Categories
Population

Pay attention to Population Issues

A friend recently asked why people don’t pay more attention to population issues. Between us we came up with several explanations.
Here is the combined list that we put together, with my comments. Do you know other reasons? Email me if you do!

1. The increase in population is so slow that it is difficult to notice. True! But that is why we have census figures, which show that our population is rising geometrically (like compound interest). Other figures show that we are using resources that should belong to our progeny.
2. We are accustomed to looking at near causes, not ultimate causes. It is easy to see that there are more extremes of weather, and to read about climate change, but how many people actually connect those facts with the underlying cause—more people emitting greenhouse gases?
3. Population issues have to do with family size selection, and that is ultimately a personal decision. True again! Fortunately, people are choosing to have smaller families. Unfortunately, there are many barriers in their way. We need more research on safe and effective contraception, and we need to make all methods available to all people with little or no expense.
(An aside. Some people accuse me of advocating “population control”. Other than using the term “birth control”, I have assiduously avoided the word “control”. Indeed, I believe that people should have as many children as they want—including none. My role is to help people achieve their family size goals.)
4. Religions tend to either promote large families or prohibit contraception—or both. Although I believe in freedom of religion (as does the Constitution of the United States), I also believe in the ability of people to use their God-given brains. Most religious prohibitions date back to the era when “…Be fruitful, and multiply” was more relevant.
5. Large size, whether it be vehicle or family size, is an important attribute. This seems to be a male thing. Get over it, guys!
6. Many otherwise reasonable people don’t realize that there are limits to growth. Or, perhaps, they just never thought about the possibility of limits. Our European forefathers came to a sparsely populated continent and enjoyed its bounty. Regrettably, the level of resource usage that we have enjoyed cannot go on forever.
7. The International Conference on Population and Development turned away from population and toward reproductive health (RH). The reasons were good. Concentrating on population, in India for example, had led to coercing people to be sterilized. RH would include family planning, but RH includes other important services such as prevention and treatment of sexually transmitted diseases.
8. The influence of vocal anti-abortion activists. Many people who are against abortion associate population issues with abortion. Remember that the best way to slow population growth—and to prevent abortions—is with good access to modern contraception
9. The success of family planning and attention to declining birth rates. Indeed, most rich countries (and many poorer ones) have fertility rates that will eventually lead to stable population sizes—but there are still many other countries that have high growth rates.
10. Many people confuse the decreasing rate of growth with population shrinkage. Wrong! The world’s population is still growing by 80 million people a year, and the overshoot of our global Ecologic Footprint is 50%. That means that we are far from being sustainable.
11. The media don’t pay much attention to population issues. This is the reason for this column! For more than fifteen years the Herald has been the only newspaper in the country—perhaps in the world—to carry a regular column treating population issues.
12. People deny that the world will be very different in the future than what we have known. It is easy to just assume that the world will continue with the status quo, but oh, so wrong!

I have left a couple of reasons out of this article. Some people believe we need growth for our economy to thrive; last month’s article dealt with growth. More troublesome is how we can support the increasing numbers of old people with fewer young people coming along.
Happily, National Geographic has ignored the taboo against population. This prestigious magazine is running a series of articles in 2011. January’s cover reads: “Population 7 billion: How your world will change”.
Many of us will not be around long enough to see our world deteriorate much more. It is our kids and grandkids who will feel the effects the most.

Categories
Family Planning Population Reproductive Health Women's Issues

Watch this Legislation

Watch this Legislation—2-2011

© Richard Grossman MD, 2011

What is this country coming to? Even if you are not concerned about population issues, you should be concerned about various legislative actions that are gestating now. These bills, if they become law, will be serious steps backwards for the rights of half of our voting population—women.

If they were to become law, the infrastructure of health care for women (and for some men) would be destroyed. Many children will suffer, too.

The efforts at a federal level to restrict access to reproductive health care are in the “spending bill”, H.R. 1. During this economic downturn it makes sense to cut funding, but women and children seem to be getting the short stick.

The federal WIC program (Special Supplemental Nutrition Program for Women, Infants and Children) provides healthy food to pregnant women, their babies and children up to five years of age. Over six million children receive food through this program, as well as more than two million pregnant and breastfeeding women.

One of the strong points of WIC is that the program encourages women to breastfeed. Remember that nursing is healthier for the baby and for the mom, and that nursing also is an effective means of child spacing.

The proposed budget would cut more than a tenth of WIC funding. What will happen to those unfortunate mothers and their children if the WIC program is not available to them?

Another federal program, Title X (ten), provides family planning services to millions of women. It has become even more important since the economic downturn; the number of Americans without health insurance has risen to over 50 million! This program also pays for services such as cancer detection and the diagnosis and treatment of reproductive tract infections. From a purely financial standpoint it is well known that contraception pays for itself in the long run. Every dollar invested in family planning saves more than four dollars in obstetrical and pediatric services. Title X is one of the best programs to save the taxpayers’ money!

Nevertheless, some legislators are trying to take away all funding from Title X in H.R.1 and rwith H.R. 217. Apparently this is to remove support from Planned Parenthood, which administers much of the funding. Although Planned Parenthood does provide abortion care for many women, it carefully observes the laws that prevent using federal funds for abortions.

Furthermore, family planning services have been shown over and over to decrease the demand for abortion. If Title X is canceled there will be an increase in unplanned pregnancies and requests for abortion—just the opposite of what the antiabortion legislators (and you and I) want!

Earlier this month the House of Representatives passed the Pence amendment to H.R. 1 (the spending bill) aimed directly at Planned Parenthood. In addition to taking away Title X moneys, it will prevent any federal money from going to this organization. Fortunately, the Senate (with its Democratic majority) will probably prevent this bill from becoming law.

As a doctor who performs abortions, I take special note of South Dakota HB 1171. It is titled “An Act to expand the definition of justifiable homicide to provide for the protection of certain unborn children”. Just what the bill means, and how it will be interpreted if it becomes law, are uncertain. Perhaps the bill might as well be called the “The abortion doctor assassination authorization act”. Remember that the US Supreme Court declared abortion legal in 1973. Since that date the number of women suffering and dying from abortions has plummeted.

If this bill were to become law it is likely that the few doctors who do perform abortions in South Dakota will stop doing so. Where safe medical abortion services are not available, nonmedical people are ready to take over. Poorly trained people, without proper instruments or sterile technique, worked in the back alleys before 1973. Once again we will see victims of illegal abortionists in our hospitals and morgues.

There is other miserable legislation afoot, but these—H.R.1, the Pence Amendment and South Dakota HB 1171—are among the worst. Keep an eye on them, and let your legislators know that you still respect women and women’s right to have safe and legal abortions. A good source of information about bills before Congress is www.opencongress.org, which not only provides information but also makes it easy to email legislators.

Call our federal legislators and let them know what you think about these bills: Representative Scott Tipton—202.225-4761 Senator Mark Udall—970.247-1047 Senator Michael Bennet—970.259-1710