Abortion is important exercise towards birth control policy, according to the medical specialists, there is a need for the introduction and implementation of certain laws and regulations with reference to abortion practice. It has been recommended through different forums such as British Pregnancy Advisory Service and British Control Trust that, abortion should be introduced at community level from specialist hospital setting. Abortion is considered as serious, and in some of the cases extremely harmful practice because, of the failure of contraception, and its effective usage. It is important that the society should plan their families in such a manner that women are allowed to end unwanted pregnancies in abortion. The abortion practice has suffered collapse due to the abortion laws and regulations; it has been observed that unnecessary, obstructive and out-of-date abortion regulations have made this practice difficult. In many of the cases, only fertility treatment is as strongly regulated as abortion.
According to certain regulations of different countries, it is necessary that two doctors must agree that a pregnancy would damage the woman's health. The exercise should be conducted in accordance with the criteria of World Health Organization, where health is not just defined by the absence of illness or infirmity, but by the complete physical, mental, and social well-being of the individual. According to few doctors, such as Mr. Paintain, we require change in our regulations; so that abortion can be regarded as a service healthy women need to regulate their fertility rather than treatment for gynecological disease. (Health Abortion 'part of birth control'. January, 1999. Health Latest BBC Health News)
SOLUTION of the PROBLEM
The importance of abortion can be realized from the fact that it is likely to prevent the pregnant female from major health related issues. It is therefore important that abortion should be legalized and appreciated with reference to its applicability as natural back-up to contraception. According to Mr. Paintain it can be predicted that abortions will be carried out in well-equipped GP surgeries and family planning clinics, as these are the settings in which birth control is initiated. The support of modern techniques and the abortion pill has turned the procedure easy and carries few risks of side effects. The effects of taking a pill are considered similar to a miscarriage.
Reproductive control is absolutely essential. Birth control is the first line but it's no good without abortion as a back-up. It is important to avoid the lack of understanding among health care professionals as to why a woman would want an abortion and women being denied the right to choose. Abortion should be left on the woman's choice, and it is responsibility of the doctor to ensure that the woman has access to an abortion on the health service.
CONCERNS RELATED to the PROBLEM
Abortion is a crucial process, and it is wrong perception among the public that it is a safer practice. The safety of the operation depends upon the type of surgery. There are a number of risks and complications associated with surgical abortions,
Incomplete abortion
Infection
Extremely heavy bleeding
Allergic reaction to medication
Uterine blood clots
Torn or severed cervix
Uterine puncture damaging other organs
Death
There is a concern regarding formation of scar tissue if a woman's uterus is damaged during an abortion procedure. This may cause a woman to have troubles conceiving later in life and may increase her risk of having an ectopic pregnancy, which can be life threatening.
In case of United States, abortion laws vary from state to state. Depending on your age and which state you live in, there may be laws in place that prevent you from having an abortion or require you to get parental permission if you are under a certain age. There may also be mandatory education or waiting periods before an abortion can be done.
The studies have found that there is link between the breast cancer and abortion. Critics of the theory point out that many of the studies proving the link have been flawed in some way while more recent and accurate studies have shown that there is no link. Those that support the theory have suggested that the critics have a financial reason for encouraging abortion and suppressing the information about a link. Currently, the National Cancer Institute, the American Cancer Society and the American College of Obstetrics and Gynecologists have all refuted that there is any link between breast cancer and abortion. Women who are concerned about the possibility of a link are encouraged to do their own research on this controversial issue.
PROPOSALS
Oral Contraceptive is considered to be one of the most effective forms of reversible contraception. The use of oral contraception can be encouraged as a proposal towards birth control instead of abortion. The potential reduction in the unintended pregnancies is the most significant benefit that would result from over-the-counter switch of oral contraceptives. It is important to understand that woman should be provided with certain access to avail such facilities for birth control. The access to such facilities including over-the-counter birth control is likely to reduce the anxiety level of the woman, and this is considered to be one of the most effective and improved forms of birth control.
It is important to introduce such policies so as to create awareness among the woman regarding the importance and significance of birth control, but this should be offered only to those woman who require it for their good health. Considering the example of Tibet, the Tibetan women in the past did not have access to cheap and safe contraception, but with the passage of time, many rural women have access to mobile family planning teams and health workers. The provision of such mobile health units has increased the out reach of birth control measures in rural areas. (Kate Saunders. New Mobile Clinics to carry out birth control policy in Tibet. July, 2003. Life News)
Several proposals have been issued with reference to birth control and abortion policies, and in many of the cases the doctors have stressed over the usage of birth control measures, in order to avoid abortions. It has been recommended that over-the-counter status of the birth control treatment through pills. The public health benefits associated with reduced rates of unplanned pregnancies and abortions, as well as the medical cost savings to society is likely to substantially outweigh any risks of increased and undirected use of oral contraceptives.
On the other hand it is important to avoid the procedure of sterilization. According to Tibetan Women's Association, more than twenty percent of the Tibetans are no longer able to reproduce because of the government's forcible plan to launch sterilization campaign. It was reported that more than seventy percent of women aged above eighteen years were sterilized. This is not a right approach towards ensuring birth control. Different communist countries including China have focused on the adoption of such forcible measures to counter problems related with over population. (China Forces Abortion, Sterilization on Tibetans Lhasa. Aug, 2000. CW News in collaboration with LSN)
The government should mandate Medicaid coverage for over-the-counter birth control pills and require that all insurance companies include over-the-counter oral contraception in their prescription plans. In addition, pharmaceutical companies should be encouraged to continue offering discounted Oral Contraception prices to public clinics regardless of drug status to guarantee low-income women's ability to obtain the drug. These efforts would help eliminate any barriers an over-the-counter switch might impose for poor women. Finally, state and federal governments should develop a comprehensive health care plan to address health providers' concerns regarding the health of disadvantaged women. Relying on the secondary effects of a policy such as obligatory pelvic exams for prescription Oral Contraception to keep low-income women in contact with the health care system is not a sufficient strategy for improving the health of poor and disadvantaged women. (Holly Mead, IWPR/GWU Research Fellow. Making Birth Control More Accessible to Women. A Cost Benefit Analysis of Over-the-Counter Oral Conceptive. Feb, 2001. IWPR Publications)
TIME and COST SAVINGS
Visit-Women who would eliminate their annual internal organs exams altogether and women who see their physician more than once a year for prescription Oral Contraception refills would experience a time and cost savings from such proposal because they would no longer need to see a medical professional to obtain their birth control pills.
In the population of women who currently use the Pill stands at 10.4million women, 7.9% or 822,390 women see their physician four times a year for Oral Contraception refills, 34.7% or 3.61 million see their physician two times a year for refills and 49.3% or 5.13 million see their physician once a year for refills. Assuming the average cost of a physician's visit is $85 and that women will continue to see their physician at least once a year (American Medical Association 1996), women who see their physician four times a year for refills would see an individual cost savings of $255 per year for a total savings of $209.7 million for the population. Women who see their physician two times a year for refills would see an individual cost savings of $85 per year for a total cost savings of $307 million for the population. In addition, approximately 2.1 million women would eliminate their annual gynecological visits altogether for an individual cost savings of $85 per year and a total cost savings of $178.54 million (Louis Harris and Associates 1993). Overall, the savings to women who either stop seeing their physician annually or reduce their visits to once a year would equal about $695.3 million.
Assuming the average wage rate is $12/hour and the average amount of time spent at the doctor's office is 11/2 hours (including travel time), women who currently see their physician four times a year for Oral Contraception refills would save 4.5 hours per year or$54 for a total opportunity cost savings of $44.4 million for the population. Five Women who see their doctors twice a year for refills would save 1.5 hours per year or $18 for a total opportunity cost savings of $64 million for the population. For the population of women who would eliminate their annual visits altogether, a total of 3.15 million additional hours would be spent working for a $37.8 million savings. Overall, the opportunity cost savings to women who either reduce or eliminate their physician visits would equal $147.2 million. (Holly Mead, IWPR/GWU Research Fellow. Making Birth Control More Accessible to Women. A Cost Benefit Analysis of Over-the-Counter Oral Conceptive. Feb, 2001. IWPR Publications)
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