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    You would think that contraception would be a fairly straightforward issue.  Women need reproductive autonomy and choice when planning their family.  Of course, once the religious get involved things rapidly go down hill.  Articles like the following should not have to be written…

“PRCH (Physicians for Reproductive Choice and Health) supports the recent recommendation of the Institute of Medicine (IOM) to include contraception in the preventive health benefits [1] for women under the Patient Protection and Affordable Care Act (ACA) [2] and the decision of the Department of Health and Human Services (HHS) to adopt this recommendation in its draft regulations. [3] As physicians, we know that access to contraception is essential to the health and well-being of our patients.

About half of all pregnancies in the United States are unintended. [4] Regular use of contraception prevents unintended pregnancy and reduces the need for abortion. [5] Contraception also allows women to determine the timing and spacing of pregnancies, protecting their health and improving the well-being of their children. [6] Contraceptive use saves money by avoiding the costs of unintended pregnancy and by making pregnancies healthier, saving millions in health care expenses. [7] Several contraceptives also have non-contraceptive health benefits, such as decreasing the risk of certain cancers and treating debilitating menstrual problems.[8] Making contraception more affordable is a significant step forward for the health of women and their families.”

There is nothing in the above that is particularly controversial.  It should be a slam dunk as most 1st world countries already do this.

“PRCH appreciates the decision of HHS to include in the draft regulations the coverage of all forms of birth control,[9] allowing patients to access to the method that best meets their needs. Contraceptive methods vary and women with their health care providers need to be free to select from the full range of FDA-approved contraceptives. Not all contraceptives are clinically appropriate for every woman. [10] We also know that women and couples are more likely to use contraception successfully when they are given their contraceptive method of choice, be it a birth control pill, a vaginal ring, or an intrauterine device (IUD).[11] The draft regulations hold the promise of making contraception more affordable and easier to access for millions of women.

While we strongly support the inclusion of contraception as preventive care, we are deeply troubled by the provisions that exempt certain employers from compliance. The draft regulations threaten to compromise the very important protections they would put in place.”

Again the social-conservative legislative agenda throws women under the bus.  It is reprehensible for this sort of legislation to be happening in a developed nation.

Patriarchy offers so many yummy selections of shit sandwich for women.  Rape culture, sexism, inequality are hallmarks of the patriarchal construction of our society.  The implicit nature of Western patriarchal norms have nothing on what is going on in cultures where said norms are  firmly entrenched in the bedrock of society.  Modern medical technology coupled with ‘traditional’ societies views on women make female lives even more tenuous.

Dr Neelam Singh is on the front line of India’s battle to save its girls. 

Modern medical technology – specifically ultrasounds for determining the baby’s sex – coupled with ancient cultural values which give preference to boys, mean that hundreds of thousands of girls are never being born.

There were only 914 girls for every 1,000 boys under the age of six in India, according to the 2011 census, compared with 927 for every 1,000 boys in the 2001 census. Today’s ratio is the highest imbalance since the country won independence in 1947.

“I feel the demand [for abortions] every day,” Singh told Al Jazeera. “Parents say it’s important to have a son in the family. They want to keep their family name. I see this as the most heinous kind of discrimination towards a girl child.”

Outdated customs coupled with new technology = death for women.

“In India, there is a confluence of factors leading to passive infanticide, active infanticide or sex selective abortion,” Valerie Hudson, a professor of political science at Brigham Young University who studies birth rates, told Al Jazeera.

“Probably the most important is the tradition of dowry [payment to a prospective husband]. Having to marry a girl off may be the equivalent of several years of income for a family. A daughter is often seen as a thief who will rob necessary resources.”

Restrictive property rules, where inheritance is passed from father to son rather than to daughters, male dominated funeral rights and parental hopes that male breadwinners will support them through old age also play a part in skewing demographics, Hudson said.

The world’s largest democracy still fares better than China, where the ratio is 121 men per 100 women. Globally, 163 million girls have gone “missing” from the world’s population due to sex selective abortions in the last thirty years, according to the calculations of Mara Hvistendahl, author of Unnatural Selection.

By 2020, an estimated 15 to 20 per cent of men in some regions of northwest India will lack female counterparts. “In Punjab, there are entire villages with no girls under [age] five,” said Rohini Prabha Pande, an independent demographer who works on gender issues in India. “There are some districts with 700 girls per 1,000 boys,” she told Al Jazeera.”

   It is an ugly cycle as high sex ratio’s favour a more traditional society which in turn promotes less female children which raises the sex ratio.  A destructive positive feedback  patriarchal loop in action. 

“These massive social imbalances could spark a host of social problems.

“When 15 per cent of young adult males in your population will never become head of household or heirs you will alienate these men in ways that cannot be fixed,” Hudson said. Poor men will be the biggest losers in this equation.

“The historical record shows there can be distinct negative impacts on levels of violent crime, riots and rebellion against the state,” when large groups of single young men are alienated and lack family commitments, according to Hudson.

The lack of women is being felt by bachelors, policy makers and women’s rights activists across Asia. By 2020, China could be home to 40 million bachelors who won’t be able to find mates.

“North Korea’s largest export is women across their northern border with China,” Hudson said, noting that the ruling communist party is particularly worried about prospects for unrest from angry, unmarried men.”

   Nothing like hoards of frustrated young men roaming about to stabilize your society.

“After India’s 1991 census, a prolonged campaign by women’s rights activists over the skewed child sex ratio led to the enactment of the Pre-Natal Diagnostic Techniques Act in 1994.

“Technology allowing families to detect the sex of a foetus at an early stage and plan for an abortion has been banned,” said Mohammed Asif, director of programme implementation with Plan India, an NGO which lobbies to save baby girls.

“The government’s law is stringent, but people have been trying to work around it, going to far away clinics and giving fake addresses. Loopholes have been exploited and a key strategy would be to take action against illegal ultra sound clinics,” Asif told Al Jazeera.

Other researchers don’t think legal changes are the best way to improve the situation. If cultural values discourage against having girls, families can find other ways of getting rid of them without advanced screening techniques. 

“Ultra sound technology is just the latest wave to select a son preference,” Pande said. “In rural Uttar Pradesh and Bihar, you see a fairly balanced sex ratio at birth. But when you look at what is happening between birth and age six, they resort to traditional means of neglecting girl children. They are less likely to be immunised, less likely to be taken to a health centre and more likely to be chronically malnourished.”

When women lack autonomy and control of their bodies this sort of discriminate killing can happen as the norms of society trump their reproductive choices.

“Contrary to popular belief, education, status and upward mobility can actually make the problem worse.

“You have a much greater chance of survival as a girl baby if born to a poor family, rather than a rich family,” Hudson said. “Richer families have more assets which could be put in jeopardy by girls due to dowry payments,” she said, adding that wealthy groups worry about having their family name tarnished if their daughter marries from a lower class.

While national trends are cause for concern, the situation is improving in some areas. “Tamil Nadu is one of the few states where we have seen an improvement,” said Sharada Srinivasan, a professor of gender studies at York University in Canada.

In addition to counselling, and the creation of self-help groups for women, the southern state is using the carrot and the stick approach. “The government has created a massive cash transfer programme” to entice parents to keep baby girls, Srinivasan told Al Jazeera. Parents who commit infanticide are increasingly being prosecuted for homicide, she said.

Tamil Nadu also hosts some of India’s new outsourcing and information technology and these post-industrial jobs could improve women’s rights. “Before, women’s work was either at home or on the farm,” Plan India’s Asif said. “With globalisation, girls are now picking up jobs in banking, manufacturing and hi-tech. This is creating a lot of buzz in the family to start considering girls.”

While cash incentives, laws against gender selective ultrasounds, harsh punishments and economic changes all play a role, changing deeply ingrained social values is arguably the most important issue, and the most difficult.

Some communities in Punjab and elsewhere are taking collective pledges not to kill or abort girls, considering the practice a source of shame and an example of backwardness. This is where government policy ends and grassroots action begins. 

“There is no way you can tax patriarchy,” Srinivasan said. “Public action has a role to play in changing social norms. History is full of examples of this.”

There are so many factors involved in the commodification of women.  The dowry aspect, the class aspect, the inheritance aspect; all contribute toward the strengthening of the patriarchy and the continued abuse of women.

On a similar note, I’ve been down a similar road when discussion abortion with various anti-choice nutters over the years.  This seems to be one of their examples they point to when they need example of how “evil” abortion is and all the human life lost.  The skewed abortion rates in places like India and China are precisely that way because of the patriarchal rules that make women less than human.  Consider that the quest for a male heir to carry on the family name and inheritance trumps any sort of choice/anti-choice discussion because it is not an issue: a male heir is required, end of discussion.

We do not hear about the oppressive nature of the society that perpetuates the sex selected abortions, oh no, it is usually just “They’re killing baaaaaaabies….” with no regard for the normative patriarchal precursors that set the stage for such a sad state of affairs.

(*update* – For a further breakdown on how the anti-choice gambit works, and how absurdly farcical it is, go to The Words on What.)

The only solution, treat women as fully autonomous human beings.

Finding contemptible religious people saying horrible things on youtube is not a difficult task.  This particular individual is all over his Sky-daddy allah and how women need to be beaten so they can quickly learn their place and proper behaviour within Islamic religious society.

We can dispense with any notion of Islam (christianity, judiasm etc.) being the religion of peace and harmony.  Oh certainly this man may be a crank and not represent the “true faith” but does this lessen the horror of what he is saying?  We have our share of absolute cranks here in North American, but we are protected from their delusional insanity because of the secular tenets of our society.

In countries that do not share the same dedication(?) to rationality the damage these people can do is significantly multiplied.

The misogyny of the past in the so called ‘civilized’ West is quite chilling.  We often ascribe Female Genital Mutilation as am exclusive product of Islam and other cultures.  We overlook the fact we had our own FGM establishment running strong and publishing articles in respected journals about the so called benefits of FGM.

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