Bravo, President Obama

Regarding teen pregnancy, the President's recently-released budget proposal has many, many good qualities.  It emphasizes good science, encourages research and innovation, and increases the overall investment in preventing too - early pregnancy and parenthood.  

In particular, it responds powerfully and immediately to the recent news that the teen birth rate is on the rise for the first time in 14 years, increasing 5% between 2005 and 2007.  This increase has raised the sobering possibility that one of the nation's great success stories of the past two decades is in danger of unraveling.  The positive trends in teen sexual activity and contraceptive use seem to be reversing and many states are reporting increases in teen pregnancy rates.  

President Obama's budget contains the first-ever significant funding for preventing teen pregnancy prevention that is not dedicated to abstinence-only interventions.  At present, the overwhelming weight of scientific evidence supports those interventions that both encourage teens to delay sexual activity and that encourage sexually active teens to use contraception consistently and carefully.  During rough economic times and given the recent increase in the teen birth rate, it is more important than ever that precious public dollars be devoted to those interventions that have evidence of success.  

In short, in the ongoing battle pitting abstinence interventions versus more comprehensive sex education efforts, the President's budget proposal is firmly on the side of science. This is not at all surprising given statements by then-candidate Barack Obama said on the campaign trail supporting programs based on science and evidence of what works. What is being proposed for teen pregnancy prevention is simply part of the President's broader commitment to spending taxpayer dollars on research, evaluation, innovation and proven interventions.   

Importantly, the President's proposal also sets aside money for what can fairly be described as research and development.  When it comes to preventing teen pregnancy, it may be that the early wins have already been realized and that the nation's future efforts need to be more creative and more persistent to reach future declines.  The President's budget proposal supports innovations that may help, such as developing interventions for underserved groups such as kids in foster care and finding new ways to use digital technology to reach teens directly.  

And just to remind us all: despite the 14 years of declines noted above, the United States has the highest rate of teen pregnancy in the entire developed world-a problem that makes a major contribution to child poverty, interrupts much-needed education (so critical in this economy), is closely associated with single parenthood and father-absence, and jeopardizes the overall health and development of the children involved.  Reducing teen pregnancy remains a critical cause. 

Bravo President Obama. No caveats, no qualifiers.