The question isn’t whether employers should have the right to exclude certain medical care in health insurance plans, based on religious reservations, but why the fight over birth control, specifically?
Why is birth control the lynchpin of moral oversight on healthcare, as opposed to other medical coverage that might be morally objectionable, but doesn’t involve women and sexuality?
Most employers who exclude contraception from company health insurance plans fund its therapeutic use, with a prescriber’s prior authorization. Through this process, your doctor signs a form that confirms you will only use the prescribed birth control pills for acne or PCOS or to treat extreme PMS -- assuredly not as contraception -- and then insurance covers it.
But why this extra moral checkpoint for contraception? What about all of the other medicines that might enable behavior contrary to ideal Catholic morality?
In Christian thought, lust is accompanied by six other deadly sins, and a myriad of health-related sins. Should acne medicine not be covered, because it could contribute to the sin of pride or vanity? Should Cialis require prior authorization, including a note from one’s wife, confirming it won’t be used to commit adultery? Should hospitalization and recovery for attempted suicide not be covered? After all, it breaks the Sixth Commandment, and including it in coverage might communicate that an employer doesn’t take their faith seriously.
What if Viagra is used by a man who’s had a vasectomy? Should we require prior authorization? Can you imagine THAT conversation with your pharmacist?
“Well, it appears this is a restricted item by your employer's health insurance, and we’ll need to do a little more work to get it approved. I have your doctor on the line. He wants to know if you’re free this Thursday for a vasectomy reversal?”