Gloria

Fifty-eight years ago, a 23-year old women gave up her job as a secretary and entered a home for unwed mothers in Pittsburgh. On December 13, she gave birth to my husband, then left him behind in the orphanage in care of the Catholic nuns. Four months later he was adopted by Bud and Dolly Vilsack. The way they described it to him, they chose him as they might a holiday turkey—the plumpest baby—and took him home to join his older sister Alice.

When I met my husband as a college freshman 40 years ago, he told me he was adopted. Maybe because we were 17 when we met, we always assumed that his birth mother was our age when she discovered she was pregnant in l950. Sometimes we imagined where she might be and assumed she had born other children, but Tom was never curious enough to go looking for her. He was satisfied with his Pittsburgh family. Despite his father’s financial woes and his mother’s alcoholism, he always knew he was loved. His dad died in our senior year of college and his mother died just before our first son was born in l977. His sister died suddenly a few years later. None of them lived long enough to know him as the Governor of Iowa or as a candidate for president.

It was during a campaign announcement tour that we stopped in Pittsburgh in November 2006. A few weeks after his name and picture appeared on the news he received a letter from the nuns who had cared for him before his adoption. They said they had information he might want about the circumstances of his birth. They couldn’t reveal the name of his birth mother because she had never given them permission to do that, but they would give him any other information they had.

His political advisors suggested he could find out himself or read it in the newspaper one morning. The letter arrived near his birthday. His birth mother took the assumed name Gloria when she entered the home for unwed mothers. She was 23 and a secretary. She was the oldest of 5 children in a Catholic family with an Irish surname. His mother didn’t leave the home right away after his birth. Considering our assumptions, this news was shocking.

Did she think about keeping him, Tom wondered? Marriage must not have been an option. Could her family afford to help support them? Did they consider their oldest daughter a bad influence on the other children? Could she afford to raise him on her own? We’ll never know. If she’s still living she is now 82 years old.

Coincidentally, finding Gloria coincided with a new job for me as executive director of The Iowa Initiative to Reduce Unintended Pregnancies, an organization dedicated to creating a national model for how states and the federal government can invest in pregnancy prevention among adult women 18-30. When I held a press conference in January to announce the goals of the organization and my association with it, I mentioned Gloria’s story, and said that she would motivate me every day as I travel the state educating people about the high rate of unintended pregnancy among adult women, which most voters and decision makers know little about.

Rather flippantly, a reporter said to me afterward, “Well, your husband turned out all right, didn’t he?” “Yes,” I said, “he did; but how did she turn out?” It was l950. She had to quit her job and enter a home for unwed mothers. She had to give up her financial security. Did she further her education? Did she marry; have other children? Is she surrounded by a covey of grandchildren who love her? How was her life changed by the decisions she made? We won’t know.

But I do believe, knowing my husband and what he’s accomplished, that Gloria must have been an intelligent woman with a great deal of potential. I do believe that all of us have the opportunity to give women a chance to reach their potential by assuring that they have the information they need and the access they need to the newest birth control methods, so they can control their own fertility and plan their futures.

This holiday season, I honor all the Glorias whose lives were changed by their unintended pregnancies, and I honor the difficult choices they made.

What Do You Talk About With Your Hairstylist?

My hairdresser says that when she was in school to become a stylist she was taught that clients are more apt to share personal information with the person who cuts, colors and styles their hair, because people respond to the human touch. Because barbers and hairstylists actually touch us, we tend to trust that person and reveal more about ourselves. Asking hairstylists and barbers to share healthcare information didn't start with birth control, however. Other studies have proved that barbers and hairstylists have helped to spread info about diabetes and cardio-vascular disease.

Our researcher Mary Losch at the University of Northern Iowa's Center for Social and Behavioral Research will be keeping data about this project so we can determine if using hairstylists to inform l8-30 year olds about long-acting reversible contraceptives (LARC) works. Our website provides a comprehensive list of all contraceptives so that people who know little about the new technology will have an overveiw of each method.

“…To go far, go together.”

Recently I stood listening to Al Gore speak to Harvard students about global warming and climate control. He began his speech by saying that overpopulation had contributed to the problems we are now experiencing. The solution, he said, started with educating girls, empowering women, giving them the chance to control their own fertility and giving them opportunity. When women have opportunity, they limit the number of children they have. On a day focused on “green” issues, it was good to hear the vice president reference the empowerment of women.

Later he said something else I think speaks to the coalition we are building in Iowa as we reduce the number of unintended pregnancies among 18-30 year olds and create a model for states and the federal government.

The vice president quoted an African proverb which says “If you want to go fast, go alone. If you want to go far, go together.”

For me personally, the Iowa Initiative has been gratifying work. My most productive professional work has happened as a result of grassroots coalition building.

With a new president-elect, we are at a turning point in our country’s future. A change in leadership at the national level will influence our ability to create a positive climate in Iowa.

I’m excited to see how, here in Iowa, just how far we can go, together!

Please, Have a Conversation...

Most Iowans I talk with are surprised to learn that we are 48th in the country in terms of access to family planning and birth control. I was surprised, too. In Mt. Pleasant I lived three blocks from the Southeast Iowa Planned Parenthood clinic, so I thought everyone else in Iowa had access.

The Iowa Department of Public Health contracts with Iowa Rural Health Clinic Providers to deliver primary care, including reproductive services. Women on Medicaid can get reproductive health services at these rural health clinics in counties where there is no family planning clinic. I have come to realize that access is more complicated than that.

In cities like Des Moines or Davenport a woman might not have access if she has no car and the local bus doesn’t stop near a clinic. Recently the Visiting Nurses of Des Moines opened a family planning clinic at Park Fair Mall Shopping Center, right next to the Fareway grocery and the Walgreens pharmacy on the local bus line.

In fact, they advertise in the Des Moines buses. The ads are important because if women don’t know about the three new kinds of long-acting reversible contraceptives, then they aren’t really accessible.

If a woman lives in Lyon County or Taylor County and there are no family planning clinics within 30 miles, then access is a problem, because most women work, sometimes on shifts that make it inconvenient to access birth control and reproductive health services on a regular basis.

Because of Iowa Initiative grants, existing clinics are opening satellites. A few weeks ago Northeast Iowa Community Action opened clinics in Postville, Fayette and New Hampton. Next week we’ll be opening Planned Parenthood of Greater Iowa clinics in Creston and Ft. Dodge.
Access also includes access to information. We created the first comprehensive map of family planning/birth control clinics in the state, so that anyone visiting our website may click on the town where they live and get contact information. In some cases they can make an appointment online. The Initiative also created a comprehensive chart of all hormonal and non-hormonal birth control options now available in most clinics across Iowa. It's also been translated to Spanish, because language can be a barrier to access.

When I was newly married, I was making $7,000 a year as a teacher in small town upstate New York. I had health insurance, but it didn’t cover birth control. I couldn’t afford to be pregnant those first three years of marriage, because I was supporting us while my husband finished law school. The nearest family planning clinic was 30 miles away, but that’s where I had access to low-cost birth control pills and a yearly check up. If a woman has no health insurance or has health insurance that doesn’t cover birth control, access is a problem.

Today the Pill can cost between $30-50 a month. College students and many women working minimum-wage jobs, simply can’t afford this expense. Iowa Initiative grants make long-acting reversible contraceptives (LARC) available at no-cost or low cost at every family planning clinic on our map. So far the best advertising for new clinics and LARC in Iowa is word-of mouth: roommates sharing information; daughters telling their moms; health care professionals counseling clients.

Please have a conversation with someone else about what you learn here.

U.S. 29th in Infant Mortality?

On Sunday, October 18, a New York Times editorial called “shameful” how poorly the United States compares with other industrialized countries in its infant mortality rate. The Times reports that in l960 we were 12th and now we’re 29th. The editorial says it’s difficult to pinpoint the causes because infant mortality is linked with health and economic status of the mother, her race or ethnicity, access to quality medical care as well as obesity and drug use.

While we’re overhauling the health care system maybe we could take a look at where we can integrate age-appropriate sexuality education from kindergarten through college.

If we can help women learn to prepare their bodies for pregnancy, educate them about contraceptive methods that will allow them to plan their pregnancies and space them with enough time to recover, we can reduce the mortality rate.

The Guttmacher Institute numbers show that the mortality rate goes up when women have babies too close together for their bodies to heal and strengthen. At the family level, the school level, the community level, in faith-based organizations and among elected decision makers, we must make women’s reproductive healthcare a higher priority than polarizing ideologies.

Ads Help Make Family Planning Mainstream

I remember seeing the first ads for feminine hygiene products on television and wincing. “Is there nothing private any longer,” I wondered. We now have ads for Viagra and “happy periods.” For someone like me who grew up in a family where we didn’t talk about any body parts we can’t see, this was unsettling. But the more I think about it, the more I think it’s a good thing, because advertising is helping us get over our sexual taboos.

In my job with the Iowa Initiative, I am working with family planning clinics which are starting to advertise their services and the new long-acting reversible contraceptives (LARC), which not too many women yet know exist. As a result, I think these ads will help us get used to the fact that family planning clinics are as Main Street as the local doctor’s office or the local pharmacy.


In Cedar Rapids, for instance, at all the local theaters, viewers see the Coke and popcorn ads, but they also see the ad for a local family planning clinic. In Ottumwa, the local clinic advertises on billboards and park benches at busy intersections. In Harlan, there’s a banner on the local hospital. In Des Moines, you can learn about long-acting reversible contraceptives on local buses.

At a clinic in Council Bluffs, the phone at the clinic starts ringing right after the staff hears the popular Planned Parenthood “bunny” ad airing on local TV.


These ads are part of a public conversation we need to be having about health care options which includes preventing unintended pregnancies among adult women.

Family Planning Clinic Openings

Now the young woman is living with her fiancé who is a medical student. When they first became sexually active, she decided to go to the Planned Parenthood in her community, but she kept putting it off. She knew she needed to take responsibility for averting an unintended pregnancy, but somehow she felt guilty about going to the clinic to get birth control. She found it ironic that she felt bad about doing something responsible.

For this reason it’s important that we make family planning clinics so mainstream, so Main Street that there is no stigma attached to walking in the front door.

Earlier this year, when I opened one of the first family planning clinics funded by the Iowa Initiative in Cedar Rapids, Waverly and Independence, I was surprised to find the Chamber of Commerce ambassadors, the mayors, city council members and county supervisors in attendance.

The family planning clinic in small town Waverly is on Main Street near a dance studio. It struck me that in Waverly little girls will learn to be physically and emotionally strong as they learn the power of their bodies, and when they’re young adults they’ll go next door to assure that they continue to be physically and emotionally healthy and strong as they learn the power of their adult bodies.

In small town Independence the new family planning clinic is located in the local hospital between the wellness center and the nursing home. Again, local leaders were there to welcome this small business to the community.

Recently in Postville, a local early childhood teacher brought her high school class to the family planning clinic opening. One of her students was pregnant. They all learned about the services the clinic offers, including yearly exams and testing for sexually transmitted diseases as well as birth control counseling.

Earlier that day we opened a clinic in New Hampton, where a local reporter in her 40’s was visibly pregnant. She and her husband already have several children. She laughed about the fact that she had made an appointment to get one of the new, long-acting IUD’s, but when she went for the insertion, they discovered she is pregnant. She and her husband are anticipating the arrival of their baby and she’s comfortable telling her story to strangers.