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On contraception, and why those snotty-nosed college punks don’t deserve it

Those of us in the reproductive rights crowd have been talking about the increase in birth control prices on college campuses for some time, now. The change came about due to new rules passed in the Deficit Reduction Act of 2005 and went into effect a few months ago. Don’t let the name of the act confuse you, though — going back to the old rules and lowering the price of contraception for college students wouldn’t cost tax payers a dime, though it would force the pharmaceutical industry to lose out on a tiny portion of they’re already-monstrous yearly profits.

Lawmakers say that the change was unintentional. Seeing when it was passed and the track record on support for contraception from our government, I don’t quite buy it. But I’m also not even sure how much that matters, anymore. What’s important is fixing the problem.

Finally, the NY Times has published an article on the subject. It’s late, but I’m also thrilled to see the issue getting some press coverage. I do know that Planned Parenthood has recently been hyping the story to the media like mad. The affiliate that I work for has held several media events in the last week and we had a local news team in the building the other day. Thank god someone is finally listening.

A couple of paragraphs in the article, though they didn’t surprise me, did make me laugh (bitterly) out loud:

Not everyone is troubled by the price increases. Some people said they wondered why college students, many of whom manage to afford daily doses of coffee from Starbucks and downloads from iTunes, should have been given such discounted birth control to begin with, and why drug companies should be granted such a captive audience of students. Others said low-priced, easy-to-attain contraception might encourage a false sense of security about sex.

“From our perspective, this does bring to light a public health concern, but for a different reason,” said Kimberly Martinez, the executive director of the Abstinence Clearinghouse, which advocates abstinence from sex until marriage. “These young women are relying on this contraception to protect them. But contraception isn’t 100 percent — for pregnancy or for disease.”

The first point is fun. Sounds kind of familiar, too. In short, unless you’re living on the street, you deserve to pay through the nose for basic health care. If you’re not willing to give up things like, say, food — or even the most basic luxuries, that not everyone can afford but I think we’re all entitled to, like a cup of coffee in the morning — it’s your own fault and you don’t deserve basic health care. Too bad.

Of course, this is also the same crowd that argues that the rich deserve tax breaks because “they’ve earned their money.” Why the rich are entitled to keep their money to buy boats but the poor and middle class aren’t allowed to buy coffee without being called greedy, I’ve never quite understood. Probably has something to do with the fact that I’m a dirty hippie who doesn’t bow down every night and pray to the free market.

But just when you think the fun is over, you realize that the second part is fun, too! You see, if a drug doesn’t work 100% of the time, not only should it not be available at an affordable price, but it’s incredibly dangerous to give to people at all.

And, I mean, it makes sense. Think about it: when people have heart conditions, do we give them medication to help regulate the problem? No! Then the heart patients will just think that they’re cured and start skydiving and eating donuts for every meal! We can’t have that. And do we give insulin to Type 1 diabetics? Of course not, they’d just stop paying attention to their blood sugar if we did. And don’t even get me started on anti-depressants. They don’t always work, and they work differently for different people, so it’s better to just not give the severely depressed any hope at all.

. . . Wait. What was that? That’s not how it works? How odd. In that light, it’s almost as though Ms. Martinez’s argument doesn’t make any sense. I think that I have to go lay down.

Or maybe she has a point after all. Maybe we can’t trust the people who we allow to live on their own, have credit cards, vote, join the military and die in Iraq, and operate motor vehicles (but strangely enough, not have a beer) to have TEH SEX. After all, TEH SEX can be dangerous. Far more dangerous than Iraq. And since bad things can happen from TEH SEX, like pregnancy, STDs, and orgasms, it’s probably best to make sure that those irresponsible young adults don’t have contraception. Because reckless people who we can’t trust to make basic decisions would never have TEH SEX without using contraception, right? Sounds bullet-proof to me!

In any case, some congressional Dems are working on fixing the law (though I’m not convinced that they’re working hard enough). Good luck to them. And if — hopefully when — they succeed, it’ll be interesting to see what happens when it’s put on Bush’s desk. I guess then we’ll find out whether it was an “oversight” after all.


41 thoughts on On contraception, and why those snotty-nosed college punks don’t deserve it

  1. But just when you think the fun is over, you realize that the second part is fun, too! You see, if a drug doesn’t work 100% of the time, not only should it not be available at an affordable price, but it’s incredibly dangerous to give to people at all.

    Also, 99.6% is pretty fucking close to 100.

  2. Maybe she thinks the b.c. is all unpackaged in a candy dish next to the water foutains?

    Cause it’s not like you have to go to a CLINIC and talk to a DOCTOR before you can recieve a PERSCRIPTION! And the labeling? There’s no warnings of side affects or risks on those! Not even on those pesky TV commercials! What if I miss the part where they say it’s not for STD’s!?

  3. I noticed the NY Times was not terribly sympathetic. They went all the way to Grand Forks, North Dakota to discuss the impact on college senior Katie Ryan . With the monthly cost of her Ortho Tri-Cyclen Lo, a popular birth control pill, recently jumping to nearly $50 from $12, she now does ” less because of this — less shopping, less going out to eat.” “Give — that others may shop,” is not a compelling message for the holiday season.

  4. Seriously, I think those sex education bit in Mean Girls is what they want

    Don’t have sex. Because you
    will get pregnant and die.

    Don’t have sex
    in the missionary position,

    don’t have sex standing up.

    Just don’t do it, promise?

    OK, everybody take some rubbers.

    At your age, you’re gonna
    be having a lot of urges.

    You’re gonna want to take off
    your clothes and touch each other.

    But if you do touch each other,
    you will get chlamydia. And die.

    Coach Carr.

    Cady Heron, they wanna see you
    in the principal’s office.

    All right, chlamydia. K-L-A…

  5. Seriously, I think those sex education bit in Mean Girls is what they want

    Don’t have sex. Because you
    will get pregnant and die.

    Don’t have sex
    in the missionary position,

    don’t have sex standing up.

    Just don’t do it, promise?

    OK, everybody take some rubbers.

  6. True, Cara. Sorry, the hostility in my tone was not directed to you in the least — it was all at the people who argue that hormonal birth control isn’t 100 percent effective and therefore shouldn’t be used. And if typical usage rates are less than 100 percent, shouldn’t we be educating people in how to use it correctly rather than advising them not to try at all? Idiots.

  7. Cara: The New York Times could have quoted on of the many women for whom more expensive birth control means a real sacrifice, say giving up fresh produce for top ramen, or foregoing a warm winter coat. Instead, they go all the way to the middle of North Dakota to interview a woman who will only have to give up a couple of restaurant meals, or perhaps forgo a bit of retail therapy. By selecting this woman, they reinforce the point that the price increase is no big deal for the “Starbucks and iTunes” buying set.

  8. this totally disregards the people who went to college on a budget…ya know…the ones who worked their way through it…those of us who knew that a $40 increase meant you may not be able to afford both birth control and books for your classes. or insurace for the car that gets you to your job. or forget the car…the seasonal bus pass…you will always have to cut something. but oh, that’s right, if you really wanted birth control you could hold off on luxuries like education. and here comes that work/family thing all over again. forbid you should have a break while trying to better yourself…fuck off

  9. I agree that there are students with more dire situations that they could have interviewed, but I also reject the idea that people should have to make sacrifices to afford basic health care. And though the student in question could be an exception, most college students have little cash and little time on hand. As a college student, particularly one who works his or her ass off, going out to that dinner a few times a month can be the highlight of that month. I don’t find it to be as trivial as you make it out to be. When you don’t have a lot of money, the little that you do have to spend on entertainment becomes important to you. I can say this from experience and as someone who, due to rising prices, is currently having trouble affording food and gas. Of course, in the big scheme of things, losing the ability to go out to dinner once a week means exceedingly little, especially when put up against true poverty. But I also think that people do deserve the right to more than just scraping by. And that one dinner a week means a hell of a lot to the person who’s losing it. Not as much as groceries or shelter or utilities, but it does mean a lot.

    And for the record, I think that it’s absolutely insane that birth control pills would cost $50 for ANYONE, let alone a student. They’re fucking birth control pills for christ’s sake, doesn’t that strike you as absolutely ridiculous?

  10. There was an article similar to this in Us News and World report a short while ago. The response letters were priceless- a lot of “shouldn’t these women be focusing on school,not sex” letters, as if it’s impossible to both study and screw. Meanwhile,I’ve had a sucessful college career so far (one semester left) all while having TEH SEX (and liking it).
    Also,I love how a lot of the arguments supporting the rising cost of bc direct their hostility towards the stupid,silly,slutty women. because it’s not like these girls are having sex with guys/men anyways…

  11. Not to mention the fact that *some* of us need those pills for reasons beyond/in addition to teh sexx0ring. I’m off the pill right now, but I probably should go back on it. Why? I can’t handle losing a day or two of work every frigging month to debilitating pain and exhaustion.

    But what am I saying? Clearly, I have overextended myself, and run the risk of ruining my ladybits with too much education.

    Now, if you’ll excuse me, I have to go find a place to swoon.

  12. Others said low-priced, easy-to-attain contraception might encourage a false sense of security about sex.

    I think their problem has more to do with it creating a true sense of security about sex.

    But contraception isn’t 100 percent — for pregnancy or for disease.”

    No, but it also fixes that little detail about not being able to have sex, which abstinence-as-pregnancy-prevention by definition comes up with, to quote the LOLcats, “epic fail.”

  13. i am shooting blind here, because the first i heard of this problem was here, and while you may have posted WHY it happened, i missed it…

    so, does this have anything to do with abstinence education cutting into BC sales? (as in, abstinence education is steering girls away from BC)??????

  14. so, does this have anything to do with abstinence education cutting into BC sales?

    No, the two are not directly related. It’s more of a culture from our government that BC is useless and shouldn’t be available, which is the same attitude that is behind abstinence only education, that people are suggesting has something to do with the problem. Government funding questions have nothing to do with the problem, though. The government never subsidized the cheaper prices.

    The reason the problem occurred is outlined in the Times article I linked to far better than I could explain it. It comes down to them changing the rules about college clinics being able to negotiation prices with pharmaceutical companies.

  15. “shouldn’t these women be focusing on school,not sex”

    Because sexual repression takes less time and energy than healthy sexual expression? Not buying it.
    Why are these women spending so much time focusing on sleeping and feeding themselves when they should be studying? Lazy gluttons!
    Umm, no. People who are well rested, well fed and well orgasmed are happier, healthier and more productive.

  16. When you don’t have a lot of money, the little that you do have to spend on entertainment becomes important to you.

    Luxuries: entertainment, health care, sex, reproductive choice. All available to those who “deserve” it.

  17. I noticed the NY Times was not terribly sympathetic. They went all the way to Grand Forks, North Dakota to discuss the impact on college senior Katie Ryan . With the monthly cost of her Ortho Tri-Cyclen Lo, a popular birth control pill, recently jumping to nearly $50 from $12, she now does ” less because of this — less shopping, less going out to eat.” “Give — that others may shop,” is not a compelling message for the holiday season.

    God forbid a student (a female one) be able to go out to dinner now and again. Hey, their monthly cost of birth control suddenly and without justification quadrupled — but they were just spending money in a way Hector didn’t approve of, so it’s all good!

    Note also that this is a cost that hits female students, but not male students. So nobody is examining the spending habits of male students, clucking that they shouldn’t be buying beer and downloading music.

    Which brings me to another point: Starbucks seems to be the latest bete noir among those who pooh-pooh the high cost of student loans or predatory lending practices. “Why, you buy your coffee at Starbucks! How dare you complain about $60,000 a year tuition! Surely, if you gave up that $4 cup of coffee with the ferrin name, you’d be able to pay off your six-figure undergraduate debt with your low-five-figure salary within a year! What are you complaining about? Damn kids today.”

    I don’t know how many articles I’ve seen written by financial “experts” telling college and law students that it’s that morning cappucino, rather than the exorbitant cost of higher education, that’s keeping them from paying off debt (that’s not to say that $4 a day doesn’t add up — it’s $1460 in a year — but it pales in comparison to 10% yearly tuition increases, which necessitate taking out more money in loans. Besides, the “no Starbucks” advice assumes that you haven’t cut out other luxuries).

  18. God forbid a student (a female one) be able to go out to dinner now and again. Hey, their monthly cost of birth control suddenly and without justification quadrupled — but they were just spending money in a way Hector didn’t approve of, so it’s all good!

    Her plight did not evoke my sympathy, it’s true. And, I suspect I’m not alone in this. That’s why I would not have picked her as the poster child for the effect of birth control price hikes on students. Presumably you’d want the readers to think, “What a shame. Something should be done about this,” instead of “Oh well. She’ll just have to forego ten lattes this month.”

    Note also that this is a cost that hits female students, but not male students. So nobody is examining the spending habits of male students, clucking that they shouldn’t be buying beer and downloading music.

    As a male, I remember when condoms were 50 cents each and now they’re a dollar. So I’m used to paying for contraception, on a pay-as-you-go basis. I can’t speak for male students who are free riding on female students. Cost sharing should be something women can discuss with their partners. But it strikes me that at roughly $2 a day for her birth control, condoms might be the cheaper way to go, obviously depending how much PIV they had.

  19. But it strikes me that at roughly $2 a day for her birth control, condoms might be the cheaper way to go, obviously depending how much PIV they had.

    Oh, sure! Just give up the health benefits of bcps as well as control over your own sexuality and ability to prevent pregnancy. It’s easy! A snap! You might get pregnant if the condom breaks and some wingnut pharmacist won’t let you have Plan B, but at least strange men on the internet won’t be criticizing you for daring to spend money on *both* birth control pills *and* coffee!

  20. Like alsojill mentioned, there are other reasons for the pill that are often ignored. I was on it 19 years for irregular and extremely heavy periods. Anemia anyone? A friend of my sister’s is on it to help curb her endometriosis. Aging women often find it a safer means of controlling menopause.
    Doesn’t matter. We’re all sluts.
    And abstinence doesn’t do dick when you’re drunk or raped. Of course, girls should be getting married and popping out spawn by age 18, not wasting their silly heads going to college….and drinking Starbucks™. Especially if that extra super caffeine is what enables them to stay awake during 16 credit terms and working to be able to pay for school. Always with the judgement, the right wingers, never with a valid solution.

    I’m pregnant and I’m sick of it. (P.S. Since it only took me a month to get knocked up after 19 years on the pill, I would say it was 100% effective for me!)

  21. addon–Not sick of being pregnant! That part is working out ok, minus the “omg I’m bringing a kid into all of this???”

  22. kellyS and alsojill, thank you for mentioning that bcp is not *just* for contraception, and can affect other medical problems/symptoms.

    switching to a new pill to save $ can backfire too and create new problems and side effects. treating those is usually expensive, so there’s probably women out there who are kicking themselves for how they tried to save money! with me it was migraines.

    thank god for planned parenthood, is all i’ll say.

  23. switching to a new pill to save $ can backfire too and create new problems and side effects. treating those is usually expensive, so there’s probably women out there who are kicking themselves for how they tried to save money! with me it was migraines

    As I said, I’m off the Pill right now (after 4 years on it, I decided to go off for a while and see how my body did without hormonal intervention, and since I’m celibate I didn’t need it for any other reason), but when I was taking it to control my anemia, nausea, exhaustion, and pain (again, controlling that–luxury, I tell you!), I went through four or five prescriptions before I found one that worked for me.

    And the one that does work for me is Yasmin–which was expensive even at the cut-rate prices. (It was like $50/pack THEN.)

    So, yeah. Now I”m afraid to go back on b/c of the prices. Even though my insurance should cover it…and I’m not even sure about that, given how I had to fight tooth and nail to get them to cover my Gardisil injections. (Insurance is also why I don’t want to go to Planned Parenthood–at the university pharmacy, I can charge the bill to my student account, and will *probably* not wind up eating the cost, whereas if I went to PP, I’d have to pay out of pocket until the damned insurance company decided to cough up the money…if they will at all.)

    So I’m used to paying for contraception, on a pay-as-you-go basis.

    Yeah, it’s really not the same thing. Condoms are great for protection. But birth control gives women control over their periods and health, as well. (And I would be very concerned about girls on bc who weren’t having sex with condoms in addition to the Pill.) When universities are unable to give out free condoms to their students, THEN I think we’d see some menz being really concerned about this problem.

  24. As a male, I remember when condoms were 50 cents each and now they’re a dollar. So I’m used to paying for contraception, on a pay-as-you-go basis. I can’t speak for male students who are free riding on female students. Cost sharing should be something women can discuss with their partners. But it strikes me that at roughly $2 a day for her birth control, condoms might be the cheaper way to go, obviously depending how much PIV they had.

    HAHAHA. No, seriously. That’s your argument, that men know what it’s like to have to pay out the ass for contraception? Unless the guy has sex 50 times a month, it’s not the same cost that students are paying now. I think that the average cost for pills is around $25 a month, and most women buying their pills on campus used to pay $10. I’d say that most college students probably don’t even have sex even 10 times month. And though it probably does change my region, condoms do not cost a dollar a piece, here. A twelve pack is around $7. And that’s the name brand fancy ones. You can also get condoms for free . . .well, everywhere. Not fancy, but they work. Like the non-fancy pills most students were taking.

    And like alsojill says, there are other benefits to the pill besides birth control. Regulated and less painful periods is one. Having control over the contraception you use is another. Not to mention all of the other problems with condoms: they break, you have you have one to use it, you have to trust the guy to wear it, some people are allergic to latex, and that’s not even getting into the “I don’t like them” factor. I say none of this to discourage people from using condoms as either birth control or disease protection — I say it because suggesting that a woman just go switch from their birth control pills to condoms like it’s the same damn thing is absolutely ludicrous.

  25. My point made again: This was a bad article. The New York Times left out all these excellent arguments as well. Again, look at who they picked to represent the women affected by the price hike: “The potential is that women will stop taking it, and whether or not you can pay for it, that doesn’t mean that you’ll stop having sex,” said Katie Ryan, a senior at the University of North Dakota in Grand Forks, who said that the monthly cost of her Ortho Tri-Cyclen Lo, a popular birth control pill, recently jumped to nearly $50 from $12.

    I’m surprised the NYT headline wasn’t: Horny coeds would risk pregnancy rather than give up Starbucks. With the sub-head: Contraception causes false sense of security, some say.

    Every article is subjective. Every writer decides what to put in and what to leave out. To my mind, based on the choices the writer made (or were made by management), the writer intended to minimize or dismiss the effect of the price increase. That is all.

  26. Where in that quote does she say she’s going to have lattes rather than birth control? She’s saying that it’s going to become unaffordable for some people, and that regardless of whether they can afford bc, they’re going to have sex.

    *You’re* the one reading “rich little snots want their coffee and are fucking in a way I don’t approve of* into that quote.

    You seem to have a problem with adult women having sex, and with adult women having small pleasures like coffee.

  27. I don’t know how many articles I’ve seen written by financial “experts” telling college and law students that it’s that morning cappucino, rather than the exorbitant cost of higher education, that’s keeping them from paying off debt (that’s not to say that $4 a day doesn’t add up — it’s $1460 in a year — but it pales in comparison to 10% yearly tuition increases, which necessitate taking out more money in loans. Besides, the “no Starbucks” advice assumes that you haven’t cut out other luxuries).

    THANK YOU! I am sick of people (one financial aid person in particular) telling me how I could really save money by skipping my daily latte and how these little costs add up. Okay, I buy a coffee maybe once a month, so your tip means that I could save up to $40 a year. Which is not exactly a large chuck of the $40k in student loans I have (which is relatively small for a person who just finished seven years of higher ed). Secondly, can I look at your expenditures and tell you what you don’t need, and as a result, lower your salary that my tutition helps pay for?

    Finally, I would like to give a shout-out to my gyno office, who loaded me up with 6 months of bc samples when they learned that I don’t currently have health insurance.

  28. Crap like this is a large part of why I have an IUD. My insurance may do anything in the next five years, but even if it goes ballistic on me now, at least pregnancy isn’t an issue until 2012. Fortunately, my insurance as it currently stands covered the initial costs, which I gather a lot don’t.

  29. I would personally like to send a big hug to BCBS for not charging a copay on my monthly BC. I don’t know why, if it has to do with the non-uni pharmacy or if they’re feeling generous towards grad students, but that extra $10 a month (generic pills!) really helps feed my extravagant Starbuck’s purchases when I’m trying to sit through lecture until 9pm after starting work at 9am. Heaven forbid I receive an education while awake.

    Ditto to hating those patronizing “don’t buy fancy coffee if you want to pay off your loans” articles. FUCK YOU guys. Do you know what would help me pay off those loans? Not having 40K in loans plus interest in the first place perhaps?

    And speaking of patronizing… Hector, please STFU about birth control until the day it becomes possible for you to get pregnant. You may be a stand up guy who always brings and wears a condom, but not everyone is. Call me crazy, but I prefer to have sex without thinking “oh god please don’t break, please. Wait, is it still on?” and then hold my breath for however long till I get my period.

    random question- do schools provide the Nuvaring or Depo or any long term BC cheaply, if at all?

  30. I’m a law student, and the SHC @ my school provides NuvaRing for slightly cheaper, but at the same time, they also provide Plan B–at a $5 markup on what the CVS down the street offers. Also, they’ll let you pay cash for an HIV test (presumably so parents/billpayers [if you’re lucky enough to have them, which most of the undergrads at my school do] don’t find out), but if you buy any kind of BC or Emergency BC, it has to go on your student account, which says to me, “Having sex? I’m sending a bill/letter for it to your Mom and Dad, SLUT!”

    Also, it may have been a while since I went through a journalism class, but when did it become acceptable to attribute statements to “some people”? I thought you had to have a person–y’know, the kind with a name–to cite as a source for something like that.

  31. You are awesome in all kinds of ways, Cara.

    I take the Pill (LoestrinFE, to be specific) because I came to my gyno just before I turned eighteen for erratic, long periods and found out I had an ovarian cyst the size of a softball. It wasn’t cancerous but it was damn close. So after my surgery the gyno gave me the Pill to help keep my hormones in check, just in case.

    Guess what? I’m still a virgin. It’s been about a year and a half.

    Oh my fucking god! I DIDN’T go and jump the nearest hot guy because I was less likely to get pregnant!

    I’m sick and fucking tired of the “irresponsible teenager” meme. It’s a self-fulfilling prophecy–these kids are bombarded with messages from media, parents, politicians, even their own doctors that teenagers are too fucking stupid to make their own decisions, so they end up acting that way because that’s what they’ve been told that teenagers act like. It’s nauseating, and it’s not fair.

    Dammit, I have to go beat the hell out of something now. Video game time!

  32. Umm, no. People who are well rested, well fed and well orgasmed are happier, healthier and more productive.

    Thank You!! If you have no contraceptives at all, women’s excuses for getting pregnant will be because of that. If the contraceptives are highly priced, the same thing will happen. I see nothing wrong with college students having discounted contraceptives.
    Face it, as time goes on, women are having sex at younger ages. You cannot expect abstinence… you can hope for it and lecture about it, but I doubt it’ll change much of anthing.

  33. OK so, umm. . . I think that maybe rather than rip Hector’s throat out we should thank him for supporting the same side we do. I agree that this whole birth control price increase thing is insane. I am 19 work 20hrs a week take a full load of classes and pay over 150 dollars every month for endocrine related drugs of which my birth control pill is on of the cheapest.
    It is a sign of the cultural death that we live in that we cannot accept a drug having two separate purposes or girls using the pill as a back up to abstinence. Also, I congratulate Hector on having bought condoms. Most guys I know won’t use them unless absolutely necessary. They tend to prefer annual screening to prevent disease and pulling out to prevent pregnancy.
    Also, this is rather off topic, they include both typical use and perfect use numbers on the statistics for bcp’s they should do the same for abstinence. That would put things in slightly better perspective.

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