August 6, 2010 2:11 PM

Milwaukee Teachers Fight for Viagra Coverage

(AP)  With the district in a financial crisis and hundreds of its members facing layoffs, the Milwaukee teachers union is taking a peculiar stand: fighting to get its taxpayer-funded Viagra back.

The union has asked a judge to order the school board to again include Pfizer Inc.'s erectile dysfunction drug and similar pills in its health insurance plans.

The filing is the latest in a two-year legal campaign in which the union has argued, so far unsuccessfully, that the board's policy of excluding erectile dysfunction drugs discriminates against male employees. The union says Viagra, Cialis, Levitra and others are necessary treatment for "an exclusively gender-related condition."

But lawyers for the school board say the drugs were excluded in 2005 to save money, and there is no discrimination because they are used primarily for recreational sex and not out of medical necessity.

The filing last month comes as the union, the Milwaukee Teachers' Education Association, is also protesting hundreds of layoff notices issued to teachers for the coming school year. Citing a "financial crisis" caused by exploding benefit costs and revenue shortfalls, the district's outgoing superintendent proposed laying off 682 employees in April.

The district gave layoff notices to 482 teachers in June, but recalled 89 of them last month. Additional teachers may be called back, but these are still the first layoffs of Milwaukee teachers in decades.

At least one lawmaker questioned why the union is fighting for Viagra while teachers are losing their jobs. A consultant for the school board has estimated that reinstating the drug benefit would cost $786,000 per year - the cost to keep perhaps a dozen first-year teachers employed.

State Rep. Jason Fields argues that the money could be better spent any number of ways - including saving jobs.

"You've got to be kidding me," said Fields, a Milwaukee Democrat. "The fact that is the point of contention is kind of frightening. What are our priorities? I'm all for love and peace. But almost 1 million dollars? And you go to court over this issue?"

Union spokeswoman Kris Collett declined comment. But its lawyer Barbara Quindel said the case was worth fighting despite the district's grim finances. Quindel said erectile dysfunction is associated with heart disease, prostate cancer and other conditions, and the drugs are approved by the Food and Drug Administration and recommended by the American Urological Association.

"MTEA believes that men should not be discriminated against in receiving treatment for their medical conditions," she said.

The union has argued the costs are tiny compared to the $1.3 billion annual budget. But the school board says they are "particularly burdensome" when it is under pressure to reduce benefit costs.

That the pills - which can cost $20 apiece without insurance - were included in the first place is somewhat unusual. Health insurer Aetna Inc., which provides one of the district's two plans, says its standard pharmacy plans exclude Viagra and other "drugs for lifestyle enhancement or performance."

Basic state employee health plans also generally don't cover those drugs, but more expensive premium plans might, said Dick Cauchi, who tracks health benefits at the National Conference of State Legislatures. Lisa Soronen, National School Boards Association senior staff attorney, also said she had never heard of a similar case or an example of a union negotiating coverage for erectile dysfunction drugs.

"If you are getting down to what drugs are covered, you are really getting in the weeds," she said, explaining most negotiations are over premiums and co-payments.

Board and union negotiators reached a deal in 2002 to cover six tablets per month for erectile dysfunction drugs in health plans that insure 10,000 employees, dependents and retirees. They quickly became popular.

By 2004, the number of claimants receiving prescriptions skyrocketed to more than 1,000 per year, costing the district $207,000. During negotiations in 2005, the board proposed eliminating the benefit and an arbitrator adopted the plan.

The union in 2008 filed a sex discrimination complaint with the state. In June, the Labor and Industry Review Commission ruled the union couldn't pursue the case without identifying employees who have been injured by the policy and the complaint was filed after the statute of limitations expired.

The union is asking a Milwaukee County Circuit Court judge to overturn that decision and declare the policy violates the Wisconsin Fair Employment Act. A ruling isn't expected for months.

Viagra is usually on the other side in discrimination cases. In recent years, several lawsuits have claimed that employer health plans discriminate against women when they cover Viagra but not contraceptives or infertility treatment.

But the Milwaukee union says males are treated unfairly here. In one brief, its lawyers argued that vaginal cream, anti-bacterial medicine and estrogen replacement medication for female sexual dysfunction are covered. Other options such as penile pumps and implants included in the plans "are far less desirable than oral medication," the filing said.

District spokesman Philip Harris said school officials won't comment because "we just want to leave it alone." But Miriam Horwitz, an attorney representing the board, argued in court filings the drugs weren't necessary to treat life-threatening disease or have children.

© 2010 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
Add a Comment See all 24 Comments
by aelfheld February 18, 2011 12:44 PM EST
"[...] erectile dysfunction is associated with heart disease, prostate cancer and other conditions [...]"

As a symptom that these conditions exist. Masking the symptoms doesn't prevent them.

Quindel is almost as big of a greedy fraud as her clients. Almost.
Reply to this comment
by fiberglass3 August 7, 2010 11:25 AM EDT
Come on - What are these people suppose to do while they have all summer off?
Reply to this comment
by aelfheld February 18, 2011 12:52 PM EST
I can see covering depo-provera more than I can see covering Viagra.
by wasadem1 August 6, 2010 11:57 PM EDT
Well this will probably leave a scar my mind. Can you visual one of these teachers popping a viagra and saying something like "do you want to see something really swell?".
Reply to this comment
by justsane-2009 August 6, 2010 11:49 PM EDT
NOT a medical necessity - end of discussion. i'm a teacher (or at least i was until i was laid off), and this is the sort of thing that makes people anti-teacher and anti-union...
Reply to this comment
by formrusmcsgt August 6, 2010 7:54 PM EDT
The key fact:

"used primarily for recreational sex and not out of medical necessity."

You stuff don't work?

Quit packing your gullet, lose 50 pounds, and stop asking for others to fix it FOR YOU.
Reply to this comment
by mjlewis6 August 6, 2010 6:12 PM EDT
The term 'recreational sex' is a misnomer for those affected by erectile dysfunction. It is to get back to almost normal sexual activity.

ALL drugs are to treat symptoms related to disease or aging so while there are gender specific drugs for women in hormonal issues, likewise for men. The fact that it is to maintain a sexual component of life is relevant. A NORMAL person does all kinds of things, but given time...and dietary habits, the impact of high blood pressure for those habits leads to medications that have as a side effect a decreased sexual ability. Hence, treatment for the side effects of long term useage of high blood pressure meds....for a near normal sex life...is Viagra, Levitra or Cialis, depending on the High blood pressure medicine taken. Nothing recreational about it... as if sex at a certain age should only be geared to procreation and any sex after a certain age would be recreational? Get real !!

If hormones were not involved, we would not be here at all. You want healthy teachers...??? Take care of them or you won't have ANY !!!
Reply to this comment
by aelfheld February 18, 2011 12:49 PM EST
More concerned about whether they're good than whether they're healthy, and definitely unconcerned about whether they can pop a woody. Besides, any group with such a toxic sense of entitlement is diseased beyond repair.
by jschmidt27 August 6, 2010 5:31 PM EDT
The teachers should pay more for their health coverage, lose their pensions and replace them with 403bs, take a 10% pay cut or lose their jobs. Then they will understand how private workers feel.
Reply to this comment
by kevjustice August 6, 2010 5:30 PM EDT
They put up a STIFF fight. They fought long and HARD.
Reply to this comment
by jimbot1957 August 7, 2010 2:54 AM EDT
Tis the screwing they get for the screwing they got!
by 308z August 6, 2010 4:38 PM EDT
Well, when you retire at age 52 you need to do something with your time. After all, you might very well live to be 102 years old. Just think, these teacher retirees will have 50 years to screw the public! Actually, this is no laughing matter: 50 years @ $100,000 per year in retirement benefits equals 5 million dollars! Are you getting 5 million dollars for your retirement? Why not?
Reply to this comment
by ukiddinme August 6, 2010 4:36 PM EDT
great, just what we need, as if there is not enough trouble with student and teacher relationships, now the teacher will be pumped up with viagra.
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