Michael Cook

An unmet need for sound thinking

Michael Cook
By Michael Cook
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July 16, 2012 (Mercatornet.com) - If you are not too greedy and need only a modest amount of other people’s money, get a sawed-off shotgun and a balaclava. However, if you are more ambitious, get an acronym. This is clearly the lesson to be drawn from the latest banking scandal, in which Britain’s leading banks scammed US$300 billion, perhaps much more, by fibbing about the Libor—the London Interbank Offered Rate—an acronym which politicians had never heard of and regulators hardly questioned.

But the same mistake was made all over again at this week’s London Family Planning Summit. The rich and famous of the world have donated $2.6 billion to meet the “unmet need” of 120 million women in the developing world for family planning. The UK has pledged $800 million, the Bill and Melinda Gates Foundation $560 million, the UNFPA $378 million, Norway $200 million, the Netherlands $160 million, and Germany $122 million. Those are just the donors in the hundreds of millions.

Do any of these governments and organisations really know what $2.6 billion of “unmet need” means? In a year when voters in some countries are rioting over “austericide” in the wake of the global financial crisis, are they tipping money into a gigantic black hole?

A professor at Harvard University’s Kennedy School of Government, Lant Pritchett, told MercatorNet that “unmet need” is a meaningless concept employed by no one except a coterie of family planning experts. Pritchett, who was described last year as one of the world’s 100 top global thinkers by the magazine Foreign Policy, was scathing in an email to MercatorNet. “Wow, I thought all of this was dead and gone… I wonder what is driving this revival?”

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“It has never caught fire except in a tiny group that push and push and naif outsiders assume they know what they are talking about and take it at face value. No one who has looked at it closely… really thinks it has any analytic use other than advocacy value. I am just amazed this nonsense has come back from its well-deserved dustbin of history.”

The argument which has diddled some of the world’s richest governments and philanthropists was set out this week in a special family planning issue of Britain’s most prestigious medical journal, The Lancet. Melinda Gates and Australia’s foreign minister, Bob Carr, contend that “Across the developing world, some 222 million women who want to avoid pregnancy are not using a modern method of contraception”. Providing them with contraceptives will—they claim—lead to 600,000 fewer newborn deaths and 79,000 fewer maternal deaths each year. With fewer children, women will have more money to spend educating their daughters. And with fewer people there will be a “demographic dividend” allowing more economic growth.

The $2.6 billion pledged at the Summit will reach 120 million of the 222 million women with an “unmet need” for contraception.

“Unmet demand” was dreamed up in the first family-planning surveys in the 1960s. Its high-water mark was the Cairo population conference in 1994 which resolved that: “Governmental goals for family planning should be defined in terms of unmet needs for information and services”. As the organiser of the London summit, Melinda Gates has breathed new life into the idea. But as Pritchett points out, there have always been knotty problems with “unmet need”.

First of all, “unmet”. According to a World Bank briefing note, women with “unmet need for contraception” are those “who do not want to become pregnant but are not using contraception”. Astonishingly, this includes women who are currently pregnant, women who are breast-feeding, and women who find it difficult to become pregnant. The World Bank blandly acknowledges that “women with unmet need may still not have any intention to use contraception were it readily accessible and of good quality”.

In other words, Melinda Gates’s 220 million women include women who know all about contraceptives, can access them, and can pay for them. But they are worried about side effects, or they have religious objections or they have husbands who are working overseas. This makes no difference. Even if they don’t want contraception, Mrs Gates and her supporters know that they need contraception. “Note that the measurement of unmet need,” says the World Bank, “does not include an assessment of whether women want or intend to use contraception.” Even Africa’s 65,000 Catholic nuns fit into that definition.

“The strange thing is,” says Pritchett, “that one of the stalwarts of the family planning movement, Charles Westoff, wrote a paper decades ago showing many of the same criticisms of ‘unmet need’ – eg, that is does not correspond to what women want, that it includes women not currently fecund, etc.—but then they just went on using it anyway.”

Second, “need”. What does “need” for contraceptives mean to a woman? Does it mean “desperation”—Mrs Gates seems to think so—or does it mean “like”? A woman staggering through the Sahara is desperate for a drink; a woman staggering through a bar would like (another) one. In Mrs Gates’s books, both of them have an “unmet need”. But among the 220 million women, should those who are just vaguely interested in contraception be counted?

In a thought-provoking paper which Professor Pritchett wrote in 1996, not long after the Cairo Conference, he pointed out that in comparison to the need for food, water, medical care and fuel, the need for contraception was very small in poor countries.

“Contraception is a very effective technology for having unregulated coital activity and not having children but no one needs contraception in order not to have children. There is no question you need a parachute to jump out of airplanes and not suffer serious injury, but does that mean you need a parachute? Well, the need for parachutes is obviously only as great as the need to fling oneself out of planes, which is pressing if you’re in the 82nd Airborne, but not really otherwise.”

Third, the idea of “unmet need” is patronising, even demeaning, for women. How can they “need” something that they do not want? This kind of reasoning comes from a patriarchal mindset. Women in developing countries are already pushed around too much. They should be allowed to make their own choices in peace. Pritchett told MercatorNet:

“This is exactly like calculating the ‘unmet need’ of Jewish people for pork. That is, one could do the calculations of the ‘need’ for protein, look at which Jewish people are getting enough protein, conclude that the experts think the most cost-effective way of getting protein is pork and then attribute an ‘unmet need’ for pork to people who are Jewish. Of course it is completely disrespectful of women to not listen to their reasons for not using contraception and insist they have a ‘need’ for something they do not ‘want’. It is precisely this kind of disrespect for women and their autonomy and choices that led to the disasters in India and China.”

Fourth, “unmet need” may possibly make sense in marketing, but as an analytical tool, Pritchett says, “it makes no economic sense at all”. Even in underdeveloped regions, women are well aware of the existence of contraception. If demand for it were high, the price should rise. In fact, family planning organisations often have to work hard to give contraceptives away.

As Pritchett points out in his 1996 paper, it is not a question of price. Even poor households in countries like Indonesia and Nepal spend between 2 and 3 percent of household income on tobacco. “If the household can afford tobacco the household can afford contraception,” he wrote.

More recent research shows that the use of contraceptives in developing countries does not decline if their price rises. This suggests that the problem is lack of demand, not lack of supply. American academics examined sales of contraceptives during the severe financial crisis which hit Indonesia in the late 1990s. They found that “very large changes in prices of contraceptives have little impact on the decision to use contraceptives or on method choice, even among the poorest couples.”

In an interview with The Guardian about the Summit Melinda Gates described improving access to contraception across the globe as her life’s work. Unfortunately, a gremlin in the typesetting had her claiming that 200 billion women wanted access, rather than 200 million. But perhaps when you are dealing with esoteric matters like Libor or “unmet need”, billions and millions, whatever, all sound the same. As long as the donors feel good about themselves and family planning bureaucrats continue to draw their paycheques.

Michael Cook is editor of MercatorNet. This article reprinted under a Creative Commons License. 


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‘It’s a miracle’: Newborn girl survives two days after being abandoned in a field

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By Thaddeus Baklinski

The survival of a baby who was abandoned by her mother and left in a field for two days has been described as "a miracle" by the doctor attending the newborn girl.

"She had been left alone naked, and weighed less than a kilogram, in part because she was so severely dehydrated," said Doctor Barbara Chomik at the hospital in the northern Polish city of Elblag, according to a report from Central European News.

"It is a miracle that she survived under those conditions for so long. It is simply a miracle," Dr. Chomik said.

The report said that the child's mother, Jolanta Czarnecka, 30, of Ilawa in northeastern Poland, had concealed her pregnancy from friends and fellow workers, and had given birth in a field during a lunch break, then returned to work.

When blood was noticed on her clothing, the woman at first claimed she had accidentally given birth in the toilet and the baby had gone down the drain.

However, when investigation found no evidence supporting her claims, Czarnecka admitted to having given birth to the child in a nearby field and leaving her there.

When searchers found the child, two days after her birth, the little girl was dehydrated and covered with insects.

Czarnecka is facing charges of attempted murder for allegedly abandoning her child.

Czarnecka, who has entered a not guilty plea to the charges against her, could be sentenced to five years in prison if she is convicted.


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Jonathon van Maren Jonathon van Maren Follow Jonathon

To the Christians who think 50 Shades is all sorts of awesome: Please, stop and THINK

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By Jonathon van Maren

It’s pretty depressing when you realize that, in 2014, many people seem to think that destruction of human dignity is a small price to pay for an orgasm.

I suppose when I write a column about a book that just sold its 100 millionth copy I shouldn’t be surprised when I get a bit of a kickback. But I have to say—I wasn’t expecting hundreds of commenters, many saying they were Christian, to come out loudly defending the porn novel 50 Shades of Grey, often tastelessly interspersed with details from their own sex lives.

People squawked that we “shouldn’t judge” those who practice bondage, domination, sadism and masochism (BDSM), and informed me that “no one gets hurt” and that it “isn’t abuse” and said that it was “just fantasy” (as if we have a separate brain and body for fantasy).

Meanwhile, not a single commenter addressed one of the main arguments I laid out—that with boys watching violent porn and girls being socialized to accept violence and torture inside of a sexual relationship, we have created a toxic situation in which people very much are being hurt.

In response to the defenders of this trash, let me make just a few points.

  1. Not all consent is equal.

People keep trumpeting this stupid idea that just because someone consents to something or allows something to happen, it isn’t abusive.

But if someone consents to being beaten up, punched, slapped, whipped, called disgusting and degrading names, and have other things done to them that I will choose not to describe here, does that make it any less abusive? It makes it legal (perhaps, but it certainly doesn’t make it any less disgusting or violent.

Would you want your daughter to be in a relationship with Christian Grey? Would you want your son to turn into Christian Grey? If the answer is yes to either of those, someone should call social services.

Anyone who works with victims of domestic and sexual assault will tell you that just because someone permits something to happen or doesn’t extricate themselves from a situation doesn’t mean it isn’t, in fact, abuse. Only when it comes to sex are people starting to make this argument, so that they can cling to their fetishes and justify their turn-ons. Those women who defend the book because they think it spiced up their sex life are being incredibly selfish and negligent, refusing to think about how this book could affect other women in different situations, as well as young and impressionable girls.

In the words of renowned porn researcher and sociologist Dr. Gail Dines:

In his book on batterers, Lundy Bancroft provides a list of potentially dangerous signs to watch out for from boyfriends. Needless to say, Christian [Grey of 50 Shades of Grey] is the poster boy of the list, not only with his jealous, controlling, stalking, sexually sadistic behavior, but his hypersensitivity to what he perceives as any slight against him, his whirlwind romancing of a younger, less powerful woman, and his Jekyll-and-Hyde mood swings. Any one of these is potentially dangerous, but a man who exhibits them all is lethal.

The most likely real-world ending of Fifty Shades of Grey is fifty shades of black and blue. The awful truth in the real world is that women who partner with a Christian Grey often end up hightailing it to a battered women's shelter with traumatized kids in tow. The less fortunate end up in graveyards.

  1. 50 Shades of Grey normalizes intimate partner violence…

…and sickeningly, even portrays it as romantic and erotic. Amy Bonomi, Lauren Altenburger, and Nicole Walton published an article on the impact of 50 Shades last year in the Journal of Women’s Health. Their conclusions are intuitive and horrifying:

While intimate partner violence (IPV) affects 25% of women and impairs health, current societal conditions—including the normalization of abuse in popular culture such as novels, film, and music—create the context to support such violence.

Emotional abuse is present in nearly every interaction, including: stalking (Christian deliberately follows Anastasia and appears in unusual places, uses a phone and computer to track Anastasia’s whereabouts, and delivers expensive gifts); intimidation (Christian uses intimidating verbal and nonverbal behaviors, such as routinely commanding Anastasia to eat and threatening to punish her); and isolation (Christian limits Anastasia’s social contact). Sexual violence is pervasive—including using alcohol to compromise Anastasia’s consent, as well as intimidation (Christian initiates sexual encounters when genuinely angry, dismisses Anastasia’s requests for boundaries, and threatens her). Anastasia experiences reactions typical of abused women, including: constant perceived threat (“my stomach churns from his threats”); altered identity (describes herself as a “pale, haunted ghost”); and stressful managing (engages in behaviors to “keep the peace,” such as withholding information about her social whereabouts to avoid Christian’s anger). Anastasia becomes disempowered and entrapped in the relationship as her behaviors become mechanized in response to Christian’s abuse.

Our analysis identified patterns in Fifty Shades that reflect pervasive intimate partner violence—one of the biggest problems of our time. Further, our analysis adds to a growing body of literature noting dangerous violence standards being perpetuated in popular culture.

  1. Really? Sadism?

I notice that commenters rarely break down what the acronym “BDSM” actually stands for: bondage, domination, sadism, and masochism. If they did, they could no longer make the repulsive claim that “love” or “intimacy” have anything to do with it.

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The definition of sadism is “enjoyment that someone gets from being violent or cruel or from causing pain, especially sexual enjoyment from hurting or punishing someone…a sexual perversion in which gratification is obtained by the infliction of physical or mental pain on others.”

As one of my colleagues noted, we used to send sadists to a therapist or to prison, not to the bedroom. And 100 million copies of this porn novel have been unleashed on our society informing people that getting off on hurting someone is romantic and erotic. It is a brutal irony that people who scream about water-boarding terrorists are watching and experimenting with sexual practices far more brutal. As one porn researcher noted, some online BDSM porn promotes practices and behaviors that would be considered unlawful under the Geneva Convention if they were taking place in a wartime context.

It seems the Sexual Revolutionaries have gone from promoting “safe sex” to “safe words”—just in case the pain gets too rough. And none of them seem to be volunteering information on just how a woman is supposed to employ a safe word with a gag or bondage headgear on.

But who cares, right? Just one more casualty on our culture’s new Sexual Frontier.

  1. “It’s just fiction and fantasy and has no effect on the real world!”

That’s total garbage and they know it. I’ve met multiple girls who were abused like this inside of relationships. Hotels are offering “50 Shades of Grey” packages replete with the helicopter and private suites for the proceedings. According to the New York Post, sales of rope exploded tenfold after the release of the book. Babeland reported that visits to the bondage section of their website spiked 81%, with an almost 30% increase in the sale of things like riding crops and handcuffs.

I could go on, but I won’t. As Babeland co-founder Claire Cavanah noted, “It’s like a juggernaut. You’d be surprised to see how very ordinary these people are who are coming in. The book is just an explosion of permission for them to try something new in the bedroom.”

  1. What does this book and the BDSM movement say about the value of women and girls?

I’d like the defenders of this book to try stop thinking with their nether-regions for just a moment and ask themselves a few simple questions: What does sadism and sexual torture (consensual or not) say to our culture about the value of girls? What does it say to boys about how they should treat girls? The youth of today are inundated with porn and sexually violent material—is nobody—nobody—at all worried about the impact this has on them? On the girls who are being abused by boys who think this is normal behavior—and think it is normal themselves?

Dr. Gail Dines relates that when speaking to groups of women who loved the book, they all grow deathly silent when she asks them two simple questions: Would you want your daughter to be in a relationship with Christian Grey? Would you want your son to turn into Christian Grey?

If the answer is yes to either of those, someone should call social services.

__

This book and the sadism it promotes are an assault on human dignity, and most of all an assault on the worth and value of girls and women. Please consider the impact you will have on your daughters and the vulnerable and confused people around you when you read and promote this book. Anastasia Steele is, thankfully, a fictional character. But real girls are facing these expectations and demands from a culture that elevates a sexual sadist to the level of a romantic hero. Ask yourselves if you want their “love” and “intimacy” to include sadism and domination, or real respect.

Because you can’t have both.

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Ryan T. Anderson

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New York Times reporter: ‘Anti-LGBT’ people ‘deserve’ incivility

Ryan T. Anderson
By Ryan Anderson

As I recounted Monday at The Daily Signal, The New York Times reporter Josh Barro thinks some people are “unworthy of respect.” Yesterday Barro doubled-down and tweeted back at me that “some people are deserving of incivility.” He argued that I am such a person because of my views about marriage policy. You can see the entire exchange on my twitter page.

What Josh Barro says or does doesn’t really affect me. I’m not a victim, and I’ll keep doing what I do. But incivility, accepted and entrenched, is toxic to a political community. Indeed, civility is essential for political life in a pluralistic society.

It also has deep roots.

The Hebrew Bible tells us that all people are made in the image and likeness of God and have a profound and inherent dignity. Sound philosophy comes to a similar conclusion: as rational beings capable of freedom and love, all human beings have intrinsic and inestimable worth. And so we should always treat people with respect and dignity—we should honor their basic humanity. We should always engage with civility—even when we sharply disagree with them. Faith and reason, the natural law and the divine law, both point to the same conclusion.

Just as I think the best of theology and philosophy point to the conclusion that we should always treat people with respect, so I think they show that marriage is the union of a man and a woman—and that redefining marriage will undermine the political common good.

The work that I’ve done for the past few years for The Heritage Foundation has been at the service of explaining why I think this to be the case. Bookish by nature, I thought the best contribution I could make to public life was to help us think about marriage. So while my early work after college was in philosophy and bioethics, and my graduate coursework was in the history of political philosophy, I put my dissertation about economic and social justice on hold so I could devote myself to this debate at this crucial time.

Along with my co-authors, a classmate of mine from Princeton and a professor of ours there, we set out to write a book making what we considered the best philosophical argument for what marriage is and why it matters. Our book seemed to help the Supreme Court think about the issue, as Justice Samuel Alito cited it twice. The reason I’ve written various and sundry policy papers for Heritage, and traveled across the country speaking on college campuses, and appeared on numerous news shows (including, of course, Piers Morgan) is that I know the only way forward in our national debate about marriage is to make the arguments in as reasonable and civil a spirit as possible.

Some people, like Barro, want to do everything they can to shut down this discussion. They want to demonize those who hold contrary viewpoints. They want to equate us with racists and claim we are unworthy of respect and ought to be treated with incivility. This is how bullies behave. In all of recorded history, ours is the first time where we can have open and honest conversations about same-sex attraction and marriage. This discussion is just beginning. It is nowhere near being over.

All our fellow citizens, including those identifying as LGBT, should enjoy the full panoply of civil rights—the free exercise of religion, freedoms of speech and press, the right to own property and enter into contracts, the right to vote and have a fair trial, and every other freedom to live as they choose, consistent with the common good.

Government redefinition of marriage, however, is not a civil right—nor will redefining marriage serve the common good. Indeed, redefining marriage will have negative consequences.

We make our arguments, in many fora, as transparently as possible. We welcome counterarguments. And we strive to treat all people with the dignity and respect they deserve as we carry on this conversation.

One of the most unfortunate parts of my exchange with Barro last night was his reaction toward those who identify as LGBT and aspire to lives of chastity. They freely choose to live by their conviction that sex is reserved for the marital bond of a husband and wife. Some of them also seek professional help in dealing with and perhaps even diminishing (not repressing) their same-sex sexual desires.

I have written in their defense and against government coercion that would prevent them from receiving the help they desire, as New Jersey and California have done. Barro describes my support for their freedom as “sowing misery…doing a bad thing to people…making the world worse.”

There really is anti-LGBT bigotry in the world. But Barro does a disservice to his cause when he lumps in reasonable debates about marriage policy and the pastoral care that some same-sex attracted persons voluntarily seek out as, in his words, “anti-LGBT.” If we can’t draw a line between real bigotry and reasonable disagreement, we’re not helping anyone.

This debate isn’t about restricting anyone’s personal freedom. However it goes, people will remain free to live their romantic lives as they choose. So too people who experience same-sex attraction but aspire to chastity should be free to lead their lives in line with their beliefs, and to seek out the help they desire. We can have a civil conversation about which course of action is best—but let’s leave aside the extremism.

Barro asks, “Why shouldn’t I call you names?” My answer is simple: you should not practice the disdain and contempt you claim to abhor.

All my life, I’ve been educated at left-leaning institutions. Most of my friends disagree with me about these issues. But they’re still friends. And their feedback has made me a better person.

My final tweet to Barro is where I still remain committed: “people on all sides of LGBT debates and marriage debates need to find a way to discuss these issues without demonizing anyone.”

Reprinted with permission from the Daily Signal, where you can find Ryan Anderson's Twitter exchange with Barro.


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