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In 2015, a series of undercover videos showed officials of the Planned Parenthood Federation of America (PPFA) discussing how they perform abortions and traffic in the tissues and organs of abortion victims. The officials' matter-of-fact comments on destroying unborn human life, and on altering abortion methods to obtain more "intact" organs, have led to a public debate on Planned Parenthood's role as a "women's health" organization receiving large government subsidies. Here are key facts.
1. PPFA is the largest abortion provider in the U.S.
In 2015-2016, the last year reported, Planned Parenthood affiliates performed 328,348 abortions, both surgical and "medical" (using the abortion drug RU-486).1 PPFA's share of the abortion "market" has expanded steadily over the years: It performed about one in five of all abortions in the United States in 2005, but now performs over a third.2
2. Every Planned Parenthood affiliate must perform abortions.
In 2010, PPFA announced that by 2013 every affiliate must have one or more clinics that perform abortions on-site. A few affiliates left PPFA rather than comply with the new abortion mandate.3 In a fundraising email, PPFA's CEO Cecile Richards said it would be "obscene and insulting" to discontinue its abortion business in order to continue receiving taxpayer funding.4
3. Planned Parenthood provides almost 26 times more abortions than birth-oriented services.
While PPFA says abortions make up 3% of its services, this is misleading. PPFA says it served 2.4 million patients (women and men) and performed 328,348 abortions, indicating that nearly 14% of everyone entering a Planned Parenthood clinic receives an abortion. And PPFA provided only 9,419 "prenatal services" (down from 17,610 in 2014) and 2,889 referrals for adoptions at other agencies. So 96% of its services for pregnant women are abortions, outnumbering other options over 26 to 1.5
4. Planned Parenthood promotes risky RU-486 abortions that have killed young women.
PPFA strongly supports the dangerous abortion drug RU-486, promoted its expedited approval by the FDA, and volunteered to conduct early U.S. trials. In early trials, young Californians Holly Patterson and Vivian Tran died from infections after RU-486 abortions at Planned Parenthood clinics.6 In April 2011, the FDA reported 2,207 adverse events up to that time, including 14 deaths, 339 cases of blood loss requiring transfusions, and (in addition to deaths) 612 hospitalizations.7 Actual figures are likely higher, as the FDA doesn't mandate reporting by providers. PPFA clinics flouted FDA protocols by, among other things, using RU-486 "off-label" for abortions up to 63 days after a woman's last menstrual period (two weeks later than the FDA found safe). When Ohio passed a law requiring clinics to follow FDA guidelines, Planned Parenthood sued to tie up the law in court; public data later showed 42 botched RU-486 abortions in Ohio, including 35 women who had to return for a surgical abortion.8 Despite these deaths and other adverse events, in 2016 the Obama administration changed the FDA protocol to match what PPFA had been doing without authorization.9
5. Planned Parenthood fights even modest laws to reduce or regulate abortions.
PPFA has opposed, and filed suit against, reasonable and widely supported measures on abortion, even those protecting women's health and informed decision making. These include:
6. Planned Parenthood doesn't believe in a "right to choose" against abortion.
"Freedom of choice" does not apply to those who disagree with PPFA. It opposes laws recognizing conscience rights for doctors, nurses and health facilities with moral or religious objections to abortion, dismissively referring to conscience clauses as "refusal clauses."11 Planned Parenthood strongly supports U.S. funding of the U.N. Population Fund (UNFPA); in recent years it has announced "a new level of partnership" with that agency internationally, despite its involvement in the Chinese population program using coerced abortion and involuntary sterilization.12 Such coercion is recognized internationally as a crime against women.13 PPFA also opposes conscience rights for pharmacists who object to providing "emergency contraception" drugs due to their abortifacient potential, and thinks even religious orders like the Little Sisters of the Poor should be forced to include these in their health plans.14
7. Planned Parenthood is not "pro-choice"
In light of the failure of contraceptive programs to reduce unintended pregnancies or abortions, Planned Parenthood has increasingly promoted "LARCs" (long-acting reversible contraceptives)—implantables, injectables, and intrauterine devices—that can sterilize women for months or years at a time.15 Most women have rejected these methods in the past due to their inflexibility and side effects. But supporters favor them for "eliminating adherence and user dependence from the effectiveness equation"16—that is, LARCs disregard a woman's own changing reproductive goals, and cannot be discontinued without medical assistance. PPFA has even abandoned "pro-choice" as a slogan, insisting instead that contraception and abortion are basic "health care" that all women need access to (whether women ask for that or not).17
8. Planned Parenthood's role in serving women's health is compromised at best, and is better taken over by others.
Planned Parenthood's supporters cite its "cervical and breast cancer screenings"18—but its heavily promoted contraceptive services, 30% of PPFA's activities, are associated with an increased risk of breast and cervical cancer.19 Planned Parenthood's "screening" for breast cancer is a preliminary screen that a woman can do for herself—it offers no mammograms or biopsies.20 PPFA emphasizes its testing and treatment of sexually transmitted diseases,[xxi] but it heavily promotes contraceptive methods that may increase women's risk of contracting STDs, including AIDS.22 Women's comprehensive health needs are much better served by community health centers and other federally qualified health centers, which serve over 24 million patients in both urban and rural areas and outnumber Planned Parenthood clinics 15 to 1 (9,754 to "nearly 650").23
9. "Nonprofit" Planned Parenthood reaps enormous revenues, including tax revenues.
PPFA is legally a nonprofit organization but takes in enormous revenues: $1.35 billion in the year ending June 30, 2016, netting $77.5 million over expenses.24 $554.6 million, or 41% of total revenue, is from taxpayers' dollars.25 This is a sizeable increase from the $305.3 million in government contracts received in the year ending June 30, 2006.26 And this increase occurred while Planned Parenthood's U.S. clientele decreased from a reported 3 million to 2.4 million people of both genders.27
10. Even as Planned Parenthood's government funding has increased, the number of medical services it provides has decreased—but not abortions.
From 2004 to 2015, Planned Parenthood has reported a dramatic decrease in the following28: Pap tests (down 75%), breast exams (65%), total cancer screenings (69%), and even contraception/sterilization by any method (18%). By contrast, abortions have increased by 29% since 2004. There has been a clear shift in the kinds of services Planned Parenthood provides, away from the many other kinds of services it boasts of and toward abortion.
11. Planned Parenthood promotes risky "emergency contraception" to minors.
PPFA promotes over-the-counter sales of high-dose "emergency contraceptive" (EC) pills, even to minors below the age of 15, although lower-dose birth control pills require a prescription due to health risks.29 Planned Parenthood's claim that programs boosting access to ECs would reduce unintended pregnancies and abortions has been rebutted by numerous studies.30
12. Planned Parenthood has promoted abortions worldwide, even where it is illegal.
PPFA exports its ideology to developing nations, promoting abortion as family planning. As long ago as 1983, the then-current president of PPFA co-authored and signed a notorious International Planned Parenthood Federation (IPPF) declaration urging affiliates to violate their own countries' laws and perform illegal abortions: "Family Planning Associations and other non-governmental organizations should not use the absence of a law or the existence of an unfavourable law as an excuse for inaction; action outside the law, and even in violation of it, is part of the process of stimulating change."318/11/2017
 Planned Parenthood
Federation of America, 2005-2006 Annual
Report (henceforth 2005-2006 Report),
p. 4, at http://liveaction.org/research/wp-content/uploads/2011/06/2005-2006-Planned-Parenthood-Annual-Report.pdf; R. Jones et al., "Abortion
in the United States: Incidence and Access to Services, 2005," 40(1) Perspectives on Sexual and Reproductive
Health (March 2008), p. 6, at https://www.guttmacher.org/sites/default/files/pdfs/pubs/journals/4000608.pdf; R. Jones and J. Jerman,
"Abortion Incidence and Service Availability in the United States, 2014," 49(1)
Perspectives on Sexual and Reproductive
Health, March 2017, p. 17, at https://www.guttmacher.org/journals/psrh/2017/01/abortion-incidence-and-service-availability-united-states-2014 ("In 2014, an estimated
926,200 abortions were performed in the United States").
 M. Johnson, "Abortion mandate costs Planned Parenthood a few affiliates," NBC News, Dec. 6, 2012, at https://usnews.newsvine.com/_news/2012/12/06/15702142-abortion-mandate-costs-planned-parenthood-a-few-affiliates.
 Steven Ertelt, "Cecile Richards: It's 'Obscene and Insulting' to Suggest We Stop Killing Babies in Abortions," LifeNews.com, March 13, 2017, www.lifenews.com/2017/03/13/cecile-richards-its-obscene-and-insulting-to-suggest-we-stop-killing-babies-in-abortions/.
 2015-2016 Report, p. 2 (2.4 million patients), p. 23 (claim of
3%), and p. 25 (number of abortions and other services for pregnant women). Cf.
2005-2006 Report, p. 4.
 S. Russell, "Taker of abortion pill died due to infection," San Francisco Chronicle, Nov. 1, 2003, http://www.sfgate.com/health/article/Taker-of-abortion-pill-died-due-to-infection-2551286.php; J. Muir, "Suit links death to 'abortion pill'," The Orange County Register , Oct. 7, 2005, at http://www.ocregister.com/2005/10/07/suit-links-death-to-abortion-pill/.
 See Food and Drug Administration, "Mifepristone U.S. Postmarketing Adverse Events Summary through 04/30/2011," at https://www.fda.gov/downloads/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/UCM263353.pdf.
 Supreme Court of Ohio Case Summaries, "State Law Restricts Administration of Abortion Drug to FDA-Approved Gestational Limit, Delivery Protocol," July 1, 2009, at http://www.sconet.state.oh.us/PIO/summaries/2009/0701/081234.asp; Ohio Right to Life press release, "Botched RU 486 Abortions Injure 42 Women in Ohio as Planned Parenthood Defies FDA," August 22, 2013, www.lifenews.com/2013/08/22/botched-ru-486-abortions-injure-42-women-in-ohio-as-planned-parenthood-defies-fda.
 C. Gacek and A. Grossu, "Issue Brief: The FDA Adopts the Abortion Industry Standards for the Mifeprex® (RU-486) Abortion Regimen," Family Research Council, April 2016, at http://downloads.frc.org/EF/EF16D38.pdf.
 Whole Woman's Health v. Hellerstedt, 136 S. Ct. 2292 (2016)(admitting privileges, safety regulations); Planned Parenthood v. Commissioner, 64 F.Supp.3d 1235 (S.D. Ind. 2014) (safety requirements); Planned Parenthood v. Abbott, 748 F.3d 583 (5th Cir. 2014) (admitting privileges, RU-486); Stuart & Planned Parenthood v. Camnitz, 774 F.3d 238 (4th Cir. 2014) (ultrasound); Planned Parenthood v. DeWine, 64 F.Supp.3d 1060 (S.D. Ohio 2014) (RU-486); Planned Parenthood v. Strange, 33 F.Supp.3d 1330 (M.D. Ala. 2014) (admitting privileges); Planned Parenthood v. Humble, 753 F.3d 905 (9th Cir. 2014) (RU-486); Comprehensive Health of Planned Parenthood v. Templeton, 954 F.Supp.2d 1205 (D. Kan. 2013) (informed consent); Planned Parenthood v. Van Hollen, 738 F.3d 786 (7th Cir. 2013) (admitting privileges); Planned Parenthood v. Daugaard, 799 F.Supp.2d 1048 (D. S.D. 2011) (informed consent); Planned Parenthood v. Heineman, 724 F.Supp.2d 1025 (D. Neb. 2010) (informed consent); Planned Parenthood v. Rounds, 686 F.3d 889 (8th Cir. 2012) (informed consent); Gonzales v. Planned Parenthood, 550 U.S. 124 (2007) (partial-birth abortion); Ayotte v. Planned Parenthood, 546 U.S. 320 (2006) (parental involvement); Planned Parenthood v. Casey, 505 U.S. 833 (1992) (waiting period); Planned Parenthood v. Ashcroft, 462 U.S. 476 (1983) (parental involvement).
 ACLU (with PPFA as signatory), "Coalition Sign On Letter to Congress Urging Title X National Family Planning Program Support" (undated), https://www.aclu.org/letter/coalition-sign-letter-congress-urging-title-x-national-family-planning-program-support.
 PPFA news release, "Planned Parenthood
Condemns Vote to Eliminate Funding for UNFPA in House Foreign Affairs
Committee," Jan. 30, 2014, at www.plannedparenthood.org/about-us/newsroom/press-releases/planned-parenthood-condemns-vote-eliminate-funding-unfpa-house-foreign-affairs-committee; International Planned Parenthood Federation,
"New IPPF/UNFPA Initiative on Family Planning announced," May 29, 2013, at www.ippf.org/news/New-IPPFUNFPA-Initiative-Family-Planning-announced.
 Chris Smith, "China's One-Child Policy:
Massive Crimes against Women, Supported by the Obama Administration," The Public Discourse, Oct. 20, 2014, at http://www.thepublicdiscourse.com/2014/10/13942/.
 PPFA, "Emergency Contraception: History and
Access," August 2013, at www.plannedparenthood.org/files/5713/9611/6188/Emergency_Contraception_History_and_Access.pdf, p. 5; K. Scanlon, "Rep. Diane Black Fires
Back at Planned Parenthood for Characterizing the Little Sisters of the Poor as
'Out-of-Touch Bosses'," The Blaze, March 24, 2016, at http://www.theblaze.com/news/2016/03/24/rep-diane-black-fires-back-at-planned-parenthood-for-characterizing-the-little-sisters-of-the-poor-as-out-of-touch-bosses/; USCCB
Secretariat of Pro-Life Activities, "Does the HHS Mandate Include Abortifacients?",
April 3, 2014, at www.usccb.org/issues-and-action/human-life-and-dignity/contraception/upload/Does-the-HHS-Mandate-Include-Abortifacients.pdf.
 2015- 2016 Report,
 The American College of Obstetricians and
Gynecologists, "Increasing Access to Contraceptive Implants and Intrauterine
Devices to Reduce Unintended Pregnancy," ACOG Committee Opinion Number
642, p. 1, at https://www.acog.org/-/media/Committee-Opinions/Committee-on-Gynecologic-Practice/co642.pdf?dmc=1&ts=20160111T1232405166.
 J. Calmes, "Advocates Shun 'Pro-Choice' to
Expand Message," The New York Times, July 28, 2014, at
 See, for example, Senator Robert Casey, "Casey
Statement on Planned Parenthood," August 4, 2015, at https://www.casey.senate.gov/newsroom/releases/casey-statement-on-planned-parenthood.
 See summaries at National Cancer
Institute, www.cancer.gov/about-cancer/causes-prevention/risk/hormones/oral-contraceptives-fact-sheet#q6 (cervical cancer) and www.cancer.gov/about-cancer/causes-prevention/risk/hormones/oral-contraceptives-fact-sheet#q3 (breast cancer).
 J. McCormack, "After Lying About Providing Mammograms, Planned Parenthood Outraged That Breast Cancer Charity Cuts Off Grants," The Weekly Standard, Feb. 2, 2012, at http://www.weeklystandard.com/after-lying-about-providing-mammograms-planned-parenthood-outraged-breast-cancer-charity-cuts-grants/article/620875.
 2015-2016 Report, pp. 22-25.
 For example, J. Baetan et al., "The Influence
of Hormonal Contraceptive Use on HIV-1 Transmission and Disease Progression,"
45(3) Clinical Infectious Diseases (August 2007), pp. 360-9, cid.oxfordjournals.org/content/45/3/360.long. On Depo-Provera see P. Belluck, "Contraceptive
Used in Africa May Double Risk of H.I.V.," The New York Times,
Oct. 3, 2011, at www.nytimes.com/2011/10/04/health/04hiv.html?_r=0.
Association of Community Health Centers, "Key Health Center Data by State, 2015: Federally-Funded Health
Centers Only," at www.nachc.org/wp-content/uploads/2016/10/Key-Health-Center-Data-by-State_2015.pdf; 2015- 2016 Report,
 2015-2016 Report, pp. 28-29.
 2015-2016 Report, pp. 27-28.
 2005-2006 Report, p. 14.
 Ibid., p. 4; 2015-2016 Report, p. 2.
 2005-2006 Report, p. 4; 2015-2016 Report, pp. 22, 25.
 Planned Parenthood Action Fund, "Emergency Contraception" (2017), at www.plannedparenthoodaction.org/issues/birth-control/emergency-contraception.
 When experts who support this agenda reviewed
23 major studies on such programs, they admitted that "no study found an effect
on pregnancy or abortion rates." E. Raymond et al., "Population Effect of
Increased Access to Emergency Contraceptive Pills," 109 Obstetrics & Gynecology (2007), pp. 181-8, at www.ncbi.nlm.nih.gov/pubmed/17197603. Also see USCCB Secretariat of Pro-Life
Activities, "Fact Sheet: Emergency Contraception Fails to Reduce Unintended
Pregnancy and Abortion," June 5, 2014, at www.usccb.org/issues-and-action/human-life-and-dignity/contraception/fact-sheets/emergency-contraception-fails-to-reduce-unintended-pregnancy-abortion.cfm.
 IPPF, Report of the Working Group on the Promotion of Family Planning as a Basic Human Right, Nov. 1983, pp. 28-9.
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