Courtney Wilder (PhD ’08) joins our scholars’ roundtable on healthcare and religion with her essay, “Disability Theology and the Healthcare Debate.” The September issue of the Forum explores the place of religion and the academic study of religion vis-à-vis the healthcare debate. In light of Congress’s ongoing effort to reform the US healthcare system, we have invited a handful of scholars of religion to discuss the role of religion in the broader national conversation about health and healthcare as well as the potential contribution(s) of scholars of religion to this national dialogue. We invite you to join the conversation by sharing your thoughts and questions in the comments section below.

Posted essays:

by Courtney Wilder

* An earlier version of this essay was originally published by Sightings, the Marty Center’s other digital publication, on July 6, 2017. 

Amidst many significant political news stories this past summer, one of the most important in terms of policy is Congress’s ongoing attempt to reform healthcare and health insurance access in the United States. Disability rights activists have been vigilant in protesting the proposed changes, and characterizations of people with disabilities by lawmakers have taken on religious overtones. The field of disability theology provides much-needed resources for analyzing and rejecting religious denigration of people with disabilities.

An often-repeated goal of Republicans in Congress is to “repeal and replace” the Affordable Care Act passed in 2010. After the House of Representatives passed its version of a healthcare reform bill in May, the Senate’s version of the bill failed to pass in July by a very narrow margin. Both bills would have, according to the Congressional Budget Office, significantly increased the number of uninsured Americans while drastically cutting funding for Medicaid. Medicaid coverage is crucial particularly for many people with disabilities: the Kaiser Family Foundation reports that Medicaid offers insurance coverage for 35% of Americans with disabilities, many of whom have significant healthcare needs. Another key issue is the proposed resumption of lifetime caps on healthcare benefits. For many people with disabilities, particularly children with acute health conditions, these caps would prevent them from accessing care necessary for survival.

One striking feature of the conversation around this proposed legislation was the argument that people who are most in need of access to healthcare—including both people with disabilities and people with preexisting conditions—are morally at fault for their illness or their disability. The most explicit instance of this is the claim made in early May by Alabama Representative Mo Brooks, who said “people who lead good lives, they’re healthy, they’ve done the things to keep their bodies healthy,” suggesting that such people are entitled to lower insurance costs than people he would presumably deem “unhealthy” and regard as not having led good lives. Although Brooks walked back that claim, he was later echoed by Wisconsin Senator Ron Johnson. On June 25, 2017, Johnson argued on Meet the Press that health insurance companies should not be required to provide insurance to those with preexisting conditions, since auto insurance companies can exclude “somebody after they crash their car.” Again, this rhetoric, comparing people with disabilities to damaged automobiles, explicitly dehumanizes and places moral blame on people who need healthcare the most as a strategy to justify removing their access to it.

Responses to this legislation by disability rights activists were fierce. The work of ADAPT (American Disabled for Attendant Programs Today) is one example. The group describes itself as “a national grass-roots community that organizes disability rights activists to engage in nonviolent direct action, including civil disobedience, to assure the civil and human rights of people with disabilities to live in freedom.” ADAPT began in Denver in the 1970s and originally focused on access to public transportation for people with disabilities; since then it has advocated for the rights of people with disabilities more broadly, particularly the right to live independently.

Stephanie Woodward, of Rochester, NY, who has spina bifida and uses a wheelchair, is removed from a sit-in at Senate Majority Leader Mitch McConnell’s office as she and other disability rights advocates protest proposed funding caps to Medicaid, Thursday, June 22, 2017, on Capitol Hill in Washington. (AP Photo | Jacquelyn Martin)

In late June 2017, ADAPT protesters, many with visible disabilities and many using wheelchairs, were arrested for staging sit-ins to protest proposed cuts to Medicaid. Protests blossomed across the country, including in the offices of members of Congress. ADAPT was focused on Senate Majority Leader Mitch McConnell, but other Republicans in Congress also had ADAPT protestors arrested for occupying their offices, including Senator Tom Cotton of Arkansas and Colorado Senator Cory Gardner. Social media coverage of these events—including images of some wheelchair users being forcibly removed from their wheelchairs and carried off by police, and pictures of others having their hands cuffed behind them in their wheelchairs—has been significant. The Twitter hashtag #ADAPTandRESIST was popular for tagging images of protestors in individual tweets. The Twitter user @ColleenFlangan, for instance, tweeted an image of an activist with her hands zip-tied behind her in her wheelchair with the caption “Medicaid is important to disabled people. We raise our voice and get answered with handcuffs #ADAPTandRESIST.” This was retweeted over 10,000 times. Explicit appeals to religious ideals or doctrine to support the rights of people with disabilities were rare within this particular hashtag, however.

This raises some questions: What might religious people make of this ongoing clash of values? What tools does Christian theology provide for analyzing and responding to this issue? Theologians of disability powerfully reject the conflation of sin with disability, a perspective that is useful when considering the religious rhetoric around people’s bodies and their healthcare needs in the current political climate.

Disability theology is typically identified as a form of liberation theology, offering critiques of social systems that violate the intentions and will of God by oppressing and dehumanizing people with disabilities. Nancy Eiesland, the bold foremother of this discipline, made the argument in her book The Disabled God that Jesus’ resurrected body reveals him to us as the disabled God, still impaired after resurrection and without sin. Particularly relevant to the current healthcare debate is the work that Eiesland and others have done to identify sin in the phenomenon of oppression: what is wrong is the lack of access for people with disabilities to equal education, healthcare, public spaces, and other social systems that support non-disabled people in their independence. The sin is located not in the body of the person with a disability (or a preexisting condition) but in the marginalizing of that person by his or her society.

The argument that access to healthcare is a reward for living a moral life presumes that the origin of a disability is within the control of an individual person, rather than being a function of the diversity of human biology or the result of an everyday experience like aging, a car accident, a healthcare diagnosis, a traumatic experience, or the emergence of a mental illness. The rhetoric of politicians like Brooks and Johnson is aptly countered by disability theologians’ critique. These thinkers provide an analysis which suggests that public policy that rewards able-bodied people and punishes people with disabilities by offering healthcare access to the former and withholding it from the latter is deeply sinful, while the work of ADAPT activists better embodies the will of God.

On July 28th, the Senate bill to repeal the Affordable Care Act failed to pass. Three Republican Senators voted no: Lisa Murkowski of Alaska and Susan Collins of Maine were joined by John McCain of Arizona, whose unexpected vote against the bill was decisive in its defeat. McCain had recently undergone surgery for brain cancer. As The New York Times reported, “Mr. McCain left his intentions secret until the end, then cast his vote in a dramatic fashion, walking to the middle of the floor, holding his arm out and then giving a thumbs-down.” Crowds gathered outside and opponents to the bill across the country rejoiced.

However, Republicans recently resumed their attempts to repeal the Affordable Care Act. On September 6th, the Washington Post reported that Senator John McCain was supportive of a new bill designed to repeal the ACA co-sponsored by Senator Lindsey Graham, of South Carolina and Senator Bill Cassidy, of Louisiana; McCain’s office clarified after the story was published that he “did not want a hasty vote on the bill.” The new bill would reduce federal funding to Medicaid in states that pursue a Medicaid expansion and would fund block grants, key features of the failed bill. According to analysis by Topher Spiro of the Center for American Progress, the Graham-Cassidy bill would put in place caps on Medicaid that would cut funding “by $180 billion over 10 years. It applies to seniors and people with disabilities.” As the news of the new bill began to be reported, Rabbi Ruti Regan, a disability scholar and activist, tweeted, “People are being arrested to ‪#SaveACA. Please make it worth it”. In a season filled with unusually dramatic and high-profile events, including but not limited to hurricanes Harvey and Irma endangering communities in Texas and Florida, the rescinding of the Deferred Action for Childhood Arrivals policy, which offers an avenue for legal residence to young people who immigrated to the United States illegally as children, violence and open demonstrations by neo-Nazis, and a ban on transgender servicemen and women serving in the U.S. military, the Graham-Cassidy bill is one rising story among many. Its consequences are potentially far reaching and devastating particularly to people with disabilities, however, and disability rights activists are among the many Americans who are once again organizing in opposition. ♦

Courtney Wilder (PhD ’08) is Assistant Professor of Religion at Midland University in Fremont, Nebraska. She teaches in the areas of Christianity, philosophy, and Bible. Her interests include the work of mid-twentieth-century Protestant theologian Paul Tillich, contemporary interpretations of the Bible, and theologies of the body, including feminist, womanist, liberation, and disability theologies. Her book Disability, Faith, and the Church: Inclusion and Accommodation in Contemporary Congregations was published by Praeger in 2016.

 

* Feature image: Kingsley Floyd was among those arrested at a protest in front of Senate Majority Leader Mitch McConnell’s office in June. Here, she is speaking at a rally for healthcare in Portland, Maine. (Derek Davis | The Portland Press Herald)

Resources

Congressional Budget Office Cost Estimate: H.R. 1628 American Health Care Act of 2017. As passed by the House of Representatives on May 4, 2017.” Congressional Budget Office. May 24, 2017.

Diaz, Daniella, and Pete Grieve. “Dozens arrested after disability advocates protest at McConnell’s office.” CNN. June 22, 2017.

Edwards, David. “Ron Johnson: People with preexisting condition don’t deserve insurance like ‘somebody who crashes their car’.” RawStory. June 25, 2017.

Eiesland, Nancy. The Disabled God: Toward a Liberatory Theology of Disability. Abingdon Press: 1994.

Eilperin, Juliet, Sean Sullivan, and Kelsey Snell. “Senate rejects measure to partly repeal Affordable Care Act, dealing GOP leaders a major setback.” The Washington Post. July 28, 2017.

Flanagan, Colleen. “Medicaid is important to disabled people. We raise our voice and get answered with handcuffs #ADAPTandRESIST.” Twitter. June 22, 2017.

Moffitt, Mike. “GOP’er: People who lead good lives don’t have pre-existing conditions.” SFGate. May 3, 2017.

Paradise, Julia. “10 Things to Know about Medicaid: Setting the Facts Straight.” The Henry J. Kaiser Family Foundation. June 9, 2017.

Ramzy, Austin. “McCain’s Vote Provides Dramatic Moment in 7-Year Battle Over Obamacare.” The New York Times. July 28, 2017.

Regan, Ruti (@RutiRegan). “People are being arrested to ‪#SaveACA. Please make it worth it ‪@ChrisVanHollen ‪@SenatorCardin ‪@RepRaskin ‪#NoCapsNoCuts.” 2:45 pm, Spetember 6, 2017.

Sprio, Topher (@TopherSpiro). “10: CBO estimates that this per capita cap cuts Medicaid by $180 billion over 10 years. It applies to seniors and people with disabilities.” 3:07 pm, 6 September 2017.

Worthington, Danika. “Disabled protesters arrested at Sen. Cory Gardner’s Denver office after 2-day sit-in.” The Denver Post. June 29, 2017.

Soffen, Kim. “There’s one Obamacare repeal bill left standing. Here’s what’s in it.” The Washington Post. September 6, 2017.

Weigel, Dave and Sean Sullivan. “McCain considers a new Obamacare repeal bill, and activists scramble to stop it.” The Washington Post. September 6, 2017.

 

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