Carson Holloway

The costs of contraception

Carson Holloway
By Carson Holloway

Coauthored with John Safranek

April 20, 2012 ( - A great deal of public discussion has been sparked by the recent determination of the Department of Health and Human Services that it would, under the legal authority of the new health care law, require health insurance plans to cover the costs of hormonal contraception. Much of that discussion has focused on the nature and importance of religious freedom, since the directives would require some institutions, such as Catholic hospitals and universities, to provide health insurance coverage for things that are contrary to Catholic moral teaching. To a lesser extent, the HHS regulations have provoked some renewed discussion—at least among Catholics, but perhaps more generally among religious conservatives—about the morality of contraception itself, a topic that had seemed closed as a topic of genuine inquiry for the last generation.

The HHS directives should also give rise to another discussion, one that so far has not been undertaken: a discussion not of the legality of the mandates, nor of the morality of contraception, but of the physical costs of contraception, of the negative consequences it may have for the health and well-being of the women who use it. This aspect of the question has been all but totally ignored. For their part, the liberal partisans of the HHS mandates speak as if hormonal contraception is simply an unmitigated good, a clean gain, for women. Indeed, their argument suggests that such contraception is so unequivocally good that there can be no reasonable argument about the propriety of mandating its coverage as a health care benefit.

This assumption deserves to be challenged because it is untrue. That is, hormonal contraception carries certain physical costs in addition to the benefits touted by its proponents. Unless these costs are frankly acknowledged, American women will be in no position to make an informed choice about whether or not to use contraception. Yet presumably Americans of all ideological persuasions could agree that women should be in a position to choose or reject contraception based upon full knowledge of its potential physical consequences.

The popular view of contraception as an unmitigated good is based upon a naïve understanding of science’s ability to intervene in natural processes. Modern people are understandably impressed by science’s ability to manipulate nature, to divert it to courses more acceptable (or apparently more acceptable) to human well-being than it would take if left to itself. We are often more impressed, however, than would be justified on closer examination. It is, after all, impossible to interject technological control into any natural system without incurring some undesirable consequences. Liberals understand this very well when the issue is non-human natural systems—the “environment.” They can easily tell you the problems that are caused by cutting down trees, mining coal, or burning oil.

But a woman’s body is a natural system like any other. It is devised by nature—for a portion of the woman’s lifespan—to be capable of becoming pregnant, to be fertile. Medical science cannot simply turn that fertility on and off like a light switch. It is rather to be expected that suppression of fertility through the use of birth control pills will carry certain physical costs for the woman who does it. The evidence bears out this expectation. In discussing these consequences we divide them into two categories: health risks and costs to physical well-being.

The existing scientific literature suggests that the long-term use of birth control pills is associated with increased risk for certain serious, and potentially deadly, health problems. A 2009 Mayo Clinic study noted a doubling of the risk of breast cancer in women who had used birth control pills for more than eleven years. Similarly, another recent study, funded by the National Institutes of Health, found that longer duration of use of hormonal contraception, as well as earlier first age of use, increased risk of breast cancer. Specifically, the study found that women who started using birth control pills before age 18 were at 1.9 times the normal risk level for all forms of breast cancer, and that women 40 and younger were at a 4.2-fold increased risk of triple negative breast cancer, one of the worst forms, which accounts for between 10 and 17 percent of all breast cancer cases.

Some forms of hormonal birth control have also been associated with increased risk for blood clots. Yaz, which was for several years the top-selling birth control pill, was discovered to almost double the risk for blood clotting, which can be lethal. There were about ten deaths per year among Yaz users during the period from 2004 to 2008, although the actual number of fatalities may be higher. Finally, birth control pills are harmful for the cardiac health of women who suffer from atherosclerotic disease. Those who use birth control pills usually cannot know whether they are assuming this additional risk, since it is generally financially impractical to screen for atherosclerosis prior to the use of birth control.

While these problems are admittedly only risks and not certainties attending the use of birth control, it is also worth noting that they do not necessarily represent all of the risks involved. That is, birth control pills may in some cases be more perilous than we know. The aforementioned Yaz had been approved by the FDA and was in use for several years before its connection to blood clotting came to light. Similarly, the author of the aforementioned NIH study on birth control and breast cancer noted the “scarcity” of studies of this link, and hence the need for “further research” on it.

Birth control pills also tend to carry costs to physical well-being. Use of birth control pills is associated with an increased incidence of unpleasant things such as depression, mood swings, weight gain, impeded weight loss, headache, upper respiratory infection, sinusitis, nausea, menstrual cramps, acne, breast tenderness, vaginal candidiasis (commonly known as “yeast infection”), bacterial vaginitis, and urinary tract infection. Although normally not life-threatening, such physical ailments are certainly not insignificant to those who suffer them.

Moreover, they are especially noteworthy to the extent that they bear negatively upon the supposed benefit of contraception: sexual freedom. Sometimes the proponents of contraception present it as preventing pregnancy, but anyone with elementary knowledge of biology knows that pregnancy can be prevented even more reliably by refraining from sexual intercourse. Contraception’s real benefit, then, at least as its advocates see it, is sexual freedom, the ability to enjoy sex without unwanted consequences. The side effects mentioned above, however, put a serious dent in the argument for this benefit. Obviously, a woman suffering from some or even one of the physically unpleasant consequences of birth control will not be able to enjoy sexual activity as much as she otherwise might. This is especially evident in the case of several of the ailments noted above, the ones (such as vaginitis, urinary tract infection, and vaginal candidiasis) that involve vaginal discomfort.

Indeed, one commonly found side-effect of hormonal birth control is a decrease in libido or sexual desire. Whether this arises independently or is itself caused by some of the other disorders and discomforts noted above is immaterial to the basic fact that contraception, which is promoted as a means to sexual happiness, can in fact diminish a woman’s sexual happiness. The promise of contraception is that women will be able to have sex whenever they want to, but a closer look reveals that it might well make you not want to very much. Put another way, its claim to be a pure benefit is compromised to the extent that it diminishes the enjoyment of that which it puts within such easy reach. Access to more apples is not a pure gain if a larger percentage of the apples are spoiled and taste bad.

We do not claim that these risky and unpleasant side-effects render contraception immoral. The morality of contraception depends on philosophic arguments we are not making here. Nor do we claim that the bad side-effects are so severe as to justify a ban on contraception on public health grounds. We merely hold that these side-effects are often ignored in our public discourse, but that a truly free decision of women to use or not use them—as well as a truly free decision of voters whether to use government to promote them—depends on a frank acknowledgement of their costs along with their alleged benefits.

Carson Holloway is a political scientist and the author of The Way of Life: John Paul II and the Challenge of Liberal Modernity (Baylor University Press). John Safranek, MD, is a medical doctor practicing in Nebraska. He also holds a PhD in philosophy from the Catholic University of America, and his writings have appeared in the Hastings Center Report, the Texas Review of Law and Politics, and the University of Colorado Law Review. This article first appeared at and is reprinted with permission.

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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.

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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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