USA – In Medicine, a Lack of Courage Has Helped Put Roe in Jeopardy

Jan. 21, 2022
By Eyal Press

This Saturday marks the 49th, and quite possibly the last, anniversary of Roe v. Wade, the 1973 Supreme Court ruling that legalized abortion in every state. Roe’s precarious future can be attributed to various factors: the tenacity of the anti-abortion movement, the addition of three conservative justices to the court during Donald Trump’s presidency, the opportunities that pro-choice advocates may have missed. But if, as is widely expected, the Supreme Court upholds a Mississippi statute that bans most abortions after 15 weeks of pregnancy and overturns or guts Roe later this year, I will be thinking about something else: not the legal precedent, but the role that lawlessness and terrorism — and the medical community’s response to it — played in hastening Roe’s demise.

The act of terrorism that particularly haunts me took place on Oct. 23, 1998. That evening, an obstetrician-gynecologist named Barnett Slepian was standing in the kitchen of his home in Amherst, N.Y., a suburb of Buffalo, when a sniper’s bullet struck him in the back. He collapsed to the floor and, within a few hours, was pronounced dead. At the time, Dr. Slepian was one of three abortion providers in the Greater Buffalo area. One of the others was my father, Shalom Press, an obstetric gynecologist who performed abortions on certain days in his private practice.

Continued: https://www.nytimes.com/2022/01/21/opinion/roe-v-wade-abortion-doctors-violence.html


USA – Failing to embed abortion care in mainstream medicine made it politically vulnerable

Actions by the medical profession in the 1970s still reverberate today

By Carole Joffe
Jan 11, 2022

Even before the expected June announcement by the Supreme Court of its decision in Dobbs v. Jackson — a decision many believe will overturn Roe v. Wade — abortion care in America is in trouble, marginalized from the rest of medicine.

Nearly 50 years after legalization nationwide, the majority of obstetrician gynecologists and primary-care doctors do not provide abortions — even though 1 out of 4 American women will have an abortion in her lifetime. Women in the “abortion deserts” of the South and Midwest are forced to travel many hours to reach a clinic. Only 4 percent of abortions take place in a hospital and only 1 percent of abortions take place in private doctors’ offices. The remaining 95 percent occur in free-standing clinics, which offer excellent care, but are largely isolated from other medical institutions. Over 1,000 restrictions, such as mandatory waiting periods, have been passed by state legislatures that make abortion care considerably more difficult for patients and providers alike.

Continued: https://www.washingtonpost.com/outlook/2022/01/11/failing-embed-abortion-care-mainstream-medicine-made-it-politically-vulnerable/


What an America Without Roe Would Look Like

Legal abortions would fall, particularly among poor women in the South and Midwest, and out-of-state travel and abortion pills would play a bigger role.

By Claire Cain Miller and Margot Sanger-Katz
Dec. 5, 2021

Last week’s Supreme Court arguments on a Mississippi abortion law raised the prospect of a return to a time half a century ago — when the procedure was illegal across most of the United States and women, perilously, tried to end pregnancies on their own or sought back-alley abortions.

If the court decides to reverse or weaken the landmark Roe v. Wade ruling, it will usher in a somewhat different era. Abortion would remain legal in more than half of states, but not in a wide swath of the Midwest and the South.

Continued: https://www.nytimes.com/2021/12/05/upshot/abortion-without-roe-wade.html


How the Texas ban on most abortions is harming survivors of rape and incest

November 15, 2021
ASHLEY LOPEZ, NPR

The SAFE Alliance in Austin helps survivors of child abuse, sexual assault and domestic violence. Back before Texas' new abortion law went into effect, the organization counseled a 12-year-old girl who had been repeatedly raped by her father.

Piper Stege Nelson, chief public strategies officer for the SAFE Alliance, says the father didn't let the young girl leave the house.

Continued: https://www.npr.org/sections/health-shots/2021/11/15/1054710917/texas-abortion-law-harm-sexual-assault-survivors


Even Texas Allows Abortions to Protect a Woman’s Life. Or Does It?

Sept. 12, 2021
By Carole Joffe and Jody Steinauer

Join us, if you will, in a thought experiment. It’s the
fall of 2022. Dr. H., an obstetrician-gynecologist, practices in a red state.
Much has changed in the reproductive rights landscape by then: In the spring,
her state rushed to pass a law similar to the notorious 2021 Texas law that
bans a large majority of abortions and incentivizes private citizens to sue
anyone helping someone get an abortion. The Supreme Court also overturned Roe
v. Wade in the Dobbs v. Jackson Women’s Health Organization case that year,
leaving the issue of abortion regulation to individual states; a few years
before, Dr. H.’s state passed a trigger ban that automatically banned the few
abortions that were still legal in the state when Roe fell. In her state, the
law now allows an abortion only when a pregnancy threatens the life of a
pregnant person.

Continued: https://www.nytimes.com/2021/09/12/opinion/abortion-texas-roe.html


SCOTUS quietly banned the abortion pill from mail — the only mail-in medication barred during the pandemic

Julia Naftulin
Feb 27, 2021

Last month, the Supreme Court voted to ban the abortion pill, which is used to induce a miscarriage in people who are up to 11 weeks pregnant, from mail order during the pandemic.

The move makes the abortion pill the only prescription medication to have such restrictions.

Continued: https://www.insider.com/scotus-ban-abortion-pill-mail-omen-for-roe-v-wade-2021-2


What underground abortions could look like if Roe v. Wade is overturned

JULIA NAFTULIN
DEC 11, 2020

Judge Amy Coney Barrett's recent confirmation into the Supreme Court could be a potential threat to abortion access and lead to even more "underground" abortions if the procedure becomes illegal in certain states, experts say.

Though underground abortions have continued in the wake of Roe v. Wade due to certain states' time-limiting abortion laws, those numbers could see a steep increase if states don't take individual responsibility to protect abortion rights, Carole Joffe, a sociologist and co-author of "Obstacle Course: The Everyday Struggle to Get an Abortion in America," told Insider.

Continued: https://www.businessinsider.in/science/health/news/what-underground-abortions-could-look-like-if-roe-v-wade-is-overturned/articleshow/79683236.cms


USA – The long fight for reproductive rights is only getting harder

The long fight for reproductive rights is only getting harder

Book review, By Katha Pollitt
May 13, 2020

Fifteen-year-old Talia didn’t realize she was pregnant until well into her second trimester. Ending the pregnancy meant she had to get a judge’s approval. Neither parent could fulfill her state’s consent requirement because one was missing and the other was involved in her life only now and then. When she arranged a clinic visit 24 hours before the abortion, per the state law for minors, she wound up at a “fake women’s health center” next door to the real abortion clinic. The people there did everything they could to dissuade her from ending her pregnancy, including falsely telling her that they would do it later (past her state’s deadline), but Talia remained firm in her decision. Lacking health insurance that covered abortion, she had to come up with $4,000 for the procedure.

Continued: https://www.washingtonpost.com/outlook/the-long-fight-for-reproductive-rights-is-only-getting-harder/2020/05/12/2fda9f2a-8326-11ea-878a-86477a724bdb_story.html


USA – Coronavirus crisis magnifies existing challenges to abortion access

Coronavirus crisis magnifies existing challenges to abortion access

May 07, 2020
Carole Joffe

In our recent book, Obstacle Course: The Everyday Struggle to Get an Abortion in America, David Cohen and I detail the considerable difficulties many people have in accessing abortion care. The relative scarcity of clinics means long travel for many; that abortion patients are disproportionately low-income women of color means hardship in paying for the procedure, particularly since the majority of states do not allow Medicaid funds to be used for abortion; the onerous waiting periods in many states often mean women have to stay overnight in a distant city, leading to the additional costs of lodging and more days of lost wages; confrontations with protestors at the clinic sites themselves can often be deeply upsetting. All these barriers have increased exponentially with the coming of COVID-19, and some new problems have been added as well.

Continued: https://womensmediacenter.com/news-features/coronavirus-crisis-magnifies-existing-challenges-to-abortion-access


The Network of Abortion Providers in Red States Was Already Delicate. Then Came the Coronavirus.

The Network of Abortion Providers in Red States Was Already Delicate. Then Came the Coronavirus.

Becca Andrews, Assistant News Editor
March 31, 2020

In many red states, where abortion restrictions are plentiful and doctors who are willing to perform them are not, the physicians who do ultimately provide abortions often fly into town on a regular basis, sometimes traveling hundreds if not thousands of miles to get to clinics.

This is “not simply because of the high degree of regulation,” says Carole Joffe, co-author of Obstacle Course: The Everyday Struggle to Get an Abortion in America, “but that providers just do not feel comfortable living there.”

Continued: https://www.motherjones.com/coronavirus-updates/2020/03/abortion-access-red-states-coronavirus/