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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Clinton: US needs to help refugee rape victims… by funding their abortions

Dustin Siggins Dustin Siggins Follow Dustin
By Dustin Siggins

CLINTON, Iowa, November 25, 2015 (LifeSiteNews) – Leading Democratic presidential candidate Hillary Clinton said on Sunday that U.S. taxpayers should be on the hook for abortions for refugees impregnated through rape.

"I do think we have to take a look at this for conflict zones," Clinton said at an Iowa town hall, according to CNN. "And if the United States government, because of very strong feelings against it, maintains our prohibition, then we are going to have to work through non-profit groups and work with other counties to ... provide the support and medical care that a lot of these women need."

Clinton also said that "systematic use of rape as a tool of war and subjection is one that has been around from the beginning of history" but that it has become "even more used by a lot of the most vicious militias and insurgent groups and terrorist groups."

The prohibition referenced by Clinton – and named by the woman who asked Clinton about pregnant refugees – is known as the Helms Amendment. Made into law in 1973, it prevents U.S. foreign aid funds from being used for abortion.

Abortion supporters have urged the Obama administration to unilaterally change its interpretation of the amendment to allow exceptions for pregnancies resulting from rape and incest, and if the mother's life is in danger. They argue that because the law specifically states that "[n]o foreign assistance funds may be used to pay for the performance of abortion as a method of family planning," women who are raped should be excepted.

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In August, 81 Democrats signed a letter to President Obama that urged this course of action. CNN reported that while Clinton didn't call for the Helms Amendment to be changed or re-interpreted, she did support other actions to increase women's access to abortion facilities.

If the United States "can't help them [to get an abortion], then we have to help them in every other way and to get other people to at least provide the options" to women raped in conflict, she said.

"They will be total outcasts if they have the child of a terrorist or the child of a militia member," according to Clinton. "Their families won't take them, their communities won't take them."

A study of women who bore their rape-conceived children during the Rwanda genocide found that "motherhood played a positive role for many women, often providing a reason to live again after the genocide."

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Cardinal George Pell Patrick Craine / LifeSiteNews
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Cardinal Pell bets against the odds: insists Pope Francis will strongly reaffirm Catholic tradition

Andrew Guernsey
By Andrew Guernsey


ROME, November 25, 2015 (LifeSiteNews) -- Contradicting the statements of some of the pope’s closest advisors, the Vatican’s financial chief Cardinal George Pell has declared that Pope Francis will re-assert and “clarify” longstanding Church teaching and discipline that prohibits Communion for the divorced and civilly remarried in public adultery without sacramental confession and amendment of life.

In a homily on Monday, Pell stressed the importance of fidelity to the pope, especially today as “we continue to look also to the successor of St. Peter as that guarantee of unity in doctrine and practice.”

Pell was offering Mass at the Basilica of San Clemente in Rome on the feast of Pope St. Clement I, notable in history for being one of the first popes to exert Roman papal primacy to correct the errors in the doctrine and abuses in discipline which other bishops were allowing.

Turning to address the issues at the Synod on the Family, Pell rebuked those who “wanted to say of the recent Synod, that the Church is confused and confusing in her teaching on the question of marriage,” and he insisted that the Church will always remain faithful to “Jesus’ own teaching about adultery and divorce” and “St. Paul’s teaching on the proper dispositions to receive communion.” Pell argues that the possibility of Communion for those in adultery is “not even mentioned in the Synod document.”

Pell asserted that Pope Francis is preparing “to clarify for the faithful what it means to follow the Lord…in His Church in our World.” He said, “We now await the Holy Father’s apostolic exhortation, which will express again the Church’s essential tradition and emphasize that the appeal to discernment and the internal forum can only be used to understand better God’s will as taught in the scriptures and by the magisterium and can never be used to disregard, distort or refute established Church teaching.”

STORY: Vatican Chief of Sacraments: No pope can change divine law on Communion

The final document of the synod talks about the “internal forum” in paragraphs 84-86, refers to private discussions between a parish priest and a member of the faithful, to educate and form their consciences and to determine the “possibility of fuller participation in the life of the Church,” based on their individual circumstances and Church teaching. The selective quoting of John Paul II’s Familiaris Consortio that omitted his statement ruling out the possibility of Communion for those in public adultery has given liberals hope that this “fuller participation” could include reception of Communion.

Pell’s prediction that the pope will side with the orthodox side of this controversy lends two explanations. On one reading, Pell is uncertain what the pope will do in his post-synodal exhortation, but he is using such firm language as a way of warning the pope that he must clearly uphold Church teaching and practice, or else he would risk falling into heresy at worst or grave negligence at best in upholding the unity of the Church.

On another reading, Pell may have inside information, even perhaps from the pope himself, that he will uphold Church teaching and practice on Communion for those in public adultery, that the pope’s regular confidants apparently do not have.

This hypothesis, however, is problematic in that just last week, Pope Francis suggested that Lutherans may “go forward” to receive Holy Communion, contrary to canon law, if they come to a decision on their own, which suggests agreement with the reformers’ line of argument about “conscience.” And earlier last month, the pope granted an interview to his friend Eugenio Scalfari, who quoted the pope as promising to allow those in adultery back to Communion without amendment of life, even though the Vatican refused to confirm the authenticity of the quote since Scalfari does not use notes.

If Pell actually knew for certain what the pope would do, it would also seem to put Pell’s knowledge above that of Cardinal Robert Sarah, who in what could be a warning to Pope Francis, declared last week in no uncertain terms that “Not even a pope can dispense from such a divine law” as the prohibition of public adulterers from Holy Communion.

STORY: Papal confidant signals Pope Francis will allow Communion for the ‘remarried’

Several members of the pope’s inner circle have said publicly that the controversial paragraphs 84-86 of the Synod final document have opened the door for the Holy Father to allow Communion in these cases if he so decides. Fr. Antonio Spadaro, SJ, a close friend of Pope Francis and the editor of La Civita Catholica, a prominent Jesuit journal in Rome reviewed by the Vatican Secretariat of State, wrote this week that the internal forum solution for the divorced in adultery is a viable one:

The Ordinary Synod has thus laid the bases for access to the sacraments [for the divorced and civilly remarried], opening a door that had remained closed in the preceding Synod. It was not even possible, one year ago, to find a clear majority with reference to the debate on this topic, but that is what happened in 2015. We are therefore entitled to speak of a new step.

Spadaro’s predictions and interpretation of the Synod are consistent with the public statements of liberal prelates, some of whom are close confidantes to Pope Francis, including Cardinal Schönborn, Cardinal Wuerl, Cardinal Kasper, Cardinal Nichols, and the head of the Jesuit order, Fr. Nicolás. Fr. Nicolás, in particular, first confirmed that there would be an apostolic exhortation of the pope, and said of Communion for those in public adultery:

The Pope’s recommendation is not to make theories, such as not lumping the divorced and remarried together, because priests have to make a judgment on a case by case and see the situation, the circumstances, what happens, and depending on this decision one thing or the other. There are no general theories which translate into an iron discipline required at all. The fruit of discernment means that you study each case and try to find merciful ways out.

Although in the best analysis, Pell’s prediction about what Pope Francis may do in his post-synodal apostolic exhortation remains just that-- a prediction—he is drawing a line in the sand that if the pope chooses to cross, would bring the barque of Peter into uncharted waters, where the danger of shipwreck is a very real threat.


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Lianne Laurence


Jennifer Lawrence just smeared traditional Christians in the worst way

Lianne Laurence
By Lianne Laurence

November 25, 2015 (LifeSiteNews) – It’s no surprise that yet another Hollywood star is mouthing the usual liberal platitudes, but the fact that this time around it’s Jennifer Lawrence, a mega-star and lead in blockbuster series Hunger Games, brings a particular sting of disappointment.

That’s because the 25-year-old, effervescent and immensely talented star often comes across not only as very likable, but also as someone capable of independent thought.

But apparently not.

Or at least not when it comes to Kim Davis, the Kentucky clerk famously thrown in jail for refusing to obey a judge’s order that she sign marriage licenses for homosexual couples.

Davis, Lawrence tells Vogue in its November issue, is that “lady who makes me embarrassed to be from Kentucky.”

“Don’t even say her name in this house,” the actress told Vogue writer Jonathan van Meter in an interview that happened to take place the day after Davis was released from her five-day stint in jail.

Lawrence then went on a “rant” about “all those people holding their crucifixes, which may as well be pitchforks, thinking they’re fighting the good fight.”

RELATED STORY: Wrong, Jennifer Lawrence! Real men don’t need porn, and women don’t need to give it to them

She was brought up Republican, she told van Meter, “but I just can’t imagine supporting a party that doesn’t support women’s basic rights. It’s 2015 and gay people can get married and we think that we’ve come so far, so, yay! But have we? I don’t want to stay quiet about that stuff.”

After conjuring up images of Christians as bug-eyed hillbillies on a witchhunt with her reference to “crucifixes as pitchforks,” Lawrence added darkly: “I grew up in Kentucky. I know how they are.”

Perhaps one should infer that it’s lucky for Lawrence she escaped to Los Angeles and its enlightened culture. That hallowed place where, according to van Meter, Kris Jenner (former spouse of Bruce Jenner, who infamously declared himself a woman) brought Lawrence a cake for her birthday that was shaped like excrement and inscribed: “Happy birthday, you piece of sh*t!”

Lawrence is reportedly now Hollywood’s most highly paid actress. Not only is she the star of the hugely popular and lucrative Hunger Games franchise -- the last installment of which, Mockingjay, Part 2 opened November 20 -- but she won an Oscar for Silver Linings Playbook and starred in several others since her breakout role in the 2010 moving and moody indie film, Winter’s Bone.

Lawrence has every right to express her opinion, although no doubt it will be given more weight than it deserves. It is unfortunate, however, that she’s chosen to wield her fame, shall we say, as a pitchfork against Christian moral truths.



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