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Jason Silverstein

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Pro-Life Advocates Should Support Family Planning

Posted: 08/15/2012 4:29 pm

Pro-life advocates should hold fundraisers for family planning providers, such as Planned Parenthood, not lobby to defund them. Access to family planning, including effective contraception, has been shown to reduce abortions. This isn't complicated. Increasing family planning services reduces the number of unintended pregnancies, which reduces the number of abortions. Decreasing family planning services increases unintended pregnancies, which increases abortions, as well as maternal deaths, and infant and child deaths. Public health policies that increase family planning make moral as well as fiscal sense, as unintended pregnancies come at a cost to taxpayers. Ultimately, cutting family planning services creates the very problem pro-life advocates seek to eliminate.

If you want to reduce the number of abortions, you must reduce the number of unintended pregnancies. According to a 2011 study, 43 percent of unintended pregnancies end in abortion. (Intended pregnancies account for approximately 4% of abortions.) In their 2008 abortion surveillance report, the Centers for Disease Control recommends that "providing women with the knowledge and resources necessary to make decisions about their sexual behavior and use of contraception can help them avoid unintended pregnancies and thus reduce the number of women seeking abortion."

Indeed, when women are able to access and taught to correctly use contraception, the Guttmacher Institute estimates the percent of unintended pregnancies plummets to 5 percent. A lack of available family planning services, however, continues to disproportionately punish the poor. Though most subgroups of women experienced decreases in abortion between 2000 and 2008, the abortion rate among poor women increased by 17.5 percent, as their rate of unintended pregnancy climbed to more than five times greater than high-income women.

Funding family planning is not only good public health policy to reduce abortions; it is also good fiscal policy. Women who are uninsured or underinsured depend on publicly-funded family planning through Medicaid and the Title X Family Planning program, which was established by President Nixon and a bipartisan Congress in 1970. Mitt Romney argues that slashing Title X will slash spending. The opposite is true. The Center on Children and Families of the Brookings Institution estimates that the annual cost of unintended pregnancies is between $9.6 and $12.6 billion. Preventing unintended pregnancies, according to the Center's researchers, will save taxpayers as much as $6.2 billion. As a counter-example to Romney's vision, California's Family Planning, Access, Care, and Treatment (PACT) Program provides publicly-funded family planning services, including contraception. In 2007, Family PACT helped women avert an estimated 296,200 unintended pregnancies and 122,200 abortions, which corresponds to an estimated total-cost savings of $1.88 billion (from conception until age two) and $4.05 billion (from conception to age five).

When family planning programs are eliminated, the outcome is hardly "pro-life." Linda Whiteford, an anthropologist at the University of South Florida, has written about the consequences of withholding $170 million over five years (2001-2006) from the international family planning initiative of the United Nations Population Fund. The results of this "pro-life" policy, according to Whiteford, were "10 million unwanted pregnancies, 4 million induced abortions, 23,500 maternal deaths, [and] 385,000 infant and children deaths." On the other hand, London School of Hygiene and Tropical Medicine researchers have shown that increasing family planning and contraceptive use has decreased maternal deaths by 40 percent in developing countries by reducing unintended pregnancies and, thus, reducing high-risk pregnancies and increasing space between pregnancies. Family planning initiatives are pro-life initiatives.

When politicians threaten to get rid of family planning services, including Planned Parenthood, they threaten to increase unintended pregnancies and abortions. Planned Parenthood's core service is providing effective and consistent contraception. In 2010, contraception accounted for 33.5 percent of Planned Parenthood's affiliate medical services. By providing family planning services to nearly 2.2 million patients, Planned Parenthood estimates averting approximately 584,000 unintended pregnancies and 277,000 abortions. Nearly 50 percent of Planned Parenthood's patients relied on Medicaid, which provides 75 percent of public funding for family planning. According to the Center on Budget and Policy Priorities, however, Paul Ryan's proposal to turn Medicaid into a state-controlled block grant would jeopardize the ability of poor women to access health care services. We know already that poor women are exposed to a high risk for unintended pregnancy and abortion. Cutting access to family planning, and rejecting the CDC's recommendations, only undermines the pro-life agenda at both a heavy fiscal and moral cost.

 

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Pro-life advocates should hold fundraisers for family planning providers, such as Planned Parenthood, not lobby to defund them. Access to family planning, including effective contraception, has been s...
Pro-life advocates should hold fundraisers for family planning providers, such as Planned Parenthood, not lobby to defund them. Access to family planning, including effective contraception, has been s...
 
 
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07:33 AM on 08/17/2012
I can't fundraise for Planned Parenthood Gulf Coast because there are two law suits alleging that this Planned Parenthood has conducted massive medicaid fraud. (Johnson VS. Planned Parenthood, Reynolds VS. Planned Parenthood). It's amazing how the media has conveniently avoided mentioning this bit of news. Also, this local Planned Parenthood conducts over 8,000 abortions a year. And that's just the number of surgical abortions. They obviously have done a very poor job on educating the youth, because the return rate for abortions is about 50%.
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Seiso Ngwenya
01:44 AM on 08/17/2012
I don't understand this thing who is pro- life or pro-choice what I know is that the Ryan-Romney plan is not pro- life
03:08 PM on 08/16/2012
Trying to argue with those whom are pushing for this type of policy is about as effective trying to reason with an attacking swarm of bees. It doesn't matter how may facts you put in front of them, they know what their ideology says and that's all that matters.
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02:13 PM on 08/16/2012
It has become clear in the past couple of years that the pro-lifers are not simply trying to get rid of abortion, but instead trying to undo the rights women have gained in the past 60 years. They aren't upset that abortions are occurring, they are upset that women are able to plan when and whether to have children. It's not about abortion, it's not even about pre-martial sex, but rather returning to the days where women were dependent on men their entire lives. Without birth-control it becomes harder for women to work, thus eliminating her income earning ability and making it extremely difficult for women to remain independent.
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01:20 PM on 08/16/2012
The notion that the so called pro-life crowd would favor contraception and family planning is entirely reasonable and logical. Unfortunately, these are characteristics that the pro-lifers have abandoned or rejected long ago. What we have no is no longer a conservative movement based on thoughtful policy goals, but on competition for the most extreme position possible. This is what has lead to proposed laws that would prevent abortion at the cost of the mother's life, and require pregnant women to carry dead fetuses to term.
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jimtodd
Unrepentant child of '60s
01:03 PM on 08/16/2012
Pro-life is a gross misnomer. These people are pro-birth. They are in fact anti-life. They do everything within their power to ensure the largest number of Americans live the most miserable existences possible. No job, no education, no healthcare, and most importantly no vote.
The real target of the anti-abortion crowd is sex. To them sex is an evil necessity for the propagation of the species, but should never be indulged for pleasure. Unwanted children have long been the perceived punishment for extra-marital sex, and the teavangelicals do not want scientific progress to remove this deterrent to human enjoyment of our sexuality. Teavangelicals believe we are here to suffer and prove our piousness to a vengeful god. Any diversion from that edict must originate from satan as he is the provider of all pleasurable temptation.
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Avak
I think, therefore I am liberal
12:45 PM on 08/16/2012
The article makes sense, but presents a vast misunderstanding of the anti-choice position. They call themselves "pro-life" and lobby on saving babies, but at its core the anti-choice movement isn't about preventing abortions. What the ultimate goal is, though elimination of contraception and abortion, is:

1) Control over sex. The people who run the anti-choice movement have very firm ideas about sex, including when and how it should be done. In short, they think the only people who should be having sex are those who are married and having sex for procreative purposes.

2) And if you do have sex for non-procreative purposes, these policies are designed to punish you (particularly if you're a woman). I'm sure you've heard anti-choice people say that pregnancy is a "consequence" for sex, and anyone who partakes of it should, therefore, deal with the consequences. This is, in other words, punishment for people straying from the "approved" form of sexual conduct.

3) All of this, of course, leads to a greater reliance on the traditional family structure, which the anti-choice activists ultimately want to see happen. If people cannot have sex without having children, this leaves most people (again, especially women) with very few options than to either not have sex (which would defy the very basics of human biology) or participate in the traditional structure where men work, women stay at home, and babies continue to happen.

This isn't about babies -- it's about sex and control.
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Tanya Nguyn
Trust Women!
12:37 PM on 08/16/2012
This is so obvious to most of us - what is the disconnect?
Oh, there isn't one, they just want control of women and our reproduction.
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Dancenownzen
08:18 AM on 08/16/2012
People have sex. At all ages.
Pregnancy , abortion and disease are things that can be avoided when using the appropriate birth control

Why is this so hard to accept.
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Tanya Nguyn
Trust Women!
12:40 PM on 08/16/2012
Cause it isn't about abortion. It isn't about birth control. It is about controlling women's sexuality.
Prior to DNA testing, the only way to insure a woman's child was yours, was to control her ability to have sex. It's why some in Islam countries put their women behind figurative bars, and why people here don't want women to have sex without the repercussions of pregnancy.

They may not even admit to themselves that is what is driving this, but it is fundimentally about control

If it were about unwanted pregnancies going down, they'd advocate more assistance, more education. If it were about "life", they'd have programs to take care of the born babies.

it's simply about control.
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Dancenownzen
05:26 PM on 08/16/2012
Unfortunately u r correct.... If they had their way women would not be allowed to work outside the home. Or vote for that matter.......hmmmm and these are the same people who are " worried" about sharia law in the USA
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Dancenownzen
08:12 AM on 08/16/2012
Yu would think the pro life movement would be aggressively advocating the use of birth control to reduce the member if abortions. It makes no sense to be against abortion and birth control.
07:42 AM on 08/16/2012
Relevant to the comments, but tangential to your article (but it's a good topic, and generates discussion)...

For me, a big question surrounding the "pro-life" movement is the conceptualization of the fetus. The fetus, which some people on this board have referred to as a child and baby, is the central character of the entire movement. In terms of women's health (physical, emotional, spiritual, and mental), this is problematic. The fetus is at the center of the controversy-- not the woman (or girl). I think it's becoming increasingly important for people to recognize that the personified fetus-- be it labeled "baby" or "bundle of cells"-- is a cultural construction-- a powerful cultural construction that facilitates hostilities between "pro-lifers" and "pro-choicers." In this country, conceptualizations of the fetus are pretty strictly divided. This constructed and largely artificial schism, between pro-life/pro-choice, does not allow for productive conversation about health, well-being, and sexual intimacy. The fetus has been both glorified and demonized-- in order to provide people, especially women, with the best healthcare possible, we need to recognize that conversations are currently orbiting around a culturally constructed character: Hardacre's "menacing fetus" seems appropriate.

Anyways, Jason, proud to be working with you. Keep up the good work. -Zoe
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Tanya Nguyn
Trust Women!
12:43 PM on 08/16/2012
Zoe, while I see your point, and politically it is a critical one, in teh long run it's irrelevant to me. I call it a baby, a child, a fetus, a zygote as fits the situation.

Because as a women, what it 'is" does not matter as much as my right to control my own body and who uses it. To me, forced pregnancy of a child, or a zygote is akin to rape or slavery. if i cannot decide who lives inside of me and when, then what decisions can I make. the single most fundamental thing I can control is the use of my body, right?

But you make a strong point that the Right will never accept my position, cause of that cute little baby there.
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ChangeNow
Information over indignation
07:12 AM on 08/16/2012
"Pro-Life" is one of the great lies, self aggrandizing solganeering at best. "Pro-Birth" would be more honest, or better yet "Pro-Control".
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Tanya Nguyn
Trust Women!
01:11 PM on 08/16/2012
We could be more honest and say "pro FORCED birth".
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lrobb
Gold Standard = four paws and a tail
06:34 AM on 08/16/2012
I have always been a pro-lifer, and conservative, who supports family planning. Mentioned only obliquely in the article is the cost of caring for all those children born to unwed mothers who cannot afford to adequately care for them.

However, we can't just stop the tide of self-destructive personal behavior with a birth control pill. They do nothing to prevent STDs. Without adding a responsible moral component, describing any sex as "safe" is completely misleading.
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Avak
I think, therefore I am liberal
12:48 PM on 08/16/2012
Sex *can* be safe, if you know how to protect yourself. Yes, it will always inherently carry risks, but that's why it's a moral choice to make sure everyone is educated about those risks, and about their bodies and how sex works, so that they can make the best decisions possible. Studies show that the more people are educated about sex and their bodies, the longer they choose to wait, and the more careful they are when they do choose to have sex.
01:23 PM on 08/16/2012
Nobody claimed that BC pills prevent STDs, did they? Condoms are pretty much the only method that does have *some* degree of protection against STDs. STD protection comes not with how one uses protection but with whom they are with. Even a monogamous person who's had sex with one partner is still at risk for STDs, because some children are born with certain STDs and certain STDs are passed through kissing, sharing eating utensils/drinks, etc. STDs can be passed from rape victims.

"...describing any sex as 'safe' is completely misleading"

It is better to be termed as "saf-ER sex" not 'safe sex.' This implies people are using ways to protect themselves. It is also multi-faceted: 1. protection against pregnancy and 2. protection against STDs. Like I said before, BC pills/patches/etc are not intended to protect against STDs, so the primary goal of HBC is to prevent pregnancy, that's all. Some people have frequent testing, and some people screen their potential partners before proceeding to have sex with them.

Another issue I have with your comment is you injected 'responsible moral component.' Are you saying people who have premarital sex are irresponsible and immoral?
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lrobb
Gold Standard = four paws and a tail
07:30 PM on 08/16/2012
Having sex if you and not married and cannot afford to care for the possible result is both immoral and irresponsible. If you are married and cannot afford a child, having sex without practicing contraception is equally irresponsible and immoral.

Sex no matter what you marital status is not "immoral" per se. What IS both immoral and irresponsible is having sex and expecting the taxpayer to foot the bill for the result.
been2there
Facts have a liberal bias.
01:50 AM on 08/16/2012
The problem is that they don't care about the fetuses, let alone the actual babies. They just want women to be afraid of sex.
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twinter14
From the U.K. to Texas. don't ask.
01:35 AM on 08/16/2012
Is it too soon to be a pro lifer that supports contraception? Because here I am.