Population Growth—chapter 6
Scenes from China's "One Child" policy.Episode 1 - The young girl
She was frightened. She had not told anyone that she had missed her last two periods. Telling her parents was impossible. Her mother would be shocked, her father so angry she didn’t know what he would do. She had not even told her best friend for fear that somehow the word of her pregnancy would get out. No one had friends when what you were doing was against the law. The Supreme Leader had decreed that all births should be controlled and the Women’s Federation officials were relentless in carrying out the official policy. She knew that they kept detailed notebooks on all the young women in her neighborhood. Her monthly cycle was a matter of record. Sooner or later she would be discovered and the longer she waited the more difficult it would be. There was no other choice. She entered the medical clinic and submitted to the abortion. They inserted a piece of metal in her uterus to prevent future pregnancies and sent her home. She knew an official entry had been made and that she would be watched carefully.
Episode 2 - The lovers
They dared not touch each others' hand in public. The Marriage Law specified that the woman had to be 20 and the man 23. Marriages at earlier ages were simply not permitted. Since she was only 19 and he 21 any indication that they were interested in each other would bring sharp sanctions. He dreamed of being an engineer. He had studied hard and had passed the examinations. He had waited 2 years for a place in the engineering school. If it were discovered that he was having sexual relations before marriage, he would surely be expelled. Side by side in the gathering twilight they slowly walked through the park without speaking. Where the path curved sharply and obscured them from view, they suddenly hurried into the darkness of a grove of trees.
Episode 3 - The married couple
Excited groups of people were gathered around the neighborhood bulletin board. A large poster in red proclaimed happy news. Had it been the announcement of an execution or of a new government decree it would have been printed on white paper. The headline read “Birth Quotas.” Each June a new list was published. It displayed the names of the married couples who had applied for and had received permission to conceive and bear a child during the following year. Although there were two hundred families in the neighborhood, only eight or nine birth permits were issued each year. The birth permit was a precious piece of paper. It was necessary to present it at the hospital when birth was imminent otherwise the hospital would abort the child.
The Chairperson of the Women’s Federation laboriously made her way up the stairs to the apartment of the married couple on the third floor. Her information was that the woman was already pregnant and was due to give birth in February. The couple had expected to receive a birth permit but other couples, more favored by the Committee, had come before them. She knew what she had to say.
The proclamation of the Leader was clear. It was in the best interest of the nation that the birth rate be reduced. Citizens were required to do their best to see that the policy was carried out. She herself would be open to criticism if the quota for their neighborhood was exceeded by even one birth. Perhaps the couple would get a permit next year. In the meantime this pregnancy must be aborted. The woman must go to the hospital and after the abortion an intrauterine device would be implanted to prevent accidental pregnancy. The woman would have to go to the medical clinic every six months for an x-ray examination to make sure the IUD was in place.
The voluntary visit to the clinic must take place within the next week or the couple will face severe penalties. The husband’s work superiors would be notified. Not only would the husband’s work benefits be reduced but those of his superiors would also be cut. The couple might find that their apartment permit would be canceled. She will accompany the woman to the clinic to verify that the “remedial measures” had been carried out. She had made this speech a hundred times before and knew what the result would be. With a sigh she knocked on the door.
Episode 4 - The family
The husband and wife were determined to have another child. The man wanted a son to continue the family name. The woman wanted a baby boy who, with her three year-old girl, would complete the family of her dreams. National Directive Number Seven stood in their way. Under the Directive the government had redoubled its efforts to impose a “One Couple, One Child” policy. After the birth of her daughter the woman had been pressured to sign a one-child agreement. Failure to sign the agreement was looked on as an unpatriotic act.
In neighborhood group meetings those who signed the agreement received praise from the population control officials. Many of the women went further and agreed to undergo the recommended sterilization procedure that would prevent them from reneging on their signed agreement. After the Fallopian tubes that carry eggs from the ovary to the uterus were cut, the women were hailed as leaders in the population control program and got cash bonuses at a public ceremony.
The Women’s Federation officials were eager to maintain a 100 percent compliance with the Directive in their area. They were quick to let the man and woman know what would happen if they went ahead with their plan to have a second child. The woman would be violating her signed agreement. There would be a heavy fine, equal to about five years of average yearly income. They might have to sell their furniture or home to pay the fine. At their workplaces they would not be eligible for bonuses or overtime work. After the delivery of the second child the woman would be automatically sterilized. The couple would be required to pay back to the government the cost of the free medical and day-care received by their first child. The second would not be eligible for any free care. The birth permits in the community in which they lived would be reduced by one. Some other couple would go without the one child that they were permitted to have. The pressure to adhere to the government policy of One Couple, One Child was overwhelming.
The practice of one couple, one child and promoting birth spacing between children among rural couples who want another child discouraged population growth. In 1984 the government somewhat relaxed its regulations, but for 5 years the episodes described at the beginning of this chapter were very real for the millions of young people involved
These episodes are not fictitious stories of some imagined dictatorship. They describe the real circumstances that were part of life in China from 1979 to 1984 and, to some extent, continue today.
The People’s Republic of China experienced a population explosion after World War II that sent its population doubling to 550 million in 1950. The country’s growth of 14 million per year has been equal to a new Australia every year.
China has more people than any other country. By the end of 1995, one out of every five people in the world lived in China. By contrast, the United States, with the third largest population, accounted for only one of every twenty people. China’s population at that time was 126 people per square kilometer (317 persons per square mile), which although relatively high, is not the highest population density in the world because of the country’s vast land resources. China is the world’s third largest country in land area (9.3 million square kilometers, or 3.6 million square miles) but the country’s mountainous and desert regions do not support many inhabitants.
Much of the population is clustered along the Pacific coast and in several fertile river valleys that extend inland, such as the Huang and the Yangtze. The most populous regions are in the rural areas where farming and other primary industries make for a source of livelihood.
Facing serious problems of overpopulation, the Chinese government acted forcefully to reduce the number of children in China. These policies raised controversies surrounding freedom and human rights. Government policies included legislating family planning to control population growth. The policy demanded that couples marry later in life, therefore having children later in life. The government also initiated the one-child policy. Couples received financial subsidies, longer maternity leave, better housing and even more land if they signed one-child agreement contracts. Families with more than one child without government approval had to pay hefty fines, to 5-10 percent of income for up to 10 years, or be denied job promotions and other incentives. In some cases newly affluent families were willing to pay the fine to have a second child.
The desire to have sons is very strong in Chinese culture. An unfortunate result of the One Couple, One Child policy was a surge in female infanticide. This ancient Chinese custom, which had all but been abandoned, returned. Although the government strongly disapproved of the killing of baby girls, its policy seemed to result in this desperate action.
Also, the government enforced mandatory terminations of unauthorized pregnancies when detected, regardless of stage of pregnancy. Reports of various pregnancy termination procedures such as using forceps to crush the baby’s skull and injecting pure formaldehyde into the soft cap of a newborn baby’s head have sparked an outcry regarding human rights over the years. Other controversial governmental policies included mandatory insertion of an IUD or sterilization of women with one child. Women who resisted deliberate pregnancy terminations were harassed, visited repeatedly and sometimes arrested until they complied. The government also carried out night raids to capture women hiding or trying to flee from birth planning workers.
Illegal children received no medical or education benefits because they were not entered on the population register. Some officials in rural villages went so far as to maintain records of women’s menstrual cycles to assure that no unplanned babies were born. The government also prohibited marriage for men under the age of 22 and women under the age of 20. To further discourage births, the government gave free contraceptives, abortions and sterilization.
Although the Chinese government policies for population control resulted in curbing the population growth relatively well, they remain morally questionable to many.
As a result, the inflexible single-child rule presently has many exceptions. If the first child is a girl, rural families can have a second child in the hope that it will be a boy to help in the fields. In other families a second birth is allowed if the first child is a girl so that the family line may be preserved through a male heir. If the first child has a non-hereditary disease and may not live to adulthood, a second birth is permitted.
In addition to the population policy, the Government now places great emphasis on maternal and child health (MCH). Several laws include special provisions to protect MCH. A three-tier Maternal Care and Health network has been created for the provision of prenatal, perinatal and postnatal care.
Due to allegations by the United States government that China uses coercive methods to pursue population targets, services provided by the United Nation Population Fund (UNFPA, http://www.unfpa.org/) were suspended for a period of time, but have recently been restarted. The Fund’s three-year, 14 million dollar program will cover 32 counties in 22 provinces, many located in populous areas in central and western China. This support has been highly controversial in the United States, and has been a hot political issue in Congress.
• The U.S. contributed between 30-50 percent of UNFPA’s budget until 1985, when, under the Reagan and Bush administrations, U.S. funding was suspended on the grounds of anti-choice allegations that UNFPA directly or indirectly supported coercive family planning practices (Cohen, 1999).
• President Clinton restored U.S. funding for UNFPA upon entering office in 1993 (Cohen, 1999).
• Following the resumption of UNFPA activities in China in 1998, family planning opponents in Congress succeeded again in canceling funding for UNFPA, citing concerns about China’s “one-child” policy (Cohen, 1999).
• For Fiscal Year 2000, an appropriation of $25 million of U.S. funding for UNFPA was approved without the potentially crippling amendment proposed by Representative Chris Smith (R-NJ) to cut off all U.S. funding for UNFPA if the program engages in any activities in China. [See statement of Congressman Smith below.] Instead, the appropriations act was passed with an amendment that would reduce — but not eliminate — U.S. support for UNFPA if the Population Fund supports a program in China (Congressional Record, 1999; PL 106-113, 1999).
• In the face of a recent increase in birth rate in China the authorities have recently begun to again tighten the regulations. There are calls for “the vigorous implementation of birth control and remedial measures,” meaning abortion. UNFPA has provided assistance to China since 1979.
Here are Congressman Smith’s objections:
By the end of 1997, China had 1.243 billion people. Policy makers have vowed to keep the population at 1.3 billion by the turn of the century.
The population policy aims at keeping the annual population growth rate below 1.25 per cent in the 1990-2000 period, maintaining fertility rates at replacement level (total fertility rate around 2) and limiting the total population to below 1.3 billion in the year 2000.
After a sharp decline in the birth rate brought on by the drastic regulations, China’s birth rate began to rise again. In 1984 there were 4.55 million second births. In 1986 births of a second child amounted to 6.88 million; an increase of 50%.
The policies of the Chinese government have made substantial progress in reducing the rate of population increase in China at the cost of a loss of personal freedom to its population. At present, China has lower birth rates, death rates and lower overall lower population growth rates. Growth declined from approximately 2.0 percent per year in the 1950s to 1.2 percent during the mid-1980s. By the end of 1995, the birth rate dropped to 17 per thousand from 34 per thousand in 1969.
The Peoples Republic of China had a target of a population of no more than 1.3 billion by 2000. In recent years, the government of China appears to have again moved toward stricter adherence to the one-child policy, demanding the use of Intra-Uterine Devices, sterilization, and pregnancy termination in specified circumstances.
However, China is a party to the Plan of Action adopted at the 1990 World Summit for Children and has developed a national action plan.
An article from the International Press Service provides us with the following perspective.
In New Delhi there is a population clock at a busy intersection near the All India Institute of Medical Sciences. It adds 1,940 individuals to the population each hour, 24 hours a day. That amounts to an additional 16.9 million people a year to a country already holding 931 million. India is home to 16% of the world’s population with just 2.3% of the world’s land resources. This rapid growth creates many problems. More intensive farming leads to degradation of the land. In many areas increasing reliance on irrigation has put the water supply for drinking and sanitation in jeopardy. Although most of India suffers from a water shortage, one fourth of the cropland is subject to flooding from the seasonal monsoons. The impacts of flooding and food shortages forces millions of farmers to leave their lands and move to the urban centers where the misery of homelessness and starvation grows with the increase. A family sleeping in the streets and alleyways is common in India’s major cities.
In some Indian states, notably the state of Kerala in the southwest part of the country, impressive advances have been made in medical care and education. Infant mortality and life expectancy are close to that of industrialized countries and children must stay in school through the tenth grade. The children of the poor in Bombay, Calcutta and Delhi are not so lucky. For them there is no school. Their time is spent helping their parents scavenge for food.
Some cities like Madras, on the Southeastern coast, must shut down the water supply for many hours during the day to extend supplies. Children of the poor, both in the cities and in the countryside, suffer from illness of the digestive system because of the lack of clean drinking water and persistent malnutrition. Approximately 40% of India’s total population suffers from malnutrition.
It didn’t take long for Indian leaders to recognize the importance of limiting population growth. In 1951 the government announced a policy to lower the birthrate. A network of clinics was established throughout the country. Contraceptives and birth control information were made available. The program has had some success and birth control has become more socially acceptable. It is estimated that in excess of 90 million unintended births have been prevented by the program.
In the mid-1970s a government emphasis on sterilization procedures and a strongly negative public reaction made the population control program falter. Experts agree that India needs a large-scale training effort to provide the technical personnel for effective outreach programs. They also call for an extensive program of public education. Recently the government has issued an action plan that promises to improve the quality of services, reduce the emphasis on sterilization, and expand availability of contraceptive methods.
National Public Radio’s Michael Sullivan reports from New Delhi that India officially announced its population has reached 1 billion people. India, one of the first countries to establish a population policy in the 1950’s, has had little success in holding down population growth. Observers say this is partly because of an ill-advised forced sterilization program in the 1970’s that turned the Indian public against contraception efforts. Although India’s population growth rate is not as high today as it was in the 1970s, it is still twice that of China. If India’s population continues to grow at the current rate, it will exceed that of China by mid-century.
What is India Doing to Solve Its Problems?
"Major Drive to Popularize the Pill"