Students at Shippensburg University in Pennsylvania can get the "morning-after" pill by sliding $25 into a vending machine, an idea that has drawn the attention of federal regulators and raised questions about how accessible emergency contraception should be.
The student health centre at Shippensburg, a secluded public institution of 8,300 students tucked between mountain ridges in the Cumberland Valley, provides the Plan B One Step emergency contraceptive in the vending machine along with condoms, decongestants and pregnancy tests.
"I think it's great that the school is giving us this option," junior Chelsea Wehking said Tuesday. "I've heard some kids say they'd be too embarrassed" to go into town — Shippensburg, permanent population about 6,000 — and buy Plan B.
Federal law makes the pill available without a prescription to anyone 17 or older, and the school checked records and found that all current students are that age or older, a spokesman said. It doesn't appear that any other vending machine in the U.S. dispenses the contraceptive, which can prevent pregnancy if taken soon after sexual intercourse.
The machine has been in place for about two years, and its existence wasn't widely known until recently. The U.S. Food and Drug Administration is contacting state officials and the university to gather facts, agency spokeswoman Stephanie Yao said Tuesday.
The FDA's sudden interest took place amid a furor over religious rights and access to birth control. An official resigned from the largest breast cancer charity in the U.S. Tuesday over Planned Parenthood funding, and Republican presidential candidates attacked the Obama administration for a recent ruling requiring church-affiliated employers to provide birth control.
Consumers have long been able to insert a few coins for the likes of Aspirin, ibuprofen, antacids and other common over-the-counter remedies. But some experts see a worrisome trend in making drugs like Plan B, which is kept behind the pharmacy counter, available in a vending machine.
Alexandra Stern, a professor of the history of medicine at the University of Michigan, said she wasn't questioning a woman's right to have access to Plan B, but whether making it so easily available is a good idea.
"Perhaps it is personalized medicine taken too far," she said. "It's part of the general trend that drugs are available for consumers without interface with a pharmacist or doctors. This trend has serious pitfalls."
Taking Plan B within 72 hours of rape, condom failure or just forgetting regular contraception can cut the chances of pregnancy by up to 89 per cent. It works best if taken within 24 hours. Some religious conservatives consider the emergency contraceptive tantamount to an abortion drug.
The idea for a vending machine started at Shippensburg after a survey about health centre services several years ago. Eighty-five per cent of the respondents supported making Plan B available, school spokesman Peter Gigliotti said. The student government endorsed the idea.
The machine is in the school's Etter Health Center, which only students and university employees can access, Gigliotti said in a statement. In addition, "no one can walk in off the street and go into the health centre," he said; students must check in at a lobby desk before being allowed in.
Students and administrators at Shippensburg said they're puzzled that a single vending machine at a small school has attracted such attention. Senior Matthew Kanzler said a lot of students at the school weren't even aware of the machine until recently.
Most students do support the idea, he said — but not all.
"It's a way for students to get the help or care they need," he said, adding that students appreciate the on-campus health care because the school, about 210 kilometres from either Philadelphia or Pittsburgh, is so isolated.
In December, the Obama administration's top health official overruled her own drug regulators and stopped the Plan B pill from moving onto drugstore shelves next to condoms and other items. It remains available behind pharmacy counters.
Denise Bradley, a spokeswoman for Teva Pharmaceuticals, which makes Plan B, said in a statement that it sells the product only to "licensed pharmacies or other licensed healthcare clinics, which are required to follow federal guidelines for the distribution of pharmaceutical products."
On whether the machine might violate the law, "I don't have a definite yes or no," said Ron Ruman, a spokesman for the Pennsylvania Department of State, which oversees the state pharmacy board. If a person younger than 17 used the machine, it "potentially could be a violation," he said.
The drug isn't covered or subsidized by the school. Its price at the vending machine is set by the school's cost to the pharmaceutical company and is less than at off-campus pharmacies.
Deanne Hall, a professor at the University of Pittsburgh School of Pharmacy, noted that the ease of access to such a machine could be positive for many women, but she wondered whether self-treatment might deter sexual assault victims from seeking medical attention.
"This does open up a different door," she said.
Rob Maher, a professor at the Duquesne University School of Pharmacy in Pittsburgh, said he had never heard of a vending machine dispensing Plan B, but noted that there have been vending machines in doctor's offices, and even a specialized machine designed to fill prescriptions.
Still, he questioned whether the machine would make it possible for a young person to buy the drug without discussing their risk factors with a health-care professional.
"That's the big risk with a vending machine like this," he said.
Carol Tobias, president of the anti-abortion group National Right to Life, said other services would be more appropriate.
"It would be a much more productive use of funds if universities would partner with local pregnancy resource centres where students can get real help if they need it," Tobias said.
Said Anna Franzonello, counsel to Americans United For Life: "Students at Shippensburg University deserve better than to have their administration represent the potent drug with life-ending potential as no more harmful than any other vending machine item."
Kevin Begos reported from Pittsburgh.