Washblog

FDA planning to make Plan B available? Naahhh

This has been brewing for a few days now, but I wanted to gather my thoughts (and hopefully wait them out to see what they'll do - no such luck).  

In the Philadelphia Inquirer, niggling details about the age of availability are discussed - I personally think this, like most medication, would be best limited (in over-the-counter form) to those over 18, but I haven't really nailed down my argument further than wanting to be sure my own kids are getting medication for good reasons and not doing something harmful to themselves.  I don't have a firm position on the issue, and the point of this post is more to discuss what your senior Senator has been doing on the issue.  (besides, the FDA's reasons for limiting it to the over-18 crowd are very different from my own)

This issue has been flopping around the Senate like a dying fish for two years now, with no resolutions.  45 countries allow over-the-counter access to Plan B to all women, but the social conservative shutins in America call it an "abortion pill" and claim it'll lead to rampant promiscuity among our teens, unlike the teens throughout Europe who showed no change in sexual activity whatsoever after introduction of Plan B.  As Monsters and Critics puts it:
Plan B is already for sale without a prescription in 45 countries ... what von Eschenbach is really saying is that 'somehow our young women are stupider.'
Exactly.  

Fortunately, our very own Patty Murray has been at the forefront of the battle against morons who happen to also be religious, and has enlisted Hillary Clinton's help in blocking the confirmation of interim FDA chiefs seeking to become permanent, until they can show why the FDA hasn't approved Plan B for over-the-counter sales despite unchallenged medical evidence that it works and is safe, statistics showing no change in teen sexual activity, and a recommendation from its own science commission to approve.  For three years, they've been fighting against this morality moronity.  (not a word, but fun to write.  HA!)

Lester Crawford, the wife-raping moralist who proudly told his church about his blocking Plan B for religious reasons, was the first to face the Murray buzzsaw.

Last year, Sens. Hillary Clinton, D-N.Y., and Patty Murray, D-Wash., angered at what was then two years of delay on Plan B, put a "hold" on Crawford's nomination, preventing a vote. When Crawford promised to make a decision on Plan B by last Sept. 1, they lifted it, and Crawford was confirmed.
Crawford resigned shortly after, presumably to "spend more time with his family", who in fact led a media crusade against him because of his repeated physical and sexual assaults on his wife.  Sorry to focus on this guy, but he's really one of the biggest pieces of shit to hold a government position in a while - and that's saying something.

Susan Wood, former assistant FDA commissioner for women`s health and director of the Office of Women`s Health left her job after five years because of what she felt was unreasonable political interference during the Plan B discussion. After the hearing, which she attended at Clinton`s request, Wood said she agrees that politics has come to play an undue role at the agency.

'I would not say there`s safety concerns about (Plan B) regardless of the age,' she told United Press International. 'Science is not driving the discussion.'

Losing Susan Wood was a huge blow to the agency, but as with many such resignations-by-frustration in this administration, just left a hole to be filled with a zealous ideologue.  

So now we're faced with Andrew von Eschenbach, who in 11 months on the job as interim FDA chief has failed to take any step on Plan B - what a freakin' surprise.  Never fear, Patty's still there:

Murray and fellow committee member Hillary Rodham Clinton (D., N.Y.) have vowed to block a committee vote on the nomination until the FDA acts on over-the-counter sales of Plan B.
Damn straight, and they're pushing him to answer some damn questions.  He's trying to force confirmation by tricking them with sleight-of-hand the way Lester Crawford did - suggesting they're "willing to talk about it" and sharing a letter he wrote to the pharmaceutical company promising to meet with them to discuss "security" issues.  But they're not buying it, and the bottom line is, until he does his goddamn job, they're not confirming him.  
Emergency contraception is a high dose of regular birth-control hormones that, taken within 72 hours of unprotected sex, can cut the risk of pregnancy by up to 89 percent; the pills have no effect on an established pregnancy. Major medical and public-health groups have endorsed easier access as a way to reduce unplanned pregnancies and the need for abortion.

Social conservatives contend easier access to the pills would lead to promiscuity, risky sexual behavior, medical complications, and rape cover-ups, especially among teens.

For social conservatives, all roads lead to the genitals.  I'm not sure how politicians haven't figured this out and started to just tune out their prudish knee-jerk reactions to things.  And to repeat: the pills have no effect on an established pregnancy.  I'm proud of Patty every time I read something about this story.  The FDA badly needs someone in charge, because the entire department is a disaster right now.  

But blocking political ideologues at the confirmation process is the right thing to do for the nation's physical, sexual, and yes, moral health.  It would appear that this jackass will get himself a Bolton-style recess appointment so he can moralize at our daughter's and wives expense, but he'll still have to face the Senate confirmation machine again, and next time, it's looking unlikely that he'll be facing a friendly Republican-led committee.  Their time is ending, and ultimately, this type of dumbass bullshit will be defeated.  

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Now, I don't intend to get anyone's undies in an uproar. I assure you all that I understand the challenges to abstention and "mishaps," as least as well as anyone else.  However:

1) It is intriguing to me that science continutes to go in the direction of tinkering with the female biology, and not the male.  Certainly, a woman iss caught holding the proverbial "bag" when all is said and done.  However, if one thinks about it, we men can theoretically be much more fertile.

Where is the male pill, injection, implant, IUD (ouch), and such?  The only equivalent we have (to tubal ligation) is the vascetomy (ouch), and I've rarely seen the equivalent of a historectomy, which would be castration (ouch, once more).  Actually the thought of any of that puts me off some.  Ideally, though, I do believe in sharing the burden of sharing in the deed.

  1. It stands to reason that "Plan B" would not have effect on an "established pregnancy."  The hormones used in contraceptive pills are used to trick the female body into thinking it's pregnant if it's not--therefore it rejects the stalwart little soldiers knocking at the gate. My understanding is that, though there are rare exceptions where multiple eggs are brought down the conveyer-belt, a woman can't get pregnant twice.  While the double-hormonal pregnancy may not have an effect on the state of pregnancy, though, do we really know it has no effect on the health of the woman or her babe's development?

  2. The age of "consent" to this sort of thing can be an issue.  I would hope that any children I might have would feel free to tell me when they have a problem like this.  I would probably be very concerned if they were allowed to do something like change their hormonal balance synthetically without my input.  

  3. I'd also like to think that this wouldn't be misused somehow, but can imagine scenarios where it might.  I see no way this sort of thing can be guaranteed either way.

Takers?

by Christian Oliver on Fri Aug 04, 2006 at 11:09:49 AM PST

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