Ms. Clinton’s additional remarks:

“Women are not just half the population.”

“Women’s rights are on the front line of rights around the world.”

“Equal pay is not just a women’s issue. It is a family issue.”

“Fear is the last resort of those who have run out of hope.”

“If you vote, you can elect these women who will lead New Hampshire and the rest of the country [for the better good of all].”

In addition, the Manchester Ink Link compiled several quotes from Hassan, Shaheen, and Clinton. You can see them here.

You Gotta Vote!

So no matter where you are – in Pennsylvania, in New Hampshire, or anywhere else in the country – consider the impact of who your next Governor or US Senator or US Congressperson may be. Do not vote based on fear. Vote for the candidates who will protect middle-class income, education for all, access to healthcare, marriage equality, the environment, and reproductive justice.

GET OUT AND VOTE on Tuesday, November 4, 2014. You can find out where and how to vote in your state here (courtesy of the League of Women Voters). Thanks.

 

Collage of pictures taken during the Hassan/Shaheen/Clinton rally in Nashua, NH on Nov. 2, 2014

Collage of pictures taken during the Hassan/Shaheen/Clinton rally in Nashua, NH on Nov. 2, 2014