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The Bush administration this month is quietly cutting off birth control supplies to some of the world’s poorest women in Africa.

Thus the paradox of a “pro-life” administration adopting a policy whose result will be tens of thousands of additional abortions each year — along with more women dying in childbirth.

The saga also spotlights a clear difference between Barack Obama and John McCain. Senator Obama supports U.N.-led efforts to promote family planning; Senator McCain stands with President Bush in opposing certain crucial efforts to help women reduce unwanted pregnancies in Africa and Asia.

There is something about reproductive health — maybe the sex part — that makes some Americans froth and go crazy. We see it in the opposition to condoms to curb AIDS in Africa and in the insistence on abstinence-only sex education in American classrooms (one reason American teenage pregnancy rates are more than double those in Canada). And we see it in the decision of some towns — like Wasilla, Alaska, when Sarah Palin was mayor there — to bill rape victims for the kits used to gather evidence of sex crimes. In most places, police departments pay for rape kits, which cost hundreds of dollars, but while Ms. Palin was mayor of Wasilla, the town decided to save money by billing rape victims.