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Birth Control

Birth control is any method used to protect a woman from getting pregnant. Beginning in the 1800s, laws in the United States prohibited birth control, when temperance and anti-vice groups advocated outlawing birth control devices and information about birth control devices. These groups considered birth control information to be obscene, a belief that was popular enough that in 1873, Congress passed the Comstock Act outlawing the dissemination of birth control devices or information through the mail. Most states followed suit by passing their own laws outlawing the advertising, sale, and distribution, of contraception.

The turn of the century brought increasing attention to issues involving women’s rights. Margaret Sanger, a strong advocate of birth control, opened the country’s first birth control clinic in New York City in 1916 and was prosecuted for violating New York’s version of the Comstock Act. She served a 30-day sentence in a workhouse but later established the National Committee for Federal Legislation for Birth Control. Sanger proposed a federal bill that outlined the health and death risks to women who underwent illegal abortions or who completed unwanted pregnancies. The bill sought to reverse the federal position prohibiting birth control, but under pressure from religious groups such as the Catholic Church, Congress did not pass Sanger’s bill.

Sanger then sought to challenge the Comstock Act by sending contraception through the mail to a doctor. Her actions were prosecuted, but she achieved her goal when a federal district court deemed that the Comstock Act did not prohibit the mailing of contraceptives when such an act could save a life or promote the health of a doctor’s patients. Sanger continued to lead a growing national movement advocating more information and access to birth control, and in 1921 she founded the American Birth Control League.

In 1942, the American Birth Control League became the Planned Parenthood Federation of America, still in existence today. Planned Parenthood advocates for a range of safe, legal, and accessible birth control options. In the 1950s, Sanger and Planned Parenthood supported the research efforts of Dr. Gregory Pincus that led to the development of the birth control pill. The birth control pill revolutionized family planning, and by the 1960s popular opinion was shifting in favor of making contraception and information about contraception readily available.

By the 1950s and 1960s, most states had legalized birth control, but many state laws still prohibited the dissemination of information about contraception, and some states still prohibited the possession of contraception. A 1965 landmark Supreme Court decision further eroded these laws sanctioning birth control. In Griswold v. Connecticut, the Court addressed the prosecution of a Planned Parenthood executive director charged with violating a Connecticut state law that prohibited the distribution of contraceptives, information about contraceptives, and prohibited the possession of contraceptives. The Court found that although the U.S. Constitution does not explicitly offer a right to privacy, that right can be inferred from the language in various sections of the Bill of Rights. The Constitution therefore does contain what the Court called a “zone of privacy.” Connecticut’s statute violated that zone of privacy in the realm of marriage because it permitted police officers to search the bedroom of a married couple for evidence of contraception. The Court deemed this action to be overly intrusive and an unconstitutional violation of the right to marital privacy, and it threw out the Connecticut law insofar as it applied to married couples.

In 1966, the federal government, with an endorsement by U.S. President Lyndon B. Johnson, began public funding of contraception services for low-income families. President Richard M. Nixon in 1970 signed into law an act promoting research of population and family planning issues. Finally, in 1971, Congress repealed the key elements of the Comstock Act.

Some states, however, kept birth control laws despite the repeal of the federal Comstock Act. In 1972, the Supreme Court found unconstitutional a Massachusetts law that only permitted married couples to receive contraception. The Court found this law to violate the equal protection rights of single persons. In 1977, the Court addressed a New York state law that permitted only physicians to distribute contraceptives to minors under the age of sixteen, and only physicians or pharmacists to distribute contraceptives to adults. The Court struck down this law as well. It became clear that the Supreme Court viewed as constitutionally protected the right of an individual, married or unmarried, to make personal decisions regarding whether to have children.

Inside Birth Control