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A6   U.S. NEWS
                     Friday 23 august 2019

            Money crunch after Planned Parenthood quits federal program



            By  LINDSAY  WHITEHURST                                                                                             control,  lifesaving  cancer
            and DAVID CRARY                                                                                                     screenings ... you name it,
            Associated Press                                                                                                    they  have  treated  me  for
            SALT  LAKE  CITY  (AP)  —                                                                                           it.”
            Planned Parenthood clinics                                                                                          Planned  Parenthood  said
            in several states are charg-                                                                                        it’s dedicated to maintain-
            ing  new  fees,  tapping  fi-                                                                                       ing  its  current  services  in
            nancial  reserves,  intensify-                                                                                      Utah,  but  CEO  Karrie  Gal-
            ing  fundraising  and  warn-                                                                                        loway  acknowledged  it
            ing  of  more  unintended                                                                                           won’t  be  easy  and  could
            pregnancies  and  sexually                                                                                          cause  some  “pain  on  all
            transmitted  diseases  after                                                                                        sides.”
            its  decision  to  quit  a  $260                                                                                    She  said  the  organization
            million  federal  family  plan-                                                                                     plans  to  lean  heavily  on
            ning  program  in  an  abor-                                                                                        donors  to  make  up  the
            tion dispute with the Trump                                                                                         funding  gap  while  staff
            administration.                                                                                                     members assess how they’ll
            The  fallout  is  especially                                                                                        cope. Among the possibili-
            intense  in  Utah,  where                                                                                           ties are instituting copays of
            Planned  Parenthood  has                                                                                            $10-$15 per visit, shortening
            been  the  only  provider                                                                                           hours and trimming spend-
            participating  in  the  nearly                                                                                      ing. She doesn’t plan to lay
            50-year-old  Title  X  family                                                                                       off  staff,  but  said  she  may
            planning program and will                                                                          Associated Press  not be able to fill jobs when
            now  lose  about  $2  million  Minnesota is in a similar situ-  by this denial of care,” said   participating  clinics  from  people leave or retire.
            yearly in federal funds that  ation, serving about 90% of  Sarah  Stoesz,  the  Minne-  referring  women  for  abor-  Minnesota is planning fees
            helped  39,000  mostly  low-  the  state’s  Title  X  patients,  sota-based  president  of   tions.                 as well.
            income, uninsured people.  and plans to start charging  Planned Parenthood North       Anti-abortion  activists  who  “We’ll continue to offer all
            It  plans  to  maintain  its  ser-  fees due to the loss of $2.6  Central States.      form a key part of President  services,  and  keep  clinic
            vices — which include con-   million in annual funding.   “It’s a very sad day for the   Donald Trump’s base have  doors  open,  but  we’ll  be
            traception, STD testing and  The  organization  is  con-  country.”                    been    campaigning     to  charging patients on a slid-
            cancer  screening  —  but  cerned  about  the  spread  Planned  Parenthood  and        “defund  Planned  Parent-    ing  scale  who  we  didn’t
            is  considering  charging  a  of unintended pregnancies  several    other   providers   hood.”  Among  its  varied  charge    before,”   Stoesz
            small  copay  for  patients  and  sexually  transmitted  withdrew from the program     services it is a major abor-  said.  “Vulnerable  people
            who  used  to  get  care  for  diseases.                  earlier this week rather than   tion  provider,  and  the  ac-  who  previously  were  able
            free.                        “We believe there will be a  comply with a newly imple-   tivists viewed the grants as  to access birth control and
            Planned    Parenthood    in  public health crisis created  mented  rule  prohibiting   an indirect subsidy.         STD  testing  for  free  will  no
                                                                                                   About  4  million  women  longer be able to do so.”
                                                                                                   are  served  nationwide  by  Elsewhere,  the  impact  of
                                                                                                   the  Title  X  program,  which  Planned   Parenthood’s
                                                                                                   makes  up  a  much  bigger  withdrawal  will  vary  from
                                                                                                   portion of Planned Parent-   state to state.
                                                                                                   hood’s patients than abor-   In the Deep South there will
                                                                                                   tion.  But  the  organization  be  little  impact  because
                                                                                                   said  it  could  not  abide  by  Planned  Parenthood  did
                                                                                                   the  abortion-referral  rules  not  provide  Title  X  servic-
                                                                                                   because it says they would  es  in  most  of  the  region’s
                                                                                                   make it impossible for doc-  states.   Governments   in
                                                                                                   tors to do their jobs.       some     Democratic-con-
                                                                                                   Misty  Dotson,  a  single  trolled states, including Ha-
                                                                                                   mother in Utah, started go-  waii,  Illinois,  New  York  and
                                                                                                   ing to Planned Parenthood  Vermont,  say  they  will  try
                                                                                                   as doctors’ bills for treating  to replace at least some of
                                                                                                   recurring  yeast  infections  the lost federal funding.
                                                                                                   mounted. The services be-    In Washington state, Dem-
                                                                                                   came  even  more  impor-     ocratic  Gov.  Jay  Inslee
                                                                                                   tant  when  she  gave  up  —  fresh  from  quitting  the
                                                                                                   her   employer-sponsored  presidential  campaign  —
                                                                                                   health  insurance  because  vowed  to  join  that  group
                                                                                                   she  couldn’t  afford  the  of states. His administration
                                                                                                   $500 monthly bill.           is pulling Washington out of
                                                                                                   She is unsure what she’d do  Title X because of the new
                                                                                                   if  the  family  planning  ser-  rule and will ask the Legis-
                                                                                                   vices she gets stop.         lature  to  make  up  for  the
                                                                                                   “It would put me in a very  $4 million in federal funding
                                                                                                   dangerous  position,”  said  that will be lost.
                                                                                                   Dotson,  who  works  as  an  “We  will  not  comply  with
                                                                                                   executive  assistant  for  an  their  dangerous,  uncon-
                                                                                                   accounting  and  consult-    stitutional,  illegal  rules,”  In-
                                                                                                   ing firm. “It covers so many  slee said Thursday. “We will
                                                                                                   things:  STD  testing,  emer-  make sure this health care
                                                                                                   gency contraception, birth  continues.”q
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