land of the free?
Mar. 1st, 2006 11:00 amI am going to thwrap the next person who tells me the US is so damned spiffy and free.
Just last week abortion became a felony in South Dakota. Think you are safe because you don't live in South Dakota? Think again. If it can happen there, we are all at risk.
And don't get me started on the fact that same sex marriage is legal in that bastion of the Catholic faith, Spain, but gay people in Florida cannot adopt children, let along get married there or in any other state in the good 'ol US of A expect Massachusetts.
And then there is the institution today of the FDA's Accutane registry, iPledge. Among other things, iPledge requires the following:
Just last week abortion became a felony in South Dakota. Think you are safe because you don't live in South Dakota? Think again. If it can happen there, we are all at risk.
And don't get me started on the fact that same sex marriage is legal in that bastion of the Catholic faith, Spain, but gay people in Florida cannot adopt children, let along get married there or in any other state in the good 'ol US of A expect Massachusetts.
And then there is the institution today of the FDA's Accutane registry, iPledge. Among other things, iPledge requires the following:
- "As part of the ongoing risk management of isotretinoin products, it is crucial that a female of childbearing potential selects and commits to use two forms of effective contraception simultaneously for one month before, during, and for one month after isotretinoin therapy. She must have 2 negative urine or blood (serum) pregnancy tests with a sensitivity of at least 25 mIU/ml before receiving the initial isotretinoin prescription. The first pregnancy test is a screening test and can be conducted in the prescriber's office. The second pregnancy test must be done in a CLIA-certified laboratory according to the package insert. Each month of therapy, the patient must have a negative result from a urine or blood (serum) pregnancy test conducted by a CLIA-certified laboratory prior to receiving each prescription.
Each month, the prescriber must enter the female patient's pregnancy results and the 2 forms of contraception she has been using in the iPLEDGE system. The iPLEDGE system verifies that all criteria have been met by the prescriber, patient, and pharmacy prior to granting the pharmacy authorization to fill and dispense isotretinoin. The pharmacist must obtain authorization from the iPLEDGE system via the program web site or phone system prior to dispensing each isotretinoin prescription for both male and female patients."