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Victory for the Ladies (those age 18+)

VictoryGinVictoryGin Posts: 1,218
edited August 2006 in A Moving Train
The Train opened just in time to celebrate, holla! :)


August 24, 2006

Morning After Pill Is Cleared for Wider Sales

By GARDINER HARRIS

WASHINGTON, Aug. 24 The Food and Drug Administration today approved over-the-counter sales of the morning-after contraceptive pill to women 18 and older, resolving one of the most contentious issues in the agencys 100-year history.

The drug, an emergency contraceptive called Plan B that is manufactured by Barr Laboratories, will be sold only in pharmacies and health clinics. To buy it, women will have to show proof of age. Girls under the age of 18 will still need a prescription to get the drug.

Acting F.D.A. Commissioner Andrew C. von Eschenbach said in a memorandum released this morning that he had decided that 18 was the appropriate cut-off age for sales because pharmacies already restrict nicotine and cold medicines that way.

This approach builds on well-established state and private-sector infrastructures to restrict certain products to consumers 18 and older, Dr. Andrew C. von Eschenbach wrote.

Dr. von Eschenbachs predecessor, Dr. Lester M. Crawford, said last year that science supported giving over-the-counter access of the drug to women as young as 17, but that he could not figure out how to ensure that such an age restriction was enforced.

The agency has decided to rely on voluntary compliance with the rules, since neither federal drug regulators nor Barr plans to police the age restriction. A memorandum written by Dr. Steven Galson, director of the F.D.A.s drug center, said that Barr should send to state pharmacy boards any reports that it happens to receive of pharmacists who repeatedly sell Plan B to minors. Barr has agreed not to sell the pills at gas stations or convenience stores, to ensure better compliance with the rules.

Anti-abortion groups strongly opposed Barrs application to switch Plan B from prescription to over-the-counter status, saying that the medicine is an abortion pill whose widespread availability could lead to an increase in sexually transmitted diseases.

Abortion rights advocates pushed equally hard to get the application approved, contending that easy access to Plan B would sharply reduce the nearly 1 million abortions performed each year in the United States.

Both sides are wrong, studies suggest. Couples in the United States have so much unprotected sex half of all pregnancies are unplanned that even if the pills were passed out like lollipops, they would be unlikely to cause a major change in abortion and disease rates.

Emergency contraceptives dont work if, like condoms, theyre left in the drawer, said Dr. James Trussell, director of the office of population research at Princeton University. And studies show that even if women have the pills on hand, the drawer is where they remain.

Indeed, Plan Bs effect on the F.D.A. and its image may well overshadow its public health impact. The agency has been considering the switch for three years, through three different commissioners.

I cannot recall any other issue in my 45 years of watching F.D.A. that has garnered this much attention at all levels of government, said Peter Barton Hutt, a former general counsel for the agency who now teaches drug law at Harvard.

The director of the agencys office of womens health resigned last year to protest what she said was the abortion politics behind the delay in approving Plan B. An investigation by the Government Accountability Office concluded that top agency officials had decided to reject the initial Plan B application months before a scientific review was complete.

Sworn depositions show that some of the agencys science staff members were convinced that no amount of scientific evidence would have persuaded the agencys political appointees to approve the application.

Dr. John Jenkins, director of the agencys office of new drugs, said in a deposition that his boss, Dr. Steven Galson, told him that he felt he didnt have a choice but to reject the application, according to transcripts provided to The New York Times.

And he characterized that in a sense that he wasnt sure that he would be allowed to remain as center director if he didnt agree with the action, Dr. Jenkins said. Dr. Galson, director of the agencys drug center, is Dr. Jenkins boss.

Dr. Florence Houn, director of the office that evaluated the Plan B application, said that she was told by Dr. Janet Woodcock, a deputy F.D.A. commissioner, that a rejection was necessary to appease the administrations constituents, and then later this could be approved.

Drs. Galson and Woodcock both said in their own depositions and public statements that scientific considerations drove their decisions. One memorandum that has since been made public states that Dr. Woodcock told agency employees that she feared that Plan B could take on urban legend status that would lead adolescents to form sex-based cults.

Sen. Hillary Clinton, a Democrat from New York, and Sen. Patty Murray, a Democrat from Washington State, became so concerned about the delays surrounding Plan B that they placed a legislative hold on Dr. Crawfords nomination last year as F.D.A. commissioner.

The senators lifted the hold after Health and Human Services Secretary Michael O. Leavitt promised that the F.D.A. would act on the Plan B application by Sept. 1 of last year. Dr. Crawford was confirmed.

The agency then announced a further delay in the application, something Ms. Murray said in an interview amounted to the worst double-cross Ive ever seen in my time in the Senate. Mr. Leavitt responded that the delay amounted to an action.

When Dr. Crawford unexpectedly resigned weeks later, the senators said that they would not be fooled again. They have held up Dr. von Eschenbachs nomination to become commissioner, saying that this time they want a Plan B decision first.

The agency added to this strange history today when it released several documents supporting its Plan B decision, including an extraordinary 7-page memorandum by Dr. Galson that clarifies some of his earlier statements.

The memo explains why he now agrees with Dr. von Eschenbach that 18 is a better age restriction than 17, and offers a detailed rebuttal of a previously undisclosed suggestion by subordinates that complaints about noncompliant pharmacists be sent to the federal agency instead of state pharmacy boards.

In a press briefing on Monday, President Bush was asked whether he supported Dr. von Eschenbachs intention to approve over-the-counter sales of Plan B a rare moment when a president addressed an application pending before the agecny.

Mr. Bush said that minors should need a prescription to obtain Plan B.

And I support Andys decision, he said.

The Plan B application has also seeped into popular culture. Earlier this month, Plan B was the subject of a passionate argument on the popular TV talk show, The View.

Still, confusion about the medicine is widespread. Many womens health clinics pass out cards explaining the difference between Plan B, a contraceptive, and RU-486, the abortion drug.

Plan B is made from a synthetic hormone found in regular oral contraceptives. It should be taken within 72 hours of unprotected sex, and like The Pill, it generally acts by preventing ovulation or fertilization, according to the agency. Plan B may in rare circumstances prevent a fertilized egg from becoming implanted something abortion opponents decry. But regular oral contraceptives would prevent implantation in the same way.

RU-486, on the other hand, causes a woman to miscarry a well-established pregnancy.
if you wanna be a friend of mine
cross the river to the eastside
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    hippiemomhippiemom Posts: 3,326
    This is good enough news to actually warrant two threads, if you ask me :D
    "Nothing in the world is more dangerous than sincere ignorance and conscientious stupidity." ~ MLK, 1963
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    In related news, Illinois governor Rod Blaegowrimojowieicvich has mandated that all pharmacies in the state prominently display signs informing women of their legal rights concerning birth control, specifically Plan B.

    Holla, indeed.
    "Of course it hurts. You're getting fucked by an elephant."
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    VictoryGinVictoryGin Posts: 1,218
    hippiemom wrote:
    This is good enough news to actually warrant two threads, if you ask me :D

    Absolutely! It's about time this happened. (And at least it's not two super-hateful threads or anything else of late :)).
    if you wanna be a friend of mine
    cross the river to the eastside
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    cornnifercornnifer Posts: 2,130
    i agree. Pretty soon, if we can keep the momentum we seem to have going, women will not have to make ANY responsible decisions or choices regarding sex. woooooo hoooooo!
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
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    cornnifer wrote:
    i agree. Pretty soon, if we can keep the momentum we seem to have going, women will not have to make ANY responsible decisions or choices regarding sex. woooooo hoooooo!

    That didn't take long... if this momentum continues, women will have more and more options regarding birth control. How is that a bad thing?
    "Of course it hurts. You're getting fucked by an elephant."
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    surferdudesurferdude Posts: 2,057
    That didn't take long... if this momentum continues, women will have more and more options regarding birth control. How is that a bad thing?
    I'm all for this as long as abortion is never viewed as birth control. To me this announcement is pretty much a who cares but if some people want to celebrate it then so be it.
    “One good thing about music,
    when it hits you, you feel to pain.
    So brutalize me with music.”
    ~ Bob Marley
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    VictoryGinVictoryGin Posts: 1,218
    cornnifer wrote:
    i agree. Pretty soon, if we can keep the momentum we seem to have going, women will not have to make ANY responsible decisions or choices regarding sex. woooooo hoooooo!

    I would consider seeking out Plan B to be a responsible decision.
    if you wanna be a friend of mine
    cross the river to the eastside
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    surferdude wrote:
    I'm all for this as long as abortion is never viewed as birth control. To me this announcement is pretty much a who cares but if some people want to celebrate it then so be it.

    It's definitely a big deal to a lot of people, especially after all the politically motivated nonsense that held up the FDA approval.
    "Of course it hurts. You're getting fucked by an elephant."
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    humanlighthumanlight Posts: 271
    In related news, Illinois governor Rod Blaegowrimojowieicvich has mandated that all pharmacies in the state prominently display signs informing women of their legal rights concerning birth control, specifically Plan B.

    Holla, indeed.
    Just a side question: is that the govenor's real name....if so, I hated to be him in grade school!
    "F**K you, I have laundry to do" -ed
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    tybirdtybird Posts: 17,388
    humanlight wrote:
    Just a side question: is that the govenor's real name....if so, I hated to be him in grade school!
    Or the designer of his campaign signs..........yikes.......;)
    All the world will be your enemy, Prince with a thousand enemies, and whenever they catch you, they will kill you. But first they must catch you, digger, listener, runner, prince with the swift warning. Be cunning and full of tricks and your people shall never be destroyed.
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    cornnifercornnifer Posts: 2,130
    That didn't take long... if this momentum continues, women will have more and more options regarding birth control. How is that a bad thing?

    Come on. There are plenty of options. Problem is they all require responsible decision making BEFORE sex. You're right. I can see where thats a problem. Look, i'm grown, married with three children (all boys, no daughters), and have had a vasectomy. This isn't an issue i get my undies in a wad about. Lets be honest, however. This really isn't about choice and options. Its about completely eliminating responsibility along with any consequences of poor choices.
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
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    RainDogRainDog Posts: 1,831
    cornnifer wrote:
    i agree. Pretty soon, if we can keep the momentum we seem to have going, women will not have to make ANY responsible decisions or choices regarding sex. woooooo hoooooo!
    To play with that argument, then, wouldn't that be one step closer to women joining men and creating a more level playing field regarding sex?
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    humanlighthumanlight Posts: 271
    cornnifer wrote:
    Come on. There are plenty of options. Problem is they all require responsible decision making BEFORE sex. You're right. I can see where thats a problem. Look, i'm grown, married with three children (all boys, no daughters), and have had a vasectomy. This isn't an issue i get my undies in a wad about. Lets be honest, however. This really isn't about choice and options. Its about completely eliminating responsibility along with any consequences of poor choices.


    Tell me what choice a young lady who was raped had before this was legal?
    Abortion or Have the baby....this way she simply takes a pill to not get pregnant!
    "F**K you, I have laundry to do" -ed
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    RainDogRainDog Posts: 1,831
    cornnifer wrote:
    Its about completely eliminating responsibility along with any consequences of poor choices.
    Again, playing logic here, can a choice be poor if the negative consequences have been eliminated?
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    cornnifercornnifer Posts: 2,130
    RainDog wrote:
    To play with that argument, then, wouldn't that be one step closer to women joining men and creating a more level playing field regarding sex?

    ummmm, ... no.
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
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    cornnifer wrote:
    Come on. There are plenty of options. Problem is they all require responsible decision making BEFORE sex. You're right. I can see where thats a problem. Look, i'm grown, married with three children (all boys, no daughters), and have had a vasectomy. This isn't an issue i get my undies in a wad about. Lets be honest, however. This really isn't about choice and options. Its about completely eliminating responsibility along with any consequences of poor choices.

    Plan B won't be used as a substitute for other birth control regimens. Do you think that women are going to hoard Plan B, have unprotected sex, and then take the pill the next morning? That seems pretty ridiculous to me. I'd describe it as more of a backup plan... a PLAN B, if you will, that can be used if a mistake is made or something unforseen happens... like a rape, for example.


    EDIT: Of course, if you're 18 or over, you can buy it over the counter and use it any way you damn well please... but that's the whole point of the thread, isn't it?
    "Of course it hurts. You're getting fucked by an elephant."
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    cornnifercornnifer Posts: 2,130
    humanlight wrote:
    Tell me what choice a young lady who was raped had before this was legal?
    Abortion or Have the baby....this way she simply takes a pill to not get pregnant!


    You're absolutely right, because, i'm sure that's exactly why this pill needs to be so easily accessible. For all those rape victims. i'm sure thats EXACTLY who will be using this drug the most. i'm sure every woman alive is rushing to the store, even as we speak, to pick up a bottle of these just in case they are raped this weekend.
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
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    my2handsmy2hands Posts: 17,117
    they should rename this pill the "no more pulling out pill"

    this is a victory for men as well in my opinion :p
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    surferdudesurferdude Posts: 2,057
    HM or VG, Do either of you know the success rate of the 'Plan B' pill working? If it is high should this now do away with the idea of child support resulting from one night stands? In that the woman had options after the fact to avoid pregnancy but chose not to take them.
    “One good thing about music,
    when it hits you, you feel to pain.
    So brutalize me with music.”
    ~ Bob Marley
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    RainDogRainDog Posts: 1,831
    cornnifer wrote:
    ummmm, ... no.
    Really? Cool.

    So, what's the beef, here? You talk about responsibility regarding sex, yet only mention women. So, either they're going to join men in their irresponsibility - that sexual resoponsibility was always the sole domain of women - or men and women were already on a level playing field and now women can be more irresponsible than men.
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    my2handsmy2hands Posts: 17,117
    taking a pill hours after sex is murder ;)
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    humanlighthumanlight Posts: 271
    Can any choice be negative for that matter? Limitations I see as negative, choices are options. If you do not like the choice, then don't take it. this is how I feel about abortion. It is simply another choice for some...not me, but at least those who need it have it. same for this pill.
    "F**K you, I have laundry to do" -ed
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    surferdudesurferdude Posts: 2,057
    humanlight wrote:
    Can any choice be negative for that matter?
    So you want to live in a world with no accepted morals not any desire for common morals or standards of behavior as they impose limitations. Interesting.
    “One good thing about music,
    when it hits you, you feel to pain.
    So brutalize me with music.”
    ~ Bob Marley
  • Options
    cornnifercornnifer Posts: 2,130
    RainDog wrote:
    Really? Cool.

    So, what's the beef, here? You talk about responsibility regarding sex, yet only mention women. So, either they're going to join men in their irresponsibility - that sexual resoponsibility was always the sole domain of women - or men and women were already on a level playing field and now women can be more irresponsible than men.

    i didn't say anything about birth control being the sole responsibility of women. A man, obviously will not be taking this pill. He can certainly encourage its use, however. Men can, and will, rely on this just as much as women. It allows them to be irresponsible as well.
    Its kind of like how men are the ones to wear condoms, but a woman should insist on it.
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
  • Options
    humanlighthumanlight Posts: 271
    cornnifer wrote:
    You're absolutely right, because, i'm sure that's exactly why this pill needs to be so easily accessible. For all those rape victims. i'm sure thats EXACTLY who will be using this drug the most. i'm sure every woman alive is rushing to the store, even as we speak, to pick up a bottle of these just in case they are raped this weekend.


    I know that...and I know this may be more convient for some women, but for those who are raped...by a stranger, boyfriend, husband, etc. this gives them another option. I know that IF (god forbid) it happened to me, I would want to take the pill.
    "F**K you, I have laundry to do" -ed
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    humanlighthumanlight Posts: 271
    surferdude wrote:
    So you want to live in a world with no accepted morals not any desire for common morals or standards of behavior as they impose limitations. Interesting.


    Now, you are just twisting my words. I feel that I am a very moral person. I do not feel that abortion is okay for birth control. but I also understand there are people in this country that have very different morals than me. I just don't feel like my moral standards should be imposed on others. Let there be 50 choices! I know my morals and I will stand by them. I just don't feel like limiting choices (in any situation) is a better option.
    "F**K you, I have laundry to do" -ed
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    cornnifercornnifer Posts: 2,130
    humanlight wrote:
    I know that...and I know this may be more convient for some women, but for those who are raped...by a stranger, boyfriend, husband, etc. this gives them another option. I know that IF (god forbid) it happened to me, I would want to take the pill.

    i would as well. i would also, under such circumstances, expect to be able to obtain it from a doctor or some other emergency authorities.
    "When all your friends and sedatives mean well but make it worse... better find yourself a place to level out."
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    humanlighthumanlight Posts: 271
    cornnifer wrote:
    i would as well. i would also, under such circumstances, expect to be able to obtain it from a doctor or some other emergency authorities.


    In a perfect society that may be true...hell in a perfect society Plan B would not even be needed. But there are always people who cannot afford to see a doctor. These are also people who probably cannot afford birth control. I work in very very rural KY, and most of the adults I see have not been to a doctor in years b/c they cannot afford it.

    Here is another scenerio where Plan B is a good thing:

    A commited couple is have sex and using condoms at thier form of protection. the condom breaks! they were being responsible, but something happened. does that constitue a doctor's visit. Like someone else said on here. the pill is called Plan B, meaing (oh crap...something happened that we did not expect).
    "F**K you, I have laundry to do" -ed
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    VictoryGinVictoryGin Posts: 1,218
    surferdude wrote:
    HM or VG, Do either of you know the success rate of the 'Plan B' pill working? If it is high should this now do away with the idea of child support resulting from one night stands? In that the woman had options after the fact to avoid pregnancy but chose not to take them.

    How Well Emergency Contraception Works

    Progestin-only EC reduces the risk of pregnancy by 89 percent if started within 72 hours of unprotected intercourse. For example, eight out of 100 women will become pregnant after having unprotected sex once during the second or third week of their cycles. But only one woman out of 100 will become pregnant after taking progestin-only EC.

    Combination EC reduces the risk of pregnancy by 75 percent if started within 72 hours of unprotected intercourse. Only two out of 100 will become pregnant after taking combination EC.

    Emergency contraception is meant as backup birth control only. EC is not as effective as the correct and consistent use of reversible contraception — the IUD, the shot, the pill, the patch, or the ring.

    EC does not continue to prevent pregnancy during the rest of the cycle. Other methods of birth control must be used.

    Emergency contraception offers no protection against sexually transmitted infections. You may want to consider testing for sexually transmitted infections if there is a possibility that unprotected sex put you at risk.

    http://www.plannedparenthood.org/pp2/portal/files/portal/medicalinfo/ec/pub-emergency-contraception.xml#1156433779353::-6418514816611008894

    In response to your other questions, I'd say 'no'. The bottom line for me is that women cannot be forced to either be pregnant, or not be pregnant, and they should not be punished for their reproductive choices.
    if you wanna be a friend of mine
    cross the river to the eastside
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    hippiemomhippiemom Posts: 3,326
    How did this turn into a debate on responsibility? Taking action to prevent an unwanted consequence IS responsible! Why does it matter if that action is taken before or after sex? What's it to you if some women use this as their only method of birth control?

    Seems to me that a lot of people have a problem with women being able to have sex whenever they feel like it.

    This is a blessing to rape victims, particularly those unfortunate enough to be taken by ambulance to a Catholic hospital where it never was and probably never will be offered, but of course it isn't only for them. It's for when the condom breaks. It's for when the suitcase with your pills doesn't get to Hawaii until three days after you do. It's for when an unexpected opportunity arises and you don't have your diaphragm with you. It's for when Mr. Cuervo convinces you that something is a good idea, and the next day you realize that it probably wasn't.

    Maybe you think a lifetime of unwanted parenthood is a just penalty for a single night of drunken stupidity, but I don't. I don't have a need for this pill anymore, but I sure am glad it's there for my daughters and for every other woman who wants it.
    "Nothing in the world is more dangerous than sincere ignorance and conscientious stupidity." ~ MLK, 1963
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