It is no secret to anyone who reads this blog that I am a not a fan of birth control. I think it’s unconscionable that women have been expected to suppress or perhaps even damage a healthy, normal part of who they are in the interest of unrestricted sex. Contraception has led to an expectation that women must be sexually available at all times. And it has facilitated relational dysfunctions like the hookup culture, which could not possibly exist without it.
I don’t normally comment on things political, but given this passion, I do want to make one observation in the wake of the supreme court decision earlier this week.
Birth control occupies an unusual, perhaps even unique, place in medicine. The purpose of medicine is to fix what is wrong with a human body, and birth control does not fix a woman’s health. In fact, it inhibits the normal, healthy function of her body. I am hard pressed to think of any other comparable situation in medicine (aside from vasectomy, which is part of the same topic).
Yes, the pill is slapped like a band-aid on any number of conditions, and I’m willing to concede that in some cases it can be useful to treat symptoms (although not the conditions underlying them). But birth control as a family planning method–which is what we’re talking about–is not treating a health problem. In fact, you could argue that it’s creating one by shutting down the way the body was designed to work.
For this reason, birth control’s presence in the health care law has always bothered me. I get why birth control must be administered by medical professionals: it’s a pharmaceutical, and where else in the regulatory hierarchy are you going to classify a pharmaceutical? But still–family planning is not health care.