A mini-lesson on birth control medication
There's too much uninformed tripe being tossed around out there for me to address it all, but I want to address one reason why there are 20 medications on the mandate list:
Birth control medications are not all the same.
I've been on 3 types of birth control pills. After I was diagnosed with polycystic ovary syndrome (PCOS) and lost one of my ovaries, my doctor put me on hormonal birth control since that's one of the only methods we have for attempting to treat PCOS.
The first pill worked fine for about a year and a half, although I got nauseous every day after taking it. Then it stopped working. My periods got irregular again.
The doc switched me to a different pill. I wasn't on it for even a month, because it triggered severe palpitations that landed me in the ER because I was afraid I was having a heart attack.
The third pill we tried was working okay but not perfectly. The copay was $80 a month. The previous pills the copay had been half that, because different pills cost different amounts.
I stopped taking it after a few months because I couldn't afford the copay.
Now, I had a job. My insurance was through my employer just like most folks. I wasn't rolling in money but I was making above $35K per year, and my rent wasn't that high. But that $80 was needed for car insurance and groceries more. I decided that I had to take the risk of losing my only remaining ovary because I needed the money.
THIS IS WHAT THE CONTRACEPTION MANDATE IS ABOUT. The government - which has only required contraception be covered by insurance plans since the late 1990s, so not even 20 years - saying "OK these medications which are already covered under your insurance should not have a copay because 1) these medications are preventative care and b) high copays keep people from using them effectively." And why are there 20 medications on the list? Because not every pill works for every person.
That's it. Seriously. If this mandate had been in place 5 years ago, I wouldn't have had to make a choice between medications my doctor believed I needed and keeping my car.