Tuesday, December 1, 2009

Stupak Amendment Blame Game

There has been a lot of discussion lately in the blogosphere and op-ed columns about what how and why the Stupak amendment passed the House. One of the themes getting a lot of play here in DC is that we were put on the path to Stupak when “the Democrats” decided after the 2004 elections to aggressively recruit and support anti-choice candidates for Congress.

The facts simply don’t support this. Of the 64 Democrats who supported the Stupak amendment, only 14 were first elected in 2006 and 2008. Of the remaining 50, many have been in office for decades. In fact, the Democratic House classes elected in both 2006 and 2008 are more pro-choice than the House Democratic Caucus as a whole.

The fact is that there have always been anti-choice Democrats in Congress. In the past, though, that was largely balanced by pro-choice Republicans. Today, the balance is gone. The number of pro-choice Republicans can be, at best, counted on one hand. That makes the anti-choice Democrats far more noticeable and, arguably, important. The pro-choice Republicans have largely been replaced by pro-choice Democrats (in New England, for example). Some, of course, have been replaced by anti-choice Republicans (i.e. Dave Reichert for Jennifer Dunn in Washington and Erik Paulsen succeeding Jim Ramstad in Minnesota).

That said, I can’t remember a time when the House – or the Senate – had a true pro-choice majority. It’s undeniable, though, that it’s better now than it has been in the past – but it’s still clearly short of where we need to be.

It’s easy to get frustrated and lash out at allies when something like this happens, but it’s counterproductive. To paraphrase Barney Frank, one of the smartest members of Congress, if what you’re doing makes yourself feel better, it’s probably completely ineffective. We need to focus on making sure the Senate votes down the Stupak amendment, not looking for people to blame for the House passing it.

Thursday, November 19, 2009

UN Report Focused on Women, Population, Climate

By Rebecca Harrington, National Field Coordinator

Yesterday, at the National Press Club, UNFPA launched its annual state of world population report entitled “Facing a changing world: women, population, and climate”. The report launch featured an engaging panel that included Rep. Carolyn Maloney, former Sen. Tim Wirth, the current President of the UN Foundation, and representatives from UNFPA, Worldwatch Institute, and PAI.

The meeting room was packed with those in the family planning and environmental communities eager to hear about the often-neglected relationships between population, climate change, and women. The release of the report is timely, as it precedes this year’s United Nations Climate Change Conference, taking place next month in Copenhagen.

Ironically, while women are least responsible for causing changes in climate, as they are likely to be more “sustainable consumers”, they are affected most by such climate change, according to the panelists. For example, drought uniquely affects women, who are generally responsible for the acquisition of water. As water becomes scarcer, women are forced to travel longer distances to get water. When this occurs, girls are likely to drop out of school to help their mothers with water collection.

Notably, and perhaps less obviously, women are also more likely to suffer more in the aftermath of natural disasters. The exceptional impact of natural disasters on women is eloquently discussed in the profile of Mandisa, a young community organizer who worked in New Orleans both prior to and following Hurricane Katrina.

The thoughtful audience members asked interesting questions about youth engagement in food production, the likelihood of these issues being discussed in Copenhagen, and the effect of emerging renewable energy technology on women in developing countries.

Despite these seemingly transparent connections, it is unlikely that the subject of gender will feature prominently in Copenhagen, according to the panelists. Encouragingly, there will be a side event at the Conference where IPPF, its Danish affiliate, Worldwatch, and PAI will discuss the importance of the empowerment of women in mitigating climate change.

Wednesday, November 18, 2009

Debunking Stupak

By Brian Dixon

New Report Shows House Abortion Restriction Could End Nearly All Insurance Coverage of the Procedure

A new study out of the School of Public Health and Health Services at The George Washington University makes clear that pro-choice advocates are right when they claim that the Stupak Amendment is likely to significantly reduce, if not end, insurance coverage of abortion.

Late last week the main authors of the amendment to the Health Reform bill in the House, Reps. Bart Stupak (D-MI) and Joe Pitts (R-PA), published a letter to the Washington Post in which they said “We are not looking to restrict access to abortion…” The new study points out how utterly disingenuous such a claim is. Of course, it was always obvious that this claim was laughable given the long record of efforts to restrict access to abortion that each has.

The study also claims that the option for women to purchase a “policy rider” to cover abortion is largely meaningless as the amendment likely outlaws such riders in the first place. “In our view, the terms and impact of the Amendment will work to defeat the development of a supplemental coverage market for medically indicated abortions.” Supplemental coverage, or riders, the authors say, must work in conjunction with the basic coverage, but the amendment prohibits that conjunction. So, again we have the authors being either purposely misleading or woefully uninformed about the scope of their own legislation.

The GWU study can prove to be very helpful as we work in the coming weeks to ensure that the U.S. Senate rejects this approach and to convince members of the House who supported the amendment originally that they were misled regarding the scope of the restriction.

Tuesday, November 3, 2009

The Economist is Stingy with Praise for Family Planning Accomplishments

By Marian Starkey, Director of Communications

The print edition of The Economist this week focuses on fertility and population. The lead story, "Falling Fertility" makes important connections between rapid population growth and poverty and the inverse relationship between population stabilization and economic growth. I was reading through the story, pleased with the facts covered, until I came to this paragraph:

In principle, there are three ways of limiting human environmental impacts: through population policy, technology and governance. The first of those does not offer much scope. Population growth is already slowing almost as fast as it naturally could. Easier access to family planning, especially in Africa, could probably lower its expected peak from around 9 billion to perhaps 8.5 billion. Only Chinese-style coercion would bring it down much below that; and forcing poor people to have fewer children than they want because the rich consume too many of the world’s resources would be immoral.
The well-meaning authors of this article are simply wrong here. If women around the world with an unmet need for family planning had affordable access to modern contraception, population growth could be slowing a heck of a lot faster. The authors also failed to disclose that the projection of 9 billion people in 2050 is dependent upon drastic fertility declines in the countries where population is growing fastest. So we're really talking about the difference between 9 and 11 billion (the projection if fertility rates stay the same as they are now), not 8.5 and 9 billion. And to suggest that any sane person supports a population policy that would force poor women to have fewer children so the rich of the world can consume more is just absurd.

The briefing, "Go Forth and Multiply a Lot Less" describes the global move toward replacement-level fertility (the level required for each generation to replace the last). This article at least mentions unwanted pregnancies and unmet need for family planning as factors in high fertility, but the reader is quickly diverted to discussion of girls' education--which is a proxy factor for lower fertility--and then reminded of the terrible coercion of China's one-child policy.

Another briefing, "The rich are different" quickly outlines the phenomenon of rising fertility in the developed countries that have higher gender equality than in the countries where fertility remains unprecedentedly low.

I hate to criticize whenever someone, especially a respected news source, pays attention to population issues, but I just had to point out a couple of the major flaws in the authors' arguments.

Here is the letter I sent in response to the lead article. Letters are published on Thursdays, so we'll see then if mine makes the cut. *Update: There were no letters printed about the fertility articles today. Maybe next week...

In “Go forth and multiply a lot less,” the UN medium population projection of 9.2 billion in 2050 is accepted as destiny. As The Economist surely knows, projections are dependent on assumptions. The scenario that would deliver a population of 9.2 billion is ambitious fertility decline starting now. In fact, projections range from 8-11 billion people, depending on how quickly fertility falls. If it drops drastically and soon, growth could stop at 8 billion; if fertility decline stagnates, population will still be growing at 11 billion in 2050.

Kenya’s fertility rate was declining impressively until a couple of years ago, when the country experienced a significant reduction in family planning aid. As a result, population projections for 2050 were doubled. Timing is everything because of the inherent momentum that keeps population growing even after “replacement level fertility” is achieved. The larger the base of women yet to reach their reproductive years, the larger the population will grow once they start having children.

The rapid fertility decline in Matlab, Bangladesh was precipitated by the availability of contraceptives, not higher incomes or better health—those followed as a result. Fertility drops when incomes rise because people can finally afford contraceptives. When contraception is available at no cost, all economic quintiles have similarly low fertility, as in Thailand and Vietnam. Educated women are, indeed, more likely to want fewer children. But they’re also more likely to be in economic positions that allow them to purchase contraceptives.

The article got most things right, but it simplified the role of family planning in fertility decline. Women want smaller families and tend to use contraception if they are educated about the methods and most importantly, if they have access. Sub-Saharan Africa continues to have high fertility because many women have no access. Donor countries have fallen shamefully short of the amounts they pledged for family planning assistance at the International Conference on Population and Development in Cairo in 1994. Every year that we under-fund family planning is another step closer to a world of 11 billion.

Wednesday, October 21, 2009

U.S. finally on board with progress

By Brian Dixon

Last week, the United Nations held a special session to commemorate the 15th Anniversary of the International Conference on Population and Development (ICPD) and to review progress toward meeting the ambitious goal of ensuring universal access to family planning by 2015.

At this meeting, a U.S. official delivered an important statement reiterating that President Obama and Secretary of State Clinton are committed to expanding global access to family planning. He said, “The United States strongly supports the goals and ideals of the ICPD, and under President Obama’s leadership has renewed our commitment to work with the international community to implement the ICPD Program of Action.”

Such an expression comes after eight years of Bush administration actions designed to undermine progress on family planning. Speeches are nice and can be helpful, but actions are more important. To that end, we’ve been extremely pleased by the significant increases in international family planning that the president has called for and that congress is moving toward approving. We’re also very happy with the president’s decision to restore U.S. aid to the United Nations Population Fund (UNFPA) and to lift the harmful Global Gag Rule that barred U.S. assistance to some of the most experienced and effective providers of family planning in the developing world.

Monday, October 19, 2009

"Not Yet Rain" had advocates pouring in

By Rebecca Harrington, National Field Coordinator

On Thursday, October 15, we held a film screening in Columbus, OH, the first in a series of events for our Double the Money campaign. We showed the film Not Yet Rain at the well-loved Studio 35 Cinema and Drafthouse. A one-screen theater with a vintage feel, funky wall murals, and a cozy bar, the theater is a staple of Clintonville, a hip northern Columbus neighborhood.

For the screening, we partnered with the Columbus International Film and Video Festival and the local chapter of the Sierra Club. The Film Festival prides itself on 57 years of showing and granting awards to unique and edgy films. The Sierra Club chapter works on environmental issues specific to central Ohio.

A diverse and interesting crowd braved the Ohio cold to watch the film, chat with Population Connection staff and other guests, and to eat delicious food from the local Surly Girl Saloon, another Columbus favorite. In addition to discussing the film as a group and connecting with people at a reception following the screening, many of those in attendance signed our petition to Double the Money, and requested copies of the film to share with classes, groups, and friends.

A few especially memorable guests included a physician’s assistant student from Cleveland, who was grateful for (and startled by) all she’d learned from the film and discussion; an anthropology professor from Tennessee, who wants to screen the film with her classes; and a mother and daughter pair who are passionate about both the arts and women’s issues.

In addition to representing a diversity of interests, people of all ages attended the screening. Everyone was equally energetic and engaged, and the group melded nicely. Free dinner, beer, and cupcakes always brings a group together!

The screening was a great way to kick things off in Ohio, and we’re very much looking forward to our next event in Columbus.

Friday, October 9, 2009

Lots of Surprising Results

By Marian Starkey

The XXVI International Population Conference (IUSSP) ended last Friday in Marrakech and I am finally settling back into my normal office routine. I didn't have the greatest Internet connection while I was overseas so I neglected to post a final blog entry about the conference sessions. Here it is, a week late.

Climate change was a bigger topic of discussion at this conference than at other demography conferences I've attended in recent years. Brian O'Neil, who does population/climate research at the International Institute for Applied Systems Analysis (IIASA) in Laxenburg, Austria was supposed to present his research but was not able to make it to Marrakech at the last minute. His colleague, Leiwen Jiang, presented in his place. Basically what they've found is that aging has a negative effect on carbon emissions while urbanization and smaller households have a positive effect (in this instance, negative means "good" i.e. fewer emissions, and positive means "bad" i.e. more emisisons). They stress that although the number of people on earth does have an effect on emissions, more potent factors are the age structure and lifestyle choices of those people.

The Guttmacher Institute led a training session early on Thursday morning for demographers who wanted to learn to translate their research results into policy recommendations. Session panelists encouraged researchers to communicate their results by starting with the study conclusions and not getting bogged down in methodology, which lawmakers and program managers trust them to execute responsibly. I have to admit that sometimes at these conferences I wish demographers would spend more time presenting their results than their methods for the same reason. Their papers are usually available for download for those who wish to delve deeper into the study methods they used.

A few sessions focused on the demographic consequences of HIV/AIDS. Lori Hunter, who edits the journal Population and Environment, found that families in South Africa who have experienced the death of a family member due to AIDS were negatively affected in terms of food security. One person she talked to actually said, "Locusts are our new beef." Losing an adult in a family of dependents has severe destabilizing effects, both socially and economically.

Another researcher found that female infidelity in Africa might be more widespread than previously believed, based on the high number of couples in which only the woman was infected with HIV. The somewhat counterintuitive results also suggest that girls who attend school are at higher risk of contracting HIV because they are away from their families and experience more independence than girls who stay home.

Joseph Potter from the University of Texas-Austin presented a very interesting study of women in El Paso, TX who use the contraceptive pill. Those who traveled across the border to Mexico to buy pills over the counter for about $5 per pack had much lower discontinuation rates than women who got one pack at a time at the El Paso clinic for free. Only when women were given six packs or more at the clinic did their discontinuation rates drop to the level of the women who bought them at Mexican pharmacies. These results imply that increasing ease of accessibility (no clinic appointment) and providing multiple months of protection at a time increase the continuation rates of pill users.

A researcher from the American University in Cairo studied the fertility differences between Morocco and Egypt. She asked the question "Why is fertility decline faster in Morocco when Egypt has a higher Human Development Index?" She found that although desired fertility is higher in Morocco, later marriage and longer birth intervals make actual fertility lower. The fertility rate of educated women in Morocco is lower than equally educated women in Egypt.

As usual, the most valuable parts of being at this huge conference were the side conversations I had with people at lunch and during coffee breaks. I made a lot of new professional alliances and reinforced existing ones for Population Connection. I know that our info table also helped spread the word about our unique and important work. By the end of the week, only a few copies of The Reporter remained in my booth--everything else had been taken.

The next IUSSP conference will be in four years, location as yet undecided. I am already looking forward to it and will make sure to stock my table more heavily with the fun supplies that conference-goers like to take home: pens, tote bags, stickers, etc. For a serious bunch of researchers, they sure do like their freebies.