Another Abortion
Record at Planned Parenthood: PPFA Tries to
Mask Crucial Role of Abortion to Its Mission and Bottom
Line
By Randall K. O'Bannon, Ph.D.
Recent public comments by Planned Parenthood (PPFA) that
abortion constitutes "only 3%" of its services radically
downplay the centrality of abortion to the group's
mission and mask abortion's enormous impact on the
organization's bottom line. This reported percentage,
touted relentlessly by PPFA president Cecile Richards,
fails to include ancillary services that may be sold
along with the abortion and ignores the fact that
abortion provides PPFA with a huge--and steady--stream
of revenue.
PPFA's most recent service report is a
perfect example. We learn that the nation's largest
abortion chain has again performed a record number of
abortions at its clinics, in the process raking in
millions of dollars.
According to the 2005 service report,
available at www.plannedparenthood.org/about-us/who-we-are/pp-services-5552.htm,
Planned Parenthood performed 264,943 abortions in 2005,
about 10,000 more than it did in 2004 (255,015) and
nearly double the number it did just 10 years ago
(139,899 in 1995). During that time, Planned Parenthood
"market share" has almost exactly doubled--from 10.3% of
all abortions done in the U.S. in 2005 to about 20.6%
today. [1]
On its web site and in public statements,
Planned Parenthood is increasingly attempting to
minimize the significance of this trend, claiming that
abortions constitute "only" 3% of services it performs
for clients. Planned Parenthood apparently obtains such
a figure by counting each pregnancy test, each packet of
pills it passes out, every test it does for sexually
transmitted diseases, etc., as a uniquely rendered
"service."
By this strained bookkeeping procedure,
PPFA obtains an overall figure of 10,112,642 "total
services." The 264,943 abortions reported by Planned
Parenthood comprise about 2.6% of that total, but this
is extremely misleading, as we shall demonstrate.
First, this counting obscures how several
of these non-abortion "services" may in fact be bundled
together and sold with the abortion. For example, if
every woman having an abortion first receives a
pregnancy test at the clinic to confirm her pregnancy,
the percentage of services directly associated with
abortion jumps to more than 5%.
If every aborting woman was also tested
for an STD, the figure becomes 7% to 8%. If she received
contraceptives as part of her "going home" package,
"services" obtained by the abortion-patient would
comprise perhaps 10% to 11%. Any other services sold to
the mother in the process of performing her abortion--a
breast exam, treatment for an STD, etc.--would push the
percentage even higher.
Planned Parenthood doesn't identify the
services that are part of its abortion package, but it
does admit in the service report that the 10 million
plus receiving services actually represent only
3,051,144 "unduplicated clients." In other words, though
there were 10 million services, there were only about
three million individual customers.
Considered against this backdrop, if we
make the commonsensical assumption that there weren't
substantial numbers of women obtaining multiple
abortions in a given calendar year, the 264,943
abortions Planned Parenthood reports represents not 3%,
but about 8.7% of the unduplicated clients that Planned
Parenthood saw in 2005.
There is one other dimension here that,
in the absence of further evidence, we cannot quantify.
According to the service report, 1,040,803 women came to
Planned Parenthood in 2005 to obtain a pregnancy test.
Assuming the availability of abortion
induces some women who thought they might be pregnant to
come to PPFA to purchase a pregnancy test and other
services. Even if they turned out not to be pregnant and
therefore didn't have an abortion, this means PPFA's
marketing of abortion generates more services (and
income) than simply that coming from the women who do
abort.
Second, even if
one does not consider the other services that often go
along with the abortion, the relative impact of abortion
alone compared to the rest of Planned Parenthood's
"services" on the corporation's overall revenue stream
is quite different.
While a pregnancy test or a pill packet
may cost a client $10 or $15, a standard suction
curettage abortion runs about $372. Even if, for
purposes of discussion, you count every abortion as a
first-trimester suction curettage abortion--and count
only the abortion and none of the rest of the bundled
services--this puts Planned Parenthood's abortion income
at least $98.5 million.
In truth, the real figure is certainly
much higher. This is so, not just because of the
additional related services, but also because we know
from their own advertisements that some Planned
Parenthood clinics also perform considerably more
expensive abortions performed later in pregnancy.
(According to the Alan Guttmacher
Institute, Planned Parenthood's think-tank, the average
cost of a surgical abortion at 16 weeks in 2001 was
$774. At 20 weeks, the price was $1,179.)
Income figures for 2005–06, normally
found in the group's annual report, were not available
by press time. However, reported figures for the 2004–05
fiscal year make clear how substantial a part abortion
is of Planned Parenthood's clinic business.
Even using the lowest estimate from
above, the minimum of $98.5 million from 264,943
abortions in 2005 would represent, not 3%, but 28.4% of
Planned Parenthood's $346.8 million clinic income for
2004–05. Hardly an inconsequential part of the business.
The dedication of Planned Parenthood to
abortion is, however, apparent in other ways. Against
264,943 abortions, Planned Parenthood saw just 12,548
prenatal clients. This means that it was 21 times more
likely that a pregnant woman coming into a Planned
Parenthood clinic would receive an abortion than receive
prenatal care.
In 2005, in its entire nationwide network
of over 860 clinics, Planned Parenthood saw just 248
infertility clients. Put another way, this means that
PPFA treated just one infertility patient for every
1,068 abortions it performed. Adoption services or
referrals aren't even mentioned.
Planned Parenthood talks about giving
women choices, but what is apparent from its latest
service report is how rarely Planned Parenthood's plans
involve parenthood, and just how often they involve
abortion.
Footnote
1. According to the Alan Guttmacher
Institute, there were 1,359,400 abortions performed in
the U.S. in 1995. Guttmacher's latest annual estimate
was 1,287,000 abortions for 2003.