Archive for the ‘Global News’ Category

November 15, 2008

Double Dose: Obama’s Pre-Inauguration Boom for Women’s Health; Baby in the Home (and Garden); Changing the Culture of Rape Prevention; Prescription Drugs Deliver Phthalates …

Obama Does More for Women’s Health Pre-Inauguration Than Bush in 8 Years: “President-Elect Obama has not been inaugurated yet and, already, he’s taken some critical steps towards restoring the United States as a leader in global women’s health,” writes Amie Newman at RH Reality Check. Newman goes on to identify global reproductive and sexual health mandates that Obama has prioritized since he won the election way back on, oh, Nov. 4.

Plus: NARAL Pro-Choice America Foundation has unveiled a new initiative, Free.Will.Power. Check out the t-shirt design contest.

Baby, You’re in the Home (and Garden): The New York Times published a cool story on the increasing number of women opting for home births (still a very small percentage of all births) that took a very New-York perspective: How does one give birth in a small apartment — especially if the room is filled with family and the walls between neighbors are thin?

If the story had left it there, it’s placement in the Home & Garden section might have been more justified. But as it reads — complete with condemnation of home births from the American Medical Association — it’s better suited for Health.

Plus: Don’t miss the related slide show of home births. And here’s a great trivia question: Who was the first American president to be born in a hospital? Answer: Jimmy Carter.

Sexual Assault on Campus - Changing the Culture: Terrific story in the Star Tribune about rape prevention programs on college campuses that focus on men. Check out the intro below, and be sure to read the rest:

Tyler Jones was tipping back a couple of beers with friends at a Dinkytown bar when he suddenly had to take a stand.

“Hey, see that girl over there?” Jones recalled an acquaintance asking, nodding toward a woman he wanted to take home. “She’s almost drunk. Not quite drunk enough. … What shot should I buy her?”

There was a time, Jones says, when he might have laughed off the remark. Not anymore.

“You want to buy her something really strong to like, basically knock her out?” Jones, a University of Minnesota senior, recalled saying. “Man, that’s not right. That’s rape. That’s sexual assault.”

The acquaintance looked stunned. “Whatever,” he mumbled, and walked away.

It was one moment at one bar. But it’s also a sign of a big shift in strategy on campuses trying to tackle a culture that some say tolerates sexual assault. Instead of teaching women not to walk alone at night or to carry Mace, some colleges are trying something much harder — changing college men. Jones, fresh from sex assault prevention training, is in the vanguard of the movement.

Hat-tip: Kay Steiger

Women Gain Some Access, but Not Political Power: “Women still lag far behind men in top political and decision-making roles, though their access to education and health care is nearly equal, the World Economic Forum said Wednesday,” reports Reuters. “In its 2008 Global Gender Gap report, the forum, a Swiss research organization, ranked Norway, Finland and Sweden as the countries that have the most equality of the sexes, and Saudi Arabia, Chad and Yemen as having the least.”

Where does the United States rank? A measly 27th — below Germany (11th), Britain (13th), France (15th), Lesotho (16th), Trinidad and Tobago (19th), South Africa (22nd), Argentina (24th) and Cuba (25th). Here’s the full report (PDF).

The EPA’s Stalin Era: Yes, it really has been that bad, reports Rebecca Claren at Salon. To wit: “[T]he story of the hundreds of sick people who live near the former Kelly Air Force Base illuminates an entirely new manner in which the Bush administration has diluted science and put public health at risk. This year, largely in obeisance to the Pentagon, the nation’s biggest polluter, the White House diminished a little-known but critical process at the Environmental Protection Agency for assessing toxic chemicals that impacts thousands of Americans.”

Prescription Drugs May Deliver Phthalates: We’ve written before about the potential dangers of phthalates — chemical compounds commonly found in plastics, perfumes and lotions that are linked to reproductive abnormalities. But this one is news to me: Environmental Health News reports that prescription drugs can deliver high doses of phthalates.

“At least 47 prescription medications — including the colitis drug Asacol, an antacid and an HIV drug — contain phthalates, according to scientists at the Harvard School of Public Health and U.S. Centers for Disease Control and Prevention,” writes Marla Cone.

Victoria’s Toxic Secret: Feminist Peace Network picks up the story concerning allegations that Victoria’s Secret’s bras are causing skin irritations. The suspect irritant? Formaldehyde.

Racial Barriers Between Doctors and Patients: “In politics, the racial barriers might have fallen, I thought, but what about in health care?” asks Pauline Chen, MD, in her latest doctor/patient column in The New York Times. Chen looks not only at the striking health care disparities and racial inequality, but also at the experiences of minority physicians:

Of all the surgical residents I trained with, “Eric” was easily one of the smartest. He possessed a great bedside manner, brilliant clinical skills and plenty of that Obama cool. Eric was African-American, and one night, when we were both on call together, he told me something I have never forgotten.

“You know, Pauline,” he said, “there are a lot of times when I go to a patient’s room for the first time and they ask me, ‘Are you transport? Are you here to wheel me to radiology?’” I can remember Eric shaking his head as he spoke. “They never assume I’m one of the doctors.”

Supreme Court Hears Gun Rights Case: Allison Stevens of Women’s eNews explains a gun-control case heard before the Supreme Court this week that could effect abusers’ access to guns in some states.

If the justices side with the U.S. government’s challenge — which argues the law should not be restricted to just a portion of the states — batterers in every state and territory would be subject to the gun control ban.

If the court rejects the government’s reading of the law and limits the application of the law to those states with specific anti-domestic violence laws, safety advocates are apprehensive that thousands of abusers across the country will be erased from criminal lists, giving them new access to guns, said Peter Hamm, a spokesperson for the Brady Campaign to Prevent Gun Violence, a group in Washington, D.C., that lobbies for gun control.


October 15, 2008

CDC Denies Intent to Force HPV Vaccination of Immigrants

A number of bloggers have written over the past month about a new requirement that immigrants seeking permanent legal status in the United States must receive the HPV vaccine. The requirement is troublesome for a number of reasons, including the lack of an opt-out provision (in contrast to requirements for U.S. citizens), the expense of the series, the lack of significant public health risk posed by omitting this vaccine, and the vulnerability of the affected population.

This requirement originates in the CDC’s vaccination recommendations, which become mandatory for those seeking legal residency. These vaccines are typically for readily infectious diseases such as meningitis, polio, hepatitis, and measles. When the CDC adopted the HPV vaccine (currently only the Gardasil brand shot is available) into its recommendations, that triggered their requirement for immigrants.

Recently, the Wall Street Journal ran a piece on the controversy generated by this requirement, and noted that the CDC claims it never really intended the effect on immigrant populations. According to the piece:

“A CDC spokesman said the experts on the immunization committee didn’t realize their decision would affect tens of thousands of immigrants. However, a government official said the cervical vaccine’s inclusion on the list might be reviewed.”

I would have expected that considerations about the meaning of vaccine recommendations - of what actually happens as a result - might have been part of the decision-making process. Perhaps the CDC will be more alert in the future as to the actual implementation effects of their recommendations. A U.S. Citizenship and Immigration Services spokesperson interviewed by WSJ explained that the mandate is “a statutory requirement. It’s based on CDC recommendations.”

Read additional perspectives on this topic via:


October 9, 2008

“Pro-Life” Administration Causes Abortions, Maternal Death

With three months left to his presidency, George W. Bush just can’t seem to stop meddling with women’s reproductive health. And when this administration meddles, the results are usually tragic.

In the latest instance, the U.S. Agency for International Development has told six African governments that they must stop giving U.S.-donated contraceptives — including condoms, birth control pills and intrauterine devices — to Marie Stopes International, a UK-based reproductive family planning organization that distributes contraceptives and operates health clinics in needy communities.

The reason? MSI works with the U.N. Population Fund in China, and the United States in 2002 cut all financing for the population fund because the administration claims, without basis, that the fund supports coercive abortion in China.

Here’s some background on Bush’s grudge with the UNPF, and the distorted influence the Population Research Institute, a small, right-wing group in Virginia, had on Bush’s decision to cut funding.

The countries affected by the administration’s most recent move include Ghana, Malawi, Sierra Leone, Tanzania, Uganda and Zimbabwe. The New York Times’ Nicholas Kristof, in an excellent column published today, explains how the false accusation and the administration’s twisted logic will harm women:

It’s true that China’s one-child policy sometimes includes forced abortion, and when traveling in rural China, I still come across peasants whose homes have been knocked down as punishment for an unauthorized child. But the U.N. fund has been the most powerful force in moderating China’s policy, and a State Department team itself found no evidence of any U.N. involvement in the coercion.

Mr. Bush’s defunding of the U.N. Population Fund — backed by Senator McCain — has persisted since 2002. What is new is the extension of that policy to a leading private family-planning organization like Marie Stopes International.

“The irony and hypocrisy of it is that this is a bone to the self-described ‘pro-life’ movement, but it will result in deaths to women who just want to space their births,” said Dana Hovig, the chief executive of Marie Stopes International. The organization estimates that the result will be at least 157,000 additional unwanted pregnancies per year, leading to 62,000 additional abortions and 660 women dying in childbirth.

That may overstate the impact. Kent Hill, an official of the U.S. aid agency, insists that there will be no increase in pregnancies because the American contraceptives will simply be routed to other aid groups in Africa.

That will work to some degree in big cities. But it’s a fantasy in rural Africa. Over the years, I’ve dropped in on a half-dozen Marie Stopes clinics, and in rural areas there’s typically nothing else for many miles around. Women in the villages simply have no other source of family planning.

“This nearsighted maneuver will have direct and dire consequences,” a group of prominent public health experts in America declared in an open letter, adding that the action “will translate almost immediately into increased maternal death and disability.”

Plus: This is a good time to think about throwing some support to 34 Million Friends of UNFPA, which was founded to help make up for the loss of funds for women’s health services worldwide.


September 26, 2008

Double Dose: Sex Trafficking Doesn’t Make Discussion Cut; Sarah Palin and the Rape Kits; Congress Approves Mental Health Parity Legislation; Why Don’t the Candidates Speak Out on HIV?; A Finanical Incentive to Keep Poor Women from Having Children …

Slavery Overlooked: “World leaders are parading through New York this week for a United Nations General Assembly reviewing their (lack of) progress in fighting global poverty. That’s urgent and necessary, but what they aren’t talking enough about is one of the grimmest of all manifestations of poverty — sex trafficking,” writes columnist Nicholas Kristof, who had doggedly stayed on this issue (view related columns here).

“This is widely acknowledged to be the 21st-century version of slavery, but governments accept it partly because it seems to defy solution,” Kristof continues. “Prostitution is said to be the oldest profession. It exists in all countries, and if some teenage girls are imprisoned in brothels until they die of AIDS, that is seen as tragic but inevitable.”

Kristof goes on to detail the work of Somaly Mam, a survivor of the Cambodian brothels who now leads the Somaly Mam Foundation.

Plus: “For the U.S. to be a significant part of the solution that elevates the status of women and all that such progress entails, our foreign policy has to start dealing with the realities of women’s lives instead of attempting to legislate morality,” writes Anika Rahman at RH Reality Check.

Sarah Palin and the Rape Kits: We’ve been writing for weeks about how Alaska Gov. Sarah Palin approved cutting funding from the Wasilla police budget when she was mayor, leaving sexual assault victims holding the bill for their own forensic exams. Well, Dorothy Samuels of The New York Times is now also outraged.

“Ms. Palin owes voters an explanation. What was the thinking behind cutting the measly few thousand dollars needed to cover the yearly cost of swabs, specimen containers and medical tests?” asks Samuels. Wouldn’t we all love to know.

Congress Approves Mental Health Parity: Congress approved legislation this week requiring private insurers to provide the same level of benefits for mental illness as they do for physical maladies, reports the Washington Post. But we’re not home yet, as Lindsey Layton explains:

The measure has received strong bipartisan support in the House and Senate and has the backing of business, insurance companies, health advocates, the medical community and the White House. But its passage into law was not ensured last night.

The remaining obstacle appeared to be ironing out differences in how to pay the cost to the federal government — estimated at $3.4 billion over 10 years, in the form of forgone tax revenue. Lawmakers also needed to resolve whether the final bill should be a standalone measure or part of a larger package of legislation.

The House approved the language in a standalone bill, while the Senate wrapped it into a $150 billion package of popular tax cuts, including a one-year patch for the alternative minimum tax, and extensions of expiring tax provisions including tuition credits and state and local sales tax deductions (for states that do not have an income tax), as well as research and development tax credits.

It is unclear whether a joint agreement can be reached in the few days remaining before Congress recesses.

Plus: Read how David Wellstone has been lobbying for the mental health parity bill, which would be his father’s legacy. The Wellstone-Dominici legislation is named after the late Sen. Paul Wellstone (D-Minn.) and retiring Sen. Pete Domenici (R-N.M.).

D.C. to Publicize HIV-AIDS Epidemic: Washington, D.C. has one of the highest rates of people living with AIDS among major U.S. cities and the highest rate of new reports of AIDS. Now the city is stepping up with a large-scale “social marketing” campaign to publicize these facts, according to the Washington Post.

Almost 12,500 people in the District were known to have HIV or AIDS in 2006, the most recent year of statistics available. HIV was spread through heterosexual contact in 37 percent of the cases, compared with 25 percent of the cases attributed to men having sex with men — the most common mode of transmission nationally.

New reports of AIDS in the District were coming in at the rate of 128 per 100,000, in contrast to 14 cases per 100,000 nationally. One in 50 residents is thought to have the disease.

According to the Kaiser Family Foundation, the District has the highest rate of AIDS among African Americans in the country: 277.5 for every 100,000 people. It also has the highest rate of new cases reported among Hispanics: 109.2 for every 100,000 people.

This week the DC Appleseed Center released its fourth “report card” that grades the progress of the D.C. government in the fight against HIV/AIDS.

Why Don’t the Candidates Speak Out on HIV?: “When news hit that another Wall Street financial institution was on the verge of collapse, the response from rivals Sen. John McCain and Sen. Barack Obama was swift.  Both candidates issued statements touting their respective economic plans.  What kind of impact could our presidential candidates make if they responded as quickly to the domestic and global HIV/AIDS crisis?” writes Pamea Merritt at RH Reality Check.

Merritt looks at how presidential nominees Barack Obama and John McCain have (and have not) addressed the global and domestic HIV/AIDS crisis …

Forward Thinking from Louisiana State Rep: “Worried that welfare costs are rising as the number of taxpayers declines, state Rep. John LaBruzzo, R-Metairie, said Tuesday he is studying a plan to pay poor women $1,000 to have their Fallopian tubes tied,” reports The Times-Picayune.

And it gets even better. He wants to give tax-incentives to women with higher incomes to have more children.

LaBruzzo said he worries that people receiving government aid such as food stamps and publicly subsidized housing are reproducing at a faster rate than more affluent, better-educated people who presumably pay more tax revenue to the government. He said he is gathering statistics now.

“What I’m really studying is any and all possibilities that we can reduce the number of people that are going from generational welfare to generational welfare, ” he said.

He said his program would be voluntary. It could involve tubal ligation, encouraging other forms of birth control or, to avoid charges of gender discrimination, vasectomies for men.

It also could include tax incentives for college-educated, higher-income people to have more children, he said.

Plus: Feministing has more.

Drug Makers to Report Fees Paid to Doctors: “Amid a national debate over the influence of industry money on medical research and practice, two pharmaceutical giants say they will begin publicly reporting payments they make to outside doctors,” reports The New York Times. Benedict Carey writes:

John C. Lechleiter, chief executive of Eli Lilly & Company, announced on Wednesday that starting next year it intended to post in an online database all its payments to doctors for speaking and consulting services. The postings will “likely include” the names of the doctors, or will provide some other identifying information about them, along with the reason for the payments, the company said.

In the wake of Lilly’s announcement, Merck & Company said later Wednesday that it would disclose speaking fees it pays to doctors, also beginning in 2009.

Members of Congress have been pushing for a national registry of such payments. In the last year and a half, Senate investigations have found that prominent researchers at several institutions, including Harvard and the University of Cincinnati, failed to report millions of dollars in outside income from drug makers, contrary to the institutions’ reporting requirements.

Wait to See Doctors Grows in Mass.: “The wait to see primary care doctors in Massachusetts has grown to as long as 100 days, while the number of practices accepting new patients has dipped in the past four years, with care the scarcest in some rural areas,” writes Liz Kowalczyk in the Boston Globe.

“Now, as the state’s health insurance mandate threatens to make a chronic doctor shortage worse, the Legislature has approved an unprecedented set of financial incentives for young physicians, and other programs to attract primary care doctors. But healthcare leaders fear the new measures will take several years to ease the shortage.”

Play Addresses Birth Control & Other Taboos: I haven’t listened to today’s “Talk of the Nation” yet, but I will — check out the description of the 17-minute segment:

Famous for his work on the first oral contraceptive in 1951, chemist Carl Djerassi has published a number of novels and plays over the last 20 years. His latest play, Taboos, grapples with the questions of sex divorced from reproduction.

Plus: “All Things Considered” had a good report today (text available) on the proposed HHS rule on “physician conscience.” The report notes that the “Bush administration this week received tens of thousands of comments on a controversial rule that demonstrates that even it its waning days, the administration continues to have a major impact on policy.” Comments are now closed.


September 16, 2008

Senator John McCain and the Terrible, Horrible, No-Good, Very-Bad Ideas on Abstinence-Only Education and the Global Gag Rule

Foreign Policy magazine recently published a list of the 10 worst ideas proposed or adopted by presidential candidates Sen. Barack Obama and Sen. John McCain.

There’s no overlap. Most of Obama’s ideas that came under fire have to do with trade agreements and energy solutions. McCain gets zinged for policies ranging from flip-flopping on immigration, to calling for 45 nuclear power plants, to balancing the budget through victory in the war on terror (um, seriously?).

But one of McCain’s not-so-bright ideas stands out, because it addresses both a domestic and global issue that women’s health advocates have been writing about forever, but which doesn’t receive all that much attention from policy wonks: supporting abstinence-only education and the global gag rule.

So kudos to FP editors for identifying McCain’s views on reproductive health as one of his 10 worst ideas:

What he said: Asked on the campaign trail if he thought grants for sex education should include instruction on contraception, McCain turned to an aide for help, saying, “Brian, would you find out what my position is on contraception—I’m sure I’m opposed to government spending on it, I’m sure I support the president’s policies on it.” The reporter asked, “Do you think contraceptives help stop the spread of HIV?” After a long pause, McCain replied, “You’ve stumped me.” Town hall meeting, Iowa, Mar. 16, 2007

Why it’s a bad idea: A landmark, 10-year study sponsored by Congress found in 2007 that students in sexual-abstinence programs “were just as likely to have sex as those who did not, reported having similar numbers of sexual partners, and first had sex at about the same age,” the Chicago Tribune reported. Abstinence-only education is one of the core principles guiding the so-called global gag rule, an executive order passed by President George W. Bush in 2001 that prohibits giving foreign aid to NGOs that offer any kind of counseling on abortion as family planning. McCain voted against repealing the measure in 2005. Critics of the gag rule point to reports showing a shortage of contraceptives, clinic closings, loss of funds for HIV/AIDS education, and a rise in unsafe abortions since it was instituted.

That information is well-documented by the Global Gag Rule Impact Project (a collaborative research effort led by these groups), which has looked at the impact in nine countries since 2002. Most of the research has been done in Africa, but the analysis also includes Europe, Asia and the Caribbean.

First introduced in 1984, the Global Gag Rule, officially known as the Mexico City Policy, was rescinded by former President Bill Clinton in 1993 and reinstated by President George Bush in 2001 on his first day in office.

If McCain is elected, you can be sure he and running mate Sarah Palin won’t be “reforming” or “changing” that policy when they get to Washington.

McCain’s view on abstinence-only education and his failure to grasp the connection between contraception and HIV is something we need to make more noise about. Here’s another item — in a recent op-ed published in the Milwaukee Journal-Sentinel, Ellen Bravo wrote:

Recently, I conducted an informal poll among friends, all smart, politically aware people who keep up with the news. A dozen of the 15 people I asked had never seen the clip of a befuddled McCain stroking his chin when a reporter asked about his position on a proposal to require insurance companies that cover Viagra to cover contraceptive products, reminding him that he’d voted against it.

“I certainly do not want to discuss that issue,” McCain replied. “I don’t know enough about it to give you an informed answer because I don’t recall the vote.”

Had that clip — or any of numerous examples of McCain’s other extremist positions and slip-ups — been played more than 600 times in four days, as the “Dean scream” was, today’s polls would be very different.

So, folks, in an effort to amplify the message, please consider embedding this video on your own site (even if you’ve done so before), and spread the word that McCain’s views on abstinence-only education and the global gag rule rank as one of Foreign Policy’s 10 worst ideas.


August 29, 2008

Double Dose: Sarah Palin’s Priorities; Are All Women “Pre-Pregnant”?; New Data on the Uninsured; Mexico City Abortion Law Upheld …

The unavoidable news today is John McCain’s VP pickSarah Palin, the 44-year-old first-term governor of Alaska, who couldn’t be anymore unlike Hillary Clinton in terms of her position on social issues, universal health care and advocacy for women.

Palin believes abortion is only acceptable if a woman’s life is in danger. During a debate in 2006, the candidates were asked what they would do if their own daughters became pregnant through rape. Palin’s response: “I would choose life.”

I don’t think I’ve heard Pat Buchanan say the word “feminist” on television so much in one day, or with so much enthusiasm. He was, of course, referring to Palin being a member of Feminists for Life, an anti-abortion group Ruth Rosen describes so well here.

“I don’t think a Hillary person would ever move to her, based on the issues,” Jean Craciun, a strategic research and planning consultant in Alaska who has done political polling for Democrats and Republicans, told The New York Times. “I don’t think before today I would have ever heard someone call her a feminist.”

More reading: Alex Blaze at The Bilerico Project provides a rundown of Palin’s legislative history; Tanya Melich, a co-founder of the National Women’s Political Caucus, has analysis on the symbolism of Palin and the GOP; and Ann Friedman writes about the inherent sexism in the choice for VP.

Now a look at the rest of the week …

Do Doctors View Women as Pre-Pregnant?: New York Times readers give the paper of record a lesson in language when it comes to discussing women of childbearing age. Writer Tara Parker-Pope also talks with Cindy Pearson, executive director of the National Women’s Health Network, about attitudes toward women’s health. Best phrase for describing the focus on women’s reproductive organs: “bikini medicine.”

And be sure to read this comment from a woman whose doctor deliberately didn’t tell her she was pregnant because he was afraid she might terminate the pregnancy. Unfrackinbelievable.

Del Martin, 87, Dies in San Francisco: You may recall when San Francisco Mayor Gavin Newsom married same-sex couples in 2004, Del Martin and her longtime partner Phyllis Lyon were the first to say, “I do.” They were first again on June 16 of this year, when same-sex marriages were legalized in California (watch the video of their 2008 wedding here).

Sadly, Martin, an author, organizer and leader in feminist and civil rights causes, died Aug. 27 after a long period of declining health, reports the San Francisco Chronicle.

“Ever since I met Del 55 years ago, I could never imagine a day would come when she wouldn’t be by my side,” Lyon, 83, said in a statement. “I am so lucky to have known her, loved her and been her partner in all things.

“I also never imagined there would be a day that we would actually be able to get married,” Lyon said. “I am devastated, but I take some solace in knowing we were able to enjoy the ultimate rite of love and commitment before she passed.”

The College Girl’s Guide to Anti-feminist Sex: Jessica at Feministing extracts the best excerpts from “Sense & Sexuality,” a new guide published by the conservative Clare Boothe Luce Policy Institute.

New Data and Study on the Uninsured: New data released by the Census Bureau shows a drop in the number of uninsured Americans, to 45.7 million in 2007 from 47 million in 2006. From Raising Women’s Voices (which now has a blog!):

The percentage of women with no health insurance was 13.9 percent in 2007, down from 14.2 percent in 2006, but still higher than the rate in any other year since 1999 (which is as far back as the Census Bureau’s current set of historical tables go). The un-insurance rate in 2007 was far higher for women of color (Black women, 17.9 percent; Hispanic women of all races, 28.9 percent; and Asian-American women 15.7 percent) than for white non-hispanic women (9.6 percent).

Census bureau spokesman David Johnson acknowledged at a press conference today that the decline in the number of uninsured Americans could largely be attributed to increases in the number of children receiving coverage under government health insurance programs. The State Children’s Health Insurance Program (SCHIP) has been the subject of an ongoing battle between the administration and those members of Congress and Governors who want to increase the numbers of children covered by SCHIP.

“The numbers released today show the potential power of public insurance programs to provide desperately-needed coverage to uninsured Americans,” said Lois Uttley, Director of the MergerWatch Project and co-founder of Raising Women’s Voices for the Health Care We Need (RWV). She pointed out that women also benefit significantly from public health insurance programs.

The percentage of women who relied on government health insurance of any type (Medicaid, Medicare or military insurance) in 2007 was 29.8 percent, compared to 25.7 percent for men. A higher percent of women relied on Medicaid than did men (14.2 percent for women, compared to 12.2 percent for men), and the same was true for Medicare (15.4 percent of women had Medicare coverage, compared to 12.2 percent for men.)

Plus: The Kaiser Family Foundation has also published a new study examining spending on health care for the uninsured, and it projects the costs of care if the population were insured.

Leslee Unruh’s Facts of Life: Amanda Robb, niece of Bart Slepian, the obstetrician-gynecologist who was killed by an anti-abortion activist, profiles South Dakota anti-choice activist Leslee Unruh, executive director of the Vote Yes for Life Campaign, in the September issue of More magazine. Though they bond in some strange way, Robb uncovers the truth about Unruh’s first marriage, and the story includes reactions like this from Unruh:

I asked why she refused to work with Planned Parenthood on teen pregnancy prevention programs or contraceptive initiatives. Leslee Unruh, the media’s go-to resource on abstinence, whose views have been solicited by MTV, CNN, ABC, NPR, and more than 100 newspapers and magazines, answered that Planned Parenthood wants to sexualize children and that taking oral contraceptives is like ingesting pesticides. She went on to tell me that masturbation is dangerous, that abortion increases the risk of breast cancer, and that young girls should pledge to give themselves as a “wedding gift” to their husbands.

Argh.

Mexico City Abortion Law Upheld: “The Supreme Court upheld Mexico City’s abortion law by an 8-to-3 vote on Thursday, allowing unrestricted abortions during the first trimester of pregnancy,” reports Elisabeth Malkin in The New York Times. Earlier in the week, Malkin reported on the struggle women face in securing an abortion in Mexico City, even though abortion was made legal last year.

“Since the city’s legislature voted for the law in April 2007, some 85 percent of the gynecologists in the city’s public hospitals have declared themselves conscientious objectors,” notes Malkin. “And women complain that even at those hospitals that perform abortions, staff members are often hostile, demeaning them and throwing up bureaucratic hurdles.”

Plus: Also this week, Mexico City’s legislature passed a law “making it easier for transsexuals and transgender people to legally change their names and obtain revised birth certificates that reflect their gender identification,” reports the AP.

More From the Abortion and Politics Files: “A new anti-abortion group has its sights set beyond just running ads and launching viral Internet attacks on Barack Obama. The group wants to overturn the federal election law that could rein in not only its own activities but those of any so-called issue advocacy groups,” writes Marianne Lavelle at the Center for Public Integrity’s blog, Paper Trail.

Labor Day Reminder: “On Labor Day weekend, consider this: As many as 43 percent of American workers in private industry don’t have paid sick days, according to 2007 data from the federal government. If they call in sick, they lose their pay and, sometimes, their jobs,” writes Shari Roan of the L.A. Times.

“That number has risen over the years, part of a larger trend to cut back on sick leave. Among workers who do still have the once-venerable benefit, many have found their days reduced or lumped together as part of their vacation time. The United States — unique among industrialized countries — doesn’t mandate a minimum number of paid sick days for workers.”

The numbers are even higher among low-wage and part-time workers; close to 80 percent of each group do not have paid sick time, according to the Institute for Women’s Policy Research.

And with that, hope everyone enjoys the weekend!


August 16, 2008

Double Dose: FDA Finds No Risk From BPA; “I Do” For Health Insurance; Female Condoms Needs Funding, Support; APA Report on Abortion and Mental Health; What’s in a Midwife’s Black Bag? …

FDA Report Says No Risk From BPA: I’ve written before about the dangers associated with bisphenol A, or BPA, a chemical used in hard, clear plastics, such as Nalgene and baby bottles, as well as in the linings of food cans and baby formula.

The chemical, which mimics a human hormone, has been linked to hormonal changes in animal studies. Canada recently banned polycarbonate infant bottles, and the U.S. National Toxicology Program earlier this year acknowledged “some concern” that BPA may affect neural and behavioral development “in fetuses, infants, and children at current human exposures.”

But according to a draft assessment released by the Food and Drug Administration yesterday, BPA does not pose a health hazard when used in food containers. From the Washington Post:

The report stands in contrast to more than 100 studies performed by government scientists and university laboratories that have found health concerns associated with bisphenol A (BPA). Some studies have linked the chemical to prostate and breast cancers, diabetes, behavioral disorders such as hyperactivity and reproductive problems in laboratory animals.

Exposure to the small amounts of BPA that migrate from the containers into the food they hold are not dangerous to infants or adults, the draft said.

Here’s the kicker:

The chemical industry and the agencies that regulate the use of BPA, the FDA and the Environmental Protection Agency, have deemed the chemical safe, largely on the strength of two industry-funded studies that found no problems. The American Chemistry Council welcomed the findings of the new report.

“Clearly, their effort was to minimize people being concerned about this,” Diana Zuckerman, president of the National Research Center for Women and Families, told the Post. “It just seems that whenever there is an opportunity to look at a new, important issue, they just seem to be siding with industry’s point of view.”

Wal-Mart and Toys R Us aren’t waiting around for the government to take action — as of January, both businesses will stop selling any childrens’ products made with BPA.

Marrying, or Divorcing, for Health Insurance: “In a country where insurance is out of reach for many, it is not uncommon for couples to marry, or even to divorce, at least partly so one spouse can obtain or maintain health coverage,” reports The New York Times. “There is no way to know how often it happens, but lawyers and patient advocacy groups say they see cases regularly.”

Here’s more on the Kaiser Family Foundation study mentioned in the story.

Report: “Failing Women, Withholding Protection”: The female condom first made its debut 15 years ago, but a lack of investment and marketing on the part of policymakers has limited the condom’s availability and marginalized its role in protecting women from HIV-infection and other sexually transmitted diseases, according to a new report issued by Oxfam International and the World Population Foundation. The report was presented at the International AIDS Conference in Mexico City. The full text is available here.

“This is a 15-year scandal born of ignorance and inertia. It has been made doubly worse as the HIV epidemic is now affecting women at a higher rate than men, especially in Sub-Saharan Africa. We now know that millions of women might have been spared HIV, unwanted pregnancies, and empowered themselves in the process, if they had access to this simple method,” said Oxfam spokeswoman Farah Karimi.

“The female condom is the only method that women have to protect themselves. It has been embraced in many countries and cultures, it works and it is cost-effective,” added Karimi. “Political leadership and funding are needed now. No more excuses.”

Plus: Here are some facts about the female condom from “Our Bodies, Ourselves,” and our previous coverage on the condom’s redesign and how U.S. global policy affects condom promotion.

APA Report: Abortion Not a Threat to Mental Health: “The best scientific evidence published indicates that among adult women who have an unplanned pregnancy the relative risk of mental health problems is no greater if they have a single elective first-trimester abortion than if they deliver that pregnancy.”

That’s one of the conclusions put forth by the American Psychological Association Task Force on Abortion and Mental Health, which just issued this comprehensive report (PDF), an evaluation of all English-language studies published in peer-reviewed journals post-1989 comparing the mental health of women who had an induced abortion to the mental health of comparison groups of women.

Plus: For a closer look, read Lynn Harris’ good analysis at Broadsheet.

Coming Out as an Abortion Provider: Nell, who also blogs at Abortion Clinic Days, writes at the new Feministing Community site about her experience meeting her partner’s Republican grandparents and explaining what she does. Yes, there’s a happy ending.

Obesity Study Looks Thin: That’s the word from “The Numbers Guy,” aka Carl Bialik, who has a different take on a recently published study that projects 100 percent of American adults could be overweight by 2048.

What’s in a Midwife’s Bag?: Writing at Offsprung, Diane Dawson, a homebirth midwife, opens up her big black bag to reveal what she brings with her to deliver a baby. “I think that most people still think I show up with a smile and rabbit’s foot for luck. And maybe an herb or two in my purse. For the vast majority of pregnancies, this may well be enough, but I like to be a bit more prepared. …”

New State Law Calls for GPS Tracking on Abusers: “Gov. Rod Blagojevich signed a measure to create a new early warning system by allowing satellite tracking of people who violate orders of protection,” reports the Chicago Tribune. “Opponents of domestic violence and prosecutors say the Cindy Bischof Law will add teeth to the orders, which some deride as mere pieces of paper ineffective in protecting people from stalkers or abusers. Bischof was among at least four women in the Chicago area killed this year by men with orders of protection against them.”


August 1, 2008

Friday Videos: Abortion, Breastfeeding, and Healthcare

Several organizations working on reproductive and other health topics are now sharing their message via online video. I’ve listed several examples below; feel free to suggest others in the comments.

Ipas has a video on abortion in Brazil, and explains that “Abortion in Brazil is highly restricted, allowed only in cases of rape, or to save the life or health of the mother. Women who break the law can be imprisoned for up to three years.” Their website also provides more information on the topic and their work in the nation.

World Breastfeeding Week starts today; a video contest was held on the theme of supporting breastfeeding women, and the winning entries are now available.

Consumer Reports Health has been conducting a “Cover America Tour,” in which they interview people about their struggles with paying for healthcare. The resulting videos from across America can be viewed here.

Finally, in a previous post, I mentioned the recent Wide Angle program, “Birth of a Surgeon,” on Mozambique midwives being trained to offer emergency surgical care to obstetric patients; the full episode is now available for online viewing.


July 23, 2008

Appropriations Committees Attempt to Restore UNFPA Funding

As we mentioned last month, for the past 7 years, President Bush has withheld funds that Congress allocated to the United Nations Population Fund (UNFPA). I was planning to beat my head against subcommittee appropriations government-ese in order to bring you a post today on how UNFPA funding might be restored, but Emily at RHRealityCheck has already done an excellent job explaining the situation. In short, the House and Senate appropriations subcommittees approved bills that would provide a high level of funding to targeted activities such as those related to maternal health and safe childbirth, contraception, obstetric fistula, and STI prevention. It would also make it more difficult to withhold all funding on the basis of unsupported claims specifically about UNFPA work in China, as President Bush has done in the past.

For further detail and analysis, please visit:


July 18, 2008

Double Dose: A Wacky Week for the White House on Abortion; “Hypersegregation” and Racial Disparities in Preterm Birth; Blogging While Brown Conference; Hot Flash Fan on Exhibit; AIDS Conference Coverage …

White House Defines Contraception as Abortion: You know you’re counting down the remaining hours of the Bush presidency when you read that the administration “wants to require all recipients of aid under federal health programs to certify that they will not refuse to hire nurses and other providers who object to abortion and even certain types of birth control,” as reported in The New York Times.

Under the draft of a proposed rule, hospitals, clinics, researchers and medical schools would have to sign “written certifications” as a prerequisite to getting money under any program run by the Department of Health and Human Services. Such certification would also be required of state and local governments, forbidden to discriminate, in areas like grant-making, against hospitals and other institutions that have policies against providing abortion.

And the kicker:

The proposal defines abortion as follows: “any of the various procedures — including the prescription, dispensing and administration of any drug or the performance of any procedure or any other action — that results in the termination of the life of a human being in utero between conception and natural birth, whether before or after implantation.”

Check out the full memo (PDF). Reuters has reaction from family planning groups. NARAL created a letter you can send to members of Congress.

For more reading, see Allison Stevens; Susan Wood; and Christina Page, who notes:

Up until now, the federal government followed the definition of pregnancy accepted by the American Medical Association and our nation’s pregnancy experts, the American College of Obstetricians and Gynecologists, which is: pregnancy begins at implantation. With this proposal, however, HHS is dismissing medical experts and opting instead to accept a definition of pregnancy based on polling data. It now claims that pregnancy begins at some biologically unknowable moment (there’s no test to determine if a woman’s egg has been fertilized). Under these new standards there would be no way for a woman to prove she’s not pregnant. Thus, any woman could be denied contraception under HHS’ new science.

Senate Passes PEPFAR: Scott Swenson of RH Reality Check has the live blog on the 80-16 vote to reauthorize the President’s Emergency Plan for AIDS Relief (PEPFAR), a five-year, $50 billion global initiative to combat HIV/AIDS, tuberculosis and malaria.

SEICUS, International Women’s Health Coalition, and other groups issued a response to the vote, noting in part that “policymakers failed to address critical shortfalls in the bill that would have ensured effective use of scarce public funds and a sustainable response to the pandemic.” It continues:

One key change that should have been made in the PEPFAR bill was the abolishment of arbitrary funding guidelines that determine how money can be distributed on the ground. The Senate bill calls for spending at least fifty percent of prevention funds designed to halt the sexual transmission of HIV, in countries with generalized epidemics, only on abstinence and faithfulness programs. PEPFAR recipients that do not meet this requirement must justify their programmatic decisions through an onerous reporting requirement to Congress, potentially facing defunding. [...]

The PEPFAR bill passed by the Senate also failed to fully increase protection for women and young people, two groups increasingly vulnerable to new infections in nearly every region of the world. Women and young people are most likely to use family planning and other reproductive health services, and would benefit greatly from a strategy that integrated HIV prevention and treatment with family planning. Recent studies suggest that upwards of 90 percent of HIV-positive pregnant women in countries such as Uganda and South Africa have unmet need for integrated family planning and HIV services. However, the bill passed by the Senate fails to call for, or even acknowledge, the need to strengthen critical linkages between family planning and reproductive health services and HIV prevention efforts.

Regional “Hypersegregation” May Contribute to Racial Disparity in Preterm Births: Where a mother lives may account for some of the striking racial disparities in preterm birth, according to a new study described in this release and published in the American Journal of Epidemiology.

Written by Northeastern University professor Theresa Osypuk, the study found that regional hypersegregation (residential racial segregation across four or more dimensions*) may contribute to the higher rate of preterm births among black women. Prior research has shown that infants born to Black women in the U.S. are 50% more likely to be preterm than infants born to White women, although the causes remain poorly understood. [...]

“The complexity of residential segregation and its impact on preterm births and related health outcomes has been overlooked by health literature,” said Dr. Osypuk, Assistant Professor in Northeastern’s Bouve College of Health Sciences. “We believe that the association between residential segregation and higher risk of preterm birth is related to the neighborhood environments in which black women live, including neighborhoods characterized by high levels of poverty, violent crime, and worse housing stock.”

Are Breast Self-Exams Worth It?: Kate Harding breaks down a new study by the Cochrane Collaboration.

Blogging While Brown (and Female): “People consider me the 411 on what goes wrong with black women in America,” Gina McCauley, founder of www.whataboutourdaughters.blogspot.com,” tells Kristal Brent Zook in this article on how women bloggers of color are getting their messages out without having to first get approval through a male power structure.

Plus: The first ever “Blogging While Brown” conference takes place July 25-27 in Atlanta.

Return of the C-Word for Departing Trib Editor: From Romenesko: “In 2004, Ann Marie Lipinski had her Chicago Tribune staff manually pull 600,000 copies of the WomenNews section out of preprinted packages because of the headline, “You c_nt say that.” (The story explored usage of the vulgar term for a woman’s anatomy.) On Thursday, the departing editor showed the newsroom a reader’s e-mail that said, “You C_nt Leave.”

Dissecting the Diets: I caught a frustratingly superficial TV news segment on a long-term Atkins Foundation-funded study (published in the New England Journal of Medicine) that concluded participants on the Atkins Diet lost more weight compared to people on low-fat or Mediterranean diets. Tara Parker-Pope notes, however, that none of the diets resulted in much weight loss (though there were other health benefits), and she takes a closer look at what eating low-carb meant for the purpose of this study — while some commenters discuss whether the low-fat diet was low enough to be effective. Parker-Pope’s most concise critique of the study may be found here.

AIDS Conference Coverage: Kaisernetwork.org will provide daily coverage of AIDS 2008 from Mexico City, Aug. 3-8. Coverage will include live and tape-delayed webcasts and transcripts of each day’s sessions, including the opening and closing sessions, all plenary sessions, and selected other sessions and press conferences; English- and Spanish-language audio podcasts of select sessions; slide presentations from select conference sessions; a daily update email with links to the latest coverage; and more.

Plus: Here’s information on how you can syndicate Kaiser’s coverage on your own website.

Hot Flash Fan Heats Up Exhibit: Lucinda Marshall points to an exhibit at the Huff Gallery at Spalding University in Louisville: “The Hot Flash Fan, Then and Now: Celebrating 160 Years of Feminism.” The Hot Flash Fan, an 8’ x 16’ wall hanging, was created by Ann Stewart Anderson in collaboration with more than 50 women artists. From the exhibit website:

The Hot Flash Fan was created in 1985 and facilitated by renowned feminist artist, Judy Chicago. The Hot Flash Fan, an immense wall hanging, encompasses various media and materials including: elaborate knotting, roping, beading and stitching. In addition, the piece is swathed in vibrant colors, which enhances the viewer’s image of the realities and experiences of menopause.

This specific piece has particular historical significance because it was one of the first artworks to ever visualize the subject of menopause. Through its vivid colors and intricate detailing the Hot Flash Fan depicts the various myths, stereotypes, as well as lived experiences of women transitioning through the multiple phases of menopause. Though historically, representations of menopause have largely focused on the decaying of women’s bodies, as the piece indicates, there are also many reasons to celebrate menopause as one of the important phases in women’s lives.

Check it out:

hot_flash_fan.jpg


July 16, 2008

Media Coverage of Birth-Related Issues Around the Globe

Several recent items on birth topics have caught my eye for sharing - the first of these is “Birth of a Surgeon,” an episode of “Wide Angle” that aired last night on PBS stations. This documentary piece follows Emilia Cumbane, one of the first Mozambique midwives to receive surgical training in order to perform c-sections and hysterectomies when necessa