Why Contraception is a Health Issue for Everyone

Supreme Court rally to protect Obamacare
Activists rally in front of the Supreme Court building in 2012 to show support for the Affordable Care Act. / Photo: David Sachs
By Rachel Walden |

Some of the media coverage of Tuesday’s arguments before the Supreme Courton the contraception mandate tended to pit women’s rights activists against social conservatives, making contraception seem like a lifestyle choice that only benefits some women — you know, the ones who have sex.

What often gets lost in the debate is why contraception is considered a preventive health issue — and why treating it as such is beneficial for everyone.

During the healthcare debate, the Department of Health and Human Services charged the Institute of Medicine (IOM) with reviewing preventive services that are important to public health and well-being, and recommending which ones should be considered in the development of comprehensive guidelines.

IOM came up with this evidence-based list of preventive services for adults and children, all of which are now covered by insurers with no required co-payment. Take a look at the IOM report, which explains the selection process.

For women, this includes annual well-woman visits, testing for STIs and HIV, support for breastfeeding, and screening and counseling for domestic violence.

It also includes FDA-approved contraception methods, as well as patient education and counseling on contraception. What makes contraception a health issue? Well, with all due respect to Mike Huckabee, it’s not about women’s libidos.

Here’s the deal: When women use contraception, they can avoid unwanted pregnancies and space planned pregnancies to promote optimal birth outcomes.

When a pregnancy is planned, women can start prenatal care, including increasing their intake of folic acid; work with their healthcare providers to address relevant medical conditions, as well as substance abuse; and take other steps that lead to healthier outcomes for both the mother and the infant.

Pregnancies that are unplanned are more likely to be affected by delayed prenatal care, maternal depression, low birth weight, poorer childhood physical and mental health, and other complications. Breastfeeding rates are also lower after unintended pregnancies.

Social conservatives should also take note that 40 percent of unintended pregnancies end in abortion. And there is an economic cost: Two-thirds of unintended pregnancies are paid for by publicly funded insurance programs, usually Medicaid. For more information, Guttmacher Institute has a terrific fact sheet on unintended pregnancies that explains the incidence rate, demographics, outcomes and costs.

When you look at the facts, contraception is smart public health policy.

Of course, for some women, birth control is essential for other health reasons, including acne, fibroids, endometriosis and to reduce problems associated with irregular or very heavy periods.

Despite the proven health benefits — and the benefits to society as a whole — Hobby Lobby and Conestoga Wood claim that the requirement to provide health insurance that includes no-cost contraception violates their religious freedom.

Not surprisingly, the Court’s three female justices were most skeptical of their position. As Jeffrey Toobin writes in The New Yorker:

After Paul Clement, the lawyer for Hobby Lobby, began his argument, twenty-eight of the first thirty-two questions to him came from Ruth Bader Ginsburg (four questions), Sonia Sotomayor (eleven), and Elena Kagan (thirteen). The queries varied, of course, but they were all variations on a theme. The trio saw the case from the perspective of the women employees. They regarded the employer as the party in the case with the money and the power. Sotomayor asked, “Is your claim limited to sensitive materials like contraceptives, or does it include items like blood transfusion, vaccines? For some religions, products made of pork? Is any claim under your theory that has a religious basis, could an employer preclude the use of those items as well?” Clement hedged in response. When Clement asserted that Hobby Lobby’s owners, because of their Christian values, did care about making sure that their employees had health insurance, Kagan shot back:

“I’m sure they want to be good employers. But again, that’s a different thing than saying that their religious beliefs mandate them to provide health insurance, because here Congress has said that the health insurance that they’re providing is not adequate, it’s not the full package.”

At Talking Points Memo, Sahil Kapur wrote:

The most forceful was Justice Elena Kagan, who repeatedly asked aggressive questions throughout the 90-minute argument about the legal dangers of exempting certain entities from laws on the basis of religion.

“There are quite a number of medical treatments that religious groups object to,” she said, positing that a ruling against the Obama administration could empower business owners to seek exemptions from laws about sex discrimination, family leave and the minimum wage. “You’d see religious objectors come out of the woodwork,” Kagan warned, arguing that it’s problematic for judges to test the centrality of a belief to a religion or the sincerity of beliefs that are invoked in court.

Much of the argument also centers around whether companies really have religious freedom, or if that really only applies to people — whether corporations count as “people” has been a major issue before the Court in the recent past. In “The Hobby Lobby Case Represents The Worst Kind Of Anti-Choice Arrogance,” Sarah Erdreich writes:

But even if the owners do have a religious commitment, Hobby Lobby is not pretending that it is a religion. It is a business. That any business should have power over what can literally be the life-and-death health decisions of its employees, well, that’s another issue for another day. But as long as Hobby Lobby sells its supplies to saints and sinners alike, it has no business questioning what its employees do when they go to see the doctor.

Access to birth control is important for everyone — for preventing pregnancies, and to allow women and families to best time and plan healthy pregnancies. Hopefully the male members of the Supreme Court will see it that way, too.

To catch up on the issue, check out this coverage:

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

3 Comments

  1. Kelly says:

    I love your article and learned many new things from it. When people make the argument for or against birth control, it usually is based on shallow facts. I never considered before the benefits of planned vs. unplanned pregnancies and how much healthier it is for a woman when planned. I also appreciate that you speak to the alternate needs of birth control like acne and problems related to heavier periods. I have known many women who’ve had problems fainting during their period prior to taking contraceptives that made their cycles less intense and more regular. It’s a shame that we all can’t get on board with the idea that contraceptives are good for everyone. Society is still so behind on this issue.

  2. paleo diet says:

    Perhaps you’ve heard about the paleo movement – eating and exercising as the historic forefathers did – and dismissed it because a fad, a farce, a caveman version of the Atkins diet. However over the previous limited years, the strategy has exploded from unknown scientific theory into 1 of the biggest styles in health, influencing everything from medicine to running shoes to the latest thinking on how we should eat and move to remain lean plus healthy.
    The second error inside premise is maybe more substantial. The caveman diet is a terrific diet if you would like to reside to be 30 or 35 years old. That was the adult lifetime expectancy till especially, especially lately (indeed, it wasn’t until perfectly after the advent of agriculture that existence expectancies began to rise—in agricultural communities!). We learn this from skeletal evidence. Individuals elder than 40 at death are fairly rare in the Palaeolithic record. At the 300,000 year older Spanish site of Sima de los Huesos, archaeologists found the remains of 32 people whom had been dropped down a shaft in a cave.
    There are several risks with any diet. It is often difficult to get enough of certain vitamins plus minerals when eating a limited range of foods. All varieties of the caveman diet exclude all milk plus dairy goods. Because these foods are excellent sources of calcium it really is possible which folks found on the caveman diet will not get enough calcium in their diet. Lack of calcium will cause several different condition and conditions such as osteoporosis plus rickets. Anyone beginning this diet may wish to consult their physician regarding whether taking a vitamin or supplement might enable them reduce this risk. Additionally such a low starchy carbohydrate consumption may cause health difficulties including lethargy plus fatigue due to low energy.
    The fact of eating as several fresh foods because this program needs hits house on the initially trip to the grocery shop. Don’t let this discourage you though, because there desirable resources and tricks available to aid we plan out the meals and conserve money. What is the Paleo Diet? The Caveman Bakery is committed to providing we with unique, tasty, plus top quality Paleolithic baked treats. If a product arrives to we damaged or in lower than the highest standard, please contact you plus we’ll promptly ship out a replacement. The Paleolithic fat reduction diet consists of eating the types of unprocessed low carbohydrate food our ancestors ate. Because our ancestors evolved eating them, they are natural for us to eat. Paleo Diet Is Half Baked Scientific American
    If you’ve been eating Paleo for certain time, we have possibly have noticed several online resources that include recipes plus meal planning inspirations. Robb Wolfe, 1 of the pioneers of the Paleo diet, has lately come out with a book to help you program your food and also saving time and money. There are also several websites, such as plus , that are dedicated to Paleo Diet recipes. The Early Bird Gets the Worm Fourth, we eat too much of the wrong types of foods. To lose weight plus achieve lasting weight loss, we should return to eating a natural diet similar to the kind the ancestors ate. The Paleolithic diet might allow we to do only that. Meet your ancestors and their ‘caveman’ diet Key Differences Between My Nutrition Plan plus the Paleo Diet
    An indelible component of Paleo is eating meat. It’s valued highly for its protein, fats, plus essential vitamins. However not all meat is the same. Folks on the Paleo diet region considerable focus on eating grass fed natural meats as opposed to grain fed stock raised in factory farms. It’s been shown which grain fed beef contributes to a skewed omega 3 to 6 ratio and which it impairs the ability to absorb compounds. Factory farms additionally infuse their livestock with hormones plus other questionable chemical concoctions. Paleo dieters are increasingly turning away from these foods, preferring instead to consume “clean” meat.caveman diet cookbook

  3. Wonderful goods from you, man. I’ve understand your sttuff previous to and you aare
    simply extremely fantastic. I really like what you have obtained
    right here, really like what you are stating and the waay wherein you
    say it. You’re maming it enjoyable and you continue to tak
    casre of to stayy it sensible.I cant wait to read much more from you.

    That is really a wonderful site.

    Here is my homepage :: online bio oil