Clinics in Delaware are reportedly being trained to ensure that all women of childbearing age can get immediate access to any type of birth control as part of a statewide effort to increase access to contraception.
By working with Upstream, an organization that seeks to reduce unplanned pregnancies, Delaware hopes, in part, to help women escape or avoid poverty, often a cause and a symptom of unplanned pregnancies.
Delaware has been implementing this plan to medical providers around the state over the past three years, The New York Times reports, and has already seen a significant jump in the number of women asking for and receiving contraception.
Now, when women of childbearing age in Delaware visit the doctor, they are all asked if they plan to get pregnant within the next year. If they say no, they supposed to receive on the spot access to all kinds of birth control, from the pill to IUD’s.
“We’re never trying to twist anyone’s arm – never,” said Dr. Karen Antell, a family physician the state that had the highest rate of unplanned pregnancies in the country just eight years ago, adding that women can reject their offer for contraception at any point.
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Increased access to contraception appears to be more about increasing opportunity for women and helping them out of poverty.
“The whole conversation about opportunity begins before the child is born,” one of Upstream’s founders, Mark Edwards, told The NYTimes.
Studies have shown that after birth control became legal in the 1960s, women’s careers and education levels improved and the number of children they had declined.
“It’s very expensive and very hard to reduce poverty,” Isabel Sawhill, a senior fellow at the Brookings Institution, said. “Reducing unplanned births is easy by comparison.”
While Delaware hopes an offset of the program will reduce poverty in the state, many experts question the causal link between unplanned pregnancies and poverty.
“To what extent does unintended pregnancy cause bad outcomes versus bad outcomes causing unintended pregnancies?” Caitlin Myers, an associate professor of economics at Middlebury College who teaches a class on unplanned pregnancies, told TheNYTimes.
“It’s a symptom of poverty, of inequality, of hopelessness about the future,” she said, while adding that Delaware’s program could also reduce the number of abortions women have, an aspect that could appeal to more conservative citizens or politicians in the state.
Dr. Karyl Rattay, Delaware’s director of public health, said the state’s abortion rate dropped since they enacted this practice, and they predict it will continue to fall.
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