K.'s story reminded me how cost can be a huge factor in birth control decision-making. Even if you have insurance, copays for the newer brands of pills can be high--and some forms of contraception, like IUDs, are often not covered at all. And if you don't have insurance, your options are even more limited. While creativity and large discount stores can help, many of my patients really struggle each month to stay on their method despite tough financial times.
Which is why it's so galling to me that the Republican nominee for president is flummoxed by the idea of comprehensive contraceptive coverage, on par with coverage for drugs like Viagra. Prevention of mistimed pregnancy is one of the most important parts of a woman's health, for many years of her life. For many reasons, using a birth control method consistently can be a challenge for many, so we should remove as many barriers as possible. I'd love to see the pill available over-the-counter for $1 a month, but I'd settle--for now--for universal insurance coverage.
Have you ever made a birth control decision based on cost?
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