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so angry I could spit
OK, so I was on another board and there was a thread about the original judge in the Roe V Wade case ripping the ruling, etc. which obviously generated some discussion. One of the guys who is adamantly pro-life (honestly thinks pro-choice is really pro-abortion, I think I've partially disuaded him of that notion) with the belief life begins at conception therefor abortion is murder. He's very active in his church and involved in some sort of pastoral counseling of women post-abortion, and these women have pretty much implied a big lack of options counseling and pressure to abort from PP and other clinics. Anyway, among his comments included a concern that PP and society at large doesn't do enough to promote abstinence and a feeling that if we in the pro-choice movement really are about keeping abortion "safe, legal and rare" and not big propopents of abortion for convenience, PP would do more to facilitate and promote the adoption option. I gave him some information and started thinking about whether there were any formalized relationships between PPFA and adoption agencies; I knew there were some informal ones and but I think less than 5% get referred (which could be for many reasons). I came across some interesting information on the individual regions and adoption referral and then I came upon this:
QUOTE
Virginia Planned Parenthood Facility First in Nation to Offer "Choice"
from The Pro-Life Infonet, August 6, 1999

Ronoake -- Women walking into the confines of Planned Parenthood of Blue Ridge Inc. have two choices regarding their unborn child: Through one door, they may choose to abort her. Through another, they can put her up for adoption.

Although there are 900 Planned Parenthood agencies and 130 affiliates nationwide, this is the only Planned Parenthood facility where the false pro-abortion notion of "choice" is partially a reality.

This combination of abortion and adoption, which has gotten mixed reviews from pro-life groups, is the brainchild of David Nova, 38, president of the Roanoke clinic. He is also the past president of the local Reform Jewish temple, and "choice," he says, is part of his religion.

"This new building will be operationally pro-choice," he says refering to the new 2-million dollar facility they are building. "All choices will be available: abortion, adoption and prenatal care."

To date, there have been no adoptions resulting from the arrangement, but one is under consideration.

According to Virginia Department of Health figures, there were 821 abortions in the greater Roanoke Valley in 1997. Mr. Nova's facility averages 15 abortions a week; one of the few places in Southwest Virginia where women can get them.

Will the new system bring down abortion rates? "It might," he says.

Mr. Nova, a past deputy director for Amnesty International, took over the abortion facility 10 years ago. He was on staff when it began doing first-trimester abortions in 1995.

Its long-term business plan also included adoptions, a possibility that has been a hot topic in Congress this summer.

According to the Adoption Awareness Act, introduced July 14 in the House and co-sponsored by 40 members, federally funded health clinics such as Planned Parenthood must present the "adoption option" to their clients. Otherwise, they lose their funding under Title X of the Public Health Service Act.

This would greatly affect Planned Parenthood, which receives $45 million annually from Title X. In 1998, the abortion agency provided prenatal care to 17,000 people, performed 166,900 abortions, and made 5,500 adoption referrals -- 3,881 less than in 1997.

The Adoption Awareness Act would establish a $7 million-a-year grant program for adoption training. The "adoption option" had been the subject of casual conversation at Roanoke Planned Parenthood for years, as the agency had an informal relationship with several adoption agencies.

Peter Pufki, executive director of Children's Home Society of Virginia, stepped in. Planned Parenthood was already referring women to CHS, which does 45 adoptions a year. However, there was no in-house counselor with whom women could discuss adoption.

"We felt it was more powerful to provide that option here instead of sending them along," Mr. Nova said.

In April, a licensing agreement was announced whereby Planned Parenthood would give CHS office space and CHS would pay Planned Parenthood $1 for each woman referred to it. CHS' nameplate was then stenciled on the clinic doors. A CHS staff member comes to Planned Parenthood one day a week, usually on the days when the most pregnancy tests are done.

The new facility, which will increase the clinic's space from 7,000 square feet to 11,000 square feet, will include free pregnancy tests, prenatal care for uninsured and Medicaid women, a drive-through window for pill pick-up (another first for Planned Parenthood clinics, Mr. Nova says), and a garden for "contemplative thought."

The reason for the pregnancy tests? The local Crisis Pregnancy Center does them free. Tom Clark, director of the CPC of Roanoke Valley, declined to comment about the expansion.

"It's irrelevant," he says. "What Planned Parenthood does is their business." There has been some bad blood between the two groups in the past, dating from the time a few years ago when Planned Parenthood bought the building that housed the CPC offices. When its lease came up, Planned Parenthood refused to renew it.

It was an "awkward" situation, Mr. Nova admits, which is why the adoption license has been an attempt to secure some good publicity. "This gives us greater legitimacy in having the interests of the mother first," he says.

This fall, Mr. Nova plans to offer adoption services in two other affiliated abortion centers in Blacksburg, Va., and Charlottesville. The latter clinic recently received an $800 grant from an Episcopal church to train staff on adoption procedures.

Jim Sedlak, founder of Stop Planned Parenthood in Stafford, Va., says offering adoptions is a ploy to get the public's mind off of abortions at the agency.

"This announcement by Planned Parenthood in Roanoke came after a major effort last year by the state of Virginia to offer a 'Choose Life' license plate, the proceeds from which would go to places that provide adoptions," he said. "Just observing the way Planned Parenthood operates, it interests us that a Planned Parenthood clinic in Virginia would be the first to offer these services."

The Roanoke abortion facility stands out in several ways. Not only is it the first in the country to offer the adoption option, but it also employs a female "Southern Baptist" minister to counsel women regarding abortions --another first, apparently. She told a local newspaper that Scripture is "ambiguous" on the subject.

Mr. Nova will travel to Chicago this month to describe his program to a national gathering of CEOs of Planned Parenthood clinics. He has already received a phone call from one Chicago adoption agency about his program.

"I certainly think this is a great idea," he says. "I think there's a lot of interest out there, but it requires a great fit . . . two agencies that can work well together."

OhioRoundtable article PPVA


Obviously, as you read through, it's apparent that any attempt a Pro-Choice group/agency makes at reducing unwanted pregnancies, discouraging sex for those who are ill-prepared to handle it, and adoption referrals/counseling will be viewed as disengenuous by those whose agenda is something other than wanting to discourage irresponsible behavior and the consequences of it, but I think this is the sort of thing we should be promoting in addition to better education and contraception. Does anyone have additional information on this?
Dyan
Maybe I'm seeing this from a different angle, but I don't think it's Planned Parenthood's (or any health provider's) place to offer counseling or alternatives UNLESS asked by a patient.

Now that I've said that this bluntly, I guess there is another side to the debate. If I look at pregnancy as I do any other health issue, then I do want my provider to offer treatment options. Say for example, if I hurt my arm. Then yes, I want my doctor to tell me if there are different options to treat it so that I can make the choice what I want to try.

But in another sense, abortion isn't like hurting my arm. Neither is adoption a "treatment" option to pregnancy. In a sense, when we we discuss counseling, what is really happening is someone else second-guessing my choice to end the pregnancy. Perhaps it's I feel that way because most abortions are elective and because women already know that adoption is an option before walking in the door.

Yeah........ now that I've thought about this more, I'm still with my first option. If I go to my doctor or Planned Parenthood to get birth control pills and instead I get counseled on abstinence, I'll walk out and find another provider. They can and should tell me what options I have for birth control pills. They should also tell me the benefits and risks of each type of pill. They can even inquire and offer information on alternatives to the pill. But much further and now they've crossed the line into treating me as a child who can't be trusted to have made up their own mind.

But you see (and call me cynical here), that's not what the anti-choice movement want. I can and will support Planned Parenthood offering information on alternatives to abortion. If at the front desk or the nurse at in-take were to say 'would you like information on adoption alternatives?', I have NO problem with that. In fact, maybe that should be done if it's not already happening. But I don't think that would satisfy anti-choice groups because I think they want women who have already made up their minds to have to sit through long presentations that are designed to discourage having an abortion. And they want the doctors to have to be the ones to make that presentation.
so angry I could spit
In order to be eligible for Title X funding, PP needs to perform options counseling to all women seeking abortion services. Many state laws mandate options counseling as well. By options counseling, I am not advocating PP staff tell a woman/girl she must consider keeping the baby or putting it up for adoption and try to talk a woman out her decision to abort (though, I'm sure the religious right would advocate and mandate that if they could). The article I posted and suggestions I made were to expand on the relationships the regional PP offices already have with adoption facilities and, possibly, have more official ties either akin what's been enacted through the Blue Ridge PP facilities or have a counselor on site from the adoption agency/WIC/etc. should someone ask more questions about options and/or seem unsure about their decision (to ask that woman if she wanted to speak with one of the other counselors - not to force them on her). While most women go in for both appointments at a PP clinic (many states require informed consent and procedure w/counseling sessions at least 24 hours apart) with their minds made up and unwilling to accept even the mandated options counseling, some are ambivalent and some do second guess their decision - those could be offered information on referrals (if appropriate), etc. when they are sent home to ensure they do want to go ahead with the procedure. In many instances, having someone readily available on site would be extremely helpful to these women (and very convenient for them as well).

I said nothing of the sort to imply I thought it appropriate for the PA/RNP/physician to lecture a patient in for routine GYN services on abstinence when she has expressed a desire for prescription contraception. Any responsible healthcare provider would, however, counsel a patient on use of barrier methods and use of better judgment when presenting for treatment of STDs; they will counsel some women against hormonal contraception (and require additional testing and written informed consent in some instances), etc. - that is showing good clinical judgment.
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