birth control

January 20, 2014

MLK Jr. and his “Family Planning — A Special and Urgent Concern” Speech

Access to Abortion Services is Part of Reproductive Justice and Civil Rights

Access to Abortion Services is Part of Reproductive Justice and Civil Rights (http://www.now.org/issues/abortion/)

This morning, the Greater Grand Rapids chapter of the National Organization posted a blog in honor of Martin Luther King’s birthday.  His birthday is actually on January 15.  But we celebrate it with a federal holiday on the Monday following January 15 each year. Their blog focuses on Dr. King’s strong support for reproductive justice as part of women’s basic civil rights.  Take a moment and read what they have to say. Meanwhile, here’s something you might not know about Dr. King.  Dr. King wrote a speech honoring Margaret Sanger in 1966. Sanger was the founder of Planned Parenthood Federation of America (PP).  Dr. King’s speech on reproductive justice was written in response to being awarded one of the four first Margaret Sanger Awards given by PP.  Since he was in jail at the time of the presentation, Coretta Scott King read his acceptance speech.  King entitled this speech,

Family Planning — A Special and Urgent Concern

Here’s what he said on family planning and its link to civil rights:

…. There is a striking kinship between our movement and Margaret Sanger’s early efforts. She, like we, saw the horrifying conditions of ghetto life. Like we, she knew that all of society is poisoned by cancerous slums. Like we, she was a direct actionist — a nonviolent resister. She was willing to accept scorn and abuse until the truth she saw was revealed to the millions. At the turn of the century she went into the slums and set up a birth control clinic, and for this deed she went to jail because she was violating an unjust law. Yet the years have justified her actions. She launched a movement which is obeying a higher law to preserve human life under humane conditions. Margaret Sanger had to commit what was then called a crime in order to enrich humanity, and today we honor her courage and vision; for without them there would have been no beginning. Our sure beginning in the struggle for equality by nonviolent direct action may not have been so resolute without the tradition established by Margaret Sanger and people like her. Negroes have no mere academic nor ordinary interest in family planning. They have a special and urgent concern….

[O]ne element in stabilizing his [sic] life would be an understanding of and easy access to the means to develop a family related in size to his community environment and to the income potential he can command.

This is not to suggest that the Negro will solve all his problems through Planned Parenthood. His problems are far more complex, encompassing economic security, education, freedom from discrimination, decent housing and access to culture. Yet if family planning is sensible it can facilitate or at least not be an obstacle to the solution of the many profound problems that plague him….

Some commentators point out that with present birth rates it will not be long before Negroes are a majority in many of the major cities of the nation. As a consequence, they can be expected to take political control, and many people are apprehensive at this prospect. Negroes do not seek political control by this means. They seek only what they are entitled to and do not wish for domination purchased at the cost of human misery. Negroes were once bred by slave owners to be sold as merchandise. They do not welcome any solution which involves population breeding as a weapon. They are instinctively sympathetic to all who offer methods that will improve their lives and offer them fair opportunity to develop and advance as all other people in our society.

For these reasons we are natural allies of those who seek to inject any form of planning in our society that enriches life and guarantees the right to exist in freedom and dignity….

April 13, 2013

Pennsylvania General Assembly Again Attacking Women’s Reproductive Health

Keep Abortion Legal NOW Round

Keep Abortion Legal Safe, Legal and Accessible (http://www.now.org/issues/abortion/)

It’s 2013 and the Pennsylvania General Assembly continues to attack women’s access to reproductive health. According to WeveHadEnoughPA.org, the Pennsylvania legislature has launched and maintained a 2+ year attack on women’s health. There have been numerous bills introduced and in some cases passed that restrict women’s vital access to reproductive health.  Since January 2011, there have been at least 55 votes in the Pennsylvania General Assembly to restrict access from birth control to safe, legal abortions.

The most recent attack is happening this month.  On April 10, the Pennsylvania Senate Insurance and Banking Committee heard and passed out SB 3 by an 8-5 vote; a floor vote could occur any time this month.  This coming Monday, April 15th, the Pennsylvania House Health Committee will be hearing and voting on HB 818, the companion bill to SB 3.

The Additional Burdens on Women Seeking Abortion Care in These Bills

Both of these bills would prohibit insurance companies who provide health care coverage from including abortion coverage within the new healthcare Exchange crafted by the Affordable Care Act (aka Obamacare). The only exceptions to this proposed ban are for women who become pregnant because of rape or incest if they personally report the sexual assault to law enforcement officials and for women who will die without immediate access to abortion services. If a woman doesn’t meet one of these two exceptions, she must completely pay for the abortion totally out of her own pocket, unlike any other medical care she would receive under her health insurance plan.

Currently, about 80% of private insurance companies provide coverage for abortion services. This is important because these very same plans will be offered to people purchasing insurance through the Exchange. As part of the federal law, however, all plans that offer abortion coverage in the Exchange must have a separate payment for that portion of the coverage. This bill would deny women the right to make this separate payment and deny them what is currently available to most people covered by the current private health insurance system. While women would still be able to have abortions in this circumstance, they would be forced to fully pay out-of-pocket all cost for these procedures; their insurance company would be prohibited from paying any portion of this treatment.

This proposed ban places an undue burden on victims of rape and incest and on those women whose lives are in danger health-wise by adding unnecessary barriers to receiving the critical medical attention they need. The two exceptions allowed are extremely limited. These bills require woman who are victims of rape or incest to notify the police and identify the perpetrator prior to seeking abortion treatment.  It also limits women with health issues that complicate their medical treatment to those that are in immediate danger of dying and requires additional medical certification by second, non-attending physician.

This bill places these restrictions on access to health insurance not by mentioning rape or incest or the death aversion clause, but by referring to and expanding Pennsylvania’s version of the Hyde Amendment.  This language is embedded in 18 Pa.C.S. § 3215(c) and would expand restrictions on public funds to all privately paid insurance plans purchased within the Exchange. The law (18 Pa.C.S. § 3215(c))as currently written is a prohibition of the state spending of public funds but not personal funds provided by the person herself for her own health insurance coverage.

The Rape and Incest Exception

Women and minors who are raped would be denied access to abortion services unless they formally report and identify their rapist to the police or child protective services.  Most sexual assaults are not reported to the police. This is even truer when the perpetrator is a family member or acquaintance. According to the Pennsylvania Coalition Against Rape, sexual assault occurs at a much higher rate than is actually reported.

Reasons for not reporting include an initial denial that they have been raped; fear that you won’t be believed or are ashamed for having been raped; or having an ongoing relationship (such as a spouse or parent) with the perpetrator. In order to be safe from further violence by the perpetrator, women and girls may decide not to report the attack to the authorities.  And if you are in denial you are also unlikely to report your rape or the incest of your child to authorities as required in this proposed legislation.

So that means if this bill becomes law and you become pregnant from rape or incest, you are further burdened with the additional costs of fully paying for the abortion. If this bill were not to go into effect, then following the restrictions placed on abortion care under federal law, you would have the abortion services covered based on the insurance rider you purchased in the exchange and you wouldn’t be forced to file a complaint with the police.  This is just one reason why this bill should be voted down.

The “Avert” Death Exception and Need for Expanded Health Exception

In addition, under this proposed law, women who are near death could receive an abortion.  However, say a woman develops cancer or an infection during her pregnancy that will not immediately kill her but would complicate her medical treatment should she continue with the pregnancy.

This health threat/complication is not included in the current bill’s health exception as that exception allows abortions only to “avert” the woman’s death. Any woman with a medical condition that is complicated by the pregnancy but doesn’t immediately place her in danger of death would be forced to bear the additional burden of the full cost of an abortion in addition to the increased threats to her health as well as the additional medical bills for the remaining part of her care.  The medical community, advocates and some legislators are very concerned about this limited exception and have proposed an amendment to both the House and Senate bill to expand this exception from “averting” her death to coverage of the abortion for any pregnancy that poses a substantial risk to the woman’s physical health.

But even if the health exception is expanded to include threats to women’s physical health and care, this bill continues to attack women’s health and lives and should be voted down.

Why this Bill Should be Voted Down

The question of whether abortion will be covered in federally subsidized insurance exchanges has already been settled.  In response to concerns raised by US Senator Ben Nelson, a staunch opponent of abortion, women who want to use their own money to purchase a health insurance plan that covers abortion services must send a separate payment so the funding for abortion coverage is completely separate and paid entirely by the individual. This bill denies women their right to make this separate payment.  And with an estimated 80% of private insurance plans currently covering abortion care, banning abortion coverage in the state exchange would leave women worse off than they were before health care reform began.

Abortion care is a legally authorized and fundamental component of women’s basic health care.  Women should not be denied access to safe, legal, and critical care as part of health care reform implementation.

If abortion coverage is available to some, it should be available to all.  Politicians should not discriminate against women participating in the health insurance exchange.  All women deserve the same peace of mind that they can obtain the health care they need, regardless of where their insurance comes from.

The decision to have an abortion is a private decision between a patient and her physician. It should not be denied by politicians interfering with an insurance company and the policies they offer to the consumer for this procedure.

Banning abortion coverage in transactions between a private company and an individual is governmental activism of the worst kind.  With all of the heated rhetoric over healthcare reform, one would assume that lawmakers would be sensitive about taking any action that suggests government intervention in private healthcare decisions.

Finally, instead of denying Pennsylvania women access to fundamental reproductive health care services, politicians should be working to protect and advance women’s health.

Action Needed

Contact your Pennsylvania Senator and Representative today (find their contact information here).  Tell her/him to support the expanded health exception amendment to both SB 3 and HB 818 and to oppose the entire bill regardless of the inclusion of the amendment.

March 16, 2013

Powerful UN CSW57 Document on Ending Gender-Based Violence Created

On March 14, I wrote a blog entitled “The “Unholy Alliance” that May Defeat Comprehensive UN Call to End Gender-Based Violence.” I talked about an alliance between the Vatican, Iran, Russia and a couple of other countries that were attempting to eviscerate the comprehensive plan being created at the 57th session of the United Nations Commission on the Status of Women (CSW57) to end gender-based violence and fully comply with all of the universally agreed-upon agreements (treaties, resolutions, and statements). These previous agreements include the Women’s Rights Treaty (commonly known as CEDAW or the Convention on the Elimination of Discrimination Against Women (1993)) as well as the Beijing Platform for Action (1995), and UN Security Council Resolution 1325 (2000).

I am happy to say that this didn’t happen.  Thanks to the bloggers, news media, Tweeters, NGO’s attending CSW57, and several official Member States, the amendments to the document were voted down on Friday during the final day of the 2-week convention.

Iran was the only country that voted against the final, comprehensive document. The Vatican did not get to vote because of its status as a “Permanent Observer State” rather than as a voting “Member State”. And Russia backed down and voted for the final document along with all of the remaining UN Member States.

People around the world heard about these attempts to deny women and girls safety from all forms of violence.  We spoke out and acted.

As a result, unlike last year, we FINALLY have a strong document that

“condemns in the strongest terms the pervasive violence against women and girls, and calls for increased attention and accelerated action for prevention and response.” (Source)

This document has a strong prevention focus since the best way to end violence against women and children is to stop it BEFORE it happens.  It also addresses inequalities in the political, economic, and social spheres that engender violence. And it takes action to provide services and justice for victims of violence around the world.

Ms. Michelle Bachelet, United Nations Under-Secretary-General and Executive Director of UN Women summarized the comprehensive coverage of this powerful statement to end this type of human rights violation in her closing statement of the conference:

During the past two weeks, discussions centred on matters of urgency to people around the world — eliminating all forms of violence against women and girls, ending impunity for perpetrators, fully engaging men and boys, and advancing women’s empowerment and gender equality to prevent and end these human rights violations….

Important and timely matters were addressed — ending child and early forced marriage, protecting the rights of persons with disabilities, and providing justice and critical services for survivors of violence.

There were debates on ending sexual violence in conflict, tackling human trafficking, protecting sexual and reproductive rights, and on the role of culture, religion and the family.

You had many intense late-night negotiations, going over every single word and paragraph, debating long and hard in order to come to [this] strong agreement.

UN Secretary-General Ban Ki-moon, immediately after CSW57, released a statement showing the commitment of the United Nations to fully implement this new document. It says, in part:

Violence against women is a heinous human rights violation, global menace, a public health threat and a moral outrage.  No matter where she lives, no matter what her culture, no matter what her society, every woman and girl is entitled to live free of fear.  She has the universal human right to be free from all forms of violence so as to fulfill her full potential and dreams for the future.

States have a corresponding responsibility to turn that right into reality.  The Secretary-General hopes that all the partners who came together at this historic session and others around the world will now translate this agreement into concrete action to prevent and end violence against women and girls.  The United Nations system is fully committed to leading this global effort.

So now I say, THANK YOU! Thank you for creating this statement. It is one more step  towards realizing the rights, dignity, and humanity of girls and women throughout the world.

Picture of Joanne Tosti-Vasey standing with sign that says "I AM Ending Violence"

Joanne Tosti-Vasey “Refusing to be Silent” and calling for an end to gender-based violence

March 14, 2013

The “Unholy Alliance” that May Defeat Comprehensive UN Call to End Gender-Based Violence

Last week, on International Women’s Day (March 8), I participated in the 24-hour Global Tweet-a-Thon to end gender-based violence.  This event was held in conjunction with the 57th session of the United Nations Commission on the Status of Women (CSW57) that is being held in New York City.  The theme of this year’s session is the “Elimination and prevention of all forms of violence against women and girls.”

I participated as a host for one hour of this event to facilitate the global conversation between people around the world and those attending the unofficial Non-Governmental Organization (NGO) programs at the UN as well as to send a message to the official UN delegation. Our message was that advocates around the world are looking for a strong draft statement calling for the full elimination and prevention of all forms of violence against women and girls as directed by the theme of this two-week conference.

Here are a few of the many tweets I sent out that either addresses the situation of violence in countries around the world OR that calls on governments, including the UN, to create best practices to end gender-based violence:

@JoeBiden “40% of all mass shootings started with the murderer targeting their girlfriend, or their wife, or their ex-wife.” #EndVAW #CSW57 #IWD2013

The first sexual experience for 24% of women in rural Peru was forced. #EndVAW #CSW57 #IWD2013

In Latin America & the Caribbean, abused women reported higher incidents of miscarriage and induced abortion. #EndVAW #CSW57 #IWD2013 (Source)

In South Africa, women who were abused by their partners are 48% more likely to be infected with HIV than those who were not. #EndVAW #CSW57 #IWD2013

To #EndVAW, governments must enact legislation that addresses violence based on sexual orientation and gender identity. #CSW57 #IWD2013

To #EndVAW governments must fully fund health services for survivors of violence, including #HIV screening & emergency contraception. #CSW57 #IWD2013

To #EndVAW, governments must ensure girls and women have access to abortion in cases of rape and incest. #CSW57 #IWD2013

Providing young people with human rights-based, comprehensive sexual and reproductive health services and information helps #EndVAW. #CSW57 #IWD2013

Respecting, protecting, and fulfilling girls’ and women’s sexual rights can minimize the violence they face. #EndVAW #CSW57 #IWD2013

Promoting girls’ and women’s sexual rights is a key tool to #EndVAW, address women’s inequality, and achieve sustainable development. #CSW57 #IWD2013

Domestic laws to #EndVAW should align with international best practice and reinforce the protections found in #humanrights treaties. #CSW57 #IWD2013

And

There is no country where women and men are equal in all spheres of life. You have the power to can change that! #EndVAW #CSW57 #IWD2013

That last tweet is a call for individuals, organizations, countries, and the United Nations to pull together to create and execute a comprehensive plan to end gender-based violence and fully comply with all of the universally agreed-upon agreements (treaties, resolutions, and statements), including the Women’s Rights Treaty (commonly known as CEDAW or the Convention on the Elimination of Discrimination Against Women (1993)) as well as the Beijing Platform for Action (1995), and UN Security Council Resolution 1325 (2000)

I had hoped the draft document that is supposed to be finalized and signed on March 15 – the final day of the two-week deliberation – would help strengthen these treaties.  Instead on Tuesday, March 12, 2013, I received an email from two NGOs – the Center for Women’s Global Leadership (CWGL) at Rutger’s University and International Women’s Rights Action Watch Asia Pacific (IWRAW Asia Pacific)—indicating that

“the United Nations Commission on the Status of Women (CSW) is wavering in its commitment to advance women’s human rights as demonstrated in the constant negotiation of the language in the outcome document.”

The next morning, I saw a New York Times editorial called “Unholy Alliance.”  This article clearly lays out what was going on in the official deliberations.  Apparently, the Vatican (which, btw, is a “Permanent Observer,” not a “Member State”), Iran, Russia, and a few other Member States have spent the their entire time at CSW57 trying to eliminate language in the draft communiqué to “duck” their obligations – and thus the obligations agreed to by most of the world – to eliminate all gender-based violence.

Their excuses?  Religion. Custom. Tradition.

What are they objecting to specifically?  Any reference to abortions or contraception.  Any mention of reproductive or sexual health. Any reference to forced sex as rape by either a spouse or other intimate partner.  And even any reference to women’s rights in general from the aforementioned international agreements; in this case, they claim that either religious or cultural traditions must take precedence over ending any form of gender-based violence.

These “reservations,” by the way, are the same reservations raised by essentially the same countries at the 56th session of the CSW conference in 2012.  As a result, that session ended without any agreement and women, once again, were left without a comprehensive UN plan to help improve their lives.

I am appalled. Gender-based violence is a crime against humanity.  Whether that crime is perpetrated by a government (for example, when military units carry out gang rapes and other gender-based war crimes for ethnic intimidation, ethnic cleansing and terrorizing a community).  Or when that crime of violence is perpetrated by individuals.

After learning all of this, I contacted the National Organization for Women (NOW) chapters in Pennsylvania.  Within 24 hours, Pennsylvania NOW along with South Hills NOW (Pittsburgh area), East End NOW (part of Allegheny County just east of Pittsburgh), Northeast Williamsport NOW, Ni-Ta-Nee NOW (my chapter here in Centre County), and Montgomery County NOW all co-signed the letter created by CWGL and IWRAW Asia Pacific.

This letter was signed by 281 organizations from 57 countries and 129 people from around the world and delivered to the conference on March 14.  FYI, since some of the organizations do not include the country of origin in their names, there may be — and probably are — more than 57 countries represented on this letter.

Here’s the letter that we signed.

IWD Statement on Concerns of Women’s Organizations Over Negotiations on CSW 57 Outcome Document 3-14-13

I along with all of these organizations and individuals want to see a comprehensive UN program to end violence against women and girls.  We want to strong enforcement of all international agreements.

Patriarchy has no right to quash human rights.  Let’s hope that the official delegates hear our voice and stop this “unholy alliance.” If allowed, the result will be more, not less gender-based violence.

If not, then I believe that like last year there should be no UN document signed by the United States or any other Member State participating in the 57th CSW conference.  Going forward with a strong plan to end all forms of violence is the best plan.  Going backwards is appalling and should not be condoned.  Better nothing than something that moves us backwards.

Let’s just hope they hear our voice and “do the right thing.”

February 4, 2013

The  rule related to access to contraception and who pays for this insurance coverage under the Affordable Care Act was once again modified by the Obama Administration on February 1, 2012.

Fortunately, this new rule does not cave into the Catholic bishops call to allow businesses to opt-out of paying for family planning but did give them a slight loop-hole. If the business can successfully argue that they are a religious institution that is just like a house of worship, then they can be treated like a house of worship and opt out of the business paying for contraception, leaving the insurance company to pay for it.  This will affect any employee of the business/institution as well as students receiving health care coverage and services at their religiously affiliated school that can meet the requirements for this new exemption.

This blog by Erin Matson does a good job of describing this new change.

 

Erin Matson

Today, the Obama administration issued a new proposed rule regarding the contraceptive mandate under the Affordable Care Act. Many reproductive rights organizations are calling it a victory. Some advocates, not so much.

So what just happened?

1. The new proposed rule spurned lobbying led by the U.S. Conference of Catholic Bishops that would have made businesses eligible to opt-out of the contraceptive mandate. 

All along these men have been arguing that the owner of a Taco Bell, a craft store chain or any business should be able to dictate the terms of what private insurance companies will provide to beneficiaries. That didn’t happen today. No ifs, ands or buts. The Obama administration did not cave. This is probably why some reproductive rights organizations are calling the new proposed rule a victory.

2. The new proposed rule did slightly expand the religious exemption, at a minimum creating a new gray area…

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