The XX Factor: What women really think.

Michelle Obama Makes Her Health Care Pitch Womanly

A week and some change after President Barack Obama's widely praised speech to Congress on health care reform, Michelle Obama is making it a double feature. By overtly bringing the first lady into the contentious policy debate, the White House is upping the ante—but with a smart bet. The FLOTUS, as a former administrator at the University of Chicago hospitals, knows her way around the U.S. health care delivery system just as well her Democratic predecessor, Hillary Clinton. The strategy, as told to Politico's Nia Hederson, is to float like a butterfly and sting like a bee ... (Read more in DoubleX.)

“Rule by Republican Hissy Fit”?

I’m a bit disappointed by President Obama’s rude expurgation of contraceptive planning from the “economic recovery package”—as we’re being asked to call the stimulus bill that’s working its way through Congress. Perhaps I’m just not down with all the euphemism on tap this week: Why not just call “Republican skepticism” here on the Hill what it is—an attempt to derail the future expansion of health coverage, couched in a puritanical queasiness with contraception. Lisa Lerer reports Minority leader John Boehner asking: “How can you spend millions of dollars on contraceptives? How does that stimulate the economy?” Well, John—hot button-ness aside—birth control is a commodity bought and sold like any other.

I agree with EJ that in many cases (I felt this way about Rick Warren) progressives should attempt to see the forest, not the offending tree. But here, it’s not just a bunch of women begging for their crazy pills! The Democratic White House’s concession of rhetorical and political ground—about whether contraception (a better than average return on public investment) and other Medicaid assistance counts as “stimulus” or not—could have outsized effects on the future of the universal health coverage debate. Over at the Washington Independent, Lindsay Beyerstein makes roughly this point. Harold Pollack and Nicholas Beaudrot at TAP make it explicit: We’re now, the latter writes, subject to “rule by Republican hissy fit.”

Who knows whether it’s the public climate that requires lifting of the odious global gag rule to be done under cover of media darkness, or the lightweight status afforded to “women’s health” in general—but birth control represents an arm of the pharmaceutical industry that nets drugmakers over $5 billion annually—perhaps even in a recession. I imagine the investors of $5 billion in any other American industry could, presumably, expect some back-scratching, be it through money kicked into the search for a better product, or strenuous lobbying to ensure access to said product is available to American women—especially those planning families, and seeking “economic recovery” from the new Congress.

Rule Britannia

According to an article published in the London Times today, we Brits are now the most promiscuous nation in the world (of the western industrial nations, that is). In terms of one-night stands, total number of partners, and our "relaxed" attitude to casual sex, we beat Australia, the United States, Italy, and France. France! Where having extra-marital affairs is a favorite national pastime! If nothing else, at least now we might lose our reputation for being frigid and repressed.

In all seriousness though, Britain has the highest teen pregnancy rate in Europe as well as the highest teen STD infection rate in Europe (although both are significantly lower than here in the United States, where abstinence-only sex education doesn't seem to be helping much). Premature sex education in British schools (it can be taught to children as young as 4) has long been blamed for the epidemic, along with the inappropriate sexualization of children by toy manufacturers and the media. But here's a thought. In Britain, we also drink more than any other country in Europe (apart from Ireland and Finland, bizarrely), and our alcohol-related death rate has doubled since 1991. We've also, according to this reasonably insulting story in the New York Times, been causing havoc on summer vacations with our abhorrent, booze-soaked behavior. Could there be a correlation somewhere between the beer goggles and the newfound sluttiness?

Successful Enough for You, Dear?

The Sunday New York Times chronicled the trials and tribulations of women who run businesses and employ their husbands. The piece profiled women who sell backpacks and run temp-services agencies, women who run companies that deliver meals or set up trade-show displays. But somehow they missed my favorite female CEO, Patty Brisben, who runs a sex-toy company in a suburb of Cincinnati.

Brisben's story is your classic Horatio Alger tale. As this Cincinnati Magazine article explains, she married at 17, and her first husband left her because "he wanted to spend his life with someone who was going to be successful." Some years later, having remarried, she started selling sex toys at in-home parties to make some extra cash. Fast forward to the present: Her company, Pure Romance, did $60 million in sales in 2006. Brisben's son is the president, which frees her up to run her foundation focused on women's health, and to do things like sponsor Sex Week at Yale University. The most delicious part, though, is that Brisben allows her first husband—he who thought she wouldn't be successful enough for his liking—to help the company out as an occasional consultant. (Her other ex-husband works for her, too.)

I've never met Brisben, but—confession time—I have been to a Pure Romance party. The sales reps don't speak in clinical terms, but neither do they act like they've just stepped off the set of a porn shoot. The parties are tasteful and discreet, and sex is treated like a normal, important part of a healthy relationship. When Brisben's son sought to buy radio advertising during drive time over the objection of some stations, he explained: "Look, the moms in the minivans are the ones who need the sex toys. They're looking to spice up their relationships."