Luana called my attention to an article on wokeness, in this case describing the ideological erosion of Planned Parenthood (henceforth “PP). Click the headline below to read the WSJ “Saturday essay”, or or find it archived free here.
Notice that the author is Pamela Paul, formerly the Sunday book-review editor and then a columnist for the NYT, whose columns over the last few years were refreshingly heterodox for (see here and here). In this way she could be seen as a white female John McWhorter, but, unlike McWhorter, she also wrote a lot about gender issues, and not in a way that, at least when the paper was about to let her go, did not comport with its gender activism and mania for “affirmative care.” As she wrote in her farewell column,
. . . . the reporting I’m most proud of is when I used my voice to stand up for people whose lives or work had come under attack, whether they were public figures or were dragged into the public eye because they’d dared to speak or act in ways that unjustly elicited professional or social condemnation: A popular novelist ostracized for alleged “cultural appropriation.” A physician assistant who was excoriated on social media for standing up to bullies. A Palestinian writer whose appearance at a prominent book fair was canceled. An early beneficiary of affirmative action who dared to explore its unintended consequences. Vulnerable gay teenagers who described being misled by a politicized medical establishment into dubious gender transition treatments. A public university president who was driven away by a campus besieged with political division. Social work students and faculty undermined by a school that had betrayed its own principles. A public health expert who risked opprobrium from his peers by calling out his profession on groupthink.
The Times may tolerate a bit of heterodoxy, but the columns Paul wrote that were critical of gender activism (see here for a list) were too much. Perhaps the last nail in the coffin was Paul’s “In defense of J. K. Rowling,” guaranteed to rile anyone who mouths the mantra, “A trans woman is a woman.”
At any rate, Paul seems to have found a home as a writer at large for the Wall Street Journal, and has written two pieces for them since June: the one below and the other an analysis of the Trump administration’s assault on scientific journals, which takes shots at both the Right and Left. Paul has trod an increasingly well-worn path: a good journalist let go because they’re insufficiently “progressive,” then finding a new home at a more centrist or even right-wing site (Paul is a classical liberal, and the WSJ’s news and analysis items are more or less centrist).
But I digress. Her new WSJ piece is how the once-estimable organization Planned Parenthood, the reproductive and sexual health care organization whose antecedent was founded by Margaret Sanger in 1916, is going to ground. Perhaps it was predictable that, given its ambit, PP would buy into gender activism, just like the ACLU did or how the Southern Poverty Law Center (SPLC) devolved into ferreting out “hate speech” by people like Ayaan Hirsi Ali. (The SPLC was also plagued by financial mismanagement.)
I’ll give a few quotes from Paul’s piece; they’re indented below:

Excerpts:
To American feminists, the Planned Parenthood brand symbolizes liberation and empowerment. To Medicaid recipients and rural women, it means access to affordable contraceptives, testing and treatment for sexually transmitted infections, and cancer screenings. To conservatives and opponents of abortion, it means the devaluation of human life and dissolution of the family.
But to many young people encountering Planned Parenthood today, the organization, founded in 1916 as a grassroots movement to provide family planning to poor women, means something else entirely. When a 3- to 5-year-old asks, “Is that a boy or a girl?” Planned Parenthood, currently the country’s leading provider of sex education, suggests replying, “Only an individual can define their gender identity. Gender identity is separate from what body parts a person has.” (Planned Parenthood is also now the country’s second largest provider of cross-sex hormones for transgender treatments.)
On Instagram, where young people are most likely to seek information, Planned Parenthood offers decidedly liberationist advice, including graphic descriptions of sexual techniques. Posts celebrate Pansexual Pride Day and declare that “virginity is a social construct.” In keeping with the organization’s racial justice agenda, which includes support for #DefundthePolice, its TikTok account displays a video of a Black woman seemingly fleeing and then laughing, with the tag, “Running from the police, but then they say, suspect is an abortion-rights baddie.”
As Paul reports, these stands haven’t sat well with the Trump administration:
In March, Trump withheld Title X grants, which fund contraceptive, reproductive and sexual health services for poor people, from at least nine Planned Parenthood affiliates while the administration investigates their compliance with its policies on D.E.I. In June, the Supreme Court ruled that patients do not have the right to sue states for denying state Medicaid funding to Planned Parenthood clinics, making it easier for more states to withdraw funding. And earlier this month, Congress passed Trump’s megabill, which effectively ends federal Medicaid funding for Planned Parenthood for the next year.
Of course I deplore the withholding of support for reproductive health services for the poor; this is part of the bullying that this Administration is known for. On the other hand, PP has taken on political stances that seem unnecessary given its classical mission:
. . . . The trouble stems from [PP’s] dual and often dueling roles as both a national advocacy organization and a local healthcare provider, one inherently political and the other necessarily nonpartisan. While its roughly 600 clinics offer patient care, the national organization operates as an advocacy group, raising money to support positions that place it firmly on the progressive left in America’s culture wars.
Well, one of these positions I do support: the advocacy of a pro-choice stand to abortion. That’s perhaps one reason the Administration is going after PP. I see the pro-choice stand as something important to the welfare of women, particularly poor ones. But other stands have little to do with at least the original mission of PP.
In the years since Wen was forced out, a different kind of mission creep set in, with the organization tethering itself to causes like democracy reform (including support for expanding the Supreme Court and ending the filibuster in the Senate) and gun control—actions that have alienated some donors, according to former employees. These moves reflect the political motivations of its workforce, increasingly populated by what some employees refer to as social justice warriors—young people who come to the organization for its progressive values more than for its provision of healthcare.
A self-described “champion for social and racial justice,” [PP President and CEO Alexis] McGill Johnson shares this vision. In a 2021 op-ed, she accused Planned Parenthood of focusing too much on “women’s health” and “privileging whiteness.” As she wrote, “What we don’t want to be, as an organization, is a Karen. You know Karen: She escalates small confrontations because of her own racial anxiety. She calls the manager. She calls the police. She stands with other white parents to maintain school segregation.”
Planned Parenthood wants to be the head of the anti-Trump resistance in all its forms, according to one former senior executive at the national office. The question, she said, is who are they alienating in the process?
Now Paul describes other problems with PP, like poorly-run clinics, a decrease in donations, and so on, but the organization is not helping itself by buying into gender activism, at least under this Administration:
Today, Planned Parenthood no longer positions itself as the leading healthcare provider for women and has largely stopped referring to women on its website and in policy statements. The only mention of “women” among its promotional items are T-shirts emblazoned with “Stand with Black Women.” In testimony before Congress, Dr. Bhavik Kumar, then a Planned Parenthood medical director and now chief medical officer at the Greater Ohio affiliate, said that “men can have pregnancies, especially transmen.”
Especially transmen? What other “men” can get pregnant? But let’s proceed:
The organization’s pervasive language around “pregnant people” is intended to be inclusive of transgender people, a cause that the organization connects to abortion rights under the umbrella of “bodily autonomy.” As Planned Parenthood put it on Threads, “trans and nonbinary people are essential to the movement for sexual and reproductive health and rights—the fight for trans rights is our fight.”
Not everyone agrees this is the best approach for a movement founded to empower women. “I don’t understand the national office’s thinking in not allowing anyone to talk about women’s health anymore,” said [former PP President Pamela] Maraldo. “These really, really left-wing ideological postures are to me just as off-putting as they are on the right when they’re counter to basic Americans’ common sense.”
Banning the word “woman” is guaranteed to alienate not just the Right, but the sensible moiety of the Left. As is this:
Planned Parenthood has also rapidly expanded its services into one of the most contested and politicized areas of healthcare, gender transitions. Its national office does not reveal numbers on these services, instead grouping them into an “other services” category in its annual report. In 2019, that category included 17,791 cases. It rose to 77,858 in 2023. With trans-identified minors, Planned Parenthood follows an “informed consent” model, which, according to its patient guidelines, enables patients to get a same-day prescription for cross-sex hormones after a 30-minute in-person or remote consultation with a staff member. No professional diagnosis is required.
Cross-sex hormones given after just 30 minutes of consultation? How old are these “minors”? Is there a lower age limit? It’s not clear from the data, but surely 12 to 17 is too young:
According to an analysis of insurance claim information by the Manhattan Institute, a conservative think tank, at least 40,000 patients went to Planned Parenthood for gender medicine in 2023. About 40% of them were 18- to 22-year-olds. Between 2017 and 2023, it also treated 12,000 kids aged 12 to 17 for gender dysphoria. (These figures do not include patients who paid out of pocket, patients at VA facilities or those covered by Kaiser.)
Don’t get me wrong: this progressivism may not be the main reason why PP is going under—its advocacy of the right to choose abortions may be pivotal, and Paul also reports about the waning of donations and hamhandedness in clinics (I’ve been to one, and it was excellent). And, at the end, she notes that the erosion of PP has inimical social effects, particularly in truncating reproductive and sexual care for the poor. I just wonder why PP has to buy into the affirmative-care model for adolescents and to curtail its use of the word “woman.” It’s not necessary for the organization’s goals, and alienates the powers that be. In the end, PP’s progressivism, which it refuses to abandon, may be its death blow.
I look forward to more articles like this from Paul, who, I think need no longer be afraid of writing what she think lest she alienate her paper.