Plan C
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Plan C is a non-profit organization and campaign that provides educational resources and information to increase access to
medication abortion A medical abortion, also known as medication abortion or non-surgical abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical (also called procedural or instrumentation) a ...
(abortion with pills) in the United States. It was founded in 2015 by Francine Coeytaux, Elisa Wells, and Amy Merrill to advocate for medication abortion and connect women with abortion pill providers across the US.


Objectives

Plan C conducts research and publicly shares information about how people are accessing
mifepristone Mifepristone, and also known by its developmental code name RU-486, is a drug typically used in combination with misoprostol to bring about a medical abortion during pregnancy. This combination is 97% effective during the first 63 days (9 wee ...
and
misoprostol Misoprostol is a synthetic prostaglandin medication used to prevent and treat stomach and duodenal ulcers, induce labor, cause an abortion, and treat postpartum bleeding due to poor contraction of the uterus. It is taken by mouth when used ...
abortion pills in the US. Their stated goal is to transform access to
abortion in the United States Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnanc ...
by normalizing the self-directed option of abortion pills by mail and placing the ability to end an early pregnancy directly in the hands of anyone who seeks it.


Actions

Plan C works in 4 ways.
  1. They conduct research and share information regarding how people are accessing abortion pills in the United States, including domestic and global evidence about the safety and efficacy of medication abortion.
  2. They work with
    health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
    providers,
    reproductive health Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's Human reproductive system, reproductive system and sexual well-being during all stages of their life. Se ...
    organizations, and technology innovators to establish relationships and connect individuals.
  3. They work to de-stigmatize and normalize self-managed abortion and advocate for universal
    over-the-counter Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a requirement for a prescription from a healthcare professional, as opposed to prescription drugs, which may be supplied only to consumers possessing a valid pres ...
    access to abortion pills.
  4. They work to disrupt the unjust barriers to access created by courts and lawmakers, and put agency back in the hands of individuals by bringing public attention to the transformative nature of abortion pills.


History


1990's

During the 1990s, Elisa Wells and Francine Coeytaux were part of the team that successfully managed to get Plan B, or the morning after pill, approved by the
FDA The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
for over-the-counter sale.


2016

In 2016, as the U.S. Presidential
administration Administration may refer to: Management of organizations * Management, the act of directing people towards accomplishing a goal: the process of dealing with or controlling things or people. ** Administrative assistant, traditionally known as a se ...
turned over, Plan C launched their website to share information about online abortion pill providers and the self-managed abortion process. The Plan C team began researching websites calling themselves
online pharmacies An online pharmacy, internet pharmacy, or mail-order pharmacy is a pharmacy that operates over the Internet and sends orders to customers through mail, shipping companies, or online pharmacy web portal. Online pharmacies include: * Legitimate Int ...
and claiming to sell abortion pills, tested the pills received by mail from those websites, and published their findings as the Plan C Report Card.


2018

In 2018, Plan C played a significant role in the launch of the CHAT study (California Home Abortion by Telehealth) in which researchers at the
University of California, San Francisco The University of California, San Francisco (UCSF) is a Public university, public Land-grant university, land-grant research university in San Francisco, California, United States. It is part of the University of California system and is dedic ...
conducted a study to gain a deeper understanding of the experiences of individuals who utilize virtual clinics that serve patients throughout the United States. This study was a crucial step towards not only normalizing telehealth services and online access to pills but also in documenting and researching their effectiveness and safety, and validating them as a viable option for individuals seeking reproductive healthcare.


2019

As of 2019, there were dozens of websites selling abortion pills and the Plan C website was receiving over 50,000 visitors per month from individuals across all 50 states in search of information on abortion pill access and
reproductive rights Reproductive rights are legal rights and freedoms relating to human reproduction, reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights: Reproductive rights ...
.


2020

In April 2020, at the onset of the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
, the medical community expedited the adoption of "no-test" protocols, which facilitated online abortion care,
telehealth Telehealth is the distribution of Health care, health-related services and information via electronic information and telecommunications, telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminde ...
start-ups, and more clinics serving patients online. As certain states deemed abortions nonessential medicine, and the majority of the country was subjected to "safer at home" orders restricting access to basic medical care, the U.S.
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respo ...
(FDA) temporarily lifted restrictions on shipping mifepristone. During this time, Plan C issued a "call to providers" to inform the medical community of the growing need and the opportunity to serve patients by offering telehealth abortion services. Several providers launched startups, including Abortion on Demand, Choix, Hey Jane, among others.


2022

In 2022, Plan C expanded their online resource directory to include organizations that offer the advance provision of abortion pills, a service that creates the option to order abortion pills in advance so they will be available if they are needed at some point in the future. Organizations listed by Plan C that offer the advance provision service include Aid Access and Forward Midwifery.


2023

With the Dobbs decision and the overturning of
Roe v. Wade ''Roe v. Wade'', 410 U.S. 113 (1973),. was a List of landmark court decisions in the United States, landmark decision of the U.S. Supreme Court in which the Court ruled that the Constitution of the United States protected the right to have an ...
, Plan C has responded by increasing the information they make available regarding alternate ways to access abortion pills and resources to help people safely self-manage their own abortions at home.


2024

Due to increased competition among providers to appear in the first few results of Plan C' Guide, the costs for abortion pills by mail without clinician consultation decreasing to $25-28 in 2024. While the cost for abortion pills by mail including a
telehealth Telehealth is the distribution of Health care, health-related services and information via electronic information and telecommunications, telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminde ...
consultation with a US-based clinician averaged $150, the lowest cost telehealth provider had begun offering their service in all 50 states for a minimum payment of $5.


Plan C documentary

The Plan C organization was the subject of a documentary film of the same name, '' Plan C'', which premiered at the
Sundance Film Festival The Sundance Film Festival is an annual film festival organized by the Sundance Institute. It is the largest independent film festival in the United States, with 423,234 combined in-person and online viewership in 2023. The festival has acted ...
on January 23, 2023. The film focuses on Plan C's ongoing
grassroots A grassroots movement is one that uses the people in a given district, region or community as the basis for a political or continent movement. Grassroots movements and organizations use collective action from volunteers at the local level to imp ...
efforts to expand access to
abortion Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
across the United States via the distribution of at-home
abortion pill A medical abortion, also known as medication abortion or non-surgical abortion, occurs when drugs (medication) are used to bring about an abortion. Medical abortions are an alternative to surgical (also called procedural or instrumentation) a ...
s ordered from the internet and delivered through the mail. In May 2024, the film won a
Webby Award The Webby Awards (colloquially referred to as the Webbys) are awards for excellence on the Internet presented annually by the International Academy of Digital Arts and Sciences, a judging body composed of over three thousand industry experts a ...
for creatively using social media for advocacy.


References

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External links


Plan CPlan C on Twitter
Organizations established in 2015 Women's health movement Abortion-rights organizations in the United States Feminism in the United States Health and disability rights organizations in the United States Health charities in the United States Medication abortion Non-profit organizations based in the United States