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Emily Spitzer

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Plan B Falls Victim to Plan P: Politics

Posted: 12/10/11 03:13 PM ET

Plan B is the simplest birth control pill there is -- it's a morning after pill for women. One pill, taken the morning after sexual intercourse, prevents pregnancy. Indeed, the pill's simplicity is what's made it a target.

That's why eyebrows were raised when Health and Human Services Secretary Kathleen Sebelius made the odd case that the pill was too complicated to understand by young women and overruled her FDA commissioner, who wanted to make Plan B available over-the-counter to all women based on available scientific evidence.

Specifically, the Secretary said that there was insufficient evidence that younger women can understand the label and use the product appropriately. Again, the labeling and appropriate use of Plan B is exceedingly simple.

Something else must be at play here.

What seems to be at play is presidential politics. Did Sebelius -- a courageous fighter for women's reproductive rights as governor of Kansas -- find a way to delay the Plan B decision until after 2012?

If politics is indeed the reason for Secretary Sebelius' decision, it is a stunning betrayal of President Obama's campaign commitments to reverse the Bush administration's persistent indifference to science and data when it comes to women's health.

Even worse, it raises the prospect that science will be sacrificed to politics in other areas as well, and that other contraception issues will be resolved with similar disregard for women's health.

In fact, we will find out very soon.

The Affordable Care Act guarantees access to important preventive health services without expensive co-pays, including contraception for women.

But, if this administration is afraid of offending anti-women's health forces, thousands of employers will be allowed to refuse to cover contraceptives in their employer-sponsored health plans. Such a move would directly interfere with the individual health needs of millions of women by limiting the type of care they can get.

Last year, my organization issued a report that found, among other things, that access to contraception is a basic medical standard of care -- or protocol that doctors follow -- in a wide range of medical conditions and situations, including heart disease, diabetes, epilepsy, lupus, obesity, and cancer. Unintended pregnancy can be dangerous -- even deadly -- for some women with medical conditions such as these.

A woman should not have to choose between her job and her birth control. She must be allowed to make decisions about whether or not to have a child based on her own beliefs, not the beliefs of her employer. Let us hope that Secretary Sebelius sides with science.

 
Plan B is the simplest birth control pill there is -- it's a morning after pill for women. One pill, taken the morning after sexual intercourse, prevents pregnancy. Indeed, the pill's simplicity is ...
Plan B is the simplest birth control pill there is -- it's a morning after pill for women. One pill, taken the morning after sexual intercourse, prevents pregnancy. Indeed, the pill's simplicity is ...
 
 
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02:57 PM on 12/12/2011
I am opposed to abortion from first principles. However, I totally understand why the Plan B proposal failed. Follow the money:

1. A morning after pill over the counter means that doctors don't get a cut when a woman makes a mistake.

2. The morning after pill will cut into the massive profits of the abortion mills.

3. Finally, the morning after pill will dry up the source of embryonic stem cells for research.

It's not about morality. It's not about safety. IT'S ABOUT THE MONEY!!!!!
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HUFFPOST COMMUNITY MODERATOR
jessicadevyn
Danger Zone
03:15 PM on 12/12/2011
A first trimester abortion is around 500 dollars. A pregnancy and delivery cost at a minimum 10 grand and can be over 40 grand if complications arise. Wouldn't gynecologists try to coerce women and girls into staying pregnant for 9 months and going along with a delivery if it was just about the money? If a woman doesn't miscarry you are bound to see her dozens of times before birth. With an abortion you will just see a woman 1 or 2 times and that's it. Your argument doesn't really make sense in the whole economic feasibility issue.
04:48 PM on 12/12/2011
1. Doctors were the ones that have been pushing for the OTC status of this pill for the past 5 years. Doctor's get more a cut when a woman carries a pregnancy, repeated pre-natal visits, tests and the delivery are the money makers, not abortion.

2. There is no such thing as an "abortion mill". Abortion providers do not make massive profits from abortion. This is an outright lie spread by the propagandists who in this one isolated case seem to think that money is evil, but refuse to let the government help out. When you restrict tax dollars from being used to defray the cost of abortion, a patient will have to pay out of pocket, this does not, and has not been shown to bring in "massive profits" to a non-profit organization.

3. This point seems also to be based on the same lunatic propaganda the rest of your amusingly incorrect statements were. It's just too ridiculous to address.

It's immoral to restrict this, it's unsafe to restrict this from minors, and it's about the POLITICS.
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01:38 PM on 12/12/2011
More like plan R: Retar....uh, I mean Religion.
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HUFFPOST COMMUNITY MODERATOR
jessicadevyn
Danger Zone
02:45 PM on 12/12/2011
Agreed George.
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04:51 PM on 12/12/2011
Thanks, Buddy Christ!
04:49 PM on 12/12/2011
Try Plan C: Christian. What other religion do you see fighting this?
01:01 PM on 12/12/2011
As a parent who is ultimately RESPONSIBLE for the health of my underage daughter I do not want her to have access to this. How would she know what questions to ask to make sure she does not have a medical condition which taking this pill could exacerbate. As long as nothing goes wrong these children can take this pill. But I am not willing ro risk my daughter's health or life for this. After all these children cannot legally give informed consent. Most of them don't even know what informed consent is.
HUFFPOST SUPER USER
Diana Landingham
01:51 PM on 12/12/2011
Thank you very much! You are spot on! Maybe the writer of this article does not have children. The decision to not allow underage girls to buy this drug is the right one. I don't see where politics was involved. In fact, I believe it is the first time that politics were not involved in the decision making process. It's a start.
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HUFFPOST COMMUNITY MODERATOR
jessicadevyn
Danger Zone
02:48 PM on 12/12/2011
My partner has teen daughters (straight A, AP class taking, wonderful girls) and believes this should be OTC. Not all parents think the same.
04:56 PM on 12/12/2011
When you're going against the recommendation of doctors, public health officials, and pretty much everyone who actually knows what's going on, to cater to a political position, it's all politics.

This is not a "right" decision, it's short sighted one, and a poor one politically. The group that would be appeased by this is not the one that would be voting for Obama anyway, and he's gone back on his word to base his decisions on science and facts and not politics.
02:32 PM on 12/12/2011
Your daughter's health or life would NOT be at risk from taking Plan B.

However, her health and life WOULD be at risk if she became pregnant. You're basically saying that if your relationship with your daughter doesn't allow that you and she have open, honest conversations about the fact that she's having sex, you'd prefer that she got pregnant as a result.
12:50 PM on 12/12/2011
Funny that the government would consider allowing a off the shelf purchase when this same drug in a lower dose ( BC Pills ) require a presciption.
04:59 PM on 12/12/2011
Why is it funny? A single dose taken once, and that has not been shown to have any serious negative side effects is an entirely different matter than a regular pill taken daily. There is a vast difference between a single dose and a daily dose.
12:46 PM on 12/12/2011
Honestly, most young teens would not even think of Plan B until it is too late to use it. I disagree with making it available to kids under the age of consent.
02:33 PM on 12/12/2011
This is so illogical. They wouldn't think of it until it's too late... therefore they shouldn't be allowed to use it without a prescription. Which would probably also be too late. What? There's no logic here, just reactivity and emotion.
10:36 AM on 12/13/2011
It is not illogical - the point is, they would not take it in a timely manner but would try to take it if it was available to them. So you would have teens taking a plan b pill when they are weeks or months pregnant. This is not remotely emotion or reactivity, I have teens now and was a teen mother so I understand the mentality. When faced with this situation they are not going to read the warning label or take the time to understand how this works. Plan b is a category x drug which means it should not be used while already pregnant. Additionally, it will not work thereby subjecting these teens to side effects and potential problems and resulting in no solution.
05:00 PM on 12/12/2011
So if they would not even think of it, then what's the problem with making it available?
12:16 PM on 12/12/2011
The fact is that the majority of girls under 16 years old that would seek the morning after pill are also the victims of predatory sex encounters perpatrated by adult males. So yes, I think the HHS made a wise decision to mandate that an adult, preferably the parents or a doctor, but at least a 17 year old female that could buy the pill for an underaged teen to assess the nature of the sexual relationship so that other interventions can be taken to prevent further child rape.

Do we want to protect young teen girls from child sex abuse? Or do we just want to hide this widespread pathology by giving young girls the means to cover up sex crimes made against them without any adult counsil?
02:34 PM on 12/12/2011
Huh? What if the predatory male is the same one that she has to ask permission from? Your supposition, that forcing young girls who fear they may be pregnant to go to a doctor or their parents to prevent pregnancy, will somehow lead to less sexual abuse of young girls, simply does not follow.
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HUFFPOST COMMUNITY MODERATOR
jessicadevyn
Danger Zone
02:51 PM on 12/12/2011
The vast majority of sex that teens have is consensual and between other teens. Most people loose their V card before their 17. And how will this make men more likely to rape girls? If I was raped I would WANT the morning after pill instead of staying pregnant just for "evidence". And it doesn't make other evidence like semen and vaginal bruising go away, hence Plan B is a part of every rape kit across the country.
11:57 AM on 12/12/2011
The 'goal' of putting an age restriction on it is that young girls - those most likely to use in incorrectly, out of fear & ignorance - must get some kind of outside counsel to obtain it. Nothing says it has to be a parent. An older sibling/ cousin/ neighbor, etc will suffice. Somebody NOT freaking out about a pregnancy scare, to make sure that it's used within the time limit, to explain what's going to happen, to make sure there aren't any adverse reactions, etc. With any luck, that person will ask the obvious questions like - did you want to have sex with him? do you have BC for next time?
If you object to the specific age limit of 17, and want to argue the relative merits of 15 vs 16 vs 17, that is another discussion. But girls 14 and under are not generally mature enough to handle this kind of situation alone.
05:06 PM on 12/12/2011
And how would these girls use it incorrectly. It's a one step, perhaps two: buy pill, take pill. What is it that you think these girls are too stupid to do?

Many girls don't have these people, and many of them are the calm, rational ones NOT freaking out. There aren't any adverse reactions according to the scientists who've researched it, the doctors who've advocated for it's OTC status. What is it that you think that an "older cousin" is going to do that the physicians don't know about?

Your reasoning doesn't make any sense.
11:21 AM on 12/12/2011
"Indeed, the pill's simplicity is what's made it a target."

Indeed. If you want more of something, mitigate the negative consequences. In this case, if you want more "tweens" having sex, make Plan B available with no age restrictions.
02:54 PM on 12/12/2011
This presumes a couple of things.

First, that it's undesirable for "tweens" to be having sex. I'm not convinced. As long as they're doing it with each other, rather than being exploited by adults or older children, and using protection, then I don't see the harm.

Second, it presumes that "tweens" are rational decision makers and will hold off having sex if they think pregnancy is a real possibility. Millennia of human history, as well as recent research into cognitive neurobiology of children and adults, has shown that this is emphatically not the case. Young teenagers' brains aren't fully developed. They don't weigh pros and cons of decisions the same way adults do.

The last thing to consider is that only a tiny minority of 11-13 year olds are actually engaging in sexual activity. The majority of sexual activity among teens these days commences between 14 - 17 years old. In effect, you're using an unusual case (that of "tweens") to represent the more typical case (that of teenagers) in order to fearmonger and scare people with the prospect of 11-year-olds having sex.

Unless you have been religiously brainwashed into thinking that all sex except procreative sex between a married man and woman is inherently immoral, there's no reason to be upset about making Plan B available to minor girls.
04:50 PM on 12/12/2011
"First, that it's undesirabl­e for "tweens" to be having sex. I'm not convinced."

Okay. I don't think I need to read any further...
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HUFFPOST COMMUNITY MODERATOR
jessicadevyn
Danger Zone
02:58 PM on 12/12/2011
Why do you think the simple existence of Plan B is going to turn 5th graders into nymphomaniacs? Most "tweens" don't have sex because they "fear pregnancy", they don't have sex because they are simply not interested in it.
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JBS
Part time misanthrope & full time curmudgeon
09:55 AM on 12/12/2011
How do you expect to keep 'em barefoot & pregnant if they can just take a pill?
02:43 PM on 12/12/2011
Exactly. Being able to have sex without fear of pregnancy is one major factor behind the success of the push for women's equality. The less girls and women fear that pregnancy will be a consequence of sex, the more free they are to pursue educations and careers for themselves. That's the real reason conservative America is up in arms about this. They can't abide the idea of their teenage daughters taking control of their own sexuality. They think they should be in control of their children's sexuality. It's about control.
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gutenmorgen
a.k.a. crowsnest
09:18 AM on 12/12/2011
This pill is not a problem. Education about sex in our country is the problem.
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HUFFPOST SUPER USER
alafonse
It's definitely a crap-shoot.
08:42 AM on 12/12/2011
Kids are pretty savvy. The younger ones will probably just get their older sisters/friends to go buy it for them. That's a no-brainer.
07:54 AM on 12/12/2011
I have no problem with grown, mature women taking this pill for prevention of a crisis pregnancy. But I have a MAJOR problem with my young teenage daughter accessing this medication without first discussing it with me. Do I want my daughter getting pregnant? No-duh. But if she's engaging in behaviors that she cannot possibly know the far-reaching implications of as a teenage girl, then we need to continue to do some talking.

I feel like our government is constantly telling me that they can parent my children better than my husband or I can. So kids get to do whatever they feel like and we parents are only good for financially supplementing their lifestyles and should keep our noses out of their business. Forget that we have invested our hearts and souls into them because we love them so much.

Our children are the most precious things in our lives to my husband and I. We are raising them to let them go one day. They must live their lives and learn from their mistakes just as we all do. But if one of my girls is having sex and is afraid she may become pregnant, then we need to know about this and use it as an opportunity for a very important dialogue, not merely just popping a pill to do away with only one possible consequence. I don't want my right as a parent and this chance for a very important conversation stripped from me.
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HUFFPOST SUPER USER
Blissful
ignorance is not
10:18 AM on 12/12/2011
Not all kids can talk to their parents. If you have a good relationship with your kids, allowing kids access to emergency birth-contol should not effect that. The government in no way is stripping your rights away. Many kids have sex, that is fact. I have a very open relationship with my daughters, I hope that I have taught them to make good decisions, that is what we give our kids.
10:22 AM on 12/12/2011
Listen, if you were really doing your job as a parent, you wouldn't need the government to step in and mandate that she talks to you before she takes the morning-after pill. THAT is government intervention. Not requiring prescription when none is needed? That is NOT government intervention.

You KNOW there are many teenage girls out there with abusive, intolerant parents. Girls who don't talk to their parents because their parents are strung out on drugs or alcohol and can't help anyway. Girls who don't talk to their parents because they are afraid of being beaten again. Girls who don't talk to their parents because they will be disowned and thrown out on the street if they reveal they've been having sex.

You want to tell those girls, "Sorry, but I'm too upset about the idea that my daughter might be keeping secrets from me. YOU all have to have your lives ruined by a totally unnecessary, unwanted pregnancy, because MY need to feel like a Good Parent is more important than your actual physical health."

That's mighty Christian of you, as they say.
10:56 AM on 12/12/2011
My thoughts exactly! faved
01:09 AM on 12/12/2011
If you think teenage girls are too immature to decide to take the morning after pill without parental permission, how do you justify supporting policies that will make it MORE likely that these immature girls will become mothers? That's what you're doing, by supporting this medically unnecessary prescription requirement. You're not ensuring that fewer teens will have sex. You're not ensuring that more girls will talk with their parents. Those that can, will. And those that can't, will wait and hope that they aren't pregnant. And many of those WILL become pregnant when they didn't have to.

That's the outcome you're pushing for. Are you too attached to your emotional reaction to step back and take a rational look at the actual outcomes of the policies you support? Or do you just not care that your insistence on writing your particular brand of sexual morality into American law will ruin a few thousand teenage girls' lives?
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HUFFPOST SUPER USER
Rita Khanna
Social liberal but fiscal conservative
01:02 AM on 12/12/2011
The only problem with morning after pill is that people use it as a contraceptive device. It is not. Use it only for very rare occasions and use regular contraception otherwise.
Over use of the morning after pill messes up your cycles and cause heavy untimely bleeding.
Chauncey1186
EMAILGATE!!!
04:27 AM on 12/12/2011
Got links?
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HUFFPOST SUPER USER
Rita Khanna
Social liberal but fiscal conservative
08:09 AM on 12/12/2011
No need. First hand experience...
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HUFFPOST COMMUNITY MODERATOR
iskra
Natural enemy of sharks and tro//s
11:21 AM on 12/12/2011
The plan B pill: $30-$50 bucks a pop
A condom: $1.50
A month of contraception of 'the pill' - $30

Now, which do you think is going to be used as contraception?
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HUFFPOST SUPER USER
cybermome1207
07:37 AM on 12/12/2011
and if u are lucky enough to find it, its about 50 bucks a pill.How many young girls can afford that?
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HUFFPOST SUPER USER
Rita Khanna
Social liberal but fiscal conservative
08:10 AM on 12/12/2011
shucks
health care in US is expensive. The place where I stay it is $2.50