THE CARP: PRESIDENT CORAZON AQUINO’S LEGACY (Speech delivered by REP. EDCEL C. LAGMAN on 03 August 2009)
President Corazon Aquino is truly the icon of Philippine democracy because she was responsible to a great measure for the restoration of democratic institutions in our country.
But democracy remains a shibboleth if it fails to enhance the lives of the masses – the very repository of sovereign will and power.
President Aquino made the revival of democracy meaningful and real by making the Comprehensive Agrarian Reform Program (CARP) the centerpiece of her administration as a social justice agenda.
On 22 July 1987 during her revolutionary government, she issued Proclamation No. 131 instituting a Comprehensive Agrarian Reform Program. This followed her earlier issuance of Executive Order No. 229 on 17 July 1987 providing the mechanisms for the implementation of the CARP.
In her first State of the Nation Address, on 27 July 1987, she urged the 8th Congress of the Republic to enact a Comprehensive Agrarian Reform Law as a “congressional complement” of the CARP. On 10 June 1988 she signed the Comprehensive Agrarian Reform Law.
CARP was not perfect – both in the basic law and in its implementation. But by and large, it is a salutary program and has beneficent results, foremost of which are the increase in productivity in the countryside and alleviation of rural poverty.
President Aquino was aware that social justice as an agrarian reform objective involves the transformation of the small farmer from a mere tiller of a piece of land to an owner of it, his emancipation from poverty, and the enhancement and nourishment of whatever is left of his mangled self-esteem. He slowly realizes his strength and mobilizes it in his battle for economic self-sufficiency.
The chief contribution of agrarian reform to agricultural development is the motivation it gives to the small farmer to maximize his output from the piece of land he finally owns. He is induced to make optimum use of his available resources. He becomes an entrepreneur.
The multiplier effect of agricultural development through agrarian reform helps radiate economic activity from the farm to other sectors of our economy. The initial impulse of an increase in the incomes of agrarian reform beneficiaries gets communicated throughout the economy.
Emancipation from poverty. Entrepreneurship. Economic self-sufficiency. Empowerment. Enhancement and nourishment of self-esteem. These are the blessings that 22 years ago President Aquino projected the Comprehensive Agrarian Reform Program to give to agrarian reform beneficiaries. To a respectable degree, these have happened.
President Aquino must have been pleased to know that the House of Representatives ratified on 29 July 2009 the Bicameral Conference Committee Report on the extension of the Land Acquisition and Distribution (LAD) component of the CARP with principal reforms.
The Senate ratified the same this afternoon and President Gloria Macapagal-Arroyo is expected sign the extension measure on Friday.
We are not orphaned by the passing away of President Corazon Aquino. We have her highest democratic ideals and enduring legacy like the CARP, among others, to cherish and pursue.
FPOP: 40 YEARS OF DEVOTION, PASSION AND COURAGE (Speech delivered by REP. EDCEL C. LAGMAN during the 40th Anniversary Celebration of the Family Planning Organization of the Philippines on 01 August 2009)
I am truly happy and honored to be a part of the 40th anniversary celebrationof the Family Planning Organization of the Philippines (FPOP).
What FPOP is commemorating today is not only a chronology of years but a celebration of milestones of achievements in its advocacy for family planning (FP) and for sexual and reproductive health and rights (SRHR).
Ruby is the gemstone for 40th anniversaries. The ruby is the “king of gems”. No gemstone has been priced throughout history than the ruby which is much rarer than the diamond.
Rubies are thought to possess an eternal inner flame, an undying flame inside the stone which some legends say is a part of the planet Mars.
The ruby is the symbol of devotion, passion and courage. This symbolism fits FPOP to a “T”: its devotion to its advocacy; its passion for success and its courage against all odds.
We look forward to your Golden Anniversary and beyond!
Congratulations and thank you so much for your devotion, passion and courage in supporting the RH bill.
THE PHILIPPINE DAIRY SECTOR: AN EMERGING INDUSTRY (Speech delivered by REP. EDCEL C. LAGMAN at the Dairy Congress and Expo 09 at the CWC Convention Center, Pili, Camarines Sur on 15 May 2009)
Milk has often been touted as the most ideal food when it comes to meeting the nutritional needs of human beings. In fact, unlike other mammals, we humans are the only ones who continue to drink milk way past infancy.
There is ample evidence that milk, as a food product, is deeply imbedded in human culture – it is found in our myths and legends; it is present in our literature and visual arts; the world’s languages are replete with expressions involving milk; and even the Bible and Koran make references to it.
For example, Shakespeare’s Macbeth gets an earful from his wife, the overly ambitious Lady Macbeth, when she berates him for being “too full of the milk of human kindness”. The Lady Macbeth believes that too much basic human decency and compassion for others epitomized by nurturing milk is the source of her husband’s apparent lack of motivation to appropriate for himself the Scottish crown. The subsequent assassination of King Duncan shows that in the end, murderous blood won over life-giving milk.
Examples of idiomatic expressions which incorporate the word milk are “there’s no use crying over spilt milk”, meaning that one should not worry about little things or get upset about things that have already happened and “a pot of milk is ruined by a drop of poison” which is illustrative of how one bad thing can ruin everything.
In our own culture we describe as “may gatas pa sa labi” someone who is still very young or inexperienced. Sometimes, we use the word derogatively like in “gagatasan ka lang niyan”, referring to unscrupulous behavior.
References to milk can be found in the Bible which portrays Palestine as the “land of milk and honey” and even the Koran describes milk as “pure and pleasant for those who drink it”.
In Greek mythology, the goddess Hera accidentally spilled her breast milk and it was transformed into the Milky Way. Closer to home is the Cambodian legend depicting milk as the elixir of immortality that the gods of Angkor fought over.
It is then only fitting that the Philippine dairy industry whose principal product is milk – a universal symbol of life and nourishment – is given a new lease on life not only through additional funding for the National Dairy Authority but also because of the revitalized and innovative leadership of the Dairy Confederation of the Philippines and the full cooperation and collaboration of dairy farmers and cooperatives.
Because of the growing demand for milk and other dairy products and the fact that a tropical country like the Philippines with its abundant rainfall is ideal for pasture lands, I cannot overemphasize the amazing potential of the Philippines to emerge as a dairy hub.
Technical expertise when it comes to raising animals for milk production is also not lacking in the country. Neither is there a dearth of individuals and groups willing to learn how to be effective and successful dairy farmers.
The Dairy Confederation of the Philippines and the National Dairy Authority also have no shortage of supporters and able partners in government who are serious about helping our dairy industry develop and our dairy farmers prosper.
When I was Chairman of the House Committee on Appropriations, I did not have any second thoughts in initiating the allocation of an additional P50 million in the 2008 General Appropriations Act to the Philippine Dairy Authority for the build-up of dairy herds in the country. I knew it would be money well spent.
Every peso spent for the development of the dairy industry poses numerous potential rewards in terms of increased milk production, improvements in both the quality and quantity of dairy herds, additional employment, revenues from the sale of milk and milk products, enhanced incomes for rural families and better nutrition for children, especially for those living in the countryside.
The Philippine dairy industry has been progressively improving for the past decade and the advances are quantifiable.
Despite the global economic downturn during the last quarter of 2008, dairy cooperative farms scored big last year as the Bureau of Agricultural Statistics revealed that local dairy production still grew by almost 3.0%. Exports also grew by 6.22%. Available data also shows that since 2002, milk production in metric tons per day has increased by almost 100%.
Moreover, recent figures would indicate that we are slowly liberating ourselves from our dependency on imported milk and dairy products since imports of milk and allied goods have been gradually decreasing. Last year we saw overall milk imports decline by 11.66%. This is no small feat for an industry that is only really in its nascent stages.
Daily milk production as of 2008 is now pegged at more than 37,800 liters. Moreover, since ready to drink liquid milk imports decreased by a whopping 17% last year, the increase in local production means that locally produced liquid milk now accounts for 27% of the liquid milk supply up from 23% in 2007. This is more than a quarter of the liquid milk supply in the country and is truly something that all of you should be proud of.
Clearly, based on available empirical data, there is tremendous potential for growth in the dairy industry. The challenge now is to ensure that (1) industry stakeholders will make the most of these positive developments; and (2) farmers will be able to reap the benefits of this golden opportunity by being taught the skills they would need to capitalize on the prospective growth of the industry.
There are critical issues that must be addressed for this to happen:
1. Links must be established between rural producers and urban consumers especially since specialty coffee shops in Metro Manila are increasing their demand for fresh milk.
2. Farmer cooperatives must have better access to institutional credit to allow for herd expansion and better maintenance of animals.
3. The issue of unproductive animals and better feeding practices must also be addressed.
4. Access to veterinary and breeding services should be significantly improved.
5. Farmers must be encouraged and taught to convert milk into other products such as cheese and native milk-based delicacies which will fetch higher prices than liquid milk. Pasteurization and other methods to increase the shelf-life of milk will also translate to more revenues for the farmers.
Competitiveness is crucial for the survival of small dairy farmers. Efforts must therefore be made to reduce the cost of production. Increasing productivity of the animals, enhanced health care and breeding facilities and management of dairy animals can reduce considerably the cost of milk production.
The theme for this year’s Dairy Confederation Convention – “Sa Dairy Ang Kita Ay Daily” – underscores the regular cash income that farmers will get from milk. Unlike crops such as rice, corn or vegetables that follow cycles of planting and harvesting, dairy farming assures rural folk of continuous income on a daily basis. Additionally, dairy farmers’ children are also guaranteed a fresh supply of nutritious milk daily. Moreover, since dairy farming is not affected by weather conditions as much as agricultural farming is, there is relatively less risk in this endeavor.
Unfortunately, farmers still do not prioritize dairying when their crop yields are good and the weather is favorable. Dairy farming is considered by most as secondary to actual agricultural farming.
The Dairy Confederation must encourage a shift in mindset so that dairying will not be treated merely as an insurance against crop failure but must be valued as equally profitable as traditional farming.
As far as the government is concerned, its role is clear – it must provide adequate funding to promote and protect the dairy industry; it must ensure a fair playing field so that more cooperatives and the private sector will be encouraged to invest in the dairy industry; and it must provide the requisite incentives to give the industry the boost it needs to be truly dynamic and self-sufficient.
The Philippines has the dubious distinction of being the only country in Asia that has a single digit tariff on milk and milk products. Other Asian countries like India, Japan, Vietnam and Thailand all levy taxes more than 10 times the measly 3% that the Philippines imposes on imported milk. I am aware of moves from the National Dairy Authority and the Dairy Confederation of the Philippines to increase the current tariff from 3 to 18% which is the WTO bound rate for liquid milk but this proposal was turned down by the Tariff Commission.
If the Dairy Con and the NDA are still interested in pursuing this strategy to protect and develop the young Philippine dairy industry, make prices of locally-produced milk more competitive vis-à-vis imported brands, and to prevent our markets from being flooded with cheap imported milk, I shall be willing to sponsor a measure not only establishing a Milk Feeding Fund out of the tax collection of the National Government from milk imports like what was filed in both Chambers of Congress in the past years but a measure actually mandating the imposition of higher tariffs on imported milk products.
The current tariff rate is abysmally low not only compared to the rates imposed by our neighboring countries; it is also very low compared to the bound rates allowed by the General Agreement on Tariffs and Trade (GATT). In fact, the NDA points out that our actual applied tariff of 3% on milk imports is the same rate enforced by industrialized countries with highly developed dairy industries.
Certainly, we will be hard-pressed to fully develop our own dairy industry if we continue to impose such low taxes to the detriment of the fledgling dairy sector and to the disadvantage of small coop farmers whose local milk will never be able to compete with the very inexpensive imported milk products whose producers are subsidized by their respective governments.
Government must put realistic policies in place to make the Philippine dairy industry competitive and vibrant. But while the government is committed to providing all possible assistance to establish a vigorous dairy industry, there is urgent need for the wholehearted collaboration and support from the private sector to meet global challenges.
The support of the private sector is indispensable if the dairy industry will be able to fulfill its vast potentials. It will be instrumental in infusing additional funds and the needed skills that will propel the industry forward.
I urge you to take advantage of this largely untapped sector which, I am certain, shall be only too willing to invest in a growing industry.
I am hopeful that this year’s Dairy Congress shall not only be an occasion for the exchange of ideas and strategies and a venue for all stakeholders to strengthen their commitment to the progress of the dairy industry but that this event shall also be an opportunity for you to take stock of the current situation of the dairy sector and its prospects and the chance to put together a veritable road map that will be traversed by the dairy industry in the years to come.
Allow me to end with this old proverb: “cream does not simply float to the top; it has to work its way up.” Like in everything else, the stakeholders of the Philippine dairy industry will have to roll up its sleeves and work doubly hard if, like cream, it wants to rise to the top of its game. With the commitment and enthusiasm you have shown today, I am certain that you would be up to the task.
HAVING THE BALLS TO STAND UP FOR REPRODUCTIVE HEALTH AND RIGHTS (Speech delivered by REP. EDCEL C. LAGMAN during the Philippine Urological Association’s Midyear Convention on 17 April 2009 at the Avenue Plaza Hotel, Naga City)
In Roman times, men customarily placed their right hands over their testicles and swore by them before testifying in court. This is not strange given that the Latin word testis meant “witness”.
This practice is seen even in the Bible in the Book of Genesis where Abraham told his most trusted servant who was on a mission to find a wife for his son Isaac to “place your hand under my thigh” which is a euphemistic way of instructing the servant to swear upon the testicles of his master.
It seems that then, as now, the balls are a symbol of moral fiber, truthfulness and courage. Since this area of the male anatomy falls under the domain of urologists, I thought it would be enlightening to trace the etymological roots of this body part that has much to do with the practice of your branch of medicine even as I hope that the traits that the testes symbolize – honesty, straightforwardness and moral fortitude – would also characterize our discussion of the RH bill.
Each time I begin a talk on House Bill No. 5043 or the Reproductive Health bill, I make it a point to first disabuse the minds of the audience by underscoring that reproductive health as a concept is not about sex. Neither is it about religion. Nor is the bill primarily about condoms and pills. This seems to surprise most people who continue to equate reproductive health with sex, contraceptives, hedonism and promiscuity.
Reproductive health is fundamentally about health, rights and sustainable human development. The bill is fully transparent. There are no caveats and the authors have no hidden agenda.
As urologists, you are directly involved in ensuring male reproductive health and I am heartened your association sees the impact a bill such as House Bill 5043 will have on sexual dysfunction in men and in ensuring that this will be both treated and prevented.
RH is a fundamental human right
The RH bill is anchored on the principle that everyone has the right to reproductive self-determination – meaning the right to decide when and how often one becomes a parent or the right not be a parent at all. Should a couple decide that they want to plan and space their children, the State must be able to provide them with relevant and timely information on all methods of family planning which are legal and medically safe. Once the couple has decided on the method best suited to their needs, personal convictions and religious beliefs, then the State must once again be prepared and equipped to provide them with quality reproductive health and family planning services.
Moreover, should a woman decide to become a mother, the State must be able to provide her with the services she needs for safe motherhood.
At the heart of the bill is freedom of informed choice. Neither the State nor the Church has the authority to tell the people or the faithful what family planning method to adopt. The choice belongs to couples, particularly to women because they put their lives at risk every time they bear children.
The essence of the RH bill is to provide an enabling environment that will protect and promote the right of individuals and couples to make informed decisions when it comes to planning their families; the right to have healthy babies and provide adequately for their families; and the right to reproductive health, an enjoyable and safe sex life, and reproductive self-determination.
Right to RH remains illusory for poor Filipinos
Although reproductive health has long been considered a basic human right, this remains illusory for millions of Filipinos, especially the poor. Consider the following:
1. 2.6 million Filipino women would like to plan their families but lack information and access to do so. (Family Planning Survey 2006) 2. The poorest Filipinas are still having an average of 6 children which almost 3 times their desired number. (FPS 2006) 3. 44% of the pregnancies of the poorest women are unwanted. (FPS 2006) 4. According to the latest study of the Guttmacher Institute of New York in collaboration with the UP Population Institute, more than half of the Philippines’ 3.4 million pregnancies are unintended and 92% of them occur to women who either use no method or use a traditional method. 5. Among the poorest women who would like to avoid pregnancy, at least 41% do not use any contraceptive method because of lack of information or access.
What the RH bill is all about
1. The bill is pro-poor, pro-women and pro-life. The principal beneficiaries of this bill are the poorest of the poor and the marginalized. RH and family planning significantly improves maternal health and lowers maternal morbidity. Having the ability to plan and space children will afford women more employment and educational opportunities and will significantly lower abortion rates. The bill will also prevent infant and child deaths. Family planning will also mean larger investments in health and education and better health outcomes for children.
2. The bill promotes safe motherhood and better health for infants and children. The WHO and the UNFPA assert that correct and consistent use of contraceptives will prevent one-third of all maternal deaths and family planning helps prevent 1 million infant deaths worldwide.
3. The bill will promote sustainable human development. The UN stated that “family planning and reproductive health are essential to reducing poverty” and “countries that invest in reproductive health and family planning and in women's development register slower population growth and faster economic growth”.
4. The UNICEF underscores that “family planning could bring more benefits to more people at less cost than any other single technology now available to the human race.” The return of investment in family planning and contraceptive use is high. In fact, it leads to net government savings as medical costs associated with unintended pregnancies would fall from P3.5-B to P600-M.
5. Expanding access to contraception could result in 800,000 fewer unplanned births; 500,000 fewer induced abortions; 200,000 fewer miscarriages; and 2,100 less maternal deaths.
Clarifying misconceptions: what the RH bill is not
Misconception 1: the bill is anti-life.
• It is pro-quality life. It will ensure that children will be blessings to their parents since their births are planned and wanted.
• The bill is not against the birth of children. It does not advocate that women and couples stop having children. What it only aims to do is to help women and couples achieve their fertility goals.
Misconception 2: Bill is biased for modern methods of FP.
• The bill does not favor modern methods of family planning over the natural methods preferred by the Catholic Church. Section 3(a) of the bill provides: “In the promotion of reproductive health, there should be no bias for either modern or natural methods of family planning.”
Misconception 3: Bill legalizes abortion.
• The bill underscores that abortion is illegal, criminal and punishable, and is not part of the menu of legally permissible and medically safe family planning methods.
• The bill will not lead to the eventual legalization of abortion. Catholic countries like Panama, Guatemala, Brazil, Chile, Columbia, Dominican Republic, El Salvador, Paraguay and Ireland all prohibit abortion as a family planning method even as they vigorously promote contraceptive use.
• Contraceptive use and abortion have an inverse correlation: regular and correct use of contraceptives reduces abortion rates since unplanned and unwanted pregnancies are avoided. The RH bill is in fact anti-abortion.
Misconception 4: Bill endorses abortifacients.
• Pills and IUDs are BFAD-approved, medically safe and legal.
• The WHO declares that contraceptives “cannot be labeled as abortifacients”.
• Critics of the bill have been claiming that contraceptives prevent the implantation of a fertilized egg which they equate with abortion. But according to the Department of Reproductive Health and Research of the WHO not only are contraceptives not abortifacients, “there is no evidence to date that has supported the hypothesis that these lead to the disruption of implantation.”
Misconception 5: Contraceptives kill.
• Medical risks connected with contraceptives are infinitely lower than the risks of an actual pregnancy and everyday activities.
(a) Risk of dying within a year of riding a car is 1 in 5,900. (b) Risk of dying within a year of using pills is 1 in 200,000. (c) Risk of dying from a vasectomy is 1 in 1 million. (d) Risk of dying from using an IUD is 1 in 10 million. (e) Risk of dying from condom use is absolutely zero. (f) But the worldwide risk of dying from a pregnancy is 1 in 10,000. (g) In the Philippines, the lifetime risk of dying from maternal causes is an alarming 1 in 100.
Misconception 6: Bill claims to be panacea to poverty.
The bill simply recognizes the verifiable link between a huge population and poverty. Unbridled population growth stunts socio-economic development and aggravates poverty. Consider the following:
• The Philippines is the 12th most populous country in the world but we rank 102nd out of 179 countries in the Human Development Index of the United Nations Development Program.
• According to the Asian Development Bank, a large population is one of the major causes of poverty in the country.
• Large family size is a significant factor in keeping families poor across generations. (Phil. Institute for Development Studies)
Misconception 7: Sexuality education will promote promiscuity.
• Age-appropriate RH education promotes correct sexual values, which is the antithesis of promiscuity.
• International empirical studies document the following benefits of sexuality education among the young: (1) understanding of proper sexual values is promoted; (2) initiation to sexual relations is delayed; (3) abstinence before marriage is encouraged; (4) multiple sex partners is avoided; and (5) spread of sexually transmitted diseases is prevented.
Ensuring Male Reproductive Health and the RH Bill
I would like to underscore that there is more to RH than just family planning. It encompasses several other equally important elements such as the promotion of breastfeeding; infant and child health and nutrition; prevention and treatment of STDs and reproductive tract and breast cancers; prevention of abortion; sexuality education for the young; and providing assistance to couples with infertility problems and sexual dysfunction, among others.
The last element – treatment and prevention of infertility and sexual dysfunction – is a primary concern of urologists. Although impotence is not a deadly disease, it can be a precursor to or a sign of potentially fatal health problems. In a society where a macho culture still unfortunately prevails, HB 5043 will be a great help in encouraging men to talk about impotence and erectile dysfunction and will be indispensable in making them seek actual treatment.
In the United States, it is reported that at least 20 million American men have some degree of erectile dysfunction (ED). This is equivalent to roughly 1.3% of all American men. Assuming that this data is reflective of worldwide trends, this would translate to approximately 585,000 Filipino men with some form of ED. This, certainly, is no laughing matter, even if ED is not life-threatening.
The problems of erectile dysfunction and sterility have far reaching effects on the lives of men and cannot be ignored or pushed aside simply because no one has yet died due to the inability to have an erection or impregnate one’s wife.
The RH bill aims to help remove the stigma associated with male infertility and erectile dysfunction by encouraging honest discussions on its prevention and treatment and ensuring that men in particular become more aware that ED and infertility are serious problems that require proper treatment from specialists.
Vox populi, vox Dei
The people have spoken – they favor family planning and want the RH bill passed.
The latest SWS national survey reveals that 71% of Filipinos are in favor of the RH bill; 76% agree that there should be a law requiring government to teach family planning to the youth; and 68% believe that there should be a law that compels government to distribute contraceptives.
A Pulse Asia survey released early this year also shows similar statistics – 93% of Filipinos consider it important to have the ability to plan their families; 82% believe government should give people information and access to all family planning methods; and 63% want the RH bill to be passed with only 8% against.
It is important to underscore that more Catholics favor the bill’s passage as compared to non-Catholics. Seventy-one percent of Catholics support its enactment versus only 68% of non-Catholics who endorse the bill (SWS). Clearly, an overwhelming majority of the Catholic faithful believe that using contraception does not make them bad Catholics.
Indeed, if the voice of the people is the voice of God, then there is no reason the RH bill will not be ultimately enacted into law.
Male involvement in reproductive health
The urgency of passing a national policy on RH and family planning is reflected in maternal mortality figures – 11 Filipino mothers die each day in the process of giving life. Although we are men, not one of us will be here if not for our mothers. We have also wives, sisters and daughters and we cannot stand idly by and let the miracle of life mean death for so many mothers. Studies from the WHO, UNFPA and other international organizations have consistently revealed that contraceptive use actually promotes health and saves lives because they prevent unintended and high risk pregnancies.
Alarming maternal death rates also expose deplorable gender disparities because there is no single health hazard to men aged 15 to 49 which approximates the horror and pervasiveness of maternal mortality and disability.
As doctors and as enlightened men, you are indispensable in encouraging other men to be more involved in reproductive health because men are crucial in ensuring gender equality and saving women’s lives. In societies like ours, men play a dominant role in almost every sphere of life – from private decisions like family planning to public policies on reproductive health and women’s rights. It is important to underscore that it is precisely within the realm of politics and religion – in which men play central roles – that key reproductive health decisions affecting women’s lives have been made and are being made.
We must not forget that the empowerment of women through better health, education and opportunities benefits their families in particular and society as a whole in general so let us not begrudge them the right to achieve their desired fertility goals through effective and safe family planning.
The authors of HB 5043 are counting on physicians like you to support the measure because it is genuinely pro-women, pro-poor and pro-life. We are counting on you because you are medical professionals and scientists and you know for a fact that RH is essential to people’s overall health. We are counting on you because most, if not all of you, have exercised the most basic right to plan your families and we know that you would not wish to deprive poor Filipino couples of the same right.
Having the balls to stand up for reproductive health and rights
The Philippines is the only remaining middle income country in this part of the world that does not have a national policy on reproductive health. This is not only unfortunate, it constitutes a grave social injustice because family planning and reproductive health saves the lives of women and infants, optimizes childcare; prevents the aberration of abortion, leads to remunerative work for women and gives children a fighting chance of living dignified lives.
The testes, which are found in the logo of your association, have long been symbols of men’s virility and vigor. But more than just symbols of the generative capacities of men, the testicles are also a figurative representation of daring and strength of spirit.
There is no pun intended when I say that I am certain that the officers and members of the Philippine Urological Association have the balls – the courage and fortitude – to support the passage of the RH bill and stand up for reproductive health and rights.
Be a part of the passage of the RH bill and help us achieve the dream that the birth of every Filipino child will be a cause for celebration.
THE RH BILL: CALLING A SPADE A SPADE (Speech delivered by REP. EDCEL C. LAGMAN before members of the Inner Wheel Club on 16 April 2009)
Each time I begin a talk on House Bill No. 5043 or the Reproductive Health bill, I make it a point to first disabuse the minds of the audience by underscoring that reproductive health as a concept is not about sex. Neither is it about religion. Nor is the bill primarily about condoms and pills. This seems to surprise most people who continue to equate reproductive health with sex, contraceptives, hedonism and promiscuity.
For an issue as controversial and as important as reproductive health, we must refrain not only from trading insults with critics or meandering into peripheral subjects. Our language must be clear and unambiguous. Let us call a spade a spade – reproductive health is fundamentally about health, rights and sustainable human development. The bill is fully transparent. There are no caveats and the authors have no hidden agenda.
I am heartened that the Inner Wheel Club, which is the largest women’s voluntary service organization in the world, has decided to hold a forum on the RH bill because the casualties of the lack of a national policy on reproductive health and family planning are primarily women, especially those who are poor and uneducated.
Inner Wheel is much more than just a ladies’ club and its history is truly instructive – it was created primarily for wives and daughters of Rotary Club members which, until 1989, was an club which excluded women from its membership.
Millions Filipino women today are still excluded from the select group of women who can freely exercise their right to reproductive health because of lack of information and pertinent services. As accomplished, educated and well-off women, you can do so much to improve the lives of your less fortunate sisters by promoting and protecting their right to reproductive health and supporting the RH bill.
RH is a fundamental human right
The RH bill is anchored on the principle that everyone has the right to reproductive self-determination – meaning the right to decide when and how often one becomes a parent or the right not be a parent at all. Should a couple decide that they want to plan and space their children, the State must be able to provide them with relevant and timely information on all methods of family planning which are legal and medically safe. Once the couple has decided on the method best suited to their needs, personal convictions and religious beliefs, then the State must once again be prepared and equipped to provide them with quality reproductive health and family planning services.
Moreover, should a woman, who bears the brunt of pregnancy and childbirth decide to become a mother, the State must be able to provide her with the services she needs for safe motherhood.
At the heart of the bill is freedom of informed choice. Neither the State nor the Church has the authority to tell the people or the faithful what family planning method to adopt. The choice belongs to couples, particularly to women.
Again, I would like to underscore that there is more to RH than just family planning. It encompasses several other equally important elements such as the promotion of breastfeeding; infant and child health and nutrition; prevention and treatment of STDs and reproductive tract and breast cancers; prevention of abortion; sexuality education for the young; and assistance to couples with infertility problems, among others.
This is the essence of the RH bill – being able to provide an enabling environment that will protect and promote the right of individuals and couples to make informed decisions when it comes to planning their families and safeguarding their right to reproductive health.
Right to RH remains illusory for poor Filipinos
The time has come for the enactment of the RH bill because although, reproductive health has long been considered a basic human right, this remains illusory for millions of Filipinos, especially the poor. Consider the following results of the Family Planning Survey 2006:
1. 2.6 million Filipino women would like to plan their families but lack information and access to do so. 2. Poorest Filipinas are still having an average of 6 children (this is almost 3 times their desired number of children). 3. 44% of the pregnancies of the poorest Filipinas are unwanted. 4. According to the latest study of the Guttmacher Institute of New York in collaboration with the UP Population Institute, more than half of the Philippines’ 3.4 million pregnancies are unintended and 92% of them occur to women who either use no method or use a traditional method. 5. Among the poorest women who would like to avoid pregnancy, at least 41% do not use any contraceptive method because of lack of information or access.
What the RH bill is all about
So much has been said about what the RH bill is all about, most of which are completely false and even bordering on malicious misinformation. It would be best then to get the facts straight from the horse’s mouth:
1. The bill is pro-poor, pro-women and pro-life. The principal beneficiaries of this bill are the poorest of the poor and the marginalized. RH and family planning significantly improves maternal health and lowers maternal morbidity. Having the ability to plan and space children will afford women more employment and educational opportunities and will significantly lower abortion rates. The bill will also prevent infant and child deaths. Family planning will also mean larger investments in children’s health and education and better health outcomes for children.
2. The bill promotes safe motherhood and better health for infants and children. The WHO and the UNFPA assert that correct and consistent use of contraceptives will prevent one-third of all maternal deaths and family planning helps prevent 1 million infant deaths worldwide.
3. The bill will promote sustainable human development. The UN stated in 2002 that “family planning and reproductive health are essential to reducing poverty” and “countries that invest in reproductive health and family planning and in women's development register slower population growth and faster economic growth”.
4. The UNICEF underscores that “family planning could bring more benefits to more people at less cost than any other single technology now available to the human race.” The return of investment in family planning and contraceptive use is high. In fact, it leads to net government savings as medical costs associated with unintended pregnancies would fall from P3.5-B to P600-M.
5. Expanding access to contraception could result in 800,000 fewer unplanned births; 500,000 fewer induced abortions; 200,000 fewer miscarriages; and 2,100 less maternal deaths.
Clarifying misconceptions: what the RH bill is not
Now that I’ve discussed the core concepts of the proposed measure or what the RH bill is all about, it would also be enlightening to talk about what the bill is not about which will effectively clarify the numerous misconceptions about HB 5043.
Misconception 1: the bill is anti-life.
• It is pro-quality life. It will ensure that children will be blessings to their parents since their births are planned and wanted.
• The bill is not against the birth of children. It does not advocate that women and couples stop having children. What it only aims to do is to help women and couples achieve their fertility goals.
• It promotes safe pregnancy and safe childbirth since high risk and unintended pregnancies are avoided.
Misconception 2: Bill is biased for modern methods of FP.
• Section 3(a) of the bill provides: “In the promotion of reproductive health, there should be no bias for either modern or natural methods of family planning.”
• The bill will even democratize family planning because it will make available to couples all possible family planning methods and not just natural family planning methods preferred by the Catholic Church and which are currently the only methods promoted by the Commission on Population.
Misconception 3: Bill legalizes abortion.
• The bill underscores that abortion is illegal, criminal and punishable, and is not part of the menu of legally permissible and medically safe family planning methods.
• Promoting contraceptive use will not lead to the eventual legalization of abortion. Numerous Catholic countries like Panama, Guatemala, Brazil, Chile, Columbia, Dominican Republic, El Salvador, Paraguay and Ireland all prohibit abortion as a family planning method even as they vigorously promote contraceptive use.
• Contraceptive use and abortion have an inverse correlation: regular and correct use of contraceptives reduces abortion rates since unplanned and unwanted pregnancies are avoided. The RH bill is in fact anti-abortion.
Misconception 4: Bill endorses abortifacients.
• Pills and IUDs are BFAD-approved, medically safe and legal.
• The WHO declares that contraceptives “cannot be labeled as abortifacients”.
• Critics of the bill have been claiming that contraceptives prevent the implantation of a fertilized egg which they equate with abortion. But according to the Department of Reproductive Health and Research of the WHO not only are contraceptives not abortifacients, “there is no evidence to date that has supported the hypothesis that these lead to the disruption of implantation.”
Misconception 5: Contraceptives kill.
• Medical risks connected with contraceptives are infinitely lower than the risks of an actual pregnancy and everyday activities.
(a) Risk of dying within a year of riding a car is 1 in 5,900. (b) Risk of dying within a year of using pills is 1 in 200,000. (c) Risk of dying from a vasectomy is 1 in 1 million. (d) Risk of dying from using an IUD is 1 in 10 million. (e) Risk of dying from condom use is absolutely zero. (f) But the worldwide risk of dying from a pregnancy is 1 in 10,000. (g) In the Philippines, the lifetime risk of dying from maternal causes is an alarming 1 in 100.
Misconception 6: Bill claims to be panacea to poverty.
The authors of the bill do not claim that it is a magic wand that will solve all our problems.
• The bill simply recognizes the verifiable link between a huge population and poverty.
• Unbridled population growth stunts socio-economic development and aggravates poverty.
(a) The Philippines is the 12th most populous country in the world but we rank 102nd out of 179 countries in the Human Development Index of the United Nations Development Program. (b) According to the Asian Development Bank, a large population is one of the major causes of poverty in the country. (c) Large family size is a significant factor in keeping families poor across generations. (Phil. Institute for Development Studies)
Misconception 7: Sexuality education will promote promiscuity.
Most of you here today are mothers and I am certain that regardless of the topic, you fully realize the necessity of honesty and frankness when it comes to talking to children. In fact, I am sure that you will agree with me that children have the remarkable ability of responding with equal candor and when they feel that adults are being honest.
Correct and timely information on sexuality is crucial if we are to help our children and young people become sexually responsible adults.
• Age-appropriate RH education promotes correct sexual values, which is the antithesis of promiscuity.
• International empirical studies document the following benefits of sexuality education among the young: (1) understanding of proper sexual values is promoted; (2) initiation to sexual relations is delayed; (3) abstinence before marriage is encouraged; (4) multiple sex partners is avoided; and (5) spread of sexually transmitted diseases is prevented.
• The United Nations Population Fund asserts that these beneficial effects “become even greater when parents can talk honestly with their children about sexual and reproductive matters.”
If we want to decrease the number of teenage pregnancies and effectively combat the spread of STDs and if we truly want young people to act more responsibly, then it’s about time we adults grew up and trust young people enough that pertinent information and correct values about sex and sexuality will not make them immoral and promiscuous.
Countries whose schools teach sexuality education continue to reap the benefits of providing young people with accurate information at the appropriate age because it encourages responsible behavior and tends to delay the onset of sexual activity.
Moreover, comprehensive sexuality education has been shown to help adolescents make more sensible sexual decisions and adds a level of maturity to their attitudes towards sexual relations.
Vox populi, vox Dei
The people have spoken – they favor family planning and want the RH bill passed.
The latest SWS national survey reveals that 71% of Filipinos are in favor of the RH bill; 76% agree that there should be a law requiring government to teach family planning to the youth; and 68% believe that there should be a law that compels government to distribute contraceptives.
A Pulse Asia survey released early this year also shows similar statistics – 93% of Filipinos consider it important to have the ability to plan their families; 82% believe government should give people information and access to all family planning methods; and 63% want the RH bill to be passed with only 8% against.
It is important to underscore that more Catholics favor the bill’s passage as compared to non-Catholics. Seventy-one percent of Catholics support its enactment versus only 68% of non-Catholics who endorse the bill (SWS). Clearly, an overwhelming majority of the Catholic faithful believe that using contraception does not make them bad Catholics.
Since Ann Arbor school is located in Parañaque, let me disclose the results of the SWS survey conducted in Parañaque only last month: 87% of residents agree that there should be a law on reproductive health and family planning; 85% want schools to teach family planning; and 87% believe that government should provide contraceptives to those who want them.
Indeed, if the voice of the people is the voice of God, then there is no reason the RH bill will not be ultimately enacted into law.
Smaller families = positive effects on women’s wellbeing
Giving women the opportunity to plan and space their children will almost always improve their general wellbeing. Studies conducted by Family Health International show that high parity or having many children has negative effects on all measures of women’s welfare. These detrimental effects encompass nutritional status, level of education, income, employment opportunities and social activities.
Smaller families indeed make for healthier, more educated, better-employed, more productive and more socially mobile women. It must be underscored that the more educated, the healthier and more financially independent a mother is, the chances that she will pass on these characteristics to her children increase markedly.
The authors of HB 5043 are counting on enlightened academics, teachers and parents and women like you to support the measure because it is genuinely pro-women, pro-poor and pro-life. We are counting on you because you know for a fact that RH is essential to women’s overall health and if it is neglected, primary aspects of women’s general welfare and wellbeing will be irrevocably compromised. We are counting on you because most, if not all of you, have exercised the most basic right to plan your families and we know that you would not wish to deprive poor Filipino couples of the same right.
The Philippines is the only remaining middle income country in this part of the world that does not have a national policy on reproductive health. This is not only unfortunate, it constitutes a grave social injustice because family planning and reproductive health saves the lives of women and infants, optimizes childcare; prevents the aberration of abortion, leads to remunerative work for women and gives children a fighting chance of living dignified lives.
Help us pass the RH bill by helping clarify misconceptions about the measure and educating others about what it is really all about. Encourage open-minded debates on the issue and champion the rights of the millions of poor women who are consigned to lives characterized by unremitting pregnancies because of the lack of RH information and services.
The theme for Inner Wheel year 2008/2009 is “Realize your visions and make a difference.” You can do both – achieve your dreams and make a difference in the lives of women for whom dreaming has become a luxury they can ill-afford by supporting the passage of the RH bill. In doing so, you will be helping poor Filipino women fulfill their simple dream of a better life for their children.
Make an impact on the lives of others by being a part of the passage of the RH bill and helping achieve our common dream that the birth of every Filipino child will be a cause for celebration.
