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Posted January 15, 2009 | 12:33 AM (EST)

At Last, Prevention First


For reproductive rights advocates, and for all Americans distressed with the rise in teenage pregnancy, Barack Obama arrives just in the nick of time. We can now get back on track, pushing toward the common ground goals Americans seek, namely, the goal of preventing unwanted pregnancies.

To signal the seriousness with which Obama and the new Congress take this mission, last week, on the first day the Senate returned to session, Majority Leader Harry Reid introduced the Prevention First Act. This legislation is designed to increase access to both contraception and comprehensive sex education, as well as reduce unwanted pregnancies in the United States. On Tuesday, House Democrats Louise Slaughter and Diana Degette introduced it in the House.

This legislation will hopefully end the reckless Bush years which pushed ideology over tried and true methods to address the problem. If any further proof is needed of the Bush failure, some timely data is at hand. Indeed the Bush era ends with a couple of poetic, sad, but predictable footnotes. The CDC just released new data showing that teen birth rates rose in more than half the states in the country in 2006 hitting hardest the South-the region most loyal to Bush and his abstinence-only mission. (The pro-choice, comprehensive sex ed supporting Northeastern states had the lowest teen birth rates.) Another CDC study released days ago discovered STDs are on the rise also. Medical experts continually sounded the alarm during the Bush years, warning that the abstinence-only approach would sow the seeds of ignorance in teenagers. Those seeds are finally bearing fruit. In the South, where abstinence-only was promoted as the only safe way to avoid pregnancy and STDs, it has yielded bitter fruit.

When Bush took office he was handed the lowest unintended pregnancy and abortion rates in decades. During the Clinton years, a woman's right to make important life decisions, like when to become a mother, was respected. But at the behest of his fervent base, Bush discarded the policies that led to those universally desired results. Sex education was replaced with abstinence-only, which dismissed actual knowledge as a corrupting force, indeed, as an inducement to experiment. (Teens it turns out need no inducement on that score.) Bush filled contraceptive posts with anti-contraceptive ideologues. Instead of increasing access to contraception in order to prevent unwanted pregnancy, Bush's HHS tried to redefine contraception as abortion. Bush promised that we'd arrive at the same sought-after destination, reduced unwanted pregnancy. Now, at the end of this harrowing roadtrip we discover that in addition to gutting our 401Ks, he's knocked up our daughters and given them the clap.

Prevention First contains an array of remedies and undoes some of the damage to women's reproductive health. For example, one solution addresses the skyrocketing prices of birth control on college campuses. In his Federal Deficit Reduction Act of 2005, Bush removed college health centers from the discount drug pricing program causing birth control prices to escalate, in some cases by 900%. College-aged women are the demographic at greatest risk of unwanted pregnancy and have higher abortion rates than any other group. Prevention First puts college health centers back into the discounting program. It is a cost neutral way to improve contraceptive access for the group of women in greatest need of it.

In 2000, as the Bush reign was gearing up, fully half of all women of reproductive age -- 34 million women -- lacked contraceptive services and supplies. Half of those women could not afford to buy such care on their own and needed public support. Between 2000 and 2004, the number of U.S. women in need of publicly funded contraceptive services and supplies increased by 6%-more than one million women. That was when the economy was great. Now, things are exponentially worse. Americans are not only losing their jobs, but along with them, their health insurance and contraceptive coverage.

Prevention First expands the safety net by funding Title X, the nation's contraceptive program for the poor, at a level more appropriate to the swelling need. The program has been under-funded for years. Had Title X funding kept pace with medical inflation since FY 1980, it would now be funded at more than $725 million instead of the FY 2007 level of $283 million. Prevention First would fund Title X just under that--it requests a $700 million budget. As Congresswoman Slaughter explained when introducing the bill, ""For every dollar spent on family planning services, it is estimated that almost four dollars is saved in public health spending." Prevention First is sound fiscal policy as well as the right public health policy.

Over the last eight years the anti-choice movement has revealed its bold anti-contraception agenda and found a willing partner in the Bush administration. Anti-contraceptive operatives have fought every attempt to expand access to family planning. Each time contraceptive coverage legislation was introduced the anti-choice movement was there to beat it back. They shamelessly fought legislation to provide sexual assault victims with the ability to prevent a pregnancy as a result of the rape. They worked to confuse the public about the mode of action of contraceptive methods, claiming all hormonal methods of birth control can cause abortion. Through abstinence-only programs they denied sexually active teens information about contraception and filled their heads with inaccuracies and fears about the safety of condoms.

Prevention First would begin to undue these damages. It would ensure that contraceptives are included in all health plans that cover prescription drugs and that no matter what hospital a rape victim is brought to she can get emergency contraception to prevent pregnancy. It re-establishes science and medicine as the sources of policy, and in particular, on what contraception really is as well as its effectiveness. It will reestablish comprehensive sex education programs as the standard, those subjected to "rigorous scientific research" that show, quantitatively, to lower teen pregnancy and STD rates.

The anti-contraception forces, standing on the wreckage that has resulted from their policies, vow to continue obstructing and confusing. Upon the introduction of Prevention First in the Senate, the Family Research Council warned that the bill would "direct hundreds of millions of taxpayer dollars to the abortion industry," "use taxpayer funds to mislead people about the potential of the "morning after pill" (known as Plan B) to act as an abortifacient," and "target teens' with "comprehensive" sex education; and spread emergency contraception." I say, if they oppose it, we're on the right track.

To keep up to date on progress with the Prevention First Act, access to contraception, and opposition activities visit www.birthcontrolwatch.org

For reproductive rights advocates, and for all Americans distressed with the rise in teenage pregnancy, Barack Obama arrives just in the nick of time. We can now get back on track, pushing toward the ...
For reproductive rights advocates, and for all Americans distressed with the rise in teenage pregnancy, Barack Obama arrives just in the nick of time. We can now get back on track, pushing toward the ...
 
 
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12:16 AM on 01/20/2009
"The CDC just released new data showing that teen birth rates rose in more than half the states in the country in 2006 hitting hardest the South-the region most loyal to Bush and his abstinence-only mission."

However, the abortion rate is at its lowest rate since the 1970s. Lower than when Clinton was in office.
12:16 PM on 01/16/2009
One thing I trust Obama for:
I can be virtually certain he will not appoint, as Bush did, a doctor of veterinary medicine to head the Federal Health Agency's Women's Department.

Bush apparently equated women with animals. I believe Obama does not.
12:52 PM on 01/16/2009
Seriously? Who did Bush appoint? And yet, I am not surprised...
11:24 PM on 01/17/2009
I looked up the U.S. Dept. of Health and Human Services, Office on Women's Health, and could find no one with a DVM in it's list of officials. Do you have a name for this person?
08:02 AM on 01/16/2009
And I'm tired of the demonizing assertion that "abortion is murder." There is NO DEFINITIVE agreement on when life begins. It wasn't until recent history that the Church started preaching that life begins at conception. Before adopting the conception argument, the Church believed life begin at quickening (when the fetus is 1st felt--6 to 8 wks). Many would argue that life doesn't begin until the fetus is no longer dependent on its mother to sustain its life.
Other misconceptions used to sell "pro-life":
* Abortion is a dangerous procedure. Wrong. ABORTION is a safe procedure with LESS risk than a full-term pregnancy.
* An Abortion will bring a life of regret. WRONG. I've had several abortions and am left with RELIEF, not regret. (I also have 3 fantastic kids--all adults now, who would have an abortion if necessary--and guess who would decides if its "necessary" --they would).

I believe a good parent is one who brings a wanted child who she is capable of caring for into the world.
Anyone interested in reading a reasoned discourse on abortion should read Carl Sagan's thoughtful essay: http://www.2think.org/abortion.shtml
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redkim
Wounded by beauty, I am one who struggles with God
08:26 AM on 01/16/2009
I'd like to inform you of a libertarian view of abortion. Mind you, this link was written by an atheist. I think it does a good job countering your argument. You may not agree with it's conclusions, but it does take the very subjective religious argument out of the position:

http://www.l4l.org/index.html
12:23 PM on 01/16/2009
OK, I'll play. I read your "atheist" libertarian "argument" The concept that life begins at conception IS a religious notion...come on, a blastocyst is hardly a person. Did you know that nature spontaneously aborts 50% of all conceptions because of cell reproduction errors (thankfully) before the female even knows she is pregnant? Every period of a sexually active woman could warrant a funeral by your definition: Get out your little white crosses and strew them over trash dumps and sewage treatment facilities because they are filled with "de-personed" blastocysts. Sorry if I am being harsh but forcing women to risk pregnancies and bear unwanted children is the harshest thing imaginable, especially women in poverty. That article is the usual set of religious dogma and ignorance and inconsistencies in disguise - sort of like creationism.
08:41 AM on 01/16/2009
And I am even MORE TIRED of those who just can't change the channel

If many of us agree that there are too many abortions and that it would be a good thing to try to make them rare and even uncessary,

I don't know why you have a problem?
07:07 AM on 01/16/2009
Definition of a right wing religious fanatic. Someone who has a deep fear that somewhere some one is feeling pleasure.
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quillsinister
05:16 AM on 01/16/2009
"Now, at the end of this harrowing roadtrip we discover that in addition to gutting our 401Ks, he's knocked up our daughters and given them the clap."

This might just be the most perfect single sentence ever written on this particular subject. :-)
11:11 PM on 01/15/2009
In June of 2007, I retired after spending a life time teaching in an inner city high school in one of the most dangerous neighborhoods in Los Angeles. I taught English and supervised the school newspaper. To be sure, once in a while my students wanted to write about sex. I gave them three ground rules.
1. That the only safe sex is no sex.
2. That safer sexual practices are infinitely better than unsafe sex. AND
3 Whatever you say must be accurate.

Without fail, my students handled the topic with a degree of maturity, professionalism and intelligence that would shame all of the abstinence only crowd. Teenagers need to be armed with knowledge, and they need to be nurtured with honesty, love, and understanding. Put that combination together, and trust me, with few exceptions, teenagers will do the right thing.
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09:09 AM on 01/16/2009
Those kids had one great teacher.
12:24 PM on 01/16/2009
Bravo and thank you for your service! Please reconsider your retirement - the world needs great teachers like you!
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BlueZoo
Independent voter, Independent thinker!
10:31 PM on 01/15/2009
For the life of me, I don't understand why the religious right and the ProLife factions aren't all over this one! If you prevent people from having unprotected sex, you prevent the need for abortion, as well as the need for medical care for STDs obtained from same. It's so simple!

As an aside, I've no idea what you do with these girls I see on television who WANT to get pregnant in their early teens and even try to do so. The best program I've heard of is the one where these girls and their "boyfriends" have to carry around a ten pound sack of flour 24/7 for two weeks, as well as care for it in every way. The success rate of this program is unusually high. Once these kids get a taste of being saddled with a ten pound "being" 24/7, they changed their attitudes about how "neat" it would be to have a baby!
02:12 AM on 01/16/2009
"For the life of me, I don't understand why the religious right and the ProLife factions aren't all over this one! If you prevent people from having unprotected sex, you prevent the need for abortion, as well as the need for medical care for STDs obtained from same. It's so simple!"

Because the fundies really would rather that a teen girl get pregnant, than they do anything (such as handing out condoms) that can be seen as "condoning" her "sin."
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09:12 AM on 01/16/2009
There are actually people who believe that the POTENTIAL for life, i.e. a single egg or a single sperm or a single bit of conceptus, should not be destroyed. Therefore, they see even birth control pills, which prevent ovulation from happening, as murder.

I wonder if they are aware of how many sperm are released at each masturbation session they give themselves. MURDERERS!
10:25 PM on 01/15/2009
"This legislation will hopefully end the reckless Bush years which pushed ideology over tried and true methods to address the problem/"

MOre religiosity, an attempt to shove the parameters of fundamentalist christianity down our collective throats.

Oh well, at least Obama and his team have found something about the preceding administration that they're willing to counter head-on.
10:12 PM on 01/15/2009
This is a great plan. If we can stop these kids from reproducing it should cleanup the gene pool. These kids are a product of their parents and apparently these people are incapable of raising responsible young adults. If kids are too stupid to not get pregnant, it's best we stop them from reproducing. Leave reproduction to those who be personally responsible adults.
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redkim
Wounded by beauty, I am one who struggles with God
10:23 PM on 01/15/2009
Yet another right a liberal is willing to take away.
02:07 AM on 01/16/2009
"Yet another right a liberal is willing to take away."

Warrantless wiretapping, reading people's mail, secret searches, extraordinary rendition -- remind me again, was it LIBERALS who set that up?
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09:14 AM on 01/16/2009
Oh, no. Knock up as many girls as you want to. Just be willing to raise all of those kids and adequately provide for them until they are old enough to care for themselves. Deal?
08:04 AM on 01/16/2009
It's too late for the Palin's...
06:29 PM on 01/15/2009
I wanted to chime in here for those that think teens do not have sex because we tell them not to. I was a teen mom at 17, I knew all about sex (I thought) but when you are young and in love forever it doesn't matter those rose colored glasses are blinding. We never even thought to use birth control...Needless to say the father nor I graduated from high school...

When my daughter turned 15 I took her to the doctor and got her some birth control. However, I did explain this did not mean I wanted her to go out and have sex..I was very open about sex with her..And you know what she was the only one in my family out of 3 generations that graduated high school..So proud...

On the other hand my niece who is 20 and does not want any more children cannot get a doctor to tie her tubes because she only has 1 child and they say to young...Go figure...
07:57 PM on 01/15/2009
IUD's have been safe for many years now and last at least 10 years. Much less invasive than tubal ligation and very effective; it takes only a few minutes to implant and about the same to remove if done within the time specified. Only a yearly check is needed which can be done during the annual physical.
09:23 PM on 01/15/2009
I got pregnant with an IUD. A 'Saf-T-Coil', naturally. If you are on antibiotics for any reason, IUD's are less effective because they partially work by creating a low grade infection in the uterus which prevents egg implantation. Antibiotics temporarily remove that effect. Something I did not know until after the fact. . . a properly used diaphragm is also effective and much safer.
08:51 PM on 01/15/2009
First of all you have to remember that the majority of folks on the web are younger, less than middle aged but it's changing.

A heck of a lot of folks, get through their teen years and don't have sex and wait for marriage.
Some don't wait but still never get pregnant.

I was 17 once too and 25 too ok. Not every guy runs away and not every guy has to run away either.

It used to be that people were a bit more thoughtful about their actions. Engaged couples didn't have long engagements. The reason is pretty obvious.

Not a bad idea either...

Today, our society is sex saturated, many, many times that when I was in High School and College through the decade of the '70's.

Contraception is much easier and abortion is still relatively easy.

Lots of teens today still don't know much about the growing baby inside if they are pregnant.
And really, there is no excuse for the lack of knowledge here.

I am sorry that this happened to you JaidaKay.

But at some point, we all have to realize that our Parents and families are important.
If you have a supportive family, the data says it's more unlikely that you start to be sexually active early in your teen years and less likely that you will have an pregnancy.

But it still happens.

That's why a strong family, religious upbringing and moral support is very important...
09:33 AM on 01/16/2009
Agree with you on the strong family and moral support, but a religious upbringing is neither a guarantee nor a necessity for good values.
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USAFree1
06:20 PM on 01/15/2009
"Got our daughters pregnant and gave them the clap." I like that. And while they're at it, Barack and/or Congress can revoke Bush's last stab at women. The one where health care professionals can deny information and medical care related to birth control and abortion because they are opposed for religious reasons.
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Jesster
07:04 PM on 01/15/2009
Amen, the ludicrous (non)policy that "ignorance is bliss" is in itself the epitome of ignorance. Let's (at least wistfully) hope that now that "we've been there, done that" (again) we might finally learn something from our mis-takes?

I'm still trying to figure how the same minds that insist that "Guns don't kill people, people kill people" can simultaneously think that arming young people with knowledge (and yes, when appropriate, birth control (just as "boys will be boys" - "kids will be kids...") anyway, the idea that education and knowledge will suddenly make kids (or anyone) become "promiscuous" is beyond me (and well below reason.)

In effect, the same mindset that says "don't blame guns for gun violence" also want to say "BUT DO blame education for people's sexual behavior..." And finally, I don't believe in war or the death penalty - is it OK for me withhold whatever portion of my taxes that go to support these (in my book) evils? If right-wing fundamentalistis should NOT have to compromise their principles, why should the rest of us?
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MJinCanada
Safe from zombies until my 2nd cup of coffee
02:02 AM on 01/16/2009
Well said!
03:27 PM on 01/16/2009
The problem many people have, is forcing your beliefs about sex on everyone. Just because a teenager doesn't get a STD or become pregnant, it doesn't mean they should be having sex. You can't tell teenagers about sex, condems, birth- control pills/ shots, oral,anal sex and leave out the parts about not having sex with 30 year old men/ women (even teachers), because that's a "personal" choice.
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redkim
Wounded by beauty, I am one who struggles with God
09:24 PM on 01/15/2009
And so freedom of religion goes out the door.
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MJinCanada
Safe from zombies until my 2nd cup of coffee
02:00 AM on 01/16/2009
Doesn't the patient have freedom of religion too?

A doctor's first duty is to the patient, not to his or her church which, incidentally, has no business prying into politics or the lives of people who do not belong to that church.
02:02 AM on 01/16/2009
"And so freedom of religion goes out the door."

When the "religious" person is a medical professional? YOU BET YOUR FRIGGIN' ASS!

You DO know that Jesus would vote Democrat, don't you?
05:57 PM on 01/15/2009
Today, at a discussion hosted by the Center for American Progress, experts spoke to the issue of how to change the tone of the abortion debate in this country. The dominant theme of the panel was that only by eliminating the anti-life/pro-choice rhetoric of anger and ideology and addressing the heart of the issue can we truly begin to solve the crisis of unintended pregnancies in this country. The Prevention First Act is an incredible step towards creating alliances between the pro-choice and anti-choice communities. Malika Saada Saar, Founder and Executive Director, Rebecca Project for Human Rights, said during the CAP panel, that we may never reach 100% consensus on these issues, but the goal should be to find “intersectionality.” Obviously, we will never be able to agree exactly on what is the best course of action with regards to reproductive healthcare in the United States. However, there are many issues on which the goals of the pro-choice and anti-choice movements intersect. We all agree that reducing the rate of unintended pregnancy is in the long-term best interest of our nation. By advocating Prevention First, we are providing women with the choice and the knowledge to make their own family planning decisions. This simultaneously meets the goals of the anti-choice and pro-choice communities by focusing on where our agendas align.
07:55 PM on 01/15/2009
Sounds like a great, and much needed discussion, although I was disheartened to see the lack of any Right to Life representative on their panel of speakers. Although, I don't mean to discredit the other speakers' concerns about respecting life. They obviously do, or else they wouldn't be working to dignify marginalized women. I just mean I wish we could have a healthy debate with experts from both sides of the aisle. Unless both sides are present, how can you realistically come to a consensus?

It's a great idea, though. I wish it was closer to Florida so I could go!
09:33 PM on 01/15/2009
Actually, there was an NPR "Talk of the Nation" today that asked where is the Right to Life movement today. You can probably listen to it Friday or Monday. In any event, the idea is to promote and to find "Common Cause" with those who Pro Choice.
09:01 PM on 01/15/2009
Eliminating Anti Choice Pro Life?

While I am all for trying to find common cause, there must be a reason FOR common cause.

A consistent Ethic of Life that champions the protection of ALL human life, from Conception to Natural Death would be a good start.

But first some folks have to get over being Anti-Christian and Anti-Catholic.
08:15 AM on 01/16/2009
Just because your church tells you human life begins at conception doesn't mean it's True.

The Catholic Church also preached that spilling the seed was destroying life. Of course, more peasants meant more money in their coffers.

Make your personal religious decisions for yourself and leave those of us that have chosen some other path out of it.

BTW, when does nationalism trump faith? Why are there so many people "of faith" in the military?
05:30 PM on 01/15/2009
Want to make contraception affordable?

Require ALL insurers to cover contraceptives as part of their prescription program. Don't say "if you cover Viagra, cover the Pill" or anything like that. Just flat out "cover all contraception".

If they whine, tell them too bad. Time to take a stand!
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Jesster
07:47 PM on 01/15/2009
Time? It's way, way PAST time. The fastest and best way to make abortion genuinely very rare is to promote sex education AND contraception (and condoms have the added benefit of protecting against AIDS and other STDs) - abstinance SHOULD be part of the curriculum - but not at the expense of the other (more realistic?) approaches.

Ignorance is NOT bliss - it's dangerous. And nevermind the old adage, "What you don't know..." CAN hurt you.
07:58 PM on 01/15/2009
Contraceptive prices are ridiculous! Right now in Delaware if a woman is on Depo in order to get her shot the Dr has to write a prescription she has to go get it filled at the pharmacy ($62.99 with my insurance) go back to the Dr and have them administer the shot. What kind of sense does that make?? They keep yelling about welfare queens and people having more babies, but yet it seems like everything is done to keep women AWAY from contraceptives.
09:09 PM on 01/15/2009
A MAN DID THAT.
10:44 PM on 01/15/2009
In case you didn't get the memo...

Many Rx meds these days are priced WAY TOO HIGH..!
04:54 PM on 01/15/2009
"Just say no" has never/does not work. If it did/ad, today we would have no children or adults using illegal substances, no finger or hand burns from hot stoves, no cuts from scissors, no unintended fires from striking a match, no young or old drivers drinking and driving, and on and on and on. Sure, abstinence works. But there is a signifcant disconnect between perception and reality. Perception for some is, if you don't talk about they won't do it. Reality is, they do it. So they best do it with lifesaving protection from disease and added protection from pregnancy. A sexually healthy child becomes a sexually healthy adult.
I don't care what you call it, Prevention First, comprehensive sexulality education, or abstinence plus -- but it needs to be enacted, and now, and in all schools K-12. By the time most parents get around to "the big talk," it's much too late. We've got be talking, and all the time -- birth to death. It's sex, and sexuality, sense and sensabiliy -- and our sexuality is a large part of who we are. It shouldn't be talked about in a whisper...like the "big C" (which also should not be discussed in a hush). It should be spoke about with care, understanding, and the information which will save our children's lives.
04:50 PM on 01/15/2009
I couldn't agree with this poster more in terms of moving from the imbecilic abstinence-only model to harm reduction and comprehensive sex education.

So... when are we going to make the same logic apply to drugs & alcohol as well?

I mean, we currently act like "abstinence only" is appropriate for drugs and alcohol, despite teens being perfectly willing to experiment on their own. When do we likewise move to harm reduction and comprehensive drug education for teens?