Contracepting Conscience

by Helen Alvaré

July 25, 2011

The new, pro-contraceptive recommendations by the Institute of Medicine endanger the health and well-being of women.

Richard John Neuhaus once commented that the “philosophes” of the French Revolution would turn over in their graves to discover how the Catholic Church had become the chief defender of the place of reason in the public square in the late 20^th century. Today in the 21^st century it is the feminist revolutionaries of the 1960s who are squirming in their rocking chairs as the Catholic Church dares to defy “the establishment” to stand for the freedom of women and of conscientious objection to federal mandates.

The greatest attack on women’s freedom is last week’s recommendation by the Institute of Medicine (IOM) that the new health care law should mandate “the full range of FDA-approved contraceptive methods [and] sterilization procedures” as “preventive services.” This means that every health insurance plan must provide these services without co-pays or deductibles. “Grandfathered” employer plans are exempted, but these lose their “grandfathered” status if the plans are significantly changed; HHS estimates that by 2013, about 88 million Americans’ preventive services coverage will be affected by federal decisions. The Secretary of Health and Human Services has solicited IOM’s recommendations and will render a final decision August 1.

Cardinal Daniel DiNardo of the U.S. Conference of Catholic Bishops responded immediately that the new threat to religious conscience posed by this recommendation fails women. He noted further that the “FDA-approved” category includes even abortion-inducing methods (such as Ella), and that IOM’s report appeared to be driven by ideology, not science or care for women’s health.

If you want to give new meaning to the word “outsider” in Washington today, identify yourself prominently as a conscientious objector to birth control as a tool in the “war against unintended pregnancy.” A giant federal health care bureaucracy becomes your enemy. So does one of its closest collaborators, the self-described champion of all things female, the Planned Parenthood Federation of America. The IOM’s report gave Planned Parenthood everything it lobbied for—even the opinion that abortion, too, is a form of preventive health care, but one that the IOM believed it could not recommend in light of extant law. the rest

It is no surprise, then, that the rates of every outcome harmful to women—uncommitted sexual encounters, sexually transmitted infections, nonmarital births, and abortion—have climbed precipitously during the decades that the federal government has escalated both public and private support for contraception. Yet the IOM report—a report on women’s health—makes no reference to this substantial body of literature.