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Ellen R. Shaffer

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Birth Control? Really? (Yes, Really!)

Posted: 07/20/2011 7:22 pm

Today the Institute of Medicine reported what most breathing humans know more or less reflexively: That contraception is a preventive health care service. Why is this even a question? And why must we answer it now?

Birth control is a safe and legal service that is both cost effective, and particularly beneficial to women's health. It not only protects us from the social and economic burdens of unintended pregnancies, which are relatively high in the U.S. It empowers us to imagine and pursue autonomous and fulfilling lives, that include the joys of healthy parenthood if and when we're ready for it.

Most Americans believe that contraception should be affordable and accessible, whether or not they personally use it, including most Catholics, according to numerous studies reported this year by Catholics for Choice. Ninety-nine percent of heterosexually active women have used a birth control method currently banned by the Vatican, and most continue to. Ready access should be a matter decided by women and their clinicians, certainly not by politicians.

The IOM report on gaps in coverage under health reform recommends that contraception be readily available without the added costs of co-payments and deductibles, as should screenings for cancer, HIV, diabetes, and domestic violence. The next step is asking the Department of Health and Human Services to adopt these life-saving recommendations. This should be a slam-dunk. But it may not be. The remaining gaps are not in our science but in our advocacy.

Opposition arguments to these recommendations are so flimsy that they are rarely reported in the mainstream media. They are promulgated largely by the organization of Catholic Bishops, who do not represent the practices or beliefs of their own congregations, or most people of other faiths, and whose lapses in sexual ethics are threatening the vitality of the Church.

So, why is this still a question, and why must we answer it now? The fact is that years of bullying have escalated into a war on women. Despite our most careful and strategic parrying, the words "women" and "women's health" have become stigmatized in the fickle world of mainstream politics. It's time to trust ourselves with decisions about our destiny. It's time for people of conscience to raise our voices and visibility on fundamental matters of choice. This is a perfect place to start.

 

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HUFFPOST SUPER USER
Charles Queen
I am a disabled nam vet
06:49 PM on 07/24/2011
I think insurance company's should allow for free birth control.Eventually and in the near future we are going to have no choice but to adress the population increase in our country.It's just a simple fact of life.I don't mean for it to sound mean or anything like that at all.I look at it as a logical thing.Eventualy we will have no other choice but to start some type popultion control measures.Certainly not in my time but it really is something that people should look at
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4eva
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12:54 PM on 07/21/2011
Contraceptive and birth control are two separate terms meaning two separate things.
They are not interchangeable terms.
This user has chosen to opt out of the Badges program
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12:11 PM on 07/21/2011
The opposition is based on an imaginary son of the imaginary first couple squeezing one off in an imaginary garden which annoyed an imaginary invisible man in the sky.
12:03 PM on 07/21/2011
I remember that I used to work for a company whose health insurance did not cover my birth control pills but did cover my friends fertility treatments. Her treatments ran in the tens of thousands of dollars and were covered. My birth control was $50 per month and was not covered. Talk about a value judgement! They covered her efforts to get pregnant but not my efforts to NOT get pregnant?!?!
11:46 AM on 07/21/2011
It is a proven fact that giving Women free access to control their own reproduction and bodies, increases societial health!
crakrman79
Like broken clockwork he's right twice a day!
11:00 AM on 07/21/2011
I dont know if I would say this is a war on women exactly, but I do agree contraception needs to be free. In the long run it costs us way less to buy people some pills then to have to pay for multiple children on the dole.
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john1513
Ora et Labora
10:54 AM on 07/21/2011
“Pregnancy is not a disease, and fertility is not a pathological condition to be suppressed by any means technically possible.â€

- Cardinal Daniel DiNardo
11:54 AM on 07/21/2011
No...it is to be suppressed by EVERY means necessary...until you don't want to anymore!
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HUFFPOST SUPER USER
gleitz05
Old people are allowed to be cranky.
10:03 AM on 07/21/2011
I always wondered why a pharmacist could say that filling a script for b/c pills was against his religion, but never heard of one saying the same for filling a viagra script. Nor could I understand why any insurance company would cover viagra but not b/c pills.
09:23 AM on 07/21/2011
The war on woman is centuries old. Yes, tremendous progress has been made females can vote and husband's can't beat their wives just because they feel like it.

It should outrage men and women that Viagra has been a covered benefit on most health care plans, while birth control is not. The cost of birth control has escalated dramatically over the last decade putting it out of reach of the minimum wage workers who need and want it most.

However, why is it being touted as FREE Birth Control. As long as a person is paying premiums, deductible and co-pays, free doesn't apply. Birth control whether pills , IUDs, etc., should be a covered benefit in all health insurance plans available to women.
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4eva
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12:57 PM on 07/21/2011
Vasectomies should be covered as well. Not just items for women.
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HUFFPOST SUPER USER
imokit
my mama taught me not call nasty people names!
08:23 AM on 07/21/2011
In most of Europe contraception is free. (I say most, but I don't know a country which doesn't, but I'm sure someone does). People here worked out that free contraception = less unintended pregnancies. Less unintended pregnancies = less abortions and less unwanted children/children who's parents can't afford to look after them. Birth control costs less than welfare/tax credits and less than child protection. Thus paying for birth control saves lots of money.

I remember sex ed at my school. If you put the condom on the banana, in front of the school nurse she'd give you a C-card (a piece of card with a C and the NHS logo on it). You could then take that into a pharmacy, hand it to a pharmacist and get condoms.

Like the US the contraceptive pill has to be taken on prescription, but its covered by the NHS's subsidised prescription rules. If your income is below a certain level, you get free prescriptions. If you have certain illnesses you get free prescriptions. If not, each drug is about £7 (I can't remember the figure) regardless of what it is.
08:17 AM on 07/21/2011
Tylenol is not even free why should birth control be?
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HUFFPOST SUPER USER
gleitz05
Old people are allowed to be cranky.
09:54 AM on 07/21/2011
It's not free. It only means that your insurance would cover it without a co-pay.
09:42 AM on 07/22/2011
I am unaware of any medication my insurance covers without a copay. I can get some medications for 4 dollars. My pharmacy sells birth control for 9 dollars a month and that is if you have no insurance. That makes the pill cheaper then condoms every month.
11:16 AM on 07/21/2011
Because of the tremendous toll of unintended pregnancies on society. The occasional headache has no such detrimental effect...quite the opposite, one might say. ;)
09:44 AM on 07/22/2011
Getting pregnant is a choice. Getting a head ache or fever is not a choice. I can say with 100% certainty that if you do not have sex you will not get pregnant.
08:08 AM on 07/21/2011
Affordable and accessible is a lot different that free or government provided. Condoms available at any drug store should fit the bill quite nicely.
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HUFFPOST SUPER USER
gleitz05
Old people are allowed to be cranky.
09:55 AM on 07/21/2011
Read the article. It isn't free.
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farmerlady
Blonde, Democratic socialist, and unwilling expat
07:22 AM on 07/21/2011
I've had birth control pills prescribed for conditions that have nothing to do with any desire to avoid getting preggers. It needs to be covered. Women having severe cramps, ovarian cysts, irregular periods, or even going through a rough menopause can all benefit from a low dose pill.

There's no logical reason for it not to be covered. Especially when Viagra IS.
HUFFPOST SUPER USER
spriddler
02:31 PM on 07/21/2011
The issue is not whether they are covered or not. It is whether they should be "free" or not.
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farmerlady
Blonde, Democratic socialist, and unwilling expat
04:30 PM on 07/21/2011
Ummm...read the article. No.
HUFFPOST SUPER USER
crowepps
03:41 AM on 07/21/2011
Considering the incessent propaganda full of angst about the "horrors of abortion", anyone who's thinking straight should agree providing free birth control makes sense, especially if the extremely reliable IUD is included. No unwanted pregnancy, no abortion. Win-win for everybody except the anti-sex misogynists and religious fanatics.
01:46 AM on 07/21/2011
There are links to several petitions asking HHS to adopt the IOM recommendations posted at:
http://oursilverribbon.org/blog/?p=235