New York Times, December 18, 2018
Margot Sanger-Katz


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When a woman of childbearing age goes to the doctor in most places, she gets standard queries about her smoking, drinking, seatbelt use and allergies. In Delaware, she is now also asked: “Do you want to get pregnant in the next year?”

If her answer is no, clinics are being trained to ensure she gets whatever form of birth control she wants that very day, whether a prescription or an implant in her arm.

This simple question — so new that electronic medical record systems had to be modified to record the answer — is part of the state’s effort to remake its approach to contraception. The bet by state officials is that this will both reduce unintended pregnancies and help women escape poverty. It could also reduce state spending on Medicaid. [...]

contraception health care costs health law policy medicaremedicaid public health regulation reproductive rights women's health