Categories
Consumption Family Planning Population

Does “Overpopulation” Carry Too Much Baggage?–7-2025

Some words carry baggage, which may interfere with their utility, and even with their use. “Population” and “overpopulation” are examples of this vilification. 

For years people concerned about the human effects on our environment have avoided using the word “overpopulation”. Is it time to end that taboo?

This word implies that there are too many people, and that we are injuring our environment. Thus, it is critical of humanity. To some, the word also recalls past histories of abuse, genocide and racism.

How many people does it take to be overpopulated? Thirty years ago, Professor Joel Cohen wrote the book “How Many People Can the Earth Support”. The answer to the title’s question is, “it depends”—in part it depends on our lifestyle. Cohen found a wide range, the maximum human population ranges from fewer than one billion to over 1000 billion people.

 Here is a typical definition of “overpopulation”: “…when there are more people than can live on the earth in comfort, happiness, and health and still leave the world a fit place for future generations.” That definition looks at our use of limited resources, but it only considers the effect of too many people on our own species. What about the rest of the living world?

Philosophy professor Phil Cafaro suggests a new definition that considers the impacts both on humans and on the rest of life. In the abstract of a recent paper, he wrote:

“Human societies, or the world as a whole, are overpopulated when their populations are too large to preserve the ecosystem services necessary for future people’s wellbeing or to share the landscape fairly with other species.”

What is unique about this definition is that it includes harm to other flora and fauna, as well as to our own species.

My favorite way to measure human’s effect on the natural world is with the Ecological Footprint (EF). An individual’s EF is a measure of the demands made by a person on natural resources, using the areas of biologically productive land and water as its yardstick. Overall impact increases with increasing population, of course, and also increases with increasing consumption.

The planet can support more people if their consumption is low. For example, Kenya, a low-income country, has an average EF of 2 acres per person, versus the USA with over 20 acres. Currently, the global average EF of an individual is almost 7 acres.

Unfortunately, there is only enough productive land and water for each person to draw from 4 acres, on the average. Thus, using the Ecological Footprint as a measure, the planet is already overpopulated. Indeed, we are overpopulated by a whopping 75%! If, however, we all consumed as little as Kenyans, we would be fine.

Regrettably, there are not many people who want to decrease their consumption. Still fewer actually make the sacrifices necessary to consume less. Instead, many millions are trying to increase their income so they can consume more.

On the other hand, there is a long history of people aspiring to limit their fertility. For centuries women have tried to have control over their family size. All too many have risked death to abort unintended pregnancies. Now that effective contraception and safe abortion methods are available, the fertility rate is decreasing in most parts of the world. Sadly, the latest estimate is that over 250 million women want to avoid pregnancy but are not using modern, effective contraception. The “low hanging fruit” to approaching sustainability is to remove barriers to family planning.

Let’s accept that we are overpopulated, and start using that word fearlessly. I suggest that you explore The Overpopulation Project (https://overpopulation-project.com). You will find useful information about the relationship between human numbers and ecological sustainability.

©Richard Grossman MD, 2025

Categories
Abortion Administrative Family Planning Infertility Sterilization

Is Durango a Reproductive Health Desert?

            Well, the answer to the title’s question is “yes, no and maybe”.

            First, I should define a “reproductive health desert”. It is an area without a provider of reproductive health. Thus, there are maternity, fertility, contraceptive and abortion deserts.

            Cortez (Montezuma County) was a maternity desert for a brief period of time. The hospital’s administration closed down their birthing center. Outrage from the community pressured the management to open it up again.

            There were a few years that we had sophisticated infertility services in Durango. Unfortunately, the two doctors who provided this care are gone. The OB-GYN doctors who remain can help couples with most fertility issues, but some folks will need to go to Albuquerque or elsewhere for more complex infertility problems.

            There shouldn’t be a real shortage of effective contraception anywhere in the US now that OPill® is available to anyone with a uterus. Or without—I got a package of this over-the-counter birth control pill for an art project from Amazon. They didn’t quibble over my gender.

            (More about Opill®: It is a birth control pill that is available without a prescription. The only contraindications are pregnancy or a history of breast cancer. It needs to be taken every day at the same time.)

            However, there are women who don’t want to use hormones or aren’t regular in taking pills or cannot afford $20 a month. They may live in a county without a clinic that provides the full range of family planning methods—this is how “contraceptive desert” may be defined, and almost 20 million women live in counties that lack this care.

            La Plata County is far from a contraceptive desert. Even though Planned Parenthood is closed, the health department (in the beautiful AXIS Health System building), many physicians, and midlevel providers are happy to prescribe desired methods.

            Unfortunately, we do live in an abortion desert now that PP is closed. PP clinics in neighboring Cortez and Farmington do provide medication abortion care, however they are limited to 11 weeks gestational age. Regrettably, procedural abortions (those done in the clinic) are not available in the Four Corners area at this time.

            While on the subject of abortion, I just read a reason that the religious right has chosen to fight against this important part of healthcare. It was written by a Methodist pastor, David Barnhart.

‘“The unborn” are a convenient group of people to advocate for. They never make demands of you; they are morally uncomplicated, unlike the incarcerated, addicted, or the chronically poor; they don’t resent your condescension or complain that you are not politically correct; unlike widows, they don’t ask you to question patriarchy; unlike orphans, they don’t need money, education, or childcare; unlike aliens, they don’t bring all that racial, cultural, and religious baggage that you dislike; they allow you to feel good about yourself without any work at creating or maintaining relationships; and when they are born, you can forget about them, because they cease to be unborn….

‘It’s almost as if, by being born, they have died to you. You can love the unborn and advocate for them without substantially challenging your own wealth, power, or privilege, without re-imagining social structures, apologizing, or making reparations to anyone. They are, in short, the perfect people to love if you want to claim you love Jesus but actually dislike people who breathe.

‘Prisoners? Immigrants? The sick? The poor? Widows? Orphans? All the groups that are specifically mentioned in the Bible? They all get thrown under the bus for the unborn.”

            A small group of concerned people are working to bring back both medical and procedural abortion services to Durango, but it may take months.