Stereotypical and racist logos and brand names, as in the case of Washington, D. In the years before the Holocaust made it impossible to ignore where that notion could lead, ideas from eugenics were often wielded in the service of white supremacy and other forms of discrimination.
Some have also argued that Planned Parenthood and Sanger placed clinics in primarily Black neighborhoods as part of an effort to control Black populations. On the other side of the issue, that perspective is often seen as an exploitation of the history. Write to Anna Purna Kambhampaty at Anna. A nurse and educator, Sanger opened in the first birth control clinic in the United States, which was illegal at the time. Her arrest and conviction led to a court ruling said that physicians could prescribe contraceptives to women for medical reasons.
In , Sanger opened a new clinic staffed by female doctors which eventually became the Planned Parenthood Federation of America. But your history book may not have mentioned the darker side of Sanger , like her views on eugenics, a discredited belief in improving the human race through selective breeding.
Eugenics practices targeted the disabled, people of color, and poor people. Medicaid, the Title X Family Planning Program, and Section of the Public Health Service Act PHSA provide critical support to more than 10, safety-net clinics across the country that provide reproductive health services to low-income women, men, and teens.
Since the election, state and federal efforts to restrict public funding to Planned Parenthood and other abortion providers and to funnel new federal funds to faith-based providers who oppose contraceptives and abortion have gained traction and begun to shift the family planning landscape across the nation. One in three low-income women in the US relies on a clinic, either a health center, Planned Parenthood or other publicly-funded clinic to get contraception Figure 1.
These providers also offer STI screening and treatment services, and other preventive care and for some women are the sole source of their medical care. Medicaid, Title X, and other federal and government programs are critical sources of funding for these clinic-based providers.
Poor women are more likely to experience an unintended pregnancy , have an abortion , contract a sexually transmitted infection STI and have less access to care than higher income women.
Medicaid —Health coverage program that covers more than 70 million low-income individuals. Operated jointly by federal and state governments, all beneficiaries have coverage for family planning services, and according to federal statute, may see the participating provider of their choice. Medicaid is the largest funding source for public family planning services. The program provides funds to approximately 4, clinics across the nation to support the delivery of family planning services to low-income individuals.
All FQHCs provide some family planning care within their network. Over the past three years, policy changes at the state and federal level in Medicaid and Title X have restricted providers from receiving federal and state funds if they provide abortion services in addition to family planning care.
This brief reviews the role of these public programs and providers in financing care and enabling access to family planning services. It also addresses the impact of actions taken by President Trump and Congress to block federal funds from Planned Parenthood and other entities that provide abortion.
Across the nation, the share of low-income reproductive-age women enrolled in Medicaid varies considerably by state. In , the most recent year in which national enrollment data is available, For these women, Medicaid provides comprehensive affordable coverage to help meet the full range of their health care needs, and guarantees that they will not have any out of pocket costs for family planning services and pregnancy-related care.
Most state Medicaid programs make the full range of FDA approved contraceptives available to women, and nearly all cover counseling on STIs and HIV as well as screening for cervical cancer. The program funds organizations in each state to distribute federal dollars to safety-net clinics to provide family planning services to low-income, uninsured, and underserved clients. In June of , approximately 4, clinics nationwide received Title X funding, including specialized family planning clinics such as Planned Parenthood centers, primary care providers such as federally qualified health centers FQHCs , and health departments, school-based, faith-based, and other private nonprofits Appendix Table 2.
Title X grantees must serve low-income populations at low or no cost, and have historically been required to provide clients with a broad range of contraceptive methods as recommended by the national Quality Family Planning Guidelines QFP , and ensure that the services are voluntary and confidential.
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