Basic Reply: The same drug can be used for different purposes and contexts with different ethical implications. A medical plan can recognize the difference between using a drug as contraception and as medicine - and the ethical difference between those two.
Further Explanation:
Everyone and their uncle knows that the inovulant birth control pill is also used to manage medical conditions like:
- Polycystic Ovary Syndrome: Hormonal imbalance associated with menstruation.
- Dysmenorrhea: Intense menstrual cramping.
- Menorrhagia: Prolonged menstrual bleeding.
Except... that's not at all how Catholic medical ethics works. In fact, the same document which reiterated the Catholic position against contraception - Humanae Vitae - addressed this very question. It says:
“On the other hand, the Church does not consider at all illicit the use of those therapeutic means necessary to cure bodily diseases, even if a foreseeable impediment to procreation should result there from—provided such impediment is not directly intended for any motive whatsoever.” - Humanae Vitae, 15So while a person is not permitted to take the pill as contraception, it is perfectly permissible to take it to treat a legitimate medical issue. Thus, a Catholic employer - and whatever medical plan his business selects - would be perfectly fine paying for a prescription to the pill to treat an actual medical issue.
At the same time it is worth noting that the pill is not acting as a medicine when it is taken as contraception. It's purpose in that instance is to take a healthy organ and render it inoperative. That might be pharmaceutical, but it isn't medicinal. Technically, it is recreational drug use.
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