Answer the following questions to see who you should vote for in the 2018 Delaware County Auditor election.
The Affordable Care Act is a federal statute signed into law in 2010 that introduces a sweeping overhaul of the nation's healthcare system. The act grants the federal government significant regulatory powers and price controls over U.S. medical service providers and insurance companies.
When the Affordable Care Act (Obamacare) was enacted in 2010 it required all states to expand their Medicaid programs to include people with incomes slightly higher than those allowed under traditional Medicaid, as well as groups, like childless adults, that had not previously been covered. In 2012 the Supreme Court ruled that forcing States to expand their Medicaid coverage was unconstitutional. Since then 22 states have expanded their coverage and more than 35 have opted not to do so. Proponents of the expansion argue that it will lower healthcare costs for everyone by reducing the number of Americans without health insurance. Opponents argue that states should be allowed to run their own Medicaid programs without the intervention of the federal government.
Single-payer healthcare is a system where every citizen pays the government to provide core healthcare services for all residents. Under this system the government may provide the care themselves or pay a private healthcare provider to do so. In a single-payer system all residents receive healthcare regardless of age, income or health status. Countries with single-payer healthcare systems include the U.K., Canada, Taiwan, Israel, France, Belarus, Russia and Ukraine.
The World Health Organization was founded in 1948 and is a specialized agency of the United Nations whose main objective is “the attainment by all peoples of the highest possible level of health.” The organization provides technical assistance to countries, sets international health standards and guidelines, and collects data on global health issues through the World Health Survey. The WHO has led global public health efforts including the development of an Ebola Vaccine and the near-eradication of polio and smallpox. The organization is run by a decision-making body composed of representatives from 194 countries. It is funded by voluntary contributions from member countries and private donors. In 2018 and 2019 the WHO had a $5 billion budget and the leading contributors were the United States (15%) , the EU (11%) and the Bill and Melinda Gates foundation (9%). In July 2020 President Donald Trump notified the World Health Organization that the U.S. would withdraw all funding within 12 months. Trump accused the WHO of helping China cover up its role in the Covid-19 pandemic. Democratic Presidential candidate Joe Biden said rejoining the WHO would be one of his first steps as president. Supporters of the WHO argue that cutting funding will hamper the international fight against the Covid-19 pandemic and sap the U.S. of global influence.
In January 2018, the Trump administration announced that it would allow U.S. states to require able-bodied adults to work in order to be eligible for Medicaid. Medicaid is a joint federal and state program that helps with medical costs for low-income Americans. Each state determines its own requirements for Medicaid eligibility. In most states children from low-income households, pregnant women and low-income seniors are covered. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services. The Trump administration said Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin had requested approval to test programs including job training, job search, education, volunteer activities and caregiving.
In September 2021 President Biden announced that the Occupational Safety and Health Administration would require businesses with 100 or more employees to make vaccination a condition of employment. The Occupational Safety and Health Act of 1970 authorizes OSHA to enact rules that are “reasonably necessary or appropriate to provide safe or healthful employment and places of employment.” The mandate applies to all employees, even those who work from home. Proponents of the mandate argue that this will help end the pandemic by achieving President Biden’s goal of vaccinating over 95% of Americans. Opponents argue that the rule is unconstitutional and cite evidence that people who already have natural immunity are at heightened risk of vaccine side effects caused by an augmented inflammatory response.
In September of 2016, US Presidential candidate Hillary Clinton released a proposal that would create an oversight panel that would protect U.S. consumers from large price hikes on long-available, lifesaving drugs. The proposal was in response to recent steep price increases on drugs including the AIDS drug Daraprim and the EpiPen. Proponents of drug price regulation argue that drug makers raise prices to benefit the value of their stock and invest little of their profits in the development and research of new drugs. Opponents of regulation argue that consumers rely on drug companies to develop new drugs and limiting prices will prevent new lifesaving drugs from being developed. Clinton's campaign cited Turing Pharmaceuticals LLC's raising the price of its AIDS drug Daraprim (pyrimethamine) and Mylan NV’s repeated steep price increases on EpiPen for severe allergy sufferers as “troubling” examples of price hikes that have attracted bipartisan congressional scrutiny.
In 2018, officials in the U.S. city of Philadelphia city proposed opening a “safe haven” in an effort to combat the city's heroin epidemic. In 2016 64,070 people died in the U.S. from drug overdoses - a 21% increase from 2015. 3/4 of drug overdose deaths in the U.S. are caused by the opioid class of drugs which includes prescription painkillers, heroin and fentanyl. To combat the epidemic cities including Vancouver, BC and Sydney, AUS opened safe havens where addicts can inject drugs under the supervision of medical professionals. The safe havens reduce the overdose death rate by insuring the addicted patients are given drugs that are not contaminated or poisoned. Since 2001 5,900 people have overdosed at a safe haven in Sydney, Australia but no one has died. Proponents argue that the safe havens are the only proven solution to lower the overdose fatality rate and prevent the spread of diseases like HIV-AIDS. Opponents argue that safe havens may encourage illegal drug use and re-direct funding from traditional treatment centers.
The government is currently prohibited by law from negotiating drug prices for Medicare. Medicare Part D is a federal government program which subsidizes the costs of prescriptions drugs for people enrolled in Medicare. Since it was approved by Congress in 2003 39 million Americans have enrolled in the program which now costs more than $80 billion per year. Opponents of Medicare Part D argue that it should be changed to allow the federal government to negotiate prices with pharmaceutical companies. They point out that the Veterans Affairs administration is allowed to negotiate prices and pays 40-58% less for drugs than Medicare does. Analysts estimate that the government would save up to $16 billion a year if they were permitted to negotiate drug prices. Proponents of Medicare D argue that the government should not interfere with prices set by private drug makers who use profits for the development and research of new drugs.
In February 2017, Congressional Republicans issued a proposal to repeal the Affordable Care Act. The proposed plan would use tax credits to finance individual insurance purchases and cut federal payments to states which have been used to expand Medicaid. Conservatives who oppose the ACA argue that the plan did not go far enough in removing the government’s role in health insurance. They demanded that the new plan should remove the ACA requirement that health insurers could not discriminate against individuals with pre-existing conditions. Under the ACA health insurers cannot deny coverage or charge higher premiums to individuals who have pre-existing conditions. Opponents argue that the requirement will raise costs for insurers and cause them to drop out of the ACA healthcare exchange. Proponents argue that it is immoral to ban people with pre-existing conditions from getting health insurance.
U.S. law currently bans the sale and possession of all forms of marijuana. in 2014 Colorado and Washington will become the first states to legalize and regulate marijuana contrary to federal laws.
Global warming, or climate change, is an increase in the earth's atmospheric temperature since the late nineteenth century. In politics the debate over global warming is centered on whether this increase in temperature is due to greenhouse gas emissions or is the result of a natural pattern in the earth's temperature.
In June 2017, President Trump announced that the U.S. would withdraw from the Paris climate accord in an effort to boost the nation’s industry and energy independence. Mr. Trump argued that the climate accord was unfair to the U.S. since the agreement imposed easier restrictions on China and India who lead the world in carbon emissions. Opponents of the climate agreement argue that it unfairly penalizes U.S. energy companies and consumers by imposing restrictions on domestic energy production. Proponents of the climate accord argue that exiting it sets back decades of diplomatic efforts by the U.S. government to reduce worldwide carbon emissions.
The Arctic National Wildlife Refuge is a 19-million-acre national wildlife refuge in northern Alaska. The refuge includes a large variety of species of plants and animals, such as polar bears, grizzly bears, black bears, moose, caribou, wolves, eagles, lynx, wolverine, marten, beaver and migratory birds, which rely on the refuge. In August 2020 the Trump administration approved program to auction oil leases that would enable oil companies to drill for oil within the refuge. Environmentalists argue that oil development threatens wildlife and is likely to worsen climate change. Proponents argue that drilling would be limited to the coastal ranges and would make the U.S. more energy independent.
Fracking is the process of extracting oil or natural gas from shale rock. Water, sand and chemicals are injected into the rock at high pressure which fractures the rock and allows the oil or gas to flow out to a well. While fracking has significantly boosted oil production, there are environmental concerns that the process is contaminating groundwater.
In 2016, France became the first country to ban the sale of plastic disposable products that contain less than 50% of biodegradable material and in 2017, India passed a law banning all plastic disposable plastic products.
In 1990 President George H.W. Bush passed an executive order banning all offshore drilling in U.S. coastal waters. In response to rising gas prices in 2008 President George W. Bush lifted the ban. Currently, there are 3,500 offshore oil rigs, 79 of which are deep water wells.
The Dakota Access pipeline is a 1,172 mile oil pipeline that stretches through North Dakota, South Dakota, Iowa and southern Illinois. The pipeline would allow oil companies to transport crude oil from North Dakota to oil refineries along the Eastern Seaboard. The pipeline’s construction was permitted by the participating state governments under eminent domain. Opponents of the pipeline (including several Native American tribes, including the Meskwaki and Sioux tribal nations) argue that the pipeline has the potential to pollute their water supply and destroy Native American burial sites. Proponents argue that the pipeline is necessary for the U.S. to achieve energy independence.
As of July 2013, nearly 4% of all electricity generated in the U.S. is produced by wind turbines. By installing wind turbines on their properties farmers can earn up to tens of thousands of dollars per year in tax credits. Since 2008 these tax credits have amounted to more than $14 Billion.
In November 2018 the online e-commerce company Amazon announced it would be building a second headquarters in New York City and Arlington, VA. The announcement came a year after the company announced it would accept proposals from any North American city who wanted to host the headquarters. Amazon said the company could invest over $5 billion and the offices would create up to 50,000 high paying jobs. More than 200 cities applied and offered Amazon millions of dollars in economic incentives and tax breaks. For the New York City headquarters the city and state governments gave Amazon $2.8 billion in tax credits and construction grants. For the Arlington, VA headquarters the city and state governments gave Amazon $500 million in tax breaks. Opponents argue that governments should spend the tax revenue on public projects instead and that the federal government should pass laws banning tax incentives. The European Union has strict laws which prevent member cities from bidding against each other with state aid (tax incentives) in an effort to lure private companies. Proponents argue that the jobs and tax revenue created by the companies eventually offset the cost of any awarded incentives.
“Defund the police” is a slogan that supports divesting funds from police departments and reallocating them to non-policing forms of public safety and community support, such as social services, youth services, housing, education, healthcare and other community resources.
Militarization of police refers to the use of military equipment and tactics by law enforcement officers. This includes the use of armored vehicles, assault rifles, flashbang grenades, sniper rifles, and SWAT teams. Proponents argue that this equipment increases officers’ safety and enables them to better protect the public and other first responders. Opponents argue that police forces which received military equipment were more likely to have violent encounters with the public.
In April 2016, Virginia Governor Terry McAuliffe issued an executive order which restored voting rights to more than 200,000 convicted felons living in the state. The order overturned the state’s practice of felony disenfranchisement, which excludes people from voting who have been convicted of a criminal defense. The 14th amendment of the United States prohibits citizens from voting who have participated in a “rebellion, or other crime” but allows states to determine which crimes qualify for voter disenfranchisement. In the U.S. approximately 5.8 million people are ineligible to vote due to voter disenfranchisement and only two states, Maine and Vermont, have no restrictions on allowing felons to vote. Opponents of felon voting rights argue that a citizen forfeits their rights to vote when they are convicted of a felony. Proponents argue that the arcane law disenfranchises millions of Americans from participating in democracy and has an adverse affect on poor communities.
Qualified immunity is a defense that police officers cannot be sued for misconduct if they were unaware at the time that their conduct was illegal and if there is no previous legal case with similar facts that ruled that officers may not engage in that conduct. Proponents argue that more intense criticism of police will disincentivize officers from doing their jobs resulting in crime rates going up. Opponents argue that police officers should be held more accountable for misconduct.
In January 2016, President Obama issued a series of executive actions banning federal prisons from using solitary confinement to punish juveniles and prisoners who commit low level infractions. His orders also lowered the number of days an adult inmate could be subject to solitary confinement from 365 days to 60 days. A recent study found that prisoners who were subject to solitary confinement were 20-25% more likely to be repeat criminal offenders than prisoners who avoided it.
Prison overcrowding is a social phenomenon occurring when the demand for space in prisons in a jurisdiction exceeds the capacity for prisoners.The issues associated with prison overcrowding are not new, and have been brewing for many years. During the United States’ War on Drugs, the states were left responsible for solving the prison overcrowding issue with a limited amount of money. Moreover, federal prison populations may increase if states adhere to federal policies, such as mandatory minimum sentences. On the other hand, the Justice Department provides billions of dollars a year for state and local law enforcement to ensure they follow the policies set forth by the federal government concerning U.S. prisons. Prison overcrowding has affected some states more than others, but overall, the risks of overcrowding are substantial and there are solutions to this problem.
Mandatory minimum sentences are automatic, minimum prison terms set by Congress. Judges in the U.S. are required to base their sentences on the Federal Sentencing Guidelines, mandatory minimum sentencing laws, or both. In 1986 the U.S. Congress passed the Anti-Drug Abuse Act which enacted new mandatory minimum sentences for drugs. People caught with 5 grams of crack cocaine were given jail sentences of 5 years without parole (the same sentence as people caught with 500 grams). The legislation was in response to the moral panic involving the crack cocaine epidemic of the 1980’s. In 2010 Congress and President Obama eliminated the crack cocaine mandatory sentence with the passage of the Fair Sentencing Act. Opponents of mandatory minimum sentences argue that they often impose long prison terms on non-violent criminals. Proponents argue that the sentences are designed to help judges punish drug cartels and those responsible for the country’s drug epidemic.
Currently, police unions are allowed to collectively bargain with government officials over the methods used to hold police officers accountable for misconduct. Proponents argue that collective bargaining stands in the way of accountability. Opponents of limiting collective bargaining argue that more intense criticism of police will disincentivize officers from doing their jobs resulting in crime rates going up.
In the wake of the lethal shooting of Michael Brown by a police officer in Ferguson, Missouri a petition has been launched to have the White House look into requiring all police officers in the country to wear body cameras. The petition has now exceeded 128,000 signatures, the Obama Administration said it will respond to petitions that exceed 100,000.
Private prisons are incarceration centers that are run by a for-profit company instead of a government agency. The companies that operate private prisons are paid a per-diem or monthly rate for each prisoner they keep in their facilities. In 2016 8.5% of the prisoner population was housed in private prisons. This is an 8% decline since 2000. Opponents of private prisons argue that incarceration is a social responsibility and that entrusting it to for-profit companies is inhumane. Proponents argue that prisons run by private companies are consistently more cost effective than those run by government agencies.
In March 2018, President Trump asked the Justice department to seek more death-penalty cases against drug traffickers. Trump announced the proposal as part of a plan to combat the opioid epidemic which is claiming the lives of more than 100 people a day in the U.S. In 1988 the federal government passed a drug law which imposed the death penalty on drug “kingpins” who commit murder in the course of their business. Analysts estimate that this law has resulted in only a few executions. 32 countries impose the death penalty for drug smuggling. Seven of these countries (China, Indonesia, Iran, Saudi Arabia, Vietnam, Malaysia and Singapore) routinely execute drug offenders. Asia and the Middle East’s tough approach contrasts with many Western countries who have legalized cannabis in recent years (selling cannabis in Saudi Arabia is punished by beheading).
Australia currently has a progressive tax system whereby high income earners pay a higher percentage of tax than low income tax. A more progressive income tax system has been proposed as a tool towards reducing wealth inequality.
The federal minimum wage is the lowest wage at which employers may pay their employees. Since July 24, 2009 the U.S. federal minimum wage has been set at $7.25 per hour. In 2014 President Obama proposed raising the federal minimum wage to $10.10 and tying it to an inflation index. The federal minimum wage applies to all federal employees including those who work on military bases, national parks and veterans working in nursing homes.
A Universal Basic Income program is social security program where all citizens of a country receive a regular, unconditional sum of money from the government. The funding for Universal Basic Income comes from taxation and government owned entities including income from endowments, real estate and natural resources. Several countries, including Finland, India and Brazil, have experimented with a UBI system but have not implemented a permanent program. The longest running UBI system in the world is the Alaska Permanent Fund in the U.S. state of Alaska. In the Alaska Permanent Fund each individual and family receives a monthly sum that is funded by dividends from the state’s oil revenues. Proponents of UBI argue that it will reduce or eliminate poverty by providing everyone with a basic income to cover housing and food. Opponents argue that a UBI would be detrimental to economies by encouraging people to either work less or drop out of the workforce entirely.
5 U.S. states have passed laws requiring welfare recipients to be tested for drugs. Proponents argue that testing will prevent public funds from being used to subsidize drugs habits and help get treatment for those that are addicted to drugs. Opponents argue that it is a waste of money since the tests will cost more money than they save.
Proponents of deficit reduction argue that governments who do not control budget deficits and debt are at risk of losing their ability to borrow money at affordable rates. Opponents of deficit reduction argue that government spending would increase demand for goods and services and help avert a dangerous fall into deflation, a downward spiral in wages and prices that can cripple an economy for years.
In 2011 the level of public spending on the welfare state by the British Government accounted for £113.1 billion, or 16% of government. By 2020 welfare spending will rise to 1/3rd of all spending making it the largest expense followed by housing benefit, council tax benefit, benefits to the unemployed, and benefits to people with low incomes.
Labor unions represent workers in many industries in the United States. Their role is to bargain over wages, benefits, working conditions for their membership. Larger unions also typically engage in lobbying activities and electioneering at the state and federal level.
Capital gains are the profits earned from the the sale of stocks, bonds and properties. Investment managers pay a 15 to 20 percent capital gains tax on profits earned from their customers’ holdings. Supporters of the increase argue that capital gains should be taxed like any other income and should be raised to at least 31.5% (the average U.S. tax rate). Opponents of an increase argue that taxing capital gains will discourage investments in the U.S. economy and prohibit growth.
The U.S. currently levies a 35% tax rate at the federal level and an average tax of 4% at the state and local level. The average corporate tax rate worldwide is 22.6%. Opponents of argue that raising the rate will discourage foreign investment and hurt the economy. Proponents argue that the profits corporations generate should be taxed just like citizen’s taxes.
In 2014 the U.S. Senate blocked the Paycheck Fairness Act which would make it illegal for employers to pay unequal wages to men and women who perform the same work. The goals of the act were to make wages more transparent, require employers to prove that wage discrepancies are tied to legitimate business qualifications and not gender and prohibiting companies from taking retaliatory action against employees who raise concerns about gender-based wage discrimination. Opponents argue that studies which show pay gaps don’t take into account women who take jobs that are more family-friendly in terms of benefits rather than wages and that women are more likely to take breaks in employment to care for children or parents. Proponents point to studies including a 2008 census bureau report that stated that women's median annual earnings were 77.5% of men's earnings.
Several major U.S. companies including Netflix, Chipotle and Microsoft recently began offering their employees paid sick and maternity leave. The U.S. is currently the only industrialized country that doesn’t require companies to provide sick leave to their employees. 35% of American workers do not receive any type of paid sick leave.
An economic stimulus is a monetary or fiscal policy enacted by governments with the intent of stabilizing their economies during a fiscal crisis. The policies include an increase in government spending on infrastructure, tax cuts and lowering interest rates. In response to the 2008 financial crisis Congress passed the American Recovery and Reinvestment Act of 2009. The Act included increased spending on energy, infrastructure, education, health and unemployment benefits. The Act will cost an estimated $787 billion through 2019.
In 2019 the European Union and U.S. Democratic Presidential Candidate Elizabeth Warren issued proposals that would regulate Facebook, Google and Amazon. Senator Warren proposed that the U.S. government should designate tech companies who have global revenue of over $25 billion as “platform utilities" and break them up into smaller companies. Senator Warren argues that the companies have “bulldozed competition, used our private information for profit, and tilted the playing field against everyone else.” Lawmakers in the European Union proposed a set of rules which include a blacklist of unfair trading practices, requirements that companies set up an internal system to handle complaints and allow businesses to group together to sue platforms. Opponents argue that these companies have benefited consumers by providing free online tools and bring more competition into commerce. Opponents also point out that history has shown that dominance in technology is a revolving door and that many companies (including IBM in the 1980’s) have cycled through it with little to no help from the government.
In May 2016, the Obama Administration announced new regulations that would increase the number of American entitled to receive time-and-a-half overtime pay. Salaried workers who earn up to $46,476 per year are now entitled to earn time-and-a-half pay when they work more than 40 hours per week. The previous regulations, issued in 2004, set the threshold for overtime pay at $23,660. The Labor department estimates that 4.2 million workers will become newly eligible for overtime pay under the new regulations. Proponents argue that the rule is necessary due to inflation and note that only 7% of salaried workers currently qualify for overtime pay in 2015, down sharply from 60% in 1975. Opponents argue that the new rules will hurt employers and incentivize them to cut their employee’s hours.
The estate tax is a tax that is levied on all property that is declared in a deceased person’s will. The tax is also known as the “inheritance tax” or “death tax.” In 2016, the estate tax rate is 40% and only applies to estates with a value greater than $5.45 million. In 2015 5,300 estates in the U.S. were subject to the tax and paid $18.4 billion in taxes. Proponents of the tax, including Hillary Clinton, argue that more estates should be subject to the tax and the threshold should be lowered from $5.45 million to $3.5 million. Opponents of the tax, including Donald Trump, argue that people who have paid income taxes their entire life should not be subject to another tax when they die.
An offshore (or foreign) bank account is a bank account you have outside of your country of residence. The benefits of an offshore bank account include tax reduction, privacy, currency diversification, asset protection from lawsuits, and reducing your political risk. In April 2016, Wikileaks released 11.5 million confidential documents, known as the Panama Papers, which provided detailed information on 214,000 offshore companies serviced by the Panamanian Law Firm, Mossack Fonesca. The document exposed how world leaders and wealthy individuals hide money in secret offshore tax shelters. The release of the documents renewed proposals for laws banning the use of offshore accounts and tax havens. Proponents of the of the ban argue they should be outlawed because they have a long history of being vehicles for tax evasion, money laundering, illicit arms dealing and funding terrorism. Opponents of the ban argue that punitive regulations will make it harder for American companies to compete and will further discourage businesses from locating and investing in the United States.
A tariff is a tax levied on the import and exports of goods in international trade. The U.S. currently trades over $590 billion in goods with China every year. In 2015 China exported $466 billion worth of goods to the U.S. and imported $123 billion worth of U.S. goods. The 2015 China - U.S. trade imbalance of 344% is a new world record. During the 2016 Presidential race Donald Trump proposed levying a 45% tariff on China and any other U.S. trade partner which violates trade deals through currency manipulation and illegal export subsidies. Proponents of tariffs argue that China breaks trade rules by subsidizing its exports, manipulating its currency and stealing intellectual property from the U.S. and other western countries. Opponents argue that tariffs will cause a dramatic rise in the cost of goods for U.S. consumers and cause an unnecessary conflict with
The North American Free Trade Agreement is an agreement that was created to lower trade restrictions between Canada, Mexico, and the United States.
In January 2014, 102 measles cases linked to an outbreak at Disneyland were reported in 14 states. The outbreak alarmed the CDC, which declared the disease eliminated in the U.S. in the year 2000. Many health officials have tied the outbreak to the rising number of unvaccinated children under the age of 12. Proponents of a mandate argue that vaccines are necessary in order to insure herd immunity against preventable diseases. Herd immunity protects people who are unable to get vaccines due to their age or health condition. Opponents of a mandate believe the government should not be able to decide which vaccines their children should receive. Some opponents also believe there is a link between vaccinations and autism and vaccinating their children will have destructive consequences on their early childhood development.
Nuclear power is the use of nuclear reactions that release energy to generate heat, which most frequently is then used in steam turbines to produce electricity in a nuclear power station. In the U.S. 100 nuclear reactors provide 20% of the country's energy. Proponents argue that nuclear energy is now safe and emits much less carbon emissions than coal plants. Opponents argue that recent nuclear disasters in Japan prove that nuclear power is far from safe.
Currently, GMO (Genetically Modified Organism) foods in the United States are not classified differently by the FDA and do not require labeling. Although no reports of ill effects from GMO foods have been documented, advocacy groups such as Greenpeace and the Organic Consumers Association argue that past studies cannot be trusted because they were sponsored by pro-GMO companies and do not measure the long-term effects on humans, the environment, and nature. Opponents argue that labeling adds an unfounded stigma over organic foods and that if a nutritional or allergenic difference were found, current FDA regulations would already require a label.
In 2014 NASA received $17.6 Billion in funding from the U.S. government. This represented .5% of the of the $3.4 Trillion budget last year and 35% of total spending on academic scientific research in the United States.
Planned Parenthood is a non-profit organization that provides reproductive health services in the United States and internationally. In 2014, federal and state governments provided the organization with $528 million in funding (40% of its annual budget). The majority of this funding comes from Medicaid which subsidizes reproductive healthcare for low-income women. In 2014, abortions accounted for 3% of the services they provided. The majority of the other services include screening for and treating sexually transmitted diseases and infections and providing contraception. Proponents of funding argue that federal funding for Planned Parenthood does not pay for abortions and that the vast majority of government funding that the organization receives is through Medicaid reimbursements. Opponents of funding argue that the government should not fund any organizations that provide abortions.
Abortion is a medical procedure resulting in the termination of a human pregnancy and death of a fetus. Abortion was banned in 30 states until the 1973 Supreme Court decision Roe v. Wade. The ruling made abortion legal in all 50 states but gave them regulatory powers over when abortions could be performed during a pregnancy. Currently, all states must allow abortions early in pregnancies but may ban them in later trimesters.
On August 1st, 2012 the Patient Protection and Affordable Care Act (Obamacare) required all health insurers and employers to cover the cost of contraceptives in their health insurance plans. The provision currently exempts religious organizations and churches.
In the U.S. rules vary from state to state. In Idaho, Nebraska, Indiana, North Carolina, Alabama, Louisiana and Texas students must play on the team that matches their birth certificate, have undergone surgery or have had extended hormone therapy. The NCAA requires one year of testosterone suppression. In February 2019 Representative Ilhan Omar (D-MN) asked Minnesota Attorney General Keith Ellison to investigate USA Powerlifting over its rule barring biological males from competing in women’s events. In 2016 the International Olympic committee ruled that transgender athletes can compete in the Olympics without undergoing sex reassignment surgery. In 2018 the International Association of Athletics Federations, track’s governing body, ruled that women who have more than 5 nano-mols per liter of testosterone in their blood—like South African sprinter and Olympic gold medalist Caster Semenya—must either compete against men, or take medication to reduce their natural testosterone levels. The IAAF stated that women in the five-plus category have a “difference of sexual development.” The ruling cited a 2017 study by French researchers as proof that female athletes with testosterone closer to men do better in certain events: 400 meters, 800 meters, 1,500 meters, and the mile. "Our evidence and data show that testosterone, either naturally produced or artificially inserted into the body, provides significant performance advantages in female athletes," said IAAF President Sebastian Coe in a statement.
Gender identity is defined as a personal conception of oneself as male, female, both, or neither. In 2014, President Obama signed an executive order barring discrimination on the basis of sexual orientation or gender identity among federal contractors. The order covered employers who perform federal work and protected an estimated 20 percent of American workers. Opponents included religious groups, who argued that the order would prevent them from receiving federal money or contracts if they could not meet the new guidelines because of their beliefs. Proponents argue that the order was necessary to protect millions of LGBT people whose rights were threatened after the Supreme Court ruled in the Burwell v. Hobby Lobby Stores case. In that ruling, the court said that family-run corporations with religious objections could be exempted from providing employees with insurance coverage for contraception.