Michael New

New study claims big benefits of no-cost contraception: media swoons

Michael New
Michael New

October 10, 2012 (LifeSiteNews.com) - A new study which recently appeared in the journal Obstetrics and Gynecology has the mainstream media swooning. A program which provided free contraception to over 9,000 women in the St. Louis area purportedly resulted in dramatic reductions in abortions, repeat abortions, and teen births. This study has been covered by USA Today, the Associated Press, CBS News and countless other media outlets.

Specifically, the researchers enrolled 9,256 adolescents and women in the program. Participants were recruited from the two abortion facilities in the St. Louis region and through provider referral, advertisements, and word of mouth. All participants received the reversible contraceptive method of their choice. However, the researchers highlight the fact that 75 percent of women taking part in the study chose a long-acting reversible contraceptive (LARC) — either an IUD or an implant. Many will doubtless use these findings to buttress their case for mandates on contraceptive coverage in insurance programs and greater government spending on contraceptives. However, there are at least five reasons why this study greatly overstates the impact of no-cost contraception.

1) No control group: The main problem with this study is that it fails to include an adequate control group. Each of the 9,256 participants in the study was a volunteer. As such, women in the study very likely had a stronger desire to avoid a future pregnancy than women who declined to participate. Most research indicates that a desire to avoid pregnancy has a significant impact on the likelihood of becoming pregnant. As such, comparing the abortion rate and the birth rate of study participants to national and state averages is a flawed comparison. A better idea would have been to randomly select some percentage of the volunteers, inform them that they were not going to receive free contraception, but continue to track their births and abortions in exchange for some compensation. That would have allowed for a meaningful comparison between a treatment group and a control group.

2). Limited impact on repeat abortion rate: The study makes much of the fact that between 2006 and 2010 there was a statistically significant decline in the repeat abortion rate in St. Louis City and County. This may well be true. However, the results indicate that the repeat abortion rate fell from about 48 percent in 2006 to about 45 percent in 2010 — hardly a dramatic decline.

3) Exaggerated impact on overall abortion rate: The authors also make much of the fact that the number of abortions performed at Reproductive Health Services on women who resided in St. Louis City and County declined by 20.6 percent between 2008 and 2010. However, Reproductive Health Services is not the only abortion provider in the St. Louis area. Furthermore, only a small percentage of St. Louis area women took part in the program. Now, the authors use a weighting method and, as such, do not provide the actual number of abortions performed on program participants. However, my back-of-the-envelope calculations indicate that much of this abortion decline was among women not taking part in this no-cost contraceptive program.

4) The weighting mechanism overstates effectiveness of contraception program: Program participants were not a random sample of women residing in the St. Louis area. They were more likely to be African-American, young, and low-income. As such, the authors weigh the data to compare birth rates and abortion rates of program participants to birth rates and abortion rates of a similar demographic cohort. Consequently, these contraceptive methods likely appeared more effective than they actually were — because they were being used by a demographic with both relatively high birth rates and abortion rates.

Now, sometimes weighting data makes sense. Some demographic groups have a higher incidence of sexual activity and use contraceptives less consistently. However, since a high percentage of study participants used long-acting contraceptive methods, weighting makes less sense. Long-acting contraceptive methods work automatically and their effectiveness should be less sensitive to the frequency of sexual activity. In the spirit of full disclosure, the authors should publicly provide the raw, unweighted data on the birthrate and abortion rate of study participants. That would provide a much better measure of the effectiveness of this program.

5) The results are not generalizable to a large population: The authors state that IUDs are more popular in Europe than they are in the United States. There are a variety of reasons for this. However, one factor the authors overlook is that many physicians in the United States are unwilling to insert IUDs because of liability issues. Indeed, IUDs users have an increased risk of pelvic inflammatory disease and perforation of the uterus. Also, if a woman using an IUD wants to get pregnant, her IUD would have to be removed by a physician. For this reason, even if these long-term methods were available at no cost, it is not clear that many women would choose to use them.

Interestingly, the study only tracked the abortion rates and birth rates among program participants. There was no effort to analyze how the provision of no-cost contraception impacted sexual activity, the incidence of sexually transmitted diseases, or any other public-health outcomes. If the authors are going to use this research to argue for mandatory coverage of long-acting contraceptives, they should continue to monitor and report on the health outcomes of study participants in the future. This is an important consideration, given that long-acting contraceptives pose some serious health risks.

All in all, the pro-life movement receives plenty of criticism from the mainstream media and supporters of legal abortion for not being more contraceptive-friendly. However, in reality there is little evidence that supports the effectiveness of contraceptive programs. Separate studies from both the Guttmacher Institute and the Centers for Disease Control both indicate that a low percentage of sexually active women forgo contraception due to high cost or lack of availability.

Additionally, there is a body of research documenting the ineffectiveness of various contraception programs. For instance, the Daily Mail reported that a program launched by the British government in 1999 to provide “comprehensive” sexual education and birth control to British teens resulted in consistent increases in the teen pregnancy rate. Similarly, a study of a free contraception program in Scotland which appeared in the journal Contraception in 2004 found no decline in abortion rates. Finally, a study of a free contraception program in San Francisco which appeared in the Journal of the American Medical Association found this program produced no decrease in unintended pregnancy rates. Of course, these studies typically receive scant attention from the mainstream media.

Truth. Delivered daily.

Get FREE pro-life, pro-family news delivered straight to your inbox. 

Select Your Edition:


Share this article

Advertisement
Featured Image
Dustin Siggins Dustin Siggins Follow Dustin

PBS defends decision to air pro-abortion documentary ‘After Tiller’

Dustin Siggins Dustin Siggins Follow Dustin
By Dustin Siggins

Under pressure for showing the pro-abortion documentary "After Tiller" on Labor Day, PBS' "POV" affiliate has defended the decision in response to an inquiry from LifeSiteNews.

The producers of the film say their goal with the documentary, which tells the stories of four late-term abortion doctors after the killing of infamous late-term abortionist George Tiller, is to "change public perception of third-trimester abortion providers by building a movement dedicated to supporting their right to work with a special focus on maintaining their safety.” 

POV told LifeSiteNews, "We do believe that 'After Tiller' adds another dimension to an issue that is being debated widely." Asked if POV will show a pro-life documentary, the organization said that it "does not have any other films currently scheduled on this issue. POV received almost 1000 film submissions each year through our annual call for entries and we welcome the opportunity to consider films with a range of points of view."

When asked whether POV was concerned about alienating its viewership -- since PBS received more than $400 million in federal tax dollars in 2012 and half of Americans identify as pro-life -- POV said, "The filmmakers would like the film to add to the discussion around these issues. Abortion is already a legal procedure."

Click "like" if you are PRO-LIFE!

"This is an issue that people feel passionately about and will have a passionate response to. We are hopeful that the majority of people can see it for what it is, another lens on a very difficult issue." 

In addition to the documentary, POV has written materials for community leaders and teachers to share. A cursory examination of the 29-page document, which is available publicly, appears to include links to outside sources that defend Roe v. Wade, an examination of the constitutional right to privacy, and "a good explanation of the link between abortion law and the right to privacy," among other information.

Likewise, seven clips recommended for student viewing -- grades 11 and beyond -- include scenes where couples choose abortion because the children are disabled. Another shows pro-life advocates outside a doctor's child's school, and a third is described as showing "why [one of the film's doctors] chose to offer abortion services and includes descriptions of what can happen when abortion is illegal or unavailable, including stories of women who injured themselves when they tried to terminate their own pregnancies and children who were abused because they were unwanted."

Another clip "includes footage of protesters, as well as news coverage of a hearing in the Nebraska State Legislature in which abortion opponents make reference to the idea that a fetus feels pain." The clip's description fails to note that it is a scientifically proven fact that unborn children can feel pain.

The documentary is set to air on PBS at 10 p.m. Eastern on Labor Day.

Kirsten Andersen contributed to this article.

Advertisement
Featured Image
Pete Baklinski Pete Baklinski Follow Pete

,

He defended ‘real’ marriage, and then was beheaded for it

Pete Baklinski Pete Baklinski Follow Pete
By Pete Baklinski

A Christian man was executed during the night by a high-profile ruler after making an uncompromising defense of real marriage.

The Christian, who was renowned for his holiness, had told the ruler in public that his relationship with his partner was “against the law” of God. The Christian’s words enraged the ruler’s partner who successfully plotted to have him permanently silenced.

John the Baptist was first imprisoned before he was beheaded. The Catholic Church honors him today, August 29, as a martyr and saint.

While John’s death happened a little less than 2,000 years ago, his heroic stance for real marriage is more pertinent today than ever before.

According to the Gospel of Mark, the ruler Herod had ‘married’ his brother’s wife Herodias. When John told Herod with complete frankness, “It is against the law for you to have your brother’s wife,” Herodias became “furious” with him to the point of wanting him killed for his intolerance, bullying, and hate-speech.

Herodias found her opportunity to silence John by having her daughter please Herod during a dance at a party. Herod offered the girl anything she wanted. The daughter turned to her mother for advice, and Herodias said to ask for John’s head on a platter.

Those who fight for real marriage today can learn three important lessons from John’s example.

  1. Those proudly living in ungodly and unnatural relationships — often referred to in today’s sociopolitical sphere as ‘marriage’ — will despise those who tell them what they are doing is wrong. Real marriage defenders must expect opposition to their message from the highest levels.
  2. Despite facing opposition, John was not afraid to defend God’s plan for marriage in the public square, even holding a secular ruler accountable to this plan. John, following the third book of the Hebrew Bible (Leviticus 20:21), held that a man marrying the wife of his brother was an act of “impurity” and therefore abhorrent to God. Real marriage defenders must boldly proclaim today that God is the author of marriage, an institution he created to be a life-long union between one man and one woman from which children arise and in which they are best nurtured. Marriage can be nothing more, nothing less.
  3. John did not compromise on the truth of marriage as revealed by God, even to the point of suffering imprisonment and death for his unpopular position. Real marriage defenders must never compromise on the truth of marriage, even if the government, corporate North America, and the entire secular education system says otherwise. They must learn to recognize the new “Herodias” of today who despises those raising a voice against her lifestyle. They must stand their ground no matter what may come, no matter what the cost.

John the Baptist was not intolerant or a bigot, he simply lived the word of God without compromise, speaking the word of truth when it was needed, knowing that God’s way is always the best way. Were John alive today, he would be at the forefront of the grassroots movement opposing the social and political agenda to remake marriage in the image of man.

Click "like" if you want to defend true marriage.

If he were alive today he might speak simple but eloquent words such as, “It is against God’s law for two men or two women to be together as a husband and wife in marriage. Marriage can only be between a man and a woman.” 

He would most likely be hated. He would be ridiculed. He would surely have the human rights tribunals throwing the book at him. But he would be speaking the truth and have God as his ally. 

The time may not be far off when those who defend real marriage, like John, will be presented with the choice of following Caesar or making the ultimate sacrifice. May God grant his faithful the grace to persevere in whatever might come. St. John the Baptist, pray for us!

Share this article

Advertisement
Featured Image
The Wunderlich family Mike Donnelly / Home School Legal Defence Association
Thaddeus Baklinski Thaddeus Baklinski Follow Thaddeus

,

German homeschoolers regain custody of children, vow to stay and fight for freedom

Thaddeus Baklinski Thaddeus Baklinski Follow Thaddeus
By Thaddeus Baklinski

One year to the day since a team of 20 social workers, police officers, and special agents stormed a homeschooling family’s residence near Darmstadt, Germany, and forcibly removed all four of the family’s children, aged 7 to 14, a state appeals court has returned custody of the children to their parents.

The reason given for the removal was that parents Dirk and Petra Wunderlich continued to homeschool their children in defiance of a German ban on home education.

The children were returned three weeks after being taken, following an international outcry spearheaded by the Home School Legal Defense Association.

However, a lower court imposed the condition on the parents that their children were required to attend state schools in order for them to be released, and took legal custody of the children in order to prevent the family from leaving the country.

In a decision that was still highly critical of the parents and of homeschooling, the appeals court decided that the action of the lower court in putting the children in the custody of the state was “disproportional” and ordered complete custody returned to the parents, according to a statement by the HSLDA.

The Wunderlichs, who began homeschooling again when the court signaled it would rule this way, said they were very pleased with the result, but noted that the court’s harsh words about homeschooling indicated that their battle was far from over.

“We have won custody and we are glad about that,” Dirk said.

“The court said that taking our children away was not proportionate—only because the authorities should apply very high fines and criminal prosecution instead. But this decision upholds the absurd idea that homeschooling is child endangerment and an abuse of parental authority.”

The Wunderlichs are now free to emigrate to another country where homeschooling is legal, if they choose, but they said they intend to remain in Germany and work for educational freedom.

“While we no longer fear that our children will be taken away as long as we are living in Hessen, it can still happen to other people in Germany,” Dirk said. “Now we fear crushing fines up to $75,000 and jail. This should not be tolerated in a civilized country.”

Petra Wunderlich said, "We could not do this without the help of HSLDA,” but cautioned that, “No family can fight the powerful German state—it is too much, too expensive."

"If it were not for HSLDA and their support, I am afraid our children would still be in state custody. We are so grateful and thank all homeschoolers who have helped us by helping HSLDA.”

HSLDA’s Director for Global Outreach, Michael Donnelly, said he welcomed the ruling but was concerned about the court’s troubling language.

“We welcome this ruling that overturns what was an outrageous abuse of judicial power,” he said.

“The lower court decision to take away legal custody of the children essentially imprisoned the Wunderlich family in Germany. But this decision does not go far enough. The court has only grudgingly given back custody and has further signaled to local authorities that they should still go after the Wunderlichs with criminal charges or fines.”

Donnelly pointed out that such behavior in a democratic country is problematic.

“Imprisonment and fines for homeschooling are outside the bounds of what free societies that respect fundamental human rights should tolerate,” he explained.

“Freedom and fundamental human rights norms demand respect for parental decision making in education. Germany’s state and national policies that permit banning home education must be changed.

"Such policies from a leading European democracy not only threaten the rights of tens of thousands of German families but establish a dangerous example that other countries may be tempted to follow,” Donnelly warned.

HSLDA Chairman Michael Farris said that acting on behalf of the Wunderlichs was an important stand for freedom.

“The Wunderlichs are a good and decent family whose basic human rights were violated and are still threatened,” Farris said.

“Their fight is our fight," Farris stressed, "and we will continue to support those who stand against German policy banning homeschooling that violates international legal norms. Free people cannot tolerate such oppression and we will do whatever we can to fight for families like the Wunderlichs both here in the United States and abroad. We must stand up to this kind of persecution where it occurs or we risk seeing own freedom weakened.”

Visit the HSLDA website dedicated to helping the Wunderlich family and other German homeschoolers here.

Contact the German embassy in the U.S. here.

Contact the German embassy in Canada here.

Advertisement

Customize your experience.

Login with Facebook