contraception
kkrisberg | May 26, 2017To the surprise of literally no one, President Trump’s 2018 budget proposed stripping all federal funds, including Medicaid dollars, from Planned Parenthood. Proponents of this argue that if Planned Parenthood clinics end up shuttered, women can simply access care elsewhere. But growing research shows that’s the opposite of what actually happens.
We got even more evidence of this with a report on the capacity of federally qualified health centers (FQHCs) to fill the gaps left when a Planned Parenthood clinic is forced to close its doors. In a policy paper from the Guttmacher Institute…
kkrisberg | March 17, 2017There’s a lot at stake for women’s health in the Republican plan to replace the Affordable Care Act, which eliminated out-of-pocket costs for birth control and has been highly successful in breaking down barriers to affordable family planning. The cost-sharing changes alone are saving individual women hundreds of dollars each year on their choice of contraception.
So far, the Republican replacement proposal, known as the American Health Care Act, doesn’t impact the Obama-era contraception coverage provisions, nor does it touch other women’s health benefits, such as designating maternity care…
lborkowski | January 30, 2017President Trump’s callous and short-sighted executive order restricting US entry for refugees and travelers from certain countries is rightfully getting a lot of attention, but it risks overshadowing another destructive thing he did for global health during his first week in office: reinstating and expanding the Mexico City Policy, also known more descriptively as the global gag rule. Trump’s adoption of this policy is even more reprehensible than it was for his Republican predecessors, for two reasons: First, he has broadened its scope so it appears to cripple not only family planning, but…
lborkowski | November 28, 2016New data from CDC's National Center for Health Statistics show that the US teen birth rate dropped substantially between 2007 and 2015, but it has declined most slowly in rural areas. "From 2007 through 2015, teen birth rates declined 50% in large urban counties, 44% in medium and small urban counties, and 37% in rural counties," Brady E. Hamilton, Lauren M. Rossen, and Amy M. Branum report. They note that declines occurred in all states and in all major racial groups, but geographic disparities have persisted.
In a 2014 Guttmacher Policy Review article, Heather D. Boonstra investigated…
lborkowski | October 10, 2016Just before the end of its September session, Congress finally did what public health officials had been begging it to do for more than seven months and approved substantial funding for Zika response efforts. The $1.1 billion package fell short of the $1.9 billion President Obama requested back in February – and, according the tally from POLITICO’s Dan Diamond, it came 233 days after Obama’s request and after 23,135 cases of Zika virus were identified in US states and territories.
Unlike an earlier House bill, this funding measure doesn’t prohibit funding from going to Planned Parenthood –…
lborkowski | September 7, 2016Since Congress left for recess seven weeks ago without approving funding to address the Zika virus, the Obama administration has declared a public health emergency in Puerto Rico and the Florida Health Department has identified two areas in Miami-Dade County with local transmission of Zika. Now that Congress is returning to the capital, I hope this evidence of Zika’s spread will convince them to provide sufficient funding for all of the following:
Research into vaccines and other healthcare measures to reduce Zika’s impact;
Mosquito control and outreach campaigns to slow Zika’s spread (which…
lborkowski | May 18, 2016Maryland Governor Larry Hogan has signed into law the Contraceptive Equity Act, which puts the state at the forefront of efforts to reduce insurance-plan barriers to accessing multiple forms of contraception. When the law takes effect in 2018, insurance plans regulated by Maryland that provide contraceptive coverage will no longer be allowed to charge co-payments for FDA-approved contraceptive drugs, procedures, and devices. This list include vasectomies and emergency-contraceptive pills.
The law will also allow women to receive six months of oral contraceptives at a time, and will prohibit…
lborkowski | April 18, 2016Rena Steinzor in the New York Times Opinion Pages: Judgment Day for Reckless Executives
Angus Deaton in JAMA: On Death and Money: History, Facts, and Explanations (This is an editorial about the study by Raj Chetty and colleagues on income and life expectancy, and you can also read about their findings in the New York Times.)
Maryn McKenna in the New York Times Magazine: The Looming Threat of Avian Flu
Kira Shepherd in Rewire: The Context of Historical Racism Matters in the Birth Control Benefit Case
Edward Humes in Citylab: The Absurd Primacy of the Automobile in American Life
lborkowski | February 8, 2016Since the start of 2013, Texas has excluded clinics affiliated with abortion providers, including Planned Parenthood affiliates, from receiving payment through the Texas Women's Health Program, which funds reproductive-health services for low-income state residents. The TWHP is the 100% state-funded program that replaced the 90% federally funded Women's Health Program -- because the federal funding meant Texas couldn't rewrite the rules regarding which providers could be paid through the program. These restrictions came on top of other cuts to family-planning funds that started in 2011 and…
lborkowski | November 18, 2015A few of the recent pieces I've liked:
Laura Ungar in USA TODAY: Found too late: Cancer preys on rural Americans
Priya Batra on the Huffington Post blog: Confidentiality Is Key: To Reduce Teen Pregnancy, the U.S. Must Ban Parental Notification Laws for Contraception
Henry Wismayer at Vox: I got typhoid. Then dengue fever. Here’s what it taught me about my love of travel.
Heather Rogers at The Intercept: Erasing Mossville: How Pollution Killed a Louisiana Town
Jamie Smith Hopkins at the Center for Public Integrity: Unequal Risk: Disease victims often shut out of workers’ comp system
Amber…
lborkowski | August 31, 2015The Colorado Family Planning Initiative is a public-health success story. With funds from an anonymous foundation, Title X family planning clinics serving low-income women were able to offer IUDs and other highly effective forms of contraception for free. Rates of teen pregnancy and abortion both plummeted. When the foundation funding came to an end as scheduled, though, the state's legislature refused to pick up the tab for this demonstrably successful program.
Now, reports Katie Kerwin McCrimmon of Health News Colorado, a group of foundations (11 are listed so far) has pledged funds to…
lborkowski | July 20, 2015Back in 2009, the Colorado Family Planning Initiative started providing free IUDs and other contraceptive implants to low-income women getting care at state Title X family planning clinics. As I described previously, funds from an anonymous foundation supported the purchase of the devices, as well as training for providers and staff and technical assistance – and Colorado teens’ use of these highly effective contraceptives jumped dramatically. The results, Sabrina Tavernise reports in the New York Times, have been startling: “The birthrate among teenagers across the state plunged by 40…
kkrisberg | July 10, 2015Thanks to the Affordable Care Act, American women are saving hundreds of dollars on birth control, according to the first study to document the impact of health reform on prescription contraception spending.
To conduct the study, which was published this month in Health Affairs, researchers analyzed claims data from a large national insurer between January 2008 and June 2013, eventually examining data linked to more than 790,800 women. They found that the average out-of-pocket expense decreased for nearly all prescription contraceptive methods on the market. In particular, the average out-of-…
lborkowski | July 1, 2015The Republican-led House Appropriations Committee's FY 2016 Labor, Health and Human Services funding bill contains a single sentence that could dramatically set back public health: "None of the funds appropriated in this Act 4 may be used to carry out title X of the PHS Act."
Title X is a federal grant program that funds a network of 4,400 centers that provide high-quality, cost-effective family-planning services for approximately five million clients each year. These centers also offer breast and cervical cancer screening and pregnancy testing, and they provide both men and women with HIV…
lborkowski | June 4, 2015Fifty years ago, on June 7, 1965, the Supreme Court issued the landmark Griswold v. Connecticut decision, which struck down a Connecticut law that criminalized the encouragement or use of contraception. Estelle Griswold, executive director of Planned Parenthood of Connecticut, and Dr. C. Lee Buxton, the organization’s medical director, had been arrested and fined $100 each for providing contraceptive advice to married persons. In a 7-2 decision, the Court ruled in their favor, finding that Connecticut’s law prohibiting contraception violated the right to marital privacy. In 1972, in…
lborkowski | February 11, 2015Last week, Vox’s German Lopez highlighted a recent study that demonstrates how improving access to the most effective contraceptives can slash the rates of unintended pregnancies and abortions among teens. After the Colorado Family Planning Initiative (CFPI) started providing free IUDs and implants to low-income women at family planning clinics, the teen birth rate and abortion rate dropped sharply. Lopez notes that the teen birth rate has been declining nationwide, but Colorado’s has dropped more quickly: “Between 2008 and 2012, the state went from the 29th lowest teen birth rate in the…
lborkowski | October 9, 2014Last week, the American Academy of Pediatrics published a "Contraceptives for Adolescents" policy statement that advises pediatricians to consider long-acting reversible contraception (LARC) methods as first-line contraceptive choices for adolescents. LARC methods include contraceptive implants that can be inserted into the upper arm (which can remain in place for three years) and intrauterine devices (with different versions approved for three or five years).
Unlike condoms or birth-control pills, which require repeated correct use, LARCs only need to be administered once. They have failure…
lborkowski | May 21, 2014Last week was National Women’s Health Week, and the Kaiser Family Foundation used the occasion to release the report Women and Health Care in the Early Years of the ACA: Key Findings from the 2013 Kaiser Women’s Health Survey, by Alina Salganicoff, Usha Ranji, Adara Beamesderfer, and Nisha Kurani. The telephone survey of 3,015 women ages 15 – 64 was conducted before the launch of the health-insurance exchanges and several states’ Medicaid expansions, but after several other key provisions of the Affordable Care Act took effect. Starting with plan years beginning after September 22, 2010,…
sastyk | February 23, 2012Note: I wrote a slightly different piece under this title on ye olde blogge back in August, but given the emphasis on discussion of contraception going on, I thought it was worth reiterating and mulling over further.
When your specialty as a foster family is taking large sibling groups, you hear a lot of stuff you'd rather not. The typical comment involves forced sterilization, and it is hard sometimes not to have a little sympathy. Of the kids we've taken or been called about, we've had three groups of five and three of four, and almost all have involved very young mothers, sometimes with…
denialism | February 12, 2012Many are linking to this story around the blogosphere and I encourage everyone to read it. In it, a Ob/Gyn describes her emergency care of a woman who arrived in her ED in hemorrhagic shock from a botched illegal abortion. Though clearly it was touch and go and there was some panicky action, our heroine thought fast and saved a life. My mother once worked in a labor and delivery ward to put herself through medschool in the days before Roe v Wade and this type of situation was common.
This is a great story because it illustrates two points. One, the war on abortion by the right wing is…