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B pill is a win
It was Wednesday,[link widoczny dla zalogowanych], so the man with the plastic models of fetuses was on the sidewalk outside Planned Parenthood on H Street in San Rafael. He has been showing up three days a week for about eight months.
"Excuse me, can I give you some information before you go in?" he said.
I declined but took the opportunity to ask what he thought of the possibility that the would make the "morning- after" pill available nationwide over the counter without prescription, a proposal endorsed by the FDA's advisory committee this week. As it would reduce the number of abortions by preventing unintended pregnancies, the proposal seems like a rare win-win for those who support the right of women to make their own reproductive decisions and those who oppose abortion.
But the man was adamantly against it, echoing the opinion of pro-life members of Congress who signed a petition urging the FDA to reject the proposal. The pill causes an abortion, he explained, if a woman is already pregnant. I pointed out that doctors and researchers testified before the FDA advisory committee that the emergency contraceptive known as Plan B has no harmful effect on a fetus already developing. The pill prevents pregnancy within 72 hours of intercourse by, in most cases, preventing ovulation. In other cases,[link widoczny dla zalogowanych], if the egg has been newly fertilized, the pill prevents the egg from implanting in the uterus.
The man smiled and shook his head. Conference of Catholic Bishops.
On this day,[link widoczny dla zalogowanych], the plastic-fetus man enjoyed the company of another older man,[link widoczny dla zalogowanych], equally well-dressed in his crew-neck pullover and slacks.
"My objection is about the young girls," the man said. "These young girls are going to be able to go into a drugstore and just take these pills like, like -- cough drops!"
I asked if he knew how much one dose of Plan B cost. He didn't.
"Twenty-five to 30 dollars," I said.
"Oh. I didn't know that. Huh,[link widoczny dla zalogowanych]."
Up a flight of stairs,[link widoczny dla zalogowanych], in Planned Parenthood's medical clinic,[link widoczny dla zalogowanych], young women in low-riding jeans and sneakers sat hunched in plastic chairs,[link widoczny dla zalogowanych], scribbling their medical histories onto clipboards. Those who had finished sat silently,[link widoczny dla zalogowanych], their purses on their laps, neither talking nor touching the stacks of old magazines on the end tables. One young woman was writing Christmas cards. I asked what she thought about making the morning-after pill easier to buy.
It turned out she had taken it recently when her boyfriend's condom broke. "I freaked out," she said. She had been off birth-control pills for several months after suffering from migraines. "I'm 26, and my boyfriend and I have been together almost seven years, so if I had gotten pregnant, I would have dealt with it. But it's not something I want right now."
The young woman was able to get the pill from her Walgreens pharmacist. In California, Washington and several other states, pharmacists can dispense Plan B without a prescription. But only 14 percent of the pharmacies in California do so, according to the drug's distributor,[link widoczny dla zalogowanych], Barr Laboratories.
Making the morning-after pill available nationwide without a prescription makes such obvious, solid sense that opponents are twisting themselves into knots trying to make their arguments. They say it will encourage promiscuity because adolescents could buy the drug as easily as aspirin. (Truly, sometimes I wonder if the really hard-core pro-life people know any actual adolescents.)
"At $25 a pill,[link widoczny dla zalogowanych], you're not going to be running to the drugstore every time you have sex," said the young woman with the Christmas cards. "But if something unforeseen happens, at least you know you can take care of it,[link widoczny dla zalogowanych], and that's great. Where's the downside?"
In an office off the waiting room,[link widoczny dla zalogowanych], Planned Parenthood's on-site manager wondered the same thing. "I can't see a downside to having more freedom of choice," Neal-Ahlers said. "The more women have access to options, the more women have control over pregnancies,[link widoczny dla zalogowanych], which benefits everybody."
I passed through the waiting room on my way out. Different young women in jeans had arrived, hunched over clipboards,[link widoczny dla zalogowanych], silent in their worry or embarrassment or nervousness. These are the rooms where women come to pay the price for sex. They get to tell strangers in white smocks the intimate details of their sex lives and obtain prescriptions for pills and patches and shots and take pregnancy tests and stick their feet into stirrups and otherwise bear the responsibility for the complex business of reproduction.相关的主题文章:


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