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Free birth control cuts abortion rate dramatically, study finds *Edit title: Where are Moms against Free BC?*

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Free birth control cuts abortion rate dramatically, study finds

A dramatic new study with implications for next month’s presidential election finds that offering women free birth control can reduce unplanned pregnancies -- and send the abortion rate spiraling downward.

When more than 9,000 women ages 14 to 45 in the St. Louis area were given no-cost contraception for three years, abortion rates dropped from two-thirds to three-quarters lower than the national rate, according to a new report by Washington University School of Medicine in St. Louis researchers.

From 2008 to 2010, annual abortion rates among participants in the Contraceptive Choice Project  -- dubbed CHOICE -- ranged from 4.4 abortions per 1,000 women to 7.5 abortions per 1,000. That’s far less than the 19.6 abortions per 1,000 women nationwide reported in 2008, the latest year for which figures are available.

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.

The study’s lead author, Dr. Jeffrey Peipert, a professor of obstetrics and gynecology at Washington University, expected both measures to fall, but even he said he was “very surprised” by the magnitude.

In all, Peipert said, one abortion was prevented for approximately every 100 women who took part (the actual estimate is 1 per every 79 to 135 women). 

The results were so dramatic, in fact, that Peipert pushed the journal of Obstetrics & Gynecology to publish the study before the Nov. 6 presidential election, knowing that the Affordable Care Act, and its reproductive health provisions, are major issues in the campaign.

“It just has so many implications for our society,” he told NBC News.

Several factors contributed to the declines, he argued. First, a large majority of the women in the study were encouraged -- and chose -- to use intrauterine devices, or IUDs, and hormonal implants over more commonly used birth control pills.

Because birth control pills require strict adherence, and people forget to take them, that method fails about 8 percent of the time. IUDs and implants are over 99 percent effective.

Second, program enrollees included high-risk populations like women and girls who’ve already used abortion services once -- and are more likely to have a second abortion -- and women and girls who are economically distressed and may not have means to obtain contraceptive products and services.

That’s important because an IUD, including the device and the physician’s service to place it in the uterus, can cost between $800 and $1,000. Since an IUD lasts at least five years, it saves money in the long run over a monthly cost of roughly $15-$25 for pills, but the up-front charge is prohibitive for many women.

James Trussell, a Princeton University professor of economics and public affairs and an expert in family planning called the results “terrific, great work, and a very important demonstration project.” 

But it’s also politically fraught. The Affordable Care Act requires insurance plans to cover contraceptive costs. That’s led to conflicts among the Obama administration, the Catholic church, and the church’s political allies who argue that requiring a Catholic employer to provide such insurance contradicts the church’s teaching and represents a breach of religious freedom.

Conservatives have also objected to contraceptive coverage on cost grounds. Some have focused their anger at Sandra Fluke, a Georgetown University law student who agitated for the Catholic school to offer an insurance plan that covers contraception. Radio host Rush Limbaugh famously called her a “slut” and a “prostitute.”

But experts, including Peipert, point out that no-cost contraception saves money.

According to a 2011 study from the Guttmacher Institute, unplanned pregnancies costs the United States a conservatively estimated $11 billion per year. 

“The way I look at it as a gynecologist with an interest in women’s health and public health and family planning, is that this saves money,” Peipert said. “When you provide no-cost contraception, and you remove that barrier, you finally reduce unintended pregnancy rates. It doesn’t matter what side one is on politically, that’s a good thing.”

The Catholic Church is unlikely to be moved. “If, as supporters of the contraceptive mandate argue, it will pay for itself in reduced medical expenses, so will free embryo engineering and other eugenic services, including infanticide, doctor-assisted suicide, organ harvesting, and genetic manipulation,” wrote Thomas Joseph White, director of the Thomistic Institute at the Dominican House of Studies in Washington, D.C., and R.R. Reno, in the conservative journal First Things.

But to academic experts, the results of CHOICE are clear. “What the study suggests to me,” said John Santelli, professor at Columbia University’s Mailman School of Public Health, “is that it’s totally supportive of the president’s provisions on reproductive care and preventive services for women in the Affordable Care Act.”

In a 2009 study, Trussell and colleagues reported that long-acting contraceptives like IUDs were far cheaper than an unintended birth, an abortion, and especially an ectopic pregnancy.

Trussell argued that cost savings go “well beyond” those immediate medical savings. They don’t, for example, take into account costs associated with longer term issues such as economic stress on the mother and family, a teenager who doesn’t finish high school or skips college because she’s had a baby.

Research has also shown that neglect, stress, anxiety, or simply a low level of nurturing in early life has effects on a child that can last far into adulthood. It may influence, for example, the cycle of teen pregnancy and crime. 

“It’s hard to imagine how politicians wouldn’t like to spend a dollar to save four,” Trussell said. As to the objections like those of White, he concluded that “it makes no sense whatsoever. Regardless of your views on abortion, virtually everybody says preventing unintended pregnancies is smart.”

Brian Alexander (www.BrianRAlexander.com) is co-author, with Larry Young Ph.D., of "The Chemistry Between Us: Love, Sex and the Science of Attraction," (www.TheChemistryBetweenUs.com), now on sale.

New World Peace

by on Oct. 5, 2012 at 8:05 AM
Replies (71-80):
NWP
by guerrilla girl on Oct. 5, 2012 at 6:54 PM
1 mom liked this

I suppose it depends. I know many many Catholics and not one of them believes what you just stated. Yes, some of the church does believe that, but many do NOT feel that BC is the same as abortion.

Quoting tooptimistic:

I am not Catholic, but I think that Catholics believe that birth control is the same as abortion.  They don't see it as saving lives. 

You would have to ask a Catholic about the bc thing.. I just know that they are against birth control.  You should have as many children as God has planned for you.

Quoting NWP:

If the birth control reduces abortions, then I say support it. I would think Catholics would want this outcome as well.

It is worth the investment. It can save lives.

How can you argue against that?

Quoting tooptimistic:


Quoting FromAtoZ:


Quoting tooptimistic:

What part of the country are you in where there are only Catholic hospitals and no other medical facilities?

Quoting FromAtoZ:


 

This type of scenario is more common than people think.  In this area, the hospitals and surrounding medical networks are Catholic.  

It isn't just birth control that many refuse to provide, as a medical provider and as a business, based on the teachings they do indeed expect every one to follow along with.  There are instances of other types of medical attention needed that they will not provide.  They have no problem holding on to their beliefs at the cost of others.  Possibly the lives of others.  

I understand, being Catholic and all, that some things are seen as a sin.  I get that.  But when you run a hospital that accepts patients of all denominations, faiths and those who hold none, you should not expect every one to follow along or find health care else where.  That else where is not as easy as many think it is.

To work at one of the major, Catholic hospitals in our area, you must agree to a certain way of thinking, living and working that coincides with what the Catholic faith believes is true and right.  Yes, it is a choice to work there and a choice to sign that agreement.  However, when there is not an option for work in a hospital that does not require such an agreement, your choice is pretty much stripped away from you.  Unless, of course, you move else where.  If only it was that easy.

I will hand it to the Church.  Getting in to the health care business was a smart move on their part.  Control, control, control.  And a profit, of course.


I live in Eastern Washington.

And Catholic hospitals really are the only hospitals you have?  No others at all?  (not being snarky.. it is so hard to fathom)

I am in Florida, and have lived in North Carolina, where there are many hospitals.  All of the medical care there is provided by the Catholic hospitals? 

Where do you go if your baby has a severe birth defect, and you choose to end the pregnancy? Or if you are having female issues and need bc for reasons other than bc?




New World Peace

tooptimistic
by Kelly on Oct. 5, 2012 at 7:17 PM

:)  me too..  Maybe I should have said the Catholic Church. 

Quoting NWP:

I suppose it depends. I know many many Catholics and not one of them believes what you just stated. Yes, some of the church does believe that, but many do NOT feel that BC is the same as abortion.

Quoting tooptimistic:

I am not Catholic, but I think that Catholics believe that birth control is the same as abortion.  They don't see it as saving lives. 

You would have to ask a Catholic about the bc thing.. I just know that they are against birth control.  You should have as many children as God has planned for you.

Quoting NWP:

If the birth control reduces abortions, then I say support it. I would think Catholics would want this outcome as well.

It is worth the investment. It can save lives.

How can you argue against that?

Quoting tooptimistic:

 

Quoting FromAtoZ:


Quoting tooptimistic:

What part of the country are you in where there are only Catholic hospitals and no other medical facilities?

Quoting FromAtoZ:


 

This type of scenario is more common than people think.  In this area, the hospitals and surrounding medical networks are Catholic.  

It isn't just birth control that many refuse to provide, as a medical provider and as a business, based on the teachings they do indeed expect every one to follow along with.  There are instances of other types of medical attention needed that they will not provide.  They have no problem holding on to their beliefs at the cost of others.  Possibly the lives of others.  

I understand, being Catholic and all, that some things are seen as a sin.  I get that.  But when you run a hospital that accepts patients of all denominations, faiths and those who hold none, you should not expect every one to follow along or find health care else where.  That else where is not as easy as many think it is.

To work at one of the major, Catholic hospitals in our area, you must agree to a certain way of thinking, living and working that coincides with what the Catholic faith believes is true and right.  Yes, it is a choice to work there and a choice to sign that agreement.  However, when there is not an option for work in a hospital that does not require such an agreement, your choice is pretty much stripped away from you.  Unless, of course, you move else where.  If only it was that easy.

I will hand it to the Church.  Getting in to the health care business was a smart move on their part.  Control, control, control.  And a profit, of course.

 

I live in Eastern Washington.

And Catholic hospitals really are the only hospitals you have?  No others at all?  (not being snarky.. it is so hard to fathom)

I am in Florida, and have lived in North Carolina, where there are many hospitals.  All of the medical care there is provided by the Catholic hospitals? 

Where do you go if your baby has a severe birth defect, and you choose to end the pregnancy? Or if you are having female issues and need bc for reasons other than bc?


 



NWP
by guerrilla girl on Oct. 5, 2012 at 7:59 PM
2 moms liked this

:) Less unplanned pregnancies, less abortion.

It as a win win IMO.

Quoting tooptimistic:

:)  me too..  Maybe I should have said the Catholic Church. 

Quoting NWP:

I suppose it depends. I know many many Catholics and not one of them believes what you just stated. Yes, some of the church does believe that, but many do NOT feel that BC is the same as abortion.

Quoting tooptimistic:

I am not Catholic, but I think that Catholics believe that birth control is the same as abortion.  They don't see it as saving lives. 

You would have to ask a Catholic about the bc thing.. I just know that they are against birth control.  You should have as many children as God has planned for you.

Quoting NWP:

If the birth control reduces abortions, then I say support it. I would think Catholics would want this outcome as well.

It is worth the investment. It can save lives.

How can you argue against that?

Quoting tooptimistic:


Quoting FromAtoZ:


Quoting tooptimistic:

What part of the country are you in where there are only Catholic hospitals and no other medical facilities?

Quoting FromAtoZ:


 

This type of scenario is more common than people think.  In this area, the hospitals and surrounding medical networks are Catholic.  

It isn't just birth control that many refuse to provide, as a medical provider and as a business, based on the teachings they do indeed expect every one to follow along with.  There are instances of other types of medical attention needed that they will not provide.  They have no problem holding on to their beliefs at the cost of others.  Possibly the lives of others.  

I understand, being Catholic and all, that some things are seen as a sin.  I get that.  But when you run a hospital that accepts patients of all denominations, faiths and those who hold none, you should not expect every one to follow along or find health care else where.  That else where is not as easy as many think it is.

To work at one of the major, Catholic hospitals in our area, you must agree to a certain way of thinking, living and working that coincides with what the Catholic faith believes is true and right.  Yes, it is a choice to work there and a choice to sign that agreement.  However, when there is not an option for work in a hospital that does not require such an agreement, your choice is pretty much stripped away from you.  Unless, of course, you move else where.  If only it was that easy.

I will hand it to the Church.  Getting in to the health care business was a smart move on their part.  Control, control, control.  And a profit, of course.


I live in Eastern Washington.

And Catholic hospitals really are the only hospitals you have?  No others at all?  (not being snarky.. it is so hard to fathom)

I am in Florida, and have lived in North Carolina, where there are many hospitals.  All of the medical care there is provided by the Catholic hospitals? 

Where do you go if your baby has a severe birth defect, and you choose to end the pregnancy? Or if you are having female issues and need bc for reasons other than bc?






New World Peace

Woodbabe
by Woodie on Oct. 5, 2012 at 8:23 PM
2 moms liked this

Booyah...*bookmarking article for future birth control and abortion debates*

turtle68
by Mahinaarangi on Oct. 5, 2012 at 8:49 PM

 1000 dollars for an implant or IUD?  Damn that is expensive.  Most of my nieces have the implant or are on the injection and if they werent they would of had sooooo many more babies than they already have.  They couldnt afford that cash layout.

 

BuckeyezRule
by Bronze Member on Oct. 5, 2012 at 8:55 PM
1 mom liked this
I'm catholic, but support free birth control. :)
D.O.E.
by on Oct. 5, 2012 at 10:09 PM
1 mom liked this

then, we are agreeing, right?  as  a canadian, i know for a fact that having easy access to birthcontrol = less abortions, it is common sense.
no offense to the Catholics down there, but "you assholes" is all i can say, because of their bullshit, women who would have appreciated the bc being covered by their insurance (and it should be in the most basic of basic insurance package for fucks sakes) they receive through work, will now not have that option
. da fuck?! smh! 

Quoting futureshock:


Quoting D.O.E.:

coming from a country where bc is easily accessible, and whether or not it will be covered by our healthcare or private insurance has never even been an issue, all i can say is;

no shit sherlock.

The best and most reliable forms of bc are NOT easily accessible.  If they were this study would NOT have found such a dramatic result.


D.O.E.
by on Oct. 5, 2012 at 10:13 PM

quick question; how much does it cost to get your tubes tied?

Quoting turtle68:

 1000 dollars for an implant or IUD?  Damn that is expensive.  Most of my nieces have the implant or are on the injection and if they werent they would of had sooooo many more babies than they already have.  They couldnt afford that cash layout.

 


futureshock
by Ruby Member on Oct. 5, 2012 at 10:23 PM
1 mom liked this

lol @ edited part of the title!!!

turtle68
by Mahinaarangi on Oct. 5, 2012 at 10:29 PM

 I had mine done when I had to have a C-section with my last.  It cost nothing.

We have two different tiers for medication.  One is full cost (over 40K income) and one is with a healthcare card (low income people)

If you hold a healthcare card all contraceptive medicine (pills, deprovera) is about 5-6 dollars as they are all on the government approved medication list. Devices (IUD and implants) are about 20 dollars

The pill, if you have a healthcard, is usually given to you as a 3 month supply at the full cost of 5-6 dollars.

If you dont have a healthcare card...you can attend a bulk billing clinic with your medicare card and the procedures (IUD, implant or injection) is free, you just pay for the cost of the device or medication.  IUD's are about 80 dollars full cost and the implants are about 60 bucks.  Pills vary but are about 25-30 dollars and the depo is about 30 too.

 

Quoting D.O.E.:

quick question; how much does it cost to get your tubes tied?

Quoting turtle68:

 1000 dollars for an implant or IUD?  Damn that is expensive.  Most of my nieces have the implant or are on the injection and if they werent they would of had sooooo many more babies than they already have.  They couldnt afford that cash layout.

 


 

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