OpinionFri Apr 20, 2012 - 5:40 pm EST
The costs of contraception
Coauthored with John Safranek
April 20, 2012 (thePublicDiscourse.com) - 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 thePublicDiscourse.com and is reprinted with permission.
Trump vows to push LGBT rights, hedges on pro-marriage litmus test
CONCORD, New Hampshire, February 8, 2016 (LifeSiteNews) – Does Donald Trump support the gay agenda or oppose it? On the eve of the New Hampshire primary, observers are still scratching their heads about where the GOP frontrunner actually stands.
Trump has repeatedly and consistently said he supports the natural definition of marriage, but can a President Trump be relied on to promote it resolutely and cogently? It is this question that has many marriage activists expressing concern about his increasingly likely hold on the GOP nomination.
In fact, the National Organization for Marriage has gone so far as to say that Trump has “abandoned” the pro-marriage cause.
Trump himself underscored the problem on the weekend when he told a New Hampshire television station that from the White House he would push “equality” for homosexuals even further forward.
A cable news reporter self-identifying as a lesbian asked him last Thursday after a rally in Exeter, "When President Trump is in office, can we look for more forward motion on equality for gays and lesbians?"
“Well, you can and look - again, we're going to bring people together. That's your thing, and other people have their thing,” Trump told Sue O’Connell of New England Cable News. “We have to bring all people together. And if we don't, we're not gonna have a country anymore. It's gonna be a total mess.”
Following the comments, Trump appeared Sunday on ABC’s This Week program with George Stephanopoulos and would not commit to appointing Supreme Court justices who’d overturn Obergefell, though that would be his “preference.”
“We’re going to look at judges. They’ve got to be great judges. They’ve got to be conservative judges. We’re going to see how they stand depending on what their views are. But that would be my preference,” he told Stephanopoulos. “I would prefer that they stand against, but we’ll see what happens. It depends on the judge.”
Trump’s comments follow his statements during a Fox News Sunday interview last week, when he said, “If I'm elected, I would be very strong on putting certain judges on the bench that I think maybe could change things, but they've got a long way to go.”
“[Marriage] should be a states rights issue,” Trump continued. “I can see changes coming down the line, frankly.”
When asked by Fox if he “might try to appoint justices to overrule the decision on same-sex marriage,” Trump replied, “I would strongly consider that, yes.”
The real estate mogul criticized the Supreme Court for the Obergefell decision imposing homosexual “marriage” on all 50 states last June, but then later in August, Trump voiced support to NBC News for banning companies from firing employees on the basis of sexual orientation. “I don't think it should be a reason” to fire workers, he said at the time on Meet the Press.
The National Organization for Marriage (NOM) and a number influential evangelicals have endorsed Senator Ted Cruz in the race for president. The Texas senator has not only committed to appointing pro-marriage justices, but says the president and the states can rightly defy the “fundamentally illegitimate” ruling just as President Lincoln defied the Dred Scott decision.
NOM has also been highly critical of Trump, saying he has “abandoned” their cause. The organization said in its January 27 blog post just prior to the Iowa Caucus that “Donald Trump does not support a constitutional amendment to restore marriage to our laws. Worse, he has publicly abandoned the fight for marriage. When the US Supreme Court issued their illegitimate ruling redefining marriage, Trump promptly threw in the towel with these comments on MSNBC: ‘You have to go with it. The decision's been made, and that is the law of the land.’”
NOM had said the week before that Trump “has made no commitments to fight for marriage, or the rights of supporters of marriage to not be discriminated against and punished for refusing to go along with the lie that is same-sex 'marriage.'”
New Hampshire voters have been tracked as showing support for homosexual “marriage,” as a poll last February showed 52 percent of Republican NH primary voters saying opposing gay “marriage” is unacceptable.
The latest CNN/WMUR tracking poll shows that overall 33 percent of likely Republican primary voters support Trump, giving him a growing 17-point lead over the nearest GOP contender. RealClearPolitics polling average in the state puts him at 31.0 percent support, with Marco Rubio second at 14.7, John Kasich third at 13.2, and Ted Cruz fourth at 12.7.
The unravelling of Chris Christie
February 8, 2016 (LifeSiteNews) -- I'm a member of the clergy and for the past eight years have lobbied the powerful in Trenton, covering the administrations of both Governors Jon Corzine and Chris Christie. I did much of my work on behalf of the New Jersey Family Policy Council, associated with Tony Perkins' Family Research Council. I am currently the President of the Center for Garden State Families.
Those of us who are engaged in the fight to secure the right to believe, speak, and practice the Christian faith in America were all heartened by the election of a Pro-Life Governor in 2009. Not only did Chris Christie run as an open Pro-Lifer, but he adopted a position in support of natural marriage in the course of the campaign. And when legislative Democrats attempted to pass same-sex marriage in the lame duck session, so they could have outgoing Governor Corzine sign it into law, Chris Christie rallied opposition and stopped it. Those were the early, hopeful days; but as Governor, Chris Christie has presented himself in an inconsistent, even scatterbrained way, often making decisions that go against earlier stated beliefs.
One of his first decisions was to make a liberal Democrat the state's Attorney General. Once approved by the Senate, and she was, the Attorney General could not be fired by the Governor, as was the case with other cabinet officers. This gave a liberal Democrat enormous power and she used it to join up with liberal Massachusetts Attorney General Martha Coakley in filing a brief against Christians in a case called Christian Legal Society v. Martinez. Just one day after being sworn in, the newly appointed state Attorney General took the most aggressive legal posture available to defend former Governor Corzine’s one-gun-a-month handgun rationing law, moving to dismiss an NRA lawsuit to overturn the law, and later vigorously opposing the NRA’s motion for a preliminary injunction in the case. Because of this appointment, New Jersey did not join in the lawsuits to overturn ObamaCare.
Governor Christie appointed a radical "sexologist" to run the NJ Department of Children & Families. This appointee would later resign when it emerged that she had held the top job in an organization that had supported a study advocating the normalization of some forms of adult-child sex.
His judicial appointments were also confusing. While claiming to oppose same-sex marriage, Governor Christie nominated an openly gay Republican to the state Supreme Court who supported it. Even Democrats wouldn't support this plainly unqualified appointment, and he never served. The Governor supported the advancement of a liberal Democrat to the job of Chief Justice, while refusing to support the re-appointment of a Republican and the Court's most conservative member. He also appointed a controversial defense attorney who had defended a number of Islamic extremists who had violated immigration law.
In 2013, many of those in the Christian community opposed legislation that banned young people from receiving counseling and therapy to lead them away from homosexuality. As an ex-gay myself, I could have personally attested to the benefits of such counseling, much of which is no different than what is found in contemporary twelve-step programs. However, the Christian community opposing the ban was not afforded the opportunity to meet with the Governor. Only the homosexual community with its pro-ban agenda was given that benefit.
Click "like" if you want to defend true marriage.
I don't blame the Governor for this, but I do blame his staff. As President Ronald Reagan said, "personnel is policy," and Governor Christie's choices in personnel have not advanced the policies he campaigned on, and often it was the direct opposite.
New Jersey ended up being just the second state in the country that only allows young people to receive counseling that advocates homosexuality, but bans by law counseling that advocates heterosexuality. When he signed it into law, Governor Christie embraced the made-up "science" of the propagandists, when he cited un-specified "research" that "sexual orientation is determined at birth." This is the so-called "gay-gene" trope that has baffled those engaged in the Science of Genetics because it has never been discovered.
As a candidate for Governor, Chris Christie talked the talk and raised the expectations of Christians in New Jersey. As Governor, and especially in his appointments, Christie undermined our confidence in his leadership. Christians should ask tough questions before extending our faith in him again.
Pro-life investigator hits back with new footage after judge blocks release of abortion sting videos
SAN FRANCISCO, February 8, 2016 (LifeSiteNews) -- A new video from the Center for Medical Progress (CMP) shows two National Abortion Federation (NAF) employees saying that abortion clinics would be interested in kickbacks from profits on fetal tissue and body part sales.
The video comes three days after a San Francisco imposed an injunction sought by NAF against CMP videos that one of the abortion group's attorneys said meant that "NAF's members can sleep a little easier tonight."
CMP accused the pro-abortion organization of hiding behind the court.
According to U.S. District Court Judge William H. Orrick, however, NAF "made...a showing" that release of CMP videos would harm rights to privacy, freedom of association, and liberty of NAF members.
"Critical to my decision are that the defendants agreed to injunctive relief if they breached the agreements and that, after the release of defendants’ first set of Human Capital Project videos and related information in July 2015, there has been a documented, dramatic increase in the volume and extent of threats to and harassment of NAF and its members," wrote Orrick.
Additionally, the judge found that CMP's videos “thus far have not been pieces of journalistic integrity, but misleadingly edited videos and unfounded assertions," and that nobody from the abortion industry “admitted to engaging in, agreed to engage in, or expressed interest in engaging in potentially illegal sale of fetal tissue for profit" in the CMP videos.
However, in a new video released today that is unrelated to the injunction, a NAF employee told undercover journalists that kickbacks "definitely [sound] like something some [of] our members would be really interested in," with another chiming in that money from private purchasers to abortion clinics were "a win-win" for clinics.
The undercover investigators, who had purported to be part of a biotechnology company with an interest in fetal parts, were offered the chance to be at a NAF conference. “We have an exhibit hall and then we also have the general conference. But I mean, this is a very great way to talk to our members. We have a group purchasing program through our membership,” the journalists were told. “So it seems like this would be a really great option to be able to offer our members, as well.”
This is the second ruling against CMP in recent weeks, and the second by Orrick since July. The San Francisco judge issued a restraining order against CMP related to NAF's 2014 and 2015 meetings in San Francisco and Baltimore that Friday's ruling extended.
The other recent ruling came in the form of an indictment of CMP's David Daleiden and Sandra Merritt. Merritt and Daleiden turned themselves into Houston authorities for booking and processing last week. After being released on bail, Daleiden spoke at a LifeSiteNews/Christian Defense Coalition press conference after which more than 100,000 petition signatures backing Daleiden were dropped off to the Harris County, Texas District Attorney's office.
According to Orrick, who says he reviewed the more than 500 hours of recordings from CMP, "It should be said that the majority of the recordings lack much public interest, and despite the misleading contentions of defendants, there is little that is new in the remainder of the recordings. Weighed against that public interest are NAF’s and its members’ legitimate interests in their rights to privacy, security, and association by maintaining the confidentiality of their presentations and conversations at NAF Annual Meetings. The balance is strongly in NAF’s favor.”
NAF did not respond to a request for comment about the allegations by Orrick and a NAF spokesperson that CMP's videos have caused threats and other security concerns against NAF members.