I have three things to say about this.
On Friday, Gov. Greg Abbott told The Dallas Morning News that rape victims can take emergency contraception, like Plan B, to prevent a pregnancy. With abortion now banned in Texas, even in instances of incest or rape, the governor recommended the use of emergency contraception to ensure a victim of rape does not become pregnant.
But for the lowest-income people in Texas, emergency contraception isn’t widely accessible, advocates said — a consequence of the significant number of people of childbearing age who are uninsured and the state’s lack of programs that provide access to treatment like Plan B.
During a pre-recorded segment of Lone Star Politics, Abbott said of rape victims, “By accessing health care immediately, they can get the Plan B pill that can prevent a pregnancy from occurring in the first place. With regard to reporting it to law enforcement, that will ensure that the rapist will be arrested and prosecuted.”
After signing Senate Bill 8 into law last September, which banned abortions after about six weeks of pregnancy and didn’t provide exceptions for rape or incest, Abbott said the state’s goal was to eliminate rape. Abbott’s office did not return a request for comment on Saturday.
In 2020, Texas ranked 16th in the nation for total number of forcible rape cases per capita.
Emilee Whitehurst, the CEO of Houston Area Women’s Center, said a significant number of rapes aren’t reported, and the actual number of victims is higher than those that seek treatment at a hospital.
Whitehurst added that emergency contraception is not a substitute for abortion access in any way, but those responsible for the abortion ban in Texas have left victims of sexual assault with few options. She said it was insulting to hear that Plan B should be relied on to prevent pregnancies given the dangers victims of sexual assault already face.
“To presume Plan B could be a substitute for abortion care represents such a fundamental misunderstanding of the reality of women’s lives and our biology,” Whitehurst said.
While emergency contraception is available for purchase over the counter, it can cost $50 at a pharmacy. Some insurance plans cover the cost of emergency contraception, but those who are uninsured have to pick up that additional expense.
For women of childbearing age in Texas, more than a quarter had no health insurance in 2017 — the highest rate in the nation. This is caused, in part, because Texas has not expanded Medicaid and has one of the lowest eligibility standards in the country. A single parent with three children would have to earn less than $400 a month to qualify for Medicaid.
In addition to the lack of coverage, the state’s programs that target women’s healthcare don’t provide emergency contraception. Neither the Family Planning Program nor the Healthy Texas Women Program provide emergency contraception.
Title X clinics remain one of the few options for low-income people to access emergency contraception at an affordable cost. However, these federally-funded reproductive health clinics don’t operate in every community in the state.
1. How’s that plan to eliminate rape going, Greg? Making any progress on it?
2. Boy, it sure is a good thing that health care is so easily and affordably accessible in this state, especially for women and people of color and people who don’t have insurance.
3. It is true that Plan B remains legal in Texas, and that the author of SB8 insists that he doesn’t want to make Plan B illegal – for now, anyway. But come on, does anyone believe that the forced-birth fanatics don’t have the various types of emergency morning-after contraception in their sights? Those people already think Plan B is an abortifacient. It’s just a matter of time, unless there are other laws in place to ensure that it remains legal. In the meantime, here’s a question Greg Abbott will not want to answer: If a bill to ban Plan B passes the Legislature, would he sign it or veto it? We know what Beto would do. I think we can also be pretty sure about Abbott.