The Shame of Abortion?

scarlet A“Help us protect the unborn, and save women from the shame of abortion” read the invitation.

It was an invitation to a fundraising event – this writer is on a strange variety of mailing lists – for a pregnancy crisis clinic. A friend who works at the clinic, and whom I respect although our opinions about abortion are poles apart, told me they never pressure or deceive women who come to the clinic. “We just explain that we don’t counsel on abortion,” she says. The fundraiser invitation sounds decidedly less compassionate.

The Shame word tears at my soul.

Thirteen-year-old Natasha, brutalized by more than one relative, is given another chance at childhood through an early abortion at a Planned Parenthood clinic. On top of all the trauma she has borne, she is supposed to feel shame?

Or the couple with a developing fetus they desperately wanted and loved, who decide to terminate the pregnancy later in its term to spare their baby a brief life of terrible suffering. In addition to their deep sorrow, anguish and grief, they should be ashamed?

Or the countless young women in circumstances similar to my own: after choosing to end an unwanted pregnancy for widely varying, compelling, always unique, deeply personal reasons because we are rational women in control of our own bodies – we need a shameful scarlet ‘A’ tattooed on our foreheads?

Words matter.

LIES 5 (2)

The banners proclaiming “Abortion Hurts Women” – posted by groups that seek to end legal abortion – testify to this fact: The posters work, but the words lie. Abortion is in truth far safer than childbirth. It does not hurt women, it protects women. The words are not true. But they work in exactly the same way that the shame word works.

Some words, even when they lie, go straight to the emotions. Emotional appeals become tools to generate support for political positions which hurt women. They should shame those who seek to deprive women of dignity, health and autonomy.

‘Shame’, ‘hurt’ – the emotional trigger words are being used to turn the clock back to the dark ages when women had no voice, no power, no control of their own lives.

As one who has been hurt, not by abortion but by powerlessness, and who strenuously objects to shaming, I declined the invitation.

Women deserve better.

 

“Personhood” by any other name

Personhood

A recent report by the Guttmacher Institute took a new look at an old game being played – anew – by anti-abortion, anti-women forces. It is called the Personhood Game. If anti-women forces win, a fertilized egg becomes accepted as a person. Which means that every fertilized egg is accorded rights above those of the woman in whose body it is housed – fine for eggs, but pretty dismal for women.

Not a lot of rational people, including rational people who vote, think it makes sense for eggs to be deemed persons. This was made clear last year by the failure of such bills in several state legislatures. Not to be dismayed, players of the Personhood Game have simply switched their energies to fighting contraception. The more contraception bans succeed, the stronger the eventual case for declaring fertilized eggs sacrosanct. Why? Because contraception bans are based on religious doctrines that hold such a view. Though keeping their distance on personhood politics for now, anti-abortion groups including Americans United for Life, the Heritage Foundation, Susan B. Anthony List and the U.S. Conference of Catholic Bishops are among those working hard and widely to ban access to contraception.

Is there a disconnect here? Since effective contraception lessens the number of unwanted pregnancies, and thus the number of abortions? Well, yes. But the people playing the Personhood Game simply have their eye on the prize: Fertilized egg wins, woman loses.

Writer/blogger Joanne Valentine Simson, who is credentialed in both science and poetry, has posted a number of thoughtful and informative essays on contraception. Simson points out three critical factors seldom considered in all the arguments for and against contraception: women’s physical wellbeing, women’s social wellbeing, and overall environmental impact. “These are larger issues about long-term human survival,” Simson writes, “(than) the false debate about whether a cell (or cluster of cells with 46 chromosomes) is a human being.” To conflate contraception with abortion simply bypasses every one of them.

But the Personhood Game players are as adept at bypassing reality as they are at steering the debate.

“The influential organizations behind this anticontraception agenda,” writes Joerg Dreweke in a recent, comprehensive Guttmacher policy review, “have compartmentalized the debate, which allows them to pick and choose when contraception should be viewed as abortion and when it should not. They are essentially able to pursue a “personhood” argument in areas where doing so is politically feasible, but at the same time feign moderation by keeping the full-fledged, politically toxic “personhood” agenda at arm’s length. This deception is part of a deliberate, long-term strategy to limit women’s access not only to safe and legal abortion, but to common methods of contraception as well.”

If this seems devious, and underhanded – well, it is. But it’s the way the game is being played.

For women – who are both pawns and victims – it is a dangerous game.

Saying Goodbye, and Hello to 2015

sunrise

My friend M has died, just shy of the old year’s end and significantly decreasing the joy of the new. But her dying was full of life lessons about saying goodbye, being grateful and trying to ring in a better planet for the days ahead. And thus she leaves a gracious greeting for 2015.

M was a believer in good causes, and she put her substantial time and energies to work for them all. We became friends over our mutual love of writing but we bonded over our mutual commitment to end-of-life choice. Once you concede that you won’t live forever, a reality most prefer to ignore, it is possible to live both gently and joyfully even in tough times. Both of us spent long years encouraging anyone who would listen to confront mortality, make choices, and make personal decisions known to all. It’s called living fully, even into dying.

So M, after conceding her own days on the planet were dwindling, sat down over a cup of soup I’d brought her not long ago and we went about the business of saying goodbye. I told her why I thought she was such a wonder, and she told me all the things I’d be happy to have said for my own eulogy. OK, we had an extravagant mutual admiration society. But the life lesson is that telling others about their own gifts and good qualities (however hard it might occasionally be to uncover them) is something anyone can do, any time; the planet would be immeasurably better if more of us did it more often.

M was supportive of my activism for reproductive justice, having done more than a little of that herself in years past, but once she expressed reservations about how much time I was investing in that cause. “It’s time for young people, young women, to take that on,” she said. Well, yes. Another 2015 greeting for that demographic: reproductive rights are disappearing at an alarming rate. Unless more of us of whatever gender or age pitch in, women – particularly women without money or power – will soon be back in the pre-Roe dark ages, with no control over their own bodies. Which could make for a very unhappy new year for uncounted thousands of women.

The daughter of a rabbi, M was aggressively non-religious. We didn’t waste a lot of time on the subject, though she applauded the idea of my Presbyterian church working to break cycles of poverty. But once, after some sort of “What Would Jesus Do?”-type remark I made she said, “Oh, you and Anne Lamott.” I am personally fine with being lumped in with my funny, gifted friend Lamott, but this was not meant as a compliment. It did lead to a brief, lively discussion about faith and practice. And wouldn’t 2015 be a happy new year if fewer wars were fought in the name of Allah (or Whomever) and more focus were put on the peace, justice and love for fellow creatures that is the basic message of every religion around.

Rest in peace Maya Angelou, Robin Williams, James Brady, Pete Seeger – and all those other good souls we lost in 2014. Most especially, M.

And Happy New Year to us all.

Abortion rights, women’s rights: A major victory

Lady justice

The government has finally been ushered out of the exam room.

In a definitive step protecting women and their very private decision-making, the U.S. Circuit Court of Appeals for the Fourth District on December 22 permanently blocked a 2011 North Carolina law that created huge physical and emotional trauma for women seeking abortions. Not to mention trampling on doctor-patient relationships and the rights of physicians themselves to have rational conversations with their patients.

Those fighting the extremely punitive law included the American Civil Liberties Union, the ACLU of North Carolina Legal Foundation, the Center for Reproductive Rights, Planned Parenthood and others

The law required providers to show an ultrasound and describe what’s on the screen. That is certainly right and proper if patient and provider so choose. But suppose the woman chooses otherwise? The law allowed her to close her eyes and cover her ears, but said the provider still had to go through this narration, regardless of circumstances. Suppose this pregnancy was the result of rape or incest, or there were serious health risks or fetal anomalies — the woman still had to cover her eyes and ears, perhaps singing “La, la, la, la…” to drown out the narrative. Is there any conceivable way in which any of this makes sense?

Fortunately, the Fourth District Court of Appeals thought not.

What has been so appalling about the evolution of this law and the political fight to keep it in effect is the total absence of empathy or concern for women. The same is true for literally hundreds of other state laws still on the books that are designed to shame or coerce women out of having abortions. Public outcry is raised about “protecting the fetus,” often by politicians and others whose concern for that fetus ends as soon as it becomes an unwanted child. With these laws, sanity, good medical practice and women’s rights go out the window. And who loses? The woman. Particularly if she is poor, or disempowered and thus can’t travel to somewhere safe and free from harrassment.

None of us, whatever our politics, want to see women’s lives made worse. None of us really want to see children brought into the world to suffer, other children forced to bear babies who are the result of personal tragedy, or families plunged into chaos and despair. Most of us credit women with having perfectly good brains and don’t want to see them denied use of their brains or control of their bodies. But these are the results of punitive abortion restrictions. At least this one punitive law is now gone, a holiday gift to us all.

Thank you, U.S. Circuit Court of Appeals for the Fourth District.

 

Thanks, Brittany

clouds

Brittany Maynard, 1984-2014

No one was surprised by the news of Brittany Maynard’s death on November 1, as she had planned. The news arrived in my Inbox late Sunday night, November 2, in an email from Compassion & Choices, an organization I have supported — as a volunteer, Northern California board chair and in all other ways — for well over 15 years,

What Brittany did for Compassion & Choices, and for you and me, though, far exceeds what any one person might ordinarily have done. Hers was an extraordinary demonstration of how to live, and die.

More of how she lived will continue to be in the news. But it’s how she died, with generosity and grace, that is worth noticing right now. Just to touch on a few things:

Brittany, in making her own choice, showed us how to make our own choices. Demand the right to control your destiny, she was saying. Fight for legalized aid in dying. Complete your own advance directives and make sure EVERYONE in your family and circle of friends knows what your own wishes are. Death with dignity was Brittany’s choice, and she wanted it to be yours — if you choose.

“The freedom is in the choice,” Brittany said.  “If the option of Death With Dignity is unappealing to anyone for any reason, they can simply choose not to avail themselves of it.”

Brittany was irate over insinuations that she had been “manipulated” by anyone. She was a strong, educated, independent, intelligent woman who led a joy-filled life and confronted its abbreviated end with remarkable courage. The reality was simply that she took control of her own final months, weeks, days, by moving to Oregon where aid in dying is legal. The reality is that she wanted her life — and death — to have meaning for all of us. She hoped that by sharing her story all of us might benefit.

It’s about freedom. Brittany, thankfully, is now free of the terrible pain her illness was bringing, a pain that was certain only to increase. Her family will mourn for a long time, but they are free of the pain and anguish that comes from watching someone you love suffer.

You and I are free to choose. We can continue to let those who hold differing views deprive us of our right to control our final weeks and days. Or we can fight to legalize our right to choose a compassionate death. Eventually, that right will prevail.

Thanks, Brittany.

WHI: Strengthening Women’s Health

WHICould the health and wellbeing of a few million women be improved, and a few billion dollars saved in the process? A very big dream.

When the Women’s Health Initiative was established more than 20 years ago, no one was talking in grandiose terms and few would have anticipated the wide-ranging health benefits (and huge cost savings) that would result in the decades ahead. Many of us were simply saying, “Imagine this. At last we’re studying women to find answers about women’s health issues.”

This writer was proud and happy to enlist in the first WHI study. I joined more than 100,000 other postmenopausal women volunteering to fill out forms, have blood drawn and answer questions over the next 15 years. That initial focus was on tracking the effects of hormone therapy, dietary patterns and/or calcium/vitamin D supplements on prevention of heart disease, cancer and osteoporotic fractures. I had not yet had breast cancer – that would come about 10 years into the study; a family history of osteoporosis added to my personal interest in WHI. Over the years I volunteered to participate in some of the wide-ranging ancillary studies looking at other health-related things like physical activities, lifestyle, tobacco and dozens of peripheral issues. (My personal favorite question appeared on one of the multi-page annual update forms. It read – Yes or No – “When you enter a room full of other people, do you have the feeling they are talking about you?” There may someday be a report on women and paranoia.)

Mysterious questions aside, WHI is serious business. Here, excerpted from the latest Extension Study newsletter are a few facts about what has been learned from the historic initiative, and a little of what is still ahead.

Those hormones millions of postmenopausal women were taking, widely thought to be miracle answers? Studies showed the risks far outweighed the benefits, and millions stopped taking them. Hormones in different combinations had been commonly taken to minimize chances of cardiovascular disease, cancers, fractures, diabetes, gall bladder disease and a variety of quality-of-life measures; quitting the hormones proved a better choice. Health benefits can’t be precisely measured, but the reduction in hormone use has led to a decrease in rates of breast cancer and cardiovascular disease.

And in dollars and cents? Some $37.1 billion, (in 2012 when all costs and quality-adjusted years of life are considered, has been the total economic return of the WHI trial.

By June, 2014, over 1000 papers based on WHI data had been published in scientific journals. What’s ahead? Researchers are looking at pet ownership and risk of cardiovascular disease; physical activity during childhood and risk of Alzheimer’s disease; breast cancer distribution by rural/urban areas and geographic differences in cognitive decline/dementia.

Every year on their birthday, WHI study participants receive a card – some of us call it the “Hooray, you’re still alive” card. For women everywhere, it represents something worth more than gold.

Abortion in Texas: The small fraction

Medievalpreg

Only a small fraction of Texas women will suffer.

With the closing of thirteen abortion clinics in Texas, one out of six Texas women seeking an abortion will have to travel 150 miles or more, and never mind all the other obstacles about waiting periods, increased costs, hassling protesters and having to listen to medically incorrect messages. But one out of six? That’s only a small fraction, according to the United States Court of Appeals for the Fifth Circuit.

“In our circuit,” wrote Judge Jennifer Elrod, a George W. Bush appointee, “we do not balance the wisdom or effectiveness of a law against the burdens the law imposes. We do not doubt that women in poverty face greater difficulties.”

What a bother, those “women in poverty.”

Judge Elrod argued that the court had to find that “a large fraction” of women would be affected by the law – the medically unnecessary requirement that all abortion clinics in the state meet the same building equipment and staffing standards as hospital-style surgical centers. And those 900,000 women in rural Texas the judge acknowledged would be affected, well, they’re just a “small fraction.”

Judge Elrod may not know a lot about what it feels like, being part of the small fraction. Born in 1966, she grew up in the Houston-area city of Baytown, Texas, which bills itself as a city “where oil and water really do mix.” She graduated from Baylor and Harvard Law School. Her Wikipedia and Judgepedia pages make no mention of marital or family status, but presumably she never sought to have an abortion. If she had, she would have definitely been in the large fraction – women with money who always have access to safe and legal procedures, even in Texas.

This writer was in another large fraction: women without access to safe or legal abortion in the days before Roe v Wade. Much like today’s small fraction, faced with no viable options we took desperate measures to end unwanted pregnancies. Some of us survived, countless others did not.

This is the fate to which the three-judge panel of the Fifth Circuit is consigning the small fraction. Danger, expense, family trauma, health risks and occasional death. Even for a small fraction, that seems hardly what America is about. And hardly in tune with the antiabortion forces’ proclaimed wish to “protect women.”

Some in the small fraction will face primarily family distress and exorbitant costs (usually upwards of $1,000 or $1,500) like “Maria,” whose story is recounted by RH Reality Check Senior Political Reporter Andrea Grimes. Some will face very real danger traveling to Mexico for drugs that can cause permanent injury or death if improperly created or improperly used. Some will maim or kill themselves in efforts to self-abort.

There will be hundreds of women like Elvia Yamell Hamdan, whose story was reported in a recent New York Times article by Laura Tillman and Erick Eckholm. Ms. Hamdan, 44, showed up at the Whole Woman’s Health clinic in McAllen, TX with her husband after a three-hour drive from their home, only to find that clinic professionals could suddenly no longer provide abortions. Ms. Hamdan already has four children and three grandchildren, and seeks to end an unplanned pregnancy. The U.S. Constitution says she has a right to make that choice – but Texas law says her best remaining option is an appointment three weeks later in San Antonio, 240 miles north.

Denise Burke, Vice President of Legal Affairs for Americans United for Life, is quoted in the New York Times story as saying the Fifth Circuit decision endorses anti-abortion forces’ argument that “abortion harms women, and states may regulate in the interest of women’s health.”

“Maria” and Ms. Hamdan seem likely to secure, eventually and at significant risks to their own health and wellbeing, the safe and legal abortion guaranteed to American women. How many others will now, instead, wind up sick, maimed or dead because of this latest ruling will never be known.

Because those others are just part of “the small fraction.”

Abortion, Four centuries later…

Suffragette-that-knew-jiujitsu

Was the abortion debate really going on four hundred+ years ago? Indeed. And who knew?

As it turns out, Donald Foster knew. Foster, Jean Webster Chair Professor of English at Vassar College, knows a lot about an astonishing range of things – Jon Benet Ramsey’s possible murderer, the “Anonymous” author of Primary Colors (Joe Klein), Unabomber Ted Kacynzki, Shakespeare – and women’s medicine in the sixteenth century. The first three of those instances of Foster’s endeavors – he provided expert help on all three cases – explain his sometime ID as a “forensic linguist;” the fourth relates to his day job. His day job also covers almost all things literary.

This writer’s esteem for the distinguished professor is of course unrelated to the email he sent which began, and I quote, “Let’s hear three cheers and see three billion readers for Perilous Times.” Well, maybe just a teeny bit. But an opportunity to reinforce the argument for women’s reproductive rights with the scholarly writings of a Vassar professor is not to be ignored.

This essay, henceforth, is shamelessly lifted from an attachment to the above email, excerpted from Volume 2 (pp.355-360) of Foster’s four-volume Women’s Works, a study of the issue covering the years from 900 to 1650.

Abortion, which was decidedly a part of women’s works, was also part of the debate all those centuries ago, beginning (if not earlier) with the “herb-wives – women who supplied the herbs and spices used for health care.” Women not only nursed those who were ill, we learn from Foster’s extensively documented studies, “they supplied much of the medicine, or physic.” They passed along their knowledge and skills from generation to generation, and were appreciated more by some than by others. Foster quotes Robert Green’s Quip for an Upstart Courtier in which a poor man mocks a wealthy lord: “I make my wife my doctor, and my garden, my apot’ecary shop – whereas Master Velvet-Breeches cannot have a fart awry, but he must have his purgations, pills and clysters, or evacuate by electuaries…” (It gets worse, but you’ll have to read the book.)

Getting to the specifics, Foster tells us “It will come as a surprise to some modern readers that there was enormous demand, throughout the medieval, Tudor and Stuart periods, for abortifacient herbs, with many effective recipes and a plentiful supply.” As reported in John Gerard’s Herbal (1597), a handful of herbs seemed to have taken care of the conception needs of barren women, whereas there were “more than sixty herbs used to induce menstruation after one or two missed periods. Not all of the treatments that he names were reliably effective, and some were dangerous, bringing a risk of hemorrhage and death if taken in too strong a dosage.”

Does this sound familiar? If not, we respectfully refer you to the stories in Perilous Times: an inside look at abortion before – and after – Roe v Wade, of women in 20th — and 21st – century America who, denied access to safe procedures, wind up dying in back alleys or emergency rooms. The abortifacients have, sometimes, fancier names in the case of contemporary drugs, but taken without proper advice or supervision can leave women with unwanted pregnancies today just as dead as their sisters in Tudor England.

In the same Volume 2 of Women’s Works, Foster offers an historical perspective of the root of the abortion debate, which seems unchanged over the centuries: do rights of the fetus prevail over those of the woman, and whose theology says what? “For the first seventeen centuries of Christianity,” he writes, “no authority of record, either Catholic or Protestant, taught or suggested that the fetus during the first two or three months after insemination was a human being. Ensoulment or quickening was an act of God: in His own good time – typically, in the third or fourth month – God infused the dormant seed with a human soul, created ex nihilo.” About the ensoulment business, Foster adds, “it was deemed an essential point of Christian ontology that the individual life was created by an act of the Almighty in Heaven and not by a horizontal act of the parents.”

God, in other words, probably wouldn’t back the 20-week ban. This writer is disinclined to get into theological argument (despite wishing today’s politics could be dictated by medical science rather than conservative religion.) But you are again referred to the “What’s God Got To Do With It?” chapter of Perilous Times. Or to pages 357 – 360 Vol. 2 of Women’s Works, for a fascinating overview of how assorted popes and Anglicans (“About the sixth month the immortal soul is infused,” wrote Rev. Christopher Carlile in the 16th century) changed the rules and differed in opinions. Which also sounds familiar.

In 1856, Foster tells us, “Dr. Horatio Storer organized a national drive by the American Medical Association to end legal abortion altogether.” His efforts resulted in actions by the various states and territories to strengthen laws against abortion, and by 1880 there were restrictive laws and practices virtually everywhere mandating that a woman, once impregnated, had no safe or legal means to alter the course of what was going on with her body.

Leaping ahead to 2014, has any progress been made in the name of women’s reproductive justice?

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