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

Salmon Arm’s fire risk worries professionals

Using the 1998 wildfire as an example, consultant suggests more prevention work needed.

Adams Lake band to get new chief

Incumbent chief Paul Michel will not be seeking re-election

Updated: Accused in Kelowna triple murder in court today

Jacob Forman has been in custody since he was arrested and charged with second degree murder

UPDATE: Head on collision closes Trans-Canada west of Revelstoke

Two tractor-trailers collided on Highway 1 forcing the closure of the road, no detour is available

JoeAnna’s House fundraising campaign reaches $4.5 million

Offering ‘home away from home’ for families of KGH patients

VSS drama students to hit the stage

VSS students prepare to stage a midwinter’s night production

Former fire chief gets seven months in prison for possession of child porn

The 63-year-old pleaded guilty during a brief hearing last year to one count

B.C. VIEWS: Public school ‘crisis’ doesn’t exist

More teachers pour in, union wants results suppressed

Suspected Toronto serial killer targeting gay community arrested

A 66-year-old man is charged with first-degree murder in disappearance of two Toronto men

Carpet bowlers have been excluded from BC 55+ Games and Canada 55+ Games

Gold medal carpet bowling winners not able to defend their titles in 2018

UPDATE: Police release new footage, launch website in hunt for 13-year-old’s killer

IHIT say no one has been arrested or charged in connection with Marrisa Shen’s death

Rural B.C. students score visit with Canadiens netminder Carey Price

Two students from the Chilcotin can hardly wait to meet hometown hero Carey Price in Montreal.

Business Spotlight: Mayor to give state of the city address

Mayor Nancy Cooper will be the guest speaker at the January Salmon… Continue reading

Unplug and play in the South Shuswap

The Unplug and Play Family Literacy Week kicks off on Jan. 20… Continue reading

Most Read