Michael Cook

An unmet need for sound thinking

Michael Cook
By Michael Cook

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?”


“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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Pelosi asked: Is unborn baby with human heart a ‘human being’? Responds: ‘I am a devout Catholic’

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By Dustin Siggins

Tell Nancy Pelosi: No, supporting abortion and gay 'marriage' is not Catholic. Sign the petition. Click here.

WASHINGTON, D.C., October 2, 2015 (LifeSiteNews) -- Top Democrat Nancy Pelosi, D-CA, won't say whether an unborn child with a “human heart” and a “human liver” is a human being.

Pelosi, who is the Minority Leader in the House, was asked a question about the issue by CNS News at a press conference last week. The conservative news outlet asked, "In reference to funding for Planned Parenthood: Is an unborn baby with a human heart and a human liver a human being?”

Pelosi stumbled over her answer, saying, “Why don't you take your ideological questions--I don't, I don't have—”

CNS then asked her, "If it's not a human being, what species is it?”

It was then that Pelosi got back on stride, swatting aside the question with her accustomed reference to her “devout” Catholic faith.

“No, listen, I want to say something to you,” she said. “I don't know who you are and you're welcome to be here, freedom of this press. I am a devout practicing Catholic, a mother of five children. When my baby was born, my fifth child, my oldest child was six years old. I think I know more about this subject than you, with all due respect.”

“So it's not a human being, then?” pressed CNS, to which Pelosi said, “And I do not intend to respond to your questions, which have no basis in what public policy is that we do here.”

Pelosi has long used her self-proclaimed status as a “devout” practicing Catholic to promote abortion.

In response to a reporter’s question a proposed ban on late-term abortion in 2013, Pelosi said that the issue of late-term abortion is "sacred ground" for her.

"As a practicing and respectful Catholic, this is sacred ground to me when we talk about this," Pelosi said. "This shouldn't have anything to do with politics."

In 2008, she was asked by then-Meet the Press host David Gregory about when life begins. Pelosi said that "as an ardent, practicing Catholic, this is an issue I have studied for a long time. And what I know is that over the centuries, the doctors of the Church have not been able to make that definition....We don't know."

The Church has always taught that unborn human life is to be protected, and that such life is created at the moment of conception.

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New video: Planned Parenthood abortionist jokes about harvesting baby’s brains, getting ‘intact’ head

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By Ben Johnson

I interviewed my friend, David Daleiden, about his important work exposing Planned Parenthood's baby body parts trade on the Glenn Beck Program. David urged Congress to hold Planned Parenthood accountable and to demand the full truth. He also released never-before-seen footage showing a Planned Parenthood abortionist callously discussing how to obtain an intact brain from aborted babies.

Posted by Lila Rose on Monday, October 5, 2015


Sign the petition to defund Planned Parenthood here

WASHINGTON, D.C., October 5, 2015 (LifeSiteNews) - In the newest video footage released by the Center for Medical Progress, a Planned Parenthood abortionist laughs as she discusses her hope of removing the intact "calvarium," or skull, of an unborn baby while preserving both lobes of the brain.

She also describes how she first dismembers babies up to twenty weeks gestation, including two twenty-week babies she said she aborted the week before.

Dr. Amna Dermish, an abortionist with Planned Parenthood of Greater Texas, told undercover investigators she had never been able to remove the calivarium (skull) of an aborted child "intact," but she hopes to.

"Maybe next time," the investigator said.

"I know, right?" Dr. Dermish replied. "Well, this'll give me something to strive for."

Dermish, who performs abortions up to the 20-week legal limit in Austin, then described the method she used to collect fetal brain and skull specimens.

"If it’s a breech presentation [in which the baby is born feet first] I will remove the extremities first - the lower extremities - and then go for the spine," she began.

She then slides the baby down the birth canal until she can snip the spinal cord.

The buyer noted that intact organs fetch higher prices from potential buyers, who seek them for experimentation.

"I always try to keep the trunk intact," she said.

"I don't routinely convert to breech, but I will if I have to," she added.

Converting a child to the breech position is the first step of the partial birth abortion procedure. The procedure has been illegal since President Bush signed legislation in 2003 making it a federal felony punishable by two years in prison and a fine of $250,000.

According to CMP lead investigator David Daleiden, who debuted the video footage during an interview with Lila Rose on The Blaze TV, Dr. Dermish was trained by Planned Parenthood's senior director of medical services, Dr. Deborah Nucatola.

Dr. Nucatola was caught on the first CMP undercover video, discussing the side industry while eating a salad and drinking red wine during a business luncheon.

Between sips, she described an abortion process that legal experts believe is a partial birth abortion, violating federal law.

“The federal abortion ban is a law, and laws are up to interpretation,” Dr. Nucatola said on the undercover footage. “So, if I say on day one that I don't intend to do this, what ultimately happens doesn't matter.”

Daleiden told Rose he hoped that Congressional investigators would continue to pressure the organization about whether the abortion technique it uses violates federal law, as well as the $60-per-specimen fee the national organization has admitted some of its affiliates receive.

Trafficking in human body parts for "valuable consideration" is also a federal felony carrying a penalty of up to 10 years in prison and a $500,000 fine.

"That would be enough to construct a criminal case against Planned Parenthood," Daleiden said.

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Nancy Flanders


He used to be an abortionist; now, he fights to save the lives of the preborn

Nancy Flanders
By Nancy Flanders

October 5, 2015 (LiveActionNews) -- In 1976, Dr. Anthony Levatino, an OB/GYN, graduated from medical school and was, without a doubt, pro-abortion. He strongly supported abortion “rights” and believed abortion was a decision to be made between a woman and her doctor.

“A lot of people identify themselves as pro-life or pro-choice, but for so many people, it doesn’t really touch them personally; it doesn’t impact their lives in the way that I wish it would. If nothing more than in the voting booth, if nowhere else,” said Levatino in a speech for the Pro-Life Action League. “But when you’re an obstetrician / gynecologist and you say I’m pro-choice – well, that becomes rather a more personal thing because you’re the one who does the abortions and you have to make the decision of whether you’ll do that or not.”

Levatino learned how to do first and second trimester abortions. Thirty to forty years ago, second trimester abortions were done by saline injection, which was dangerous.

"For the first time in my life, after all those years, all those abortions, I really looked, I mean I really looked at that pile of goo on the side of the table that used to be somebody’s son or daughter and that’s all I could see."

At that same time, Levatino and his wife were struggling with fertility problems and were considering adoption. They knew however, how difficult it was to adopt a newborn.

“It was the first time that I had any doubts about what I was doing because I knew very well that part of the reason why it’s difficult to find children to adopt were that doctors like me were killing them in abortions,” said Levatino.

Finally, in 1978, the couple adopted their daughter, Heather. Right after the adoption, they discovered they were expecting a baby, and their son was born just 10 months later.

Levatino describes a “perfectly happy” life at this time and says that despite those first qualms about abortion, he went right back to work performing them.

In 1981, after graduating from his residency, Levatino joined an OB/GYN practice which also offered abortions as a service. Saline infusion was the most common method for second trimester abortions at the time, but it ran the risk of babies born alive. The procedures were also expensive, difficult, and required the mother to go through labor. Levatino and his partners trained themselves to perform the D&E abortion procedure, which is used today.

In his speech, he describes what it’s like to perform the now routine procedure:

You take an instrument like this called a sopher clamp and you basically – the surgery is that you literally tear a child to pieces. The suction is only for the fluid. The rest of it is literally dismembering a child piece by piece with an abortion instrument […] absolutely gut-wrenching procedure.

Over the next four years, Levatino would perform 1,200 abortions, over 100 of them D&E, second trimester abortions.

But then everything changed. On a beautiful day in June of 1984, the family was at home enjoying time with friends when Levatino heard tires squeal. The children were in the street and Heather had been hit by a car.

“She was a mess,” he explained. “And we did everything we possibly could. But she ultimately died, literally in our arms, on the way to the hospital that evening.”

After a while, Levatino had to return to work. And one day, his first D&E since the accident was on his schedule. He wasn’t really thinking about it or concerned. To him, it was going to be a routine procedure he had done many times before. Only it wasn’t.

“I started that abortion and I took that sopher clamp and I literally ripped out an arm or a leg and I just stared at it in the clamp. And I got sick,” he explained. “But you know something, when you start an abortion you can’t stop. If you don’t get all the pieces – and you literally stack them up on the side of the table […] your patient is going to come back infected, bleeding or dead. So I soldiered on and I finished that abortion.”

But by the time the abortion was complete, Levatino was beginning to feel a change of heart:

For the first time in my life, after all those years, all those abortions, I really looked, I mean I really looked at that pile of goo on the side of the table that used to be somebody’s son or daughter and that’s all I could see. I couldn’t see what a great doctor I was being. I didn’t see how I helped this woman in her crisis. I didn’t see the 600 dollars cash I had just made in 15 minutes. All I could see was somebody’s son or daughter. And after losing my daughter this was looking very, very different to me.

Levatino stopped performing second trimester abortions but continued to provide first trimester abortions for the next few months.

“Everybody puts doctors on a pedestal and we’re all supposed to be so smart but we’re no different than anybody else,” he said.

Click "like" if you are PRO-LIFE!

He realized that killing a baby at 20 weeks gestation was exactly the same as killing one at nine weeks gestation or even two weeks gestation. He understood that it doesn’t matter how big or small the baby is, it’s a human life. He has not done an abortion since February 1985 and says there is no chance he will ever perform one again.

Adamant that he would never join the pro-life movement because of the media’s portrayal of pro-lifers as crazy, he was eventually invited to a pro-life potluck dinner where he met people who he realized were intelligent volunteers who spent their time defending preborn humans.

After that, Levatino began speaking out against abortion specifically with young people, graphically describing for them what an abortion really is.

Levatino has also testified before Congress, asking our government to end legal abortion.

Reprinted with permission from Live Action News

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