The Affordable Care Act (ACA) requires health care plans after August 1, 2012, to cover preventive health services recommended by the Institute of Medicine and endorsed by the Department of Health and Human Services. Covered services promote development of a health care system that sustains health rather than merely treats illness. Many services, such as cervical cancer screening, sexually transmitted infection (STI) screening, and contraceptive services, promote the health and well-being of women.1 Some religious organizations and private employers, however, have demanded exemption from providing contraception, arguing that it violates their religious beliefs. We believe that allowing such an exception is at odds with evidence-based preventive care, inconsistent with actual patterns of contraceptive use among women who are religious, and a sectarian incursion into private health care decisions that is without parallel in the US health care system.
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The Rational Clinical Examination
Table 42-3 Probability of Pregnancy if Patient Reports Not Using Birth Control
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