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Poor Women are Not "Pork"

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Responding to President Obama's request, House Democrats cut a provision from the stimulus package that would expand contraceptive family planning for Medicaid patients--usually poor women and girls. He, in turn, was responding to Republicans' opposition to expanding Medicaid family planning for poor women and girls.

Why did this happen?

For years, reproductive justice activists have argued that the religious right's real agenda is not just to eliminate abortion, but to end the historic rupture between sex and reproduction that took place in the 20th century.

I understand why that rupture is unsettling. Ironically, I was on my way to lecture about Margaret Sanger in my history course at U.C. Berkeley when I heard the news. Sanger was vilified for wanting to give women the choice of when or whether to bear children. In short, she challenged all of human history by proposing an historic rupture between sexuality and the goal of reproduction. Iif reproduction ceased to be the goal, sexuality might become yoked to pleasure and that is quite unsettling to many Americans.

That is the legacy the religious right has fought against, and it's that agenda that cut funding for family planning.

House Minority Leader John Boehner (R-OH) said, "How can you spend hundreds of millions of dollars on contraceptives? How does that stimulate the economy?"

Well, here's the answer. First, the package is filled with health care services, many of which will help uninsured citizens, but not stimulate the economy. Family planning services for poor women and girls is also health care. So those who argue it's no big deal should realize that the package is filled with health care services, with the exception of family planning.

Secondly, family planning actually does save the government money. The Congressional Budget Office reported that by the third year of implementation, the measure would actually save $ 200 million over five years by preventing unwanted pregnancies and avoiding the Medicaid cost of delivering and then caring for these babies. The same CBO report found the House version of the stimulus would have a "noticeable impact on economic growth and employment in the next few years, with much of the mandatory spending for Medicaid and other programs likely to occur in the next 19 to 20 months." During the first three years, the CBO report said, the cost and savings are negligible.

Finally, think about the women and girls we are discussing. Consider the teenage girl who's sexually active. What happens to the economy when she bears a child without the means to support it? Conversely, what happens when she finishes her education, enters the labor force, earns a salary, and pays taxes? Do we want an unemployed poor woman to have more children than she can already feed, or do we want her to have access to contraception, get her life back on track, and hopefully find work,instead of raising another child she cannot afford at this time?

This decision was an unnecessary political capitulation to Republicans. According to the AP and the Austin American-Statesman, the president was "courting Republican critics of the legislation" who had argued that contraception is not about stimulus or growth. Unfortunately, too many people have uncritically accepted that argument. But many others have noted that the package is filled with provisions for health care, which certainly includes family planning. Many other provisions, moreover, are also not growth-oriented, and yet it was poor women's bodies that Democrats bartered for the approval and votes from Republicans that they don't need and will seldom get.

That same morning, New York Times columnist Bob Herbert asked "Why anyone listens to [Republicans]?" Why, indeed. They want the Democrats to fail. They want the new president to fail. And so they described women's bodies as "pork" and asked that the funding be cut for contraception.

Women's groups are legitimately outraged at what has happened. The Planned Parenthood Federation of America called the measure a "victim of misleading attacks and partisan politics." Mary Jane Gallagher, president of the National Family Planning and Reproductive Health Association, said: "Family planners are devastated that President Obama and Congress have decided to take funding for critical family planning services out of the stimulus. Their willingness to abandon the millions of families across the country who are in need is devastating."

"The Medicaid Family Planning State Option fully belonged in the economic recovery package," said Marcia D. Greenberger, co-president of the National Women's Law Center. "The Republican leadership opposition to the provision shows how out of touch they are with what it takes to ensure the economic survival of working women and their families."

While Speaker of the House Nancy Pelosi (D-CA) defended the measure as recently as last Sunday, President Barack Obama and Rep. Henry Waxman (D-CA), chairman of the House Energy and Commerce Committee, bowed to Republican pressure and agreed to drop the measure. And although the Senate has not yet voted, it's unlikely that funding for expanded family planning will be approved. In short, the Democrats decided it just wasn't worth fighting about. According to the Washington Wire, one House Democratic aide said, "It ended up being a distraction and it will be removed."

So, poor women who want reproductive health care and contraception are both "pork" and a "distraction." Is this the change we have dreamed about?

President Obama certainly believes in contraception for poor women and girls on Medicaid. He won the election, as he recently pointed out. He doesn't have to cave in to Republican demands to restrict women's choices and health care.

The best way he and Democrats can handle this terribly misguided decision is to pass legislation to fund expanded family planning as soon as possible, before half the population wakes up and realizes that once again, women have been treated as expendable, and that their bodies have been bartered for political expediency.

This article first appeared on Religious Dispatches. www.religiousdispatches.org


26 Comments

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With all this kiss-ass, one would wonder if McCain won the election.

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Thanks, that was my thought as well. I can handle the Republicans, it's the ever appeasing excuse making Demorats who I can't stomach.

Alas, we can't appeal to Hillary, that champion of women, can we? She deserted the health care fight for a more glamorous position.

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Wow, that was a cheap shot. You know who advocated the overthrow of the Taliban YEARS before 9/11? Hillary Clinton. Why? Because of their systematic torture and murder of women. As Secretary of State, Hillary Clinton has not taken the easy way out or taken a job that will allow her to ignore women (as though that would ever be her goal). That was a completely unfair shot at Clinton.

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If she ever accomplishes anything she advocates when it is expedient, I'll change my opinion. One day she's a domestic liberal fighting for the village, the children, the women and their health, next thing she signs on to bombing foreign villages. She campaigns like a working class gal interested in our health then takes a job which will have her making the rounds of global state dinners. I never know which Hillary is going to show up. Can't say she is any different from most elected Democrats in that respect. That's why we still have war and still have no health care. If that changes, maybe I won't be so cynical.

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It appears to me that the right wing has Democrats quite inviegled. John Dean, former Nixon White House Counsel, had this to say in a Boston Globe article about Authortarian Conservatives sometimes disguised as Republicans:
"What I found provided a personal epiphany. Authoritarian conservatives are, as a researcher told me, "enemies of freedom, antidemocratic, antiequality, highly prejudiced, mean-spirited, power hungry, Machiavellian and amoral." And that's not just his view. To the contrary, this is how these people have consistently described themselves when being anonymously tested, by the tens of thousands over the past several decades."
http://www.truthout.org/article/john-w-dean-triumph-authoritarians

Their minds are divided into little compartments. Each compartment has its own defense mechanism to stonewall any new information. A sane individual really wastes their time debating things with people having this kind of personality disorder.

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Oops, my keyboard has a sticky "c", but maybe it's a Freudian "c" as well.

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There are many merits to introducing this as an independent bill or rolling into health care reform. This isn't dead--far from it.

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Agreed. Why this is being translated into Obama changing his mind on reproductive freedom and abandoning those in the crisis of poverty is beyond me. It is no such thing. The inclusion of this measure in the bill muddied it up and gave the GOP a wedge excuse talking point against it. Now that its out of the bill, they have been outed once and for all as the petty, shit head obstructionist haters they really are. Obama revealed them as tin-eared haters who would have voted "no" no matter what the bill said.

This belongs in the coming health care bill. That's where the real fight is going to go down. And that is the bill Americans are waiting for and will enjoy more support because it won't be spun as a "bailout."

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Agreed. Why this is being translated into Obama changing his mind on reproductive freedom and abandoning those in the crisis of poverty is beyond me. It is no such thing. The inclusion of this measure in the bill muddied it up and gave the GOP a wedge excuse talking point against it. Now that its out of the bill, they have been outed once and for all as the petty, shit head obstructionist haters they really are. Obama revealed them as tin-eared haters who would have voted "no" no matter what the bill said.

Exactly! I also agree that it was a smart move to delete the provision in order to remove the possibility of the Republicans turning it into a distraction that hurt the chances of passing the stimulus. And you caught the another wise reason for removing it: by doing so Obama eliminated a bogus excuse that the Republicans would have invariably used for voting against it. I predict we'll see this brought to a vote soon, either in it's own bill, or attached to a health bill as you mentioned, as it certainly should be.

To presume that this was a permanent capitulation to the Republicans, or a betrayal of poor women, is nonsense. Obama has enough problems without this sort of rear guard attack. And I say that as someone who has decades of battle scars from the contraceptive wars.

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"First, the package is filled with health care services, many of which will help uninsured citizens, but not stimulate the economy."

How does spending on health care service not stimulate the economy at all? It provides demand for services, which stimulates the supply side. Why weaken your own argument? If you want to take on jerks like Boehner, go for it head on!

??

"This decision was an unnecessary political capitulation to Republicans. "

Maybe unnecessary, definitely a capitulation. Whether necessary or not, what did that sacrifice "buy"? That's a sincere question, I don't understand why Demos didn't make the strong version of your argument for it.

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Thank you for giving me something to think about, that I had overlooked. My take on it was that this was a harmless bargaining chip, one that would not be abandoned, but simply inserted into the next Omnibus Budget where we would have the funding eventually. I.e., it was a tactical maneuver.

But you are right. If health care can be included in this package for those on unemployment, then why can't family planning, which is a subset of health care elements, also go in? Democrats used it as a tool for leverage. Republicans saw an opportunity to punish women for having sex. The fact is that any relief from having to spend one's budget on health care frees money up to be spent elsewhere, and that is what the economy needs. Of course it's a boon for the economy when people don't go bankrupt or lose their homes or go into debt or on the dole because of health issues they couldn't afford insurance to remedy.

We are so blind.

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Well, but what makes anyone so sure that Republicans are done gutting the bill? They are not A-okay with the Medicaid provisions in this bill, which extend it to anyone on unemployment into 2010, without *any sort* of needs testing.

They've already said, rather logically, why should the government pick up the healthcare bill for an unemployed person with $1 million in assets? The Dem answer is that there isn't a system set up for that, and they want health coverage to start ASAP. Frankly, that doesn't make any sense--Medicaid *is* needs tested.

I guess we'll see if they just roll over on that, but I'd be surprised if they did.

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Expect instead to see the "contraceptive family planning for Medicaid patients" introduced later as a part of the Healthcare package (headed by former Senate Majority Leader Tom Daschle). But surprisingly, no R’s on the House side voted for the stimulus package this afternoon...so what does that tell you... politics as usual, something the inexperienced President is realizing... this talk and some action of ‘bipartisanship’ crap is really for the dogs...

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In other words, rather than pretending it's a religious issue to Republican politicians (as distinct from some of their constituents), I think it's more accurate to see objections to paying for abortions (especially) and birth control as the entering wedge to make killing healthcare reform palatable to those persons who have historically been casting their votes for them. "We couldn't pass the bill, conservative Alabamy, the feminists wouldn't compromise on abortion."

This will make Republican campaign funders and their voters happy. Democrats, for their part, may end up trying to cut off the wedge and take the rest. But that assumes Democrats are serious about healthcare reform--something I'm not entirely convinced of. They get their money in the same places, don't they?

Frankly, I don't know what you're so worried about. Once they're done playing their own little games with the vast majority of the public, wouldn't both parties be more than happy to quietly try to keep the poor from breeding if it's the cost effective thing to do? They don't vote, do they?

It's never about the right thing to do--it's always about them. Are we prosecuting the criminal collusion that produced this excuse for increased birth control funding in the first place?

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Government spending on goods and services stimulates the economy. Can't get away from that. Sometimes more, sometimes less, but when you're below full employment and investment, there's always a stimulus effect.

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I just want everyone to know that I don't find the idea of sex for pleasure at all unsettling. At all.

And if that sounds like a crass joke, it only does because we need a dose of libertine hedonism in this country.

There used to be some one around here who even posted under the name libertine. I miss whoever that was!

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Oh, he still posts and comes around.....

http://tpmcafe.talkingpointsmemo.com/talk/blogs/libertine/index.php

This says he hasn't commented for a month, but I am almost sure that isn't true.

Make sure to follow him, and you'll see when he pops up.

=D

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Must be getting nostalgic. :)

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Technically, the government doesn't have the Constitutional authority to buy birth control, but with all the other stuff it is doing, I hardly see this as particularly objecitonable.

Now abortion, I would fight tooth and nail to stop that from getting funded by the government. But I don't really have much of a problem with the government buying contraceptives. Honestly, I would like to see a lot more people who are not in a position to reproduce take steps to prevent themselves from conceiving.

nd if that sounds like a crass joke, it only does because we need a dose of libertine hedonism in this country.

No, we don't. But I don't have a problem with sex without reproduction per se. Sex purely as recreation - sex without the context of a committed relationship - that I find troubling. I don't believe in premarital sex. But I don't want people getting pregnant when they don't want to as a punishment, either.

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Whoa!

I did job training programs for low-income people for more than 20 years. Health care is about the biggest barrier to job retention that low-income people face. Health care bills that they couldn't pay seems like a big reason that they have bad credit. Would you ever guess that pregnancy and underfed sick children will mess-up your work week?

Health care is a huge factor in job seeking and retention.

Walk a mile or two in their shoes!!

Bob Spencer

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In this bill poor women ARE pork. If you want a bill to address them, fine. But don't call it stimulus.

Walk a mile or two in their shoes!!

No. Being pregnant and having sick kids is from a conscious decision to have kids. One can have abortions as birth control.
The cliche that what one subsidizes, one gets more of, is still true. I can feel sorry for these people but I'm not going to pay for it.

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Amen, Ruth Rosen. I just read your piece, and was moved to email my Senators to request that this funding be added back in via the Senate bill. Here's the text I just sent to my US Senators, if anyone else wants to take just a moment (you can google "contact my senator" and get easy links to yours) to act on this important issue:

Dear Senator ______ -- I am writing to voice my opinion as a loyal constituent on the issue of funding for CONTRACEPTION being removed from the pending Stimulus Bill in the House of Representatives. While I am all for bi-partisanship, I am dismayed that health care for poor women -- including this type of aid, that would allow women to avoid unwanted pregnancies and the related macro- and micro-economic impacts -- was removed from the House bill due to Republican objections. Please do the right thing and reinsert this funding in the Senate bill. Ruth Rosen had a wonderful opinion piece on this issue that your staff might care to look at: http://tpmcafe.talkingpointsmemo.com/2009/01/28/poor_women_are_not_pork/ Thank you for looking out for women's health.


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I'm unsure the statement "Poor women are not pork" is entirely true.

If you find yourself behind a woman you can't see around in a checkout line at Kroger, chances are they're paying for their groceries with food stamps.

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Renaye is vicious fun as usual and the rest of the comments play out to type.

In the sense the post is meant, poor women are not pork. Pork barrel projects, generally conceived, are for regional interests, or special interests, and poor women generally, and reproductive programs in particular, aren't really fitting the bill.

It is not pork, it is social spending.

That isn't actually a recommendation for including it in a stimulus bill, although, being social spending, it certainly explains its popularity around these parts of the grand interweb. Of course, including things in other things is how Congress works - it isn't like including a shout out to poor women who want to go on the pill is outrageous - it's just off topic.

Of course, you could make a decent argument that really "poor" women, that is, those who couldn't support children if they had them anyway without taxpayer assistance, ought not to be having children at all. In which case this is a good first step.

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No, what I'm saying is that anyone who fits the definition of morbidly obese is not 'poor'. Period. Poor doesn't mean the inability to afford HBO.

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Well, you can make a decent argument that (mostly due to agriculture subsidies) packaged carbohydrate foods are so much cheaper than anything else in the United States that poor people tend to buy nothing else, and inflate as a result. There is a decent literature on a similar phenomenon in China: as rural income goes down, rice purchases actually go -up-, because people substitute more rice for other things they would normally eat.

I'm not saying I buy the story completely; only that it isn't entirely silly.

Food is such an inexpensive commodity compared to housing these days that it isn't particularly relevant to the word "poor". You can eat on $100 a month, but an apartment is ten times that in larger cities.

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