When governments and scholars work together on data security, society benefits from better safeguards and protections, a U.S. intelligence expert said Wednesday.

The difficulty is keeping up with technology and societal trends, Admiral Bobby R. Inman said at the Center for International Security and Cooperation's annual Drell Lecture for 2017. His talk was titled, “The Challenges of Providing Data Security.”

Inman, whose U.S. Navy career spanned 31 years, served as the director of the National Security Agency, deputy director of the Central Intelligence Agency, and held other influential positions in the U.S. intelligence community. After retiring from the Navy, Inman worked on start-ups in the private sector, in higher education, and as chairman of the Federal Reserve Bank of Dallas. He is currently the Lyndon B. Johnson Centennial Chair in National Policy at the University of Texas, Austin.

'9/11 changed everything'

During his talk, Inman recounted the early days of cryptography and the dialogue between government officials like himself and scholars at universities such as Stanford and UC Berkeley. Cryptography or cryptology is the practice and study of techniques for secure communication in the presence of third parties typically known as adversaries.

Inman was a key driver behind establishing the United States Foreign Intelligence Surveillance Court in 1978. The purpose of the “FISA” court was to oversee requests for surveillance warrants against foreign spies inside the United States by federal law enforcement and intelligence agencies.

Today, technology has overwhelmed many issues regarding how the government tracks the communications of foreign entities, Inman said. And events have ushered in a different orientation on what type of information and from whom is sought by U.S. intelligence. “9/11 changed everything,” he added.

After 9/11, U.S. intelligence began to focus on foreign individuals in addition to the traditional foreign state actors, Inman said. He pointed out the value of such data collection, as penetrating small groups with human agents is extraordinarily difficult and dangerous.

“The only way you’re likely to get a lead on them (terrorists or narcotic traffickers) is through their communications,” he said.

The Internet, especially social media, has exploded in usage and made data security efforts even more complex, Inman said. “A vastly different world.” As a result, serious privacy, commercial usages and intellectual property issues need to be resolved more than ever. He noted that the rule of law is important to follow when the governmnt or other entities collect and examine communications data.

Inman is particularly worried about how “basic issues of ethics and morality” have eroded in society, which results in people scheming to sell private data for profit that puts others at risk. Another issue involves how to prevent terrorist groups from preying upon mentally weak people and recruiting them over the Internet.

A key reason Inman was invited to be the Drell speaker this year was his connection to Martin Hellman and Whitfield Diffie, two pioneering cryptographers from CISAC who drew Inman’s attention in the mid-1970s when they wrote a groundbreaking paper in their field of study. The three later established long-running friendships that produced strong cryptography frameworks.

Inman said, “We were privileged to start the dialogue. That’s where you begin to solve problems,” as fears and misperceptions can be resolved through discussions and openness. “I think what we need is a repeat of pulling together people” from academia and government to deal with today’s security threats. “We need to assess where we are.”

His concern is who would convene such a dialogue. “We’re in a pretty bumpy time, nationally,” said Inman, who urges a neutral party to be such a convener. On broader security fronts, Inman said he is most apprehensive about a possible nuclear exchange between Pakistan and India.

Legacy of Drell

The event included a tribute to Sidney Drell, who passed away last December at the age of 90. Drell co-founded CISAC, and jointly directed it from 1983 to 1989. The Drell Lecture, which is named after him, is an annual public event sponsored by CISAC. By tradition, the lecturer addresses a current and critical national or international security issue that has important scientific or technical dimensions.

In her opening remarks, Amy Zegart, co-director of CISAC, described Drell as a “true giant in the field of theoretical physics” who devoted his life’s work to reducing the threat of nuclear catastrophe. One trademarks of the Drell lecture was that its namesake had the opportunity to ask the first question of the speaker. “He had a unique way of asking penetrating questions" with gentle decency and fairness, she added.

CISAC’s William Perry, also on hand to discuss Drell’s legacy, said, “Sid Drell was truly a man for all seasons” who excelled in various fields of academic and policy. Perry first met Drell 55 years ago when he was beginning his own career in nuclear arms control. “Sid’s deep interest in arms control led to him teaming up with John Lewis” to launch CISAC, he noted.

“He was an extraordinary man,” Perry said, “and we shall never see his like again.”

Drell was a fan of classical music, especially the St. Lawrence String Quartet, a chamber music group whose music was piped in to the Bechtel Conference Room before the event began.

Follow CISAC at @StanfordCISAC and  www.facebook.com/StanfordCISAC

MEDIA CONTACTS

Clifton B. Parker, Center for International Security and Cooperation: (650) 725-6488, cbparker@stanford.edu

The populist backlash against globalization is being felt acutely across Europe as well as here in the US. And yet whether you look at it from an economic, political or military perspective, transnational cooperation has become an integral part of our global landscape. Hear CDDRL Mosbacher Director Francis Fukuyama on the future of globalization for World Affairs. 

In a shack that now sits below sea level, a mother in Bangladesh struggles to grow vegetables in soil inundated by salt water. In Malawi, a toddler joins thousands of other children perishing from drought-induced malnutrition. And in China, more than one million people died from air pollution in 2012 alone.

Around the world, climate change is already having an effect on human health.

In a recent paper, Katherine Burke and Michele Barry from the Stanford Center for Innovation in Global Health, along with former Wellesley College President Diana Walsh, described climate change as “the ultimate global health crisis.” They offered recommendations to the new United States president to address the urgently arising health risks associated with climate change.

Bangladeshi children make their way through flood waters.

The authors, along with Stanford researchers Marshall Burke, Eran Bendavid and Amy Pickering who also study climate change, are concerned by how little has been done to mitigate its effects on health.

“I think it’s likely that health impacts could be the most important impact of climate change,” said Marshall Burke, an assistant professor of earth system science and a fellow at the Freeman-Spogli Institute for International Studies.

There is still time to ease — though not eliminate — the worst effects on health, but as the average global temperature continues to creep upward, time appears to be running short.

“I think we are at a critical point right now in terms of mitigating the effects of climate change on health,” said Amy Pickering, a research engineer at the Woods Institute for the Environment. “And I don’t think that’s a priority of the new administration at all.”

Health effects of climate change

Even in countries like the United States that are well-equipped to adapt to climate change, health impacts will be significant.

“Extremes of temperature have a very observable direct effect,” said Eran Bendavid, an assistant professor of medicine and Stanford Health Policy core faculty member.

“We see mortality rates increase when temperatures are very low, and especially when they are very high.”

Bendavid also has seen air pollutants cause respiratory problems in people from Beijing to Los Angeles to villages in Sub-Saharan Africa.

“Hotter temperatures make it such that particulate matter and dust and pollutants stick around longer,” he said.

In addition to respiratory issues, air pollution can have long-term cognitive effects. A study in Chile found that children who are exposed to high amounts of air pollution in utero score lower on math tests by the fourth grade.

“I think we’re only starting to understand the true costs of dirty air,” said Marshall Burke. “Even short-term exposure to low levels can have life-long effects.”

Low-income countries like Bangladesh already suffer widespread, direct health effects from rising sea levels. Salt water flooding has crept through homes and crops, threatening food sources and drinking water for millions of people.

“I think that flooding is one of the most pressing issues in low-income and densely populated countries,” said Pickering. “There’s no infrastructure there to handle it.”

Standing water left over from flooding is also a breeding ground for diseases like cholera, diarrhea and mosquito-borne illnesses, all of which are likely to become more prevalent as the planet warms.

On the flip side, many regions of Sub-Saharan Africa — where clean water is already hard to access — are likely to experience severe droughts. The United Nations warned last year that more than 36 million people across southern and eastern Africa face hunger due to drought and record-high temperatures.

Residents may have to walk farther to find water, and local sources could become contaminated more easily. Pickering fears that losing access to nearby, clean water will make maintaining proper hygiene and growing nutritious foods a challenge.

Climate change will affect health in all sectors of society.

All of these effects and more can also damage mental health, said Katherine Burke and her colleagues in their paper. The aftermath of extreme weather events and the hardships of living in long-term drought or flood can cause anxiety, depression, grief and trauma.

Climate change will affect health in every sector of society, but as Katherine Burke and her colleagues said, “….climate disruption is inflicting the greatest suffering on those least responsible for causing it, least equipped to adapt, least able to resist the powerful forces of the status quo.

“If we fail to act now,” they said, “the survival of our species may hang in the balance.”

What can the new administration do to ease health effects?

If the Paris Agreement’s emissions standards are met, scientists predict that the world’s temperature will increase about 2.7 degrees Celsius – still significant but less hazardous than the 4-degree increase projected from current emissions.

The United States plays a critical role in the Paris Agreement. Apart from the significance of cutting its own emissions, failing to live up to its end of the bargain — as the Trump administration has suggested — could have a significant impact on the morale of the other countries involved.

“The reason that Paris is going to work is because we’re in this together,” said Marshall Burke. “If you don’t meet your target, you’re going to be publicly shamed.”

The Trump administration has also discussed repealing the Clean Power Plan, Obama-era legislation to decrease the use of coal, which has been shown to contribute to respiratory disease.

“Withdrawing from either of those will likely have negative short- and long-run health impacts, both in the U.S. and abroad,” said Marshall Burke.

Scott Pruitt, who was confirmed today as the head of the Environmental Protection Agency (EPA), is expected to carry out Trump’s promise to dismantle environment regulations.

Despite the Trump administration’s apparent doubts about climate change, a few prominent Republicans do support addressing its effects.

Secretary of State Rex Tillerson, the former chairman and CEO of Exxon Mobile, supports a carbon tax, which would create a financial incentive to turn to renewable energy sources. He also has expressed support for the Paris Agreement. It is possible that as secretary of state, Tillerson could help maintain U.S. obligations from the Paris Agreement, though it is far from certain whether he would choose to do so or how Trump would react.

More promising is a recent proposal from the Climate Leadership Council. Authored by eight leading Republicans — including two former secretaries of state, two former secretaries of the treasury and Rob Walton, Walmart’s former chairman of the board — the plan seeks to reduce emissions considerably through a carbon dividends plan.

Already an issue, malnutrition will increase with droughts in Sub-Saharan Africa.

Their proposal would gradually increase taxes on carbon emissions but would return the proceeds directly to the American people. Americans would receive a regular check with their portion of the proceeds, similar to receiving a social security check. According to the authors, 70 percent of Americans would come out ahead financially, keeping the tax from being a burden on low- and middle-income Americans while still incentivizing lower emissions.

“A tax on carbon is exactly what we need to provide the right incentives and induce the sort of technological and infrastructure change needed to reduce long-term emissions,” said Marshall Burke.

Pickering added, “This policy is a ray of hope for meaningful action on climate.”

It remains to be seen whether the new administration and congress would consider such a program.

What can academics do to help?

Meanwhile, academics can promote health by researching the effects of climate change and finding ways to adapt to them.

“I think it’s fascinating that there’s just so little data right now on how climate change is going to impact health,” said Pickering.

Studying the effects of warming on the world challenges traditional methods of research.

“You can’t create any sort of experiment,” said Bendavid. “There’s only one climate and one planet.”

The scholars agree that interdisciplinary study is a critical part of adapting to climate change and that more research is needed.

“If ever there was an issue worthy of a leader’s best effort, this is the moment, this is the issue,” said Katherine Burke and her colleagues. “Time is short, but it may not be too late to make all the difference.”

By using high-res images taken by the latest generation of compact satellites, Stanford scientists have developed a new capability for estimating crop yields from space. Measuring yields could improve productivity and eventually reduce hunger.

Stanford researchers have developed a new way to estimate crop yields from space, using high-resolution photos snapped by a new wave of compact satellites.

The approach, detailed in the Feb. 13 issue of Proceedings of the National Academy of Sciences, could help estimate agricultural productivity and test intervention strategies in poor regions of the world where data are currently extremely scarce.

“Improving agricultural productivity is going to be one of the main ways to reduce hunger and improve livelihoods in poor parts of the world,” said study-coauthor Marshall Burke, an assistant professor of Earth system science at Stanford’s School of Earth, Energy & Environmental Sciences. “But to improve agricultural productivity, we first have to measure it, and unfortunately this isn’t done on most farms around the world.”

Improved satellites

Earth-observing satellites have been around for over three decades, but most of the imagery they capture has not been of high enough resolution to visualize the very small agricultural fields typical in developing countries. Recently, however, satellites have shrunk in both size and cost while simultaneously improving in resolution, and today there are several companies competing to launch into space refrigerator- and shoebox-sized satellites that take high-resolution images of Earth.

“You can get lots of them up there, all capturing very small parts of the land surface at very high resolution,” said study-coauthor David Lobell, an associate professor of Earth system science. “Any one satellite doesn’t give you very much information, but the constellation of them actually means that you’re covering most of the world at very high resolution and at very low cost. That’s something we never really had even a few years ago.”

Accurate predictions

In the new study, Burke and Lobell set out to test whether the images from this new wave of satellites are good enough to reliably estimate crop yields. The pair focused on an area in western Kenya where there are a lot of smallholder farmers that grow maize, or corn, on small, half-acre or one-acre lots. “This was an area where there was already a lot of existing field work,” Lobell said. “It was an ideal site to test our approach.”

The scientists compared two different methods for estimating agricultural productivity yields using satellite imagery. The first approach involved “ground truthing,” or conducting ground surveys to check the accuracy of yield estimates calculated using the satellite data, which was donated by the company Terra Bella. For this part of the study, Burke and his field team spent weeks conducting house-to-house surveys with his staff, talking to farmers and gathering information about individual farms.

“We get a lot of great data, but it’s incredibly time consuming and fairly expensive, meaning we can only survey at most a thousand or so farmers during one campaign,” said Burke, who is also a Center Fellow at the Stanford Woods Institute for the Environment. “If you want to scale up our operation, you don’t want to have to recollect ground survey data everywhere in the world.”

For this reason, the team also tested an alternative “uncalibrated” approach that did not depend on ground survey data to make predictions. Instead, it uses a computer model of how crops grow, along with information on local weather conditions, to help interpret the satellite imagery and predict yields.

“Just combining the imagery with computer-based crop models allows us to make surprisingly accurate predictions, based on the imagery alone, of actual productivity on the field,” Burke said.

The researchers have plans to scale up their project and test their approach across more of Africa. “Our aspiration is to make accurate seasonal predictions of agricultural productivity for every corner of sub-Saharan Africa,” Burke said. “Our hope is that this approach we’ve developed using satellites could allow a huge leap in in our ability to understand and improve agricultural productivity in poor parts of the world.”

Lobell is also the deputy director of Stanford’s Center on Food Security and the Environment and a senior fellow at the Stanford Woods Institute for the Environment.

Funding for the study, titled “Satellite-based assessment of yield variation and its determinants in smallholder African systems,” was provided by AidData at the College of William and Mary, the USAID Global Development Lab and the Center for Effective Global Action.

Stanford University has expressed its views on the recent executive order on immigration, and is offering resources for students who could be affected. News accounts indicate that as many as 17,000 students across the country fall into this category. On Jan. 27, President Trump signed an executive order restricting travel to the United States of people from seven largely Muslim countries -- Syria, Iran, Iraq, Libya, Somalia, Sudan and Yemen.

Amy Zegart, co-director of the Center for International Security and Cooperation, said CISAC's "mission is generating knowledge to build a safer world. We bring scholars, ideas from everywhere. And always will."

Looking ahead, Stanford is planning campus events and initiatives on this issue. Some information already to note: 

• Stanford launched a new website on immigration issues for students and scholars. This includes centralized campus information about international travel guidance and other information. Stanford will continue to add content to this site.

• A letter to the campus community from Stanford president Marc Tessier-Lavigne, provost John Etchemendy, and incoming provost Persis Drell affirming the university's support for international students. "As events unfold, the university intends to continue vigorously advocating before Congress, the Executive Branch, and beyond for policies consistent with its commitment to members of our community who are international, undocumented and those who are impacted by the recent executive order."

Today, the Bulletin of Atomic Scientists’ “doomsday clock” moved 30 seconds forward to 2 and a half minutes to midnight. The closer the minute hand gets to midnight, the closer the bulletin predicts humankind is to destroying itself. The symbolic clock was created in 1947 when Albert Einstein and Robert Oppenheimer (the father of the U.S. nuclear program) founded the publication.

The following experts from the Center for International Security and Cooperation and the Freeman Spogli Institute for International Studies offered these perspectives:

William J. Perry, a former U.S. Secretary of Defense and senior fellow at the Center for International Security and Cooperation (CISAC), said: "Last year the Doomsday clock was set at 3 minutes to midnight, the closest it has been to global 'midnight' since the iciest days of the Cold War. This ominous pronouncement reflected my own fears that we were now in greater danger of nuclear catastrophe than we were during the Cold War, with the growing threat of nuclear terrorism, the continued risk of accidents and miscalculation, and the possibility of regional nuclear war and continued nuclear proliferation around the world."

He added, "Today the Bulletin of Atomic Scientists announced that we have moved closer to global catastrophe, for the first time setting the clock 30 seconds ahead to 2 and a half minutes to midnight, approaching a time not seen since the United States and Soviet Russia first developed the H-bomb. We must heed this dire warning as a call to action. There are concrete steps that we can take to reduce the risk of nuclear annihilation, but we must start today."

Siegfried Hecker, the former director of the Los Alamos National Laboratory and senior fellow at CISAC, said, "The bulletin’s keepers of the clock made the correct call to move the clock 30 seconds closer to midnight. The disregard for fact-based analysis of issues such as global climate change during the recent presidential campaign is truly alarming. However, my immediate concerns focus on the world having become a more dangerous nuclear place."

He said, "Developments in North Korea top the list: 2016 was a very bad year as Pyongyang greatly expanded its nuclear complex to increase the size of its arsenal to perhaps as many as 20 to 25 weapons, conducted two more nuclear tests to enhance the sophistication of its weapons, and launched two dozen missile tests. All of this while Washington cut all communications with a regime about which we know so little, while continuing the failed policies of sanctions and leaning on China to solve the problem."

"Confrontation," Hecker said, "has replaced cooperation between Russia and the United States. For the first time since the end of the Cold War the specter of a nuclear arms race was raised in 2016. President Putin put the finishing touches on suspending or terminating most of the cooperative nuclear threat reduction programs with the United States. Nuclear safety and security concerns appear to have taken a back seat to nuclear saber rattling and cyber attacks."

He noted, "Tensions between China and the United States have increased substantially over Beijing’s more muscular role in international affairs, particularly with its actions in the South China Sea. Moreover, tensions over Taiwan prompted by President Trump’s comments about the One-China policy renew the possibility of conflict."

"South Asia has inched closer to potential nuclear confrontation between India and Pakistan. India’s expanding economy and its concerns about Chinese military expansion has prompted it to strengthening its nuclear arsenal by moving toward a full triad – land, air and sea-based nuclear weapons. Pakistan, its much smaller and weaker neighbor, feels increasingly threatened by India’s expanding military. It has moved to what is called a posture of full-spectrum nuclear deterrence, which includes very dangerous tactical battlefield nuclear weapons that lower the nuclear threshold," Hecker said.

"Preventing and responding to potential acts of nuclear terrorism require close international cooperation. Unfortunately, all signs point in the opposite direction at a time when the atrocities perpetrated by terrorists are increasing. Greatest among these pullbacks was President Putin’s decision not to participate in the 2016 Nuclear Security Summit held in Washington, DC. With President Obama’s tenure having ended, this very effective collaborative international effort is now in limbo," he said.

MEDIA CONTACTS

Clifton B. Parker, Center for International Security and Cooperation: (650) 725-6488, cbparker@stanford.edu

Chaney Kourouniotis, Freeman Spogli Institute for International Relations: (6650) 724-9842, chaney.kourouniotis@stanford.edu

Space is more important than ever for the security of the United States, but it’s almost like the Wild West in terms of behavior, a top general said today.

Air Force Gen. John Hyten, commander of the U.S. Strategic Command, spoke Jan. 24 at Stanford’s Center for International Security and Cooperation. His talk was titled, “U.S. Strategic Command Perspectives on Deterrence and Assurance.”

Hyten said, “Space is fundamental to every single military operation that occurs on the planet today.” He added that “there is no such thing as a war in space,” because it would affect all realms of human existence, due to the satellite systems. Hyten advocates “strategic deterrence” and “norms of behavior” across space as well as land, water and cyberspace.

Otherwise, rivals like China and Russia will only threaten U.S. interests in space and wreak havoc for humanity below, he said. Most of contemporary life depends on systems connected to space.

Hyten also addressed other topics, including recent proposals by some to upgrade the country’s missile defense systems.

“You just don’t snap your fingers and build a state-of-the-art anything overnight,” Hyten said, adding that he has not yet spoken to Trump administration officials about the issue. “We need a powerful military,” but a severe budget crunch makes “reasonable solutions” more likely than expensive and unrealistic ones.

On the upgrade front, Hyten said he favors a long-range strike missile system to replace existing cruise missiles; a better air-to-air missile for the Air Force; and an improved missile defense ground base interceptor.

‘Critically dependent’

From satellites to global-positioning systems (GPS), space has transformed human life – and the military – in the 21st century, Hyten said. In terms of defining "space," the U.S. designates people who travel above an altitude of 50 miles as astronauts.

As the commander of the U.S. Strategic Command, Hyten oversees the control of U.S. strategic forces, providing options for the president and secretary of defense. In particular, this command is charged with space operations (such as military satellites), information operations (such as information warfare), missile defense, global command and control, intelligence, surveillance, and reconnaissance, global strike and strategic deterrence (the U.S. nuclear arsenal), and combating weapons of mass destruction.

Hyten explained that every drone, fighter jet, bomber, ship and soldier is “critically dependent” on space to conduct their own operations. All cell phones use space, and the GPS command systems overall are managed at Strategic Command, he said.

“No soldier has to worry about what’s over the next hill,” he said, describing GPS capabilities, which have fundamentally transformed humanity’s way of life.

Space needs to be available for exploration, he said.

“I watch what goes on in space, and I worry about us destroying that environment for future generations.” He said that too many drifting objects and debris exist – about 22,000 right now. A recent Chinese satellite interception created a couple thousand more debris objects that now circle about the Earth at various altitudes and pose the risk of striking satellites.

“We track every object in space” now, Hyten said, urging “international norms of behavior in space.”

He added, “We have to deter bad behavior on space. We have to deter war in space. It’s bad for everybody. We could trash that forever.”

But now rivals like China and Russia are building weapons to deploy in the lower levels of space. “How do we prevent this? It’s bigger than a space problem,” he said.

Deterring conflict in the cyber, nuclear and space realms is the strategic deterrence goal of the 21st century, Hyten said.

“The best way to prevent war is to be prepared for war,” he said.

Hyten believes the U.S. needs a fundamentally different debate about deterrence. And it all starts with nuclear weapons.

“In my deepest heart, I wish I didn’t have to worry about nuclear weapons,” he said. Hyten described his job as “pretty sobering, it’s not easy.”

But he also noted the mass violence of the world prior to 1945 when the first atomic bomb was used. Roughly 80 million people died from 1939 to 1945 during World War II. Consider that in the 10-plus years of the Vietnam War, 58,000 Americans were killed. That’s equivalent to two days of deaths in WWII, he said.

In a world without nuclear weapons, a rise in conventional warfare would produce great numbers of mass casualties, Hyten said. About war, he said, “Once you see it up close, no human will ever want to experience it.”

Though America has “crazy enemies” right now, in many ways the world is more safe than during WWII, Hyten said. The irony is that nuclear weapons deterrence has kept us from the type of mass killings known in events like WWII. But the U.S. must know how to use its nuclear deterrence effectively.

Looking ahead, Hyten said the U.S. needs to think about space as a potential war environment. An attack in space might not mean a response in space, but on the Earth.

Hyten describes space as the domain that people look up at it and still dream about. “I love to look at the stars,” but said he wants to make sure he’s not looking up at junk orbiting in the atmosphere.

‘Space geek’

Hyten has served in the Air Force for 35 years. He originally wanted to be an astronaut, but his eyesight was too bad. He got a waiver, and graduated Harvard in 1981 with an engineering degree on a ROTC scholarship. He entered the Air Force thinking he would only do four years. But then he had a close-up view of what a young Air Force officer could find in the last frontier of space as satellites and military space science were booming.

“God, I love space,” he said.

In introducing Hyten, Amy Zegart, co-director of CISAC, described him as a person of unwavering dedication and profound insights who understands the gravity of situations. “A self-described space geek,” she said.

Hyten lauded CISAC for its research and educational work on national security, and said he enjoyed being around people willing to test out new ideas and discuss potential solutions for vexing problems.

Earlier in the day on campus, Hyten met with William J. Perry, a former U.S. Secretary of Defense and senior fellow at CISAC; George Shultz, a former U.S. Secretary of Defense and senior fellow at the Hoover Institution; and Condoleezza Rice, a senior fellow at the Freeman Spogli Institute for International Studies and Hoover Institution.

General Hyten was nominated for reassignment to head the U.S. Strategic Command on Sept. 8, 2016. He commanded Air Force Space Command from 2014 to 2016.

Follow CISAC at @StanfordCISAC and  www.facebook.com/StanfordCISAC

MEDIA CONTACTS

Clifton B. Parker, Center for International Security and Cooperation: (650) 725-6488, cbparker@stanford.edu

The Trump administration’s reinstatement of a policy that bans U.S. foreign aid to agencies that provide abortion counseling abroad was a predictable move that could have unintended consequences, Stanford researchers say.

The move freezes funding to nongovernmental organizations that provide abortion services or discuss abortions as a legitimate  family-planning option. It revives what is known as the “Mexico City Policy,” so called because it was announced by President Regan in 1984 during a U.N. population conference in Mexico City. It’s a highly partisan policy, which has been implemented under Republican administrations and suspended by Democratic presidents.

From that standpoint, the move to revive the policy was no surprise, said Grant Miller, PhD, an associate professor of medicine at Stanford and core faculty member at Stanford Health Policy. But Miller’s research has shown that the policy actually appears to have the unintended effect of increasing, not decreasing, abortions in the developing world.

“The bottom line is that it doesn’t matter what you think about abortion and the morality and ethics of it,” Miller told me. “I don’t think either side of the disagreement would think a good policy is one that leads to an increase in abortions. Neither side wants to see more abortions.”

In 2011, Miller published a study with Eran Bendavid, MD, on the impact of the policy between 1994 and 2008 in sub-Saharan Africa, a region in which family planning services are heavily financed by U.S. foreign aid. Family planning agencies provide a range of family planning services, including contraception, so when their funding is cut, the availability of contraception declines, said Bendavid, the study’s lead author and another faculty member at Stanford Health Policy. This results in declining use of safe contraception and an increase in abortion rates, the researchers found.

“Sure enough, where you see this relative decline in use of contraception is where you see this uptick in abortion,” said Bendavid, an assistant professor of medicine. “Our theory of what is underlying this is this notion that when women have more restricted access to modern contraception, they rely on abortion. If the intention was to curb abortion, then what we observe is that cutting support to family planning organizations led to the  opposite effect.”

Miller followed that up with another study published in 2016 that focused on Nepal during the period when the government legalized abortion, making it more widely available. The policy change gave him the opportunity to test the idea of abortion and contraception as substitutes — i.e. that use of one method to limit family size reduces use of the other. In fact, as the number of abortions rose, use of contraception declined, he found.

“What is remarkable is that this is clear evidence on this interchangeable use that women make in use of contraceptives and abortion services,” Miller said.

In other words, women are trying to control the number of children they have and will use one or the other, depending in part upon what is most available. “If contraception is available, they won’t have to resort to abortion,” Bendavid said.

He said these results have subsequently been corroborated in other studies in sub-Saharan Africa.