Become a digitalPLUS subscriber. 99¢ for 4 weeks.
NewsOpinionEditorial

Plan B is overruled

Medical ResearchMedicinePlan B (drug)Abortion IssueFamily Planning

Health and Human Services Secretary Kathleen Sebelius' decision this week to overrule the Food and Drug Administration commissioner and refuse to authorize girls under age 17 to have over-the-counter access to the emergency contraceptive pill known as Plan B is exactly the kind of triumph of politics over science that one might expect of the last administration.

But even under President George W. Bush, there was a grudging acknowledgment that the "morning-after" pill ought to be available to women without a prescription. The scientific evidence was simply too massive too ignore. And so, after the Bush administration initially refused to authorize over-the-counter access, officials eventually agreed to a compromise in 2006 that made Plan B available without a prescription to women 18 and older (with the cut-off lowered to age 17 in 2009 as part of a court-ordered review).

The argument against providing greater access to girls 16 and under was never regarded as strong, and the HHS secretary's suggestion Wednesday that there's been insufficient study of the effects on 11-year-olds is laughable. Drugs with far greater risk — acetaminophen, for instance — have been made available to children with far less research on pre-teen use.

But here's what is known for certain: Plan B is most effective at preventing pregnancy when it is taken as soon after unprotected sex as possible. Obligating a woman to seek out a doctor and get a prescription only raises the risk of unintended pregnancy.

This is not some rarely used or potentially risky drug formulation capable of disrupting an existing pregnancy. First made available in this country in 1999, Plan B uses the same hormones found in ordinary birth-control pills to prevent pregnancy. It should not be confused with RU-486 or mifepristone, the drug that is used to terminate pregnancy and is only administered at clinics or doctor's offices.

Nor can it be argued that young girls are incapable of understanding the consequences of the drug or that they are unlikely to use it properly. Studies show access to the drug does not increase sexual activity and doesn't lead to health-threatening overuse.

This much is also clear: Social conservatives and some religious groups oppose making Plan B more widely available — much as people have opposed other forms of birth control on moral grounds. Some believe life begins before a women's egg is implanted in the wall of the uterus and that the drug's potential interference with that process amounts to a form of abortion. But public health decisions should not be based on religious faith or appeasing those with political influence. They should be made by looking out for the health and safety of all.

Never before has an FDA commissioner been overruled in such a manner. The agency's decision was based on the expertise of pediatricians and obstetricians, advisory panels and studies compiled by the drug's manufacturer. In other words, it was the best medical advice available.

In his inaugural address, President Barack Obama pledged to "restore science to its rightful place." By that, he appears to mean he'll support science when it's convenient but not when it might rally social conservatives against him. But if a Democratic president can't stand behind the medical findings of the FDA, who will?

Unfortunately lost in this decision is the welfare of the teens affected and the prospect of more unintended pregnancies. That is likely to lead to more abortions — a circumstance conservatives claim not to want. Estimated to number 1.6 million per year in the U.S., unintended pregnancies are a serious and costly problem that contribute to the cycle of poverty and the incidence of birth defects.

That's not to suggest that Plan B should be regarded as anything more than a back-up method of birth control, one that does nothing to reduce the risk of sexually transmitted disease. But medically unnecessary restrictions on access to birth control are unfair to women, a point that should have been obvious to Ms. Sibelius, who has generally been viewed as a champion of women's health care rights and as staunchly pro-choice.

Perhaps Mr. Obama felt an obligation to balance some of his more progressive policies (insisting contraceptives be funded under health insurance reform, for instance). But how disappointing that he would make that political calculation at the expense of teen girls who, instead of the bogus threat of a commonly used drug, must face the very real health threat of unwanted pregnancy.

Copyright © 2014, The Baltimore Sun
Related Content
Medical ResearchMedicinePlan B (drug)Abortion IssueFamily Planning
  • Plan B decision shows good judgment

    If a girl 16 or younger has had vaginal intercourse, she's been raped ("Plan B is overruled," Dec. 9). Few states allow marriage or consensual sex under the age of 17. Do we really want such a girl, afraid that she may become pregnant, to take her predicament to no other...

  • Reviving the Parkway and a neighborhood
    Reviving the Parkway and a neighborhood

    A hundred years ago, the Parkway Theater at the corner of North Charles Street and North Avenue was a much admired movie palace and gathering spot for Baltimore's glittering upper crust. But the theater's fortunes declined with those of the surrounding neighborhood over the decades...

  • What did Hogan tell the NRA?
    What did Hogan tell the NRA?

    Based on what Republican gubernatorial candidate Larry Hogan has said about gun control, it's hard to see what the National Rifle Association would find appealing about him. He has said that although he opposed the strict new gun control legislation Gov. Martin O'Malley championed two...

  • Robert B. Reich: Getting a grip on Ebola
    Robert B. Reich: Getting a grip on Ebola

    Ebola is not a crisis in the U.S., but the media hype is

  • The euro must go
    The euro must go

    Europe faces yet another recession, and the prospect is shaking global financial markets. To eliminate the persistent threat of collapse, Europe must drop the euro, and Germany must abandon mercantilism.

  • New driver's license law undermines security
    New driver's license law undermines security

    "Wow, this doesn't really look like you," said what seemed like the hundredth person examining my driver's license photo.

Comments
Loading