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Minister says he wants free contraception rolled out for all women and girls aged 16 and up

Any woman aged 17 to 35 is currently covered under the free contraception scheme.

CONTRACEPTION SHOULD BE free for all women and girls from 16 upwards, according to Health Minister Stephen Donnelly, who indicated he’d like to see further movement in this year’s budget. 

The free contraception scheme was expanded in July to include women aged 32-35, having already applied for women aged 17-31.

Speaking to The Journal this week, the minister said: “For me, contraception should be for all women from 16 up, that should be it. We’re  certainly getting there. We’re now 17 to 35. I want to go 16 to any age.”

When asked if such an announcement will be made on budget day, he said: “That’s a matter for budgetary discussions.”

However, it is understood there is a push to get free contraception expanded to older women over this year and next, if the minister’s party is restored to power after an election. 

In Budget 2023, the government also committed to expanding free contraception to those aged 16 years of age. 

There is no set minimum age in Ireland at which contraceptive advice and prescriptions may be provided. The age of consent to sexual activity is 17 in Ireland. 

Last year, the Irish Family Planning Association, while welcoming the expansion of the free contraception programme, said it was concerned that the extension does not include 16-year-olds.

It said a clear commitment was given by government and funding was allocated to cover this age group within the scheme.

It has urged the government to expand the scheme to 16 year olds “as a matter of priority” and called on the government to resolve the potential legal barriers to their access to free contraception.

In addition to expanding access to free contraception, Donnelly said he also wants to expand the eligibility criteria for those in need of fertility treatments, such as IVF, as well as rolling out free hormone replacement therapy (HRT) for all women. 

Free HRT

HRT is a treatment used to relieve the symptoms of menopause. A survey in 2023 showed that more than half of women fear their long-term relationships are suffering due to their symptoms, while almost two-thirds said their sex lives have been damaged.

He said he has initial estimates on how much free HRT will cost, adding that the department has come back and said their revised estimate is significantly in excess of their original estimates.

“These things aren’t cheap,” he said, stating that phase one of the free IVF scheme costs €30 million.

“Free contraception is really expensive. It’s really successful, but the only reason we brought it in on a phased basis was for the money,” he said.

“I remember when we when we rolled it out, I was seeing these comments online, saying ‘people over the age of 25 or 30 or 35 have sex too’. Like, yeah, I know, we get that, but we have to be able to afford it,” said the minister. 

Since it was reported by The Irish Times last week that hundreds of thousands of women will potentially be able to access free hormone replacement therapy (HRT) under new plans being advanced by the minister, the reaction has been very positive, according to Donnelly. 

“I would very much like to see it rolled out for everybody at once. And that’s what we’re working through at the moment,” he said. 

“I want it to be universal. I wanted to be free for the user… that’s what we want to achieve… I’ve seen a lot of good reaction from pharmacists and GPs, it’s gone down very well.

“I’ve been out knocking on doors in Wicklow and it’s coming up on the doors quite a lot, which is great. It’s kind of cut through. I hope it’s something of a tipping point. I’m having conversations with women who have seen the HRT proposal, are really encouraged by it, and now are looking at all of the other women’s health measures available to them,” he said. 

Supply issues predicted

However, the minister acknowledged that he expects there to be supply issues when free HRT is available.  

Last year, a shortage in HRT patches caused significant issues for doctors, patients and pharmacists around the country.

In some cases pharmacists have had to manipulate patient doses, as certain strengths have become particularly scarce.

The minister said he’s been told by officials that there could be a significant constraint on supply that that will have to be managed.  

“There’s a worldwide shortage. There was a big uptake in patches rather than other approaches. So I have no doubt that when we do this, supply is going to be something that we’ll have to work on,” he added. 

He acknowledged that expanding the free IVF scheme, rolling out free HRT as well as further expanding free contraception are “very expensive measures”. 

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    Mute james hennessy
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    Jul 14th 2024, 2:40 PM

    Very sad. Young woman, may heaven be her bed. RIP.

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    Mute The Firestarter
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    Jul 14th 2024, 2:53 PM

    That is so sad, another person taken well before their time by this horrible disease.

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    Mute Derek O Gorman
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    Jul 14th 2024, 3:13 PM

    RIP put up a great fight. Will they ever find a cure for this

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    Mute Nemethon
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    Jul 14th 2024, 3:57 PM

    @Derek O Gorman: Rest in peace Shannon may you find peace now. To answer your question I doubt there’ll ever be a cure too many plarma companies making billions on R&D and medications it’s like diabetes there’ll never be a cure.

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    Mute ecrowley ecrowley
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    Jul 14th 2024, 4:47 PM

    @Nemethon: Do pharma companies make billions on R&D?

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    Mute Jack Hayes
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    Jul 14th 2024, 5:20 PM

    @Nemethon: The average R&D to marketplace cost for a new medicine is nearly €4 billion, and can sometimes exceed €10 billion. R&D spending by itself doesn’t guarantee profitability and strong stock performance. Some companies see a payoff from spending heavily on R&D when projects are deemed to be successful. On the other hand, companies can also suffer from poor performance losses even after investing a great deal of money each year in R&D

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    Mute Tommy Roche
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    Jul 14th 2024, 6:40 PM

    @ecrowley ecrowley: Not directly, but in Ireland R&D expenses are deducted from profit when calculating capital gains tax. And not only on R&D costs occuring in country, which is ridiculous. The large pharmas are not just here for the craic.

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    Mute ecrowley ecrowley
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    Jul 14th 2024, 7:08 PM

    @Tommy Roche: Do you think they’re not spending money on R&D? If they’re not but availing of tax loopholes, that’d be unforgivable but without knowing that’s happening, we’re heading towards conspiracy theory territory.

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    Mute John Moore
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    Jul 14th 2024, 7:26 PM

    @Nemethon: You mean it costs billions in R&D. There is a question as to how much profits are enough but it costs an awful lot to develop these drugs many of which don’t come to anything after hundreds of millions spent.

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    Mute England
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    Jul 14th 2024, 7:44 PM

    @Derek O Gorman: they have invented a smoking cessation product which prevents cancer, but governments want it banned

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    Mute Michele Milne
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    Jul 14th 2024, 3:08 PM

    She found hard and long…time to rest now

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    Mute Mayo seem to be the football equivalent of Waterfo
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    Jul 14th 2024, 3:29 PM

    May she rest in peace.

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    Mute Gerard Hayden
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    Jul 14th 2024, 3:23 PM

    Rose to fame playing Brenda Walsh? She was already well known. Our House, Little House on the Praire etc. RIP

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    Mute Brian Dunne
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    Jul 14th 2024, 6:11 PM

    @Gerard Hayden: she was in little house on the praire? I used to watch that and never knew she was in it.

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    Mute Lilly Lalogue
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    Jul 14th 2024, 6:30 PM

    @Brian Dunne: yes was Laura ingles adopted daughter I think?

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    Mute Brian Dunne
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    Jul 14th 2024, 6:57 PM

    @Lilly Lalogue: ah ok, thanks Lilly!

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    Mute Joanne Stokes
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    Jul 15th 2024, 4:40 AM

    @Brian Dunne: yea she played Jenny Wilder ;). She was also good in the film Heathers. May she R.J.P. cancer is an awful battle for anyone to go through bless her.

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    Mute Joanne Stokes
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    Jul 15th 2024, 4:48 AM

    @Lilly Lalogue: no she was Laura’s niece :)

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    Mute mcleixlip
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    Jul 14th 2024, 5:03 PM

    RIP. She really really fought back against that illness. Strong resilient person.

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    Mute Robert M
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    Jul 14th 2024, 5:33 PM

    Rip poor young woman

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    Mute Anne Collins
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    Jul 14th 2024, 6:27 PM

    Very sad. RiP Shannen

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    Mute England
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    Jul 14th 2024, 6:47 PM

    She is with God now

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    Mute Square
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    Jul 14th 2024, 3:26 PM

    Rip i taught she died few weeks ago

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    Mute Robert M
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    Jul 14th 2024, 5:41 PM

    @Square: what an a##hole you are

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    Mute Square
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    Jul 14th 2024, 6:06 PM

    @Robert M: muted

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    Mute Paul Treacy
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    Jul 14th 2024, 10:33 PM

    @Square: Obviously not, don’t talk of cancer patients like that. She was a legend. I have great respect for her.

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    Mute Square
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    Jul 14th 2024, 11:05 PM

    @Paul Treacy: im not talking bad i taught i heard she died few weeks ago i was wrong rip yes i watched her growing up

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    Mute Alan Boyd
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    Jul 14th 2024, 9:01 PM

    Shame a brilliant actress rip

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    Mute Trevor Hoyden
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    Jul 14th 2024, 11:08 PM

    Lord rest

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    Mute Colette Walsh
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    Jul 15th 2024, 12:14 PM

    She was a lovely woman and a great fighter. It’s so sad she died so young.

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    Mute Damien O'Sullivan
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    Jul 15th 2024, 4:17 PM

    She was a notoriously difficult actor to work with but that doesn’t take away from her sad passing.
    RIP her suffering is over

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    Mute Patricia Dorney
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    Jul 16th 2024, 6:31 PM

    @Damien O’Sullivan: She had a reputation for being difficult because she stood up for herself and would not allow herself to be taken advantage of. Many women who followed her in the business admired her for how she stood. A woman like that is “difficult”. A man like that is “strong”!

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