What about this opportunity, health tech investors? Promoting Contraception vs Banning Abortion – The Health Care Blog


dr. Linda Rosenstock has an MD and MPH from Johns Hopkins, and was a Robert Wood Johnson Clinical Scholar. She is currently dean emeritus and professor of health policy and management at UCLA’s Fielding School of Public Health, as well as serving for years in government and serving on President Obama’s advisory group on prevention, health promotion, and integrative and public health.

In the wake of the publication of Justice Alito’s demolitions memo Roe v. Wade, she was asked to comment on the status of abortion in America. This is what she said:

The wider the access to proven family planning methods, the lower the rate of unintended pregnancies and the lower the abortion rate. We canDon’t underestimate the role of educating and empowering women – and men – on these issues.”

These are not just the opinions or insights of a single health professional. They are supported by the following facts:

  1. Since 1981, the abortion rate among American women ages 15 to 44 has fallen by nearly two-thirds from 29.3 per 1,000 to 11.4 per 1,000.

2. About half of all pregnancies in the US are unintended. Of those who were unintentional, about 40% of women chose to terminate the pregnancy through abortion — either procedurally or chemically induced.

3. The decline in abortions has coincided with increased access to long-acting reversible contraception, including IUDs and contraceptive implants. These options are now safe, increasingly covered by insurers and more accessible to risk groups.

4. The increasing inclusion of sex education in high school and high school curricula was accompanied by a 17% decrease in high school sexual activity between 2009 and 2019.

5. There were 629,898 abortions recorded by the CDC in 2019. For every 1,000 live births that year, there were 195 other women who chose to terminate their pregnancies. Nearly half of first-trimester abortions are now chemically induced through Plan B pills.

These numbers clearly show that knowledge and access to birth control is the best way to reduce the number of abortions in America.

We’ve known this for a while. But when it comes down to it, the actions of Right to Life advocates, including conservative Catholics and Evangelical Christians, have revealed (through their actions) that a broader agenda is at work here than just eliminating abortions. That broader agenda includes patriarchal control over women’s sexuality and birth rates in America.

Overcoming this resistance requires excellent messaging, service acquisition, information support, privacy, and short-term follow-up. These seem to fit well in the wheelhouse of entrepreneurs learning health education.

The fact that contraception is safe and effective and strengthens women’s autonomy and access to the workplace is no longer up for debate. The options for contraception are also extensive. Reversible contraceptive implants are now chosen by 16%, IUDs by 21% and surgical tubal ligation by 28%.

Looking at the track record of those leading the attack to eliminate: Roe v. Wade (in and outside the Supreme Court), including De Santis-level sanctions, pedophilia fantasy, insistence that “abstinence only” sex education works, and heavily orchestrating attacks on Planned Parenthood’s services for women, it is reasonable to to assume that Alito’s assurances that the undoing of privacy precedents only applies to abortion is not reliable.

Judge Alito’s trustworthiness must be viewed through the lens of the testimony sworn by Judges Kavanaugh, Barrett and Gorsuch on the subject during their hearings. Alito and these co-signers on his recent draft assure that: Roe v. Wade and Planned Parenthood v. Casey are different because “[a]bortie destroys. † † potential life” and “none of the other decisions mentioned by” roe and Casey “involve the critical moral question posed by abortion.”

But the history and achievements of these five judges, their original and current adherents, their documented religious orthodoxy, and the web of conservative schools and think tanks harboring their entrenched prejudices all suggest that the buyer should beware.

Other recently granted rights under these privacy precedents include:

Paraphrasing the proverb from a book called The Court and Character of King James by Anthony Weldon, 1651: “Fool me once, shame on you. Fool me twice, shame on me.”

Mike Magee, MD is a medical historian and health economist, and author of: CodeBlue: in the medical-industrial complex”

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