Monday, February 16, 2015

Putting Birth Control Pills on the Shelf with Tylenol

Even though the United States is one of the most developed countries in the world, it has a gender inequality score higher than every European country and Canada[1]. Part of this high level of gender inequality has been due to the United States’ handling of reproductive rights. Currently, women have to get a prescription from a doctor in order to take birth control pills. However, for the sake of safety and equality, birth control pills should be available for sale without a prescription.
One of the major concerns regarding over-the-counter drugs is the safety regarding health. Unlike other over-the-counter drugs such as Benadryl and cough syrup, birth control pills can’t be abused in order to obtain a high. And, even if someone were to overdose on birth-control pills, a birth control pill overdose is highly unlikely to be life threatening, and rarely requires a visit to the emergency room[2]. If drugs such as cough syrup, which are easily abused, are sold over-the-counter, there’s no health-related reason to restrict birth control pill sale to prescriptions. Although there is the tiny risk of side effects, as there is for every drug ever made, “the absolute risk of taking the pill is far less than the risks incurred in pregnancy”[3]. On the other hand, there are plenty of health benefits associated with birth-control pills. Besides the common use of preventing pregnancy, birth control pills also lower the risk of cancer, help clear skin, make periods less painful, relieve PMS, and help women with hormone imbalances[4]. While a doctor will prescribe birth control pills to young women suffering from hormone deficiencies or excessively painful periods, it is much more embarrassing to explain to a doctor why birth control pills are necessary than to simply purchase them as an over-the-counter drug.
Besides numerous health benefits, accessibility to birth control pills are really important as a reproductive right. Anyone can walk into a convenience store and buy condoms, and yet women have to jump through legal and medical hoops to get access to birth control pills. Is that not a double standard? The sale of morning-after pills as an over-the counter drug has been legalized, but that’s only a last resort to preventing unplanned births. Birth control pills are well known as highly effective contraception, and can prevent the need for morning-after pills, or even abortions. In fact, birth control pills are more effective than condoms, even if misused. When taken every day, birth control pills are 99% effective, and proper use of condoms is 98% effective in preventing pregnancy. However, misuse of birth control pills is still 91% effective, while improper condom use is only 82% effective in preventing pregnancy[5]. Whether or not a woman is in favor of abortions or morning-after pills, most will agree that it’s better to not need these last resorts.
Access to birth control pills is also important to the emotional health of young women who are sexually active. Knowing that they have the extra protection of birth control pills allows young women to be more confident and less anxious about the risk of pregnancy. Additionally, having the option of birth control pills means that teenage girls don’t need to rely on their partner to properly use contraception; it means that they won’t feel dependent, which is crucial in empowering girls and allowing them to make their own decisions.
You may be wondering, if birth-control pills are so amazing, why can’t teenage girls simply get a prescription? The answer is simple: parents. Even though almost 50% of high school students in a recent US survey reported having had sex at some point in their life, many parents resist the idea of their child being sexually active[6]. As may be expected, it is much easier for a teenage girl to convince her parents to let her get a prescription for birth-control pills if they are comfortable with the implications. But should a teenage girl be denied access to birth control pills and face increased risk of pregnancy just because her parents aren’t willing to accept her sexual activity? If so, then they might as well require a prescription for condoms.



[1] "Gender Inequality Index." United Nations Development Programme. United Nations,
     2013. Web. 16 Feb. 2015. <http://hdr.undp.org/en/content/
     table-4-gender-inequality-index>.
[2] Heller, Jacob L., MD, MHA. "Birth Control Pill Overdose." Medline Plus. U.S.
     National Library of Medicine, 12 Feb. 2015. Web. 16 Feb. 2015.
     <http://www.nlm.nih.gov/medlineplus/ency/article/002599.htm>.
[3] Rosenthal, Elisabeth. "Is It Time for Off-the-Shelf Birth-Control Pills?" The
     New York Times. NYT, 20 Apr. 2013. Web. 16 Feb. 2015.
     <http://www.nytimes.com/2013/04/21/sunday-review/
     is-it-time-for-off-the-shelf-birth-control-pills.html?_r=0>.
[4] Graham, Janis. "Other Reasons to Take the Pill." WebMD. WebMD, 1 Nov. 2006. Web.
     16 Feb. 2015. <http://www.webmd.com/sex/birth-control/features/
     other-reasons-to-take-the-pill>.
[5] "Birth Control Methods." Planned Parenthood. Planned Parenthood, 2014. Web. 16
     Feb. 2015. <http://www.plannedparenthood.org/health-info/
     birth-control>.
[6] "Sexual Behaviors." Center for Disease Control and Prevention. CDC, 12 June
     2014. Web. 16 Feb. 2015. <http://www.cdc.gov/healthyyouth/
     sexualbehaviors/>.

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