Venezuela Economic Collapse Creates Family Planning Crisis President’S Note
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Volume 50, Issue 4 December 2018 VENEZUELA ECONOMIC COLLAPSE CREATES FAMILY PLANNING CRISIS President’s Note “Half the truth is often a great lie.” – Benjamin Franklin y failing even to mention population growth in the What will they tell hundreds of millions fated to become state- thirty-three-page “Summary for Policymakers” of less environmental refugees, pushed to relocate due to climate its new publication, Global Warming of 1.5°C, the change? What will they say to subsistence farmers forced to BIntergovernmental Panel on Climate Change (IPCC) offered watch their families starve as meager plots become arid waste- less than the whole truth. This is despite the fact that a 2010 lands? And what about the countless, voiceless species doomed paper published in the Proceedings of the National Academy to extinction because so many authorities tremble at the very of Sciences concluded that by the end of the century, slower possibility of a negative reaction? population growth could reduce total fossil fuel emissions by 37–41 percent. Benjamin Franklin, the redoubtable author of Poor Richard’s Almanack, warns, “You may delay, but time will not.” The IPCC “Summary for Policymakers” finds room to call for ecosystem-based adaptation, ecosystem restoration, biodiversity There is no excuse for timid temporizing in the face of a global management, sustainable aquaculture, efficient irrigation, social crisis. When climate experts fail to address population growth safety nets, disaster risk management, green infrastructure, sus- — arguably the single biggest driver of climate change — they tainable land use, and water management. But not one single place far more than their own reputations at risk. word about population stabilization. What is so hard about letting the world know that if every Ignoring the impacts of soaring population growth on climate woman and every couple had unfettered access to all reproduc- change is like failing to mention the Himalayas while describ- tive health services, we’d see population challenges evaporate? ing Nepal. Then maybe, just maybe, we’d have a fighting chance to save Earth as we know it. End this silence, now! Overpopulation remains the elephant in the room. Why the silence? The hard truth is that many experts worry they might John Seager offend someone, somewhere. This is a shameful betrayal of [email protected] reason. our years ago, I had lunch in the San Francisco home of a hero. Dr. Thomas Hall was awarded Fthat honor by Research!America in recognition of his lifelong leadership on reproductive health and other population-related issues. He shared some of those experiences with me along with tales of sailing adventures. A longtime member of Population Connection, Dr. Hall died last year at the age of 85. He graciously directed a posthumous donation of $250,000 to support our work. His legacy will enable us to reach many thousands of young people so they, too, might in some way help chart the course to a less-crowded future. Population Connection — December 2018 Volume 50, Issue 4 December 2018 Features Board Chair Estelle Raboni, MPH, MCHES 10 Lacking Birth Control Options, Desperate Venezuelan Board of Directors Aaron S. Allen, PhD Women Turn to Sterilization and Illegal Abortion Andreea Creanga, MD, PhD By Lou Marillier and Daisy Squires Amy Dickson Katie Ferman Bryce Hach, MS 16 As Venezuela’s Health System Crumbles, Pregnant Mark Hathaway, MD, MPH Women Flee to Colombia Padgett Kelly, PhD Nejla Liias, MPP By Anastasia Moloney Sacheen Nathan, MD, MPH Bob Pettapiece, EdD Dara Purvis, JD (Vice Chair) 22 Slowing the “Reproductive Treadmill” in Rural The Hon. Tom Sawyer (Treasurer) Venezuela: The Turimiquire Foundation Story Carol Vlassoff, PhD Kevin Whaley, PhD By Steven Bloomstein Hania Zlotnik, PhD (Secretary) President and CEO John Seager [email protected] Departments Editor Marian Starkey, MSc 2 Editor’s Note [email protected] 3 Letters to the Editor Population Connection (ISSN 2331-0529) Population Connection is the national grassroots 4 Pop Facts population organization that educates young people and advocates progressive action to 6 In the News stabilize world population at a level that can be sustained by Earth’s resources. 8 The ZPG Society Annual membership ($25) includes a one-year subscription to Population Connection magazine. All contributions, bequests, and gifts are fully tax- 26 Washington View deductible in accordance with current laws. 28 Field & Outreach Population Connection 2120 L Street, NW, Suite 500 Washington, DC 20037 30 PopEd (202) 332-2200 • (800) 767-1956 [email protected] 32 Cartoon PopulationConnection.org PopulationEducation.org 33 Editorial Excerpts Cover Image: Oleydy Canizalez, 29, poses for a picture with her husband, Julio Espinoza, 28, and her son Luis, 3, before her sterilization surgery, at their home in Charallave, Venezuela, on July 7, 2016. REUTERS/Carlos Garcia Rawlins www.popconnect.org December 2018 — Population Connection 1 Editor’s Note had tentative plans to travel to Venezuela in 2011 to visit the speak of. The consequences in reproductive health have been Turimiquire Foundation, co-founded and presided over by tragic. Unintended pregnancy, unsafe (illegal) abortion, infanti- one of Population Connection’s dedicated members, Steven cide, and maternal and infant morbidity and mortality are all on IBloomstein. Turimiquire offers family planning, education, the rise here, one disturbing story after another. Years of prog- sustainable development opportunities, and humanitarian aid to ress are being rescinded.” the marginalized rural populations of northeastern Venezuela. The situation in Venezuela is desperate, but Steven and his col- As Venezuela plunged into an economic crisis and the socio- leagues aren’t wavering in their determination to make life better political situation in the country grew increasingly unstable, for their neighbors. We are inspired by him and his foundation’s visiting began to feel imprudent and ill-advised, and my trip work, and are committed to being as steadfast in our advocacy was put on hold. in the United States, in the face of political opposition, as he has been in providing health care to the most vulnerable people in With the situation only getting worse, it seems a visit will not the region where he has lived his entire adult life. be in my near future, so I asked Steven Bloomstein himself to write a feature article about the foundation’s work and the peo- This issue of Population Connection magazine includes two ple it serves. Steven has lived in Venezuela since 1973, in the additional feature articles from Venezuela: one about women small coastal town of Cumaná, located about 200 miles east of resorting to permanent sterilization and illegal abortion in the the capital, Caracas. It’s the regional base from which his orga- absence of reversible contraceptive options, and another about nization does outreach to three rural municipalities in Sucre, pregnant women crossing the border into Colombia to seek the state where Cumaná is located. antenatal health care, which they can’t get in Venezuela. We don’t often do an entire issue of the magazine on one single In our messages back and forth about this issue of the maga- country, but I believe that you’ll see the value of a focused look zine, Steven wrote, “What was originally conceived as a family once you’ve read these three articles. planning and education NGO has become a de facto frontline responder to an authentic regional crisis. The demand for assis- tance is enormous and growing, and the people we serve have Marian Starkey literally nowhere else to go. There is no longer a middle class to [email protected] marks our fiftieth anniversary! Fifty years of advocating for 2018 reasonable, voluntary solutions to achieve zero population growth. We owe it all to the 250,000 cumulative donors who have enabled us to educate millions of young Americans and to be strong, effective advocates for population stabilization. Thank you! 2 Population Connection — December 2018 Send correspondence to Letters to the Editor [email protected] . Attn: Marian Starkey Letters are also accepted via Population Connection postal mail. Letters may be 2120 L St, NW, Suite 500 edited for clarity and length. Washington, D.C. 20037 I have now received a second issue of Population Connection and brown population growth both domestically and abroad. And am ready to weigh in with my thoughts. The in-depth coverage that it is not population growth, but rather the rapaciousness is excellent, and the articles are informative and timely. I very of capitalism and the consumption of the top 1 percent that is much appreciate receiving this publication. Thank you for the problem. At least that’s the attitude sometimes expressed on including me as a recipient! online forums that I’ve seen. Patricia Ryan To counter that, it would be helpful to have more examples of In the extensive discussion of childlessness by choice in the government ministers and leaders in high population growth September issue, I noted that there was no mention of what I countries who “get” that rapid population growth is a problem consider to be the most important reason to choose to remain for their countries’ futures. childless: What thinking person, who is aware of the many James Larson calamities we face as a result of population growth, can, in good conscience, choose to add to the problem? To me, remaining Leilani Münter promotes environmental activism yet partici- childless, or at least not exceeding replacement fertility, is the pates in professional auto racing, an industry with the carbon most responsible and unselfish choice. This would certainly be footprint of a brachiosaurus. Her advocacy of veganism and the most immediate answer I would give to anyone who inferred her choice to be childfree — even with a dream of race cars that childlessness by choice was “selfish”! someday powered by hydrogen fuel cells or electricity — will not compensate for her profession’s current wasteful and CO2- Those of us who have been in the population movement for spewing consumption of fossil fuels.