Cost coverage of abortion pill doesn’t improve rural access

Ultrasound requirement still a barrier for Agassiz, Harrison, Hope

The B.C. government’s recent announcement of universal, no-cost coverage for Mifegymiso – an oral alternative to surgical abortion – has been looked to as an answer for improving access to abortion in rural communities across the country.

The combination of Mifepristone and Misoprostol, currently free in five other Canadian provinces, is used to terminate early pregnancies only –up to nine weeks or 63 days from the last menstrual period.

Most B.C. pharmacies will provide Mifegymiso once it becomes fully cost-covered Jan.15, and will likely order it on an as-needed basis.

But the zero-cost price tag on the pill may remove just one of many barriers facing rural women with unwanted pregnancies.

To get a prescription, patients are required to have an ultrasound to confirm the gestation stage and ensure that an ectopic pregnancy – when a pregnancy occurs outside the uterus – isn’t taking place.

Most rural doctor clinics don’t have ultrasound equipment, so patients will need to travel to the closest hospitals or urban centres where ultrasounds are available. Even then, long wait times can cause delays and ultrasounds at private clinics often come with a fee.

Frédérique Chabot, director of health promotions for Action Canada for Sexual Health and Rights, says that since the decriminalization of abortion nearly 30 years ago, improving access in rural communities has been one of the biggest struggles.

“Access really varies across Canada and the people who are getting the short end of the stick are definitely people in rural and remote areas,” she said. “To offer a medical abortion is way more accessible for service providers than to set up the services needed for surgical abortion.

“In a rural community you don’t have the same access to a pretty important medical service. And that’s not what our health care system is about. It’s supposed to be universal.”

While Chabot said cost coverage for Mifegymiso is a huge step towards removing multi-tiered access, Action Canada for Sexual Health and Rights is still advocating to remove the current ultrasound requirement.

“Cost coverage was the first step that we had identified as making the biggest difference,” she said. “[Before] people would have to pay out of pocket – something like $400. We had a pretty major victory with most Health Canada restrictions being taken down, but the mandated ultrasound continues to stand in the way for access in some areas.

“We’re working with a lot of activists and other organizations to continue to chip away at these barriers.”

Just Posted

Ministry denies request for air quality monitoring in Revelstoke

Revelstoke City Council’s request that an air quality monitoring system be re-established… Continue reading

Trans Canada Highway opened again near Sicamous

Motor vehicle incident on Highway 1 between Sicamous and Malakwa closed road after 6 p.m.

Air support grounded as fires fill the skies with smoke

Heavy smoke throughout the region thwarted efforts of BC Wildfire Saturday, as… Continue reading

‘Beauty amongst such tragedy:’ B.C. photographer captures nature’s trifecta

David Luggi’s photo from a beach in Fraser Lake shows Shovel Lake wildfire, Big Dipper and an aurora

Key to the SOEC 2017 winner grateful for experience

Petersen discusses what it’s like to win a year of free concerts at the SOEC

‘We will not forget:’ Thousands attend funeral fallen Fredericton officers

Hundreds of officials marched in the parade, which included massed band, several police motorcycles

West Kelowna wildfire evacuation alert rescinded

Alert rescinded Saturday for properties near four lakes within the Gottfriedsen Mountain wildfire

B.C. man designer behind Canucks’ retro jersey

Jeremie White was 20 years old when he told Canucks assistant GM Brian Burke he had a design

Lions give up late TD in 24-23 loss to Argos

B.C. falls to 3-5, fumbling away last-minute chance in Toronto

Eagle tree cut down legally a 1st for B.C. city

Planned eagle preserve ‘a first for City of Surrey’

Key to the SOEC 2017 winner grateful for experience

Petersen discusses what it’s like to win a year of free concerts at the SOEC

In Photos: Roots and Blues 2018 day one

Michael Franti and the Lil Smokies lit up the main stage to close out a day filled with great music

Most Read