State of American Men and the Birth Rate (and the 2026 Election)

The discussion of the decline in the American ( and international ) birth rate continues with a long article in The New Yorker discussing Anna Sussman’s book which I have commented on before, noting that males are generally ignored in the discussion. To the rescue, j ust last week Equimundo released “State of the American Men 2026”.

Among the findings about men: high worries about their financial future but mostly confident about the American Dream still being attainable. Yes, lots of time on line and migration to what are called “grift economies” on line, i.e. speculative wagering. Men are looking for opportunity where they can, or perhaps shortcuts in a system not seen as totally open to them.

As for family formation and parenthood, fatherhood is associated with manhood. 62% of men say having children is important, compared with 81% for owning a home and 65% for being married. 

As for what defines success or manhood, 58% of men say financial stability defines success versus only 37% saying it defines manhood. Fatherhood defines success for 15%, but for 38% of men it defines manhood – the highest rated of all the indicators, beating financial security by one percentage point.

Men support various governmental policies “built on the promise of upward mobility and institutional fairness”: including stock trading bans by politicians (66%), paid paternity leave (68%), insuring wealthy pay their fair share of taxes (73% support raising taxes on billionaires), more accessible health care (77% support universal health care).

How many of these are crucial issues in the upcoming midterm elections? Certainly high gas prices that make a family choose between getting to work versus skipping a doctor’s appointment is a key issue. Reproductive freedom was not on the questionnaire of Equimundo. But fatherhood was (and is the most important key to feelings of manhood), and the decline of males in the workplace and economy is perhaps the key deterrent to them being selected by females as partners and hence fathers. 

Abortion polling is always to be viewed with skepticism. In a recent Gallup Poll 30% say abortion should be legal in all circumstances with 13% saying illegal in all. 51% call themselves prochoice and 43% prolife. Then there is the middle. I have always thought that the majority wants abortion legal for “rape, incest and me.”

In some states this November, abortion rights are a crucial issue. In Maine, Susan Collins is having to defend her support for Brett Kavanaugh’s nomination to the Supreme Court, but polling does not reflect a decrease in her support since her last election. She is touting her bringing Federal funds to Maine. Democrats are hoping the loss of Roe will motivate their base to turn out. 

Four states have abortion on the ballot: Virginia, Nevada, Idaho, Missouri. The first three have ballot measures to create a state constitutional right to abortion. Missouri has a ballot question to repeal the 2024 ballot measure that created a state constitutional right. Crucially perhaps, the 2026 Missouri ballot measure also prohibits gender transition procedures for minors, thus conflating two hot button issues.

How will men vote on this? Polling indicates a gender gap of about 10% in female vs male support for abortion rights. There is polling support indicating that men feel devalued and treated unfairly in the system. Not being able to control the pregnancy of their partner may feed into this. On the reverse side, not wanting more children than they can support may lead to support of abortion rights. 

According to Equimundo, Democrats should be talking about fairness and upward mobility, and I would add reproductive freedom, in addition to tariffs, the war and high gas prices. Republicans are talking about Socialism and fear, avoiding any mention of abortion because they know it is a losing issue, including the mailing of pills across state lines, which is their next big target.

The gender gap in the 2024 election was about 10 points (it was 12 points in 2020), indicating perhaps that the loss of Roedid not lead to greater gender gap (the gender gap in Presidential elections is about the same as the gender gap on abortion). Pollsters spend their careers cutting and slicing electoral returns by all kinds of variables: race, class, gender, education, religion and on and on. On the male vote from 2016 to 2024, the black male support for Democrats fell 5 points but the Hispanic male vote fell 19 points. The white non-Hispanic male vote rose from 31 percent Democratic in 2016 to 38% in both 2020 and 2024. The non-college educated voters in 2024 were 35% female and 29% male for Democrats. For youth voters, the Democratic share hovers at about half.

The male voter, especially the non-college educated, presents an opportunity for Democrats. The real needs of fatherhood need to addressed beyond military parades, ICE raids (and public executions) designed, so the Republicans think, to appeal to manhood. Instead, supporting programs for boys and men to launch careers that don’t require a college degree is an opportunity, as well as addressing the cost of housing. Owning a house is seen as a precursor to starting a family.   These ought to be bi-partisan issues. We will see.

For New Yorker article: https://www.newyorker.com/magazine/2026/09/28/inconceivable-the-impossibility-of-family-in-an-age-of-uncertainty-anna-louise-sussman-book-review

Equimundo: State of American Men 2026: https://www.equimundo.org/wp-content/uploads/2026/09/State-of-American-Men-2026.pdf

Guttmacher Report on 2026 Election: https://www.guttmacher.org/fact-sheet/abortion-rights-are-ballot-four-states-2026

Gallup Poll of Abortion: https://news.gallup.com/poll/321143/americans-stand-abortion.aspx

The New Eugenics – Heritage Foundation Project 2025 for Marriage and Increased Childbearing 

Reading the opening lines of the Heritage Foundation Report – Saving America by Saving the Family: A Foundation for the Next 250 Years – I was struck by a deja vue. Not just because the Report warms over the usual right-wing attacks on the 20th Century including reproductive rights, women’s rights and sexual rights, but some of the language about the rights of children were oddly reminiscent of statements made by my grandmother 100 years ago. I suspect the authors of this report were totally ignorant of this, so it’s worth a reminder.

The opening paragraph of the Report states: The first (truth) is that all children have a right to the affection and protection of the man and woman who created them. The second is that the ideal environment in which to exercise this right is in a loving and stable home with their married biological parents.

In 1926, my grandmother wrote an article for Holland’s Magazine entitled “Passports for Babies.” As reported by the Margaret Sanger Papers Project, “Sanger fantasizes about parents being subjected to an interview by a prospective baby. The demanding child inquires whether the parents have paid for their last baby, how many other children they have, and whether or not the parents can supply a happy home, proper food, a sunny nursery, and love and affection. Summarizing the prospective parents’ responses, the baby exclaims: ‘Five children already? Two dark rooms in the slums? No! Thank you! I don’t care to be born at all if I cannot be well born. Good-bye!’”

God forbid that the Heritage Foundation would ever quote Margaret Sanger in support of its thesis, but their arguments are oddly similar … as far as they go. 

The Heritage Foundation chastizes much of modernity, global population trends, real world economic factors and the resulting changing social, cultural and mating environment where human reproductive strategies have been adapted for success. These adaptations include: more female education, fewer and later marriages, and fewer children. 

Women are decried as selfish: the opening paragraph of the Report continues: In contrast, the default in American culture today is to put the desires of adults over the needs of children. Children are too often called to sacrifice what is due to them—the presence of their mom and dad under the same roof for the entirety of their childhood.

The body of the Report goes on to cite the Founding Fathers who signed the Declaration of Independence who were, quite literally, fathers: Fifty-four of the 56 signers of the Declaration of Independence married and had a total of 337 children among them—an average of six each.   

Available figures indicate that the average American woman in 1800 had over 7 children (there are no figures for 1776), so the Signers were apparently on the low side of the average (perhaps they weren’t finished, or rather their wives weren’t, having children). 

The Report somehow fails to cite what the Declaration of Independence actually said: “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are Life, Liberty and the Pursuit of happiness.”

Alas, we all know that the Founding Fathers didn’t “Remember the Ladies,” but not even the authors of the Heritage Report could bring themselves to assert that women have no right to Life, Liberty and Pursuit of happiness. Nor did the Framers talk of any children’s rights. 

For me and my grandmother, Women’s Rights and Feminism are included in the right to Life, Liberty and the Pursuit of Happiness. My grandmother said, “No woman can call herself free who does not own and control her body. No woman can call herself free until she can choose consciously whether she will or will not be a mother.”

She added: “A woman’s body belongs to herself alone. It is her body. It does not belong to the Church. It does not belong to the United States of America or to any other government on the face of the Earth. The first step toward getting life, liberty, and the pursuit of happiness for any woman the serve decision whether or not she shall become a mother. Enforced motherhood is the most complete denial of a woman’s right to life and liberty.”

The Heritage Report fails to analyze why a declining birthrate is a worldwide phenomenon, including in so-called first world countries, and I would include Russia and China in them, in addition to Europe, Latin America and Asia. Much of the world now has a TFR less than 2.1, which is the replacement rate. The US is no outlier.

Contrary to the Heritage Report attacks on the lack of morality and the alleged disfavoring of religion in the US as drivers of reduced birthrates, smaller families also occurs in countries with a strong state religion and strict sexual morality and with no or little “Feminism”. For instance, Iran has 1.7, about the same as ours.

Fertility rates have been falling in some countries since the 18th Century – long before modern birth control or abortion, before “Feminism” and “Gender”, before the sexual revolution (there are arguments that the sexual revolution began with the advent of the automobile, not the Pill), before welfare and before internet pornography and dating. Analysts have looked at such factors as: the Industrial Revolution, medical advances for child survival, costs of raising a child – all this before much female education and women’s entry into the modern workforce and feminism.

Single motherhood proliferates worldwide but varies from culture to culture. It is higher than the United States in many countries in Western Europe and Scandinavia and in Latin America; it is far lower in East Asian countries. 

Wailing about smaller families is often a disguise about exactly who is having smaller families and who larger. In many countries there is concern with immigrants having a higher birth rate than those native born. This Great Replacement argument occurs not only in the United States, but in other western countries as well, hence Reports like the Heritage’s calling in coded language for greater native birthrates. 

The Heritage Foundation’s call for a Manhattan Project for babies uses an unfortunate metaphor – the population bomb was an inept metaphor used in the early 1970s for what was thought to be unbridled population growth. It seems that the Heritage Foundation wants unbridled baby growth.

There are the expected attacks on Lyndon Johnson’s Great Society and its welfare programs and on the Pill and the sexual revolution and feminism and gender. The ideal country in the Heritage view for a Baby Boom is Israel, which is quite different from the US and the rest of the Western World with its religiosity, uniform language and culture, not to mention a history of real and immediate threats from its neighbors. The authors fail to mention that Israel has available sex ed, birth control and abortion. Nor did it mention that Israel allegedly once gave long-acting birth control to immigrant Ethiopian Jews without their consent.

Some of the Heritage solutions for the US: a large family tax credit, home childcare tax credit, reducing education levels and establishing church-societal marital boot camps, discouraging on-line dating, promoting family education in schools, making divorce harder (they do not realize that doing so is a disincentive to marriage), and mandating a day of rest, i.e. Blue laws (I am writing this on Super Bowl Sunday) and reducing welfare and head start programs. The list goes on and on.

In contrast to the research cited in the Heritage Report about the single parent homes destroying children, the Annie E Casey Foundation, which has decades of research on the family, states: “Com­pared to kids in mar­ried-par­ent house­holds, chil­dren in sin­gle-par­ent fam­i­lies are more like­ly to expe­ri­ence poor out­comes. Research indi­cates that these dif­fer­ences in child well-being tend to be small, though, and can dis­ap­pear when adjust­ing for key fac­tors like pover­ty.  While the research is com­plex, some­times con­tra­dic­to­ry and evolv­ing, mount­ing evi­dence indi­cates that under­ly­ing fac­tors — such as strong and sta­ble rela­tion­ships, parental men­tal health, socioe­co­nom­ic sta­tus and access to resources — have a greater impact on child suc­cess than does fam­i­ly struc­ture itself.

Chil­dren thrive when they have safe, sta­ble and nur­tur­ing envi­ron­ments and rela­tion­ships, and these con­di­tions and con­nec­tions can exist in any type of family.”

There has been much discussion of our modern mating system, if it can be called that. In the modern economy, with modern contraception, women are getting the education they need to survive and thrive on their own without relying on a husband. They have their children when they are ready and when their children have the best chance of survival and thriving. The Report calling for women to get less education and to be stay at home moms flies in the face of that reality. That genie isn’t going back in the bottle. 

What to do about men deserves more serious addressing than the Report does. The American male is not in great shape physically or educationally. My grandmother noted that during World War I 56% of American men were found unfit for military service. A recent study by the Defense Department found 77% of men unfit for service. Is it stricter guidelines or declining male health? Men attend college less then women. Antisocial behaviors are exhibited more by men than women. They are of declining marriageable material; hence women aren’t marrying them.

The Report’s proposals for family formation are targeted to benefit taxpayers, not those who don’t earn enough to pay taxes. The incentives are for the relatively well-to-do not the poor. Childbearing is to be encouraged for those who have, not those who have not. 

Finally, one of the drivers of infertility is undiagnosed sexually transmitted infections. The more well-to-do get reproductive health care from private physicians or clinics. The less well-to-do from Planned Parenthood. And what has the current administration done? Defunded Planned Parenthood, thereby leading to more undiagnosed STDs and thus infertility among the less well off, as well as more unintended pregnancies and more abortion, legal or illegal (illegal abortions can increase infertility). 

Eugenics by any other name. 

Site Visit to Guatemala – Dec 8-10, 2025

On Dec 8-10, 2025, I went to Antigua, Guatemala to visit two Fos Feminista partner organizations and to attend a Fos board meeting. Antigua is surrounded by 4 volcanoes, one of which was smoking. The nation’s capital was once in Antigua but multiple earthquakes in the 1700s led the Spanish authorities to move the capital.

Guatemala is the most populous country in Central America with over 18 million people. The country struggles with persistent inequality. The population is primarily Mestizo, but Indigenous Maya communities make up about 35 percent—the highest proportion in the region. Guatemala is home to 22 Mayan languages, which makes delivering health care challenging. Poverty is widespread. In 2023, 56 percent of Guatemalans lived in poverty, with 16 percent in extreme poverty. Rural communities and Indigenous peoples are disproportionately affected, with poverty rates exceeding 80 percent in some areas. Malnutrition among children is alarmingly high: 46.5 percent of children under five suffer chronic malnutrition, one of the highest rates globally. 

Guatemala faces a critical sexual and reproductive rights crisis. Adolescent pregnancy rates, particularly in rural and Indigenous communities, are among the highest in Latin America. Many of these pregnancies result from sexual violence, highlighting deep gaps in child protection and support systems. Early pregnancy often forces girls to leave school, limiting their opportunities and perpetuating cycles of poverty. 1 in 3 Indigenous women have no access to health and family planning services. 25% of teen girls are pregnant or parenting. The birthrate is 2.4. 

Challenges in the country have been further exacerbated by the recent US funding cuts to USAID and UNFPA which brought $605.5M in support for global family planning and reproductive health programming and services to an abrupt end. Guatemala was among the largest losers of funds. Birth control pills are currently out of stock in government clinics. 

The country has some of the most restrictive abortion laws in the world, permitting the procedure only when the life of the pregnant person is at risk. In practice, even these cases are difficult to access. Medical professionals often interpret the law narrowly, and social stigma further discourages care. As a result, many girls and women are forced to continue pregnancies, even in cases of rape or when their health is at risk. Illegal abortions proliferate. 

The two Fos partners there are: 

Founded in 1964, APROFAM (Asociación P r o B i e n e s t a r d e l a Fa m i l i a de Guatemala) is a long-standing partner of Fòs Feminista and one of the largest providers of sexual and reproductive health care in Guatemala and within the Fòs Feminista Alliance. In 2024, APROFAM provided more than 2.7M sexual and reproductive health services, including nearly 975,000 contraceptive services. APROFAM provides subsidized SRH services primarily through its clinics and occasionally through mobile clinics in collaboration with the Ministry of Health. It also offers general medical care including pediatrics.

And 

WINGS (Women’s International Network for Guatemala Solutions) has been a Fòs Feminista partner since 2019. Founded in 2001, WINGS provides quality, free or subsidized reproductive health education and services to low-income, rural, and Indigenous populations, reaching around 25,000 individuals annually. Their model is complementary to APROFAM in that WINGS focuses predominantly on rural, Indigenous, and underserved provinces in Guatemala that are not reached either by APROFAM or the public sector. In 2025, WINGS reached an important milestone in expanding their mobile health outreach to every department in the country.

On Day 1 we visited an APROFAM clinic visit 2 hours away from Antigua. It was a public health clinic that APROFAM was borrowing for the day. It was spotless. They provided good quality compassionate care. 

It was vasectomy day. I scrubbed up and observed one procedure. The patient was a man about age 35 or 40 with a few children (exact number undisclosed to me). Lively music was playing in the operating theater. A doctor, nurse and orderly did the procedure. It was very quick, 7 minutes, with lots of chatter with the patient who said he didn’t feel a thing. My high school Spanish being limited, I couldn’t understand what they were talking about – maybe football. All was very professional and relaxed. Patient was at ease and hopped off the table at the end. 10 more patients were done that morning. An 11th got a call from his office and left before his procedure. 

The clinic also does tubal ligations for women but not today.

Below — ACS in scrubs

ACS with clinic and Fos staff and volunteers. 

We next visited a health promoter’s house. She is part of the WINGS network. She is a nurse who does counseling and also inserts implants and IUDs in her home as well as providing injections and pills. Her 9-year-old daughter and family cat sat in, as well as an adult patient. There was also a teenaged male sex educator who spoke of his speaking to teens in schools. In the living room/consulting room was a chapel so that the patients can pray as they get care and feel absolved.

ACS with the WINGS nurse-educator.

These organizations are doing life saving work in very difficult circumstances.

Birth rates, Fertility and What To Do

The CDC reported last week that births increased by just 1 percent in 2024 with the fertility rate (TFR) remaining level at about 1.6, well below the 2.1 level needed to maintain the population level through births alone (i.e. without immigration). 

At the same time, the Guttmacher Institute estimated that clinician-provided abortions in 2024 in states without a total abortion ban increased also by slightly less than 1 percent from 2023. There were additional abortions of an undetermined number that were not clinician provided. 

The Trump Administration is considering ideas to increase the birth rate, among them a $5,000 baby bonus, tax credits for children, increasing the availability of IVF, and awarding medals to mothers of a certain number of children. Worldwide incentives of this sort have been largely money wasted. My October 16, 2024 post talks about Norway and Hungary’s futile efforts to increase their birthrates. At most, incentives have speeded up childbearing but not increased the number of desired children. Russia awards an Order of Parental Glory to parents of large families. It hasn’t stopped the decline in the Russian TFR. A similar award in France has had no effect either.

The Administration’s cutting of Title X funding for family planning and threatened cuts to Medicaid program (as well as criminalizing abortion if they seek a nationwide ban) will perhaps serve to increase unintended childbearing, especially among teens. The decrease in the national TFR has come because of a reduction in teen pregnancy over the years largely due to better and longer-lasting contraception. Teens and young adults are also reporting having less sex. Criminalizing abortion further and reducing access to contraception may serve as further deterrents to sex and hence pregnancy, but I suspect the pregnancy and childbearing rates will rise among those without access to private family planning services, i.e. the poor and minorities, exactly the groups that the conservative White Replacement Theory folks don’t want to reproduce. 

The issues around infertility and IVF are tying the Administration in knots given the sway of absolutist anti-abortion people in policy circles. The imperatives of couples wanting a child by any means often outweigh their beliefs on abortion. 

The causes of infertility in males and females are debated, but one thing is sure: sexually transmitted infections can cause infertility. And the Administration by cutting reproductive health care programs will be increasing STIs and hence infertility. 

Who ever said politics makes sense. 

The Forest obscuring the Trees

In the midst of the tariff forest, or conflagration to switch the metaphor, we cannot lose sight of the trees – Administration’s devastating attack on reproductive, and general, health of people here and abroad. And the attacks are just beginning.

The Administration has suspended Title X funding for family planning clinics in this country but also USAID grants for reproductive and other health around the world. Title X supports the provision of reproductive healthcare, including family planning and the treatment and prevention of sexually transmitted diseases in family planning clinics in this country. Many of those clinics are operated by Planned Parenthood. None of the funds can be used for abortion services. A total of $66 Million in Title X funding has been suspended, including $21M for Planned Parenthood clinics. These programs have been audited repeatedly to make sure that this does not happen, yet this administration under the guise of fiscal probity has suspended the funds to do yet another investigation. The effect of this suspension will be that clinics will be turning away low-income patients who will have nowhere else to go and will lead to increases in sexually transmitted infections, cervical cancer and pregnancy rates, and therefore abortion rates.

The next shoe to drop is probably Medicaid funding going to Planned Parenthood and other reproductive healthcare clinics. Medicaid funding reimburses clinics for reproductive healthcare visits, including family planning and sexually transmitted disease provision for clients who are eligible for Medicaid. If and when these cuts are enacted, and there are sure to be challenges because these funds are budgetary provisions, enacted by Congress, and it will lead to the closure of many family planning clinics nationwide. Patients will have nowhere else to go. On top of this, the Supreme Court this week heard arguments about whether or not states can prohibit Medicaid recipients from using clinics which also provide abortion services, i.e Planned Parenthoods. Planned Parenthood receives about one-third of its revenue from Medicaid and Title X.

Planned Parenthoods nationwide are facing huge budgetary pressures, as are many healthcare providers, with rising costs, especially salaries for nurses, doctors and other trained personnel. My old affiliate, Planned Parenthood of Greater New York (PPGNY), recently announced that they were putting up for sale the building that houses its Manhattan clinic and would be closing the clinic. They said they hoped to open in Manhattan clinic at another site, but there are no definite plans. The affiliate, along with many other Planned Parenthood affiliates nationwide, have been closing under-performing clinics because they cannot be subsidized in the current climate. PPGNY and PP Illinois have recently closed four clinics each. This has led to greater travel, and other costs, being imposed on rural patients, as well as delay and forgoing of health care.

Planned Parenthoods around the country that provide abortion services are inundated by patients from states where abortion has been criminalized. The resulting subsidy that patients need, including travel costs and accommodations, as well as the fees that they are unable to pay are devastating the finances of Planned Parenthood. This is a human and public health crisis, and states that keep abortion legal must do more to make abortion as safe and accessible as possible. Women are going to resort to do-it-yourself abortion and not under a doctor’s care which could lead to injury and death. Those doctors who are mailing abortion pills internationally and across state lines are not reaching every woman who needs an abortion. About half of women coming to Planned Parenthoods nationwide are using abortion pills, but many are opting for surgery because the procedure can be done in the same day and the woman can return home without delay or risk of needed a followup visit in a state where abortion is criminal.

There is a curious intersection, and disconnect I believe, with much of the conservative ideology about white supremacy. The attacks on Planned Parenthood will reduce reproductive healthcare as well as abortion services in areas with large white populations. If the conservatives hope as a result the white birth rates will go up, that might happen (preliminary data shows an increase in births in criminalized states – the abortion rate has also gone up!). But these attacks will also end up resulting in the closure of clinics serving minority populations, so those birth rates will also go up. In all cases, there will be an increase in sexually transmitted diseases (and illegal abortions), which in many cases cause infertility, thereby decreasing the nation’s ability to increase the birth rate. Talk about counterproductive.

The middle of all this chaos, families have to sort out whether and when to have children. One of the factors that men and women will take into account is how they view the future. Certainly the tariff chaos will give financial pause to many in every state and of every political persuasion. People are now poorer than they were a month ago, and one can question whether they see any light at the end of the Trump tunnel. Some conservatives are beginning to see that they should offer incentives for married couples to have children, though incentives offered in various countries around the world have done little or nothing to increase birth rates.

The intersection of the tariff policy with the anti-immigration policy gives political concern. Many areas of this country have seen population growth and economic vitality from immigration. If these areas are depopulated through deportations, the economies there will stagnate and decline. One US study called it, “Depopulation, Deaths, Diversity and Deprivation: the Four D’s of Rural Population Change.” This scenario played out in the former East Germany recently, an area where people of ability left for greater opportunity in the former West Germany, leaving behind people with fewer opportunities and social services, who were full of resentment, and therefore voted for far right political parties. This would naturally buoy the Trump party even though he was the cause of it all.

Visit to Mexico

I spent the last week in Mexico City. The country of Mexico is now far ahead of the United States in terms of reproductive rights for women.

In addition to the fact that they now have a female president, Claudia Sheinbaum Pardo, who calls herself a feminist and has announced the creation of a Ministry of Women, the National Supreme Court beginning in 2021 has issued rulings that abortion can no longer be considered a crime and eliminated federal criminal penalties for abortion. Hence all federal health facilities in the country are obligated to provide abortion care. Like the United States, Mexico has states, 32 of them, and half have formally decriminalized abortion in their territory. We are working hard with our partner organizations in the remaining states.

The regulatory authority In Mexico, similar to the FDA, recently reduced restrictions for obtaining mifepristone in pharmacies and expanded the indications for misoprostol, two essential medications for self-managed abortions. They are available without prescription. On my visit, I went into three small neighborhood pharmacies in Mexico City asking for mifepristone, but none had it in stock but offered to order it. All had misoprostol in stock. I was assured by our partner organizations that Mifepristone is widely available in pharmacies throughout Mexico. Approximately 80% of abortions are done with medication. Our partners are working on access for the underserved and to de-stigmatize abortion in this deeply religious and patriarchal country.

Women from the US are coming to Mexico for abortion medication. 

Health care in Mexico is fragmented, much like the US, and spotty. There is a proposal to move low-risk pregnancies out of hospitals to midwives. There is a very high rate of unnecessary Caesarians. Teen births are too high but declining. 

The Mexican partners that we met with were: GIRE (Grupo de Información er Reproductión Elegida), Catholics for the Right to Decide (CDD) and the Association of Professional Midwives. 

We had long discussions on the vote of Mexican immigrants to the US. The general feeling from our Mexican colleagues was that Mexican immigrants, while religious, voted on the economy and on personal security. They looked askance on recent illegal immigrants from their home country, fearing for their jobs and personal safety. The Mexican immigrants have achieved a piece of the American Dream and don’t want competition. The Democratic message didn’t hit on Mexican immigrant needs. Trump seemed a leader who related to their issues and beliefs. He represented America more than Harris.

L to R: Maria Consuelo Mejía, Rebeca Ramos (Executive Director of GIRE, the Grupo de Información en Reproducción Elegida), ACS, Marta Lamas (a leading feminist academic, activist, and thought leader in Mexico), and Giselle Carino, CEO of Fos Feminista. Marta and María Consuelo helped found GIRE more than 30 years ago, and María Consuelo also founded CDD, Catholics for the Right to Decide, in 1994.

ACS and Giselle Carino before a wall of green wave scarves. 

Make America/Russia Procreate Again

Amid the din about childless cat ladies, you may have missed the NY Times and Washington Post’s articles this week on the movements in Russia and the US to increase the birthrate, or rather the birthrates of some segments of their populations.

There have long been calls in America, starting in the mid 19th Century, for white America to increase its birthrate. The Know-Nothing Party rose in response to Irish-Catholic immigration of 1848 and the fears of white Protestants that they would lose power. Hence the criminalization of birth control and abortion because white men didn’t want their white wives using them (the fact that women of color would be banned also didn’t initially matter in their cradle competition).  The white Protestants went all in on their eugenics when they later targeted poor or immigrant women with hysterectomies, and legislation requiring sterilization for unfit women. 

The Great Replacement Theory that many US conservatives tout is old whine in a new bottle. It is immigration again that is the political lever that these conservatives are using to raise white fears of being replaced. Since they have already succeeded in criminalizing abortion in much of the country, birth control is next. Count on it.

In Russia, the Washington Post reported that Putin said the following: “Many of our grandmothers and great-grandmothers had seven or eight children, and maybe even more,” Putin declared to an audience of ultraconservative religious and political figures who had convened in the State Kremlin Palace in November. “We should preserve and revive these wonderful traditions.”

Russia has a TFR of 1.4. The US is 1.6 (the rate for white women is slightly less than that of African-American and Hispanic women).  Russia is fighting a war, and men are leaving the country. Russia is kidnapping Ukrainian children to replenish the youth of the country. Putin, like US conservatives, seeks a country based on Orthodox Christianity and nationalism. Putin said, “Making sure Russians have as many children as possible is the underlying goal of our state policy.”

Women are a means to this end for both US and Russian nationalists. Women’s rights are disposable. 

See:

https://www.washingtonpost.com/world/2024/07/30/russia-putin-antifeminism-women-children-society/?utm_medium=email&utm_source=newsletter&wpisrc=nl_todayworld&utm_campaign=wp_todays_worldview&carta-url=https%3A%2F%2Fs2.washingtonpost.com%2Fcar-ln-tr%2F3e88816%2F66a9b812b115535658dc2a42%2F60a4ff32ae7e8a50b536ca00%2F36%2F61%2F66a9b812b115535658dc2a42

https://www.wsj.com/politics/elections/why-jd-vance-worries-about-childlessness-00bb96cb

The Race and Referenda

The stakes in the upcoming presidential race have never been higher for women and reproductive freedom and justice.

A report recently issued by 16 United States Senators, entitled Two Years Post-Dobbs: The Nationwide Impacts of Abortion Bans, sets forth the challenges and issues facing American women post-Dobbs. The report concluded that two years after Dobbs women are denied emergency care and life-saving treatments, hardship has been placed on women and families traveling long distances for care and the healthcare system is being strained. More than 23 million American women of childbearing age live in states with abortion bans. There is an unprecedented flow of pregnant patients across state borders risking at times their lives and financial security. It is stressing America’s reproductive healthcare system, like never before, including by impacting care in states that maintain access to abortion. It is driving healthcare providers out of states with abortion bans, creating a healthcare gap that would be difficult to fill since some medical residents are avoiding these states.

Women are being denied care in medical emergencies and doctors have to watch patients go into sepsis and watch their vital signs deteriorate because they are afraid the patient is not sick enough to qualify for a medical exemption, should there be one. For example, there were just 34 legal abortions recorded in Texas during a six-month period in 2023, but researchers estimate the number of women needing abortions in Texas is at least 400 a year for emergencies and 2,400 per year for physical health risks.

Miscarriage care and other emergency care for ectopic pregnancies for instance is the same procedure as an abortion, and this care is routinely being denied in states with abortion bans. Women with fetal anomalies are forced to seek care in states that permit abortion, as are rape and incest survivors.

Just some examples of the impact in states with legal abortion: there are three-week wait times at Kansas and Illinois clinics, wait time at clinics in Ohio forces patients to other states for care, and Wisconsin patients can get quicker care traveling to other states. The expense and difficulties of travel operate as a special hardship on low income patients.

When OB/GYN’s leave abortion ban states they lead to a lack of doctors trained to provide obstetric and gynecological care, including deliveries. A study has found that in Texas the infant death rate increased along the number of babies who died of birth defects. Between 2021 and 2022 there was a 12.9% increase in the deaths of children before their first birthday. Another study found that Texas had approximately 10,000 additional births between April and December 2022 which proportionally included pregnancies with increased risk of infant mortality.

In response to abortion bans, women are switching to long-acting methods of birth control, including IUDs and implants. Anecdotally, women are stocking up on the abortion pill just in case.

In the voting booth, women in at least six states, and probably more, will be able to vote on referenda to legalize abortion, including Florida and Colorado. No abortion rights referendum has lost since 2022. 

Interestingly, when South Carolina ‘s legislature considered an abortion ban in 2023, three Republican female Senators bucked their party and voted against it. The party turned around and primaried them out of office. 

In Poland last week, three members of the ruling coalition voted against a bill to slightly liberalize the strict Polish abortion ban. The bill lost by three votes. The Prime Minister retaliated and stripped two of the three members of their party coalition membership and stripped the third of his leadership position. Poland is hopefully moving towards decriminalizing abortion.

South Carolina doesn’t permit referenda. Poland does. Perhaps they should have a referendum.