As conservatives on Capitol Hill threaten to defund Planned Parenthood under dubious pretenses, Iowa’s Des Moines Register is modeling how state papers should handle efforts by local anti-choice lawmakers to do the same.
The Register’s editorial board called on Gov. Terry Branstad (R-IA) to “sit down and write the names of the entities that can provide comprehensive family planning services in Iowa” before following through on his budget plan to eliminate state funding for Planned Parenthood. The paper quoted Branstad saying that his plan “redirects family planning money to organizations that focus on providing health care for women and eliminates taxpayer funding for organizations that perform abortions.”
Branstad’s plan comes from a familiar anti-choice playbook. To justify defunding Planned Parenthood, right-wing media and anti-choice politicians in a number of states have wrongly claimed that the organization uses taxpayer money to subsidize abortion services. Although in reality, the government reimburses Planned Parenthood only for non-abortion services, and that money is provided via Medicaid, lawmakers use this incorrect allegation to demand that funds be shifted to so-called “community health clinics” (CHC). Lawmakers believe these CHCs could absorb patient demand should access to Planned Parenthood be eliminated -- a claim experts call “a gross misrepresentation of what even the best community health centers in the country would be able to do.”
By demanding specifics from conservatives who claim that there are numerous “alternatives” to Planned Parenthood, the Register modeled the kind of reporting local outlets should be doing about threats to defund essential health care in their communities.
1. Demand To Know What So-Called “Alternatives” To Planned Parenthood Are Available
Planned Parenthood is an essential care provider for millions of Americans nationally, 60 percent of them low-income patients covered through Medicaid. In Iowa, this process is facilitated through the Iowa Family Planning Network (IFPN) waiver program, which gives patients the option to receive “a form of limited insurance coverage” through Medicaid that covers “basic family planning services.”
As the Register noted, Branstad “must know that many of the more than 30,000 Iowans obtaining services made possible by the waiver receive them from Planned Parenthood,” which means that if he “rejects this particular organization, he should specify exactly who has the statewide ability to take its place.”
There’s ample reason to believe that this task will prove impossible for the long-serving anti-choice governor. As the Register reported, providers have already warned state officials that there “are not enough providers in Iowa to absorb the patients Planned Parenthood of the Heartland currently serves.”
Rather than taking Branstad or other anti-choice lawmakers at their word about the viability of so-called alternatives, the Register performed a critical journalistic function and demanded to know what these facilities were, and whether they have the capacity to meet the medical needs of low-income patients across the state.
2. Ask About The Types Of Services “Alternatives” Can Actually Provide
Beyond asking Branstad to name specific alternatives to Planned Parenthood, the Register also asked that the list exclude clinics that are “no longer in business” and include only facilities that “actually provide family planning services.”
This may seem like an odd stipulation, but the Register’s specific question about alternative providers’ actual services is exactly the kind of scrutiny local outlets should apply when lawmakers threaten to radically alter the infrastructure of essential health care systems.
Across the country, anti-choice lawmakers have conflated the total number of CHCs with the much smaller number of those facilities that are actually equipped to provide primary care and family planning services. As the Register explained:
Florida lawmakers learned that lesson the hard way. After passing an anti-Planned Parenthood bill last year, they sought to demonstrate there were numerous, alternative providers. Their list became a national joke because it included the names of elementary and middle schools, dental practices and at least one eye clinic.
While Planned Parenthood clinics all offer preventive and basic care services, CHCs can qualify for that classification while providing more limited care -- making direct comparisons between the overall numbers a misleading measure of actual health care provision capacity.
By demanding specific answers about threats to defund Planned Parenthood, The Des Moines Register’s editorial board provided a model for local outlets to critically interrogate claims by lawmakers about so-called alternatives -- questions that are essential when access to health care is on the line.