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Dublin: 10 °C Saturday 18 May, 2013

Poll: Should contraception be free?

Research has found that people are having difficulty meeting the costs of contraception. Should Ireland follow the lead of other countries and make all contraception available free of charge?

Image: wasa_d via Shutterstock

IRELAND HAS SOME of the highest prices across the EU when it comes to contraception.

Research suggestions that the recession is making it increasingly difficult for people to afford contraception: a new study by the Dublin Aids Alliance has found that a large number of young people have cited the cost of contraception as the reason why they had unprotected sex in the past year, while the Irish Family Planning Association found that women were using less effective forms of contraception because they could not afford the cost.

Countries such as England already offer free contraception to all citizens. However opponents argue that the cost to the State would be too much at a time when resources are already being squeezed in all areas.

So today we’re asking:  Should contraception be free?


Poll Results:






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Comments (152 Comments)

  • They should definitely be VAT free.

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  • cheaper than childrens allowance

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  • The cost to the state would be nothing compared to the cost of paying for a child

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  • JoJo 27/11/12 #

    All forms should be free – particularly long-acting ones such as the implant or Mirena where the risk of failure due to user error is almost non-existent and the cost over time is very low, and condoms for HIV/STI prevention and as a backup. Comprehensive sex education (with no Catholic crap) needs to be part of this too.

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  • Contraceptives should be free, but the much more important discussion in this country is sex education. When I was a teenager we had one class – in 6 years of secondary school education, there was one hour set aside for sex education. Most of which was made up of an animated video showing us happy, smiling sperm making their way to a happy little egg, and their joy at turning into a baby in this happily-married womb. Needless to say, many of my contemporaries were happily with child in no time.

    I think as long as the Church still has a stake in our schools, sex education should be out-sourced to the family planning clinics (or to a similar group with proper information), and I don’t think the teachers should be allowed in the room. For two reasons: the students will be more comfortable without them there, and to reduce any religion-influenced in-put.
    Or we could continue with the sex-is-bad line coming from celibate men for another while, and see if it all works itself out after a while.

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    • sparky 27/11/12 #

      It was the same way when I was in school. The best thing of all was they waited until we were in 6th year

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    • Michael 27/11/12 #

      “Nothing is as expensive as what the government says is for free”

      Contraception should not be free. Imagine the lobbying that’ll go on in govt from the providers/pharmaceuticals, to our already bought and paid for politicians.

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    • When I was in school we had a single short sex-ed class, presented when we were in second year and to be totally honest I can’t remember most of it apart from the fact it was held in the dingiest room in the school. On the other hand we found time for a presentation on abstinence every second year, which was always presented by young hip college aged people, went on for most of the day in one of the nicest rooms in the school, and which always had the same examples of tearing a picture of a heart up to demonstrate how damaging sex was.

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  • I would hate for someone who wants to be responsible about contraception to be stopped purely due to cost concerns – but I would also hope this would come in conjunction with education about LARCs and a discussion with a doctor about what contraception is best for the individual.

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  • Barry 27/11/12 #

    Contraception should be free and certainly more freely available to people so as to ensure that the sex that people are going to have anyway is safer sex.

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  • Yes. When poor people have kids it costs us far more than a price of a few johnnies.

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  • Oh heavens no! There aren’t nearly enough babies born out of wedlock to teenagers! There aren’t enough people to populate the planet! We need more people in our daily struggle against nature. Ban contraceptives, and while you’re at it, ban birth control as well!
    Why just the other day, I was walking along the Howth west pier and I saw a fish! There are still fish in the sea! We need more people to end this problem. Lord knows what those dirty little fish are doing under the sea without contraception!

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  • You do know your being ripped off in all other medical and pharmaceutical costs as well don’t you? But that aside, the economic cost and emotional damage of unwanted pregnancies and the reality of teenage pregnancies make this a no brainer. But here comes religion to mess up the simple facts and realities once again.

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  • I hate the use of the word “free” in discussions like this one.

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  • If you think we need more track-suited, shaved-head, Marlboro-smoking gentlemen walking around Dublin swearing into cellphones at their girlfriends, vote no.
    Is that elitist?

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  • It should be Obligatory, maybe put it in the water instead of Flouride.

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  • The social cost of free contraception (in particular free contraception of the sort that is controlled by women) would be amply repaid by the social savings in health and social supports to children brought into the world through unplanned pregnancies.

    Sounds like a bargain to me!

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  • you can offer them for free fact is some people will not use them free or not . people talk about pregancy but sti’s and std’s are important issues aswell i know when i went to school nobody talked about the importance of protecting yourselfs from sti’s i dunno if that has changed now

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  • dee 27/11/12 #

    @Shanti Om
    Good point, I suffered quite badly with period issues and so was on a slightly more expensive pill which had risks, so i had to go to the doctors every 3 months for blood pressure checks. so that was é60 every 3 months +é12 per month for the pill. é32 per month so i could function for 1/4 weeks is not to be sniffed at on a student budget.
    Now that i live in Scotland its free! Hurrah!

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  • I notice no one has brought up the fact that hormonal contraceptives are actually used as treatment for certain gynaecological problems?
    For example endometriosis is usually treated with hormonal contraceptives.

    It’s not all about sex. Sometimes it’s about being freed from agonising pain.

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    • Exactly. When in with the endocrinolgist yesterday, I was given a prescription for dianette. I don’t want to be on it, but I’m going to have to be so that I can have a fully functioning body.

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  • My pill is €7 for a month supply! Hardly breaks the bank! What else are the tax payers going to have to foot?
    Maybe condoms should be more available to buy in a pack of one or two (similar to the vending machines in pubs) therefore not as expensive as a pack of 10 for €15!

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    • €7 a month for the pill is not much agreed. But how much for the visit to the doctors every what is it 6 or 12 months for the test? And lets not forget the charge every few months to have a new prescription. I could honestly do 8 dinners for around €7 euro.

      Now lets say someone doesn’t have protection because they want to eat and money is so tight that your counting the cents. What are the resulting payments made by the state?

      Also what are the costs to the state if an STD/STI results from the lack of protection?

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    • You’re right about the condoms Mags. When I was single most of the pack of 10 would go out of date before I might get a chance to use them!

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    • The pill in its various forms has been used for 50 years by tens of millions of women. There’s absolutely no good reason to cut out the doctor’s visit and make it available over the counter.

      That’s €100 to €240 off the cost right there, without the taxpayer picking up the bill. You’re welcome.

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    • Proof reading fail. Should read “no good reason NOT to cut out the doctor’s visit”

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    • @Kealan
      Assuming the people in question can’t afford €7 a month I would take it that they qualify for a medical card, which would mean there’s no charge for doctor or prescription. However I do agree there is a major problem with the price of condoms

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    • Well actually it’s important that women of all ages on the pill get their blood pressure monitored at least every 6 months. Now granted your pharmacist could do this but a trip to the GP really is the best option. Although I agree it’s a lot of money. Although sometimes you can just ask the nurse to check it quickly therefore saving you the money and still keeping you safe from the risks of oral contraception.

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    • Mags, don’t forget the trip to the docs every 6months for the check up. That’s €100+ (depending on your doc) and then approx a tenner a pop for the packets of pill, that’s €120. That’s well over €200 a year and a lot of people struggle to find it.

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  • Begrudgy 27/11/12 #

    Yes they should be free. Maybe then i could make a wee bit of money flogging condoms on Ebay so i could take a holiday next year.

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  • Should be affordable but not free. Free has no value.

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    • I was going to say that. contraception should be cheap, but not free, at least for adults.
      Now maybe it could be free for people under 18.

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    • Some is very affordable, cilest or ovranette for 6 months is about 11-12 euros. €50 to see your doctor once a year, €20 for a repeat script for the other 6 months and that’s less than €96 per year. Or €8 per month, €2 per week, if you’re paying more talk to your GP and chemist.

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  • By free I presume you mean the tax payer will foot the bill, personal responsibility anybody?

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    • Would you not consider that the taxpayer already foots the rather hefty bill for people not using contraception?

      140 a month *12 * 18… = 30,240. That’s just for child benefit, include health, maybe more social welfare, education costs etc.

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    • I think that’s my point Conor, having children is the parents responsibility, not the state’s.

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    • But some parents can’t afford their children and while I agree with you in theory, of course all parents should provide for their children, I am very uncomfortable with the child poverty which would result.

      Not to mention that Ireland has a stated policy enshrined in the Bunreacht na hEireann of preventing abortions. Free LARCs have been shown to be one of the best ways to achieve that aim.

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    • Pierce2020, the only logical conclusion to what you are saying is that there should be no single parents allowance, or any kind of state-sponsored assistance with children such as free education. That would obviously be incredibly stupid.

      Of course contraception should be free. The benefits would far outweigh the costs.

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    • Bob I think it’s that stupid of an idea to ask people to be responsible for their actions.

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    • Bob I don’t think it’s that stupid of an idea to ask people to be responsible for their actions

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    • You can ask people to be responsible for their actions all you want but you’ll have to keep on asking again and again.

      REALITY tells us that no matter what, people will try drugs, have unprotected sex, eat cockroaches….

      So, given that we live in the real world maybe now we can take a look at the reality around the choices?
      Pay for contraception yourself = unwanted pregnancies, STIs, cost to tax payer in child benefit
      Free contraception = barrier of cost removed, small cost preventing much larger cost.

      And if you really want to talk personal responsibility then you have to take that as far as someone contracting HiV due to unprotected sex. You’d hardly stick with the “tough luck” attitude then would you?

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    • “You can ask people to be responsible for their actions all you want but you’ll have to keep on asking again and again.”

      Could you educate them to be responsible? Are you responsible for your actions?

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    • Yes you can, but then to assume that people will still think of the consequences in every detail of their life and take responsibility is simply naive and unrealistic.

      I’m all for freedom of choice and personal responsibility but this issue is not about me – it’s about people, not individuals.

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    • “it’s about people, not individuals.”

      Classic.

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    • What I meant (but didn’t word well) is that asking a person if they can be personally responsible will pretty much always result in them saying yes.

      But asking a group of people if they think that people generally take responsibility for their actions and you’ll find a lot more doubt.

      To call this an issue of personal responsibility is to miss the issue completely.

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    • Pierce – your response makes no sense.

      What you seem to be forgetting is that some people’s actions result in actual other people, actual other citizens of this Republic.

      It’s hardly fair to blame kids for the lack of responsibility their parents may have shown. This idea that children are solely the responsibility of their parents is bloody stupid.

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    • “To call this an issue of personal responsibility is to miss the issue completely.”

      So a young person is not personally responsible for what they do?

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    • Damocles, you continue to pursue this on one track only.

      Everyone is personally responsible for what they do as individuals. It’s idealistic and naive to insist that this is an issue of personal responsibility – it’s not. It’s an issue of reality.

      That reality is comparing the cost of free contraception versus prevented health issues and unwanted pregnancies.

      So I’m not really sure what direction you’re looking at this, so hopefully your next reply might explain that instead of short questions which appear to have little point.

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    • Bob I’m all for making more Irish citizens myself, in fact I have done just that. My point which you seem to avoid is that I made those children and I am responsible for them. I think you would like a situation where everybody can go around doing whatever they please with the knowledge that somebody else will foot the bill.

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    • So Pierce you don’t collect child benefit do you?

      By the same thread of your argument I expect you’re not spending my taxes over your decision to have kids?

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    • So, Pierce, do you believe the state should refuse to pay for care for those who have damaged a liver through alcoholism, diabetes due to poor diet or lung cancer due to smoking? Logically, you would, as otherwise people can do whatever they please with the knowledge that someone will be paying the bill.

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    • Pierce – if reducing that bill is actually what concerns you, then you should be totally in favour of free contraception. I presume you are?

      As regards being responsible for the children you make, yes to a degree, but as citizens of this Republic the health and education of those children should not be dependent on your ability to pay for things – which is the only logical conclusion to your line of thinking.

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    • Tomy, people have responsiblity for what they do and can be educated to realise that. They can also be educated to know that if they’re going to have full on sexual relations then, regardless of the precautions they take they might end up with a bambino, now bambinos (bambini?) are cute and fun but they’re also hard work and expensive and if you end up with one then you have to know that and take personal responsibility for the little lad or lass you can’t just go “Oh, sod it, the state will pay.” because the state is brassic.

      If you treat young people with a little respect and educate them with what can and may well happen then they might surprise you.

      If you just excuse them and say, oh they’re kids, we can’t expect them to be responsible, let’s not even bother, let’s just shower them in condoms, then you aren’t helping them or society.

      Or maybe, like Seamus, you think that people have no free will, they are simply rutting animalistic beasts, in which case you are too. But I’m not.

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    • First, it’s not an issue solely for young people (you seem to think only they have sex?!)

      I remember what it was like to be young…. Usually people aren’t thinking about wide ranging social issues when they’re in the heat of the moment. That’s what I mean when I mention reality.

      Here’s more reality:
      http://news.yahoo.com/free-birth-control-means-drastic-drops-unplanned-pregnancies-224643988.html

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    • You don’t see too many old people having kids, not without medical intervention. Then it’s not really an issue for contraception, is it?

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    • no you don’t – but then I never said that.

      What I’m saying is that people who are of reproductive/sexually active age are not all “young”.

      Keep the head in the sand anyway – despite the evidence.

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    • Tony, you are 100% correct, I don’t collect child benefit, never registered.

      Nick, last time I looked sex wasn’t an illness, so your analogies are irrelevant.

      Bob, I might be wrong but I don’t think sex and children are a right unlike health and education.

      In general lads you might be right and I could be wrong. I still don’t think the price of contraception has ever been a barrier, not spending your own money on it would appear to be the worst false economy I can think of.

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    • Pierce – you are avoiding the point.

      You say you have an issue with bills being footed by the taxpayer.

      If you are being honest, and aren’t just some Catholic right-winger who hates condoms, then logically you should be in favour of free condoms, as it will mean a much smaller bill for the tax payer.

      So which is it Pierce?

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    • Donal, I’ve been called many things in my life but none as hurtful as being called a Catholic. You are probably correct with the right-wing thing though. For the record I think condoms are great and every parent should hand them out to their kids, I just don’t see why they should be free.

      Just It does look like I’m avoiding the point, I’m not in favour of a smaller bill, I’m in favour of no bill at all. I comes back to personal responsibility issue, that’s all.

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    • Michael 27/11/12 #

      Pierce, don’t be thrown off by the red thumbs. You are absolutely correct.

      Nothing is for free.

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    • “What I’m saying is that people who are of reproductive/sexually active age are not all “young”.”

      They aren’t elderly either. So these People or individuals (which?) who may be producing children they don’t have to take responsibility for what they do, they are slaves to the errant will of nature.

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    • Damocles, there’s really no point in continuing on the personal responsibility line – I don’t buy it as the issue so really, why continue to ask that question again and again after citing unrelated quotes?

      The evidence is out there but you seem to think abstinence or some form of self control on a personal level is the answer to an issue where realistically money is the issue.

      Whether contraception is free or not, personal responsibility is still necessary in using contraception. By making contraception free a barrier is removed in accessing it. I’m not saying anything about how affordable or not contraception is but the evidence is there.

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    • An STD is indeed an illness. So how is contracting an STD somehow different to you than someone who went into liver failure due to heavy drinking? Both illness caused by “doing as you please”

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    • Damocles 27/11/12 #

      “money is the issue.”

      Throwing money at things always works. We’ve seen that here in Ireland.

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    • Another blinkered comment Damocles

      I’ll refer you to my earlier point which is backed up by evidence:
      “Pay for contraception yourself = unwanted pregnancies, STIs, cost to tax payer in child benefit
      Free contraception = barrier of cost removed, small cost preventing much larger cost.”

      So it’s not a case of throwing money at the issue, it’s a case of the money now being spent can be reduced by diverting to a lower cost reasonable, evidence based solution.

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  • Tom, I would suggest you fully research the costs of certain contraceptives before you would make such an uneducated remark.

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    • They are not expensive. Less of the condescending “uneducated” remarks, totally unnecessary and uncalled for. You can disagree with me, no issue.

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    • Again Tom, you have not researched your answered, and due to your lack of research, it would be fair to suggest it is uneducated. I do not mean for my answer to appear condescending, my apologies if you have taken this incorrectly. You have made a sweeping suggestion that contraception is inexpensive, and ‘everyone’ can afford them, yet the article clearly states otherwise. I fail to see how in excess of 300e would be ‘inexpensive’, but again, this is merely my opinion.

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    • Understood, for me 300 euro is not expensive for something you want. The Tax payer shouldn’t have to pay for this. It would in fairness be expensive for essential medicine for ones health which of course contraceptives wouldn’t be classed as (not withstanding exceptional cases) but I trust you get my point.

      Reply
  • It’s not free. Somebody will pay for it and that somebody is us taxpayers.

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  • Luke 27/11/12 #

    But what about people who get free contraception, don’t use it and then get pregnant or STI’s anyway. I’m sorry but I don’t see how it can work.

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  • ….@ Damocles…Hey up Bishop! …..intercourse. Merely suggests communication betwixt party’s …..the adjective sexual is needed in your earlier comment….apologies yer honour …..tis the English in yer man…..(sawing of index finger to cap peak….) thank you Surtees !

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  • I want to go out for fun, I pay for it. you want safe sexy, you pay for it. Entirely stupid to even suggest well should foot the Bill for someone else.

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  • There are already free forms of contraception.

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  • Yes. I’m old school, I don’t be pullin’ out!

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  • What next, paying for massage oils, rose petals, bedroom fireplaces, ladies/men of the night??????

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  • Should be free but also they have to be proper ones eg durex or Trojan.

    If only Mates are on offer, I reckon shell out the cash.

    Never compromise on quality when buying ANYTHING made from rubber…goes for tyres too.

    Reply
  • The best things in life are free and sex has to be at least 1 of the best? Hold on, sex for heterosexual men is never free, so it makes no odds.

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  • No, people need to be responsible and buy them if needed. We have way too many hand outs here in this country, we don’t need anymore. Everyone can afford contraceptives, it is bullshite to say otherwise, they are not expensive. Next people will want free Barry White CDs!

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    • Free cheese but not condoms? I know which one I’d prefer my kids having.

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    • Tom, not meaning to be smart here but do you remember what it was actually like when you were 18 and “getting some”. Not always those moments where people are looking for their bank card….

      This is hardly about handouts – it’s about shifting the direction of money and saving it.

      There are a lot of benefits to free contraception, many of them are health benefits but it’s also pretty obvious that the cost of contraception is low and the cost of child benefit & treating health risks is relatively high

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    • Tom – free contraceptives would actually mean less hand outs from the State – at least in terms of monetary cost.

      What’s wrong with that?

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    • Michael 27/11/12 #

      Tom, it’s imperative that everyone reads your post.

      People are not able to understand that nothing is for free; if there weren’t so many handouts we wouldn’t be broke.

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    • Tom I Totally disagree with your statement of having to many handouts do you not understand how this economy works what you call handouts I call entitlements and reinbursements. when Irish people claim your so called handouts this is money that the majority of the people who are claiming them have paid into this society in the form of insurance PRSI and lots of other contributions in one form or another.
      people claim benefits for a reason. and then you have the self employed for whom I am one of. I am unable to work due to ill health and I am entitled to absolutely nothing from this state so where are my handouts.
      I would agree with you if you are saying we have to many handouts for people of non irish nationality, who have come to this country just for the benefits of which we have plenty. and those in particular who have made no contribution to this society, but have no problem collecting these handouts.
      but to say we have to much handouts for our elderly, disabled, inferm, unemployed, sick through mental health or ill health, or other reasons why people need these so called handouts as you call them like i said i call them entitlements.

      Reply
    • Bob, who pays for free contraceptives? The tax payer, right, so it’s an expense on the state, i.e a handout!

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    • Tomy, fair point, I get it. I’m just against all these handouts from the state that costs you and I, i.e. the tax payer. Maybe if we have better use of public money I wouldn’t be so against it.

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    • Fair point Paul but our PRSI can only stretch so far as can the rest of our taxes. I just get annoyed with this “free” stuff from the state that people think they are entitled to or should get, we have too much “free” stuff in this state hence were in a hole financially as a country.

      Reply
  • I initially voted NO but I think that there probably are circumstances where contraception should be available, such as medical reasons.

    But beyond that it is rather typical of the attitude in this country that the state should give you everything. We seem to have a society where everybody is concerned with their rights and what they can get and pay no service to the idea of their responsibilities and what they can give. Personal responsibiltiy has to play a part in this situation. If you know that you can’t afford a child then you have to take some responsibility in ensuring that you don’t create one.

    I also find it strange that many of the people saying the state should pay are the same people who complain about paying extra taxes. Where do these people think the state is going to get this money from if not the taxpayers of the country.

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    • Jim, in countries that provide free birth control, the cost for the free contraceptives is less than the cost in health care, child benefits and education that unwanted pregnancies would otherwise incur. It is a program that saves the state money, it doesn’t put an extra burden on the taxpayer. Obviously I’m assuming the trend will hold true here also.

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    • Sorry meant unplanned instead of unwanted…

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  • Damocles 27/11/12 #

    Why does everyone think the alternatives are free ranging sex or total abstinence? There is a middle way (fnarr)

    Reply
  • Damocles 28/11/12 #

    Bottom line:

    You can tell young adults about sex, give them a load of condoms and let them have at it.

    Or you can educate them more fully, tell them that even if they have condoms they might not use them in the heat of the moment or put them on wrong or they might be damaged or whatever and if the lad ejaculates while penetrating then there’s a risk of pregnancy, it just takes one and then there’s the whole abortion process to go through and for the girl there’s no guarantee he’s going to be around for that and if she keeps the kid there’s no guarantee he’s going to be around for that either, and even if he is you could end up stuck in a loveless marriage with someone you don’t really want and you miss out on a world of opportunity so respecting yourself now so you can later as well. But there’s a whole raft of sexual experience available that doesn’t involve penetrative ejaculation and you can still show each other that you like or love and care about them without the risk of STDs or pregnancy. And for the boys you can teach them about respecting her and yourself and not being an idiot and how you might get the back slapping and raucous talk from your mates now but in a few years when they’re off at college and you’re working a dead end job or unemployed and have a kid to worry about, not so much.

    That’s the young adults, you shouldn’t need to tell the older adults that.

    Or just give them a load of condoms and tell them to set to.

    Reply

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