histroy of birth control arhp family planning
ARHP History
Intro | Birth of the
Organization (1963 to 1972)
The Early Years (1972 to 1981) | Evolution
(1981 to 1990)
Expansion (1990 to 1998)
| The Next Generation (1988
onward)
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"In a pluralistic society, the religious and moral beliefs of
those who regard abortion as preferable to compulsory childbearing deserve
the same respect as the beliefs of those to whom abortion is unacceptable.
We reaffirm our policy that states that "it is the right of every
woman to decide whether and when to bear a child."
-Dr. Richard M. Frank, AAPPP President, Letter to President Nixon, 1971.
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By the 1970s, abortion had become the most controversial issue related to birth
control. Advances made in family planning, including the advent of the intrauterine
device, new oral contraceptive formulations, and the testing of medroxyprogesterone
acetate (Depo-Provera), became overshadowed by the abortion debate. Congress
passed the Family Planning and Population Research Act of 1970, theoretically
ensuring the availability of family planning measures in the United States for
all who voluntarily request them. Although the 1973 Supreme Court decision on
Roe v. Wade guaranteed this right, the law would be sorely tested throughout
the coming years.
During these early years, the Association itself was undergoing its own tests
of strength. A financial crisis at Planned Parenthood meant that AAPPP had to
seek funding from outside the organization. This provided a catalyst for AAPPP's
move toward financial autonomy and semi-independence from Planned Parenthood.
The new relationship between them would become one of liaison and mutually beneficial
cooperation, with AAPPP's president sitting on the Planned Parenthood board
of directors, and the Planned Parenthood medical committee chair sitting on
AAPPP's board.
Taking the first step, AAPPP requested from Planned Parenthood an administrative
secretary, office space, telephone and office expenses for the conduct of the
Association's official business. This arrangement would be on a temporary, transitional
basis. Following two shorter-term employees, Ms. Reina Carbonero was hired in
1974 and provided administrative services for the Association until 1986. Ms.
Carbonero was responsible for keeping the Association accounts, which she organized
and disbursed with commendation from the executive committee. Fundraising plans
at this time included increasing membership dues and annual meeting registration
fees and, importantly, attracting more members.
In an effort to attract international members, in 1973, "American"
was dropped from the name of the association, and AAPPP became simply the Association
of Planned Parenthood Physicians (APPP). This change was promoted at an executive
committee meeting by Drs. George Langmyhr, who was the Planned Parenthood Medical
Committee chair and AAPPP executive secretary at the time, as well as by Dr.
Donald Minkler. In the discussion that followed, the question of whether AAPPP
should be an organization for all family planning professionals, including PhD.s,
or continue to be limited to physicians was raised.
By the 1970s, a particular group of health care providers had become increasingly
important in family planning services--nurse practitioners, Nurse practitioners,
having received specialty training, were no longer just physicians' aides; they
had become frontline providers of a number of reproductive healthcare services.
Although nurses had always been allowed to join the Association, they had not
been given full member status. The question of whether or not to change this
policy sparked heated debate within the organization. The feeling among a significant
number of APPP's members at that time was that only physicians could act as
leaders in the field of family planning, and the inclusion of nurses would dilute
the prestige of the Association and turn it into just another health care organization.
Over the years, their admittance was strongly supported by a number of executive
committee members, especially Drs. Betty Connell and Louise Tyrer. By the time
it became clear that the times had changed, and nurses were vital, even essential,
as full members of APPP, some physician members of APPP actually resigned in
protest. This would not happen, however, until 1981.