Pa. vending machine dispenses 'morning-after' pill

[doggie]

Students at Shippensburg University in Pennsylvania can get the "morning-after" pill by sliding $25 into a vending machine, an idea that has drawn the attention of federal regulators and raised questions about how accessible emergency contraception should be.

 

The student health center at Shippensburg, a secluded public institution of 8,300 students tucked between mountain ridges in the Cumberland Valley, provides the Plan B One Step emergency contraceptive in the vending machine along with condoms, decongestants and pregnancy tests.

 

"I think it's great that the school is giving us this option," junior Chelsea Wehking said Tuesday. "I've heard some kids say they'd be too embarrassed" to go into town - Shippensburg, permanent population about 6,000 - and buy Plan B.

 

Federal law makes the pill available without a prescription to anyone 17 or older, and the school checked records and found that all current students are that age or older, a spokesman said. It doesn't appear that any other vending machine in the U.S. dispenses the contraceptive, which can prevent pregnancy if taken soon after sexual intercourse.

 

The machine has been in place for about two years, and its existence wasn't widely known until recently. The U.S. Food and Drug Administration is contacting state officials and the university to gather facts, agency spokeswoman Stephanie Yao said Tuesday.

 

The FDA's sudden interest took place amid a furor over religious rights and access to birth control. An official resigned from the nation's largest breast cancer charity Tuesday over Planned Parenthood funding, and Republican presidential candidates attacked the Obama administration for a recent ruling requiring church-affiliated employers to provide birth control.

 

Consumers have long been able to insert a few coins for the likes of aspirin, ibuprofen, antacids and other common over-the-counter remedies. But some experts see a worrisome trend in making drugs like Plan B, which is kept behind the pharmacy counter, available in a vending machine.

 

Alexandra Stern, a professor of the history of medicine at the University of Michigan, said she wasn't questioning a woman's right to have access to Plan B, but whether making it so easily available is a good idea.

 

"Perhaps it is personalized medicine taken too far," she said. "It's part of the general trend that drugs are available for consumers without interface with a pharmacist or doctors. This trend has serious pitfalls."

 

Taking Plan B within 72 hours of rape, condom failure or just forgetting regular contraception can cut the chances of pregnancy by up to 89 percent. It works best if taken within 24 hours. Some religious conservatives consider the emergency contraceptive tantamount to an abortion drug.

 

The idea for a vending machine started at Shippensburg after a survey about health center services several years ago. Eighty-five percent of the respondents supported making Plan B available, school spokesman Peter Gigliotti said. The student government endorsed the idea.

 

The machine is in the school's Etter Health Center, which only students and university employees can access, Gigliotti said in a statement. In addition, "no one can walk in off the street and go into the health center," he said; students must check in at a lobby desk before being allowed in.

 

Students and administrators at Shippensburg said they're puzzled that a single vending machine at a small school has attracted such attention. Senior Matthew Kanzler said a lot of students at the school weren't even aware of the machine until recently.

 

Most students do support the idea, he said - but not all.

 

"It's a way for students to get the help or care they need," he said, adding that students appreciate the on-campus health care because the school, about 130 miles from either Philadelphia or Pittsburgh, is so isolated.

 

In December, the Obama administration's top health official overruled her own drug regulators and stopped the Plan B pill from moving onto drugstore shelves next to condoms and other items. It remains available behind pharmacy counters.

 

Denise Bradley, a spokeswoman for Teva Pharmaceuticals, which makes Plan B, said in a statement that it sells the product only to "licensed pharmacies or other licensed healthcare clinics, which are required to follow federal guidelines for the distribution of pharmaceutical products."

 

On whether the machine might violate the law, "I don't have a definite yes or no," said Ron Ruman, a spokesman for the Pennsylvania Department of State, which oversees the state pharmacy board. If a person younger than 17 used the machine, it "potentially could be a violation," he said.

 

The drug isn't covered or subsidized by the school. Its price at the vending machine is set by the school's cost to the pharmaceutical company and is less than at off-campus pharmacies.

 

Deanne Hall, a professor at the University of Pittsburgh School of Pharmacy, noted that the ease of access to such a machine could be positive for many women, but she wondered whether self-treatment might deter sexual assault victims from seeking medical attention.

 

"This does open up a different door," she said.

 

Rob Maher, a professor at the Duquesne University School of Pharmacy in Pittsburgh, said he had never heard of a vending machine dispensing Plan B, but noted that there have been vending machines in doctor's offices, and even a specialized machine designed to fill prescriptions.

 

Still, he questioned whether the machine would make it possible for a young person to buy the drug without discussing their risk factors with a health care professional.

 

"That's the big risk with a vending machine like this," he said.

 

Carol Tobias, president of the anti-abortion group National Right to Life, said other services would be more appropriate.

 

"It would be a much more productive use of funds if universities would partner with local pregnancy resource centers where students can get real help if they need it," Tobias said.

 

Said Anna Franzonello, counsel to Americans United For Life: "Students at Shippensburg University deserve better than to have their administration represent the potent drug with life-ending potential as no more harmful than any other vending machine item."

[valsa]

I think it's great.

While there can be side effects and dangers of taking any medication, that's also true for all the other over-the-counter meds you don't need to see a doctor to get. Stick a warning label on there and trust that women can make their own health care decisions.

[Doomed Harlottt]

Non-Thinking Housewife says in response to the article:

“I think it’s great that the school is giving us this option,†junior Chelsea Wehking said Tuesday. “I’ve heard some kids say they’d be too embarrassed†to go into town — Shippensburg, permanent population about 6,000 — and buy Plan B. [CHELSEA, YOU ARE A CHILD AND THE NATION CARES NOT WHAT YOU THINK.]

All caps and everything! Gotta love it!

[asinglevoice]

If she's a junior at university, she's obviously over 18 and a potential voter - the nation DOES care what she thinks!

[Austin]

Non-Thinking Housewife says in response to the article:

All caps and everything! Gotta love it!

Plus, if she's a junior in college, she is probably an adult.

[0KidsAndHappy]

Having read stories of girls being talked down to and made to feel like lesser of a person for going into a pharmacy to buy this, I think something like this is great.

This is definitely a step in the right direction for women and our healthcare. I hope more places follow suit.

[ADoyle90815]

Having read stories of girls being talked down to and made to feel like lesser of a person for going into a pharmacy to buy this, I think something like this is great.

This is definitely a step in the right direction for women and our healthcare. I hope more places follow suit.

I agree, since having this being that easy to get means fewer unplanned pregnancies from a broken condom.

[ladypuglover]

Deanne Hall, a professor at the University of Pittsburgh School of Pharmacy, noted that the ease of access to such a machine could be positive for many women, but she wondered whether self-treatment might deter sexual assault victims from seeking medical attention.

"This does open up a different door," she said.

This is the part that concerns me. I worry she might be right in some cases.

[tropaka]

I don't get her reasoning....sexually assaulted or not women should have access to the pill. Someone proactive enough to get the morning after pill I would think would be more likely to report an assault.

It's in a student health centre, not the pub, so I don't see an issue.

[Austin]

This is the part that concerns me. I worry she might be right in some cases.

An assault victim could just as well (although not just as easily) go to a pharmacy and get PlanB and not be any more inclined to report the assault. I see it as a concern, but not really an increased concern.

[ladypuglover]

An assault victim could just as well (although not just as easily) go to a pharmacy and get PlanB and not be any more inclined to report the assault. I see it as a concern, but not really an increased concern.

Put like that I can understand. I'm not up to date as I should be.

[emmiedahl]

An assault victim who is not inclined to go to authorities is simply not inclined. I don't think the availability of emergency contraception is going to make a difference in most cases.

To be frank, there are good reasons *not* to go to the authorities. Proving rape is very difficult, especially if it is acquaintance rape which seems to be common on college campuses. I think in theory one should go immediately to the authorities. In reality, I probably wouldn't.

[julie paradox]

Ha, shows the Thinking Housewife doesn't read properly. She obviously saw the words "school" and "junior" and assumed Ms Wehking to be 16.

(That's right, isn't it? 16? I thought 14 at first but then remembered junior isn't the youngest.)

[Black Aliss]

The only problem I have with this is the price. Seems to me somebody's making a lot of money off what is basically a couple of doses (or is it just one?) of an OTC drug.

[Visionoyahweh]

The only problem I have with this is the price. Seems to me somebody's making a lot of money off what is basically a couple of doses (or is it just one?) of an OTC drug.

There are generic versions of Plan B that are somewhat cheaper. IDK why this pill costs over $5 though. Other than punishing sluts and big pharma greed.