The Bush administration intends to cut the modest funding the United
States gives to international family planning by almost one-fifth. For those of
us who are interested in looking 15 to 20 years ahead, this is the dumbest
action possible.
The Sept. 11 commission report is explicit: "a large, steadily increasing
population of young men without any reasonable expectation of suitable or
steady employment [is] a sure prescription for social turbulence." Every day on
TV, we can see that it is predominantly young men who join extremist groups,
burn embassies and plant roadside bombs. In Iraq, Afghanistan, Pakistan or
Syria, the mean age of the population is between 18 and 19; in the United
States, it is over 35. Both liberal sociologists and hard-nosed CIA analysts
recognize a link between a high birthrate, a high proportion of young men in
the population and the possibility of violence and terrorism.
Just as smoking is a risk factor for lung cancer, so a high proportion of
young men in the population compared with older men is a national risk factor
for violence. Not everyone who smokes dies of cancer, but many do; not all
nations with a high ratio of younger to older men spawn terrorists, but many
do. Young men in a sexually conservative society who have no jobs and cannot
marry are easy recruits for any extreme political or fanatical religious
teaching.
Consider the case of the Black September terrorists who murdered Israeli
athletes at the 1972 Munich Olympics. Even Yasser Arafat felt compelled to try
to rein in this group of young fanatics, and he did so in an unusual but highly
effective way. The PLO offered Black September members who married Palestinian
women a flat in Beirut with a television and a refrigerator, together with
$5,000 when they had their first child. Black September was never violent
again.
For more than 30 years, there has been bipartisan congressional support
for international family planning, and voluntary family planning has achieved a
great deal. In 1960, South Korean women had six children, the population was
growing more rapidly than the economy, and the country was as poor as
contemporary sub-Saharan Africa. Without the support the United States gave to
Korean family planning in the 1960s and 1970s, Korea might not have the
two-child family and 15 times the average per-capita income of African
countries it enjoys today.
It is commonly thought that poor and illiterate people want many children.
Those of us who have worked in family planning for decades know this isn't
true. As Korea, Thailand, Brazil and many other countries demonstrate, wherever
modern methods of contraception have been made realistically available, the
birth rate has fallen -- often rapidly. Where fertility remains high, careful
surveys always show a significant unmet need for family planning. We have spent
our professional lives in international family planning because we know family
planning saves mothers' lives, and we know that in the developing world, babies
born less than two years apart are more likely to die. We see abortions
increasing in the Philippines where contraception is difficult to get, but
decreasing in some parts of the former Soviet Union, where access to family
planning is improving. Most fundamentally, no woman can be free until she can
decide when to have a child.
But having said all of this, it might seem naive to suggest that family
planning could help forestall the next generation of terrorists, were it not
for a silent revolution occurring in the Islamic Republic of Iran. In the
1980s, Iranian economists, like their Korean counterparts 20 years earlier, saw
that the population was growing faster than the economy. The Quran supports
family planning, and the theocracy agreed to make all methods of contraception
easily available. In 15 years, average family size plummeted from more than
five children to two. A more sober, cautious population of smaller families is
replacing the body of radical students. The West may not want Iran to develop
nuclear weapons, but in a generation's time Iran is likely to be more stable
than Pakistan, which already has the atomic bomb.
Iran had the resources to build contraceptive factories and to carry
family planning into the most remote villages. The poorer countries around the
world need exactly the external support that President Bush is axing. It is
difficult and costly to make modern urban society invulnerable to terrorist
attacks, but relatively easy and extremely low cost to help those who wish to
have smaller families. For international family planning (before Bush cut it),
each American gave the cost of one hamburger per year -- about $436 million
total.
Prescott Bush, the president's grandfather in Connecticut, lost his first
election for the Senate in 1950 because he had the courage to support Planned
Parenthood. As U.S. ambassador to the United Nations, George H. W. Bush
believed family planning was the key to solving the "great questions of peace,
prosperity and individual rights that face the world." Laura Bush has supported
family planning in Texas and Mexico. Sadly, the first president Bush sacrificed
common sense to ideology in order to become Reagan's running mate. The second
president Bush should take this opportunity to re-establish U.S. leadership in
international family planning.
Martha Campbell and Malcolm Potts are on the faculty of the School of Public Health at the University of California, Berkeley.
© 2006 The San Francisco Chronicle
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