The Philippine Star

R ID E DN

- By JOSE C. SISON

There is really no need to rush the implementa­tion of the R law. To be sure even before the law was passed and while its constituti­onality is still being deliberate­d upon by the Supreme Court, some of its provisions are already being implemente­d by the Department of ealth (DO ). Indeed billions of pesos have already been set aside by the DO to purchase artificial birth control pills and devices purportedl­y for all Filipino women especially the poor and the uneducated, to enjoy reproducti­ve health after exercising their informed choice. In fact one of the arguments against the passage of said law is that it is no longer necessary.

Besides even if the Supreme Court (SC) has already denied the motions for reconsider­ation of its decision on the matter, no entry of judgment has been issued yet as to make its decision final and executory. Moreover, its Implementi­ng Rules and Regulation­s (IRR) have not yet been finalized and duly publicized for the informatio­n of the general public. The IRR is very important as far as this law is concerned because the SC did not actually uphold the constituti­onality of all its provisions. In fact the SC did not say that the law is constituti­onal. It merely used the words “not unconstitu­tional” in resolving the various petitions filed against it.

The precipitou­s call of the law’s advocates to implement it immediatel­y seems to be another attempt to create a public impression that the SC really ruled in their favor especially in the use of contracept­ives. It must be pointed out however that one of the main Tuestions arising in this case regarding the use contracept­ives is “when life begins.” The pro-R group has consistent­ly advanced the argument that contracept­ives do not cause abortion because according to them, life begins only upon implantati­on of the fertilized ovum in the mothers’ womb and not upon fertilizat­ion of the ovum. But in its decision, the SC has flatly rejected this argument. It expressly ruled that life begins upon fertilizat­ion of the female ovum by the male sperm when the zygote is formed.

The SC rejection of this argument advanced by the R law advocates has thus led the SC to declare as unconstitu­tional, the definition of abortifaci­ents set forth in Section 3 of the law’s Implementi­ng Rules and Regulation­s (IRR). Said section limits the definition of abortifaci­ents only to those which primarily induce abortion. With this SC ruling, it is clear that other contracept­ives are also arbortifac­ients even if they do not directly but only secondaril­y induce abortion especially if they prevent the implantati­on of a fertilized ovum.

It is interestin­g and important to note and consider in this connection the well establishe­d jurisprude­nce in the US where contracept­ives originated and are legally used purportedl­y for the women’s reproducti­ve health. The US Supreme Court particular­ly in the case of Planned Parenthood vs Casey has already declared categorica­lly that “contracept­ion also means abortion.” It recognized the fact that contracept­ives are abortifaci­ents, not only because their use invariably result in abortion primarily or secondaril­y. Indeed according to the US Supreme Court, the use of contracept­ives may also end up in unwanted pregnancie­s which invariably force women to resort to abortion.

Undeniably, our R law is patterned after the US laws on the use of contracept­ives. ence, we should also recognize this fact about their nature and effect as abortifaci­ents. Unlike in the US however we don’t allow and recognize abortion here because it is clearly contrary to the Constituti­onal provision particular­ly Section 12, Article II, expressly reTuiring the State to “eTually protect the life of the mother and the life of the unborn from conception.”

( xtreme care must therefore be observed in implementi­ng this law. This recognized fact about the nature and effect of contracept­ion which may run counter to the above mentioned Constituti­onal provision must be taken into account vis a vis the provisions in Section 3(a) in relation to Section 10 of the R law mandating the government to fund the purchase of hormonal contracept­ives, intra uterine device, other supplies and reproducti­ve health services; and to distribute them or make them available for free to the marginaliz­ed sector through the local government units.

It is true that Section of RA 10354 provides that “The Philippine National Drug Formulary shall include hormonal contracept­ives, intrauteri­ne devices, injectable­s and other safe, legal, non-abortifaci­ent and effective family supplies as determined by the Food and Drug Administra­tion” (FDA).

Neverthele­ss, the danger here lies in that the FDA which is a mere agency in the (xecutive Department mainly charged with supervisin­g the sale and distributi­on of food and drugs has been given the discretion and the task of determinin­g not only what are the safe, non- abortifaci­ent and effective contracept­ive supplies and devices. It is also given the task of determinin­g whether they are “legal” which is obviously not within its competence.

In fact there may even be no need to give the agency, the power to determine whether the hormonal contracept­ives, devices and other supplies are abortifaci­ents. Based on the recognized facts obtaining abroad particular­ly the US which also has an R law, all contracept­ives are apparently abortifaci­ents as they primarily and secondaril­y cause abortion.

The IRR must therefore fix sufficient guidelines so that the FDA will not have much leeway and discretion in determinin­g what should be included in the Philippine National Drug Formulary. Otherwise we may have another “fast break” in the interpreta­tion and implementa­tion of the law that may subseTuent­ly be found unconstitu­tional like the DAP.

(-mail H J O

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