MACOMB, IL -- If you’re a woman with no money or medical insurance and a desperate need for birth control pills, your best bet is a federally qualified health clinic, such as Eagle View clinic here and elsewhere.
Or if you’re having regrets today over last night’s romantic encounter, try Walgreen’s for Plan B, the ‘morning after’ pill, which reportedly costs about $20 according to Debbie Connor of WIU’s Beu Health Center. No prescription is required, thanks to years of effort by women’s groups.
Connor and others spoke to a Macomb meeting on Oct. 10 about family planning services in Western Illinois. Their remarks reflected the chaotic system for health care in the US, and revealed how providers are referring patients to federally funded clinics to avoid bearing the costs of health care themselves.
At the Beu Health Center at Western Illinois University, students must pay $65 or more for the required exam before a doctor will write a prescription for birth control pills.
At the Eagle View clinic, an exam for the indigent is $15, plus there may be a small lab charge, said Melinda Whiteman, the clinic’s executive director. Some generics can be purchased for $9 a month, but others cost more.
Lynette Cale, director of the McDonough County Health Department, told how that agency recently ended its family planning services, which had been in place since 1994. Now they‘re referring indigent clients to Eagle View, which uses federal funds.
Connor of WIU’s Beu Health Center said a women’s health center is needed on campus. Student insurance does not pay for routine exams, required for a pills prescription, she said. There’s also a $200 deductible. The insurance also won’t pay for an abortion.
Medicaid clients are sent to Eagle View, she said.
The system, or lack of it, for family planning reflects the national chaos in health services. Cale said Medicaid’s requirement for electronic billing which would require a $7,000 software system, was a factor in her agency’s dropping family planning. Late state payments and threatened cuts in state funding also were factors, she said.
Illinois does not require county health departments to provide family planning.
Schuyler County‘s Health Department, where Rushville in the county seat, does not offer family planning services and refers patients to Fulton and Cass counties. Tiny Hancock County, where Carthage, with a new hospital is the county seat, has family planning services.
The Macomb situation leaves non-students with only two choices, the federal clinic or private doctors.
At Eagle View, half the patients have Illinois Medicaid, 20 percent are billed on a sliding scale, and the rest have private insurance or pay cash, Whiteman said.
McDonough County and its surrounding counties are considered low income communities.
According to the health department in Macomb, teenagers give birth to about 8 percent of the babies.
In the US, half of all pregnancies are considered unintended, costing taxpayers $7.8 million a year, according to the Guttmacher Institute.
Funds spent on family planning saves big money in the health care system. Every $1 spent on family planning saves taxpayers $4 in Medicaid birth costs.
According to a Gallup poll, 3 percent of women have quit using birth control recently because they cannot afford to pay for it.
-- Elaine Hopkins
