More contraception? At what cost?

New protocol allows Colorado pharmacists to prescribe the pill without patients' physician

Access to birth control is about to get a whole lot easier for Colorado at the peril of women’s health, according to Catholic healthcare specialists.

After a bipartisan bill passed last year allowing the boards of medicine, nursing and pharmacy, in conjunction with the state health department, to create protocols that address public health needs, the first initiative to roll out will allow pharmacists to prescribe birth control to patients without their physician.

Simply by filling out a questionnaire, doing a blood pressure test and having a 10-15 minute consultation to ensure the patient is not already pregnant or suffering from other health conditions that would make taking the pill unsafe, oral contraceptives can be prescribed.

The protocol will go into effect sometime this spring once pharmacists are trained, according to the Denver Post. Colorado is the third state, after California and Oregon, to pass this initiative.

Dede Chism, executive director of Bella Natural Women’s Care, a healthcare clinic specializing in women’s health and fertility, stated that this protocol goes against “best practice.”

“Bella Natural Women’s Care takes a more natural and healthy approach…we do not prescribe or refer patients for artificial contraception,” Chism said. “One important reason for this is the many physical and emotional side effects that accompany the use of artificial contraception.”

“Contraceptive medications, whether they be oral or any other form, carry with them side effects that can vary from mild to fatal. Our pharmacist colleagues are truly experts in their field, and provide awesome patient education, but their expertise is not in the day-to-day care of a patient and management of their health circumstances,” Chism added.

Catholic pharmacist Valerie Haas agreed that easier access to the pill could prove to be more harmful to women beyond the moral scope.

“I think it’s horrible, moral issues aside,” said pharmacist Valerie Haas. “I’d never want my daughters to get [birth control] from pharmacists. It needs so much screening and monitoring to prevent serious side effects.”

While the protocol requires pharmacists to be trained, Haas is concerned about what that will look like and if the screening process will be enough to prevent complications from the serious side effects that could be potentially avoided with a physician’s monitoring.

“There are so many conditions to identify ahead of time and that need monitoring during use, and patients won’t know what signs to look out for,” Haas said. “Physicians have always been the gateway to assess side effects to make sure they’re using it safely.

“Honestly, I don’t know how pharmacists will have time…to [screen properly],” Haas added. “It could take 30 to 45 minutes to do it properly, and most pharmacists I know barely have time to go to the bathroom.”

Studies have shown that the pill can have serious side effects, and can increase the risk of breast cancer and blood clotting. Haas said that several serious underlying health issues would need serious screening, as contraceptives can complicate or worsen them if undiagnosed or untreated. Some conditions that would need thorough testing and treatment are depression, diabetes, hypertension, bone mineral density, kidney or liver impairment, lupus and endometriosis.

“Endometriosis is another important thing to know, but if it’s not diagnosed, it could be pre-cancerous, and putting more hormones [in your body] could make it worse and lead to potential cancer,” Haas said.

“I would want to be followed fully by a physician who can evaluate all those things in the office…if I had underlying issues that put me at risk. And I don’t know how a pharmacist will be able to comprehensively handle all of that,” Haas continued.

Lynn Grandon, director of the Respect Life office at the Catholic Charities in the Archdiocese of Denver, agreed that easier access to the pill can have damaging effects on women’s health.

“The more people can easily get it, the more women will see the physical effects of the pill, which are documented,” Grandon said. “I’m interested to see what this training will be for pharmacists.”

Grandon also noted the moral danger of contraception that will continue to damage culture as a result of easier access to the pill.

“It’s not just bad because contraception is bad, but if we look back on what’s happened in our society in the past 50 years, we’ve had serious damage in our own society. All the predictions of Pope Paul VI [in Humanae Vitae, “on human life”] came true, if contraception was introduced,” Grandon said.

According to the Denver Post, pharmacists are not required to participate, including those who have conscience objections, which is great news for Catholic pharmacists. In addition to training, pharmacists will also be required to have liability insurance and inform the patient’s doctor when prescribing birth control. Girls under 18 will not be eligible.

COMING UP: Team Samaritan cyclist goes ‘Everesting’ for the homeless and hungry

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When it comes to the daily sufferings of those who are homeless, there’s nothing like a 29,029-foot bike ride to keep things in perspective.

That’s exactly what Corbin Clement will be doing this Saturday, June 19, with a couple of his riding buddies as they attempt an “Everesting” ride to raise money for the Samaritan House homeless shelter in Denver. Starting at Witter Gulch Road in Evergreen, the three riders will climb Squaw Pass Road to a point in Clear Creek County and ride back down the hill for over eight laps, which amounts to roughly 190 miles in distance and the equivalent of the elevation of Mt. Everest in terms of vertical climbing – hence the name “Everesting.” Their goal is to complete the feat in 20 hours or less.

Oh, and they can’t sleep. It is, indeed, just as crazy as it sounds. Those who aren’t avid cyclists might be wondering, “How in the world do you train for something like this?” 
 
“For training, it’s been just more or less ride as much as possible,” Clement told the Denver Catholic. “The training is structured around endurance, and that’s of course what Everesting is. It’s just a lot of peddling. So, a lot of my training so far has just been trying to ride as much as possible and ride longer high elevation rides.” 

In March, an Irish cyclist set the world record for Everesting when he completed the feat in six hours and 40 minutes. Clement isn’t trying to set a record, but regardless, it’s quite a feat to undertake, even for a seasoned athlete like him, whose pedigree includes snowboarding and rock climbing. 

“Our ride will be the same thing, but it’ll be pretty different,” Clement said. “We don’t have any sort of special bikes or super focused diet or a really regimented plan or a crew that’s very well-instructed on how we’re going to tackle this. I’ve read a couple of things to just kind of make it into a party — have friends come out to support you, get people to join you on certain laps…that’s kind of the approach we’re taking.” 

Clement has already raised $5,200 for Samaritan House, with a current goal of $8,000. This is Clement’s first year riding for Team Samaritan, but his dad, Kevin, has ridden for the team for several years. When his dad offered to give him an extra kit and uniform, Clement accepted, but didn’t want to take it without doing something help the cause. He could’ve simply opted for a nice ride in the countryside, but he chose to do something a bit more challenging.  

Corbin Clement used to experience the challenges that homeless people face on a daily basis when commuting through downtown Denver to work on his bike. This Saturday, he will raise money for Samaritan House homeless shelter by “Everesting,” a 190-mile bike ride that is the equivalent of the elevation of Mt. Everest in terms of vertical climbing. (Photo provided)

“For some reason, the Everesting idea popped into my head,” he explained. “I think it’s one of those things that has a little bit of shock value for people who hear about it. It’s certainly something that’s gained more popularity and visibility in the last couple of years with endurance athletes. I wanted to choose something that would actually be a challenge for myself and something that I’d have to work towards.” 

Clement currently resides in Utah, but he used to live in Denver and commute by bike to work every day. During those rides to his office, which was located near Samaritan House, he would pass many homeless people and have conversations with them. This experience was also a motivating factor for his Everesting attempt for Team Samaritan. 

“It’s very different when you’re on a bike versus in a car because you’re right there,” Clement said. “If you stop at a stoplight and a homeless person is on the corner, whether or not they’re panhandling or something like that, you hear the conversations, or you’ll have a conversation with them. There are things you smell or you hear or you see that you just never would if you were in a car. So, it kind of made sense, too, with the biking aspect. It’s part of my community that I’ve lived and worked in for a very long time.” 

Clement’s Everesting attempt is one event in a series of endurance event’s he’s doing over the summer that culminates with the Leadville 100, a single-day mountain bike race across the Colorado Rockies. In that race, he will be riding to support young adults diagnosed with cancer by raising funds for First Descents.  

Both causes are near to Clement’s heart, and he said that while his Everesting attempt will be a form of “suffering,” it pales in comparison to what the homeless face day in and day out. This is ultimately why he’s riding and raising funds for Team Samaritan. 

“Any time we see a homeless person or people who have to live on the streets,” Clement said, “That is true suffering — true endurance — with no end in sight.” 

To learn more about Corbin’s fundraising efforts or to donate, click here.