I originally posted this elsewhere, but I get more readers here
The abortion debate has been ongoing for over 30 years with slight movements one direction or the other. Very few politicians are looking for ways to reduce the number of abortions by any means other than banning them completely.
Susan Wood, the former assistant commissioner of women’s health at the Food and Drug Administration, wrote an interesting op-ed in the March first issue of the Washington Post - When Politics Defeats Science.
[W]hether it is the environment, energy policy, science education or public health, the American public expects our government to make the best decisions based on the best available evidence.
Yet, at a recent hearing of the House Appropriations subcommittee on labor, health and human services, we saw once again that this is not happening. Reps. Sam Farr (D-Calif.) and Rosa DeLauro (D-Conn.) questioned FDA acting commissioner Andrew C. von Eschenbach about the delay in approving the application to make Plan B emergency contraception available over the counter to women 17 and older. Von Eschenbach responded that the agency was carefully reviewing the thousands of comments received in response to last-minute concerns raised about the feasibility of making the same product available over the counter for most women but keeping it on prescription for young teens. This exchange confirmed my suspicion that, like his predecessor, von Eschenbach is unable or unwilling to let the science and the scientists guide FDA policy and decisions, and that the real answer as to whether the FDA will allow Plan B over the counter for those 17 and older is no.
Time and again in my travels I am asked, “What happened to derail Plan B?” I have to answer honestly that I don’t know. The manufacturer agreed to take the “controversial” issue of young teens’ access to emergency contraception off the table in 2004; now we are talking only about adult access to safe and effective contraception. Over 98 percent of adult women have used some form of contraception. So what is the objection?
Perhaps it is that posed by a small but vocal political minority that insists on labeling emergency contraception as abortion, or at least confusing the two. One of the main questions I hear is, “Does this pill cause an abortion?” In fact, the only connection this pill has with abortion is that it has the potential to prevent the need for one. Emergency contraceptive pills work exactly the same way as other birth control pills, and they do not interfere with or harm an existing pregnancy. Emergency contraception is simply a higher dose of daily birth control pills; it is not RU-486, the “abortion pill.” Indeed, emergency contraception has been used as a method to prevent unintended pregnancies for decades by women who had physicians advise them on how many pills in their regular pill pack to take. So people who are comfortable with oral contraceptives as methods of contraception should be just as comfortable with emergency contraception.
Wood finishes the article with a very poignant question:
It’s been nearly three years since the first application came in to make Plan B emergency contraception available over the counter, so that women, including rape victims, could have a second chance to prevent an unintended pregnancy and the need for an abortion. How many chances have we missed?
How many chances indeed?
Chris Mooney, author of The Republican War on Science comments on his blog,
the Religious Right, […] has lots of influence over this administration.
For religious conservatives, emergency contraception equals promiscuity, and promiscuity equals immorality. Period. Coming from this perspective, Christian conservatives are perfectly willing to upend science and the administrative process in order to block access to drugs that they view as contributing to increasing sexual behavior among teens (despite the total lack of data that the drugs actually have this effect).
In my opinion, Mr. Mooney is being a bit cynical. Although there are certainly religious leaders that are that extreme, most of Pro-life America is interested in reducing the number of abortions, whether it be through abstinence, education, pregnancy prevention, adoption, intervention or any other means.
Plan-B contraception needs to be legalized and made available immediately. The science supports that it is safe and effective, and it will reduce the number of abortions in this country.