Under court order the FDA is allowing and over the counter
version of the morning-after pill. According to the public health science of
the FDA it is clear that making emergency contraception available over-the-counter
will help to prevent unwanted pregnancies, and the health risks associated with
the morning-after pill are dwarfed in comparison to the health risks associated
with unwanted pregnancies.
Unfortunately the Obama administration and Kathleen Sebelius
rejected the FDA science and tried to prevent the morning-after pill from
becoming over-the-counter. The courts disagreed and mandated the FDA to allow
an over-the-counter version. The policymakers had one more trick up their
sleeves. Instead of releasing all varieties of emergency contraception to
over-the-counter sales, the FDA is only allowing the brand Plan B One Step to
be over-the-counter. There is a generic version of the same medication
available for half the price, but the generic is required to be kept behind the
counter and customers must prove their age to purchase it.
Teva pharmaceuticals the Israeli based company that owns
Plan B One Step is able to maintain its monopoly pricing as the only
over-the-counter emergency contraception option. What this means is that the
over-the-counter morning-after pill continues to be inaccessible to girls who
can't afford it. If unwanted teen pregnancies contribute to the cycle of poverty
then this FDA granted monopoly only contributes to an increasingly rigid class
structure. Rich kids won't be turned away by Plan B One Step's $60 cost.
Since a generic version exists, why couldn't that be allowed
for over-the-counter sales? Apparently there is an idea that the increased
price will prevent very young girls from inappropriately using the
morning-after pill. While it's true that the younger you are the less money you
are likely to have access to it's also true that the poorer you are the less money
you are likely to have access to. What's particularly interesting is that this
monopoly privilege is only given for three years. Now you really have to ask
why?
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