By: Valerie Ryan
magine that.  According to a January Guttmatcher Institute report for
2006 Public Funding for Family Planning, Sterilization and abortion
services, the term “family planning” does not include having a family.
familynonon.jpgIt does include, however:

[C]lient counseling and education, contraceptive drugs and devices, related diagnostic tests (e.g., pregnancy, Pap, HIV, other STIs) and treatment after diagnosis (e.g., urinary tract infections and STIs other than HIV). Whenever possible, we separated out services that are not part of the standard package provided to clients seeking contraceptives, such as outreach and education activities, sterilization services (both of which we report separately), and
administrative expenses….


What was this report about? It was about our tax money going toward “family planning” for low income people.
Now, I have no problems helping low income people get needed reproductive health care such as PAPs, STD testing, other diagnostic tests and treatments if needed, prenatal and postnatal care.
blood1.jpg However, this report indicated we are spending a good deal of money for non-medical reasons.
Here are a few highlights:

  • Public expenditures for “family planning” client services totaled $1.85 Billion in 2006.
  • Medicaid accounted for 71% of the total spending;  The rest from other government programs such as Title X and different state appropriations.
  •  6 states (CA, KY, NY, OR, PA and WA) accounted for half of all Medicaid expenditures, yet Medicaid was the single largest source of funding for 41 states.
  • By the middle of 2006, 14 states had initiated income-based expansion programs providing family planning services under Medicaid to individuals with incomes well above the cut-off for Medicaid eligibility overall.
  • From 2001-2006 Medicaid spending in 8 of the states with income-based expansion programs increased by 57%, compared to 18% among states without expansions.
  • During 1994-2006 Medicaid spending in the 14 states with expansion programs tripled.  Spending went from $252 Million to $759 Million.
  • For 2006 $43 million was spent for outreach and education activities.
  • In 2006 $116 million was spent of sterilization services, 97% were spent through Medicaid.  Eight states account for half of all reported spending.
  • The federal and state governments funded over 177,000 abortion procedures which cost $89 Million dollars.  191 procedures were paid for by the federal government the rest by the individual states.  bcpill2.jpg(This means the government spent appx $500 for each abortion.  Guttmatcher 2007 abortion costs report said that the average cost of an abortion is $372; also appx 21% of abortions are paid for by the government.)
  • Over 99% of publicly funded abortion procedures occurred in 17 states that have nonrestrictive policies.
  • Medicaid agencies in some states dedicate their own funds to provide services to groups of people, such as many immigrants, who are barred from federally reimbursed Medicaid.  (Medicaid pays for Immigrants who are here legally.)
  • 53,381 abortions were from 4 states that have nonrestrictive policies on government funding for abortions
  • 123,272 abortions were from 13 states that are court ordered to pay for “medically necessary abortions.” (Life/health of mother; gross fetal deformity; rape and incest make up 7% of abortions according to Guttmatcher. However, this number represents appx 14% of abortions.)
  • 54 abortions were from 27 states that provide funding for abortion in cases of rape, incest and life of mother.
  • 697 abortions were from 6 states that provide funding for abortion in cases of rape, incest and life/health of mother.
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