General4/14/2026•The Guardian

Trump has turned Title X upside down: from a contraception program into a pro-natalist machine | Moira Donegan

Trump has turned Title X upside down: from a contraception program into a pro-natalist machine | Moira Donegan

First the administration sought to defund Title X. Now it’s reimagining what it stands for The Trump administration, dominated by religious anti-abortion conservatives and reeling in money from a new wave of pronatalist tech reactionaries, has long been considering ways to persuade, pressure and cajole women into having more babies. The Dobbs decision overturning Roe v Wade in 2022, in which Donald Trump’s three first-term supreme court appointees cast decisive votes, was a first step; later, after he returned to office, Trump reportedly fielded proposals for $5,000 “baby bonuses” – not quite enough to raise a child, one notices – and “motherhood medals” for fertile women that are similar to awards dispensed by the Nazi regime. Now, it’s seeking out a new tactic: removing birth control access. This month, the Trump administration renewed its attacks on Title X, the federal reproductive health program that provides birth control to an estimated 2 million low-income Americans. In the White House’s proposed budget, funding for the program was eliminated altogether. Then, the Title X administrators at the Department of Health and Human Services announced new guidance to the program’s p

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