Showing posts with label medical necessity. Show all posts
Showing posts with label medical necessity. Show all posts

Tuesday, March 27, 2012

Tuesday night homework: please help Georgia!


Can't you see my crazy eyes? Don't make me a law! 

Friends, readers, countrypersons: lend me your eyeballs! I have an important piece of evening reading for you, followed by a super-quick writing assignment. Scroll down if you want to skip my navel-gazing and discover your mission.

[COMMENCE NAVEL-GAZING]

Lately I've been feeling like I can't even keep up with the onslaught of legislation designed to prevent would-be abortion patients from getting the care they need and to make their providers give up, board up the clinic and retire or something.

Not tryna brag, but in previous years I was pretty damn knowledgeable about the status of abortion legislation, regulation and jurisprudence at the federal level and in most states. If you asked me about a state-level bill I could usually tell you what its language really meant or what stage in the legislative process it had reached so far or what its practical implications might be.

This year, though? This year, if you told me "I saw on facebook that Hawaii is going to require married women to get a permission slip signed by their mother and their boss and then wait 7 to 10 business days before having an abortion," well idunno, maybe they are! Who am I to say, "No way, no way would lawmakers ever try to do something so awful and insane"? Recent evidence points to the contrary!

Honestly, it was difficult just now to dream up an example that's plainly absurd, because real-life happenings have been so goddamn absurd. But when a bill becomes law, whether or not it is too crazy to exist doesn't matter -- because suddenly it does exist, period. Suddenly you can't get the care you need. Suddenly your doctor has to decide between following her duty to care for her patients' needs, or obeying a law she knows is unjust.

That moment when the laughably absurd bill becomes the terrifyingly absurd reality has happened to me before, most starkly in 2006 when the Supreme Court decided Gonzales v. Carhart. The ruling allowed Congress's so-called Partial Birth Abortion Ban Act to take effect, via an unprecedentedly patronizing position on the part of Justice Kennedy that the government has an interest in protecting "mothers" (any pregnant person) from making decisions they might "come to regret." On the day of that ruling, I was at work, speaking with a woman whose baby was dying in utero; she asked if it was possible to remove the fetus relatively intact so she and her husband could hold it and "say goodbye." I found myself telling that woman, and others like her later, that we could not attempt to honor her request because Congress had just outlawed it. Your representative called; he says to tell you tough titties, crybaby.

[END NAVEL-GAZING]

Those terrible moments will happen again and again unless we refuse to feel helpless and instead move to take action. Your assignment is to foment urgent last-minute opposition to Georgia HB 954, yet another insane proposal to outlaw certain abortions. Georgia has seen and defeated similar bills in past years; but this one has gotten quite far in the legislative process -- meaning it's in grave danger of passing.

I once lived in Georgia. I still feel a strong connection to it, and I really hate that it feels like the rest of the country considers Georgia a lost cause when it comes to rights and liberties, or thinks such legislation won't make that much of a difference for that many women. They're wrong. Many people don't know this, but Georgia has several providers who currently care for patients with later pregnancies and patients with severe or complicated health conditions. Without appropriate providers in Georgia, these patients would have to travel clear across the country or receive care in less well-equipped facilities.

There are three days left to the legislative session, and that's when the crazy backdoor shit goes down. If you have any connection to Georgia, please contact the state representative in your area and ask them to OPPOSE HB 954; if you have no connection to Georgia, please spread the word to others ASAP.

Here's the update (and news item clarification) that I received today from the organizers on the ground with Planned Parenthood Southeast:
Today, the Atlanta Journal Constitution covered the bill in an irresponsible piece of reporting and on the front page no less. Contrary to the story, last night the bill was not stripped and was not killed for the session. The bill is not based on sound science and seeks to intrude on the doctor-patient relationship of women facing some of the most difficult medical circumstances. 
Among other things, here's what's still wrong with HB 954:
  • The bill is still unconstitutional. It still has only a narrow health exception and includes no exception for the mental health of the mother.
  • The bill still requires the physician to use the method most likely to save the life of the unborn child even if that method causes health risks to the mother.
  • The bill still includes no exception for rape or incest.
We know all too well that it isn't over until it's over when it comes to the General Assembly. Session ends on March 29, and we need to keep up the pressure to ensure that private medical decisions are left to a woman and her doctor.


Lawmakers need to look at how similar bills have impacted women in other state and understand that Georgia women deserve better. This bill is an example of the level of government intrusion that takes place in women's health care and we need to let our legislators know that we've had enough. Contact your senator now. Tell them you've had enough of their lack of concern for victims of rape or incest, their intrusion into how doctors practice medicine and their intrusion into women's lives.

UPDATE: Good news, but don't exhale yet! The bill appears to have died after revision by the Senate...because Republican House members refused to accept the addition of an exception for women with "medically futile" pregnancies (i.e. dead or dying fetuses). In other words, House members remain committed to a no-exceptions ban -- and there are 48 hours left in the session for them to try to revive one. A few years ago, this was more than enough time for them to pass a last-minute mandatory-ultrasound law right under everyone's noses. PLEASE stay on top of this until the session is officially over.

Wednesday, June 15, 2011

Las evidencias hablan por sí solas!


I attended a health conference yesterday and stopped by one of my favorite orgs, Ipas, to score some swag and some abortion news. I saw a small booklet entitled "Ten Facts About Abortion." Hooray! Now, I already knew those facts, could predict exactly what they would say and how they would be described, so I decided to challenge myself. I put it down and picked up "Diez Datos Sobre Aborto." Same info, but in Spanish! So I thought I'd share it with The Abortioneers, and also with our Spanish-speaking audience. It hadn't occurred to me just how much misinformation is out there to confuse and horrify non-English speakers that we simply aren't catching. So I present to any Spanish-speakers out there who are looking for information and not finding it:



Mito: El aborto ocasiona el “síndrome postaborto”.
Dato: El síndrome postaborto no es un diagnóstico psiquiátrico válido.

Mito: El aborto causa cáncer de mama.
Dato: No existe ninguna relación causal entre el aborto (ya sea espontáneo o inducido) y un aumento en el riesgo de que la mujer desarrolle cáncer de mama.

Mito: La anticoncepción de emergencia causa aborto.
Dato: La anticoncepción de emergencia evita el embarazo. Si la mujer ya está embarazada,
la anticoncepción de emergencia no tendrá ningún efecto en el embarazo y no causará un aborto.

Mito: El embarazo es más seguro que el aborto.

Dato: Los procedimientos

de aborto
efectuados por profesionales de la
salud capacitados, en condiciones
higiénicas, son mucho más seguros
que el embarazo y el parto.


Mito: La legalización del aborto no lo hace seguro.
Dato: Cuando las mujeres tienen acceso a servicios de aborto seguro, legal y a precios asequibles, se reducen drásticamente las tasas de muertes y lesiones maternas atribuibles al aborto inseguro.

Mito: Restringir el acceso a los servicios de aborto es la mejor manera de disminuir el índice
de abortos.
Dato: La mejor manera de disminuir el índice de abortos es reducir el número de embarazos no intencionales por medio de educación sexual integral, prevención de la violencia basada en género y acceso a métodos anticonceptivos eficaces centrados en la mujer.

Mito: El aborto con medicamentos es peligroso y puede causar la muerte de las mujeres.

Dato: El aborto con medicamentos

es una opción segura y eficaz para
la interrupción del embarazo en el
primer trimestre.


Mito: Si el aborto es legal, las mujeres lo utilizarán para el control de la natalidad.
Dato: Las mujeres que no tienen información y acceso a métodos anticonceptivos confiables se enfrentan con tasas más altas de embarazo no planeado y posiblemente recurran al aborto para interrumpir el embarazo, sin importar la legalidad del aborto.

Mito: El aborto es exportado por el Occidente imperialista a los países en desarrollo.
Dato: Desde el inicio de la historia documentada, las mujeres en todo el mundo han interrumpido embarazos no deseados. Esta práctica está bien documentada.

Mito: El aborto nunca es necesario para salvar la vida de una mujer.
Dato: El aborto para salvar la vida de una mujer o una niña es médicamente necesario en ciertas circunstancias y es muy aceptado por profesionales e instituciones como la Organización Mundial de la Salud.

The best thing about this resource is that it actually provides SCIENTIFIC EVIDENCE (DING DING DING!) to support these FACTS ABOUT ABORTION. Great empowerment for non-English speakers who may feel disenfranchised and under-informed in this country. Clinic workers/counselors/direct service Abortioneers, I encourage you to share this and other Ipas materials. Check their website!

Thursday, June 4, 2009

51 problems and having a baby isn't one of them

“For every woman, each pregnancy is an invited guest into her body and a welcome addition to her family. (Dr. George Tiller, The Declaration of Reproductive Independence)

Oh, merely a few reasons why a woman may seek an abortion beyond the limits of our commonly pointless fascination with conceptions of viability:

1) Lupus

2) Hypertension

3) Diabetes

4) Esophageal atresia

5) Gastroschisis

6) Hydrops fetalis

7) Placental abruption

8) Congenital heart disease

9) Chromosomal disorder

10) Down syndrome

11) Structural/neural tube defect

12) Spina bifida

13) Anencephaly (a condition in which the brain is incomplete or missing--picture vanilla pudding)

14) Metabolic disorder

15) Severe Rh incompatibility

16) Infection

17) Lung immaturity

18) Conjoined twins

19) Cancer

20) Pharmaceuticals

21) Freak accident or severe injury

22) She was raped by a stranger

23) She was raped on a date

24) She was raped by her boyfriend

25) She was raped by her husband

26) She was raped by her father

27) She was raped by her brother

28) She was raped by her cousin

29) She was raped by her uncle

30) She was raped by her grandpa

31) She was raped by her biological father

32) She was raped by her foster brother

33) She was raped by her priest/pastor/minister/rabbi/life coach

34) She was raped by her boss

35) She was raped by her coach

36) She was raped by her neighbor

37) She was raped by her teacher

38) She was raped by a soldier

38) She was gang raped

40) She’s nine

41) She’s ten

42) She’s eleven

43) She’s twelve

44) She’s thirteen

45) She’s fourteen

46) She’s fifteen

47) She’s sixteen

48) She’s seventeen

49) She’s pregnant with an extraterrestrial being

50) Fetal death

51) Other (also known as: none of your business unless YOU perform third trimester abortions)

artwork: The Fetus as Invader, illustration by Blair Drawson

*note to reality: trust us, fetal anomalies are not that purrrrdy