Yesterday, the New Evangelical Partnership held an event at the National Press Club to unveil a statement called “A Call to Christian Common Ground on Family Planning, and Maternal, and Children’s Health.

The statement makes three main points:

  1. Family planning strengthens families and creates more stable and healthy communities worldwide.
  2. Family planning protects the health of women and children.
  3. Family planning reduces abortion.

We agree wholeheartedly, of course, and are pleased to have the New Evangelical Partnership as part of the movement for family planning freedom.

You can watch the whole event on YouTube. I recommend at least watching Rev. Jennifer Crumpton’s presentation of the NEP statement, starting at about 8:15 in, Dr. Mark Hathaway’s talk at 19:00 about the medical benefits of family planning for women and children, and Katherine Marshall’s talk at 28:10 about the international context of family planning.


Speakers at the NEP event referred more than once to a study recently conducted by Washington University in St. Louis. The project provided women and teens at high risk of unintended pregnancy with the contraceptive method of their own choice at no cost. The results were dramatic. The abortion rate fell to 6 per 1,000 women, compared with a national average of 20 per 1,000 women. The teen birth rate from to 6.3 per 1,000, compared with 34.1 per 1,000 nationwide.

Imagine the impact of cutting the abortion rate in the U.S. by almost two thirds.

As the Agence France write-up of the study noted: “If the same results were replicated across the United States, free birth control could prevent 1,060,370 unplanned pregnancies and 873,250 abortions a year.”

Yes, that’s a big “if.” [Edited to add: as the researchers pointed out, the sample of women who participated in this study is not generalizable to the total population of women of reproductive age in the United States. That said, they likely bear a great deal of similarity to the population of women at the highest risk for unintended pregnancy and abortion.] And of course, there are important caveats. Women’s consent must be free and fully informed. Women must never be coerced into using long-acting contraception because other people think it would be better for them not to reproduce. It must always, always be the woman’s choice to use contraception. In addition, protection against HIV or other STDs is vital, and the forms of contraception chosen by most women in the study did not provide that protection.

But imagine it. Imagine 873,250 fewer unborn human beings destroyed every year. Imagine 873,250 fewer women going through abortions. Imagine 1,060,370 fewer women having to experience unplanned pregnancy, and instead being able to bear children at a time when their age, health, and life situation are better suited for motherhood — or being free to choose a different life path than motherhood.


Earlier this month, a Republican-appointed federal judge in the United States District Court for the Eastern District of Missouri rejected a lawsuit brought against the U.S. Department of Health and Human Services by an employer in a secular industry (mining, metals, & ceramics) who, due to his own religious beliefs, doesn’t want to provide his employees with insurance that covers contraception.

Judge Carol Jackson noted that employers already pay their employees a form of compensation that could be used to purchase contraception: their salaries. This is an argument I’ve made in the past. The full ruling is online here.

The burden of which plaintiffs complain is that funds, which plaintiffs will contribute to a group health plan, might, after a series of independent decisions by health care providers and patients covered by OIH’s plan, subsidize someone else’s participation in an activity that is condemned by plaintiffs’ religion. This Court rejects the proposition that requiring indirect financial support of a practice, from which plaintiff himself abstains according to his religious principles, constitutes a substantial burden on plaintiff’s religious exercise.

RFRA is a shield, not a sword. It protects individuals from substantial burdens on religious exercise that occur when the government coerces action one’s religion forbids, or forbids action one’s religion requires; it is not a means to force one’s religious practices upon others. RFRA does not protect against the slight burden on religious exercise that arises when one’s money circuitously flows to support the conduct of other free-exercise-wielding individuals who hold religious beliefs that differ from one’s own…

Just as in Mead, plaintiffs must contribute to a health care plan which does not align with their religious beliefs. In this case, however, the burden on plaintiffs is even more remote; the health care plan will offend plaintiffs’ religious beliefs only if an OIH employee (or covered family member) makes an independent decision to use the plan to cover counseling related to or the purchase of contraceptives. Already, OIH and Frank O’Brien pay salaries to their employees—money the employees may use to purchase contraceptives or to contribute to a religious organization. [emphasis added] By comparison,the contribution to a health care plan has no more than a de minimus impact on the plaintiff’s religious beliefs than paying salaries and other benefits to employees.

And once again, despite the claims in this and similar lawsuits that the HHS mandate forces them to cover abortifacients, the belief that emergency contraception is abortifacient has not been borne out by the evidence. I’m going to keep repeating that until new evidence comes to light or people stop making this claim, so get used to it.

In countries where there is a vocal, well-funded minority against contraception, stereotypes against women who use it abound.

In the United States, for example, women who use contraceptives–the overwhelming majority of women, by the way–have been derided as feckless, irresponsible, selfish, monstrously unnatural, man-hating, child-hating sluts who want to live parasitically off hard-working, moral-paragon taxpayers, and who automatically have abortions without a thought if they become unintentionally pregnant. Women who do not use contraceptives, on the other hand, are praised as spiritually superior, virtuous, man-loving, child-loving, fruitful Good Girls who know their ordained place in G*d’s Order of Things.

What a different, and much more flattering, much more accurate picture emerges from a new Guttmacher Institute study, Reasons for Contraception: Perspectives of US Women Seeking Care at Specialized Family Planning Clinics, which is forthcoming in the journal Contraception.

From a release about the study:

“Women value the ability to plan their childbearing, and view doing so as critical to being able to achieve their life goals,” says study author Laura Lindberg. “They need continued access to a wide range of contraceptives so they can plan their families and determine when they are ready to have children.”

Few studies in the United States have asked women directly why they use contraception and what benefits they expect or have achieved from its use. To fill this gap, the authors surveyed 2,094 women receiving services at 22 family planning clinics nationwide.

The majority of participants reported that contraception has had a significant impact on their lives, allowing them to take better care of themselves or their families (63%), support themselves financially (56%), complete their education (51%), or keep or get a job (50%).

When asked why they are seeking contraceptive services now, women expressed concerns about the consequences of an unintended pregnancy on their families’ and their own lives. The single most frequently cited reason for using contraception was that women could not afford to take care of a baby at that time (65%). Nearly one in four women reported that they or their partners were unemployed, which was a very important reason for their contraceptive use. Among women with children, nearly all reported that their desire to care for their current children was a reason for contraceptive use.

Many women reported interrelated reasons for using contraception, suggesting that the complexities of women’s lives influence their decision to use contraception and their choice of method. Other reasons for using contraception, reported by a majority of respondents, include not being ready to have children (63%), feeling that using birth control gives them better control over their lives (60%) and wanting to wait until their lives are more stable to have a baby (60%).

The release also includes this commentary.

“Notably, the reasons women give for using contraception are similar to the reasons they give for seeking an abortion,” according to Lawrence B. Finer, author of a previous Guttmacher study on that topic. “This means we should see access to abortion in the broader context of women’s lives and their efforts to avoid unplanned childbearing, in light of its potential consequences for them and their families.”

What does this study mean from an All Our Lives sort of perspective? For one, it fits well with what we already know experientially about the critical reasons why women need and want access to the full range of pregnancy prevention methods. Reasons that have nothing to do with the abovementioned belittling stereotypes.

For another, any serious effort to reduce unintended pregnancies and abortions must include expanded access to the full range of methods and understanding and alleviation of any problems that might hinder their effectiveness.

We do not advocate this course because we equate contraception with abortion, let alone believe the hype about some foreordained, inevitable “contraceptive mentality.” We advocate it because it works best in the real world, honors most women’s preferences to avert rather than interrupt unintended pregnancies, and does not involve the taking of prenatal lives. In other words, it evinces the most respect for human beings and universal human rights.

For yet another–the study findings call into question the sharp division between women who use contraception and those who do not. All Our Lives has long questioned this as just another brutal variant on the sundering of womankind into Madonnas and Whores. We assert the right of all women to use/not use any particular method of pregnancy prevention in accordance with their own preferences, values, and circumstances.

Thanks, Cristina Page, for bringing the Guttmacher study to our attention.

Today is World Contraception Day 2012. In recognition, I’d like to call your attention to a sample of our writings discussing the ways in which the freedom to choose whether and how to prevent conception can save and improve the lives of women and their children.

We are also participating in discussions on Twitter using the hashtags #sheparty and #WCD2012. Join us!

I've been reluctant to post on the whole Susan G. Komen/Planned Parenthood debacle because I kept feeling like there was information I didn't have. Some of my questions have been answered in the past few days. We now know that:

What's still not clear to me is how much PP's ability to provide breast exams and referrals would have been affected by the loss of this money. If someone is seeing a provider anyway, it doesn't seem to add any cost to also have them do an exam, but I may well be missing something there.

To the extent that women are relying on Planned Parenthood for essential breast health care, pro-lifers who want to promote breast health have three options:

  1. Support those women getting breast health care at PP.
  2. Provide a viable alternative: a clinic where women can get affordable comprehensive reproductive and sexual health care, but that doesn't do abortions.
  3. Leave those particular women to rely solely on donations and services from pro-choicers – which has the side effect of teaching them that abortion proponents are the only people who care about their health.


I'd rather women didn't get their health care from a provider that also performs and lobbies for abortion. I'd rather they didn't have to. But many women do, and pro-lifers needs to ask themselves why. To me, the real outrage in this whole episode is this:

"The grants in question supplied breast health counseling, screening, and treatment to rural women, poor women, Native American women, many women of color who were underserved–if served at all–in areas where Planned Parenthood facilities were often the only infrastructure available. Though it meant losing corporate money from Curves, we were not about to turn our backs on these women."

That was Susan G. Komen founder Nancy Brinker in 2010, explaining why Komen funded Planned Parenthood. Areas where Planned Parenthood facilities were often the only infrastructure available. If you don't want money to go to Planned Parenthood – fix that.

The U.S. Department of Health and Human Services has accepted the Institute of Medicine's recommendations about women's health care services that should be provided by all insurers without co-payment under the Affordable Care Act. Among these services are HIV screening and counseling, domestic violence screening and counseling, support for breastfeeding, and contraception. These recommendations will be in effect for insurance policies with plan years beginning on or after August 1, 2012. Religious organizations which are opposed to contraception may opt out of having that coverage provided by their insurance.

All Our Lives applauds HHS's acceptance of the recommendations. Having these vital services available without a co-payment will help more women and children live healthy lives as well as making it easier for women to avoid unintended pregnancy and abortion.

Blog Carnival LogoOf course the US Department of Health and Human Services should classify birth control-whatever the method or methods-as an essential preventive service for which health plans cannot charge copays. Of course.

Participation in today's "Birth Control: We've Got You Covered" blog carnival is a no-brainer for a prolife group like All Our Lives. Access to the contraceptive supplies and services of one's own choosing is essential to the voluntary, effective prevention of unintended pregnancies and abortions.

In other words, contraception is prolife. Pro the lives of women-and men-who choose to delay conception or forego it altogether. Pro the lives of children, who have the best chance at a good life if they are conceived by parents who are prepared to bear and support and love them.

Our organization calls itself prolife because we believe-on grounds open to people of all religions and no religion- that everyone, unborn or already-born, has a right to live, and live as well as possible, with all necessary supports from every level of human society. For real. That includes a thoroughgoing commitment of public policies and resources to make voluntary family planning as widely accessible and affordable as possible.

A word like "prolife" should mean what it says. All Our Lives will soon launch our "Contraception Is Prolife" educational campaign, starting with a downloadable slide presentation that explains in more detail just what we mean when we say this. We welcome your visit and participation here, and hope you will return to learn more about our "Contraception Is Prolife" effort. We have already challenged misinformation about Plan B that a Family Research Council staffer gave on National Public Radio. Please sign up for our email updates, subscribe to our Twitter feed, or join our Facebook group.

Blog Carnival LogoPeople who are opposed to contraception or who simply think it isn't that important often object, "How can there possibly not be enough birth control? Condoms are cheap and easy to get. And anyway, lack of access to birth control isn't the problem — look at all the women who have abortions who were using birth control."

While on the surface it may seem that women in the U.S. have adequate access to contraception — ninety-nine percent of women who have had sex have ever used contraception — the bare statistics obscure some underlying access issues. For one thing, not all methods work equally well for all women's situations. A woman who can afford condoms but would be better served by the pill or an IUD has an access problem if she can't afford to go to the doctor to get those methods prescribed for her.

Let's look more closely at those figures from women who have had abortions. It is true that 54% of women who have abortions used some form of birth control during the month when they conceived. Of course, that doesn't mean that they remembered to use it every time, or used it correctly. Proper counseling — one of the services recommended by the Institute of Medicine to be covered without copays under the Affordable Care Act — could help with that. But inconsistent use can also be due to an access problem. For instance, a staggering 76% of women who used the pill report using it inconsistently. Many of them could be having trouble getting their pills on time every month. Most women can only get one to three months' worth of contraception prescriptions at a time; one study showed that allowing low-income women to get twelve months' worth of pills at a time decreased the odds of unintended pregnancy by 30%, and the odds of an abortion by 46%. Alternatively, some women may need a method that doesn't have to be remembered every day, such as an IUD, but those can have a large up-front cost. Reproductive coercion is another factor that can cause women to use contraception inconsistently. Though it isn't strictly an access issue, family planning clinics and other health care providers have a role to play in helping women recognize and prevent reproductive coercion. Reproductive coercion often accompanies partner violence, and screening for such violence is also recommended by the IOM. Finally, some of the women who report using contraception were actually using ineffective methods such as withdrawal. They could benefit from counseling and access to more effective methods.

If 54% of women who have abortions were using contraception during the month when they conceived, that means 46% weren't. Twelve percent of these women directly cited barriers to access as a reason for contraceptive nonuse. Another 10% reported that their partners didn't want to use contraception; again, this could be reproductive coercion at work. Others didn't know they were at risk for unintended pregnancy; counseling could certainly help there. Still others cited concerns about side effects or bad experiences with contraception in the past. Many of these women could benefit from assistance to help them find and afford a method that works well with their particular bodies.

Access is a complicated issue; it's not simply a matter of whether a woman can afford a packet of pills every month or whether the pharmacy down the block sells condoms. There is still plenty of room for improvement in the way we make contraception information and methods available to women. If the Department of Health and Human Services accepts the IOM's recommendations, more women will get the help they need to avoid unintended pregnancy and abortion.

The Institute of Medicine has issued its recommendations for a range of preventive health services that it says should be covered for all U.S. women without a co-pay under the Affordable Care Act. Several of these recommendations improve not only women's health, but that of their children as well.

The eight recommendations include:

  • screening for gestational diabetes
  • HPV testing as part of cervical cancer screening for women over 30
  • counseling on sexually transmitted infections
  • counseling and screening for HIV
  • contraceptive methods and counseling to prevent unintended pregnancies
  • lactation counseling and equipment to promote breast-feeding
  • screening and counseling to detect and prevent interpersonal and domestic violence
  • yearly well-woman preventive care visits to obtain recommended preventive services

The recommendations will now go to the Department of Health and Human Services, which is scheduled to issue the final rule for insurers in August.

The report will be discussed Wednesday, July 20, at a public briefing beginning at 10 a.m. EDT at the National Press Club in Washington, D.C. A live audio webcast of the briefing will be available at www.nationalacademies.org if you would like to listen.

All Our Lives has joined over 200 other organizations in endorsing this call for 3.5 million more health workers, especially in the Two Thirds World. This figure includes 350,000 more midwives and 1 million community health workers, who can help with providing certain reproductive health services, such as sex education and some family planning methods. No human being should ever have to die-or live less abundantly than he or she could-for lack of enough health workers.

Jill Stanek has a post up in response to this Salon article by a woman who had an abortion that doctors believed was necessary to save her life.

What disturbs me the most are the comments on Stanek's post. Why is the immediate response to this story “Let’s see how we can pick it apart, discredit it, and cast the woman telling it as dishonest”? Why not, at the very least, “I’m terribly sorry that she lost her child and had such a traumatic health crisis,” or “The health professionals at that hospital treated her terribly”? Why not assume, at the very least for the sake of argument, that the story is true, and ask how we can ensure that pregnant women can get proper medical treatment that also respects the lives of their children? If we believe that it’s really possible to do both, then we should be able to handle listening to this story and figuring out what needs to change for women like Ms. Kendall to get better care.

I just don’t understand why a woman who lost a child and nearly died has to be cast as an enemy.