Friday, October 20, 2017

Abortion Rates Are Down, But The Trump Administration Seems To Want To See Them Up Again


According to the Guttmacher Institute:

Between 2008 and 2014, the overall U.S. abortion rate declined by 25%, from 19.4 to 14.6 abortions per 1,000 women aged 15–44. Key data points that may help explain this decline, including trends in unintended pregnancy, are not yet available for this time period. However, the available information suggests that improvements in contraceptive use—particularly among women aged 20–24, who account for one-third of unintended pregnancies in the United States—were an important driver behind the decline. Abortion rates declined among all demographic groups from 2008–2014, but the declines varied widely by group.

It's too bad that the necessary data to explain the decline isn't yet available, though note that the above excerpt singles out improvements in contraceptive use*.  That the Affordable Care Act made contraception more affordable could well be part of the explanation.  If it is, what the Trump administration is doing right now could reverse that falling trend.

Such an outcome should be the very opposite to what the so-called pro-lifers (who largely voted for Trump) want, if they indeed were motivated by the desire to reduce abortion rates.

But it sounds like the Trump administration has added an anti-contraception stance to its anti-abortion stance. Erin Gloria Ryan writes the following about a leaked memo which is supposed to have come from this administration:

If the Trump administration got its way, the US Agency for International Development (USAID) budget for family planning would be slashed, with “no other family planning programming for girls except fertility awareness methods.” Lapsed Catholics should remember the phrase “fertility awareness” from confirmation class; it’s just a scienced-up term for “the rhythm method,” a form of birth control that doesn’t work for one-quarter of couples who use it.


Title X funding, which helps poor women afford contraception, would be slashed in half if Team Trump gets its way. Money would be diverted from sex education that emphasizes “risk reduction” and instead flow toward “sexual risk avoidance,” which is another term for “abstinence-only education.” Abstinence-only education doesn’t work. A report published this year declared the practice both “ineffective and unethical.”

Bolds are mine.

There was a time when I believed that writing about a conservative attempt to make birth control harder for women to access would be joining the tinfoil brigades.  Sadly, that doesn't seem to be the case anymore.

I'd love to know who is behind this memo.  Is it the extremist anti-contraception Catholics or some other fundamentalist group?  Why do they appear to support policies which will cause suffering and poverty at home as well as abroad?

And what about the impact of such inherently stupid policies (not letting women avoid pregnancies they don't want) on overpopulation in poorer countries,  on increased fights for arable resources and water, on higher levels of conflict, on greater levels of political radicalization,  and ultimately on much vaster numbers of economic migrants?

The goals of world peace, global economic well-being and the empowerment of women both at home and abroad are all at risk if the Trump administration actually manages to reduce poorer women's access to contraception.  But given what else we know about this administration's policies, this could well be the intended effect.

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*  Other explanations are possible, either alone or in combination with the one mentioned in the body of this post.  For instance, the Republicans' strong push to make abortion unavailable in practice, however legal it might be in theory, could have resulted in larger numbers births to women with unplanned pregnancies.  To gauge that theory, we need data on pregnancy rates.  But the available evidence is more likely to support the explanation based on improved contraception use:

And contrary to what anti-abortion advocates might hope, this historically low abortion rate also does not mean that more people are choosing to carry their pregnancies to term instead of having abortions. The abortion rate in the United States has been declining for the last 25 years. As of data from 2011, unintended pregnancies have declined, and as of this past summer, the birth rate in the United States is at an all-time low.