Rise in Use of Free Contraception Leads to More B.C. Women Choosing Effective Birth Control Options

In British Columbia, a significant increase in the adoption of highly effective contraceptive methods has been observed following the province's implementation of free prescription contraception. Over a span of just 15 months, more than 11,000 women opted for long-acting reversible contraception (LARC), which includes intrauterine devices (IUDs) and implants—methods recognized for their superior effectiveness. Research indicates that the elimination of out-of-pocket costs, which previously could reach up to $450, has drastically changed access and choices for reproductive health.

This shift is supported by data from the University of British Columbia and collaborators, showing a 49% rise in LARC dispensations after the policy change in April 2023. The study tracked nearly 860,000 women aged 15–49, highlighting that financial barriers were a major obstacle to accessing highly effective contraception. The initiative was surprisingly straightforward: the government made prescription contraception free with minimal advertising, relying on simple messaging: "You won't pay a cent."

Long-acting reversible contraception methods are significantly more effective than traditional options like birth control pills or condoms—up to ten times more reliable. By removing the cost as a barrier, B.C. has taken a notable step in reducing unintended pregnancies and advancing reproductive autonomy.

Experts like Dr. Laura Schummers, an assistant professor at UBC, suggest this model could serve as a blueprint for other provinces and on a national level. The success demonstrates that accessible, free contraception can substantially influence reproductive health choices, providing a powerful case for broader policy reforms in pharmacare programs.

Published in the British Medical Journal (BMJ), this study underscores the potential for policy-driven change to enhance public health outcomes. It highlights how straightforward solutions—like eliminating costs—can lead to profound shifts in health behaviors among reproductive-aged women.

Source: https://medicalxpress.com/news/2025-07-thousands-bc-women-chose-tier.html