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Megan McArdle

Sell Birth Control Over-the-Counter

Over-the-counter birth control is an idea whose time has come -- if Democrats will let it.
Making things a lot easier.
Making things a lot easier.

Over-the-counter birth control is an idea whose time has come -- if Democrats will let it.

I am not very patient with the political fights over the Affordable Care Act’s contraception mandate. The number of employers who want to drop out is trivial. Moreover, most of the women who are genuinely going to have trouble paying for birth control are not going to be covered by employer plans; they’re covered by Medicaid, an exchange policy or nothing at all. Generic birth-control pills are a cheap, regular expense used by many millions of people, exactly the sort of thing that insurance is not designed for. All this does is spread the cost around a bit while adding administrative overhead for your policy.