Religion and Health Care Shouldnt Mixâ€A Contraceptive Conundrum

A good portion of what I do as a family practice Physician Assistant involves counseling women and men about birth control. I have also gone to public schools and counseled junior high school students about puberty and sex. One thing is for certain the answer to solving America's health care problems is definitely not placing restrictions or further boundaries on access to safe, effective contraception. Of course right now in the news a big debate is raging over weather or not religious institutions should be required to provide family planning services. These are often the same religious institutions that aim to curb the ever rising rates of abortion. To me this seems backwards. If I dont believe in smoking is the best way to curb the rising rates really by denying my patients a prescription for Chantix? The Contraceptive Conundrum Of the six million pregnancies that occur among American women each year, nearly half are unintended. As a result, American women experience 1.4 million unplanned births and 1.3 million abortions annually. In 2007 The Alan Guttmacher Institute, which specializes in reproductive health issues, released a massive study showing that abortion rates rise and fall in synch with the availability of family planning services. From the Guttmacher Institute's news release, its study, and the Washington Post report, we learn that states which fund programs to make family planning services widely accessible had lower rates of unplanned pregnancies -- and women having abortions. In recent years, many states cut back on these programs, making poor women and girls more likely to have unintended pregnancies. Meanwhile, the religious right is aggressively campaigning both to end the availability of abortion and to limit access to contraception. The United States has sky-high rates of unplanned pregnancies and abortions. As Guttmacher President Sharon L. Camp told the Washington Post, "Unintended pregnancy in the United States is twice as high as in most of Western Europe. As a direct result, abortion rates are twice or three times as high as European countries. There is no reason why abortion rates need to be as high as they are. At What Cost? The direct medical costs of unintended pregnancies were US$9.4 billion in 2002. Direct medical cost savings due to contraceptive use were US $12 billion. National Cost of Teen Childbearing Teen childbearing in the United States cost taxpayers (federal, state, and local) at least $10.9 billion in 2008, according to an updated analysis by The National Campaign to Prevent Teen and Unplanned Pregnancy. Most of the costs of teen childbearing are associated with negative consequences for the children of teen mothers, including increased costs for health care, foster care, incarceration, and lost tax revenue. Contraception, unsafe abortions and complicated pregnancies The risk of a woman dying from pregnancy-related causes during her lifetime is about 1 in 4,800 in the USA and 1 in 17,400 in Sweden as compared to 1 in 7 in Niger. Worldwide some 200 million women of childbearing age want to delay or avoid pregnancy, but 137 million use no method of contraception at all. Every year, 190 million women become pregnant, at least a third of them unintentionally. Nearly 50 million women resort to abortion every year, and 19 million are done under unsafe conditions. An estimated 68,000 women die each year as a result. Millions more suffer infections and other complications, such as infertility. Family planning can prevent the serious health consequences of becoming pregnant within six months of an abortion (anemia, membrane rupture, low-birth weight, preterm delivery). Contraceptive use drastically reduces the chances of unintended pregnancy. Over the course of a year, only 8% of women using the pill will become pregnant, compared with 85% of sexually active women not using contraceptives. This fact alone helps explain why the 7% of U.S. women at risk of unintended pregnancy who do not practice contraception account for almost half of the country's unintended pregnancies. WOMEN IN NEED OF CONTRACEPTION, 2000 State Overall, # in 000s With public support % of all # in 000s U.S. Total 33,983 48.2 16,396 Alabama 496 55.6 276 Alaska 72 44.4 32 Arizona 606 52.0 315 Arkansas 280 58.9 165 California 4,281 49.3 2,111 Colorado 537 42.6 229 Connecticut 438 36.8 161 Delaware 93 43.0 40 District of Columbia 85 48.2 41 Florida 1,699 49.9 848 Georgia 988 47.8 472 Hawaii 138 44.2 61 Idaho 141 56.7 80 Illinois 1,568 44.3 694 Indiana 735 48.6 357 Iowa 325 52.0 169 Kansas 309 50.8 157 Kentucky 442 54.3 240 Louisiana 520 59.4 309 Maine 152 52.0 79 Maryland 637 38.1 243 Massachusetts 880 38.0 334 Michigan 1,215 46.3 562 Minnesota 598 42.3 253 Mississippi 310 62.6 194 Missouri 665 51.4 342 Montana 89 61.8 55 Nebraska 197 51.8 102 Nevada 239 46.0 110 New Hampshire 158 39.9 63 New Jersey 1,101 35.9 395 New Mexico 207 61.4 127 New York 2,557 46.7 1,195 North Carolina 924 49.2 455 North Dakota 72 58.3 42 Ohio 1,369 48.1 658 Oklahoma 372 58.3 217 Oregon 390 50.5 197 Pennsylvania 1,528 46.8 715 Rhode Island 143 46.2 66 South Carolina 458 53.3 244 South Dakota 82 57.3 47 Tennessee 646 51.2 331 Texas 2,469 52.8 1,304 Utah 292 50.3 147 Vermont 72 52.8 38 Virginia 835 43.8 366 Washington 708 45.1 319 West Virginia 182 60.4 110 Wisconsin 634 46.4 294 Wyoming 51 56.9 29 Source: The Alan Guttmacher Institute (AGI), Women in Need of Contraceptive Services and Supplies, 2000, AGI, 2003, www.guttmacher.org/pubs/win/index.html. Some Final thoughts I know there is a ton of data here. But I think it comes down to this. If the goal of the religious right is to save lives then they need to preserve access to contraception. If conservatives want to save money and reduce taxes then they need to preserve access to contraception. If conservatives want to protect the constitution then they need to remove a biased religious based judgment from medical decision making. And this is why religion and health careshouldn'tmix! You may also like -How Much Does it Cost to go to Physician Assistant (PA) School?So you are considering PA school? Great, now how are you going to pay for it? With the average undergraduate education debt prior to PA school at $36,300 and the average anticipateddebt load from PA school at $112,500 it's probably []2015 Physician Assistant Program Tuition and Cost Comparison Table Updated 2015 Physician Assistant Program tuition and cost comparison table. 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