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

Kodiaks begin best-of-seven series strong

The Kodiaks opened their quarter-final playoff series by defeating the Delta Ice Hawks on home ice.

Heritage proposal for Aldergrove fire hall at a ‘standstill’

The Alder Grove Heritage Society faces a delay in knowing the fate of the fire hall due to tenants slated to live in the building until 2020.

VIDEO: Langley hosting high-flying fun at annual gymnastics tournament

Action runs Friday through Sunday at the Langley Events Centre fieldhouse.

BREAKING: Plecas won’t run in next election if legislature oversight reforms pass

B.C. Speaker and Abbotsford South MLA says he feels ‘great sympathy’ for Jody Wilson-Raybould

Langley Secondary students rehearse upcoming musical comedy

The Langley Secondary Musical Theatre Company presents Guys and Dolls on Feb. 22.

VIDEO: Langley hosting high-flying fun at annual gymnastics tournament

Action runs Friday through Sunday at the Langley Events Centre fieldhouse.

Stabbing at Lower Mainland banquet hall sends man to hospital

RCMP says victim has ‘non-life threatening’ injuries, incident still under investigation

Eight cases of measles confirmed in Vancouver outbreak

Coastal Health official say the cases stem from the French-language Ecole Jules Verne Secondary

Ontario police field complaints over Amber Alert for missing girl, 11, found dead

Some said the Amber Alert issued late Thursday for Riya Rajkumar disrupted their sleep

Former B.C. premier Gordon Campbell accused of sexual touching

Accuser went to police, interviewed by Britian’s Daily Telegraph

B.C. couple attacked with acid, slashed with knife in Vietnam

Warning, graphic images: Man has burns on 80 per cent of his body, slashed with knife

Northern B.C. First Nation clan says ancient tools found at pipeline work site

Archeologists from the Smithsonian Institute estimate one of the stones found dates back up to 3500 years

Man taken to hospital for smoke inhalation, burns after fire at RV park

Firefighters find man suffering from smoke inhalation, burns to face and hands: battalion chief

Most Read