Introduction to Contraceptive Equity
Healthcare is a costly, yet highly valued resource for most people. There are few things in life that people value more than their health and well being. While most medical insurance plans can agree on coverage that protects people in the case that they contract a life threatening disease, or are severely injured, there exist many gray areas in healthcare that are covered on a case by case, company by company, basis. One of these gray areas can be found in the area of reproductive health, and contraceptive equity.
Most women are currently denied prescription insurance coverage for contraceptives. At the same time, in recent years insurance companies have opted to cover drugs like Viagra, which
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Balancing the needs of individuals and businesses is a constant struggle from a health care point of view. In the past contraceptives have not been looked as a healthcare necessity but studies have shown the opposite. The need for contraceptive coverage has affected social policy.
The economy has a clear and direct link to transform social policy. According to Blau (2004) “…in the U.S. economy, the goods that the less affluent cannot purchase include many necessities, such as food, housing, and health care. When this deficiency becomes especially severe, policymakers often try to compensate for it by modifying old social policies or introducing new ones” (p. 14). Policymakers are taking notice of how the lack of contraceptive coverage affects the economy. Many women within the reproductive age bracket that don’t have insurance are more at risk for unintended pregnancy and it is likely that women may increasingly not use a contraceptive method. Kaunitz, A., & Shields, W. (2005) stated “financial concerns may cause women to forgo use of any contraception or use less effective method strictly for reasons of short-term cost…result in high rates of unintended pregnancies” (p.317).
Some opposition to contraceptive equity is due to what some companies may think is additional costs to health insurance premiums. Netter (2001) stated that “Business groups worry about the cost ramifications…this
Oral contraceptives have provided the world with great outcomes. Planned parenthood stated that birth control has “advanced women’s educational opportunities, led to more college-educated women pursuing advanced professional degrees, enhanced children’s well being in the long run, saved women money, reduced teen pregnancy, and reduced unwanted pregnancy” (“Birth Control” 1-3). The argument that birth control has done great things for society is obvious.
Women have been using birth control methods for over thousands of years. Today, we have various effective birth control methods available to woman. Such as the pill, patch, shot, or IUD. Birth control is a safe way to prevent pregnancy. You can purchase birth control at your doctor’s office, planned parenthood, a clinic, or a public health care provider. They will first discuss your medical history with you, then check your blood pressure and finally you will discuss which birth control method is right for you, and they will send you on your way with your prescription. Birth control can be purchased at your local drugstore and costs up to 50 dollars. In a lot of cases though, young girls and even older women cannot afford or access these types of birth control. There are concerns about being unemployed which results in no income coming in for birth control, lack of health insurance the woman may have and whether or not the woman can afford having a child, even more during an economic crisis. By having women’s birth control free it will not only decrease the chances of abortion, help women financially , help with women’s menstrual cycle, and also by lowering the teen pregnancy rate, and having them have the power to decide when they want to have children. Many people can argue that the government shouldn’t have to provide another free service and that the cost
We live in a democracy. Every four years the people of America have the opportunity of voting for someone who best represents their political views and who they feel is best fit to run our country. Whoever is elected into office, has the power of implementing policies and regulations to help run the country smoother. Under the Obama administration, birth control is covered by all insurance companies with exceptions. However, under Trump 's administration they are making plans to repeal and replace the Affordable Care Act that has the potential of not allowing full or partial coverage of birth control. This an issue that has plagued the woman’s community whose intentions of contractive use is not solely based off of the reason, to try and
In document three from The Case for Birth Control Sanger’s rhetoric changes, relying on facts, statistics, and knowledge based reasoning. Document three proves to be a much more reliable and comprehensive argument than document one. Sanger advocates small families for the working class as a means to eliminate poverty (due to large families), illegal abortions, child labor, and to protect the health of women “from overwork and the strain of too frequent child bearing” (6, 3,124) The argument shifts from a pseudo-socialist agenda to simply the right of a woman to control her own body and choose her own destiny.
A total of 730,322 abortions were reported from the Centers for Disease Control in 2011. This could easily be resolved with proper usage of birth control. But the fact of the matter is that only 62% of women are actually using proper birth control, now this may seem like a lot of women, but there is 158.6 million women in the United States alone so 58.5 million are currently not on any birth control which is a huge amount of women. Birth control needs to be free and accessible, because the benefits of having women on birth control easily outweigh any of the cons that may come. My goal for this paper is to talk about the pros of having free and accessible birth control, which would be lower abortion rate, lower teenage pregnancy rate, and the many health benefits. I will also touch on the opposing side of this argument, which will be that, it will be too expensive, that abstinence is key, and that if birth control became free and accessible women would no longer go the doctor.
Birth control has been a controversial topic since the 1960’s, when the pill arose on the scene and gained popularity. Men and women of certain religious faiths have sought to prevent other women from using birth control. However, most women want to be able to choose when the time is right for them to have a child. This is why birth control is essential, because it allows women and couples in general the freedom to choose and plan their families. In many cases the need to control women by controlling their access to birth control goes all the way to the federal government. The federal government determines what types of birth control are allowed on the market and who has access to them. Some Presidential administrations look more kindly
One of the most hotly debated and legally challenged aspects of the Affordable Care Act has been the contraceptive coverage or the birth control mandate. It mandates the healthcare plan providers to cover the costs of at least one type of the 18 FDA approved preventive contraceptive services/birth control measures to women without copays or shared costs. Although initially employers were required to provide health plans covering contraceptive services to their employees, it was later clarified that certain religious employers including but not limited to religious non-profit organizations, hospitals, educational institutions etc. can opt out of providing birth control/contraceptive services
Of the number of women who obtain contraception care at clinics, more than one-third of them use Planned Parenthood (Marcus). With the removal of these services, there would be a drastic increase in the number of unplanned pregnancies. Each year, Planned Parenthood prevents an estimated 516,000 unexpected pregnancies (Strickland). Not only would the number of unplanned pregnancies increase, but the awareness of sexual education would decrease, as Planned Parenthood provides sex education to 1.5 million people each year (Strickland). While it is easy to assume that women would be able to get access elsewhere, it is simply not feasible. The magnitude at which Planned Parenthood extends its services would not easily be matched. The inability to provide contraception to the women who would go unprovided would create a detrimental problem in the government that is trying to defund the
The Affordable Care Act requires health insurance providers—including both health insurance companies and companies that administer self-insured employer health plans on behalf of the employer (third party administrators)—to provide certain preventative services to women without cost. 42 U.S.C. § 300gg-13(a)(4) (2015). Congress delegated the task of deciding which kinds of preventative care would be provided to the Health Resources and Services Administration (HRSA). In making its determination, HRSA consulted the Institute of Medicine (IOM), which ultimately decided that insurers must provide “coverage without cost sharing” for “[a]ll Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education
In 2010, family planning organizations were allocated $111 million and in the following year was slashed down to a meager $37.9 million, and over half of the state’s Planned Parenthoods lost all funding (White et al., 2015). Subsequently, 25% of existing clinics shut down, and those who managed to keep their doors open had to cut back their hours by 30% (White et al., 2015). Beforehand, clinics were able to offer a sliding scale on payments based off of income, but now due to the lack of funds, they cannot afford to pay the remaining balance for these women in need (White et al., 2015). In tandem, Planned Parenthood is no longer eligible for discount drug pricing and as a result contraceptives have skyrocketed in price, and now they have to judge and decide which patients have the greatest need and are thereby receive more of an allotment (White et al., 2015). As a direct result of raised prices, White et al. (2015) reports that some clinics faced up to a 92% decrease in patients and predicts that pregnancy and STD rates will rise, and state Medicaid costs will soon
The refusal of some health insurers to include contraceptives as a part of an insurance plan for women is one of the most contentious disagreements in the health insurance industry. Insurance plans today cover a variety of prescription drugs, however some still do not approve of prescription contraceptive drugs and devices. More than half of U.S. states insurance policies require that other prescription drugs along with the FDA approved contraceptive drugs and devices be included on their health care plans, as well as any related medical services. These services entitle, annual visits for womens recommended preventive care and services. Although depending on individual state policies, some states allow employers or insurers to refuse
HB 3343 was proposed after a report from the University of California San Francisco found that “rates of unintended pregnancies and abortions decrease significantly when women receive a one-year supply of oral contraceptives, instead of being prescribed one- or three-month supplies” (Increased Contraceptive Supply Linked to Fewer Unintended Pregnancies [ICSLFUP], 2011). The study stated there was a 30 percent reduction in the odds of pregnancy and 46 percent decrease in the odds of an abortion. The researchers speculated women who have a longer supply are more likely to consistently use their birth control method, because they would need fewer trips to a clinic or pharmacy.
Health care and what people are legally allowed to do with their bodies have created controversy galore throughout history. A particular point of debate is the topic of birth control and the government. A dangerous couple, it raises the question of who should have control over contraceptive laws and what controls involving them should be put in place? Currently, under the Obama Administration, the Affordable Care Act and “Obamacare” have been created. One of the sections of this new plan creates a mandate which requires private businesses to provide insurance that covers birth control costs. The government should not be able to force businesses, and therefore the American people, to pay for birth control via health insurance because it
A group known as FP2020 has been working to make family planning services available throughout the world. Through their efforts, they have avoided 77 million unplanned pregnancies in just three years. In the United States, a similar problem needs to be addressed. Although the costs and expenses associated with contraception is more accessible for the population, the locations are not. Having access to family planning services ensures that women can get the prenatal care they need for healthy pregnancies.
Women’s reproductive rights are a global issue in today’s world. Women have to fight to have the right to regulate their own bodies and reproductive choices, although in some countries their voices are ignored. Abortion, sterilization, contraceptives, and family planning services all encompass this global issue of women’s reproductive rights.