Duke It Out: Free Birth Control?

[It's pretty obvious that the average CollegeCandy reader has some very strong opinions. Opinions that she likes to share with everyone on the site. We love a strong woman (unless she happens to be charging at us with her fists raised), so we thought we'd give her a real forum to discuss her thoughts, feelings, and perspectives. Every Friday I'll be featuring a hot topic (like vampires! ) and leaving it up to you, the readers, to duke it out. So, read it and get your debate on in the comments section below!]

Once a month, I walk up to the pharmacy, pick up my prescription, and the woman behind the counter inquires warningly if I realize that my generic birth control pills cost $50. I tell her yes, pay my “don’t want to have a baby” money, and try not to gouge holes in the countertop with my fingers. Every single month. That’s just the way it goes, for me and plenty of other women out there… but maybe not for long.

Birth control is one of many things on a list up for consideration to be included as required free preventative care on overhauled healthcare plans. If BC makes the cut, it could eliminate the extra costs to prevent pregnancy for women all over the country – but should it be included?

The big arguments in favor of including birth control in preventative care center around the “preventative” aspect. The ability to plan pregnancies leads to better health for both mother and child – mothers who intentionally get pregnant get better prenatal care and avoid the physical strain that can occur from having pregnancies too close together. Since cost is one of the main reasons that some women, especially young, surviving-on-ramen-noodles-to-pay-off-my-student-loans ones like us, avoid getting medical contraception, eliminating that cost seems like an obvious way to help control the over 3 million unplanned pregnancies that happen in the US alone every year. There’s also speculation that including birth control would encourage women to try long-term contraceptives like IUDs, which are cheaper and more effective in the long run, but have high up-front costs.

Also, from a purely monetary standpoint, the cost of providing birth control is significantly lower for healthcare providers than the cost of prenatal care, medical expenses and maternity leave (whether from school or work, two major providers of healthcare plans). Considering that even a woman who wants several children will only spend a handful of years actively trying to get or being pregnant, while she’ll spend another two or three decades trying to avoid it, it seems like the most logical thing in the world to include this in healthcare plans.

Of course, there are arguments against including birth control under preventative care. In a move that shocked absolutely no one, The United States Conference of Catholic Bishops opposes the idea saying that fertility is not an affliction that needs to be prevented. There is, then, that sticky question of how much the government should be involved in reproduction, as well as some concerns that providing easy access to birth control might unintentionally increase the spread of STDs since some people might stop using condoms without the spectre of pregnancy looming over them.

Honestly, as a birth control user myself, I know where I come down on this one, but I have to wonder if my bias is blinding me to other sides of the issue. What do you say, ladies? Should birth control be covered under healthcare plans? Would it really make things better? Or is the cost of birth control just one of the little factors you have to suck it up and deal with when you choose to be sexually active?

Duke it out!

36 Comments on "Duke It Out: Free Birth Control?"

  1. Kayla says:
    Fri, 30th Jul 20109:49 am 

    Really not sure how I feel about this. On the one hand I think it’s great especially for those who cannot afford to get it otherwise but on the other hand I have to agree with the idea that it might unintentionally increase the spread of STDs.

  2. A says:
    Fri, 30th Jul 201010:30 am 

    Of course it should be covered.

  3. D says:
    Fri, 30th Jul 201010:43 am 

    The costs of pregnancy and having a baby are WAAAY higher than birth control. Even if you get name brand. The fact that it isn’t covered by some providers is ridiculous. I work in a pharmacy and I see men pick up viagra and cialis that’s covered by their insurance. Meanwhile sooo many women pay out of pocket or get jerked around by their insurance because every year something new is preferred and what they’ve been taking is no longer covered. It’s crap.

  4. M says:
    Fri, 30th Jul 201011:02 am 

    I’m torn. On one hand, of course it’d be great if everyone could have free birth control. On the other, while I feel okay knowing that my tax dollars will subsidize someone’s cancer treatment or hip replacement or knee surgery, I’m not sure I want them subsidizing someone’s sex life.

  5. Emily says:
    Fri, 30th Jul 201011:40 am 

    I’m still not sure why health insurance companies didn’t cover it before. BC prevents pre-natal care, pregnancy related health issues and care, and the delivery. It is a cheap solution to a VERY expensive alternative. That alone should have made this possible without some healthcare bill.

  6. Allison says:
    Fri, 30th Jul 201012:04 pm 

    Birth control is free in Oklahoma if you make under a certain amount. I’ve gone to the free women’s clinic for every pap smear, bc, condoms, STD testing, etc. They’re great! And I didn’t get pregnant like half of my graduating class lol.

  7. Meg says:
    Fri, 30th Jul 20101:11 pm 

    Planned Parenthood has BC for free!

  8. Guy says:
    Fri, 30th Jul 20101:30 pm 

    It should 100% be free. The costs saving to society will be tremendous. I do not think it would lead to more STDs because its not like women will begin taking unnecessary risks just because of birth control. Also, @M, your tax money isn’t subsidizing peoples sex lives its preventing potential unwanted pregnancies, which will in turn save you tax dollars. If you can’t afford birth control you can’t afford to pay for a child and the government ends up picking up that tab.

  9. C says:
    Fri, 30th Jul 20102:01 pm 

    Planned Parenthood BC is only free if you’re under 17 and then you pay market price. I think it should be free, when I think of the hoops I had to jump to prevent it from going through my mom’s insurance. It was insanely expensive and as a college student, you just can’t afford that. Even now, I can’t afford that. It’s a huge expense.

    Re: M. I understand that you don’t want to subsidize someone else’s sex life, but you’re not really doing that. What you are doing is preventing yourself from subsidizing someone else’s unwanted babies that end up either in the system or dead due to lack of adequate care, which leads to more money being spent by Social Services and Children Services to try and prosecute parents and guardians.

  10. Shelby says:
    Fri, 30th Jul 20102:17 pm 

    Absolutely it should be free. Or, at the least, I don’t think the church should have a say in the final decision.
    But personally, I think the stigma of sex, sexual education, etc in general needs an overhaul in this country. If birth control is going to be free, then to prevent the rise of STDs, sexual education in schools should be more thorough. I need to have a lot of knowledge of how sex, pregnancy, etc works for my job, and just about everything I was taught in high school was complete.. well, bullshit.

  11. Leigha says:
    Fri, 30th Jul 20102:23 pm 

    Actually, C, I believe Planned Parenthood charges based on income. But not everyone has access to one, anyway. The closest one to where I live is close to two hours away.

    Emily–A lot insurance companies DO cover it. But a lot don’t (for some reason), and a lot of people don’t have insurance.

    I’m not sure how I feel on this. I only pay $3 a month, but I know I couldn’t afford it if I had to pay full price. But at the same time, a LOT of women are on it, and for the government to pay for all of them would be pretty expensive. I guess it would be okay if it was income-based.

  12. Tasha says:
    Fri, 30th Jul 20103:06 pm 

    I can’t speak for you guys in the US, but in the UK it’s free. I know out health system is completely different from yours, so it’s not comparing like with like, BUT having free birth control has made my life much easier. Obviously lots of things have to be taken into account before it can become a reality for you all, but I totally support it. By offering free birth control it is not MAKING people take it, it’s offering a choice. Which is what being an adult is all about, choice, right? I’m sure I’m right in saying that you’d rather have some pills payed for by the state than such an investment in pre/post natal care and social services for children.
    However, having free birth control in the UK doesn’t stop us having the highest rate of teenage pregnancy in western europe. go figure.

  13. K says:
    Fri, 30th Jul 20106:33 pm 

    My parents paid 2 years of bc for me through senior year of high school and first year college because of acne but didn’t want me on the pills anymore after that. They’re very religous Catholics, and they definitely believe in waiting til marriage, that is like the one thing they would tear me apart for.

    Being on bc was a lifesaver when I lost my virginity my first year of college. I have a job this summer to help pay for school and every dollar counts. I definitely cannot afford to pay $30 a pack. I got 2 months of pills free from planned parenthood this summer, and have to be careful that my parents don’t find the pills and nothing gets sent to my house. I don’t move back to the dorms til August.

    Planned Parenthood bases your eligibility on income if you’re over 18. I definitely think bc should be covered because if I were paying more taxes (than what my small job allows me to) then I’d rather pay taxes for birth control to prevent pregnancies than pay for all the prenatal care. At least until then, some Womens Health centers will discount the prices for us broke college students.

  14. J says:
    Fri, 30th Jul 201010:04 pm 

    I for one don’t understand the argument that a higher usage of prescription birth control will lead to higher STD rates. At least in my experience, my girlfriends who are on the pill are also bright enough to use a condom with a sexual partner whose history they aren’t 100% aware of, and while I know this won’t hold true for every girl on BC, I would like to think that if you were responsible and smart enough to go on the pill because of your sexual activity that the responsibility would carry over to any precautions, lika a condom, with new partners. I also think that in the long run, it would be in the insurance companies’ best interest to cover birth control prescriptions since they would be cheaper than the process of having an unwanted child, health care bill or not.

  15. Lisa says:
    Sat, 31st Jul 201011:00 am 

    I think personally that there should be some sort of cap on costs of birth control for drug companies to charge…in Canada I generally pay 20 bucks for pills, and the most i had to pay was 30 bucks for the ring, though I recently lucked out and got insurance to cover 90% of my medications, including birth control. But 50 bucks for a generic brand when Canadians seem more than capable of making money on 20 bucks is really a crime.

  16. criolle johnny says:
    Sat, 31st Jul 20106:24 pm 

    Sauce for the goose dept:
    Would this be birth control for both sexes?

  17. Eimear says:
    Sun, 1st Aug 20107:21 am 

    The prices for BC in America seem crazy. In Ireland, I pay €6 (around $10) for my pill every month. That I don’t mind paying because it’s saving me a lot of money in the long run by preventing me getting pregnant. I think they should just lower prices to more reasonable levels.

  18. Nat says:
    Mon, 2nd Aug 20108:50 am 

    I’m a student in the UK, and I have to admit, if birth control pills weren’t free, I probably wouldn’t be able to cough up the money every month. I think free birth control is great and the US should get with the times. If you don’t want unplanned pregnancies, encourage people to take birth control! (and not just in grimy looking Planned Parenthood centres, no offense meant, they’re a great cause, but I have yet to see one in the US that didn’t look sketchy). Free birth control won’t encourage promiscuity, the doctor does tell you to use a condom if you aren’t in a stable relationship.

  19. Jennie says:
    Mon, 2nd Aug 201012:25 pm 

    That’s why I’m grateful I live in England. The pill is completely free.

  20. Dolores says:
    Mon, 2nd Aug 20108:10 pm 

    Girls, your are so lucky! Here in El Salvador, besides that the goverrment doent’s provide any kind of sexual education in the schools for having a mostly catholic stand, getting a bc is way too expensive… even if is condoms. And they don’t sell you the pill if you don’t have a gynecologist prescription and that is expensive too. If you study at the national university the condoms are free, but condoms isn’t enough. I can’t spend $60 a month, and the ones that are cheaper leads a lot of side effects. And here everybody is so judgemental if they see you a bit young -like 18- they don’t sell you the pill, even when you are already legal! They demand a parent permission. It’s so unfair that all you have to be worry about is the payment. You should be thankfull that you live in a society where they are considering give free the birth control pills. I also agree with the some of the girls that say the use of the pill won’t lead an increase of the STD. I just want to say that I have the right to be sexually responsable and it’s a right for every woman. Why should the goverment have a double moral about sex? They condemn a girl getting pregnant but they have all the guilt, they didn’t gave her the tools the be safe in her life. Think in all the women that gave up on her dreams just for a mistake, the mistake of being misinformed in the ways that they could be protected, or the mistake of not having the resources to get a birth control.

  21. misnomer says:
    Tue, 3rd Aug 201012:01 pm 

    In some states, taxpayers already pay for women to go on the pill. West Virginia has a family planning program that is paid for by state government. It allows lost of people, including students, kids under 18, and people without insurance to get care, check ups, counseling, and information at no cost. However, it still does not make enough money or have enough hours. Other states have similar programs. So, if more insurance companies covered birth control, taxpayers would not be paying for it as much. Plus, the insurance companies would save money.

    I’m of the opinion that insurance should cover more preventative care such as nutritional counseling and birth control. As for concerns about STDs, perhaps condems could be included as a covered form of birth control. Doctors and nurses stress that only condems can prevent the spread of STDs, and at many places condems are available for free.

    The Catholic Church has a right to their opinion (which many Catholics disagree with) but it is not up to them what insurance companies will allow.

    http://studentswhostillhavesouls.blogspot.com

  22. crichton05 says:
    Tue, 3rd Aug 20107:59 pm 

    Minnesota also has a program where women who qualify can get birth control for free. Many different types of birth control too, I might add (I’m on Nuvaring which costs about $200 every 3 months). If it wasn’t for this program, I probably wouldn’t be on birth control so I am really appreciative of it. That being said, I think it should be given an option for all women, regardless of how much they make a year. If I am not in a steady relationship, I still use a condom to prevent STD’s and all that junk. So I would hope that if people want to protect their body still, they will use condom’s and not be dumb about catching STD’s.

  23. Kar says:
    Tue, 3rd Aug 20108:03 pm 

    Viagra is covered under most health insurance. Birth control usually isn’t (in the US at least). To those saying they’d feel weird with their taxes funding someone’s sex life – you already are!

    Hell yeah BC should be free. There is not one good reason it shouldn’t be.

  24. Star says:
    Wed, 4th Aug 20103:32 pm 

    I agree it should be free and wish that anyone who might not want to approve it because of their views on sex would also consider girls like me who need it for medical reasons. If I don’t take it, I start having medical problems which lead to me curled up in so much pain that no pain killer can help. Sometimes I even pass out and when I wake up it feels like I’m being set on fire. This is not normal or healthy, and it’s all because my hormones are completely screwed. Thus, without birth control I can’t even get out of bed once a month. Sometimes the need for birth control has nothing to do with reproduction at all.

  25. E says:
    Thu, 5th Aug 20107:13 am 

    Just like the issue of paid maternity leave, having access to free or subsidized birth control is an issue that I think needs to be addressed from a holistic point of view. The ability to control our own fertility has had a profound impact on not just the social standing of women from the late 20th century onwards, but also on a woman’s ability to be economically independent. This is something that the government need to take into account.

  26. A says:
    Thu, 5th Aug 20108:58 pm 

    I use BC for lots of other reasons, not just to prevent pregnancy. It helps me with acne, migraines, and severe cramps. Without it, I have extreme PMS and migraines, yet I am stuck paying $60 per month because it is not covered by my insurance. There is no reason it should not be free, especially considering all of the other benefits.

  27. Lauren says:
    Fri, 6th Aug 20107:39 pm 

    Can some one explain to me why birth control is so expensive in the U.S.
    Where I’m from, the bahamas, a month supply of yasmin is only $5

  28. Katie says:
    Mon, 9th Aug 201012:14 pm 

    I live in a remote corner of Europe, Estonia and I am on the pill too. The pill here is not completely free and I don’t expect it to be. It’s like any other prescription medicine, and if I need it, I am going to pay for it. Not the full price, though, I only pay half of it which makes it about 10 USD for a month. I get that paying up to 60 USD a month is too much but I am not on the opinion that the pill should be free of charge.

  29. Lillian says:
    Tue, 10th Aug 20107:39 pm 

    Definitely! I personally have an IUD and i didn’t have to pay more than the copay for a doctor’s visit for a consultation, insertion, and followup and this is going to last me five years. The only reason why i can even see why they wouldn’t cover BC is because so many people are on it must tax their system, but for the individual its virtually essential because it saves you the hassle of being pregnant and having to pay for an abortion or pay to have a child you weren’t planning on. Preventive care is the way to go. And to be quite frank, this helps out the government as well because in some countries with huge populations like America instead of spending more money on (abortions, if my understanding is correct, medicaid covers part of abortion fees) welfare for kids who quite frankly were not wanted the small investment in BC will save millions, if not billions in tax dollars.

  30. Tamara says:
    Tue, 10th Aug 20108:43 pm 

    Of course it should be free! Put it like this: if not, only rich (or rich enough) women have a right to control their bodies and the amount of children they have. Shouldn’t that right be granted to everybody?

  31. MK says:
    Thu, 12th Aug 20101:21 am 

    I just started taking BC and realized how expensive it is, but I do not think it should be included in the free medicine part because BC increases the risk for stroke and other bad side effects. I think if it was free people would ignore the risks more, but that is just my opinion.

  32. Mel says:
    Thu, 12th Aug 20104:27 pm 

    I personally would just want it free because it would be convenient for me. Not because of my sex life, but for my health. I was an ovarian cancer patient in high school and since the chemo- an radiation therapy had to specifically target my pelvic area, my hormonal imbalance is EPIC. I have one ovary because of it and I need bc to regulate my hormones–without them, it’s like I’ve reached menopause with the hot flashes and everything

    Anyway, I’m (obviously) biased. After the expensive treatments, I’m like “FREE BC, HECKS TO THE YES!” but whatever. We shall see what happens, yes? Fingers crossed!

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