Pro-Life, Pro-Choice Win With Free Birth Control

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Statistics show that most women already use birth control.

The Obama administration recently announced a requirement for all health insurers to cover the costs of birth control with no co-pays. Unsurprisingly, this elicited a range of enraged responses — the most extreme of which came from Rep. Steve King (R–Iowa) who exclaimed that “preventing babies from being born is not medicine … that’s not constructive to our culture and our civilization. If we let our birth rate get down below replacement rate, we’re a dying civilization.”

The problem with far-flung conclusions like King’s is not only that they are founded on flawed logic and assumptions, but also that they detract attention from the real point: These new provisions are a big step in the right direction for our health care system.

To understand why free birth control is a good thing, it is first necessary to correctly understand what birth control does. It is preventative medicine — but unlike King’s suggestion — it is not intended to prevent new generations from being born. Instead, it prevents unplanned pregnancies, giving women the power to plan their families. It is as much an empowering tool as it is a preventative measure.

In aiding women in planning families, these new provisions will also help prevent women from turning to other more controversial family planning measures, namely abortion. People who don’t want babies often don’t have them, birth control or not. The simple conclusion, then, is that with greater access to birth control, women will have fewer unwanted pregnancies, which will in turn lower abortion rates. Thus, the birth control initiative is only a cheaper and healthier means to a similar end, which is surely a win-win situation, even for members of the pro-life camp.

But these recent provisions are not meaningful only because of the obvious benefits of birth control, but also because they’re paving the path to equality.

Perhaps the most significant consequence of the new provisions is that they will result in more socioeconomic equality in access to this fundamental health care benefit. Currently, buying birth control is expensive. It is not a one-time investment but often a recurring cost that women face. And to some, it’s an expense that they cannot cover, so they choose to forego additional payments, and with them, they forego precaution as well. Poverty should not be a barrier to equal access to essential health care services.

It is also worth noting that arguments about birth control often turn to moral reasoning, often asking: Is birth control a right? If not, how could our government possibly encourage all insurers to cover it? While a debate on the morality of birth control is interesting, it is not relevant here. The fact is that a majority of American women use birth control. So the relevant question is: Should the government be helping women with access to something they need and use?

The unequivocal answer is yes. It is evident that access to birth control is good for women.  It is also evident that equality of access across socioeconomic groups to this measure is not only good but also a necessity.  

Photo Credit: Wikimedia Commons

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Masuma Ahuja

Having lived on three continents, I'm particularly interested in global issues and international politics. I'm a recent graduate from...

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Rebecca Leber

"preventing babies from being born is not medicine.... If we let our birth rate get down below replacement rate, we’re a dying civilization.” Wow. If Steve King is going to say something dumb like that, then I'll make an overgeneralization too: this is an example of someone not knowing anything about women and doing a poor job representing them.

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The fact is that a woman's body is her own body-not the government's, not any man's, but her own. She should be free to choose whether she wants to take birth control or not. It is ultimately the woman's choice, and offering free birth control is a great way to keep that choice available.

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Why are all these MEN pontificating on this subject? When men can get pregnant they can have something to say about this.

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  • Joel Griffith 9 months ago The State should force me to purcha...

The State should force me to purchase a policy containing coverage I don't wish to purchase. Health insurance coverage is a private contract between myself and an insurer. This is not a male or female issue..It's an issue of freedom to contract and engage in private enterprise.

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"Is birth control a right? If not, how could our government possibly encourage all insurers to cover it?"

The fact that the government says something is a right doesn't really make it one. Certainly it is a legal right at that point, but rights are generally understood as a system of guarantees that everyone can enjoy simultaneously. If birth control is a right, the government must use taxpayer money to secure the pill for those who are unable to secure it themselves. Some taxpayers will not favor this use of their money, but will still need to pay taxes. Since money is property, and liberty is deciding what to do with your property, ensuring this "right" erodes others' rights to liberty and property. The pill can't be a right.

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Republicans can't have it both ways. They can't fight abortion, but deny all women equal access to contraception. Abstinence is unrealistic. Republican leaders need to step out from behind their religious morals and begin to see that fighting contraception is only going to raise abortion rates.

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  • Joel Griffith 9 months ago Emma, you miss the point. If I des...

Emma, you miss the point. If I desire to enter into a contract with an insurer to purchase a plan not providing contraceptives, the government should not prevent these two private parties from entering into this agreement. Freedom of choice vs State control.

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I agree with you assertion that this act will bring more rights to women. Might I add that I believe that birth control would be best beneficial as a OTC drug. A Op Ed piece as done and found in a study that some women are more likely to take the Pill when purchased OTC.

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Government should NOT be dictating what should be covered in my health insurance policy. If I desire to buy a policy WITHOUT coverage for the Pill and a private businesses wishes to sell me that policy, government should stay out of our agreement. Where's my freedom of choice?

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  • Zachary Taylor 9 months ago While I think many people would agr...

While I think many people would agree with you in principle, government was already heavily involved in healthcare and insurance even before Obamacare. Given that, why shouldn't it add a policy that will both save tax money and help the poor?

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Anyone who has read freakonomics would know, how crime decreased in the 90's, just because 30 odd years before, abortion was allowed. The birth control provides an easier way out. Why stop it?

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  • Zachary Taylor 9 months ago Levitt's conclusions are prett...

Levitt's conclusions are pretty controversial, and I read an (IMHO) much more convincing rebuttal in John Mueller's Redeeming Economics. Although I recommend the book (for a host of reasons) part of his critique can be read online: http://tinyurl.com/meullervlevitt

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Jason, but do you have any problem with "donating" to a hugely expensive, corrupt, bureaucratic, and unaccountable health care system designed to increase profits at the expense of public health? Health care ought to be by the public and for the public because the health of one effects the health of all. We wouldn't need to be having this conversation if the United States would be so civil as to join the rest of the developed world and adopt a universal health care system.

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  • Zachary Taylor 9 months ago While that's true in some case...

  • Matthew Johnson 9 months ago We all pay for prevention and progr...

  • Zachary Taylor 9 months ago Addiction strongly influences peopl...

While that's true in some cases, I don't think you can generalize that to all health care. If the person next to me in line in the supermarket has bad teeth or arthritis, that doesn't effect me. In fact, coverage could even incentivize destructive behavior. Why should we pay for a smoker's cancer?

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We all pay for prevention and programs to help people quit smoking. If they don't quit, of course you pay for their treatment as a society (so the smoker is paying a piece of it with his own tax dollars, and cigarettes themselves are heavily taxed). Would you let a person die for being addicted if you had the power to treat him? What if it were your family member?

Your logic would lead someone to believe that a person would intentionally pollute himself knowing he could get treated. Even if that were a serious concern, it would ALREADY exist because our tax dollars pay for those who can't afford their own treatment. Surely you know this, and add to that Medicare and Medicaid. If we're going that far already, why not go further?

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Addiction strongly influences people, but it doesn't completely override free choice. The reason drugs like marijuana are much more popular than hard drugs is because of the perceived health risk-- and treatment is a risk factor. Besides, it's one's responsibility not to get hooked to begin with.

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Sorry for the double post-- computer error. As for medicare/caid, I don't support those programs, and there are plenty of people who aren't eligible for them who would be if we had UHC. I'd support an expansion, though, if it could discriminate between lifestyle diseases and involuntary ones.

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If birth control pills are so obviously valuable for all women, then why should the government subsidize (or force insurers to increase premiums for) the pill for all women, even those who could easily pay the full cost of this medication? Giving free birth control to low-income women sounds like something Planned Parenthood should do, not the government. If you want this to happen, you're free to donate to them or likeminded groups--don't force everyone else to "donate" through taxation.

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4 Replies

  • Jonathan Karp 9 months ago In terms of preventive care, which ...

  • Jason Orr 9 months ago The real revenue drain is exploding...

  • Jonathan Karp 9 months ago I stand corrected on the particular...

In terms of preventive care, which eventually saves the government (and taxpayers) revenue, I feel the rationale is not much different than for subsidizing vaccines. I'd disagree with framing this as a donation, which casts the policy as an elitist intervention- all taxes are mandatory donations. It isn't elegant, but if we are ever going to rein the real revenue drain, government payouts for health care, this may be as equitable as it gets.

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The real revenue drain is exploding heath costs for the 50+ crowd, precisely because of subsidized prescription medicines not unlike the author's free birth control suggestion. Unless you want the government to issue free cyanide pills to retirees, I don't see how adding another prescription drug benefit is going to help improve the federal budget predicament.

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I stand corrected on the particular drain on revenue (you're spot on with the first statement), but issuing cyanide pills is needless hyperbole and distorts the dialogue. This policy is far different in intent and plausible outcome than the Medicare prescription drug benefits. Money spent here will be recouped easily from other social services, needless abortions are avoided, and it frees women of fewer means to exercise other personal rights.

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As for the original point of contention, this policy is an investment, not a donation. As Oliver Wendell Holmes more eloquently stated, "taxes are the price we pay for a civilized society." I have no problem with richer citizens paying full price, but insurers would raise prices to make up lost revenue, pinching the middle class. As for PP, this is not noblesse oblige nor solely affecting the areas PP serves.

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I agree that the new measure is a big and essential step forward that empowers women to make choices without poverty playing into the equation. Condoms are available for free as a means of birth control as well as health protection - I wonder if King has the same response to the use of condoms?

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I would love to see this initiative paired with a serious conversation about health and sex ed in schools; access is wonderful, but proper use can't be taken for granted either.

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GOPers like King are pro-life when it comes to gestation. After that, you can fuggedaboutit! Having babies just because is irresponsible. Sure, we can have a population as large as we want, but GOP policies will condemn newborns to poverty. How about being pro-life for the entire life of the child?

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Spot on - I 100% agree, like most people here! What is alarming is, Mr King can't be alone in his opinions, since people have voted him in - that comment's very extreme but still, at least a significant minority of public opinion must be aligned with him in some way - is this maybe the real problem?

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I couldn't agree more with your focus on the human right to health care across socio-economic class and, specifically here, on women's right to sexual health care. It seems that so often the rights of women get overlooked in this debate. Oh and, Steve King - what the hell?!

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Thank you Masuma for this piece, and thank you for framing this in terms of equality! The greatest issue I have with this move as a feminist, however, is that our health care system does not have a public option, and thus, since we are mandated to use private health insurance...

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3 Replies

  • Liz Conrad 9 months ago that, under these new measures, can...

  • Liz Conrad 9 months ago have some work to do! :)...

  • Masuma Ahuja 9 months ago I agree with you Liz, we still have...

that, under these new measures, can avoid providing this based on the religious beliefs. Women under this insurance thus are subject to the religious views of their boss or private insurance provider still - this is a great first step which will expand access and affordability; however, we still...

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have some work to do! :)

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I agree with you Liz, we still have some more work to do, but this is a step in the right direction, at least!

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I like your point about birth control helping to prevent abortions. Abortion rates are similar around the world, regardless of whether abortion is legal or not. Clearly, if women want to end a pregnancy they will find a way to do so, so why not, as you say, give them more power in the first place?

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I think this is fantastic news for all women, and people like Steve King should see the common sense benefits of giving equal access to birth control which include less abortions and hopefully fewer episodes of Teen Mom.

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Interesting. I'm curious as to what you think about the morning-after pill being included in this new policy. Or were you including the morning-after pill as part of birth control? I believe some pro-lifers would see the morning-after pill as abortion, making it not such a win-win situation.

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2 Replies

  • Masuma Ahuja 9 months ago You bring up an interesting point. ...

  • Sarah Lummis 9 months ago One of the reasons for taking the m...

You bring up an interesting point.

From what I understand, the morning after pill is not abortion and is not intended to be used after a woman is pregnant, but instead prevents a pregnancy from occurring. (http://www.mayoclinic.com/health/morning-after-pill/MY01190)

So, it falls under emergency birth control/preventative measures as opposed to abortion.

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One of the reasons for taking the morning after pill is to "keep a fertilized egg from implanting in the uterus", so technically preventing that already fertilized egg from following its natural course counts as abortion. I think the website you refer to means don't take a morning after pill if you are already REALLY pregnant .

From what I've been reading, it looks like Plan B is included in the new bill and is one of the reasons why it is so contentious. I support this bill, but it is less neutral among pro-life/pro-choice people than just having including the pill would be.

(http://dailycaller.com/2011/08/01/obama-administration-approves-no-cost-birth-control-including-morning-after-pill/)

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Your point about birth control being directed at unwanted pregnancies is paramount. There is no public policy benefit of having more "unwanted " pregnancies because they often lead to abortions, which are more costly than birth control, or an unloved and/or homeless child.

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"preventing babies from being born is not medicine.... If we let our birth rate get down below replacement rate, we’re a dying civilization.”

Wow. If Steve King is going to say something dumb like that, then I'll make an overgeneralization too: this is an example of someone not knowing anything about women and doing a poor job representing them.

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7 Replies

  • Sara Gelber 9 months ago Couldn't agree more. How can h...

  • Danny Keener 9 months ago What is funny is that this same per...

  • Sara Gelber 9 months ago Wow, I had never really paid much a...

Couldn't agree more. How can he even closely compare using birth control to us becoming a dying civilization? Young women have every right to wait to bear children when they know they can actually take care of someone besides themselves. Not to mention that birth control is used for many other things besides unplanned pregnancies that apparently Steve King needs to be educated on.

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What is funny is that this same person would say something like "the boomer generation is ruining social security; there are just too many of them to take care of." So according to him, there must be some magical happy medium between a dwindling populace and too many Americans burdening our social safety nets.

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Wow, I had never really paid much attention to this guy before, but now I am starting to hate him.

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Rep. King is a dangerous dominionist/politician. He says - and has the seniority in Congress to advocate - stuff like this all the time. I know you want me to enumerate facts, Rebecca, but there are literally too many to list. I suggest you Google King and see if you can stomach all his nonsense.

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King wouldn't know a happy medium if she bit him, Daniel. He's trying to pander to too many splinter/groups at one time and forgets who elects him (mostly conservative, Iowa boomers, actually). TPers will lose their seats to voting boomers concerned about SS because they overreached with this one.

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Good point, Susan. King is a scared old man who wants to ride on the back of fear. I hope you are right about the Tea Party wackos losing their seats. We will have to watch how much money the Koch brothers et. al. throw at their campaigns.

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I've been through the political cycle enough times to know pandering when I see it - and to be able to tell the difference between campaign rhetoric and governance. The TPers never understood that and, while they got elected, we all see they haven't a clue about governance. They will pay in 11/12.

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I'm really excited, for many reasons, about this common-sense development that has somehow managed to come out of our government. Now, if only the rest of our healthcare system could follow your line of thinking: "Poverty should not be a barrier to equal access to essential health care services."

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