Well even when some one else is paying. Its relatively expensive to conduct.
So in terms of how to allocate public/donation dollars its usually not high on the list. Condoms are cheap as hell, but have those reliabiloty issues. The pill is relatively cheap per dose, but its a continual expense, and comes with the added expense of maintaining a script. And has compliance and side effect issues. The gold standard on that front is IUDs. They can have a high initial price (though lower than surgeries), especially in the US where they’re harder to come by. But they’re semi-perminant, fully reversible, require zero attention from the user, and Have very low rates of complications or side effects. Womens and public health groups seem to moving towards IUDs over handing out condoms and setting people up with low cost pills.
