When University of Connecticut student Natalie Plebanek was 16 years old, she suffered heavy menstrual periods and subsequent fainting spells. But when she asked her pediatrician about a prescription for birth control pills, proven to reduce menstrual bleeding significantly, the doctor balked, citing a common myth. “She thought I would become extremely sexually active,” Plebanek said. Now 21, Plebanek is considering a more convenient method of birth control. Seeking advice from a gynecologist about her options, she was handed a brochure.
In 1776, Abigail Adams asked her husband to “remember the ladies.”
Oh, if only Melania were so moved. Donald Trump could use the reminder. From the moment he announced his improbable campaign, Trump has played to his most conservative supporters by promising to severely restrict abortion rights, as well as limit access to affordable birth control. The battle has settled onto two fronts, including defunding Planned Parenthood, and—since a “repeal and replace effort” fell short—removing from the Affordable Care Act the mandate that requires employers to provide insurance coverage for contraceptives to their eligible workers. On the first front, Connecticut has vowed to fund Planned Parenthood, should the federal government pull away.
Low-income women in Connecticut who have just given birth and know they don’t want to get pregnant again anytime soon are now offered a long-acting birth control option postpartum. Medical providers say the policy by the U.S. Department of Health and Human Services will reduce the number of unplanned pregnancies, as well as lead to better maternal health outcomes by ensuring pregnancies are spaced a healthy length of time apart. Connecticut’s HUSKY program is one of 26 state Medicaid programs nationwide that reimburses hospitals for administering long-acting reversible contraception (LARC)—namely, intrauterine devices (IUDs) and subdermal implants—to Medicaid patients. HUSKY started reimbursing for the devices last year. “It’s a great thing,” said Dr. Elizabeth Purcell, an obstetrician and gynecologist practicing in Hartford.
Now that America has elected Donald J. Trump as their 45th president, how might the New York entrepreneur’s administration affect women and children in the next few years? Some of this is pure conjecture, since Trump’s policy talks have been notably short on details. Trump has, however, repeatedly said he intends to repeal most of the Affordable Care Act, or Obamacare, which would have grave effect on hundreds of thousands of families, if not more. Since 2010, the ACA has cut in half the number of uninsured citizens to a historic low of 8.6 percent of citizens, or 27.3 million people . A 2015 Congressional Budget Office study said that repealing the program would eliminate insurance coverage for about 22 million in 2017, and coverage of birth control and critical prenatal care might no longer be offered.