OHYET: Empowering Mothers and Youth through Positive Blog

 House Bill 4244

An Act providing for a Comprehensive Policy on Responsible Parenthood, Reproductive Health, and Population and Development, and for Other Purposes

This is House Bill 4244. It is the consolidated text of RH Bill in substitution to House bills 96, 101, 513, 1160, 1520 and 3387.

This bill was introduced by the following Representatives:

Honorables Edcel C. Lagman, Arnulfo Fegarido Go, Janette L. Garin, Arlene Bag-ao, Walden Bello, Rodolfo G. Biazon, Rodante D. Marcoleta, Augusto Syjuco, Luzviminda Ilagan, Emerenciana De Jesus, Robert Estrella, Mar-Len Abigail S. Binay, Francis Emmanuel R. Ortega, Nur Gaspar Jaafar, Eufranio C. Eriguel, M.D., Ma. Angelica M. Amante-Matba, Catalina Leonen-Pizzaro, Marc Douglas Cagas IV, Salvador Escudero IIII, Napoleon Dy, Nur-Ana Sahidulla, Romeo Jalosjos Jr, Ignacio Arroyo Jr., Carol Jayne B. Lopez, Ronald V. Singson, Abigail C. Ferriol, Jeffrey Padilla Ferrer, Joel Roy Duavit, Jesus “Boying” F. Celeste, Teddy A. Casiño, Teddy Brawner Baguilat Jr., Simeon A. Datumanong, Seth F. Jalosjos, Josefina Manuel Joson, Raymond Democrito C. Mendoza, Reena Concepcion G. Obillo, Raymond V. Palatino, Carlos Mapili Padilla, Angelo B. Palmones, Philip Arreza Pichay, Jesus Crispin Catibayan Remulla, Mark Aeron H. Sambar, Danilo Etorma Suarez, Susan A. Yap, Jose F. Zubiri III, Antonio L. Tinio, Victor Jo Yu, Ana Cristina Siquian Go, Emmeline Y. Aglipay, David L. Kho, Imelda Quibranza-Dimaporo, Vicente Florendo Belmonte Jr., Rodolfo Castro Fariñas, Eric Gacula Singson Jr., Narciso Recio Bravo Jr., Orlando Bongcawel Fua, Roy Maulanin Loyola, Mary Mitzi Lim Cajayon, Arturo Ompad Radaza, Pastor M. Alcover Jr., Leopoldo Nalupa Bataoil, Victor Francisco Campos Ortega, Sharon S. Garin, Nicanor M. Briones, Godofredo V. Arquiza, Nancy Alaan Catamco, Acmad Tomawis, Mohammed Hussein P. Pangandaman, Elmer Ellaga Panotes, Aurora Enerio Cerilles, Antonio Chaves Alvarez, Rodel M. Batocabe, Enrique Murphy Cojuangco, Bernardo Mangaoang Vergara, Daisy Avance-Fuentes, Luis Robredo Villafuerte, Cresente C. Paez, Michael Angelo C. Rivera, Antonio Diaz, Jose Ping-ay, Teodorico Haresco, Josephine Veronique Lacson-Noel, Solaiman Pangandaman, Kimi S. Cojuangco, Jerry Perez Treñas, Niel Causing Tupas, Jr., Florencio Tadiar Flores, Jr., Jorge “Bolet” Banal, Rafael V. Mariano, Teddy A. Casiño, Neri Colmenares.

What’s the fuss about?

Here’s what I think is an informed, fair and unbiased interpretation on some sections that raises questions:

Highlighted text are my inputs.

Disclosure: I was neutral before reading the entire context of the RH Bill. Now that I’ve spent good amount of time dissecting the old and the amended manifesto… I can fairly present my comments section by section.

Growing up in a middle class family in the 70’s and becoming a health care professional in the 80’s gave me the opportunity to be familiar with the issues of family planning. I can still recall the contraceptive pills my Mother takes when I was 7 years old. I’m the youngest among three btw.

As a health care professional I earned in depth knowledge about family planning education regarding the use of natural methods of birth control as well as condoms, pills and IUD’s as part of the requirements necessary in our community service experience before graduating. My years of experience in the Philippines and abroad taught me more real life scenarios that I can relate to the public.

Reading the entire content of the Bill, I can pretty much tell that most of the stuff, if not all, is not new. In internet jargon, we call it re-hash. The authors call it comprehensive.

Allow me to demystify these Bill from Moral, Ethical, Political and Economic perspective. Here is the original text manifesto along with the author/s voluntary amendments and my comments base on factual research and supporting links (a la bibliography) at the end.

SECTION 1 Title – This Act shall be known as the “The Responsible Parenthood, Reproductive Health and Population and Development Act of 2011.”

*** This is the Philippine governments obedience to the policy implemented by WTO, World Bank and IMF as part of their MDG Agenda 21. Having it's roots from  the 1994 International Conference on Population and Development Programme of Action (ICPD PoA) established guidelines for achieving human rights centered population and development goals, specifically universal access to sexual and reproductive health care services and information by 2015.  

MDG Goals 

  • Target 5a: Reduce by three quarters the maternal mortality ratio

5.1 Maternal mortality ratio
  • 5.2 Proportion of births attended by skilled health personnel

    Target 5b: Achieve, by 2015, universal access to reproductive health

  • 5.3 Contraceptive prevalence rate
  • 5.4 Adolescent birth rate
  • 5.5 Antenatal care coverage (at least one visit and at least four visits)
  • 5.6 Unmet need for family planning
  • According to their statement: While UNDP is not a specialised expert agency in health, we use our role as coordinator of the UN development system to support the mandates of other agencies.

The noble intentions of providing choice to women to protect their reproductive health, reducing incidence of infant/maternal mortality and curbing the population through planned parenthood to alleviate poverty are welcome and have embraced by developing countries who are reliant on foreign aid funding from WB and IMF.

However, there are many questions (interpellation) that demands answer before proceeding to fund another program that will potentially add some cost to the already thinning national budget. In fact it is stated in the Bill-- “since the limited resources of the country cannot be suffered to be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless…”

The main concern of the Bill is Maternal Reproductive Health, Infant Mortality and Morbidity, and the growing population in the Philippines.

Thousands of Filipino women continue to die due to complications related to childbirth, according to health specialists.

Some 230 women die here for every 100,000 live births, compared with 110 in Thailand, 62 in Malaysia and 14 in Singapore, according to United Nations figures.

Causes of maternal deaths are:
  • hemorrhage 
  • sepsis 
  • obstructed labor 
  • hypertensive disorders in pregnancy
  • complications of unsafe abortion
most of which are preventable with proper diagnosis and intervention, health specialists said.

“The maternal mortality ratio in the Philippines is listed as the Millennium Development Goal least likely to be achieved by 2015,” Vanessa Tobin, the UNICEF country representative for the Philippines, told IRIN. The country has an adjusted maternal mortality ratio of 160 per 100,000 live births against a goal of 55-60 deaths per 100,000 live births.

We can all agree that most of the incidents are related to lack of access to pre-natal health care --- numerous factors can be blamed but boils down to lack of funding to hire enough health care workers (despite the growing number of newly graduate RN's who couldn't find a job) to service the needs of the public, and resources deprived health care facilities in the countryside. So the response is the much cheaper method of preventing pregnancy than treating the problem. Makes economically good sense.

So we give our women of child bearing age a choice on how to prevent pregnancy by educating them with choices available vis-a'-vis Natural (NFP Pro-Life's choice) and Modern Methods (Pro-RH Choice).

This approach has been partly implemented via DSWD's CCT program. Similar to the strategic program from World Bank's incentivization  ---

In the Foreword, then President of the World Bank A.W. Clausen stated:

(page 107):

“By taxing and spending in ways that provide couples with specific incentives and disincentives to limit 
their fertility, government policy can also affect fertility in the short run. Government can offer 
“rewards” for women who defer pregnancy; it can 
compensate people who undergo sterilization for loss of 
work and travel costs; and it can provide insurance and 
old-age security schemes for parents who restrict the 
size of their families. Each of these public policies 
works through signals which influence individual and 
family decisions- when to marry, whether to use 
contraception, how long to send children to school, and 
life expectancy, and whether and how much family members 

Under the header “Incentives and disincentives” (page 
121), the World Bank proposes several more examples of 
government interference in the affairs of free humanity:
“To complement family planning services and social 
programs that help to reduce fertility, governments may 
want to consider financial and other incentives and 
disincentives as additional ways of encouraging parents 
to have fewer children. Incentives may be defined as 
payments given to an individual, couple, or group to 
delay or limit child-bearing or to use contraceptives. 
(…). Disincentives are the withholding of social 
benefits from those whose family size exceeds a desired 

Proponents claim that the bill also does not impose on couples which family planning method to adopt. "Every person will be allowed to choose the method suitable to his needs and his religious beliefs,"

There is a potential danger of force submission against choice because of financial coercion. Like what happened to China and India and many other places where this program was implemented. Here's a compelling 2 part series article that covered lengthy detail: 


Another instance such as what happened in East Timor. World Bank-funded population control program, Programa Keluarga Berencana ( known as the KB program). East Timor was 91 percent Catholic, and many women opposed contraception on religious grounds. The goal was to reduce the population of East Timor, It was an example of genocide that was practiced over 24 years.

One technique that was used by Indonesian "health workers" (who were often accompanied by military personnel) was administering hormonal contraceptives under the guise that the women were receiving vaccinations. These women were injected without being told. They were told it was vitamins or antimalaria drugs, teenage girls would often receive these "vaccinations" at school in the presence of Indonesian soldiers, with the doors locked to prevent escape."

There were documented cases of women who entered Indonesian health clinics in East Timor for emergency or routine surgeries, like caesarian section births or appendectomies, only to realize later that they were unable to conceive - victims of tubal ligations.

*** Note -- Section by Section study is currently updated with new information. You may see changes on a daily basis ***

SECTION  2 – Declaration of Policy  – The State recognizes and guarantees the exercise of the universal basic human right to reproductive health by all persons, particularly of parents, couples and women, consistent with their religious convictions, cultural beliefs and the demands of responsible parenthood.

Toward this end, there shall be no discrimination against any person on grounds such as sex, age, religion, sexual orientation, disabilities, political affiliation and ethnicity.

Moreover, the State recognizes and guarantees the promotion of gender equality, equity and women’s empowerment as a health and human rights concern. The advancement and protection of women’s human rights shall be central to the efforts of the State to address reproductive health care.

As a distinct but inseparable measure to the guarantee of women’s human rights, the State recognizes and guarantees the promotion of the welfare and rights of children.

The State likewise guarantees universal access to medically-safe, legal, affordable, effective and quality reproductive health care services, methods, devices, supplies and relevant information and education thereon even as it prioritizes the needs of women and children, among other underprivileged sectors. *** This is a serious commitment that requires enormous amount of funding. I wish to see a realistic figure presented that will ensure efficient implementation. No matter how good the Bill is, if the funding required is not sufficient … borrowing from SECTION 3 Article (m) clause “with the country’s limited resources it will render the allocations grossly inadequate and effectively meaningless”. --- Results in failure to meet the goals of the BILL.

The State shall eradicate discriminatory practices, laws and policies that infringe on a person’s exercise of reproductive health rights. *** This Bill actually discriminates in favor of the poor and marginalized. I call it positive discrimination.

SECTION 3 Guiding Principles – This Act declares the following as guiding principles:

(a) Freedom of choice, which is central to the exercise of right must be fully guaranteed by the State;

(b) Respect for protection and fulfillment of reproductive health and seek to promote the rights and welfare of couples, adult individuals, women and adolescents;

(c) Since human resource is among the principal assets of the country, maternal health, birth of healthy children and their full human development and responsible parenting must be ensured through effective reproductive health care; *** The use of Contraceptive known to have abortifacient effects contradicts to this clause.

(e) The provision of medically safe, legal, accessible, affordable and effective reproductive health care services and supplies is essential in the promotion of people’s right to health, especially of the poor and marginalized;

(f) The State shall promote, without bias, all effective natural and modern methods of family planning that are medically safe and legal;

*** GREAT!

Ok modern methods that are medically safe means contraceptive pill, IUD and diaphragm, Depo-provera, implants. Surgical methods like tubal ligation, vasectomy right!

I think Sen. Tito Sotto and Sen. Enrile enquired about safety of this so called “medically safe” method.

Contrary to Lagman’s statement:

“The foregoing medical definitions of conception or pregnancy show that the fertilized egg has no sustainable viability outside of the uterine wall. It has to implant in the uterus to have sustainable life and for gestation to progress or pregnancy to begin. A fertilized egg implants on the uterine wall five to 12 days after fertilization,”

Rep. Lagman, in his own words, said that the use of Contraceptive Pill will not violate the Constitution because the issue on the unborn child cannot be applied since contraception will prevent pregnancy. Really!

Do we have supporting study that will prove this?

Because as far as effects are concerned oral contraceptive pill works in 3 different ways, prevention of fertility is only one of the three and does not always take its effect on pre-fertilization stage.

The primary mechanism of oral contraceptives is to inhibit ovulation, but this mechanism is not always operative. When breakthrough ovulation occurs, then secondary mechanisms operate to prevent clinically recognized pregnancy. These secondary mechanisms may occur either before or after fertilization. Post fertilization effects would be problematic for some patients, who may desire information about this possibility.

Reference HERE

We all agree that life begins at the time of conception (fertilization)

(Sec. 12, Art. II of the 1987 Constitution) - Declares “The State recognizes the sanctity of family life and shall protect and strengthen the family as a basic autonomous social institution. It shall equally protect the life of the mother and the life of the unborn from conception. The natural and primary right and duty of parents in the rearing of the youth for civic efficiency and the development of moral character shall receive the support of the Government”.

Clearly states that we must protect the life of the unborn from the time of conception. Any medium that terminates life after conception is unconstitutional. 

Also quoted from another source>>

"Human development begins after the union of male and female gametes or germ cells during a process known as fertilization (conception).

"Fertilization is a sequence of events that begins with the contact of a sperm (spermatozoon) with a secondary oocyte (ovum) and ends with the fusion of their pronuclei (the haploid nuclei of the sperm and ovum) and the mingling of their chromosomes to form a new cell. This fertilized ovum, known as a zygote, is a large diploid cell that is the beginning, or primordium, of a human being."

[Moore, Keith L. Essentials of Human Embryology. Toronto: B.C. Decker Inc, 1988, p.2]

So Mr. Lagman is downright wrong from the get-go when he claims that.

An article written by Pro-life Physicians regarding Oral Contraception is linked here.

Stopping pregnancy post fertilization is considered medical abortion.

A medical abortion is a type of non-surgical abortion in which abortifacient pharmaceutical drugs are used to induce abortion.

Although many can argue that oral contraceptives have been utilize effectively since the POPCOM was established.

Providing a scientific study about success rate and potential ill effects with accurate information to the public so that they can make an informed decision on their preferred means of family planning method should put an end to the argument of freedom to choose.

This is good because it will open up a civilize discussion among experts about modern methods versus natural methods in family planning to which the public will stand to benefit.

(g) The State shall promote programs that:

(1) Enable couples, individuals and women to have the number and spacing of children they desire with due consideration to the health of women and resources available to them;

(2) Achieve equitable allocation and utilization of resources;

(3) Ensure effective partnership among the national government, local government units and the private sector in the design, implementation, coordination, integration, monitoring and evaluation of people-centered programs to enhance quality of life and environmental protection;

(4) Conduct studies to analyze demographic trends towards sustainable human development and

(5) Conduct scientific studies to determine safety and efficacy of alternative medicines and methods for reproductive health care development;

(h) The provision of reproductive health information, care and supplies shall be the joint responsibility of the National Government and Local Government Units;

(i) Active participation by non-government, women’s, people’s, civil society organizations and communities is crucial to ensure that reproductive health and population and development policies, plans, and programs will address the priority needs of the poor, especially women;

(j) While this Act recognizes that abortion is illegal and punishable by law, the government shall ensure that all women needing care for post-abortion complications shall be treated and counseled in a humane, non-judgmental and compassionate manner;

*** To discourage the public from committing intentional abortion disguising the use of contraceptive the Bill must fully define the full spectrum of abortion. A strong statement about consequence for intentionally committing abortion whether on early stage or late stages of pregnancy must be included. There must be a clear and stiffer penalty indicated for those who assist, promote, and or execute abortion whether medical professional or not. That includes hilot, quaks and faith healers.

(k) There shall be no demographic or population targets and the mitigation of the population growth rate is incidental to the promotion of reproductive health and sustainable human development; (ironically, the program is obviously targeted towards poor and marginalized).

(l) Gender equality and women empowerment are central elements of reproductive health and population and development;

(m) The limited resources of the country cannot be suffered to be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless;

*** So because of our limited resources we push aside other social programs that require funding in favor of this BILL.

Hmmmmm… What will happen to the thousands of destitute citizens afflicted with tuberculosis, diabetes, hepatitis, cancer and other kinds of illness, who need the support of the Government? Does our government have funds to spare the cost of their medicine? Where will the funds come to treat these illnesses that are communicable and potentially public hazards?

(n) Development is a multi-faceted process that calls for the coordination and integration of policies, plans, programs and projects that seek to uplift the quality of life of the people, more particularly the poor, the needy and the marginalized; and

(o) That a comprehensive reproductive health program addresses the needs of people throughout their life cycle.

SECTION 4 Definition of Terms – For the purposes of this Act, the following terms shall be defined as follows:

Adolescence refers to the period of physical and physiological development of an individual from the onset of puberty to complete growth and maturity which usually begins between 11 to 13 years and terminating at 18 to 20 years of age;

Adolescent Sexuality refers to, among others, the reproductive system, gender identity, values and beliefs, emotions, relationships and sexual behavior at adolescence;

AIDS (Acquired Immune Deficiency Syndrome) refers to a condition characterized by a combination of signs and symptoms, caused by Human Immunodeficiency Virus (HIV) which attacks and weakens the body’s immune system, making the afflicted individual susceptible to other life-threatening infections;

Anti-Retroviral Medicines (ARVs) refer to medications for the treatment of infection by retroviruses, primarily HIV;

Basic Emergency Obstetric Care refers to lifesaving services for maternal complications being provided by a health facility or professional, which must include the following six signal functions:

·         administration of parenteral antibiotics;

·         administration of parenteral oxytocic drugs;

·         administration of parenteral anticonvulsants for pre-eclampsia and eclampsia.

·         manual removal of placenta;

·         removal of retained products;

·         and assisted vaginal delivery

Comprehensive Emergency Obstetric Care refers to basic emergency obstetric care including performance of caesarian section and blood transfusion;

Employer refers to any natural or juridical person who hires the services of a worker. The term shall not include any labor organization or any of its officers or agents except when acting as an employer;

Family Planning refers to a program which enables couples, individuals and women to decide freely and responsibly the number and spacing of their children, acquire relevant information on reproductive health care, services and supplies and have access to a full range of safe, legal, affordable, effective natural and modern methods of limiting and spacing pregnancy;

Gender Equality refers to the absence of discrimination on the basis of a person’s sex, sexual orientation and gender identity in opportunities, allocation of resources or benefits and access to services;

Gender Equity refers to fairness and justice in the distribution of benefits and responsibilities between women and men, and often requires women-specific projects and programs to end existing inequalities;

Healthcare Service Provider refers to:

(1) health care institution, which is duly licensed and accredited and devoted primarily to the maintenance and operation of facilities for health promotion, disease prevention, diagnosis, treatment, and care of individuals suffering from illness, disease, injury, disability or deformity, or in need of 16 obstetrical or other medical and nursing care;

(2) Health care professional, who is a doctor of medicine, nurse, or midwife;

(3) Public health worker engaged in the delivery of health care services.

(4) Barangay health worker who has undergone training programs under any accredited government and non-government organization (NGO) and who voluntarily renders primarily health care services in the community after having been accredited to function as such by the local health board in accordance with the guidelines promulgated by the Department of Health (DOH).

HIV (Human Immunodeficiency Virus) refers to the virus which causes AIDS

Male Responsibility refers to the involvement, commitment, accountability, and responsibility of males in relation to women in all areas of sexual and reproductive health as well as the protection and promotion of reproductive health concerns specific to men;

Maternal Death Review refers to a qualitative and in-depth study of the causes of maternal death with the primary purpose of preventing future deaths through changes or additions to programs, plans and policies;
Modern Methods of Family Planning refers to safe, effective and legal methods, whether the natural, or the artificial that are registered with the Food and Drug Administration (FDA) of the DOH, to prevent pregnancy;

People Living with HIV (PLWH) refers to individuals whose HIV tests indicate that they are infected with HIV;

Poor refers to members of households identified as poor through the National Household Targeting System for Poverty Reduction by the Department of Social Welfare and Development (DSWD) or any subsequent system used by the national government in identifying the poor.

Population and Development refers to a program that aims to:

(1) Help couples and parents achieve their desired family size;

(2) Improve reproductive health of individuals by addressing reproductive health problems;

(3) Contribute to decreased maternal and infant mortality rates and early child mortality.

(4) Reduce incidence of teenage pregnancy;

(5) Recognize the linkage between population and sustainable human development;

Reproductive Health refers to the state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.

Reproductive Health Care refers to the access to a full range of methods, facilities, services and supplies that contribute to reproductive health and well-being by preventing and solving reproductive health-related problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations.

The elements of reproductive health care include:

(1) family planning information and services;
(2) maternal, infant and child health and nutrition, including breastfeeding;
(3) proscription of abortion and management of abortion complications;
(4) adolescent and youth reproductive health;
(5) prevention and management of reproductive tract infections (RTIs), HIV and AIDS and other sexually transmittable infections (STIs);
(6) elimination of violence against women;
(7) education and counseling on sexuality and reproductive health;
(8) treatment of breast and reproductive tract cancers and other gynecological conditions and disorders;
(9) male responsibility and participation in reproductive health;
(10) prevention and treatment of infertility and sexual dysfunction;
(11) reproductive health education for the adolescents; and
(12) Mental health aspects of RH care;

 The (3) Proscription of abortion contradicts to the known effects of oral contraceptive an abortifacient drug.

Reproductive Health Care Program refers to the systematic and integrated provision of reproductive health care to all citizens especially the poor, marginalized and those in vulnerable and crisis situations;

Reproductive Health Rights refer to the rights of couples, individuals and women to decide freely and responsibly whether or not to have children; to determine the number, spacing and timing of their children; to make decisions concerning reproduction free of discrimination, coercion and violence; to have relevant information; and to attain the highest condition of sexual and reproductive health; *** Should limit rights to terminate early stage of pregnancy (fertilization/conception) using medicine.

Reproductive Health and Sexuality Education refers to a lifelong learning process of providing and acquiring complete, accurate and relevant information and education on reproductive health and sexuality through life skills education and other approaches.

Reproductive Tract Infection (RTI) refers to sexually transmitted infections, and other types of infections affecting the reproductive system;

Responsible Parenthood refers to the will, ability and commitment of parents to adequately respond to the needs and aspirations of the family and children by responsibly and freely exercising their reproductive health rights; *** Must limit the rights to terminate early stage of pregnancy (fertilization/conception) using medicine.

Sexually Transmitted Infection (STI) refers to any infection that may be acquired or passed on through sexual contact;

Skilled Attendant refers to an accredited health professional, such as midwife, doctor or nurse, who has been educated and trained in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns, to exclude traditional birth attendant or midwife (hilot), whether trained or not;

Skilled Birth Attendance refers to childbirth managed by a skilled attendant including the enabling conditions of necessary equipment and support of a functioning health system, and the transport and referral facilities for emergency obstetric care; and Sustainable Human Development refers to bringing people, particularly the poor and vulnerable, to the center of development process, the central purpose of which is the creation of an enabling environment in which all can enjoy long, healthy and productive lives, and done in a manner that promotes their rights and protects the life opportunities of future generations and the natural ecosystem on which all life depends.

*** Ooooopppss they (deliberately) forgot to include the definition of ABORTION (intentional and unintentional), Natural and Medicinal CONTRACEPTIVES, including contraceptive devices here. I think we could appreciate more if they specify the drug of choice for medicinal contraceptive so that we, the people, the poor and marginalized, will be able to research if these medicinal contraceptives are not abortifacients. That’s a valid inquiry, no!

SECTION 5 Midwives for Skilled Attendance – The Local Government Units (LGUs) with the assistance of the DOH, shall employ an adequate number of midwives to achieve a minimum ratio of one (1) fulltime skilled birth attendant for every one hundred fifty (150) deliveries per year, to be based on the annual number of actual deliveries or live births for the past two years; Provided, That people in geographically isolated and depressed areas shall be provided the same level of access.

*** Job creations. That’s good! I hope they’ll deliver what the BILL promises.

SECTION 6 Emergency Obstetric Care – Each province and city, with the assistance of the DOH, shall establish or upgrade hospitals with adequate and qualified personnel, equipment and supplies to be able to provide emergency obstetric care.

*** More jobs for Ob-gyn’s, Nurses and Midwives. Yehey!

For every 500,000 population, there shall be at least one (1) hospital with comprehensive emergency obstetric care and four (4) hospitals or other health facilities with basic emergency obstetric care; Provided, That people in geographically isolated and depressed areas shall be provided the same level of access.

*** With this clause Congressman Pacquiao can be rest assured that they will have 5 hospitals in Sarangani Province having a population of over 500,000. Wait don’t they have Kiamba, Maasim, Maitum and Malungon Provincial Hospitals? Oh they need one more with comprehensive emergency obstetric care. They shall demand the funding 15 days after passing of the BILL if it wins. When? Soon! OK!

SECTION 7 Access to Family Planning – All accredited health facilities shall provide a full range of modern family planning methods, except in specialty hospitals which may render such services on optional basis. For poor patients, such services shall be fully covered by PhilHealth Insurance and/or government financial assistance on a no balance billing.

*** I hope they’ll have high if not acceptable standard criteria for accreditation.

After the use of any PhilHealth benefit involving childbirth and all other pregnancy-related services, if the beneficiary wishes to space or prevent her next pregnancy, PhilHealth shall pay for the full cost of family planning.

*** That means after maxing out the PhilHealth pregnancy and birth related coverage (how much is that?), the couple may enjoy 100 percent coverage of any family planning related cost through PhilHealth for the next  pregnancy…hah! That’s costly entitlement.

SECTION 8 Maternal and Newborn Health Care in Crisis Situations – Local government units and the Department of Health shall ensure that a Minimum Initial Service Package (MISP) for reproductive health, including maternal and neonatal health care kits and services as defined by the DOH, will be given proper attention in crisis situations such as disasters and humanitarian crises. MISP shall become part of all responses by national agencies at the onset of crisis and emergencies.

Temporary facilities such as evacuation centers and refugee camps shall be equipped to respond to the special needs in the following situations: normal and complicated deliveries, pregnancy complications, miscarriage and post-abortion complications, spread of HIV/AIDS and STIs, and sexual and gender-based violence.

*** Easier said than done, but it can be done… matter of fact it’s a very noble intention!

SECTION 9 Maternal Death Review – All Local Government Units (LGUs), national and local government hospitals, and other public health units shall conduct annual maternal death review in accordance with the guidelines set by the DOH.

*** More jobs will be created to form this committee. We have money for this? K!

SECTION 10 Family Planning Supplies as Essential Medicines – Products and supplies for modern family planning methods shall be part of the National Drug Formulary and the same shall be included in the regular purchase of essential medicines and supplies of all national and local hospitals and other government health units.

*** This should be watch closely --- who supplies and who makes the orders/contracts to suppliers. This is where large amounts of kickbacks occur.

SECTION 11 Procurement and Distribution of Family Planning Supplies – The DOH shall spearhead the efficient procurement, distribution to Local Government Units (LGUs) and usage-monitoring of family planning supplies for the whole country. 

The DOH shall coordinate with all appropriate LGUs to plan and implement this procurement and distribution program. The supply and the budget allotments shall be based on, among others, the current levels and projections of the following:

(a) Number of women of reproductive age and couples who want to space or limit their children;

(b) Contraceptive prevalence rate, by type of method used; and

(c) Cost of family planning supplies

*** I’m beginning to like this Bill. It seems that to guarantee its success adequate manpower is a must…that’s job creation! I hope they’ll hire more workers instead of adding more responsibility to the already burdened workers who must man the clinics and at the same time goes around the community to gather data, train, and educate.

SECTION 12 Integration of Family Planning and Responsible Parenthood Component in Anti-Poverty Programs – A multi-dimensional approach shall be adopted in the implementation of policies and programs to fight poverty.

Towards this end, the DOH shall endeavor to integrate a family planning and responsible parenthood component into all anti-poverty programs of government, with corresponding fund support. The DOH shall provide such programs technical support, including capacity- building and monitoring.

*** Good! Keep them people busy with livelihood programs so they’re too tired to procreate when they come home at the end of the day.

SECTION 13 Roles of Local Government in Family Planning Programs – The LGUs shall ensure that poor families receive preferential access to services, commodities and programs for family planning. The role of Population Officers at municipal, city and barangay levels in the family planning effort shall be strengthened. The Barangay Health Workers and Volunteers shall be capacitated to “give priority to family planning work”. Amended to ---- “help implement this Act.”

*** Hmmmm…preferential treatments to poor. This is something new and I like it! Is this for real?

SECTION 14 Benefits for Serious and Life -Threatening Reproductive Health Conditions. – All serious and life threatening reproductive health conditions such as HIV and AIDS, breast and reproductive tract cancers, obstetric complications, menopausal and post-menopausal related conditions shall be given the maximum benefits as provided by PhilHealth programs.

*** But what if the poor and marginalized Pinoy/Pinay does not have PhilHealth coverage? Since PhilHealth lists those who can be members—only as those of legal age, 18 years and older, employed, self-employed, overseas workers, retirees.

BTW. The Philippine Health Insurance Corp. (PhilHealth) has missed the Dec 2010 target mandated by law for it to provide universal health coverage to Filipinos, as health experts say the agency is poorly managed and consequently unable to deliver quality health care to those who need it most.

“Dec. 31, 2010 was the milestone set by law that we should have universal health care,” said former health secretary Jaime Galvez Tan. “It has failed and (PhilHealth officials) even twisted the definition. They said that 85 percent is already universal when the law says ‘all Filipinos.”

85%! You believe that? I think it’s more on the 30 percentile.

You’ve got to read the report find out how effectively PhilHealth can be added into the equation. Read here. PHILHEALTH Report Site

SECTION 15 Mobile Health Care Service – Each Congressional District shall be provided with at least one Mobile Health Care Service (MHCS) in the form of a van or other means of transportation appropriate to coastal or mountainous areas, the procurement and operation of which shall be funded by the National Government. (Amended)

The MHCS shall deliver health care supplies and services to constituents, more particularly to the poor and needy, and shall be used to disseminate knowledge and information on reproductive health. The purchase of the MHCS shall be funded from the Priority Development Assistance Fund (PDAF) of each Congressional District. (Amended to relieve PDAF from financial responsibility)

The operation and maintenance of the MHCS shall be subject to an agreement entered into between the district representative and the recipient local municipality or city.

The MHCS shall be operated by skilled health providers and adequately equipped with a wide range of reproductive health care materials and information dissemination devices and equipment, the latter including, but not limited to, a television set for audio-visual presentations. All MHCS shall be operated by a local city or municipality within a congressional district.

*** Really. We can afford this! Cool. But this smacks right into the face of… SECTION 3 (m) “since the limited resources of the country cannot be suffered to be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless…”

We have to forego other essential social services that will not only protect but will also make the community productive.

SECTION 16 Mandatory Age-Appropriate Reproductive Health and Sexuality 21 Education – Age-appropriate Reproductive Health and Sexuality Education shall be taught by adequately trained teachers in formal and non-formal education system starting from Grade Five up to Fourth Year High School using life skills and other approaches.

Reproductive Health and Sexuality Education shall commence at the start of the school year immediately following one (1) year from the effectivity of this Act to allow the training of concerned teachers.

The Department of Education (DepEd), the Commission on Higher Education (CHED), the Technical Education and Skills Development Authority (TESDA), the DSWD, and the DOH shall formulate the Reproductive Health and Sexuality Education curriculum. Such curriculum shall be common to both public and private schools, out of school youth, and enrollees in the Alternative Learning System (ALS) based on, but not limited to, the psycho-social and the physical well-being, the demography and reproductive health, and the legal aspects of reproductive health.

Age-appropriate reproductive health and sexuality education shall be integrated in all relevant subjects and shall include, but not limited to, the following topics:

(a) Values formation;

(b) Knowledge and skills in self protection against discrimination, sexual violence and abuse, and teen pregnancy;

(c) Physical, social and emotional changes in adolescents;

(d) Children’s and women’s rights; Fertility awareness; STI, HIV and AIDS;

(e) Population and development; Responsible relationship;

(f) Family planning methods;

(g) Proscription and hazards of abortion;

(h) Gender and development;

(i) and Responsible parenthood.

*** What and who determines criteria for age level appropriate materials? Just asking! Kind’a vague.

The prescribed sex education wrongly assumes that children as young as Fifth Grade (10 years old) have the discernment and emotional/psychological maturity to handle properly the delicate topic of sex and its ramifications.

Our Constitution declares:

Under Republic Act No. 9344, otherwise known as the “Juvenile Justice and Welfare Act of 2006”, a child 15 years of age or under at the time of the commission of the offense is exempt from criminal liability, because the law assumes that the child could not act with discernment. Without the ability to discern, how could students 15 years old and below be expected to process correctly and responsibly such a complicated topic as sex?

That's it! No condoms or sex-ed for them … intiende! No, don’t even say it.

“The DepEd, CHED, DSWD, TESDA, and DOH shall provide concerned parents with adequate and relevant scientific materials on the age-appropriate topics and manner of teaching reproductive health education to their children”. Oppppsss what about the word mandatory?

*** I like the POPCOM’S comics though. I think it’s very reflective of realistic scenario.

Download Comics PDF here.

Amended to ---- “Parents shall exercise the option of not allowing their minor children to attend classes pertaining to Reproductive Health and Sexuality Education.”

SECTION 17 Additional Duty of the Local Population Officer – Each Local Population Officer of every city and municipality shall furnish free instructions and information on family planning, responsible parenthood, breastfeeding, infant nutrition and other relevant aspects of this Act to all applicants for marriage license.

In the absence of a local Population Officer, a Family Planning Officer under the Local Health Office shall discharge the additional duty of the Population Officer.

*** Educate, educate and educate!!!

SECTION 18 Certificate of Compliance – No marriage license shall be issued by the Local Civil Registrar unless the applicants present a Certificate of Compliance issued for free by the local Family Planning Office certifying that they had duly received adequate instructions and information on family planning, responsible parenthood, breastfeeding and infant nutrition.

*** Good! Makes them think twice before getting married. Live-in na lang tayo dir very complikayted man’ rikwirements! No that’s aginst my religion dir.

SECTION 19 Capability Building of Barangay Health Workers – Barangay Health Workers and other community-based health workers shall undergo training on the promotion of reproductive health and shall receive at least 10% increase in honoraria, upon successful completion of training.

The amount necessary for the increase in honoraria shall be charged against the Maintenance and Other Operating Expenses (MOOE) component of the Conditional Cash Transfer (CCT) program of the DSWD.

In the event the CCT is phased out, the funding sources shall be charged against the Gender and Development (GAD) budget or the development fund component of the Internal Revenue Allotment (IRA).

*** Incentivize to motivate. Nice strategy!

SECTION 20 Ideal Family SizeThe State shall assist couples, parents and individuals to achieve their desired family size within the context of responsible parenthood for sustainable development and encourage them to have two children as the ideal family size. Attaining the ideal family size is neither mandatory nor compulsory. No punitive action shall be imposed on parents having more than two children. DELETED in its entirety

SECTION 21 Employers’ Responsibilities – The Department of Labor and Employment (DOLE) shall ensure that employers respect the reproductive rights of workers.

Consistent with the intent of Article 134 of the Labor Code, employers with more than 200 employees shall provide reproductive health services to all employees in their own respective health facilities.

Those with less than 200 workers shall enter into partnerships with hospitals, health facilities, and/or health professionals in their areas for the delivery of reproductive health services.

“Employers shall furnish in writing the following information to all employees and applicants:

(a) The medical and health benefits which workers are entitled to, including maternity and paternity leave benefits and the availability of family planning services;

(b) The reproductive health hazards associated with work, including hazards that may affect their reproductive functions especially pregnant women; and

(c) The availability of health facilities for workers.

Employers are obliged to monitor pregnant working employees among their workforce and ensure that they are provided paid half-day prenatal medical leaves for each month of the pregnancy period that the pregnant employee is employed in their company or organization.

These paid pre-natal medical leaves shall be reimbursable from the Social Security System (SSS) or the Government Service Insurance System (GSIS), as the case may be”. Amended *** DELETED in its entirety.

SECTION 22 Pro Bono Services for Indigent Women – Private and non- government reproductive health care service providers, including but not limited to gynecologists and obstetricians, are mandated to provide at least forty-eight (48) hours annually of reproductive health services ranging from providing information and education, to rendering medical services free of charge to indigent and low income patients, especially to pregnant adolescents.

The forty-eight (48) hours annual pro bono services shall be included as pre-requisite in the accreditation under the PhilHealth.

*** Great use of expertise!!! Approved!

SECTION 23 Sexual And Reproductive Health Programs For Persons With Disabilities (PWDs). – The cities and municipalities must ensure that barriers to reproductive health services for persons with disabilities are obliterated by the following:

(a) Providing physical access, and resolving transportation and proximity issues to clinics, hospitals and places where public health education is provided, contraceptives are sold or distributed or other places where reproductive health services are provided;

(b) Adapting examination tables and other laboratory procedures to the needs and conditions of persons with disabilities;

(c) Increasing access to information and communication materials on sexual and reproductive health in braille, large print, simple language, and pictures;

(d) Providing continuing education and inclusion rights of persons with disabilities among health-care providers; and

(e) Undertaking activities to raise awareness and address misconceptions among the general public on the stigma and their lack of knowledge on the sexual and reproductive health needs and rights of persons with disabilities.

SECTION 24 Right to Reproductive Health Care Information – The government shall guarantee the right of any person to provide or receive non-fraudulent information about the availability of reproductive health care services, including family planning, and prenatal care.

The DOH and the Philippine Information Agency (PIA) shall initiate and sustain a heightened nationwide multi-media campaign to raise the level of public awareness of the protection and promotion of reproductive health and rights including family planning and population and development.

SECTION 25 Implementing Mechanisms – Pursuant to the herein declared policy, the DOH and the Local Health Units in cities and municipalities shall serve as the lead agencies for the implementation of this Act and shall integrate in their regular operations the following functions:

(a) Ensure full and efficient implementation of the Reproductive Health Care Program;

(b) Ensure people’s access to medically safe, legal, effective, quality and affordable reproductive health supplies and services;

(c) Ensure that reproductive health services are delivered with a full range of supplies, facilities and equipment and that service providers are adequately trained for such reproductive health care delivery;

(d) Take active steps to expand the coverage of the National Health Insurance Program (NHIP), especially among poor and marginalized women, to include the full range of reproductive health services and supplies as health insurance benefits;

(e) Strengthen the capacities of health regulatory agencies to ensure safe, legal, effective, quality, accessible and affordable reproductive health services and commodities with the concurrent strengthening and enforcement of regulatory mandates and mechanisms;

(f) Promulgate a set of minimum reproductive health standards for public health facilities, which shall be included in the criteria for accreditation.

These minimum reproductive health standards shall provide for the monitoring of pregnant mothers, and a minimum package of reproductive health programs that shall be available and affordable at all levels of the public health system except in specialty hospitals where such services are provided on optional basis.

(g) Facilitate the involvement and participation of non-government organizations and the private sector in reproductive health care service delivery and in the production, distribution and delivery of quality reproductive health and family planning supplies and commodities to make them accessible and affordable to ordinary citizens;

(h) Furnish local government units with appropriate information and resources to keep them updated on current studies and researches relating to family planning, responsible parenthood, breastfeeding and infant nutrition; and

(i) Perform such other functions necessary to attain the purposes of this Act.

The Commission on Population (POPCOM), as an attached agency of DOH, shall serve as the coordinating body in the implementation of this Act and shall have the following functions:

(a) Integrate on a continuing basis the interrelated reproductive health and population development agenda consistent with the herein declared national policy, taking into account regional and local concerns;

(b) Provide the mechanism to ensure active and full participation of the private sector and the citizenry through their organizations in the planning and implementation of reproductive health care and population and development programs and projects; and

(c) Conduct sustained and effective information drives on sustainable human development and on all methods of family planning to prevent unintended, unplanned and mistimed pregnancies.

*** ALL of these are beautiful if properly implemented.

SECTION 26 Reporting Requirements – Before the end of April of each year, the DOH shall submit an annual report to the President of the Philippines, the President of the Senate and the Speaker of the House of Representatives.

The report shall provide a definitive and comprehensive assessment of the implementation of its programs and those of other government agencies and instrumentalities, civil society and the private sector and recommend appropriate priorities for executive and legislative actions. The report shall be printed and distributed to all national agencies, the LGUs, civil society and the private sector organizations involved in said programs.

The annual report shall evaluate the content, implementation and impact of all policies related to reproductive health and family planning to ensure that such policies promote, protect and fulfill reproductive health and rights, particularly of parents, couples and women.

SECTION 27 Congressional Oversight Committee – There is hereby created a Congressional Oversight Committee composed of five (5) members each from the Senate and the House of Representatives (HOR).

The members from the Senate and the House of Representatives shall be appointed by, the Senate President and the Speaker, respectively, based on proportional representation of the parties or coalition therein with at least one (1) member representing the Minority.

The Committee shall be headed by the respective Chairs of the Senate Committee on Youth, Women and Family Relations and the House of Representatives Committee on Population and Family Relations.

The Secretariat of the Congressional Oversight Committee shall come from the existing Secretariat personnel of the Senate’s and of the House of Representatives’ committees concerned.

The Committee shall monitor and ensure the effective implementation of this Act, determine the inherent weakness and loopholes in the law, recommend the necessary remedial legislator or administrative measures and perform such other duties and functions as may be necessary to attain the objectives of this Act.

SECTION 28 Prohibited Acts – The following acts are prohibited:

(a) Any healthcare service provider, whether public or private, who shall:

(1) Knowingly withhold information or restrict the dissemination thereof, and/or intentionally provide incorrect information regarding programs and services on reproductive health, including the right to informed choice and access to a full range of legal, medically-safe and effective family planning methods;

(2)  Refuse to perform legal and medically-safe reproductive health procedures on any person of legal age on the ground of lack of third party consent or authorization. In case of married persons, the mutual consent of the spouses shall be preferred.

However in case of disagreement, the decision of the one undergoing the procedure shall prevail. In the case of abused minors where parents and/or other family members are the respondent, accused or convicted perpetrators as certified by the proper prosecutorial office or court, no prior parental consent shall be necessary; and

(3)  Refuse to extend health care services and information on account of the person’s marital status, gender, sexual orientation, age, religion, personal circumstances, or nature of work; Provided, that, the conscientious objection of a healthcare service provider based on his/her ethical or religious beliefs shall be respected; however, the conscientious objector shall immediately refer the person seeking such care and services to another healthcare service provider within the same facility or one which is conveniently accessible who is willing to provide the requisite information and services; Provided, further, that the person is not in an emergency condition or serious case as defined in RA 8344 penalizing the refusal of hospitals and medical clinics to administer appropriate initial medical treatment and support in emergency and serious cases.

(b) Any public official who, personally or through a subordinate, prohibits or restricts the delivery of legal and medically-safe reproductive health care services, including family planning; or forces, coerces or induces any person to use such services

(c) Any employer or his representative who shall require an employee or applicant, as a condition for employment or continued employment, to undergo sterilization or use or not use any family planning method; neither shall pregnancy be a ground for non-hiring or termination of employment.

(d) Any person who shall falsify a certificate of compliance as required in Section 15 of this Act; and

(e) “Any person who maliciously engages in disinformation about the intent or provisions of this Act”. (DELETED in its entirety)

Disinformation - false information deliberately and often covertly spread (as by the planting of rumors) in order to influence public opinion or obscure the truth (in this case smear campaign against the Bill)

*** This is where the dilemma arises. It’s going to be a costly litigation because it is not easy to prove malicious intent in court.

A priest, preacher, imam or religious leader who oppose to the modern method of family planning who speaks against it in the pulpit could get in trouble with stiff penalty.

ARTICLE III BILL OF RIGHTS Section 4 states -  No law shall be passed abridging the freedom of speech, of expression, or of the press, or the right of the people peaceably to assemble and petition the government for redress of grievances.

I’m glad they agree to DELETE this clause in its entirety.

Mr. Lagman said Section 28 (e) on prohibited acts, which read as: “Any person who maliciously engages in disinformation about the intent and provisions of this Act” should be deleted in its entirety in order to afford widest latitude to freedom of expression within the limits of existing penal statutes. 

SECTION 29 Penalties – Any violation of this Act or commission of the foregoing prohibited acts shall be penalized by imprisonment ranging from one (1) month to six (6) months or a fine of Ten Thousand (P 10,000.00) to Fifty Thousand Pesos (P 50,000.00) or both such fine and imprisonment at the discretion of the competent court; Provided that, if the offender is a public official or employee, he or she shall suffer the accessory penalty of dismissal from the government service and forfeiture of retirement benefits.

If the offender is a juridical person, the penalty shall be imposed upon the president or any responsible officer.

An offender who is an alien shall, after service of sentence, be deported immediately without further proceedings by the Bureau of Immigration.

*** Foreign missionaries who give advice, instructions or teachings that potentially thread against the bill runs the risk of deportation.

SECTION 30 Appropriations – The amounts appropriated in the current annual General Appropriations Act (GAA) for Family Health and Responsible Parenting under the DOH and POPCOM and other concerned agencies shall be allocated and utilized for the initial implementation of this Act.

Such additional sums necessary to implement this Act; provide for the upgrading of facilities necessary to meet Basic Emergency Obstetric Care and Comprehensive Emergency Obstetric Care standards; train and deploy skilled health providers; procure family planning supplies and commodity as provided in Sec. 6; and implement other reproductive health services, shall be included in the subsequent GAA.

SECTION 31 Implementing Rules and Regulations – Within sixty (60) days from the effectivity of this Act, the Secretary of the DOH shall formulate and adopt amendments to the existing rules and regulations to carry out the objectives of this Act, in consultation with the Secretaries of the DepED, the Department of Interior and Local Government (DILG), the Department of Labor and Employment (DOLE), the DSWD, the Director General of the National Economic and Development Authority (NEDA), and the Commissioner of the CHED, the Executive Director of the Philippine Commission on Women (PCW), and two Non-Governmental Organizations (NGOs) or Peoples’ Organizations (POs) for women. Full dissemination of the Implementing Rules and Regulations to the public shall be ensured.

SECTION 32 Separability Clause – If any part or provision of this Act is held invalid or unconstitutional, other provisions not affected thereby shall remain in force and effect.

*** This virtually creates a reason to circumvent previous ruling in the Philippine constitution.

Does this suggest that changes can still be made on sections and clause found invalid and unconstitutional but should not affect validity of the entire Bill?

I think that’s fair enough!

SECTION 33 Repealing Clause – All other laws, decrees, orders, issuances, rules and regulations which are inconsistent with the provisions of this Act are hereby repealed, amended or modified accordingly.

*** Wow. These are strong words. Let me repeat again. Any other laws, decrees, orders, issuances, rules and regulations which are inconsistent with the provisions of this ACT must be repealed, amended or modified.

This BILL not only has a fang it has saw tooth designed to cut and change old rules if it does not agree with this act. Yay!

Wait a minute!  I thought SECTION 32 is willing to adhere to the constitution?

Then why does this SECTION stating that it must repeal, amend and modify laws, decrees, orders, issuances, rules and regulations that go against it?

OK. My right arm stretching high to kwestiyon…

SECTION 34 Effectivity – This Act shall take effect fifteen (15) days after its publication in at least two (2) newspapers of general circulation.

Hmmmm…got me thinkin!

In its entirety there are a lot of good provisions but they have to commit to the amendments mentioned and add a clause about providing fair, accurate information regarding pros and cons between natural birth control methods and medically safe and legally acceptable birth control methods. 

SECTIONS 32 and 33 seem to collide with each other. Maybe I’m wrong!

How about you? Approved or Disapproved?  Source: Consolidated RH Bill House Bill 4244

Conclusion: No Compelling Need for the RH Bill

At this day and age, contraceptives and other kinds of artificial family planning are readily available in the market. Condoms and birth-control pills can be purchased over the counter or through third parties, invariably without need of medical prescription. There are even herbal concoctions sold in the corners of Manila, and unscrupulous practices of “mang-hihilot, that produce the same effect. Truth be told, there is no cogent need for the RH Bills.

If they become law, the RH Bills will do nothing more than force or condition the mind of people to use contraceptives and other forms of reproductive health services—this, at the expense of the fundamental rights of the people. With the liberties of the citizenry trampled, and the national coffers poorer–only the manufacturers and distributors of these artificial family planning devices and services—and others with their own hidden agenda—stand to benefit from the passage of the RH Bills.

Since the limited resources of the country cannot be suffered to be spread so thinly to service a burgeoning multitude that makes the allocations grossly inadequate and effectively meaningless…

I vote NO for this. Why? Because we just simply couldn’t afford this! And it’s unconstitutional…better stick to discipline and natural method.