Judge Says All Should Have Access to Morning-After Pill
WASHINGTON (AP) – The morning-after pill might become as easy to buy as aspirin.
In a scathing rebuke accusing the Obama administration of letting election-year politics trump science, a federal judge ruled Friday that there should be no age restrictions on the sale of emergency contraception without a doctor’s prescription.
Today, buyers must prove at the pharmacy that they’re 17 or older; everyone else must see a doctor first. U.S. District Judge Edward Korman of New York blasted the government’s decision on age limits as “arbitrary, capricious and unreasonable,” and ordered an end to the restrictions within 30 days.
The Justice Department was evaluating whether to appeal, and spokeswoman Allison Price said there would be a prompt decision.
President Barack Obama had supported the 2011 decision setting age limits, and White House spokesman Jay Carney said Friday the president hasn’t changed his position. “He believes it was the right common-sense approach to this issue,” Carney said.
If the court order stands, Plan B One-Step and its generic versions could move from behind pharmacy counters out to drugstore shelves – ending a decade-plus struggle by women’s groups for easier access to these pills, which can prevent pregnancy if taken soon enough after unprotected sex.
Saying the sales restrictions can make it hard for women of any age to buy the pills, Korman described the administration’s decision, in the year before the 2012 presidential and congressional elections, as “politically motivated, scientifically unjustified and contrary to agency precedent.”
Women’s health specialists hailed the ruling.
“It has been clear for a long time that the medical and scientific community think this should be fully over the counter and is safe for women of all ages to use,” said Dr. Susan Wood, who resigned as FDA’s women’s health chief in 2005 to protest Bush administration foot-dragging over Plan B.
Half the nation’s pregnancies every year are unintended. Doctors’ groups say more access to morning-after pills – by putting them near the condoms and spermicides so people can learn about them and buy them quickly – could cut those numbers. They see little risk in overuse, as the pills cost $40 to $50 apiece.
“The fact that it’s over the counter does not make people have sex,” said Dr. Angela Diaz, director of New York’s Mount Sinai Adolescent Health Center.
Many people criticized the ruling.
“There is a real danger that Plan B may be given to young girls, under coercion or without their consent,” said Anna Higgins of the Family Research Council. “The involvement of parents and medical professionals acts as a safeguard for these young girls. However, today’s ruling removes these common-sense protections.”
Absent an appeal or a government request for more time to prepare one, the ruling would take effect in 30 days, meaning that over-the-counter sales could start then.
The Food and Drug Administration actually was preparing to allow over-the-counter sale of Plan B One-Step with no age limits in late 2011 when Health and Human Services Secretary Kathleen Sebelius, in an unprecedented move, overruled her own scientists. Sebelius said some girls as young as 11 are physically capable of bearing children but shouldn’t be able to buy the pregnancy-preventing pill on their own.
The federal judge dismissed that argument.
“This case is not about the potential misuse of Plan B by 11-year-olds,” said Korman, who called the pills safe for girls but said the number using them “is likely to be minuscule” as less than 3 percent of girls under age 13 are sexually active.
He cited the Administrative Procedure Act as granting a judge the authority to set aside an agency’s rulings “if they are ‘arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law.'”