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B.C.’s Free Contraception Policy Spurs 49% Surge in LARC Uptake

Ottawa’s decision to forgo new pharmacare deals leaves national contraception coverage uncertain despite clear evidence of policy success.

Dr. Susan Gorman displays the Skyla IUD, left, and the Mirena IUD, at High Lakes Gynecology in Redmond, Ore., Jan. 14, 2015. (Andy Tullis/The Bulletin via AP)
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Overview

  • A BMJ study tracking nearly 860,000 women aged 15–49 found dispensations of long-acting reversible contraception rose by 49% in the 15 months after April 2023.
  • More than 11,000 additional women chose IUDs and implants compared with projected use without cost coverage.
  • Eliminating up to $450 in out-of-pocket costs for IUDs and implants removed a key barrier to methods that are ten times more effective than pills or condoms.
  • Lead author Dr. Laura Schummers and collaborators describe B.C.’s program as a blueprint for a nationwide pharmacare plan to boost reproductive autonomy and equity.
  • Federal Health Minister Marjorie Michel has declined to negotiate new pharmacare agreements beyond the four jurisdictions already signed on, leaving broader national coverage in limbo.