Women, Capitalism, and the Ongoing Attacks On Bodily Autonomy and Reproductive Rights

By Karina Garcia

This article was originally published in the Autumn 2019 issue of Breaking the Chains magazine, titled “Not a Moral Issue.”

Thirteen years ago, a speaker at a meeting, addressing the right-wing attacks on women’s rights in the context of the Affordable Care Act, also known as Obamacare, emphasized how important it was to elect pro-choice Democrats. The speaker gave no further explanation to the attacks.

At the time, the right-wing was attacking the ACA because it would expand abortion and contraception access. A couple years after it became law, the Supreme Court had already restricted access to birth control to “respect the religious beliefs” of corporations vis-a-vis reactionary owners. And to pass the ACA, the Democrats gladly compromised on reproductive rights. Obamacare ultimately continued to deny federal funds for abortion coverage and required that every state offer at least one insurance plan that did not cover abortions.

At the meeting, a young socialist woman spoke from the floor and criticized the speaker for not raising the “systematic” explanation. She said that capitalism was behind these patriarchal policies. She said that the bosses—the capitalists—want to restrict birth control and abortion because they want the working class to produce more workers and thereby drive down wages. On top of that, they want to pay less in healthcare costs to cover their employees. I remember nodding in the moment that indeed there must be a deeper cause. I knew capitalism as a system was implicated. What she was saying had a logic to it. But when I went home it started to make a lot less sense.

Do the capitalists really need more workers? Millions of people are unemployed as it is and they are incarcerating the “surplus” population. Is it really possible that the capitalists would conspire in this way to restrict abortion rights, but none of them would ever slip up and admit it? Why is it that some Democrats support abortion rights then? They too represent the capitalist class’s interests. It can’t just be about forcing women to produce more workers.

And as for costs and profits, the Affordable Care Act was going to make insurance companies, the healthcare sector, and the banks mega-profits with or without abortion coverage, so why try to tank the bill on that basis? It wasn’t really only about profit either.

She was right that the attack was “systematic” and that these sexist policies are linked to capitalism, but there seemed to be more to the answer than she’d presented. I dove into the Marxist and historical writing about the anti-abortion movement because I wanted to understand this and be able to explain it—for myself and others.

The Marxist approach to women’s oppression and liberation is often misunderstood or mischaracterized. In university settings it is portrayed as “economic determinism” or “reductionism” — asserting that Marxists reduce every issue to economics. In a way, that’s what the socialist speaking from the floor was doing in that meeting. But that’s not an accurate description of the Marxist method.

It is true that Marxists emphasize the importance of the economic system, in that the mode of production plays a critical role in shaping the economic system and the structures of society. Marxists start by looking at how a society produces and reproduces itself and the norms, laws and relationships under which production and reproduction take place. That is what “economics” really means anyway. At its base, every society is engaged in producing and reproducing.

The ideas, laws, formal institutions, religions that justify, strengthen, and stabilize those underlying processes and relations at the base of production and reproduction is what Marx called the superstructure.

The capitalist mode of production and the family

So for instance, under capitalism, there are some people who own the means of production (land, factories, technology, etc.), while others go to work every day and work on those means of production. They generate profits that go back to the owners. That exploitation is at the base of society. But that arrangement would not last a single day if it was not backed up by the laws, the courts and the police—which protect the owners and landlords—and by the schools, media, politicians, and religious institutions that have taught us since day one that this is the normal and perfectly natural way of things.

The capitalist mode of production developed historically out of previous modes of production, including slavery and feudalism. Capitalism represented a major change in the dominant form of property and labor and many other things changed as a result of that. Racism and white supremacy are part and parcel of the foundation of modern capitalism. In the case of the United States, colonial dispossession and racialized chattel slavery are the foundations for the accumulation of wealth within the capitalist mode of production.

Capitalism did not simply erase the pre-existing world and start with a blank slate. Patriarchy has existed since the dawn of class society and is part of the fabric of the capitalist system. In pre-class society, before private ownership of property there was a much more diverse set of family arrangements and women generally played a leadership role for the community as a whole.

After those pre-class modes of production were overthrown, and eventually the forms of social and family organization alongside them, women were held in a subordinate position and male supremacy became the law. For thousands of years, women’s basic conditions and status were confined to the home. Law, custom, and ideology held women to a dependent status and entirely subject to the whims of the leading male in the family. Housework and child rearing, in addition to ongoing work in the fields (in the case of agricultural societies), were delineated as “women’s work.” This was a central element to modes of production based on private property.

In the United States, today, the capitalist mode of production has changed in many ways, as has the shape and detail of the superstructure. Yet core historic features persist. While women can enter the wage workforce and women can legally own property and have independent political and civil rights, the basic unit of what has been called social reproduction is the nuclear family. In that family, women carry out the vast majority of the labor in the household, in child rearing, and in elder care. Because this family form has been carried over in its essential characteristics, all the values, traditions, and cultural norms that developed to explain and justify male supremacy have been largely carried over, too.

While capitalism has broken down many of the economic relationships that were at the heart of a nuclear family, the family has not been abolished or collapsed entirely. The family unit has changed, but the precarious existence of workers under capitalism makes it necessary for most workers to have a family to survive. One income is not enough. Take, for example, the conditions of so many LGBTQ youth who have been rejected by their families. To not have a family is, in these instances, to be subjected to the worst forms of deprivation, homelessness, and brutality that capitalism has to offer.

For the purposes of the capitalist system, the family unit is highly valuable—especially as it relates to the reproduction and caring for the next generation of workers. Lisa Vogel highlights this in her social reproduction theory [1]. Others have taken it in different directions, highlighting the other forms of labor that are often unpaid or underpaid, but are nonetheless essential for reproducing a workforce that is healthy and stable enough to continue to come into work.

Reactionary worldview explains economic shifts

How does this relate to the attacks on women’s rights and attacks on women’s growing assertiveness in challenging sexual violence and sexist rhetoric? These don’t present themselves as issues of the basic functioning of the mode of production. They can appear distinct and separate, so people fighting for women’s rights on these fronts might not see the linkage to capitalism. And yet more and more activists are talking about systemic patriarchy. The Party for Socialism and Liberation banners, “The whole system is sexist! Fight for socialism!” have been very popular in these movements.

Here we are talking about struggles in the world of politics and culture, the superstructure [2]. They appear as fights within capitalism—in the sense that you should be able to fight for and achieve full abortion rights and other reproductive services under capitalism. In some countries that already exists. You should be able to reduce sexual harassment or violence or eliminate it altogether under capitalism. At least, in theory, it is not pivotal to the mode of production.

But if that is the case, why are those gains so hard to win? Why do socialists insist a revolution would be necessary to really achieve them? It’s because the domination of women remains a pillar of the U.S. capitalist class’s form of rule.

Abortion access became a major political issue starting in the late 1970s as a cornerstone of an emerging reactionary trend. A reactionary is someone who says that things were better in society before they changed. “Make America Great Again” is a true reactionary slogan. It implies we should return to the past. Big sections of the ruling class turn to a reactionary agenda when they feel that their social control is slipping in the face of a powerful social movement, or when capitalism itself has destabilized the economy and when life seems more uncertain for big sections of the population.

In the late 1970s, both were happening in the United States. The mass uprisings of the 1960s and early 70s with the struggles for women’s liberation, Black liberation, LGBTQ liberation, and the anti-war movement were powerful challenges to the U.S. capitalist status quo. The Vietnamese anti-colonial resistance defeated U.S. imperialism, dealing it a major blow while imperialism was engaged in constant heated confrontation with the socialist bloc.

The U.S. economy also went into a period of recession during which layoffs and unemployment increased, consumer spending decreased. Capitalist recessions are cyclical and occur regularly because of overproduction. From 1979 to 1984, approximately 11.5 million workers either lost their jobs or shifted to lower-paying service jobs. Most of the jobs that were lost were in manufacturing industries such as steel, auto, mining, electronics, and more.

The reactionaries have a very powerful appeal and socialists should understand how it works. They say essentially, “Your life used to be better, right? You’re feeling less sure about your future right? Well, that’s understandable because look at how much has changed. We’ve lost our way. And now we’re going to hell in a hand-basket unless we turn back.” Then they link that to whatever issue, whether it be abortion, sex education, gay rights, and so on. The reactionaries sometimes blame the “weak” government, which has bent to pressure and refused to defend “our values, while at other times attacking the government for being “too big.”

Another example is how the economic ravaging of whole Black communities is laid at the feet of Black women for “having too many children out of wedlock,” or at the feet of “absent” Black males. This reactionary worldview builds upon the extreme racist character of the U.S. capitalist system along with thousands of years of ingrained cultural indoctrination that with a “strong” family—that is with men and women in their “proper place”—everything will be fine.

This sort of reactionary worldview offers an all-purpose explanation for general problems or unsettling changes. Politicians then conveniently avoid discussion of the actual causes of social and economic distress, i.e., capitalist instability. It furthermore coincides with and makes use of the explanations being cultivated in conservative religious institutions, which tend to focus on going back to a more moral time, and theorize the problems of modern society as a reflection of an absence of godliness and values. So these ideas and theories are already circulating and can easily be picked up on by a politician who wants to present himself as a champion of “family values” while not actually doing anything to change families’ material conditions.

And so the “New Right,” ascending in the Republican Party in the late 1970s, started to really focus on abortion in the 1980s and 1990s. Abortion rights were identified as a weak spot for the women’s movement because it had been secured in the Supreme Court in Roe v Wade, not via legislation. There was existing opposition on religious grounds that they could mobilize, and there were big parts of the country where abortion rights had become law but the movement was weak.

Evangelical mega-churches and televangelists were entering politics in a big way—most famously in the “Moral Majority”—and eventually became significant power-brokers that handpicked and groomed elected representatives. They delivered considerable resources and a captive audience to enterprising politicians, as long as they took on their issues and their framing. The whole Moral Majority movement became a target base of support for hard-right capitalists who personally did not care much about abortion or other moral issues, but who wanted to turn back government regulations, social spending, and the power of labor unions. Over time, this relationship produced a major pipeline of campaign funds and airtime.

In short, abortion became a preferred electoral issue, quickly moving from local and state to federal politics. Right-wing politicians could portray pro-choice Democrats as ‘baby killers’ and link them to the “decline of the family.” It is not so much that these issues in and of themselves threaten capitalists profits, but that they offered a way for one sector of the capitalist class—leaning on the powerful institutions of the superstructure in their areas to consolidate political legitimacy—to distract constituents from social and economic concerns that the politicians have no desire to address.

It became a central political strategy for the conservative right. The Republican Party used to be considered just the “pro-business” and “law-and-order” party. Some were actually liberal on “social issues.” But as the party moved further to the right, that has changed.

In the United States, where money controls so much of politics, the agenda is set by the highest bidder. With the near obliteration of campaign finance laws, this has become more overt. A few billionaires could say, “These are my political interests, these are my priorities and I’m gonna throw my money around only to those who take on my agenda and my interests.” When Karl Marx and Friedrich Engels wrote that “the ideas of the ruling class are in every epoch the ruling ideas, they meant that ruling-class ideas were dominant because the ruling class “has the means of material production at its disposal” and therefore “has control at the same time over the means of mental production” [3]. Today ruling-class ideas become dominant because of the direct and explicit intervention of the most powerful capitalists and their politicians. In the absence of a fight-back movement, the reactionary obsessions of some really rich men can set the tone of politics, and actually can determine major issues for hundreds of millions of working-class women in the United States and worldwide.

The anti-abortion billionaires are not spending their money because it will help their immediate profits. If anything, they are spending significant parts of their fortunes on these right-wing causes. That is where capitalism comes back in at the systematic level. It is not as a conspiracy for profits, but as a form of political rule based on disciplining and intimidating one section of poor and working people, distracting and confusing others, and finally winning over and satisfying other layers.

True rights attainable only with a new mode of production

No mode of production based on extreme inequality and exploitation would be able to last long if it did not have ruling institutions, political systems, ideas, traditions, and so on, that protected and rationalized those economic processes. The ruling class does not just get to extract wealth; it also has to find stable ways to rule.

Forms of patriarchy operate powerfully at the base of capitalism, in how the system produces and reproduces itself on a daily basis. It also is a cornerstone at this superstructural level, and in particular, as a central element of the reactionary agenda. So how could patriarchy be ended under capitalism if it is so embedded at every level of the capitalist system? It is impossible.

Socialism, by contrast, eliminates the economic dependence on the family unit. Simply by changing who controls and owns the vast means of production, every person can now be guaranteed housing, food, healthcare, childcare, retirement, and other human needs as guaranteed rights. The gender pay gap and undervaluing of “women’s work” could essentially be overturned overnight. A government in the hands of class-conscious workers would also remove from power the lackeys of the billionaire bigots, and instead launch bold initiatives to advance women’s equality and liberation in the world of culture, ideology, education and politics.

This would be an ongoing process, of course, but it would be fundamentally different from the battle for women’s rights under capitalism. In the present, we fight for rights inside a system that reproduces patriarchal economic relationships daily, and under a ruling class that defaults to a reactionary agenda as a way to protect its exploitative rule. That is why “smashing the patriarchy” often feels so impossible. Under socialism, by contrast, the battle will be to win an egalitarian superstructure that will harmonize with a new economic system based on meeting the needs of all.

References

[1]See Dickinson, Hannah. (2019). “Social reproduction: A theoretical framework with organizing potential.”Breaking the Chains4, no. 1.Also availablehere.
[2] Ford, Derek. (2021). “The base-superstructure: A model for analysis and action.”Liberation School, November 22. Availablehere.
[3] Marx, Karl and Friedrich Engels. (1964/1978). “The German ideology: Part I,” in R.C. Tucker (Ed.),The Marx-Engels reader, 2nd ed.(New York: W.W. Norton & Company), 172.

Disturbing the Peace: UN Peacekeepers and Sexual Abuse

By Devon Bowers

Author’s Note: This article and series focuses on sexual abuse and assault, with some graphic descriptions of such acts. Reader discretion is advised.

The United Nations is an organization in which the main goal is to “maintain international peace and security” and “to take effective collective measures for the prevention and removal of threats to the peace, and for the suppression of acts of aggression or other breaches of the peace”[1] as a means to those ends. However, what has cropped up time and again, most recently with a 2019 New York Times article[2] focusing on UN peacekeepers in Haiti, is sexual abuse. It’s something that has not just plagued the organization for decades, but has utterly shattered, destroyed the lives of poor women around the world where they lay forgotten, often not seeing justice meted out to the ones who harmed them.

This problem, along with analyzing past and present plans to fight against this scourge, should be examined along with possible solutions. The purpose is not to ‘bash the UN’ in particular, but rather to study the systemic problems within UN peacekeeping and how it can be fixed or at least put on such a path.

Cambodia

In 1991, the UN formed the United Nations Transitional Authority in Cambodia (UNTAC) with the goal of “[taking] control of [Cambodia’ government] and [setting] up and run national elections” and to “help bring about a ceasefire between the various warring factions, disarm their forces and repatriate thousands of refugees languishing in camps on the Thai border.”[3] The mission seemed simple and yet problems occurred.

During this time period, there was a large resurgence of prostitution in Cambodia that was fueled by the economy but also the appearance of UN peacekeepers, which greatly increased the numbers from 10,000 in 1990 to 20,000 in 1993 when the UN exited the country.[4]

There were also allegations of sexual abuse by peacekeepers. Raoul M. Jennar, then-director of the European Far Eastern Research Center in Belgium, reported that “in the Preah Vihear hospital, there was for a time a majority of injured people who were young kids, the victims of sexual abuse by UN soldiers.” The situation was never handled, though women did come forth with rape and sexual abuse allegations, they were often days or weeks after the fact and so fact-finding and gathering evidence was a struggle.[5]

Besides the time lapse, such activity was openly supported by the chief of UNTAC, Yasushi Akashi, who argued that the peacekeepers “have a right to drink, enjoy themselves, and chase ‘young, beautiful beings of the opposite sex.’” This was in direct opposition to over 100 Cambodians and Westerners who alleged that sexual harassment of women occurred with disturbing frequency in any and all settings.[6]

It was this lax, uncaring, and cold attitude towards prostitution and sexual abuse that would set the tone for the UN’s peacekeeping missions.

Bosnia/Kosovo

In 1992, the United Nations established a peacekeeping force as to “provide security for the flows of humanitarian aid that were flowing into Bosnia from the international community.”[7] Approximately 40,000 UN personnel from a variety of nations were sent to aid in this goal.

Again, sexual abuse reared its ugly head. The Washington Post reported in 1993 that some UN peacekeepers, in visiting a Serb-run brothel, “took sexual advantage of Muslim and Croat women forced into prostitution, according to Muslim witnesses and the local Serb commander.” [8] The spokesman for UN forces in Sarajevo, LTC Bill Aikman, argued that such talk was nothing but “disinformation,” further stating that he didn’t “think U.N. troops could have done that.”

However, this was in direct conflict with eyewitnesses who, when being interviewed by Newsday, stated that in the summer and fall of 1992, they say on numerous occasions “saw young Muslim or Croat women being forced into U.N. armored personnel carriers or civilian cars that followed the U.N. vehicles to an unknown destination.”[9] Apparently the situation was never formally investigated by the UN, with an informal inquiry being dismissed “because ‘there was no grounds for pursuing it.”[10] Such logic is rather strange, deciding that there should be no further investigation because there isn’t any ‘real basis’ to do so, despite there not having been any formal inquiries into the matter.

Some years later, the US House of Representatives launched a formal investigation into the entire situation of prostitution and sexual abuse by UN peacekeepers and the full extent of the corruption of the UN was revealed.

The UN’s International Police Task Force was regularly involved at such aforementioned brothels. A raid of three nightclubs was done in November 2000, which found a total of six IPTF monitors in the clubs and it was revealed, according to verbatim statements from five of the women rescued from these brothels that IPTF monitors had been among the clients of these captured women.[11] When discussing the matter, UN officials contradicted themselves by denying allegations that their forces were involved in sex trafficking but “admitted that members of the force were found to have been involved in the use of young girls' services and that sometimes the children were unwilling participants.”[12]

The situation worsened due the fact that there was an active cover-up by the UN of such activities by the IPTF.

David Lamb, a human rights investigator for the UN, tore back of the curtain on the UN’s operations in Bosnia, directly linking it to sexual abuse. He even went so far as to say that:

U.N. peacekeepers' participation in the sex slave trade in Bosnia is a significant, widespread problem, resulting from a combination of factors associated with the U.N. peacekeeping operation and conditions in general in the Balkans. More precisely, the sex slave trade in Bosnia largely exists because of the U.N. peacekeeping operation. Without the peacekeeping presence, there would have been little or no forced prostitution in Bosnia. [13](emphasis added)

The Bosnian prostitution industry was organized in such a manner that there was no difference between victims of sex trafficking or women who had been forced into prostitution, creating a situation where anyone who engaged with prostitutes aided the sex slave trade.

The United Nations, on an organizational level, was completely complicit in the sex slave trade, with Lamb noting that he and others “experienced an astonishing cover-up attempt that seemed to extend to the highest levels of the U.N. headquarters.” Investigators would not only be rebuffed by those they were investigating, but the UN would launch “formal investigations against the investigators while giving no support to the original investigation, a scenario which was not new to the U.N. Mission in Bosnia and Herzegovina.”[14] (emphasis added) So rather than punish the people who were committing crimes, the UN found it easier to harass and intimidate the investigators.

Lamb’s testimony bolstered previous claims. In December 2001, it was reported that the UN “quashed an investigation earlier this year into whether U.N. police were directly involved in the enslavement of Eastern European women in Bosnian brothels, according to U.N. officials and internal documents.”[15] During this time, Lamb noted that “his preliminary inquiry found more than enough evidence to justify a full-scale criminal investigation,” however it was killed by higher-ups. The UN even argued that there wasn’t enough evidence to point to systemic police involvement, in spite of the previous November 2000 raid.

Such activities weren’t just occurring on Bosnia, but also in neighboring Kosovo. Amnesty International reported within months of UN soldiers arriving in 1999 to aid in the aftermath of the Bosnia-Kosovo war, brothels sprung up and Kosovo “soon became a major destination country for women trafficked into forced prostitution.”[16] The situation persisted over a decade later, with UN forces being blamed for the growth of the sex slave industry in which many under-age girls were viciously tortured, raped, and abused.[17]

The biggest hurdle towards obtaining justice for the women and children who had been abused was that issue of legal immunity. Foreigners that were part of the UN mission, whether as a military/police force or a civilians, had near-absolute legal immunity. Specifically, Article 6 of the Convention on the Privileges and Immunities of the U.N.” provides immunity from personal arrest or detention and from seizure of personal baggage, and in respect to words spoken or written and acts done by them in the course of the performance of their mission, immunity from legal process of every kind.”[18] Thus, the perpetrators of so much horror were never able to be brought to justice.

This only compounded the situation for the victims as not only was there a cover up by the UN, but the legal immunity created a situation in which they would never get to take their abusers to court.

Mozambique

Due to an ongoing civil war, which displaced over six million Mozambicans, the UN was called in an attempt to create a situation where both sides, the Front for the Liberation of Mozambique as the legitimate government and the rebels known as the Mozambican National Resistance, could come to talks.[19]

Similar to Cambodia and Bosnia, the very presence of the peacekeepers was argued to have led to an increase in prostitution and while there were investigations which resulted in some soldiers being expelled from the country, not a single one of them was actually prosecuted.[20]

These arguments were later confirmed when then-UN Secretary General Boutros Boutros-Ghali had a formal inquiry conducted into peacekeepers involvement in child prostitution which found that “after the signing of the peace treaty in 1992, soldiers of the United Nations operation in Mozambique recruited girls aged 12 to 18 years into prostitution”[21] as well as the linkage between the arrival of peacekeepers and growth in child prostitution.

The year UN forces left, 1994, it came out that Italian soldiers were engaging in sexual misconduct with child prostitutes, as young as twelve to fourteen years old.[22] This incident was simply the one which was put on blast. International NGO Save The Children conducted an investigation into the matter of Italian soldiers being involved in sexual abuse.

The report explained that suspicions were raised and questions asked when the Italian soldiers engaged in commercial sex, but the matter became even more serious “when the soldiers started to make a clear request for sex with minors and recruited street children for all kind of services: domestic work (at a marginal fee), shopping, procuring illegal goods for trade and as mediators (pimps) for commercial sex,”[23] with the situation evolving to the point where the Italians had one of their liaison officers act as a mediator between the soldiers and the pimps/girls.

It goes on to note the disposition of soldiers, prices paid, and punishments for speaking out, which should be quoted at some length.

Most girls in the trade were aged between 13 and 18 years. Private conversations with the soldiers indicated that this was because of `more fun and excitement' and due to the fear of AIDS. Rates for sex differed. Generally, the price was 1.00 US Dollar for sex with a condom and $ 1.10 without. Some soldiers started a liaison with girls, and arranged a flat, room or other venue for them for regular encounters. […] The military doctor of the Italian Contingent Albatroz who served in Chimoio from October 1993 till early 1994, got reprimanded by the (Italian) Regional ONUMOZ Commander Mazzaroli when he reported in writing on the developments. In fact, the doctor was to serve till May 1994 in Chimoio and it is believed that he was repatriated to Italy at an earlier stage due to his critical attitude.[24] (emphasis added)

By late 1993, the Italians became so comfortable and lax that the local staff of NGO Redd Barna (presently known in Mozambique as Save The Children), the Norwegian branch of the International Save the Children Alliance, noticed them having sex with minors in uniform, in and on UN vehicles in the city of Chimoio, with houses even being rented for parties and sex.[25]

In response to this, on September 24, 1993 the head of the Mozambique branch of Redd Barna contacted the head of the main organization to discuss the situation. After visiting Chimoio to get first-hand knowledge of the activities of Italian soldiers, the Secretary-General of Redd Barna joined forces with elements of the International Save the Children Alliance resulting in, most importantly, a letter being written to head of UN forces in Mozambique regarding the situation.

This letter was released by the Children Alliance in December 1993, which the very next month, January 1994, was quoted in an independent Mozambique newspaper, specifically that the letter had been faxed from a high official in the headquarters UN Mozambique to the newspaper. The anonymous official even told Redd Barna that this was done because senior UN staff were “making all possible attempts” to hide and cover up the incidents.

This article was subsequently picked up by various outlets including Associated Press, CNN, NBC, and Reuters. In the immediate aftermath, Italian soldiers were confined to their respective bases. On January 26, 1994, the UN Mozambique contingency issued a statement in which they said, in part, that because “no concrete evidence or information was supplied by the initiators of this accusation, it has not been possible to complete the investigation.”[26]

It should be noted here that the language used is far from neutral, by referring to Redd Barna as “initiators of this accusation” it creates a tone where the NGO is seen as spreading rumors and hearsay. It also leads to the question of how they can’t complete an investigation unless concrete evidence has been supplied. One would think that their investigators, given the serious nature of the situation, would actively be looking for such evidence.

An investigative commission was formed by UN Mozambique and actively utilized Redd Barna to aid in its investigation. This, coupled with them having been the main source, along with the Save the Children Alliance, of the situation going public, painted a target on the organization’s back.  This resulted in Italian soldiers intimidating Redd Barna workers, threatening phone calls, telephone lines and the radio network being tapped when transferring fax messages, and feeding disinformation to journalists.

There was a reveal of a civilian-military divide in that on the week of February 18, 1994, the departing UN commander, Lélio Gonçalves, gave interviews where  he actively denied that UN peacekeepers were engaging in “sexual abuse of minors and sneered about [the International Save The Children Alliance’s] and Redd Barna's concern.” It should be noted that such statements were made “while his superior, [the special representative of the UN Secretary-General, Mr A.Ajello], had already confirmed the involvement of [UN] personnel.”[27] In addition, more and more UN staff approached the organization to provide information, yet were often despised and harassed by colleagues and superiors.

Still, after all of that, nothing was done. The actors just moved deeper into the darkness. After the publication of the investigative report, the Italian soldiers simply continued to engage in their sick practices in more hidden and remote locations and senior officers would intimate girls, forcing them to sign statements saying that the Italians weren’t engaging in any wrongdoing.[28]

Somalia and Haiti

The UN mission in Somalia, only lasting from 1992 to 1995, revealed that even when soldiers were caught in the wrong, their respective nation’s militaries wouldn’t mete out full justice.

Belgian peacekeepers accused of torturing Somali children, Italians, of raping Somali women. The Italian situation was so bad that two generals resigned as evidence of torture mounted and a day after photo evidence of an Italian soldier raping a Somali woman were published.[29]

In 1993, a Belgian paratrooper “allegedly procured a teenage Somali girl as a birthday present to a paratrooper. She was reportedly forced to perform a strip show at a birthday party and to have sexual relations with two Belgian paratroopers.”[30] A military court in 1998 sentenced that paratrooper to one year imprisonment (six months were suspended), a fine, and discharged them from the army. Meanwhile, even though the Italian government conducted a commission which “found credible evidence of a number of instances of gang-rape, sexual assault, and theft with violence,”[31] nothing was done to actually punish those troops.

In Haiti, months after international forces arrived in 1994, a number of women’s organizations petitioned the Justice Ministry to investigate the foreign soldiers as it was public information that “several cases of abuse of women and girls by soldiers in several towns throughout the country” had taken place. A former UN staff member even confided that observers had told their superiors in 1995 in Port-au-Prince of “allegations of sexual abuse committed by French and [Caribbean] UN ‘peacekeepers,’ only to be promptly ordered to desist from exploring the claims any further.”[32]

So on one instance we see just what happens when military personnel are subjected to their justice system, in which a slap on the wrist of sorts occurs and on the other we see still the UN covering up and stonewalling investigations into abuse.

East Timor

In 1999, international forces were deployed to East Timor to oversee its transition to becoming a fully independent country and to deal with the Indonesian intervention which consisted of backing guerrilla groups.[33]

Three years into the mission, it was reported at least two soldiers from Jordan had been accused of sexually assaulting an unknown number of boys. When asked if any investigations regarding these allegations had been conducted, the senior UN military observer, LTC Paul Roney, stated that he was unable to answer the question.[34]

The Jordanian peacekeepers were a major problem as “[interviews] by UN investigators [made claims of] Jordanian involvement in several alleged rapes of boys and women.”[35] This was known by the UN administration in East Timor itself, with the administrator Sergio Vieira de Mello, doing his best to keep the matter quiet.

An incident paralleling Bosnia took place in 2003. A UN police force raided an illegal brothel and found 23 Thai women who had been trafficked into the country, some even being underage, along with six UN police officers. The UN made the incredibly weak argument that the officers were just getting massages and didn’t know it was an illegal brothel.

Specifically, the UN’s Acting Deputy Operations Commissioner, Alan King, stated that the officers came “from a country where massage is quite a legitimate business and in many cases here in East Timor massage parlors exist and they are quite legitimate” and there was no indication “that they went there for anything other than a legitimate purpose.”[36]

Just like so many of the other cases, not a single person faced justice. Daily Australian outlet The Age reported in 2006 that “Sukehiro Hasegawa, the top UN official in East Timor, has acknowledged for the first time that the UN system failed to bring anyone to justice for crimes that included sex abuse of children and bestiality.”[37] Hasegawa announced that a ‘zero tolerance’ policy towards sexual abuse by any and all UN forces would be put into motion immediately.

The abuse of women in East Timor had long lasting impacts. There were approximately 20 cases of children who had been fathered by peacekeepers, however, no national record exists to get a better grasp of the situation.[38] Soldiers had made promises to marry the women, but would simply return to their home countries. The women and children were left behind to deal with being shunned by their community.

In 2003, the UN put out a bulletin putting the entire entity on notice that sexual abuse would not be tolerated, including that exchanging money for sexual favors “or other forms of humiliating, degrading or exploitative behavior, is prohibited.”[39] It established that the head of the mission in question would be responsible for fostering an environment in which such activities would be discouraged and prevented, ensuring each staff member would receive a copy of the bulletin to ensure that there is no excuse of someone not knowing the rules, and that a system would be established to report on sexual abuse cases. Still, this would have no serious effect on sexual abuse.

Sierra Leone

To deal with rebel elements in Sierra Leone and aid in the creation of a unity government comprised of the rebels and legitimate government, forces were sent to the country in 1999.[40]

The entire situation amounted to a horror show for the women of Sierra Leone. The Telegraph made known a report from Human Rights Watch.

But it found evidence of sexual atrocities being committed by troops from the regional intervention force, Ecomog, and the UN peacekeeping mission.

Women were used by all sides as chattels, kidnapped from their homes often in rural areas and forced to act as sex slaves for the troops as well as domestic maids responsible for cooking and household chores.

"To date there has been no accountability for the thousands of crimes of sexual violence or other appalling human rights abuses committed during the war in Sierra Leone," the report said.[41]

There was no reprieve for women here, the very people that were supposed to protected them were also the ones raping and abusing the

That same report revealed a number of crimes done by international forces. In April 2002, “witnesses saw a woman apparently being raped by two Ukrainian peacekeepers near the eastern town of Joru. There was no formal investigation into the matter.” (emphasis added) [42] In June, an officer from Bangladesh was accused of sexually assaulting a 14 year old boy, but a formal investigation found results to be inconclusive and the officer was soon sent back to his home country.

During March 2002, UN spokesperson Margaret A. Novicki, stated that the mission in Sierra Leone was going about conducting an ongoing training program for military personnel which focused on women’s rights and the zero tolerance policy for sexual exploitation and abuse and that the military command was visiting sector and contingent commanders to emphasize the need to police soldiers’ conduct.[43] The previous month, however, the a probe from the UN Human Right Council and the UK arm of the organization Save The Children revealed just how much the conduct of peacekeeping forces had deteriorated.

The joint investigation found a major disconnect between what was being said and what was going on the ground. A UN officer stated that “Every soldier, officer has been read and shown the code of conduct; no one can plead ignorance.”[44] Thus, while knowing the code of conduct, peacekeepers still engaged in abuse by exchanging money and food with children for sexual services, paying between $5 and $300 USD. Witnesses “spoke of teenage girls being asked to strip naked, bath and pose in certain positions while the peacekeepers took pictures, watched and laughed. Some are alleged to have had sex with the girls without using condoms.”[45]

There were several incidents of peacekeepers going to extremes in that they would meet with the child’s parents, feigning good intentions, but would leave abruptly, give the parents money to take care of the girl, or even shower the girl with gifts. The victims, on all levels, were the girls. While they were being abused by the peacekeepers, the community would respond by parading and publically shaming the girls in town.[46]

There was a separate inquiry conducted by the UN in late 2002 where it came to light that “there was no encouragement for staff or other persons to report ethical issues to management, nor for that matter is there a particular office or person with whom this type of problem can be discussed,”[47] but there were slight improvements such as the formation of a Personal Conduct Committee to examine cases of misconduct for UN workers, both military and civilian. Yet, it was known that sexual abuse cases were underreported. The Office of Internal Oversight Services found a single allegation of such abuse, but with over 17,000 soldiers, it shows that there are serious deficiencies with the reporting system rather than a lack of cases.[48]

A Human Rights Watch report documented several cases of rape by peacekeeping troops.

A Sergeant Ballah, from Guinea, was alleged to have engaged in the rape of a twelve year old girl according to the Sierra Leone police. The victim was raped in March 2001 “when she asked for Sgt. Ballah’s assistance in securing a ride to Freetown at the checkpoint that he was manning”[49] and even though Ballah went to court, he was simply sent back to Guinea. In a separate case, a Bangladeshi peacekeeper allegedly raped a fourteen year old boy (the rape had ben medically confirmed) and the police began to conduct an investigation, “until the UNAMSIL provost marshal took it over. The provost marshal concluded that there was no conclusive evidence to link the crime to the perpetrator.”[50] The inquiry was conducted haphazardly, with members of the Bangladeshi contingent speaking with the victim, despite the fact that they shouldn’t have been able to, nor did the UN mission even issue the victim or his family an apology, much less provide compensation or note the outcome of the investigation. This lines up with the summary that there was “reluctance on the part of UNAMSIL to investigate and take disciplinary measures against the perpetrators.”[51] Despite setting up a code of conduct and reinforcing a zero tolerance policy, we see that such acts were half-hearted measures given incorrect investigation methods and flat out interference in cases.

The UN even noted that charges against its own personnel and humanitarian workers working at UN camps, such as forcing women and children to provide sexual favors for food, medicine, and relief supplies, were investigated by the Office of Internal Oversight Services but dropped on the grounds that there wasn’t enough evidence.[52] It seems that the OIOS acts as many internal investigatory groups: covering up incidents and protecting criminals.

Congo

Peacekeepers were sent to the Democratic Republic of the Congo to aid in the implementation of a ceasefire between several warring factions starting in 1999.[53]

In mid-2002, Human Rights Watch published the report The War within the War: Sexual Violence against Women and Girls in Eastern Congo, where several acts of sexual assault were recorded. One such incident occurred in December 2001, when a Congolese woman dropped off an eleven year old girl to a Moroccan soldier, who proceeded to sexually assault the girl, but was kept at his post.[54] Though the zero tolerance policy had been in effect and there was an increase in gender awareness training and even a gender advisor, the mission still lacked any training strictly revolving around the sexual violence.

During July 2004 the UN’s Office of Internal Oversight Services began to investigate a number of accusations, ranging from a child prostitution ring being ran out of a UN airport to Nepalese soldiers raping minors and even allegations of a Tunisian officer soliciting sex from minors.[55] Most of the allegations revolved around the town of Bunia.

The UN seems to have ignored the situation until it reached a critical mass as The Independent obtained documents which showed that in August 2003, the child-protection office sent a memo to the UN’s Congo headquarters “detailing their fears about the allegations of sexual exploitation by [UN] forces. No action was taken.” Children were put at risk as despite allegations of Moroccan troops engaging in “child pornography, organized sex shows and the rape of babies,” they were still sent to Bunia where in 2004 it was found that “19 out of 50 cases of sexual violence against minors in Bunia were carried out by [Moroccan] troops.”[56] By transferring the Moroccan’s despite such extreme allegations, it could be argued that the UN on some level played a role in these sexual violence cases having occurred.

Horrors against the most vulnerable of Congolese society continued unabated. The New York Times reported in December 2004 on a 12-year-old girl, Helen, and a 13-year-old girl, Solange, both of whom were raped by UN peacekeepers who lured the girls in using food.[57]

In January 2005, the UN conducted an investigation into the matter, finding that “Congolese women and girls confirmed that sexual contact with peacekeepers occurred with regularity, usually in exchange for food or small sums of money.”[58] Unfortunately, the vast majority of allegations were unable to be substantiated. The Office of Internal Oversight Services complied a total of 20 cases and was able to corroborate only seven cases, as in remaining cases the victims and witnesses weren’t able to positively identify perpetrators.

Shockingly, while this investigation was going on, peacekeepers were still engaging in sexual acts, “evidenced by the presence of freshly used condoms near military camps and guard posts and by the additional allegations of recent cases of solicitations brought to the attention of the OIOS team during the last days of the investigation.”[59]

Out of the report came several recommendations, among them were: to create and implement a prevention program, “establish a rapid-response detection program, utilizing personnel experienced in such cases,” ensuring that UN administrators and officers can demonstrate that current rules and regulations aimed at preventing sexual abuse/exploitation are being enforced, and creating a program to “provide regular briefings for troops on their responsibilities to the local population and on prohibited behaviors”[60] so that everyone, from peacekeepers on up, would be on the same page.

Due to this report, a sexual abuse focal-point element was created for all UN agencies in the Congo, a website was established to educate staff on exactly what constituted sexual abuse/exploitation, and a strict curfew was put in place. In March 2005, the UN Security Council issued a resolution focusing on the Congo, which in part they asked the Secretary General to ensure compliance to the zero tolerance policy on sexual abuse, that perpetrators be investigated and punished.[61]

The UN began looking into the alleged child prostitution ring in August 2006. While many of the patrons were Congolese soldiers, early testimonies from victims revealed that ring leaders became interested in the presence of UN forces and the money they had as a catalyst for creating the ring.[62]

There were further child prostitution ring allegations surround a contingency from India two years later, but the soldiers were found innocent by Indian courts.[63] In another instance of abuse by Indian soldiers, there were allegations that they had fathered nearly 12 children after DNA tests were conducted and showed the children having distinct Indian features. While one soldiers was punished as it was found that his DNA sample matched with one of the children born, others only had administrative action recommended and others still were given a clean slate.[64]

Despite sexual abuse allegations having been on the decline[65], the situation seemed to continue to deteriorate as The Globe and Mail reported that in February 2011, two teenaged orphans were attacked with two Congolese soldiers beating one of the girls, while the other was gang raped and impregnated.[66] The UN soldiers were still out in the field even after the incident.[67]

Overall, there was a complete lack of punishment for soldiers that engaged in abuse and exploitation. The Independent reported in 2007 that nearly 200 peacekeepers had been disciplined in sexual abuse cases since 2004, but not a single one had been prosecuted. In fact, of the 319 people that had been investigated in the 2004-2007 time frame for sexual misconduct, 180 had been either dismissed or sent back to their home countries.[68]

Just for the missions launched in the 1990s, there were cover ups, lies, and even an outright acceptance of blue helmets engaging in abuse. Unfortunately, for the missions that started up in the 2000s, the women and girls of a myriad of nations would be subject to abuse, no more so than in Haiti. 

Notes

[1] United Nations, Chapter 1: Purposes and Principles, https://www.un.org/en/sections/un-charter/chapter-i/index.html

[2] Elian Peltier, “U.N. Peacekeepers in Haiti Said to Have Fathered Hundreds of Children,” New York Times, December 18, 2019 (https://www.nytimes.com/2019/12/18/world/americas/haiti-un-peacekeepers.html)

[3] Kevin Ponniah, “In 1993, the UN tried to bring democracy to Cambodia. Is that dream dead?,” BBC News, July 28, 2018 (https://www.bbc.com/news/world-asia-44966916)

[4] Donna M. Hughes, “Welcome to the Rape Camp: Sexual Exploitation and the Internet in Cambodia,” Journal of Sexual Aggression 6 (Winter 2000), pg 4

[5] Sandra Whitworth, “Gender, Race and the Politics of Peacekeeping,” in Edward Moxon-Browne, editor, A Future in Peacekeeping? (New York, New York: Saint Martin’s Press, 1998), pg 179

[6] Anne Orford, “The Politics of Collective Security,” Michigan Journal of International Law 17:2 (1996), pgs 378-379

[7] Globalization 101, Peacekeeping in Bosnia, http://www.globalization101.org/peacekeeping-in-bosnia/

[8] Roy Gutman, “U.N. Forces Accused of Using Serb-run Brothel,” Washington Post, November 2, 1993 (https://www.washingtonpost.com/archive/politics/1993/11/02/un-forces-accused-of-using-serb-run-brothel/78414de2-36d0-41c0-9081-c3a5ee513078/)

[9] Ibid

[10] Susan Dewey, Hollow Bodies: Institutional Responses to Sex Trafficking in Armenia, Bosnia, and India (West Harford, CT: Kumarian Press, 2008), pg 101

[11] U.S. Congress, House, Committee on International Relations, Subcommittee on International Relations and Human Rights, The U.N. and the Sex Slave Trade in Bosnia: Isolated Case or Larger Problem in UN System (Washington D.C.: Subcommittee on International Relations and Human Rights, House Committee On International Relations, 2002) (http://commdocs.house.gov/committees/intlrel/hfa78948.000/hfa78948_0f.htm), pg 47

[12] Ibid, pg 8

[13] Ibid, pg 66

[14] Ibid, pg 68

[15] Colum Lynch, “U.N. Halted Probe of Officers' Alleged Role in Sex Trafficking,” Washington Post, December 27, 2001 (https://www.washingtonpost.com/archive/politics/2001/12/27/un-halted-probe-of-officers-alleged-role-in-sex-trafficking/2e2465f3-32b4-42ff-a8df-7a8108e4b9ee/)

[16] Amnesty International, Kosovo (Serbia & Montenegro) “So does that mean I have rights?” https://www.amnesty.org/download/Documents/96000/eur700102004en.pdf (May 6, 2004), pg 7

[17] Ian Traynor, “Westerner troops fuelling Kosovo sex trade,” Irish Times, May 7, 2004 (https://www.irishtimes.com/news/westerner-troops-fuelling-kosovo-sex-trade-1.1139448)

[18]Human Rights Watch, Hope Betrayed: Trafficking of Women and Girls to Post-Conflict Bosnia and Herzegovina for Forced Prostitution, https://www.hrw.org/report/2002/11/26/hopes-betrayed/trafficking-women-and-girls-post-conflict-bosnia-and-herzegovina (November 26, 2002), pg 46

[19] William Gehrke, “The Mozambique Crisis: A Case for United Nations Military Intervention,” Cornell International Law Journal 24:1 (1991), pg 135

[20] A.B., Fetherson, UN Peacekeepers and Cultures of Violence, Cultural Survival Quarterly Magazine, https://www.culturalsurvival.org/publications/cultural-survival-quarterly/un-peacekeepers-and-cultures-violence (May 1995)

[21] United Nations, General Assembly, Promotion and Protection of the Rights of Children, A/51/306, August 26, 1996 (https://www.refworld.org/pdfid/3b00f2d30.pdf), pg 31

[22] Stanley Meisler, “Prostitution Report Accuses U.N. Troops in Mozambique,” Los Angeles Times, February 26, 1994 (https://www.latimes.com/archives/la-xpm-1994-02-26-mn-27378-story.html)

[23] Ernst Schade, Report On Experiences With Regards to the United Nations Peacekeeping Forces in Mozambique, November 20, 1995, pg 13

[24] Ibid

[25] Ibid, pg 14

[26] Ibid, pg 17

[27] Ibid, pg 20

[28] Ibid, pg 21

[29] Raf Casert, “In Italy, Belgium and Italy, Somalia peacekeeping scandals growing,” Associated Press, June 24, 1997 (https://apnews.com/deea729ccf6dfe142799ed245261b675)

[30] Ingrid Westendorp, M. W. Wolleswinkel, Ria Wolleswinkel, eds., Violence In The Domestic Sphere (Holmes Beach, FL: Gaunt Inc), 2005, pg 15

[31] Ibid

[32] Ibid

[33] Government of Canada, International Force in East Timor (INTERFET), https://www.canada.ca/en/department-national-defence/services/military-history/history-heritage/past-operations/asia-pacific/toucan.html

[34] Ginny Stein, Allegations against Jordanian peacekeepers, Australian Broadcasting Company, https://www.abc.net.au/am/stories/s317953.htm (June 25, 2001)

[35] Mark Dodd, “Hushed Rape of Timor,” The Weekend Australian, March 26, 2005 (https://web.archive.org/web/20050328014753/https://www.theaustralian.news.com.au/common/story_page/0,5744,12655192%5E2703,00.html)

[36] Nick McKenzie, Claim UN officers customers in East Timor sex slave brothels, Australian Broadcasting Company, https://www.abc.net.au/worldtoday/content/2003/s898377.htm (July 9, 2003)

[37] Lindsay Murdoch, “UN acts to stamp out sex abuse by staff in East Timor,” The Age, August 30, 2006 (https://www.theage.com.au/world/un-acts-to-stamp-out-sex-abuse-by-staff-in-east-timor-20060830-ge3114.html)

[38] Sofi Ospina, A Review and Evaluation of Gender-Related Activities of UN Peacekeeping Operations and their Impact on Gender Relations in Timor Leste. PeaceWomen, http://peacewomen.org/sites/default/files/dpko_timorlesteevaluation_2006_0.pdf (July 11, 2006), pg 44

[39] United Nations, Secretary-General’s Bulletin, Special measures for protection from sexual exploitation and sexual abuse, ST/SGB/2003/13, October 9, 2003 (https://undocs.org/ST/SGB/2003/13), pg 2

[40] World Peace Foundation, United Nations Mission in Sierra Leone Brief, https://sites.tufts.edu/wpf/files/2017/07/Sierra-Leone-brief.pdf

[41] Tim Butcher, “UN troops accused of 'systematic' rape in Sierra Leone,” The Telegraph, January 17, 2003 (https://www.telegraph.co.uk/news/worldnews/africaandindianocean/sierraleone/1419168/UN-troops-accused-of-systematic-rape-in-Sierra-Leone.html)

[42] Human Rights Watch, World Report 2003, https://www.hrw.org/legacy/wr2k3/pdf/sierraleone.pdf, pg 70

[43] Global Policy Forum, UN Takes Action Against Peacekeepers’ Misconduct, https://www.globalpolicy.org/component/content/article/203/39393.html (March 18, 2002)

[44] United Nations Human Rights Council, Save The Children-United Kingdom, Sexual Violence & Exploitation: The Experience of Refugee Children in Guinea, Liberia and Sierra Leone, https://www.unhcr.org/en-au/3c7cf89a4.pdf (February 2002), pg 6

[45] Ibid

[46] Ibid, pg 7

[47] United Nations, General Assembly, Investigation into sexual exploitation of refugees by aid workers in West Africa, A/57/465, October 11, 2002 (https://undocs.org/en/A/57/465), pg 16

[48] Ibid

[49] Human Rights Watch, “We’ll Kill You If You Cry: Sexual Violence in the Sierra Leone Conflict, https://www.hrw.org/report/2003/01/16/well-kill-you-if-you-cry/sexual-violence-sierra-leone-conflict (January 2003), pg 48

[50] Ibid, pg 49

[51] Ibid, pg 4

[52] Michael Fleshman, Tough UN Line on Peacekeeper Abuses, United Nations, https://www.un.org/africarenewal/magazine/april-2005/tough-un-line-peacekeeper-abuses (April 2005)

[53] United Nations, United Nations Organization Mission in the Democratic Republic of the Congo, https://peacekeeping.un.org/mission/past/monuc/

[54] Human Rights Watch, The War within the War: Sexual Violence against Women and Girls in Eastern Congo, https://www.hrw.org/reports/2002/drc/Congo0602.pdf (June 2002), pg 95

[55] Children & Armed Conflict: Impact, Protection, and Rehabilitation Research Project, Abuse by UN Troops In D.R.C. May Go Unpunished, Report Says, http://www.artsrn.ualberta.ca/childrenandwar/news_abuse_by_un_troops.php (July 12, 2004)

[56] Kate Holt, Sarah Hughes, “Will Congo's women ever have justice?” The Independent, July 12, 2004 (https://www.independent.co.uk/news/world/africa/will-congos-women-ever-have-justice-46938.html)

[57] Marc Lacey, In Congo War, Even Peacekeepers Add to Horror,” New York Times, December 18, 2004 (https://www.nytimes.com/2004/12/18/world/africa/in-congo-war-even-peacekeepers-add-to-horror.html)

[58] United Nations, General Assembly, Investigation by the Office of Internal Oversight Services into allegations of sexual exploitation and abuse in the United Nations Organization Mission in the Democratic Republic of the Congo, A/59/661, January 5, 2005 (https://www.securitycouncilreport.org/atf/cf/%7B65BFCF9B-6D27-4E9C-8CD3-CF6E4FF96FF9%7D/SE%20A%2059%20661.pdf), pg 1

[59] Ibid, pg 11

[60] Ibid, pgs 12-13

[61] Susan A. Notar, “Peacekeepers as Perpetrators: Sexual Exploitation and Abuse of Women and Children in the Democratic Republic of the Congo,” Journal of Gender, Social Policy, and the Law 14:2 (2006), pg 420

[62] United Nations News, UN investigates allegations of child prostitution involving peacekeepers in DR Congo, https://news.un.org/en/story/2006/08/189322-un-investigates-allegations-child-prostitution-involving-peacekeepers-dr-congo (August 17, 2006)

[63] Kwame Akonor, UN Peacekeeping in Africa: A Critical Examination and Recommendations for Improvements (New York, NY: Springer, 2017), pg 39

[64] Gautam Datt, “Indian army's shame: Indictment of 4 Indian peacekeepers for 'sexual misconduct' on a UN posting in Congo dents the army's honor,” India Today, November 5, 2012 (https://www.indiatoday.in/india/north/story/indian-army-shamed-action-against-jawan-for-fathering-child-congo-india-today-122447-2012-11-25)

[65] UN News, Sexual abuse allegations decline against UN peacekeepers in DR Congo and Liberia, https://news.un.org/en/story/2011/07/382842-sexual-abuse-allegations-decline-against-un-peacekeepers-dr-congo-and-liberia, July 27, 2011

[66] Gerald Caplan, “Peacekeepers gone wild: How much more abuse will the UN ignore in Congo?” The Globe and Mail, August 3, 2012 (https://www.theglobeandmail.com/news/politics/second-reading/peacekeepers-gone-wild-how-much-more-abuse-will-the-un-ignore-in-congo/article4462151/

[67] Matthew Russell Lee, On UN Report of Peacekeeper Rape in Congo, Ladsous' DPKO Says Nothing, Inner City Press, http://www.innercitypress.com/ladsous1congorape080712.html (August 7, 2012)

[68] Ruth Elkins, Francis Elliot, “UN Shame Over Sex Scandal,” The Independent, January 7, 2007 (https://www.independent.co.uk/news/world/politics/un-shame-over-sex-scandal-431121.html)

Guns Don’t Kill People, Settlers Do: The Second Amendment and the Myth of Defense

By Oliver Baker

"Our nation was built and civilized by men and women who used guns in self-defense and in pursuit of peace." - Ronald Reagan

"If you are coming to the idea of resistance as a resolute no to the Empire, then armed self-defense is as much a yes to liberated life as the yes of community gardens." - Ashanti Alson

Many of the households where I grew up in rural Missouri have at least one good hunting rifle in their collections of firearms. Every November, most families here-usually the father and son, but sometimes the father and daughter-will go deer hunting, not only for sport but also for the meat it provides households. They will often say hunting is the reason they own firearms.

Several years ago, I was invited to go target shooting at the property of a long-time acquaintance. He was proud of his expansive and comfortable set-up: he owned several dozen acres of land in the country with a nice three-bed, two-bath home and a stable income to support it all. His property, in other words, allowed him to be a gracious host for friends, neighbors, and acquaintances looking to shoot guns, improve their marksmanship, and build community and comradery.

When I arrived, there were 15-20 men armed to the teeth, strutting around with ARs slung tightly around their chests and handguns of various calibers holstered on their belts. Their wives were inside preparing food and tending the kids. As the men-some dressed in army surplus gear, others still wearing their work clothes-blasted away at various targets, the property owner began talking to me about why he loved his home(stead) so much. It was, in his words, "out in the sticks, good and far away from all of that inner-city mayhem." After showing me a sample of his extensive gun collection, spread out before everyone on the tailgate of his truck, he continued his white-to-white conservation with me:

"Yeah, I have all this firepower because I gotta protect my property and family when, you know, shit hits the fan, and all them inner-city people dependent on government hand-outs are left high and dry and start coming out here where the pavement meets gravel looking to loot food and other things."

It was clear he wanted me to understand that he had guns to defend against, in his eyes, Black people coming to loot his home in the event of a "societal collapse," and that he'd be ready with an arsenal of firepower to repel them. That is, gun ownership for him was about using violence to defend his property-as-whiteness from racialized populations whom he recognized were deliberately excluded from the formal economy and corralled in inner-city ghettos. His guns were the lynchpin for maintaining this line between the "good guys" like himself-the productive worker, the property holder, the respectable law-abiding citizen-and a zombified surplus population marked for death. This metaphor is telling: of all the firearms he showed me that day, he was most proud of some recently purchased specialty ammunition with the tagline: "Supply yourself for the Zombie Apocalypse." Guns and zombie rounds animated the fantasy of defending whiteness by mowing down a racialized surplus humanity on the gravel roads of rural Missouri.

I heard this fantasy many times growing up in such hyper-masculine spaces, in which it is taught that the man of the house has to be prepared to defend his home(stead) from perceived criminal (racial) threats and maintain order in his home . True men are providers and protectors; anything less, and you're an emasculated loser. In this way, the property holder was simply being a good patriot and male leader by preparing for the moment when, in his eyes, he would use guns in self-defense against the racialized poor. From this perspective, all the patriots out there that day sharpening their firearm skills claimed to be doing so for reasons of self-defense. Each saw himself as a Josey Wales , John Wayne, or Dirty Harry, or (more recently) anAmerican Sniper or Rick Grimes, neutralizing racialized criminal threats encountered on the Indian frontier or spilling out from the Black ghetto.

People will often say hunting is the reason they own firearms, but the underlying structural reason, whether acknowledged or not, has more to do with white settler fears of racial rebellion. Indeed, the NRA-the most politically influential gun organization-isn't powerful because it has a lot money to spend, but rather because it markets gun ownership as a means of reinforcing white settler sovereignty. Gun ownership is about staving off the loss of the white settler's power, honor, and privilege, which the global economy no longer respects and the state, it is believed, tramples in its accommodating of the marginalized. Despite the rhetoric, gun ownership has never been about hunting or defending democracy against authoritarianism, which white settlers are ready to embrace if it maintains their power.

In other words, the fear of the dispossessed challenging their subjugation drives gun ownership and gun culture among white settlers in the United States-not hunting, a tyrannical government, or, as I argue, reasons of self-defense. American gun ownership has its structural roots in the desire to uphold and reproduce colonial and racial hierarchies and to maintain the power and benefits received from such hierarchies, putting guns in the hands of white settlers with fantasies of nostalgic redemption through violence. Make America Great Again, indeed.

At its core, then, gun ownership for white settlers is about using tools of violence to defend the political category of white settler sovereignty, which is to say, using guns to harm, kill, or terrorize colonized and racialized people in order to keep them unfree-as their freedom means the dissolution of these categories of power and honor. Historian Roxanne Dunbar-Ortiz's recent book Loaded (2018) argues that the history of the Second Amendment and the right to bear arms was fundamentally the state-granted right of settlers to arm their households and form voluntary militias in order to seize Native land and/or police enslaved Black people. Gun ownership today maintains what Dunbar-Ortiz contends was the founding vision of the settler state to distribute its monopoly of violence to its settler-citizens in order to carry out campaigns of dispossession and secure white property against threats of rebellion:

"Settler-militias and armed households were institutionalized for the destruction and control of Native peoples, communities, and nations. With the expansion of plantation agriculture, by the late 1600s they were also used as 'slave patrols,' forming the basis of the U.S. police culture after enslaving people was illegalized."

In fact, joining a militia was less of a right than a requirement of settlers; in some cases, particularly at the state level in the South preceding the Constitution, service in the militia or arming one's household was required by law. Dunbar-Ortiz explains this history:

"European settlers were required by law to own and carry firearms, and all adult male settlers were required to serve in the militia. Militias were also used to prevent indentured European servants from fleeing before their contracts expired, in which case they were designated 'debtors.' [. . .]. In 1727, the Virginia colony enacted a law requiring militias to create slave patrols, imposing stiff fines on white people who refused to serve."

These state laws fed into the Second Amendment to enshrine the imperative of gun ownership at the federal level. Requiring participation in counterrevolutionary violence was thus written into the law directly. Today this duty to defend settler dominance continues not through state laws requiring militia membership but through informal gun ownership. The Second Amendment deputized settlers to use violence to steal land and people-in short, to expand empire.

Building on Dunbar-Ortiz's analysis of the Second Amendment, I want to suggest that we understand gun ownership as a material practice through which white settlers engage directly in the work of counterrevolutionary violence that consolidates and maintains U.S. liberal democracy. It is a way of strengthening settler democracy that promises empowerment and redemption. Firearms are the tools and symbols of a larger counterrevolutionary policing that binds settlers together despite contradictions of class in their mutual support of upholding colonial and racial hierarchies. Through gun ownership of today-what was, earlier, participation in militias-the white settler defends the state that in turn ensures his sovereignty and superiority.

In this way, the settler state depends on deputizing its settler-citizens to be the police of dispossessed populations, just as the settler relies on the state upholding his rights of property, or his "pursuit of life, liberty, and happiness." This is why gun ownership is seen as fundamental to liberal freedoms. The Second Amendment is upstream from the other amendments precisely because counterrevolutionary policing maintains the public order of civil society in which liberal freedoms can flourish.

There are three conclusions, then, I would like to discuss that follow from the claim that Second Amendment-sponsored gun ownership in the United States is counterrevolutionary violence harmonizing intra-settler relations. The first is that self-defense belongs to the oppressed and never to the oppressor. From a structural prespective, there is no such thing as white settler self-defense. The second is that gun culture from the 1960s onward serves as an important site at which settlers organize politically across class and gender lines to protect whiteness in response to marginalized peoples' demand for freedom and neoliberalism's attack on labor. The third is that the practice of community self-defense among those targeted by colonial violence radically undermines the ideology of white victimization through which counterrevolutionary violence is legitimated.

Guns and White Victimization

Perhaps the best example of how counterrevolutionary violence is coded as white settler self-defense is the now iconic Gadsden Flag. From its inception during the American Revolutionary War to its revival and proliferation in right-wing gun culture in the years following 9/11, the Gadsden Flag, with its image of a rattlesnake and phrase "Don't Tread on Me," illustrates how the effort to maintain white settler power in the face of marginalized peoples' demand for freedom is branded as self-defense. The coiled rattler signifies a defensive and victimized position, but one that is deadly if provoked. The Gadsden Flag serves as an important symbol for those identifying as patriots, law-abiding gun-owners, and defenders of the Constitution because it supports a larger ideology that holds that white America is under attack by minorities (and the federal government taken over by minorities in the post-Civil Rights era) whose commitments to equality have turned into the discrimination against, exclusion of, and attacks on whiteness.

Some of the earliest versions of the Gadsden flag, as many patriots will mention, is Benjamin Franklin's drawing of the colonies as a snake divided into sections underwritten by the ultimatum of "join, or die." Yet the tyranny the colonies were fighting against wasn't simply taxation without representation, but more broadly the right to expand its own empire rather than remain merely another exploited colony-to form a state strong enough to defend the colonists' pursuit of wealth from Native and Black rebellion. Indeed, Jefferson makes this clear in the Declaration of Independence when he argues that the Crown had prevented the colonies from clearing the lands west of the Appalachian Mountains of "merciless Indian savages" and encouraged slave insurrection in the colonies.

The rattlesnake represents a white settler body politic that feels continuously threatened and anxious about defending its power over conquered and subjugated populations. It claims to take up a position of self-defense when this position is actually one of stopping the efforts of marginalized people to free themselves from structures of violence. The fetish of Franklin's coiled rattler as the iconography of settlers coming together through counterrevolution suggests there is unity and strength precisely through this position of shared white victimization. If disjointed by cleavages such as class or gender, they will be overrun by the dispossessed, but if unified in their mutual opposition to the dispossessed, white settlers will flourish despite such intra-settler contradictions.

This fear of insurgency-from-below justifying the use of counterrevolutionary violence helps explain the emergence and proliferation of right-wing gun culture in the years following the 1960s to the present. As theorist Sylvia Wynter has argued, the global anti-colonial rebellions of the mid-20th century that empowered and inspired national liberation struggles in the United States sent shocks throughout the white-settler body politic. These rebellions ended in the settler state granting concessions to colonized and racialized groups in the form of civil rights legislation, the dismantling of legal forms of racial apartheid, and the overall turn away from overt, codified forms of white supremacy to new forms of colorblind racism. Black, Brown, and Native militancy terrified settlers, compelling concessions as a means to pacify their militant struggle.

It was these attempts of federal government to conditionally include marginalized groups that led white America, using a zero-sum logic, to feel betrayed and abandoned. As a result, white middle- and working-class settlers gave up defending the welfare state as long as it was also going to include nonwhites. In this moment when the state seems to accommodate nonwhites-an act that failed to respect, in the eyes of white America, the colonial and racial divisions binding together settlers-gun ownership became much more meaningful for white settlers looking to hold the line of these divisions where the state had, it was believed, given up doing so.

During Obama's presidency, this fear that the state had abandoned white settlers by catering to marginalized people had a resurgence. Gun purchases were at an all-time high and patriot community-building became widespread, which is to say, gun ownership and patriot communities were seen as necessary measures for saving the original and founding vision of a white settler republic from a federal government that was believed to have sided with the very people whose demands for equality would unravel the sovereignty and power of white settlers.

Militias such as the Oathkeepers and Three Percenters emerged during these years and embodied the view that it is the job of "true patriots" (white male settlers) to save white America from a state that has gone rogue in its perceived embrace of "open-borders" multiculturalism. The Constitution and the Second Amendment are sacred for such groups because they authorize freedom-loving citizens to form militias to restore the founding colonialist vision of the United States.

For all the wrong reasons of preserving their power, such groups actually have a perceptive understanding of the Second Amendment as a law authorizing counterrevolutionary violence. For them, guns are not about hunting or even self-defense, but about the right to ensure colonial and racial rebellion is controlled and that state power is recaptured in ways that it abandons neoliberal multiculturalism for more direct forms of settler-colonial white-nationalist capitalism. Indeed, it is not surprising that Oathkeepers and Three Percenters show up to police Black rebellions or put down antifascist counterdemonstrations. They see themselves as an extension of the police, the National Guard, and border patrol. Like the KKK of yore, these militias, filled with current and former police and military, believe they fulfill the original function of the state-under the Obama years seen as liberal and weak-in putting down racial rebellions. Gun culture, then, serves as a symbolic yet very material compensation for the state's support of neoliberal multiculturalism and the dismantling of welfare capitalism. Just as credit is offered in place of decreased wages, gun culture supplies compensatory ammunition to bolster the value of whiteness in the face of deindustrialization, increased intra-settler inequality, and globalization's attack on U.S. nationalism.

Arming the Police, Arming White Supremacy

It is important not to forget that support for counterrevolutionary violence extends far beyond patriots and right-wing gun culture. Liberals who call for gun regulation but fully support the police and military and their work of upholding mass incarceration at home and imperial violence abroad support the same structures of violence celebrated by the gun-nuts such liberals love to disparage and against whom they define their commitments to nonviolence. The difference is a choice between a monopoly of state violence in repressive state apparatuses or the distribution of state violence among individual settlers and citizen militias. In other words, patriots believe the violence should be democratized and liberals believe it should be concentrated in the hands of state institutions. While one wants to stand alongside the police and military, the other wants the bloody work to be accomplished without getting their hands dirty. Avowed and disavowed to varying degrees, both support counterrevolutionary violence to protect settler democracy. In this way, liberals, despite their pacifist posturing, are not any less supportive of colonial violence than their gun-nut counterparts because they call for a strengthening of the settler state and a disarming of the populace, which will only make marginalized people more vulnerable to killings and incarceration.

This is a view that has the audacity and class privilege of asking marginalized people targeted by state violence, and its extended forms of vigilante violence, to appeal to the same state for protection. While patriots take up actual weapons to target marginalized people, liberals weaponize gun control policy to the same ends of putting people of color in body bags or cages. The only gun control that would reduce gun violence would be disarming the police, the military, domestic abusers, and anyone with ties to white nationalist and misogynist political groups, along with demilitarizing schools and campuses. Whether they are appealing to the Second Amendment or asking people to trust the authority of the police and military, white settlers on the Left or Right demonstrate that the violence they commit, fantasize about committing, or have no problem with the police and military committing for their protection is necessary for their redemptive vision of liberal democracy. It matters not if this vision is a return to when liberal democracy more forcefully upheld colonial and racial hierarchies, or some future point at which this violence and policing ensures genuine equality of opportunity for people believed to be formerly colonized and enslaved.

Community Self-Defense

While it may be easy to oppose right-wing white victimization and liberal support for state violence, it's still very hard for many to accept the premise that marginalized peoples, those targeted by such violence, have the right to use any means necessary to defend themselves and their communities. Yet we have to see, as Malcolm X made very clear, that the only people who have the moral authority to lay claim to the use of force as a means of self-defense are the people targeted by colonial violence in first place. The struggle to get free, gain control over one's life, and have a say in the governing of one's community is always a struggle of self-defense rather than aggression or provocation. The meanings of self-defense in settler society are purposely inverted to legitimate counterrevolutionary violence and to discredit the self-defense actions of communities struggling to get free.

Robert Williams emphasized this point over and over again while organizing armed community self-defense to protect the Black community against KKK violence in Monroe, South Carolina in the 1960s. In Negroes with Guns , Williams explains:

"The Afro-American militant is a 'militant' because he defends himself, his family, his home and his dignity. He does not introduce violence into a racist social system-the violence is already there and has always been there. It is precisely this unchallenged violence that allows a racist social system to perpetuate itself. When people say that they are opposed to Negroes 'resorting to violence' what they really mean is that they are opposed to Negroes defending themselves and challenging the exclusive monopoly of violence practiced by white racists."

When a relationship between people is asymmetrical, meaning it is structurally impossible to rectify or reconcile, the violence that defends this power imbalance appears legitimate while anything that would take power away from the oppressor or build power for the oppressed registers as illegitimate and irrational violence.

With the same force, then, that we can acknowledge the illegitimacy of the notion of white settler self-defense, we should recognize the legitimacy of marginalized peoples' right to self-defense. As theorist Chad Kautzer argues, "our understanding of self-defense must, therefore, account for the transformative power of self-defense for oppressed groups as well as the stabilizing effect of self-defense for oppressor groups." What this looks like is, on the one hand, disempowering, delegitimizing, and disarming institutions of white settler violence such as the police, patriot, and other white-nationalist gun culture groups, and on the other, using a diversity of tactics to create and maintain community self-defense networks among marginalized communities. Community self-defense, as a theory and praxis, can help produce identities, relationships, and habits necessary not only to deter and prevent violence and build/protect power, but also to delegitimize the ideology of white victimization so crucial to white settlers' use of violence to defend their power. This framework reveals who is fighting a war of counterrevolution and who is fighting a war of liberation, whose fight is legitimate and whose is illegitimate.

In this way, community self-defense helps clears the way for matters of seeing where allegiances lie in a war that has been ongoing for over 500 years. For those picking up a gun to defend property that sits on stolen land and that has value through an economy built by and through stolen people, it becomes clear they are arming themselves to kill and die for colonialism and anti-Blackness. For those calling for peace between the oppressor and oppressed, community self-defense forces their hand, exposing where their allegiances actually lie: in support of colonial and racial violence. For those told that their struggle to exist, to be free, to control their own lands and bodies is irrational and illegitimate, they prove through community self-defense that it is irrational, let alone careless, to think that the structures of violence holding them captive or targeting them for elimination will be destroyed through peaceful negotiation and compromise.

This was originally published at Pyriscence .

Oliver Baker is an Assistant Professor at Penn State University.

Women's Reproductive Rights in Cuba vs the United States: A Comparative Analysis

By Valerie Reynoso

Cuba is an island in the Caribbean governed by a socialist state that has made strides in numerous aspects, including but not limited to socioeconomic equality, redistribution of wealth to the masses, advocacy for the end of apartheid in South Africa, and the end of the colonial rule in Angola during the 1960s. Cuba has served as an inspiration for the overthrow of fascist dictators in other Latin American nations such as Rafael Leonidas Trujillo in the neighboring Dominican Republic, along with an outstanding healthcare system that has even drawn attention from organizations such as the UN and UNICEF.

The United States, on the other hand, is a hegemonic Western nation with a capitalist-imperialist government that is rendered as the most superior in the world. The US is defined by the existence and persistence of systemic inequities, deepening class stratification, high rates of mass incarceration, homelessness, and poverty; as well as unique socioeconomic consequences faced by women, largely due to reproductive healthcare services not being universalized and not always covered by health insurance.

In comparison, Cuba outperforms the US in areas of women's reproductive rights and abortion access, given its complete legalization of abortion and other healthcare services to women for free. The US is unable and seemingly unwilling to meet the standards of Cuba, given primarily the Hyde Amendment and overall privatization ("profitization") of medical industries.

Cuba and Women's Health

The Cuban Revolution of 1959 brought radical change to the island in the form of new socialist socioeconomic and political structures, as well as a shift in the role of women in society and women's reproductive rights, distinct to pre-1959 Cuba. Cuban leader Fidel Castro believed that the liberation of women was vital to the socialist revolution. This idea stood in stark contrast to pre-revolutionary Cuba, which more closely resembled that of the United States, with regressive policies in terms of women's rights and reproductive care under General Fulgencio Batista. Prior to the rise of the Castro, abortion laws in Cuba were based on the 1870 Penal Code of Spain and had many restrictions, some of which were loosened in 1936 with the entry of the new Social Defense Code. This new penal code legalized abortion in the cases of endangerment of the life of the mother due to pregnancy, any form of rape, or serious medical complication of the fetus that would require the termination of pregnancy. During this time, Cubans who sought abortions due to health risks caused by pregnancy had to be granted permission from two physicians to get the procedure done.

Following the birth of the Cuban Revolution, Cuba became one of the first countries in the world to legalize abortion with full access in 1965, up to the tenth week of gestation, through their national health system. The Social Defense Code was replaced once again in 1979 with the adoption of a new penal code, which explicated what constituted as illegal abortion as well as punishments for those who conducted them. Illegal abortions were defined as those done under conditions that neglect health laws regarding abortion. Likewise, those caught in violation of said legal abortion regulations would potentially face three months to a year in prison. Abortions performed for profit, outside of accredited institutions, or by anyone other than a legitimate physician would result in culprits being subject to two to five years in prison. Abortions are also considered illegal in Cuba if executed without the consent of the pregnant patient and would result in two to five years of prison time for the executer of the procedure. If the non-consensual abortion is performed with force or violence, then the prison sentence is increased to up to eight years.

Likewise, menstrual regulation is implemented in the case that gestation is five weeks or less; women do not need to confirm their pregnancy, nor do minors need parental consent to receive menstrual regulation. Gestations of ten to twelve weeks would require confirmation of pregnancy to obtain an abortion and, along with that, the pregnant woman must be examined by a gynecologist as well as be given counseling from a social worker. For those who seek abortions services, parental consent is needed for women under eighteen, and permission from a medical committee is required for women under 16. A committee of obstetricians, psychologists, and social workers would have to approve a second trimester abortion in addition to the patient satisfying the regulations for a first trimester abortion. Moreover, in 1960, the Castro administration formed the Federation of Cuban Women (FMC), which was led by Vilma Espin, a revolutionary who resisted against the Batista regime and was also the partner of Raul Castro, Fidel Castro's brother. FMC has played a vital role in the advancement of gender equality and the enhancement of women's healthcare in Cuba.

The FMC has a membership that includes 85.2 percent of all eligible Cuban women and girls over 14 years of age. It is recognized as an NGO and as a national system for women, due to the overwhelming majority of Cuban women being participants, because the organization is not socioeconomically funded by the Cuban government, and because the federation has a hierarchy consisting of local, municipal, provincial, and national levels of representation and leadership. Along with endorsing the mass education of women, inclusion of women in the work force, and advocacy for legislative and social reform for gender equality, the FMC has also had a significant impact on the Cuban healthcare system and its regulations. One instance of the influence of the FMC on the Cuban healthcare regulations is their assistance in passing maternity leave laws in 1974, under which pregnant women are granted three months of paid leave. The FMC also played a role in the foundation of maternity homes for women to deliver their infants under the maintenance of primarily FMC volunteers who serve as trained attendants.

The FMC has proven to be successful in the mobilization and formation of solidarity amongst Cuban women, united under a common motivation to fight for women's rights to higher education, paid maternity leave, childcare provision, and free abortions and birth control.

The United States and Women's Health

In the US, the landmark Supreme Court case Roe v Wade was a victory for women's reproductive rights. However, the battle against women's rights are ongoing, with various conservative and right-wing interests, typically headed by men, continuing to mount a powerful opposition. Measures taken to diminish the impact of Roe v. Wade and strengthen anti-woman legislation like the Hyde Amendment have significantly changed abortion accessibility and affordability for women in the US.

Abortions were legal and frequently performed from the 18th century until approximately 1880 in the US. The idea that the fetus at conception and the early stages of pregnancy was a human life was not a conventional one held in US societies, nor the Catholic Church, for some time. The typical stance on this subject at the time was that it was centered on women's experiences and relations with their own bodies, rather than societal stances on what is considered immoral for women to do regarding abortion. The Catholic Church accepted early abortions before ensoulment; however, around 1869, began to denounce abortion, simultaneously when abortion became politicized in the US. In 1895, the church opposed therapeutic abortions, which were meant to save a woman's life. Abortions were outlawed in the US by 1880 due to pressure from medical groups, with the exception of cases involving medical complications that could endanger the woman's life.

Women in the US continued to seek abortions despite these newfound laws and those who could afford options often received services from practitioners in private homes. Those who could not afford private services were left with no other choice but to resort to near-lethal means out of desperation. Rates of women who obtained illegal abortions naturally increased with restrictions barring access to legal procedures. Between 200,000 and 1.2 million illegal abortions were conducted per year in the US in the 1950s and 1960s. Underground organizations that provided safe, illegal abortions were formed in the 1960s by individuals concerned about the well-being of the high number of women who dangerously sought to terminate their pregnancies. These organizations included the Clergy Consultation Service on Abortion and The Abortion Counseling Center of the Chicago Women's Liberation Union, also known as Jane. The Rubella outbreak in the US, which lasted from 1964 to 1965, endangered fetuses and hence was a major factor in a rehashing of the abortion debate in the country. This outbreak and the ongoing debate led to the passage of Roe v Wade in 1973.

Roe v Wade was decided on January 22nd, 1973 and ruled that state-sanctioned restrictions of abortion are unconstitutional. It was concluded that the criminalization of abortion under Texas statutes (for the most part) infringes upon the constitutional right to privacy women have under the due process clause of the fourteenth amendment. Numerous abortion rights activists wanted the case to be passed under the ninth amendment, so that it could be written in the constitution rather than malleable and subject to change. Although this case made legal abortion more available and safe for women in the US, barriers were still placed on them, including measures that were taken to restrict the effectiveness of Roe v Wade and socioeconomic disparities that made it more difficult for underclass women to receive services. Following Roe v Wade, several US states have enacted over 1,074 laws with the purpose of limiting access to abortion, with over a quarter of these legislations having been legalized between 2010 and 2015.

Part of the anti-woman crusade that was sparked by Roe v. Wade was the Hyde Amendment, which was passed in 1977 to prohibit the use of Medicaid to pay for abortions, excluding cases of rape, incest, or endangerment of the life of the mother. According to a study done in 1984 at the Guttmacher Institute, 44 percent of female Medicaid recipients who had abortions that year paid for them by using money they had initially saved for necessities, such as rent and food. Due to said women not being able to afford the costly prices of abortions, many were forced to save for a longer period of time for the procedure, which resulted in later, riskier, and more expensive abortions, or women being forced to carry unwanted pregnancies to term due to an inability to afford an abortion. This statistic increased to 57 percent of abortion patients paying out of pocket by 2010. The Hyde Amendment resulted in Medicaid-funded abortions decreasing from 300,000 per year to only a few thousand per year. As of 2010, seventeen states finance abortion care for citizens with Medicaid coverage, and 20% of abortions conducted in the US were funded with Medicaid in 2008. Additional barriers are posed to women in need of abortions per individual state. For instance, as of 2008, fifteen of the seventeen states that fund abortion care for its people have also established obstacles such as low reimbursement rates and delays in enrollment, which make it more difficult for women and providers to use Medicaid for abortion services.

Comparing Cuba and the United States

The changes Cuba experienced in its transition from the Batista regime to the Castro administration, as well as the changes in abortion legislation the US experienced from the 18th and 19th centuries to the late 20th century, demonstrates that Cuba was making drastic improvements in the conditions of Cuban women. While the Cuban government made tremendous strides in forging women's rights, the accessibility of abortion declined for women in the US during the same period.

The radicalization of the Cuban government implemented by Fidel Castro set the foundation for the drastic modification of women's rights that would occur in the island throughout the latter half of the 20th century and 21st century. The FMC led by Vilma Espin was crucial to the development of universalized healthcare and inclusions of free abortions and other reproductive health services that overwhelmingly affect Cuban women. Contrarily, the Hyde Amendment, malleability of the Roe v Wade case, and constant pressure from a male-driven, conservative crusade have proven that the profits of US medical industries and artificial morals of fundamental Christianity are paramount to the reproductive rights of women in the US, especially given how expensive abortions are and that Medicaid cannot be used to pay for it in a majority of cases.

The capitalism system which dominates American life is a system driven by infinite profit extracted from the finite resources of the planet and exploitation of the labor of the working class. This exploitation is deepened when members of this working class are part of other marginalized groups as well, such as women, non-white people, and disabled people; all of which make up the overwhelming number of patients struggling to obtain legal abortions in the US. Many of these women have the misfortune of resorting to dangerous alternatives out of need. In comparison, the socialist system Cuba operates under has clearly succeeded in ensuring that Cubans of any racial or socioeconomic background have access to high quality, universalized healthcare and abortions without barriers of any kind.

Statistics prove that in terms of abortion access and reproductive healthcare, Cuba has a model that is more superior than that of the US. Chapter IV of the Cuban constitution contains articles that explicitly enforce the socioeconomic and political equality of all genders, as well as state-funding of financial support for pregnant women. Article 44 states that all genders enjoy equal rights in all aspects of society; women are guaranteed equal opportunities to men and will have an equal impact on the advancement of the island; and the state also manages institutions like child centers, boarding schools, and homes for the elderly with the purpose of helping working families. Article 40 dictates that the Cuban state provide working women with paid maternity leave before and after childbirth, as well as job options that would be suitable for pregnant people and mothers.

As of 2014, Cuba has a total expenditure on health per capita of $2,475 ; and a total expenditure on health as percent of GDP of 11.1 percent for a population of 11,147,407 as of July 2017. The Cuban government has no intervention concerning fertility level, allows abortions on request for any reason, and provides direct support on contraceptives for its citizens. As of 1987, 70 percent of married Cuban women between the ages 15 and 49 use modern contraception, which is available in all government health institutions and through one agency called the Sociedad Cientifica Cubana para el Desarrollo de la Familia (SOCUDEF) that receives full support from the government. Under these measures taken by the Cuban government, in accordance with the country's constitution, the amount of legal abortions quadrupled from 1968 to 1974 with a percent increase from 16.7 to 69.5 legal abortions per 1,000 fertile women. 85,445 abortions were conducted among women between the ages 12 and 49 in 2016, which totals to 41.9 abortions per 100 pregnant women, which is half of the figures from 12 years prior to that. Even more so, contraceptive use has caused a decline in abortion rates in Cuba over the past 15 years.

In contrast, despite the increase in healthcare spending and decline in legal abortion rates in the US, the spike in illegal abortions and barriers posed by the Hyde Amendment indicate that US women still do not have full access to reproductive healthcare. The total expenditure of health in the US rose by 4.3 percent in 2016, at a ratio of $10,348 per person, and made up 17.9 percent of the national GDP. In addition to this, the national abortion rate decreased by 2 percent between 2013 and 2014, where there was a rate of 12.1 abortions for every 1,000 women aged 15 to 44, or 186 abortions per 1,000 live births. Frequent Google searches for self-induced abortions in US regions with low access to health institutions imply a spike in the obtainment of illegal abortions, although an exact statistic for this is difficult to determine given that illegal procedures are not easy to keep track of. In 2015, the Guttmacher Institute found that there were 119,000 searches on how to have a miscarriage as well as other phrases of a similar nature, such as how to self-abort, etc. In total, there were over 700,000 Google searches that year on how to conduct a "self-induced abortion." There were also 3.4 million searches for abortion clinics, 160,000 for how to find abortion pills through unverified sources, tens of thousands on herbal remedies for abortions, 4,000 on instructions for coat hanger abortions and a few hundred on abortion methods through bleaching the uterus. It was found that a disproportionately large number of these Google searches were in the state of Mississippi, which only had one abortion clinic in 2016. For perspective, the Guttmacher Institute reported that there are approximately one million legal abortions per year in the US. Based on this research, a correlation between economic insecurity and abortion seems clear. Online searches related to "self-conducted abortions" surged towards the end of 2008, during the financial crisis and great recession at the time. Legislative barriers also seem clear, as these searches increased by 40 percent in 2011, the year when 92 laws that restrict abortions were passed in the US.

Conclusion

Cuban women have free reproductive care and are provided abortions at their request for free as well, under one of the statistically best healthcare systems in the world. In the US, a significant number of pregnant women cannot afford nor have access to legal abortions; therefore, being forced to endanger their lives through illegal procedures. The Cuban state operates under a socialist system that places the lives of its women citizens before corporate or private profit, to the point where it is illegal for abortions to be conducted for profit in the nation and prison terms are possible for violators of this policy. The fact that access to abortion clinics in the US has dwindled, causing legal abortions to decline while searches for illegal abortions have drastically spiked, is yet another failure of the capitalist healthcare system in the country. Specifically, the US for-profit system has failed the women it is meant to serve and will only continue to fail them as these dangerous statistics further grow.

In addition to operating for profit, US healthcare and medical industries remain beholden to patriarchal (and downright misogynistic) values that are tied to its economic system. Capitalism is a system founded on imperial conquests of Global South nations and the enforcement of patriarchy and class stratification on these matriarchal, communal societies by European Crowns. These structures have disproportionately affected women, and especially women who are oppressed in other aspects of their being. This has resulted in the devaluation of feminized labor, usage of women as domestic tools for the social reproduction of working men, and now high costs of abortions as well as barriers that prevent women from getting them. All of this leads to already underpaid and underprivileged women risking their lives to get their necessities out of despair because the system that governs them does not value them.

As maternal mortality rates are skyrocketing in the US, Cuba boasts one of the lowest infant and maternal mortality rates in the world. As of 2015, Cuba has a maternal mortality rate of 39 deaths for every 100,000 live births and an infant mortality rate of 4.2 deaths for every thousand births. The probability of children under the age of five dying in Cuba is 0 per 1,000 live births based on data from 2015. In addition to this, in June 2015, Cuba became the first nation in the world to be praised by the World Health Organization (WHO) for their achievement in eradicating mother-to-child transmission of HIV and syphilis through medical innovation. The corollary benefit to this is enjoyed by pregnant women who may otherwise seek abortions due to them having HIV and not wanting to infect their baby. With this ability, and the expectation of a healthy baby, those mothers may now choose to carry full term. Since 2010, the WHO has been teaming up with Cuba and other nations in the Americas to execute a regional plan to get rid of mother-to-child transmission of HIV and syphilis. As part of this program, Cuba has guaranteed early access to prenatal care, HIV and syphilis testing for pregnant women and their partners, treatment for women who test positive for the infections and their babies, caesarean deliveries and substitution of breastfeeding-all of which is provided under the universalized healthcare system of the island. These statistics make Cuba the country with the lowest infant mortality rate in the Americas, in the Global South as a whole, and one of the lowest in the world.

On the other hand, as of 2015, the US has a maternal mortality rate of 26.4 deaths per 100,000 live births, up from around 17 deaths per 100,000 live births in 1999. Other Western nations rank much lower in comparison to the US regarding maternal mortality, such as 9.2 for the UK and 7.8 for France per 100,000 live births respectively. According to a six-month long examination conducted by NPR and ProPublica on maternal mortality in the US, more women in the US are dying from complications due to pregnancy than any other Western nation, and the US is the only country where this rate is actually increasing. While the neglect of women's health is certainly predetermined by the for-profit system, it is also systematically neglected by the US government and its health agencies. Only 6 percent of block grants designated for maternal and child health end up being used for the health of the mothers, as revealed by federal and state funding. This is despite the increase in spending in overall healthcare in the US. The fact that only a minimum percent of block grants that are meant to be used for maternal and child health is utilized to help them further illustrates how the well-being of pregnant women and abortion patients is not paramount in the capitalist healthcare system of the US. Additionally, US hospitals that must worry about "bottom lines" (like any for-profit company) can be extremely unprepared for maternal emergencies such as self-induced abortions having gone wrong, even if the hospital has an intensive care unit for newborns and their mothers. Medical training in the US is also suspect. Some US doctors may specialize in maternal-fetal medicine without ever having to spend time in a labor-delivery unit that would further develop their specialties.

Cuba's healthcare system is world-renowned for many reasons: It was among the first of nations to fully legalize abortion; it has successfully eliminated mother-to-child transmission of HIV and syphilis through medical innovation; it has implemented universalized healthcare such that all reproductive services are free for all citizens; it has scored low maternal and infant mortality rates; and it is a significant factor in creating one of the highest standards of living for women in the world. All of this is due to taking profit and personal interest out of healthcare by making it a social imperative and human right. In comparison, the US has systematically restricted women's reproductive rights, increased barriers for women who seek abortions, has one of the highest maternal mortality rates in the West, is forcing women who seek illegal abortions due to lack of access to legal services, and has implemented high costs for legal abortions and other basic services, therefore diminishing the quality of living for millions of marginalized women. All of this is due to putting profit above people while pushing patriarchal values that do not recognize women as human beings who should have full agency over their bodies.

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Kassebaum, Nicholas J. "Global, Regional, and National Levels of Maternal Mortality, 1990-2015: a Systematic Analysis for the Global Burden of Disease Study 2015." The Lancet, vol. 388, 8 Oct. 2016.

Last Five Years Account for More Than One-Quarter of All Abortion Restrictions Enacted Since Roe. Guttmacher Institute, 13 Jan. 2016.

Montagne, Renee, and Nina Martin. "U.S. Has The Worst Rate Of Maternal Deaths In The Developed World." Lost Mothers: Maternal Mortality in the U.s., NPR, 12 May 2017.

National Health Expenditure Data. Centers for Medicare and Medicaid Services, 8 Jan. 2018.

Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat. Cuba: Abortion Policy. The Population Policy Data Bank.

Reagan, Leslie J. When Abortion Was a Crime: Women, Medicine and Law in the United States, 1867-1973 . University of California Press, 1998.

Stephens-Davidowitz, Seth. Abortions at Clinics, or Somewhere Else. Guttmacher Institute, 5 Mar. 2016.

"The Federation of Cuban Women." The Federation of Cuban Women, Stanford University.

World Health Organization. Facts on Cuba.

WHO Validates Elimination of Mother-to-Child Transmission of HIV and Syphilis in Cuba. World Health Organization, 30 June 2015.

America's Gun Fetish is a Symptom of a Deeper Sickness

By Ben Luongo

The tragic shooting that took place at the Marjory Stoneman Douglas high school in February breathed new life into America's gun debate. Surviving students confronted political leaders about gun violence during a CNN town-hall meeting, President Trump invited victims to the White House for a "listening session," and March for Our Lives events spread across the country demanding a change in U.S. gun laws.

Unfortunately, none of this has led to any real policy changes, and we continues to debate our gun laws after yet another shooting at Santa Fe High School took the lives of 10 students and inured 13 others. There have already been 22 school shootings in 2018 , and the number of students and teachers killed by guns at school has exceeded the number of active-duty military deaths this year.

Other governments around the world have successfully lowered their gun violence by taking proactive steps to restrict access to firearms. However, America's conservative legislators in power continue to peddle the same tired arguments against changing America's gun laws. The most common attempt for gun advocates to frame the debate in their favor is to focus on mental health instead of gun control. For instance, the only specific solution Texas governor Gregg Abbott offered in response to the Santa Fe High School shooting was to improve mental health resources. Representative Randy Weber, who represents the Texas district the shooting took place in, also emphasized to reporters the importance of mental health despite the fact that he was asked a question about gun control. President Trump's televised response to the shooting on Friday mentioned nothing about gun control, but his speech two weeks earlier to the NRA conference focused primarily on mental health .

Conservative legislators argued the same points after the Parkland shooting. Speaker of the House Paul Ryan responded to the high school shooting saying "As you know mental health is often a big problem underlying these tragedies […] We want to make sure that if someone is in the mental health system that they do not get a gun if they should not have a gun." President Trump's first responded with a tweet stating that: "So many signs that the Florida shooter was mentally disturbed, even expelled from school for bad and erratic behavior. Neighbors and classmates knew he was a big problem. Must always report such instances to authorities, again and again!" Speaking at the Conservative Political Action Committee, then-CEO of the National Rifle Association Wayne LaPierre blamed America's mental health system as one of the major problems behind gun violence.

To be absolutely honest, the attempt to frame the debate as a mental health problem is a conservative tactic meant to deflect attention from sincere conversations about gun regulations. The relationship between gun violence and mental health is, nonetheless, a concern on the minds of the majority of Americans. According to a recent ABC News/Washington Post poll , 77% of the respondents say that the Parkland shooting could have been prevented with more effective healthcare screening, where only 58% of those respondent agreed that gun control could have prevented the shooting.

America's concern with mental health and violence is understandable, but it is the wrong way to think about America's unique gun problem. The simple fact is that mental health is not a predictor of gun violence or mass shootings. Mental illness only explains 14.8% of mass-shooting (as defined by a shooter killing four or more people). Mental illness becomes even less important when considering that it constitutes only one percent of all gun related homicides . In fact, only three to five percent of violent crimes are tied to serious mental health issues. The narrative that shooters suffer from a mental illness only stigmatizes those who do suffer from legitimate mental or emotional health issues who are more likely to be the victims of such crimes rather than the offender.

If we want to be honest about what all of the shooters have in common then we need to have serious conversations about gender and America's culture of toxic masculinity. The grand majority of shooters are men , most of them white. Out of the 94 mass shootings in America since 1984, 92 of them were committed by men (that's 98% of mass shootings). Men actually dominate the statistics on violent crime in whole. In fact, 90% of murders are committed by men . In general, gender is more effective predictor of gun violence than mental health is.

In no way does this suggest that men are inherently more violent than women. It may be tempting to interpret these numbers as indicative of real biological differences. However, modern psychology shows how men and women are much more alike than they are different and any real behavioral differences between the two have more to do with society than biology. If you want to understand why violence and antisocial behavior occurs along gender lines, then you have to consider the cultural messages that construct male and female gender roles. Specifically, America's gun epidemic reflects the social standards of masculinity that men are expected to meet.

In reality, America is still very much a patriarchal society. Men exercise more power than women in economics, politics, and culture. Economically, men are likely to be paid more than women for doing the same work. Men also make more money strait out of college despite the fact that women outperform men in college and graduate school . Politically, men control just over 80% of Congressional seats despite constituting only 50% of the population. As a result, women's health and rights issues are never fully represented appropriately in legislation. Culturally speaking, men dominate writing and directing positions in movies and TV. Woman only constitute 10% of the writers and directors of 2017's top 100 grossing movies. As a result, women's issues barely get highlighted in our public discussions. Just consider how long it took the #MeToo campaign to highlight systemic sexual abuse in Hollywood.

Indeed, our society sends messages to both men and women as to what we value and who should exercise power. Male politicians draft legislation that fails to address women's issues while making it easier to legally obtain a gun. Male writers and directors create the movies that place women in subordinate roles while celebrating the heroic use of male violence to save the day. Male employers manage the workplace where women still suffer from vocational discrimination and sexual harassment while men are more likely to enjoy economic success.

By all standards, this is a patriarchal society, and woman have to cope with the masculine structures working against them. As a result, women are more likely to suffer from mental and emotional distress , such as depression, anxiety disorders, PTSD, and low self-esteem. In fact, Women are twice as likely to suffer from depression . Despite the fact that women are more likely than men to suffer from these condition, it doesn't lead women to gun violence. Again, women constitute less than two percent of mass shootings. If mental health was a predictor of gun violence, then women would make up a larger percentage of violent gun offenders.

Instead, women are more likely to be the victims of gun violence committed by men. More than half of the mass shootings are situations of domestic violence and at least four out of five gun owners are men . The presence of a gun in a violent domestic relationship increases the woman's chance of being shot fivefold . In fact, 4.5 million women report that an intimate partner had threatened them with a gun at some point in their life. Regarding domestic violence in general, woman are the victims of domestic violence in 85% of the cases.

The gross amount of violence that men direct towards women, whether its gun violence, domestic abuse, sexual assault and rape, all reveals how men have internalized cultural messages of male superiority. The term used for this is 'toxic masculinity' which refers to the endorsement of stereotypical roles of male dominance, misogyny, and aggression. Research demonstrates the role that these cultural expectations play in male violence and coercion, especially when one's masculine identity comes under threat.

This is an important point to make because it illustrates how the patriarchy isn't just bad for women, it's bad for men too. Men are barraged daily with messages from the media, the military, professional sports, and the business sector that tell them how to be masculine. Such messages frame masculinity in terms of economics success, social power, physical strength, etc. This reveals the common theme behind the shooters. Most of the mass shooters have experienced what they see as threats to their masculinity - either they struggled as children to fit in or they had trouble meeting the social expectations of adulthood. Failing to meet these expectations, American shooters respond in ways meant to reaffirm their masculinity. Before they were known for their mass shooting, the grand majority of these shooters have all exhibited aggression towards women.

Omar Matteen, the shooter of the Pulse night club who killed 50 and injured 53, has a history of beating his wife .

Robert Lewis Dear, who killed three and injured nine at the Colorado Spring Planned Parenthood shooting, has a history of violence towards woman , including cases of domestic abuse against his two x-wives and a rape case in 1992.

Elliot Rodger, who killed six people at the Isle Vista Killings, uploaded a disturbing video where he said, "I don't know why you girls aren't attracted to me but I will punish you all for it …You will finally see that I am, in truth, the superior one, the true alpha male"

Adam Lanza, the Sandy Hook Shooter, wrote a document where he disparaged women for being inherently selfish .

Dyllan Roof, the Charleston Church shooter, told his black victims that "you rape our women and you're taking over our country." Many sociologists have used the term benevolent sexism to explain his attitudes towards women

Seung-Hui Cho, the shooter behind the Virginia Tech shooting, had police called on him for stalking and harassing women .

Stephen Paddock, responsible for the concert shooting in Las Vegas, was known for regularly and public abusing his girlfriend , and paid prostitutes thousands of dollars for them to satisfy his rape fantasies .

Nikolas Cruz, the shooter behind the Parkland high school shooting, was abusive towards his girlfriend and got into a fight with her new boyfriend. He was also accused of stalking a female student . A friend said that he had to cease being friends with him after he would threaten his female friends.

The most recent shooter, Dimitrios Pagourtzis, also had a history of sexually aggressive behavior. Reports are now emerging of him harassing female students that he was interested in . Shana Fisher had to publicly tell him in class that she would not go out with him - he later killed her in the shooting. Other reports are coming out of him being picked on and emasculated by both his football teammates and coaches.

Of course America's gun problem is complex and can't be reduced to a single problem. Indeed the sheer amount of guns, as well the ease of obtaining them, is just as much of a problem as anything else. In fact, the scientific research is clear that more guns leads to more gun deaths (some of the peer-reviewed research can be seen here , here , here , and here ).

However, we must also ask where America's gun fetish comes from in the first place. The only way to makes sense of this is to understand how guns fulfill the desire to satisfy social expectations of masculinity. Shedding light on these gendered ways of thinking reveals why politicians and the media are willing to emasculate the shooters by calling them cowards or crazy and, thus, able to shift the debate to mental health. The bottom line is that we need to stop blaming mental health - the real sickness is our culture of toxic masculinity.

Ben Luongo is a doctoral candidate at University of South Florida's School of Interdisciplinary Global Studies where he teaches courses in international human rights and global political economy. Previously, he worked as a campaign organizer and directed several campaigns for groups like the Human Rights Campaign and Save the Children. His articles have appeared in the Foreign Policy Journal, Foreign Policy in Focus, International Policy Digest, New Politics, and the Hampton Institute.

California Values Bill SB-54: What It Is About and Why It is Important to Women

By Cherise Charleswell

California Legislation, particularly health policy and those dealing with public safety, is of great importance to the United States as a whole; and this is because California has always stood out as a leader and innovator. Other states, and even the Federal government, often look to the precedents set by California, and subsequently go on to pass the same or similar policies. As stated in a 2012 article , California sets trends in health regulation , "Some advocates tout the state as a forward-thinking vanguard in which its health and safety laws are routinely emulated by other states".

In short, California's laws shape and set standards for the rest of the country.

The California Values Bill SB-54 is often incorrectly referred to as the Sanctuary City Bill. The phrase "sanctuary city bill" is inaccurate because there is unfortunately no guarantee of sanctuary in the U.S. City officials do not have the power to outright stop the federal government from deporting people in their communities. Cities and States could merely choose to carry out a symbolic policy - which includes having local police abstain from helping federal authorities identify, detain, or deport any immigrants that entered the U.S. illegally.

What exactly is a Sanctuary City?

In 1996, the 104th U.S. Congress passed Pub. L. 104-208, also known as the Illegal Immigration Reform and Immigrant Responsibility Act ( IIRIRA ). The IIRIRA requires local governments to cooperate with the Department of Homeland Security's Immigration and Customs Enforcement (ICE) Agency. Despite the IIRIRA, hundreds of urban, suburban, and rural communities have resisted and outright ignored the law, instead choosing to adopt and enact sanctuary policies.

A sanctuary city is a city that limits its cooperation with the national government effort to enforce immigration law. Essentially, sanctuary cities act as a protective shield, standing in the way of federal efforts to pinpoint and deport people at random.

According to recent reports from the U.S. Immigration and Customs Enforcement, California has the fourth most counties and second most cities considered to have adopted laws, policies or practices that may impede some immigration enforcement efforts. The state of Oregon has the most, with 31 counties, followed by Washington (18), Pennsylvania (16) and California (15). Massachusetts has the most cities considered to be "sanctuary," and California follows with three. However, The Los Angeles Times reported that ICE suspended the recently adopted practice of reporting cities that don't comply with federal detention efforts following error-ridden reports.

The California Values Bill entails the following:

• Prohibit state or local resources from being used to investigate, detain, detect, report or arrest persons for immigration enforcement purposes.

• Ban state and local resources from being used to facilitate the creation of a national registry based on religion.

• Prevent state agencies from collecting or sharing immigration information from individuals unless necessary to perform agency duties.

• Ensure that California schools, hospitals and courthouses remain safe and accessible to all California residents regardless of immigration status.

Why this Legislation and Protection of Sanctuary Cities Is Important to Public Health & Safety

Consider a scenario where there is a serial rapist, but his initial victims were all undocumented and thus unwilling to contact police to report the crime, and this rapist then goes on to harm others - legal citizens.

Would we now find his crime egregious? Would we now want to remove this guy off of the streets so he can no longer harm others?

The logical answer would be yes, but it does not dismiss the fact that all other subsequent rapes could have been prevented if the first victim felt safe enough to come forward. This scenario describes the importance of sanctuary cities and the California Values Bill, in terms of public health and safety. It would help to ensure that those residing in the state of California, regardless of documented status, can come forward to report crimes committed against themselves and others to law enforcement.

Why this Legislation and Protection of Sanctuary Cities Is Important to Victims of Intimate Partner Violence

For the same reasons as described as above. Furthermore, abusers use the threat of reporting undocumented victims or even members of their families who may be undocumented, as a means to (1) ensure that they conceal the abuse and not report them to the police, (2) force them to return to abusive situations. And the end result of this may be continued abuse and even death at the hands of their abusers.

A civilized society should simply not allow members of their communities to be forced to remain in abusive situations.

Why this Legislation and Protection of Sanctuary Cities Is Important to Victims of Human Sex Trafficking

For transnational victims of sex traffickers (including those who were trafficked here against their own will), the threat of deportation and/or criminalization is used as a tool to keep them silent, subservient, and in bondage. Traffickers make every effort to discourage them from contacting law enforcement, who along with other first responders are among the people who are the first to come in contact with victims of trafficking, while they are still in captivity. Having this population live in fear of exposing their undocumented status simply helps to perpetuate human trafficking.

The following testimony and passage was included in the 2009 US Department of Health's Study of HHS Programs Serving Human Trafficking Victims:

"Fear of law enforcement and fear of retaliation. Next, respondents noted that fear is a significant deterrent to foreign-born victims coming forward and being identified, specifically fear of law enforcement and fear of retaliation from the trafficker. In most cases, it was reported that victims were taught to fear law enforcement, either as a result of experiences with corrupt governments and law enforcement in their countries of origin or as a result of the traffickers telling the victims that if they are caught, law enforcement will arrest them and deport them. The trafficker paints a picture of the victim as the criminal in the eyes of law enforcement. Additionally, the trafficker uses the threat of harm against the victim and/or his or her family as a means of control and a compelling reason for the victim to remain hidden. In some cases, these fears were in fact the ultimate reality for the victim. Service providers gave several examples of clients being placed into deportation hearings after coming forward to law enforcement."

So, why do we say "victims" of sex trafficking?

Well this has to do with various factors, including the fact that the domestic entry age is 12-14 years. When one is that young, surely they are unable to consent or engage in any decision-making regarding sexual activity. Further, no one is granted their freedom simply because they have had an 18th birthday. For this reason, victims can be held in captivity and exploited for many years, well into adulthood.

And each year involved in trafficking makes it more difficult to get out. These victims are dealing with stunted development, lack of education and job skills training, drug abuse and mental illness related to the complex trauma that they have endured, and threats of violence and death for even trying to escape. There is nothing sex positive about these circumstances, and those who are the most vulnerable are people of color, LGBTQ folks (especially transgender women who engage in survival sex), low-income individuals, and of course immigrants. The "Pretty Woman" fantasy does not apply here.

One has to keep in mind that, due to socio-cultural reasons and the effects of exploitation, victims of all forms of human trafficking do not readily identify as victims.

Traffickers use the following methods to recruit:

Traffickers and/or pimps rely on various methods of recruitment, and they include:

• Psychological manipulation - making a woman/girl fall in love

• Debt

• Drugs and drug addiction

• "Gorilla" Pimping - utilization of force, kidnapping, and physical harm to achieve a victim's submission

• Working with Those in Positions of Authority - parents, guardian, older siblings, foster parent, or an authoritarian figure who forces a victim into bondage.

The Trafficking Victims Protection Act (TVPA) of 2000 actually defines severe forms of trafficking in persons as that which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or the recruitment, harboring, transportation, provision or obtaining of a person for labor or services, through the use of force, fraud or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery (22 U.S.C. § 7102).

What Next?

Whether you are a resident of California or not, you should contact California legislators and encourage them to support this Bill.

A list of California legislators can be found here .

For more insights and tips, see the guide H ow To Lobby The California State Legislature: A Guide To Participation .

Misoprostol, Coat Hangers, and Trump: Foreign Objects in Our Wombs

By Assata Baxter

In the United States, one in three of us has had one. We don't share this. In the midst of making hard decisions, we bear the vitriolic harassment of those who have never and will never carry children, or those who chose to project the insecurities of their own decisions on others, before we can get to the door. We are blamed and shamed in clinic parking lots with pictures of 56 week old dead fetuses. We enter clinics alone without our partners' knowledge, weighted with surprises in pink lines when it's not yet our time. Or our partners hold our hands and say that whatever we choose they are beside us. Or depending where we are in a low-income country, there may be no clinics. So, we ask our friends if anyone has a doctor in the family who can write a prescription; anyone who knows someone who knows someone who works at a pharmacy. We look up which combination of pills it requires, and pray that it works. We go to sangomas in another village. We put our lives in the hands of "surgeons" and hope that we wake up with use of our reproductive organs… or that we wake up period. There are no certain answers. No "do-it-yourself" manuals. And every 8 minutes in low-income countries, one of us will die of complications arising from it.

We don't announce our decisions on Facebook, or post pictures to Instagram of the sonogram, of the fetus we have chosen not to keep. We may tell some close to us, but often we don't tell our best friends, our parents, our siblings, sometimes our partners. We are afraid their religion or recently recognized righteousness will get in the way of them hearing us…that they will guilt us into thinking otherwise, or it may change forever how they see us. We fear scarlet letter branding. We talk in hushed whispers if at all. Sometimes we find support groups. Sometimes we continue life as usual. Sometimes we are forever changed. While our experiences are different, what remains consistent is that abortion sits squarely at the juncture of ethics, religion, morals, science, gender and politics. And yet the discussion of the experience remains taboo.

I have had two abortions; one in Kenya, one in Djibouti, both "back alley" in the sense that they lacked medical supervision or prescription. I was not raped. My health was not in danger. Simply, neither the birth control, nor the morning after pill worked. I give you these moderating factors for two reasons. One, because the myth often goes that underserved populations use abortion as birth control. This was not the case. Further these very factors had both an impact on my conscience and impacted accessibility to any legal type of procedure.

My period was a week late. But, my period was always a little bit hard to calculate. It didn't cross my mind that I could be pregnant until week two. We always used protection, and our one accident, I had taken the morning after pill. I bought a take-home pregnancy test at the nearby market. I remember crouching on the floor of my apartment in south B, Nairobi watching the Test line appear. The test was supposed to take three minutes, but positives appear faster… and even the few seconds it took, seemed like a lifetime. I rocked back and forth, hugging my knees to my chest, crying… I called my boyfriend, shaking, inconsolable, tears pouring down my face. He rushed over and held me as I cried myself to sleep. I wished it happened like in the movies. The girl who finds herself pregnant always magically miscarriages. She never actually has to make a decision. She can share her story freely, with whoever chooses to listen, because miscarriages are not of our choosing. They are not our fault or our choice. They are met with sorrow or pity or empathy, because they are God's will or the will of the Universe or whomever we believe in. We hold no "fault".

But it did not happen like the movies. I bought three more pregnancy tests the next week. I convinced myself I had ovarian cysts, that I kept contaminating the urine sample, or that the pharmacy by my house was selling expired tests. By the end of the week, I started having dizzy spells. I was beginning to feel nauseous quite often, but I had three days off work before heading to rural Uganda for work, and so the race against the clock started. The next day I woke up I felt awful, and depressed. I wanted to see a doctor. That would be the only way to know for sure. We made an appointment at a nearby hospital. I explained the situation and they too thought that pregnancy was unlikely, particularly given the dates of my last period and encouraged me to do an ultrasound. I agreed. For once and for all, I would know.

My memories of the next few moments that day are very blurred. I remember hearing a heartbeat. I remember crying and heaving in some corner in the hospital. I remember I went home with a sonogram as a parting gift, that I have never brought myself to discard. But I did not want to have a baby, even after heartbeats and sonograms. I was 24, living and working in Kenya on 2000 USD a month, with an ocean separating me from my family, and financially supporting a sick mother back at home. I was six weeks pregnant, and I did not want to be a mother, then… the same way I am unsure if I want to be a mother now. I knew immediately what I wanted to do, but had no idea how to do it, and having chosen to abort, there was nothing more that I wanted than to stop being pregnant. In my mind, I kept thinking the longer I waited, the closer the fetus came to viability, or to what in my mind was personhood. However, figuring out what to do was not easy. There is no "Planned Parenthood" in Kenya. I could not make an appointment to discuss my options. Abortion is and was illegal in Kenya, and only viable to save a woman's life or preserve her physical health.

I was not willing to wait any amount of weeks to try and fly to another country and come back. I also was not willing to literally have a back alley surgical abortion. I had one or two friends I confided in, who might have known someone who had "the surgery". I was not willing to risk my future reproductive health or a return to consciousness being unsure of what had been cut, or poked or inserted inside of my body. Here there was no RU-486. We had to find a doctor who would be willing to write a prescription for the pills I would need to give myself a medical abortion. We could not get it in the pharmacy without a prescription. We found a doctor who was willing to write a prescription however the dosage was not enough. It was for only 200mcg. We made copies of the prescription. We bribed pharmacists to give us more until we had 800mcg. There were multiple websites with multiple directions. I chose one and stuck with it. I put a pill under my tongue, wrote a letter to my unborn child, and asked for her forgiveness and to come back when it was her time. I wore a pad for the rest of the night. And in the morning, it was just as if I started my period. And that was it. I no longer felt nauseous. I just had what felt like period cramps... At least I thought that was it. I headed to Uganda for work. The secret safe between my boyfriend and I.

For the next two days life, continued as somewhat normal. However the third day, I had cramps far worse than any period I had ever had. They were so painful that I had to bite on a towel to keep from screaming out, every time I used the bathroom. I struggled through my work day, taking multiple breaks per hour. I was dizzy, sweating, and nauseous. Day four, I had what I realize now was probably Class Two hemorrhaging. I woke up to blood everywhere in the sheets. I wouldn't stop bleeding. In a town in far West Uganda, coming from the bathroom, too weak to walk, I tried to crawl back to bed, but could not make it. So, I lay on the cold floor of a hotel room, entering and exiting consciousness until morning; bleeding uncontrollably, until a friend found me in the morning. I never did see a doctor, but the process of healing from both the physical and psychological wounds was a long one. The psychological wounds remained because the physical damage to my body, the anticipated lack of support, my suffering in physical and emotional pain in silence, the battle of my conscience, and the feeling of utter loneliness did not leave immediately. But I survived… which makes me a lucky one.

International Access to Abortion

Imagine that approximately 310,000 women undergo abortions in secrecy each year in Kenya alone, according to the East Africa Centre for Law and Justice[1]. 21,000 women are admitted each year as a result of complications related to unsafe abortions, which are usually undertaken in back alley clinics. 2,600 of these women eventually die. Research from the Center for Reproductive Rights has found that unsafe abortions account for 40% of the maternal mortality rate[2]. I was fortunate enough to have a supportive boyfriend, and enough financial capital to be able to afford both seeing private doctors, and paying the costs of both prescriptions and bribes. I know that is a privilege not all women have in Kenya. Due to restricted abortion legislation, even with the new constitution, women, less than having access to a medically safe procedure, do not even have access to the human contact that would provide them with the support and empathy they seek, and the tools they would need to make an informed decision.

In sub-Saharan Africa, 98% of countries allow abortions to save the mother's life, however only 33% permit abortion in cases of rape or incest and only two allow elective abortions for any reason. But, I will point fingers neither at Kenya, nor the continent of Africa. Kenya is not the only country with restrictive abortion legislation. In fact the countries with the most restrictive abortion legislation are found in Europe, Central and South America. The Holy See (Vatican City), Malta, Dominican Republic, El Salvador, Nicaragua and Chile do not allow abortion under any circumstances, even if the mother will die from complications prior to or giving birth[3].

According to Pew Research Centre, although in Europe about 73% of countries allow abortions for any reason, Ireland, Andorra (between France and Spain) and San Marino (Italy) only allow abortions in order to save the life of the mother. In Ireland, illegal abortion carries a sentence of up to 14 years in prison. And therefore, more than 5000 women each year are forced to leave the country to have abortions outside of Ireland [4]. These same studies have revealed that 26% of countries in the world only allow abortion to save a mother's life; and 42% allow abortions only when the mother's life is at risk in combination with "at least one other specific reason, such as to preserve a woman's physical or mental health, in cases of rape or incest, because of fetal impairment or for social or economic reasons" [5]. According to the World Health Organization 21.6 million women undergo unsafe abortions every year [6]. Of those, 6.9 million women were treated for complications from unsafe abortions. I form part of the 40% of women who experienced complications but never received treatment. Unsurprisingly, almost all abortion-related deaths occur in low-income countries, with the highest number occurring in Africa. The Guttmacher Institute, according to recent studies have found that 8-18% of maternal deaths worldwide are due to unsafe abortion, and the number of abortion-related deaths in 2014 ranged from 22,500 to 44,000 [7].

What these numbers and percentages mean, is that beyond any discussion about population control in low-income countries, at what specific age human life becomes viable, if abortion is morally right or wrong, the after-life consequences of our actions, is that women are literally dying trying to get abortions, often of the surgical kind.

Trump in Our Wombs

The 1973 Helms Amendment , created in the wake of the Roe v. Wade decision, prevents the use of American foreign aid for abortions. The caveat being that the money could still be used to fund family planning, or educate women about abortions, but could not be allocated to the procedure itself. On January 23 rd 2017, beneath our noses, President Trump signed an executive order which reinstated the "global gag rule". Effectively this rule bans federal funding for international non-governmental organizations that offer abortions, advocate for the right to an abortion, or even discuss abortion as an option to mothers. In the past this order known as the "Mexico-City Policy", has been instituted by Republicans and struck down by Democrats multiple times. Yet the massive degree of funding that will be affected by this gag order is absolutely unprecedented. The gag rule will apply to about $9.5 billion dollars in global health funding which will effect organizations mostly in low and middle income countries. These cuts may even effect HIV prevention and treatment, and maternal health care. Conservative estimates by the Guttmacher Institute project that the result will be 38,000 more abortions. Marie Stopes International estimates that the global gag rule will lead to an additional 2.2 million abortions worldwide, and given the restrictive abortion policies in 68% of countries, a vast majority of these will be unsafe abortions.

Basta de Rosarios en Nuestros Ovarios (No More Rosaries in Our Ovaries)

While it is impossible to project definitively, I wonder how many more women will die this way, unaccounted for, afraid, hemorrhaging to death on the floor of a hotel room, or during surgery in the room of a back office with no windows, where her body may simply be disposed of, to ensure the continued financial gain of the "clinic". This unnecessary maternal mortality is a direct byproduct of desperation in environments that stigmatize and demonize women for unintentionally becoming pregnant, for whatever reason, and then punish them by restricting access to services. On top of this, with funding basically drained to international and national NGOs who specialize in family planning, pregnancy prevention, and pre- and post-counseling, women, especially in low-income countries are left very alone. I took years to heal from my psychological wounds. I never once regretted my decision. But I almost lost my life in the process. Reproductive rights belong to those who are doing the reproducing. Trump's new policies are invading our wombs, reaching into our bodies to yank away reproductive rights with fetal heartbeat bills and global gag rules. As has happened historically, when autonomy over our own bodies is taken away, we as women find a way to take it back. Banning abortion, or cutting funding to organizations that even discuss abortion will not make abortion disappear, it will only result in the unnecessary death of tens of thousands of women a year, by knitting needle, Misoprostol and coat hangers.

Notes

[1] http://eaclj.org/about-us/7-fida-and-kclf-landscaped-comparison.html

[2] https://www.reproductiverights.org/initiatives/maternal-mortality

[3] http://www.care2.com/causes/the-5-countries-that-would-let-a-woman-die-before-getting-an-abortion.html

[4] http://www.pewresearch.org/fact-tank/2015/10/06/how-abortion-is-regulated-around-the-world/

[5] Pew Research Center http://www.pewresearch.org/interactives/global-abortion/

[6] http://www.who.int/reproductivehealth/topics/unsafe_abortion/magnitude/en/

[7] https://www.guttmacher.org/fact-sheet/induced-abortion-worldwide

Ensuring the Right To Reproductive Health: The American Public Health Association Takes A Stand With Planned Parenthood

By Cherise Charleswell

On October 30th, I walked along 14th Street in the heart of downtown Denver Colorado, a notably Progressive city, heading to hear the Opening Address of the 144th annual American Public Health Association (APHA) Conference; and out of the many years of this organization's operations, this proved to be one of the most controversial opening sessions. Before reaching the convention center I was bombarded by protestors who were yelling, shouting through bull horns, attempting to shove flyers into my hand, and also standing next to quite large placards with graphic images on them. One of the protestors who reached out to me, couldn't have been more than 7 or 8 years old. They all had assembled to protest the invitation of keynote speakers, Cecile Richards, Executive Director of Planned Parenthood; and I was of course on my way, along with many other public health professionals - a mix bag of clinicians, social workers, researchers, scholars, and policy makers - who more so than others, know the importance of the critical services that Planned Parenthood provides.

I have attended the APHA Conference for a number of years, and I could not recall a scene like this before, and it led me to wonder about these protestors, who choose to choose to show up, at the largest public health convening in the nation; in an attempt to convince the professionals, those working on the ground to improve health outcomes - that they know what is best. Much like Presidential Donald Trump, who boasts about not having to consult with anyone, and that he "knows more than the Generals"; it was a moment where the ignorant and uninformed, once again decided that they "knew best".

I had to ask - where were these protestors, why were they silent when APHA has speakers and initiatives around the topics of climate change, health inequity, gun violence, and so on; since they are so concerned about the preservation of life? I wondered if they are even aware of the fact that the United States ranks 26th among the Organization for Economic Co-operation and Development countries, in infant mortality rates,

A new report reveals that the United States has the highest first-day infant death rate out of all the industrialized countries in the world. Further, the 14th annual State of the World's Mothers report, put together by non-profit organization Save the Children, ranked 168 countries, and found that the United States had the highest rate of First Day death; finding that about 11,300 newborns die within 24 hours of their birth in the U.S. each year, 50 percent more first-day deaths than all other industrialized countries combined. These statistics can be attributed to pregnant women's lack of access to prenatal care - services that Planned Parenthood and other women's clinics provide. It is all too typical for groups like this, who are often religiously motivated to "Love the Fetus, and Hate the Child". Somehow, being Pro Life stops at the point of birth, and a testimony to this nonsensical way of thinking is that cuts in social safety net funding, and human services budgets, that would help children, as well as adults, who are undergoing hardships, never seem to be met with the same level of outcry and protest. In stead, those type of policies are often championed by these groups.

Nevertheless, I considered this hypocrisy once again, as I made my way towards the Bellasco Theater of the Convention Center; and the line forming just to reach the entry doors was massive. For the first time, I witnessed as the increases security measures were put in place. I couldn't recall having what seemed like APHA's entire staff on-hand checking our Conference badges - with calls to make sure they are on and facing up - in order to enter.

The Conference's theme was "Creating the healthiest nation: Ensuring the right to health", thus it seemed perfectly fitting that they would invite Cecile Richards, an ardent champion of women's rights, human rights, LGBTQ rights, and the rights to health; which are all linked. To understand this interrelationship one needs to first realize that health is far more than just the absence of disease. According to the World Health Organization (WHO) it is defined as a state of complete physical, mental, and social well being, and not merely the absence of disease or infirmity. So, health encompases all the factors that allows us to have an optimal well-being. Further, according to the WHO health (and access) to health is deemed a human right. The WHO states the following:

The right to the highest attainable standard of health" requires a set of social criteria that is conducive to the health of all people, including the availability of health services, safe working conditions, adequate housing and nutritious foods. Achieving the right to health is closely related to that of other human rights, including the right to food, housing, work, education, non-discrimination, access to information, and participation.

The right to health includes both freedoms and entitlements.

• Freedoms include the right to control one's health and body (e.g. sexual and reproductive rights) and to be free from interference (e.g. free from torture and from non-consensual medical treatment and experimentation).

• Entitlements include the right to a system of health protection that gives everyone an equal opportunity to enjoy the highest attainable level of health.

So, what are human rights? The United Nations Human Rights Office defined them as "Human rights are rights inherent to all human beings, whatever our nationality, place of residence, sex, national or ethnic origin, colour, religion, language, or any other status. We are all equally entitled to our human rights without discrimination. These rights are all interrelated, interdependent and indivisible". Unfortunately, and despite the general consenous across nations that states that there is a fundamental human to health; we still see opposition to this declaration at every turn, particularly when it comes to women's rights to reproductive health.

It is these issues that Cecile Richards was asked to come and speak about, and an APHA Conference was indeed a perfect place to address them. The American Public Health Association is a non-profit, non-governmental that champions the health of all people and all communities, strengthen the public health profession, and speak out for public health issues and policies backed by science. They are the only organization that influences federal policy, has a 140-plus year perspective and brings together members from all fields of public health; and their mission is "to Improve the health of the public and achieve equity in health status". In adhering to that mission, APHA has begun to increase and strengthen their efforts on advocacy around social determinants of ehalth, healthography (which links health outcomes to where one resides), and health equity. Out of necessity and the understanding that more than 75% of health and wellbeing is not attributed to genetics or biological factors, but social determinants of health, including health behaviors; APHA and many other public health organizations have stepped into this role. They have realized that the focus, outside of what is viewed as the "traditional" public health model are needed to effect change in health outcomes. And that change includes improving the social stauts of women and girls. This understanding aligns with the United Nations Millineum Development Goals, which includes stated Goals that directly impact this population. For example, Planned Parenthood's work actually (4) of the stated 8 goals:

• Goal 3 Provide gender equality and empower women.

• Goal 4 Reduce child mortality.

• Goal 5 Improve maternal health.

• Goal 6 Combat HIV/AIDS.

These goals come with the understanding that education, financial indepenendce, contraceptive use, and family planning options allow for social mobility; which is tied to improved health outcomes.

Much like the selection in speaker, the leadership of APHA couldn't have picked a more suitable city than Denver Colorado to host this 144th Conference. Denver - and Colorado in general - stands out as a Progressive Western state. In terms of public health and women's health, they are really excelling. There is an effort to maintain walkable communities, comprehensive and integrated mental health services; many of which focus on the specific needs of women, and more. Below is a short overview of how Colorado has led-the way or continue to excel in advancing public health:

· Colorado is the "thinnest" state having the lowest obesity rate. However, it must be noted that the rates in the State are still worse off than they were 20 years agp; which means that they are matching the alarming trajectory of obesity that is seen nationally. To understand why women, particularly women of color need to be concerned about obesity see the article Health Shaming: Feminist Rhethoric is in Need of An Intervention . Obesity is THE most critical obstacle to optimal health and wellbeing, and has a number of comorbidities that often lead to premature death, reduce function, reduce mobility, and reduced quality of life.

· Colorado is a pioneer in terms of birth control access.

· Walkable communities and a general focus on Active living

· Decriminlization of marijuana - and utlizing the $121 million in tax revenue to provide health services.

• · Baby -friendly hospitals.

A Look Back At The Status Of Women

In order to achieve or even consider this goal of "Creating the healthiest nation", there must be efforts that safe guard and work to improve the health of women and girls, who account for (50.4%) of the United States population. And doing so- is the main focus of Planned Parenthodd, which has offered life-saving services to women who would not otherwise be able to access care. Seventy-nine percent of our clients have incomes at or below 150 percent of the federal poverty level. Planned Parenthood, like other organizations dedicated to women's health and reproductive justice, do so with the understanding that the clinical services that they provide are indeed linked to other health indicators. These indicators help to determine the "Status of Women" and much has changed in that status since the inception of Planned Parenthood 100 years ago. Consider the following:

· Family size declined between 1800 and 1900 from 7.0 to 3.5 children . In 1900, six to nine of every 1000 women died in childbirth, and one in five children died during the first 5 years of life.

· In 1916, the leading cause of death for women was tuberculosis and complications from pregnancy and childbirth.

· Now contrast that to the fact that in 2016, women in the US live 30 years longer thatn they did in 2016.

· In 1916, many women did not have a post-secondary education, but now women earn the majroity of Masters and Doctoral degrees conferred in the US. Even more amazing is that Black women, despite the historical legacy of racism, sexism, classism, and anti-Blackness that they have been subjected to, are now considered to be the most educated group in the US. However, this advancement in education has yet to materialize into improvements in social and health status for a number of reasons.

What Has Accounted For This Change In Status?

The recognition that women's rights are indeed human rights - and the orchestrated efforts of social justice and reproductive health activists, public health advocates, as well as clinicians who provide compassionate and quality services outside of a restrictive religious model, which help to sustain the problems of stigma and shame that is tied to women's bodies and sexuality. These are the people who have mobilized and continue to advocate for the human right to health care for women. And they represent those who realize something as simplistic as, abstinence being an unrealistic form of birth control, and further - they recognize that telling women that they should only practice abstience is actually offensive; and ignores the fact that women also enjoy sex as a pleasurable experience, not one that is simply tied to reproduction.

Thus, this change in status was aided by the disassociation of sex from reproduction through family planning and reduction in family size. The point that these factors have helped to improve health outcomes across the life trajectory, as well as in the health of babies, is well documented and understood. See here,here, and here.

For that reason many interventions efforts focus on the dissemination of condoms, increasing access to birth control, as well as working to abolish practices such as child marriage. The underlying framework is one of reproductive justice, which works towards women and girls having every opportunity to thrive. According to Dr. Camara Jones, President of APHA, this is the basis for health equity. Which she defines as "the assurance of the conditions for optimal health".

An Overview of Planned Parenthood's Services

All of the failed efforts to dismantle and defund Planned Parenthodd are extremely short-sighted and uninformed, in that they focus on only one aspect of the services that the organization provides: Abortion. Never mind this tidbit shared by Cecile Richards, "80% of US counties do not have abortion providers". With the way that those who try to trump on women's reproductive rights try to frame abortions as some kind of epidemic, you would think that there was milions of providers. And the attacks against the organization are filled with misinformation, and do not consider the fact that abortions are one of the safest medical procedures in the US, and that they are also performed to save the lives of pregnant women. Again, the fact that pregnancy complications use to account for the vast majority of premature deaths of women, cannot be ignored.

Still, Planned Parenthood provides a plethora of health and educational services to women - as well as men. Yes! Men actually go to Planned Parenthood for services as well, such as affordable vasectomies; realizing that family planning is not a responbility that is tied to gender/sex. Here is a list of services offered by Planned Parenthood:

· Health Care Services: STD testing and treatment, contraception, mammogram screenings, pap smears (cervical cancer screenings), and accompanying health care

· Prenatal Services

· Health Education services

· HPV vaccinations

Here are also other exciting and innovative services offered by Planned Parenthood and other reproductive health organizations:

· Skype accessible consultations for birth control prescriptions - provided online.

· Telehealth abortion services - with mailed medications.

· The "Spot On" (LINK) app that serves as a period tracker, but also teaches users about birth control. It will also "ping" users when it is time to take their pill. And it is available for free download.

In Conclusion

41% of unintended pregnancies actually occur due to inaccurate use of birth control, and this points to (3) things: (1) women continue to want and have a need for access to family planning services and resources, (2) most women are utilizing these serves, (3) far much more needs to be done in terms of education of both patient and clinicians.

Therefore, it is imperative that we approach women's health and human rights with the understanding that access will continue to be key. Access to care, resources, and education. We have far to go to make health care access a reality for all, thus ensuring this right to women's reproductive health will also require changes in sociocultural attitudes to help to remove stigma and shame; and guarantee equity in access regardless of gender, race/ethnicity, income, immigration status, and where one resides. There are 18 available birth control methods, and they are utilized by 90% of American women, which makes the Affordable Care Act's universal coverage of contraceptives for all women, regardless of insurer; another monumental public health policy that will ultimately help to further improve the status of women.

With gains in education, income, body autonomy, and other health indicators, and overall Status - the future may prove to be FEMININE.