100+ International Groups Decry Trump's Expected Revival of 'Deadly' Global Gag Rule

With President-elect Donald Trump expected to make curtailing global abortion access a "day one priority" after he takes office next week, as he did during his first term, more than 100 international rights organizations on Friday called for urgent action to end the global gag rule.

The rule, also known as the Mexico City Policy, has been imposed by every Republican president since Ronald Reagan and prohibits foreign non-governmental organizations from performing or "promoting" abortion care using funds from any source, if they receive U.S. family planning funding.

In 2017, one of the Trump's first acts as president was reinstating the ban and expanding it to apply to nearly all global healthcare funding, including the President's Emergency Plan for AIDS Relief (PEPFAR), malaria prevention, nutrition aid, and other programs.

With the global gag rule "leaving the health and lives of millions of people vulnerable to political whims" over the past four decades, said the groups, "lifesaving health services have been dismantled in communities around the world"—and Trump's expected reinstatement of the policy would continue the "destructive cycle of widespread fear and confusion."

In a video posted to social media, Samira Damavandi, senior policy associate for federal issues at the Guttmacher Institute, explained that "if you're a U.S. taxpayer, you should know about the global gag rule."

The policy "uses U.S. foreign aid—your taxpayer dollars—to undermine abortion rights and reproductive health around the world," said Damavandi.

The global gag rule is imposed even in countries where abortion care is legal, noted Damavandi, effectively silencing "all discussions about abortion," with groups that receive U.S. healthcare funding barred from providing abortions, informing patients about abortion care as an option, or lobby to change abortion laws.

"Clinics have been forced to close, outreach efforts to underserved populations have been eliminated, and people have lost access to contraception and many other essential health services, resulting in more unintended pregnancies, more unsafe abortions, and more deaths," said the groups in the statement, including Amnesty International, Planned Parenthood Federation of America, and Physicians for Human Rights.

The International Women's Health Coalition has tracked the effects of the global gag rule on civil society groups and health service providers in four countries—Kenya, Nepal, South Africa, and Nigeria—and has found that although the countries have divergent abortion laws, their communities have been impacted by the policy in similar ways.

Organizations in the countries reported that they stopped providing information to clients about abortion care during Trump's first term; in Kenya, two clients of one group died after seeking unsafe methods to end their pregnancies.

"Even when presidents lift the global gag rule immediately upon taking office, high-quality health partners face long delays in resuming participation in U.S. global health programs," said the groups on Friday. "Permanent repeal of the policy is urgently needed to promote sustainable progress in global health and to build and maintain long-term partnerships between the U.S. government, local organizations, and the communities that they serve."

Rights groups have previously called on Congress to pass the Global Health, Empowerment, and Rights (Global HER) Act, which would prevent presidents from unilaterally reinstating the global gag rule.

The Guttmacher Institute said it expects the Trump administration to reinstate the rule based on Trump's previous position and policies promoted within Project 2025, the right-wing agenda coauthored by at least 144 people who worked in the White House under the Republican leader.

Project 2025 also advocates for "blocking U.S. funding to the United Nations Population Fund and other organizations that promote sexual and reproductive health and rights" and redirecting international family planning funds to "faith-based organizations or organizations with limited experience in reproductive healthcare."

Guttmacher provided guidance on the likely reinstatement of the rule to international health NGOs, noting that:

• Reinstatement of the global gag rule will not affect existing contracts and will apply only to new funding agreements;
• Organizations are under no obligation to adjust their programs or partnerships to comply with the gag rule before it has been reinstated; and
• Organizations should avoid overinterpreting the policy restrictions and acting beyond what is required.

"Ending the global gag rule for good would lift the threat of reinstatement and allow U.S.-funded programs to reach their full potential," said the groups on Friday, "thus ensuring that the needs and rights of people around the world are fulfilled."