Friday, 09 December 2011 11:08
Written by Chad Hermann
(she's back. with more distorted stats.)
When the pages of the PG last inflicted the work of Heather Arnet upon us, the Chief Executive Officer of the Women and Girls Foundation of Southwest Pennsylvania declared in a letter to the editor that Domestic abuse is the number two killer of women in this country. You will remember, of course, the ensuing fact-check, and the cold, hard reality that domestic abuse deaths do not even come close to cracking the top ten killers of women in this country. That women's domestic violence deaths average about 1,200 a year, while women's deaths from cancer (the real #2) average about 264,000 deaths a year. And that, barring some correction or retraction, the difference between those two numbers is more than sufficient to dismiss out-of-hand anything Ms. Arnet might ever utter again.
To the best of my knowledge, neither a correction nor a retraction followed. Which is as disappointing as it is unsurprising.
What followed yesterday, however, was another appearance in the pages of the PG, this time in a reaching, rambling, utterly unfocused op-ed piece, co-authored by Suzanne Ehlers, on the importance of family planning. There is no claim in it nearly so untrue, nor nearly so offensive, as the number two killer claim. And yet, once again, Ms. Arnet manages to be on the right side of the issue while being on the wrong side of fact, reason, and accuracy.
This year, we saw two milestones reached. The world population hit 7 billion. And here in the United States, politicians brought a record number of attacks against women's reproductive health, both at home and internationally.
That sounds awfully ominous and dramatic, doesn't it? Of course, it also sounds awfully vague and nebulous. And dubious.
Who keeps those records? What was the old record? What's the new record? Just how many attacks were there this year? And what, exactly, constitutes an attack?
Would it have killed them to give us a number? I mean, if you know there were a record number, then you must have a number, right? Right?
I'm guessing they don't, and that record number of attacks is a new, minor-league variant of number two killer. Or perhaps they do have one, but it just doesn't sound all that impressive -- 17? 26? 53? -- so they decided to go with the far more sweeping and impressive record number.
Either way, it's incredible. And not in a good way.
An analysis by the Guttmacher Institute also revealed that 99 percent of American women, including Catholic and evangelical women, use or have used contraception.
The Guttmacher Institute didn't perform that analysis; it merely quotes it. The actual report was produced by an unbiased, much more reliable source: the Centers for Disease Control and Prevention National Center for Health Statistics.
The report did, in fact, reveal that 99% of all women who ever had intercourse had ever used at least one contraceptive method in their lifetime. But unlike Ms. Arnet, the report does not single out -- which is to say, does not take a veiled little shot at -- Catholic and evangelical women. The words Catholic and evangelical, in fact, do not ever appear in the report.
What Ms. Arnet is doing there, I suspect -- besides just taking a cheap little shot -- is trying to suggest, or imply, or just kinda sorta maybe put out there, that even women who for religious reasons profess to be opposed to contraception have in fact used it. And I have no doubt that's true in some, or even many, cases. But it's almost certainly not true in all those cases. Especially when you consider that, for the purposes of that CDC study, withdrawal, periodic abstinence - calendar rhythm, and periodic abstinence - natural family planning were all counted as methods of contraception. And that 59% (or 31.3 million women) of the survey respondents had reported using withdrawal at least once. And that, to count for the survey and so for that big number, a woman only ever had to use contraception (including withdrawal or abstinence) once in her life.
And if the numbers really are that high, then how, exactly is there a big problem in the US? And how does that level of practice and familiarity jive with this…?
[W]e are far from a world where women get the reproductive health care they need. In the United States, nearly half of all pregnancies are still unintended.
I'm certainly not going to argue with the first sentence. I have long and often argued, including in this space earlier this year, for increased funding for, and improved access to, comprehensive sex education, information, contraception, and health care for both women and men. (Especially in the face of impractical ideologues who want to reduce the number of abortions but don't want to increase the use of, or access to, contraception.) But the second sentence, following hard upon the first, suggests a runaway problem of unintended pregnancies that can be directly linked to a lack of sufficient reproductive health care and education. And yet the numbers do not support the full weight of the suggestion.
43.9% of those unintended pregnancies cited their reason for not using contraception as Did not think [I] could get pregnant. In these cases -- about 21% of the total number of pregnancies -- you could certainly argue that a lack of reproductive health care and education was central to the problem.
14.1% Did not expect to have sex. 22.8% Didn't really mind if [they] got pregnant. 16.2% Worried about side effects of birth control. 7.3% had a partner who didn't want [her] to use birth control. 9.6% had a partner who didn't want to use birth control. That's a total of 70% of respondents whose reasons for not using contraception follow from personal choices that do not suggest a lack of education or of access. (The percentages add up to more than 100 because respondents could give more than one reason for not using contraception.)
Which means that, in the end, somewhere around 20% of all unintended pregnancies, according to the CDC survey, could be traced to insufficient reproductive health care and/or education. Though much less dramatic than 50%, that's still a powerful number, and one deserving of attention. In the same way that any number of domestic abuse deaths over one, much less over one thousand, is a powerful number worthy of attention and correction. But once again, Ms. Arnet -- intentionally? unintentionally? does it even matter? -- gooses the argument, distorts the numbers, and so sacrifices any claims to credibility she may have.
Which, after the number 2 killer debacle, was none. But still.
Meeting women's needs for these services would reduce unintended pregnancies and maternal deaths by two-thirds and cut newborn deaths in half.
Whether this claim is for the US or for the world is unclear. (I told you it was rambling and unfocused.) But even less clear, and more important, is the source (or sources) of these claims. From where do they come? How are they calculated? On what speculation, or extrapolation, are they based? There's no way to verify them, or even to judge them, without a reference.
I guess we're just supposed to trust Ms. Arnet. After all, it's not as if her numbers have ever been wrong before.
It is maddening enough to read unreasonable, hyperbolic, stacked-deck op-eds that support positions you know to be unfair or foolish or just plain wrong. But it is even more maddening to read unfocused, hyperbolic, stacked-deck op-eds that support positions you hold and support and believe to be right. Your heart wants it to be good, but your head knows that it's not. You should rally to it, but instead, you're alternately enraged by and embarrassed for it.
And so, sometimes, if only for your own minor piece of mind, you have to expose it. Like this.