Any Given Day

When I tell people that I want to become an abortion provider, one question I get asked often is if I am concerned about the violence against providers. Of course, this is always a concern and something that you must think about when entering the field of family planning. I have already thought of ways to protect my family from harassment and live a relatively normal life. I know many providers that live peaceful lives while still providing comprehensive health care for their patients.

One provider who I greatly admire once told me how she puts the threat of violence into perspective. The day Dr. Tiller was murdered, a small plane went down in South America killing everyone on board. Later that afternoon, her co-worker was riding his bike and was hit by a car, instantly becoming a paraplegic. Bottom line-life happens and things can change in an instant.

I am certainly not diminishing how tragic violence against providers is…and how unacceptable it is, but my point is that the threat of violence is not deterring me. Providing comprehensive women’s health care for women is extremely important to me and something I am determined to provide in my lifetime. Life is unpredictable, but I can choose to make a difference in other women’s lives. And I will.

In case you missed it...

Congresswoman Speier stood up in protest of the Pence Amendment and shared her own abortion story.



It was clear from this video that Speier was going to stand up for Planned Parenthood but was not going to share her own abortion story. But, I am so glad she did. If we want Planned Parenthood to survive, women and men need to speak up and tell their own stories about how important Planned Parenthood has been to them in their lives.

And remember, this amendment takes away funding for everything but abortion (thanks Hyde Amendment). So those ever so important cancer screenings, STD screenings, women's health exams and birth control counseling.

Thank you Congresswoman Speier for being so brave and telling your story! I hope more women and men will stand with you and tell theirs.

Now that this has passed in the House, call your Senators and tell them to vote NO on the Pence Amendment!

I stand with Planned Parenthood.

Reality vs Bullshit

Welcome to a little game I just made up called reality vs bullshit. I have recently been reading some anti-choice blogs (like Banana Grabber), and man-oh-man…they are riddled with bullshit. It’s fascinating how they sell it too in the boat loads…big steaming piles of it.

Here are a few of my favorites:

Abortion is dangerous:
BULLSHIT!

Abortion is so incredibly safe! It’s ridiculous! As someone who has seen very sick pregnant women…and some pregnant women die from simply being pregnant…abortion is a helluva lot safer than carrying a pregnancy to full term…or as close to full term as you can get.

Those pictures of fetuses antis like to show off:
BULLSHIT!

I get this gets the message across in a disgusting way, but the reality is most products of conception are just tissue (and the majority of abortions are before 9 weeks). Fetal parts are not visible. I guess that wouldn’t be as compelling. Most of those pictures look like fetuses that were probably born spontaneously and didn’t survive or were intrauterine fetal demises. Which is why there are actually these close-up pictures of them. Of course facts and the anti-choice community never seem to go hand in hand.

Make abortion illegal!
BULLSHIT!

The reality is that making abortion illegal just makes it unsafe. Women who do not want to be pregnant will make it so they are not pregnant…legally or illegally. History will repeat itself, guaranteed. Which further proves my point that antis don’t care about women. They would rather a woman shove a knitting needle through her cervix than have the legal right to terminate a pregnancy safely. If you block a woman from terminating a pregnancy, that woman doesn’t magically say “oh, I do want this baby.” Most women think about this decision for weeks before even making an appointment. I guess we are just pregnancy vessels. Physicians in South America rotate through labor and delivery and also the septic abortion floor…because women self-terminate. It happens and it will happen again the more you restrict abortion and if you make it illegal.

Abortion hurts women!
BULLSHIT!

Antis hurt women. When you scream at women making a difficult decision, you are hurting them. When you try to make legislation blocking women’s access to abortion services, you are hurting them! Looking at anti-choice organizations -- so many of them are led by white, privileged people. You don’t see the struggle we see in the clinics, in the hospital. You are hurting these women and it’s disgusting. Frankly, it’s bullshit.

Warning: I don't know how to perform a life saving procedure. Signed your Doctor

I recently heard a disturbing story that should outrage you.

An Ob/Gyn trained at a residency program that offered abortion training. However, she opted out of the training. She had only seen one second trimester abortion and had performed first trimester D&Cs for miscarriages, not elective terminations. She was later offered an attending ob/gyn position at a Catholic Hospital in the Midwest.

One evening, a patient presented to the ED in septic shock. She was well into the second trimester with a wanted pregnancy. However, the fetus had died and was causing a massive infection throughout the patient’s body. Along with broad spectrum antibiotics, the patient needed the fetus to be manually removed from her uterus with a D&E (dilation and extraction).

Unfortunately, at this Catholic hospital, not one physician knew how to do a D&E. The only physician that had any experience was the Ob/Gyn that opted out from the residency program that offered training as described above. Before the procedure, this physician had to call one of her colleagues from her residency program-one that had not opted out of the training and was well trained in first and second trimester abortions-to talk her through the procedure.

Fortunately, the procedure went well and that patient survived. But how crazy is it that this woman could have died because not one provider had properly learned this medical procedure in the entire hospital. A well trained physician from an outside hospital had to be called in order to ensure the procedure was done correctly and the patient had the best possible outcome.

Unfortunately, this is the reality we face. Many residency programs in Ob/Gyn do not train physicians in second trimester abortion procedures. Although women have elective 2nd trimester abortions for various reasons, there are some women who need a late abortion for life-saving reasons. It is insane to me that physicians are not required to have this skill (thanks Coats amendment) and we could very well see women die because their trusted physician is not trained in this procedure. Can you imagine if physicians didn’t know how to take out an appendix for appendicitis? It would be unheard of.

What kind of doctor would I be if I refused to learn a procedure that could save my patient’s life? I have a hard time grasping this concept and so should you.

Abortion Doulas

This past week, I had the extraordinary opportunity to witness an abortion doula at work.

We were performing a 12 week termination on a woman who had a fetal demise. The woman was teary before the procedure and definitely nervous. The abortion doula sat with her while she received her counseling, while her IV was placed, and while she waited for the procedure room to become available.

As the patient entered the room and sat on the table, the doula was with her the entire time. The doula stroked her hair out of her face, held her hand and talked to her about anything and everything. While we were performing the procedure, the two women talked about the patient’s children, the weather, and popular tv shows. Before the patient knew it, the procedure was over.

I have always been a supporter of doulas-whether for child bearing or termination-but to watch the abortion doula in action was amazing. She was so supportive of the woman. She was her advocate and her friend throughout the whole procedure. The doula completely changed how that woman will remember her experience.

Doulas should be an integral part of the pro-choice movement. They are patient advocates and their supporters. Years later, the patient will most likely not remember me or the attending, but she will certainly remember her doula.

You can read more about abortion doulas here

Labor Day

For those of us in the medical world, labor is synonymous with child birth. Why? Because if you have ever been in a delivery room, you know that pushing a baby out of you is a HELL of a lot of work!

I personally have never done this sort of labor myself, but I can only imagine the energy it requires.

However, the labor doesn’t stop in the delivery room. Raising a child is, by far, the hardest job in the world. It takes time, patience, money, and unconditional love. And for some women, they are not quite ready for this type of job-they are not financially stable, they are with the wrong partner, they are not emotionally ready, they are taking care of their children.* For whatever reason, it’s not the right time for them to begin this type of labor.

Choosing to terminate a pregnancy is difficult, as is raising a child. We must learn as a society to trust women and their choices. Women know what is right for them and their lives, and it will be our job as physicians and members of the community to support a woman in whatever she decides to do with her body.

On this Labor Day, I honor the women who dedicate their lives to their children and who make difficult decisions as to whether to be a mother. I remember all the women who died unnecessarily during delivery and who died from botched, unsafe abortions.

Today, let's not forget the power of choice and how it can affect all women, everywhere!


*Most women who choose abortion are mothers already.

The Key to World Peace

Lately, I have had quite a commute to the hospital in the morning. Fortunately, this gives me plenty of time to catch up on the real world. I, of course, listen to NPR and often find myself regretting ever complaining about any aspect of my life. People in other parts of the world have real problems-they are enduring an epic flood, have lost their house and home, and are fighting to survive. Meanwhile, I’m dealing with traffic.

And then there are the stories of women being persecuted because…well…they are women. The most recent headlines focus on a pregnant woman being executed for adultery. Except, we in the states wouldn’t really classify it as adultery since this woman’s former husband had died and now she was with another partner. And then there was the Time Magazine cover of the Afghan woman who had her nose and ears cut off from trying to leave her abusive husband.

These stories haunt me, as they should everyone. I sometimes imagine that I have super powers and can fly over to X city and do X, X, and X to these perpetrators. I feel so much anger towards men, in the states and around the world, who feel they can control and terrorize women.

And then I wonder. What if all women had reproductive freedom over their body? They were able to decide when and if they wanted to be pregnant. They had access to birth control and prenatal care. They were able to decide with whom they wanted to bring a child into this world with. Their bodies would not be used as weapons of war. They would not be forced into sex work through promises of a better life. Their partners would treat them as equals.

What a different world we would live in.

Reproductive freedom and equality for women is the key to every major issue around the world. I truly believe that. And I will continue to fight for that freedom, for all women. I hope you and others will join me.

some abortion clinic

I recently saw a quote from a president of a I hate women and their reproductive freedom organization. The quote goes as follows: “No one goes to medical school with the intent of working in a Planned Parenthood or some other abortion clinic.”

I love (actually hate) when anti-choicers make such blatantly false blanket statements as if they have any knowledge of this particular topic.

The truth is, many people go to medical school for the purpose of becoming abortion providers, as well as all-encompassing women’s health care providers. I am one of those people. I knew before medical school that I wanted to offer abortion services in my practice, and I was determined to get trained during medical school and pursue a residency that would train me to be a competent women’s health care provider.

I’m sure Mr. Wrong would like to believe that we reluctantly step into the abortion provider role because no one else will, or because we are after the money (which isn’t there) or because we like being harassed by psychos. The truth is, we believe abortion is a right and each woman should have the chance to make an informed decision among all her options. I believe that I can only be a good physician to my patients if I offer them all services surrounding their reproductive freedom, not just some.

Unfortunately for Mr. Wrong, there are more and more of us each year. Not all of us enter medical school with the hopes of having the honor to serve women in this way, but many more of us are leaving medical school with that very ambition. This is especially thanks to organizations like Medical Students for Choice and certain residency programs that support medical students throughout their years in medical school and beyond.

Sorry, Mr. Wrong. We are here to stay, and I would be honored to work in a “Planned Parenthood or some other abortion clinic” one day.

Free The Pill!!

For too long our birth control pills have been held hostage by our doctors. Every year we are forced to lie on an examining table, put our legs in stirrups, and "try to relax."

Finally, there has been some main-stream media discussion of switching these precious little pills to OTC. This means easier access for all women, teens, and tweens! And guess what?!? When more women have access to contraception, there are fewer unplanned pregnancies...which means fewer abortions. I mean, everyone should be behind this! (I know, I know...you anti-choicers who are against everything to do with reproductive freedom are going to be against this...don't worry, I haven't forgotten...waaaa waaaaah).

I admit, as a future physician, I was skeptical at first about having these pills over-the-counter. But as was mentioned in the NY times article, ocps are far safer than many medications already easily available in pharmacies. They are easy to take and do a spectacular job of preventing unwanted pregnancies-better than condoms already available in pharmacies. And, early studies have already shown that women are still going into their doctor's offices to get pap smears, it's just a more pleasant experience when their ocp refill isn't dangling in front of their face...or should I say cervix.

I, ideally, would like to see ocps on the out! They are a great method, but are too burdensome. I hope we develop a more European approach with longer acting methods-like the IUD. After I had trouble getting in to see my doctor and get my damn pap smear, I decided to go with the IUD. Best decision and the #1 birth control method for Ob/Gyns in this country!

But I digress.

In essence, it's time to free the pill. More access=fewer unplanned pregnancies=fewer abortions. I get that you old farts are going to have a hard time with this. Get over it! Times are changing with or without you, and let's face it-you're not getting any younger.

Thank You Dr. Tiller

It’s hard to believe that one year ago, on May 31st, I received a phone call from a fellow abortioneer around noon. Dr. George Tiller had been murdered in his church by a radical anti-choicer. Not only was the devastation felt in the pro-choice community, but it was felt all around the world. Vigils held in packed churches and city parks represented how far Dr. Tiller’s work and compassion spread. Women and their stories of late-term abortions surfaced on radio stations, newspapers, and tv stations.

It was Dr. Tiller that provided care to these women-women who were carrying a severe fetal anomaly, women whose life and health were at risk, and women who had complicated social issues that prevented them from receiving care earlier in their pregnancy.

We will never forget what profound service Dr. Tiller provided. He truly was an incredible physician and an American hero. As a future provider, I will never forget the legacy he left behind and the service he provided to women all over this country.

On this Memorial Day, we remember him for the man he was. A man who stood up for what he believed in and trusted women.

Thank you Dr. Tiller. You are missed.

case report

On my ob/gyn rotation, a 30 year old woman presented to our clinic with diffuse abdominal pain for 6 weeks. She noticed increase girth in her abdomen for the past month and had increased satiety. Additionally, she also noticed a 10 pound weight loss in the past 4 weeks.

Her lab results returned with an increased white blood cell count (noting inflammation) and an elevated CA-125 (a non-specific marker for ovarian cancer). On ultrasound, we saw an enlarged right ovary with a solid mass. After discussing options with the patient, we recommended doing a biopsy of her right ovary. The next week, the biopsy came back positive for ovarian cancer.

After a long discussion as a team, we decided to tell the patient that everything came back normal with her biopsy and it was a benign mass. We would then convince her to get pregnant as soon as possible by convincing her that this mass could possibly cause fertility issues in the near future. We feared if we told her the true results, she might opt for a hysterectomy -- wasting a perfectly good opportunity to bring a child into this world. Although we only knew this patient for a couple of weeks, we thought it best to make a decision for her by not telling her the results of the biopsy. Clearly, as physicians, we know what was best for this patient and her life. And, if she followed our advice by getting pregnant, she could die in her mid-30s from ovarian cancer knowing that she served her ultimate purpose as a woman. And we could all sleep better at night.

ARE YOU KIDDING ME???? As if you couldn't figure it out, this is a completely made up story. However, piggy backing off of Mr. Banana Grabber's post on Friday, not completely different from what Oklahoma is doing with this insane law.

As a future physician and ob/gyn, I cannot imagine looking my patient in the face knowing that something was seriously wrong with her baby, and telling her everything is perfectly fine. It's sick. And any doctor who knowingly does that should lose their license and never be able to practice again. Women and men on all sides of the debate should be outraged. Even if you are rabidly pro-life, you should be extremely offended that a doctor could make a decision for you and not tell you crucial information that you would need in order to prepare for the birth of a special-needs child. Even Sarah Palin should be outraged, as the mother of a baby with Down syndrome.

Imagine if the daughter of one of those moronic legislators delivered a severely deformed baby, thinking the whole time it was perfectly healthy because the doctor said it was...there would be hell to pay.

a monday morning rant

You know what really gets my goat? (yes, I just said that…bringing it back)

The answer: med students who say they are “pro-choice, but am not sure about this whole partial birth abortion thing. I just really don’t agree with it.” Ugh. And, btw, I can complain about med students because I am one. A feisty one.

Here’s the thing. I totally love that these med students are pro-choice. Don’t get me wrong. Love it! I mean, frankly, all medical professionals should be pro-choice, but whatever. But when it comes to looking up facts about abortion and abortion procedures, some flat out fail in my book.

Let me paint you a picture. Throughout medical school, especially the latter portion, we are a sponge gathering and interpreting as much information as humanly possible. A patient has an odd lab value, we look it up, read about it, learn every possible reason for that obscure reading. A patient is going into a pancreaticoduodenectomy (yup) operation, we read about it and do our best to understand it so we don’t look like fools in front of our attendings.

But for some reason, there are med students out there that don’t do the same research for abortion. Why is that? It’s a medical procedure, 1 in 3 of our female patients have had or will have an abortion. And to be honest, I don’t have time to teach every one of those medical students why there is no such thing as a "partial-birth abortion," you might be thinking of an “Intact Dilation and Extraction,” and in the rare circumstances in which it's performed it’s much safer than the alternative (although I make time). Hey! If you are going to be a doctor--learn about it, read about it, know it.

But I guess it isn’t completely their fault. Our medical schools are the ultimate failures at not talking about abortion in the classroom or teaching about it on the wards. Students have to fight to actually be able to learn about it in school. Isn’t that crazy? It is INSANE!

That’s why Medical Students for Choice is so important in helping medical students change their curriculum to include abortion. It’s the most common minor surgical procedure in the country-wouldn’t you want to know about it and wouldn’t you want your doctor to know about it?

the women

I have delivered a baby and performed a 9-week abortion. Although both procedures were very different, they were equally powerful.

In the delivery, it was the woman’s fourth baby. A girl this time, after three boys. She was thrilled and wept at the sound of her crying daughter. I cried a little bit as well. This pregnancy was so wanted and so desired. Plus, being the first person to touch a baby and deliver her/him into this world is incredible in itself.

In the 9-week abortion, it was the woman’s third pregnancy. This pregnancy was unplanned and unwanted. She had two children at home and was not financially ready to bring another child into the world at this time. Plus, she was with a new partner and was not ready to have a child with him. It was a hard decision, but in the end, the right one for her. During the procedure, she talked about her children and cried a little bit. When it was over, she looked so relieved and thanked me.

I have been so fortunate to have affected both of these women’s lives in unique and different ways. Both were such beautiful experiences that I will never forget.

Delivering a baby only reaffirmed to me that motherhood should be a choice. Women should not be forced into that position or punished by it. Motherhood is beautiful but it is hard and not always at the best time or with the right person.

Performing an abortion made me further appreciate that abortion is a hard, thoughtful and challenging decision. It is personal and sacred. And nobody should interfere with that decision. It also made me realize how easy it is to perform a first trimester abortion. The procedure itself was over in 7 minutes-and performed entirely by me-a medical student. And with over 90% of abortions in this category, it’s aggravating to think anti-choicers and politicians out there are putting so many blockades in front of women, almost forcing them into a second trimester procedure (more expensive and slightly riskier).

Thank you to all the abortioneers out there for continuing to fight for women’s choices. Having participated in both a birth and an abortion, my pro-choice beliefs have been reaffirmed.

endangered species?

I woke up this morning to hear a new attack on women’s reproductive freedom…billboards have gone up around Georgia stating that black babies are an endangered species.

Yikes! What a disgusting ad…the antis are really desperate, aren’t they?

On MSNBC this morning, the pro-billboard woman was stating that black women are targeted for abortion and that abortion is affecting their fertility rate. Ugh-idiots! Seriously, this is the most ridiculous thing I have heard a in a long time. First of all, women make a choice to come in to the clinic to seek abortion services. We are not out on the streets soliciting women for abortions. Second, let us not forget that women who have abortions are usually mothers already-having already contributed to that fertility rate.

Unfortunately, for the Right to Life Georgia group, there is no data to support their outrageous claims. The CDC reports that Black women have higher than the national fertility rate (births per 1000 women in reproductive age) and it has gone up over the years.

The amazing executive director of Sister Song was quoted in the NY times saying “The reason we have so many Planned Parenthoods in the black community is because leaders in the black community in the ’20s and ’30s went to Margaret Sanger and asked for them,” Ms. Ross said. “Controlling our fertility was part of our uplift out of poverty strategy, and it still works.”

Hey anti-choicers, way to shame black women for the choices they make. By putting a message out there that black babies are “endangered species” you are sending a message to black woman that by having an abortion they are, in essence, committing a grave crime against their "species." You are sick. We are women, not baby-making factories.

Perhaps we can flip this message. Like Sister Song said, controlling one’s fertility-either through contraception access or abortion-is a way to lift women out of poverty. By putting this message out there, targeting black women, you want to keep the cycle of poverty going by decreasing their access and shaming black women, their families, and their communities.

Wow, antis, you must be so proud.


Picture from NY Times

Holy Smokes!

We were so busy enjoying the 37^th anniversary of Roe v. Wade we (1) forgot to write about it and (2) forgot to celebrate our own birthday!

It’s true! The blog of the Abortioneers is one year old! 234 posts later, we are doing better than ever.

We cannot thank you all enough for your support and kind comments -- on the blog, via Twitter and Facebook, and in-person from our loved ones and even people who don't know that we are the writers.

We use this space to share our experiences and tell our stories. We are so proud to hear that our readers find this blog useful, comforting, and supportive.

Thanks for reading and sharing. Abortioneers do such incredible work every day all over the world. The work is not always appreciated, but it is always important.

Thank you again, and here's to another year!

Choice

Choice really is a beautiful thing.

I have met women that are struggling to conceive. And although the odds are against them, they have made the choice to continue with the long, challenging, expensive, and sometimes heartbreaking process. Their doctors support them and foster this decision.

I have met women that are very sick during their pregnancy. They have diabetes, high blood pressure, seizures, and/or blood loss. It may have been in their best interest health-wise to terminate the pregnancy, but they made the choice to continue. They fight for this pregnancy, a wanted pregnancy, even when it dramatically hurts their physical well being. Again, the providers stand by these patients with their decision, care for them, and do the best they can to help bring a healthy child into this world.

I have met women who are struggling financially, have no support, are in an abusive relationship, in danger physically because of the pregnancy, are not ready to be a mother and have made the choice to have an abortion. Their provider supports their decision* and provides them with unbiased information to help each woman make the best decision for her.

Choice is everywhere in healthcare and in women’s reproductive health. We need to support women, we need to listen to women, and most of all we need to trust women.

*I realize this isn’t always the case, but it should be.

Happy New Year!

A toast:

Here’s to a new year/new decade for reproductive freedom for all. I truly believe that this decade will be the decade that we make a powerful, lasting difference for all women, everywhere.

So many years of fighting, struggling for reproductive freedom. And believe me, we will not slow down. This next decade brings fire, compassion, and hope. Watching the public reaction to Stupak/Pitts shows me that our support is there, waiting, and ready for whatever barrier comes our way.

To the last decade, thank you. You, decade, have challenged me and educated me on what it means to be an activist, a medical professional, and an Abortioneer. Eight terrible Bush years have challenged my dedication to this cause. A new hope in Obama has proven that our struggle does not end and we cannot back down even when we are in the majority in all sectors of government. And the legacy and passion of Dr. George Tiller will not fade away with his murder.

I have learned that women are beautiful and strong. And that choice is personal, difficult, and necessary.

And most of all, I have learned that choice is worth fighting for.

Now raise your glasses. Let’s get ready for 2010, Abortioneers!

open your ears

I, admittedly, have never had an abortion. I am so very grateful for my legal right to choose to have an abortion, but am equally grateful that I have never had to exercise my choice. Because no matter how I feel any given day or no matter what I say about the politics that surround abortion, I can never fully put myself in the shoes of the woman who is getting that abortion and who did exercise her choice. I have never pretended to know what she feels or understand why she made the decisions that she did. And that’s the thing, I don’t need to. It’s not my job to understand or judge. My job is to support, counsel on options, and provide a safe, legal procedure. Her body, her choice.

I have sat across from so many women exercising their choice. They are teens, they are in their 40s. They are already mothers, they are not ready to be mothers. Their boyfriend is abusive, their boyfriend is supportive of the decision. Their birth control didn’t work, even though they used it perfectly. They didn’t have birth control because they were taught abstinence only. They are anti-choice, except when it comes to their own abortion. Last week, they were protesting the clinic, and today they are your patient. Every woman’s story is different. Ask any Abortioneer, and she/he will tell you the same. No one can describe the typical abortion patient, because there is no typical patient.

It’s funny to me when people say abortion hurts women. Do they mean literally? I mean, from what I have seen, some women do complain of intense cramps. If they mean figuratively, I guess I don’t follow. From what I have seen, abortion helps women. No one in the clinic forces a women to have an abortion, she is there of her own free will and choice because, well, she needs help. If people don’t believe that, then they aren’t listening. And I honestly can’t tell you of a more gratifying field of work. In all my medical experiences, patients with a safe, legal option to terminate an unwanted pregnancy are the most grateful and most thankful patients I have ever encountered.

And I am grateful that if I should need to exercise my choice in the future, someone will be there to offer the same counsel and support I provide. I am grateful of these things for you too, reader, no matter what you believe.

Activist Friday!

Recently, I had the opportunity to speak with my fellow students about the Stupak/Pitts Amendment. This amendment, which has been with us since the 7^th of this month, seems to not been on the radar of many of my colleagues. True-we are all busy, but this is serious! And scary! And affects us as well as our patients.

After our discussions, my peers were appalled and outraged! They were ready to fight this.

This is what we need-this power and energy….especially from those that aren’t normally raising their voices on issues. Let’s harness this energy and use it for good.

So on this Friday, I encourage you all to talk to 3 people about the Stupak/Pitts Amendment and how it can affect our patients and millions of women in this country.

Call your senators and congresspeople about this issue! Encourage them not to support it. (It’s not scary to call-I promise! The person on the other line is usually in their low 20s.)

The Senate’s version of their healthcare bill came out Wednesday night and has milder abortion restrictions than the House bill. But at some point, after the Senate has voted, the House and Senate will have to merge this bill into one. The Stupak/Pitts Amendment must be left out.

Now let’s get to work!

the internal clitoris

for fun and education