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The Religious Consultation on Population,
Reproductive Health and Ethics
Population Growth and Justice
By Rev. James B. Martin-Schramm
The following address was delivered on May 19, 1993
as part of the Panel on Religious and Ethical Perspectives on Population
Issues convened by the NGO Steering Committee at Prepcom II of the International
Conference on Population and Development at the United Nations.
Dr. Legare [of the Demography Department, University of Montreal and
Chair of the NGO Steering Committee], I want to begin by thanking the
NGO Steering Committee for the invitation and privilege to address the
UN delegates and NGO representatives who are attending this second preparatory
committee meeting for the 1994 UN International Conference on Population
and Development. I am honored to be serving on this panel with such distinguished
scholars as Dr. Maguire and Dr.
al-Hibri.
In my remarks today I would like to stress the importance of linking
population issues to matters of justice and injustice.1 I do
so because I believe that the theological image which best describes the
end or goal of Christian existence is the metaphor of justice as right
relationship with our Creator and God's creation.2
This centrality of justice is rooted in God's love for the world. That
is to say, God's love for all of creation confers an intrinsic value to
all of God's creatures and creations. It is this fundamental measure of
worth which serves as the foundation of justice.3 Justice understood
in this light is not simple "rendering to each their due," but is more
profoundly understood as "rendering to each their dignity as a creation
of God."
God shows us what this means. Throughout the Scriptures, God acts on
behalf of those who are poor and oppressed. It is precisely because God
loves all creation that God shows special attention to those who do not
live with the dignity that they deserve. Thus, the heart of justice in
Hebrew and Christian thought is the meeting of fundamental human needs.4
It is precisely because nearly half the world's population is being denied
their fundamental human needs and basic human dignity that we face the
prospect for ecological peril the likes of which the world has never seen.
This ecological jeopardy is grounded in an unjust distribution of wealth
and power between the affluent few and the numerous poor. Any effort to
redress this suffering means seeing the reciprocal relationship between
ecological integrity and social justice.
Differently said, I believe that population growth today springs forth
chiefly from poverty, which has its roots in injustice. Therefore, the
primary Christian response should constitute an attack upon poverty and
injustice. At the forefront of this effort must be the attempt to provide
basic human needs. This will necessitate substantial social reform, and
not just the path of Western economic development, since most conventional
courses of development have only served the middle and upper classes in
many developing countries. Alan Durning, citing Ghandi, rightly reminds
us that "true development puts first those that society puts last."5
The areas in which social reform is desperately needed include more equitable
distribution of land and income, improvement in access to education and
employment, the elimination of discrimination based on race or sex, and
substantial improvement in access to affordable housing, food, and health
care.
The Role of Women
For moral and practical reasons, however, the most important area of
social reform involves improvement in the lives of women. A wide variety
of studies indicates that when the status of women's lives improves, fertility
declines. As women have received adequate nutrition, proper sanitation,
access to basic health care, increased educational opportunities, and
equal rights, the fertility rate has dropped markedly.6
Christian communities must defend and strive to improve the lives of
women and all people in this process of social transformation. High on
the list must be the fundamental right to voluntary family planning. Currently,
approximately $4.5 billion is spent per year by governmental and non-governmental
organizations for family planning efforts.7 These funds provide
family planning services to only 30 percent of reproductive age people
in the developing world outside of China. Christian churches should join
others who are calling for universal access to family planning by the
end of the decade.8 The provision of such services is estimated
to cost $10 billion - a sheer bargain compared with Third World debt payments
of $125 billion and annual global military expenditures of $880 billion.9
In this process, pressure must be brought to bear on the US government
to resume its leadership through a substantial increase in support for
family planning programs. In addition, Vatican policies which proscribe
artificial means of contraception must be critically challenged in the
light of the effects of population growth on poverty and environmental
degradation. These "pro-life" policies are ambiguous at best since they
certainly contribute to an increase in unwanted pregnancies which have
a deleterious effect on the lives of poor women, their families, and the
environment.
This commitment to universal and voluntary family planning must serve
as the cornerstone of any population policy. Moreover, because women disproportionately
bear the costs and burdens of reproduction, women must ultimately judge
whether the programs of any population policy serve their needs. Ideally,
such programs will include access for women and men to an increasing variety
of contraceptive and birth control technologies, including legalized,
voluntary abortion. While contraception is certainly the morally preferred
means of birth control, the unjust treatment and exploitation of women
makes legal recourse to voluntary abortion necessary. In addition, legalizing
abortion would also make the procedure safer for the estimated 20 million
women who undergo an illegal abortion each year.10
Considering measures which seek to go beyond voluntary family planning,
the range of options between incentives, disincentives, and coercion should
be viewed on a spectrum between suspicion and derision.11 Of
paramount concern must be the potential impact these measures would have
upon the lives and dignity of poor women and their families. The use of
incentives like cash or consumer goods to promote family planning may
be morally justifiable, but only if the incentive offers a significant
gain in social or economic welfare and only if the recipient believes
he or she benefits in a substantial way. Disincentives, like taxation
schemes or the restriction of health, education, or medical benefits to
limit births, are substantially unjustifiable because of the unfair impact
these measures would have upon poor families and their children. The use
of coercive measures like compulsory abortion, sterilization, or adoption
is morally abhorrent.
Other measures to reduce fertility involve the alteration of social institutions
and the use of government administered programs affecting the distribution
of the right to bear children. Some have proposed altering the institution
of marriage by raising the minimum legal age. When substituted for social
reform aimed at improving the lives and choices of women, this proposal
would have a disastrous effect upon young women who currently have few
other options in life than marriage. Herman Daly and John Cobb have proposed
the governmental implementation of "transferable birth quota plans" which
would issue birth rights certificates to parents to sell or use as they
deem fit on an open market. One of the major flaws with their proposal,
however, is that if no attempt is made to level an unequal economic playing
field, the poor are left with the terrible option of having to sell their
fundamental right to bear children in order to purchase fundamental necessities
like food, clothing, and shelter.12
This brings me to the concluding portion of my remarks. The reality is
that, apart from the emphasis on improving the lives and moral agency
of women, much of what I have proposed is not new. Ethicists like Ronald
Green and Daniel Callahan were saying much the same thing nearly twenty
years ago and population growth has continued largely unabated. That does
not mean that the approach outlined above has failed; it has simply not
been tried.
Toward a Just Future
The truth is that the emphasis which has been placed on economic development
and the demographical transition theory, while it has had a limited effect,
has not produced substantial declines in global fertility and population
growth rates. The statistical gains that have been made are heavily skewed
by the results of China's controversial birth control program. When these
gains are excluded, there has been only a slight drop in fertility rates
in many parts of the developing world.13
This failure of what Garrett Hardin describes as "laissez-faire approach"
leads him to the following conclusion: "If the proposal (for population
control) might work, it isn't acceptable; if it is acceptable, it won't
work."14 In this pithy but highly dangerous maxim, Hardin has
defined the key tension between effectiveness and ethical acceptability.
This will only become more acute in the near future. In all likelihood,
most nations facing continued high rates of population growth will either
respond by flooding their people with contraceptives or by forcing their
people to participate in government managed birth control programs. In
both cases, the fundamental need for comprehensive social reform and substantial
improvement in the lives of women will be ignored - for such changes will
require a shift in the balance of social, economic, and political power.
As a result, the bulk of the consequences of population growth will fall
upon poor women and their families.
Christian communities, always mandated to side with the poor and disempowered,
must speak out on their behalf. Delegates to the 1994 UN International
Conference on Population and Development must be challenged to follow
this alternative approach which lifts up the needs of women and the poor
in its attempt to redistribute wealth and power, end discrimination, provide
for basic human needs, and open doors to education, employment, and health
care. While it is unreasonable to expect nations, or the Church for that
matter, to accomplish perfect justice, it is clear that a greater measure
of justice can be achieved, and that with its increase population growth
will decline.
I will also argue that this commitment to justice for the poor and improvement
in the lives of women represents the best way to insure the protection
of the common good. There are many who point to the increasing level of
environmental degradation caused by the sheer growth in human numbers
and the threat human population growth poses to other species and the
basic ecological systems of Earth. We must resist all attempts to pit
the welfare of countless poor human beings against the welfare of the
planet. The reality is that individual well-being and the common good
cannot be separated. In the words of one of my teachers, Beverly Harrison,
we "live and breath or die together."15
Legitimate concern for the common good must be re-focused upon the other
two variables which contribute to environmental degradation: harmful technology
and the level of affluence. The greatest threat to the common good continues
to be posed by the destructive consumption of the rich and not the meager
consumption of the poor. The growing ecological threat which population
growth does pose can only be resolved by redistributing wealth and power
and by providing for basic human needs. In Lester Brown's words:
We can no longer separate the future habitability of the planet
from the current distribution of wealth...[A] meaningful sustainable development
strategy anywhere must now embrace the satisfaction of basic human
needs everywhere.16
What we know for certain is that the entire world's population is going
to nearly double during the course of the lives of most people alive today,
with almost all of that growth occurring in the less developed world.
This means the exponential growth of suffering and misery among people
who are already hungry, ill, and poverty-stricken. The only question is
whether we will care enough about this increase in human suffering to
prevent it from reaching unprecedented levels. The consensus among policy-makers
and demographers is that decisions made during this decade will significantly
determine the rate and consequences of population growth. I believe that
Christian communities must find their voices and join with others in offering
this kind of moral leadership. In a world driven by values of wealth and
security, Christians must life up the value of justice and champion the
cause of the poor and disenfranchised in an attempt to meet the ethical
challenges posed by global population growth.
Notes:
1. In preparing this presentation, I have excerpted and modified portions
of my article entitled, "Population Growth, Poverty, and Environmental
Degradation," published in the journal Theology and Public Policy,
Vol. 4, no. 1, Summer 1992, pp. 26-38.
2. Beverly Harrison makes this claim in her essay, "The dream of a Common
Language: Towards a Normative Theory of Justice," Annual of the Society
of Christian Ethics, 1983, (Waterloo, Ontario: Council on the Study
of Religion, 1983), p. 4.
3. Daniel Maguire makes this important point in his book A New American
Justice, (San Francisco: Harper & Row, 1980), p. 58.
4. There has been some debate among Christian ethicists about whether
one should speak of basic human rights and corresponding responsibilities,
or whether it is more biblical to speak of basic Christian duties to meet
corresponding human needs. See James A. Nash, Loving Nature: Ecological
Integrity and Christian Responsibility, (Nashville: Abingdon Press,
1991, pp. 169-70) and Karen Lebacqz, Justice in an Unjust World,
(Minneapolis: Augsburg Press, 1987, pp. 105-106).
5. Alan Durning, Poverty and the Environment: Reversing the Downward
Spiral, (Washington, DC: Worldwatch Institute, Worldwatch Paper #92,
November 1989) p. 54.
6. See Nafis Sadik, Population Policies and Programmes: Lessons Learned
From Two Decades of Experience, (New York: UN Family Planning Association,
New York University Press, 1991) pp. 247, 267, 384.
7. Sandra Postel, "Denial in the Decisive Decade," State of the World
1992, (New York: W.W. Norton & Co., 1992) p. 3. Postel uses data
furnished by Nafis Sadik, The State of the World Population 1991,
(New York: UNFPA, 1991).
8. "Final Report of the Seventy-Seventh American Assembly," in Jessica
Tuchman Matthews, Preserving the Global Environment, (New York:
W.W. Norton & Co., 1991), p. 327.
9. Third World debt figure from Jessica Tuchman Matthews, Preserving
the Global Environment, p. 320. Global military expenditures figure
from Ruther Leger Sivard, World Military and Social Expenditures 1991,
(Leesburg, VA: WMSE Publications, 1991), p. 11.
10. Jodi L. Jacobson, "Coming to Grips with Abortion." State of the
World 1991, (New York: W.W. Norton & Company, 1991), p. 114.
11. For a more specific discussion of the types of incentives and disincentives
offered by nations, see Population Policies and Programmes: Lessons
Learned From Two Decades of Experience, Nafis Sadik (ed.), pp. 120-123;
see also Robert Veatch, "An Ethical Analysis of Population Policy Proposals,"
Population Policy and Ethics: The American Experience, (New York:
Irvington Publishers, 1977), pp. 445-475.
12. See Herman Daly and John Cobb, For the Common Good: Redirecting
the Economy Toward Community, the Environment, and a Sustainable Future,
(Boston: Beacon Press, 1989), pp. 236-251.
13. Robert S. McNamara, "Time Bomb or Myth: The Population Problem,"
Foreign Affairs, vol. 62, Summer 1984, p. 1112.
14. Garrett Hardin, "There is no Global Population Problem," The
Humanist, vol. 49, July/August 1989, p. 11.
15. Beverly Harrison, "The Dream of a Common Language: Towards a Normative
Theory of Justice," p. 14.
16. Lester Brown, "Launching the Environmental Revolution," State
of the World 1992, p. 181.
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