Rebecca Oas, Ph.D.

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The Guttmacher Institute has a bad prescription for Uganda

Rebecca Oas, Ph.D.
By Rebecca Oas Ph.D.

February 8, 2013, (C-FAM) - The Guttmacher Institute released a brief report titled Unintended Pregnancy and Abortion in Ugandain which they make their case for why increased contraception and access to “safe” abortion will reduce maternal mortality.  Briefly, their argument is that unintended pregnancy in Uganda is high, and this is because women don’t have access to contraceptives.  Because of these unintended pregnancies, women seek abortions, which Guttmacher claims are often “unsafe” due to a combination of confusing laws, lack of knowledge regarding one’s options, and stigma due to a pervasive negative attitude toward abortion.  The Guttmacher Institute, founded as a research division of Planned Parenthood, predictably offer their boilerplate recommendations: more contraceptives to reduce the “need” for abortions, and more access to “safe” and “legal” abortions for when contraceptives fail or a pregnancy turns from “wanted” to “unwanted”, if the unborn child is diagnosed as ill, disabled, or, in some cases, female.

Guttmacher estimates that just over 54% of pregnancies in Uganda are unintended, and state that “The high level of unintended pregnancy and the gap between actual and desired fertility in Uganda can be attributed largely to insufficient contraceptive use.”  According to the latest numbers from the United Nations Statistics Division, “unmet need” for contraception in Uganda was 38% in 2006.

Just for the sake of comparison, let’s look at the numbers from the United States: Guttmacher claims that 49% of pregnancies in the US are unintended, yet the UN Statistics Division puts “unmet need” for contraceptives in the US at only 6.6%, as of 2008.

As illustrated by this graph, the Guttmacher Institute’s assumption that more contraception will reduce unintended pregnancy rates in Uganda could stand a bit more scrutiny:

Relationship between “unmet need” for contraceptives and unplanned pregnancies in Uganda and the United States

Source data: Guttmacher Institute and  United Nations Statistics Division

Multiple conclusions can be drawn from this: first, the concept of “unmet need” is highly flawed (which experts have demonstrated), yet it is continually being used by organizations like UNFPA to demand funding – most recently 8.1 billion dollars a year to saturate the world with contraceptives.

Second, access to modern contraceptive methods isn’t enough to stop unintended pregnancy, as the United States numbers clearly indicate.  So what happens to those babies conceived unintentionally?

It should be noted that the Guttmacher report pays no attention whatsoever to the alarmingly high rate of miscarriage, which is almost three times higher than that of the comparable group in the United States.  Instead, the report “highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.”

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Since the Guttmacher Institute’s strategy on unintended pregnancy seems unlikely to work, their strategy for reducing maternal mortality would seem to hinge on dealing with unsafe abortion.  The exact percentage of maternal mortality in Uganda attributable to abortion is hard to pin down: Guttmacher cites an unpublished report from the 1990s claiming a rate of 21% and a statement by the Minister of Health in 2008 claiming 26%.  However, when Uganda’s Ministry of Health issued its annual report for 2011-2012, they attributed 13% of maternal deaths to abortion, which is consistent with global estimates, and, in fact, lower than the 18% rate the World Health Organization (WHO) cites for the East African region, which includes Uganda.

Outcomes of Unintended Pregnancies (United States vs. Uganda)

Source data: Guttmacher Institute

In addition to the Guttmacher Institute, the Center for Reproductive Rights also relies on the highest available estimate of maternal mortality due to abortion.  Once again, their goal is explicit: “increasing access to safe abortion services.”

It seems that Uganda does not share their priorities.  Uganda’s health ministry has been clear in defining the interventions that will improve maternal mortality.  From their Strategic Plan for 2010/11-2014-15 (PDF):

“The main factors responsible for maternal deaths relate to the three delays – delay to seek care, delay to reach facilities and intra-institutional delay to provide timely and appropriate care. Slow progress in addressing maternal health problems in Uganda is due to lack of HR, medicines and supplies and appropriate buildings and equipment including transport and communication equipment for referral.”

In other words, general improvements in medical infrastructure and transportation, the same things that have reduced maternal mortality or kept it low in many countries with laws restricting or prohibiting abortion, such as Ireland, Malta, and Sri Lanka.  WHO researchers point out that in Latin America, good healthcare infrastructure “has kept the mortality relatively low in Latin America, and the unsafe abortion case fatality rate is just about equal to that in Europe,” despite the lack of liberal abortion laws in the region.

If the Guttmacher Institute or the Center for Reproductive Rights were truly serious about saving women’s lives in Uganda, they would not rely on relatively unsubstantiated (and certainly debatable) numbers on abortion-related maternal mortality simply because they are the highest available estimates.  To do so would be to risk underestimating the rates at which other complications occur, like hemorrhage or infection or underlying health problems caused by poor nutrition, such as anemia.  Furthermore, promoting access to abortion would do nothing to improve the overall status of health care in Uganda, to say nothing of ensuring access to good roads and bridges that are crucial in ensuring prompt medical attention for everyone, including expectant mothers.

Ultimately, the focus on Uganda from these pro-abortion groups comes down to one very important fact.  As the Guttmacher report helpfully points out in its opening sentence:

“Uganda, a country of nearly 35 million (including 8 million women of reproductive age), has one of the highest rates of population growth in the world.”

And, what’s more, the Ugandan people don’t seem to share Guttmacher’s view that this is a bad thing:

“Although desired fertility is declining, many Ugandans still want large families and do not approve of abortion.”

The Guttmacher Institute is using questionable data to push a flawed agenda on a country that does not require its help to establish sound health priorities.

This article originally appeared on C-FAM and is reprinted with permission.

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Kermit Gosnell considers himself a ‘martyr’: Gosnell filmmakers

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By Ben Johnson

HUNGTINGDON, PA, May 21, 2015 (LifeSiteNews.com) – Spending life in prison without parole for murdering several newborn babies, Kermit Gosnell spends his days listening to music and thinking of himself as a “martyr,” according to the makers of the forthcoming Kermit Gosnell film.

Producers Phelim McAleer, Ann McElhinney, and Magdalena Segeida interviewed Gosnell for hours at the State Correctional Institution at Huntingdon, Pennsylvania – and they came away saying the doctor is remorseless, self-pitying, and enjoying far more liberty than they thought would be granted to a mass murderer.

The producers visited the central Pennsylvania penitentiary and spoke to the the late-term abortionist up-close – a little too close, they say. McElhinney said Gosnell sat uncomfortably close to her throughout the multihour session.

“We have just come back from Pennsylvania where we were the first journalists to sit down in prison to interview Gosnell,” the producers said in a mass e-mail to their supporters. “The two hours we spent interviewing the former abortion doctor were two of the most disturbing hours of our journalistic careers.”

“The interview was one of the creepiest we have ever conducted,” the mass e-mail continued.

Gosnell, they recounted, “is thought to have murdered hundreds if not thousands of babies in a 30 year killing spree.” Yet he has access to music, a subject he discussed at length. At one point, McElhinney said, Gosnell burst out into song.

Ann McElhinney told The Daily Signal, “I’m amazed at how pleasant his life is, the freedoms he has.”

Far from having repented of his crimes, Gosnell continues to justify his actions, they said.

“In his own version of the story, he’s a martyr – he’s part of a hounded class,” McElhinney said.

That assessment corroborates the views of others who interviewed the onetime proprietor of the “house of horrors,” where newborn babies had their spines severed, untrained staff administered fatal doses of drugs to poor women, and aborted fetal remains were found stuffed into every available crevice.

In September 2013, Steve Volk interviewed Gosnell for Philadelphia Magazine. Gosnell, he wrote, “sees himself as having performed a noble function in society.”

"It's not as if he feels guilty about what he did,” Volk said. "He believes he was a soldier at war with poverty.”

By plying his trade in poverty-stricken West Philadelphia, in a majority minority neighborhood, Gosnell believed he helped reduce the city's low income population.

“In this larger spiritual sense, he believes he was performing a service for people,” Volk said.

After his conviction, Gosnell sought to work with Hillary Clinton's embattled charity, the Clinton Global Initiative or the Bill and Melinda Gates Foundation on issues of "prison and justice reform.”

"He believes that he gained insight into what it's like to be pushed into the system, without the capacity to explain himself," Volk said.

Gosnell's self-confidence has seldom been questioned, from the dismissive way he treated police who searched his home – playing Chopin on the piano as they searched his flea-ridden basement – to the way he carried himself in court. Defense attorney Jack McMahon had also told reporters after the guilty verdict that the mass murderer “truly believes in himself.”

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The filmmakers, who have produced several right-of-center documentaries, plan to make a big budget, big screen film about Gosnell's life. They continue to raise funds for their efforts at GosnellMovie.com.

But they may need a breather after encountering Gosnell himself.

“I’m still recovering, actually,” McElhinney told the Signal.

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Josh Duggar apologizes, admits ‘wrongdoing’ as young teen amid molestation accusations; resigns from FRC

By John-Henry Westen

Editor's Note: This is a developing story.

May 21, 2015 (LifeSiteNews.com) – In response to allegations in the media that he molested minor girls when he was in his early teens, Josh Duggar has admitted in a public statement that he acted "inexcusably" at the time, and has resigned from his position at the Family Research Council.

A 2006 police report leaked to the media states that Josh was investigated for sex offenses, including "forcible fondling" against five minors.

According to the report, the first allegations surfaced in March 2002, the same month he turned 14. At the time the family dealt with the allegations internally. A year later, however, when further allegations were made, the family sent Josh to work with a family friend for three months, after which his father took Josh to see a state trooper.

According to the report, the trooper gave Josh a "stern talk" about what would happen if he "continued such behavior," but no formal action was taken at the time.

The issue emerged again in 2006, after a family friend had written details about the allegations in letter and placed it in a book, which was subsequently loaned out. This resulted in a call being placed to a child abuse hotline, which in turn led to a formal investigation being opened. By this point, however, the statute of limitations had expired, and as there had been no new allegations or evidence that the abuse was ongoing, the case was dropped.

Although Josh was never charged, his now-wife, Anna, says that he confessed his actions to her and her parents two years before he asked her to marry him.

"I would do anything to go back to those teen years and take different actions," he said in a statement today. "In my life today, I am so very thankful for God’s grace, mercy and redemption."

Anna said she was "surprised" when Josh had voluntarily admitted what he had done to her and her parents two years before proposing to her. "I was surprised at his openness and humility and at the same time didn't know why he was sharing it," she wrote today. "For Josh he wanted not just me but my parents to know who he really was -- even every difficult past mistakes."

"I want to say thank you to those who took time over a decade ago to help Josh in a time of crisis," she added. "If it weren't for your help I would not be here as his wife — celebrating 6 1/2 years of marriage to a man who knows how to be a gentleman and treat a girl right."

LifeSiteNews is continuing to investigate this developing story. Following are the Duggar family’s statements responding to media reports about the incidents.

From Jim Bob and Michelle:

Back 12 years ago our family went through one of the most difficult times of our lives. When Josh was a young teenager, he made some very bad mistakes and we were shocked. We had tried to teach him right from wrong. That dark and difficult time caused us to seek God like never before.

Even though we would never choose to go through something so terrible, each one of our family members drew closer to God. We pray that as people watch our lives they see that we are not a perfect family. We have challenges and struggles everyday.

It is one of the reasons we treasure our faith so much because God’s kindness and goodness and forgiveness are extended to us — even though we are so undeserving. We hope somehow the story of our journey — the good times and the difficult times — cause you to see the kindness of God and learn that He can bring you through anything.

From Josh:

Twelve years ago, as a young teenager I acted inexcusably for which I am extremely sorry and deeply regret. I hurt others, including my family and close friends. I confessed this to my parents who took several steps to help me address the situation. 

We spoke with the authorities where I confessed my wrongdoing and my parents arranged for me and those affected by my actions to receive counseling. I understood that if I continued down this wrong road that I would end up ruining my life. I sought forgiveness from those I had wronged and asked Christ to forgive me and come into my life.

I would do anything to go back to those teen years and take different actions. In my life today, I am so very thankful for God’s grace, mercy and redemption.

From Anna:

I can imagine the shock many of you are going through reading this. I remember feeling that same shock. It was not at the point of engagement, or after we were married - it was two years before Josh asked me to marry him.

When my family and I first visited the Duggar Home, Josh shared his past teenage mistakes. I was surprised at his openness and humility and at the same time didn't know why he was sharing it. For Josh he wanted not just me but my parents to know who he really was -- even every difficult past mistakes.

At that point and over the next two years, Josh shared how the counseling he received changed his life as he continued to do what he was taught. And when you, our sweet fans, first met me when Josh asked me to marry him... I was able to say, "Yes" knowing who Josh really is - someone who had gone down a wrong path and had humbled himself before God and those whom he had offended. Someone who had received the help needed to change the direction of his life and do what is right.

I want to say thank you to those who took time over a decade ago to help Josh in a time of crisis. Your investment changed his life from going down the wrong path to doing what is right. If it weren't for your help I would not be here as his wife — celebrating 6 1/2 years of marriage to a man who knows how to be a gentleman and treat a girl right. Thank you to all of you who tirelessly work with children in crisis, you are changing lives and I am forever grateful for all of you.

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Jeanne Smits, Paris correspondent

Dutch court acquits man who euthanized his mother after doctor refused

Jeanne Smits, Paris correspondent
By Jeanne Smits

May 21, 2015 (LifeSiteNews.com) -- A Dutch appeals court acquitted a 74 year-old man earlier this month of the murder of his mother in 2008, because he acted in an “emergency situation”: the woman wanted euthanasia and had not obtained it from her family doctor.

The decision is a surprising one, even in the Netherlands, and will probably be followed by an appeal from the public prosecutor, who has already published a communiqué reminding the public that euthanasia and assisted suicide “are and remain, in the eyes of the prosecutor, exclusively to be performed by a doctor.” But as it stands, it marks a new step down the slippery slope of euthanasia in that it justifies an act of euthanasia contrary to the letter of the law on the grounds that the accused, Albert Heringa, was careful to act in compliance with the law’s provisions, the court ruled.

Albert Heringa acted in accordance with his conscience of his own duty and he was right to do so, ruled the Arnhem-Leeuwarden appeals court, because his sense of duty “justly” carried more weight than the legal prohibition of the act, which in theory can only be decriminalized when performed by a medical doctor under strict conditions.

The accused said he was “very happy” about the decision. The Netherlands Right to Die Society (NVVE) hailed it as “a step in the direction we want to follow.” “Many people who consider their life complete wish to be helped by loved ones,” said its spokeswoman, Fiona Zonneveld.

The judges did not take into account the fact that Albert Heringa’s mother, “Moek,” was deemed ineligible for euthanasia by her doctor.

In 2008, Moek was 99. She had no grave illness; she was just old and blind and did not feel like living any longer, calling her suffering “unbearable” and “without hope of improvement.” When her doctor refused euthanasia on those grounds, she turned to her son who decided to help his mother die. He was later to explain that his mother started hoarding her medication in order to kill herself through an overdose. The pills she was taking would not have been able to bring about her death, he argued, but would have made her health much worse. This was confirmed during the subsequent judicial enquiry.

Heringa decided to go to work “transparently,” filming his every gesture in view of the killing of his mother. He used an overdose of his own malaria pills together with sleeping pills and anti-emetics to poison her. The films were later used to illustrate a documentary on “Moek’s last wish,” which was aired in 2010 on Dutch TV. The appeals court judges took this “transparency” into account in their decision to acquit him.

The public prosecution was not so lax. Despite the “rectitude” of Heringa’s intention, it accused the man of not having acted in compliance with the law. In 2013, he was judged guilty but exempted from punishment. The prosecution appealed that decision, demanding a three months suspended prison sentence in order to underscore the illegality of his actions. But the Arnhem-Leeuwarden appeals court went even further than the first judges in exonerating him completely.

They invoked the euthanasia law, which decriminalizes euthanasia when no other “reasonable solution” is available to alleviate a patient’s suffering and thus avoid euthanasia, but in this case they equated the potential “reasonable solution” with the ability to find a doctor who would be willing to perform the act, as if euthanasia were a patient right. Heringa could not find one, therefore he was justified in taking the law in his own hands, the judgment says in substance.

This marks a double revolution. Firstly, the court overlooked the legal requirement that a doctor should perform euthanasia, and no one else. Secondly, it justified euthanasia on a woman who was simply “tired of living,” a situation for which the euthanasia law definitely does not provide.

But this is just another element of the Pandora’s box that was opened when the Netherlands legalized euthanasia in 2002. Increasingly, regional control commissions, which verify all declared acts of euthanasia retrospectively, have cleared “mercy-killings” of elderly people who had multiple complaints but no single life-threatening disease. “Intolerable suffering” is being interpreted more and more widely. In Heringa’s case, it is simply his mother’s plea for euthanasia that justified the act in the eyes of the court.

The court even went so far as to say that Heringa would have had to live with a “sense of guilt until the end of his life” had he not taken measures to end his mother’s life.

In 2011, the Dutch medical association KNMG changed its position on “intolerable suffering,” declaring that “unbearable and hopeless” suffering can result from other causes than physical illness. Also, the End of Life Clinic founded in 2012 caters to euthanasia requests that have been refused by patients’ family doctors on conscientious or medical grounds. Would Heringa have found a doctor willing to perform euthanasia on his mother in this new situation?

Whatever the answer to that question – and no one will ever know – the fact of his acquittal is a definite sign that euthanasia is being treated more and more as a right and an acceptable option in the Netherlands. It is also good news for unscrupulous family members who might find it expedient to push their relatives towards the grave.

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