Douglas Jerome Preston (born May 20, 1956) is an American author of techno-thriller and horror novels. He has written numerous novels, and although he is most well known for his collaborations with Lincoln Child (including the Agent Pendergast series and Gideon Crew series), he has also written six solo novels, primarily including the Wyman Ford series. He also has authored a number of non-fiction books on history, science, exploration, and true crime.
From 1978 to 1985, Preston worked for the American Museum of Natural History in New York City as a writer, editor, and manager of publications. He served as managing editor for the journal Curator and was a columnist for Natural History magazine. In 1985 he published a history of the museum, Dinosaurs In The Attic: An Excursion into the American Museum of Natural History, which chronicled the explorers and expeditions of the museum’s early days. The editor of that book at St. Martin’s Press was his future writing partner, Lincoln Child. They soon collaborated on a thriller set in the museum titled Relic. It was subsequently made into a motion picture by Paramount Pictures starring Penelope Ann Miller, Tom Sizemore, and Linda Hunt.
In 1986, Preston moved to New Mexico and began to write full-time. Seeking an understanding of the first moment of contact between Europeans and Native Americans in America, he retraced on horseback Francisco Vásquez de Coronado‘s violent and unsuccessful search for the legendary Seven Cities of Gold. That thousand mile journey across the American Southwest resulted in the book Cities of Gold: A Journey Across the American Southwest. Since that time, Preston has undertaken many long horseback journeys retracing historic or prehistoric trails, for which he was inducted into the Long Riders’ Guild. He has also participated in expeditions in other parts of the world, including a journey deep into Khmer Rouge-held territory in the Cambodian jungle with a small army of soldiers, to become the first Westerner to visit a lost Angkor temple. He was the first person in 3,000 years to enter an ancient Egyptian burial chamber in a tomb known as KV5 in the Valley of the Kings. In 1989 and 1990 he taught nonfiction writing at Princeton University. Currently, he’s an active member of the Authors Guild, as well as the International Thriller Writers organization.
For his solo career, Preston’s fictional debut was Jennie, a novel about a chimpanzee who is adopted by an American family. His next novel was The Codex, a treasure hunt novel with a style that was much closer to the thriller genre of his collaborations with Child. The Codex introduced the characters of Tom Broadbent and Sally Colorado. Tom and Sally return in Tyrannosaur Canyon, which also features the debut of Wyman Ford, an ex-CIA agent and (at the time) a monk-in-training. Following Tyrannosaur Canyon, Ford leaves the monastery where he is training, forms his own private investigation company, and replaces Broadbent as the main protagonist of Preston’s solo works. Ford subsequently returns in Blasphemy, Impact, and The Kraken Project.
Preston has criticized the conduct of Italian prosecutor Giuliano Mignini in the trial of American student Amanda Knox, one of three convicted, and eventually cleared, of the murder of British student Meredith Kercher in Perugia in 2007. In 2009, Preston argued on 48 Hours on CBS that the case against Knox was “based on lies, superstition, and crazy conspiracy theories”. In December 2009, after the verdict had been announced, he described his own interrogation by Mignini on Anderson Cooper 360° on CNN. Preston said of Mignini, “this is a very abusive prosecutor. He makes up theories. He’s … obsessed with satanic sex.”
“Operation Thriller” USO Tour
In 2010, Preston participated in the first USO tour sponsored by the International Thriller Writers organization, along with authors David Morrell, Steve Berry, Andy Harp, and James Rollins. After visiting with military personnel at National Navy Medical Center and Walter Reed Army Medical Center, the group spent several days in Kuwait and Iraq, marking “the first time in the USO’s 69-year history that authors visited a combat zone.” Of the experience, Preston said, “As always, we learn a great deal from all of the amazing and dedicated people we meet.”
In 2014, during a disagreement over terms between Hachette Book Group and Amazon.com, Inc., Preston initiated an effort which became known as Authors United. During the contract dispute, books by Hachette authors faced significant shipment delays, blocked availability, and reduced discounts on the Amazon website. Frustrated with tactics he felt unjustly injured authors who were caught in the middle, Preston began garnering the support of like-minded authors from a variety of publishers. In the first open letter from Authors United, over 900 signatories urged Amazon to resolve the dispute and end the policy of sanctions, while calling on readers to contact CEO Jeff Bezos to express their support of authors.Not long after, a second open letter, signed by over 1100 authors, was sent to Amazon’s board of directors asking if they personally approved the policy of hindering the sale of certain books.
Describing the motivation behind the campaign, Preston explained: “This is about Amazon’s bullying tactics against authors. Every time they run into difficulty negotiating with a publisher, they target authors’ books for selective retaliation. The authors who were first were from university presses and small presses… Amazon is going to be negotiating with publishers forever. Are they really going to target authors every time they run into a problem with a publisher?”
Ex-CIA agent Wyman Ford returns to Cambodia to investigate the source of radioactive gemstones and uncovers an unusual impact crater. A young woman on the other side of the world photographs a meteoroid‘s passage in the atmosphere with her telescope and deduces that it must have struck on one of the islands just offshore from Round Pond, Maine. A NASA scientist analyzing data from the Mars Mapping Orbiter (MMO) spots unusual spikes in gamma ray activity. These threads intersect with discovery of an alien device that has apparently been on Deimos, one of the two moons of Mars, for at least 100 million years. Something has caused it to activate and fire a strangelet at Earth, setting off the events in the novel.
The events in this novel follow those of The Codex, Tyrannosaur Canyon, and Blasphemy. As such, Wyman Ford is the protagonist once again (having appeared in Tyrannosaur Canyon and Blasphemy), and the character of Stanton Lockwood III (who debuted in Blasphemy) also returns.
Scott Carl Sigler is a contemporary American author of science fiction and horror as well as an avid podcaster. Scott is the New York Times #1 bestselling author of sixteen novels, six novellas, and dozens of short stories. He is the co-founder of Empty Set Entertainment, which publishes his young adult Galactic Football League series. He lives in San Diego.
Life and work
Raised in Cheboygan, Michigan Sigler’s father passed his love of classic monster films along to his son. His mother, a school teacher, encouraged his reading offering him any book he wanted. Sigler wrote his first monster story, “Tentacles”, at the age of eight. Sigler didn’t travel far for college having attended Olivet College (Olivet, MI) and Cleary College (Ann Arbor, MI) where he earned a BA in Journalism and a BS in Marketing. Scott has had a varied career path having worked fast food, picking fruit, shoveling horse manure, a sports reporter, director of marketing for a software company, software startup founder, marketing consultant, guitar salesman, bum in a rock band, and currently as a social media strategist. He now resides in San Diego, California with his dog, Reesie.
EarthCore was originally published in 2001 by iPublish, an AOL/Time Warner imprint. With the novel doing well as a promotional ebook, Time Warner was planning on publishing the novel. With the economic slump following September 11, 2001 terrorist attacks, Time Warner did away with the imprint in 2004. Scott then decided to start podcasting his novel in March, 2005 as the world’s first podcast-only novel to build hype and garner an audience for his work. Sigler considered it a “no brainer” to offer the book as a free audio download. Having searched for podcast novels and finding none, Sigler decided to be the first. Sigler was able to get EarthCore offered as a paid download on iTunes in 2006. After EarthCore’s success (EarthCore had over 10,000 subscribers), Sigler released Ancestor, Infected, The Rookie, Nocturnal, and Contagious via podcast.
Sigler released an Adobe PDF version of Ancestor in March 2007 through Sigler’s own podcast as well as others. Ancestor was released on April 1, 2007 to much internet hype and, despite having been released two weeks earlier as a free ebook, reached #7 on Amazon.com‘s best-seller list and #1 on Sci-Fi, Horror and Genre-Fiction on the day of release. Sigler is leveraging new media to keep in-touch with his fans, regularly talking with them using social networking sites, via email, and IM. Scott Sigler was featured in a New York Times article on March 1, 2007 by Andrew Adam Newman, which was covering authors using podcasting innovations to garner a broader audience.
In March 2014, Executive Editor Mark Tavani at Ballantine Bantam Dell bought World Rights to a science fiction trilogy by Sigler. In the first book, Alive, a young woman awakes trapped in a confined space with no idea who she is or how she got there. She soon frees other young adults in the room and together they find that they are surrounded by the horrifying remains of a war long past … and matched against an enemy too horrible to imagine. Further adventures will follow in two more books, Alight and Alone. The books will be published under the Del Rey imprint. On Wednesday, July 15, 2016, it was announced that Alive made #1 on the New York Times Bestseller list in the Young Adult E-Book category.
Sigler calls Stephen King a “‘master craftsman’, who writes from the ‘regular guy’ strata from which he hails. His older stuff had no pretense, no ‘higher message,’ no ‘I’m extremely important’ attitude, just rock-solid storytelling and character development. He also would whack any character at any time, and that’s what hooked you in – when characters got into trouble, you didn’t know if they’d live, unlike 99% of the books out there that are trying to develop franchise characters.” According to Sigler, Jack London‘s “The Sea Wolf totally changed my views on life”. Sigler saw King Kong (1976 version) when he was a little kid. He said it, “Scared the crap out of me. I hid behind my dad’s shoulder and begged to leave the theatre. As soon as we were out, I asked when we could see it again – that was the moment I knew I wanted to tell monster stories. I wanted to have that same impact on other people.”
Sigler has been a runner up in both the 2006 and 2007 Parsec Awards. In 2006 Sigler was a runner up for his short story Hero in the Best Fiction (Short) category and for Infected in the Best Fiction (Long) category. In 2007 Sigler was a runner up for The Rookie in the Best Speculative Fiction Story (Novel Form) category. In 2008 Sigler’s Contagious, the sequel to Infected was listed at 33 on the New York Times best sellers list.
In 2008 Sigler broke through and won the Parsec Award for Red Man in the Best Speculative Fiction Story (Short Form) category. He followed up with another win in 2009 for Eusocial Networking in the Best Speculative Fiction Story (Novella Form) category. 2010 saw him continue to win in the Best Speculative Fiction Story (Short Form) category with his podcast, The Tank, and in 2011 he again took out the Best Speculative Fiction Story (Novella Form) category with Kissyman & the Gentleman.
On July 31, 2015, Scott was inducted into the inaugural class of the Academy of Podcasters Hall of Fame at a ceremony in Fort Worth, Texas.
See the Scott Sigler bibliography page for more detailed information about the above novels and his many other works, including novellas related to the Galactic Football League series, short story collections, other short stories, upcoming projects, etc.
In May, 2007 the novel Infected was optioned by Rogue Pictures and Random House Films; however, the option lapsed in April 2010. The short story Sacred Cow was made into an online only mini-film by StrangerThings.tv and was Stranger Things debut episode. “Cheating Bastard”, a short film about a couple in love with football and their obsession with it, was created by Brent Weichsel and released via Sigler’s RSS feed.
In 2010 work began on a graphic novel adaptation of Sigler’s Infected. The first issue was released August 1, 2012,but the series was put on hold indefinitely due to delays with subsequent issues.
The Crucible (2016) by Separation Of Sanity. Scott’s original spoken word appears on four tracks: The Pact, Pandemic (inspired by his novel of the same name), Bag Of Blood (his major appearance on the album), and End Of Days.
Scott reads Union Dues – Off White Lies by Jeffrey R. DeRego on Escape Pod, Episode 49, on April 13, 2006.
Scott reads Reggie vs. Kaiju Storm Chimera Wolf by Matthew Wayne Selznick on Escape Pod, Episode 117, on August 2, 2007.
The Pronk Pops Show 551, October 12, 2015, Story 1: President Obama Stalls Islamic State While He Runs Out The Clock On His Failed Presidency — Who is next? President Trump — Obama A Real Loser — Leading On Climate Change — Give Me A Break! — Videos
60 Minutes in 60 Seconds (Day 36)
Obama talks Russia’s escalation in Syria on “60 Minutes”
“60 Minutes” interview: President Obama
Dr David Evans on Global Warming
50 to 1 Project – David Evans Interview
Freeman Dyson on the Global Warming Hysteria April, 2015
High Hopes and Missed Opportunities in Iraq
Emma Sky: “The Unraveling”
Reflections on the Future of War with Gen. Raymond Odierno
Thomas Barnett: Rethinking America’s military strategy
Donald Trump Iran Deal FULL SPEECH, Against Iran Nuclear Agreement at Tea Party Rally Sept. 9, 2015
The Iran Nuclear Deal
Iran and the Bomb
Climate Change in 12 Minutes – The Skeptic’s Case
Climategate: What They Aren’t Telling You!
Krauthammer: ‘Sputtering’ Obama Admin Has No Idea What to Do About Russia, Syria
Donald Trump Fox & Friends RIPS Obama 60 Minute Interview & Biden’s Low Poll Numbers FULL Interview
Donald trump Meet The Press FULL Interview 10/4/2015
60 Minutes Host Destroys Barack Obama On Syria
60 Minutes Host Embarrasses Barack Obama On Syria II
Background Articles and Videos
MAJOR REDUCTIONS IN CARBON EMISSIONS ARE NOT WORTH THE MONEY DEBATE: PETER HUBER
MAJOR REDUCTIONS IN CARBON EMISSIONS ARE NOT WORTH THE MONEY DEBATE: PHILIP STOTT
Professor Fred Singer on Climate Change Pt 1
Professor Fred Singer on Climate Change Pt 2
Global Warming, Lysenkoism & Eugenics Prof Richard Lindzen
Interview with Professor Richard Lindzen
Richard Lindzen, Ph.D. Lecture Deconstructs Global Warming Hysteria (High Quality Version)
Global Warming – Michael Crichton
Michael Crichton | States of Fear: Science or Politics?
Dr Roy Spencer on Global Warming Part 1 of 6
Dr Roy Spencer on Global Warming Part 2 of 6
Dr Roy Spencer on Global Warming Part 3 of 6
Dr Roy Spencer on Global Warming Part 4 of 6
Dr Roy Spencer on Global Warming Part 5 of 6
Dr Roy Spencer on Global Warming Part 6 of 6
Global warming and the Carbon Tax Scam
The Great Global Warming Swindle Full Movie
Global Warming: How Hot Air and Bad Science Will Give YOU Staggeringly Higher Taxes and Prices
Sen. Inhofe To Investigate ClimateGate
Lou Dobbs: ‘Who The Hell Does The President Think He Is?’
The Free-Market Case for Green
ManBearPig, Climategate and Watermelons: A conversation with author James Delingpole
James Delingpole: Great Britain, the Green Movement, and the End of the World
George Carlin on Global Warming
Americans Skeptical of Science Behind Global Warming
“…Most Americans (52%) believe that there continues to be significant disagreement within the scientific community over global warming.
While many advocates of aggressive policy responses to global warming say a consensus exists, the latest Rasmussen Reports national telephone survey finds that just 25% of adults think most scientists agree on the topic. Twenty-three percent (23%) are not sure. …”
Steve Kroft: The last time we talked was this time last year, and the situation in Syria and Iraq had begun to worsen vis-Ã -vis ISIS. You had just unveiled a plan to provide air support for troops in Iraq, and also some air strikes in Syria, and the training and equipping of a moderate Syrian force. You said that this would degrade and eventually destroy ISIS.
President Barack Obama: Over time.
Steve Kroft: Over time. It’s been a year, and–
President Barack Obama: I didn’t say it was going to be done in a year.
Steve Kroft: No. But you said…
President Barack Obama: There’s a question in here somewhere.
Steve Kroft: Who’s going to get rid of them?
President Barack Obama: Over time, the community of nations will all get rid of them, and we will be leading getting rid of them. But we are not going to be able to get rid of them unless there is an environment inside of Syria and in portions of Iraq in which local populations, local Sunni populations, are working in a concerted way with us to get rid of them.
On the “moderate opposition” in Syria:
Steve Kroft: You have been talking about the moderate opposition in Syria. It seems very hard to identify. And you talked about the frustrations of trying to find some and train them. You got a half a billion dollars from Congress to train and equip 5,000, and at the end, according to the commander CENTCOM, you got 50 people, most of whom are dead or deserted. He said four or five left?
President Barack Obama: Steve, this is why I’ve been skeptical from the get go about the notion that we were going to effectively create this proxy army inside of Syria. My goal has been to try to test the proposition, can we be able to train and equip a moderate opposition that’s willing to fight ISIL? And what we’ve learned is that as long as Assad remains in power, it is very difficult to get those folks to focus their attention on ISIL.
Steve Kroft: If you were skeptical of the program to find and identify, train and equip moderate Syrians, why did you go through the program?
President Barack Obama: Well, because part of what we have to do here, Steve, is to try different things. Because we also have partners on the ground that are invested and interested in seeing some sort of resolution to this problem. And–
Steve Kroft: And they wanted you to do it.
President Barack Obama: Well, no. That’s not what I said. I think it is important for us to make sure that we explore all the various options that are available.
Steve Kroft: I know you don’t want to talk about this.
President Barack Obama: No, I’m happy to talk about it.
Steve Kroft: I want to talk about the– this program, because it would seem to show, I mean, if you expect 5,000 and you get five, it shows that somebody someplace along the line did not– made– you know, some sort of a serious miscalculation.
President Barack Obama: You know, the– the– Steve, let me just say this.
Steve Kroft: It’s an embarrassment.
President Barack Obama: Look, there’s no doubt that it did not work. And, one of the challenges that I’ve had throughout this heartbreaking situation inside of Syria is, is that– you’ll have people insist that, you know, all you have to do is send in a few– you know, truckloads full of arms and people are ready to fight. And then, when you start a train-and-equip program and it doesn’t work, then people say, “Well, why didn’t it work?” Or, “If it had just started three months earlier it would’ve worked.”
Steve Kroft: But you said yourself you never believed in this.
President Barack Obama: Well– but Steve, what I have also said is, is that surprisingly enough it turns out that in a situation that is as volatile and with as many players as there are inside of Syria, there aren’t any silver bullets. And this is precisely why I’ve been very clear that America’s priorities has to be number one, keeping the American people safe. Number two, we are prepared to work both diplomatically and where we can to support moderate opposition that can help convince the Russians and Iranians to put pressure on Assad for a transition. But that what we are not going to do is to try to reinsert ourselves in a military campaign inside of Syria. Let’s take the situation in Afghanistan, which I suspect you’ll ask about. But I wanted to use this as an example.
Steve Kroft: All right. I feel like I’m being filibustered, Mr. President.
President Barack Obama: No, no, no, no, no. Steve, I think if you want to roll back the tape, you’ve been giving me long questions and statements, and now I’m responding to ’em. So let’s– so– if you ask me big, open-ended questions, expect big, open-ended answers. Let’s take the example of Afghanistan. We’ve been there 13 years now close to 13 years. And it’s still hard in Afghanistan. Today, after all the investments we have there, and we still have thousands of troops there. So the notion that after a year in Syria, a country where the existing government hasn’t invited us in, but is actively keeping us out, that somehow we would be able to solve this quickly– is–
Steve Kroft: We didn’t say quickly.
President Barack Obama: –is– is– is an illusion. And– and–
Steve Kroft: Nobody’s expecting that, Mr. President.
President Barack Obama: Well, the– no, I understand, but what I’m– the simple point I’m making, Steve, is that the solution that we’re going to have inside of Syria is ultimately going to depend not on the United States putting in a bunch of troops there, resolving the underlying crisis is going to be something that requires ultimately the key players there to recognize that there has to be a transition to new government. And, in the absence of that, it’s not going to work.
Steve Kroft: One of the key players now is Russia.
President Barack Obama: Yeah.
Steve Kroft: A year ago when we did this interview, there was some saber-rattling between the United States and Russia on the Ukrainian border. Now it’s also going on in Syria. You said a year ago that the United States– America leads. We’re the indispensible nation. Mr. Putin seems to be challenging that leadership.
President Barack Obama: In what way? Let– let’s think about this– let– let–
Steve Kroft: Well, he’s moved troops into Syria, for one. He’s got people on the ground. Two, the Russians are conducting military operations in the Middle East for the first time since World War II–
President Barack Obama: So that’s–
Steve Kroft: –bombing the people– that we are supporting.
President Barack Obama: So that’s leading, Steve? Let me ask you this question. When I came into office, Ukraine was governed by a corrupt ruler who was a stooge of Mr. Putin. Syria was Russia’s only ally in the region. And today, rather than being able to count on their support and maintain the base they had in Syria, which they’ve had for a long time, Mr. Putin now is devoting his own troops, his own military, just to barely hold together by a thread his sole ally. And in Ukraine–
Steve Kroft: He’s challenging your leadership, Mr. President. He’s challenging your leadership–
President Barack Obama: Well Steve, I got to tell you, if you think that running your economy into the ground and having to send troops in in order to prop up your only ally is leadership, then we’ve got a different definition of leadership. My definition of leadership would be leading on climate change, an international accord that potentially we’ll get in Paris. My definition of leadership is mobilizing the entire world community to make sure that Iran doesn’t get a nuclear weapon. And with respect to the Middle East, we’ve got a 60-country coalition that isn’t suddenly lining up around Russia’s strategy. To the contrary, they are arguing that, in fact, that strategy will not work.
Steve Kroft: My point is– was not that he was leading, my point is that he was challenging your leadership. And he has very much involved himself in the situation. Can you imagine anything happening in Syria of any significance at all without the Russians now being involved in it and having a part of it?
President Barack Obama: But that was true before. Keep in mind that for the last five years, the Russians have provided arms, provided financing, as have the Iranians, as has Hezbollah.
Steve Kroft: But they haven’t been bombing and they haven’t had troops on the ground–
President Barack Obama: And the fact that they had to do this is not an indication of strength, it’s an indication that their strategy did not work.
Steve Kroft: You don’t think–
President Barack Obama: You don’t think that Mr. Putin would’ve preferred having Mr. Assad be able to solve this problem without him having to send a bunch of pilots and money that they don’t have?
Steve Kroft: Did you know he was going to do all this when you met with him in New York?
President Barack Obama: Well, we had seen– we had pretty good intelligence. We watch–
Steve Kroft: So you knew he was planning to do it.
President Barack Obama: We knew that he was planning to provide the military assistance that Assad was needing because they were nervous about a potential imminent collapse of the regime.
Steve Kroft: You say he’s doing this out of weakness. There is a perception in the Middle East among our adversaries, certainly and even among some of our allies that the United States is in retreat, that we pulled our troops out of Iraq and ISIS has moved in and taken over much of that territory. The situation in Afghanistan is very precarious and the Taliban is on the march again. And ISIS controls a large part of Syria.
President Barack Obama: I think it’s fair to say, Steve, that if–
Steve Kroft: It’s– they– let me just finish the thought. They say your–
President Barack Obama: You’re–
Steve Kroft: –they say you’re projecting a weakness, not a strength–
President Barack Obama: –you’re saying “they,” but you’re not citing too many folks. But here–
Steve Kroft: No, I’ll cite– I’ll cite if you want me, too.
President Barack Obama: –here– yes. Here–
Steve Kroft: I’d say the Saudis. I’d say the Israelis. I’d say a lot of our friends in the Middle East. I’d say everybody in the Republican party. Well, you want me to keep going?
President Barack Obama: Yeah. The– the– if you are– if you’re citing the Republican party, I think it’s fair to say that there is nothing I’ve done right over the last seven and a half years. And I think that’s right. It– and– I also think what is true is that these are the same folks who were making an argument for us to go into Iraq and who, in some cases, still have difficulty acknowledging that it was a mistake. And Steve, I guarantee you that there are factions inside of the Middle East, and I guess factions inside the Republican party who think that we should send endless numbers of troops into the Middle East, that the only measure of strength is us sending back several hundred thousand troops, that we are going to impose a peace, police the region, and– that the fact that we might have more deaths of U.S. troops, thousands of troops killed, thousands of troops injured, spend another trillion dollars, they would have no problem with that. There are people who would like to see us do that. And unless we do that, they’ll suggest we’re in retreat.
Steve Kroft: They’ll say you’re throwing in the towel–
President Barack Obama: No. Steve, we have an enormous presence in the Middle East. We have bases and we have aircraft carriers. And our pilots are flying through those skies. And we are currently supporting Iraq as it tries to continue to build up its forces. But the problem that I think a lot of these critics never answered is what’s in the interest of the United States of America and at what point do we say that, “Here are the things we can do well to protect America. But here are the things that we also have to do in order to make sure that America leads and America is strong and stays number one.” And if in fact the only measure is for us to send another 100,000 or 200,000 troops into Syria or back into Iraq, or perhaps into Libya, or perhaps into Yemen, and our goal somehow is that we are now going to be, not just the police, but the governors of this region. That would be a bad strategy Steve. And I think that if we make that mistake again, then shame on us.
Steve Kroft: Do you think the world’s a safer place?
President Barack Obama: America is a safer place. I think that there are places, obviously, like Syria that are not safer than when I came into office. But, in terms of us protecting ourselves against terrorism, in terms of us making sure that we are strengthening our alliances, in terms of our reputation around the world, absolutely we’re stronger.
On Friday, the Pentagon ended the program to train-and-equip Syrian rebels that the president told us did not work. In a moment, he talks about Donald Trump, Hillary Clinton’s emails and Joe Biden’s possible run for president.
Steve Kroft: OK. Mr. President, there are a lot of serious problems with the world right now, but I want to ask you a few questions about politics.
President Barack Obama: Yeah, go ahead.
Steve Kroft: What do you think of Donald Trump?
President Barack Obama: Well, I think that he is a great publicity-seeker and at a time when the Republican party hasn’t really figured out what it’s for, as opposed to what it’s against. I think that he is tapped into something that exists in the Republican party that’s real. I think there is genuine anti-immigrant sentiment in the large portion of at least Republican primary voters. I don’t think it’s uniform. He knows how to get attention. He is, you know, the classic reality TV character and, at this early stage, it’s not surprising that he’s gotten a lot of attention.
Steve Kroft: You think he’s running out of steam? I mean, you think he’s going to disappear?
President Barack Obama: You know, I’ll leave it up to the pundits to make that determination. I don’t think he’ll end up being president of the United States.
Steve Kroft: Did you know about Hillary Clinton’s use of private email server–
President Barack Obama: No.
Steve Kroft: –while she was Secretary of State?
President Barack Obama: No.
Steve Kroft: Do you think it posed a national security problem?
President Barack Obama: I don’t think it posed a national security problem. I think that it was a mistake that she has acknowledged and– you know, as a general proposition, when we’re in these offices, we have to be more sensitive and stay as far away from the line as possible when it comes to how we handle information, how we handle our own personal data. And, you know, she made a mistake. She has acknowledged it. I do think that the way it’s been ginned-up is in part because of– in part– because of politics. And I think she’d be the first to acknowledge that maybe she could have handled the original decision better and the disclosures more quickly. But–
Steve Kroft: What was your reaction when you found out about it?
President Barack Obama: This is one of those issues that I think is legitimate, but the fact that for the last three months this is all that’s been spoken about is an indication that we’re in presidential political season.
Steve Kroft: Do you agree with what President Clinton has said and Secretary Clinton has said, that this is not– not that big a deal. Do you agree with that?
President Barack Obama: Well, I’m not going to comment on–
Steve Kroft: You think it’s not that big a deal–
President Barack Obama: What I think is that it is important for her to answer these questions to the satisfaction of the American public. And they can make their own judgment. I can tell you that this is not a situation in which America’s national security was endangered.
Steve Kroft: This administration has prosecuted people for having classified material on their private computers.
President Barack Obama: Well, I– there’s no doubt that there had been breaches, and these are all a matter of degree. We don’t get an impression that here there was purposely efforts– on– in– to hide something or to squirrel away information. But again, I’m gonna leave it to–
Steve Kroft: If she had come to you.
President Barack Obama: I’m going to leave it to Hillary when she has an interview with you to address all these questions.
Steve Kroft: Right now, there’s nobody on either side of the aisle that is exactly running on your record. Do you want Joe Biden to get in the race and do it?
President Barack Obama: You know, I am going to let Joe make that decision. And I mean what I say. I think Joe will go down as one of the finest vice presidents in history, and one of the more consequential. I think he has done great work. I don’t think there’s any politician at a national level that has not thought about being the president. And if you’re sitting right next to the president in every meeting and, you know wrestling with these issues, I’m sure that for him he’s saying to himself, “I could do a really good job.”
Steve Kroft: I do want to talk a little bit about Congress. Are you going to miss John Boehner?
President Barack Obama: John Boehner and I disagreed on just about everything. But the one thing I’ll say about John Boehner is he did care about the institution. He recognized that nobody gets 100 percent in our democracy. I won’t say that he and I were ideal partners, but he and I could talk and we could get some things done. And so I am a little concerned that the reason he left was because there are a group of members of Congress who think having somebody who is willing to shut down the government or default on the U.S. debt is going to allow them to get their way 100 percent of the time.
Steve Kroft: Do you think you’re going to be able to get anything through Congress?
President Barack Obama: Well, given that– this Congress hasn’t been able to get much done at all over the last year and a half, two years, for that matter for the last four, it would be surprising if we were able to make huge strides on the things that are important. But I have a more modest goal, which is to make sure that Congress doesn’t do damage to the economy.
The president says that means avoiding another budget crisis and another round of threats to shut down the government, which could happen as early as December. Even with congressional Republicans in disarray, he’s hoping to reach a deal with Congress as he did two years ago, to lift some spending caps in defense and other areas while continuing to reduce the deficit.
President Barack Obama: Right now, our economy is much stronger relative to the rest of the world. China, Europe, emerging markets, they’re all having problems. And so, if we provide another shock to the system by shutting down the government, that could mean that the progress we have made starts going backwards instead of forwards. We have to make sure that we pass a transportation bill. It may not be everything that I want. We should be being much more aggressive in rebuilding America right now. Interest rates are low, construction workers need the work, and our economy would benefit from it. But if we can’t do a big multiyear plan, we have to at least do something that is robust enough– so that we are meeting the demands of a growing economy.
Steve Kroft: A few months back, at a fundraiser, you made a point of saying that the first lady was very pleased that you can’t run again.
President Barack Obama: Yeah, she is.
Steve Kroft: Do you feel the same way?
President Barack Obama: You know, it’s interesting. I– you go into your last year and I think it’s bittersweet. On the one hand, I am very proud of what we’ve accomplished and it makes me think, I’d love to do some more. But by the time I’m finished, I think it will be time for me to go. Because there’s a reason why we considered George Washington one of our greatest presidents. He set a precedent, saying that when you occupy this seat, it is an extraordinary privilege, but the way our democracy is designed, no one person is indispensable. And ultimately you are a citizen. And once you finish with your service, you go back to being a citizen. And I– and I think that– I think having a fresh set of legs in this seat, I think having a fresh perspective, new personnel and new ideas and a new conversation with the American people about issues that may be different a year from now than they were when I started eight years ago, I think that’s all good for our democracy. I think it’s healthy.
Steve Kroft: Do you think if you ran again, could run again, and did run again, you would be elected?
Is the nuclear agreement between the United States and Iran a good or bad deal? Would it be harder or easier for Iran to develop nuclear weapons? Would it make Iran and its terror proxies stronger or weaker? Should the U.S. Congress support or defeat the deal? Dennis Prager answers these questions and more.
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Eric Shawn Reports: The Iran Deal’s details
Senate Hearing on Iran Nuclear Deal
House Hearing on Iran Nuclear Deal
Will the Iran nuclear agreement work?
Ted Cruz: Iran Deal a ‘Catastrophic Mistake’ (July 15, 2015) | Charlie Rose
Senator Ted Cruz (R-TX) questions on Iran Nuclear Deal (C-SPAN)
Sen. Ted Cruz: Any president worth his salt would overturn Iran deal
Donald Trump on nuke deal: They are laughing at us in Iran
Federal Prosecutor: Obama’s Iran Nuke Deal Clearly Treason
Mark Levin gives his commentary regarding the hearing on Iran nuclear deal (audio from 07-29-2015)
Mark Levin: Barack Obama has planted the seeds for World War III (audio from 07-14-2015)
The Savage Nation- Michael Savage- Wed, August 5, 2015 (1st Hour)
The Godfather – Sollozzo Known As The Turk 4/10 (HD)
The Godfather – Michael shoots Sollozzo and McCluskey
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Full text: Obama gives a speech about the Iran nuclear deal
President Obama is continuing his push for the Iran nuclear deal, giving a speech at American University. Here is a complete transcript of his remarks.
OBAMA: Thank you.
Thank you so much. Thank you. Everybody, please have a seat. Thank you very much.
I apologize for the slight delay; even presidents have a problem with toner.
It is a great honor to be back at American University, which has prepared generations of young people for service and public life.
I want to thank President Kerwin and the American University family for hosting us here today.
Fifty-two years ago, President Kennedy, at the height of the Cold War, addressed this same university on the subject of peace. The Berlin Wall had just been built. The Soviet Union had tested the most powerful weapons ever developed. China was on the verge of acquiring the nuclear bomb. Less than 20 years after the end of World War II, the prospect of nuclear war was all too real.
With all of the threats that we face today, it is hard to appreciate how much more dangerous the world was at that time. In light of these mounting threats, a number of strategists here in the United States argued we had to take military action against the Soviets, to hasten what they saw as inevitable confrontation. But the young president offered a different vision.
OBAMA: Strength, in his view, included powerful armed forces and a willingness to stand up for our values around the world. But he rejected the prevailing attitude among some foreign-policy circles that equated security with a perpetual war footing.
Instead, he promised strong, principled American leadership on behalf of what he called a practical and attainable peace, a peace based not on a sudden revolution in human nature, but on a gradual evolution in human institutions, on a series of concrete actions and effective agreements.
Such wisdom would help guide our ship of state through some of the most perilous moments in human history. With Kennedy at the helm, the Cuban Missile Crisis was resolved peacefully.
Under Democratic and Republican presidents, new agreements were forged: A nonproliferation treaty that prohibited nations from acquiring nuclear weapons, while allowing them to access peaceful nuclear energy, the SALT and START treaties, which bound the United States and the Soviet Union to cooperation on arms control.
Not every conflict was averted, but the world avoided nuclear catastrophe, and we created the time and the space to win the Cold War without firing a shot at the Soviets.
The agreement now reached between the international community and the Islamic Republic of Iran builds on this tradition of strong, principled policy diplomacy.
After two years of negotiations, we have achieved a detailed arrangement that permanently prohibits Iran from obtaining a nuclear weapon. It cuts off all of Iran’s pathways to a bomb. It contains the most comprehensive inspection and verification regime ever negotiated to monitor a nuclear program.
As was true in previous treaties, it does not resolve all problems. It certainly doesn’t resolve all our problems with Iran. It does not ensure a warming between our two countries. But it achieves one of our most critical security objectives. As such, it is a very good deal.
Today, I want to speak to you about this deal and the most consequential foreign-policy debate that our country has had since the invasion of Iraq, as Congress decides whether to support this historic diplomatic breakthrough or instead blocks it over the objection of the vast majority of the world. Between now and the congressional vote in September, you are going to hear a lot of arguments against this deal, backed by tens of millions of dollars in advertising. And if the rhetoric in these ads and the accompanying commentary sounds familiar, it should, for many of the same people who argued for the war in Iraq are now making the case against the Iran nuclear deal.
Now, when I ran for president eight years ago as a candidate who had opposed the decision to go to war in Iraq, I said that America didn’t just have to end that war. We had to end the mindset that got us there in the first place.
It was a mindset characterized by a preference for military action over diplomacy, a mindset that put a premium on unilateral U.S. action over the painstaking work of building international consensus, a mindset that exaggerated threats beyond what the intelligence supported.
Leaders did not level with the American people about the costs of war, insisting that we could easily impose our will on a part of the world with a profoundly different culture and history.
OBAMA: And, of course, those calling for war labeled themselves strong and decisive while dismissing those who disagreed as weak, even appeasers of a malevolent adversary.
More than a decade later, we still live with the consequences of the decision to invade Iraq. Our troops achieved every mission they were given, but thousands of lives were lost, tens of thousands wounded. That doesn’t count the lives lost among Iraqis. Nearly a trillion dollars was spent.
Today, Iraq remains gripped by sectarian conflict, and the emergence of al-Qaida in Iraq has now evolved into ISIL. And ironically, the single greatest beneficiary in the region of that war was the Islamic Republic of Iran, which saw its strategic position strengthened by the removal of its long-standing enemy, Saddam Hussein.
I raise this recent history because now more than ever, we need clear thinking in our foreign policy, and I raise this history because it bears directly on how we respond to the Iranian nuclear program. That program has been around for decades, dating back to the Shah’s efforts, with U.S. support, in the 1960s and ’70s to develop nuclear power. The theocracy that overthrew the Shah accelerated the program after the Iran-Iraq war in the 1980s, a war in which Saddam Hussein used chemical weapons to brutal effect, and Iran’s nuclear program advanced steadily through the 1990s despite unilateral U.S. sanctions.
When the Bush administration took office, Iran had no centrifuges, the machines necessary to produce material for a bomb, that were spinning to enrich uranium. But despite repeated warnings from the United States government, by the time I took office, Iran had installed several thousand centrifuges and showed no inclination to slow, much less halt, its program.
Among U.S. policymakers, there’s never been disagreement on the danger posed by an Iranian nuclear bomb. Democrats and Republicans alike have recognized that it would spark an arms race in the world’s most unstable region and turn every crisis into a potential nuclear showdown. It would embolden terrorist groups like Hezbollah and pose an unacceptable risk to Israel, which Iranian leaders have repeatedly threatened to destroy. More broadly, it could unravel the global commitment to nonproliferation that the world has done so much to defend.
The question then is not whether to prevent Iran from obtaining a nuclear weapon, but how. Even before taking office, I made clear that Iran would not be allowed to acquire a nuclear weapon on my watch, and it’s been my policy throughout my presidency to keep all options, including possible military options, on the table to achieve that objective.
But I have also made clear my preference for a peaceful diplomatic resolution of the issue, not just because of the costs of war, but also because a negotiated agreement offered a more effective, verifiable and durable resolution. And so in 2009, we let the Iranians know that a diplomatic path was available. Iran failed to take that path, and our intelligence community exposed the existence of a covert nuclear facility at Fordo.
Now some have argued that Iran’s intransigence showed the futility of negotiations. In fact, it was our very willingness to negotiate that helped America rally the world to our cause and secured international participation in an unprecedented framework of commercial and financial sanctions.
OBAMA: Keep in mind, unilateral U.S. sanctions against Iran had been in place for decades, but had failed to pressure Iran to the negotiating table. What made our new approach more effective was our ability to draw upon new U.N. Security Council resolutions, combining strong enforcement with voluntary agreements for nations like China and India, Japan and South Korea, to reduce their purchases of Iranian oil, as well as the imposition by our European allies of a total oil embargo.
Winning this global buy-in was not easy. I know; I was there. In some cases, our partners lost billions of dollars in trade because of their decision to cooperate. But we were able to convince them that, absent a diplomatic resolution, the result could be war with major disruptions to the global economy, and even greater instability in the Middle East.
In other words, it was diplomacy, hard, painstaking diplomacy, not saber rattling, not tough talk, that ratcheted up the pressure on Iran. With the world now unified beside us, Iran’s economy contracted severely, and remains about 20 percent smaller today than it would have otherwise been. No doubt this hardship played a role in Iran’s 2013 elections, when the Iranian people elected a new government, that promised to improve the economy through engagement to the world.
A window had cracked open. Iran came back to the nuclear talks. And after a series of negotiations, Iran agreed with the international community to an interim deal, a deal that rolled back Iran’s stockpile of near 20 percent enriched uranium, and froze the progress of its program so that the P5+1 — the United States, China, Russia, the United Kingdom, Germany, France, and the European Union, could negotiate a comprehensive deal without the fear that Iran might be stalling for time.
Now, let me pause here just to remind everybody that, when the interim deal was announced, critics, the same critics we are hearing from now, called it a historic mistake. They insisted Iran would ignore its obligations, they warned that the sanctions would unravel. They warned that Iran would receive a windfall to support terrorism.
The critics were wrong. The progress of Iran’s nuclear program was halted for the first time in a decade, its stockpile of dangerous materials was reduced, the deployment of its advanced centrifuges was stopped, inspections did increase. There was no flood of money into Iran. And the architecture of the international sanctions remained in place. In fact, the interim deal worked so well that the same people who criticized it so fiercely now cite it as an excuse not to support the broader accord. Think about that. What was once proclaimed as an historic mistake is now held up as a success and a reason to not sign the comprehensive of deal.
So keep that in mind when you assess the credibility of the arguments being made against diplomacy today. Despite the criticism, we moved ahead to negotiate a more lasting, comprehensive deal. Our diplomats, led by Secretary of State John Kerry kept our coalition united, our nuclear experts, including one of the best in the world, Secretary of Energy Ernie Moniz, work tirelessly on a technical details.
In July, we reached a comprehensive of plan of action that meets our objectives. Under its terms, Iran is never allowed to build a nuclear weapon. And while Iran, like any party to the nuclear non- proliferation treaty, is allowed to access peaceful nuclear energy, the agreement strictly defines the manner in which its nuclear program can proceed, ensuring that all pathways to a bomb are cut off.
OBAMA: Here is how.
Under this deal, Iran cannot acquire the plutonium needed for a bomb. The core of its heavy reactor at Arak will be pulled out, filled with concrete, replaced with one that will not produce plutonium for a weapon. The spent fuel from that reactor will be shipped out of the country, and Iran will not build any new heavy water reactors for at least 15 years.
Iran will also not be able to acquire the enriched uranium that could be used for a bomb. As soon as this deal is implemented, Iran will remove two-thirds of its centrifuges. For the next decade, Iran will not enrich uranium with its more advanced centrifuges. Iran will not enrich uranium at the previously undisclosed Fordo facility, which is very deep underground, for at least 15 years.
Iran will get rid of 98 percent of its stockpile of enriched uranium, which is currently enough for up to 10 nuclear bombs for the next 15 years. Even after those 15 years have passed, Iran will never have the right to use a peaceful program as cover to pursue a weapon, and in fact this deal shuts off the type of covert path Iran pursued in the past.
There will be 24/7 monitoring of Iran’s key nuclear facilities. For decades, inspectors will have access to Iran’s entire nuclear supply chain, from the uranium mines and mills where they get raw materials to the centrifuge production facilities where they make machines to enrich it. And understand why this is so important.
For Iran to cheat, it has to build a lot more than just one building or covert facility like Fordo. It would need a secret source for every single aspect of its program. No nation in history has been able to pull of such subterfuge when subjected to such rigorous inspections. And under the terms of the deal, inspectors will have the permanent ability to inspect any suspicious sites in Iran.
And finally, Iran has powerful incentives to keep its commitments. Before getting sanctions relief, Iran has to take significant concrete steps, like removing centrifuges and getting rid of its stock piles. If Iran violates the agreement over the next decade, all of the sanctions can snap back into place. We won’t need the support of other members of the U.N. Security Council, America can trigger snap back on our own.
On the other hand, if Iran abides by the deal, and its economy beings to reintegrate with the world, the incentive to avoid snap back will only grow.
So this deal is not just the best choice among alternatives, this is the strongest nonproliferation agreement ever negotiated, and because this is such a strong deal, every nation in the world that has commented publicly, with the exception of the Israeli government, has expressed support. The United Nations Security Council has unanimously supported it. The majority of arms control and nonproliferation experts support it. Over 100 former ambassadors who served under Republican and Democratic presidents support it.
I’ve had to make a lot of tough calls as president, but whether or not this deal is good for American security is not one of those calls, it’s not even close. Unfortunately, we’re living through a time in American politics where every foreign policy decision is viewed through a partisan prison, evaluated by headline-grabbing soundbites, and so before the ink was even dry on this deal, before Congress even read it, a majority of Republicans declared their virulent opposition. Lobbyists and pundits were suddenly transformed into armchair nuclear scientists…
… disputing the assessments of experts like Secretary Moniz, challenging his findings, offering multiple and sometimes contradictory arguments about why Congress should reject this deal.
OBAMA: But if you repeat these arguments long enough, they can get some traction. So, let me address just a few of the arguments that have been made so far in opposition to this deal.
First, there’re those who say the inspections are not strong enough, because inspectors can’t go anywhere in Iran at any time with no notice.
Well, here’s the truth. Inspectors will be allowed daily access to Iran’s key nuclear sites.
If there is a reason for inspecting a suspicious undeclared site anywhere in Iran, inspectors will get that access even if Iran objects. This access can be with as little as 24 hours notice.
And while the process for resolving a dispute about access can take up to 24 days, once we’ve identified a site that raises suspicion, we will be watching it continuously until inspectors get in.
And — and by the way, nuclear material isn’t something you hide in the closet.
It can leave a trace for years.
The bottom line is, if Iran cheats, we can catch them, and we will.
Second, there are those who argue that the deal isn’t strong enough, because some of the limitations on Iran’s civilian nuclear program expire in 15 years.
Let me repeat. The prohibition on Iran having a nuclear weapon is permanent. The ban on weapons-related research is permanent. Inspections are permanent.
It is true that some of the limitations regarding Iran’s peaceful program last only 15 years. But that’s how arms control agreements work. The first SALT treaty with the Soviet Union lasted five years. The first START treaty lasted 15 years.
And in our current situation, if 15 or 20 years from now, Iran tries to build a bomb, this deal ensures that the United States will have better tools to detect it, a stronger basis under international law to respond and the same options available to stop our weapons program as we have today, including, if necessary, military options.
On the other hand, without this deal, the scenarios that critics warn about happening in 15 years could happen six months from now. By killing this deal, Congress would not merely Iran’s pathway to a bomb, it would accelerate it.
Third, a number of critics say the deal isn’t worth it, because Iran will get billions of dollars in sanctions relief.
Now, let’s be clear. The international sanctions were put in place precisely to get Iran to agree to constraints on its program. That’s the point of sanctions. Any negotiated agreement with Iran would involve sanctions relief.
So an argument against sanctions relief is effectively an argument against any diplomatic resolution of this issue. It is true that if Iran lives up to its commitments, it will gain access to roughly $56 billion of its own money, revenue frozen overseas by other countries.
But the notion that this will be a game-changer with all this money funneled into Iran’s pernicious activities misses the reality of Iran’s current situation.
Partly because of our sanctions, the Iranian government has over half a trillion dollars in urgent requirements, from funding pensions and salaries to paying for crumbling infrastructure.
Iran’s leaders have raised expectations of their people, that sanctions relief will improve their lives. Even a repressive regime like Iran’s cannot completely ignore those expectations, and that’s why our best analysts expect the bulk of this revenue to go into spending that improves the economy and benefits the lives of the Iranian people.
Now, this is not to say that sanctions relief will provide no benefit to Iran’s military. Let’s stipulate that some of that money will flow to activities that we object to.
OBAMA: We have no illusions about the Iranian government or the significance of the Revolutionary Guard and the Quds Force. Iran supports terrorist organizations like Hezbollah. It supports proxy groups that threaten our interests and the interests of our allies, including proxy groups who killed our troops in Iraq.
They tried to destabilize our Gulf partners. But Iran has been engaged in these activities for decades. They engaged in them before sanctions and while sanctions were in place. In fact, Iran even engaged in these sanctions in the middle of the Iran-Iraq war, a war that cost them nearly a million lives and hundreds of billions of dollars. The truth is that Iran has always found a way to fund these efforts, and whatever benefit Iran may claim from sanctions relief pales in comparison to the danger it could pose with a nuclear weapon.
Moreover, there is no scenario where sanctions relief turns Iran into the region’s dominant power. Iran’s defense budget is eight times smaller than the combined budget of our Gulf allies. Their conventional capabilities will never compare to Israel’s, and our commitment to Israel’s qualitative military edge helps guarantee that.
Over the last several years, Iran has had to spend billions of dollars to support its only ally in the Arab world, Bashar al-Assad, even as he’s lost control of huge chunks of his country. And Hezbollah suffered significant blows on this same battlefield. And Iran, like the rest of the region, is being forced to respond to the threat of ISIL in Iraq.
So, contrary to the alarmists who claim Iran is on the brink of taking over the Middle East, or even the world, Iran will remain a regional power with its own set of challenges. The ruling regime is dangerous and it is repressive. We will continue to have sanctions in place on Iran’s support for terrorism and violation of human rights. We will continue to insist upon the release of Americans detained unjustly. We will have a lot of differences with the Iranian regime.
But if we are serious about confronting Iran’s destabilizing activities, it is hard to imagine a worse approach than blocking this deal. Instead, we need to check the behavior that we are concerned about directly, by helping our allies in the region strengthen their own capabilities to counter a cyber attack or a ballistic missile, by improving the interdiction of weapons’ shipments that go to groups like Hezbollah, by training our allies’ special forces so they can more effectively respond to situations like Yemen.
All these capabilities will make a difference. We will be in a stronger position to implement them with this deal.
And by the way, such a strategy also helps us effectively confront the immediate and lethal threat posed by ISIL.
Now, the final criticism, this is sort of catchall that you may hear, is the notion that there is a better deal to be had. We should get a better deal. That is repeated over and over again. It’s a bad deal — we need a better deal.
One that relies on vague promises of toughness and, more recently, the argument that we can apply a broader and indefinite set of sanctions to squeeze the Iranian regime harder. Those making this argument are either ignorant of Iranian society, or they are not being straight with the American people. Sanctions alone are not going to force Iran to completely dismantle all vestiges of its nuclear infrastructure, even aspects that are consistent with peaceful programs. That, is oftentimes, is what the critics are calling a better deal.
OBAMA: Neither the Iranian government, or the Iranian opposition, or the Iranian people would agree to what they would view as a total surrender of their sovereignty.
Moreover, our closest allies in Europe or in Asia, much less China or Russia, certainly are not going to enforce existing sanctions for another five, 10, 15 years according to the dictates of the U.S. Congress because their willingness to support sanctions in the first place was based on Iran ending its pursuit of nuclear weapons. It was not based on the belief that Iran cannot have peaceful nuclear power, and it certainly wasn’t based on a desire for regime change in Iran.
As a result, those who say we can just walk away from this deal and maintain sanctions are selling a fantasy. Instead of strengthening our position, as some have suggested, Congress’ rejection would almost certainly result in multi-lateral sanctions unraveling.
If, as has also been suggested, we tried to maintain unilateral sanctions, beefen them up, we would be standing alone. We cannot dictate the foreign, economic and energy policies of every major power in the world. In order to even try to do that, we would have to sanction, for example, some of the world’s largest banks. We’d have to cut off countries like China from the American financial system. And since they happen to be major purchasers of our debt, such actions could trigger severe disruptions in our own economy, and, by way, raise questions internationally about the dollar’s role as the world’s reserve currency. That’s part of the reason why many of the previous unilateral sanctions were waived.
What’s more likely to happen should Congress reject this deal is that Iran would end up with some form of sanctions relief without having to accept any of the constraints or inspections required by this deal. So in that sense, the critics are right. Walk away from this agreement, and you will get a better deal — for Iran.
Now because more sanctions won’t produce the results that the critics want, we have to be honest. Congressional rejection of this deal leaves any U.S. administration that is absolutely committed to preventing Iran from getting a nuclear weapon with one option, another war in the Middle East. I say this not to be provocative, I am stating a fact. Without this deal, Iran will be in a position, however tough our rhetoric may be, to steadily advance its capabilities. Its breakout time, which is already fairly small, could shrink to near zero. Does anyone really doubt that the same voices now raised against this deal will be demanding that whoever is president bomb those nuclear facilities? And as someone who does firmly believe that Iran must not get a nuclear weapon and who has wrestled with this issue since the beginning of my presidency, I can tell you that alternatives to military actions will have been exhausted once we reject a hard-won diplomatic solution that the world almost unanimously supports.
So let’s not mince words. The choice we face is ultimately between diplomacy or some form of war. Maybe not tomorrow, maybe not three months from now, but soon.
OBAMA: And here’s the irony. As I said before, military action would be far less effective than this deal in preventing Iran from obtaining a nuclear weapon. That’s not just my supposition. Every estimate, including those from Israeli analysts, suggest military action would only set back Iran’s program by a few years at best, which is a fraction of the limitations imposed by this deal.
It would likely guarantee that inspectors are kicked out of Iran. It is probable that it would drive Iran’s program deeper underground. It would certainly destroy the international unity that we have spent so many years building.
Now, there are some of opponents — I have to give them credit. They’re opponents of this deal who accept the choice of war. In fact, they argue that surgical strikes against Iran’s facilities will be quick and painless.
But if we’ve learned anything from the last decade, it’s that wars in general and wars in the Middle East in particular are anything but simple.
The only certainty in war is human suffering, uncertain costs, unintended consequences.
We can also be sure that the Americans who bear the heaviest burden are the less-than-1 percent of us, the outstanding men and women who serve in uniform, and not those of us who send them to war.
As commander-in-chief, I have not shied away from using force when necessary. I have ordered tens of thousands of young Americans into combat. I have sat by their bedside sometimes when they come home.
I’ve ordered military action in seven countries. There are times when force is necessary, and if Iran does not abide by this deal, it’s possible that we don’t have an alternative.
But how can we, in good conscience, justify war before we’ve tested a diplomatic agreement that achieves our objectives, that has been agreed to by Iran, that is supported by the rest of the world and that preserves our option if the deal falls short? How could we justify that to our troops? How could we justify that to the world or to future generations? In the end, that should be a lesson that we’ve learned from over a decade of war. On the front end, ask tough questions, subject our own assumptions to evidence and analysis, resist the conventional wisdom and the drumbeat of war, worry less about being labeled weak, worry more about getting it right.
I recognize that resorting to force may be tempting in the face of the rhetoric and behavior that emanates from parts of Iran. It is offensive. It is incendiary. We do take it seriously.
But superpowers should not act impulsively in response to taunts or even provocations that can be addressed short of war. Just because Iranian hardliners chant “Death to America” does not mean that that’s what all Iranians believe. In fact, it’s those…
In fact, it’s those hardliners who are most comfortable with the status quo. It’s those hardliners chanting “Death to America” who have been most opposed to the deal. They’re making common cause with the Republican Caucus.
The majority of the Iranian people have powerful incentives to urge their government to move in a different, less provocative direction, incentives that are strengthened by this deal. We should offer them that chance. We should give them the opportunity.
OBAMA: It’s not guaranteed to succeed. But if they take it, that would be good for Iran. It would be good for the United States. It would be good for a region that has known too much conflict. It would be good for the world.
And if Iran does not move in that direction, if Iran violates this deal, we will have ample ability to respond. You know, the agreements pursued by Kennedy and Reagan with the Soviet Union. Those agreements and treaties involved America accepting significant constraints on our arsenal. As such, they were riskier.
This agreement involves no such constraints. The defense budget of the United States is more than $600 billion. To repeat, Iran’s is about $15 billion. Our military remains the ultimate backstop to any security agreement that we make. I have stated that Iran will never be allowed to obtain a nuclear weapon, and have done what is necessary to make sure our military options are real. And I have no doubt that any president who follows me will take the same position.
So, let me sum up here. When we carefully examine the arguments against this deal, none stand up to scrutiny. That may be why the rhetoric on the other side is so strident. I suppose some of it can be ascribed to knee-jerk partisanship that has become all too familiar, rhetoric that renders every decision made to be a disaster, a surrender. You’re aiding terrorists; you’re endangering freedom.
On the other hand, I do think it is important to a knowledge another more understandable motivation behind the opposition to this deal, or at least skepticism to this deal. And that is a sincere affinity for our friend and ally Israel. An affinity that, as someone who has been a stalwart friend to Israel throughout my career, I deeply share.
When the Israeli government is opposed to something, people in the United States take notice; and they should. No one can blame Israelis for having a deep skepticism about any dealings with the government like Iran’s, which includes leaders who deny the Holocaust, embrace an ideology of anti-Semitism, facilitate the flow of rockets that are arrayed on Israel’s borders. Are pointed at Tel Aviv.
In such a dangerous neighbor Israel has to be vigilant, and it rightly insists it cannot depend on any other country, even it’s great friend the United States, for its own security.
So, we have to take seriously concerns in Israel. But the fact is, partly due to American military and intelligence assistance, which my administration has provided at unprecedented levels, Israel can defend itself against any conventional danger, whether from Iran directly or from its proxies. On the other hand, a nuclear-armed Iran changes that equation.
And that’s why this deal must be judged by what it achieves on the central goal of preventing Iran from obtaining a nuclear weapon. This deal does exactly that. I say this as someone who is done more than any other president to strengthen Israel’s security. And I have made clear to the Israeli government that we are prepared to discuss how we can deepen that cooperation even further. Already, we have held talks with Israel on concluding another 10-year plan for U.S. security assistance to Israel.
OBAMA: We can enhance support for areas like missile defense, information sharing, interdiction, all to help meet Israel’s pressing security needs. And to provide a hedge against any additional activities that Iran may engage in as a consequence of sanctions relief.
But I have also listened to the Israeli security establishment, which warned of the danger posed by a nuclear armed Iran for decades. In fact, they helped develop many of the ideas that ultimately led to this deal. So to friends of Israel and the Israeli people, I say this. A nuclear armed Iran is far more dangerous to Israel, to America, and to the world than an Iran that benefits from sanctions relief.
I recognize that prime minister Netanyahu disagrees, disagrees strongly. I do not doubt his sincerity, but I believe he is wrong. I believe the facts support this deal. I believe they are in America’s interests and Israel’s interests, and as president of the United States it would be an abrogation of my constitutional duty to act against my best judgment simply because it causes temporary friction with a dear friend and ally.
I do not believe that would be the right thing to do for the United States, I do not believe it would be the right thing to do for Israel.
For the last couple of weeks, I have repeatedly challenged anyone opposed to this deal to put forward a better, plausible alternative. I have yet to hear one. What I’ve heard instead are the same types of arguments that we heard in the run up to the Iraq war. “Iran cannot be dealt with diplomatically.” “We can take military strikes without significant consequences.” “We shouldn’t worry about what the rest of the world thinks, because once we act, everyone will fall in line.” “Tougher talk, more military threats will force Iran into submission.” “We can get a better deal.”
I know it’s easy to play in people’s fears, to magnify threats, to compare any attempt at diplomacy to Munich, but none of these arguments hold up. They didn’t back in 2002, in 2003, they shouldn’t now.
That same mind set in many cases offered by the same people, who seem to have no compunction with being repeatedly wrong…
… lead to a war that did more to strengthen Iran, more to isolate the United States than anything we have done in the decades before or since. It’s a mind set out of step with the traditions of American foreign policy where we exhaust diplomacy before war and debate matters of war and peace in the cold light of truth.
“Peace is not the absence of conflict,” President Reagan once said. It is the ability to cope with conflict by peaceful means. President Kennedy warned Americans not to see conflict as inevitable, accommodation as impossible, and communication as nothing more than the exchange of threats. It is time to apply such wisdom. The deal before us doesn’t bet on Iran changing, it doesn’t require trust, it verifies and requires Iran to forsake a nuclear weapon.
OBAMA: Just as we struck agreements with the Soviet Union at a time when they were threatening our allies, arming proxies against us, proclaiming their commitment to destroy our way of life, and had nuclear weapons pointed at all of our major cities, a genuine existential threat.
You know, we live in a complicated world, a world in which the forces unleashed by human innovation are creating for our children that were unimaginable for most of human history.
It is also a world of persistent threats, a world in which mass violence and cruelty is all too common and human innovation risks the destruction of all that we hold dear.
In this world, the United States of America remains the most powerful nation on Earth, and I believe that we will remain such for decades to come.
But we are one nation among many, and what separates us from the empires of old, what has made us exceptional, is not the mere fact of our military might.
Since World War II, the deadliest war in human history, we have used our power to try and bind nations together in a system of international law. We have led an evolution of those human institutions President Kennedy spoke about to prevent the spread of deadly weapons, to uphold peace and security and promote human progress.
We now have the opportunity to build on that progress. We built a coalition and held together through sanctions and negotiations, and now we have before us a solution that prevents Iran from obtaining a nuclear weapon without resorting to war.
As Americans, we should be proud of this achievement. And as members of Congress reflect on their pending decision, I urge them to set aside political concerns, shut out the noise, consider the stakes involved with the vote that you will cast.
If Congress kills this deal, we will lose more than just constraints on Iran’s nuclear deal or the sanctions we have painstakingly built. We will have lost something more precious: America’s credibility as a leader of diplomacy. America’s credibility is the anchor of the international system.
John F. Kennedy cautioned here more than 50 years ago at this university that the pursuit of peace is not as dramatic as the pursuit of war. But it’s so very important. It is surely the pursuit of peace that is most needed in this world so full of strife.
My fellow Americans, contact your representatives in Congress, remind them of who we are, remind them of what is best in us and what we stand for so that we can leave behind a world that is more secure and more peaceful for our children.
Story 1: Planned Parenthood’s Evil of Killing, Butchering and Selling Baby Parts Regrets Their Tone Not Their Actions– Reminds Me of The Nazis (National Socialist German Workers’ Party) Discussing The Final Solution for The Jewish Question — The Killing of Babies Supported By Barack Obama, Democratic Party, Progressives and Ruling Political Elites — Stop Killing Babies And Lying To The American People — Videos
He that is kind is free, though he is a slave; he that is evil is a slave, though he be a king.
The only thing necessary for the triumph of evil is for good men to do nothing.
There are a thousand hacking at the branches of evil to one who is striking at the root.
~Henry David Thoreau
The resolution to avoid an evil is seldom framed till the evil is so far advanced as to make avoidance impossible.
The Holocaust was the most evil crime ever committed.
The sad truth is that most evil is done by people who never make up their minds to be good or evil.”
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Die Wannseekonferenz (1984)
A real time recreation of the 1942 Wannsee Conference, in which leading SS and Nazi Party officials led by SS-General Reinhard Heydrich gathered to discuss the “Final Solution to the Jewish Question”.
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Fit vs. UnFit, Eugenics, Planned Parenthood & Psychology, Mind Control Report
Sex Control Police State, Eugenics, Galton, Kantsaywhere, Mind Control Report
Mind Control Hate Propaganda, Hate Speech & Crime, Black PR
Mind Control, Psychology of Brainwashing, Sex & Hypnosis
Margaret Sanger: Eugenicist (1/3)
Margaret Sanger: Eugenicist (2/3)
Margaret Sanger: Eugenicist (3/3)
Eugenics Glenn Beck w/ Edwin Black author of “War Against the Weak” talk Al Gore & Margaret Sanger
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Auschwitz The Nazis and the Final Solution complete
Auschwitz: The Nazi and the Final Solution (1/5)
AUSHWITZ:THE FINAL SOLUTION CLIP 2/5
Auschwitz: The Nazi and the Final Solution (3/5)
Auschwitz: The Nazi and the Final Solution (4/5)
Auschwitz: The Nazi and the Final Solution (5/5)
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Keeping Dems Honest: CNN’s Anderson Cooper Puts Truth First and Challenges DNC Abortion Lies
Glenn Beck : Agenda 21 is not a fiction, it’s implemented right now in US and all over the World !
Glenn Beck – Ted Cruz Discusses the Evils of Agenda 21
Bill Whittle What We Believe Full Version
Brenda Lee – I’m Sorry (Live from Canada 1980)
Planned Parenthood head apologizes for ‘tone’ of doctor in covert video
The president of Planned Parenthood Federation of America on Thursday apologized for remarks captured on video that show Deborah Nucatola, an executive of the organization, casually discussing abortion techniques aimed at preserving the internal organs of fetuses for use in research.
But Richards also emphatically defended the organization’s tissue donation program, which she said is purely voluntary for the women and does not yield a profit for Planned Parenthood. And she condemned the group that covertly recorded Nucatola’s remarks, which she said heavily edited the video to make “outrageous claims.”
“We know the real agenda of organizations behind videos like this, and they have never been concerned with protecting the health and safety of women,” she said. “Their mission is to ban abortion completely and cut women off from care at Planned Parenthood and other health centers.”
Richards’s apology came a day after a little-known anti-abortion group called the Center for Medical Progress unveiled the video as part of what its leader said was a 30-month investigation into Planned Parenthood’s tissue donation program. The group alleges Planned Parenthood illegally sells fetal body parts to companies that use the tissue for research.
While the video did not prove this claim, it still painted Planned Parenthood in an unflattering light that reignited controversy over the women’s health organization, the nation’s largest abortion provider and a longtime target of anti-abortion activism. It showed Nucatola, the organization’s senior director of medical services, discussing graphically the ways in which abortions can be completed to preserve a fetus’s liver, lungs, heart and other materials for research.
“I’d say a lot of people want liver,” she says in the video, drinking wine and eating salad with anti-abortion activists posing as medical company representatives.
Later in the video, she continues: “We’ve been very good at getting heart, lung, liver, because we know that, so I’m not gonna crush that part, I’m gonna basically crush below, I’m gonna crush above, and I’m gonna see if I can get it all intact.”
The Center for Medical Research distilled the video into a nine-minute clip, but also posted a longer cut lasting more than two-and-a-half hours showing a fuller context of the discussion. It also posted some supporting documents on its site, and the group’s leader has promised more evidence in the coming weeks.
Planned Parenthood’s president apologized Thursday for a top official’s tone in a controversial video, but she also denied the clip’s allegation that her organization profits from tissue donation.
“Our top priority is the compassionate care that we provide. In the video, one of our staff members speaks in a way that does not reflect that compassion. This is unacceptable, and I personally apologize for the staff member’s tone and statements,” said Cecile Richards, the group’s president, in a video out Thursday. “As always, if there is any aspect of our work that can be strengthened, we want to know about it, and we take swift action to address it.”
Since the video’s release on Breitbart earlier this week, conservative elected officials have slammed its contents and called for congressional hearings on the incident, including House Speaker John Boehner and House Majority Leader Kevin McCarthy.
“I hope that everyone in the country watches it,” said Rep. Ann Wagner, R-Missouri, who called the video “the most horrifying and heartbreaking undercover video I have ever seen” during a Capitol Hill news conference on Wednesday.
But allegations that Planned Parenthood sells baby body organs and tissue are unfounded, she said.
“I want to be really clear: The allegation that Planned Parenthood profits in any way from tissue donation is not true. Our donation programs — like any other high-quality health care providers — follow all laws and ethical guidelines.”
On Wednesday, Richards used Twitter to criticize lawmakers and presidential candidates
Richards said political attacks are nothing new for her organization, the country’s largest abortion provider.
“Spreading false information is an age-old strategy of people hell-bent on denying women care & shaming them for exercising their rights,” she tweeted.
Several Republican candidates have promised to defund federal dollars to Planned Parenthood if elected. Richards argued that would keep millions from breast exams, sexually transmitted infection exams and sex education.
“Reminder: 1 out of every 5 women has been to PP in her life. Threatening our patients’ care & rights will get politicians nowhere real fast,” she tweeted. “We’ve fought for our patients before, and we’ll fight for them again and again.”
Planned Parenthood exec, fetal body parts subject of controversial video
By Steve Almasy and Eliott C. McLaughlin, CNN
An anti-abortion group has released an online video that it says documents how Planned Parenthood is selling fetal organs for a profit, a felony, while violating medical ethics by altering normal abortion procedures so as to preserve the organs.
Planned Parenthood has countered that it donates the tissue for scientific research and receives only reimbursement for its expenses, which is legal. The group also says it helps people donate tissue “with full, appropriate consent from patients and under the highest ethical and legal standards,” according to a statement from spokesman Eric Ferrero.
Later, Ferrero issued another statement saying, “These outrageous claims are flat-out untrue, but that doesn’t matter to politicians with a longstanding political agenda to ban abortion and defund Planned Parenthood. Women and families who make the decision to donate fetal tissue for lifesaving scientific research should be honored, not attacked and demeaned.”
The group leveling the accusation, the Irvine, California-based Center for Medical Progress, says it shot the video a year ago at a California restaurant. On it, two people purporting to be with a human biologics company speak with a Planned Parenthood doctor over what appears to be a lunch meeting. The Center for Medical Progress says the pair, who are off-camera and never seen, are paid actors.
“Planned Parenthood’s criminal conspiracy to make money off of aborted baby parts reaches to the very highest levels of their organization,” said statement from David Daleiden, who led the undercover project.
The video has drawn the ire of GOP lawmakers in Washington, with House Speaker John Boehner calling for hearings on Planned Parenthood’s abortion practices.
“When anyone diminishes an unborn child, we are all hurt, irreversibly so. When an organization monetizes an unborn child — and with the cavalier attitude portrayed in this horrific video — we must all act,” he said.
On the video, Dr. Deborah Nucatola, the senior director of medical services at Planned Parenthood Federation of America, is seen talking matter-of-factly about the organization’s participation in tissue-donation programs.
Though Planned Parenthood has described the Center for Medical Progress footage as a hit piece by “a well-funded group established for the purpose of damaging Planned Parenthood’s mission and services,” Nucatola acknowledges in the video that Planned Parenthood’s national office sees the potential for controversy.
“So, we tried to do this, and at the national office we have a Litigation and Law Department that just really doesn’t want us to be the middle people for this issue right now,” she said. “And so we had a conversation, and we said, ‘What if we go out and find everyone who is doing this and present everybody with a menu?’ And at the end of the day they just decided that right now, it’s just too touchy an issue for us to be an official middleman.”
In another part of the video, the doctor tells the undercover actors that “behind closed doors,” Planned Parenthood’s affiliates are discussing how to handle the matter.
“Every provider has had patients who want to donate their tissue, and they absolutely want to accommodate them. They just want to do it in a way that is not perceived as ‘This clinic is selling tissue. This clinic is making money off of this,’ ” she said.
The edited version of the video appears to be missing important context that’s provided in the longer video. For instance, one of the actors asks Nucatola about prices for the organs.
“OK, so when you are, or the (Planned Parenthood) affiliate is determining what that monetary … so that it doesn’t raise any question of ‘This is what it’s about; this is the main,’ what price range would you …” the woman asks, her question trailing off.
Nucatola responds that the price would be between $30 and $100 per specimen, with consideration for what facility is used and “what’s involved.” It’s not clear if a specimen constitutes the entire organ or only samples of it.
Nucatola doesn’t specifically say that the price is for the purchase of the tissue, but the comment troubled bioethicist Art Caplan of New York University, who said after watching the edited version of the video it sounds like Planned Parenthood might be trying to make a profit.
But in the longer version of the video, Nucatola elaborates and appears to say the price is related to the cost of performing the procedure and shipping.
“It just has to do with space issues. Are you sending someone there who is going to be doing everything or is their staff going to be doing it? What exactly are they going to be doing? Is there shipping involved or is someone coming to pick it up?”
Selling fetal body parts — or any body parts — is against federal law, but Planned Parenthood said it makes no profit.
“In some instances, actual costs, such as the cost to transport tissue to leading research centers, are reimbursed, which is standard across the medical field,” the group said.
Another part of the video also raised concerns for Caplan. Nucatola talks about doctors performing abortions in which ultrasound is used to ascertain the best location to grab the fetus with forceps.
“We’ve been very good at getting heart, lung, liver because we know that, I’m not going to crush that part,” she says.
Altering procedures in order to get tissue in the best condition would be a “big no-no,” the bioethicist said, because the patient’s health is paramount and that should be the only concern for doctors. Caplan did not comment specifically on whether the ultrasound procedure would endanger the mother, but he made it clear that any deviation from normal procedures is unacceptable.
“In abortion the primary goal is to give the safest abortion possible,” Caplan said. “Your sole concern has to be the mother and her health.”
There’s a parallel in patient care, he said. When someone is dying, doctors shouldn’t change how they treat the patient in order to harvest good tissue for donation after death.
Doctors should treat the patient as they normally would, and then use whatever is available after death. If a provider is considering how to get the tissue that’s in the best shape, “that’s a huge conflict of interest. … If you modify how someone dies, that’s unethical.”
The Center for Medical Progress also alleges that Nucatola describes a method — using ultrasound to manipulate the fetus so it comes out feet first, or breech presentation, instead of head first, or vertex presentation — that “is the hallmark of the illegal partial-birth abortion procedure.”
Partial birth abortions are illegal, according to U.S. law, which defines them as procedures “in which the person performing the abortion deliberately and intentionally vaginally delivers a living fetus until, in the case of a head-first presentation, the entire fetal head is outside the body of the mother, or, in the case of breech presentation, any part of the fetal trunk past the navel is outside the body of the mother, for the purpose of performing an overt act that the person knows will kill the partially delivered living fetus.”
On the video, Nucatola describes the best strategy to extract calavarium, or skulls, intact, but it is not clear if she is speaking in general terms or if she is describing Planned Parenthood’s methods. And then, she says nothing about whether the fetus is still alive when it’s delivered.
“And with the calvarium, in general, some people will actually try to change the presentation so that it’s not vertex, because when it’s vertex presentation, you never have enough dilation at the beginning of the case, unless you have real, huge amount of dilation to deliver an intact calvarium. So if you do it starting from the breech presentation, there’s dilation that happens as the case goes on, and often, the last, you can evacuate an intact calvarium at the end.”
The Center for Medical Progress responded to Planned Parenthood’s written statement about the video and accused Planned Parenthood of lying about obtaining consent from patients and not making a profit on the tissue transactions. It did not offer any further evidence of either claim.
Planned Parenthood, meanwhile, said the anti-abortion group was the one that was lying.
“A well-funded group established for the purpose of damaging Planned Parenthood’s mission and services has promoted a heavily edited, secretly recorded videotape that falsely portrays Planned Parenthood’s participation in tissue donation programs that support lifesaving scientific research,” it said.
The statement continued, “Similar false accusations have been put forth by opponents of abortion services for decades. These groups have been widely discredited and their claims fall apart on closer examination, just as they do in this case.”
Planned Parenthood Federation of America (PPFA), commonly shortened to Planned Parenthood, is the U.S. affiliate of the International Planned Parenthood Federation (IPPF) and one of its larger members. PPFA is a non-profit organization providing reproductive health and maternal and child health services. The Planned Parenthood Action Fund, Inc. (PPAF) is a related organization which lobbies for pro-choice legislation, comprehensive sex education, and access to affordable health care in the United States. In recent years, Planned Parenthood has begun to move away from the pro-choice label to words and phrases that more accurately reflect the entire range of women’s health and economic issues.
Planned Parenthood is the largest U.S. provider of reproductive health services, including cancer screening, HIV screening and counseling, contraception, and abortion. Contraception accounts for 34% of PPFA’s total services and abortions account for 3%; PPFA conducts roughly 300,000 abortions each year, among 3 million people served.
The organization has its roots in Brooklyn, New York, where Margaret Sanger opened the country’s first birth-control clinic. Sanger founded the American Birth Control League in 1921, which in 1942 became part of the Planned Parenthood Federation of America. Since then, Planned Parenthood has grown to have over 820 clinic locations in the U.S., with a total budget of US $1 billion. PPFA provides an array of services to over three million people in the United States, and supports services for over one million clients outside the United States.
Margaret Sanger (1922), the first president and founder of Planned Parenthood
The origins of Planned Parenthood date to October 16, 1916 when Margaret Sanger, her sister Ethel Byrne, and Fania Mindell opened the first birth control clinic in the U.S. in the Brownsville section of Brooklyn, New York. All three women were immediately arrested and jailed for violating provisions of the Comstock Act– for distributing “obscene materials” at the clinic. The “Brownsville trials” brought national attention and support to their cause, and although Sanger and her co-defendants were convicted, their convictions were eventually overturned. Their campaign led to major changes in the laws governing birth control and sex education in the United States.
In 1938, the clinic was organized into the American Birth Control League, which became part of the only national birth control organization in the US until the 1960s, but the title was found too offensive and “against families” so the League began discussions for a new name. By 1941, the organization was operating 222 centers and had served 49,000 clients. By 1942 the League had become part of what became the Planned Parenthood Federation of America.
Following Margaret Sanger, Alan Frank Guttmacher became president of Planned Parenthood and served from 1962 till 1974. During his tenure, the Food and Drug Administration approved the sale of the original birth control pill, giving rise to new attitudes towards women’s reproductive freedom. Also during his presidency, Planned Parenthood lobbied the federal government to support reproductive health, culminating with President Richard Nixon‘s signing of Title X to provide governmental subsidies for low-income women to access family planning services. The Center for Family Planning Program Development was also founded as a semi-autonomous division during this time. The center became an independent organization and was renamed the Guttmacher Institute in 1977.
Faye Wattleton was the first woman named president of the Planned Parenthood Federation of America in 1978 and served till 1992. She was the first African-American to serve as president, and the youngest president in Planned Parenthood’s history. During her term, Planned Parenthood grew to become the seventh largest charity in the country, providing services to four million clients each year through its 170 affiliates whose activities were spread across 50 states.
A Planned Parenthood supporter participates in a demonstration in support of the organization.
From 1996 to 2006, Planned Parenthood was led by Gloria Feldt. Feldt activated the Planned Parenthood Action Fund, the organization’s political action committee, launching what was the most far reaching electoral advocacy effort in its history. She also launched the Responsible Choices Action Agenda, a nationwide campaign to increase services to prevent unwanted pregnancies, improve quality of reproductive care and ensure access to safe and legal abortions. Another initiative was the commencement of a “Global Partnership Program” with the aim of building a vibrant activist constituency in support of family planning.
PPFA is a federation of 85 independent Planned Parenthood affiliates around the U.S. These affiliates together operate more than 820 health centers in all 50 states and the District of Columbia. The largest of these facilities, a $26 million, 78,000-square-foot (7,200 m2) structure was completed in Houston, Texas in May 2010. This serves as a headquarters for 12 clinics in Texas and Louisiana. Together, they are the largest family planning services provider in the U.S. with over four million activists, supporters and donors. Planned Parenthood is staffed by 27,000 staff members and volunteers.
They serve over five million clients a year, 26% of which are teenagers under the age of 19. According to Planned Parenthood, 75% of their clients have incomes at or below 150 percent of the federal poverty level.
In 2009, Planned Parenthood provided 4,009,549 contraceptive services (35% of total), 3,955,926 sexually transmitted disease services (35% of total), 1,830,811 cancer related services (16% of total), 1,178,369 pregnancy/prenatal/midlife services (10% of total), 332,278 abortion services (3% of total), and 76,977 other services (1% of total), for a total of 11,383,900 services. The organization also said its doctors and nurses annually conduct 1 million screenings for cervical cancer and 830,000 breast exams.
Planned Parenthood has received federal funding since 1970, when President Richard Nixon signed into law the Family Planning Services and Population Research Act, amending the Public Health Service Act. Title X of that law provides funding for family planning services, including contraception and family planning information. The law enjoyed bipartisan support from liberals who saw contraception access as increasing families’ control over their lives, and conservatives who saw it as a way to keep people off welfare. Nixon described Title X funding as based on the premise that “no American woman should be denied access to family planning assistance because of her economic condition.”
In the fiscal year ending June 30, 2011, total (consolidated) revenue was $201 million: clinic revenue totaling $2 million, grants and donations of $190 million, investment income of $2 million, and $7 million other income. Approximately two-thirds of the revenue is put towards the provision of health services, while non-medical services such as sex education and public policy work make up another 16%; management expenses, fundraising, and international family planning programs account for most of the rest.
Planned Parenthood receives about a third of its money in government grants and contracts (about $360 million in 2009). By law, federal funding cannot be allocated for abortions, but some opponents of abortion have argued that allocating money to Planned Parenthood for the provision of other medical services “frees up” funds to be re-allocated for abortion.
A coalition of national and local pro-life groups have lobbied federal and state government to stop funding Planned Parenthood, and as a result, Republican federal and state legislators have proposed legislation to reduce the funding levels. Some six states have gone ahead with such proposals. In some cases, the courts have overturned such actions, citing conflict with federal or other state laws, and in others, the federal executive branch has provided funding in lieu of the states. In other cases, complete or partial defunding of Planned Parenthood has gone through successfully.
Planned Parenthood is also funded by private donors, with a membership base of over 700,000 active donors whose contributions account for approximately one quarter of the organization’s revenue. Large donors also contribute a substantial portion of the organization’s budget; past donors have included the Bill & Melinda Gates Foundation, Buffett Foundation, Ford Foundation, Turner Foundation, the Cullmans and others. The Bill & Melinda Gates Foundation’s contributions to the organization have been specifically marked to avoid funding abortions. Some, such as the Buffett Foundation, have supported reproductive health that can include abortion services. Pro-life groups have advocated the boycott of donors to Planned Parenthood.
Stand on political and legal issues
Planned Parenthood and its predecessor organizations have provided and advocated for access to birth control. The modern organization of Planned Parenthood America is also an advocate for reproductive rights. This advocacy includes contributing to sponsorship of abortion rights and women’s rights events and assisting in the testing of new contraceptives. The Federation opposes restrictions on women’s reproductive health services, including parental consent laws. Planned Parenthood has cited the case of Becky Bell, who died following a septic abortion after failing to seek parental consent, to justify their opposition. Planned Parenthood also takes the position that laws requiring parental notification before an abortion is performed on a minor are unconstitutional on privacy grounds. The organization also opposes laws requiring ultrasounds before abortions, stating that their only purpose is to make abortions more difficult to obtain. Planned Parenthood has also opposed initiatives that require waiting periods before abortions, and bans on late-term abortions including intact dilation and extraction, which has been illegal in the U.S. since 2003.
Planned Parenthood argues for the wide availability of emergency contraception (EC) measures. It opposes conscience clauses, which allow pharmacists to refuse to dispense drugs against their beliefs. In support of their position, they have cited cases where pharmacists have refused to fill life saving drugs under the laws. Planned Parenthood has also been critical of hospitals that do not provide access to EC for rape victims. Planned Parenthood supports and provides FDA-approved abortifacients such as mifepristone.
Citing the need for medically accurate information in sex education, Planned Parenthood opposes abstinence-only education in public schools. Instead, Planned Parenthood is a provider of, and endorses, comprehensive sex education, which includes discussion of both abstinence and birth control.
Planned Parenthood also has a political action committee called Planned Parenthood Action Fund. The committee was founded in 1996 by then new president Gloria Feldt for the purpose of maintaining reproductive health rights and supporting political candidates of the same mindset. In 2012 election cycle the committee gained prominence based on its effectiveness of spending on candidates.
Planned Parenthood regional chapters have been active in the American courts. A number of cases in which Planned Parenthood has been a party have reached the U.S. Supreme Court. Notable among these cases is the 1992 case Planned Parenthood v. Casey, the case that sets forth the current constitutional abortion standard. In this case, “Planned Parenthood” was the Southeast Pennsylvania Chapter, and “Casey” was Robert Casey, the governor of Pennsylvania. The ultimate ruling was split, and Roe v. Wade was narrowed but upheld in an opinion written by Sandra Day O’Connor, Anthony Kennedy, and David Souter. Harry Blackmun and John Paul Stevens concurred with the main decision in separately written opinions. The Supreme Court struck down spousal consent requirements for married women to obtain abortions, but found no “undue burden”—an alternative to strict scrutiny which tests the allowable limitations on rights protected under the Constitution—from the other statutory requirements. Dissenting were William Rehnquist, Antonin Scalia, Clarence Thomas, and Byron White. Blackmun, Rehnquist, and White were the only justices who voted on the original Roe v. Wade decision in 1973 who were still on the Supreme Court to rule on this case, and their votes on this case were consistent with their votes on the original decision that legalized abortion. Only Blackmun voted to maintain Roe v. Wade in its entirety.
Other related cases include:
Planned Parenthood of Central Missouri v. Danforth (1976). Planned Parenthood challenged the constitutionality of a Missouri law encompassing parental consent, spousal consent, clinic bookkeeping and allowed abortion methods. Portions of the challenged law were held to be constitutional, others not.
Planned Parenthood Association of Kansas City v. Ashcroft (1983). Planned Parenthood challenged the constitutionality of a Missouri law encompassing parental consent, clinic record keeping, and hospitalization requirements. Most of the challenged law was held to be constitutional.
Planned Parenthood v. ACLA (2001). The American Coalition of Life Activists (ACLA) released a flier and “Wanted” posters with complete personal information about doctors who performed abortions. A civil jury and the Ninth Circuit Court of Appeals both found that the material was indeed “true threats” and not protected speech.
Gonzales v. Planned Parenthood (2003). Planned Parenthood sued Attorney General Gonzales for an injunction against the enforcement of the Partial-Birth Abortion Ban Act of 2003. Planned Parenthood argued the act was unconstitutional because it violated the Fifth Amendment, namely in that it was overly vague, violated women’s constitutional right to have access to abortion, and did not include language for exceptions for the health of the mother. Both the district court and the US Court of Appeals for the Ninth Circuit agreed, but that decision was overturned in a 5–4 ruling by the Supreme Court.
Ayotte v. Planned Parenthood of Northern New England (2006). Planned Parenthood et al. challenged the constitutionality of a New Hampshire parental notification law related to access to abortion. In Sandra Day O’Connor’s final decision before retirement, the Supreme Court sent the case back to lower courts with instructions to seek a remedy short of wholesale invalidation of the statute. New Hampshire ended up repealing the statute via the legislative process.
Controversy and criticism
Planned Parenthood has occupied a central position in the abortion debate in the U.S., and has been among the most prominent targets of U.S. pro-life activists for decades. Congressional Republicans have attempted since the 1980s to defund the organization, nearly leading to a government shutdown over the issue in 2011. The federal money received by Planned Parenthood is not used to fund abortion services, but pro-life activists have argued that the funding frees up other resources which are, in turn, used to provide abortions.
Planned Parenthood is the largest single provider of abortions in the U.S. In 2009, Planned Parenthood performed 332,278 abortions (for comparison, 1.21 million abortions were performed in the US in 2008), from which it derives about $164,154,000, or 15% of its annual revenue as of their 2008–2009 calculations. According to PPFA’s own estimates, its contraceptive services prevent approximately 612,000 unintended pregnancies and 291,000 abortions annually. Planned Parenthood president Cecile Richards has argued that the organization’s family planning services reduce the need for abortions. Megan Crepeau of the Chicago Tribune said that, because of its birth control and family planning services, PPFA could be “characterized as America’s largest abortion preventer.” Anti-abortion activists dispute the evidence that greater access to contraceptives reduces abortions.
In the 1920s various theories of eugenics were popular among intellectuals in the United States. For example, 75% of colleges offered courses on eugenics. Sanger, in her campaign to promote birth control, teamed with eugenics organizations such as the American Eugenics Society, although she argued against many of their positions. Scholars describe Sanger as believing that birth control, sterilization and abortion should be voluntary and not based on race. She advocated for “voluntary motherhood”—the right to choose when to be pregnant—for all women, as an important element of women’s rights. Opponents of Planned Parenthood often refer to Sanger’s connection with supporters of eugenics to discredit the organization by associating it, and birth control, with the more negative modern view of eugenics. Planned Parenthood has responded to this effort directly in a leaflet acknowledging that Sanger agreed with some of her contemporaries who advocated the voluntary hospitalization or sterilization of people with untreatable, disabling, hereditary conditions, and limits on the immigration of the diseased. The leaflet also states that Planned Parenthood “finds these views objectionable and outmoded” but says that it was compelled to discuss the topic because “anti-family planning activists continue to attack Sanger . . . because she is an easier target” than Planned Parenthood.
Periodically pro-life activists have tried to demonstrate that Planned Parenthood does not follow applicable state or federal laws. The groups called or visited a Planned Parenthood health center posing as victims of statutory rape, minors who would need parental notification for abortion, racists seeking to earmark donations for abortions for black women to abort black babies, or pimps who want abortions for child prostitutes. Edited video and audio productions of these dialogues seem to capture employees being sympathetic to potentially criminal acts, leading to allegations that the health centers in question are violating the law. An official federal inspection in 2005 by the Bush administration‘s Department of Health and Human Services “yielded no evidence of clinics around the nation failing to comply with laws on reporting child abuse, child molestation, sexual abuse, rape or incest.”
In 2011, the organization Live Action released a series of videos that they said showed Planned Parenthood employees at multiple affiliates actively assisting or being complicit in aiding the underage prostitution ring of actors posing as a pimp and a prostitute. Planned Parenthood conducted a frame-by-frame analysis of the recordings, and said they found instances of “editing that dramatically alter[ed] the meaning of the recorded conversations.”
None of these stings have led to criminal conviction. However, a small number of Planned Parenthood employees and volunteers were fired for not following procedure, and the organization committed to retraining its staff.
State and local court cases against Planned Parenthood
In some states, anti-abortion Attorneys General have subpoenaed medical records of patients treated by Planned Parenthood. Planned Parenthood has gone to court to keep from turning over these records, citing medical privacy and concerns about the motivation for seeking the records.
In 2006, Kansas Attorney General Phill Kline, a strongly anti-abortion Republican, released some sealed patient records obtained from Planned Parenthood to the public. His actions were described as “troubling” by the state Supreme Court, but ultimately Planned Parenthood was compelled to turn over the medical records, albeit with more stringent court-mandated privacy safeguards for the patients involved. In 2007, Kline’s successor, Paul J. Morrison, notified the clinic that no criminal charges would be filed after a three-year investigation, as “an objective, unbiased and thorough examination” showed no wrongdoing. Morrison stated that he believed Kline had politicized the attorney general’s office. In 2012, a Kansas district attorney dropped all of the remaining criminal charges against the Kansas City-area Planned Parenthood clinic accused of performing illegal abortions, citing a lack of evidence of wrongdoing. In all, the Planned Parenthood clinic had faced 107 criminal charges from Kline and other Kansas prosecutors, all of which were ultimately dropped for lack of evidence.
In Indiana, Planned Parenthood was not required to turn over its medical records in an investigation of possible child abuse. In October 2005, Planned Parenthood Minnesota/North Dakota/South Dakota was fined $50,000 for violating a Minnesota state parental consent law.
On December 31, 2012, Judge Gary Harger ruled Texas may exclude otherwise qualified doctors and clinics from receiving state funding if they advocate for abortion rights.
In 1994, John Salvi entered a Brookline, Massachusetts Planned Parenthood clinic and opened fire, murdering receptionist Shannon Elizabeth Lowney and wounding three others. He fled to another Planned Parenthood clinic where he murdered Leane Nichols and wounded two others.
William Sanger (1902–1921)[note 1]
James Noah H. Slee (1922–1943).
Margaret Higgins Sanger (September 14, 1879 – September 6, 1966) was an American birth control activist, sex educator, and nurse. Sanger popularized the term birth control, opened the first birth control clinic in the United States, and established organizations that evolved into the Planned Parenthood Federation of America. Sanger was also a writer. She used this method to help promote her way of thinking. She was prosecuted for her book Family Limitation under the Comstock Act in 1914. She was afraid of what would happen, so she fled to Britain until she knew it was safe to return to the US. Sanger’s efforts contributed to several judicial cases that helped legalize contraception in the United States. Sanger is a frequent target of criticism by opponents of abortion and has also been criticized for supporting eugenics, but remains an iconic figure in the American reproductive rights movement.
In 1916, Sanger opened the first birth control clinic in the United States, which led to her arrest for distributing information on contraception. Her subsequent trial and appeal generated controversy. Sanger felt that in order for women to have a more equal footing in society and to lead healthier lives, they needed to be able to determine when to bear children. She also wanted to prevent unsafe abortions, so-called back-alley abortions, which were common at the time because abortions were usually illegal. She believed that while abortion was sometimes justified it should generally be avoided, and she considered contraception the only practical way to avoid the use of abortions.
In 1921, Sanger founded the American Birth Control League, which later became the Planned Parenthood Federation of America. In New York City, she organized the first birth control clinic staffed by all-female doctors, as well as a clinic in Harlem with an entirely African-American staff. In 1929, she formed the National Committee on Federal Legislation for Birth Control, which served as the focal point of her lobbying efforts to legalize contraception in the United States. From 1952 to 1959, Sanger served as president of the International Planned Parenthood Federation. She died in 1966, and is widely regarded as a founder of the modern birth control movement.
Sanger was born Margaret Louise Higgins in 1879 in Corning, New York, to Michael Hennessey Higgins, an Irish-born stonemason and free-thinker, and Anne Purcell Higgins, a Catholic Irish-American. Michael Hennessey Higgins had emigrated to the USA at age 14 and joined the U.S. Army as a drummer at age 15, during the Civil War. After leaving the army, Michael studied medicine and phrenology, but ultimately became a stonecutter, making stone angels, saints, and tombstones. Michael H. Higgins was a Catholic who became an atheist and an activist for women’s suffrage and free public education. Anne Higgins went through 18 pregnancies (with 11 live births) in 22 years before dying at the age of 49. Sanger was the sixth of eleven surviving children, and spent much of her youth assisting with household chores and caring for her younger siblings. Anne’s parents took their children and emigrated to Canada when she was a child, due to the Potato Famine.
Supported by her two older sisters, Margaret Higgins attended Claverack College and Hudson River Institute, before enrolling in 1900 at White Plains Hospital as a nurse probationer. In 1902, she married the dashing architect William Sanger and gave up her education. Though she was plagued by a recurring active tubercular condition, Margaret Sanger bore three children, and the couple settled down to a quiet life in Westchester, New York.
Sanger’s political interests, emerging feminism and nursing experience led her to write two series of columns on sex education entitled “What Every Mother Should Know” (1911–12) and “What Every Girl Should Know” (1912-13) for the socialist magazine New York Call. By the standards of the day, Sanger’s articles were extremely frank in their discussion of sexuality, and many New York Call readers were outraged by them. Other readers, however, praised the series for its candor, one stated that the series contained “a purer morality than whole libraries full of hypocritical cant about modesty. Both were later published in book form in 1916.
During her work among working class immigrant women, Sanger was exposed to graphic examples of women going through frequent childbirth, miscarriage and self-induced abortion for lack of information on how to avoid unwanted pregnancy. Access to contraceptive information was prohibited on grounds of obscenity by the 1873 federal Comstock law and a host of state laws. Searching for something that would help these women, Sanger visited public libraries, but was unable to find information on contraception. These problems were epitomized in a (possibly fictional) story that Sanger would later recount in her speeches: while Sanger was working as a nurse, she was called to the apartment of a woman, “Sadie Sachs,” who had become extremely ill due to a self-induced abortion. Afterward, “Sadie” (whose marital status Sanger never mentioned) begged the attending doctor to tell her how she could prevent this from happening again, to which the doctor simply advised her to remain abstinent. A few months later, Sanger was called back to “Sadie’s” apartment — only this time, “Sadie” died shortly after Sanger arrived. She had attempted yet another self-induced abortion. Sanger would sometimes end the story by saying, “I threw my nursing bag in the corner and announced … that I would never take another case until I had made it possible for working women in America to have the knowledge to control birth.” Although “Sadie Sachs” was possibly a fictional composite of several women Sanger had known, this story marks the time when Sanger began to devote her life to help desperate women before they were driven to pursue dangerous and illegal abortions.
Accepting the connection proposed between contraception and working-class empowerment by radicals such as Emma Goldman, Sanger came to believe that only by liberating women from the risk of unwanted pregnancy would fundamental social change take place. She proceeded to launch a campaign to challenge governmental censorship of contraceptive information. She would set up a series of confrontational actions designed to challenge the law and force birth control to become a topic of public debate. Sanger’s trip to France in 1913 exposed her to what Goldman had been saying. Sanger’s experience during her trip to France directly influence The Women Rebel newsletter. The trip to France was also the beginning of the end of her marriage with William Sanger.
In 1914, Sanger launched The Woman Rebel, an eight-page monthly newsletter which promoted contraception using the slogan “No Gods, No Masters“.[note 2] Sanger, collaborating with anarchist friends, popularized the term “birth control” as a more candid alternative to euphemisms such as “family limitation” and proclaimed that each woman should be “the absolute mistress of her own body.” In these early years of Sanger’s activism, she viewed birth control as a free-speech issue, and when she started publishing The Woman Rebel, one of her goals was to provoke a legal challenge to the federal anti-obscenity laws which banned dissemination of information about contraception. Though postal authorities suppressed five of its seven issues, Sanger continuing publication, all the while preparing, Family Limitation, an even more blatant challenge to anti-birth control laws. This 16-page pamphlet contained detailed and precise information and graphic descriptions of various contraceptive methods. In August 1914 Margaret Sanger was indicted for violating postal obscenity laws by sending the The Woman Rebel through the postal system. Instead of standing trial, she jumped bail and fled to Canada. Then, under the alias “Bertha Watson”, sailed for England. En route she ordered her labor associates to release copies of the Family Limitation.
Margaret Sanger spent much of her 1914 exile in England, where contact with British neo-Malthusianists helped refine her socioeconomic justifications for birth control. She was also profoundly influenced by the liberation theories of British sexual theorist Havelock Ellis. Under his tutelage she formulated a new rationale that would liberate women not just by making sexual intercourse safe, but also pleasurable. It would, in effect, free women from the inequality of sexual experience. Early in 1915, Margaret Sanger’s estranged husband, William Sanger, was entrapped into giving a copy of Family Limitation to a representative of anti-vice crusader Anthony Comstock. William Sanger was tried and convicted, he spent thirty days in jail, while also escalating interest in birth control as a civil liberties issue.
This page from Sanger’s Family Limitation, 1917 edition, describes a cervical cap.
Some countries in northwestern Europe had more liberal policies towards contraception than the United States at the time, and when Sanger visited a Dutch birth control clinic in 1915, she learned about diaphragms and became convinced that they were a more effective means of contraception than the suppositories and douches that she had been distributing back in the United States. Diaphragms were generally unavailable in the United States, so Sanger and others began importing them from Europe, in defiance of United States law.
On October 16, 1916, Sanger opened a family planning and birth control clinic at 46 Amboy St. in the Brownsville neighborhood of Brooklyn, the first of its kind in the United States. Nine days after the clinic opened, Sanger was arrested. Sanger’s bail was set at $500 and she went back home. Sanger continued seeing some women in the clinic until the police came a second time. This time Sanger and her sister, Ethel Byrne, were arrested for breaking a New York state law that prohibited distribution of contraceptives, Sanger was also charged with running a public nuisance. Sanger and Ethel went to trial in January 1917. Byrne was convicted and sentenced to 30 days in a workhouse but went on hunger strike. She was the first woman in the US to be force fed. Only when Sanger pledged that Byrne would never break the law, she was pardoned after ten days. Sanger was convicted; the trial judge held that women did not have “the right to copulate with a feeling of security that there will be no resulting conception.” Sanger was offered a more lenient sentence if she promised to not break the law again, but she replied: “I cannot respect the law as it exists today.” For this, she was sentenced to 30 days in a workhouse. An initial appeal was rejected, but in a subsequent court proceeding in 1918, the birth control movement won a victory when Judge Frederick E. Crane of the New York Court of Appeals issued a ruling which allowed doctors to prescribe contraception. The publicity surrounding Sanger’s arrest, trial, and appeal sparked birth control activism across the United States, and earned the support of numerous donors, who would provide her with funding and support for future endeavors.
Sanger became estranged from her husband in 1913, and the couple’s divorce was finalized in 1921. Sanger’s second husband was Noah Slee. He followed Sanger around the world and provided much of Sanger’s financial assistance. The couple got married in September 1922, but the public did not know about it until February 1924. They supported each other with their pre-commitments.
American Birth Control League
Sanger published the Birth Control Review from 1917 to 1929.[note 4]
After World War I, Sanger shifted away from radical politics, and she founded the American Birth Control League (ABCL) in 1921 to enlarge her base of supporters to include the middle class. The founding principles of the ABCL were as follows:
We hold that children should be (1) Conceived in love; (2) Born of the mother’s conscious desire; (3) And only begotten under conditions which render possible the heritage of health. Therefore we hold that every woman must possess the power and freedom to prevent conception except when these conditions can be satisfied.
Sanger’s appeal of her conviction for the Brownsville clinic secured a 1918 court ruling that exempted physicians from the law that prohibited the distribution of contraceptive information to women—provided it was prescribed for medical reasons—she established the Clinical Research Bureau (CRB) in 1923 to exploit this loophole. The CRB was the first legal birth control clinic in the United States, and it was staffed entirely by female doctors and social workers. The clinic received a large amount of funding from John D. Rockefeller Jr. and his family, which continued to make donations to Sanger’s causes in future decades, but generally made them anonymously to avoid public exposure of the family name, and to protect family member Nelson Rockefeller‘s political career since openly advocating birth control could have led to the Catholic Church opposing him politically. John D. Rockefeller Jr. donated five thousand dollars to her American Birth Control League in 1924 and a second time in 1925. In 1922, she traveled to China, Korea, and Japan. In China she observed that the primary method of family planning was female infanticide, and she later worked with Pearl Buck to establish a family planning clinic in Shanghai. Sanger visited Japan six times, working with Japanese feminist Kato Shidzue to promote birth control. This was ironic since ten years earlier Sanger had accused Katō of murder and praised an attempt to kill her.
In 1926, Sanger gave a lecture on birth control to the women’s auxiliary of the Ku Klux Klan in Silver Lake, New Jersey. She described it as “one of the weirdest experiences I had in lecturing,” and added that she had to use only “the most elementary terms, as though I were trying to make children understand.” Sanger’s talk was well received by the group, and as a result, “a dozen invitations to similar groups were proffered.”
In 1928, conflict within the birth control movement leadership led Sanger to resign as the president of the ABCL and take full control of the CRB, renaming it the Birth Control Clinical Research Bureau (BCCRB), marking the beginning of a schism in the movement that would last until 1938.
Sanger invested a great deal of effort communicating with the general public. From 1916 onward, she frequently lectured—in churches, women’s clubs, homes, and theaters—to workers, churchmen, liberals, socialists, scientists, and upper-class women. She wrote several books in the 1920s which had a nationwide impact in promoting the cause of birth control. Between 1920 and 1926, 567,000 copies of Woman and the New Race and The Pivot of Civilization were sold. She also wrote two autobiographies designed to promote the cause. The first, My Fight for Birth Control, was published in 1931 and the second, more promotional version, Margaret Sanger: An Autobiography, was published in 1938.
During the 1920s, Sanger received hundreds of thousands of letters, many of them written in desperation by women begging for information on how to prevent unwanted pregnancies. Five hundred of these letters were compiled into the 1928 book, Motherhood in Bondage.
In 1929, Sanger formed the National Committee on Federal Legislation for Birth Control in order to lobby for legislation to overturn restrictions on contraception. That effort failed to achieve success, so Sanger ordered a diaphragm from Japan in 1932, in order to provoke a decisive battle in the courts. The diaphragm was confiscated by the United States government, and Sanger’s subsequent legal challenge led to a 1936 court decision which overturned an important provision of the Comstock laws which prohibited physicians from obtaining contraceptives. This court victory motivated the American Medical Association in 1937 to adopt contraception as a normal medical service and a key component of medical school curriculums.
This 1936 contraception court victory was the culmination of Sanger’s birth control efforts, and she took the opportunity, now in her late 50s, to move to Tucson, Arizona, intending to play a less critical role in the birth control movement. In spite of her original intentions, she remained active in the movement through the 1950s.
In 1937, Sanger became chairman of the newly formed Birth Control Council of America, and attempted to resolve the schism between the ABCL and the BCCRB. Her efforts were successful, and the two organizations merged in 1939 as the Birth Control Federation of America.[note 5] Although Sanger continued in the role of president, she no longer wielded the same power as she had in the early years of the movement, and in 1942, more conservative forces within the organization changed the name to Planned Parenthood Federation of America, a name Sanger objected to because she considered it too euphemistic.
In 1946, Sanger helped found the International Committee on Planned Parenthood, which evolved into the International Planned Parenthood Federation in 1952, and soon became the world’s largest non-governmental international family planning organization. Sanger was the organization’s first president and served in that role until she was 80 years old. In the early 1950s, Sanger encouraged philanthropist Katharine McCormick to provide funding for biologist Gregory Pincus to develop the birth control pill which was eventually sold under the name Enovid.
While researching information on contraception Sanger read various treatises on sexuality in order to find information about birth control. She read The Psychology of Sex by the English psychologist Havelock Ellis and was heavily influenced by it. While traveling in Europe in 1914, Sanger met Ellis. Influenced by Ellis, Sanger adopted his view of sexuality as a powerful, liberating force. This view provided another argument in favor of birth control, as it would enable women to fully enjoy sexual relations without the fear of an unwanted pregnancy. Sanger also believed that sexuality, along with birth control, should be discussed with more candor.
However, Sanger was opposed to excessive sexual indulgence. She stated “every normal man and woman has the power to control and direct his sexual impulse. Men and women who have it in control and constantly use their brain cells thinking deeply, are never sensual.” Sanger said that birth control would elevate women away from a position of being an object of lust and elevate sex away from purely being for satisfying lust, saying that birth control “denies that sex should be reduced to the position of sensual lust, or that woman should permit herself to be the instrument of its satisfaction.” Sanger wrote that masturbation was dangerous. She stated: “In my personal experience as a trained nurse while attending persons afflicted with various and often revolting diseases, no matter what their ailments, I never found any one so repulsive as the chronic masturbator. It would not be difficult to fill page upon page of heart-rending confessions made by young girls, whose lives were blighted by this pernicious habit, always begun so innocently.” She believed that women had the ability to control their sexual impulses, and should utilize that control to avoid sex outside of relationships marked by “confidence and respect.” She believed that exercising such control would lead to the “strongest and most sacred passion.” However, Sanger was not opposed to homosexuality and praised Ellis for clarifying “the question of homosexuals… making the thing a—not exactly a perverted thing, but a thing that a person is born with different kinds of eyes, different kinds of structures and so forth… that he didn’t make all homosexuals perverts—and I thought he helped clarify that to the medical profession and to the scientists of the world as perhaps one of the first ones to do that.” Sanger believed sex should be discussed with more candor, and praised Ellis for his efforts in this direction. She also blamed the suppression of discussion about it on Christianity.
Sanger’s 1920 book endorsed eugenics.
As part of her efforts to promote birth control, Sanger found common cause with proponents of eugenics, believing that they both sought to “assist the race toward the elimination of the unfit.” Sanger was a proponent of negative eugenics, which aims to improve human hereditary traits through social intervention by reducing the reproduction of those who were considered unfit. In “The Morality of Birth Control,” a 1921 speech, she divided society into three groups: the educated and informed class that regulated the size of their families, the intelligent and responsible who desired to control their families however did not have the means or the knowledge and the irresponsible and reckless people whose religious scruples “prevent their exercising control over their numbers.” Sanger concludes “there is no doubt in the minds of all thinking people that the procreation of this group should be stopped.” Sanger’s eugenic policies included an exclusionary immigration policy, free access to birth control methods and full family planning autonomy for the able-minded, and compulsory segregation or sterilization for the “profoundly retarded”. In her book The Pivot of Civilization, she advocated coercion to prevent the “undeniably feeble-minded” from procreating. Although Sanger supported negative eugenics, she asserted that eugenics alone was not sufficient, and that birth control was essential to achieve her goals.
In contrast with eugenicist William Robinson, who advocated euthanasia for the unfit,[note 8] Sanger wrote, “we [do not] believe that the community could or should send to the lethal chamber the defective progeny resulting from irresponsible and unintelligent breeding.” Similarly, Sanger denounced the aggressive and lethal Nazi eugenics program. In addition, Sanger believed the responsibility for birth control should remain in the hands of able-minded individual parents rather than the state, and that self-determining motherhood was the only unshakable foundation for racial betterment.
Sanger also supported restrictive immigration policies. In “A Plan for Peace”, a 1932 essay, she proposed a congressional department to address population problems. She also recommended that immigration exclude those “whose condition is known to be detrimental to the stamina of the race,” and that sterilization and segregation be applied to those with incurable, hereditary disabilities.
Sanger’s writings echoed her ideas about inferiority and loose morals of particular races. In one “What Every Girl Should Know” commentary, she references popular opinion that Aboriginal Australians were “just a step higher than the chimpanzee” with “little sexual control,” as compared to the “normal man and Woman.” Elsewhere she bemoaned that traditional sexual ethics “… have in the past revealed their woeful inability to prevent the sexual and racial chaos into which the world has today drifted.”
Such attitudes did not keep her from collaborating with African-American leaders and professionals who saw a need for birth control in their communities. In 1929, James H. Hubert, a black social worker and leader of New York’s Urban League, asked Sanger to open a clinic in Harlem. Sanger secured funding from the Julius Rosenwald Fund and opened the clinic, staffed with black doctors, in 1930. The clinic was directed by a 15-member advisory board consisting of black doctors, nurses, clergy, journalists, and social workers. The clinic was publicized in the African-American press and in black churches, and it received the approval of W. E. B. Du Bois, founder of the NAACP. In 1939 Sanger wrote, “We should hire three or four colored ministers, preferably with social-service backgrounds, and with engaging personalities. The most successful educational approach to the Negro is through a religious appeal. We don’t want the word to go out that we want to exterminate the Negro population, and the minister is the man who can straighten out that idea if it ever occurs to any of their more rebellious members.” She did not tolerate bigotry among her staff, nor would she tolerate any refusal to work within interracial projects. Sanger’s work with minorities earned praise from Martin Luther King, Jr., in his 1966 acceptance speech for the Margaret Sanger award.
From 1939 to 1942 Sanger was an honorary delegate of the Birth Control Federation of America, which included a supervisory role—alongside Mary Lasker and Clarence Gamble—in the Negro Project, an effort to deliver birth control to poor black people. Sanger wanted the Negro Project to include black ministers in leadership roles, but other supervisors did not. To emphasize the benefits of involving black community leaders, she wrote to Gamble “we do not want word to go out that we want to exterminate the Negro population and the minister is the man who can straighten out that idea if it ever occurs to any of their more rebellious members.” This quote has been cited by Angela Davis to support her claims that Sanger wanted to exterminate black people. However, New York University’s Margaret Sanger Papers Project, argues that in writing that letter, “Sanger recognized that elements within the black community might mistakenly associate the Negro Project with racist sterilization campaigns in the Jim Crow South, unless clergy and other community leaders spread the word that the Project had a humanitarian aim.”
Freedom of speech
Sanger opposed censorship throughout her career, with a zeal comparable to her support for birth control. Sanger grew up in a home where iconoclastic orator Robert Ingersoll was admired. During the early years of her activism, Sanger viewed birth control primarily as a free-speech issue, rather than as a feminist issue, and when she started publishing The Woman Rebel in 1914, she did so with the express goal of provoking a legal challenge to the Comstock laws banning dissemination of information about contraception. In New York, Emma Goldman introduced Sanger to members of the Free Speech League, such as Edward Bliss Foote and Theodore Schroeder, and subsequently the League provided funding and advice to help Sanger with legal battles.
Over the course of her career, Sanger was arrested at least eight times for expressing her views during an era in which speaking publicly about contraception was illegal. Numerous times in her career, local government officials prevented Sanger from speaking by shuttering a facility or threatening her hosts. In Boston in 1929, city officials under the leadership of James Curley threatened to arrest her if she spoke—so she turned the threat to her advantage and stood on stage, silent, with a gag over her mouth, while her speech was read by Arthur M. Schlesinger, Sr.
Sanger’s family planning advocacy always focused on contraception, rather than abortion.[note 9] It was not until the mid-1960s, after Sanger’s death, that the reproductive rights movement expanded its scope to include abortion rights as well as contraception.[note 10] Sanger was opposed to abortions, both because she believed that life should not be terminated after conception, and because they were dangerous for the mother in the early 20th century. In her book Woman and the New Race, she wrote: “while there are cases where even the law recognizes an abortion as justifiable if recommended by a physician, I assert that the hundreds of thousands of abortions performed in America each year are a disgrace to civilization.”
Historian Rodger Streitmatter concluded that Sanger’s opposition to abortion stemmed from concerns for the dangers to the mother, rather than moral concerns. However, in her 1938 autobiography, Sanger noted that her opposition to abortion was based on the taking of life: “[In 1916] we explained what contraception was; that abortion was the wrong way no matter how early it was performed it was taking life; that contraception was the better way, the safer way—it took a little time, a little trouble, but was well worth while in the long run, because life had not yet begun.” And in her book Family Limitation, Sanger wrote that “no one can doubt that there are times when an abortion is justifiable but they will become unnecessary when care is taken to prevent conception. This is the only cure for abortions.”
Books and pamphlets
What Every Mother Should Know – Originally published in 1911 or 1912, based on a series of articles Sanger published in 1911 in the New York Call, which were, in turn, based on a set of lectures Sanger gave to groups of Socialist party women in 1910–1911. Multiple editions published through the 1920s, by Max N. Maisel and Sincere Publishing, with the title What Every Mother Should Know, or how six little children were taught the truth …Online(1921 edition, Michigan State University)
Family Limitation – Originally published 1914 as a 16-page pamphlet; also published in several later editions. Online (1917, 6th edition, Michigan State University)
What Every Girl Should Know – Originally published 1916 by Max N. Maisel; 91 pages; also published in several later editions. Online (1920 edition); Online (1922 ed., Michigan State University)
The Case for Birth Control: A Supplementary Brief and Statement of Facts – May 1917, published to provide information to the court in a legal proceeding. Online (Internet Archive)
Fight for Birth Control, 1916, New York]  (The Library of Congress)
Birth Control A Parent’s Problem or Women’s?” The Birth Control Review, Mar. 1919, 6-7.
The Woman Rebel – Seven issues published monthly from March 1914 to August 1914. Sanger was publisher and editor.
Birth Control Review – Published monthly from February 1917 to 1940. Sanger was Editor until 1929, when she resigned from the ABCL. Not to be confused with Birth Control News, published by the London-based Society for Constructive Birth Control and Racial Progress.
Collections and anthologies
Sanger, Margaret, The Selected Papers of Margaret Sanger, Volume 1: The Woman Rebel, 1900–1928, Esther Katz, Cathy Moran Hajo, Peter Engelman (eds), University of Illinois Press, 2003
Sanger, Margaret, The Selected Papers of Margaret Sanger, Volume 2: Birth Control Comes of Age, 1928–1939, Esther Katz, Cathy Moran Hajo, Peter Engelman (eds), University of Illinois Press, 2007
Sanger, Margaret, The Selected Papers of Margaret Sanger, Volume 3: The Politics of Planned Parenthood, 1939–1966, Esther Katz, Cathy Moran Hajo, Peter Engelman (eds), University of Illinois Press, 2010
Story 1: Democrats and Progressives Support Planned Parenthood’s Big Business of Abortions, Baby Butchering and Selling Baby Body Parts For Money — Moral Bankruptcy of The Lying Lunatic Left — Killing Black, Hispanic and White Babies and Selling Their Baby Parts For Money — Progressive Eugenics Today –Stop Killing Babies! — Videos
SHOCK VIDEO: Planned Parenthood sells dead baby body parts
Planned Parenthood Uses Partial-Birth Abortions to Sell Baby Parts
BUSTED! Proof Planned Parenthood Sells Dead Babies to Anyone Willing to Buy! LEAKED FOOTAGE!
REP STANDS UP TO BABY PARTS BROKERS of PLANNED PARENTHOOD SATANISTS
Planned Parenthood Exposed
FULL FOOTAGE: Planned Parenthood Uses Partial-Birth Abortions to Sell Baby Parts
The Rolling Stones – You Can’t Always Get What You Want (lyrics)
Rolling Stones – You Can’t Always Get What You Want (The David Frost Show 1969)
The Silent Scream (Full Length)
The Silent Scream Complete Version – Abortion as Infanticide
Dr. Bernard Nathanson’s classic video that shocked the world. He explains the procedure of a suction abortion, followed by an actual first trimester abortion as seen through ultrasound. The viewer can see the child’s pathetic attempts to escape the suction curette as her heart rate doubles, and a “silent scream” as her body is torn apart. A great tool to help people see why abortion is murder. The most important video on abortion ever made. This video changed opinion on abortion to many people.
Introduction by Dr. Bernard Nathanson, host. Describes the technology of ultrasound and how, for the first time ever, we can actually see inside the womb. Dr. Nathanson further describes the ultrasound technique and shows examples of babies in the womb. Three-dimensional depiction of the developing fetus, from 4 weeks through 28 weeks. Display and usage of the abortionists’ tools, plus video of an abortionist performing a suction abortion.
Dr. Nathanson discusses the abortionist who agreed to allow this abortion to be filmed with ultrasound. The abortionist was quite skilled, having performed more than 10,000 abortions. We discover that the resulting ultrasound of his abortion so appalled him that he never again performed another abortion.
The clip begins with an ultrasound of the fetus (girl) who is about to be aborted. The girl is moving in the womb; displays a heartbeat of 140 per minute; and is at times sucking her thumb. As the abortionist’s suction tip begins to invade the womb, the child rears and moves violently in an attempt to avoid the instrument. Her mouth is visibly open in a “silent scream.” The child’s heart rate speeds up dramatically (to 200 beats per minute) as she senses aggression. She moves violently away in a pathetic attempt to escape the instrument. The abortionist’s suction tip begins to rip the baby’s limbs from its body, ultimately leaving only her head in the uterus (too large to be pulled from the uterus in one piece). The abortionist attempts to crush her head with his forceps, allowing it to be removed. In an effort to “dehumanize” the procedure, the abortionist and anesthesiologist refer to the baby’s head as “number 1.” The abortionist crushes “number 1” with the forceps and removes it from the uterus.
Abortion statistics are revealed, as well as who benefits from the enormously lucrative industry that has developed. Clinics are now franchised, and there is ample evidence that many are controlled by organized crime. Women are victims, too. They haven’t been told about the true nature of the unborn child or the facts about abortion procedures. Their wombs have been perforated, infected, destroyed, and sterilized. All as a result of an operation about which they they have had no true knowledge.
Films like this must be made part of “informed consent.” NARAL (National Abortion Rights Action League) and Planned Parenthood are accused of a conspiracy of silence, of keeping women in the dark about the reality of abortion. Finally, Dr. Nathanson discusses his credentials. He is a former abortionist, having been the director of the largest clinic in the Western world.
Margaret Sanger’s “Negro Project” & Barack Obama’s Planned Parenthood
Planned Parenthood Exposed
Obama Tells Planned Parenthood-God Bless You – YouTube
A message to Planned Parenthood Supporters from President Obama
Barack Obama Addresses Planned Parenthood
Obama In ’03: No On Banning Late Term Abortions
Obama’s Barbaric Views on Partial Birth Abortion and Infanticide
MAAFA 21 [A documentary on eugenics and genocide]
Hitler`s Biological Soldiers / Science and the Swastika (EUGENICS)
Eugenics Glenn Beck w/ Edwin Black author of “War Against the Weak” talk Al Gore & Margaret Sanger
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Eugenics, Planned Parenthood & Psychology, Mind Control
Mind Control, Psychology of Brainwashing, Sex & Hypnosis
Sex Addiction, Restless Legs Syndrome, PMS & Drug, Mind Control Report
Margaret Sanger, Planned Parenthood’s Racist Founder
Margaret Sanger: Eugenicist (1/3)
Margaret Sanger: Eugenicist (2/3)
Margaret Sanger: Eugenicist (3/3)
Pro-Lifer Mark Crutcher & Alex Jones: Eugenics is The Heart of The Globalists Religion 1/3
Pro-Lifer Mark Crutcher & Alex Jones: Eugenics is The Heart of The Globalists Religion 2/3
Pro-Lifer Mark Crutcher & Alex Jones: Eugenics is The Heart of The Globalists Religion 3/3
Slow Kill Holocaust: Proof the Government is Killing You
War on the Weak: Eugenics in America
Eugenics: Science In History
Bill O’Reilly Calls Planned Parenthood An “Abortion Mill”
Eugenics: alive and well in the USA
Scientific Racism The Eugenics of Social Darwinism
Eugenics, Population Control, and the NWO
Agenda 21 & Eugenics – Bill Gates Depopulation Plans Exposed
The Depopulation Agenda For a New World Order Agenda 21 ☁☢☁☰☰☰☰☰✈
George Carlin – List of people who ought to be killed
The Rolling Stones – Angie – OFFICIAL PROMO (Version 1)
Undercover video shows Planned Parenthood official discussing fetal organs used for research
By Sandhya Somashekhar and Danielle Paquette
An antiabortion group on Tuesday released an undercover video of an official at Planned Parenthood discussing in graphic detail how to abort a fetus to preserve its organs for medical research — as well as the costs associated with sharing that tissue with scientists.
Over lunch at a Los Angeles restaurant, two antiabortion activists posing as employees from a biotech firm met with Deborah Nucatola, Planned Parenthood’s senior director of medical research. Armed with cameras, the activists recorded Nucatola talking about Planned Parenthood’s work donating fetal tissue to researchers and pressed her on whether the clinics were charging for the organs.
The Center for Medical Progress, which recorded and edited the video, says the footage proves that Planned Parenthood is breaking the law by selling fetal organs. But the video does not show Nucatola explicitly talking about selling organs. The Planned Parenthood official says the organization is “very, very sensitive” about being perceived as illegally profiting from organ sales and charges only for the cost, for instance, of shipping the tissue.
[Congressional and state investigations into the video have begun]
The video threatens to reignite a long-standing debate over the use of fetal tissue harvested through abortions and could add fuel to efforts seeking to ban abortions after 20 weeks of pregnancy.
In a statement, a spokesman for Planned Parenthood said the video misrepresents the organization’s work. Planned Parenthood clinics, with a patient’s permission, may sometimes donate fetal tissue for use in stem cell research, said the spokesman, who added that the group’s affiliates, which operate independently, do not profit from these donations.
“At several of our health centers, we help patients who want to donate tissue for scientific research, and we do this just like every other high-quality health-care provider does — with full, appropriate consent from patients and under the highest ethical and legal standards,” spokesman Eric Ferrero said. “In some instances, actual costs, such as the cost to transport tissue to leading research centers, are reimbursed, which is standard across the medical field.”
He accused the Center for Medical Progress of mounting a misleading attack similar to those by other groups that have tried to mount undercover “stings” targeting Planned Parenthood.
But antiabortion groups said the video shows that Planned Parenthood is essentially selling fetal organs and that Congress and other authorities should investigate.
Buying and selling human fetal tissue is illegal in the United States. Federal regulations also prohibit anyone from altering the timing or method of an abortion for the sole purpose of later using the tissue in research. Donating the tissue for research, however, is legal with a woman’s consent.
Antiabortion groups also said the callous nature of the discussion captured on film should tug at viewers’ consciences — particularly when Nucatola apparently describes “crushing” the fetus in ways that keep its internal organs intact and her remarks about researchers’ desire for lungs and livers.
“I’d say a lot of people want liver,” she says in the video posted on the Center for Medical Progress’s Web site, between bites of salad. “And for that reason, most providers will do this case under ultrasound guidance so they’ll know where they’re putting their forceps.”
She continues: “We’ve been very good at getting heart, lung, liver, because we know that, so I’m not gonna crush that part, I’m gonna basically crush below, I’m gonna crush above, and I’m gonna see if I can get it all intact.”
It’s hard to assess exactly what happened at the lunch with Nucatola. The antiabortion group had complete control over the filming and editing of the footage. The group also posted a nearly three-hour version of the video that it’s calling the “full footage,” though there is no way to verify that the video is truly complete.
Key moments from the undercover recording with Planned Parenthood executive(7:56)
The anti-abortion group Center for Medical Progress posted a long version of the conversation between a Planned Parenthood executive and undercover actors on YouTube along with an shorter version that has been shared widely. These are excerpts of the longer version. (CenterforMedicalProgress.org)
The unidentified activists, a man and a woman, told Nucatola they worked for a biotech firm that aimed to snare “a competitive advantage” by providing local samples for researchers who would like to avoid lengthy trips between clinic and lab. They said they worked in Norwalk, a suburb.
“Every provider has patients who want to donate their tissue, and they want to accommodate them,” says Nucatola. “They just want to do it in a way that is not perceived as: This clinic is selling tissue. This clinic is making money off this. In the Planned Parenthood world, they’re very, very sensitive to that. Some affiliates might do it for free. They want to come to a number that looks like a reasonable number for the effort that is allotted on their part . . . ”
One activist asks, “Okay, so, when you are — or when the affiliate is — determining what that monetary . . . So that it doesn’t raise the question of . . . ‘This is what it’s about’ — What price range would you . . . ?”
“You know, I would throw a number out, I would say it’s probably anywhere from $30 to $100, depending on the facility and what’s involved,” says Nucatola. “It just has to do with space issues, are you sending someone there that’s going to be doing everything . . . is there shipping involved? Is someone going to be there to pick it up?”
In order to film the footage, the activists wore “police-quality undercover cameras,” said David Daleiden, who ran the project for the Center of Medical Progress. (He refused to elaborate: “I don’t answer questions about our undercover costumes.”)
The “sting” unfolded over three years, Daleiden said, because it takes time to build up a front as a biotech company and gain access to Planned Parenthood executives. The lunch, he said, is just the beginning: The Center for Medical Progress plans to release a new video every week for the next few months.
Daleiden rejects Nucatola’s claim that costs associated with fetal tissue donation involve shipping and staff hours. “Literally the only thing the clinic is doing is carrying the fetus from the operation to the tech,” he said.
The Center for Medical Progress was established by Daleiden, a controversial antiabortion activist who previously worked with Live Action, another antiabortion group known for its “stings” of Planned Parenthood using actors and undercover videos.
The group is a non-profit organization that describes itself on its Web site as “a group of citizen journalists dedicated to monitoring and reporting on medical ethics and advances.”
“The promotional video mischaracterizing Planned Parenthood’s mission and services is made by a long time anti-abortion activist that has used deceptive and unethical video editing, and that has created a fake medical website as well as a fake human tissue website that purports to provide services to stem cell researchers,” Planned Parenthood said in a statement Tuesday.
Daleiden also alleges that the procedure described by Nucatola is similar to “intact dilation and extraction,” referred to by opponents as partial-birth abortion, which Congress outlawed in 2003. The Supreme Court upheld the law’s constitutionality four years later.
In the 1980s and 1990s, researchers considered fetal tissue transplants a budding treatment for Parkinson’s disease and diabetes. Some believed they held the potential to prevent autism.
As different kind of stem cells — embryonic stem cells — gain prominence in research, fetal tissue donations today are often used to gain deeper anatomical understanding of fetuses, said Arthur Caplan, director of New York University’s Division of Medical Ethics. The practice, however, is problematic if an abortion provider goes into a procedure with the primary intention of preserving a liver, he said. In the video, Nucatola appears to allude to methods for carefully extracting the organs.
“I think the only relevant goal of an abortion clinic is to provide a safe and least risky abortion to a woman,” Caplan said. “If you’re starting to play with how it’s done, and when it’s done, other things than women’s health are coming into play. You’re making a huge mountain of conflict of interest around a period for many people is morally difficult.”
A number of Republicans, including a few presidential candidates, reacted Tuesday to the video.
“This latest news is tragic and outrageous,” Carly Fiorina wrote on Facebook.
“This is a shocking and horrific reminder that we must do so much more to foster a culture of life in America,” said Jeb Bush on Twitter.
As politicians responded to the video, a bill to increase funding for breast cancer research was pulled from the House floor after abortion critics linked it to Planned Parenthood. The Breast Cancer Awareness Commemorative Coin Act would have raised as much as $4.75 million in research funds for Susan G. Komen for the Cure—an organization that has a longstanding alliance with Planned Parenthood to fund preventative cancer screenings. The bill was expected to pass easily, but House Republican leaders pulled it from consideration after the conservative group Heritage Action objected.
Whether the video Tuesday shows illegal activity could ultimately be irrelevant. For years, antiabortion groups promoted their cause by highlighting the sometimes disturbing details of abortion procedures and painting abortion providers as callous and unethical.
They have argued against allowing abortions later in pregnancy by suggesting that older fetuses can feel pain and they are pushing for a federal ban on the procedure at 20 weeks of pregnancy.
The accusation that Planned Parenthood is illegally selling the organs of fetuses is not new among antiabortion advocates. The controversy gained national attention in 2000, after the publication of an undercover investigation by a Texas-based antiabortion group, Life Dynamics, which was also involved in Tuesday’s video release.
The investigation’s conclusion, that a Kansas clinic affiliated with Planned Parenthood was participating in a scheme to profit from the sale of fetal tissues, prompted a 20/20 hidden camera investigation on the subject, and a hearing of the Subcommittee on Health and Environment in the House of Representatives.
The FBI also investigated the Kansas clinic for any wrongdoing, but later concluded that it did not break any laws.
Story 1: Profiles in Perfidy: Obama and Kerry Lying To American People — The Traitorous Terrorist Treaty — Strategic Surrender To Terrorist Islamic Republic of Iran– No Dismantling and Destruction of Nuclear Infrastructure/Bomb Factories — No Surprise Inspections — No Economic Sanctions — No Limits on Missiles — No Sanctions On Individual Terrorists or Terrorism — The Sellout of America For Nobel Peace Prizes Will Result in Middle East Nuclear Arms Race, Proliferation and War — Iran Celebrates Victory and $150 Billion of Unfrozen Assets To Finance More Terrorism and Oppression — Congress Must Veto The Traitorous Terrorist Treaty — Terminate With Extreme Prejudice — Videos
1. Deliberatebreach of faith;calculatedviolation of trust;treachery:“thefink,whoseperfidywasequaledonly by hisgall”(GilbertMillstein).
2. Theact or an instance of treachery.
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Iran, World Powers Reach Nuclear Deal
Accord sets White House on course for months of political strife with dissenters in Congress, Mideast allies
By LAURENCE NORMAN and
Updated July 14, 2015 1:14 p.m. ET
Iran reached a landmark nuclear agreement with the U.S. and five other world powers, a long-sought foreign policy goal of President Barack Obama that sets the White House on course for months of political strife with dissenters in Congress and in allied Middle Eastern nations.
The accord, which comes after a decade of diplomatic efforts that frequently appeared on the verge of collapse, aims to prevent Iran from producing nuclear weapons in exchange for sanctions relief.
The Obama administration and its partners hope the deal will resolve a dispute that at times threatened to spark a military conflict. In the optimistic view, it would ease tensions with Tehran over time and pave the way for fresh attempts to resolve some of the region’s many other conflicts.
In an address from the White House early Tuesday, Mr. Obama hailed the deal, threatening to veto any vote in Congress against it.
“Today, because America negotiated from a position of strength and principle, we have stopped the spread of nuclear weapons in this region,” he said. “Because of this deal, the international community will be able to verify that the Islamic Republic of Iran will not develop a nuclear weapon.”
Critics in Washington, Israel and the Gulf nations that neighbor Iran say the deal will merely delay the country’s path to nuclear weapons. After 10 years of restraint on its activities mandated by the agreement, Iran will then be able to ratchet up its nuclear program and potentially unleash a nuclear arms race in the region, they fear.
Israeli Prime MinisterBenjamin Netanyahucalled the deal a historic mistake.
“Wide-ranging concessions were made in all of the areas which should have prevented Iran from getting the ability to arm itself with a nuclear weapon,’’ Mr. Netanyahu said. “The desire to sign an agreement was stronger than everything else.”
The deal could provoke new strains in U.S. ties with its traditional Middle Eastern allies in Israel and Gulf states led by Saudi Arabia. All have warned that lifting tight international sanctions will deliver an economic windfall that enables Iran to expand its regional influence by boosting funding for proxies in Syria, Lebanon, Yemen and elsewhere.
U.S. Secretary of State John Kerry, far right, and U.K. Foreign Secretary Philip Hammond, second from right, gesture toward Iran Foreign Minister Javad Zarif, far left. Iran’s Ali Akbar Salehi is second from left. Russia Foreign Minister Sergei Lavrov stands center.PHOTO:HERBERT NEUBAUER/EUROPEAN PRESSPHOTO AGENCY
The last two years of diplomacy were the most intense dialogue between Washington and Tehran since diplomatic relations were ruptured after Iran’s 1979 Islamic Revolution.
“Today, a new page has turned,” Iranian PresidentHassan Rouhani said in a nationally televised speech, adding that the deal met all his country’s goals.
The final round of negotiations stretched for more than two weeks and was punctuated by tensions and setbacks, at times devolving into shouting matches among international officials. The U.S. repeatedly warned it was willing to walk away from a bad deal while Iranians threatened to rev their nuclear program back up.
U.S. Secretary of State John Kerry, who has spearheaded negotiations over the past two years, praised his Iranian counterpartJavad Zarif as a tough negotiator and a patriot, saying the two had maintained mutual respect throughout often heated talks.
However Mr. Kerry said the administration was fully aware that the nuclear deal would not resolve Washington’s concerns about Iran’s actions.
“From the very beginning of this process, we have considered not only our own security concerns but also the serious and legitimate anxieties of our friends and our allies in the region—especially Israel and the Gulf States,” he said.
“What we are announcing today is an agreement addressing the threat posed by Iran’s nuclear program. Period.”
At the heart of the agreement between Iran and the U.S., U.K., Russia, China, Germany and France is Tehran’s acceptance of strict limits on its nuclear activities for 10 years. These are supposed to ensure that the country remains a minimum of 12 months away from amassing enough nuclear fuel for a bomb. After the 10-year period, those constraints will ease in the subsequent five years. In exchange, the U.S., the European Union and the United Nations will lift tight international sanctions on Tehran, a move that Western diplomats say could help Iran’s economy to expand by 7% to 8% annually for years to come.
Iran, which analysts say could double oil exports quickly after sanctions are lifted, will also receive more than $100 billion in assets locked overseas under U.S. sanctions.
Mr. Obama has cast the nuclear diplomacy as an effort to avoid another costly, risky war in the Middle East. He recently said that even if the U.S. took military action against Iran’s nuclear facilities, it would only partially set back Tehran’s program, not eliminate it.
The nuclear agreement still faces significant hurdles before it takes full effect.
Iran must take an array of specific steps. It must disable two-thirds of its centrifuge machines used to enrich uranium, which can be used as fuel for nuclear energy or nuclear weapons. It must slash its stockpile of enriched uranium and redesign its nuclear reactor in the city of Arak so that it produces less plutonium, which can also be used in a weapon.
Oil-rich Iran has always insisted its nuclear program is for entirely peaceful purposes, such as producing electricity and medical isotopes.
After years of stalling, Iran also must disclose information on its past nuclear activities, which many Western officials suspect was aimed at gaining nuclear weapons know-how. It must provisionally implement an agreement giving United Nations inspectors much broader access to non-nuclear sites including military installations inside the country and eventually get parliamentary approval for that agreement.
The U.N.’s nuclear watchdog agency and Iran set out a short-term road map that says both sides will aim to finish their discussions of past nuclear work by the end of the year.
The nuclear deal is sure to fan intense political debate in Washington, where Congress may vote within 60 days on the agreement. As a last resort, the Obama administration may have to rely on the support of Democrats to uphold a presidential veto if the Republican-led Congress votes to overturn the agreement.
Among other steps, the U.N. Security Council is supposed to annul past resolutions imposing sanctions on Iran and replace them with a new resolution.
The U.S. will maintain sanctions on Iran linked to its rights abuses, ties to terrorist groups and to support for Syria’s regime among others.
Observers warned that given the complexity of the agreement, which contains one main text and five detailed annexes and totals about 100 pages, the risks of disputes over implementation of terms could cause delays or even derail the deal.
“The technical obstacles can be surpassed with goodwill and diligence, but political hurdles can turn into poison pills,” said Ali Vaez, senior Iran analyst at Crisis International, an international conflict resolution group.
According to senior U.S. officials, the agreement will allow a Security Council ban on conventional arms sales to or from Iran to end after five years—or earlier if the U.N. nuclear agency gives its final, full all-clear that Iran’s nuclear program is purely peaceful. That is expected to take many years.
In addition, a ban on trading ballistic missiles and parts with Iran will expire after eight years unless the IAEA gives its all-clear earlier. Iran is committed to using a special procurement channel to buy a wide range of products that could be used in a nuclear weapons program, the official said.
Mr. Kerry said that with three of the countries—Iran, Russia and China— opposed to maintaining the arms ban and able to walk away from the deal, he believed “we did very well to hold onto” these restraints. However, the agreement also includes specific oversight measures that few other countries have ever agreed to. There will be monitoring and oversight of Iran’s uranium mines, plants for manufacturing key parts of centrifuge machines and a range of activities that could be used to develop a nuclear warhead.
Iran deal reached, Obama hails step towards ‘more hopeful world’
Iran and six major world powers reached a nuclear deal on Tuesday, capping more than a decade of negotiations with an agreement that could transform the Middle East.
U.S. President Barack Obama hailed a step towards a “more hopeful world” and Iran’s President Hassan Rouhani said it proved that “constructive engagement works”. But Israel pledged to do what it could to halt what it called an “historic surrender”.
The agreement will now be debated in the U.S. Congress, but Obama said he would veto any measure to block it.
“This deal offers an opportunity to move in a new direction,” Obama said. “We should seize it.”
Under the deal, sanctions imposed by the United States, European Union and United Nations will be lifted in return for Iran agreeing long-term curbs on a nuclear programme that the West has suspected was aimed at creating a nuclear bomb.
The agreement is a political triumph for both Obama, who has long promised to reach out to historic enemies, and Rouhani, a pragmatist elected two years ago on a vow to reduce the isolation of his nation of almost 80 million people.
Both face scepticism from powerful hardliners at home in nations that referred to each other as “the Great Satan” and a member of the “Axis of Evil”.
“Today is the end to acts of tyranny against our nation and the start of cooperation with the world,” Rouhani said in a televised address. “This is a reciprocal deal. If they stick to it, we will. The Iranian nation has always observed its promises and treaties.”
For Obama, the diplomacy with Iran, begun in secret more than two years ago, ranks alongside his normalisation of ties with Cuba as landmarks in a legacy of reconciliation with foes that tormented his predecessors for decades.
“History shows that America must lead not just with our might but with our principles,” he said in a televised address. “Today’s announcement marks one more chapter in our pursuit of a safer, more helpful and more hopeful world.”
Republicans lined up to denounce the deal. Presidential candidate Lindsey Graham, a senator from South Carolina, called it a terrible deal that would make matters worse. Former senator Rick Santorum, another candidate, said the administration had capitulated to Iran.
The Republican-controlled Congress has 60 days to review the accord, but if it votes to reject it Obama can use his veto, which can be overridden only by two-thirds of lawmakers in both houses. That means dozens of Obama’s fellow Democrats would have to rebel against one of their president’s signature achievements to kill it, an unlikely prospect.
While the main negotiations were between the United States and Iran, the four other U.N. Security Council permanent members, Britain, China, France and Russia, are also parties to the deal, as is Germany.
Enmity between Iran and the United States has loomed over the Middle East for decades.
Iran is the predominant Shi’ite Muslim power, hostile both to Israel and to Washington’s Sunni Muslim-ruled Arab friends, particularly Saudi Arabia. Allies of Riyadh and Tehran have fought decades of sectarian proxy wars in Syria, Lebanon, Iraq and Yemen.
But there are also strong reasons for Washington and Tehran to cooperate against common foes, above all Islamic State, the Sunni Muslim militant group that has seized swathes of Syria and Iraq. Washington has been bombing Islamic State from the air while Tehran aids Iraqi militias fighting it on the ground.
British Foreign Secretary Philip Hammond told reporters that the deal was about more than just the nuclear issue:
“The big prize here is that, as Iran comes out of the isolation of the last decades and is much more engaged with Western countries, Iranians hopefully begin to travel in larger numbers again, Western companies are able to invest and trade with Iran, there is an opportunity for an opening now.”
Still, Washington’s friends in the region were furious, especially Israel, whose prime minister, Benjamin Netanyahu, has cultivated a close relationship with Obama’s Republican opponents in Congress.
“Iran will get a jackpot, a cash bonanza of hundreds of billions of dollars, which will enable it to continue to pursue its aggression and terror in the region and in the world,” he said. “Iran is going to receive a sure path to nuclear weapons.”
His deputy foreign minister, Tzipi Hotovely, denounced an “historic surrender” and said Israel would “act with all means to try and stop the agreement being ratified”, a clear threat to use its influence to try and block it in Congress.
Some diplomats in Vienna said the strong Israeli response could actually help, by making it easier for Rouhani to sell the agreement back in Iran.
While Saudi Arabia did not denounce the deal publicly as Israel did, its officials expressed doubt in private.
“We have learned as Iran’s neighbours in the last 40 years that goodwill only led us to harvest sour grapes,” a Saudi official who asked to remain anonymous told Reuters.
Nor were hardliners silent in Iran: “Celebrating too early can send a bad signal to the enemy,” conservative lawmaker Alireza Zakani said in parliament, according to Fars News agency. Iran’s National Security Council would review the accord, “and if they think it is against our national interests, we will not have a deal”.
It will probably be months before Iran receives the benefits from the lifting of sanctions because of the need to verify the deal’s fulfilment. Once implementation is confirmed, Tehran will immediately gain access to around $100 billion in frozen assets, and can step up oil exports that have been slashed by almost two-thirds.
The deal finally emerged after nearly three weeks of intense negotiation between U.S. Secretary of State John Kerry and Iranian Foreign Minister Mohammad Javad Zarif – unthinkable for decades, since Iranian revolutionaries stormed the U.S. embassy in Tehran in 1979 and held 52 Americans hostage for 444 days.
Hatred of the United States is still a central tenet of Iran’s ruling system, on display only last week at an annual protest day, with crowds chanted “Death to Israel!” and “Death to America!”.
But Iranians voted overwhelmingly for Rouhani in 2013 on a clear promise to revive their crippled economy by ending Iran’s isolation. Hardline Supreme Leader Ayatollah Ali Khamenei did not block the negotiations.
“Today could have been the end of hope on this issue, but now we are starting a new chapter of hope,” Zarif, who studied in the United States and developed a warm rapport with Kerry, told a news conference.
Kerry said: “This is the good deal we have sought.”
European Union foreign policy chief Federica Mogherini said:
“I think this is a sign of hope for the entire world.”
Obama first reached out to Iranians with an address in 2009, only weeks into his presidency, offering a “new beginning”. But he followed this up with a sharp tightening of financial sanctions, which, combined with sanctions imposed by the EU, have imposed severe economic hardship on Iranians since 2012.
Tehran has long denied seeking a nuclear weapon and has insisted on the right to nuclear technology for peaceful means. Obama never ruled out military force if negotiations failed, and said on Tuesday that future presidents would still have that option if Iran quit the agreement.
France said the deal would ensure Iran’s “breakout time” – the time it would need to build a bomb if it decided to break off the deal – would be one year for the next decade. This has been a main goal of Western negotiators, who wanted to ensure that if a deal collapsed there would be enough time to act.
Obama said Iran had accepted a “snapback” mechanism, under which sanctions would be reinstated if it violated the deal. A U.N. weapons embargo is to remain in place for five years and a ban on buying missile technology will remain for eight years.
Alongside the main deal, the United Nations nuclear watchdog, the International Atomic Energy Agency, announced an agreement with Iran to resolve its own outstanding issues by the end of this year. The main deal depends on the IAEA being able to inspect Iranian nuclear sites and on Iran answering its questions about possible military aims of previous research.
For Iran, the end of sanctions could bring a rapid economic boom by lifting restrictions that have shrunk its economy by about 20 percent, according to U.S. estimates. The prospect of a deal has already helped push down global oil prices because of the possibility that Iranian supply could return to the market.
Oil prices tumbled more than a dollar on Tuesday after the deal was reached. [O/R]
“Even with an historic deal, oil from Iran will take time to return,” Amrita Sen, chief oil analyst at London-based consultancy Energy Aspects, told Reuters. “But given how oversupplied the market is with Saudi output at record highs, the mere prospect of new oil will be bearish for sentiment.”
Monday 13 July 2015 06.15 EDT Last modified on Monday 13 July 2015 11.36 EDT
European and Chinese officials are pushing for a deal on Iran’s nuclear programme to be signed on Monday, but Washington and Tehran – the two main protagonists at the negotiations in Vienna – will not be rushed.
The Chinese foreign minister, Wang Yi, told reporters that his team “believes that no agreement could be perfect, and conditions are already in place for us to reach a good agreement,” as he joined his counterparts for the endgame of the negotiations. “We believe that there cannot, and should not, be further delay.”
This latest round of talks got under way in the Austrian capital 17 days ago, though negotiations between the international community and Iran over the country’s atomic aspirations have been held on and off for 12 years.
European diplomats at the talks said on Sunday that the major obstacles to a deal had been cleared away and that they expected an announcement on Monday afternoon, but their American counterparts were more cautious. They distributed logistics information to US journalists covering the negotiations about the choreography of events after an announcement, but a senior state department official insisted “major issues” remain.
Meanwhile, the Iranian delegation also suggested the talks were not yet at the finish line. Its foreign minister, Mohammad Javad Zarif, said: “We believe there shouldn’t be extension but we can continue working by the time that it’s necessary.” Zarif’s deputy, Abbas Araqchi, said: “I cannot promise whether the remaining issues can be resolved tonight or tomorrow night. Some issues still remain unresolved and, until they are solved, we cannot say an agreement has been reached.”
Diplomats in Vienna suggested that one reason for the delay was that neither the US nor the Iranian delegations wanted to present the White House or the supreme leader a deadline for completing their review of the final text. However, going beyond midnight on Monday would require a 2013 interim deal to be rolled over for the fourth time in a fortnight, to keep a freeze on sanctions and the Iranian nuclear programme in place
Even after a deal is announced, it would take some hours for the text of the agreement, the English version of which stretches to more than 80 pages, including five annexes, to be “scrubbed” or proofread and reviewed by lawyers. Translations would then have to be completed before the final text was sent to the relevant capitals for approval by national leaders.
Under the expected settlement, Iran will accept curbs on its nuclear programme in exchange for extensive sanctions relief. Tehran would also have to subject its facilities to a more rigorous inspections regime. It would represent a historic compromise after a 12-year standoff that has at times threatened to provoke a new conflict in the Middle East. In a statement issued on Sunday, a senior US State Department official said: “We have never speculated about the timing of anything during these negotiations, and we’re certainly not going to start now, especially given the fact that major issues remain to be resolved in these talks.”
The British foreign secretary, Philip Hammond, returned to the UK for unspecified reasons. Diplomats said he was expected back on Monday and suggested his departure meant that the main political decisions had been taken as far as the UK was concerned, leaving mostly technicalities to finalise. Over the weekend, Iranian officials had said that the UK and Germany had made forceful arguments about their own red lines, and that was confirmed in the British case by western diplomatic sources. Their concerns appeared to have been resolved by Sunday evening.
Once an agreement is announced, it will not take effect for some time. It must first survive a trial by fire from its critics in Washington and Tehran. The greatest hurdle will be the US Congress, where Republicans have a majority and are expected to vote against the deal after a review period of up to 60 days. They will seek to win over 12 Democrats in an attempt to defeat a presidential veto.
Mitch McConnell, the Senate majority leader, described the expected deal as “a very hard sell”. Bob Corker, the Republican head of the Senate foreign relations committee, told NBC: “At the end of the day I think people understand that if this is a bad deal that is going to allow Iran to get a nuclear weapon, they would own this deal if they voted for it, and so they’ll want to disapprove it. On the other hand, if we feel like we’re better off with it, people will look to approve it.”
The European and Chinese foreign ministers have come and gone over the course of the talks and even Zarif left for a day, but John Kerry remained in Vienna throughout. It is the longest time that a US secretary of state has spent abroad in a single location dealing with a single issue since the aftermath of the second world war.
Kerry has also conducted the gruelling fortnight of diplomacy, including repeated late-night meetings, on crutches after a bicycle accident in May. On Sunday morning he attended mass in Vienna’s 14th-century St Stephen’s Cathedral, where Mozart was married and Vivaldi’s funeral was held. Speaking about a late-night meeting with Zarif hours before, he said: “I think we’re getting to some real decisions. So I will say, because we have a few tough things to do, I remain hopeful.”
The French foreign minister, Laurent Fabius, told reporters as he rejoined the talks on Sunday afternoon: “I hope we’re arriving finally at the last phase of these marathon negotiations. I believe so.”
The road ahead
Although the deal could be agreed and published as early as Monday, it will be months before it starts to come into effect. A number of steps have to be taken first:
The US Congress will have two months to review the agreement, and then an extra 22 days are set aside for voting, a possible presidential veto, and then another vote to see if opponents can muster 67 Senate votes to override the veto. At the same time, Iran’s parliament, the Majlis, will study the deal and issue its own verdict, but has no firm timetable.
Assuming it survives legislative scrutiny, the agreement will be codified and incorporated in a UN security council resolution, which will also lift UN sanctions on Iran, conditional on Tehran taking its agreed steps to reduce its nuclear infrastructure. Some Iranian sources say the resolution will come earlier in the process, while the deal is still under legislative review.
Iran will then begin to disconnect centrifuges, remove the core from its heavy-water plant and reduce its stockpile of low-enriched uranium. The International Atomic Energy Agency will monitor and verify the steps taken. Iran will also work with the IAEA to resolve unanswered questions about alleged past nuclear weapon design work.
At the same time, Barack Obama will grant waivers on economic and financial sanctions, and the EU will vote to lift European sanctions. Both sets of sanctions relief will be made contingent on IAEA confirmation that Iran has upheld its side of the bargain.
In a final step, possibly around the end of the year, economic and financial sanctions will be lifted, and an enhanced IAEA inspections regime will be implemented, routinely monitoring Iran’s fuel cycle from uranium mines to enrichment and fuel manufacture, and visiting undeclared sites.
Obama Can’t Force His Iran Deal on the Country without Congress’s Consent
Having the U.N. Security Council bless a deal wouldn’t make it binding under our Constitution. So, as we warned earlier this week, the international-law game it is. It is no secret that Barack Obama does not have much use for the United States Constitution. It is a governing plan for a free, self-determining people. Hence, it is littered with roadblocks against schemes to rule the people against their will. When it comes to our imperious president’s scheme to enable our enemy, Iran, to become a nuclear-weapons power — a scheme that falls somewhere between delusional and despicable, depending on your sense of Obama’s good faith — the salient barrier is that only Congress can make real law.
Most lawmakers think it would be a catastrophe to forge a clear path to the world’s most destructive weapons for the world’s worst regime — a regime that brays “Death to America” as its motto; that has killed thousands of Americans since 1979; that remains the world’s leading state sponsor of jihadist terrorism; that pledges to wipe our ally Israel off the map; and that just three weeks ago, in the midst of negotiations with Obama, conducted a drill in which its armed forces fired ballistic missiles at a replica U.S. aircraft carrier.
This week, 47 perspicuous Republican senators suspected that the subject of congressional power just might have gotten short shrift in Team Obama’s negotiations with the mullahs. So they penned a letter on the subject to the regime in Tehran. The effort was led by Senator Tom Cotton (R., Ark.), who, after Harvard Law School, passed up community organizing for the life of a Bronze Star–awarded combat commander. As one might imagine, Cotton and Obama don’t see this Iran thing quite the same way.
There followed, as night does day, risible howls from top Democrats and their media that these 47 patriots were “traitors” for undermining the president’s empowerment of our enemies. Evidently, writing the letter was not as noble as, say, Ted Kennedy’s canoodling with the Soviets, Nancy Pelosi’s dalliance with Assad, the Democratic party’s Bush-deranged jihad against the war in Iraq, or Senator Barack Obama’s own back-channel outreach to Iran during the 2008 campaign. Gone, like a deleted e-mail, were the good old days when dissent was patriotic.
Yet, as John Yoo observes, the Cotton letter was more akin to mailing Ayatollah Khamenei a copy of the Constitution. The senators explained that our Constitution requires congressional assent for international agreements to be legally binding. Thus, any “executive agreement” on nukes that they manage to strike with the appeaser-in-chief is unenforceable and likely to be revoked when he leaves office in 22 months.
For Obama and other global-governance grandees, this is quaint thinking, elevating outmoded notions like national interest over “sustainable” international “stability” — like the way Hitler stabilized the Sudetenland. These “international community” devotees see the Tea Party as the rogue and the mullahs as rational actors.
o, you see, lasting peace — like they have, for example, in Ukraine — is achieved when the world’s sole superpower exhibits endless restraint and forfeits some sovereignty to the United Nations Security Council, where the enlightened altruists from Moscow, Beijing, and Brussels will figure out what’s best for Senator Cotton’s constituents in Arkansas. This will set a luminous example of refinement that Iran will find irresistible when it grows up ten years from now — the time when Obama, who came to office promising the mullahs would not be permitted to acquire nuclear weapons, would have Iran stamped with the international community seal of approval as a nuclear-weapons state.
Down here on Planet Earth, though, most Americans think this is a bad idea. That, along with an injection of grit from the Arkansas freshman, emboldened the normally supine Senate GOP caucus to read Tehran in on the constitutional fact that the president is powerless to bind the United States unless the people’s representatives cement the arrangement.
Obama, naturally, reacted with his trusty weapon against opposition, demagoguery: hilariously suggesting that while the Alinskyite-in-chief had our country’s best interests at heart, the American war hero and his 46 allies were in league with Iran’s “hardliners.” (Yes, having found Muslim Brotherhood secularists, al-Qaeda moderates, and Hezbollah moderates, rest assured that Obama is courting only the evolved ayatollahs.) When that went about as you’d expect, the administration shifted to a strategy with which it is equally comfortable, lying.
Obama’s minions claimed that, of course, the president understands that any agreement he makes with Iran would merely be his “political commitment,” not “legally binding” on the nation. It’s just that Obama figures it would be nice to have the Security Council “endorse” the deal in a resolution because, well, that would “encourage its full implementation.” Uh-huh.
Inconveniently, the administration’s negotiating counterpart is the chattiest of academics, Iranian foreign minister Mohammad Javad Zarif. Afflicted by the Western-educated Islamist’s incorrigible need to prove he’s the smartest kid in the class — especially a class full of American politicians — Zarif let the cat out of the bag. The senators, he smarmed, “may not fully understand . . . international law.”
According to Zarif, the deal under negotiation “will not be a bilateral agreement between Iran and the U.S., but rather one that will be concluded with the participation of five other countries, including all permanent members of the Security Council, and will also be endorsed by a Security Council resolution.” He hoped it would “enrich the knowledge” of the 47 senators to learn that “according to international law, Congress may not modify the terms of the agreement.” To do so would be “a material breach of U.S. obligations,” rendering America a global outlaw.
This, mind you, from the lead representative of a terrorist regime that is currently, and brazenly, in violation of Security Council resolutions that prohibit its enrichment of uranium.
Clearly, Obama and the mullahs figure they can run the following stunt: We do not need another treaty approved by Congress because the United States has already ratified the U.N. charter and thus agreed to honor Security Council resolutions. We do not need new statutes because the Congress, in enacting Iran-sanctions legislation, explicitly gave the president the power to waive those sanctions. All we need is to have the Security Council issue a resolution that codifies Congress’s existing sanctions laws with Obama’s waiver. Other countries involved in the negotiations — including Germany, Russia, and China, which have increasingly lucrative trade with Iran — will then very publicly rely on the completed deal. The U.N. and its army of transnational-progressive bureaucrats and lawyers will deduce from this reliance a level of global consensus that incorporates the agreement into the hocus-pocus corpus of customary law. Maybe they’ll even get Justice Ginsburg to cite it glowingly in a Supreme Court ruling. Voila, we have a binding agreement — without any congressional input — that the United States is powerless to alter under international law.
Well, it makes for good theater . . . because that is what international law is. It is a game more of lawyers than of thrones. In essence, it is politics masquerading as a system governed by rules rather than power, as if hanging a sign that says “law” on that system makes it so. At most, international law creates understandings between and among states. Those understandings, however, are only relevant as diplomatic debating points. When, in defiance of international law, Obama decides to overthrow the Qaddafi regime, Clinton decides to bomb Kosovo, or the ayatollahs decide to enrich uranium, the debating points end up not counting for much.
Even when international understandings are validly created by treaty (which requires approval by two-thirds of the Senate), they are not “self-executing,” as the legal lexicon puts it — meaning they are not judicially enforceable and carry no domestic weight. Whether bilateral or multilateral, treaties do not supersede existing federal law unless implemented by new congressional statutes. And they are powerless to amend the Constitution.
The Supreme Court reaffirmed these principles in its 2008 Medellin decision (a case I described here, leading to a ruling Ed Whelan outlined here). The justices held that the president cannot usurp the constitutional authority of other government components under the guise of his power to conduct foreign affairs. Moreover, even a properly ratified treaty can be converted into domestic law only by congressional lawmaking, not by unilateral presidential action.
Obama, therefore, has no power to impose an international agreement by fiat — he has to come to Congress. He can make whatever deal he wants to make with Iran, but the Constitution still gives Congress exclusive authority over foreign commerce. Lawmakers can enact sanctions legislation that does not permit a presidential waiver. Obama would not sign it, but the next president will — especially if the Republicans raise it into a major 2016 campaign issue.
Will the Security Council howl? Sure . . . but so what? It has been said that Senator Cotton should have CC’d the Obama administration on his letter since it, too, seems unfamiliar with the Constitution’s division of authority. A less useless exercise might have been to CC the five other countries involved in the talks (the remaining Security Council members, plus Germany). Even better, as I argued earlier this week, would be a sense-of-the-Senate resolution: Any nation that relies on an executive agreement that is not approved by the United States Congress under the procedures outlined in the Constitution does so at its peril because this agreement is likely to lapse as early as January 20, 2017. International law is a game that two can play, and there is no point in allowing Germany, Russia, and China to pretend that they relied in good faith on Obama’s word being America’s word. It is otherworldly to find an American administration conspiring against the Constitution and the Congress in cahoots with a terror-sponsoring enemy regime, with which we do not even have formal diplomatic relations, in order to pave the enemy’s way to nuclear weapons, of all things. Nevertheless, Republicans and all Americans who want to preserve our constitutional order, must stop telling themselves that we have hit a bottom beneath which Obama will not go. This week, 47 senators seemed ready, finally, to fight back. It’s a start.
Could the Iran Deal Be the Worst International Accord of All Time?
by DANIEL PIPES July 14, 2015 10:27 AM
Barack Obama has repeatedly signaled during the past six and a half years that that his No. 1 priority in foreign affairs is not China, not Russia, not Mexico, but Iran. He wants to bring Iran in from the cold, to transform the Islamic Republic into just another normal member of the so-called international community, thereby ending decades of its aggression and hostility.
In itself, this is a worthy goal; it’s always good policy to reduce the number of enemies. (It brings to mind Nixon going to China.) The problem lies, of course, in the execution.
The conduct of the Iran nuclear negotiations has been wretched, with the Obama administration inconsistent, capitulating, exaggerating, and even deceitful. It forcefully demanded certain terms, then soon after conceded these same terms. Secretary of State John Kerry implausibly announced that we have “absolute knowledge” of what the Iranians have done until now in their nuclear program and therefore have no need for inspections to form a baseline. How can any adult, much less a high official, make such a statement?
The administration misled Americans about its own concessions: After the November 2013 joint plan of action, it came out with a fact sheet that Tehran said was inaccurate. Guess who was right? The Iranians. In brief, the U.S. government has shown itself deeply untrustworthy.
The conduct of the Iran nuclear negotiations has been wretched, with the Obama administration inconsistent, capitulating, exaggerating, and even deceitful. The agreement signed today ends the economic-sanctions regime, permits the Iranians to hide much of their nuclear activities, lacks enforcement in case of Iranian deceit, and expires in slightly more than a decade. Two problems particularly stand out: The Iranian path to nuclear weapons has been eased and legitimated; Tehran will receive a “signing bonus” of some $150 billion that greatly increases its abilities to aggress in the Middle East and beyond. The United States alone, not to speak of the P5+1 countries as a whole, has vastly greater economic and military power than the Islamic Republic of Iran, making this one-sided concession ultimately a bafflement.
Of the administration’s accumulated foreign-policy mistakes in the last six years, none have been catastrophic for the United States: Not the Chinese building islands, the Russians’ taking Crimea, or the collapse into civil wars of Libya, Yemen, Syria, and Iraq. But the Iran deal has the makings of a catastrophe.
Attention now shifts to the U.S. Congress to review today’s accord, arguably the worst international accord not just in American history or modern history, but ever. Congress must reject this deal. Republican senators and representatives have shown themselves firm on this topic; will the Democrats rise to the occasion and provide the votes for a veto override? They need to feel the pressure.
Story 1: Supreme Court Obamacare Attack On American Consumer Sovereignty and Individual Freedom — Big Government Tyranny and Coercion — Videos
“The state is that great fiction by which everyone tries to live at the expense of everyone else.”
“Each of us has a natural right, from God, to defend his person, his liberty, and his property.”
~ Frederic Bastiat
“Liberty is always freedom from the government.”
“The fact is that, under a capitalistic system, the ultimate bosses are the consumers.
The sovereign is not the state, it is the people.”
“The common man is the sovereign consumer whose buying or abstention from buying ultimately determines what should be produced and in what quantity and quality.”
“It is important to remember that government interference always means either violent action or the threat of such action.
The funds that a government spends for whatever purposes are levied by taxation.
And taxes are paid because the taxpayers are afraid of offering resistance to the tax gatherers.
They know that any disobedience or resistance is hopeless.
As long as this is the state of affairs, the government is able to collect the money that it wants to spend.
Government is in the last resort the employment of armed men, of policemen, gendarmes, soldiers, prison guards, and hangmen.
The essential feature of government is the enforcement of its decrees by beating, killing, and imprisoning.
Those who are asking for more government interference are asking ultimately for more compulsion and less freedom.”
~Ludwig von Mises
“In a democracy, the power to make the law rests with those chosen by the people. Our role is more confined —’to say what the law is.’ … That is easier in some cases than in others. But in every case we must respect the role of the Legislature, and take care not to undo what it has done. A fair reading of legislation demands a fair understanding of the legislative plan. Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them. If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter.”
~Chief Justice John Roberts
“Today’s interpretation is not merely unnatural; it is unheard of. Who would ever have dreamt that ‘Exchange established by the State’ means ‘Exchange established by the State or the Federal Government’? Little short of an express statutory definition could justify adopting this singular reading.”
“We should start calling this law SCOTUScare.”
~Justice Antonin Scalia
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The Truth About Obamacare
In Upholding Obamacare’s Subsidies, Justice Roberts Rewrites the Law—Again
Time to start calling the Affordable Care Act SCOTUScare.
By Peter Suderman
Supreme Court Chief Justice John Roberts has rewritten the law to save Obamacare—again.
Roberts’ majority opinion today in King v. Burwell, which ruled that the Obama administration’s decision to allow health insurance subsidies flow through the law’s federal exchanges, leaves no doubt that Roberts considers it his duty to keep the law afloat.
“Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them,” he writes. “If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter.”
And so Roberts decided that a law which explicitly and repeatedly states that subsidies are limited to exchanges “established by a State,” and which defines “State” as one of the 50 states or the District of Columbia, actually allows subsidies in exchanges established by a State or the federal government. Roberts’ decision does not interpret Obamacare; it adds to it and reworks it, and in the process transforms it into something that it is not.
Roberts has not merely tweaked the law; he has rewritten it to mean the opposite of what it clearly means. Why include the phrase “established by a State under Section 1311″—the section dealing with state-based exchanges—except to limit the subsidies to those particular exchanges? Roberts’ opinion reconceptualizes this limiting language as inclusive.
The Chief Justice frames his decision as a form of respectful deference to congressional intent. As my colleague Damon Root noted earlier, his opinion cautions that in “every case we must respect the role of the Legislature, and take care not to undo what it has done. A fair reading of legislation demands a fair understanding of the legislative plan.”
But Roberts’ opinion is far more than a fair reading of the legislative plan; it is a Court-imposed decision as to what that plan must be.
As Justice Antonin Scalia writes in a scathing dissent, Roberts presumes, with no definitive evidence, that his interpretation is the one that Congress intended. “What makes the Court so sure that Congress ‘meant’ tax credits to be available everywhere?” Scalia asks. “Our only evidence of what Congress meant comes from the terms of the law, and those terms show beyond all question that tax credits are available only on state Exchanges.”
Roberts’ opinion declares its intent to uphold the law’s basic policy scheme, arguing that there would be adverse insurance market effects to a decision in favor of the challengers. In other words, there would have been policy implications to a ruling for the plaintiffs. That is almost certainly true, but it is not an excuse to rewrite the clear language of the law.
As Scalia says in the dissent, “The Court protests that without the tax credits, the number of people covered by the individual mandate shrinks, and without a broadly applicable individual mandate the guaranteed-issue and community-rating requirements ‘would destabilize the individual insurance market.’ If true, these projections would show only that the statutory scheme contains a flaw; they would not show that the statute means the opposite of what it says.” The majority has decided how Obamacare’s policy scheme should work, and redrafted the statute accordingly.
If Roberts had truly wanted to defer to Congress, he could have ruled that the law means what says rather than what it does not, and effectively handed the issue back to the legislature, letting Congress decide whether and how to update the law in accordance with its own wishes. Instead, Roberts made the choice for Congress—taking its power to craft law for itself. As Scalia writes, “the Court’s insistence on making a choice that should be made by Congress both aggrandizes judicial power and encourages congressional lassitude.”
This is not the first time that Roberts has rewritten the law in order to uphold it. In 2012, he declared that the law’s individual mandate to purchase insurance was unconstitutional under the Constitution’s Commerce Clause—and yet upheld it by declaring that the law’s penalty was instead permissible as a tax. In the same decision, he also found that the law’s threat to revoke all federal Medicaid funding from states that decline to participate in Obamacare’s expansion of the program was unconstitutionally coercive. But rather than strike the whole thing down, Roberts rewrote it, allowing the Medicaid expansion, and the rest of the law, to continue but without the same threat to state budgets.
In his dissent, Scalia argues that there’s a pattern to these rulings. “Under all the usual rules of interpretation, in short, the Government should lose this case. But normal rules of interpretation seem always to yield to the overriding principle of the present Court: The Affordable Care Act must be saved.”
If anything, it’s even worse. What Roberts has saved is not the law so much as the Obama administration’s dubious, textually unsupported interpretation and implementation of Obamacare. This is not judicial restraint. It is judicial hubris.
And while it would be overstatement to say that this damages the legitimacy of the Court, it certainly reflects on the legacy and status of the law. As even Roberts admits in his opinion, the law “contains more than a few examples of inartful drafting” and generally “does not reflect the type of care and deliberation that one might expect of such significant legislation.” It is a shoddy, messy piece of legislation, held together, barely, by Supreme Court duct tape.
At this point, then, the law is as much a joint project between the administration and the Roberts court as it is a creation of Congress. As Scalia snarks at the end of his dissent, “we should start calling this law SCOTUScare.” Regardless of what we call it, that’s effectively what it has become.
The U.S. Supreme Court on Thursday handed the Obama administration a major victory on health care, ruling 6-3 that nationwide subsidies called for in the Affordable Care Act are legal.
“Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them,” the court’s majority said in the opinion, which was written by Chief Justice John Roberts. But they acknowledged that “petitioners’ arguments about the plain meaning … are strong.”
The majority opinion cited the law’s “more than a few examples of inartful drafting,” but added, “the context and structure of the Act compel us to depart from what would otherwise be the most natural reading of the pertinent statutory phrase.”
Roberts was joined by the court’s liberal justices, Ruth Bader Ginsburg, Stephen Breyer, Sonia Sotomayor and Elena Kagan, as well as by Anthony Kennedy.
In his dissent, Justice Antonin Scalia said: “We should start calling this law SCOTUScare,” an apparent reference to the fact the Supreme Court has now saved the Affordable Care Act twice. Scalia called the majority’s reading of the text “quite absurd, and the court’s 21 pages of explanation make it no less so.”
As NPR’s Nina Totenberg reported in March, opponents of the law contended “that the text of the law does not authorize subsidies to make mandated insurance affordable in 34 states.”
At issue were six words in one section of the law. As Nina pointed out: “Those words stipulate that for people who cannot afford health coverage, subsidies are available through ‘an exchange established by the state.’ ” She added:
“The government [contended] that those words refer to any exchange, whether it is set up by the state itself or an exchange run for the state by the federal government in accordance with individual state insurance laws and regulations. The challengers [said] the statute means what it says and no more.”
The court agreed Thursday with the government’s position.
The decision comes three years after a bitterly divided high court upheld the Affordable Care Act as constitutional by a 5-4 vote.
President Obama made a statement on the ruling late Thursday morning, saying the Affordable Care Act “is here to stay.”
SCOTUS rules 6-3 in favor of administration in major defeat for critics of the health law.
Obamacare’s health insurance subsidies will live, thanks to the Supreme Court.
The High Court has ruled 6-3 in favor of the administration to uphold the subsidies in Obamacare’s federal exchanges. The case challenged the administration’s decision, through the Internal Revenue Service, to allow subsidies in the 36 exchanges run by the federal government under the law.
The challengers argued that the plain text of the law, which states that subsidies are only available in an exchange “established by a State,” defining “State” to mean the 50 states or the District of Columbia, prohibited subsidies in the federal exchanges. The administration argued that the IRS rule allowing those subsidies was consistent with the overall structure of the law, and with congressional intent.
Writing for the majority, Chief Justice John Roberts sided with the administration’s position, saying that although the health law contains “more than a few examples of inartful drafting,” the Court nevertheless believes that the relevant section of the law “can fairly be read consistent with what we see as Congress’s plan, and that is the reading we adopt.” The complete ruling can be read here.
Basically, the Supreme Court, decided they’d rather squint at the law and look at its general shape rather than bother too much with the plain meaning of the relevant text.
This is a major victory fo the administration and backers of the health law, whose decision to ignore the plain text of the law has been blessed by the Court. It’s also a big loss for critics of Obamacare, who hoped to see the law’s implementation restrained by its legislative text, and for straightforward interpretation of congressional statute.
What it means is that the crazy array of post-King scenarios that many had speculated about over the last few months will never come to pass. Obamacare stays the same, in terms of both policy and politics. It’s a ruling for the status quo.
Reason will have much more on this throughout the day.
Supreme Court Allows Nationwide Health Care Subsidies
The Supreme Courtruled on Thursday that President Obama’s health care law allows the federal government to provide nationwide tax subsidies to help poor and middle-class people buy health insurance, a sweeping vindication that endorsed the larger purpose of Mr. Obama’s signature legislative achievement.
The 6-to-3 ruling means that it is all but certain that the Affordable Care Act will survive after Mr. Obama leaves office in 2017. For the second time in three years, the law survived an encounter with the Supreme Court. But the court’s tone was different this time. The first decision, in 2012, was fractured and grudging, while Thursday’s ruling was more assertive.
“Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them,” Chief Justice John G. Roberts Jr. wrote for a united six-justice majority. In 2012’s closely divided decision, Chief Justice Roberts also wrote the controlling opinion, but that time no other justice joined it in full.
Demonstrators expressed their support for the Affordable Care Act outside of the Supreme Court on Thursday.CreditDoug Mills/The New York Times
In dissent on Thursday, Justice Antonin Scalia called the majority’s reasoning “quite absurd” and “interpretive jiggery-pokery.”
He announced his dissent from the bench, a sign of bitter disagreement. His summary was laced with notes of incredulity and sarcasm, sometimes drawing amused murmurs in the courtroom as he described the “interpretive somersaults” he said the majority had performed to reach the decision.
“We really should start calling this law Scotus-care,” Justice Scalia said, to laughter from the audience.
In a hastily arranged appearance in the Rose Garden on Thursday morning, a triumphant Mr. Obama praised the ruling. “After multiple challenges to this law before the Supreme Court, the Affordable Care Act is here to stay,” he said, adding: “What we’re not going to do is unravel what has now been woven into the fabric of America.”
The ruling was a blow to Republicans, who have been trying to gut the law since it was enacted. But House Speaker John A. Boehner vowed that the political fight against it would continue.
“The problem with Obamacare is still fundamentally the same: The law is broken,” Mr. Boehner said. “It’s raising costs for American families, it’s raising costs for small businesses and it’s just fundamentally broken. And we’re going to continue our efforts to do everything we can to put the American people back in charge of their health care and not the federal government.”
The case concerned a central part of the Affordable Care Act that created marketplaces, known as exchanges, to allow people who lack insurance to shop for individual health plans. Some states set up their own exchanges, but about three dozen allowed the federal government to step in to run them. Across the nation, about 85 percent of customers using the exchanges qualify for subsidies to help pay for coverage, based on their income.
The question in the case, King v. Burwell, No. 14-114, was what to make of a phrase in the law that seems to say the subsidies are available only to people buying insurance on “an exchange established by the state.”
A legal victory for the plaintiffs, lawyers for the administration said, would have affected more than six million people and created havoc in the insurance markets and undermined the law.
Chief Justice Roberts acknowledged that the plaintiffs had strong arguments about the plain meaning of the contested words. But he wrote that the words must be understood as part of a larger statutory plan. “In this instance,” he wrote, “the context and structure of the act compel us to depart from what would otherwise be the most natural reading of the pertinent statutory phrase.”
This was challenging, he said, in light of the law’s “more than a few examples of inartful drafting,” a consequence of rushed work behind closed doors that “does not reflect the type of care and deliberation that one might expect of such significant legislation.”
But he said the law’s interlocking parts supported a ruling in favor of the subsidies, particularly given that a contrary decision could have given rise to chaos in the insurance markets. A ruling rejecting subsidies in most of the nation would have left in place other parts of the law, including its guarantee of coverage regardless of pre-existing conditions, its requirement that most Americans obtain insurance or pay a penalty, and its expansion of Medicaid.
Without the subsidies, many people would be unable to afford insurance, and healthier consumers would go without coverage, leaving insurers with a sicker, more expensive pool of customers. That would raise prices for everyone, leading to what supporters of the law called death spirals.
“The statutory scheme compels us to reject petitioners’ interpretation,” Chief Justice Roberts wrote, referring to the challengers, “because it would destabilize the individual insurance market in any state with a federal exchange, and likely create the very ‘death spirals’ that Congress designed the act to avoid.”
In dissent, Justice Scalia wrote that the majority had stretched the statutory text too far.
Copies of the court’s ruling in favor of nationwide health insurance subsidies were rushed to television news reporters.CreditDoug Mills/The New York Times
“I wholeheartedly agree with the court that sound interpretation requires paying attention to the whole law, not homing in on isolated words or even isolated sections,” Justice Scalia wrote. “Context always matters. Let us not forget, however, why context matters: It is a tool for understanding the terms of the law, not an excuse for rewriting them.”
“Reading the act as a whole leaves no doubt about the matter,” he wrote. “ ‘Exchange established by the state’ means what it looks like it means.”
Justice Scalia said the decision had damaged the court’s reputation for “honest jurisprudence.”
The court, he said, had taken into its own hands a matter involving tens of billions of dollars that should have been left to Congress.
“It is up to Congress to design its laws with care,” he added, “and it is up to the people to hold them to account if they fail to carry out that responsibility.”
Justices Clarence Thomas and Samuel A. Alito Jr. joined Justice Scalia’s dissenting opinion.
Chief Justice Roberts rejected the argument that Congress had limited the availability of subsidies in order to encourage states to create their own exchanges, a notion that had occurred to almost no one at the time the law was enacted.
Sixteen states and the District of Columbia have established their own exchanges. Under the law, the federal government has stepped in to run exchanges in the rest of the states.
“The whole point of that provision,” Chief Justice Roberts wrote, “is to create a federal fallback in case a state chooses not to establish its own exchange. Contrary to petitioners’ argument, Congress did not believe it was offering states a deal they would not refuse — it expressly addressed what would happen if a state did refuse the deal.
The case started when four plaintiffs, all from Virginia, sued the Obama administration, saying the phrase meant that the law forbids the federal government to provide subsidies in states that do not have their own exchanges.
The plaintiffs challenged an Internal Revenue Service regulation that said subsidies were allowed whether the exchange was run by a state or by the federal government. They said the regulation was at odds with the Affordable Care Act.
Judge Roger L. Gregory, writing for a three-judge panel of the court, said the contested phrase was “ambiguous and subject to multiple interpretations.” That meant, he said, that the I.R.S. interpretation was entitled to deference.
The Supreme Court’s ruling was more forceful. “This is not a case for the I.R.S.,” Chief Justice Roberts wrote. “It is instead our task to determine the correct reading.”
In a 6-3 ruling authored by Chief Justice Roberts, the Court held that subsidies are available on the federal exchanges. Those voting in the majority were Roberts, Kennedy, Ginsburg, Breyer, Sotomayor, and Kagan.
Had the court ruled otherwise, it would have put all of Obamacare in jeopardy, since 38 states do not have exchanges and Obamacare is too expensive for most people without a subsidy.
The issue was whether only state-established exchanges could issue tax credits, or whether the federal exchanges could also. Challengers to IRS regulations pointed to the words “established by the State” in the legislation as clear and unambiguous that subsidies were limited to state exchanges.
The Court rejected this assertion:
These provisions suggest that the Act may not always use the phrase “established by the State” in its most natural
sense. Thus, the meaning of that phrase may not be as clear as it appears when read out of context. [at 11.]
As he did in upholding an Obamacare constitutional challenge in 2012, Roberts found a way to read the law so as to save the law:
The upshot of all this is that the phrase “an Exchange established by the State under [42 U. S. C. §18031]” is properly viewed as ambiguous. The phrase may be limited in its reach to State Exchanges. But it is also possible that the phrase refers to all Exchanges—both State and Federal—at least for purposes of the tax credits. If a State chooses not to follow the directive in Section 18031 that it establish an Exchange, the Act tells the Secretary to establish “such Exchange.” §18041. And by using the words “such Exchange,” the Act indicates that State and Federal Exchanges should be the same. But State and Federal Exchanges would differ in a fundamental way if tax credits were available only on State Exchanges—one type of Exchange would help make insurance more affordable by providing billions of dollars to the States’ citizens; the other type of Exchange would not.2 [at 12-13]
The Court found Obamacare so “inartfully drafted” that the Court essentially wrote the law for Congress through “statutory interpretation.”
The Affordable Care Act contains more than a few examples of inartful drafting. (To cite just one, the Act creates three separate Section 1563s. See 124 Stat. 270, 911, 912.) Several features of the Act’s passage contributed to that unfortunate reality. Congress wrote key parts of the Act behind closed doors, rather than through “the traditional legislative process.” Cannan, A Legislative
History of the Affordable Care Act: How Legislative Procedure Shapes Legislative History, 105 L. Lib. J. 131, 163 (2013). And Congress passed much of the Act using a complicated budgetary procedure known as “reconciliation,” which limited opportunities for debate and amendment, and bypassed the Senate’s normal 60-vote filibuster requirement. Id., at 159–167. As a result, the Act does not reflect the type of care and deliberation that one mightexpect of such significant legislation….
Anyway, we “must do our best, bearing in mind the fundamental canon of statutory construction that the words of a statute must be read in their context and with a view to their place in the overall statutory scheme.” Utility Air Regulatory Group, 573 U. S., at ___ (slip op., at 15) (internal quotation marks omitted). After reading Section 36B along with other related provisions in the Act, we cannot conclude that the phrase “an Exchange established by the State under [Section 18031]” is unambiguous. [at 14-15]
Nowhere in any of the opinions is the term “Gruber” mentioned. Jonathan Gruber, one of the architects of the law, stated on numerous occasions that there was a specific purpose of the language to exclude the federal exchange, so as to pressure states to get subsidies for their citizens by establishing exchanges.
Architect of Obamacare: Only get tax credits if buy on state exchanges
The Court rejected the Gruber view of Congressional intent:
The whole point of that provision is to create a federal fallback in case a State chooses not to establish its own Exchange. Contrary to petitioners’ argument, Congress did not believe it was offering States a deal they would not refuse—it expressly addressed what
would happen if a State did refuse the deal.
Having found the term “established by the State” ambiguous, the Court read it in a way such as to save Obamacare and prevent a “death spiral” of the law:
Given that the text is ambiguous, we must turn to the broader structure of the Act to determine the meaning of Section 36B. “A provision that may seem ambiguous in isolation is often clarified by the remainder of the statutory scheme . . . because only one of the permissible meanings produces a substantive effect that is compatible with the rest of the law.” United Sav. Assn. of Tex. v. Timbers of Inwood Forest Associates, Ltd., 484 U. S. 365, 371 (1988). Here, the statutory scheme compels us to reject petitioners’ interpretation because it would destabilize the individual insurance market in any State with a Federal Exchange, and likely create the very “death spirals” that Congress designed the Act to avoid. [at 15]
Reliance on context and structure in statutory interpretation is a “subtle business, calling for great wariness lest
what professes to be mere rendering becomes creation and attempted interpretation of legislation becomes legislation itself.” Palmer v. Massachusetts, 308 U. S. 79, 83 (1939). For the reasons we have given, however, such reliance is appropriate in this case, and leads us to conclude that Section 36B allows tax credits for insurance purchased on any Exchange created under the Act. Those credits are necessary for the Federal Exchanges to function like their State Exchange counterparts, and to avoid the type of calamitous result that Congress plainly meant to avoid. [at 21]
Roberts and the majority did not want to be the ones to take down Obamacare, and that drove everything:
Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them. If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter. Section 36B can fairly be read consistent with what we see as Congress’s plan, and that is the reading we adopt. [at 21]
Scalia’s dissent, joined by Thomas and Alito, was stinging, and in my opinion correct as to the absurdity of the Court contorting itself to save the law (as Roberts did in the original Obamacare challenge):
The Court holds that when the Patient Protection and Affordable Care Act says “Exchange established by the State” it means “Exchange established by the State or the Federal Government.” That is of course quite absurd, and the Court’s 21 pages of explanation make it no less so. [at 1]
Scalia points out that the words have a plain meaning:
This case requires us to decide whether someone who buys insurance on an Exchange established by the Secretary gets tax credits. You would think the answer would be obvious—so obvious there would hardly be a need for the Supreme Court to hear a case about it. In order to receive any money under §36B, an individual must enroll in an insurance plan through an “Exchange established by the State.” The Secretary of Health and Human Services is not a State. So an Exchange established by the Secretary is not an Exchange established by the State—which means people who buy health insurance through such an Exchange get no money under §36B.
Words no longer have meaning if an Exchange that is not established by a State is “established by the State.” …. [at 2, italics in original]
Scalia argued — persuasively — that the overriding goal seems to be saving Obamacare, not exercising normal judicial interpretation of plain language:
“[T]he plain, obvious, and rational meaning of a statute is always to be preferred to any curious, narrow, hidden sense that nothing but the exigency of a hard case and the ingenuity and study of an acute and powerful intellect would discover.” Lynch v. Alworth-Stephens Co., 267 U. S. 364, 370 (1925) (internal quotation marks omitted). Under all the usual rules of interpretation, in short, the Government should lose this case. But normal rules of interpretation seem always to yield to the overriding principle of the present Court: The Affordable Care Act must be saved. [at 2-3]
Scalia wrote that the majority opinion rewrote the law “with no semblance of shame”:
The Court interprets §36B to award tax credits on both federal and state Exchanges. It accepts that the “most natural sense” of the phrase “Exchange established by the State” is an Exchange established by a State. Ante, at 11. (Understatement, thy name is an opinion on the Affordable Care Act!) Yet the opinion continues, with no semblance of shame, that “it is also possible that the phrase refers to all Exchanges—both State and Federal.” Ante, at 13. (Impossible possibility, thy name is an opinion on the Affordable Care Act!) [at 3]
Scalia then delivered the best line of the day. Looking back over multiple decisions from the Court to rewrite Obamacare in order to save it, Scalia insisted that the law now should be called SCOTUScare:
Today’s opinion changes the usual rules of statutory interpretation for the sake of the Affordable Care Act. That, alas, is not a novelty. In National Federation of Independent Business v. Sebelius, 567 U. S. ___, this Court revised major components of the statute in order to save them from unconstitutionality. The Act that Congress passed provides that every individual “shall” maintain insurance or else pay a “penalty.” 26 U. S. C. §5000A. This Court, however, saw that the Commerce Clause does not authorize a federal mandate to buy health insurance. So it rewrote the mandate-cum-penalty as a tax. 567 U. S., at ___–___ (principal opinion) (slip op., at 15–45).
The Act that Congress passed also requires every State to accept an expansion of its Medicaid program, or else risk losing all Medicaid funding. 42 U. S. C. §1396c. This Court, however, saw that the Spending Clause does not authorize this coercive condition. So it rewrote the law to withhold only the incremental funds associated with the Medicaid expansion. 567 U. S., at ___–___ (principal opinion) (slip op., at 45–58). Having transformed two major parts of the law, the Court today has turned its attention to a third. The Act that Congress passed makes tax credits available only on an “Exchange established by the State.” This Court, however, concludes that this limitation would prevent the rest of the Act from working as well as hoped. So it rewrites the law to make tax credits available everywhere.
We should start calling this law SCOTUScare. [at 20-21, emphasis and hard paragraph breaks added.]
The legacy of this Court, Scalia wrote, will live on just as Obamacare, but in infamy:
Perhaps the Patient Protection and Affordable Care Act will attain the enduring status of the Social Security Act or the Taft-Hartley Act; perhaps not. But this Court’s two decisions on the Act will surely be remembered through the years. The somersaults of statutory interpretation they have performed (“penalty” means tax, “further [Medicaid] payments to the State” means only incremental Medicaid payments to the State, “established by the State” means not established by the State) will be cited by litigants endlessly, to the confusion of honest jurisprudence. And the cases will publish forever the discouraging truth that the Supreme Court of the United States favors some laws over others, and is prepared to do whatever it takes to uphold and assist its favorites.
From ‘Jiggery-Pokery’ to ‘SCOTUScare,’ Read the Best Quotes From Today’s Obamacare Ruling
Justice Antonin Scalia’s flair for the dramatic shines through, while Chief Justice John Roberts plays it straight.
Supporters of the Affordable Care Act react with cheers as the opinion for health care is reported outside of the Supreme Court in Washington on Thursday .
By U.S. News Staff
Thursday’s 6-3 ruling by the Supreme Court upholding the validity of tax credits that help millions of people afford health insurance under the Affordable Care Act came down to a literal matter of interpretation.
At issue were words in the law that subsidies could be distributed for health coverage purchased through “an Exchange established by the State.” The plaintiffs argued the law should be read literally, nullifying subsidies provided through exchanges that relied on the federal government. The Obama administration countered that the law never intended to limit subsidies in such a way.
Chief Justice John Roberts authored the court’s majority opinion, and was countered by Justice Antonin Scalia’s dissent. Here are some select quotes from both.
Chief Justice John Roberts authored the court’s majority opinion.
“The upshot of all this is that the phrase ‘an Exchange established by the State under [42 U. S. C. §18031]’ is properly viewed as ambiguous. The phrase may be limited in its reach to State Exchanges. But it is also possible that the phrase refers to all Exchanges—both State and Federal—at least for purposes of the tax credits.”
“It would be odd indeed for Congress to write such detailed instructions about customers on a State Exchange, while having nothing to say about those on a Federal Exchange.”
“The Affordable Care Act contains more than a few examples of inartful drafting. Several features of the Act’s passage contributed to that unfortunate reality. Congress wrote key parts of the Act behind closed doors, rather than through ‘the traditional legislative process’ … As a result, the Act does not reflect the type of care and deliberation that one might expect of such significant legislation.”
“The statutory scheme compels us to reject petitioners’ interpretation because it would destabilize the individual insurance market in any State with a Federal Exchange, and likely create the very ‘death spirals’ that Congress designed the Act to avoid.”
“In petitioners’ view, Congress made the viability of the entire Affordable Care Act turn on the ultimate ancillary provision: a sub-sub-sub section of the Tax Code. We doubt that is what Congress meant to do.”
“In a democracy, the power to make the law rests with those chosen by the people. Our role is more confined —’to say what the law is.’ … That is easier in some cases than in others. But in every case we must respect the role of the Legislature, and take care not to undo what it has done. A fair reading of legislation demands a fair understanding of the legislative plan. Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them. If at all possible, we must interpret the Act in a way that is consistent with the former, and avoids the latter.”
Justice Antonin Scalia authored the court’s dissenting opinion.
“Today’s interpretation is not merely unnatural; it is unheard of. Who would ever have dreamt that ‘Exchange established by the State’ means ‘Exchange established by the State or the Federal Government’? Little short of an express statutory definition could justify adopting this singular reading.”
“We should start calling this law SCOTUScare.”
“The Court holds that when the Patient Protection and Affordable Care Act says ‘Exchange established by the State’ it means ‘Exchange established by the State or the Federal Government.’ That is of course quite absurd, and the Court’s 21 pages of explanation make it no less so.”
“Yet the opinion continues, with no semblance of shame, that ‘it is also possible that the phrase refers to all Exchanges—both State and Federal.’ (Impossible possibility, thy name is an opinion on the Affordable Care Act!)”
“The Court’s next bit of interpretive jiggery-pokery involves other parts of the Act that purportedly presuppose the availability of tax credits on both federal and state Exchanges.”
“Much less is it our place to make everything come out right when Congress does not do its job properly. It is up to Congress to design its laws with care, and it is up to the people to hold them to account if they fail to carry out that responsibility.”
“The somersaults of statutory interpretation they have performed (‘penalty’ means tax, ‘further [Medicaid] payments to the State’ means only incremental Medicaid payments to the State, ‘established by the State’ means not established by the State) will be cited by litigants endlessly, to the confusion of honest jurisprudence. And the cases will publish forever the discouraging truth that the Supreme Court of the United States favors some laws over others, and is prepared to do whatever it takes to uphold and assist its favorites.”
Decreasing the number of uninsured is a key goal of the Affordable Care Act (ACA), which provides Medicaid coverage to many low-income individuals in states that expand and Marketplace subsidies for individuals below 400% of the poverty line. Baseline estimates show that over 41 million individuals were uninsured in 2013, prior to the start of the major ACA coverage provisions, and early evidence suggests that the ACA has reduced this number. This brief describes trends in coverage leading up to the ACA, reviews early estimates of the impact of the ACA on the uninsured, examines the characteristics of the uninsured population, and summarizes the access and financial implications of not having coverage.
Summary: Key Facts about the Uninsured Population
What was happening to the uninsured leading up to the ACA?
Trends in the uninsured have historically tracked economic conditions, with the number of uninsured people increasing during recessionary periods when people lost their jobs. Public programs provided a safety net during the Great Recession and prevented many from going uninsured. On the eve of the ACA, as the economy stabilized, coverage losses slowed. However, over 41 million people were still without coverage in 2013.
What has been happening to the uninsured under the ACA?
As of 2014, the ACA helps expand coverage to millions of currently uninsured people through the expansion of Medicaid eligibility and establishment of Health Insurance Marketplaces. The ACA also includes reforms to help people maintain coverage and make private insurance affordable and accessible. Early evidence on coverage in the first few months of 2014 indicates that the number of uninsured has declined since the availability of these new provisions.
Why are so many Americans uninsured?
The high cost of insurance has been the main reason why people go without coverage. In 2013, 61% of uninsured adults said the main reason they were uninsured was because the cost was too high or because they had lost their job. Many people do not have access to coverage through a job, and gaps in eligibility for public coverage in the past have left many without an affordable option. Even after ACA coverage expansions, Medicaid eligibility for adults remains limited in states that did not expand their programs.
Who are the uninsured?
Most of the uninsured are in low-income working families. In 2013, nearly 8 in 10 were in a family with a worker, and nearly 6 in 10 have family income below 200% of poverty. Reflecting the more limited availability of public coverage, adults have been more likely to be uninsured than children. People of color are at higher risk of being uninsured than non-Hispanic Whites.
How does the lack of insurance affect access to health care?
People without insurance coverage have worse access to care than people who are insured. Almost a third of uninsured adults in 2013 (30%) went without needed medical care due to cost. Studies repeatedly demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.
What are the financial implications of lack of coverage?
The uninsured often face unaffordable medical bills when they do seek care. In 2013, nearly 40% of uninsured adults said they had outstanding medical bills, and a fifth said they had medical bills that caused serious financial strain. These bills can quickly translate into medical debt since most of the uninsured have low or moderate incomes and have little, if any, savings.
What was happening to the uninsured leading up to the ACA?
The number of uninsured people steadily increased throughout most of the past decade due to decreasing employer sponsored insurance coverage and rising health care costs. The recent recession led to a steep increase in uninsured rates from 2008 to 2010 as a high jobless rate led millions to lose their employer sponsored coverage.1Medicaid and CHIP prevented steeper drops in insurance coverage, as many Americans became newly eligible for these programs when their income declined during the recession. From 2011 to 2013, uninsured rates dropped as the economy improved and early provisions expanding coverage under the ACA went into effect.
The share of the nonelderly population with employer-sponsored coverage declined steadily between 2000 and 2010, dropping nearly ten percentage points over the decade.2 In 2011, this trend ended as the share with employer-sponsored coverage held nearly constant at around 58% between 2011 and 2013. This break in trend was likely due to uptake of the ACA provision that allowed young adults to continue as dependents on parents’ private plans until age 26. It also reflects improving economic conditions. The unemployment rate peaked at 10.0 percent in October 2009. From 2010 on, the unemployment rate improved steadily, corresponding with a drop in the uninsured rate from 2010 to 2013 (Figure 1).
The share of people covered by Medicaid increased significantly during the recent recession due to the weak economy and loss of jobs, which led to declining family incomes and decreasing employer-sponsored coverage among families. Between 2007 and 2013, over 10 million people—primarily children—gained Medicaid coverage. These gains offset some of the loss of employer coverage over the period.
In 2013, the uninsured rate among nonelderly individuals was at 16.7%, a level comparable to pre-recession uninsured rates (Figure 1). Still, many uninsured individuals had been uninsured for long periods, often five years or more,3 indicating that their lack of coverage was related to forces outside the recession. With the major ACA coverage provisions going into effect in 2014, many are newly-insured.
What has been happening to the uninsured under the ACA?
Under the ACA, as of 2014, Medicaid coverage is expanded to nearly all adults with incomes at or below 138% of poverty in states that expand, and tax credits are available for people who purchase coverage through a health insurance Marketplace. Early data suggest that the ACA has helped expand coverage to millions of previously uninsured people, but some—particularly poor adults in states that do not expand Medicaid—are still left without affordable coverage.
As of mid-April 2014 (after the first open enrollment period), over 8 million people selected plans through the federal or state Marketplaces.4 The vast majority of Marketplace enrollees (85%) were eligible for premium tax credits. Many Marketplace enrollees are newly-insured. A survey of people with private non-group plans after open enrollment found that nearly six in ten (57 percent) of those with Marketplace coverage were uninsured prior to purchasing their current plan.5 Other data from insurers suggest a large increase in the individual market in the first quarter attributable to the ACA.6
Enrollment data also show that as of July 2014, Medicaid enrollment has grown by 8 million since the period before open enrollment (which started in October 2013).7 This growth is an increase of 14% in monthly Medicaid enrollment.8 Enrollment increases were higher (20%) among states that chose to expand Medicaid eligibility. These data suggest that Medicaid enrollment growth is related to ACA expansions.9
Early survey data suggest that the uninsured rate is falling. The early release of estimates from the first quarter (January through March) of the 2014 National Health Interview Survey indicates that the uninsured rate dropped for nonelderly individuals in the first quarter of 2014 by a full percentage point relative to the first quarter of the previous year.10 However, the NHIS early results were not likely to have captured most or all of the ACA’s effects, as many people enrolled in coverage after survey data were collected. NHIS early results also show that states that chose to expand Medicaid saw significant declines in uninsured rates among adults from 2013 to the first quarter of 2014 (Figure 2). States that did not choose to expand Medicaid did not see corresponding declines. Several private polls and surveys also indicate that the uninsured rate has been decreasing since the period prior to ACA open enrollment. While these surveys have different methodologies and often have high error margins that make point estimates unreliable, they are all in agreement that the uninsured rate has dropped in 2014.
Even with the availability of new coverage options, millions remain uninsured. Previous analyses show that many poor adults in states that do not expand Medicaid will continue to be at risk to be uninsured.11 People of color, people living in the South,12 and individuals living in rural areas are especially at risk to be left out of ACA coverage expansions.13
Why are so many Americans uninsured?
Insurance is expensive, and few people can afford to buy it on their own. Most Americans obtain health insurance coverage through an employer, but not all workers are offered employer-sponsored coverage. Also, not all who are offered coverage by an employer can afford their share of the premiums. Medicaid and the Children’s Health Insurance Program (CHIP) cover many low-income individuals, particularly children. However, Medicaid eligibility for adults remains limited in some states, and few people can afford to purchase coverage on their own without financial assistance.
Uninsured individuals report that cost poses a major barrier to purchasing coverage. In 2013, 61% of adults said that the main reason they are uninsured is either because the cost is too high or because they lost their job, compared to 1.7% who said they are uninsured because they do not need coverage (Figure 3). Under the ACA, financial assistance is available to help many uninsured people afford coverage.
Not all workers have access to coverage through their job. Most uninsured workers are self-employed or work for small firms where health benefits are less likely to be offered.14 Low-wage workers who are offered coverage often cannot afford their share of the premiums, especially for family coverage.15,16
Workers usually enroll in employer-sponsored health insurance if they are eligible.17 However, it has become increasingly difficult for many workers to afford coverage. In 2014, the average annual total cost of employer-sponsored family coverage was $16,834, and the worker’s share averaging $4,823 per year.18 Between 2004 and 2014, total premiums have increased by 69%, and the worker’s share has increased over 81%.19 Starting in 2015, under the ACA, employers with 50 or more workers will be penalized if they do not offer affordable coverage. As of 2014, the ACA provides Marketplace tax credits or Medicaid coverage for many employees without access to affordable employer-sponsored insurance.20
In 2013, over 51 million nonelderly individuals were covered by Medicaid and CHIP.21 Historically, Medicaid was only available to low-income children, parents, pregnant women, people with disabilities, and the elderly. While states have increasingly expanded eligibility for children over time, eligibility for parents remained much more limited before ACA coverage expansions.22
As of September 2014, 28 states are moving forward or will be moving forward with expanded Medicaid eligibility for most nonelderly individuals under 138% FPL.23 This expansion will fill in historical gaps in eligibility for public coverage. However, in states that do not expand their Medicaid programs, eligibility for adults remains limited: the median eligibility level for parents is just 47% of poverty, and adults without dependent children are ineligible in nearly all states not expanding.
Who are the Uninsured?
The majority of the uninsured are in low-income working families. Reflecting the more limited availability of public coverage, adults are more likely to be uninsured than children. People of color are at higher risk of being uninsured than non-Hispanic Whites.
Based on the most recent data that is available (which reflects coverage prior to the major ACA provisions), over six in ten of the uninsured have at least one full-time worker in their family, and 16% have a part-time worker in the family (Figure 4).
Individuals below poverty are at the highest risk of being uninsured, and this group accounted for 27% of all the uninsured in 2013 (the poverty level for a family of three was $19,530 in 2013). In total, almost nine in ten of the uninsured are in low- or moderate-income families, meaning they are below 400% of poverty (Figure 3).
While a plurality (46%) of the uninsured are White, non-Hispanic, people of color are at higher risk of being uninsured than White non-Hispanics. People of color make up 40% of the population but account for over half of the total uninsured population. The disparity in insurance coverage is especially high for Hispanics, who account for 19% of the total population but more than 30% of the uninsured population. Hispanics and non-Hispanic Blacks have significantly higher uninsured rates (25.6% and 17.3%, respectively) than Whites (11.7%).24
About eight in ten of the uninsured are U.S. citizens and 19.7% are non-citizens. Uninsured non-citizens include both lawfully present and undocumented immigrants. Undocumented immigrants and legal immigrants residing in the U.S. for less than five years are ineligible for federally funded health coverage.
Uninsured rates vary widely by state and by region, with individuals living in the South and West the most likely to be uninsured (Figure 5). This variation reflects different economic conditions, availability of employer-based coverage, demographics, and eligibility for public coverage.
How does the lack of insurance affect access to health care?
Almost a third of uninsured adults (30%) in 2013 went without needed care each year due to cost (Figure 5). Studies repeatedly demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.25, 26, 27, 28 Research also has suggested that insurance can decrease likelihood of depression and stress.29
Health providers can choose to not provide care to the uninsured. Only emergency departments are required by federal law to screen and stabilize all individuals. However, the uninsured are not necessarily more likely to use the emergency room than those with insurance.30 If the uninsured are unable to pay for care in full, they are often turned away when they seek follow-up care for urgent medical conditions.31
The uninsured receive less preventive care and recommended screenings than the insured. In 2013, only 1 in 3 uninsured adults (33%) reported a preventive visit with a physician in the last year, compared to 74% of adults with employer coverage and 67% of adults with Medicaid.32 Uninsured older adults (ages 50-64) were far less likely than their insured counterparts to report having been screened for cancer in the past five years.33
Receiving needed care is especially important for the uninsured since they are generally not as healthy as those with private coverage. The uninsured are at higher risk for preventable hospitalizations and for missed diagnoses of serious health conditions.34 After a chronic condition is diagnosed, they are less likely to receive follow-up care and as a result are more likely to have their health decline.35 Lack of follow-up attributed to being uninsured can delay the detection of certain cancers, which can result in adverse outcomes.36 It follows that the uninsured also have significantly higher mortality rates than those with insurance.37,38
The uninsured report higher rates of postponing care and forgoing needed care or prescriptions due to cost compared to those enrolled in Medicaid and other public programs (Figure 6). A seminal study of health insurance in Oregon found that the uninsured were less likely to receive care from a hospital or doctor than newly insured Medicaid enrollees.39A follow-up study found that newly insured Medicaid enrollees were much less likely to delay care because of costs than the uninsured.40
What are the financial implications of lack of coverage?
The uninsured often face unaffordable medical bills when they do seek care. These bills can quickly translate into medical debt since most of the uninsured have low or moderate incomes and have little, if any, savings.
Those without insurance for an entire year pay for one-fifth of their care out-of-pocket.41 They are typically billed for any care they receive, often paying higher charges than the insured.42
Medical bills can put great strain on the uninsured and threaten their physical and financial well-being. The uninsured are significantly more likely than individuals covered by employer coverage, non-group insurance or Medicaid to have trouble paying medical bills (Figure 7). Almost 40% of uninsured adults have outstanding medical bills.
A study based on the Oregon Health Insurance Experiment found that the uninsured were more likely to experience financial strain from medical bills and out-of-pocket expenses than those with Medicaid coverage. The uninsured were also more likely than the insured to have to postpone care because of costs.43
The uninsured live with the knowledge that they may not be able to afford to pay for their family’s medical care, which can cause anxiety and potentially lead them to delay or forgo care. Almost three-quarters (70%) of the uninsured are not confident that they can pay for the health care services they think they need, compared to 13% of those with employer coverage and 37% with Medicaid.44
The average uninsured household has no net assets.45 Without sufficient income or assets to pay their medical bills, uninsured individuals often see their debts accumulate while their credit ratings are compromised. Medical debts contribute to almost half of all bankruptcies in the United States.46
Over 41 million nonelderly individuals were uninsured in 2013. This figure represents the baseline against which most changes in the ACA will be measured. While we do not yet know the full effect of the major coverage provisions of the ACA, early evidence indicates that it is working to expand insurance to those who need it.
Going without coverage can have serious health consequences for the uninsured because they receive less preventive care, and delayed care often results in more serious illness requiring advanced treatment. Being uninsured also can have serious financial consequences. The ACA holds promise for many people who will gain access to health insurance coverage, but monitoring how coverage changes and who is left out of coverage expansions is also important.
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