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Melinda Gates

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My Uncontroversial Idea

Posted: 04/11/2012 1:07 pm

Last week, I gave a TEDxChange talk in Berlin, and the video is now ready for viewing here and at TED.com. My argument is simple:

1. Birth control is an uncontroversial idea (practiced by a billion people) that has unfortunately become controversial.

2. As a result, hundreds of millions of the poorest families in developing countries don't have access to contraceptives that can change their lives -- and their children's lives.

3. If we all start talking about how transformative birth control can be -- and how important it has been in our own lives -- we can help poor women and men empower themselves and spur large-scale economic development.

I loved getting ready for the talk over the past several months, reading up on the literature and talking to experts from several continents. It was a thrill to deliver it, finally, after so much preparation.

Now, I hope you will take over, by telling your story here. Or by sharing my talk with your friends.

On July 11 in London, our foundation and many partners are hosting something called the Family Planning Summit. I am optimistic that it will be an opportunity for the entire global community to rally together behind the uncontroversial idea that all women should be able to decide when to have a child. The more we talk about this idea with our networks, the more likely it is that we can get a global movement going that helps policymakers do the right thing.

 

Follow Melinda Gates on Twitter: www.twitter.com/melindagates

Last week, I gave a TEDxChange talk in Berlin, and the video is now ready for viewing here and at TED.com. My argument is simple: 1. Birth control is an uncontroversial idea (practiced by a billi...
Last week, I gave a TEDxChange talk in Berlin, and the video is now ready for viewing here and at TED.com. My argument is simple: 1. Birth control is an uncontroversial idea (practiced by a billi...
 
 
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03:30 AM on 04/17/2012
Melinda, I support your efforts at bringing contraceptives to impoverished communities. But I disagree with your Foundation's efforts to circumcise men in Africa to reduce HIV. We should be distributing condoms, not mutilating penises. I seriously doubt these men are given balanced information. Does your foundation tell them about the a recent study in Denmark found circumcised men have a much higher rate of sexual problems? http://ije.oxfordjournals.org/content/early/2011/06/13/ije.dyr104.short?rss=1

The male foreskin is a highly innervated erogenous organ that is dense with specialized mucosa and over 20,000 high sensory nerve endings. It also acts as a natural buffer and lubricant during sex. Researching using fine-touch medical instruments shows it is the most sensitive part of the penis. www.livescience.com/health/070615_penis_sensitivity.html

These men should hear this side of the story before deciding to mutilate their penises.

And the research on HIV and circumcision is highly controverted. The South African Medical Journal and South African Medical Association both challenge the studies that claim circumcision reduces HIV. Numerous observational studies contradict the findings of the clinical trials. According to a report by USAID, "There appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher." www.measuredhs.com/pubs/pdf/CR22/CR22.pdf
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Robert SF
05:56 PM on 04/16/2012
Mrs. Gates is incorrect. Families automatically get smaller as societies develop and the standard of living increases. However, there's reciprocal causal connection. Limiting family size doesn't result in development and a rising standard of living. Both India and China found that out the hard way. The truth is that, under Third World living conditions, large families make sense.
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11:59 PM on 04/17/2012
Are you crazy? "Under Third World living conditions, large families make sense"?

Gee, I guess you need to go to these poor, undereducated women who are asking for safe, reliable contraception, and explain to them why they'll be so much better off with a few more kids to try and feed and clothe. Not to mention how much better off they will be, themselves, having pregnancy after pregnancy while poorly nourished and with minimal medical care available.

Yep, you're an expert, all right! Better get busy and set all those women straight, before they get any more silly ideas about controlling their own lives.
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Robert SF
11:12 AM on 04/18/2012
Yes, under Third World conditions, large families make sense. That's why people have them. It's not ignorance. They're not stupid. They know what makes babies.

In the Third World, large families are a hedge against infant mortality. If you have just two children, the chances of them reaching adulthood are pretty much zero. But if you have ten children, chances are good that at least four or five will make it. And with five adult children, if one of them has no food, the other four can share a small amount of their own food. With just two adult children, if one of them has no food, the other would need to share half his food, which is a lot. And finally, when the parents get old and frail, it's easier to get help from five adult children than from just two.
foresure
Brash and Harsh
01:29 PM on 04/16/2012
Ms. Gates:

Reasons why males don't use condoms, and why birth control must be female centered.

Put bluntly the fecundity of a popluation depends on the number and percentage of fertile females.

From the Briths site Netdoctor

1.Take the fresh condom out of the packet carefully. Avoid 'catching' it on your nails.

2.Do not blow it up, because this can weaken it.

3.There's usually a 'teat' at the end. Squeeze the air out of it.

4.Now roll the condom onto the erect penis. (Don't try putting it on before you're hard.)

5.Roll it all the way down to the base of your penis.

6.Some men lose their erection – through nerves – while rolling the condom on. This is now known as 'condom collapse'. If this sometimes happens to you, get your partner to put it on for you – rubbing you at the same time.

7.As soon as you've climaxed, hold the condom firmly onto your penis with your fingers, and withdraw from the vagina.

Take care not to spill any fluid.

8.Now, take off the condom, wrap it in paper or tissue, and dispose of it in a bin.

Also they are messy.

My earlier post gave the statistics on the "pleasure issue", not an irrelevant subject when discussiong reproductive activity. That from the U.S. Center for Disease Control.

http://www.netdoctor.co.uk/sex_relationships/facts/condoms.htm
foresure
Brash and Harsh
01:14 PM on 04/16/2012
Ms. Gates:

Thank you so promoting this issue.

I am a male, and therefore I have "inside information". Men do not like condoms, and will not regularly use them.

Don't believe me, see what the Center for Disease Control says:

Percent distribution of males 15-24 years of age by responses to specified statements, 2002:

"What is the chance that if you used a condom during sex, you would feel less physical pleasure?"

No chance 13.6%

Little chance 27.0%

50-50 chance 28.3%

Pretty good chance 19.4%

Almost certain chance 11.7%

http://www.cdc.gov/nchs/nsfg/abc_list_a.htm

National Survey of Family Growth by the Center for Disease Control.
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Mike Dehart
Vet, Conservative and Gun Owner
08:27 AM on 04/16/2012
So the husband should have no say in how many times they are a father but she gets to say how many times she wants to be a mother....anyone else see the double standard here? We have to find a way for BOTH to be involved. It has to be more than "Her Decision-His Responsibility".

One of my biggest problems with the system as it sits today is that women continue to shout the "my body..my choice" mantra with regards to abortion rights but even when the time has passed where it is an option men are still continuously cut out of the process. If the mother wants to give the child up fine...the father should have first right of refusal. This should not happen. Many times the fathers dont even know about the children or are deliberately lied too.
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oklaliberal
Don't worry, I got this. I'm a ninja
11:40 AM on 04/16/2012
It is our body and our choice. Period.
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Mike Dehart
Vet, Conservative and Gun Owner
07:00 AM on 04/17/2012
Ok fair enough then it should not be our responsibility. Men should have the option to completely opt out. No child support, No parental rights.

And if you want to speak of choices then when you make a CHOICE to sleep with a man, You make a CHOICE to have a child then you turn around and say "It is our body and our choice. Period." then the father of the child has NO rights other then those you magnanimously give him is that correct?

Male birth control cannot come too soon.
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Valerie Tarico
12:11 PM on 04/16/2012
This article and tED talk aren't about abortion. They are about giving each women who wants it control over her fertility. Many men would like long acting reversible contraceptives that give them control over their fertility as well. A number of lines of research are looking at male contraceptives or precursors. They focus on various aspects of the reprouctive process including sperm production, motility, viability, and delivery.
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Mike Dehart
Vet, Conservative and Gun Owner
07:20 AM on 04/17/2012
True Valerie....but they arent here yet. The disparity of funding between medical research done for womens health issues (including contraception) and mens is huge. I welcome a mens birth control. It would the effect of almost eradicating paternity fraud in the US as well as other ramifications.

The issue I had with the article though is like many it refuses to talk about the fathers role. I dont disagree that in the first trimester, when abortion is most viable, that it is a womans choice. That being said however, once that point is past (late term abortions are illegal unless medically required for the health of the mother) then the fathers should have some say. As we stand now the mother gets to decide adoption, keep etc. The fathers are left with little to no information and in some cases are even deliberately lied to.

We have a tendancy in the US to extend prenatal decision to post-partum which is unfair to the father. Once the child is born BOTH parents should have equal say in the decisions affecting Thier child.

These things are a direct result of NOT having enough options for men while in effect having overkill for women.
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ETexOpinion
10:27 PM on 04/15/2012
I believe that if the women in ANY culture knew they had the complete opportunity to limit the number of times they give birth, without the pressure from their husbands or government or society, they would take control of their bodies immediately. This really is THE number one issue we should address.... even if every single person on the planet lived on an income equivalent to the poor of the Appalachian Mountain communities in the eastern US, it would take SEVEN earths to support us all. Think about it... in order for those who are reading this article (middle income or higher) to live like we do, too many others have to do without so much. Get populations stabilized globally and maybe we will prolong the existence of our species.
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environmentalista
Nature is divine. Worship it!
09:10 PM on 04/15/2012
FINALLY SOMEONE ADDRESSES THE ELEPHANT IN THE ROOM.
I never use all caps but I am so excited to see someone state the obvious even if it really is controversial. This issue should be at the forefront of many different movements (environmental, world hunger, poverty, women's rights, world health) yet I seldom hear it.
A big problem facing our planet is over population.
That we have the answer to the problem and do not use it widespread is a crime!
Pregnancy decisions should be made by the head (or two) not by the uterus.
Family planning can lead to quality of life for both adults and children.
Thank you Melinda! It is nice having your bright mind on the side of reason and long term thinking.
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ETexOpinion
10:19 PM on 04/15/2012
I couldn't agree with you more! Thank you for stating my thoughts as well. Over population is the driving force behind MOST of the planet's ills.
08:40 PM on 04/15/2012
Mrs. Gates loves to distort the truth. The truth is simple. If there is no sex then there are no kids.
12:02 AM on 04/16/2012
That's true. But teaching that fact hasn't worked out very well for states like Mississippi. I guess the Bible Belt has less values than the rest of the country because of their high rates of teen pregnancy? Of course not! It's because religious zealots believe that sex-ed should be taught in home and not in school, and they believe that giving students access to birth control will lead to sex, which they are having at higher rates than most states. In addition, STD rates are higher than average and poverty is second to none in addition to having the lowest math and science scores in the country. Is this because they don't pray enough? Of course not. They need access to sex education and birth control! Access to services like Planned Parenthood is limited. Don't spread the ailes of Mississippi to ther rest of the world! We should see them as a warning! Because they are!!!!
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12:08 AM on 04/18/2012
True, but the women who this program is intended to help are mostly married, and do want to have relations with their husbands, but don't want to have pregnancy after pregnancy with no control. They can't afford to support large families. Safe, reliable contraception is the solution.

Or are you just someone who sees the word "contraception" and immediately jumps to thoughts of "wild, promiscuous, irresponsible sex maniacs"?
01:47 AM on 04/18/2012
To answer your question. I believe sex shouldn't occur outside of marriage and that even in marriage sex shouldn't occur if the intention is other than children.
08:28 PM on 04/15/2012
charity will never take us to any where. the gates should try nd get involve in policy making decisions in 3rd world nations. they have all the money to influence legislations in 3rd world nation. unfortunately bill has said repeatedly he does not want politics. at all.
b. clinton said one of the most effective way of giving back is thro. gov't policies. and obama said to him rules should be set for 3rd world nations to follow. charity is almost like a waste of time.
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ckdogs
Veritas
07:23 PM on 04/15/2012
Thanks, Melinda, for appreciating and doing something about this issue which is so crucial to the well being of mothers and children in all countries - including our own. (who thought that this basic right would be under attack in this country?)
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cdecisneros
my micro bio is empty because I went to the micro
06:32 PM on 04/15/2012
1. Birth control is an uncontroversial idea (practiced by a billion people) that has unfortunately become controversial.

Really? Talk to Mark Rubio then.
05:12 PM on 04/15/2012
Most women everywhere would like to be able to plan and control the size of their families. It results in a better life for the children they choose to have. The investment in family planning information and materials would repay the planet many times over. A focused effort on this is a great idea.
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12:10 AM on 04/18/2012
Yes. Well said. Really bizarre to see comments that oppose the whole idea of contraception!
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peacenic
04:50 PM on 04/15/2012
A good start on your mission to enlighten the world about the value of birth control is dropping the Gates Foundation's association with ALEC. ALEC has misinformed and confused the public to further its mission of debilitating the 99% in every way possible. Defunding everything public, stealing workers rights and their savings continue at a dizzying pace. Please consider using your influence to get to the real root of our problems. Most of them are man-made by the top 1%.

See this article:
Meet ALEC's Equally Despicable Anti-Choice Cousin -- AUL
By Sarah Seltzer and Lauren Kelley, AlterNet
Posted on April 10, 2012, Printed on April 15, 2012
http://www.alternet.org/story/154947/meet_alec%27s_equally_despicable_anti-choice_cousin_--_aul
08:16 PM on 04/15/2012
thank you
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peacenic
01:14 AM on 04/16/2012
You are welcome. It's the truth.
04:18 PM on 04/15/2012
OK,she is ia good rich lady who likes the poor.

She & hubbie should give ...their own money to the poor or to the gov

& not attempt to confiscate other people's money too.
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SidTheScienceKid
Science!
09:37 PM on 04/15/2012
Inform yourself before writing. You are out of line.
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12:11 AM on 04/18/2012
Whose money are they confiscating? They are using their own money - plus money that other people voluntarily contribute. I think you are confused.
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4eva
.-.. --- ...- . --..-- / -. --- - / .... .- - .
04:07 PM on 04/15/2012
The Gates Foundation does some wonderful work, but people in the 'underdeveloped' parts of the globe don't really like Westerners coming in and telling them how to live. This type of meddling has it's downsides as well.
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Mike Cofta
05:36 PM on 04/15/2012
...as well as the occasional "unintended consequences".