Category: reproductive health

media, priests & abortion

media is plural for mediocre, rene saguisag says in his manila times column on the same day that mark robert b. baldo in a letter to the inquirer editor decries the failure of media to level-up the public debate on the RH bill.

A cursory look on the articles printed in this broadsheet shows this to be a recurring theme: luminaries using the infidelities of some Catholic priests in Europe to discredit the Church; some citing the political affiliations of some bishops; and others, presenting flawed accounts of Church history. This is a mistake because no longer do we hear mention of arguments by both parties.

… Media inevitably shape the public debate. I am not talking here about whether the bill should be passed or not, or whether the media should frame it in such a way that it would be passed or not. I am simply talking about how to frame the debate in such a way that it would stimulate productive discussion rather than a stirring drama about a declining institution in Philippine society.

indeed, na-sidetrack, nagpa-sidetrack, na lang ang media sa rizal vs. damaso drama ni carlos celdran.   easier naman talaga to go with the flow, kahit paatras, than to move on, against the tide, to the more difficult formidable challenging task of helping along the RH discourse toward a clear resolution.

in Some issues about the RH bills fr. joaquin bernas writes:

When does human life begin? We probably are all agreed that man must not destroy human life. Our Constitution protects life “from conception.” There is some indication in the deliberations of the 1987 Constitution Commission that this means “from fertilization.” But there are contrary views. Who will decide which view is correct?

granted, for the sake of no-argument, that the philippine constitution means “from fertilization” and that congress will so concur, what then?   logically, it should mean the end of all debate because as with the natural family planning method (no sex during ovulation), with artificial contraceptives no fertilization happens, which means no life is destroyed, so condoms, pills, and IUDs should be okay-all-right.

and yet and yet and yet, priests and other rabid pro-lifers continue to insist that birth control pills (that prevent ovulation so no egg is produced for sperm to fertilize) are abortifacients.   nakakaloka.   how canyou even begin an intelligent discussion???   for the longest time i couldn’t figure it out.   why the lying.   why the dishonesty.   why the misinformation.   until suddenly it dawned on me, after reading this, still from fr. bernas:

The determination about the beginning of human life will also be relevant to the debate on abortion. Clearly abortion is prohibited and penalized by law. But when does abortion take place? At what stage of the reproductive process will interruption be considered an offense against life? At fertilization or only after implantation? Are there birth control devices or pills which are abortifacient? If so, in what way? There is debate about the abortifacient effect of some birth control means. Who is to settle this debate—Congress? The Courts? Science? the Church? The ralliers? I understand that the various pharmaceutical and medical literature on this are conflictive.

the questions tell me that fr. bernas knows more than he’s telling, much like a parent who has a hard time talking to a teen child about sex because the openness and the info could be misconstrued as license to have sex.   in this case the information, which is most likely new to many many filipino women, rich and poor, young and old, could be misconstrued as license to interrupt the reproductive process by preventing the implantation of a fertilized egg, which apparently he equates with abortion.   i totally disagree.

just to make sure i have it right, i emailed my balikbayan brother dr. godofredo “butch” stuart, now based in tiaong, quezon, who is my first resource on contraception.   his response:

REPRO 101

Fertilization occurs when sperm-meets-ovum, 200 to 500 million sperms in the ejaculate, discharged into the vaginal vault, embarking on journey up the vagina, up the cervix. Only less than a thousand survive the swim and make it to the fallopian tube, into the “last lap” of their swim. These sperms have fertilizing capabilities that last only for 72 hours, sometimes 96 hours.

And once a month, normally, one mature egg is released from the ovary, fertilizable only for 24 hours. Into the fallopian tube it begins the journey, where it is met by one of the surviving sperma. So fertilization occurs, resulting in a zygote.

The germinal stage (0 to 2 weeks) begins when the zygote journeys down the fallopian tube to the uterus, reaching the uterus in 4 to 5 days, floating freely in the uterine cavity for several more days, finally adhering to the uterine wall about the 8th day after fertilization. By the 12th the egg is firmly implanted. And by the end of the second week the uterine wall has completely surrounded the newly developing organism.

This is the basic arithmetic on sperm and ovum life spans, and how the implantation happens many days later after fertilization. And how morning-after contraception works in the schemata of the germinal stage and implantation.

check out his website stuartxchange.com where he has a page on emergency post-coital contraception.   between fertilization of the egg and its implantation in the uterus, there’s a 7-day window during which contraceptive pills taken in certain doses effectively prevents implantation, which is how the morning-after pill (banned here) works.

the question is, when a woman resorts to emergency contraception, is that abortion?   i don’t think so.   while it is true that a fertilized egg has life, still it’s NOT A VIABLE LIFE, not until implantation.

DOC BUTCH :  Yes, non-viable until implantation.  Alive, yes, as in in-vitro fertilization, alive in the laboratory milieu, but still needing the uterine implantation to enter a sustaining nutritional environment.

which brings me back to fr. bernas’s questions: when does abortion take place?   answer: certainly not when a woman resorts to emergency contraception “the morning after” sex, because a fertilized egg (if at all there is one) is not yet a viable life-form.   and no, BIRTH CONTROL PILLS ARE NOT ABORTIFACIENTS:  once a fertilized egg has implanted onto the uterine wall, no amount of these pills can dislodge or remove it from the uterine wall.   (only real abortifacients can dislodge, abort, a zygote, but that’s for another blog.)

of course pro-lifers would disagree with me till kingdom come.   but try googling it and you will find that there are as many arguments for fertilization, as there are for implantation, as the beginning of human life.   so fr. bernas asks: who is to settle the debate re the alleged “abortifacient effect of some birth control means” — congress? the courts? science? the church? the ralliers?   answer: NONE OF THE ABOVE.   i say THE WOMAN DECIDES, not the priests or the opus deists.

DOC BUTCH : From opposing ends, it will never be answered or agreed upon. Yes, in the end, it should be the woman’s right, sole and inalienable, unburdened by archaic church edicts and impotent male political will. Too, a daunting responsibility for “educators” with the burdensome task of educating the womenfolk. And how to make the information available and comprehensible to the masa, who still resort to coat-hangers, grapevine pharmaceuticals, and dangerous herbal concoctions.

indeed.   widespread underground procedures kill about 1,000 women each year in this predominantly roman catholic country.

An estimated 560,000 women in the Philippines in 2008 sought abortion involving crude and painful methods such as intense abdominal massages by traditional midwives or inserting catheters into the uterus, said a report by the New York-based Center for Reproductive Rights.

which brings me back to the media, which have the power and the means not only to shape the debate but to make available the information and educate the womenfolk, thereby “to change the status quo of high rates of infant mortality, maternal deaths, and abortions. It is a moral imperative that such dehumanizing conditions should not be allowed to continue.”

DOC BUTCH :    Media seems to kowtow to the powers that be.  It seems like institutional fear.  No cojones to challenge the church on such matters.  Or perhaps everyone of note in media went to the same church-sponsored Sex Education 101.  Masyadong malakas ang simbahan.

but is it just fear of excommunication and hellfire,  or is it also a lack of critical thinking,  and not caring enough about the issues that matter?   media is plural for mediocre?   yes, all of the above.

face off

At last!  A president takes on the church, puts nation over religion, reason over dogma.  Noy stands tall.  Finally, Rizal’s battle is joined! Bernardo breaks free! — Satur Sulit

HOW MONA LISA DIED

Walden Bello

Representative Edcel Lagman of Albay has a term for legislative measures that gain approval in a congressional committee yet never make it to a full floor debate owing to one reason or other. He calls them “Mona Lisa” bills. “Mona Lisa” because, as he explains, “as that line from Nat King Cole’s famous song goes, ‘they just lie there and they die there.’.”

The Reproductive Health and Population Development Act of 2008 – better known as the “RH bill” – is one of those Mona Lisa bills. The RH bill, however, did not die of neglect or lack of interest, which is the case with most of these measures. In this case, Mona Lisa was murdered.

During the last three Congresses, RH has been a topic that has elicited great controversy owing to rock solid opposition from the Catholic Church. In the 14th Congress, however, it was able to win approval in the Committee on Health, setting the stage for a much-awaited debate on the House floor. RH was listed as a priority bill throughout 2009; indeed, before the Christmas recess, the rules for the debate on it were being discussed.

When the House reassembled on January 18, however, RH had disappeared from the Speaker of the House’s list of priority bills. Inquiries by proponents of the bill produced evasive replies from the House leadership. When the House adjourned for the elections on Feb 3, RH was dead. The reason, however, was painfully obvious.

In December, the Catholic Bishops’ Conference of the Philippines (CBCP) instructed the electorate not to vote for candidates who espoused RH. Alongside this decree had unfolded a massive campaign that involved systematic disinformation about the bill. Among the malicious allegations that were spread was that the bill imposes penalties on parents who do not allow their children to have premarital sex. Another was that the bill promotes the use of abortifacients or methods of contraception that induce abortion.

It was not in the interest of the anti-RH lobby to have an open debate on the House floor because a rational, enlightened exchange would have revealed the aims of the bill to be not only morally legitimate but ethically imperative. Foremost among these goals is to provide women with the information and means to enhance their reproductive health. Second is to provide partners with the information and means to practice family planning. Third is to provide men and women with the information and means to avoid sexually transmitted diseases such as HIV-AIDS, which has now reached epidemic proportions.

The anti-RH lobby knew that even if the bill lost on the House floor, a debate on it would have contributed immensely to the enlightenment of the Catholic electorate, the majority of which, according to recent surveys, already favor modern methods of family planning and enhancing reproductive health. Thus, deploying its tremendous political clout, the lobby colluded with the House leadership to carry out a silent procedural homicide.

There is a great deal at stake in the RH debate. One of them is the preservation of the principle of the separation of Church and State. The Church seeks to prevent the State from having a say on reproductive issues. Yet the State must have a say since it has a responsibility for the health of the country and the health of women citizens in particular. The State must concern itself with reproductive issues because it must balance the needs of society and the fragility of the environment. The State must involve itself with reproductive concerns because it has a mandate to end poverty and promote national development.

Another bedrock principle of our liberal democracy that is threatened by the Church campaign against RH is pluralism. Many constituencies favor RH, and among these are other religious organizations, including Christian churches. Yet one religious denomination arrogates to itself the right to speak for all religions and to veto the opinion of other religious organizations on reproductive rights. This is absolutism, not democracy, and if allowed to go unchecked, it will erode the tolerance that is an essential component for the survival of our pluralistic polity.

Pro-RH people are not against the Catholic Church. Indeed, most admire the Church’s stance on many other issues – for instance, its urging voters to vote for candidates according to the dictates of their conscience. But does not this stand promoting respect for the individual’s conscience not contradict its ordering voters not to vote for pro-RH candidates?

The Church, to its credit, supports measures that would end poverty, like agrarian reform. Yet it opposes an initiative that would address one of the key causes of poverty, which is the failure of poor families to control the size of their families through natural means?

The Church has – again to its credit – taken up the cudgels for the environment. But it opposes effective family planning measures that would rein in one of the key forces behind environmental degradation: unrestrained population growth.

The Church lobby is powerful. Not only has it intimidated Speaker Prospero Nograles and the House leadership into killing RH procedurally. It has also now forced presidential contender Gilbert Teodoro to renounce his support for RH. And there are reports that Noynoy Aquino is also backing away from his support for RH.

Punishing people at the polls for their beliefs is certainly less reprehensible than burning them at the stake, which the Church did to dissenters centuries ago. But resorting to electoral punishment exhibits the same absolutist frame of mind that threatened Galileo with burning if he did not recant.

Yet, just as we have left the Inquisition behind, so are we destined to advance towards a more tolerant pluralist polity that makes decisions based not on intimidation and threat but on enlightened democratic debate. Mona Lisa may have been murdered this time around, but let those who have killed her be put on notice that, as Congressman Lagman predicted, she will be resurrected in the 15th Congress or in succeeding Congresses until she is finally enacted into law.

environment 8: population word war

THE POPULATION WORD WAR

Junie Kalaw

The raging word war between Catholic Church representatives and the indomitable secretary of health on the topic of condoms as a means of addressingour pressing population problem is turning NGOs red with frustration or green with envy, and the air gray from the swirling dust that has obscured the real issues surrounding our pressing population problem which are: the relationships between population and consumption, population and poverty, poverty and natural resource policies, and between population and human resource development.

A one-sided view of the problem considers population in terms of number of bodies and ignores the fact that these bodies consume food and use energy.  This view dominates even international fora like the United Nations Conference on Environment and Development (UNCED) where rich countries point to the fast rate of population growth of poor countries as the main problem of sustainable development, while poor countries single out the high per capita consumption of the rich countries as the major problem.

To bring the two sides together, a more realistic and dynamic population index would emerge by multiplying each unit of body by the per capita consumption of food and energy.  Thus, multiplying the Philippine 2.4% body count increase per year by a factor of one on both food and domestic energy-use yields a total of 2.5% on both counts.  On the other hand, the US yearly increase of 1.5% multiplied by 6 (the ratio of their per capita consumption of food compared to Filipinos) yields a total of 9%, and 1.5% multiplied by 13 (the ratio of US energy consumption to Philippine consumption) yields a total of 19%. There is a bigger problem, therefore, on the consumption side than on the birthrate side of the issue.

If we are to consider the warnings of environmental economists that our present US$32 trillion global economy cannot continue to grow sustainable in the closed biospheric system of our planet because we are now using 40% of net primary production of energy and that doubling this rate of appropriation by our species might not be possible, it becomes imperative for the rich to reduce their consumption and the poor their birthrates.

The correlation of higher birth rates with poverty is well documented.   There are two major causes: (1) the cultural bias for large families in the belief that more children is an investment for ensuring the survival of the family unit, and (2) the fact that women in poverty have less opportunities for education or options as regards childbearing.  Only when there is a rise in the income level of the poor does the family birthrate decrease.

Obviously, more than controlling poverty, both material and educational poverty need to be addressed to solve the population problem.  Perhaps if church representatives could fight to the death the causes of poverty, they would be performing a better witnessing for all the children of God.  If the church would threaten loggers, big landholders, and politicians with the same intensity they summon vis-a-vis condom-pushers, the country would be better served.

But levity aside, what is distressing is that all the heat the word-war has generated has not reached the core of the population issue, which is the quality of life as expressed in its consumption patterns and lifestyles.  The sustainability of our ecosystems, cultures, and communities ultimately depends on the citizens’ personal choices of what to consume and what lifestyle to develop. Perhaps for the first time in our evolutionary history, our private and personal decisions impinge so critically on public interest.  We need to translate our personal moral values into values for the common good.

If the concern of the church over the immorality of birth control could be expended instead on the quality and justness of the lifestyle of its faithful, then there would be integrity in its moral stance.  If the state could exercise the same determination over social equity and ecological security as on the prevention of birth, governance would be more sustainable.

Church and state have since seen fit to reconcile.  In the normal course of such moves, reconciliation amounts actually to a partition, with the church protecting its moral ascendancy and the state its political primacy.  But while it is necessary to respect cultural and religious differences, poverty is not sustainable and its eradication not negotiable.  As the North-South Commission Report on a Program for Survival puts it:

“While hunger rules, peace cannot prevail.  He who wants to ban war (or for that matter artificial contraception) must also ban poverty.  Morally, it makes no difference whether a human being is killed in war or condemned to starve to death because of the indifference of others.”

14 August 1994