USA – The Challenges of Innovating Access to Abortion

The Challenges of Innovating Access to Abortion

By Sue Halpern
Mar 6, 2019

A year ago, when Kanuʻuhiwa Thomas, a twenty-four-year-old who lives in Hawaii, found out that she was two weeks pregnant, she decided to terminate the pregnancy. (Kanuʻuhiwa Thomas is an alias.) “I don’t have any type of support system,” Thomas told me. “I’m still trying to finish my schooling, which is really important to me because a lot of girls here don’t finish their education—they just get pregnant and maybe get married and have kids and have to live off the system. I’m just kind of adamant about making sure I can take care of a child before I have one.”

Hawaii has one of the most liberal abortion policies in the country, but, like many rural and geographically expansive states, services are hard to come by.

Continued: https://www.newyorker.com/science/elements/the-challenges-of-innovating-access-to-abortion


USA – The prescription abortion pill we could have, but don’t

The prescription abortion pill we could have, but don’t
Mifeprestone is offered directly to patients in places like Canada and Australia, but not in the U.S.

Zoë Beery
May—25—2018

When a patient asks Dr. Graham Chelius for an early-term abortion, all he can do is tell them to buy a plane ticket.

Chelius is a family medicine doctor at a hospital on the Hawaiian island of Kaua’i, where there are no surgical abortion providers. His best option is to instead write patients a prescription for what is called a medication abortion: using two drugs – mifepristone and misoprostol – over the course of two or three days, the patient would end their pregnancy themselves. Save for a routine follow-up two weeks later, they wouldn’t need to see Chelius again.

But if he wrote that prescription, his patients wouldn’t be able to fill it. Mifeprex, the American brand name for mifepristone, is one of a handful of drugs that the FDA says is too dangerous for retail pharmacies. It can only be dispensed at pre-approved clinics, hospitals, and private practices, and the hospital where Chelius works doesn’t stock it. The process for approval is so onerous that nowhere on Kaua’i does.

Continued: https://theoutline.com/post/4660/let-us-have-prescription-medication-abortion-pharmacy-over-the-counter?zd=1&zi=3z733zs2


USA: Why Aren’t ‘Abortion Pills’ Available in Pharmacies?

Why Aren’t ‘Abortion Pills’ Available in Pharmacies?
Written by Heather Cruickshank on October 19, 2017

The ACLU has filed a lawsuit against federal restrictions that limit access to the drug mifepristone to doctor’s offices, hospitals, and clinics.

Are federal rules that limit access to “medical abortion” justified?

According to the American Civil Liberties Union (ACLU), the answer is no.

Earlier this month, the ACLU filed a lawsuit against the U.S. Food and Drug Administration (FDA), challenging regulations that restrict access to the drug mifepristone.

Continued at source: https://www.healthline.com/health-news/abortion-pill-restrictions#2