A Thank You to Congresswoman Barbara Lee

Nickie Imanguli

Congresswoman Barbara Lee spoke out forcefully at the International AIDS Conference on policy reforms including defunding abstinence-only programs, authorization of the REAL Act, support for clean needle exchange programs, and the creation of a domestic PEPFAR.

As
I was looking thorough the massive International AIDS Conference booklet,
full of sessions taking place at the conference and trying to decide
which session I wanted to attend, I saw that Congresswoman Barbara Lee
was one of the speakers at the session about travel restrictions on
people living with HIV.  Barbara Lee is well known for being an
activist in the sexual and reproductive rights movement–more specifically
an advocate for sexual and reproductive rights of young people in the
United States and abroad.

During
her speech, Rep. Lee talked about how Congress removed the travel restriction
for people with living with HIV; however, the Department of Health and
Human Services has yet to lift its restriction. Hopefully, the ban will
be lifted completely before the end of President Bush’s term. When
I posed a question during the session as to what we, young people, should
demand of our next president, Congresswoman Lee, without any hesitation,
came up with a very comprehensive list of demands that included: the
repeal of the global gag rule, integration of family planning services
and comprehensive sexual education into PEPFAR, removal of the prostitution
pledge, and finding an effective way to address gender violence. She
also did not forget the domestic policy reforms that included defunding
abstinence-only programs, authorization of the REAL Act, support for
clean needle exchange programs, and the creation of a domestic PEPFAR.
In other words, she listed everything I, as an advocate for the sexual
and reproductive health of young people, have been working towards for
almost three years now. 

It’s
comforting to have a policy maker speak out and advocate on behalf of
vulnerable youth.  After having been disappointed by President
Clinton’s failure to mention young people in his keynote speech and
Ban Ki-moon’s failure to make a commitment to youth during his visit
to the Youth Pavilion, I was comforted to know that youth are not alone
as long as we have policy makers such as Congresswoman Barbara Lee on
our side.  So, I want to take this opportunity to thank her, once
again, for doing such amazing work with policy in Congress and for not
being afraid to speak out on issues concerning the sexual and reproductive
health of young people. 

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Analysis Abortion

‘Pro-Life’ Pence Transfers Money Intended for Vulnerable Households to Anti-Choice Crisis Pregnancy Centers

Jenn Stanley

Donald Trump's running mate has said that "life is winning in Indiana"—and the biggest winner is probably a chain of crisis pregnancy centers that landed a $3.5 million contract in funds originally intended for poor Hoosiers.

Much has been made of Republican Gov. Mike Pence’s record on LGBTQ issues. In 2000, when he was running for U.S. representative, Pence wrote that “Congress should oppose any effort to recognize homosexual’s [sic] as a ‘discreet and insular minority’ [sic] entitled to the protection of anti-discrimination laws similar to those extended to women and ethnic minorities.” He also said that funds meant to help people living with HIV or AIDS should no longer be given to organizations that provide HIV prevention services because they “celebrate and encourage” homosexual activity. Instead, he proposed redirecting those funds to anti-LGBTQ “conversion therapy” programs, which have been widely discredited by the medical community as being ineffective and dangerous.

Under Pence, ideology has replaced evidence in many areas of public life. In fact, Republican presidential nominee Donald Trump has just hired a running mate who, in the past year, has reallocated millions of dollars in public funds intended to provide food and health care for needy families to anti-choice crisis pregnancy centers.

Gov. Pence, who declined multiple requests for an interview with Rewire, has been outspoken about his anti-choice agenda. Currently, Indiana law requires people seeking abortions to receive in-person “counseling” and written information from a physician or other health-care provider 18 hours before the abortion begins. And thanks, in part, to other restrictive laws making it more difficult for clinics to operate, there are currently six abortion providers in Indiana, and none in the northern part of the state. Only four of Indiana’s 92 counties have an abortion provider. All this means that many people in need of abortion care are forced to take significant time off work, arrange child care, and possibly pay for a place to stay overnight in order to obtain it.

This environment is why a contract quietly signed by Pence last fall with the crisis pregnancy center umbrella organization Real Alternatives is so potentially dangerous for Indiana residents seeking abortion: State-subsidized crisis pregnancy centers not only don’t provide abortion but seek to persuade people out of seeking abortion, thus limiting their options.

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“Indiana is committed to the health, safety, and wellbeing [sic] of Hoosier families, women, and children,” reads the first line of the contract between the Indiana State Department of Health and Real Alternatives. The contract, which began on October 1, 2015, allocates $3.5 million over the course of a year for Real Alternatives to use to fund crisis pregnancy centers throughout the state.

Where Funding Comes From

The money for the Real Alternatives contract comes from Indiana’s Temporary Assistance for Needy Families (TANF) block grant, a federally funded, state-run program meant to support the most vulnerable households with children. The program was created by the 1996 Personal Responsibility and Work Opportunity Reconciliation Act signed by former President Bill Clinton. It changed welfare from a federal program that gave money directly to needy families to one that gave money, and a lot of flexibility with how to use it, to the states.

This TANF block grant is supposed to provide low-income families a monthly cash stipend that can be used for rent, child care, and food. But states have wide discretion over these funds: In general, they must use the money to serve families with children, but they can also fund programs meant, for example, to promote marriage. They can also make changes to the requirements for fund eligibility.

As of 2012, to be eligible for cash assistance in Indiana, a household’s maximum monthly earnings could not exceed $377, the fourth-lowest level of qualification of all 50 states, according to a report by the Congressional Research Service. Indiana’s program also has some of the lowest maximum payouts to recipients in the country.

Part of this is due to a 2011 work requirement that stripped eligibility from many families. Under the new work requirement, a parent or caretaker receiving assistance needs to be “engaged in work once the State determines the parent or caretaker is ready to engage in work,” or after 24 months of receiving benefits. The maximum time allowed federally for a family to receive assistance is 60 months.

“There was a TANF policy change effective November 2011 that required an up-front job search to be completed at the point of application before we would proceed in authorizing TANF benefits,” Jim Gavin, a spokesman for the state’s Family and Social Services Administration (FSSA), told Rewire. “Most [applicants] did not complete the required job search and thus applications were denied.”

Unspent money from the block grant can be carried over to following years. Indiana receives an annual block grant of $206,799,109, but the state hasn’t been using all of it thanks to those low payouts and strict eligibility requirements. The budget for the Real Alternatives contract comes from these carry-over funds.

According to the U.S. Department of Health and Human Services, TANF is explicitly meant to clothe and feed children, or to create programs that help prevent “non-marital childbearing,” and Indiana’s contract with Real Alternatives does neither. The contract stipulates that Real Alternatives and its subcontractors must “actively promote childbirth instead of abortion.” The funds, the contract says, cannot be used for organizations that will refer clients to abortion providers or promote contraceptives as a way to avoid unplanned pregnancies and sexually transmitted infections.

Parties involved in the contract defended it to Rewire by saying they provide material goods to expecting and new parents, but Rewire obtained documents that showed a much different reality.

Real Alternatives is an anti-choice organization run by Kevin Bagatta, a Pennsylvania lawyer who has no known professional experience with medical or mental health services. It helps open, finance, and refer clients to crisis pregnancy centers. The program started in Pennsylvania, where it received a $30 million, five-year grant to support a network of 40 subcontracting crisis pregnancy centers. Auditor General Eugene DePasquale called for an audit of the organization between June 2012 and June 2015 after hearing reports of mismanaged funds, and found $485,000 in inappropriate billing. According to the audit, Real Alternatives would not permit DHS to review how the organization used those funds. However, the Pittsburgh Post-Gazette reported in April that at least some of the money appears to have been designated for programs outside the state.

Real Alternatives also received an $800,000 contract in Michigan, which inspired Gov. Pence to fund a $1 million yearlong pilot program in northern Indiana in the fall of 2014.

“The widespread success [of the pilot program] and large demand for these services led to the statewide expansion of the program,” reads the current $3.5 million contract. It is unclear what measures the state used to define “success.”

 

“Every Other Baby … Starts With Women’s Care Center”

Real Alternatives has 18 subcontracting centers in Indiana; 15 of them are owned by Women’s Care Center, a chain of crisis pregnancy centers. According to its website, Women’s Care Center serves 25,000 women annually in 23 centers throughout Florida, Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin.

Women’s Care Centers in Indiana received 18 percent of their operating budget from state’s Real Alternatives program during the pilot year, October 1, 2014 through September 30, 2015, which were mostly reimbursements for counseling and classes throughout pregnancy, rather than goods and services for new parents.

In fact, instead of the dispensation of diapers and food, “the primary purpose of the [Real Alternatives] program is to provide core services consisting of information, sharing education, and counseling that promotes childbirth and assists pregnant women in their decision regarding adoption or parenting,” the most recent contract reads.

The program’s reimbursement system prioritizes these anti-choice classes and counseling sessions: The more they bill for, the more likely they are to get more funding and thus open more clinics.

“This performance driven [sic] reimbursement system rewards vendor service providers who take their program reimbursement and reinvest in their services by opening more centers and hiring more counselors to serve more women in need,” reads the contract.

Classes, which are billed as chastity classes, parenting classes, pregnancy classes, and childbirth classes, are reimbursed at $21.80 per client. Meanwhile, as per the most recent contract, counseling sessions, which are separate from the classes, are reimbursed by the state at minimum rates of $1.09 per minute.

Jenny Hunsberger, vice president of Women’s Care Center, told Rewire that half of all pregnant women in Elkhart, LaPorte, Marshall, and St. Joseph Counties, and one in four pregnant women in Allen County, are clients of their centers. To receive any material goods, such as diapers, food, and clothing, she said, all clients must receive this counseling, at no cost to them. Such counseling is billed by the minute for reimbursement.

“When every other baby born [in those counties] starts with Women’s Care Center, that’s a lot of minutes,” Hunsberger told Rewire.

Rewire was unable to verify exactly what is said in those counseling sessions, except that they are meant to encourage clients to carry their pregnancies to term and to help them decide between adoption or child rearing, according to Hunsberger. As mandated by the contract, both counseling and classes must “provide abstinence education as the best and only method of avoiding unplanned pregnancies and sexually transmitted infections.”

In the first quarter of the new contract alone, Women’s Care Center billed Real Alternatives and, in turn, the state, $239,290.97; about $150,000 of that was for counseling, according to documents obtained by Rewire. In contrast, goods like food, diapers, and other essentials for new parents made up only about 18.5 percent of Women’s Care Center’s first-quarter reimbursements.

Despite the fact that the state is paying for counseling at Women’s Care Center, Rewire was unable to find any licensing for counselors affiliated with the centers. Hunsberger told Rewire that counseling assistants and counselors complete a minimum training of 200 hours overseen by a master’s level counselor, but the counselors and assistants do not all have social work or psychology degrees. Hunsberger wrote in an email to Rewire that “a typical Women’s Care Center is staffed with one or more highly skilled counselors, MSW or equivalent.”

Rewire followed up for more information regarding what “typical” or “equivalent” meant, but Hunsberger declined to answer. A search for licenses for the known counselors at Women’s Care Center’s Indiana locations turned up nothing. The Indiana State Department of Health told Rewire that it does not monitor or regulate the staff at Real Alternatives’ subcontractors, and both Women’s Care Center and Real Alternatives were uncooperative when asked for more information regarding their counseling staff and training.

Bethany Christian Services and Heartline Pregnancy Center, Real Alternatives’ other Indiana subcontractors, billed the program $380.41 and $404.39 respectively in the first quarter. They billed only for counseling sessions, and not goods or classes.

In a 2011 interview with Philadelphia City Paper, Kevin Bagatta said that Real Alternatives counselors were not required to have a degree.

“We don’t provide medical services. We provide human services,” Bagatta told the City Paper.

There are pregnancy centers in Indiana that provide a full range of referrals for reproductive health care, including for STI testing and abortion. However, they are not eligible for reimbursement under the Real Alternatives contract because they do not maintain an anti-choice mission.

Parker Dockray is the executive director of Backline, an all-options pregnancy resource center. She told Rewire that Backline serves hundreds of Indiana residents each month, and is overwhelmed by demand for diapers and other goods, but it is ineligible for the funding because it will refer women to abortion providers if they choose not to carry a pregnancy to term.

“At a time when so many Hoosier families are struggling to make ends meet, it is irresponsible for the state to divert funds intended to support low-income women and children and give it to organizations that provide biased pregnancy counseling,” Dockray told Rewire. “We wish that Indiana would use this funding to truly support families by providing job training, child care, and other safety net services, rather than using it to promote an anti-abortion agenda.”

“Life Is Winning in Indiana”

Time and again, Bagatta and Hunsberger stressed to Rewire that their organizations do not employ deceitful tactics to get women in the door and to convince them not to have abortions. However, multiple studies have proven that crisis pregnancy centers often lie to women from the moment they search online for an abortion provider through the end of their appointments inside the center.

These studies have also shown that publicly funded crisis pregnancy centers dispense medically inaccurate information to clients. In addition to spreading lies like abortion causing infertility or breast cancer, they are known to give false hopes of miscarriages to people who are pregnant and don’t want to be. A 2015 report by NARAL Pro-Choice America found this practice to be ubiquitous in centers throughout the United States, and Rewire found that Women’s Care Center is no exception. The organization’s website says that as many as 40 percent of pregnancies end in natural miscarriage. While early pregnancy loss is common, it occurs in about 10 percent of known pregnancies, according to the American Congress of Obstetricians and Gynecologists.

Crisis pregnancy centers also tend to crop up next to abortion clinics with flashy, deceitful signs that lead many to mistakenly walk into the wrong building. Once inside, clients are encouraged not to have an abortion.

A Google search for “abortion” and “Indianapolis” turns up an ad for the Women’s Care Center as the first result. It reads: “Abortion – Indianapolis – Free Ultrasound before Abortion. Located on 86th and Georgetown. We’re Here to Help – Call Us Today: Abortion, Ultrasound, Locations, Pregnancy.”

Hunsberger denies any deceit on the part of Women’s Care Center.

“Clients who walk in the wrong door are informed that we are not the abortion clinic and that we do not provide abortions,” Hunsberger told Rewire. “Often a woman will choose to stay or return because we provide services that she feels will help her make the best decision for her, including free medical-grade pregnancy tests and ultrasounds which help determine viability and gestational age.”

Planned Parenthood of Indiana and Kentucky told Rewire that since Women’s Care Center opened on 86th and Georgetown in Indianapolis, many patients looking for its Georgetown Health Center have walked through the “wrong door.”

“We have had patients miss appointments because they went into their building and were kept there so long they missed their scheduled time,” Judi Morrison, vice president of marketing and education, told Rewire.

Sarah Bardol, director of Women’s Care Center’s Indianapolis clinic, told the Criterion Online Edition, a publication of the Archdiocese of Indianapolis, that the first day the center was open, a woman and her boyfriend did walk into the “wrong door” hoping to have an abortion.

“The staff of the new Women’s Care Center in Indianapolis, located just yards from the largest abortion provider in the state, hopes for many such ‘wrong-door’ incidents as they seek to help women choose life for their unborn babies,” reported the Criterion Online Edition.

If they submit to counseling, Hoosiers who walk into the “wrong door” and “choose life” can receive up to about $40 in goods over the course their pregnancy and the first year of that child’s life. Perhaps several years ago they may have been eligible for Temporary Assistance for Needy Families, but now with the work requirement, they may not qualify.

In a February 2016 interview with National Right to Life, one of the nation’s most prominent anti-choice groups, Gov. Pence said, “Life is winning in Indiana.” Though Pence was referring to the Real Alternatives contract, and the wave of anti-choice legislation sweeping through the state, it’s not clear what “life is winning” actually means. The state’s opioid epidemic claimed 1,172 lives in 2014, a statistically significant increase from the previous year, according to the Centers for Disease Control and Prevention. HIV infections have spread dramatically throughout the state, in part because of Pence’s unwillingness to support medically sound prevention practices. Indiana’s infant mortality rate is above the national average, and infant mortality among Black babies is even higher. And Pence has reduced access to prevention services such as those offered by Planned Parenthood through budget cuts and unnecessary regulations—while increasing spending on anti-choice crisis pregnancy centers.

Gov. Pence’s track record shows that these policies are no mistake. The medical and financial needs of his most vulnerable constituents have taken a backseat to religious ideology throughout his time in office. He has literally reallocated money for poor Hoosiers to fund anti-choice organizations. In his tenure as both a congressman and a governor, he’s proven that whether on a national or state level, he’s willing to put “pro-life” over quality-of-life for his constituents.

Commentary Race

Have a Problem With Black-Only Spaces? Get Over It

Ruth Jeannoel

As the parade of police killings of Black people continues, Black people have a right to mourn together—and without white people.

This piece is published in collaboration with Echoing Ida, a Forward Together project.

Dear Non-Black People:

If you hear about a healing space being organized for Black folks only, don’t question or try to be part of that space.

Simply, DON’T.

After again witnessing the recorded killings of Black people by police, I am trying to show up for my family, my community, and victims such as Alton Sterling and Philando Castile. I am tired of injustice and ready for action.

But as a Black trans youth from the Miami, Florida-based S.O.U.L. Sisters Leadership Collective told me, “Before taking action, we must create space for healing.” With this comment, they led us in the right direction.

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Together, this trans young person, my fellow organizers, and I planned a Black-only community healing circle in Miami. We recognized a need for Black people to come together and care for each other. A collective space to heal is better than suffering and grieving alone.

As we began mobilizing people to attend the community circle, our efforts were met with confusion and resistance by white and Latinx people alike. Social media comments questioned why there needed to be a Black-only space and alleged that such an event was “not fair” and exclusionary.

We know the struggle against white supremacy is a multiracial movement and needs all people. So we planned and shared that there would be spaces for non-Black people of color and white people at the same time. We explained that this particular healing circle—and the fight against police violence—must be centered around Blackness.

But there was still blowback. One Facebook commenter wrote,

Segregation and racial separation is not acceptable. Disappointing.

That is straight bullshit.

To be clear, Black-only space is itself acceptable, and there’s a difference between Black people choosing to come together and white people systematically excluding others from their institutions and definitions of humanity.

But as I recognize that Black people can’t have room to mourn by ourselves without white tears, white shame, white guilt—and, yes, white supremacy—I am angry.

That is what racist laws have often tried to do: Control how Black people assemble. Enslaved people were often barred from gathering, unless it was with white consent or for church.

Even today, we see resistance when Black folks come together, for a variety of reasons. Earlier this year, in Nashville, Tennessee, Black Lives Matter activists were forced to move their meeting out of a library because it was a Black-only meeting. Last year, students at University of Missouri held a series of protests to demand an end to systemic racism and structural racism on their campus. The student group, Concerned Students 1950, called for their own Black-only-healing space, and they too received backlash from their white counterparts and the media.

At our healing circle in Miami, a couple of white people tried to be part of the Black-only space, which was held in another room. One of the white youths came late and asked why she had to be in a different room from Black attendees. I asked her this question: Do you feel like you are treated the same as your Black peers when they walk down the street?

When she answered no, I told her that difference made it important for Black people to connect without white people in the room. We talked about how to engage in political study that can shape how we view—and change—this world.

She understood. It was simple.

I have less compassion for adults who are doing social justice work and who do not understand. If you do not recognize your privilege as a non-Black person, then you need to reassess why you are in this movement.

Are you here to save the world? Do you feel guilty because of what your family may have done in the past or present? Are you marching to show that you are a “good” person?

If you are organizing to shift and shake up white supremacy but can’t understand your privilege under this construct, then this movement is not for you.

For the white folk and non-Black people of color who are sincerely fighting the anti-Blackness at the root of most police killings, get your people. Many of them are “progressive” allies with whom I’ve been in meetings, rallies, or protests. It is time for you to organize actions and events for yourselves to challenge each other on anti-Blackness and identify ways to fight against racial oppression, instead of asking to be in Black-only spaces.

Objecting to a Black-only space is about self-interest and determining who gets to participate. And it shows how little our allies understand that white supremacy gives European-descended people power, privilege, and profit—or that non-Black people of color often also benefit from white supremacy just because they aren’t Black in this anti-Black world.

Our critics were using racial privilege to access a space that was not for them or by them. In the way that white supremacy and capitalism are about individualism and racing to the top, they were putting their individual feelings, rights, and power above Black people’s rights to fellowship and talk about how racism has affected them.

We deserve Black-only community healing because this is our pain. We are the ones who are most frequently affected by police violence and killings. And we know there is a racial empathy gap, which means that white Americans, in particular, are less likely to feel our pain. And the last thing Black people need right now is to be in a room with people who can’t or won’t try to comprehend, who make our hurt into a spectacle, or who deny it with their defensiveness.

Our communal responses to that pain and healing are not about you. And non-Black people can’t determine the agenda for Black action—or who gets a seat at our table.

To Black folks reading this article, just know that we deserve to come together to cry, be angry, be confused, and be ready to fight without shame, pain, or apologies.

And, actually, we don’t need to explain this, any more than we need to explain that Black people are oppressed in this country.