Taxpayer-funded lies

Antiabortion groups use "crisis-pregnancy centers" to scare women out of having abortions. Some lawmakers have cracked down on them. President Bush increased their federal funding.

Aug 23, 2002 | In the past decade, so-called crisis-pregnancy centers have become an increasingly central part of the antiabortion movement. They pose as women's health clinics and use innocuous names like "Women's Care Center" or "Pregnancy Problem Center." But instead of employing nurses or social workers, they're staffed by antiabortion activists who often make patients watch gory antiabortion videos, warn them about nonexistent health risks posed by abortion, and scare them with the threat of suffering "post-abortion syndrome," a psychiatric disorder that exists only in pro-life lore.

As of 1999, the National Abortion Rights Action League (NARAL) says, there were more than 3,200 crisis-pregnancy centers, or CPCs, in America. In New York state, they've been so deceptive that New York Attorney General Elliott Spitzer subpoenaed 11 of them during a February investigation. The investigation was sparked by complaints from women who'd visited the centers, but after one CPC agreed to negotiate changes to its misleading advertising and counseling, Spitzer withdrew all the subpoenas in the hopes of reaching similar settlements with the other centers. The Ohio attorney general took on the centers in the same way in 1991, with similar results.

Lawsuits against CPCs have resulted in injunctions in California and North Dakota prohibiting them from advertising themselves as women's health clinics, and one California judge restrained a center from disseminating false information about abortion. In 1989, a Missouri woman successfully sued a CPC for intentional infliction of emotional distress after her pregnancy test was withheld until she watched a graphic antiabortion video. During a 1991 congressional hearing on CPCs, Rep. Ron Wyden, D-Ore., found that they "hold out that they are health clinics, but when the women get there, there are no medical professionals. A very strident, very aggressive antiabortion campaign is what they get."

But in a growing number of states, the government isn't prosecuting these places -- it's funding them. Last year, Pennsylvania's Project Women In Need, or WIN, gave $4.3 million to antiabortion agencies, including 25 crisis pregnancy centers. Delaware and Missouri also give tax money to CPCs. The state of Florida has raised more than $650,000 for the centers by selling "Choose Life" license plates. Similar license-plate laws will soon go into effect in five other states.

Under the Bush administration, the federal government also channels money to crisis-pregnancy centers to administer abstinence-only education. For example, the Pregnancy Decision Health Centers, based in Columbus, Ohio, were awarded $585,000 to teach abstinence in 40 public schools. The group teaches that safe sex is a "myth" and uses a textbook that tells students, "Premarital sexual activity does not become a healthy choice or a moral choice simply because contraceptive technology is employed. Young persons will suffer and may even die if they choose it."

Federal funding for abstinence education began with a $50 million appropriation in the 1996 Welfare Reform Bill. But according to a spokeswoman for Rep. Ernest Istook, R-Okla., an abstinence-funding champion, the Clinton administration was not strict in enforcing chastity-promoting criteria. The money was channeled through the states, spokeswoman Micah Swafford says, and some of it went to fund general sex education and extracurricular youth activities that were supposed to keep kids out of trouble. Unhappy with how the money was being spent, in 2000 Istook sponsored a bill creating $20 million in abstinence-only funds that would be given directly to chastity educators. That's where most of the federal money that goes to CPCs comes from. According to NARAL, the centers received $3 million from that pot last year.

The Clinton administration tried to "undercut" the program, Swafford says, by failing to provide money to administer it. That quickly changed under Bush, who approved a dramatic increase in abstinence-only funding to $73 million next year.

Still, right now the most direct government support of CPCs comes from states, and of all the state-funded programs, Pennsylvania's is the biggest. In fact, for the antiabortion lobby, it's a model for federal legislation. In 1999, Pennsylvania Republicans Sen. Rick Santorum and Rep. Joe Pitts sponsored the Women and Children's Resources Act, which, had it passed, would have given $85 million to CPCs and maternity homes. According to the National Right to Life Committee, Pennsylvania's law was the inspiration for the bill. In February, Republican congressmen introduced bills that provide $3 million to buy ultrasound machines for CPCs, thus increasing their apparent legitimacy.

Project WIN was created in 1996 by Pennsylvania Gov. Bob Casey, an antiabortion Democrat. Under the law, all state grants to women's health centers like Planned Parenthood -- which are forbidden from using the funds to counsel about abortion, much less to perform it -- are matched by equal monies for "alternatives to abortion" programs that take an active antiabortion line. In addition to CPCs, Project WIN, working through an agency called Real Alternatives, funds maternity homes and adoption agencies.

According to the work plan filed with the state government as part of its contract, Real Alternatives service providers must "maintain a pro-life mission and agree not to promote, refer or counsel abortion as an option to a crisis pregnancy."

Of course, as a government-funded program, Real Alternatives can't direct money to clinics that openly proselytize to their patients. They can't, as the ACLU's Loise Melling explains, say, "God doesn't want you to kill your unborn baby." But under the Supreme Court's 1988 Bowen vs. Kendrick decision, money can be given even to "pervasively sectarian" organizations as long as programs don't have the "primary effect of advancing religion." Thus while government-funded counselors can't invoke Christianity when trying to persuade their patients, they're free to promulgate theories like post-abortion syndrome that are derived from religion if they can be said to serve some other social purpose.

Needless to say, Project WIN outrages abortion-rights activists. "These are organizations that have been successfully sued for deceptive advertising and inflicting emotional distress on their clients," says Vicki Saporta, president of the National Abortion Federation. Saporta says her group regularly receives reports from abortion providers about patients who had "horrible" experiences at crisis centers before finding genuine clinics. "They've been known to give false gestational assessments," she says -- telling a woman that her pregnancy is further along than it really is. "They are ministry-based organizations designed to dissuade women from terminating an unwanted pregnancy."

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