We want to do evidence based care. We want to do things that work and avoid things that don’t work. This sounds simple. Let’s look at two very good natural experiments on unintended pregnancy rates:
- The Colorado Family Planning Initiative has increased health care provider education and training and reduced costs for more expensive contraceptive options, enabling more than 30,000 women in the state to choose long-acting reversible contraception….
- When contraception, particularly the long-acting methods, became more readily available in Colorado between 2009 and 2013, the abortion rate fell 42 percent among all women ages 15 to 19 and 18 percent among women ages 20 to 24.
Colorado is a national leader in the use of long-acting reversible contraception, and reducing teen pregnancy and repeat pregnancies.
- Teen birth rates in our state have declined more rapidly than in any other state or the nation as a whole.
- The birth rate for Medicaid-eligible women ages 15 to 24 dropped sharply from 2010 to 2012, resulting in an estimated $49 million to $111 million avoided expenses in Medicaid birth-related costs alone.
Since 2008, Colorado has successfully increased access to family planning services throughout the state, particularly for the most effective contraceptive methods, such as intrauterine devices (IUDs) and implants.
More reliable and effective contraception was made available to Colorado women who had the choice to elect Long Acting Reverisble Contraception (LARC) or do something else. A significant number of women elected to use LARC and the increased autonomy and reliability produced amazingly good results.
8c) When Texas defunded Planned Parenthood, births paid for by Medicaid rose 27%. Births are a lot more expensive than birth control. pic.twitter.com/VJgGvHVHro
— Caroline O. (@RVAwonk) January 5, 2017
Reducing contraceptive availability led to higher abortion rates and higher unplanned pregnancies. Earlier live births have massively negative multi-generational repercussions for both the parents and kids.
The evidence strong suggests that significant improvements in quality of life can be made and significant expenditures reduced if contraception is made readily available.
House Speaker Paul Ryan announced Thursday that Republicans will move to strip all federal funding for Planned Parenthood as part of the process they are using early this year to dismantle Obamacare.
Wahoo… the evidence will strongly support the hypothesis that this policy will lead to more unintended pregnancies, more abortions and far worse outcomes for far more Americans.
Evidence based policy making — Hoo Yaa