Alberta: getting serious
about defunding abortion
By Joanne Byfield
Alberta premier Ralph Klein has recently stepped up his campaign
to reduce spending on health care. In late February at a premiers’
meeting he pushed for significant changes to the way health care
is delivered. He even mused before the meeting that he would look
at de-insuring some services.
This is an opportune time for Albertans to press the issue of de-insuring
abortions. We know from successive Leger polls (the most recent
in October, 2003) that three-quarters of Albertans polled support
de-insuring abortion except when the mother’s life is threatened
or in cases of rape and incest. Alberta Pro-Life has sent these
poll results to every MLA.
We do not know what Alberta Health pays for all the abortions performed
in the province. In 2000, there were 10,417 abortions paid for by
taxpayers in Alberta. We do know, however, that the health authorities
in Calgary and Edmonton contract with private, for-profit abortion
clinics to have them perform abortions. Between October 1, 2002
and September 30, 2003, the Calgary Health Region’s contract
with Calgary’s Kensington Clinic was valued at $1.4 million.
Edmonton’s Capital Health Authority had a contract with the
Morgentaler Clinic for $2.8 million for the period October 1, 2000
to March 31, 2003. Clinics perform almost half of the province’s
abortions and probably do it less expensively than hospitals. It
is safe and probably a conservative estimate that the provincial
government spends over $5 million a year on abortions. This amount
excludes indirect costs, that is, whatever is spent on complications,
side effects, and post-abortion trauma experienced by women.
If the provincial government is serious about reducing health care
costs, there is no better place to start than with de-insuring abortions.
Albertans would object if the province imposed user fees on any
other service, without first deinsuring abortions, the vast majority
of which are done because women ask for them, not because they are
medically indicated.
A new study by Dr. Michael New, a researcher at the Harvard-MIT
Data Center, looked at legislative initiatives by various state
governments in the US to determine what effect they had on abortion
rates. He included state laws to de-insure Medicaid abortions (Medicaid
is publicly funded health care for low-income people), informed
consent laws, parental consent laws, and waiting periods. He found
that of all these initiatives, removing abortion funding had the
greatest impact on abortion rates. Overall, defunding reduced the
abortion rate (the number of abortions per thousand women of childbearing
age) by 2.08. It reduced the abortion ratio (the number of abortions
per 1,000 births) by 29.66. These were far more significant than
the other measures enacted.
So, de-insuring abortions would reduce health costs and if the US
situation applies here, it would lead to a reduction in the number
of abortions performed. Since all sides of the abortion debate say
they want to reduce the number of abortions, de-insuring should
be a high priority. Why isn’t it?
Politicians know that most people do not support using tax dollars
to pay for abortions, especially when a third of them, that’s
over 3,000 a year in Alberta, are performed on women who have already
had one or more abortions. But they also think abortion funding
is a low priority for voters – they are not afraid of losing
votes if they don’t de-insure abortion.
That means that we have not done our jobs. Politicians finally understand
that we do not want to pay for someone’s personal choice to
take an innocent human life, but we have not convinced them that
we are serious about it. They understand that they could lose votes
over high energy prices or BSE compensation but abortion funding?
It is not on the voter radar screen.
Our job in the next year leading up to the provincial election is
to convince every MLA in Alberta, that abortion funding matters
just as much as energy prices, agriculture policy, privatization,
and whatever issue hits the fan over the next few months. We all
have a trump card in our hands, the power to vote and we should
not be afraid to use it. Tell your MLA that your support depends
on a commitment to de-insure abortions. And tell everyone you know
to make the same demand. Let’s make 2005 a double celebration
– a great 100th birthday bash for the province and the year
that we de-insure abortion.
Joanne Byfield is Alberta’s rep on LifeCanada’s board
of directors and president of Alberta Pro-Life.
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