The juncture of faith and health.
Monday, the day before Valentine’s Day, many Harvard students returned to their rooms after a long day of class to find a plastic bag hanging on their doorknobs, a condom, lube, and a flyer inside. One side of the flyer listed safe condom techniques and tips, while the other, headlined by a flowery “Happy Valentine’s Day”, listed the information for Peer Contraceptive Counselors (PCC), the University-sponsored counseling group that dispenses advice on sex and a wide range of contraceptive and safe sex devices to students at Harvard.
Although the door drop turned few heads at Harvard — PCC stocks boxes with free condoms in convenient locations across campus and Trojan Condoms ranks Harvard’s sex education in the top quartile nationally — it came at a time when the question of contraceptives on religiously-affiliated college campuses is at the forefront of the national news cycle. The new federal health insurance mandate (H.H.S. mandate) requires that insurance companies and employers cover contraceptives in employees’ insurance plans without a co-pay, and as the Obama administration and various religious and religiously affiliated groups wrestle with the question of religious exemptions to this rule, students at colleges and universities across the country are voicing their opinions on the matter as faith, religious liberty, reproductive freedom, and health policy collide.
The facts of the matter are these: on January 20th, the Department of Health and Human Services announced that after consideration, the only religious exemptions to the insurance mandate for contraceptives would be for institutions whose primary purpose is religion and that serve one religious community, which would limit the exemption to churches, synagogues, mosques, and the like. Upon this announcement, Catholic bishops led the charge against what they saw as an infringement on religious freedom (the Roman Catholic Church prohibits all contraception for believers), eventually forcing the President to compromise on the issue earlier this week. The new compromise, whose intent is to remove responsibility from religiously affiliated institutions, allows such hospitals, charities, and universities to defer the issue of contraception directly to their insurance providers. While this compromise does place responsibility for contraceptive coverage on insurance companies, many universities, such as Notre Dame and Georgetown, both Jesuit, are self-insured, putting them in the predicament of being both employer and insurer. It is not immediately clear how this compromise will affect the lives of students attending religious universities, and its impact on students will likely vary from college to college.
From faith-based institutions such as Boston College and Pepperdine University to secular universities such as Harvard, the spectrum of opinion on the matter of contraception access in school-sponsored health insurance plans is broad. At many Catholic and religious universities — such as those in the twenty-eight states that require insurance companies to fund contraception for all — contraceptives are covered under university-affiliated insurance policies with a co-pay even if university health services will not write contraceptive prescriptions. Although the new insurance mandate would eliminate the co-pay, because the reality of contraceptive access on campus will not change for many, the debate has become more a matter of principle than of practice.
A slew of editorials in student newspapers at Catholic colleges across the country have illuminated both sides of the issue. Notre Dame’s Observer has consistently printed letters to the editor and “viewpoints” both for and against the H.H.S. mandate since the original announcement on January 20th. Students and faculty have called for a practical approach to the realities of unmarried Catholics having sex, have exhorted Notre Dame to uphold Church doctrine at all costs, and have made pleas for Catholic values promoted socially rather than through legislation. Georgetown University’s Hoya has published fewer but equally impassioned editorials on both sides of the debate in the last few weeks as well. Meanwhile, Catholic University’s student newspaper, The Tower, has exclusively published anti-contraception editorials, and nearby Boston College’s main paper, The Heights, has been relatively quiet on the subject, publishing its last article on the topic two weeks ago. Its conservative competitor, The Observer, has been rather quiet on the issue as well.
The Catholic Church and its affiliated universities are receiving the most attention in the controversy as it condemns contraceptives and sterilization across the board, while other denominations might be more lenient, especially for married couples. Nevertheless, the issue has arisen in other religiously affiliated universities across the country, from pro-contraception articles in Churches of Christ affiliate Pepperdine University’s Graphic to Brigham Young University’s Daily Universe framing the issue in terms of Mitt Romney’s candidacy. With 55% of Americans standing behind the new H.H.S. guidelines and 58% of Catholics in support of them (98% of sexually active Catholic women polled use some form of birth control), and with Republicans in Congress actively working to strike down the new guidelines in the name of the First Amendment, it is unlikely that the controversy will die down soon.
Meanwhile, at secular Harvard University, strong opinions on the law seem to be few, as University Health Services (UHS) provides a wide variety of sexual health care and resources to its students. UHS will prescribe various forms of birth control to students on request, though its health insurance provider, Blue Cross and Blue Shield, and its prescription drug supplier, Medco, almost always require a student co-pay. UHS also offers STI and HIV testing, covered by both the full and supplementary health insurance plans, resources for survivors of sexual assault, and pregnancy testing. Likewise, UHS will refer students to Planned Parenthood or Women’s Health Services if a student should chose to terminate a pregnancy, and then provides follow-up care at UHS. Abortions are fully covered under Harvard’s Student Health Insurance Plan, and for those with outside insurance, the required Health Services Fee will provide $350 to help cover costs.
Meanwhile, PCC continues to provide sexual health resources for its fellow students in its office on the 5th floor of UHS, where drop-ins are from 7 p.m. to 12 a.m. from Sunday through Thursday, and from 8 p.m. to 10 p.m. on weekends. PCC can also be reached at 617-495-7561 or at pcc@hcs.harvard.edu.
Meghan Brooks ’14 (meghanbrooks@college) will be watching as the controversy unfolds.



