Right-wing media have been adamant that Planned Parenthood should not receive any government funding, even for programs that have nothing to do with abortion. But withholding health care funds from Planned Parenthood is the medical equivalent of cutting off your nose to spite your face, as evidenced by the defunded local affiliates whose HIV prevention programs have become far less -- or completely -- ineffective.
National HIV Testing Day -- on June 27 this year -- is a day to promote HIV testing, prevention, and education. While HIV is not limited to any one demographic, it is more highly concentrated in economically disadvantaged areas. HIV is also particularly prevalent in black, Hispanic/Latino, gay, and transgender communities. While 1.2 million people were living with HIV, 13 percent aren't aware of it. Prevention programs supported by federal grants help provide accessible HIV testing and public education and are critical to reducing new diagnosis rates each year. However, right-wing media’s insistence that Planned Parenthood should not receive funding to service HIV programs has resulted in fewer places for people to turn.
Right-wing media frequently call for eliminating all government funding to Planned Parenthood, pushing the myth that doing so wouldn't impact service provision. But in reality, Planned Parenthood provides a variety of medical services and is an important -- and sometimes the only -- resource for communities most impacted by HIV.
Earlier this month, The Texas Observer reported that Harris County -- which had the highest number of new HIV diagnoses in the state in 2014 -- hadn’t conducted any HIV tests since ending a nearly 30-year-old contract with Planned Parenthood in December. When announcing the contract termination, the Texas Department of State Health Services (DSHS) told lawmakers that it expects “healthcare to benefit from these changes.” Planned Parenthood had previously received $600,000 annually to provide “HIV screenings in the Houston area, including in Harris, Galveston, Brazoria, Fort Bend and Montgomery counties,” while “specifically tailoring” its services to reach populations in the “Harris County jail, local bars and nightclubs, and college campuses.” Yet since canceling Planned Parenthood’s contract, equal replacements have not been funded. For example, as the Observer reported, Harris County’s health department had received less than half of the amount previously allocated to Planned Parenthood and was “still in the planning stages for its [HIV prevention] program.” The disruption in Harris County’s HIV program is similar to the problem Texas officials created last year when they removed Planned Parenthood from the state’s Breast and Cervical Cancer Services program, leaving the Waco area without a provider.
Meanwhile, Ohio state officials may create a similar disruption in Stark County’s HIV prevention programs due to a new law that redirects $1.3 million in funding away from Planned Parenthood clinics to providers that don’t offer abortion. This law has a potential impact on all Planned Parenthood clinics, not just those that provide abortion, including a clinic in Stark County that has received state funding for HIV prevention “for decades.” In March, the Ohio Department of Health sent the Canton city health department a letter saying that because of the new law, it could no longer work with “agencies that promote or perform nontherapeutic abortions.” A federal judge has temporarily blocked implementation of the law, pending a lawsuit challenging its constitutionality. One of the findings in the judge’s order was:
Plaintiffs explain that only certified and trained HIV testers can provide testing under the HIV Prevention Program, and officials in Canton have reported that they have not been able to locate a replacement for [Planned Parenthood of Greater Ohio] under this program.
As The Repository reported, Canton health officials saw benefits to contracting with Planned Parenthood for HIV testing, specifically because people would feel comfortable going there for care:
Canton City Health Commissioner James Adams said the health department wants to test lots of people and reach diverse populations, and not everyone feels comfortable going to a governmental agency for testing. He said finding an agency that addresses a similar population to Planned Parenthood would pose a challenge.
Removing Planned Parenthood from programs for HIV testing already had disastrous results for Scott County, Indiana. In 2011, Indiana passed a bill to defund Planned Parenthood. As a result, five clinics closed, leaving Scott County without an HIV testing center during an exploding HIV crisis.
Right-wing media figures who advocate for cutting government funding to Planned Parenthood are ignoring the evidence that this country’s health care problems worsen as a result. When news outlets propagate misinformation about defunding Planned Parenthood, it doesn’t just impact those who seek abortion care, but also punishes the poorest and most marginalized communities in the country.