AmyTuteurMD

AmyTuteurMD
Bio
Dr. Amy Tuteur is an obstetrician-gynecologist. She received her undergraduate degree from Harvard College and her medical degree from Boston University School of Medicine. Dr. Tuteur is a former clinical instructor at Harvard Medical School.

Editor’s Pick
NOVEMBER 5, 2009 8:43AM

Payment for prayer "treatment" in healthcare overhaul

Rate: 5 Flag

This is embarrassing.

My state is home to the mother church of Christian Science, officially Church of Science, Christ. In what must be considered one of the more bizarre examples of political pork, my state’s Senators, the late Ted Kennedy and John Kerry, have supported a measure sponsored by Orrin Hatch to require health insurance companies to reimburse for Christian Science prayer “treatments.”

According to the LA Times:

The measure would put Christian Science prayer treatments -- which substitute for or supplement medical treatments -- on the same footing as clinical medicine. While not mentioning the church by name, it would prohibit discrimination against "religious and spiritual healthcare."

It would have a minor effect on the overall cost of the bill -- Christian Science is a small church, and the prayer treatments can cost as little as $20 a day. But it has nevertheless stirred an intense controversy over the constitutional separation of church and state, and the possibility that other churches might seek reimbursements for so-called spiritual healing.

It ought to stir intense controversy. At a time when we cannot provide healthcare coverage for millions of Americans, it is unconscionable to consider wasting money on “alternative” health of any kind, whether it is religious or secular.

Amazingly, the payment provision is merely a continuation of special status that has been accorded to Christian Science in the past century.

In the early 20th century, the church sought recognition from state regulators so the practitioners would not be prosecuted for practicing medicine without a license. Criminal courts have convicted Christian Scientists in cases where children have died after visiting prayer healers instead of receiving conventional medical care. The church says no such incidents have occurred for two decades.

About 90 years ago, private insurance companies began paying for Christian Science prayer treatments, but more recently, managed-care insurers declined reimbursements, insisting on paying for care that produced proven medical results.

The Internal Revenue Service allows the cost of the prayer sessions to be counted among itemized medical expenses for income tax purposes -- one of the only religious treatments explicitly identified as deductible by the IRS. Some federal medical insurance programs, including those for military families, also reimburse for prayer treatment.

House Speaker Nancy Pelosi stripped a similar measure out of the House healthcare reform bill, accepting arguments of House members that the provision an unconstitutional violation of the separation of Church and State. But equally important is the fact that it violates the express intent of healthcare reform to pay only for treatments that are based on scientific evidence.

The willingness of insurers and the government to tolerate and even fund “alternative” health “treatments” and research has undoubtedly emboldened religious leaders. In the past 10 years the US government has squandered $2.5 billion testing “alternative” health remedies and learning (surprise) that none of them work. With so much money sloshing around to investigate nonsense, why not ask to be reimbursed for providing nonsense?

This proposal to fund prayer as a medical “treatment” is consistent with the willingness to reimburse for “alternative” health. Evidently, the only criterion necessary for reimbursement is the patient’s belief that something works, not scientific evidence that it does actually work.

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My insurance company won't cover birth control pills or any psychological services... but they'd have to cover spiritual healing? There is only on acronym for that: WTF.
I just read about this yesterday and was appalled. My daughter went to N.E.C., near the Christian Science headquarters, so I'm familiar with their large presence in Boston, but still shocked that Kennedy and Kerry went along with this nonsense.

On a positive note though, I might send in a claim for copper bracelets and shark fin extract.
Once again, Magical Thinking triumphs!
CrankItTo11:

"My insurance company won't cover birth control pills or any psychological services... but they'd have to cover spiritual healing?"

There's a method to the madness. Effective treatments cost a great deal of money. Quackery costs much less. It makes economic sense for insurance companies to cover quackery if people are going to choose it as a replacement for real medical care.
Roger:

"still shocked that Kennedy and Kerry went along with this nonsense."

I can't believe it, either. Is the Christian Science vote really large enough to warrant this behavior?
Scribblenerd:

"Magical Thinking triumphs!"

But magical thinking is so much more fun than reality.
This was to either have a reason for Democrats to get behind killing it, or to make Republicans look like the asshats they truly are...

Either way, it's tragically funny...
I'm also against Chiropractors calling themselves doctors and prescribing drugs but as we well know, if you have a good bunch of lobbyists and a shit load of money, you could get a platypus declared the national animal!
wow. Thanks for this post. rated.
Outrageous. Will Chinese medicine (nothing against those who use it especially acupuncture...) soon be covered on healthcare plans too. If these people think that praying over a child with leukemia is going to make them well again - then we are bound by ethics not to support them. Kerry and Kennedy should be ashamed of themselves.
gonzoid:

"if you have a good bunch of lobbyists and a shit load of money, you could get a platypus declared the national animal!"

Seems like it, doesn't it?
madcelt:

"Kerry and Kennedy should be ashamed of themselves."

I'm very surprised. I think of myself as being cynical, but I guess I'm not cynical enough.
Dear Dr. Amy;

Your headline reads prayer "treatment". . .
. . .with your quotation marks, one is led to believe.

Should we mortals likewise encapsulate the second word in medical practice, or are the quotation marks thereupon understood?
Well, it's not surprising that churches would try to get in on this. Given the massive overcharging and fraud that goes on in the medical industry already (including that perpetrated by doctors) they probably figure it's just good business to get their piece of the pie.

Sure, it's a con, but at least they won't be amputating anyone's wrong foot, cross contaminating people in hospital environments, or killing people by screwing up medicines or dosages - like medical professionals do! : )
When was the last time a Christian Scientist, Buddhist, Tibetan Monk, or a flippin' Zoroastrian, for that matter, left a scalpel or a pair of forceps in their patient after closing their prayers.

If you ask me, which you didn't but I'm going to tell you anyway, the religious and the medical shamans are only distinguished by spelling and prepositional phrasing:

The one prays for the afflicted while the other preys onthem.
Motoring Homeless:

"The one prays for the afflicted while the other preys on them."

Really? Prayer has saved no one and medical care has saved tens of millions. Which one provides better value?
Alternative medicine began to creep into medical funding formularies in a big way during the nineties under the influence of third-party contractors to AIDS Service Organizations. With few efffective treatments available, the ASO's found themselves besieged with requests from desperate clients for all sorts of herbal, supplemental, and other weirder remedies. Of course pitting these against HIV is like using a ping-pong ball to fight off an advancing tank, but who wanted to tell dying patients that? Greed being greed it spread from there, and long after most responsible ASO's got out of the reiki business, these practices continued to infiltrate into medical not-for-profits of all types. I'm sure you know all this, Dr. Amy, but I just thought a little history might help. Christian groups also took advantage of ASO's support of safer-sex education to help foist an abstinence-only model on young people, the sex-ed equivalent of prayer "treatment," as in, "Gawd, I hope I don't get pregnant...."
"When was the last time a Christian Scientist, Buddhist, Tibetan Monk, or a flippin' Zoroastrian, for that matter, left a scalpel or a pair of forceps in their patient after closing their prayers."

Amen brother.

A little history is in order here. At the beginning of the 20th century, allopathic medical treatment was, on average, atrocious. If anyone seriously doubts that, I would advise that they read the Flexner report. http://www.carnegiefoundation.org/sites/default/files/elibrary/Carnegie_Flexner_Report.pdf

"Studies of Christian Science suggest that its appeal has been mainly to the urban upper middle class, particularly to middle-aged and elderly women. "

http://hirr.hartsem.edu/ency/cscience.htm

The upper middle class status of Christian Science placed it in a decidedly different position than, say, Mormonism, whose leaders were lynched in the late 19th century.

This is just an outlier. I can't see special treatment for quack religious treatments from marginal groups. It just isn't going to happen.

And, birth control is a lot cheaper than pregnancy, so don't blame the insurers for not covering it. Whatever their reasons, it isn't aggregate cost.

So.....
They've always been mysterious to me but I grew up with the Christian Science Monitor as a source of god reporting and information. Faith has no place in health care charges. Prayer charges? Screw that.
"When was the last time a Christian Scientist, Buddhist, Tibetan Monk, or a flippin' Zoroastrian, for that matter, left a scalpel or a pair of forceps in their patient after closing their prayers."

funny! And a good point!

Considering the amount of money they charge and the grandiose education doctors supposedly receive, it's amazing how common mistakes like these are!

I once had a surgeon actually tell me that if I was ever going to get an operation on say, my knee, to take a marker and actually write on the other knee "NOT THIS ONE!". I'm serious.
Amy, I love you, Honey, But all you MD's are so hung up in the physical, material world that you can't see anything else. Most of Christian Science, Science of Mind, Unity and Concept Therapy heal on a daily basis but it is by the practice of the believers themselves. If you sent a child to Christian Science for a healing, it wouldn't work because that kid would be loaded and coated with your skepticism. Understanding is the key. "There are more things in heaven and earth, Horatio, than are dreamt of in your philosophy."

"In the past 10 years the US government has squandered $2.5 billion testing “alternative” health remedies and learning (surprise) that none of them work. " THAT is a lie, Dear Heart. We are healing each other all the time with herbs and prayers See my "Breast Cancer" story. I healed my mother of lymphoma with an old Canadian native formula. Took me hours to fix it, but it worked. "More things in heaven and earth......."
"Really? Prayer has saved no one . . ."

No one?

Gee, Doc. Care to cut and paste some findings from THAT study?
Ditto to the comments supporting "alternative" (they're called alternative in the U.S. ONLY because the allopathic medical field and the brainwashed, allopathic medical mentality sheeple society we live in doesn't accept anything but allopathic medicine).

I'm not a religious person, but I'm a firm supporter and recipient of WHOLISTIC (stop calling it alternative) healing. It's so ironic that the scientific medical world is so against any form of energy healing, yet anything that exists in the universe is made up of some kind... often of several kinds... of energy. Just because we can't see it, smell it, taste it, hear it, or feel it with our 5 physical senses doesn't mean it doesn't exist.

I don't use prayer and don't worship anyone or anything, but I firmly support healing on the energetic and spiritual (not religious, but spiritual, as in the essence of who we are BEYOND this physical manifestation of ourselves) levels along with healing on the physical level... hence, WHOLISTIC healing.

It's so ironic how the scientific medical field dismisses all of this and only supports that which can be heavily detected with our 5 physical senses.
If I'm not mistaken, alternative medicine really took off in the '80s when a lot of people were coming down with chronic fatigue syndrome or fibromyalgia.

I was one of these folks, and indeed found myself at many a strange doorstep when allopathic medicine couldn't help. I spent SO much money on so many vitamins, supplements, herbs, treatments, etc.

The only thing that worked (for certain ailments) was acupunture and a certain brand of Chinese herbs. Oh, and getting my amalgam fillings out was huge. But the rest? A waste.

But that's what happens when there's a lot of sick people running around who no one can help. They become prey to the snake oils.

Excellent post...and discussion! Rated.
That's it. No prayers for you. You will get none of the statistically signficant benefits of being prayed for, nor will you be affected by the placebo effect since you don't believe in it's power. Oh, and you'll have to keep your 20 bucks and spend it on meaningless atheist stuff, like lipstick.
Have fun with that. I'm off to go make more voodoo dolls of Tom Cruise.
Dr. Amy:

"There's a method to the madness. Effective treatments cost a great deal of money. Quackery costs much less. "

Well, that's certainly true in the beginning, until the untreated tumor metastasizes. Quackery delays the expense, but I wouldn't agree that it "costs less".

I'm not an enemy of prayer or meditation -- there are plenty of good reasons to engage in either or both of those practices. But, I agree that it does not substitute for "treatment". It may aid you to endure your treatment. It may give you solace in difficult times. It may help you accept a diagnosis and guide you in making difficult choices.

But, it's not "treatment".

Those who sell "prayer treatment" to the desperately ill, are motivated by money. I suspect the "treatment" will not succeed until every last credit card is maxed out, and the resources that might otherwise have been available to pay REAL doctors are gone.
Perfect!

Twenty bucks a day, and then the patient dies. Cheapest "medical care" on the planet.
So wait, since it's a religion, you have to honor all religions equally. 1st amendment. So that means that Any 'treatment' by any religion can get reimbursed. ANY religion!

OK so that means that the Pastafarians (FSM) can develop Spaghetti facial treatments, and they gotta get paid. Or the Universal Life church can ordain you to practice medicine over the phone!

Seriously, the way to defeat this (after it passes - just get the reform to pass, hold your nose until it passes, just get it to pass) is to mock it to death. If any religion can get real cash... from your health insurance company!! then I think religion might grow in this country.
Dr. Amy, There's no scientific evidence that having medical insurance secures your health either. When you're healthy you don't need it. People pray to enhance and maintain health, a natural condition.
Wait until the traditional VooDoo doctors get into the act, with the chickens in the coop out in the back. After all, America cannot legally claim to have one national religion.
I'm a member of the Universal Life Church Seminary and I think it's absolutely ridiculous to cover prayer as a medical expense. It's not a trained activity and there's no cost to do it. It sounds more like a way for the church to generate income.