Is U.S. 'Gagging' the World on Abortion?

ByABC News
November 25, 2003, 2:43 PM

Jan. 22 -- It was a decision Nirmal Bista never really wanted to make: a choice between money and principles, shutting up or sticking it out, and most harrowingly, one that involved the lives and potential deaths of millions of his countrywomen.

On Jan. 22, 2001 his second day in office President Bush issued an executive order denying U.S. aid money to any foreign nongovernmental organization offering women abortion counseling, services, or campaigning to liberalize their country's abortion laws.

Commonly called the "Mexico City Policy," the order also prohibits aid to groups that use funding from other sources for these activities. It does, however, make exceptions for abortion-related services due to rape, incest, or a threat to the woman's life.

On the 31st anniversary of Roe v. Wade, anti-abortion rights and pro-abortion rights groups are converging in Washington and across the country today to voice their differing opinions on the landmark 1973 Supreme Court decision legalizing abortion in the United States.

But halfway around the world far from Washington's vitriolic political conflagration between the two sides on the abortion debate Bista was faced with an unenviable choice.

As the director general of the Family Planning Association of Nepal, the leading reproductive health NGO in an impoverished country where an estimated six women die every day due unsafe abortions, Bista opted to forego U.S. government funding for his group.

"It was by no means an easy decision," Bista said in a phone interview with ABCNEWS.com from Katmandu, the Nepali capital.

"By refusing to sign [on to the Mexico City Policy] we have lost approximately $600,000 out of a core budget of $1.2 million," he said. "This may not sound like a lot of money in U.S terms, but here in Nepal, it has meant having to make decisions about closing clinics, laying off staff and medical professionals, and discontinuing critical services to thousands of needy women."