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Brazil to subsidize birth control pills

May 31, 2007

SAO PAULO, Brazil - Just weeks after Pope Benedict XVI denounced government-backed contraception in a visit to Brazil, the president unveiled a program Monday to provide cheap birth control pills at 10,000 drug stores across the country.

Brazil already hands out free condoms and birth control pills at government-run pharmacies. But many poor people in Latin America‘s largest country don‘t go to those pharmacies, so Silva‘s administration decided to offer the pills at drastically reduced prices at private drug stores, said Health Minister Jose Gomes Temporao.

The number of outlets selling the pills will start at 3,500 and is expected to rise to 10,000 by the end of this year. When the $51 million program is fully under way, the government expects to be handing out 50 million packages of birth control pills each year.

The Health Ministry said it does not plan to subsidize condoms at private drug stores, but Brazil already distributes 254 million free condoms a year, many as part of an anti- AIDS program, with a special push just before the nation‘s Carnival celebrations.

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During his visit to Brazil earlier this month, Benedict repeatedly railed against legalized contraception as a threat to “the future of the peoples” of Latin America.

“Too often, Brazil makes really wonderful laws that remain on paper because there is no political will,” said Mary Luci Faria, who coordinates women‘s programs in Sao Paulo.

Benedict also harshly criticized abortion during his visit, just weeks after Mexico City lawmakers legalized it. While abortion is illegal in most situations in Brazil, Silva said shortly before the pope‘s visit that it should be considered as a public health issue, and Temporao wants a national referendum on the issue.

“The church has no right to interfere with what a woman decides to do with her body or her health,” said Dr. Eleonora Menicucci, a professor of preventive medicine at the Federal University of Sao Paulo.

“The church favors responsible parenthood, with parents using natural (birth control) methods,” said Tempesta, who oversees the church in the northeastern state of Para.

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Karen Heller: An end to menstrual cycles — if you want

May 29, 2007

On matters concerning the female reproductive system, it’s important to remember J.S. Bach. Specifically, Anna Magdalena Bach, the second, highly fecund wife of history’s most potent composer.

Anna gave birth 13 times in 19 years, evidence that she was rarely successful in claiming, “Not tonight, Johann, I’m kaput.”

Back then, women had far fewer ovulation cycles because they were frequently pregnant, nursing or, as in the case of the first Frau Bach, died young, age 35, after delivering seven children in 13 years.

Today, women conduct longer, less biologically productive lives, which translates into 400 to 500 ovulation cycles. That’s a lot of “that time of the month,” so much that there’s a branch of family planning and pharma research devoted to “period management.” There’s concern that so many menstrual cycles may contribute to ovarian cancer, endometriosis and anemia.

Women have never been so fertile for so long nor, except for the occasional courtesan, been so sexually active, for which a grateful pharmaceutical industry thanks them.

Introduced in the early 1960s, the pill has helped cramp fertility.

Now, the goal is for it to cramp periods and cramping.

Last year, the Food and Drug Administration approved Seasonique — sounds like a strip-mall bistro — a birth-control pill that reduces periods to four times a year, a low-dose estrogen version of its sister drug, Seasonale, introduced in 2003.

Four times may be too many for some women. This week, the FDA approved Wyeth’s Lybrel, which eliminates all periods. Period.

We’re talking the Hoover Dam of birth control.

If used for a year, Depo-Provera, approved by the FDA in 1992, eliminates all periods in half its users. But Depo-Provera is a shot, administered every three months, while Lybrel is a pill. American women love their pills, taken by 30 percent of all contraceptive users.

Lybrel is scheduled to be in pharmacies by July. Invariably, consumers’ first question will be: “What about weight gain?”

This isn’t menstrual management. It’s complete banishment. A contraceptive suspending all periods seems extremely ironic, nigh unto alien, counterintuitive to the current trend toward organic and natural in food, clothing and the environment.

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If we’re honoring all things natural, it’s strange to be tampering so much with women’s bodies. Our food is becoming increasingly organic while our birth control is loaded with synthetic hormones, shutting down the natural order of things for years at a time.

Five hundred times-of-the-month translates into a lot of time and potential mood swings, to say nothing of bloating. And three decades of using birth control — few of us want to replicate Anna Magdalena Bach’s output — can grow tedious. But the menstrual cycle has long helped define women, at least on certain days, and the men who have had to live with them.

With the ultimate in period management, college students will be unable to con dimwitted coaches out of swim practice or extra laps around the field.

Without those moments, there will be nothing to blame for weeping uncontrollably during “Gilmore Girls” reruns, yelling at inconsiderate co-workers and relatives, or thin jeans that won’t fit.

Weight gain won’t be temporary but of the more annoying permanent nature. Our tummies will be entirely our fault. Uncooperative skin will be due to diet.

Mood swings will swing all the time, or not at all. The meter may get stuck at grumpy.

And Procter & Gamble, makers of Tampax, will be mightily ticked off.

Without a menstrual cycle, how precisely will a woman know if she’s pregnant if she forgets to take a few pills? Gone will be that clarifying moment of revelation and relief.

We’ll have to find something or someone else to fault. Most likely the closest available suspect. This may be one strange pill to swallow.

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New Birth Control Pill

May 24, 2007

The Food and Drug Administration has given the “green light” to a new birth control pill that puts a stop to a woman’s monthly period.

It’s called “Lybrel.”

It’s the first pill of it’s kind approved for continuous use.

But is Lybrel the right choice for every woman?

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Doctor Elizabeth Ricanati is a Cleveland Clinic women’s health specialist. She says, “There are injection drugs you can take, for example Depo Provera, where you get an injection every three months, another way not to have a period. There’s also pills that have been approved for three months at a time, so you can take those and only get four periods a year. But having a lot to choose from can help get the best fit.”

The drug maker, Wyeth, plans to make Lybrel available in July.

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Teen pregnancy rate for region lower than national average

May 21, 2007

Although a recent report on sex information said Canada’s teen pregnancy rate is highest in the north and in rural areas, this region has bucked the trend.

“Leeds, Grenville and Lanark have some of the lowest rates of pregnancy for 15- to 19-year-olds in the province,” said Jane Futcher, the director of clinical services at the local health unit.

The report by the Sex Information and Education Council of Canada - which also stated that teen pregnancy has hit an all-time low and teen abortion rates have hit a 10-year low in Canada - stated that rural teens lack access to sexual health services that cater to young people.

But that’s not the case here.

“We have sexual health clinics in all of our health unit locations in Gananoque, Brockville, Smiths Falls, Perth, Almonte and Kemptville,” said Futcher. These clinics generally serve people ages 14 to 27, but sometimes serve younger and older clients in the case that they don’t have a family doctor who can prescribe birth control.

The mandate of the sexual health clinics in Canada was to increase access to contraception and increase knowledge about personal responsibility and lifestyles, ultimately decreasing the rate of pregnancy in 15- to 19-year-olds to 40 per 1,000 population. In Leeds and Grenville, the rate is approximately 20 in 1,000 in the same age group.

The services offered at health units were in response to a nationwide need.

Health units felt that kids didn’t have enough access to sex information and birth control.

The sexual health clinics here offer birth control and testing and treatment for sexually transmitted infections.

“We do offer a variety of birth control,” said Futcher. “We have the ring, the patch, many, many different kinds of pills, depo-provera and condoms. Any kind of birth control you would need, we would have.

“People now have a choice,” she said. And that’s partially why the birth rate has gone down.

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In addition to being accessible, birth control distributed by the health unit is also more affordable.

“Everything is supplied to us at cost,” said Futcher. “We also have an occasional supply of (free) birth control pills for people who need the pill but can’t afford it.”

Most birth control companies participate in a compassionate program that provides pills to people who can’t manage the cost of pills, Futcher said.

The compassionate program, which came out about three years ago, allows everyone to have access, she said.

The decline in the rate of teen pregnancies in the area is also due to increased sexual health education in schools in the Upper Canada District School Board in grades 5, 6, 7, 8 and 9.

“We teach them about their bodies, attitudes and personal responsibility,” said Futcher. “Kids need to have a knowledge about how their bodies function and all the puberty issues.”

This information is necessary because some kids area already experimenting by age 12, she said.

The sexual health clinics served 4,214 young people in 2006 and the in-school clinics - held in areas that don’t have easy access to health unit locations including Prescott, Carleton Place and Athens - served another 750 people.

“They’re working out well,” Futcher said. “The kids come to see us and they get birth control.”

Because there is no age of consent for seeking contraceptive devices in Ontario, students are able to get birth control without parental permission. Still, the health unit encourages kids to talk things through with their parents.

“It’s really an important part of being responsible about sexual behaviour,” Futcher said. “Parents are still the most important teachers that kids have and we recognize that. Because our pregnancy rates are as low as they are, I attribute that to kids having a lot of good knowledge.”

Nationally, more than 33,000 young women under the age of 19 get pregnant every year and more than 18,000 opt for abortion.

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Senate passes bill to require employee health insurance to cover birth control costs

May 21, 2007

SALEM, Ore. - The Oregon Senate this week passed House Bill 2700, legislation that will require birth control coverage in employee health insurance plans that offer prescription drug coverage and provide access to emergency contraception in the emergency room for women who are victims of sexual assault.

“For too long women have been denied health insurance coverage for the cost of birth control,” said Senate Majority Leader Kate Brown (D-Portland). “This bill simply provides women with fairness and equity for prescription drug coverage.”

Included in House Bill 2700 is the option for victims of sexual assault to receive emergency contraception in any hospital in Oregon. One in six Oregon women has experienced sexual assault in their lifetime.

“Women need access to every tool available to deal with one of the most traumatic experiences they can face,” said Senator Ginny Burdick (D-Portland). “This bill is about compassion and caring when dealing with sexual assault.”

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“As a nurse, I have seen what this will mean for victims of sexual assault,” said Senator Laurie Monnes Anderson (D-Gresham). “This is an essential piece of legislation for women’s health.”

Contraceptive equity has been addressed in the legislature in previous sessions, but never passed both chambers.

“It is amazing to me that we had to wait until 2007 to pass this legislation,” said Senator Vicki Walker (D-Eugene). “After years of work, the day for contraceptive equity is here.”

“For over a decade as a House and Senate member, I have worked on this issue,” said Senator Richard Devlin (D-Tualatin). “I take great pride in its passage.”

House Bill 2700 will now move to the Governor’s desk for his signature

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New Concerns Raised Over Ortho Evra

May 16, 2007

Knoxville (WVLT) - New warnings about one form of birth control, especially popular with young women.

Ortho Evra is a once-a-week birth control patch that’s proven just as effective as the pill.

In fact, one clinical study finds women who use the patch are more likely to use it consistently and properly, than women who use birth control pills.

But there are serious risks, serious enough to compel one local ob-gyn group to stop prescribing it to patients.

Hundreds of local women are receiving letters, citing an American College of Gynecology study exposing the greater risk of deep vein thrombosis in women using the Ortho Evra birth control patch.

Parkwest Women’s Specialists have decided to change their patients to another form of birth control.

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Obstetrician/Gynecologist Rosalind Cadigan says the increased risk is due to the fact that women using the patch are exposed to 60 percent more estrogen than women taking a typical birth control pill. “It seems to be that estrogen is the hormone that causes that the most. So, with the Ortho Evra patch, at the end of the month, you end up getting more estrogen in your body than a pack of birth control pills.”

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Doctor Cadigan will prescribe the Ortho Evra patch to her patients, with informed consent, but she does recommend other options, due to the risks. “FDA has not taken the Ortho Evra patch off the market, but several people, several clinicians have been worried about the possibility.”

Deep vein thrombosis is a blood clot in a deep vein, usually in the legs. They’re dangerous because the clots can break loose and travel through the bloodstream to the lungs, causing a pulmonary embolism.

“The bottom line is that pregnancy is going to be a higher risk situation than the Ortho Evra patch. So, your risk of having a blood clot in your leg or a pulmonary embolism due to pregnancy is higher than the risk of having that with an Ortho Evra patch,” Dr. Cadigan says.

Cigarette smoking increases the risk, especially in women older than 35. Women who use the patch are strongly urged not to smoke.

There are some women who should not use the patch, including women who have blood clots, certain cancers, a history of heart attack or stroke, as well as those who are or may be pregnant.

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No more periods

May 15, 2007

Continuous birth control stops menstrual bleeding.
For the last five years Kelly Kraus-Mencke has been taking her birth control pills continuously. She skips the week of placebos at the end of her cycle. The reason? Her periods were so severe she couldn’t function.
“They were not only extremely painful where I’d spend the day in bed, they were also extremely heavy too.” Kelly said.

Kelly avoids her monthly period altogether by taking oral contraception continuously. “I was virtually pain free. The digestive issues went away and I could actually be a normal person.”

But is it safe to intentionally skip your period?
Dr. Karen Ashby, an OB/GYN from University Hospitals says you really don’t need one.
“There’s no medical reason why you have to have one.” Ashby says.

In fact, women taking oral contraception do not have a “real” menstrual cycle. Ashby says, “When you’re taking birth control pills you’re really just having a pill period or what we call withdrawal bleeding at the end of the cycle so you’re not actually getting a period.”

Birth control pills thin the lining of the uterus. The new pills hitting the market, like Lybrel and Seasonale tout shorter periods or none at all. But by avoiding the placebo pills at the end of any pill pack can have the same result.

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However, there can be some inconvenient drawbacks,
including spotting and cost. If you’re taking pills continuously you may need to need more sooner, which could get expensive.

Critics say there’s no long term data evaluating the health effects of continuous oral contraception. While Ashby agrees there’s no scientific study, she says women have been doing it since the pill was introduced in the 60’s.

Many women do it for a month or two if they’re planning a big event such as a honeymoon or vacation.

Also continuous pills are often prescribed for women dealing with medical conditions such as endometriosis.

“There’s actually some preventive value when you take oral contraceptives. I mean oral contraceptives in addition to improving the bleeding and the cramping also reduce ovarian cancer and they also decrease uterine cancer.” Ashby says.

Using the pill to end your menstrual cycle should only be done under a doctor’s supervision.

For women considering eventual pregnancy, Ashby says once the pill is stopped, the body goes back to normal in about three months. The same as it would on a regular pill course.

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Dear Abby | Breast size & birth control

May 10, 2007

DEAR ABBY: This may seem like a dumb question: Can you get pregnant when your breasts are still underdeveloped? My boyfriend says you can’t. I’m afraid to keep birth control in my room because my little sister snoops. She would be sure to show it to our parents.

- Questioning in Oklahoma

DEAR QUESTIONING: There are no “dumb” questions. Breast development has nothing to do with whether a girl can become pregnant. Under no circumstances should you have unprotected sex. You risk pregnancy and also sexually transmitted infections.

DEAR ABBY: After six months, my son and daughter-in-law are being divorced. They would like to return the wedding gifts. How should they go about returning the money, and what do you say?

- Embarrassed in New York

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DEAR EMBARRASSED: Be glad they realized they made a mistake before any grandchildren came along. If they made a list of how much money various guests gave them, they should have no trouble writing checks to them for those amounts. They should thank them again, and tell them that “regretfully, the marriage did not work out.” Same for any UNUSED gifts.

DEAR ABBY: I ended an engagement 10 months ago. However, my ex-fiance has sent me letters, and there is evidence he has sat on my porch waiting for me to come home. He tries to pry details about my new relationship out of a friend. Now he plans to attend a play I am appearing in.

- Needs an “Ex”orcist in St. Charles, Mo.

DEAR NEEDS AN “EX”ORCIST: The police can tell you what precautions to take - and if the man has a history of stalking. *

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The Greatest Threat to Choice

May 8, 2007

Jeniece Learned stood amid a crowd of earnest-looking men and women, many with small gold crosses in their lapels or around their necks, in a hotel lobby in Valley Forge, Pa. She had an easy smile and a thick mane of black, shoulder-length hair. She was carrying a booklet called “Ringing In a Culture of Life,” which was the schedule of the two-day event she was attending, organized by the Pennsylvania Pro-Life Federation. The event was “dedicated to the 46 million children who have died from legal abortions since 1973 and the mothers and fathers who mourn their loss.”

Learned, who had driven five hours from a town outside Youngstown, Ohio, was raised Jewish. She wore a gold Star of David around her neck with a Christian cross inset in the middle of the design. She stood up in one of the morning sessions, attended by about 300 people, most of them women. The speaker, Alveda King, niece of Dr. Martin Luther King Jr., had asked if there were any “post-abortive” women present. The most fervent activists in the pro-life movement have usually had abortions, with large numbers admitting to multiple abortions.

Learned runs a small pregnancy counseling clinic called Pregnancy Services of Western Pennsylvania, in Sharon, where she tries to talk young girls and women, most of them poor, out of having abortions. She speaks in local public schools, promoting sexual abstinence as the only acceptable form of contraception. And she has found in the fight against abortion, and in her conversion, a structure, purpose and meaning that previously eluded her.

The relentless drive against abortion by the Christian right—the first salvo having been fired with the 5-to-4 Supreme Court decision last month to uphold the federal ban on the procedure known as “partial birth abortion”—has nothing to do with the protection of life. It is, rather, a cover for a wider and more pernicious assault against the ability of women to control their own bodies, the use of contraception and sexual pleasure. The movement openly conflates contraceptives with devices or substances that cause abortion. It holds up as heroes of “conscience” those pharmacists who refuse to sell contraceptives. It works to block over-the-counter sales of Plan B emergency contraceptive pills. It peddles, with hundreds of millions in tax dollars handed to the movement by the Bush administration, abstinence-only sex-ed curricula and opposes a vaccine against the HPV virus, the major cause of cervical cancer, claiming it would promote promiscuity.

The denial of contraception, as is well documented, increases the number of unwanted pregnancies and abortions. And abortion is never going to go away. If it again becomes illegal, the rich, as in the past, will find ways to provide abortions for their wives, mistresses and girlfriends, and the poor will die in unhygienic back rooms. But since this is a war with a wider agenda, abortion statistics and facts do not count. The Christian right fears pleasure, especially sexual pleasure, which it sees as degrading, corrupting and tainted. For many, their own experiences with sex—coupled with their descent into addictions and often sexual and domestic abuse before they found Christ—have led them to build a movement that creates an external rigidity to cope with the chaos of human existence, a chaos that overwhelmed them. They do not trust their own urges, their capacity for self-restraint or judgment. The Christian right permits its followers to project evil outward, a convenient escape for people unable to face the darkness and the psychological torments within them.

The leaders of this movement understand that the only emotion that cannot be subsumed into communal life, which they seek to dominate and control, is love. They fear the power of love, especially when magnified and expressed through tender, sexual relationships, which remove couples from their control. Sex, when not a utilitarian form of procreation, is dangerous.

They seek to fashion a world where good and evil are clearly defined and upheld by the nation’s judicial system. The battle against abortion is a battle to build a society where pleasure and freedom, where the capacity of the individual and especially women to make choices, and indeed even love itself, are banished. And this is why pro-life groups oppose contraception—even for those who are married. The fight against abortion is the facade for a wider fight against the right of an individual in a democracy.

Army of God, a pro-life organization that holds up as Christian “heroes” those who murder abortion providers, defines birth control as another form of abortion, as do many other pro-life groups. In the “Birth Control Is Evil” section of their website it reads: “Birth control is evil and a sin. Birth control is anti-baby and anti-child. …Why would you stop your own child from being conceived or born? What kind of human being are you?”

Learned’s life, before she was saved, was typically chaotic and painful. Her childhood was stolen from her. She was sexually abused by a close family member. Her mother periodically woke Learned and her younger sister and two younger brothers in the middle of the night to flee landlords who wanted back rent. The children were bundled into the car and driven in darkness to a strange apartment in another town. Her mother worked nights and weekends as a bartender. Learned, the oldest, often had to run the home. She got pregnant in high school and had an abortion.

“There was a lot of fighting,” she said. “I remember my dad hitting my mom one time and him going to jail. I don’t have a lot of memories, mind you, before eighth grade because of the sexual abuse. When he divorced my mom, he divorced us, too.”

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“My grandfather committed suicide, my mom and my dad both tried suicide, my brothers tried suicide,” she said. “In my family, there was no hope. The only way to solve problems when they got bad was to end your life.”

She eventually married, had a born-again experience and began taking classes at Pacific Christian College in Orange County in California. During a chapel service an anti-abortion group, Living Alternative, showed a film called “The Silent Scream.”

“You see in this movie this baby backing up trying to get away from this suction tube,” she said. “And, its mouth is open and it is like this baby is screaming. I flipped out. It was at that moment that God just took this veil that I had over my eyes for the last eight years. I couldn’t breathe. I was hyperventilating. I ran outside. One of the girls followed me from Living Alternative. And she said, ‘Did you commit your life to Christ?’ And I said, ‘I did.’ And she said, ‘Did you ask for your forgiveness of sins?’ And I said, ‘I did.’ And she goes, ‘Does that mean all your sins, or does that mean some of them?’ And I said, ‘I guess it means all of them.’ So she said, ‘Basically, you are thinking God hasn’t forgiven you for your abortion because that is a worse sin than any of your other sins that you have done.’ ”

The film ushered her into the fight to make abortion illegal. Her activism, like that of many women in the movement, became atonement for her own abortion.

She struggled with severe depression after she gave birth to her daughter Rachel. When she came home from the hospital she was unable to care for her infant. She thought she saw an 8-year-old boy standing next to her bed. It was, she is sure, the image of the son she had “murdered.”

“I started crying and asking God over and over again to forgive me,” she remembered. “I had murdered his child. I asked him to forgive me over and over again. It was just incredible. I was possessed. On the fourth day I remember hearing God’s voice. ‘I have your baby, now get up!’ It was the most incredibly freeing and peaceful moment. I got up and I showered and I ate. I just knew it was God’s voice.”

The fight against abortion is a battle against a culture she and those in the movement despise. It is a culture they believe betrayed them. The rigidity of the new belief system, the sanctification of hatred toward those who would “murder” the unborn or contaminate America with the godless creed of “secular humanism,” fosters feelings of righteousness and virtue. But it also means destroying all competing communities. The sense of entitlement and inclusiveness, brought on by the certitude of belief, is matched by the power of destructive fury.

Learned lives in the nation’s Rust Belt. The flight of manufacturing jobs has turned most of the old steel mill towns around her into wastelands of poverty and urban decay. The days when steel workers could make middle-class salaries are a distant and cherished memory. She lives amid America’s vast and growing class of dispossessed, those tens of millions of working poor, 30 million of whom make less than $8.70 an hour, the official poverty level for a family of four. Most economists contend that it takes at least twice this amount to provide basic necessities to a family of four. These low-wage jobs, which come without benefits or job security, have meant billions in profits for corporations that no longer feel the pressure or the need to take care of their workers. But this new American landscape has also bred a profound despair and hopelessness, as well as physical destruction of community that fuels the Christian right.

The war to “protect life,” to crush “the culture of death,” is a war against the open society. It is a war to push back the gains in women’s rights, in personal choice, in the power of the individual to form his or her own life. It is a war that seeks to refashion America into a place where external forms of repression, imposed by the government, are used in a bid to contain the brokenness, desperation and emotional turmoil of those Americans whom we, as a society, betrayed. It is, in short, a war of revenge. And until we re-enfranchise these Americans into society, until we give them hope and alleviate the economic and social blights that have plunged them into the arms of demagogues and charlatans who promise a mythical, unachievable Christian paradise and utopia, we will have to face a growing assault on our personal liberties and freedoms.

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