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No Holds Barred: My take on the RH Bill

I haven't planned on writing something today as I am suffering from a nasty headache. However, when I checked my notifications, I noticed that a lot of my connections are busy writing away their thoughts. So I decided to write one too. Why "No holds Barred?" I noticed that most posts I have read focused on expressing their thoughts about things. For the time being, I am inspired to write about the RH Bill or the Reproductive Health Bill. For the Filipinos out there, I am sure you have heard of this one way or another. It is a very 'noisy' topic. It was passed by the House of Representatives last December 2012. Majority of the Filipinos are Roman Catholics. They do not believe in artificial contraception hence the strong disagreement against the bill.

The RH bill is not only targeting contraception. It is a bill enhancing the health care to be received by mother and infant. However, the bill makes sure that contraception, fertility control and adequate maternal and infant care is given to the entire populace. There had been several related bills since President Marcos, which, in my opinion, were quite effective on a short term basis. Why short term? To understand this, one has to know and understand that a policy like this involves a lot of money. It was effective at first until people got greedy. I need not to elaborate on that. We are not naive and innocent on the workings of our society.

Why then are we creating another policy which will just replicate the previous one? Good question. The thing is, it is not only funded by the Philippine government. Eighty percent of the funding comes from USAID. USAID has been funding free contraceptives for the past 36 years (1) but has started to withdraw support since 2003. I am not privy as to the reason and I am not going to dwell on it. In addition to the withdrawal of support from USAID, there is also the commitment to attain the MDGs or the Millennium Development Goals by 2015. As such, the Philippine government faces a challenge to fund its own contraception program.

The bill mandates to promote natural and modern family planning methods that are within the bounds of medical and legal ethics. In other words, the government is to ensure that the people receive medically safe and effective treatment. As of 2009, maternal deaths by complication related to pregnancy and child birth is at 41%. It's a high number. This does not include deaths caused by hypertension. post-partum hemorrhage etc. The bill ensures that this number will somehow be reduced. This is just one of the provisions. It also requires or mandates to provide education classes with regards to family planning and responsible parenthood. Post abortion counseling also becomes available. I am not saying that the bill is perfect. Of course, it has its flaws. For one thing, it would require a large sum of money to implement this properly. At the moment, the Department of Health is not even receiving the required minimum percentage of budget allotted by WHO which is 5%. How on earth can the Philippine Health Care System if they are going take away a large chunk of the small budget?

As a medical professional, I agree that mothers should receive the best care they can get before, during and after pregnancy. Requiring employers to provide these services is a big help. I have seen a lot of infant deaths due to lack of pre-natal care. Either, the mother is not aware of the need, she does not have enough money to go for a check-up, or she does not have enough time (meaning she has to work in order to save up for the days when she goes on maternity leave).

As a Christian, I'm against in any form of immorality. Think of it for one second: if contraceptive pills and condoms will be made available freely for everyone, what do you think will happen to the population? As I see it, people will have the reason to practice sex out of the sanctity of marriage--contraception is available--so no worries on getting pregnant or having STDs. I am not saying that we are all that twisted. What I am trying to point out here is that we are giving people the license to practice immorality legally. It's like saying:"It's okay to have sex now because contraceptive pills and condoms are free. You can get one at the store round the corner." We are going to use tax payers' money here. Not to mention, the money paid by the middle class people--the working class.

It's a dilemma isn't it? It's for a good cause which might cause people to do immoral and unsavory things just to take advantage of the provisions from the law. Also, it is a temptation for the people in office. As I said, it will require a large amount of money. How can we be sure that the money will not be diverted to their own pockets? Most Christian organizations are against the bill solely because of the corruption part. I have already decided that there is no other way but to arrive at a compromise. There are still questions to be clarified, provisions to be simplified but I know that every question will come to light and I hope that everything will be for the benefit of the people. I just pray that despite the temptation the money involved this bill presents, our local and national officials will make the welfare of the general public be their first and foremost concern and not their pockets.



(1) philippines.usaid.gov/programs/health/success-stories/ensuring-access-affordable-contraceptives

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