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Anu Kumar

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What Komen v. Planned Parenthood Teaches Us About Abortion Stigma

Posted: 02/ 6/2012 1:59 pm

It has been quite a whirlwind of a week in the women's health community, hasn't it? Two major women's health organizations, Susan G. Komen for the Cure and Planned Parenthood, battled for women's respect and donations. Two days later the dust is settling and we're left to wonder what we should take away from the tangle?

Was it about fundraising? Women's health? Politics? I suggest it is about stigma, specifically abortion stigma that has been deliberately attached to a beloved national institution and household name, Planned Parenthood.

Despite data stating that only three percent of the services provided by Planned Parenthood across the country are abortion procedures (compared with 16 percent devoted to cancer screening or 35 percent to contraception), conservatives have succeeded in making Planned Parenthood synonymous with abortion. And abortion stigma is contagious. It makes groups like Komen want to disassociate themselves from it and to leave Planned Parenthood alone in its quarantine. At Ipas, a group working only on the issue of abortion, we know a little something about stigma. It begins with identifying and isolating the stigmatizing condition.

It is well known that ever since Roe v Wade was decided in 1973, forces opposing abortion galvanized and have worked steadily and relentlessly to take away a woman's most fundamental right to freely decide whether and when to bear a child. Just months after the historic Supreme Court decision, the Foreign Affairs Act was amended to restrict any U.S. foreign assistance funds from being used to support safe abortion care -- even though unsafe abortion was then and continues to be a leading cause of maternal deaths in developing countries. But poor women in developing countries are an easy target. They don't vote in the United States, and they certainly don't donate to political campaigns. But what became known as the Helms Amendment legitimized the belief that we can cut off abortion from the rest of a woman's health care.

In 1976, a similar restriction was imposed on poor women in the United States. Women with private health insurance can avail themselves of their legal right to abortion. But because of the Hyde Amendment, women on Medicaid may not - even though we know that terminating an unwanted pregnancy is safer, and certainly less expensive, than carrying to term. But Helms already established a precedent, and while poor women may vote, they do so at lower rates than motivated anti-abortion ideologues, and they certainly don't donate to political campaigns. Now we see abortion cut off from women's health here in the United States.

Over the next 40 years, incremental efforts to carve out additional exceptions to Roe have succeeded in isolating abortion both politically and practically: In addition to parental consent laws (and the current trend: forced ultrasound and mandated counseling), abortion is often only performed in designated health care facilities (like Planned Parenthood clinics); medical schools are not even obliged to teach the procedure, for fear of offending those with "conscientious objections;" and federal and some state employee health plans are barred from covering abortion care.

But abortion opponents have perhaps had their greatest success in their efforts to silence and shame anyone or any group that dares to continue any sort of relationship with abortion rights advocates or providers. Their pressure is relentless and comes in many forms -- from the high level political pressure that Planned Parenthood has experienced from Congress during the past two years, to the discomfort that we all feel when electricians or printing companies -- or even other health-care organizations -- refuse to work with us.

And, really, how can we expect organizations like Komen to stand up for all women's health needs when even the most powerful nation in the world cannot cope with the fact that women wish to terminate pregnancies? Under this pro-choice president, not only do restrictive policies like Hyde and Helms remain in place, President Obama is clearly challenged to even utter support for a woman's right to abortion.

A question I am left with is whether the outcry would have been as swift and powerful if Komen had simply announced that they were ending support for any and all women's health programs where abortions were performed instead of targeting an important national symbol like Planned Parenthood. Would so many individuals -- 'Racers for the Cure' and celebrities alike -- rise up in protest? My guess is no, they would not -- and this is the power of the stigma around abortion.

When access to health care is limited by money or geography, we cannot afford to limit it further with politics. Yet we see it happen again and again when it comes to women's health. Given the success of the political attacks on contraceptive and abortion care in general, and Planned Parenthood in particular, you can see how Komen thought they could score an easy political win and placate abortion opponents by throwing Planned Parenthood under the bus. The abortion stigma card can be played at any time to scare off opposition.

The good news is that in this case, opponents to abortion overreached, and Komen's attempt to demean and isolate abortion providers backfired by alienating their own supporters. However, that doesn't change the game. When we acknowledge that abortion is a part of comprehensive health care - just as breast exams and pap smears are - then we will be able to move the goal posts.

 

Follow Anu Kumar on Twitter: www.twitter.com/IpasOrg

 
 
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10:11 AM on 02/12/2012
With all due respect, Ms. Kumar...when your organization is the largest abortion provider in the country, no one has to help you succeed in becoming synonymous with abortion...that success is your own.
06:52 PM on 02/09/2012
Abortion stigma, often a silent operator, results in quarantining abortion care from its natural and rightful place: as a necessary component of comprehensive women's health care through the reproductive life cycle. How do we combat stigma? Dare to talk openly and plainly about abortion. Support women who have abortions. And their partners and families who experience abortion with them. And providers who perform them. And organizations that support women and providers. At Ipas, one of the ways we combat stigma is by facilitating values clarification and attitude transformation (VCAT) processes. A wonderful U.S. organization, Exhale (http://exhaleprovoice.org/) brings abortion out into the open and shows love to women and others who experience it. Abortion stigma, when allowed to thrive in the dank shadows, harms women - and ultimately - everyone. Let's bring it into the light and evaporate it.
05:16 PM on 02/09/2012
WE have given over the conversation to the anti choice people as many bloggers are even afraid to be pro choice, or say they had an abortion, as they will be subjected to a slew of invective.

I believe that the current nastiness exhibited in our national dialogue had its foundation in the anti choice movement. Women using any abortion clinic have been subjected to abuse for years, and that is seen as acceptable behavior, while even our pro choice politicians mumble platitudes.
apiazza
There is no such thing as a fiscal conservative.
01:13 AM on 02/09/2012
If the fetus is a baby, then it's also an illegal alien since it doesn't get citizenship rights until birth.
05:17 PM on 02/08/2012
I had an abortion when I was in college, and it was the best decision I have ever made. I was also battling undiagnosed mental illness and my boyfriend was a loser. Personally, I didn't see anything political about the situation, I was just thankful to have a clean medical facility and support from my friends during the procedure. The medical staff was kind, and it was over in a week. No one ever made me feel bad, and I wasn't forced to have a child at a young age, at a time in my life when I was literally borderline psychotic. Why people feel the need to judge medical choice I made for myself that based on pure logic, is strange to me. I probably saved the POTENTIAL human a life of resentment, potential abuse, and my own mental instability.

Now, I work with abused children, and I see how many of those mothers continue to have children because reproductive health is politicized. If a woman isn't allowed make a choice about something so fundamentally basic as her reproduction, then we are saying that women are baby receptacles and that we should strip her of her ability to make medical decisions. Taking away choice also creates a potentially dangerous environment for children. If anti-choicers claim women should have children they don't want, then they should become foster parents or work with the ACTUAL CHILDREN, instead of screaming about the rights of a zygote.
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WriterGirl
10:42 AM on 02/07/2012
I've frequented the Komen message boards and various social media outlets over the last 5 days, and I'm under the distinct impression that many individual anti-choice contributors had no idea that Komen gave grants for breast health and cancer screening to Planned Parenthood. This perception could be wrong, but I can say that whoever wasn't aware of those grants is certainly aware now. The executives at Komen threw the charity under the bus in their actions because now they are going to be able to please no one - all because they had to dip their golden toes into an issue their mission had nothing to do with. And they can apologize up one side and down the other, but they can't cover up the facts that a) the purpose of pulling the grants from PP was malicious and b) Nancy Brinker went before the entire nation and LIED about it. No one on either side of the controversy will trust them again.
10:22 AM on 02/07/2012
The US is going back to the Dark Ages of back-street medical assistance for terminating pregnancies. That's the best idea from the religious Right and the pro-lifers.

Consider that Italy (Catholic), Spain (Catholic) and France (Catholic) ALL ALLOW ABORTIONS.
They just don't talk about it all the time. It's a male ego fixation and it's very tiring.

PP help women who are in very precarious situations (3% of their work) the rest of the time and money is spent providing a wide range of free healthcare to those in need.

The Right is trying to cut out healthcare for those who can't afford insurance, those in dire straights, those needing birth control advice (to prevent the unwanted pregnancy), cancer screenings and PROSTATE SCREENINGS FOR MEN.

The Republicans are against anything that would cover healthcare for women whether it's the Affordable Healthcare Act or PP.

My suggestion is to stop making pants with zippers so that they can't unzip - we are so tired of their whining.

Support PP folks
09:29 AM on 02/07/2012
I find it very telling that the loudest anti-choice people are men, who will never carry a baby or give birth.
On the other hand, if men took responsibility for the children they create, supporting them and their mothers, abortion rates would plummet dramatically.

Women are not asexuated organisms who create children by themselves. I think it's time for the men to do the right thing for a change, taking full responsibility for their own actions, instead of pointing fingers at the women they impregnated and walked away from.
02:49 AM on 02/09/2012
Ok, you say that men need to do the right thing, well, the same for the women. If women would tell the men about the baby, chances are that the men would step up and help. Too many times women go and have an abortion and never tell the men.
09:06 AM on 02/07/2012
One of the more interesting aspects of this whole abortion stigma debate is the impact abortions have had on the population. I've seen estimates that 50 million abortions have been performed since Roe v Wade and just assuming an average distribution, that means there's around 30 million fewer voting age Americans today as a result. I completely support a woman's right to choose, but I would guess something like 80% of offspring of women who would have an abortion would grow up to be pro-choice. The flip is also true - so over the last 35-40 years, we've likely seen a large shift in the births of people likely to be pro-life vs pro-choice. This abortion induced demographic shift is going to continue pressuring the issue going forward.
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squirrely girl
Assistant Professor ~ Developmental Psychology
02:56 PM on 02/08/2012
You're making an illogical assumption that women who have abortions don't also have children. This is not true. Over half of women obtaining abortions already have at least one child.
01:18 PM on 02/09/2012
Fair enough - maybe every woman who had an abortion had the exact number of children she desired, so there was no net change to population, but maybe not. I'm guessing my point is still correct, whether it's 30 million fewer voters, 15 million, or 1 million.
05:45 AM on 02/07/2012
Both pro and anti-abortion advocates seek to simplify an issue which is incredibly complex. Abortion is not an issue which lends itself to easy and clear cut solutions because it is not an issue which is readily confined to clear parameters. It is an issue of individual freedom, to be sure, but it is also an important moral issue and it is also (and this is too often ignored) an important social issue. But regardless of which set of parameters you think most important, whatever decision you make has consequences which harm people and the society in which we live.
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ronjdomer
shakedownthunder
03:27 PM on 02/08/2012
i am sick of people saying a person is "pro-abortion" when the person is "pro-choice". Most people who are pro-choice are NOT pro-abortion.
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PiedType
Old editors never die, they just revert to type
12:15 AM on 02/09/2012
The correct dichotomy is pro- and anti-CHOICE. Nobody is "pro abortion." Both sides want to reduce the number of abortions and the need for abortions.
04:22 PM on 02/10/2012
Margaret Sanger, the founder of Planned Parenthood, was most assuredly "pro-abortion" and wrote extensively to that effect. Sanger also advocated involuntary sterilization of those persons she deemed unfit and was instrumental in persuading 24 US states to pass laws to allow the state to perform such procedures. Largely because of Sanger's efforts, more than 50,000 American women were sterized without their own consent during the 1920s, with Virginia and California leading the way. Oh, and did I mention that most of those involuntarily sterilized were black. Margaret Sanger, you see, was not only "pro-abortion" and pro-involuntary sterilization," but she was also racist, and the easiest way to qualify for her definition of "unfit" was to have a dark skin.

Before yopu dedicate all your energies to defending an organization and a concept, you would do well to explore its origins and history. Planned Parenthood is not just about protecting women's health and/or their civil rights--it is also about imposing a particular and paculiar set of standards upon our society.
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12:12 AM on 02/07/2012
Ever wonder why abortion facilities and their political advocates are isolated?

It is because of what you are doing.

A plurality can be garnered to look the other way at it. They're glad it's available for when it's needed.

Yet we are almost all universally disgusted by the abhorrences that occur day in and day out in abortion clinics. Even the most pro-choice people I have ever come across seem compelled to say how personally disgusted they are by what goes on in the clinics.
renoir
Comfortably Numb
10:46 AM on 02/07/2012
That's a load of crap. Women understand what it is, and don't need to be preached at or manipulated or punished.

The reason that abortion clinics are not advertised with giant neon signs is that they have been targeted by the religious right, who has no concern or empathy for women in the least. People have been shot, clincs have been bombed, people have been shouted at, people have been blocked from entering clinics. What part of 3% don't you understand?

Well, let me spell it out for you: 97% of all women who enter a Planned Parenthood clinic are going there for birth control, or maybe a pap smear and breast exam. My husband got his vasectomy at a Planned Parenthood. While in college, I got all my birth control at PP. And, although it's none of your business, my college boyfriend is my now husband. We've been together 30 years. We have one child, had one abortion and three miscarriages. THAT, my dear, is the life cycle of a woman. You don't have to like it. I honestly don't care. But to act all sancitmonious without bothering to acknowledge that health care for women of limited means should be made available, and that indeed "family planning" or "planned parenthood" is a good idea... an excellent idea... and that those who provide those services have been targeted... is a load.

Women's health has been politicized. It's a travesty.
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retromoderne
Born right the first time
11:10 AM on 02/07/2012
f&f'd
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trumbull desi
If I have something pithy to say, see below
06:37 PM on 02/08/2012
Epic, fierce, and awesome! Fanned.
09:52 PM on 02/06/2012
The first mistake the pro choice community made was to begin to adopt the language of the anti choice crowd, like "unborn child"instead of fetus and in accepting, even tacitly, that life that begins at conception is the same as life that begins at birth.

It is time for progressives and pro choice crowd to demand THEIR tax money go for funding abortions for poor people.

It is also time progressives demand a law that requires any health care institution or provider with a government license to perform any legal medical procedure wirh no exception for conscience.

There could be an exception for a doctor who is also a Catholic priest.
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PiedType
Old editors never die, they just revert to type
12:21 AM on 02/09/2012
Seriously, what part of "legal" do conservatives not understand.
04:25 PM on 02/06/2012
did you say, "beloved household name?".............Spare me the theatrics!!
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SmileAndActNice
Utilitarianism, the -ism that works.
11:56 PM on 02/06/2012
It wouldn't be if it weren't attacked so rabidly.

Beloved might be stretching it but they are plucky underdogs and a welcome pillar of my community.
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GraniteSkyline
I wish you happiness!
06:40 PM on 02/08/2012
Maybe Planned Parenthood has no meaning for you, Kevin, but I have nice memories of going to PP and getting excellent healthcare when I was a teen and in my 20s when I had no health insurance and not much money.

I'm sure I'm not alone--if it weren't for PP many people would not be able to afford birth control and basic gynecological healthcare.
03:04 PM on 02/09/2012
I was busy being responsible, working, paying taxes, raising my 4 children without any government assistance. I'm sure I'm not alone either. No, Really. I have absolutely NO fond memories of Planned Parenthood, just their insensitive attacks on people like me, who BELIEVE in life and their "wolf in sheeps clothing" persona. I shouldn't have to pay for your birth control pills anymore than you should pay for a hand gun for poor people, just because they can't afford it for their protection.
been2there
Facts have a liberal bias.
04:16 PM on 02/06/2012
Part of the stigma is in allowing the anti-choice group to get away with calling themselves pro-life--which they most emphatically are not.
The question is choice- pro-choice or anti-choice, and that is what we should be calling them.
05:46 PM on 02/06/2012
Nope. The choices are either pro-abortion or pro-life. Nothing more, nothing less. Either you abort your child, or you don't---those are the only choices---no more, no less. Sorry.
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mafiaqueen
Firebreathing Trollslayer
10:41 PM on 02/06/2012
Your argument implies all children are to be aborted or born.
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ElleKaye
Beware the Zealots.
12:42 AM on 02/07/2012
Words matter. And your "choices" are pure emotional gobbledegook. Absolutely nobody is "pro-abortion". You seem to have decided that millions of women look forward to the opportunity to end their pregnancy by undergoing a D&C. That's asinine! But all women must retain their right to do so. The Personhood Pack would assure anyone with a tubal pregnancy would die. "Pro-Life" is anti-choice. Period.
Pro-Choice is simply that. For the right to choose. I respect your right to believe as you wish. But your belief doesn't trump my right to mine.
10:32 PM on 02/06/2012
How are pro-life groups "most emphatically" not for life? Because women die during childbirth? I think Pro-LIfers are pro-choice, they just believe the choice comes BEFORE you get in bed.
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WriterGirl
11:08 AM on 02/07/2012
No, anti-choice groups are politically aligned with a party that is vehemently againsst providing care to women who are medically underserved during pregnancy, providing support for children who are hungry and medically underserved after they are born, and requiring employers to offer healthcare insurance for low-wage employees. The very people who attempt to elevate themselves as "good Christians" by protecting the fetus from abortion are the very people who have zero difficulty with a baby's suffering after it's born for lack of care. And let's get real here- the bottom line for you is the regulation of sex. I've been pregnant on the pill twice and spent long hours as a volunteer rape counselor, so I am more than qualified to assure you that pregnancy can happen whether you "choose" the risk or not. Your desire to act as the morality police by regulating others isn't just reprehensible, it's indefensible.
04:16 PM on 02/06/2012
Bullying Susan G. Komen

The huge flap over the Susan G. Komen for the Cure foundation’s decision to cease funding Planned Parenthood of America, PPOA, and then to rescind that recission is nothing more than a tempest in the abortion teapot. It’s also an excellent example of the power of bullying.

Susan G. Komen for the Cure is as dedicated to curing breast cancer as Planned Parenthood is dedicated to killing the pre-born. However, when the foundation pulled its funding of PPOA last week, it was a wake-up call, if one were needed, that libs are far more concerned for preserving abortion rights than they are with preserving the lives of women.

Under a torrent of incensed bullying attacks, the foundation quickly seemed to reverse its decision though not before libs launched a withering onslaught of abuse of Komen.

The bullying died down following the apparent reversal, which is ironic since the foundation simply decided to adhere to its previous commitment to pay PPOA over half a million dollars but would provide no additional funding because, despite its advertising, the nation’s most profitable and prolific abortionists doesn’t give a damn about breast cancer.

Komen caved to the bullying tactics then made it clear. . . .
(Read more at http://www.genelalor.com/blog1/?p=12591.)
04:28 PM on 02/06/2012
you are sooo right
01:15 AM on 02/07/2012
You forgot the trademark. When someone pastes such nonsensical propaganda they're declaring that they are Right™, or just admitting that they're about 180 degrees from being correct.
04:46 PM on 02/06/2012
I guess you missed the part about only 3% of PPOA's budget going for abortions. They are not exactly "dedicated to killing the pre-born." In fact, that is the silliest statement I have heard about this issue. If you don't want an abortion, don't get one. If someone else wants one, they should be able to get one. This is what we call a Difference of Opinion. You're not going to change my opinion; and I'm not going to change yours. So enought rhetoric. Do what you want to do and I'll do what I want.
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ESerafina42
Abandoned by wolves, raised by Republicans.
09:38 PM on 02/06/2012
Of course, you have to remember, a lot of these people consider birth control equivalent to abortion. I would wager (not $10,000, but maybe $10) that Berlet98 is probably one of them.
02:50 AM on 02/07/2012
"Susan G. Komen for the Cure is as dedicated to curing breast cancer as Planned Parenthood is dedicated to killing the pre-born." , i thought this was sarcasm , too much consumption of onion i guess.