Tuesday, June 12, 2018

Trump administration moves to block victims of domestic abuse from claiming asylum

Los Angeles Times (Jun. 11, 2018): Trump administration moves to block victims of gang violence and domestic abuse from claiming asylum, by Evan Halper:

Attorney General Jeff Sessions has overturned precedent that created a basis for survivors of domestic violence in foreign countries to receive asylum in the United States. 

As Attorney General, Sessions' review of an earlier case that granted a Salvadoran woman asylum as a victim of physical and emotional abuse by her husband, including rape, is binding. A federal appellate court, though, has the power to overturn Sessions decision, and immigration advocates anticipate immediate challenges to the decision. 

To establish asylum in the United States, applicants must "prove that they have a reasonable fear of persecution because of their race, religion, nationality, political views or membership in a particular social group." Under the Obama administration, in 2014, a Guatemalan woman fleeing domestic violence was granted asylum after the immigration appeals board ruled that victims of domestic violence constituted, in some cases, "a particular social group." 

Advocates estimate that tens of thousands of U.S. asylum applicants annually fall into this precedential category targeted now by Sessions and the Trump administration. The United Nations High Commissioner for Refugees "warned that such action would violate international agreements the U.S. has entered into concerning refugees and would subject victims to being returned to situations in which their lives are in danger." The American Bar Association has also joined in voicing its concern that this ruling will further endanger those most vulnerable. 

Sessions has stated through this decision that the United States will not offer help to women suffering from and living in fear of domestic violence, rape, and death, as their situations constitute only "private crimes" that their home governments should be able to manage. He has cast doubt on well-founded assertions that police in the home countries of these women "often don't respond to reports of domestic violence" and rejects that, as such, these women constitute "a distinct group in need of protection by the U.S."

"The attorney general’s skepticism that victims of abuse lack effective recourse in their home countries runs counter to reports published by the U.S. Department of State on human rights conditions in those countries."

 

 

 

June 12, 2018 in Current Affairs, International, Politics, Sexual Assault, Women, General | Permalink | Comments (0)

Thursday, May 3, 2018

Iowa Lawmakers Pass Strictest Abortion Law in the U.S.

The Hill (May 2, 2018): Iowa lawmakers pass strictest abortion law in the US, by Julia Manchester:

On Wednesday, May 2, 2018, Iowa legislators passed "the heartbeat bill." The legislation bans abortions once a fetal heartbeat is detected. Essentially, the heartbeat distinction would ban abortions by the sixth week of pregnancy. 

Opposition to the bill claims that it would ban abortions before some women even know they're pregnant. 

The passage of the bill comes as the Trump administration has taken a hard-line stance on abortion, spurring a slew of abortion laws across the nation.

Nineteen states adopted a total of 63 restrictions to the procedure in 2017, which is the highest number of state laws on the issue since 2013, according to the Guttmacher Institute.

The bill now goes to Gov. Kim Reynolds's (R) desk, but, if signed, is expected to be challenged as a violation of Supreme Court precedent including Roe v. Wade. 

May 3, 2018 in Abortion, Abortion Bans, Anti-Choice Movement, Current Affairs, Politics, Pregnancy & Childbirth, State and Local News, State Legislatures, Supreme Court | Permalink | Comments (0)

Wednesday, May 2, 2018

Supporters of El Salvador’s Abortion Ban Foil Efforts to Soften It

The New York Times (April 26, 2018): Supporters of El Salvador’s Abortion Ban Foil Efforts to Soften It, by Elisabeth Malkin:

El Salvador remains one of six Latin American countries with a total ban on abortion after the Legislative Assembly failed to debate and vote on a measure that would have relaxed the ban in two circumstances: when the mother's life is in danger and in the case of a minor becoming pregnant as a result of rape. 

In El Salvador, abortion is criminalized and punishable by up to eight years in prison for both doctor and patient. Human rights groups around the world have a lobbied for a change in the harsh policies that sometimes criminalize women who have late-term miscarriages. These women have historically been charged with abortion or even aggravated homicide. 

Advocates aiming to soften the total ban had been lobbying for months, but their efforts were unsuccessful when the former, left-wing-led national legislature adjourned last week without voting on the proposals. A new Legislative Assembly convenes this month, dominated by conservatives who are not expected to revive the debate or offer reform proposals.  

May 2, 2018 in Abortion, Abortion Bans, Anti-Choice Movement, Culture, Current Affairs, International, Politics | Permalink | Comments (0)

Friday, April 20, 2018

A Backward Step for Reproductive Rights in Chile

Human Rights Watch (April 16, 2018): A Backward Step for Reproductive Rights in Chile, by José  Miguel Vivanco:

Last year, under former Chilean president Michelle Bachelet, Chile's Congress passed reproducive health reform that lifted a 28-year blanket ban on abortions in the country. While the reform did not make abortion wholly available, it removed the ban under three circumstances: when the pregnant person's life is at risk; if the pregnancy is a result of rape; and if the fetus is deemed "not compatible with life outside the womb." 

Even with the reform--upheld as constitutional in August 2017--several barriers remained in place even under these circumstances. For example, doctors and whole hospitals could invoke a right not to perform abortions on the basis of conscience. If they chose to invoke this right, though, the original reform required a stated reason for abstaining and also required those abstaining to register as such in a timely manner. The goal of this rule was to ensure continuity of coverage at a hospital, so that pregnant persons qualifying for an abortion would not be denied one due to lack of access. 

Under current Chilean President Sebastián Piñera, the requirement of providing a reason for objecting to performing abortions, along with the requirement of assurance of continuity of coverage, were dropped completely. 

These rule modifications were issued by the Health Ministry and have international human rights groups concerned that the reproductive health of women and girls will not be protected in Chile.

For example, a person pregnant with a non-viable fetus, or a pre-teen rape victim, might find themselves unable to receive an abortion, because the local hospital does not want to potentially offend politicians or invoke the wrath of anti-abortion groups. As such, the only potential abortion-provider in a given town has chosen "on the basis of conscience" not to provide them and will not be required to justify that decision. Human Rights Watch recommends that

The Chilean government should review and amend the rules to ensure that access to legal abortion is protected. Otherwise it risks letting conscientious objection be used as a pretext to deny important newly recognized rights of women and girls. 

April 20, 2018 in Abortion, Abortion Bans, Current Affairs, International | Permalink | Comments (0)

Wednesday, April 18, 2018

Bringing reproductive health care to Syria’s underserved Al-Tabqa

ReliefWeb (April 6, 2018): Bringing reproductive health care to Syria’s underserved Al-Tabqa, Report by European Commission's Directorate-General for European Civil Protection and Humanitarian Aid Operations: 

Seven months ago, the Syrian city Al-Tabqa was re-taken from the Islamic State. Displaced families are returning to the city in droves, and the population has increased close to 200% over the last year. 

Basic critical health care is still lacking in the city, though. Recently, UNFPA supported the development of a new health clinic, which opened in January 2018. 460 women received treatment in the first two weeks of the clinic's operations, including one 30-year-old Syrian woman's delivery of twins. 

Under the control of ISIL, contraceptives and other reproductive care were unavailable to women. The new clinic continues to face challenges in its liberation, too, as access to Al-Tabqa for those who wish to return or relocate has been hampered by destroyed infrastructure and lingering landmines. Various agencies are working to improve these conditions, but in the meantime, the Al-Tabqa clinic has managed to become fully-equipped, staffed, and ready to help serve the estimated 6,800 pregnant women in need of care. 

April 18, 2018 in Contraception, Current Affairs, International | Permalink | Comments (0)

Tuesday, April 10, 2018

John Oliver takes aim at crisis pregnancy centers and anti-abortion activists 'controlling women's behavior'

The Guardian (Apr. 9, 2018):  John Oliver takes aim at anti-abortion activists 'controlling women's behavior', by Guardian staff

John Oliver examined crisis pregnancy centers (CPCs) designed to prevent abortions on this past Sunday's episode of HBO's Last Week Tonight, criticizing their “disingenuous and predatory” tactics and explaining how their "primary purpose is to talk women out of terminating a pregnancy.”

There are 2,752 CPCs  in the United States, compared with 1,671 abortion providers. Many CPCs use the word "choice" in their names and give out advice that is medically inaccurate. They often pretend to be abortion clinics on the exterior to fool women to enter. “Normally, the strategy ‘pretend you’re an abortion clinic’ is not actually a great marketing stunt, although I am pretty sure that Radio Shack would have tried it if they’d thought of it,” Oliver said.

Oliver also discussed how CPCs discourage the use of contraception. There are claims from within CPCs that condoms are ineffective at preventing pregnancy. “For all the lengths that CPCs will go to to prevent abortions, many of them don’t do a key thing that would help that and that’s give women access to birth control,” he said.  “The fact is if you want fewer abortions, you should love birth control."

Oliver said that the real goal of CPCs is “controlling women’s sexual behavior”, as many of them are affiliated with religious figures and organizations.

Watch the segment below:

April 10, 2018 in Abortion, Anti-Choice Movement, Contraception, Culture, Current Affairs, In the Media, Religion, Television | Permalink | Comments (0)

Friday, March 23, 2018

UN human rights committee to Poland parliament: reject anti-abortion bill

JURIST (Mar. 22, 2018): UN human rights committee to Poland parliament: reject anti-abortion bill, by David Zwier: 

This week, Poland's parliament will debate the bill "Stop Abortion," which would ban abortion in cases of severe fetal anomaly. Currently, this is one of only three bases on which a person can terminate a pregnancy in Poland. Poland is known to have some of the most restrictive abortion laws throughout Europe. 

A committee of experts under the UN Human Rights Council has urged the parliament to reject the bill, citing that such restrictions will threaten women's equality and autonomy as well as violate their rights to privacy and health while also putting pregnant persons at risk of cruel and inhuman treatment. Forcing the continuation of a pregnancy, they say, violates an individual's fundamental human rights. 

In 2016, Poland rejected a bill outright outlawing abortion, in part many believe as a response to protests over it. The UN experts have not received a response to their recent communications regarding the current pending legislation. 

March 23, 2018 in Abortion, Abortion Bans, Current Affairs, In the Media, International, Politics | Permalink | Comments (0)

Saturday, March 10, 2018

Baltimore to join lawsuit against U.S. health agency over cuts to programs that help prevent teen pregnancy

The Baltimore Sun (Mar. 7, 2018): Baltimore to join lawsuit against U.S. health agency over cuts to programs that help prevent teen pregnancy, by Ian Duncan:

The city of Baltimore intends to join a lawsuit against President Trump filed last month by the nonprofit Healthy Teen Network. The suit was filed in U.S. District Court in Baltimore after Healthy Teen Network's federal grant--given to develop and fund the study of an app providing sex education--was significantly reduced.

Baltimore’s health department received an $8.5 million federal grant to help provide sex education for about 20,000 students over five years. Last year, the federal health agency told Baltimore that the program would be severed from its funding after three years instead, leading to a loss of $3.5 million.

The lawsuit alleges that Trump’s appointee to a senior position in the U.S. Department of Health and Human Services has reduced federal grants for programs that do not match the official’s belief that people should not have sex until they are married.

While the lawsuit by Healthy Teen Network states they did not receive a clear explanation for the funding cut, the lawyers claim that the cut in funding is directly related to the appointment of abstinence-only advocate Valerie Huber, who was appointed Chief of Staff for the Office of the Assistant Secretary of Health at the U. S. Department of Health and Human Services in June 2017.

"Dr. Leana Wen, the city’s health commissioner, said the reduction would greatly harm the department’s ability to provide services."

“We have made significant progress to reduce teen birth rates, and the last thing that should happen is to roll back the gains that have been made.”

March 10, 2018 in Culture, Current Affairs, In the Media, Politics, President/Executive Branch, Religion and Reproductive Rights, Sexuality Education, State and Local News, Teenagers and Children | Permalink | Comments (0)

Thursday, March 8, 2018

Mississippi is perilously close to passing a big crackdown on reproductive rights

ThinkProgress (Feb. 28, 2018): Mississippi is perilously close to passing a big crackdown on reproductive rights, by Amanda Michelle Gomez:

A committee of lawmakers in the Mississippi Senate passed House Bill 1510, which would ban abortions after 15 weeks of pregnancy. While the bill provides exceptions for medical emergencies or certain cases of fetal abnormalities, it does not except rape or incest. The House originally proposed and passed the bill earlier in February of this year.

Mississippi Governor Phil Bryant (R) has previously stated his goal is to completely end abortions in Mississippi, and has affirmed he would sign the bill if it lands on his desk.

Mississippi already proscribes abortions after 20 weeks, a law that was originally defended on the basis of preventing fetal pain, despite research that shows a fetus may not feel pain until 27 weeks. 

As many people do not find out they are pregnant for several weeks, or even months, pro-choice advocates are concerned about the difficulty a 15-week ban imposes on persons who would seek an abortion but do not discover their pregnancy in time. 

20-week bans have been proposed and judicially struck down in Arizona and Idaho, however there has been no challenge yet to Mississippi's current 20-week ban. It's likely the new bill, if made law, would be challenged in court. 

March 8, 2018 in Abortion, Abortion Bans, Anti-Choice Movement, Current Affairs, Politics, State and Local News, State Legislatures | Permalink | Comments (0)

Tuesday, February 27, 2018

A Larger Role for Midwives Could Improve Deficient U.S. Care for Mothers and Babies

ProPublica (Feb. 22, 2018): A Larger Role for Midwives Could Improve Deficient U.S. Care for Mothers and Babies, by Nina Martin:

The results of a five-year study, conducted by researchers in both the U.S. and Canada, on the effects of midwifery on maternal and infant health are in. The study was published in the peer-reviewed journal PLOS ONE; it analyzes hundreds of laws throughout the United States that dictate what a midwife can and cannot do when it comes to prenatal care and the birthing process. 

'We have been able to establish that midwifery care is strongly associated with lower interventions, cost-effectiveness and improved outcomes,' said lead researcher Saraswathi Vedam, an associate professor of midwifery who heads the Birth Place Lab at the University of British Columbia.

The midwife model emphasizes community-based maternal and infant care along with avoiding any unnecessary, and potentially dangerous, interventions. Midwives have long been widely embraced in Europe as a positive component of maternal care. In the U.S., though, midwives often represent a "culture war that encompasses gender, race, class, economic competition, professional and personal autonomy, risk versus safety, and philosophical differences." 

The title "midwife" can have multiple meanings, ranging from "certified nurse-midwives," to "direct-entry midwives," to "lay midwives." Depending on the title and the state in which the midwife works, the midwife will have a different level of training and may or may not be licensed or regulated by the state. 

This new study indicates, though, that midwives may be part of the answer to the U.S.'s problematic infant and maternal mortality rates. Severe maternal complications have sharply risen over the past 20 years, and maternal care is seriously sparse in certain areas of the country. "Nearly half of U.S. counties don't have a single practicing obstetrician-gynecologist." 

While midwife regulations vary widely among states, the study shows that states that have more fully integrated midwifery systems within their health care have significantly better outcomes for mothers and babies. States with restrictive midwife regulations--like Alabama, Ohio, and Mississippi--regularly score much lower on tests of maternal and neonatal well-being.

Alabama, which has the worst infant mortality rate in the country, has long had strict midwife regulations, "reflecting attitudes that wiped out the state's once-rich tradition of black birth attendants." Alabama lawmakers, though, recently passed a bill legalizing certified professional midwives, taking one small step toward the process of greater midwife integration, and, hopefully, improved maternal and infant health care across racial and economic lines. 

Access to midwifery is often split among racial lines, as many of the states with the worst outcomes (and higher levels of opposition to midwives), including Alabama, have large black populations. The study suggests a correlation between improved access to midwifery and reduced racial disparities in the maternal health care field.

Jennie Joseph, a British-trained midwife who runs the Florida birthing center and nonprofit Commonsense Childbirth affirms this:

“It’s a model that somewhat mitigates the impact of any systemic racial bias. You listen. You’re compassionate. There’s such a depth of racism that’s intermingled with [medical] systems. If you’re practicing in [the midwifery] model you’re mitigating this without even realizing it.”

The study, though, does not conclude that better midwife access will directly lead to better outcomes or vice versa. It acknowledges that many other factors also affect maternal and infant health among states, including access to preventative care, insurance, and rates of chronic disease.

Nonetheless, maternal health advocates have long recognized the benefits of midwifery and this is not the only study to highlight the positive effects of supporting midwives. A 2014 study found that integrating midwives into health care could prevent more than 80 percent of maternal and infant fatalities worldwide, in both low and high-resource communities. Even in the U.S., organizations such as the American Congress of Obstetricians and Gynecologists have begun embracing nurse-midwives despite lingering skepticism by many. 

February 27, 2018 in Culture, Current Affairs, Medical News, Pregnancy & Childbirth, Reproductive Health & Safety, Women, General | Permalink | Comments (0)

Friday, February 23, 2018

Advanced Reproductive Technology is Here. But Who Decides Who Gets Access?

Futurism (Feb. 2, 2018): Advanced Reproductive Technology is Here. But Who Decides Who Gets Access?, by Claudia Geib: 

Reproductive technology has expanded and improved immensely over the years. The accessibility of assisted reproduction, fertility treatments, and even adoption, though, is highly limited, particularly in the United States. All of these processes can be prohibitively expensive, and, often, insurance does not cover them or organizations can arbitrarily choose not to provide them.

As reproductive technology is largely unregulated in the U.S., private organizations that manage processes such as embryo donations have full discretion when choosing who can participate in their programs. The National Embryo Donation Center (NEDC) states in its policies that they will only provide embryos to heterosexual, married couples, for example. The NEDC is founded in the Judeo-Christian worldview, and they explicitly exercise this viewpoint--or their perspective of it, at least--when selecting eligible couples for their services.  

Jeffrey Keenan, the NEDC's medical director, says that their policy is to operate based on the "biological reality" of a family and God's intention for conception.

As much as you see gay people having children, you have noticed that none of them do it on their own. It is physically and scientifically impossible for gay people to have a child. So why just because we can have someone act as a surrogate, or because we can donate into a [gay] woman, why does that make it right? It doesn’t, not in and of itself.

Civil rights communities, LGBT groups, and, increasingly, the courts oppose these views. What many consider illegal discrimination, though, endures under the protection of U.S. law since such procedures are not generally considered "medically necessary."

Basic fertility treatments are rarely covered by U.S. insurance policies, and when they are, the insurance company may first require proof and documentation of a medical reason preventing "natural" pregnancy. 

This is not the case in many other developed countries, where formal regulations, ethical requirements, and even entire administrative departments preside over reproductive technology. The United Kingdom's Human Fertilisation and Embryology Authority, for example, is solely committed to the regulation of fertility treatments and embryonic research in the U.K. 

In the U.S., there is simply "no equality of access" to reproducing, says Antonio Gargiulo, an obstetrician-gynecologist and director of robotic surgery at the Brigham and Women's Hospital in Boston. As it stands, Boston residents do  have access to fertility treatments under insurance, though; Massachusetts was the first state to pass laws requiring treatments be covered by insurance back in 1987. Just last year, New York also began requiring insurance companies to provide infertility treatments to those seeking, including homosexual couples and single women. 

Many medical professionals, though, are skeptical that the federal government--particularly under the anti-regulation Trump administration--will make any moves toward ensuring fertility treatments and reproductive technology are uniformly covered by insurance and accessible to all Americans. 

February 23, 2018 in Assisted Reproduction, Culture, Current Affairs, Fertility, Politics | Permalink | Comments (0)

Wednesday, February 21, 2018

It’s now easier for trans people to update birth certificates in Russia than in many U.S. states

ThinkProgress (Jan. 25, 2018): It’s now easier for trans people to update birth certificates in Russia than in many U.S. states, by Zack Ford: 

Last month, Russia established new procedures to allow transgender persons to obtain gender-affirming medical documentation without undergoing surgery. Previously, the only way for a trans person to officially change their gender identity was through the submission of a "medical certificate on gender/sex change" to a civil registry office where individual civil servants would determine whether or not to change the applicant's listed identity. The Russian Ministry of Health signed the new order in January, and it went into effect on February 2, 2018.

Although Russia is regularly condemned for its anti-LGBTQ reputation, this new procedure is considered more progressive than those in the United States, which often require transgender patients to undergo surgery before their gender identity will be officially recognized. 

The U.S. does not have uniform procedures on how to update gender on a birth certificate or other official documentation. "According to the Transgender Law Center...there are only 17 states that offer clear policies for changing birth certificates and do not require surgeries for recognition." 18 states have policies specifically mandating surgical requirements as a prerequisite to the paperwork. Governor Chris Christie twice vetoed bills in New Jersey that would have eliminated such requirements. The U.S. courts have so far produced inconsistent and unpredictable results for trans persons seeking policy changes.

Russia is not the only country making gender identity documentation more accessible. India and Nepal recognize transgender persons by issuing papers that identify them as a "third gender." Sweden, which practiced forced sterilization well into the 20th century, eliminated its surgical requirement for transgender people in 2013. 

Gender reassignment surgery, meant to align a person's gender with their reproductive organs, often results in the patient losing their reproductive ability. Requiring surgery to recognize a trans person's gender is increasingly considered an unacceptable and illegal form of forced sterilization throughout the world. Furthermore, such procedures are often financially prohibitive, making gender alignment surgery, and thus--in the U.S. at least--obtaining legal documentation that recognizes one's gender, inaccessible. 

Last year, the European Court of Human Rights ruled against surgical requirements in a French case. The Court cited Article VIII of the European Convention on Human Rights, which gives everyone the right to respect for "his private and family life." 

Although Russia still faces intense discrimination against its LGBTQ community, Tatiana Glushkova of the Transgender Legal Defense Project is optimistic that the new procedures eliminating the need for surgery before trans persons can obtain proper medical certificates will “significantly improve the situation of trans people in Russia."

February 21, 2018 in Culture, Current Affairs, International, Politics | Permalink | Comments (0)

Tuesday, February 13, 2018

Planned Parenthood Will Launch 10 New Video Chat Abortion Locations in 2018

Cosmopolitan (Feb. 6, 2018): Planned Parenthood Will Launch 10 New Video Chat Abortion Locations in 2018, by Jennifer Gerson Uffalussy: 

A safe, early-pregnancy abortion option has been making waves across the United States since Planned Parenthood began its telemedicine abortion pilot program in Iowa in 2008. 

Telemedicine abortions enable those seeking a pregnancy termination to meet with a nurse in a local clinic where both patient and nurse loop in an abortion-providing doctor via video chat. The doctor consults with the patient to determine that they are a good candidate for early pregnancy termination and then authorizes the nurse to dispense two small pills to the patient. The patient takes the first pill in the office in the presence of the nurse and doctor and then later takes the second pill at home. The pregnancy is terminated within a day or two. 

These medications have become known at "the abortion pill" and include both mifepristone and misoprostol, which work together first to block the hormones a woman's body needs to sustain a pregnancy and then to empty her uterus. The FDA-approved abortion pills are for ending pregnancies less than 10 weeks along. A study of Planned Parenthood's telemedicine pilot program found that access to telemedicine abortions decreased second-trimester abortions throughout the state. Second-term abortions require surgical procedures and can carry increased risks.

Although abortion is legal in all 50 states, many states have tightened their restrictions on abortion access, making it very difficult for a person facing an unwanted pregnancy to safely terminate it. Restrictions such as mandatory waiting periods and insurance limitations are compounded in states with very few clinics that can perform abortions. In fact, about 90% of counties in the U.S. do not have an abortion provider. 

Telemedicine allows a patient to meet with an abortion provider even if she doesn’t live near one. Instead of driving long distances, women can go to a closer clinic or Planned Parenthood and video-chat a live, somewhere-in-state abortion provider who prescribes and (virtually, via on-site clinic staff) hands over the meds. “There is no increased risk of complications with a telemedicine visit,” says Daniel Grossman, MD, director of Advancing New Standards in Reproductive Health at the UCSF Bixby Center for Global Reproductive Health. He led a groundbreaking study published last fall that found telemedicine abortions are just as safe as those in which a woman swallows mifepristone in the same room as a physician.

While mifepristone has so far demonstrated a highly-safe success rate (its rates of complications are fewer than most common pain relievers), it cannot be obtained over-the-counter; instead a clinic, hospital, or doctor's office must dispense it.

Some states will allow a pregnant person to video chat with a doctor from her home and then receive both pills in the mail. Since 2008, though, 19 states have challenged the expansion of telemedicine abortions by passing laws that specifically require mifepristone to be dispensed "in the physical presence of the prescribing clinician."

Planned Parenthood continues to expand its telemedicine program despite the challenges. It has now established 24 telemedicine locations in the nation and plans to add at least 10 additional locations--some in new states--throughout this year. 

To find out if telemedicine abortion is available in your area, call the national Planned Parenthood hotline at 800-230-PLAN.

February 13, 2018 in Abortion, Abortion Bans, Anti-Choice Movement, Current Affairs, In the Media, Medical News, Politics, Pregnancy & Childbirth, Pro-Choice Movement, Reproductive Health & Safety | Permalink | Comments (0)

Wednesday, February 7, 2018

For Nonbinary Parents, Giving Birth Can Be Especially Fraught

Rewire (Jan. 25, 2018): For Nonbinary Parents, Giving Birth Can Be Especially Fraught, by S.E. Smith

Pregnancy and childbirth are vulnerable times in any parent's life. Add to that the highly gendered-status of both pregnancy and birth, and trans and non-binary parents are finding it difficult to locate an inclusive community with educated medical staff as they, too, enter childrearing chapters.

With the trans community, conversations about birth and parenting are few and far between and often fraught with discomfort. Now, though, more parents-to-be identify as trans men or somewhere else on the non-binary spectrum of gender identity. And the medical community has not yet caught up. "And, as in any area of reproductive health-care services, this isn’t simply a matter of gender: Race, class, and geography can play a huge role in whether non-binary people are able to access inclusive, affirming birth care."

Gender-affirming care--including asking for a patient's pronouns with their name, using gender-affirming language, and regularly seeking consent before performing examinations, particularly those that require a medical professional to touch the patient's genitalia--is important.  When it is absent, patients report both physical and psychological trauma.

Many in the trans and non-binary communities are increasingly seeking home births with gender-affirming midwives in order to create the most comfortable environments for themselves. Midwifery can be prohibitively expensive though, and insurance rarely covers it. So for others, a hospital may be the safest or the only choice. Advocates say that hospitals and birth collectives would do well to invest in specialized training for medical providers "to ensure that everyone at a facility is trans-competent, or working on getting there."

This issue is likely to amplify in coming years with a more visible nonbinary community, as well as a more active movement to reframe the way we look at pregnancy and birthing. Trans people—binary and otherwise—are some of the biggest stakeholders in the conversation, and they’re contributing with inclusive birthing classes and provider training in addition to working as care providers themselves.

The trans and non-binary communities call on leaders within the medical community to initiate changes from the inside, including re-training initiatives and reframing core educational documents for inclusivity. 

February 7, 2018 in Culture, Current Affairs, Fertility, Medical News, Men and Reproduction, Politics, Pregnancy & Childbirth, Reproductive Health & Safety | Permalink | Comments (0)

Thursday, November 30, 2017

Internal Emails Reveal How the Trump Administration Blocks Abortions for Migrant Teens

Mother Jones (Nov. 29, 2017): Internal Emails Reveal How the Trump Administration Blocks Abortions for Migrant Teens, by Hannah Levintova and Pema Levy: 

Jane Doe isn't the only teenage immigrant the Trump administration has tried to prevent from obtaining an abortion. 

While the ACLU represented Doe in her ultimately successfully case to get an abortion, they continue to fight a class-action for other similarly-situation teens. These teens are pregnant and in government custody with the Office of Refugee Resettlement (ORR) within the Department of Health and Human Services. The ORR contracts with local shelters to house the minors.

The director of the ORR, Scott Lloyd, is an anti-abortion activist who has "changed ORR policy to prevent pregnant teens at these shelters from obtaining abortions." 

As part of the ongoing lawsuit, the ACLU has obtained government emails showing the lengths to which the current administration will go to prevent an unaccompanied minor from seeking an abortion. 

For example, ORR temporarily halted a medication abortion for one pregnant minor halfway through the procedure. In another case, ORR suggested that a pregnant minor scheduled for discharge from the shelter not be released until she had been counseled against receiving an abortion.

The ACLU says the government's efforts amount to a violation of the minors' Constitutional rights and defy Supreme Court precedent such as Roe v. Wade, which states the government cannot ban abortion. "They are effectively banning abortion for Jane Doe. I am still in shock that this is happening,” says Brigitte Amiri, a lead attorney for the ACLU. 

One of the emails, published here, includes a redacted sender questioning whether the ORR's methods of approving (or not approving) a minor's pursuit of a judicial bypass are legal. A judicial bypass allows a minor who would otherwise need a guardian's permission for an abortion to get a court's approval to seek and receive an abortion without such parental or guardian permission.

The redacted email sender says:

My understanding is that the judicial bypass was created specifically so that the young lady does not need approval from her guardian (in our case the Director of ORR) to move forward with a term of pregnancy. Has this policy been vetted by your legal department? I anticipate there would be legal challenges to this policy.

Minors represented in this case have received judicial bypasses for their abortions from the courts, however the emails show that ORR nevertheless instructed the shelters not to allow it. It's unclear how those situations were resolved.

The release of these emails makes the government's targeted policies very clear, as the ACLU continues to fight for the Constitutional rights of unaccompanied and undocumented minors. 

November 30, 2017 in Abortion, Anti-Choice Movement, Culture, Current Affairs, Politics, President/Executive Branch, Teenagers and Children | Permalink | Comments (0)

Friday, November 17, 2017

Facebook is Ignoring Anti-Abortion Fake News

The New York Times (Nov. 10, 2017): Facebook is Ignoring Anti-Abortion Fake News, by Rossalyn Warren

As Facebook addresses the role of "fake news" on its platform, largely in relation to the 2016 election and Russian political propaganda, another potentially more difficult concern arises. The spread of false reproductive rights and health news is widespread and often harder for Facebook to spot (and manage).

Facebook’s current initiatives to crack down on fake news can, theoretically, be applicable to misinformation on other issues. However, there are several human and technical barriers that prevent misinformation about reproductive rights from being identified, checked and removed at the same — already slow — rate as other misleading stories.

Identifying a fake news sources is not always straightforward. The social media giant says it often targets "spoof" sites that mimic legitimate news sources. But misleading anti-abortion sites can be hazier to identify. They generally publish original pieces, but often alongside inaccurate facts or with poor sourcing, which "helps blur the line between what’s considered a news blog and 'fake news.'"

Facebook aims to limit fake news by making it more difficult for these sources to buy ads or generate spam. "Most false news is financially motivated," Facebook says. This is not often the case with anti-abortion advocates, though, who are overwhelmingly driven by strong religious or political beliefs. The goal isn't profit but persuasion. 

Many are concerned that misinformation regarding reproductive rights and abortion in particular may detrimentally affect current political movements. Ireland plans to hold a referendum next year regarding whether to lessen the country's strict abortion regulations. Pro-choice advocates are worried that the rapid spread of abortion-related misinformation on Facebook (like a purported causal link between abortion and breast cancer) may affect the vote. 

Facebook has yet, though, to directly address concerns over this type of scientific misinformation in the same way they have begun to address fake news about last year's election. 

November 17, 2017 in Abortion, Anti-Choice Movement, Culture, Current Affairs, In the Media, Politics, Pro-Choice Movement, Religion, Religion and Reproductive Rights, Web/Tech | Permalink | Comments (0)

Tuesday, November 14, 2017

Supreme court agrees to hear antiabortion challenge to California disclosure law for pregnancy centers

Los Angeles Times (Nov. 13, 2017): Supreme court agrees to hear antiabortion challenge to California disclosure law for pregnancy centers, by David G. Savage:

The Supreme Court has granted certiorari to hear NIFLA vs. Becerra, in which an anti-abortion group challenges a California law that requires crisis pregnancy centers to notify patients that the state offers contraception and abortion services. 

The case centers on the Reproductive FACT Act, which requires pregnancy centers to disclose whether they have a medical license and whether medical professionals are available. The law also requires centers to post a notice in the waiting room that reads: "California has public programs that provide immediate free or low-cost access to comprehensive family planning services, including all FDA-approved methods of contraception, pre-natal care and abortion."

California lawmakers passed the disclosure law two years ago after concluding as many as 200 pregnancy centers in the state sometimes used “intentionally deceptive advertising and counseling practices that often confuse, misinform and even intimidate women” about their options for medical care.

The National Institute of Family and Life Advocates (NIFLA) represents 110 pregnancy centers in California that all claim the disclosure provision violates their free speech as "compelled speech." Such a disclosure, they claim, conflicts with their faith-based goal of encouraging childbirth and preventing abortion. 

The Californian pregnancy centers initially lost their case under three federal district judges. On appeal, the 9th Circuit Court upheld the lower court's decision. Last month, however, a judge in Riverside County ruled that the law violated the free-speech provisions of California's own state Constitution. 

California's Attorney General Xavier Becerra stands by the disclosure provision and its intent to provide women accurate information about their health care options.

It takes five justices for a majority opinion, and many expect the Court's decision to turn on the vote of Justice Kennedy. 

November 14, 2017 in Abortion, Anti-Choice Movement, Current Affairs, In the Courts, In the Media, Politics, Religion, Religion and Reproductive Rights, State and Local News, State Legislatures, Supreme Court | Permalink | Comments (0)

Monday, November 6, 2017

Texas' Ban on Safe Abortion Procedure Goes to Court

San Antonio Current (Nov. 2, 2017): Texas' Ban on Safe Abortion Procedure Goes to Court, by Alex Zielinski

The trial fighting Texas' latest anti-abortion law, Senate Bill 8, began last week. Whole Woman's Health sued Texas in July after the governor signed SB 8 into law.

SB 8 would completely prohibit dilation and evacuation (D&E) abortion procedures, require clinics to bury the remains of any abortion, and prohibit hospitals from donating aborted fetal tissue to medical research.

The current lawsuit, though, only challenges the ban on D&E abortions. Dilation and evacuation abortions are considered one of the safest procedures for abortions after 13 weeks. The ban does not allow for exceptions in the cases of rape or incest. The only alternatives to a D&E procedure for a woman seeking an abortion are either inducing labor and forcing delivery of the fetus or a surgery similar to a hysterectomy. Both options are risky and expensive. 

In August, U.S. District Judge Lee Yeakel temporarily blocked the law from going into effect on September 1. On November 2, the plaintiffs returned to Judge Yeakel's courtroom to request the bill's D&E ban be permanently blocked. 

Yeakel has thus far supported a woman's constitutionally-protected right to abortion, saying: "The state cannot pursue its interest in a way that denies a woman her constitutionally protected rights to terminate a pregnancy before the fetus is viable." 

 

November 6, 2017 in Abortion, Abortion Bans, Anti-Choice Movement, Current Affairs, In the Courts, Politics | Permalink | Comments (0)

Saturday, November 4, 2017

Trump DOJ seeks possible disciplinary action against lawyers in abortion case of unaccompanied minor

ABC News (Nov. 3, 2017): Trump DOJ seeks possible disciplinary action against lawyers in abortion case of unaccompanied minor by, Geneva Sands

The U.S. Department of Justice (DOJ) filed a petition with the U.S. Supreme Court today asking for possible disciplinary action against the attorneys that represented an undocumented minor who had an abortion over objections from the Trump administration.

Last week, the U.S. Court of Appeals for the D.C. Circuit ruled in favor of 17-year-old Jane Doe. Doe learned she was pregnant after being placed in a detention facility for children under the purview of the Department of Health and Human Services. She says she knew immediately that an abortion was the right option for her.

Doe, represented by the ACLU, had been fighting the federal government to be granted a medical visit to a clinic to receive her abortion. The government had instead taken her against her wishes to a pro-life clinic that tried to persuade her not to abort and showed her sonograms against her will. 

Doe was finally able to get her abortion on October 25. 

The Trump administration has now accused the ACLU of misleading the government on the timing of Doe's abortion. They claim that after informing Justice Department attorneys that the teen's procedure would occur on October 26th, Doe's attorneys actually scheduled it for early on October 25, thereby avoiding Supreme Court review. 

Government attorneys allege that the ACLU, while advocating for their client, violated their duties to the court and to the Bar. The administration believes the judgment under review that enabled Doe to receive the abortion should be vacated and additionally seeks potential disciplinary action against Doe's attorneys.

In response, the ACLU says the government failed to file a timely review with the Supreme Court and that Doe's attorneys acted both in the best interest of their client and "in full compliance with the court orders and federal and Texas law."

 According to Jane herself:

"I’m a 17-year-old girl that came to this country to make a better life for myself. My journey wasn’t easy, but I came here with hope in my heart to build a life I can be proud of. I dream about studying, becoming a nurse, and one day working with the elderly," she wrote. "This is my life, my decision. I want a better future. I want justice," she concluded.

November 4, 2017 in Abortion, Current Affairs, In the Courts, In the Media, President/Executive Branch, Supreme Court, Teenagers and Children | Permalink | Comments (0)

Tuesday, October 24, 2017

The Movement of #MeToo

The Atlantic (Oct. 16, 2017): The Movement of #MeToo, by Sophie Gilbert: 

In response to the widespread allegations of Harvey Weinstein's sexual assaults, women and men beyond Hollywood have been coming forward via social media with hundreds of thousands of stories ranging from verbal assaults to physical violence. 

The "me too" movement began ten years ago when activist Tarana Burke encouraged survivors of sexual assault to foster solidarity and support for each other. This week, it's gone viral after actress Alyssa Milano took to twitter to mobilize women to stand and say "me too" if they had experienced sexual harassment or assault. The goal was "to give people a sense of 'the magnitude of the problem.'" Within the last 24 hours, Twitter has confirmed that the #MeToo hashtag has been circulated nearly half a million times--and this does not account for the stories shared on alternative social media sites, and, of course, those shared in private among family and friends.

Importantly, many are also recognizing that along with those speaking up and sharing, there are just as many who have very likely survived an assault and are not sharing their stories publicly. With a world of voices being raised and heard this week, the hope is that awareness will breed action and the culture of sexual violence against others will end. 

Unlike many kinds of social-media activism, it isn’t a call to action or the beginning of a campaign, culminating in a series of protests and speeches and events. It’s simply an attempt to get people to understand the prevalence of sexual harassment and assault in society. To get women, and men, to raise their hands.

Recent revelations about the alleged abuses of Weinstein and Bill Cosby and Jimmy Savile and R. Kelly have proven that truth has power. There’s a monumental amount of work to be done in confronting a climate of serial sexual predation—one in which women are belittled and undermined and abused and sometimes pushed out of their industries altogether. But uncovering the colossal scale of the problem is revolutionary in its own right.

October 24, 2017 in Culture, Current Affairs, Sexual Assault | Permalink | Comments (0)