.I had seen nothing sacred, and the things that were glorious had no glory and the sacrifices were like the stockyards at Chicago if nothing was done with the meat except to bury it" (Hemingway 184-185)
Alcohol figures prominently in all of Hemingway's novels, as the heroes drink to cope with the difficulties of an unjust society. For Hemingway, alcohol was a kind of a sacred, elemental substance: "Don't bother with churches, government buildings or city squares," Hemingway wrote of his time in Europe, "if you want to know about a culture, spend a night in its bars" (Rich 2004)
All the contraceptives on the list were FDA-approved and not considered to be abortifacients. Around the time the ACA women's health provisions were implemented, two private corporations, the Hobby Lobby and Conestoga Wood Specialties, challenged the contraceptive mandate on religious grounds (Annas, Ruger, & Ruger, 2014)
Preliminary evidence suggests the cost-sharing prohibition is having an impact. An online longitudinal survey found that the number of privately-insured women no longer paying out-of-pocket expenses for access to contraceptive services increased from 15 to 40% immediately after the ACA provision was implemented (Finer, Sonfield, & Jones, 2014)
For this reason, it is important that all advance practice nurses, who believe the ACA provision is a step in the right direction, monitor legal and legislative assaults on this provision and engage legal and legislative representatives to counter these efforts. As Thomas Jefferson once wrote, "the price of liberty is eternal vigilance" (Berkes, n
CONTRACEPTIVES: A NURSE PRACTITIONER'S PERSPECTIVE NP Policy The Contraceptive Debate: A Nurse Practitioner's Perspective The Contraceptive Debate: A Nurse Practitioner's Perspective The most recent healthcare legislation to be enacted into law at the federal level is the Patient Protection and Affordable Care Act (ACA) of 2010, but the provisions and mandates included in this law are coming online over a period of years. In 2013, the ACA authorized the provision of preventive services in women's health, including free access to contraceptive services (Sonfield, 2013)
CONTRACEPTIVES: A NURSE PRACTITIONER'S PERSPECTIVE NP Policy The Contraceptive Debate: A Nurse Practitioner's Perspective The Contraceptive Debate: A Nurse Practitioner's Perspective The most recent healthcare legislation to be enacted into law at the federal level is the Patient Protection and Affordable Care Act (ACA) of 2010, but the provisions and mandates included in this law are coming online over a period of years. In 2013, the ACA authorized the provision of preventive services in women's health, including free access to contraceptive services (Sonfield, 2013)