In spite of these criticisms, federal government support has made abstinence the de facto focus of sex education in the United States, so that opponents frequently adopt the line that abstinence education is acceptable only if it is combined with other methods, such as instruction in the use of condoms, and easy availability thereof. Most nations of Western Europe use more comprehensive measures, and in sharp contrast to the heated discussion in the U.S., abstinence is hardly discussed as an educational measure.