Abortion After the Clinic
As Republican lawmakers try to legislate it out of existence, the future of reproductive healthcare may be at home.
By Irin Carmon
Nov 11, 2019
When Leana Wen introduced herself to America as the new president of Planned Parenthood last fall, she had a story she liked to tell — one that showed exactly why abortion access mattered. It was a sad tale of “a young woman lying on a stretcher, pulseless and unresponsive, because of a home abortion.” Wen, an emergency physician who had been plucked from Baltimore’s Health Department to take over the century-old institution, said the young woman had arrived at her ER in “a pool of blood” because “she didn’t have access to health care, so she had her cousin attempt an abortion on her at home. We did everything we could to resuscitate her, but she died.”
Wen was talking about a time when abortion was technically legal, yet the story rhymed with the pre-Roe era, when doctors and lawyers spoke of being radicalized by women filling their wards with blood and desperation, the same nightmare the familiar pro-choice rhetoric warns will soon be upon us. Behind the scenes, however, a vanguard of the abortion-rights movement implored Wen, directly and through intermediaries, to stop talking about “home abortion” in such dire terms.
Self-Managed Abortion May Be On The Rise, But Probably Not A Significant Driver Of The Overall Decline In Abortion
Rachel K. Jones,Guttmacher Institute
Megan K. Donovan,Guttmacher Institute
First published on Health Affairs Blog: November 7, 2019
The U.S. abortion landscape is changing rapidly. Large swaths of the country are enacting ever more extreme abortion restrictions, while a number of states are racing to protect or even expand access. In 2020, the conservative-leaning U.S. Supreme Court will consider its first major abortion rights case since Justices Neil Gorsuch and Brett Kavanaugh were confirmed, and additional cases are at the Court’s doorstep. And all the while, the U.S. abortion rate continues to decline: According to a September report from the Guttmacher Institute, the abortion rate has reached a record low, with concurrent declines in birthrates suggesting that fewer people are becoming pregnant in the first place.
The states with the most online requests for abortion medications
By Jen Christensen, CNN
Thu October 17, 2019
(CNN) Women who live in states with strict and punitive abortion laws account for the majority of requests made to a website that supplies abortion medications, a new study has found.
The website, Women on Web (WoW), has been run by an international non-profit since 2006 and provides abortion medications -- under doctor supervision -- to women who have submitted medical paperwork prior to 10 weeks of gestation.
More People Are Starting to Prefer Managing Their Abortions on Their Own
And it's not just because of restrictive state laws.
by Marie Solis
Oct 17 2019
People are turning to at-home abortion as state lawmakers attack reproductive rights and restrict clinic access across the United States, according to new research published in the American Journal of Public Health on Thursday.
The findings are the result of a 10-month study of Women on Web, a website that prescribes and sells abortion pills abroad — not in the United States. But despite that caveat, the Netherlands-based doctor who runs the site, Rebecca Gomperts, says she has received requests from American women since she began operations in 2006.
Why America’s Abortion Rate Might Be Higher Than It Appears
Evidence suggests more American women are “self-managing” their abortions.
By Claire Cain Miller and Margot Sanger-Katz
Sept. 20, 2019
The number of abortions performed in American clinics was lower in 2017 than in any year since abortion became legal nationwide in 1973, new data showed this week. But that does not count a growing number of women who are managing their abortions themselves, without going to a medical office — often by buying pills illicitly.
These “invisible” abortions are hard to measure, so it’s unclear how much higher the true abortion rate is. But researchers say self-managed abortions have risen as abortion has become more restricted in certain states, and as more people have learned that effective pills can be ordered online or purchased across the border.
Almost 40 Percent of Abortions Are Now Done With Pills
Experts say the number would be even higher if the FDA loosened its restrictions on medication abortion.
by Marie Solis
Sep 19 2019
While the overall abortion rate in the U.S. has hit a record low since the procedure was legalized in 1973 under Roe v. Wade, the rate of people choosing medication abortion to end pregnancies is on the rise, according to new findings from Guttmacher Institute.
Medication abortion is a method of abortion that involves taking the drugs mifepristone and misoprostol to induce what is effectively a miscarriage. The method became available in the United States in 2000, when the Food and Drug Administration approved mifepristone, and has dramatically increased in use since: Whereas in 2004, medication abortions made up just 14 percent of all abortions in the U.S., by 2015 that number rose to almost 25 percent. Now Guttmacher reports that the share of medication abortions in 2017 was 39 percent of the total, or almost two in five.
With Abortion Restrictions On The Rise, Some Women Induce Their Own
September 19, 2019
When Arlen found out she was pregnant this year, she was still finishing college and knew she didn't want a child.
There's a clinic near her home, but Arlen faced other obstacles to getting an abortion.
"I started researching about prices, and I was like, 'Well, I don't have $500,' " said Arlen, who is in her 20s and lives in El Paso, Texas. We're not using her full name to protect her privacy.
European Doctor Who Prescribes Abortion Pills to U.S. Women Online Sues FDA
September 9, 2019
A European doctor who prescribes abortion pills to American women over the Internet is suing the Food and Drug Administration in an effort to continue providing the medications to patients in the United States.
The lawsuit being filed Monday in federal court in Idaho names several federal officials, including U.S. Health and Human Services Secretary Alex Azar.
Prosecution of Unauthorized Abortion Pill Websites Begins
Ursula Wing sold abortion drugs to U.S. customers and is now charged with conspiracy to defraud the United States.
Elizabeth Nolan Brown
The first wave of prosecutions of abortion pill sellers is upon us. A federal court last week arraigned pill purveyor Ursula Wing on charges of introducing misbranded drugs into interstate commerce and of conspiracy to defraud the United States.
Wing, who lives in New York, is accused of running a website that sold foreign-sourced pharmaceuticals to U.S. customers. The drugs Wing supposedly sold—mifepristone and misoprostol—can be taken in a two-step process to induce an abortion. The U.S. Food and Drug Administration has approved this pill regimen for prescription use, under the brand name Mifeprex.
Abortion Pills Should Be Everywhere
I bought them online. They’re easy to get, and they’ll change everything.
By Farhad Manjoo, Opinion Columnist
Aug. 3, 2019
One afternoon about a year ago, just as the Senate began considering Brett Kavanaugh’s nomination to the Supreme Court, I logged on to Day Night Healthcare, an online pharmacy based in India, and ordered a pack of abortion pills. A few hours later, I got a call from a Day Night customer-service agent with a warning. If my credit-card company called to ask about the purchase, “tell them you approve the charge, but don’t say what it’s for,” the man advised. “If they ask, say it’s gym equipment, or something like that.”
In fact, the bank never called, and in a week and a half, a small brown envelope — bearing a postmark not from India but from New Jersey — arrived in the mail.