by Connor Semelsberger, MPP
August 19, 2020
On Monday, the State Department, in coordination with other federal agencies, released a second review of President Donald Trump’s Protecting Life in Global Health Assistance Policy (PLGHA), affirming its effectiveness in both protecting life and promoting global health.
On January 23, 2017, President Trump reinstated and expanded the Mexico City Policy which restricts foreign funds from going to organizations that perform or promote abortions. This unprecedented expansion, which is now known under the PLGHA name, expanded the requirements from only applying to family planning funds to now covering all global health funds totaling nearly $8.8 billion in American foreign aid.
The outrage from pro-abortion groups was prompt, as 130 groups sent a letter to President Trump immediately following the announcement, condemning this policy for increasing unintended pregnancies and maternal deaths. The attacks on this policy have also made regular appearances in Congress as pro-abortion members have sought to delegitimize the effort and paint it as harming United States global health goals. This February, the House Foreign Affairs Committee held a hearing on women’s global health, and pro-abortion members used it as fodder to attack PLGHA. Rep. Nita Lowey (D-N.Y.) claimed that “This administration’s unprecedented expansions [were] implemented with no analysis of the potential impacts.” She further asserted that “mass confusion about the policy has led to a chilling effect causing organizations to unnecessarily change or eliminate vital health services.” The State Department has now issued two thorough reports showing that these allegations are far from the truth.
The most recent report from the State Department analyzing the implementation of the PLGHA policy reveals that so far, only eight out of the 1,340 prime grantees of global health funds have declined to agree to the terms of the policy, two of which were the International Planned Parenthood Federation and Marie Stopes International—two of the largest global abortion groups. That means that 99 percent of all organizations directly receiving these global health funds have agreed not to promote or perform abortions. An additional 47 subgrantees also declined to accept the terms of the policy, but in most cases the prime partner organization directly receiving the U.S. global health funds was able to take on these activities or transition them to another organization. Not everything with the implementation was perfect, as 18 of the subgrantees did report delays in health care delivery of greater than three months. In these instances, USAID stepped in to help find new partner organizations or work to provide technical assistance. Also, following the completion of the first State Department report, USAID has taken substantial action to train grantees on the implementation of the policy by providing in-person trainings and electronic guidance materials. Contradicting what Congressional opponents have claimed, the report concluded: “When organizations declined the terms of PLGHA, the transitions to alternative health providers have been, for the most part, smooth.”
Abortion providers, whether domestic or abroad, act as if they have a right to receive public funds, and any time those funds are taken away, there will supposedly be immediate consequences to public health. Time after time, this has been proven false, and the latest State Department report is further evidence of that. The other trend confirmed in this report is that when the government restricts funds for abortion providers, other willing funders will always step in to keep abortion groups supported. The report noted that in Burkina Faso and Niger, private donors stepped in to fund organizations that did not comply with the PLGHA policy.
A similar situation happened when President Trump implemented the Protect Life Rule which prohibited Title X grantees from promoting abortion. Planned Parenthood and other abortion providers withdrew from the program, sacrificing over $50 million in federal funds only for it to be replaced by state revenues instead. These trends raise the debate over whether public programs should only seek to provide services in the most efficient way possible; or, should morals and ethics play a role in how programs are implemented and which organizations provide those programs. The thorough review of using taxpayer funds to promote women’s health through Title X domestically and international global health funds demonstrate that our government can do both.
President Trump and his administration have gone above and beyond any past president to implement government-wide policies that protect unborn life. The reports being released further confirm that the U.S. can have policies that seek to both protect unborn children and promote better health outcomes for women. As Rep. Cathy McMorris Rodgers (R-Wash.) boldly proclaimed in response to the Congressional attacks on PLGHA: “To win the future, America should be leading to affirm the dignity and value of both patients, mothers and children.”