Category Archives: Personal Autonomy

What a Surprise! NOT.

In response to the most recent attack of the culture warriors, Texas (of course it would be Texas!) defunded Planned Parenthood. So how is that working out?

According to a recent report in the Guardian, not well.

Texas’s aggressive campaign to defund Planned Parenthood has led to a steep drop-off in access to popular forms of contraceptions for poor women, and, for some women, a 27% increase in births, a new study published in the New England Journal of Medicine has found.

In the wake of the doctored videos fiasco, anti-choice activists have renewed efforts to defund Planned Parenthood. In response to concerns about healthcare for low-income women (by far the most significant part of Planned Parenthood’s activities), they have insisted that there are other publicly funded providers who could absorb Planned Parenthood’s patients.

This study suggests those claims are bogus.

In order to justify defunding Planned Parenthood, Texas officials in 2013 drew up a list of alternative providers. But women’s health advocates found that the list included radiologists and anesthesiologists – not providers who routinely prescribe contraceptives. Likewise, officials in Louisiana and abortion opponents in Ohio have suggested food banks and dentist offices as alternatives to Planned Parenthood.

Texas’ experience demonstrates once again that fanaticism is expensive. The spike in births to Medicaid-eligible women was costly, and in order to exclude Planned Parenthood from the state-funded women’s health program, the state had to completely forfeit the $9-to-$1 match in federal Medicaid dollars for women’s health.

Planned Parenthood had been providing 40% of state-funded family planning services.

The new women’s health program enrolled about 20,000 fewer women after it excluded Planned Parenthood, according to an April 2015 report by the Texas Health and Human Services Commission.

The study I would be interested in seeing would compare abortion rates before and after Planned Parenthood was defunded. How many women who lost access to reliable contraception and found themselves with an unwanted pregnancy decided to terminate those pregnancies?

The only way to reduce the incidence of abortion is to make reliable birth control easily available, but anti-choice activists are increasingly trying to restrict access to contraception.

It’s hard to escape the conviction that what anti-Planned Parenthood zealots really want is a return to the days when women had no control over their own reproduction—when we were “barefoot and pregnant”— and properly submissive.

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Uses and Abuses of Religion

My youngest son has a simple formula for comparing and evaluating religions. According to him, whatever their other differences and similarities, religions fall into one of two basic categories: those that encourage adherents to engage with the questions (good), and those that hand believers fixed, inflexible answers (bad).

It’s a handy guide.

Just this week, that distinction came to mind twice. Once, when I read about Governor Pence’s fundraising; evidently, one of his major donors is the owner of Hobby Lobby–the man who went to Court to protect his “right” to impose his religious beliefs on his employees. Our Governor is quite clearly in the camp of those who are sure they have the answers, that they know exactly what God wants (and isn’t it nice that God hates the same people they do!), and who give no evidence of ever having engaged with the questions or wrestled with moral ambiguities.

Fortunately, there is another kind of faith community, and it was on beautiful display last Sunday at an Interfaith Vigil for Nondiscrimination. The Vigil was held at North United Methodist Church, and hosted by the Interfaith Coalition on Nondiscrimination, Freedom Indiana and the Reconciling Ministries Network of Indiana.

When my husband and I entered the sanctuary, I was struck by the size of the audience. My husband estimated attendance at a thousand people, most of whom appeared to be middle-aged or older.

Program participants included Darren Cushman-Wood, Pastor of North Church; Rev. Danyelle Ditmer, pastor of Epworth United Methodist Church; Rev. Linda McCrae, pastor at Central Christian Church; Whittney Murphy, the student body president of Christian Theological Seminary; Rabbi Sandy Sasso, Rabbi Emerita of Congregation Beth-El Zedeck: and Philip Gulley, Pastor of Fairfield Friends Meeting.

If there was a “call to arms,” it would probably be Rabbi Sasso’s declaration that people of faith would not stand by and allow religion and religious language to be hijacked and used as a cover for hatred and discrimination.

If there was a summing up of the sentiments of those in the sanctuary, it would be these words of Phil Gulley’s–a small part of his extraordinary and moving speech. Gulley reminded us of “the America of the open door, its hand extended in friendship.

“It is the land of the kindly neighbor, the generous friend, the liberal heart. It is the America welcoming the tired, the poor, the huddled masses. It is the people with nothing to fear but fear itself, the nation conceived in liberty, dedicated to the proposition that all people are created equal. It is the America made wiser by our differences, the America committed to justice, dedicated to the pursuit of knowledge, who measures its strength in its citizenry, not its weaponry.”

To which we might add (with a nod to my son’s categorization), it is the America in which thoughtful religious citizens are grateful for their constitutional right to explore questions of meaning and transcendence for themselves—an America that understands the importance of extending that same intellectual and moral autonomy to everyone, that rejects the profoundly unAmerican theocratic urge to use religion in the service of their own dominance and privilege.

Both the Governor’s fundraising report and the Interfaith Vigil remind me that, like so much else in life, religion is neither an unalloyed good nor an unremitting evil. It can be used or it can be abused.

My own test is actually simpler than my son’s: if your beliefs make you a better, kinder person, they’re good. If they make you a rigid, judgmental asshole, they aren’t.

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Rape, Incest and Ben Carson

Shades of Richard Mourdock and “what God intended”!

Among the many other retrograde positions he has taken, Ben Carson wants the Supreme Court to overturn Roe v. Wade and criminalize all abortions. As Ed Brayton reported at Dispatches from the Culture Wars, 

Republican presidential candidate Ben Carson said on Sunday that believes Roe v. Wade should be overturned, and that women should not be allowed to have abortions even in the case of rape or incest.

“The mother should not believe that the baby is her enemy and should not be looking to terminate the baby,” Carson opined to NBC host Chuck Todd. “We’ve allowed purveyors of division to think that baby is their enemy and they have a right to kill it. Can you see how perverted that line of thinking is?”

There are a number of possible responses to this latest evidence of Carson’s worldview: the most rational is to simply shrug. Ben Carson isn’t going to be President of the U.S.–despite his current lead in GOP polls, he isn’t even going to be the Republican nominee, so the fact that he wants to make women carry their rapist’s baby to term–however creepy or nauseating one might find that–is ultimately irrelevant.

On the other hand, Carson is hardly the only Republican who sees “God’s will” in the consequences of a rape. Mourdock and Akin were the most high-profile, but there are plenty of others–almost all of them men– who want to deny women not just the right to abort, but access to birth control as well. (After all, if you give us the right to control our own reproduction, we’re likely to get all uppity and start thinking we’re equal to men.)

I don’t really expect this latest pronouncement to damage Carson’s popularity with the GOP fringe. After all, if stating that racism wasn’t a problem before Obama’s election, that Muslims should not be allowed to be President, that evolution is a “Satanic plot,” that we need to get rid of Medicare and Medicaid, and that university professors should be monitored and censored only operated to endear him to the party base, this latest evidence of bizarre reasoning is unlikely to offend them.

What’s a little misogyny among Republicans?

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You Can’t Make This Stuff Up…

If Democrats were creating a caricature of a Republican extremist–a one-dimensional straw man to run against– it would look a lot like Mike Pence. Unfortunately, Indiana’s zealot Governor isn’t a fabrication by the opposition.

As the IBJ reported yesterday,

Gov. Mike Pence announced Monday that he will expand Indiana’s affiliation with a not-for-profit organization that counsels pregnant women against abortion and pushes abstinence as the only method of birth control.

Indiana Right to Life was reportedly gratified. A Google search confirmed the reason why–not only does “Real Alternatives” (the nonprofit in question) confine its “services” to “counseling” against abortion, it also provides “clients” with the horrifying “facts” about birth control. I found a handy little pamphlet explaining why Contraception Is Not the Answer, filled with misinformation and fear-producing “facts.” (Did you know that injectable contraceptives “drastically increase your risk of invasive breast cancer”? No, and neither do medical experts.)

A blogger in Michigan–where their anti-choice Governor has also contracted with Real Alternatives– detailed the organization’s dubious tactics, many of which were documented in an investigation conducted by a Philadelphia newspaper. The reporter visited a Real Alternative clinic, claiming to be pregnant; she was told that abortion would leave permanent psychological damage, that it often leads to depression, and could interfere with her ever having children– claims thoroughly debunked by reputable medical science.

Groups like Real Alternatives exist throughout the country, mostly funded by anti-abortion organizations like Heartbeat International and individual donations. Real Alternatives, though, is funded almost entirely by the state of Pennsylvania — financed, that is, by you, the taxpayer, and it has received tens of millions of dollars since 1997…

That money, City Paper has found, goes to pay for part of the $199,000 salary (including benefits) of the CEO of Real Alternatives, who has no medical experience. It also funds an army of hundreds of “counselors,” non-medically-qualified personnel whose job it is to dispense the organization’s (sometimes outright inaccurate) information — and who, despite lacking the credentials of nurse practitioners or psychologists, cost the state much more per hour for their services than either.

According to Cosmopolitan magazine, which conducted a year-long investigation of the organization’s operations in Pennsylvania,

Real Alternatives’ contract with the state relies on debunked studies that imply abortion leads to breast cancer and clinical depression. Centers are not allowed to advocate for birth control, much less dispense it. The contract’s directives advise pregnancy-center staff to make an “assessment of the client’s spiritual needs” by asking questions like, “How does your faith impact the choices you make?” (One quarterly report from a center to Real Alternatives refers to clients with the aliases “Mary” and “Joseph.”)

The United Nations Population Fund estimates that one in three deaths related to pregnancy and childbirth could be avoided if all women had access to contraceptive services.

Whatever one’s position on abortion, the use of tax dollars to support “clinics” that offer no medical services— clinics that exist solely to lie to women in order to convince them to forego both abortion and contraception–is immoral.

Our fundamentalist Governor is understandably frantic to mend fences with his Religious Right constituency, after reality and Hoosier businesses forced him to sign the RFRA “fix.” In the echo chamber he inhabits, this contract probably seemed like a good way to do that.

In the rest of the state–even among Republicans– not so much.

John Gregg is looking better all the time.

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Tea Party Priorities

Evidently, the theatrics–make that “tea” actrics–will not end anytime soon.

You may remember that, in 2011, when he was still in Congress, Mike Pence was an enthusiastic leader of that year’s “defund Planned Parenthood or shut government down” effort. It’s 2015, but in the crazy caucus, only the faces have changed. Last week, Indiana Congressmen Young and Stutzman were among those voting to shut down government.

Despite last week’s passage of a short-term “clean” funding measure to keep government open until December, the zealots are still intent upon shutting down government unless Planned Parenthood is defunded, and a not-insignificant number of them say they’ll refuse to raise the debt ceiling when the time comes. (That, of course, would cause a massive default by the U.S. on its obligations, including such obligations as military pay, social security and medicare.)

Given so many Republicans’ willingness to do it again, you’d think the last shutdown (in 2013, over Obamacare) had been a rousing success for the would-be extortionists. It wasn’t–at least, not in what the rest of us call the “real world.”

Indeed, as the zealots prepare to play yet another game of chicken, twenty thousand federal workers are still suing over the last government shutdown, and a recent report by the Congressional Research Service calculated the economic damage done by that fit of pique:

Federal employees worked 6.6 million fewer hours during the 16-day government shutdown in October 2013, according to a recent report, with the loss of productivity resulting in a 0.3 percent loss in economic growth.

In other words, sending more than 850,000 federal employees home without pay for at least part of the shutdown took billions of dollars out of the economy.

Although the ideologues refuse to believe it, most government employees work at jobs that actually need to be done. When those jobs don’t get done, the economy slows, hurting everyone.

None of that matters to the zealots. In order to “defund” Planned Parenthood–that is, in order to keep Medicaid from reimbursing the organization for medical services provided to poor women and men (STD tests, breast cancer screenings, birth control pills, etc.), they’re willing to make poor people poorer. And sicker.

Tea Party “patriots” are willing to ignore the reality that there are no other providers with the capacity and reach to substitute for Planned Parenthood, and that defunding the organization would cut off medical care to millions of Americans.

Poll after poll confirms that most Americans support Planned Parenthood, value its services and don’t want to see it defunded. They also don’t want another government shutdown.

Americans would really like to see a Congress that governs rather than postures, but apparently, that’s too much to ask.

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