Affordable Care Act

Mitchell Atencio 7-10-2023
A picture of a well-dressed heterosexual couple as tiny figurines, standing in front of a large quarter. Smaller figurines of a white man carrying a dollar bill, and a black man carting around a dollar bill, are in the lower left and right corners.

CSA-Printstock / iStock

MATTHEW DESMOND, a Princeton sociologist and author, has grown tired of calls to reduce poverty — because he knows we can abolish it. In his new book, Poverty, by America, Desmond explores not the lives and struggles of people who are poor — but poverty, and the conditions that cause it. And Desmond contends that the lives the rest of us live are often connected to the conditions that cause poverty.

“To understand the causes of poverty, we must look beyond the poor. Those of us living lives of privilege and plenty must examine ourselves,” Desmond writes. “Are we — we the secure, the insured, the housed, the college educated, the protected, the lucky — connected to all this needless suffering?”

Desmond is the son of a pastor, and his work is rich with spiritual metaphor and flare while grounded in the material realities of poverty and the conditions that cause it. He dedicates a chapter of his book to refuting the idea that “neoliberal” cuts in welfare spending are to blame for poverty. “There is no evidence that the United States has become stingier over time. The opposite is true,” he writes. Instead, the problem is “a fair amount of government aid earmarked for the poor never reaches them.” Sojo.net associate news editor Mitchell Atencio spoke with Desmond about his new book, community building, and capitalism. —The Editors

Sojourners: Theologian Gustavo Gutiérrez defines poverty as “premature and unjust death,” saying that “the poor person is someone who is treated as a non-person, someone who is considered insignificant from an economic, political, and cultural point of view.” Is that a good way to describe poverty?

Matthew Desmond: I think that’s a factual way to describe what poverty is. Between 2001 and 2014, the richest women in America gained three years of life and the poorest women gained 15 days. So, poverty is death. There was a study that came out very recently that showed that one of the leading causes of death in the United States is poverty. I think that when we deny people access to basic needs, and we deny them basic economic security in this rich land, we do deny them life and happiness itself.

The other part of the quote about insignificance is very interesting because it does seem that in our popular culture — our TV shows, our movies, our children’s books — there are often no portrayals of real poverty in those media, and so it’s kind of amazing how seamlessly the poor can be erased from everything we’re reading and watching and reading to our kids.

G. Scott Morris 5-31-2023
A side-rear view woman doctor with red hair points to a screen with a spectrum of faces from sad to happy, asking her patient in the chair (a man with gray hair) which is most accurate for him. A purple screen with "Church Health" is shown nearby.

Photo courtesy of Church Health

IN SEPTEMBER 1987, ordained Methodist minister and practicing physician G. Scott Morris opened Church Health, a faith-based health care center in Memphis, Tenn. The first clinic tended to 12 people. Over 35 years later, more than 80,000 different individuals have come through Church Health’s doors. When they started, Memphis was the poorest city in the country, but Morris and companions didn’t open Church Health center as an act of charity. Church Health’s mission has always been about demanding justice. His book Care: How People of Faith Can Respond to Our Broken Health System tells the story of clinics across the U.S. where people practice Jesus’ command to heal. — The Editors

I FIRST CAME to Memphis in 1986. Having completed my theological and medical education, I was determined to begin a health care ministry for uninsured people working in low-wage jobs. I had dreamed of this for years as I slogged my way through the training that would make it possible. When the time came, I chose Memphis because historically it is one of the poorest major cities in the U.S. Today we see patients in clinics for primary care, urgent care, dental work, and optometry services. Behavioral health, life coaching, and physical rehabilitation are integrated into our clinics, and we have a teaching kitchen offering classes on culinary medicine for patients and the community. The Church Health model is used in more than 90 clinics around the country. There are about 1,500 free and charitable clinics in the U.S., many of which have faith-based connections.

God calls the church to healing work. Jesus’ life was about healing the whole person, and Jesus is the church in the world. Tradition suggests that Helena, the mother of the emperor Constantine, was the first to open a hospital specifically to care for the poor. The ancient world never had a system to care for the sick who were poor until Christians offered hospitals. Even Julian the Apostate, a fourth-century Roman emperor who did not have much use for Christians, wrote, “Now we can see what it is that makes these Christians such powerful enemies of our gods, it is the brotherly love which they manifest toward strangers and toward the sick and poor, the thoughtful manner in which they care for the dead, and the purity of their own lives.” We are still Jesus’ disciples, the body of Christ running after God’s priorities in the world together. What does it look like to have a healing ministry in today’s world?

Jim Simpson 1-04-2021
Illustration of a bridge being repaired. The bridge is arched and has the stripes of an American flag.

Illustration by Michael George Haddad

AS THE BIDEN administration enters the White House, it must focus not only on repairing the damage caused by four years of the Trump administration but also push forward a bold agenda using all available channels: unilateral executive actions, the rule-making process, and collaboration with Congress. Here’s a wish list for the first 100 days.

While we await mass distribution of a COVID-19 vaccine, Americans are living through some of the highest infection and death numbers we’ve seen at any point in the pandemic. A coordinated national response to the coronavirus must be a top priority for the administration. This includes a national mask mandate, a robust and coordinated federal strategy, a national vaccine distribution strategy, and additional support and stimulus to individuals, health systems, and states to address the health and economic impacts of the disease.

While the wealthy and those with stocks and investments have only seen their wealth increase over the past year, the gap between the richest and poorest Americans has expanded dramatically. A progressive economic agenda is needed to bolster and support those with low and middle incomes (roughly 80 percent of Americans). The priorities should include rolling back tax cuts for the wealthiest; forgiving federal student debt; increasing the federal minimum wage; ensuring access to paid sick and family leave and affordable child care; modernizing unemployment insurance; and introducing a budget that supports safety net programs and invests in the people and communities struggling the most.

U.S. Supreme Court nominee Judge Amy Coney Barrett arrives to continue the second day of her confirmation hearing before the Senate Judiciary Committee. Jim Lo Scalzo/Pool via REUTERS

President Donald Trump's Supreme Court nominee Amy Coney Barrett said on Tuesday at her U.S. Senate confirmation hearing she is not hostile to the Obamacare law, as Democrats have suggested, and declined to specify whether she believes landmark rulings legalizing abortion and gay marriage were properly decided.

IN MINNESOTA, Alec Smith was unable to afford either health insurance premiums or the insulin needed to treat his Type 1 diabetes, despite working full time. He died last year from diabetic ketoacidosis, at age 26. Other young Americans with diabetes have suffered the same fate.

David Bridges of Indiana has health insurance through his job, but a high deductible means he has to pay for his multiple prescriptions out of pocket. One of those prescriptions alone costs $700 a month. He maxes out credit cards to buy what medicine he can, yet still has to skip doses.

These stories represent the status quo of U.S. health care, even with the preservation of the Affordable Care Act. In responding to such gaps, the faith community has traditionally turned to the direct provision of charity health care, a generous hallmark of our traditions for generations. But we cannot stop there.

U.S. President Donald Trump calls on Republican Senators to move forward and vote on a healthcare bill to replace the Affordable Care Act in the Blue Room of the White House in Washington, U.S., July 24, 2017. REUTERS/Joshua Roberts

Stymied in Congress by the failure of Senate Republicans to pass legislation to dismantle Democratic former President Barack Obama's signature domestic policy achievement, Trump's executive order marks his administration's latest effort to undermine the 2010 law without action by lawmakers.

Jim Wallis 9-25-2017

Image via REUTERS/Kevin Lamarque.

The Graham-Cassidy-Heller-Johnson ACA repeal bill is the most radical and most disruptive plan to reorder one-sixth of the U.S. economy, in no small part due to the rush to pass something, anything that would fulfill the 7-year Republican promise to “repeal and replace Obamacare” ahead of a critical Sept. 30 deadline this Saturday. On Oct. 1 a new fiscal year starts for the U.S. government, forcing the GOP to start over with the complex budget maneuvering that allows them to pass a bill with only 50 votes in the Senate rather than the 60 that are generally required.

Jim Wallis 8-01-2017

Image via Heidi Besen/Shutterstock.com

I’m grateful for the 10 governors — Republican and Democrat — who wrote to senators asking them to reject the so-called “skinny repeal” because of how it would affect their residents.

I’m grateful for the thousands of you who heeded Sojourners’ call and contacted your member of Congress to voice your opposition to any bill that would hurt the poor with devastating cuts to Medicaid.

Interfaith clergy carry a cardboard coffin while leading a procession to protest attempts to repeal the Affordable Care Act during a rally on Capitol Hill, on July 25, 2017. RNS photo by Madeleine Buckley

For the third week in a row, clergy showed up on Capitol Hill to protest Senate action on health care.

As in past weeks, some were arrested. But on this Tuesday, the group ratcheted up the drama by marching to the Capitol, carrying a cardboard coffin and poster-sized death certificates for those who would lose health insurance.

Michael Mershon 7-19-2017

Health care activists protest to stop the Republican health care bill at Russell Senate Office Building on Capitol Hill, July 17, 2017. REUTERS/Yuri Gripas
 

As people of faith who believe that concern for the health of our fellow children of God is mandated by our Savior Jesus (“I was sick and you took care of me” – Matthew 25:36) this is a time to give thanks to God. We are grateful that wisdom and compassion have, at least temporarily, triumphed over cynicism and greed.

Shively Smith 6-12-2017

Image via Kim Wilson/Shutterstock.com

In essence, we have struggled to understand the work and responsibility of Christian compassion in issues of healthcare and policy. Should this responsibility be shared by all and secured by the government, or should it primarily be the domain of people of faith and those moved by a higher calling to mercy and healing? With the new GOP Health Care Bill, and the ongoing debates about healthcare in America, Christians across the aisle struggle to evaluate how well we are doing at caring for the disenfranchised and the sick.

Richard Wolf 5-31-2017

Image via RNS/REUTERS/Joshua Roberts

While not yet final, the regulation appears intended to let employers avoid providing birth control coverage if they object for any reason — an expansion of the original effort to exempt those with religious objections. As a result, abortion rights groups warn that up to 55 million women could lose free birth control coverage — something that saves them $1.4 billion annually.

Pollution, poverty, and war take their toll on our health in ways beyond our control, and yet health care in our nation is still treated as a commodity for those who can afford it, rather than as a right for all. It is unthinkable that our nation can build pipelines that poison clean drinking water but expect citizens to suffer without affordable treatment due to lead exposure. It is unacceptable that some communities are trapped in cycles of poverty through discrimination often born of racism but cannot afford the medicine they need because their money must go to cheap, often less-nutritious food. And while it is unconscionable that our nation spends more on destroying lives abroad than it does on saving lives at home, the damage from war exceeds mere monetary cost. Investing in fighting an enemy abroad fuels enmity and distrust at home, putting undo stress on us and eroding our sense of compassion.

Image via RNS/Creative Commons/Bret Hartman/TED

The talk — a surprise for all in the audience — recapitulated the key themes of the Argentinian pope’s view of the human person: We are all related and interconnected; scientific and technological progress must not be disconnected from social justice and care for the neighbor; and that the world needs tenderness.

I am a scholar of modern Catholicism and its relations with the world of today. From my perspective, there are two essential elements of this talk that are important to understand: the message of the pope and his use of the media.

Image via RNS/Reuters/Dave Kaup

The May 13 speech at Liberty’s football stadium in Lynchburg, Va., will be Trump’s first commencement address as president, but it won’t be his first at Liberty, which describes itself as the largest Christian university in the world.

The then-presidential candidate spoke last year at the university’s Convocation, promising, “I will protect Christians,” and famously stumbling over a reference to “Two Corinthians.”

Tom Krattenmaker 3-15-2017

Image via RNS/Reuters/Jessica Rinaldi

If you don’t need or want insurance, some ask, why should you have to pay for other people’s coverage?

I know people who think this way, and they resent having the government obligate them to pay into the system.

Understanding that many Americans struggle and pay a high cost under the Affordable Care Act, we cannot really blame some for holding this position. But responsible citizenship compels us to take a broader view.

Fran Quigley 3-03-2017

This time of crisis may also be a time of opportunity for people of faith, as the Matthew 25 Pledge and other calls to action are asking. Of course, U.S. faith-based activism played a critical role in the abolition movement, the labor movement, the  civil rights movement, and many other historic efforts to fulfill the gospel message. And Trump’s unlikely ascendance to the presidency is prompting some social movement experts to point back to the faith community for next steps.

Image via RNS/The White House/Pete Souza

Bishops will examine proposals to amend or replace Obamacare but said that “for now that a repeal of key provisions of the Affordable Care Act ought not be undertaken without the concurrent passage of a replacement plan that ensures access to adequate health care for the millions of people who now rely upon it for their wellbeing.”

Image via RNS/The Catholic University of America/Dana Rene Bowler

For much of its long history in the U.S., the Catholic Church was known as the champion of the working class, a community of immigrants whose leaders were steadfast in support of organized labor and economic justice – a faith-based agenda that helped provide a path to success for its largely working-class flock.

In recent decades, as those ethnic European Catholics assimilated and grew wealthier, and as the concerns of the American hierarchy shifted to battles over moral issues, such as abortion and gay marriage, traditional pocketbook issues took a back seat.

the Web Editors 5-16-2016

The Supreme Court decided on May 16 to defer to lower courts any decision regarding the Affordable Care Act's birth control mandate.