Colorado Family Planning Initiative

As the veracity of Planned Parenthood is being discussed, there is a program and study that was conducted in Colorado over a seven year period that offers meaningful data. The Colorado Family Planning Initiative offered low-income women and teens access to low or no-cost contraception, including IUDs and implants.

The Governor’s office released the results of the program which analyzed data from 2009 – 2013. The key findings are:

  • there was a 40% statewide decline in the teen birth rate
  • there was a 35% statewide decline in the abortion rate

If the goal is to reduce the number of unwanted pregnancies and abortions, funding the use of contraception along with family planning efforts and information is the better answer. Cutting funding will only increase these numbers. And, it should be noted there are correlations between poverty and increasing family size and poverty and single mothers. This is more true the younger the mother.

Education is a vital part of the program as well. If people want to teach abstinence as part of a holsitic program, that is fine. But, the teachers and funders need to clearly understand these teens and young adults are just like we were, if not more so. They are tempted and will have sex. It would be so much the better, if they were informed of the consequences and knew what options there were.

A key part of the education must help girls understand that self-esteem need not be tied to sex. These girls need to be able to say no and feel confident in withstanding pressure, especially today with so many ads, shows, and stars (by dress and manner) saying it is OK. And, boys need to know that no means no. It can be uttered up to the time in which sex occurs.

As a parent, I know parents worry about their kids. You hope they will make good choices. Yet, we did not always make them and they will likely follow suit. Also, please understand even kids brought up in the strictest of homes will be tempted to do things when away at school or college. It is only natural.

Three anecdotes might help illustrate the importance of education and planning.

  • My brother-in-law taught eighth grade science in a high poverty rural area. Annually, he had a number of girls in his class get pregnant. To them, it was being like an adult a right of passage. Only when it was too late, did they realize the consequences.
  • A colleague was viewed by teens in her church as being the kind of person who would shoot straight with them. She was asked questions that told her these kids thought they could not get pregnant the first time and if they had sex standing up they could avoid pregnancy. When she mentioned to the minister to have a sex education class, he scoffed at her request.
  • A friend who has run several non-profits and is very devout told me the children of his friends would go off to a religious university nearby. He said these kids would go wild when finally away from their parents and shocked some of his friends by what they got into.

So, Planned Parenthood and organizations that provide holistic family planning need more funding to reduce the number of abortions and unwanted pregnancies. Kids need to get good information and access to tools. It is their lives. And, while I focused on pregnancies, STDs and HIV are very viable threats to manage through contraception and education.

Let me close with this thought. As the former Board Chair of an organization that helps homeless working families, single mothers is the predominant group that is helped. It is also the fastest growing homeless population in America. Key tools to help lessen the propensity of poverty and homelessness in this group are family planning, sex education and low-cost birth control.

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Keep these trends in the back of your mind

It is easy to get distracted with today’s news, where “he said what about that” gets way too much press. Here are few other trends that we should keep in the back of our minds. Some are more pressing than others:

  • Drug companies make money by inventing a recurring need and marketing a drug you need to take the rest of your life. Mind you, there are plenty of good reasons to invent new drugs to help, but there are a series of runaway trains being advertised daily. One trend I noticed is the “add-on” drug. What I mean by this is you may be taking a recurring drug for a condition that works just fine. But, the company or even another company comes up with a supplemental drug that makes that drug a little better. Or, in the case of opioids causing constipation, there is a drug to help you with that. Suggestion: Speak with your doctor and do some research.
  • Your data will never be fully protected and safe online. We should do everything in our power to limit what is out there, but hackers are way too sophisticated and diligent. I applaud the security folks greatly, as they are tasked with a hard job. And, as I mentioned in an earlier blog, some apps like Facebook make money selling access to your information. Unless they change that model, your data will be exposed. Suggestion: Know what data you have out there and decide if you want to limit any of it. Do not use wi-fi in public places to do sensitive financial transactions (banking, credit cards, etc.). A security person said using a hotel’s wi-fi is like picking up a croissant off the floor and eating it. Change your passwords every so often, but make sure you can remember them.
  • Bottled water is a threat to our environment and your wallet. There are floating islands of plastic in the ocean as big as some states. If you must buy water, then recycle. Then there is that cost thing. Much cheaper is buying a filtered water pitcher and keeping it filled in the refrigerator. Some major named water sellers simple use purified tap water with additives. So, why not cut out the middle man. Suggestion: Check out how much you spend on bottled water or even soft drinks each month. Filtered refrigerated water (either from your door or pitcher) will save you money and the environment. Plus, if you reduce the number of soft drinks by drinking water, it will do the above, plus improve your health.
  • An authoritarian type leader tends to use a lot of false bravado. It is my view that the amount of bravado is highly correlated with the amount of lying. Think Trump, al Assad, Putin, Kim, Duterte, Maduro, etc. Suggestion:  Take everything said by these people with a grain of salt. I assume their comments are untrue and work back from there. Plus, do your homework and don’t be made out to be a fool. As Mark Twain said, “It is easier to fool someone than to convince them he has been fooled.”
  • Speaking of correlation, larger family sizes are highly correlated with a propensity toward poverty (this one is not just my impression). I read again this morning the solution to poverty is smaller family sizes, yet the source also denies the need for family planning funding. Another variation is there are too many single parent families. Again, family planning helps, but also marriage counseling with 1/2 of marriages ending in divorce. Suggestion: We need to avoid stating obvious problems as if that statement will solve them. We must do something about the problems. Data reveals states that have robust family planning funding have fewer unwanted pregnancies, fewer healthcare costs, fewer STDs and less poverty.

What are some trends you are seeing? Please offer a suggestion as well.

Poverty is highly correlated with large families

We have a global poverty problem, but what may surprise some, the US has not escaped the problem. Our middle class has been squeezed, but unfortunately, gravity has caused too many of them to fall beneath or just above the poverty line.

There are many reasons for the decline, but it has been occurring over the last 45 years, so all politicians own this issue. Technology advances, globalization, stagnant wages, downsizing of union populations, costly healthcare, etc. are all contributing factors.

Yet, it should be noted that large family size and one parent families are highly correlated with increased poverty. These two factors should not be a revelation, but too many folks look past these causes to others. This a key reason for the importance of family planning to help families manage their family size and health.

Today, I saw a report that noted the US has more teen pregnancies than other western nations. A data point was cited (without a source) that 30% of teens in the 9th grade have sexual relationships increasing to 60% in the 12th grade. The report supported the practice of more holistic sex education in schools, an experiment being promoted in West Virginia, where 1 out of eight births are to teen mother.

The training speaks to more than abstinence and contraception. It speaks to   how to say no and not give in to pressure. It discusses sexual assault and STDs. It speaks to relationships and the role sex plays when folks are ready.

Family planning and sex education are key tools in fighting poverty. There is a causal relationship between family planning and fewer abortions, which should give  those against family planning some consolation, Rather than condemn or not fund these efforts, we should look at the data and support them.

A Proven Three for One Return – an example of reducing poverty, abortions and unwanted pregnancies

If there was a proven solution that would accomplish three major goals and save money, it would be worth considering, right? If data revealed that a state could save $80 million and dramatically reduce abortions, unwanted pregnancies and help people in poverty, it would be as close to a no-brainer as we could get. Then, why is Colorado’s legislature unwinding funding to an effort to provide birth control and family planning to people in need?

Worldwide and in the US, there is a high correlation between larger family size and poverty. Further, a Harvard study from 1982 – 2011 indicates that one of five reasons for poor socio-economic mobility is fewer traditional families (some Conservatives like to say this is the only reason, but that oversimplifies).

Yet, the use of an obvious toolset with a proven track record does not stand up to the scrutiny of this legislature. Of course, the reason is the fervent belief against birth control even though the significant majority of women ignore their religion on this subject. About 90% of American Catholic women use or have used birth control.

In my work with homeless families, one of the reasons for some young women who find themselves homeless is having children before they are ready or out of wedlock. Also about 30% of our clients are victims of domestic violence. Lacking the additional income of a second parent, not to mention the support of a good one, puts a family in a hole which is hard to climb out of.

Here is where religion is less inclined toward the practical and can be harmful. We need to have holistic open discussions about this topic with teens. It is more than OK to preach abstinence, but these teens are tempted far more than we were at that age, and we were tempted. So, we need to teach a girl’s self-esteem is not tied into relenting to sex, nor is a boy’s for that matter. We need to teach boys that no means no. But, we need to also teach family planning and provide tools of birth control.

We have columnists who tout fatherless families as the reason for poverty in the Black community, which it is one of several . It is a reason no matter the race or ethnic group. Yet they stop short of defining one of the cures, which is noted above and proven to be successful. It should be noted in the states with the lowest abortion rate, they each have more robust family planning effort than states with higher rates.

Let’s be smart and practical about these issues. The data is pretty clear.

Lazy days of summer – a few random musings

While many are on vacations with children out of school, events in the world continue to happen. So, in no particular order, here are few random musings.

– The Donald continues to grab headlines with his bombastic opinions. He does not stand a chance of winning an overall election, as his petulance and prima donna act are not key attributes for the job. Ironically, the longer he is in the race, the better the chance for the Democrats to win the White House. A key reason is his GOP competitors need to get some chutzpah and tell him and the country that his opinions are divisive and unappreciated. If they don’t, then their silence condones his act as representative of their party platform.

– A much applauded provision is being introduced into Medicare that will allow reimbursement of end-of-life discussions with your doctor. Doctors favor this and it has bi-partisan support, as it did when it was included in the Affordable Care Act. Yet, people need to remember this is the same issue Sarah Palin called “death panels,” in her run for the Vice Presidency. She was wrong then and would be wrong again if she raises this point. This provision is a good thing.

– The state of Colorado has received acclaim for a program that has dramatically reduced the number of abortions in their state. By providing access to birth control and family planning to more low-income families, the number of abortions has not only been reduced, but their Medicaid budget has declined by $80 million per annum. Unfortunately, the conservative legislature may kill the program as it promotes teen sex. Folks, this measure is common sense, is working and is economical. Plus, these kids are going to have sex, as their temptations are even more when you were that age.

– Along these same lines, the Affordable Care Act has saved women over $1 billion in contraception expense. This provision has been very well received by women and is the same one which caused such a fuss when Hobby Lobby sued and won in court. This was after Hobby Lobby realized they covered birth control in their plan and took it out. Family planning and birth control are part of a solution to better health, abortions and poverty, as teen pregnancy or pregnancy out-of-wedlock, are correlated with poor health for mother and children, the number of abortions and poverty. It should not be lost that over 85% of American Catholic women go against the church’s position on birth control.

– I am not sure what is the best route for Greece, but they need to work something out where they can pay their creditors. Otherwise, the misunderstood vote of last Sunday, is moot. Yet, many view this as an “all or none” issue. Austerity or no-austerity. The answer has to be both, because austerity by itself can further cripple their economy and be a precursor to their demise. They need to invest in some areas which promote the economy and divest in others which are needed measures and the areas are less growth oriented. They need to play to their strengths. But, what the people deserve is honest answers and not political rhetoric. By the way, when a corporation is facing problems, they do the same thing – invest in growth areas and cut in non-growth areas.

– China is faced with a dilemma as the stock market crashes. They have a country of immature investors who are in panic mode as the market falls. The country leaders are telling stockholders it is your patriotic duty not to sell, but that is akin to shoveling water out of a sinking boat with a kid’s small pail. Unfortunately, the market will fall some more and stabilize, which is what markets do. The challenge for others is China has over built its real estate to grow its economy, but no one lives in these places. At some point, a reckoning has to occur and it seems to have arrived. What happens in China investments will have trickle down impact on the rest of the world, at first, and it could get worse if growth slows as a result.

But, what do I know? I am just one person looking for elements of truth in the news and making observations. One thing is for certain, the news must be read with some context, as sometimes the larger points can be missed. I would love to hear your thoughts on these and other issues. Until the next time….