08 December 2011

About that War on Science, Obama Edition Continued

There is no war on science, of course, but I do have some fun with it. The latest example on this front in the Obama Administration comes from the Department of Health and Human Services and involves abortion politics with a presidential election coming into sight. The issue is politics as normal, but both sides insist on framing it in terms of science, and it is that framing (as opposed to the decision itself) that results in politicized science in this case.

HHS secretary Kathleen Sebelius has chosen to reject the advice of experts in FDA on the safety of over-the-counter "emergency contraception":
In a surprise move with election-year implications, the Obama administration’s top health official overruled her own drug regulators and stopped the Plan B morning-after pill from moving onto drugstore shelves next to the condoms.

The decision by Health and Human Services Secretary Kathleen Sebelius means the Plan B One-Step emergency contraceptive will remain behind pharmacy counters, as it is sold today — available without a prescription only to those 17 and older who can prove their age.

The Food and Drug Administration was preparing to lift the age limit on Wednesday and allow younger teens, who today must get a prescription, to buy it without restriction. That would have made Plan B the nation’s first over-the-counter emergency contraceptive, a pill that can prevent pregnancy if taken soon enough after unprotected sex.

But Sebelius intervened at the eleventh hour and overruled FDA, deciding that young girls shouldn’t be able to buy the pill on their own — especially since some girls as young as 11 are physically capable of bearing children.

“It is common knowledge that there are significant cognitive and behavioral differences between older adolescent girls and the youngest girls of reproductive age,” Sebelius said. “I do not believe enough data were presented to support the application to make Plan B One-Step available over the counter for all girls of reproductive age.”
The reaction to the decision on the left and the right is utterly predictable:
It was the latest twist in a nearly decade-long push for easier access to emergency contraception, and the development shocked women’s groups and maker Teva Pharmaceuticals, which had been gearing up for over-the-counter sales to begin by month’s end.

“We are outraged that this administration has let politics trump science,” said Kirsten Moore of the Reproductive Health Technologies Project, an advocacy group. “There is no rationale for this move.”

“This decision is stunning. I had come to believe that the FDA would be allowed to make decisions based on science and the public’s health,” said Susan Wood of George Washington University, who served as the FDA’s top women’s health official until resigning in 2005 to protest delays in deciding Plan B’s fate. She said, “Sadly, once again, FDA has been over-ruled and not allowed to do its job.”

But the decision pleased conservative critics of the proposal.

“Take the politics out of it and it’s a decision that reflects the concerns that many parents in America have,” said Wendy Wright, an evangelical Christian activist who has helped lead the opposition to Plan B.
Both sides are wrong -- the decision is of course political and has been informed, but not dictated, by science. Expert opinion on safety is one, but only one, factor in the HHS decision. Setting a legal age-threshold for buying the morning-after pill is no different than setting a legal age threshold for buying alcohol.

5 comments:

Robert said...

Roger - Of course you are right. Setting an age limit for use of this type of drug has nothing to do with science, regardless of whether the science says it is safe to do so. It is perfectly reasonable to consider other issues than just the drug's safety.

Just as it was perfectly acceptable for Bush to decide that the federal gov't could limit funding for fetal stem cell research for reasons other than "the science". Unfortunately, too many on the left or in the media equated "limiting funding" to "banning".

Sean said...

Good analogy alcohol and the morning after pill. My bet is that since one is easily obtained by minors (and can lead to the circumstances creating needs for ther other) that the morning after pill will be equally available to minors, no matter what rules the government makes.

jzulauf said...

The phrase "emergency contraception" is also not scientifically sound. While preventing conception is one mode of operation, the dominant function after 48 hours is to prevent implantation.

Science must first be honest and accurate.

MIKE MCHENRY said...

You're right. It has nothing to do with science.

Nicolas Nierenberg said...

Yes, but setting an age limit for a drug on political grounds isn't the role of HHS in this case. She overruled the FDA on scientific grounds. Congress, of course, is free to pass laws limiting access to drugs for minors.

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