Let’s put birth control back on the agenda | Melinda Gates

Let’s put birth control back on the agenda | Melinda Gates


Today, I’d like to talk with you about something that should be
a totally uncontroversial topic. But, unfortunately,
it’s become incredibly controversial. This year, if you think about it, over a billion couples
will have sex with one another. Couples like this one, and this one, and this one, and, yes, even this one. (Laughter) And my idea is this — all these men and women
should be free to decide whether they do or do not
want to conceive a child. And they should be able to use
one of these birth control methods to act on their decision. Now, I think you’d have a hard time finding many people
who disagree with this idea. Over one billion people use birth control
without any hesitation at all. They want the power
to plan their own lives and to raise healthier, better educated
and more prosperous families. But, for an idea that is
so broadly accepted in private, birth control certainly generates
a lot of opposition in public. Some people think
when we talk about contraception that it’s code for abortion, which it’s not. Some people — let’s be honest — they’re uncomfortable with the topic
because it’s about sex. Some people worry that the real goal of family planning
is to control populations. These are all side issues that have attached themselves
to this core idea that men and women should be able to decide
when they want to have a child. And as a result, birth control has
almost completely and totally disappeared from the global health agenda. The victims of this paralysis
are the people of sub-Saharan Africa and South Asia. Here in Germany, the proportion of people
that use contraception is about 66 percent. That’s about what you’d expect. In El Salvador, very similar, 66 percent. Thailand, 64 percent. But let’s compare that to other places, like Uttar Pradesh,
one of the largest states in India. In fact, if Uttar Pradesh
was its own country, it would be the fifth largest
country in the world. Their contraception rate — 29 percent. Nigeria, the most populous
country in Africa, 10 percent. Chad, 2 percent. Let’s just take one country
in Africa, Senegal. Their rate is about 12 percent. But why is it so low? One reason is that the most popular
contraceptives are rarely available. Women in Africa will tell you
over and over again that what they prefer today
is an injectable. They get it in their arm —
and they go about four times a year, they have to get it every three months —
to get their injection. The reason women like it so much in Africa
is they can hide it from their husbands, who sometimes want a lot of children. The problem is every other time
a woman goes into a clinic in Senegal, that injection is stocked out. It’s stocked out 150 days out of the year. So can you imagine the situation — she walks all this way
to go get her injection. She leaves her field,
sometimes leaves her children, and it’s not there. And she doesn’t know
when it’s going to be available again. This is the same story
across the continent of Africa today. And so what we’ve created as a world
has become a life-and-death crisis. There are 100,000 women [per year]
who say they don’t want to be pregnant and they die in childbirth —
100,000 women a year. There are another 600,000 women [per year] who say they didn’t want to be pregnant
in the first place, and they give birth to a baby and her baby dies
in that first month of life. I know everyone wants to save
these mothers and these children. But somewhere along the way,
we got confused by our own conversation. And we stopped trying to save these lives. So if we’re going to make
progress on this issue, we have to be really clear
about what our agenda is. We’re not talking about abortion. We’re not talking
about population control. What I’m talking about is giving women
the power to save their lives, to save their children’s lives and to give their families
the best possible future. Now, as a world, there are lots of things we have to do
in the global health community if we want to make the world
better in the future — things like fight diseases. So many children today die of diarrhea,
as you heard earlier, and pneumonia. They kill literally
millions of children a year. We also need to help small farmers — farmers who plow
small plots of land in Africa — so that they can grow enough food
to feed their children. And we have to make sure that
children are educated around the world. But one of the simplest
and most transformative things we can do is to give everybody access
to birth control methods that almost all Germans have access to
and all Americans, at some point, they use these tools during their life. And I think as long as we’re really clear
about what our agenda is, there’s a global movement
waiting to happen and ready to get behind
this totally uncontroversial idea. When I grew up,
I grew up in a Catholic home. I still consider myself
a practicing Catholic. My mom’s great-uncle was a Jesuit priest. My great-aunt was a Dominican nun. She was a schoolteacher
and a principal her entire life. In fact, she’s the one who taught me
as a young girl how to read. I was very close to her. And I went to Catholic schools
for my entire childhood until I left home to go to university. In my high school, Ursuline Academy, the nuns made service and social justice
a high priority in the school. Today, in the [Gates] Foundation’s work, I believe I’m applying the lessons
that I learned in high school. So, in the tradition of Catholic scholars, the nuns also taught us
to question received teachings. And one of the teachings that we girls
and my peers questioned was is birth control really a sin? Because I think one of the reasons we have this huge discomfort
talking about contraception is this lingering concern that if we separate sex from reproduction,
we’re going to promote promiscuity. And I think that’s a reasonable question
to be asked about contraception — what is its impact on sexual morality? But, like most women, my decision about birth control
had nothing to do with promiscuity. I had a plan for my future.
I wanted to go to college. I studied really hard in college, and I was proud to be one of the very few
female computer science graduates at my university. I wanted to have a career,
so I went on to business school and I became one of the youngest
female executives at Microsoft. I still remember, though,
when I left my parents’ home to move across the country
to start this new job at Microsoft. They had sacrificed a lot
to give me five years of higher education. But they said, as I left home — and I literally went down the front steps,
down the porch at home — and they said, “Even though you’ve had
this great education, if you decide to get married
and have kids right away, that’s OK by us, too.” They wanted me to do the thing
that would make me the very happiest. I was free to decide what that would be. It was an amazing feeling. In fact, I did want to have kids — but I wanted to have them
when I was ready. And so now, Bill and I have three. And when our eldest daughter was born, we weren’t, I would say,
exactly sure how to be great parents. Maybe some of you know that feeling. And so we waited a little while
before we had our second child. And it’s no accident
that we have three children that are spaced three years apart. Now, as a mother, what do I want
the very most for my children? I want them to feel the way I did — like they can do anything
they want to do in life. And so, what has struck me as I’ve travelled the last decade
for the foundation around the world is that all women want that same thing. Last year, I was in Nairobi, in the slums,
in one called Korogocho — which literally means when translated,
“standing shoulder to shoulder.” And I spoke with this women’s group
that’s pictured here. And the women talked very openly
about their family life in the slums, what it was like. And they talked quite intimately
about what they did for birth control. Marianne, in the center of the screen
in the red sweater, she summed up that entire
two-hour conversation in a phrase that I will never forget. She said, “I want to bring
every good thing to this child before I have another.” And I thought — that’s it. That’s universal. We all want to bring
every good thing to our children. But what’s not universal is our ability
to provide every good thing. So many women suffer
from domestic violence. And they can’t even
broach the subject of contraception, even inside their own marriage. There are many women
who lack basic education. Even many of the women
who do have knowledge and do have power don’t have access to contraceptives. For 250 years, parents around the world have been deciding
to have smaller families. This trend has been steady
for a quarter of a millennium, across cultures and across geographies, with the glaring exception
of sub-Saharan Africa and South Asia. The French started bringing down
their family size in the mid-1700s. And over the next 150 years,
this trend spread all across Europe. The surprising thing to me,
as I learned this history, was that it spread not along socioeconomic
lines but around cultural lines. People who spoke the same language
made that change as a group. They made the same choice
for their family, whether they were rich
or whether they were poor. The reason that trend
toward smaller families spread was that this whole way
was driven by an idea — the idea that couples
can exercise conscious control over how many children they have. This is a very powerful idea. It means that parents have
the ability to affect the future, not just accept it as it is. In France, the average family size
went down every decade for 150 years in a row
until it stabilized. It took so long back then because
the contraceptives weren’t that good. In Germany, this transition started
in the 1880s, and it took just 50 years for family size
to stabilize in this country. And in Asia and Latin America,
the transition started in the 1960s, and it happened much faster
because of modern contraception. I think, as we go through this history,
it’s important to pause for a moment and to remember why this has become
such a contentious issue. It’s because some family planning programs resorted to unfortunate incentives
and coercive policies. For instance, in the 1960s, India
adopted very specific numeric targets and they paid women to accept
having an IUD placed in their bodies. Now, Indian women were
really smart in this situation. When they went to get an IUD inserted,
they got paid six rupees. And so what did they do? They waited a few hours or a few days, and they went to another service provider
and had the IUD removed for one rupee. For decades in the United States, African-American women
were sterilized without their consent. The procedure was so common it became known as
the Mississippi appendectomy — a tragic chapter in my country’s history. And as recently as the 1990s, in Peru, women from the Andes region
were given anesthesia and they were sterilized
without their knowledge. The most startling thing about this is that these coercive policies
weren’t even needed. They were carried out in places where parents already
wanted to lower their family size. Because in region after region,
again and again, parents have wanted
to have smaller families. There’s no reason to believe that African women
have innately different desires. Given the option,
they will have fewer children. The question is: will we invest in helping
all women get what they want now? Or, are we going to condemn them
to some century-long struggle, as if this was still revolutionary France and the best method
was coitus interruptus? Empowering parents —
it doesn’t need justification. But here’s the thing — our desire
to bring every good thing to our children is a force for good throughout the world. It’s what propels societies forward. In that same slum in Nairobi,
I met a young businesswoman, and she was making backpacks
out of her home. She and her young kids
would go to the local jeans factory and collect scraps of denim. She’d create these backpacks
and resell them. And when I talked with her,
she had three children, and I asked her about her family. And she said she and her husband decided that they wanted to stop
having children after their third one. And so when I asked her why,
she simply said, “Well, because I couldn’t run
my business if I had another child.” And she explained the income
that she was getting out of her business afforded her to be able to give
an education to all three of her children. She was incredibly optimistic
about her family’s future. This is the same mental calculus that hundreds of millions
of men and women have gone through. And evidence proves
that they have it exactly right. They are able to give their children
more opportunities by exercising control
over when they have them. In Bangladesh, there’s a district called Matlab. It’s where researchers have collected data
on over 180,000 inhabitants since 1963. In the global health community, we like to say it’s one of the longest
pieces of research that’s been running. We have so many great health statistics. In one of the studies, what did they do? Half the villagers
were chosen to get contraceptives. They got education
and access to contraception. Twenty years later,
following those villages, what we learned is that they had a better
quality of life than their neighbors. The families were healthier. The women were less likely
to die in childbirth. Their children were less likely
to die in the first thirty days of life. The children were better nourished. The families were also wealthier. The adult women’s wages were higher. Households had more assets —
things like livestock or land or savings. Finally, their sons and daughters
had more schooling. So when you multiply these types
of effects over millions of families, the product can be large-scale
economic development. People talk about the Asian
economic miracle of the 1980s — but it wasn’t really a miracle. One of the leading causes
of economic growth across that region was this cultural trend
towards smaller families. Sweeping changes start
at the individual family level — the family making a decision
about what’s best for their children. When they make that change
and that decision, those become sweeping
regional and national trends. When families in sub-Saharan Africa
are given the opportunity to make those decisions for themselves, I think it will help spark
a virtuous cycle of development in communities across the continent. We can help poor families
build a better future. We can insist that all people
have the opportunity to learn about contraceptives and have access
to the full variety of methods. I think the goal here is really clear: universal access to birth control
that women want. And for that to happen, it means that
both rich and poor governments alike must make contraception a total priority. We can do our part,
in this room and globally, by talking about the hundreds
of millions of families that don’t have access
to contraception today and what it would do to change
their lives if they did have access. I think if Marianne
and the members of her women’s group can talk about this openly and have this discussion
out amongst themselves and in public, we can, too. And we need to start now. Because like Marianne, we all want
to bring every good thing to our children. And where is the controversy in that? Thank you. (Applause) Chris Anderson: Thank you. I have some questions for Melinda. (Applause ends) Thank you for your courage
and everything else. So, Melinda, in the last few years I’ve heard a lot of smart people
say something to the effect of, “We don’t need to worry
about the population issue anymore. Family sizes are coming down
naturally all over the world. We’re going to peak
at nine or 10 billion. And that’s it.” Are they wrong? Melinda Gates: If you look
at the statistics across Africa, they are wrong. And I think we need to look at it,
though, from a different lens. We need to look at it
from the ground upwards. I think that’s one of the reasons
we got ourselves in so much trouble on this issue of contraception. We looked at it from top down and said we want to have different
population numbers over time. Yes, we care about the planet.
Yes, we need to make the right choices. But the choices have to be made
at the family level. And it’s only by giving people access
and letting them choose what to do that you get those sweeping changes
that we have seen globally — except for sub-Saharan Africa and those
places in South Asia and Afghanistan. CA: Some people on the right in America and in many conservative cultures
around the world might say something like this: “It’s all very well to talk about saving
lives and empowering women and so on. But, sex is sacred. What you’re proposing
is going to increase the likelihood that lots of sex happens outside marriage. And that is wrong.” What would you say to them? MG: I would say
that sex is absolutely sacred. And it’s sacred in Germany,
and it’s sacred in the United States, and it’s sacred in France
and so many places around the world. And the fact that 98 percent of women
in my country who are sexually experienced say they use birth control
doesn’t make sex any less sacred. It just means that they’re getting
to make choices about their lives. And I think in that choice, we’re also honoring
the sacredness of the family and the sacredness of the mother’s life and the childrens’ lives
by saving their lives. To me, that’s incredibly sacred, too. CA: So what is your foundation
doing to promote this issue? And what could people here
and people listening on the web — what would you like them to do? MG: I would say this —
join the conversation. We’ve listed the website up here.
Join the conversation. Tell your story about how contraception
has either changed your life or somebody’s life that you know. And say that you’re for this. We need a groundswell
of people saying, “This makes sense. We’ve got to give all women access —
no matter where they live.” And one of the things
that we’re going to do is do a large event July 11 in London, with a whole host of countries,
a whole host of African nations, to all say we’re putting this back
on the global health agenda. We’re going to commit resources to it, and we’re going to do planning
from the bottom up with governments to make sure that women are educated — so that if they
want the tool, they have it, and that they have
lots of options available either through
their local healthcare worker or their local community rural clinic. CA: Melinda, I’m guessing that some
of those nuns who taught you at school are going to see
this TED Talk at some point. Are they going to be horrified,
or are they cheering you on? MG: I know they’re going
to see the TED Talk because they know that I’m doing it
and I plan to send it to them. And, you know, the nuns who taught me
were incredibly progressive. I hope that they’ll be very proud of me for living out what they taught us
about social justice and service. I have come to feel
incredibly passionate about this issue because of what I’ve seen
in the developing world. And for me, this topic
has become very close to heart because you meet these women
and they are so often voiceless. And yet they shouldn’t be — they should have a voice,
they should have access. And so I hope they’ll feel that I’m living out
what I’ve learned from them and from the decades of work
that I’ve already done at the foundation. CA: So, you and your team brought together
today an amazing group of speakers to whom we’re all grateful. Did you learn anything? (Laughter) MG: Oh my gosh, I learned so many things.
I have so many follow-up questions. And I think a lot
of this work is a journey. You heard the discussion
about the journey through energy, or the journey through social design, or the journey in the coming and saying, “Why aren’t there any women
on this platform?” And I think for all of us who work
on these development issues, you learn by talking to other people. You learn by doing.
You learn by trying and making mistakes. And it’s the questions you ask. Sometimes it’s the questions you ask
that helps lead to the answer the next person
that can help you answer it. So I have lots of questions
for the panelists from today. And I thought it was just an amazing day. CA: Melinda, thank you for inviting
all of us on this journey with you. Thank you so much.
MG: Great. Thanks, Chris.

Comments

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    CoderDBF

    So many negative comments on this video! I think people don't quite understand what she's trying to say… It's not about population control, it's about quality of life instead of quantity. I'm surprised to see that this topic is still so sensitive for so many people… 🙁

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    Asher Lev

    MIT's poverty action lab concludes that contraception distribution schemes to the 3rd world don't lower fertility rates because the poor choose to have large families as an alternative form of social security to pensions & health insurance (which they lack) and because they already have sufficient provision of pills and condoms, which are cheap goods that even the market can supply adequately anyway.

    Ms Gates' claim that contraception has been taken off the policy table is ridiculous. Successive US Governments, including Bush & Nixon administrations, have poured billions into African contraception distribution, as have the UN. And it's all because rich white people retain the Sanger-esque desire for poor black people to stop breeding, even when the world fertility rate has reached essentially replacement rate (replacement TFR = 2.33 and as of 2011 global TFR = 2.45. Ignoring that those figures are closer in EFR, which takes account of Indo-Chinese gendercide, we're still expected to reach sub-replacement TFR in the next decade or so. Population growth, which will stop by about 2050, is a result of more generations coexisting since people are living longer; it isn't about people having too many kids).

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    Graeme Tucker

    Amazing that this woman wants couples to have the right to contraception, but not the right of males to decide if they want to keep their foreskin!  This woman is so keen on couples making contraception choices for themselves, but males in her mind are not nearly smart enough on their own to make their own choice on the look of their penis.  Why can't she apply the same principles she holds for contraception to circumcision?

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    YellowR0SEofTX

    Evil, evil, evil. This not from a religious point of view but from a standpoint of humanity that I say that If I ever saw a wolf in sheep's clothing it's this woman. Most of you ppl watching her mean well but Melinda Gates is not about what you think she is. She is sick and what she represents is sickening to the core. If only you knew…if only you knew.

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    Logical spartan

    I propose that the UN makes this their sole focus. Send armed groups all over the world and provide the contraceptives for free. If the men don't like it, kill them. Birth control or death. Love it. By the way I am NOT kidding.

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    Peter Dam

    I totally support her message. Birth control is incredibly important, and I'm surprised people think of it so negatively.

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    jccjccjoanne

    The host dude is kinda a jerk… I don't think he actually paid attention to her talk…
    It's a great talk, really. 

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    bary1234

    Free unlimited contraception must be available to all humans everywhere. Human overpopulation is devastating, and 40 percent of pregnancies are unplanned globally. That is pure insanity.

    Melinda Gates is one of the greatest humans in history, and we owe her so much for her good work in slowing down human overpopulation.

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    Davegaeth

    If humans want everyone to have a chance of satisfying basic needs and improve their quality of life, universal access to contraception must be made possible, in addition to empowerment of women, improved education, and access to safe drinking water and sanitation facilities.

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    Babbe Babbelito

    All these religious people saying that she's brainwashing the audience, well all I can say is that you have gotten pretty brainwashed yourself if you believe in a God 🙂

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    spriinkles1000

    I don't know why most conservatives/right wingers/ religious people are so against contraceptives.. News flash! They are good for people because they prevent unwanted pregnancies, saves tax payer money because there wont be so many unwanted babies who end up in the "system" whether it be food stamps, jail, foster homes etc. it also reduces abortions as well. If its your belief than fine don't use contraceptives, but who are you to decide what others should do with their bodies, all because your god says so. Maybe your god wouldn't like your ignorant ways of thinking or your judgmental ways, or the fact that you're all trying to make decisions for other people like you're all God… Smh

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    Arthur Heidt

    there will be 2 sides those who want to continue to behave like a cancer and get children into poverty and suffering and those who are against that and we will go to war against each other.

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    Ann Alejandro

    She is not up to date with her statistics on France. France has contracepted itself into "endangered nation" status; not enough French people are born to keep the "French" economy, culture, jobs, institutions, research, schools, businesses, hospitals, and State afloat. They went way beyond a zero sum growth status into a negative sum growth, and the government, alarmed that it has let too many non-assimilating immigrant groups in, has put in place big incentives for French couples to have a child in order to keep functioning as a French country. Also, all these nations in Africa and Asia, why do they not collect taxes to build free public schools for all their citizens? Why does any society simply accept the fact that so much of its population will not be educated, knowing that education is key to ending poverty. I think any of us who wants to help the world needs to be very careful not to try to eliminate poverty by eliminating poor people, because someone somewhere (Margaret Sanger) always ends up crossing that line. We have to be sure that WE don't end up controlling anyone's bodies. Anyway, her foundation has enough money to supply every clinic in sub-Saharan Africa and Asia with plenty of contraceptives to give to women who want them. Microsoft has an economy worth more than–what is it, like 93% of the economic worth of all the countries on earth? Something astonishingly huge.
    And for those of you who ask What about a shot for the MEN–it's cultural, linking # of children with proof of virulence. Men who live by cultural myth instead of actual education still hold onto this belief. Of course the wives want their contraception secret.

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    bug5654

    Without referencing anything other than the speech (in order they are mentioned):
    1. Husbands who want kids have no rights whatsoever?  Obviously if they don't know about the injection, but if they want to have legitimate kids in marriage as mentioned, they then don't have the information to divorce if the woman is so cowardly as to hide her injections but wants to stay married to a guy who wants kids?  Seems more than a bit selfish.
    2.She asks the question about sexual immorality, but swiftly moves on to another topic.
    3. When she mentions MatLab(sp?), she even mentions other confounding variables (education, etc.)
    4. Uses the word 'causes,' in regards to Asia's growth spurt.  Statistically, I highly doubt that can be shown, due to how hard that is to show.
    5. 2015, website is 404'd.

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    CityOf Angels

    This woman has joined the Jews in their depopulation programme and poisoning them with their vaccines…this woman has sold to pure evil and the anti Christ jew

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    timcoote

    The good news, according to Hans Rosling's presentation on the impact of religion on fertility, is that the crowd wisdom of women is working. We don't even need to get too concerned about political opposition from moral conservatives, even religious ones. 'Only' poverty holding back women getting control of their lives.

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    Bill Green

    Why would a woman who is obviously intelligent want to associate herself with any religion let alone Catholicism especially as by using birth control she is going against one of the main teaching of that religion. Bizarre.

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    Ashton Tacey

    Women have a right to their body and their choices that regard their body. It astounds me that birth control is not more readily available for women. There is a long process that women must go through in order to receive the type of contraceptives they want. Also, it makes me sad to know that women in rural areas of the world do not even have access to contraceptives for most of the year.. This creates unwanted pregnancies and distress among those women. Women should be able to decide when they are ready to have children. They should not have them due to default.

    It is appalling that in the United States African American women were sterilized without consent. This type of thing should never happen to anyone. It is a painful procedure and it is unethical without consent.

    Lastly, with control over when a person has children and how many they want to have, a woman can provide a better lifestyle and education for her children (or child). Control is key in this scenario. We need to make contraceptives for women more accessible and affordable, without the hassle of waiting months to schedule an appointment with a doctor and without running into troubles with "out of stock" order.

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    andrew H

    how about teaching your kids to stop sleeping around? how about boycotting the media that tells you to spend more money than you can afford, drink more than your body can take, and making babies that you can not support. nah we gotta party and let the scientist do the population control.

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    LadyTam Tam

    Yes millions of children die every year due to vaccines.. something Melinda and Bill Gates enforce!! Have you looked into how so many people including women are dying in these third world countries.. slums as she called it..

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    Tyler Kwapis

    Although I understand the controversy about the financial aspects of this issue, the moral value of using contraceptives is justifiable. To be clear, I will not be arguing the religious morals of using contraceptives, but will be instead viewing this "issue" through an ethical and moral lens. The greatest power we have as human beings is that of liberty, of autonomy. The ability to choose the way we go about life is so core to our nature, that when we are stripped of it we no longer become human beings.

    Utilitarianism is defined as doing the greatest good for the greatest number of people. This definition is meant to be read in that order, and is often overlooked. Most people believe that the greatest number of people trump the greatest good. However, in the case of contraceptives, we can satisfy both of these conditions. We can achieve the greatest good in two ways. First, contraceptives provide families to have their autonomy, and their liberty to choose when to or not have a child. Second, we can save lives, the greatest good, of mothers and children as Melinda stated in her speech. This is truly a two birds, one stone scenario.

    We can also satisfy the greatest number of people by making contraceptives universally accessible. We can improve the happiness of millions of people, while limiting unwanted pregnancies, abortions, and deaths of mothers or children, as stated previously. The benefit of a preventive care approach can be seen clearly in this example of contraceptives. Although it costs money, and yes it would cost taxpayers money, we could save millions of dollars by offering contraceptives instead of performing abortions or births of unwanted children.

    All in all, the moral idea of universal contraceptive access is brilliant, and is a win-win scenario for all parties involved. Although I understand that the root of all problems of money, I believe that everyone can agree that if we had all the money in the world, that universal access to contraceptives would be ethical, moral, and just.

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    Madden Master

    Most – countries have compassion and feed and help illegals immigrants …babies babies babies..let us keep breeding ..Over population..sterilize the masses // If u want to keep illegals out of your country… Send them back only once ..and explain the law to keep out or die!! And if they return illegal..well delete them and post a sign on their body what they did wrong and return the dead body to where ever they came from ..period.. Shot to kill anyone crossing border into your country. Your country is like your home ..u work hard for all it`s benefits and proud of it..keep it beautiful and nice..for U and it`s citizens to enjoy..Practice sterilization and adopted .. Over population is a down fall of humans of this small green planet

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    MsScruffy4

    Availability of birth control- yes. But- it all depends on the actual consequences of children —- a cost or a benefit to family
    survival. In the USA the middle class sees kids as a cost. Thus – less than 2 on average. Cultural suicide.
    Welfare – more children, more money. Ironically the only thing that will work is the guaranteed annual income. It is cheaper than tons of programs – AND IT MAKES MORE KIDS A "COST". FEWER KIDS — MORE MONEY. THIS WORKS.

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    luke dawson

    Why bother with Africa? With an average IQ of 70, there's not a lot you can do. The best thing is to go and set up major companies there to give people employment,. Forget about all this crap – it's a waste of time and money.

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    mose Z

    political correct is ruining your brains dudes. pls focus on what the speaker says but not those plausible but actually groundless connections

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    Tish Smiddy

    Condoms should be a given but look at the sales for the day after pill that blows my mind …
    Proper hygiene should be explained…

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    Lee Walsh

    I wonder do people realise why the Catholic Church teaches against contraception? The following excerpt from Humanae Vitae written 50 years ago proves to be prophetic regarding the demise of the West. :

    Consequences of Artificial Methods

    17. Responsible men can become more deeply convinced of the truth of the doctrine laid down by the Church on this issue if they reflect on the consequences of methods and plans for artificial birth control. Let them first consider how easily this course of action could open wide the way for marital infidelity and a general lowering of moral standards. Not much experience is needed to be fully aware of human weakness and to understand that human beings—and especially the young, who are so exposed to temptation—need incentives to keep the moral law, and it is an evil thing to make it easy for them to break that law. Another effect that gives cause for alarm is that a man who grows accustomed to the use of contraceptive methods may forget the reverence due to a woman, and, disregarding her physical and emotional equilibrium, reduce her to being a mere instrument for the satisfaction of his own desires, no longer considering her as his partner whom he should surround with care and affection.

    Finally, careful consideration should be given to the danger of this power passing into the hands of those public authorities who care little for the precepts of the moral law. Who will blame a government which in its attempt to resolve the problems affecting an entire country resorts to the same measures as are regarded as lawful by married people in the solution of a particular family difficulty? Who will prevent public authorities from favoring those contraceptive methods which they consider more effective? Should they regard this as necessary, they may even impose their use on everyone. It could well happen, therefore, that when people, either individually or in family or social life, experience the inherent difficulties of the divine law and are determined to avoid them, they may give into the hands of public authorities the power to intervene in the most personal and intimate responsibility of husband and wife.

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    Remy LeBae

    Eugenics has been in this country's history for over a hundred years. Birth Control has been around for just as long. So to say that birth control is an alternative to Eugenics is a lie. Forced sterilization was in effect up until the 70's, while birth control was widely used and accepted. Birth control only furthers the depopulation agenda in a more humane way, as opposed to forcing 13 year olds to get their tubes tied as the case with Elaine Riddick.

    And these poor liberals don't even realized they're furthering the agenda and thinking it's their own original thought.

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    A.S.K

    If men are the one giving birth, it will quickly erase all issues since mostly men wrote holy books and run churches/religious institutions. Abortion and contraceptives would be legal & easily available everytime their hormones are flowing too much if they're the one suffering pregnancy, birth complications & even risk of death.

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    Alix Mordant

    CONTRACEPTIVES SHOULD BE A HUMAN RIGHT! They should be for free and easily available everywhere in the world. (Disclosure: I'm a white leftist, anti-nativist, internationalist)
    Some people may criticize that a white, immensely wealthy and educated woman is talking about the availability of contraceptives in Africa and parts of South Asia. Well, you're right, I would have preferred a woman from one of these regions to talk about that problem. However, that doesn't mean that those women don't exist or that Mrs Gates is wrong. I'm not a worshiper of the rich, I'm a "lefty" who wants drastic change in our economic and social system. I consider the wealth gap, extreme inequality, one of the biggest problems of our time and Mrs Gates is part of that problem (I appreciate her philanthropy but it can never be a replacement for a fair social system). However, even a broken clock is right twice a day, and so is Mrs Gates here.
    Also, the audience is mostly white – it was filmed in Germany – while the talk is mostly about Africa and parts of South Asia. Well, again, there is a point. But I assume, Mrs Gates hopes to raise money for her projects to help poor women in countries where the state either can't or won't help them in their need. Therefore, I think we shouldn't be too dogmatic.

    I'm white and German, I never wanted kids. Other white women want kids, but would like to wait some time, to finish school, university or hope to find a job. Or they want to have two, three children, not six, eight or more, as would be easily possible without modern birth control (as proven by historical birthrates in Europe). If those white women wouldn't have access to contraceptives, the right to decide about their own life, about their own future would have been denied to them. I would consider that a disgrace, a sign that something is wrong with our civilization.

    And Westerners who argue that women in Africa and South Asia "just have a different mindset" have to come clear about their agenda. The idea of the "primitive mind" – that is racist! There are people who want to have a large family on all continents – and on all continents are lots of people who like to have small families. Forcing people to have a small family is a crime – but so is forcing them to have a large family against their will.

    Calling people who advocate for free, easily available contraceptives all over the world, including Africa and South Asia (where most women live who are denied access to them, denied their human right of agency and dignity), racists or eugenicists is slander!!

    I dare say, people who voice those opinions are either: a.) incredible naively regurgitating a dogma or their knee-jerk reaction hinders them from thinking the issue through, b.) have an extreme anti-contraceptives agenda that does not take human suffering or needs into consideration (and there are powerful organisations behind those efforts, google 'contraceptives Philippines Catholic Church'), d.) or disregard what they see as a "women's" issue; they may even think that women's rights have little importance compared with what they see as "the real problems" (that argument is most often voiced by men).

    Are there other important problems in the world? Are there other problems afflicting Africa and South Asia? Oh yes, big, big ones. Is the blame on the West and Capitalism (including – from colonial times on – wars, exploitation, support for corrupt regimes, interference in elections, weapon sales, unfair trade, unfair distribution of wealth, debts…)? An emphatic yes.

    But two wrongs don't make a right – Women shouldn't suffer and be forced to waste their one, unique life in poverty. Men shouldn't live in poverty because they have to support a huge family, either. Children shouldn't grow up in abject poverty just because their parents had no choice, couldn't plan how many children they want. Should the West make amends and work on the other issues that I just mentioned? Absolutely. Cancel the debt immediately, no more mingling, no more weapon sales, fair trade – just for starters. And Capitalism is in itself a huge problem, for social-economic and ecological reasons. But that doesn't make the availability of contraceptives in Africa and South Asia less of an issue.

    Conclusion: CONTRACEPTIVES SHOULD BE A HUMAN RIGHT!

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    Cait S

    You are both sick monster eugenecists just like Bill Gates's Dad…you showed all non white people as examples….real obvious…India is suing you for experimenting on and harming young girls with the HPV vaccine

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    kyoto tinoco

    Probably she haven't read all about forced sterilization. Since the origins of "cooperation" many international organizations give Aid to poor and developing countries giving them some baselines/constraints. Among this ones there was the promotion of family control policies. These international organizations have funded these genocides! Especially the United States Agency for International Development (USAID) and UNFPA. You can find some informations in this article: https://www.theguardian.com/commentisfree/cifamerica/2011/jun/17/peru-sterilisation-compensation. Look for informations! Behind this kind of policies there is Malthusian theories. Is real not theories of conspiration! This is the controversial part! It is necessary to be sure that this kind of things never happens againg designing carefully all the control mechanism for this kind of projects!

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    Raj Srivastav

    PEOPLE WAKE UP ! THE GATES FOUNDATION IS STERILIZING THE THIRD WORLD THROUGH VACCINATIONS WITHOUT THEIR CONSENT….IF YOU BELIEVE THESE PEOPLE ARE SAVING THE WORLD CONGRATULATIONS YOU HAVE FALLEN FOR THEIR PROPAGANDA ! THEY HAVE NO LOVE FOR US…….THEY AIM TO GET THE POPULATION TO 1 BILLION……..HOW DO YOU THINK THEY WILL MAKE THAT HAPPEN ? GMO FOODS WHICH STERILIZE THE POPULATION SLOWLY, VACCINES……RELEASING VIRUSES INTO THE MASSES TO KILL THOUSANDS ETC ETC………..BILL GATES FUNDS MONSANTO ! DO NOT FORGET THAT!

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    Janine Anderson

    Birth rates in sub saharan Africa are out of control in comparison to many other countries across the world. At the same time many governments are not prepared for this type of growth. You also see the rest of the world including the Americas and Europe having to be "sympathetic" to migration issues. Controlling your fertility whether you are a man or woman should be a basic human right across the world. She is providing a common sense solution to a problem that plagues this planet. Kudos to you Melinda Gates!

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    αγησιλαος μυρτιλος

    who wants to hear their parents,telling them those things,i sacrificed my life to raise you,i have been working my whole life,so that you have everything, people without children,they have really amazing experience and stories,and usally young people like them,also lets talk about those people from our media,to get to know the others.the problem is that west civilazation still uses the stereotype of family workers,as a prototype.until now people at the age of 55,60 men and women,that dont have any children, are being charactirized by social enviroment,as trash

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    αγησιλαος μυρτιλος

    https://www.youtube.com/watch?v=s6rJLXq1Re0&index=33&list=LLve9gzrjKbiY1G6scPreVLQ&t=0s This must be a global conversation,interracted all,to change human history for ever

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    Daisy Cocoa

    The real issue is countries that try to control 50% of their population by enslaving them in childcare. It is no accident that these brutal countries have no birth control. It is in their political plan and only they can change the course themselves.

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    Aziz Shabazz

    The reason why this is targeted to Africa is because European population replacement rates is in the negative. Where is your depopulation of China and India? China India and Europe is more crowded and have less land than Africa. Depopulate yourselves.

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    Aziz Shabazz

    The population of China 1.4 bill, India 1.35 bill..these are countries. Africa is a continent with enough land to sustain its people. Why Africa and not India and China. We all know why. Racists

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    Aneesh Prasobhan

    "Some people think that the real goal of family planning is population control " , well, remember the Ford and Rockefeller foundation trying to control India,China and Korea's populations from the 50's and 60's ? This is population control, and since African population prefers a male child, there will be a disproportionate number of Males in the future in Africa, just like India and China now. They will face a lot of issues due to this.

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    depena

    I don't mind the message, I do mind the messenger. She is a eugenics tool and so is her husband Pill Hates. They need to be sterilized before anyone else.

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    David S

    So many people don't realize that Melinda Gates is not talking about population control when she talks about contraception….Population control is Bills department and he says we can use vaccines for that.

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    LOLWTFSMHOMG

    Funny. Africans been on this earth for millions of years. And people that got here only about 20000 years ago want to tell them how things work. Insane. Depopulation is the agenda PERIOD

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    Melanin Cushitic

    look the people she introduces about Africa. The most uneducated and poorest. Yet, Africas resources are the resources which she and her husband dream about to access! Please African dont listen to her. Multiply Africans!

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    Jake Miller

    In third world countries they teach young women to use birth control – in western countries girls are told they will get paid for having babies

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    J Andrews

    There was a story about an African woman who had 42 children! Every time her husband looked sideways at her, she got pregnant with multiple babies, starting fro around age 12.
    Is this what you see as desirable?
    Where is the quality of life for her and her children? They live in abject poverty. Her husband couldn’t take any more and left.

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    Morgan k

    Most of Africa, South America and Asia has access to over the counter birth control, so her point is null. The white savior, imperialist colonial attitude completely is ignores the restrictive health care systems that take away access to birth control in western white countries.

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    zz z

    She is a bad person. Vaccineted people in poor countries, killing and paralyzing them. They are evil! Don't be fooled…

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    Francis Senyo

    Why are these whites telling our narratives through their secondary understanding of the African culture? What she speaks of is the exception not the rule in Africa, every where in the world today, there are poor people; aren't there slums in United States, United Kingdom, Europe? Are all women everywhere except Africa giving birth under planed circumstances? Don't go to a slum where they lack everything n make their story the rule for Africa, don't add to the stereotypes of Africa if u don't know Africa. I am not even from a privileged family and myself, siblings n almost 80percent of the people I grew up with had great education, has traveled the world n hv great jobs. The whole of Africa is not a village, it's made up of 54 countries. Don't go to a village in one country, come back and give a talk abt the whole of Africa, we r tired of ur narratives

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    King TravisSearles

    It can't be easy to be the wife of the wealthiest guy in the world! Who's like 100 years old and you're young & good looking?

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    King TravisSearles

    I agree that we don't want all the useless reproduction! You just have a bigger heart than me! My solution! A penis and a vigina make a baby! You have no food! Last warning!

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    thomas tomei

    WHY ARE NONE OF THE COUPLES WHITE, SHE SEEMS TO BE IMPLYING SHE DONT WANT THEM REPRODUCING .EUGENICS PEOPLE

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    Lineke L

    The world population exploded after they invented birth control! They started the habit of genital mutilation on girls and boys to reduce population! Something went wrong, someone inform the Gates how contraception works… they have children too! by the way, how is it going with the Epstein friends and kids? Turn the clock 500 years back, at that time Africa did not had any of the problems Gates mentioned. Her parents sacrificed a lot…. that I believe…. and she and Bill sacrificed a lot too….. a lot of children….. in sacred rituals….

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    Dan

    I respect her depopulation program wholeheartedly and her Georgia Guidestones. I too have helped fund GMO's, Monsanto, sterilisation vaccines, flouridated tap water and university run heavy-metal stratospheric research programs to cull the masses. I know many people who wish to dedicate their life to freemasonry and the grand architect Lucifer's wet dream of making heaven on earth by removing people

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    FWRD seven

    She, like her husband, are part of the satanic cult that controls the world. They are all psychopaths. Let that sink in.

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    AlyssaIsAwkward

    I wish s*x and wanting children weren't so connected. Some people don't want children , but still want to have s*x

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    AlyssaIsAwkward

    If birth control was provided in poor countries, people wouldn't have to pay for so many children, and therefore wouldn't be so poor.
    GIVE THE PEOPLE CONTRACEPTION!

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    Jason Cook

    Narcissistic arrogance. What you say you aren't talking about you are. Abortion and population control. "This totally un contraversial idea" Nice wizardy there. ☯️Hands off. You aren't here to lord over everyone oh yeee savior of the lesser man. Sick. We know what you're up to. 🙃

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