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gwen
gwenix
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April 2011
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gwen [userpic]
*sigh*

A friend of mine is having trouble obtaining Accutaine for her rosacia, all because of the iPLEDGE policy, and despite the fact that she plans to never have children.

In short, she reacts badly to hormonal treatments, is "too young" to get her tubes tied*, and is not dating someone who has had a vasectomy (she's currently single), so she cannot meet the "primary birth control" criteria. Please note that she has a PhD in psychology specializing in sex and gender topics, so she is not uneducated about birth control, its effectiveness, and how to use it. But because she doesn't meet criteria as listed on a website, she cannot get this medication in the United States.

What makes this law so much more ridiculous is that if someone pledges that they have and will continue to abstain from sexual relations (taken as truth from word of mouth), they are considered fine for taking the medication. No, really. And notice the part about the boyfriend with the vasectomy? Yes, that's good, but... women are known to cheat too. So why is it that if someone says, "I do not want to have children, and I have effectively been using condoms and the morning after pill as birth control for the past decade," they are not to be believed, but everyone else's word is taken as truth?

And really, why not just say, "OK, look, if you want to take this drug, you have to get bloodwork done once a month." I know that's what I had to do while on lithium, why is this any different? I mean really, if you're that worried about the medical effects, then MEDICALLY figure it out.

In other words, this really is just a big, "Fuck you, fuck you very much," to the government for enacting such stupid laws.

* Please note that women who have had less than 2 children and are under the age of 35 cannot opt for having their tubes tied and still have insurance pay for it. Considering that the expense of this surgery is so daunting, this effectively means that most women who do not want children just cannot get it done until the age of 35.

Current Mood: aggravatedaggravated
Comments

Ooo, which insurer do you have?

It's totally something I want to consider doing.

I really really liked Highmark. I am increasingly displeased with UPMC. I'm pretty sure I'll be switching when open enrollment for benefits comes around again.

I know for me the same holds, though I can't recall if I'm considered a "special case" due to endo or not. I'm on a variant of Health America.

The weird thing is, when I was on Accutane, I was required to get periodic bloodwork done. Admittedly, I don't think it was once a month, but I think it was once every three months, at least.

I was corrected by the friend in question. There is monthly bloodwork, in part to determine pregnancy status. So, yah, there's already a medical test involved. Further, in the past decade of use without the iPLEDGE program, only 2000 accidental pregnancies happened, most of which resulted in abortions. So we're not talking about something that's statistically relevent either.

2000 accidental pregnancies is probably relevent to the people involved. Oh, and probably to whoever is covering the liability insuarnce for the drug company. The problem isn't really that these people are trying to control women's reproductive choices but that they are trying to cover their own ass in case someone gives birth to a freak. By doing this they minimize their liability. Of course, women could pledge not to sue the company but it turns out that you realy can't sign away your rights to sue.

That is so bizarre. Up here (in Canada) you are required to be on birth control if there is a chance you could get pregnant. Condoms are okay, but Rx methods are preferred. Beyond that, it's a discussion about the risks, bloodwork every so often and that's that. As for tubal ligation, it's covered for women in BC who understand the consequences of the surgery and can consent to it. Generally, we like them to be above a certain age (over 25 or so) but exceptions have been made.

how about a Canadian pharmacy? Is that possible? I know a lot of americans with no coverage use Canadian pharmacies online anyways because the drugs are cheaper. So if she didn't go via her insurance company at all, she could just use a canadian company.. no?

Is this a low-dose accutane? I heard the normal acne-strength accutaine can make Rosacea worse.

I use an anti-biotic for mine and a fantastic topical cream at night that has done wonders for me.

You, uh, just explained why I could get pregnant this year. I had a miscarriage 10 years ago which I'd thought left me barren. See, I had a resulting infection which stripped the lining of my uterus...

I did not know that could heal.