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"The threat of population decline," writes Michelle Goldberg at the American Prospect, "is one of the best arguments yet for socialized day care, family leave, and other dreamy Scandinavian-style policies.... I get why liberals have shied away from this discussion, since there's so many uncomfortable issues involved. But they really shouldn't, because the only solutions to the problem are liberal ones!"
I wrote a Reason feature on this issue for anyone who is interested in sociological and economic analysis of natalist policy. But for now I'll just say: Liberals ought to be very, very cautious about engaging natalist rhetoric in the promotion of social welfare policies. The claim that Western Civilization is on the brink of extinction might help sell universal daycare or any other policy that can be cast as an incentive to motherhood, but population alarmism lends credence to a number of wildly illiberal arguments. Once you've bought into the idea that a nation-state must defend its existence through native population growth, you've come uncomfortably close to arguing that a particular subset of women has a patriotic responsibility to reproduce. You've also legitimized some legislator's attempt to bribe women into using their bodies in a particular way. There is a reason that the producers of Demographic Winter are traditionalist Christians.
Gradual population decline of the kind we are seeing in Germany and Japan is, I think, manageable. But even if we insist on addressing population decline as some kind of crisis, it's not at all clear that liberal policies like paid family leave are going to turn the tide. The most obvious difference we see between developed countries with relatively high birth rates and developed countries with relatively low birthrates is cultural. Swedes and Americans are relatively more likely than, say, Singaporeans or Koreans, to believe that work and motherhood are compatible. The countries with the lowest birth rates in the world are countries in which childless women are integrated into the workforce but women with children are expected to stay home.
Such attitudes are distinct from redistributional social welfare policies. It may be that Sweden's welfare state is responsible for its near-replacement birth rate, but the evidence for this is not terribly compelling. In order to frame the story this way one needs to cast the high-fertility United States as an anomalous outlier rather than part of the general, culture-driven trend.
I am sympathetic to Goldberg in that population alarmism might be a useful way to argue for policies I happen to support; more open borders, for example. But there are better arguments for a humane immigration policy, and there are better arguments for an expansive welfare state.
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OK, OK. Eve, you’re right. The bailout (whoops, stimulus—whoops, recovery) bill passed the House, without the family planning funds, and without any Republican support. So the big bad Democratic majority didn’t need to kowtow to Republicans after all—which means that Democrats are entirely responsible for the diminished support for women’s reproductive health. Maybe this is politically intelligent, but I don’t see how just yet.
To Rachael: I’m not particularly irked that this bill is saddling my generation with debt. Yes, this is a scary moment, about which I don’t think anyone knows enough, no matter which study which economist is brandishing. But, hyper-liberal that I am—and because in Washington, we get to call these things whatever is rhetorically expedient—I’m going to name all this cash a “strategic investment.” One that, in the case of contraception, is desperately needed in many Medicaid-qualifying households, and one that pays dividends in the long run—for individuals and, as I mentioned earlier, for Americans interested in expanding health care coverage. See Katha Pollitt for more on the topic, and on projected savings.
More importantly, providing birth control to underserved women should be solid political ground for Dems. Two thirds of the country supports birth control for teens. I don’t see why an aversion to GOP culture-warring—which didn’t stop passage of the bill—should be enough to get America’s hard-won Democratic leadership to fold like a cheap cocktail umbrella. So the Blue Dogs are howling—why no similar pressure on blue-state Republicans? Worse, this successful peer pressure allows Republicans to dismiss birth control and, say, new sod for the national Mall, in the same breath—though one is a public and personal health policy concern, and the other a matter of horticulture. (Both create jobs, but that’s beside my point.) At what point does the conciliatory tone that Obama so desperately seeks become an abdication of power? Because, let’s not forget what he told Republicans on Monday: “I won.”
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I’m a bit disappointed by President Obama’s rude expurgation of contraceptive planning from the “economic recovery package”—as we’re being asked to call the stimulus bill that’s working its way through Congress. Perhaps I’m just not down with all the euphemism on tap this week: Why not just call “Republican skepticism” here on the Hill what it is—an attempt to derail the future expansion of health coverage, couched in a puritanical queasiness with contraception. Lisa Lerer reports Minority leader John Boehner asking: “How can you spend millions of dollars on contraceptives? How does that stimulate the economy?” Well, John—hot button-ness aside—birth control is a commodity bought and sold like any other.
I agree with EJ that in many cases (I felt this way about Rick Warren) progressives should attempt to see the forest, not the offending tree. But here, it’s not just a bunch of women begging for their crazy pills! The Democratic White House’s concession of rhetorical and political ground—about whether contraception (a better than average return on public investment) and other Medicaid assistance counts as “stimulus” or not—could have outsized effects on the future of the universal health coverage debate. Over at the Washington Independent, Lindsay Beyerstein makes roughly this point. Harold Pollack and Nicholas Beaudrot at TAP make it explicit: We’re now, the latter writes, subject to “rule by Republican hissy fit.”
Who knows whether it’s the public climate that requires lifting of the odious global gag rule to be done under cover of media darkness, or the lightweight status afforded to “women’s health” in general—but birth control represents an arm of the pharmaceutical industry that nets drugmakers over $5 billion annually—perhaps even in a recession. I imagine the investors of $5 billion in any other American industry could, presumably, expect some back-scratching, be it through money kicked into the search for a better product, or strenuous lobbying to ensure access to said product is available to American women—especially those planning families, and seeking “economic recovery” from the new Congress.
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