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Vanessa Cullins

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Why Birth Control With No Co-Pay Will Help African-American Women

Posted: 08/04/11 10:00 AM ET

It's a delivery that is long overdue: Federal health officials on Monday defined birth control as preventive health care. That means that, starting next year, private insurers of new plans will have to cover FDA-approved contraceptives without any fees or co-payments (public insurance plans already provide basic birth control coverage without co-pays). This is a huge victory for millions of women -- and especially for African-American women, who have long struggled to pay for birth control and, as a result, suffer from the nation's highest rates of unintended pregnancy.

Birth control is critical to the well-being of women and their families. Studies have shown that women who have access to contraceptives and use them consistently have a greater chance of graduating from high school and establishing careers. When women lack access to contraception, they experience many disadvantages, including achieving less education and earning lower salaries. These disadvantages also affect their children, who are less likely to finish high school and have higher rates of incarceration.

For many African-American women, cost often determines whether we can choose and maintain the most appropriate method of birth control, especially during hard times. In a recent survey, 51 percent of African-American women ages 18 to 34 said they'd had trouble purchasing birth control and using it consistently due to the cost. That's one reason African-American women are three times more likely than white women to have an unintended pregnancy and, as a result, have higher rates of abortion. But we're not alone: a 2008 report from the Guttmacher Institute showed the vast majority of abortions in the U.S. were due to unintended pregnancies, regardless of race or economic status. Overall, nearly the half of all U.S. pregnancies are unintended.

The new federal ruling has the potential to change that. Under the current system, women with health insurance have to pay a deductible before they get any coverage for birth control. And once the coverage kicks in, they still have to make a co-payment every time they refill the prescription. For women struggling to keep food on the table, contraception becomes an unaffordable luxury. The new system eliminates this burden for the millions of women who will be covered under new health insurance plans.

This announcement is a victory for women's health, but not yet a complete one. Federal health officials are now considering a proposal that would allow some religious employers to deny women access to this vital health care service. For the next 60 days, HHS is accepting public comments on this week's announcement before finalizing the details of the ruling. Now is the time to let them know that we fully support their decision to help millions of American women have better access to preventive care, and that all women, regardless of their employer or insurer or health care provider, should have timely access to affordable birth control if they want it or need it. You can read the new guidelines here, and make your voice heard by posting a comment here.

There is no question that eliminating co-pays for birth control will help reduce unintended pregnancies. As access improves I hope all black women will seize the opportunity to plan their pregnancies. In doing so, we will improve the quality of our lives and families.

Vanessa Cullins is vice president for medical affairs at Planned Parenthood Federation of America.

 
It's a delivery that is long overdue: Federal health officials on Monday defined birth control as preventive health care. That means that, starting next year, private insurers of new plans will have t...
It's a delivery that is long overdue: Federal health officials on Monday defined birth control as preventive health care. That means that, starting next year, private insurers of new plans will have t...
 
 
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HUFFPOST SUPER USER
dveo
11:46 AM on 08/16/2011
"This is a huge victory for millions of women -- and especially for African-American women, who have long struggled to pay for birth control and, as a result, suffer from the nation's highest rates of unintended pregnancy."

Oh boy. for someone who has been on birth control pills since 16 and who worked as a pharmacy tech for 5 yrs, i know first hand that bc copyas are ususally no more than $10. so all of these excuses about copays being too much is bs. women arent taking bc becuase they either dont want to, dont care or are ignorant to contraceptives. lets stop with the damn excuses.
03:42 PM on 08/05/2011
"For women struggling to keep food on the table, contraception becomes an unaffordable luxury."

So don't have sex or get free condoms. No one compels you to have sex. Why should my insurance premiums go up because you want the "luxury" to have sex without a condom? This is absurd.
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cheo
better a bleeding heart than none at all
02:20 AM on 08/06/2011
Since what the woman does is the last line of defense against an unwanted pregnancy, rather than the man, the least insurance companies can do is get rid of the co-pay.

I would think everybody on the Right would be ecstatic about this proposal. It will do more to prevent abortions than anything the Right does. Everybody should be pleased about that. I'd hardly call that absurd.
01:17 PM on 08/11/2011
I am not a Rightist or a Leftist. I question the wisdom of raising everyone's health insurance premiums so that some people can enjoy something they do not need. Birth control pills are not a medical necessity. People do not need them. Sick people who actually have medical necessities are being asked to pay more so that some people get what they want. This is oppression. Obama only did this to pay back his donors.
12:07 PM on 08/05/2011
I'm in complete support of this, but I thought this paragraph was a bit misleading:

"Studies have shown that women who have access to contraceptives and use them consistently have a greater chance of graduating from high school and establishing careers. When women lack access to contraception, they experience many disadvantages, including achieving less education and earning lower salaries. These disadvantages also affect their children, who are less likely to finish high school and have higher rates of incarceration."

We aren't given the specifics of the population used in this study, but I have doubts that simply having access to birth control means a woman is going to graduate from high school. The link between birth control use and graduating from high school, having careers, etc. thus far is most likely wealth. Those that have been able to afford birth control come from wealthier families and areas, which it makes it more likely they will succeed in school, as well as being able to afford birth contraceptives. While birth control may help women and girls with low income prevent unwanted pregnancies, it is not the be all end all.
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cheo
better a bleeding heart than none at all
02:33 AM on 08/06/2011
It would have helped if the article had given more documentation for the fact that there are more unintended pregnancies in minority groups (esp. black and hispanic) than in others. There is a strong correlation between poverty, race, teen pregnancies and school drop-outs. And with all the schools nowadays cutting everything they consider non-essential and even that is considered essential, you can bet that many schools which have teen-Mom programs will end them.

I'm glad you support the measure. And I am not being offensive here, but your doubts are a bit naive, I'm afraid. Getting pregnant IS a real sure way for people in poverty to end their school careers. You think they can afford day care while they're in school? You think it likely their schools will have free day care centers in them???

You said it yourself. "Those that have been able to afford birth control come from wealthier families and areas, which it makes it more likely they will succeed in school, as well as being able to afford birth [control]." That's really what it's all about. But not just for school kids. Women of work age as well.
04:52 PM on 08/06/2011
I didn't mean that free birth control is not helpful or worthwhile, and I don't doubt at all that babies can seriously damage a mother's prospects of doing well in school/career. I was just questioning the wording of the paragraph, which makes it sound like there is a causal relationship between birth control and doing well in school; wherein access to birth control alone automatically means that women will do well in school and their careers. I was questioning what the studies were based on, who they used, etc. and if these results would apply to other populations, not whether or not free b.c. is a good thing, because I think it's great!
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HUFFPOST SUPER USER
vh47
11:32 PM on 08/04/2011
Free birth control wont help those who are irresponsible.I dont know what will make women
and men more responsible.If the fact that she get an std live HIV,four or five kids by dead beat Dads
wont stop her stop unprotected sex,I doubt this will do anything to help unwanted pregnancies.
The money would be better off spent lowering or making other needed prescriptions free.
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HUFFPOST SUPER USER
sidnee
you need faith, trust and a little pixie dust
01:28 PM on 08/05/2011
Nothing will help everyone 100%. BUT, it may help some who would ultimately become irresponsible without it.
02:56 PM on 08/04/2011
Of course all birth control comes with risks, but some risks are worse than others. Just google 'birth control pills dangers' .We've seen birth control pills that were taken off the market after users developed life-threatening symptoms, and yet this announcement doesn't indicate which birth control pills will be offered free. We should asking how does this dump of birth control pills help Big Pharma? And, why aren't other means of birth control, not just pills, also being offered free of charge?
04:16 PM on 08/04/2011
ALL forms of birth control are being offered and women now are able to choose what works for them and not just what they can afford.
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HUFFPOST SUPER USER
dex216
Let Freedom Ring!!
02:48 PM on 08/04/2011
The government has no business compelling insurance companies to provide a certain service, and it should not be mandating health insurance at all, Birth control is costly, and many don't buy it because of that. But if the women who desire but can't afford birth control are engaging in sexual intercourse, and I'll take a guess that they are, why are they not demanding their male partners wear a condom? While they're not full-proof, they're about 98% effective if used properly. And of course, one can abstain from sex, as hard as that sounds. Whatever happened to individuals taking responsibility for their own lives?
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cheo
better a bleeding heart than none at all
02:38 AM on 08/06/2011
Whatever happened to schools providing decent sex ed to kids about pregancies, prevention, HIV and STD's? And I'm not just talking "abstinence" only which has been shown over and over to be totally worthless. You just end up with kids who make stupid choices.

It is less expensive to prevent pregnancies than to help out women who have had to drop out of school due to a pregnancy, and have kid(s) and no jobs skills. Medicaid is a large piece of budget. This will help pare it down.
HUFFPOST SUPER USER
dveo
12:03 PM on 08/16/2011
Most women who have insurance coverage, CAN affored bc. Dont believe the hype. There are SOME bc copyas that are costly but MOST are NOT. Ive worked in a pharmacy for years. Ive seen every type of bc on the market and have billed damn near every insurance this country has to offer and let me just say...MOST bc is afforable. Lots of women choose not to take any. they'd rather take chances.
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01:34 PM on 08/04/2011
why does this have to be an issue of race when it should be an issue of women's rights? last time i checked, it isn't just black women that have financial issues and struggle with the cost of birth control. way to take an intelligent article and dumb it down with racial bias. shame on you vanessa cullins. you should be supporting women of all races, not just black women. the rest of us have ovaries too.
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HUFFPOST SUPER USER
Comeplayinmyreality
enter at your own risk
01:26 PM on 08/04/2011
It shouldnt matter what the employers religious views are, they should provide birth control options for women they employ.
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01:22 PM on 08/04/2011
As the West commits economic suicide, African-Americans should try and have as many children as possible.

One should take offense when they see famine in Africa and blame so-called 'overpopulation'.

Thank goodness human nature has a way to ensure the survival of the human species despite the economic injustice that comes from this rotten imperial monetary system that's now bankrupt.
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cheo
better a bleeding heart than none at all
02:42 AM on 08/06/2011
What are you talking about? I don't hear anything about overpopulation in Africa. Other places. but not there.

Famines in Africa have two major causes. Civil wars, (territorial, resource, power--it doesn't matter) and changes in growing climate. Especially the former.
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12:53 PM on 08/06/2011
Man has an ability to deal with extreme weather and drought - it's called irrigation.

And civil wars are fueled by the financial interests on Wall Street/City of London that run the West's bankrupt imperial monetary system.
I try to be reasonable
... but don't always succeed...
02:50 PM on 08/06/2011
People living in developing nations often do have a significant larger number of children compared to those living in developing nations. If you were to look at age and population demographics, you would see this. This is because due to lack of sufficient health care, clean water, etc, the chances of living to any age of significance is very low. If you were to look at a chart where the x-axis is increasing population and the y-axis is increasing age, it would be very narrow at the top and very wide at the bottom.
If you were to look at the same chart for a developed nation, it would be relatively stable - a quasi-vertical line indicating the young replacing the old.
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12:22 PM on 08/04/2011
All for it. Now the true test will be theirs: the choice between dependency and responsibility. The outcome may or may not be favorable.
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meanlady21
10:48 AM on 08/04/2011
This is a victory for all women regardless of race.
HUFFPOST SUPER USER
moionfire
01:56 AM on 08/08/2011
It is. However it is a greater victory for poor women and other communities less likely to afford or have access to birth control.