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The answer to the question "Is It Time for Off-the-Shelf Birth-Control Pills?" (news analysis, Sunday Review, April 21) is a resounding yes. Not only is it medically unnecessary to require a prescription for birth control pills, but also a doctor's visit is costly and adds a hurdle that can delay women from getting the contraception they want and need.
It's very common to see women in my office who would have been on the pill earlier if they didn't need to scrape together the associated costs for a visit. But as we move forward with this critical conversation, we must keep an eye on other new costs that could arise.
When a product moves from prescription to over the counter, the cost to the patient can often double or triple, given that over-the-counter drugs are not typically covered by health insurance. This may put the pill out of reach for the average woman. It will be critical to keep the cost in check; otherwise, we risk doing a disservice to the very women we seek to help.
DOUGLAS W. LAUBE
Board Chairman
Physicians for Reproductive Health
Madison, Wis., April 22, 2013
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