By now, we all know about Secretary Sebelius’ surprising decision last week to override the FDA, as well as the scientific community by keeping Plan B as a prescription-only option for anyone under the age of 17. The Secretary stated that she had based her decision on the fact that 10% of girls as young as 11 are now capable of becoming pregnant through the early onset of menstruation and that since there are significant cognitive and behavioral differences between girls aged 11 and 16, she worried that young girls would not understand the full ramifications of taking the drug without first consulting with a medical professional.1
On the surface this may sound reasonable. Her idea seemed to be - let's do some more research on pre-teens with precocious puberty because the Plan B drug manufacturer failed to include enough pre-teens to satisfy Secretary Sebelius' safety concerns.2
There are practical realities that Secretary Sebelius overlooked, which when given voice, clearly demonstrate that 11 year olds are not safer because of Secretary Sebelius' decisions, 12-16 years olds are not safer because of Secretary Sebelius' decisions, and most certainly society at large are not safer.
First, what Sebelius failed to weigh or even mention is the harm done by the potential consequence of keeping access to Plan B difficult for most teens and pre-teens - pregnancy. The studies and common sense confirm the dangers associated with pregnant preteens whose bodies are not developed sufficiently to handle pregnancy. Second, Sebelius failed 12-16 year olds, whose cognitive abilities were not in question and all women over 17, who would have been able to buy the pill without an uncomfortable ID check.
There were numerous solutions at Secretary Sebelius' disposal to cure whatever perceived danger the Secretary believed preteens would be exposed to by a failure to understand labeling instructions of Plan B; such as, access to comprehensive, culturally appropriate sex education, as well as, education about healthy relationships and teen dating violence, the vigorous enforcement of Title IX's anti-harassment/bullying provisions, re-enactment and vigorous enforcement of the Violence Against Women Act and other laws protecting girls and women from sexual violence. Strengthening programs designed to provide safe spaces where girls and boys can thrive is the more appropriate answer to Secretary Sebelius' concerns.
The bottom line is this: 11 year olds are not safer because Secretary Sebelius' chose to prevent young girls from accessing emergency contraception needed because of actions or inactions by others in positions of power.
Eleven year olds could be safer today - all of us could be safer today if Secretary Sebelius addressed the root causes - the reason why any of us need to address 9, 10, or 11 year old girls being of "reproductive age" and being impregnated. One root cause is the inundation of endocrine disrupting chemicals in our environment.3 Secretary Sebelius has the power to address this cause by aggressively seeking the elimination of these toxic chemicals. For one thing, Secretary Sebelius could discontinue the use of Fluoride in public water systems, a known endocrine disrupter. That decision is within her power.4 The Secretary and the Obama administration as a whole could be aggressively advocating for the passage of the Safe Cosmetic Act5 and the Aqua Act6 , which deals with safe drinking water. We all have a right to be protected from human produced environmental toxins, but it does not go unnoticed that women, people of color and the poor are poisoned in greater proportion by these corporate manufactured toxic chemicals.
The increasing number of ever younger girls being of "reproductive age" should be what concerns Secretary Sebelius and her concern, should be demonstrated by an aggressive effort to reverse the trend rather than denying young girls access to emergency contraception because the powers that be failed to protect her from both toxic chemical exposure causing precocious puberty and from a rape culture that makes her sexually accessible.
Secretary Sebelius and President Obama need to hear our concerns about this decision, a decision that abdicated their responsibilities in preventing the increasing number of ever younger girls being of "reproductive age" through vigorous environmental protection. They also need to understand that the decision to deny access to Plan B without a prescription from young women and girls 16 and younger prevents them from adequately protecting themselves.
The truth is, young women were not protected by this decision and they were not made safer. Only when we, as a society, including Secretary Sebelius and President Obama, deal with the reasons why preteens need contraception can we truly provide real safety - because that protection is based on every young girl's right to reproductive justice.
References:
1. http://www.hhs.gov/news/press/2011pres/12/20111207a.html
2. http://www.msnbc.msn.com/id/45585285/ns/health/t/health-secretary-blocks-wider-access-morning-after-pill/
3. http://www.hhs.gov/asl/testify/2010/02/t20100225a.html
4. http://americannutritionassociation.org/newsletter/end-fluoridation
5. http://markey.house.gov/index.php?option=com_content&task=view&id=4408&Itemid=210
6. http://markey.house.gov/index.php?option=com_content&task=view&id=4002&Itemid=141