Poverty and Contraception

The New York Times began a recent article as follows:

Over the past six years, Colorado has conducted one of the largest experiments with long-acting birth control. If teenagers and poor women were offered free intrauterine devices and implants that prevent pregnancy for years, state officials asked, would those women choose them?

They did in a big way, and the results were startling. The birthrate among teenagers across the state plunged by 40 percent from 2009 to 2013, while their rate of abortions fell by 42 percent, according to the Colorado Department of Public Health and Environment. There was a similar decline in births for another group particularly vulnerable to unplanned pregnancies: unmarried women under 25 who have not finished high school.

Isabel Sawhill, an economist at the Brookings Institution has argued in her 2014 book, “Generation Unbound: Drifting Into Sex and Parenthood Without Marriage,” that single parenthood is a principal driver of inequality, and that long-acting birth control is a powerful tool to prevent it.

The program in Colorado was originally funded by a grant from the Susan Buffett Foundation, but as I have previously noted, that grant has now run out.

The state’s health department has estimated that every dollar spent on the long-acting birth control initiative saved $5.85 for the state’s Medicaid program, which covers more than three-quarters of teenage pregnancies and births. Enrollment in the federal nutrition program for women with young children also declined by nearly a quarter between 2010 and 2013.

It works. It saves tax dollars, and it saves young women’s futures.

So of course, the Colorado legislature has declined to fund the program. The only hope for continuation of the program is the Affordable Care Act–aka Obamacare.

As I said in my previous post, if these lawmakers were really “pro-life,” they would support programs that substantially and demonstrably reduce the incidence of abortion.

If.

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