Categories
Family Planning Reproductive Health Sterilization

The Other Side of Reproductive Coercion

The image above provides information about the article cited below.

            Reproductive health abuses, especially coercion, have turned many people away from concern about human population. I agree: reproductive coercion should be shunned.

            Examples of coercive actions include sterilization of both women and men in India—even though patients didn’t really know what was being done. Coerced sterilizations also happened in the early 20th century in the USA—especially people who were who weren’t of the dominant race or were thought to be mentally or genetically deficient.

            There were attempts to wipe out Native Americans, which started when Columbus “discovered” the New World, and may have continued into the 20th century. This apparently happened at Indian Health Service hospitals, where a high proportion of Native women had their tubes tied. Fortunately, federal laws now require use of a special consent form that makes it difficult to perform sterilization procedure without real informed consent.

I have also read about Puerto Rican women being sterilized against their will in the past. When I practiced there in the 1980s, I saw no sign of coercive sterilization. In fact, the reverse was true. I remember Maria, who was desperate to stop having children. She couldn’t afford reliable birth control such as an IUD and pleaded with me to tie her tubes. Unfortunately, she didn’t have insurance and the hospital wouldn’t let me do the surgery unless they could be certain of payment.

 That brings up the other side of reproductive coercion—women are often forced to bear, and raise, children that they did not intend to have.

Obamacare and many other programs will pay for contraception in the US. However, most governmental programs will not pay for an abortion when a contraceptive method fails. Unfortunately, unintended pregnancies occur with all methods, and some states prohibit abortion under any circumstance, including rape.

 Since abortion has been tightly restricted or outlawed in many states, it has become impractical for countless women to obtain abortion care. Unfriendly laws have coerced many women to carry unintended pregnancies. Although networks exist to help women abort unwanted pregnancies, many people still aren’t able to make the choice they want.

A careful study of births in Texas found that abortion-limiting legislation increased unintended births. This research compared the number of births after Texas Senate Bill 8 (preventing abortions after 7 weeks of pregnancy) was in effect with the prior years’ births. They found that there were almost 10,000 more births in the relevant 9 months after SB8 took effect. Many of these excess births were probably unwanted because the women were coerced into carrying a pregnancy by their inability to access abortion care.

I predict that coercing women to bear and raise children will have bad effects on society. We know that people who result from unwanted pregnancies don’t do as well in life; they have more contact with mental health and with law enforcement agencies. We also know that Texas has one of the higher maternal mortality rates in our country, and forcing women to give birth is likely to cause the death rate to go even higher.I believe that the basis for antiabortion laws has little to do with the claimed religious beliefs; the states with the strongest “right to life” laws seem to have the weakest support of mothers and children after birth. I also believe that many people who advocate against abortion and for population growth do so for selfish economic reasons. Speaking of population growth, Nandita Bajaj, an expert on a cause of population growth—pronatalism—will be talking at Lifelong Learning in Durango on February 15th

© Richard Grossman MD, 2023

Categories
Climate heating Population Reproductive Health

Denial is not just a River in Egypt

Image courtesy of NASA

            It’s been unmistakably hot outside, but some people have different ways of dealing with what most of us recognize as anthropogenic climate change.

            I asked one acquaintance what he thought about climate change. We had met when I was selling beer with our Bayfield Rotary Club on the 4th of July. He had come back several times for more beer. When I commented on this, he responded with “Those cans must have holes in them—the beer just seemed to leak away!”

            At a chance encounter, I asked him if he thought that climate change was real. “Oh yes, it’s real. Remember that explosion in the power plant in Japan? Well, it knocked the planet 3 degrees off its axis. That’s why the climate is all screwed up!” I think that is as rational as his reason for getting so many cans of beer.

            Gail and I were eating dinner with friends recently. I cannot remember how the subject came up, but I asked the person sitting next to me what they thought was making the climate so hot.

            “I think it’s a cycle.”

            I know this person to be intelligent and responsible. However, I was too flabbergasted to respond, so I changed the subject. The last time Earth’s climate was so hot as it is now was 125,000 years ago. That’s one loonngg cycle!

The way ancient temperatures are estimated is amazing. Scientists measure stable isotopes of oxygen and of hydrogen in air bubbles in Antarctic ice cores. There are known relationships between isotopes and atmospheric temperatures.

            We are very good at finding excuses for, or denying completely, what is incompatible with preconceived notions. This is especially true with facts that might interfere with our income or religious beliefs. Misinformation is rampant on Internet, in churches and from politicians.

            Let’s look at the facts of climate change. First, is it real?

            Yes, climate change is real. There are indications that humans have changed the planet’s climate for millennia, but previous to now, in insignificant ways. The human effect on climate increased after the Industrial Revolution. Then temperatures started to skyrocket about 1950.

            What is causing our climate to get hotter? We’ve all sat in a parked car in the summer and know how hot it gets from the greenhouse effect. The energy of the sun gets trapped in the closed environment. We also know that atmospheric carbon dioxide (CO2) is increasing from human use of fossil fuels. However, it may be difficult for people to accept that COis as effective as a car in holding in heat. Other gases, such as methane in natural gas, are even more effective than CO2 as greenhouse gases. 

            Is climate change just in the future? NO! Severe storms, melting glaciers, enormous fires, the high temperature and drought we’ve experienced are all caused by, or worsened by, what we have done to the climate. Despite good snows last winter, the mega-drought of southwestern North America has been partly caused by the greenhouse gases we have wrapped around our planet. 

            How can we slow climate chaos? Driving electric is good, but less travel is even better. Increasing efficiency with LEDs helps, so does eating less meat. However, still the best way to reduce your individual carbon footprint is by having a small family—and by encouraging others to do the same. Global population has more than tripled since I was born 80 years ago. The more people, the more CO2 is emitted.

            We need to admit that we humans are responsible for climate change before we can conquer it.

©Richard Grossman MD, 2023