Showing posts with label Reproductive health bill. Show all posts
Showing posts with label Reproductive health bill. Show all posts

Wednesday, April 06, 2011

Responsible Parenthood cannot be legislated, Part 2

After posting Responsible Parenthood cannot be legislated, I got five comments, three at the Comments section, and two by email. Let me enumerate the five points.

1. One thing the sponsors and rabid supporters of this bill has not discussed is the actual cost of this bill, its impact on the fiscal balance (currently in historic deficit levels) and whether any future taxes are required. Hope you can have some numbers on this.

2. Good parenting needs to be legislated at the taxpayers expense by programs such as Positive Parenting which promote optimal parenting skills so obviously lacking. Damaged children are not productive citizens and become expensive casualties.

3. The RH Bill intends to help parents who already want to limit the number of their children; it does not tell them how many children to have. It is the population of our countrymen from classes C, D and E that continue to rise and they are the ones who need the services that government provides (through increased borrowing). I agree that responsible parenthood cannot be legislated, but irresponsible parenthood can be prevented through proper legislation.

4. Here is Reasons Why We Need the RH Law by Clara Rita Padilla of EnGenderRights, Inc., publication funded by the UN Development Fund for Women (UNIFEM). The 18-pages paper lists 11 reasons why: To respond to the clamor of the population who want the RH bill; To prevent unintended pregnancies; To prevent maternal deaths related to pregnancy and childbirth; To prevent infant mortality; To help individuals choose responsibly when to have children; To reduce abortion rates; To give rape victims a better chance to heal from their ordeal; To prevent early pregnancy and STDs among adolescents; To address the rising HIV/AIDS cases; To avoid the negative impact of large families on the poor; and To free women's bodies from politics and fundamentalism.

5. Nonoy, I think you are missing the point. The law is not to legislate responsibility it's to educate people and to give them access to devices so that they can exercise responsible parenthood. Cheers. -- Reiner Gloor, PHAP Executive Director (I am posting this comment with his permission)

My reply to the above comments:

On #1. It is difficult to produce the estimates of how much the Reproductive Health, Responsible Parenthood (RH-RP) bill will cost. In Sec. 5, hiring of thousands of new midwives; In Sec. 6, creation of new hospitals in EACH province and city which have no hospitals yet, and for those which have ones already, to modernize them. These 2 sections alone would cost several hundred millions, if not billions, per year already. I am sure the various government agencies involved in the implementation should this bill becomes a law, have the numbers, but they should be hiding it now to the public.

On #2. I think this is clear advocacy for a big, nanny state. People cannot be trusted to take care of themselves; parents cannot be trusted to make appropriate planning about their households, much less take care of their kids. Thus, there has to be a BIG and monster institution, the government, that will guide people how they should take care of themselves and their kids. A big nanny state is like a socialist state. It is supposed to give you everything but it will also take everything you've got.

All existing government socio-economic programs were created in the past with long-term view. Education for the poor, healthcare for the poor, housing for the poor, credit for the poor, agrarian reform for the poor, social welfare for the poor, justice for the poor, public works for the poor, currently conditional cash transfer for the poor, and soon, population control for the poor...

3. The government desire of limiting family size is implicit, not explicit. The most recent data, 2.0 percent RP population growth rate per year is deemed "too high" by international standards, thus the government, with cheering up from the UN, WB, WHO, other foreign aid bodies, is "urging" couples to limit the number of their kids.

The issue of "irresponsible parenthood can be prevented through proper legislation" is answered by my points above.

4. It seems that the RH/RP bill, when it becomes a law, is a panacea for all the 11 problems mentioned above, like prevention of maternal deaths, infant mortality, unintended pregnancies, HIV and STD, and so on. Government is a superman. It can stop and prevent all the mentioned problems. Really?

When the Department of Education (currently DepEd, previously called DECS, MECS, MEC, DEC, Dept. of Instruction, etc.) was created more than a century ago. the goal was to prevent high illiteracy, prevent high drop out rate among children, prevent low quality education, prevent early pregnancy via civic and good manners subjects, and so on. Did this happen?

If this happened as well as to other sectors, then those students would have been productive citizens many decades ago, and the need for expanded public education in the succeeding generations would have been reduced if not eliminated as people have become well-educated and self-reliant adults.

Educating couples about RH and giving them access to devices -- should government do this? These can not be done by other parents, various civic groups, corporate foundations, NGOs, church-based groups?

It is noticeable that there is too much focus on population size - economic growth link. Granting that this is true, which causes which?

On #5. The above reply would apply here. I suggested to Reiner that there is BIG danger if we allow government to have another round of heavy intervention on the citizens' lives, down to the bedroom level. Many of those things that the RH-RP bill mandates can be done by the market, by civil society, by voluntary organizations. The pharma industry has already experienced the heavy hand of government when it unilaterally imposed drug price control.

In my essay last month, What is the role of government?, I wrote,

It boils down to only one important function: Promulgate the rule of law. Government has laws against killing, against stealing, against kidnapping, against corruption, against plunder, against carnapping, etc. Let government implement ALL of them, ZERO EXCEPTION....

What about the very poor? Who will take care of them?... if the poor will put up a vulcanizing shop, a barbeque stand, a barber shop, or plant kamote and pechay in vacant lots, or buy those farm products and sell in a corner stall, government should get out. Do NOT require these small and micro entrepreneurs to secure costly and bureaucractic business permit, barangay permit, sanitation permit, location permit, various other permits and pay lots of taxes and fees.

In short, if the poor will become industrious and would want to stand on their own, government should step back. If the poor will become lazy and steal, government should arrest them and put them behind bars. The rule of law says NO STEALING. It does not matter if the theft is the President of the country or a Congressman or the poorest man on earth. No one should steal, period. No ifs, no buts, no preconditions, no exceptions.


What causes poverty is heavy government intervention and taxation while not promulgating the rule of law. By enacting many restrictions and prohibitions on ordinary citizens but not applying the same restrictions to government people themselves and their friends. Poverty has little to do with high population growth.

Tuesday, April 05, 2011

Responsible Parenthood cannot be legislated

Question: If you are a parent, has one or more kids, do you need the government to tell you that you should be a responsible parent?

Think quick. Yes or No?

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If you answer Yes, then I believe there is something wrong with your personal values. If you answer No, then I congratulate you. You know your role as an individual and as a parent.

But now, we in the Philippines are faced with a congressional proposal with an ugly title called "Responsible Parenthood" bill. Parental responsibility is a non-issue. It's a given. If you are a parent, you HAVE responsibilities to your kids, to your family, no alibis.

So how come that a supposedly non-issue has become a big national issue?

I think the quick and simple answer is: Government. The government wants to impose another round of coercion and mandatory actions. And there are penalties and fines for non-obedience to such new round of coercion.

This highly controversial, highly divisive, highly emotional congressional bill, will require long discussions. Section by section if necessary.

For now, I will limit this article to only one thing: HUGE budgetary requirements to implement this proposal if it becomes a law. I will reserve additional discussions in the continuation of this new discussion series.

The authors, sponsors and advocates of this bill seem to think that this problem does not exist -- high public debt as a result of endless annual budget deficit, a result of endless borrowings to plug those deficit. High debt will require high repayment, both in principal and interest payment.


And thus, they thought of these programs with still undetermined, high, and new expenditures on top of existing expenditures:

Sec. 5. Midwives for Skilled Attendants.

The Local Government Units (LGUs) with the assistance of the Department of Health (DOH), shall employ an adequate number of midwives to achieve a minimum ratio of one (1) fulltimeskilled birth attendant for every one hundred fifty (150) deliveries per year...

Sec. 6. Emergency Obstetric Care.

Each province and city, with the assistance of the DOH, shall establish or upgrade hospitals with adequate and qualified personnel, equipment and supplies to be able to provideemergency obstetric care. For every 500,000 population, there shall be at least one (1)hospital with comprehensive emergency obstetric care and four (4) hospitals or other health facilities with basic emergency obstetric care...

Sec. 7. Access to Family Planning.

All accredited health facilities shall provide a full range of modern family planning methods,except in specialty hospitals which may render such services on optional basis. For poorpatients, such services shall be fully covered by PhilHealth Insurance and/or governmentfinancial assistance on a no balance billing...

Sec. 9. Maternal Death Review

All Local Government Units (LGUs), national and local government hospitals, and other publichealth units shall conduct annual maternal death review in accordance with the guidelines setby the DOH.

Sec. 10. Family Planning Supplies as Essential Medicines

Products and supplies for modern family planning methods shall be part of the National DrugFormulary and the same shall be included in the regular purchase of essential medicines andsupplies of all national and local hospitals and other government health units.

Sec. 11. Procurement and Distribution of Family Planning Supplies

The DOH shall spearhead the efficient procurement, distribution to Local Government Units (LGUs) and usage-monitoring of family planning supplies for the whole country.

Sec. 13. Roles of Local Government in Family Planning Programs

The LGUs shall ensure that poor families receive preferential access to services, commodities and programs for family planning. The role of Population Officers at municipal, city and barangay levels in the family planning effort shall be strengthened. The Barangay Health Workers and Volunteers shall be capacitated to give priority to family planning work.

Sec. 14. Benefits for Serious and Life-Threatening Reproductive Health Conditions

All serious and life threatening reproductive health conditions such as HIV and AIDS, breast and reproductive tract cancers, obstetric complications, menopausal and post-menopausal related conditions shall be given the maximum benefits as provided by PhilHealth programs.

SEC. 15. Mobile Health Care Service

Each Congressional District shall be provided with at least one Mobile Health Care Service(MHCS) in the form of a van or other means of transportation appropriate to coastal ormountainous areas.

SEC. 16. Mandatory Age-Appropriate Reproductive Health and Sexuality Education

Age-appropriate Reproductive Health and Sexuality Education shall be taught by adequately trained teachers in formal and non-formal educational system starting from Grade Five up to Fourth Year High School using life-skills and other approaches.... The Department of Education (DepEd), the Commission on Higher Education (CHED), the Technical Education and Skills Development Authority (TESDA), the Department of Social Welfare and Development (DSWD), and the Department of Health (DOH) shall formulate the Reproductive Health and Sexuality Education curriculum. Such curriculum shall be common to both public and private schools, out of school youth...

SEC. 19. Capability Building of Barangay Health Workers

Barangay Health Workers and other community-based health workers shall undergo training on the promotion of reproductive health and shall receive at least 10% increase in honoraria, upon successful completion of training. The amount necessary for the increase in honoraria shall be charged against the Maintenance and Other Operating Expenses (MOOE) componentof the Conditional Cash Transfer (CCT) program of the DSWD. In the event the CCT is phased out, the funding sources shall be charged against the Gender and Development(GAD) budget or the development fund component of the Internal Revenue Allotment (IRA).

SEC. 24. Right to Reproductive Health Care Information

...The DOH and the Philippine Information Agency (PIA) shall initiate and sustain a heightened nationwide multi-media campaign to raise the level of public awareness of the protection and promotion of reproductive health and rights...


Twelve sections leading to still undetermined amount, several billions of pesos per year of new spending to control high population growth. Determining the size of family is now government responsibility, not parental responsibility. Then taking care of the kids -- their education, healthcare, nutrition, other needs -- is also implied to be largely government responsibility, not parental responsibility.

Since when have the values of parents been corrupted this way?

Additional discussions to follow in the coming days and weeks.
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Related articles here are Increasing population, no problem

Population policy: Big Govt or Big Church?