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Daily Women's Health Policy Report
Federal Judge Rules Louisiana Must Stop Giving Abstinence Education Funds to Groups That Promote Religion
Public Health & Education
Pregnant Women Should Limit Tuna Consumption, Scientific Advisers Tell FDA
ABCNews' 'Nightline' Reports on Rising Malpractice Insurance Rates for OB/GYNs in Nevada
Reproductive Health Services
St. Petersburg, Fla.-Area Hospital to Close Obstetrics Unit
Iowa Hospital to Stop Offering Vaginal Birth After Caesarean
South Korean Officials Investigate Claims of Cloned Pregnancy
Former Peruvian President's Family Planning Program 'Pressured' Thousands Into Being Sterilized, Report Says
Kaiser Daily Reproductive Health Report Rounds Up Responses to Withdrawal of UNFPA Funding
National Politics & Policy
House, Senate Negotiators Reach Agreement on Abortion-Related Language in Bankruptcy Bill
[Jul 26, 2002]
House and Senate negotiators yesterday reached a compromise in the year-long dispute over abortion-related language in a bankruptcy reform bill that would make it more difficult for abortion protesters to use bankruptcy as a "shield" against paying court-imposed fines, the Washington Post reports. The agreement clears the way for passage of the bill (Day, Washington Post, 7/26). The Senate-passed version contained language that barred antiabortion protesters from declaring bankruptcy to avoid paying court-imposed fines or damages resulting from violent protests at abortion clinics. The language, proposed by Sen. Charles Schumer (D-N.Y.), made debts nondischargeable if they arose from harassing or intimidating conduct intended to interfere with the provision of lawful goods or services, destruction of property or violation of a court order protecting access to a facility providing lawful goods or services. The House version of the bill did not contain a similar provision, and negotiators from both chambers had difficulty reaching consensus on the abortion language (Kaiser Daily Reproductive Health Report, 6/19). Schumer and the House's lead negotiator, Rep. Henry Hyde (R-Ill.), who opposed "singling out" abortion protesters, late yesterday came to an agreement on how to word the provision, ending a year-long "logjam" over the provision (Hook, Los Angeles Times, 7/26). Details Not Available Details of the compromise were not immediately released, but the Wall Street Journal reports that a Republican aide said the new wording "tightens the initial Senate language to apply more narrowly to cases of intentional violence, and the wording was altered to apply more generally beyond just abortion clinics" (Rogers, Wall Street Journal, 7/26). Schumer called the compromise a "victory for women," saying, "The agreement we reached today ensures those who use violence to close [abortion] clinics can't use bankruptcy as a shield to escape liability." Hyde was not available for comment, the AP/Baltimore Sun reports (AP/Baltimore Sun, 7/26). The bill, which would end many Americans' ability to declare bankruptcy to avoid paying credit card debts and other loans not secured by homes or other assets, could be voted on as early as today in the House and is expected to come up for a vote in the Senate next week. Both houses are expected to pass the bill, and President Bush has indicated that he will sign it (Spokane Spokesman-Review, 7/26).
In The Courts
Federal Judge Rules Louisiana Must Stop Giving Abstinence Education Funds to Groups That Promote Religion
[Jul 26, 2002]
A federal judge ruled yesterday that Louisiana's federally funded Governor's Program on Abstinence illegally provided funding to organizations that "convey religious messages and advance religion," the Baton Rouge Advocate reports. U.S. District Judge G. Thomas Porteous ordered the abstinence program to cease and desist from granting money to organizations or individuals that promote religious messages or "otherwise advance religion in any way in the course of any event" supported by program funds. Porteous also ordered the state to stop giving the funds to groups "in which religion is so pervasive that a substantial portion of its functions are subsumed in the religious mission." According to the ruling, state abstinence program officials will be required to create an "oversight program" that will review all educational materials used by recipients of the funding and to "closely monitor" all programs run by those groups (Baton Rouge Advocate, 7/26). In May, the American Civil Liberties Union of Louisiana filed the lawsuit, which contended that the state used $1.6 million in federal abstinence-only sex education funds to promote such religious activities as prayer vigils at abortion clinics, "Christ-centered" skits that advocate sexual abstinence and Christmas youth revivals focusing on "virgin birth" and commitment to "sexual purity." According to the suit, one Louisiana crisis pregnancy center received more than $100,000 in federal funds for a program titled "Passion 4 Purity," which used "scriptural concepts" to promote abstinence. The lawsuit alleged that the use of federal funds for such programs violated the separation of church and state outlined in the U.S. Constitution. Louisiana Gov. Mike Foster (R) and former state Sen. Dan Richey (D) were named as defendants in the suit (Kaiser Daily Reproductive Health Report, 6/20). Reaction and Implications Foster "expressed dismay" over the judge's decision and said that he plans to examine the state's legal options. He added, "It's a sad day when such a worthwhile program is attacked by the very people who are supposed to protect the interests of the citizens of Louisiana" (Connolly, Washington Post, 7/26). Louisiana ACLU Executive Director Joe Cook stated, "The governor's program has shamelessly been spending taxpayer money to proselytize. It's time for our public officials to get out of the church house, go back to the state house and start spending tax dollars legally" (Baton Rouge Advocate, 7/26). The Washington Post reports that the decision "could jeopardize President Bush's ambitions for expanding" abstinence-only education nationwide. The Louisiana case was the first legal challenge to such programs, which were created under welfare reform legislation passed in 1996. Bush has asked Congress to continue funding the program at $50 million annually and to increase other federal grants for abstinence-only education from $40 million this year to $73 million in fiscal year 2003. HHS spokesperson Bill Pierce said that the Bush administration "remains deeply committed" to promoting and funding abstinence-only sex education programs (Washington Post, 7/26).
Public Health & Education
Pregnant Women Should Limit Tuna Consumption, Scientific Advisers Tell FDA
[Jul 26, 2002]
A federal panel of scientific advisers yesterday recommended that the FDA tell pregnant women to limit their tuna consumption because eating large amounts of the fish may expose a developing fetus to potentially "harmful" mercury levels, the AP/Baltimore Sun reports. Although the panel did not issue specific recommendations regarding the amount of tuna pregnant women should consume, they "urged" the FDA to "quickly study" how much tuna pregnant women are currently eating to be able to issue specific advice about tuna consumption (AP/Baltimore Sun, 7/26). The advisory panel, which issued the recommendation after a three-day hearing, said the FDA's current mercury advisory for pregnant women is "not founded on solid evidence" and that the FDA needs to develop an advisory for pregnant women that specifically addresses tuna consumption, as well as other fish (Wheeler, Gannett News/Detroit News, 7/26). Fish Consumption Confusion The agency last year issued an advisory to pregnant women and anyone expecting to become pregnant to avoid eating shark, swordfish, king mackerel and tilefish -- the four fish with the highest levels of mercury -- and to limit intake of all other fish to no more than 12 ounces per week. However, some consumer advocacy groups wanted the FDA to add tuna steaks, which have "somewhat less" mercury than swordfish, to the list of fish not to be eaten while pregnant. In March, the Environmental Working Group, an advocacy organization, alleged that the FDA had been planning to add tuna to the list but instead "bowed" to pressure from the seafood industry; the FDA denied the allegation. Caroline Smith DeWaal of the Center for Science in the Public Interest said that as a result of this public debate, women "don't know what to believe" about the safety of fish consumption (Kaiser Daily Reproductive Health Report, 7/24). Randi Thomas, director of the U.S. Tuna Foundation, said that the current FDA mercury warning is "adequate" because it recommends that women consume no more than 12 ounces of canned fish per week (Gannett News/Detroit News, 7/26). FDA food safety chief Joseph Levitt said the agency would make the tuna advisory a "priority," but did not say how soon the agency would issue new advice (AP/Baltimore Sun, 7/26).
Media & Society
ABCNews' 'Nightline' Reports on Rising Malpractice Insurance Rates for OB/GYNs in Nevada
[Jul 26, 2002]
ABCNews' "Nightline" yesterday reported on the effects of rising malpractice insurance premiums for obstetricians in Nevada and across the nation. The report profiles obstetricians who were "forced" to close their practices and pregnant Nevada women who are unable to find physicians to provide prenatal care and perform their delivery. The segment includes interviews with Nevada Gov. Kenny Guinn (R); Dr. John Fildes, medical director of the Las Vegas University Medical Center trauma center, which closed on July 3 after all but one of their 58 orthopedic surgeons quit; and Nevada Trial Lawyers Association President Timothy Williams (Amos, "Nightline," ABCNews, 7/25). The program also featured a panel discussion about the issue of rising malpractice rates with American Medical Association President-Elect Dr. Donald Palmisano, Larry Smarr of the Physician Insurers Association of America and medical malpractice attorney Dr. Harvey Wachsman (Bury, "Nightline," ABCNews, 7/25).
A video clip of the "Nightline" report is available in RealPlayer online.
A video clip of the panel discussion is also available online.
Reproductive Health Services
St. Petersburg, Fla.-Area Hospital to Close Obstetrics Unit
[Jul 26, 2002]
Officials at Oak Hill Hospital in Spring Hill, Fla., announced on Wednesday that the hospital will permanently close it obstetrics unit on Oct. 31 to make room for an expansion of the hospital's open heart surgery program and emergency and pediatric services, the St. Petersburg Times reports. "It was a very difficult decision to make," hospital spokesperson Nancy Kaminski said. The hospital, which is owned by HCA Inc., the nation's largest for-profit hospital chain, has 53 pregnant patients who are scheduled to deliver before Oct. 31. Patients delivering after the closing date will be redirected to Spring Hill Regional Hospital. However, officials at Spring Hill, which already handles about 70% of deliveries in the area, said that they are not sure how they will accommodate the additional deliveries. "It's going to be a little tight," Spring Hill CEO Tom Barb said, adding that the hospital may have to use rooms that are not equipped as birthing rooms to accomodate the increased caseload. It is unclear whether all of the 19 employees affected by the closure will be reassigned, as the hospitals hopes, or whether some may lose their jobs. Although Kaminski said that the hospital's motivation for closing the obstetrics unit was "not financial," Barb said that he is "not surprised" by Oak Hill's decision, noting that obstetrics is less profitable than heart surgery and is the "least profitable service" offered at Spring Hill. However, because Spring Hill considers labor and delivery care a "community service," the hospital intends to keep its obstetrics department open, Barb said (Liberto, St. Petersburg Times, 7/25).
Iowa Hospital to Stop Offering Vaginal Birth After Caesarean
[Jul 26, 2002]
Mercy Medical Center, the largest hospital in Des Moines, Iowa, decided last week to stop offering women the option of a vaginal delivery after a previous caesarean section, the Des Moines Register reports. Hospital spokesperson Laura Wenman said that the decision to discontinue offering VBAC was based on concerns about both legal liability and patient health. According to a letter from Mercy sent to area health care providers, the hospital's anesthesiologists cannot guarantee their immediate availability if complications that necessitate an emergency c-section arise during a VBAC. Juries have awarded more than $100 million in some VBAC malpractice cases in which complications arose that caused the infant to suffer brain damage, according to a letter from the anesthesiologist group's malpractice insurer. The risk of such a complication from VBAC is "small but significant," American College of Obstetricians and Gynecologists spokesperson Dr. Bruce Flamm said, adding that rupturing of the uterine scar during VBAC can cause infant death and damage to a woman's internal organs. Flamm stated that it is important to have a surgical team ready to intervene during all VBAC procedures and added that Mercy may have made the right decision in suspending VBAC services. Health Issues or Liability Concerns? However, Dana Ericson, a certified nurse midwife who delivers infants at Mercy, said that hospital administrators are "putting their liability interests above the health and well-being of mothers and babies." She added that the policy change could cause women who wish to attempt a VBAC to feel "coerced" into having a surgical procedure that may be unnecessary. The option of VBAC will remain available in Des Moines at both Iowa Methodist Medical Center and Iowa Lutheran Hospital, the Register reports. Approximately one-fifth of all women who have previously delivered by caesarean section attempt to subsequently give birth vaginally, and approximately 70% of those women do so successfully, according to ACOG. Wenman said that Mercy's medical staff is reviewing the decision and may reverse it if they can find a way to offer VBAC safely (Leys, Des Moines Register, 7/23).
Bioethics & Science
South Korean Officials Investigate Claims of Cloned Pregnancy
[Jul 26, 2002]
The South Korean Ministry of Health and Welfare is investigating claims by a local biotechnology firm that it has implanted a cloned human embryo in a woman's uterus, the Korea Times reports. Kwak Ki-hwa, a spokesperson for BioFusion Tech Inc., said on Tuesday that the cloned pregnancy is "in full progress" (Korea Times, 7/25). BioFusion is an affiliate of Clonaid, the scientific arm of the Raelian movement -- a religious sect that believes that it has received a cloning mandate from aliens (BBC News, 7/25). Kwak said that the woman in question, who is more than one month into her pregnancy, plans to give birth in South Korea (Eckert, Reuters, 7/25). Human cloning is not illegal in South Korea, but the nation's parliament is currently considering a draft bill banning the procedure for reproductive purposes (BBC News, 7/24). Korean officials are concerned that BioFusion may have broken other laws and regulations. Under Korean law, a medical doctor must assist with any in vitro fertilization procedure. Failure to do so could result in a prison sentence of up to five years and a maximum fine of about $17,000 (Korea Times, 7/25). Korean law also allows for penalties for performing any medical practice that is deemed "immoral." Kwak said that his company is not concerned about possible legal action because the woman was impregnated with the cloned embryo outside of the country (BBC News, 7/24). Clonaid Director Brigitte Boisellier would not confirm or deny Kwak's claims, saying that her group was "not eager to disclose" the details of its cloning work. However, she did say that more information on the group's cloning trials would be disclosed to the "scientific community" in December. "Our goal is to do a cloned baby and a very healthy one," she said (Reuters, 7/25).
International News
Former Peruvian President's Family Planning Program 'Pressured' Thousands Into Being Sterilized, Report Says
[Jul 26, 2002]
Former Peruvian President Alberto Fujimori's administration "pressured" more than 200,000 Peruvians into undergoing sterilization procedures as part of a "compulsive family planning program," according to a new investigative report, BBC News reports. Health Minister Fernando Carbone said that between 1996 and 2000, the government "gave misleading information, offered food incentives and threatened to fine men and women if they had more children." As a result, 215,227 women and 16,547 men were sterilized during that time period, compared to 80,385 women and 2,795 men who underwent sterilizations in the three-year period prior to that. An investigative commission heard testimony from 507 Peruvians who were sterilized under the program, only 10% of whom said that they had undergone the sterilization procedure voluntarily after being offered economic and health incentives. Others testified that those who refused to undergo the procedure were fined and could receive no medical care for their children. The commission also reported that the procedures were performed with "inadequate" presurgical evaluation and "little" post-operative care and that less than half of the procedures were attended by a "proper" anesthetist or anesthesiologist (BBC News, 7/24). At least 18 women died during the procedures, according to the Australian Broadcasting Corporation News (ABC News, 7/25). The commission concluded that the sterilization program had inflicted psychological, physical and "moral" harm on the men and women involved. Carbone has called for a "deeper investigation" into the sterilizations and assured Peruvians that "action would be taken" against those responsible for the program (BBC News, 7/24). Carbone also said that Fujimori "orchestrated" the sterilization program and received reports each month on the number of sterilizations performed (ABC News, 7/25). Fujimori fled Peru in 2000 after he became the subject of multiple allegations of corruption (BBC News, 7/24).
Opinion
Kaiser Daily Reproductive Health Report Rounds Up Responses to Withdrawal of UNFPA Funding
[Jul 26, 2002]
Several newspapers have recently printed editorials and opinion pieces and advocacy groups have issued statements commenting on the Bush administration's decision to withdraw the United States' $34 million contribution to international family planning programs run by the United Nations Population Fund. The State Department on Monday announced the decision after reviewing a report from a fact-finding team that traveled to China to investigate allegations that UNFPA funding was used to fund forced abortions and sterilizations in the nation. A summary of some of these statements and opinion pieces appears below, listed in alphabetical order: Editorials - Albany Times Union: It is "clear" that President Bush "wanted to curry favor with the antiabortion groups within the United States who support him and his party" when he decided to withhold U.S. funding from UNFPA, a Times Union editorial says. However, "in trying to do so, [Bush] may well have set the stage for an outcome that is just the opposite of what those supporters were seeking," the editorial states, noting that the decision could increase the number of abortions and unwanted pregnancies in other countries. The Times Union calls that outcome "too high a price to pay for abortion politics" (Albany Times Union, 7/26).
- Atlanta Journal-Constitution: Bush's decision to withhold UNFPA funds is a "cheap political decision" that will increase, not prevent, abortions in other countries, a Journal-Constitution editorial says. The president's "thinly veiled election-year pandering to GOP social conservatives makes a mockery of his rhetoric about the importance of women's well-being" in developing nations and endangers the lives of the world's poor women, the editorial concludes (Atlanta Journal-Constitution, 7/25).
- Boston Globe: "No other nation has ever pulled funding" from UNFPA, and the Bush administration's decision to do so "is not just an international embarrassment but a threat to the lives and health of millions of women overseas," a Globe editorial states. The Globe says that withholding the funding "will have no direct effect on China because U.S. contributions to [UNFPA] have been withheld from China for the past eight years." Instead, the decision "really undermines ... access to contraception," particularly for women in developing nations, the editorial concludes (Boston Globe, 7/24).
- Charleston Gazette: Bush's decision to withhold UNFPA funding is a "disgusting flip-flop" and a "sorry example" of how "'religious right' forces wield great power in the Republican party," a Gazette editorial says. "Bush is behaving like a puppet of hidebound, puritanical, narrow-minded groups who are out of step with most of America, and the world," the editorial concludes (Charleston Gazette, 7/25).
- Daily Oklahoman: The Bush administration was "right" to withhold funding for UNFPA programs that "effectively assis[t]" and "support" China's policy of forced sterilizations and abortions, an Oklahoman editorial says. "The United States shouldn't aid and abet that kind of activity," the editorial says, concluding, "The Bush administration made the right call" (Daily Oklahoman, 7/24).
- Dallas Morning News: The denial of U.S. funds to UNFPA is "shortsighted" and "hurts the very cause conservatives are trying to support," a Morning News editorial says. Although the Chinese government penalizes some Chinese couples for having more than one child and uses abortion "as birth control," denying family planning funding "reduces women's power over their lives, which contributes to the very paradigm of power that is one reason Chinese families value male babies more," the Morning News states. "The U.S. withdrawal of its support is another wrongheaded slap at multilateral cooperation. It's a shame the Bush administration is allowing partisan politics to drive policy like this," the editorial concludes (Dallas Morning News, 7/25).
- Detroit Free Press: The withdrawal of UNFPA funding is a "hollow victory" for abortion-rights opponents because neither U.S. foreign aid funding or UNFPA money is used to fund abortion services overseas, a Free Press editorial states. The United States "is eliminating what amounts to 12.5% of UNFPA funding," money that is used to help people in 141 countries other than China receive family planning education, which is "one of the best ways to improve their health and living conditions," the editorial concludes (Detroit Free Press, 7/24).
- Houston Chronicle: Although Bush was "clearly ... sending a friendly signal to his antiabortion constituency" by withholding UNFPA funds, "no pro-life goal is achieved here when releasing the funds to UNFPA could prevent hundreds of thousands of abortions due to unwanted pregnancies," a Chronicle editorial says. "If Bush is really concerned about abortion, he should show some leadership by releasing family planning funds and pointing out how reproductive health services that let women and couples control fertility reduce the overall number of abortions in the world," it concludes (Houston Chronicle, 7/25).
- Minneapolis Star Tribune: In "succumb[ing] to pressure from abortion foes" by deciding to withhold UNFPA funding, Bush has "chosen a most foolish course," a Star Tribune editorial says. UNFPA has been "universally hailed for spurring a decline in infant mortality, unwanted pregnancy and needless abortion," and to deny the organization U.S. funds "virtually assures that the global prevalence of abortion will increase," the editorial concludes (Minneapolis Star Tribune, 7/26).
- Newsday: UNFPA does "good work that is widely praised" in the area of reproductive health, and the Bush administration's withdrawal of funding for the agency is a "brain-dead decision," a Newsday editorial states. If the United States opposes China's population-control policies, it should continue to stipulate that U.S. funding to UNFPA cannot be used in China, Newsday states. "Like Dr. Strangelove, the Bush administration seems unable to pass by a right-wing agenda without saluting. ... [W]hen it comes to a hot-button issue for the right wing's antiabortion faction, common sense and good policy take a back seat to partisanship in this White House," the editorial concludes (Newsday, 7/24).
- Philadelphia Daily News: It is puzzling "how a leader who calls himself compassionate can choose political expedience over the health of women and children," a Daily News editorial states. The editorial says that the withdrawal of the U.S. contribution to UNFPA will result in two million additional unintended pregnancies and 4,700 additional cases of maternal mortality -- "all to please the hardest of right wingers in the Republican party" (Philadelphia Daily News, 7/24).
- South China Morning Post: The Bush administration's decision "shows the hypocrisy of Bush and his policymakers," who are sacrificing the health of women for political reasons, a South China Morning Post editorial states. The Post adds that China's one-child policy has "been increasingly relaxed and now applies mostly to overcrowded urban areas." The editorial concludes, "With just three months before the [congressional] elections, it is clear the Bush administration's actions are of a political nature. For the sake of votes, Washington has also endangered the lives of tens of thousands of women and children in the developing world" (South China Morning Post, 7/24).
- Toronto Globe and Mail: The midterm congressional elections and the "formidable weight of the right-wing, antiabortion vote" were the motivating factors for the Bush administration's "reckless, myopic decision to scrap a much-needed" contribution to UNFPA, a Globe and Mail editorial states. "[T]he grating stupidity of this particular move ... is that it will produce precisely the opposite effect of what's intended. There will be more abortions ... [and] more unwanted children" worldwide, the editorial concludes (Toronto Globe and Mail, 7/24).
- Wall Street Journal: The Bush administration's decision to redirect UNFPA funding to USAID is a "sensible compromise," given China's "barbaric one-child policy," a Journal editorial states. The Journal says that there is "[n]o doubt" that politics factored into the decision, but it adds that "self-described liberals and feminists" should be focused on pressuring China to abandon its population control strategies. Noting China's unequal sex ratio -- 117 males for every 100 females -- the editorial continues, "Apparently reproductive 'choice' is a virtue everywhere but China, where the state causes the abortion of many more female babies than male." The Journal concludes, "The truly cynical politics here [are] being played on the left, which is once again trying to make an unrelated issue a matter of national abortion politics, and in the process whitewashing human rights abuses overseas" (Wall Street Journal, 7/24).
- Washington Post: Although Bush has said that fighting global poverty is part of his plan for eradicating terrorism, the withdrawal of U.S. UNFPA's funding is "a blow to poor women," a Post editorial states. Secretary of State Colin Powell, who has praised UNFPA's work, "has considerable leverage by virtue of his national stature, [and] ought to use that leverage more forcefully," the editorial continues. Diverting UNFPA funding to USAID will not be as effective, the editorial states, adding that in the area of development assistance, "bilateral programs are not a substitute for good multilateral ones." The Post concludes that withdrawing UNFPA funding will ultimately "weaken efforts at population control, an important component of the broader fight against global poverty" (Washington Post, 7/24).
Opinion Pieces - Marilyn Bowie, New York Times: The Bush administration's decision to block UNFPA funds to "appease its right-wing supporters" is "appalling," Bowie, former executive director of Planned Parenthood of South Central Indiana, says in a Times letter to the editor. Are Bush and his administration "so blind that they don't know that the only effective way to prevent abortions is to make family planning ... services as widely available and accessible as possible?" Bowie asks (Bowie, New York Times, 7/24).
- Ken Fireman, Newsday: The Bush administration's decision not to fund UNFPA "represents a major victory for an important element of the Republican political base: antiabortion activists," Fireman says in a Newsday column, adding that the decision could "energize conservative voters who regard abortion as an important issue." However, Fireman states that the administration "packaged" the decision in a way that made it appear to be "nothing more than a bureaucratic shuffle of $34 million" from one program to another and "took great pains to distance Bush" from the final decision (Fireman, Newsday, 7/24).
- Ellen Goodman, Boston Globe: The Bush administration knows that UNFPA "isn't part of the problem of China's coercive policies; it's part of the solution," syndicated columnist Ellen Goodman says in a Globe opinion piece. According to Goodman, the $3.5 million that UNFPA spends in China is used to "show the Chinese government that voluntary family planning works" by training family planning workers in quality care and informed consent and informing Chinese citizens of their rights under U.N. human rights treaties. Noting that abortion rates have dropped in the areas of China where UNFPA has worked, Goodman states that the United States is withdrawing funds that pay for midwives, hospitals, birthing kits and contraceptives "to appease the domestic 'right-to-life' lobby" (Goodman, Boston Globe, 7/25).
- Derrick Jackson, Boston Globe: Although Powell has said that UNFPA "does invaluable work" and gives "critical population assistance to developing countries," the "politics" of the situation have forced Powell to "go from supporting [UNFPA] to giving out aid that will probably have so many gag rules on it that the programs cannot possibly reflect his views," Jackson says in a Globe column. Powell's support of UNFPA likely led to Bush's "early pledge" to give $25 million to the fund, but the "clucking of the right wing got Bush's attention," Jackson states, adding that the administration "showed no real interest in the facts" of the State Department's mission to determine UNFPA's level of involvement in "coercive elements" of China's family planning programs (Jackson, Boston Globe, 7/24).
- Stephanie Salter, San Francisco Chronicle: The campaign buttons proclaiming "W stands for women" that were worn by female Bush supporters at the 2000 Republican presidential convention were "ridiculous" then, but they are now a "cruel ... joke" that "will kill thousands of women and children in 142 countries," Salter writes in a Chronicle column. "It's funny how aiding and abetting the Chinese government's abortion policies -- or any of its human rights policies -- never comes up when the question is whether to grant the country most favored nation trading status," Salter notes, concluding, "It only matters when money is earmarked for contraception and health care for poor women" (Salter, San Francisco Chronicle, 7/24).
- Alex Sanger, Women's Enews: The Bush administration's decision to deny UNFPA funds makes it "obvious" that "both facts and women's health take a back seat to the Republican Party's goal to win both houses of Congress in the November elections by mobilizing the party's antichoice wing," Sanger, chair of the International Planned Parenthood Council Western Hemisphere Region, says in a Women's Enews opinion piece. The "irony" of the administration's decision, according to Sanger, is that it comes "just at the time when the Chinese government is making progress in addressing the reproductive rights issues for which it has been criticized," including forbidding the abandonment or maltreatment of infant girls, preventing the use of sonograms to selectively abort female fetuses and allowing couples to apply for a second child. "Though not perfect, China's new law is a major step forward and it is a clear indication that [UNFPA's] presence in China has been a positive force for voluntary family planning," Sanger concludes (Sanger, Women's Enews, 7/24).
- Georgia State Rep. Lynn Westmoreland (R), Atlanta Journal-Constitution: Those criticizing Bush's decision to withhold UNFPA funds have "totally missed the reasoning behind the decision" -- China's "barbaric" one-child policy -- Westmoreland says in a Journal-Constitution opinion piece. The policy imposes fines of up to three times the annual income of a poor family for those who refuse to have abortions. "I am confident that the American people earnestly desire to support those families in China who wish to have children rather than have their right to self-determination brutally denied by a regime that has all too often denied the basic human rights of its own people," Westmoreland says. He concludes that the administration's decision demonstrated "courage and leadership on this vital human rights issue that should be admired, not condemned" (Westmoreland, Atlanta Journal-Constitution, 7/25).
Organization Statements - American Life League: "President Bush's recent decision to redirect $34 million in government funds from the United Nations' abortion coercion activities in China to USAID's abortifacient 'contraceptives' program is a purely political move with no consistency behind it," American Life League President Judie Brown said, adding, "What [Bush] has given to pro-lifers with one hand, he has taken away with the other" (American Life League release, 7/23).
- International Center for Research on Women: "The administration [has] turned its back on millions of women in developing countries for whom access to reproductive health care and family planning services provides a ticket out of a life of poverty and ill-health," ICRW President Geeta Rao Gupta said, adding, "By withholding U.S. funds to UNFPA, the [administration] is withdrawing reproductive and family planning assistance to six of the 10 poorest countries on the face of the earth. This decision further sacrifices good public health policy to narrow ideological politics" (ICRW release, 7/23).
- U.S. Conference of Catholic Bishops: Bishop Wilton Gregory, in a letter to Bush, "commended" him for withholding UNFPA funds and thanked him for "taking this action in defense of women and children in developing nations." Gregory added that he "hope[s]" Bush's action will "encourage the UNFPA to reconsider its involvement in ... injustice[s]" such as forced sterilizations and abortions (U.S. Conference of Catholic Bishops release, 7/23).
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