USA – Title X facilities are already over-regulated

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Title X facilities are already over-regulated

By David S. Cohen and Carole Joffe, Opinion Contributors
June 12, 2018

The Trump administration’s plan to impose a so-called “domestic gag rule”—a prohibition on providing, referring and counseling about abortion—on facilities receiving Title X funding for family planning services has unleashed a storm of criticism. The public comment period is now open, and the backlash promises to be fierce.

Medical groups state that withholding information about medical procedures is a violation of medical ethics. Numerous political observers note that the real intent of this measure is to deliver on Trump’s promise to defund Planned Parenthood, a major recipient of Title X funding. But largely overlooked in these responses to the domestic gag rule is that the current rules governing Title X grantees represent terrible public policy. As the public now weighs in on the proposed regulations, we should not forget that not only is the new gag rule harmful, but that the existing restrictions governing Title X and abortion care should be lifted as well because they are bad for patients and bad for public health.

Continued: http://thehill.com/blogs/congress-blog/healthcare/391712-title-x-facilities-are-already-over-regulated#.Wx_4xsTUmTI.facebook

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USA – I helped women get abortions for 28 years — through protests and shifting rules

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I helped women get abortions for 28 years — through protests and shifting rules

By Joan Finn-McCracken
May 25, 2018
Joan Finn-McCracken is a former teacher and nurse practitioner. She was a director of Planned Parenthood clinics for 32 years.

One of the first patients who came to our family-planning clinic in Billings, Mont., newly opened in 1969, sought help after she and her boyfriend had hitchhiked 500 miles from Billings to Colorado to terminate a pregnancy. Colorado was one of the five states where abortions could be legally obtained. They had heard about Colorado through his older sister, and were able to borrow enough money for the procedure but not enough for a bus ticket. She was 17, unmarried and so desperate to return home before anyone missed her that she did not stay for her follow-up appointment. Now she came to us for follow-up care, as well as birth control.

Although I was the mother of five children and a graduate of the Duke University School of Nursing, and had taught in two nursing schools, I knew little about abortion. Our patient was afraid to go to her family doctor because she was not sure what was legal or illegal. And neither was I. But I did know we could not prescribe her birth control — it was against the law for anyone under 18.

Continued: https://www.washingtonpost.com/outlook/i-helped-women-get-abortions-for-28-years--through-protests-and-shifting-rules/2018/05/25/4f680826-5eb8-11e8-a4a4-c070ef53f315_story.html

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Trump’s Domestic Gag Rule Will Silence, Shame, and Stigmatize Women

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Trump’s Domestic Gag Rule Will Silence, Shame, and Stigmatize Women

May 22, 2018
Anu Kumar

The Trump Administration’s domestic gag policy is another anti-choice attack on the rights of women. “Domestic gag rule” is no misnomer; like its global predecessor, this new policy will force U.S. groups to make the same basic choice—between critical funding and providing essential care to women.

While we won’t have details of the policy until it is released, administration officials have suggested that it will force recipients of federal family planning funding to physically separate their abortion services from the services funded by Title X. That means 4 million people will be affected, many of whom are low-income women of color who utilize the Title X program to obtain family planning-related services. It is also expected that the rule will do away with a requirement that providers offer all options during pregnancy counseling and will ban referrals for abortions.

continued: https://rewire.news/article/2018/05/22/trumps-domestic-gag-rule-will-silence-shame-stigmatize-women/

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USA – The new Trump plan to defund Planned Parenthood, explained

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New rules could leave low-income women without access to affordable birth control.
By Sarah Kliff
May 18, 2018

Women’s health clinics that provide abortions or refer patients for the procedure will be cut off from a key source of federal funding under new Trump administration rules expected to be released Friday.

Both the New York Times and Modern Healthcare report that the White House plans to issue new guidelines for Title X, the only federal program dedicated to paying for birth control. The new rule is expected to require a “physical as well as financial separation” between entities that receive Title X funds and those that provide abortions.

continued: https://www.vox.com/2018/5/18/17367964/trump-abortion-planned-parenthood-defund

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USA – The domestic gag rule on abortion, explained

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The domestic gag rule on abortion, explained
Anna North
May 11, 2018

Trump is reportedly weighing a rule that would ban some doctors from even talking about abortion.

The Trump administration last year reinstated — and expanded — a rule from performing abortions or even discussing abortion with their patients. Often called the Global Gag Rule, it’s led to clinic closures and reductions in crucial services around the world. And now it might be coming to the United States.

The White House is reportedly considering a domestic gag rule that would essentially apply the restrictions of the global rule to providers that receive federal Title X funds, which help low-income patients get services like contraceptive counseling and testing for sexually transmitted infections. Such a rule would force Planned Parenthood and other reproductive health providers to either stop discussing abortions with their patients or stop receiving Title X money.

continued: https://www.msn.com/en-us/news/us/the-domestic-gag-rule-on-abortion-explained/ar-AAx72OD

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USA – How The Administration’s Proposed ‘Conscience’ Rule Undermines Reproductive Health and Patient Care

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How The Administration’s Proposed ‘Conscience’ Rule Undermines Reproductive Health and Patient Care

Adam Sonfield,Guttmacher Institute
First published on Health Affairs Blog: March 21, 2018

On January 19, the Trump administration proposed new regulations to interpret and enforce more than 20 federal statutory provisions related to “conscience and religious freedom.” Collectively, as interpreted by the administration, these statutes would grant broad powers to individuals and organizations in the health care field and beyond to refuse to provide or be involved with services, information, and referrals to which they have religious or moral objections. That includes services related to abortion, contraception, end-of-life care, global health care assistance, vaccination, and much more. The proposed regulations and steps to enforce them have real potential to undermine existing legal and ethical protections for patients’ access to sexual and reproductive health information and services, and other critical care.

Continued: https://www.guttmacher.org/article/2018/03/how-administrations-proposed-conscience-rule-undermines-reproductive-health-and

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U.S.: Why Did Contraception Stop Being Common Ground In The Abortion Wars?

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Why Did Contraception Stop Being Common Ground In The Abortion Wars?
An administration firmly opposed to abortion is taking steps that will only assure more unintended pregnancies.

Carole Joffe, Contributor Professor, Bixby Center for Global Reproductive Health, University of California, San Francisco
June 27, 2017

Many Americans are puzzled by the all-out attacks by the Trump administration on contraceptive services: the administration has signaled its intention to take contraception out of the list of no co-pay preventive services authorized by Obamacare; it has made clear its eagerness to defund Planned Parenthood; and it has appointed longtime ideological opponents of contraception to positions of power in the federal bureaucracy, including direct oversight of family planning programs. The question becomes, why is an administration firmly opposed to abortion taking steps that will only assure more unintended pregnancies, some of which in turn will lead to an increased demand for abortions? What became of that short-lived moment in American politics when contraception was viewed as the main point of “common ground” between supporters and opponents of abortion? The answer, simply put, lies in the ascendancy of the religious right as a dominant force in the Republican party.

Continued at source: Huffington Post: http://www.huffingtonpost.com/entry/why-did-contraception-stop-being-common-ground-in-the_us_5952bd3ce4b0f078efd98594

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U.S. Reproductive Health and Rights: Beyond the Global Gag Rule

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U.S. Reproductive Health and Rights: Beyond the Global Gag Rule

Rachel Benson Gold, Guttmacher Institute
Ann M. Starrs, Guttmacher Institute
First published on The Lancet Public Health: March 7, 2017

As one of his first actions as president, Donald Trump imposed and expanded the global gag rule, a sweeping policy that will cripple highly successful US family planning programmes in developing countries and seriously damage broader US global health efforts. This callous policy—ostensibly meant to counter abortion—might shock observers abroad, but is only the opening salvo in what is expected to be a broad-based assault on sexual and reproductive health and rights. President Trump has vowed to “put America first”; however, his policies would put the health of women last, around the world and most certainly in the USA.

Continued at source: Guttmacher Institute: https://www.guttmacher.org/article/2017/03/us-reproductive-health-and-rights-beyond-global-gag-rule

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U.S.:Defunding Planned Parenthood was a disaster in Texas. Congress shouldn’t do it nationally.

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Defunding Planned Parenthood was a disaster in Texas. Congress shouldn’t do it nationally.
Women suffered after a 2011 state law.

By Joseph E. Potter and Kari White
February 7, 2017

The Trump administration and the Republican-controlled Congress are pushing to prevent Planned Parenthood from receiving federal funds to pay for contraception and cervical and breast cancer screenings. Funding for the federal Title X program, which provides infrastructure support to a network of nearly 4,000 clinics across the country, could also be in jeopardy.

Five years ago, we learned in Texas what can happen when efforts to defund Planned Parenthood are carried out: The network of health-care providers falls apart and women lose access to essential preventive services. Now Trump and his allies are poised to wreak the same havoc on the country that the 2011 Republican state legislature imposed on Texas.

The motivation for the Texas action was the same as the motivation for what Congress plans to do: appeasing groups opposed to legal abortion. But none of these family planning programs pay for abortion care, which the law already prohibits spending federal money on. Defunding Planned Parenthood only reduces access to contraception and other necessary health care. Indeed, by reducing unintended pregnancies, the programs Republicans want to cut Planned Parenthood out of actually reduce the number of abortions.

Continued at source: Washington Post: https://www.washingtonpost.com/posteverything/wp/2017/02/07/defunding-planned-parenthood-was-a-disaster-in-texas-congress-shouldnt-do-it-nationally/?utm_term=.4e1e5d31934e

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