Add free birth control to national pharmacare: NDP
OTTAWA — If the government wants to solidify reproductive rights in Canada, NDP Leader Jagmeet Singh suggests it start by launching pharmacare with a full slate of birth control options.
Reproductive health has been in the spotlight since a leaked U.S. Supreme Court draft opinion revealed national abortion rights could be rescinded in that country.
Singh said access to abortion is a “huge concern” in Canada, and he wants to see more clinics and hospitals offering the service closer to people’s homes. But more immediately, he said the government can make sure people can at least afford contraceptives through its proposed national pharmacare plan.
“We know that the cost of contraceptives are prohibitive for a lot of people,” Singh said at a news conference Wednesday. “It costs too much if you don’t have a drug plan.”
As part of the Liberals’ confidence and supply agreement with the NDP, the federal government has until June 2025 to develop a list of essential medicines that would be covered under a national pharmacare plan.
Singh said he’s been clear with the government that the list should include contraceptives.
Canada is one of the only countries with universal health care that does not also have universal access to contraception for women, according to the authors of a 2019 University of British Columbia study on the affordability of birth control.
Canada has a patchwork of public and private insurance plans, and the cost of contraceptives can vary wildly from a few dollars to hundreds of dollars per year depending on the type of birth control and a person’s coverage.
Australians, by contrast, have their pick of birth control methods for about C$6.
The researchers at UBC found young women at risk of an unwanted pregnancy were more likely to rely on cheaper, less effective forms of birth control if they had lower household incomes. Having less money also put them at greater risk of forgoing birth control altogether.
The most effective types of birth control, like an intrauterine device, tend to come at the highest upfront cost, said lead author on the study, Elizabeth Nethery.
“If you can’t cover that yourself and can’t come up with that money … you may choose to use condoms,” she said.
The Canadian Paediatric Society also called for universal access to birth control for youth under the age of 25 as part of a 2019 position paper.
Ontario adopted the policy in 2018 as part of its youth pharmacare plan, and the provincial NDP have pledged to expand contraception coverage to people of all ages as part of the party’s current election campaign.
Leaving birth control out of a national pharmacare plan would cause “serious problems” for the Liberal-NDP deal, Singh said.
Health Minister Jean-Yves Duclos did not respond directly to questions about whether the government expects to see a full spectrum of birth control options included in pharmacare, or whether contraceptives would be prioritized during the eventual rollout of the program.