Hastings Cent Rep. 2017 Jul;47(4):7-8. doi: 10.1002/hast.732.
On the fourth day of his presidency, Donald Trump reinstated and greatly expanded the "Mexico City policy," which imposes antiabortion restrictions on U.S. foreign health aid. In general, the policy has prohibited U.S. funding of any family-planning groups that use even non-U.S. funds to perform abortions; prohibited aid recipients from lobbying (again, even with non-U.S. money) for liberalization of abortion laws; prohibited nongovernment organizations from creating educational materials on abortion as a family-planning method; and prohibited health workers from referring patients for legal abortions in any cases other than rape, incest, or to save the life of the mother. The policy's prohibition on giving aid to any organization that performs abortions is aimed at limiting alleged indirect funding of abortions. The argument is that if U.S. money is used to fund nonabortion programs of an abortion-providing NGO, then the NGO can simply shift the money thus saved into its abortion budget. Outside the context of abortion, we do not reason this way. And the policy's remaining three prohibitions are deeply troubling.
在其总统任期的第四天,唐纳德·特朗普恢复并大幅扩大了“墨西哥城政策”,该政策对美国的对外卫生援助施加了反堕胎限制。一般来说,该政策禁止使用任何即使是来自非美国资金也实施堕胎的计划生育组织获得美国资金;禁止援助接受者游说(甚至使用非美国资金)以放宽堕胎法;禁止非政府组织将堕胎作为计划生育方法制作教育材料;并且禁止卫生工作者在任何情况下(强奸、乱伦或为挽救母亲生命的情况除外)将患者转介进行合法堕胎。该政策禁止向任何实施堕胎的组织提供援助,旨在限制所谓的间接堕胎资金。其论点是,如果美国资金用于资助提供堕胎服务的非政府组织的非堕胎项目,那么该非政府组织只需将节省的资金转移到其堕胎预算中即可。在堕胎之外,我们不会这样推理。而该政策的其余三项禁令令人深感不安。