Tuesday, December 27, 2016

My Health Care Story

Recent news demonstrates the crucial difference the Affordable Care Act makes in our nation. According to recent reports, a record 6 million Americans signed up for coverage in 2017. And, earlier this month Vox ran a depressing story about a poor community in Kentucky that voted overwhelmingly for Trump despite the fact that the ACA has helped many in the community to receive insurance.

Earlier this month I wrote about the importance of speaking out and offering Moral Counsel by telling the stories of those who depend on the Affordable Care Act. But before I share some stories about people in my life, I want to tell you my own health care story.

My own health care story is largely one of privilege. All my adult life I have had health insurance. I was covered while enrolled as an undergraduate and graduate student.  Immediately following grad school I found employment as a Unitarian Universalist minister and have been employed non-stop for 14 years.

But one incident from the very beginning of my ministry haunts me. When I entered the ministry in 2003, most UU ministers were on their own to fend for themselves to obtain their own health care. For many this meant purchasing an individual plan. At age 25 I moved to a new city to begin my first ministry. The first thing I did was to apply for an individual plan with Blue Cross / Blue Shield. I filled out all the paper work to apply for the plan and a few days later received a letter in the mail saying that I had been rejected.

The reason they gave for rejecting me was that in the previous year I had filed insurance claims to pay for counseling. This, I was told, made me a bad bet. Now, there is absolutely nothing wrong with seeing a counselor, but in this case I had seen a counselor because it was highly recommended for those preparing for ministry. Those preparing for ministry take counseling classes, work as chaplains, and practice pastoral care as student ministers. Under supervision we are strongly encouraged to seek counseling as a means of developing self-awareness and self-understanding. Not having been in counseling is seen as a mark against prospective ministers.

So there I was, stuck. I was in a Catch-22. I needed to go through counseling to become a minister but I couldn’t get health insurance as a minister because I had been through counseling.

In response I spent a good chunk of the next several weeks calling the insurance company to challenge the rejection. I worked my way up the ladder, pleading my case with one person, then his manager, then her manager. I wrote letters of appeal. Finally, BC/BS caved and offered me insurance. If things had been otherwise, if I had actually had had a pre-existing condition like a chronic disease or a history of cancer, I would have been stuck. I was only able to receive health insurance because I was privileged. I had the time and language skills to call, persuade, and advocate for myself. I also had the privilege of health.

In 2003 the reason I could get insurance, the reason I could start the job I had been hired to do, was that I was in good health and could prove to the insurance company that I was a good bet to earn them a profit. This arbitrary situation improved four years later when the denomination created a health plan available to UU church employees.

But one that experience from 2003 still troubles me. For those few weeks in the summer of 2003 I felt the anxiety of someone not able to access health insurance. I am horrified by efforts to make health insurance less accessible for the citizens of our nation.

Thursday, December 08, 2016

Moral Opposition to the Repeal of the ACA

There has been much conjecture about what will become of the Affordable Care Act (and Medicare, and Medicaid, though those will be the topic of another post.) The New York Times recently ran an article suggesting that congressional Republicans may delay the effective repeal by up to three years. Politico reports that a schism is forming among Republicans who disagree about how to go about repealing the ACA. Writing for Mother Jones, Kevin Drum argues with extreme optimism that the repeal will not succeed. He claims a repeal of the ACA would effectively end the market for individual insurance plans thus making it too unpopular to pursue.

What is not under debate is that the incoming administration and the Republican controlled congress will make health care worse in the United States. Insurance will become less available and more expensive, services will be cut, and harm will fall hardest on the poor and the sick.

Christianity, like all major world religions, offers a moral commandment to care for the sick. Christianity, like all major world religions, offers a moral commandment to care for the poor. There is no doubt in my mind that the health care decisions this government will pursue will be deeply immoral. There is no doubt in my mind that these actions will kill a lot of people.

I believe that what is needed is a widespread campaign of moral counsel. Perhaps our politicians are too shameless to be shamed, but such a campaign might shame and disgust those who voted them into office.

Here is what I propose and what I ask you to do over the next six weeks:

1) Find out who are the people you know who get their health insurance through the exchanges and have health insurance because of the ACA. Thanks to the ACA approximately 20 million more Americans have health insurance, so you definitely know someone. I’ve actually started asking people where they get their health insurance.

2) Get permission to write their stories. Talk about who they are, what they contribute to their communities, what having health insurance means to them, and how screwed they’d be if they lost their health insurance. Then publish these stories on Facebook, blogs, and social media.

3) Call your local newspaper and local TV station and demand that they report on the faces and lives of the Affordable Care Act. Contact national news stations and publications and demand the same types of stories.

4) You get bonus points if you share the story of a Trump voter who is insured through the ACA. (There are millions of Trump voters who are in danger of losing their health insurance, too.)

5) Stay in touch with the people you write about. Document their pain, their hardship, their vulnerability, and the harm done to them.

6) If someone you know dies due to lack of affordable health care, make sure that fact gets named at the funeral. Make sure the obituary names lack of affordable health care as the cause of death.

7) Share this post. Help it go viral.


Monday, December 05, 2016

Sermon: Disobeying Herod

Call to Worship

The season begins with a star.
A symbol of hope and love.
A sign that portends new possibilities.
The in-breaking of light in a time of darkness.

The season begins with a star.
            A North Star for our moral compass.
            A light shining in the valley helping somebody to find their way home.

The season begins with a star.
            It called out to the wise men of the ancient story.
            It called out to seers, mystics, and prophets.
            It called out to poets, artists, and activists.
It calls out still, leading us towards hope, towards peace, towards love.

The season begins with a star.
            Come to behold.
            Come to envision.
            Come to nourish yourself for the journey.
            Come, let us worship together.
           
Then go into the world and tell them what the star means.

Chalice Lighting
"Tell them the star means wisdom
Tell them the star means kindness
Tell them the star means understanding
Tell them the star means tolerance
Tell them the star means sacrifice
Tell them the star leads to a vision of a fairer world."
(Last line of Call to Worship and Chalice Lighting are from Celebrating Christmas: An Anthology, Carl Seaburg, editor.)

Ancient Reading        Matthew 2:1-12

Modern Reading       Conscientious Objector by Edna St. Vincent Millay


Sermon
It is worth noting in both the Gospel of Matthew and the Gospel of Luke the story of the birth of Jesus is located, is situated, within a particular political context. In Luke what causes Mary and Joseph to set out and travel towards Bethlehem is that the Roman Emperor, Caesar Augustus, has called for a registration. In Matthew, the political context is this awkward and fraught moment in foreign relations. Foreign dignitaries have arrived in Judea, gone to King Herod, and told him, we’re here to meet a newborn child, a child who is the rightful King of this land and this people, for we’ve read the signs in the heavens and those signs announce that your reign, Herod, is illegitimate. We want to meet the King. It’s not you. (I’m embellishing a little bit here.)

And Herod responds, deviously, “You know, I’d like to meet him, too.”

Historically, Herod was a Jewish King who ruled Judea for more than thirty years. During his reign, Judea was a part of the Roman Empire which meant Herod ruled at the pleasure of the Roman Senate. If he didn’t make Rome happy, then he could be removed. As King he ruled with what we might call a conflict of interest. He was beholden not to his own people, but to a foreign power.

Historians’ opinions of Herod as King are polarized though few deny that he was a tyrant and a brutal despot. His critics describe him as a madman, an evil genius, and as someone who would do whatever it takes, no matter how immoral, to pursue his own limitless ambition. Herod was intolerant of dissent. He deployed secret police to spy on the population. He banned protests. He used his power to brutally persecute his opponents.

Herod’s personal life was embroiled in scandal, largely centered around him having his own family members killed when they got in his way. Herod plotted to murder his first wife and then later executed her. After his mother in law accused him of being mentally unstable and unfit to rule he had her executed as well. Herod also had tax problems. His use of tax revenues to furnish lavish gifts upset his Jewish subjects.

Historians who take a more positive view of his reign emphasize that he built a lot of impressive buildings. Indeed, this is true. Construction in Judea was uniquely prolific during Herod’s reign. He sponsored an enormous addition to the second Jewish temple; he constructed a massive port on the Mediterranean coastline that was a true wonder of engineering; and he built several key military installations including the fortress at Masada. On the other hand these projects were completed at the expense of impoverishing those he ruled through excessive taxation.

In Matthew, wise men come from the East, following the star. They’re identified as magi. We might imagine them as Zoroastrian priests, learned scholars, astrologers. Though the text in Matthew is silent, later tradition would embellish these descriptions, with different branches of Christianity telling the story in different ways. There were three wise men, or twelve. They’re given different names in different sects of Christianity. They are said to have all came from Persia, or from Persia, India, and Babylonia, or from Europe, Asia, and Africa, or even from China. They are imagined as sorcerers, wizards, kings, saints.

But, in the Gospel story, they come from the East. They visit Herod. With profound insecurity and devious cruelty, Herod enlists the wise men in reporting the identity of the child. The wise men journey to Bethlehem, visit the child, pay him homage, and present him with gifts. And then, they are warned in a dream not to return to Herod. So they disobey. They disobey Herod and take a different route home.

The text tells this part with one short sentence, “And having been warned in a dream not to return to Herod, they left for their own country by another road.” But, you can easily imagine all kinds of questions:

What were the risks to disobeying Herod?
Did the wise men put their own freedom on the line?
Did they risk their own lives?
Would there be the diplomatic repercussions?
When the wise men returned home, would their homelands be at greater risk of incurring the wrath of the Roman Empire and its armies?
What exactly was the content of that dream, of that vision, that came to the wise men?
Did the dream come to all of them or only to one of them?
And, most importantly, how did they find the courage, conscience, conviction, and commitment to say, “No. We are not going to do this. We will disobey”?

People who study life under authoritarian regimes write about what is necessary for people to resist and to disobey. From her studies of authoritarianism, Sarah Kendzior offers the following advice for those facing life under authoritarianism.

Write down what you value; what standards you hold for yourself and for others. Write about your dreams for the future and your hopes for your children. Write about the struggle of your ancestors and how the hardship they overcame shaped the person you are today.

Write your biography, write down your memories… Write a list of things you would never do. Write a list of things you would never believe.

Never lose sight of who you are and what you value. If you find yourself doing something that feels questionable or wrong a few months or years from now, find that essay you wrote on who you are and read it. Ask if that version of yourself would have done the same thing. And if the answer is no? Don’t do it.

Perhaps it is as simple as this and as difficult as this. Perhaps what gave the wise men, the magi, the strength and courage to take that other road, to disobey and not return to Herod, and not reveal the identity of the child born in Bethlehem was simply that they each possessed a strong moral compass. They knew who they were and what they valued, what they could never do and what they could never believe. They knew this deeply.

Another scholar of authoritarianism, Yale history professor Tom Snyder, offers this advice about obedience,

Do not obey in advance. Much of the power of authoritarianism is freely given. In times like these, individuals think ahead about what a more repressive government will want, and then start to do it without being asked… Anticipatory obedience teaches authorities what is possible and accelerates unfreedom.

For Professor Snyder disobedience is a conscious choice that we need to remember we always have.

As I think about the wise men another source of strength and resilience comes to mind that may have been helpful in causing them to resist, to disobey Herod. Remember, traditions tell us that the wise men came from Persia, India, and Babylon, or from Europe, Asia, and Africa. The wise men are often depicted as coming from different cultures, as having different skin tones, different religions. And, maybe you’d think with their different ethnicities and different languages that one of them would cave, one of them would falter, one of them would say, “If I take the road back that Herod told me to take, I could get on his good side. I could earn all his favor for myself.” But, that’s not what happens. The three of them walk together, take the other road together. Today we’d use the term solidarity. We’d say they practiced solidarity with one another. I think of Rev. William Barber. I’m pretty sure if William Barber met the three magi he’d tell them that they are the beginning of a fusion movement!

For a fusion movement to work we can’t sell one another out. We can’t be in it only for ourselves, our own well-being, our own rights, our own survival. We have to realize that our fates, our freedoms, our lives are tied together. That none of us can be free until and unless all of us are free.

Yesterday, I went to Raleigh for the Justice and Unity rally. I saw a few of you there. We had more than 1,000 people gathered in a park proclaiming our resistance to the KKK march that was happening over in one of the distant corners of our state, proclaiming our resistance to white supremacy, bigotry, and hate in all its forms. The speakers at this rally were mostly people of color, mostly young people. They included immigrants, Muslims, LGBTQ. It was inspiring. These gatherings are important. I’m convinced we are being called to show up, that we are all being called to show up in numbers one hundred times as large. One thousand times as large. But, being there yesterday and hearing those speakers reminded me of all the people to whom I am accountable, the people for whom I would disobey Herod. The people with whom I would disobey Herod.

The magi disobeyed by refusing to return to Herod. They took another road instead. But, there is a way of disobedience that is beyond what even the magi did. That form of disobedience is described by Dietrich Bonhoeffer, the German pastor and theologian who was a major part of the Confessing Church resistance movement in Germany during the Third Reich. Listen to these words by Bonhoeffer,

[T]here are three possible ways in which the church can act toward the state: the first place, as has been said, it can ask the state whether its actions are legitimate and in accordance with its character as state, i.e., it can throw the state back on its responsibilities. Second, it can aid the victims of state action. The church has an unconditional obligation to the victims of any ordering of society, even if they do not belong to the Christian community. "Do good to all people." In both these courses of action, the church serves the free state in its free way, and at times when laws are changed the church may in no way withdraw itself from these two tasks. The third possibility is not just to bandage the victims under the wheel, but to jam a spoke in the wheel itself.

According to Bonhoeffer, disobedience can take the form of jamming a spoke in the wheel itself, of throwing a wrench in the machine, of pouring sand in the gears until they jam and falter.

Remember those words of Tom Snyder. “Much of the power of authoritarianism is freely given. In times like these, individuals think ahead about what a more repressive government will want, and then start to do it without being asked.” Obedience, consent, going along are like oil lubricating the gears. Disobedience and dissent grind the gears down.

Like the wise men of the ancient story, like the wise ones through all history, let us pledge to disobey. Inspired by the words of Edna St. Vincent Millay, let us pledge that,

[We] will not hold the bridle
while [Death] clinches the girth.
And [Death] may mount by himself: 
[We] will not give him a leg up.


So may it be. Amen.