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AJPH First Look, published online ahead of print Aug 29, 2007
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October 2007, Vol 97, No. 10 | American Journal of Public Health 1737-1745
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.098145


PUBLIC HEALTH THEN AND NOW

Contraceptive Equity: The Birth Control Center of the International Workers Order

Elizabeth Temkin, CNM, MSN

During the writing of this article, the author was with Planned Parenthood of Connecticut, Bridgeport.

Correspondence: Requests for reprints should be sent to Elizabeth Temkin, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205 (e-mail: etemkin{at}jhsph.edu).

The Equity in Prescription Insurance and Contraceptive Coverage Act, introduced in Congress in 1997 and still unpassed, seeks to redress health insurers’ failure to pay for birth control as they pay for other prescription drugs, most paradoxically Viagra.

In 1936 the International Workers Order (IWO), a fraternal society, became the first insurer to include contraception in its benefits package. A forerunner in the movement for prepaid medical care, the IWO offered its members primary care and contraceptive services for annual flat fees. Founded at a time when the legal status of contraception was in flux, the IWO’s Birth Control Center was the only such clinic to operate on an insurance system.

Recent state laws and judicial actions have revived the IWO’s groundbreaking view of contraception as a basic preventive service deserving of insurance coverage.







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