Home
Archive
Columnists
Video
Blogs
Discuss
About
Search
Donate
Advertise
100 words for 100 days: submit your 100 word essay and get published on AlterNet
Advertisement
Advertisement
Advertisement
Advertisement
Register to Vote: Rock the Vote, powered by Working Assets Wireless
Advertisement
  • AlterNetYour turn

Support AlterNet
Do you value the information you're getting from AlterNet? Please show your support with a tax-deductible donation.


Feedback
Tell us how we're doing.

Advertisement
Advertisement

Reproductive Justice and Gender

Plan B Damned: My Quest for Emergency Contraception

By Nikol Hasler, RH Reality Check. Posted August 29, 2008.


Unless you have Plan B in your medicine cabinet, it's highly unlikely you'll get your hands on a morning-after pill the morning after.
Advertisement

The condom broke, came off, or in some other way malfunctioned. He was behind me and I couldn't tell he wasn't using one. We just got carried away and he didn't pull out in time. I forgot to take my birth control. I had an appointment to get on the pill, but we didn't wait.

There are a whole slew of reasons a woman might find herself in need of a morning after pill; emergency contraception; Plan B. But unless you have Plan B already waiting in your medicine cabinet, it is highly unlikely you'll get your hands on a morning-after pill the morning after.

I am a middle-class 29-year-old mother of three, living in the Midwest, who sees a physician regularly. I have kept up on the news about Plan B's availability over the counter at major drug stores. In my line of work, I regularly tell teens and young adults to always use protection, and tell girls of reproductive age who aren't so into the whole reproduction thing that they should be on birth control.

I encouraged young women and men to seek Plan B if their contraceptive method failed or they forgot to use contraception, telling them it was easy to obtain. But was it?

On a Tuesday morning at 7 a.m., I set out to discover just how easy it would be for me to get my hands on some emergency contraception. It all started with a web search.

Google: Plan B, Wisconsin, Over the Counter

My Internet search lead me to the Plan B website, which was helpful in telling me how the medication worked and what to expect after taking the two twelve-hour staggered doses of the hormone used in birth control pills at a super concentrated dose. When it came to where I could find the medication, I expected a zip code look up function. When I saw that no such function existed, I started to call the local pharmacies.

The sweet sounding girl who answered the phone, didn't know what the hell I was talking about, and then ran off to ask the pharmacist, told me that I needed to get a prescription from my doctor. Given that I had just read that Plan B was available over-the-counter, this seemed strange to me, but given that this pharmacy indubitably deals with such requests frequently, I took the girl's word for it. I called my primary physician's office.

"Does Dr. M have any openings today?"

"Why, yes, he sure does," responds the receptionist. "And your name? Okay, Nikol, what do you need to see him for today?"

"Contraception. Birth Control. It is urgent that I see him today."

"Hmm. Will you hold please? I don't think we ... I mean, appointments are ... "

So I hold. I listen to a soothing bit of elevator music and a woman talking about proper nutrition. Just as I am really getting into it and considering if my calcium supplement is really that great, the receptionist breaks back in.

"Sorry, Nikol. We don't have openings for that purpose today. I can get you in to see him in, oh, two weeks."

"I'd be happy to do that, but for right now I need to know if he can call in a prescription for Plan B for me."

"What's Plan B?"

"Emergency contraception."

A moment passes where I hear her take this in. It sounds as if she may have breathed in a bit of potato chip. There is some coughing, but not the hearty, openly hacking kind. I am wondering why she is eating potato chips so early in the morning, and thinking of referring her to the hold message so she can better understand the importance of a proper breakfast. Then I realize she is making that noise due to mental discomfort.

"Ohhh. Oh. Oh, well then I will get this message to him right away. Yes, right away."

She seems lost, so I think for her.

"Do you need to know which pharmacy to call and the best number to reach me at? And should we go ahead and schedule that follow up so I don't have to bother you with this call again?"

"You still want to?"

I am silent. Does she think I am strictly an emergency kind of woman? Does she think I wanted to just give her a jingle every time I had a semen mishap? Perhaps she and I will get familiar with this process. I can imagine dialing her up. "Hey, Janine. It's me. You know who, silly! Yes, it is that time of month again. Oh, stop it. Stop it! You'd love this one. A real cutey."


Digg!

See more stories tagged with: reproductive rights, emergency contraception, plan b, access

Nikol Hasler is the host of the informational comedy podcast Midwest Teen Sex Show.

Liked this story? Get top stories in your inbox each week from Reproductive Justice and Gender! Sign up now »

Advertisement
Advertisement

 

Comments Turn comments off sitewide Give us feedback »
Comments closed.
The comments for this story have been closed. Thank you to everyone who participated.
View:
Welcome to the 21st century
Posted by: Yankeeinexile on Aug 29, 2008 4:38 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Where women are treated like children. I thought it was just me dealing with people when it comes to sex, pregnancy and child rearing. After 2 children I requested to have my tubes tied and the reaction from all medical personell was pretty unprofesstional. The gyn who was cheery when I went for my regular appointment went cool once I requested the procedure. Told me I HAD to see my PCP before procedure where that Dr. treated me like a child who didn't realize the procedure was permanent. I enjoyed laughing at him and informing him that I was the adult, thank you. The nurses and even the anasthesiologist were idiots about my decision. I felt like telling them it was none of their business and not to be discussed with strangers, but you know I'm a woman in the 21st century which means I'm a child.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

yo!
Posted by: walldodger1969 on Aug 29, 2008 4:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
What time warp are we in?Just read an article about running porn out of a small town ,and now this about how hard it is for a woman to get plan B.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Demand and lack of supply
Posted by: SayBlade on Aug 29, 2008 5:36 AM   
Current rating: 5    [1 = poor; 5 = excellent]
This is further proof that the "consumer" is not "king" (or queen). The "market" will tell you what you want to buy and will only make that available to you. Anything it does not want you to have — whether for moral reasons — you won't be able to get.

The demand for a product like Plan B is there, but the "market" will not meet it because it makes moral judgments about what people should have.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

don't be a victim - take control already!
Posted by: somegirl on Aug 29, 2008 5:41 AM   
Current rating: 5    [1 = poor; 5 = excellent]
i have been commenting for years, in every plan b post i've seen - get a scrip for emergency contraception at your checkup or whatever, before you need it. get it filled and keep it in your medicine cabinet, and take it with you when you travel. there are plenty of things you keep in around just in case, and this should be one of them.

oh and btw, in the catholic country of venezuela emergency contraception is available otc, and it costs around 3 bucks, one tenth the $35+ price tag in the usa.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» oh and one more thing Posted by: somegirl
OMG...
Posted by: mrs whatsit on Aug 29, 2008 5:59 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Thanks for this article. I had no idea what women have to go through to obtain Plan B. It bothers me that even when women act responsibly, we are subject to the 'moral practices' of others. It's appalling to learn that someone else's decisions will make doing the right thing extremely difficult or nearly impossible to do.
Well written article. It's one that needs to be exposed more. Kudos to the boyfriend who shared his part of the responsibility by going with you. He probably learned a lot, too!

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Poor baby
Posted by: MartianBachelor on Aug 29, 2008 6:29 AM   
Current rating: 1    [1 = poor; 5 = excellent]
I don't know what the author's problem is... I was able to just waltz into my nearby Walgreen's and buy a box of Plan B back at the pharmacy counter with absolutely no hitch or any other hassle. It hardly took five minutes.

Perhaps the only thing of note was the relatively high price of about $50, which is actually insignificant compared to the possible alternative costs, though I can see how it might cause some who need that for groceries or gas to hesitate and reconsider whether they really need it.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» It all depends... Posted by: BreeMass
» RE: It all depends... Posted by: leTerrassier
» RE: Poor baby Posted by: morticia
» RE: Poor baby Posted by: Plexius2
Write to the president of the pharmacy and the state board
Posted by: Virginia Harris on Aug 29, 2008 6:38 AM   
Current rating: 5    [1 = poor; 5 = excellent]
As a pharmaceutical industry professional, I am saddened by your report.

I suggest that you address a letter to the president of the pharmacy that provided you with false information, and point out the need for immediate training and supervision of their pharmacists on this medication.

Include the store address, the date and time of your call, and request the name and license number of the pharmacist on duty who told you (through the clerk) that a prescription was required for this medication.

The name of the pharmacist on duty is always logged by the pharmacy owner as a matter of regulation to monitor and enforce standards of patient care.

Advise the president that you intend to file a complaint against the pharmacist on duty with your state's Board of Pharmacy, and do so, regardless of the response from the president.

It is legally actionable for pharmacists to fail to deliver accurate information to patients.

They are state-licensed professionals. Their licenses can be revoked, or they can face other sanctions for failure to deliver accurate information.

To find the address for your state department of Pharmacy Licensing, go to your state government website.

I suggest that you also send a letter to the president of the pharmacy chain that sold you the medication, describing the unprofessionalism of your patient counseling experience, and the fact that this was their last available prescription.

This will help ensure that pharmacies train their staff and stock an adequate supply, so that they do not 'sell-out' of an emergency medication.

They do not sell out of antibiotics and they should not run out of this medication either.

We deserve better. These are the methods that motivate pharmacies to improve their service.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

A quick note on pharmacists
Posted by: BreeMass on Aug 29, 2008 6:55 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Thanks to the pharmacist who posted the very helpful information above. I am just going to clearly and categorically state that the idea that pharmacists can deny women Plan B and contraception to women based on their religious beliefs is the biggest line of bullshit I've heard in a while. The primary function of a pharmacist is to fill prescriptions and dispense medication. If a pharmacist is unable to do this then pharmacist needs to get another job!!

And I really can't see this as anything other than straight-up misogyny. Imagine the uproar if a man was denied a prescription for Viagra because a pharmacist didn't believe in artificial erections...

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: A quick note on pharmacists Posted by: crashgrab
» RE: A quick note on pharmacists Posted by: countingdaisies
citizen
Posted by: annejohnson on Aug 29, 2008 7:26 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I don't think the viagra/emergency contraception argument is a good one--viagra, in the eyes of the "Christian" right, is not an abortifacient. Birth control prevents the life of a child from either starting or continuing, and that is why women must be controlled. It's seriously disturbing when even the Department of Human Health and Services (it's just the name of the department, just as the EPA is only the name of the department) supports the pharmacists' right not to dispense birth control because their sense of morality forbids it.

Without a very helpful and supportive group of women who worked at the county health care service in a certain Kansas town in the late '60's who had no problem with dispensing birth control to fifteen- and sixteen-year-olds, I know of at least three young women who would have been teenaged mothers. Teenagers will have sex with each other. I know. I used to be one.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: citizen Posted by: BreeMass
» RE: citizen Posted by: crashgrab
» RE: citizen Posted by: BreeMass
» RE: citizen Posted by: crashgrab
» RE: citizen planet Posted by: DaBear
What the Bushies have in store for you...
Posted by: Old Skeptic on Aug 29, 2008 7:39 AM   
Current rating: 5    [1 = poor; 5 = excellent]
There is now a plan by the Bush admininistration to issue a regulation that will allow pharmacists and other medical people to deny treatment and prescriptions to patients if their (the pharmacists') "moral/religious beliefs" forbid it. Never mind what the patient's moral/religiousd beliefs allow; "she" is just a stupid child and doesn't really matter. Oddly enough, we haven't heard a word from John McSame condemning this unwarranted intrusion into other people's rights. Wonder why? Because he is the McSame!

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Paragard IUD
Posted by: kuro_neko on Aug 29, 2008 8:09 AM   
Current rating: 4    [1 = poor; 5 = excellent]
Best decision I ever made.

Non-hormonal, lasts for 10 years, reversible at any time.

This ain't your mom's IUD of the 70's. Most of the rest of the world uses these, but U.S. it is barely discussed or promoted.

Safer than the Pill, and easier...
Better than Plan B and abortions overall.

I would love to see more promotion of Paragard.

http://www.paragard.com

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» RE: Paragard IUD Posted by: TommyCA
Wow
Posted by: AaronMC on Aug 29, 2008 9:42 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I am surprised at your troubles. Perhaps it has to do with location.

I live in Rhode Island, and of the two times where my girlfriend and I had to purchase Plan-B -for, ahem, reasons which I shall not mention- it was very easy.

No judgement, no problems, just ID to show age 18 and $35. The pharmacists barely batted an eye and the first even warned us that the instructions must be followed exactly and this does not abort already entrenched pregnancies.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» Walgreens Posted by: otis4
What a horrible experience
Posted by: rider3 on Aug 29, 2008 9:58 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The people who wouldn't give you the med -- when they are legally obligated to do so -- should be arrested and charged with assault. I feel that you were assaulted in the way you were treated, as well as in terms of your health being ignored when you legally had the right to this med. I wonder if they were just playing dumb by not understanding what Plan B was or if they truly didn't know (which would be worse??). No one should interfere with someone's personal decision. It's just that: PERSONAL. Who are they to tell anyone how to live their life? I hate people like this.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

had to declare it a rape?
Posted by: politique420 on Aug 29, 2008 11:04 AM   
Current rating: 5    [1 = poor; 5 = excellent]
A few years ago my BF and I had a slip and I knew I'd better go get a morning after pill pronto. Problem was... it was a holiday weekend. I called the ER of the Cleveland Clinic (my gyn is at CCF) and was told the only way they could disense Plan B was in the case of Rape. Otherwise, I'd have to wait to talk to my doctor.
Time is an issue with Plan B - the sooner the better.
This was my BF!! Consentual sex with the man I love... even out of emergency, I'm damn sure not claiming rape against my dude.
The nurse 'understood' but couldn't help me. Out of desperation, a friend gave me her brand new packet of BCP, I followed the directions on the Planned Parenthood site and I popped a pack of pills within 48 hours. It worked (thank God!) but it shouldn't have had to come to this.
False rape claims?
illegal distribution of Rx?
gimme a break.... just not a breaking condom.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» Next time... Posted by: wolfgangmo
Different strokes....
Posted by: ohjeezigotaids on Aug 29, 2008 12:01 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
I've bought plan B over the counter with no problems at all.....
then again, i was buying it for a friend that was too ashamed to get it herself....so any subtle unfriendliness on the pharmacists part would have gone completely unnoticed by me.
the pharmicist didn't tell me how to use it or anything either...just checked my id, took my money, and gave me the pill.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

emergency "contraception" can be abortifacient
Posted by: vasumurti on Aug 29, 2008 12:04 PM   
Current rating: 1    [1 = poor; 5 = excellent]
The issue as to what kind of criminal penalties women seeking abortion would face came up in the 1988 presidential debate between Bush Sr. and Michael Dukakis. Bush said there would be penalties, but couldn't say what they would be, and Dukakis seized on Bush's moment of weakness. The Bush campaign later issued a statement saying abortionists would be penalized, and not the women seeking abortion.

This is a point I've made before: The majority of pro-life activists regard the mother seeking abortion as a victim and not a criminal. Looking back on over 200 years of legal history, the American Center for Bioethics concluded that women were never prosecuted for abortion; only the abortionists. This is analogous to our current laws which arrest drug dealers and prostitutes rather than their clientele.

If we continue to imperfectly enforce laws like these against what are arguably victimless crimes, why can't we take steps towards protecting the unborn?

Only in the early stages of pregnancy does balancing the privacy and civil liberties of the new mother with the rights of the unborn become problematic, as many forms of birth control (e.g., emergency "contraception") do function as abortifacients.

In his 1992 book, Visions of Liberty, former Executive Director of the ACLU, Ira Glasser writes:

"The use of wiretapping and electronic eavesdropping emerged during the Prohibition era. Roy Olmstead was a suspected bootlegger whom the government wished to search. It placed taps in the basement of his office building and on wires in the streets near his home. No physical entry into his office or home took place. Olmstead was convicted entirely on the basis of evidence from the wiretaps.

"In his appeal to the Supreme Court, Olmstead argued that the taps were a search conducted without a warrant and without probable cause, and that the evidence seized against him should have been excluded because it was illegally gathered. He also argued that his Fifth Amendment right not to be a witness against himself was violated.

"By a 5-4 vote, the Court rejected his arguments and upheld the government's power to wiretap without limit and without any Fourth Amendment restrictions, on the grounds that no actual physical intrusion had taken place.

"Olmstead's Fifth Amendment claim was also dismissed on the grounds that he had not been compelled to talk on the telephone, but had done so voluntarily. Thus the Court upheld the government's power to do by trickery and surreptitious means what it was not permitted to do honestly and openly. It wasn't until 1967, in a similar case involving gambling, that the Court overruled the Olmstead decision by an 8-1 margin and recognized that the Fourth Amendment applied to wiretapping and electronic surveillance...

"From the beginning, when wiretapping was virtually invented to enforce laws prohibiting the sale of alcohol, to the late 1960s, when gambling was a major target, to the present, when the use and sale of drugs other than alcohol are the main target, these intrusive devices have been used mostly to enforce laws aimed at punishing and proscribing personal conduct...the invasion of privacy inherent in wiretapping and electronic eavesdropping remains with us as part of the legacy of our attempts to criminalize personal conduct.

"The other major use of electronic eavesdropping has been to punish political dissent. For decades, former FBI director J. Edgar Hoover used wiretaps and other electronic devices to spy on political figures and citizens not yet suspected of having committed a crime. He built vast dossiers on their political activities and personal lives. Special units of local police called 'Red Squads' did the same."

The key issues in the abortion debate are thus the personhood of the unborn, and the extent of individual and marital privacy.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» Hey, vasumurti! Posted by: morticia
» RE: Hey, vasumurti! Posted by: goatini
» RE: Hey, vasumurti! Posted by: morticia
Pay stubs? Proof of where you born?
Posted by: crashgrab on Aug 29, 2008 1:23 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The part about needing pay stubs and proof you were born in Wisconsin seems bizarre. "You need to bring in the past two months' pay stubs and proof that you were born in Wisconsin." Is that a Wisconsin law? What particular signifigance does the state of your birth have?

It's been a while since I've used Plan B, but when I got it from Planned Parenthood I had no problem. I have heard many a story though of people not being able to get it at pharmacies though and Planned Parenthoods aren't everywhere.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Give 'em hell, baby~! I'm so PROUD OF YOU!!
Posted by: BlueBerry PickN on Aug 29, 2008 2:34 PM   
Current rating: 3    [1 = poor; 5 = excellent]
If MORE WOMEN were interested in *demonstrating* & *REPORTING* on these issues & the HORRIFICALLY BAD EDUCATION of these 'health professionals' ethics & professionalism...

perhaps we'd get somewhere.

wait, maybe we shouldn't investigate.

they could make a law about 'wasting time' of 'valuable health professionals'... just to keep us quiet.

better we curl into a fetal position & pray ourselves comatose.

┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄

MAY I SUGGEST A NEW INVESTIGATION:

just TRY taking a small girl into a health clinic & SAYING NO to Gardasil. just try & see what happens.


an ENTIRE GENERATION of young women is being inoculated as a "healthcare revolution", "social responsibility" or 'feminist rights' issue marketing campaign...

┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄

given the RELIABILITY of engineering, products, marketing, BigPharma & healthcare for the last 50 years?

which would you rather have? better education & sex hygiene?
or a potential healthcare disaster the size of Thalidomide?


┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄
BlueBerry Pick'n
can be found @
ThisCanadian
┄┄
" ... tolerance of intolerance is cowardice... " ~ Ayaan Hirsi Ali.
"We, two, form a Multitude" ~ Ovid.
┄┄
"Silent Freedom is Freedom Silenced"
┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄┄

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

Laws Permitting Pharmacists to Deny Medication
Posted by: artie on Aug 29, 2008 5:53 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
This story was infuriating: the blatant ignorance or irresponsibility of the pharmacists and-or their assistants. The humiliation, embarrassment, alienation one feels on having a psycho-drug prescription filled is similar.
Be that as it may, am I incorrect in thinking that a recent Supreme Court case decided that a law permitting pharmacists to refuse to dispense medication that somehow "conflicted" with their 'moral beliefs' was unconstitutional? I am under the impression that the decision was issued roughly 2 years ago, but am I simply wrong?

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

behave yourself and you won't need Plan B
Posted by: terrymo on Aug 30, 2008 11:16 AM   
Current rating: 1    [1 = poor; 5 = excellent]
Responsibility begins before, not after.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]

» I'm presuming "Terry" hasn't been raped. Posted by: BlueBerry PickN
Plan B available easily... through Vons Online
Posted by: catdeville on Sep 3, 2008 3:51 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If you shop with Vons / Safeway online, I just stumbled across this while doing my grocery shopping...

They list Plan B OTC as one of the things you can order with your shopping order. So, while that might not help you the actual "morning after" (although it could... they do same day delivery if you have your order in by 8 AM and next day delivery if you order it the previous day,) it might help those who wanted to get it in advance and keep it in the cabinet.

At any rate, it was nice to see, after reading this article, and it's good to know that it's a case-by-case thing. Me... I'm all for boycotts and voting with my pocket book when people are being idiots about such things. If they're not interested in doing business with me, I'm certainly not interested in giving them my business. If I'd had this experience at my local pharmacy, I'd have moved all my prescriptions to another pharmacy in a minute... and made sure that management, and everyone within hearing range of my (theatrically trained) voice knew why.

[« Reply to this comment] [Post a new comment »] [Rate this comment: 1 - 2 - 3 - 4 - 5]