Honesty in women’s healthcare? We wish.

This article first appeared on Huffington Post

A small victory for reproductive justice: Google recently removed deceptive “crisis pregnancy centers” ads that come up when users look for abortion services. (Tara Culp-Ressler has an excellent summary of the issue on ThinkProgress.) The ads imply that CPCs offer abortion services, although their primary purpose is often to dissuade women from considering abortion. NARAL Pro-Choice America, which pressured Google to take down the ads because they violate the company’s “credible and accurate” policy, found that some 79 percent of CPC ads on Google were misleading.

What would happen if we instituted a Total Honesty policy on women’s health facilities?

For instance, the finger-pointing messages about Planned Parenthood clinics being “abortion clinics”? Those clinics, which are being forced to close at an astonishing rate, do a lot more than offer occasional abortions or abortion counseling. They serve men and women alike with information about birth control, contraception, family planning and STD’s. They provide women’s health information, counseling, breast exams, mammograms and a lot of critical healthcare for people of all ages, sometimes the only such care they can access.

Then there are independent clinics such as the Feminist Women’s Health Centers in several locations and Women’s Health Specialists in others, struggling to find funding. A godsend to many, they offer a wide range of excellent services to women of all ages and financial means.

I would venture to say, at the risk of seeming to betray the reproductive rights movement, that some pregnancy centers offer good services and don’t lie. CPCs unquestionably promote misinformation they must know is untrue: Birth control causes cancer? Abortion causes infertility? Or mental illness? Enough, already. But some centers say up front they do not counsel, advocate or refer abortion.

Could they be encouraged to join a campaign for honesty? Probably not. But if all the clinics offering desperately needed healthcare to women could be allowed to do so without having to fight against lies, politics and extremism it would be a nationwide blessing.

And that’s the honest truth.

Reading the data on declining abortion rates

This essay first appeared on HuffingtonPost.com

Recently released figures from the Guttmacher Institute show a drop from 1.2 million abortions in 2008 to 1.1 million in 2011, and that’s something to cheer about.

The question is, who’s cheering, and why.

Anti-abortion forces are not even cheering very loudly. Instead, as reported in National Right to Life’s News Today, they are proclaiming that the new report “downplayed the role that public debate over the rights of unborn children have played in this trend.” Well, that role is, in itself, debatable. I would suggest that those on all sides of the issue might do well to put aside the fringes — “Abortion on demand and without apology!” as well as “The unborn must have rights!” — and focus instead on the good news: Fewer women are having abortions. Unintended pregnancy rates have dropped. Abortion has decreased to its lowest level since 1973 when Roe v Wade was decided.

As a woman who had a back-alley abortion in 1956, I hear that as good news on many counts. No one, I repeat, no one, has an abortion without anguish. The decision is always complex, difficult, unique and intensely personal. One woman may have been raped, another impregnated under equally horrendous circumstances. One woman might already have more children than she can adequately care for and know that continuing her pregnancy will threaten her own health and her children’s future. Another woman could have learned her pregnancy has severe fetal anomalies, leaving her heartbroken at the prospect of bringing a child into the world who will only suffer and quickly die. If she’s poor, her choices rapidly disappear. Like the young woman denied access and unable to end a tragic pregnancy in 2009 who told me tearfully, “we couldn’t raise the money.”

A decrease in stories like these is great good news.

But it will not happen by continuing to deny access to safe procedures or creating more and more layers of restrictions. It will not happen by rolling back access to the very things that can limit the unintended pregnancy rate in the first place, like sex education and birth control. Insisting that every woman in the U.S. must be compelled to carry every pregnancy to term will not prevent unintended pregnancies, and unintended pregnancies will always drive up abortion rates.

When I began work on my recently published book, Perilous Times: An inside look at abortion before – and after – Roe v Wade, I spoke first with women like me who had had no access to safe and legal abortion. Our stories are of frightening trips in strange cars, blindfolded and defenseless, to kitchen-table abortions performed by untrained criminals. But soon I began hearing equally distressing stories from young women today, like the distraught woman above who “couldn’t raise the money.” Or the pregnant 14-year-old who was rescued by Loretta Ross of SisterSong in Atlanta after the abused child — “she was still sucking her thumb,” Ross said — had been unable to terminate her pregnancy because of time limits in her home state.

Lower abortion rates will come from more widespread use of more effective contraception. And from educating women, and men, about how to prevent unwanted pregnancies.

How can effective, non-judgmental, accurate education happen? Not through the organizations that run “Crisis Pregnancy Centers” and spread misinformation, while telling women that abortion is “murder.” If education is to be effective, it can only happen in an arena of full truth, and be built on scientific fact.

Physicians for Reproductive Health is a good place to start. This professional organization keeps its focus on women’s health. Remember when trained doctors and healthy women were the heart of the debate rather than unscientific data and political rants? The National Abortion Federation, which has a strong educational arm, is another. And finally there is — gasp — Planned Parenthood. Targeted as the Essence of Evil by anti-abortion forces because some Planned Parenthood health centers offer safe and legal abortion, in reality Planned Parenthood is the logical place to begin advocating for… planned parenthood: safe, informed ways to avoid unintended pregnancies and promote healthy women and children. The organization is already providing extraordinary services. According to PPFA’s website, “every year, more than 700 Planned Parenthood health centers provide birth control to more than two million patients from all walks of life.”

The latest Guttmacher report could be a catalyst for change. But only if those on both sides of the highly polarized and overly emotional abortion issue will use it for the good of women. And I, an eternal optimist, am not holding my breath.