The official opposition in Alberta reiterated its pledge to offer free birth control if elected, with two obstetricians and gynecologists saying the policy would be life-changing.
Last month, on International Women’s Day, Rachel Notley said her party would make oral hormone pills, copper and intrauterine devices (IUDs), subdermal implants, birth control shots and Plan B free.
The NDP estimates the plan would cost about $34 million and save an Albertan who pays for birth control pills every month about $10,000 over a lifetime.
“Since that historic announcement, we’ve heard from many Albertans how this policy would be life-changing,” said MLA Janis Irwin, who represents Edmonton-Highlands-Norwood.
Depending on the brand and coverage options, birth control pills can cost anywhere from $20 to $240 a month, and an IUD can cost about $500 up front, Irwin said.
“Cost influences the decisions Albertans make about birth control every day,” she said. “The most effective forms of birth control, like the IUS and the contraceptive implant, are the most expensive to buy upfront.”
“When Albertans are told they will have to pay more than $400 out of pocket for an IUD, some understandably turn to cheaper forms of birth control, even when these other options are known to be less effective or have more side effects.
“This is heartbreaking for a doctor,” Litalien added. “Albertans deserve the kind of birth control that’s right for them, not just the kind they can afford.”
Beginning this month, BC will cover the cost of most prescription contraceptives and all dispensing fees — the first jurisdiction in Canada.
Scott Johnston, press secretary for Alberta Secretary of Health Jason Copping, said those with a government-sponsored health insurance plan cover “many” birth control options listed on the Alberta Drug Benefit List.
For those with a low-income health plan, oral contraceptives and IUDs are free, he added.
Johnston said the United Conservative Party-led government has no plans to expand coverage of contraceptives and healthcare products.
Covering the full cost of birth control options would have far-reaching societal implications, said Dr. Skye Russell, an obstetrics and gynecology-based University of Alberta.
“I think it’s pretty narrow-minded to assume that all Albertans will have access to private insurance,” Russell told CTV News Edmonton. “For example, you need to be able to read and write English to fill out the application form. You need a permanent address.”
“Is it fair that women of childbearing age have to use our health care account?” She added. “You could use your entire healthcare spending account just for prevention without covering other prescription drugs or treatments.”
For many women, birth control use goes beyond contraception, as it can also help manage heavy or painful periods, prevent some uterine and ovarian cancers, or even be part of gender-affirming care for transgender people.
“It might seem like a small way to save money for individuals in the short term, but in the long run it actually saves society,” Litalien reiterated.