Monday's meeting marked four years since the UN's adoption of Sustainable Development Goals (SDG), a comprehensive global agenda for 15 years until 2030 that included targets such as fighting poverty and promoting universal education.
The SDGs included targets to "ensure universal access to sexual and reproductive health-care services" and to "ensure universal access to sexual and reproductive health and reproductive rights" by 2030, in accordance with the Beijing and Cairo documents.
At that time, some critics warned that the language would allow for a vast expansion of international abortion access, which would use development grants as leverage to pressure developing countries to liberalize their abortion laws.
The Holy See, the U.S., and other countries have consistently warned against such attempts to coerce countries on abortion. In the months before the 2019 UN meeting on universal health coverage, the Trump administration has been working to enlist support to defend the ability of states to protect life free from international interference.
That work included a letter from Secretary of State Mike Pompeo and Azar to leaders of other memebr states. So far 21 countries, including the U.S., have signed the letter in support, according to the HHS.
"As a key priority in global health promotion, we respectfully request that your government join the United States in ensuring that every sovereign state has the ability to determine the best way to protect the unborn and defend the family as the foundational unit of society vital to children thriving and leading healthy lives," the letter states.
The letter warns that "multilateral global health policy documents" are using language like "'comprehensive sexuality education' and 'sexual and reproductive health' and 'sexual and reproductive health and rights' to diminish the role of parents in the most sensitive and personal family-oriented issues."
"The latter has been asserted to mean promotion of abortion, including pressuring countries to abandon religious principles and cultural norms enshrined in law that protect unborn life," the letter states.
Azar also addressed Monday's meeting on universal health coverage, delivering a joint statement on behalf of 19 countries: the U.S., Bahrain, Belarus, Brazil, Democratic Republic of the Congo, Egypt, Guatemala, Haiti, Hungary, Iraq, Libya, Mali, Nigeria, Poland, Russia, Saudi Arabia, Sudan, United Arab Emirates, and Yemen.
The joint statement says that "the family is the foundational institution of society and thus should be supported and strengthened."
The statement goes on to oppose "references to ambiguous terms and expressions, such as sexual and reproductive health and rights in U.N. documents, because they can undermine the critical role of the family and promote practices, like abortion, in circumstances that do not enjoy international consensus and which can be misinterpreted by U.N. agencies."
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"There is no international right to an abortion and these terms should not be used to promote pro-abortion policies and measures."
Parolin, in his remarks on Monday, also said that the universal right to health care is a part of the Church's teachings on solidarity, social justice and the common good.
Furthermore, he said, it "is understood as comprising the health of the person as a whole and of all persons during all stages of development of their life."
This right, the cardinal said, "is thus inextricably linked with the right to life and it can never be manipulated as an excuse to end or dispose of a human life in whichever point in the entire continuum of his or her existence, from conception until natural death."