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Plan B: Sober Second Thoughts

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My reaction to the decision to make Plan B available over-the-counter to women over the age of 18 was positive. And, in a sense, it still is; the current policy is preferable to the status quo ante. I feel like Stevens in Casey: “The portions of the Court’s opinion that I have joined are more important than those with which I disagree.” Casey was, on its own merits, a serious setback; not only did it overrule the crucial protections of Akron, it was also something of a jurisprudential disaster, creating a standard that gave virtually no guidance to lower courts and legislatures and also failing to defend it convincingly. Nonetheless, given the personnel on the court it was also victory, because it was the best result viable under the circumstances, and the same is true of the FDA as long as Bush remains in office.

Still, as ema notes in detail here, it must also be noted that the exclusion of women under 18 is a ridiculous decision: “There is no more medical justification to restrict Plan B sales to women 18 and older, than it is for sales of the drug to be restricted to males only.” And it’s not merely that the exclusion of women under 18 has no medical justification. Just like the irrational “reasonable” regulations of abortion rights favored by so many legislators, it increases the burdens on the class of women who are already burdened the most. Women under 18 are more likely to have difficulty acquiring a prescription, and the consequences of an unwanted pregnancy are on balance more severe for these women. The FDA’s decision was an important first step, but this irrational and counterproductive rule should be amended as soon as the Democrats re-take the White House.

Amanda has more.

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