On December 27, while most Brazilians prepared for the New Year by bleaching their whites and gathering flowers to toss into the Atlantic for the goddess Iemanjá, Dilma Rousseff, Brazil’s first female president, was gathering a group a conservative legislators to stealthily assist in drafting and enacting a CeauÅŸescu-like law requiring all pregnant women to register their pregnancies with the state.
At first glance, Provisional Measure 557 (PM 557) is not a bad law. It purports to address Brazil’s high maternal mortality ratio by ensuring better access to quality maternal health care, notably for pregnant women at a high risk for health complications. The problem is that it won’t reduce maternal mortality. Notwithstanding the fact that many of its provisions are legally and constitutionally questionable, its requirements are not based on sound public health policy.
So what is going on? Brazil, the most populous Catholic country in Latin America, finds its politics intrinsically tied to the hierarchy of the Catholic Church. Dilma, who won a last-minute reprieve from the church’s negative onslaught in the 2010 presidential elections once she disavowed any suggested support for abortion, is to a certain extent beholden to that base. Indeed, Dilma’s cabinet includes an unofficial church representative who was responsible for brokering an agreement between the Vatican and Brazil during President Luiz Inácio Lula da Silva’s administration. For years Catholic and evangelical parliamentarians have been trying unsuccessfully to establish a registry for pregnant women, with Dilma’s support they’ve finally succeeded.
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