Birth Control/Contraceptives

If you are wondering why they would need a study to show 2+2=4, that’s exactly how I felt when I saw the two headlines:

“Free birth control cuts abortion rate dramatically, study finds”

“HPV vaccine not tied to increased promiscuity for girls”

The results of the first study followed an experiment “when more than 9,000 women ages 14 to 45 in the St. Louis area were given no-cost contraception for three years.” And the results? “Among teen girls ages 15 to 19 who participated in the study, the annual birth rate was 6.3 per 1,000 girls, far below the U.S. rate of 34.3 per 1,000 for girls the same age.” And “abortion rates dropped from two-thirds to three-quarters lower than the national rate.” So providing women access to no-cost contraception means dramatically lowered unintended pregnancy and abortion rates. All right. Sounds good. Read more »

Not to go off on a rant, but…

Earlier this week, I was very upset by an interesting post on The New York Times Economix blog about the economic arguments for contraception.

Not the whole post by any means, just the first sentence – which was wrong. Really, really wrong.

It said, “Americans passionately disagree about both the biology and the morality of contraception.”

This simply isn’t true.

Nine out of 10 adults believe birth control is moral. That doesn’t sound like passionate disagreement to me.

Oh, and on the “biology” of birth control? 99 percent of sexually active women have used contraception. It is one of the most widely prescribed categories of drugs and devices in the country.

Birth control is an everyday part of the lives of American adults in the 21st century.

It is the norm. The usual. Conventional. Routine.

And yet, it certainly has been debated in the news a lot lately.

Why? Read more »

Picking up where Leila left off, let’s look at how far bosses’ take their license to discriminate. Consider a world in which our boss decides whether our decisions are morally or religiously “clean” enough for him. You may think this is a thing of the past or that employers only have objections to covering birth control in health insurance. The following are real life examples of bosses exercising their “religious freedom”—can you guess the years in which they happened?

1. A school fired a fourth-grade teacher for asking for maternity leave based on the employer’s belief that she should not have become pregnant outside of marriage. According to court documents, the school administrator told her “there are consequences for disobeying the word of God.”  
2. A chain of banks refused to cover health insurance for dependents of a single mother or a married woman because, according to a former employee, the boss believes it is “a man’s responsibility to provide for his family.”

As you may have heard, Hobby Lobby is suing the federal government because its owner believes that the HHS rule requiring health insurance coverage of birth control violates his religious freedom. There have been a whole series of reactions to the lawsuit, including one led by pastors protesting Hobby Lobby’s decision to sue. Then there’s The Oklahoman newspaper’s reaction, in which its editorial board recently came out in support of the owners’ lawsuit, calling it a “powerful voice in fight against Obamacare mandate.”

In the editorial, the board dismissed a point I had made to an Oklahoman reporter, where I explained that it is a slippery slope to allow employers to opt out of generally applicable rules because of his or her own moral or religious objection to such rules. While people may balk at the requirement to cover the “oh-so-controversial” health care item known as birth control, how would people feel if an employer refused to cover children immunizations?

Well, the editorial board took my point and said it supported theirs. They theorized that because people have the right to refuse a vaccine, bosses should have the right to refuse to cover vaccines in their company’s health insurance. And here is the impasse we are facing. Read more »

If you think we’ve been crying wolf when we say that women’s access to birth control is under attack, here’s some proof. A new study published in the New England Journal of Medicine evaluated the initial impact of recent birth control-focused budget cuts in Texas. In 2011, Texas lawmakers cut funding for birth control services by two-thirds. And to add insult to injury, they adopted a provision that would give the remaining funds first to entities other than family planning clinics. In other words, family planning clinics were the very last on the list to get limited family planning funds!

The impact? Already, 53 clinics that provided birth control services have closed. Clinics that remain open have been forced to restrict access to the most effective contraceptive methods (like IUDs) because of their higher up-front costs. And clinics are requiring women to pay for services. Read more »

According to a recent study in the New England Journal of Medicine, the repercussions of Texas' decision to forgo over 30 million dollars in federal Medicaid money for the Texas Women's Health Program which provides screening for breast and cervical cancers, diabetes, sexually transmitted diseases, and high blood pressure; family planning counseling; and birth control will create a drastic reduction in the availability of and access to reproductive health care for low-income women. At the same time, Texas Governor Rick Perry is touting The Source for Women, a crisis pregnancy center (CPC), as the alternative to Planned Parenthood affiliates, which the Texas Legislature barred from participating in the Women's Health Program. In his remarks at a ribbon cutting ceremony for The Source for Women, which is trying to revamp itself into a "medical" clinic, Perry congratulated himself and the Texas legislators "who stood strong in the face of assaults" and refused federal money rather than allow Planned Parenthood affiliates to participate in the Women's Health Program. Proudly, Perry proclaimed that The Source for Women "will be part of Texas' own Women's Health Program, and Planned Parenthood will not be." So, Planned Parenthood affiliates that do not provide abortions but do provide a full range of reproductive health services, including pap smears, mammograms, and birth control cannot participate in the Women's Health Program but a CPC that is adding nurse practitioners to its staff to provide some testing, but not treatment, for sexually transmitted diseases can. Read more »

What does birth control without co-pays mean for you?

Tell us — what does it mean to you that you will get birth control with no co-pays or deductibles?

Has cost ever kept you from using the method of birth control that's best for you? Has it forced you to make tough choices, like going without birth control or even delaying paying a bill so you can afford it?

Thanks to the health care law, new insurance plans are required to cover birth control and other women's preventive health services with no co-payments or deductibles at the start of their next plan year. As more health plans come under the law's reach, more and more women will be able to keep their wallets closed when they pick up their birth control.

Tell us — what does it mean to you that you will get birth control with no co-pays or deductibles? Read more »

The New York Times today reports that single women’s votes may be key to this year’s presidential election. “Single women are one of the country’s fastest-growing demographic groups — there are 1.8 million more now than just two years ago,” the Times explains. “They make up a quarter of the voting-age population nationally, and even more in several swing states, including Nevada.” But single women have traditionally registered and turned out to vote at relatively low rates, which means their full political power remains untapped.

It’s time to change that. The results of the presidential, congressional, and state elections this year will shape single women’s lives in a host of ways. The elections will determine whether single mothers receive the supports they need to make ends meet. They will determine whether women’s insurance covers contraception without a co-pay. The elections will determine whether the economy will work for single women who have experienced extremely high rates of unemployment through the recession and recovery and whether policymakers will prioritize fair pay for women. Read more »

This week, I’ve thought a lot about what I could do with an extra $720. Why? Because a few years ago, I was shelling out $60 a month in co-pays, which added up to $720 spent over the course of the year. For a student subsisting on a work-study job salary, this was pretty major. Read more »

A few months ago, I saw a post on Facebook saying that birth control only costs women $10 a month, so we don’t need to get it for free. This video blog has been percolating inside of me ever since. Let’s put aside the issue that the health care law is not providing free birth control (the law requires insurance plans to provide preventive services with no cost sharing), and talk about what the real cost of birth control is for women. The monthly costs of birth control—plus their annual visit with their ob/gyn to get their prescription—can add up to hundreds of dollars a year with health insurance. Watch my blog post and learn how the costs of birth control add up and what those costs mean for women and their families.