On Making Abortion “A Thing of the Past”

This first appeared on Huffington Post

“One day our country will be abortion-free,” says Pro-Life Mississippi board member Tanya Britton.

Rose Mimms, Director of Arkansas Right-to-Life, wants to “make abortion unthinkable.” Read: impossible.

Texas Gov. Rick Perry’s stated goal is “to make abortion a thing of the past.”

We have been here before. None of the above zealots are old enough to remember exactly what it was like, but I could describe for them the time when abortion was unthinkable, impossible and illegal and the country was what Britton would describe as “abortion-free.” It was only legal-abortion-free, of course, and this is what that was like:

Women died. By the untold thousands. They died of sepsis most often, a singularly terrible way to die. They also died of things like puncture wounds, desperately trying to end what was a torment to their bodies and souls. They had found themselves with unintended pregnancies – most often caused either by uncaring and irresponsible husbands or by inexcusable acts of rape, incest or circumstances over which the women themselves had no control.

Women of means died less often; they could generally access a safe abortion, even if it meant traveling to a more enlightened country than these United States. Primarily, those who died had little money and less power; often they already had more children than they could care for. Those who denied them the right to an abortion did little or nothing to help them care for present or future children.

So here we are again.

Abortion opponents can make it impossible, unthinkable, illegal; they cannot make it a thing of the past. Because women desperate to end unwanted pregnancies will always, always, always find ways to do so. Some of them, as is already happening, will die trying.

At least Britton, Mimms and Perry are honest about their goals. Others continue to obfuscate. Hobby Lobby and Conestoga Wood Specialties would have the Supreme Court believe that their corporate religious sensibilities are offended by employees’ having the right to terminate a pregnancy before it actually begins, since they equate contraception with abortion. In state after state laws are being passed that are medically unnecessary, scientifically inaccurate, and constitutionally illegal, all in the name of “protecting women” or “protecting the rights of the unborn.” In reality, every law is designed as another step toward making abortion “unthinkable,” impossible and again illegal.

Until they can make it illegal again, making it inaccessible is enough. Again, women of means are seldom being harmed; women without money or power are suffering and dying.

It is not possible to “end abortion.” Not even religious extremists in other countries are able to do that, even though in many countries religious extremism attempts to rule women’s lives. Every day, women in Kenya and Afghanistan die trying to end unwanted pregnancies.

As George Santayana put it, “Those who cannot remember the past are condemned to repeat it.” Unless we remember the tragedies women faced when abortion was “a thing of the past,” we will be condemned to watch those tragedies return.

Women will die.

Hanging out with a hero

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I first met Willie Parker three or four years ago, researching my then work-in-progress book Perilous Times: an inside look at abortion before – and after – Roe v Wade. Couldn’t believe his generous affability and apparent fearlessness in the phone calls and emails we traded, his willingness to be quoted, identified, you name it — despite the obvious dangers facing abortion providers in areas of the country where opposition is fierce and hostility strong. It matters not to Willie Parker. He is dealing with real, live women and the injustice they face when denied control of their own bodies.

Fast forward to May, 2014. In an earlier email exchange the remarkable Dr. Parker had mentioned being briefly in California around this time and hopefully having a chance to meet. I held him to that, and managed to get him over for a visit. Here’s the report of that visit that appeared just now on Huffington Post:

It’s not every day you get to hang out with your hero.

For anyone invested in reproductive justice today, Willie Parker, MD, MPH, MSc, is at the top of the hero list. My own such list is long, thanks to the many people I’ve met in recent years who are tirelessly at work keeping justice alive for women everywhere — but Willie Parker is #1.

Parker holds degrees from Harvard and the Universities of Iowa and Michigan; has served as Medical Director of Planned Parenthood of Metropolitan Washington DC, Associate Medical Director of Family Planning Associates Medical Group in Chicago and Assistant Professor of Obstetrics and Gynecology in the John A. Burns School of Medicine at the University of Hawaii. His list of writings, honors, accolades and nonprofit board jobs is longer than my hero list, but in Real Time he is simply Willie. A man who believes ferociously in a woman’s right to make her own decisions, whatever her race or socioeconomic status, whatever her unique circumstances and needs.

This does not make Willie Parker an “abortion on demand” physician. Once the fetus has the possibility of survival — with or without “extraordinary support measures” — he will not perform an abortion. But Parker believes in a woman’s right to make her own healthcare decisions and to control her own body, and knows it is women of color and women without money or resources who are most often denied these rights. That’s where the complex issue becomes a simple matter of justice.

Parker sees what he does — which is, provide abortions up to 24 weeks and six days — purely through the eyes of the woman who seeks him out. She is usually a woman of color, African-American or Latino. More often than not she is someone who already has more children than she can care for. Sometimes she is still barely more than a child herself, unmarried, abused by a casual acquaintance or a favorite uncle. She has a story.

Once the woman with a story — and an unintended pregnancy — reaches Willie Parker, she’s in a safe harbor. He listens to her story, calms her fears, holds her hand.

Such women may be safe, but the abortion provider is decidedly not. Especially when he’s a big, affable, outgoing, very dark-skinned, gray-bearded guy like Parker.

“I sort of hide in plain sight,” he laughs. Walking around in casual clothes and a friendly grin, as he customarily is, he hardly looks the part of a multi-degree, high-powered physician. It was probably little comfort to the white, business-dressed reporter leaving a building with Parker recently when the latter remarked with a smile, “If they’re coming after the doctor, they’re gonna shoot you.”

Parker, grounded in Christian tradition and secure in his faith, says he is uniquely blessed by the certainty of knowing that his core moral, ethical and social beliefs come together with his education and skills. So yes, he will go right on being a very public advocate for reproductive justice — including the current fight to preserve the one remaining abortion clinic in Mississippi — and no, he’s not worried about personal danger.

“I don’t think about how I’m going to die,” he says. “I think about how I’m going to live.”

This is what makes hanging out with Willie Parker such a lovely way to spend an afternoon.

The Perpetual Presidential Campaign

We have HOW long until the next presidential election?

Some of us just want to say, Give it a rest… but there seems little chance. Recently I rode the bus home with a new friend who had just attended her first event at San Francisco’s Commonwealth Club, one of a popular series of “Week to Week” political roundtables. She was favorably impressed with the venue, the audience members she met, the moderator (Commonwealth Club Vice President for Media and Editorial John Zipperer) and the panelists: Carla Marinucci, Senior Political Writer for the San Francisco Chronicle; Bill Whalen, Research Fellow, Hoover Institution, Stanford University; and Larry Gerston, political analyst, author and Professor, San Jose State University.

But she was irate about the way the discussion began: the better part of the first half hour was devoted to speculation, reports and analysis of the next presidential campaign. We’re talking about 2016.

Karl Rove gets the initial blame.

Rove’s now famous commentary on Hillary Clinton’s brain has itself been analyzed, reported and speculated upon ad nauseum: Was she injured in the 2012 fall? Did she fake it? Did it result in brain damage (“serious health issues”)? – and – bottom line: is her candidacy for the presidency in 2016 a done deal? This roundtable being a discussion of the past week’s news, it was perhaps inevitable that The Hillary Question would be the lead-off issue. So Zipperer led off with the Rove report and the panelists weighed in:

Whalen: “He (Rove) is trying to draw her into a ‘he said/ she said…’”

Gerston: “It’s a one-news-cycle thing… although health, age etc are legitimate issues.”

After these issues were legitimately raised and discussed, the panelists veered off into potential alternatives to Clinton: Massachusetts Governor Deval Patrick? (“If you can manage a good campaign, saying nice things about Hillary Clinton, you’re halfway there,” Whalen commented.) Or, what about San Antonio Mayor Julian Castro for Vice President?

Marinucci tossed out a couple of likely-looking Republicans, former Florida Governor Jeb Bush, Kentucky Senator Rand Paul…

Much of the balance of the program was spent on discussion of the firing of New York Times Executive Editor Jill Abramson. Was she badly treated? Paid less than her male predecessors? Perhaps she was never quite the right fit for the job. Or, in the end, it might have been that she just could not get along with management. But the gender issue continues to hover. And in the “Week to Week” discussion this gave Carla Marinucci an opening to mention something that certainly rings true from this writer’s history of covering events dating back to the early 1960s.

“The first city council meeting I attended,” Marinucci reported, “the mayor asked me to get him coffee.” That, at least, may be a reason to forgive way-too-early discussions about a potential president of the United States – who happens to be a woman.

 

Can 70% of us be wrong?

Depending on which poll you read, anywhere from 55% to 70% of the people of these United States believe that abortion should be safe and legal. At the high end of that percentage are those who believe Roe v Wade should remain the law of the land.

How, then, could we be where we are? Today, more than half of the states have restrictions that effectively deny many women access to safe and legal abortion, never mind the Constitution.

Reproductive justice organizations, though, are far from caving.

Donna Crane, Vice President for Policy, NARAL Pro-Choice America, recently met with groups of supporters in the San Francisco Bay area to go over details of all this, and to reassure supporters that “although these (restrictive state laws) keep happening and we are losing ground, we’ve not lost power.” That power, Crane says, comes from the solid, and growing, percentage of people who want to keep abortion safe and legal and believe it is a woman’s right to control what happens to her own body.

“The public,” Crane says, “is not the problem. The problem is that our opponents have figured out how to get their way: they have switched (from working to overturn Roe v Wade) to the state legislatures. And there is a disconnect with American values.”

Crane outlined the dramatic increase in TRAP laws (Targeted Regulation of Abortion Providers), state regulations designed to put unnecessary burdens on abortion providers – but not other medical professionals – as a way to drive doctors out of practice and to make abortion care more difficult and expensive to obtain. Anti-choice measures in the states have increased from 18 in 1995 to a cumulative total of 807 by 2013. They include such requirements as unnecessary hallway widths in clinics, forced untrasounds, repeat visits and forcing physicians to lie to their patients. That’s just to name a few.

To this writer, none of this is about one side winning and the majority losing, it’s simply about justice. Anybody, anywhere with money and resources can access safe and legal abortion. But if you’re poor, down on your luck, living in a remote or impoverished area, and you want or need to terminate an unplanned pregnancy? Forget it. Legislators don’t have time for you; you probably don’t vote much. Politicians don’t care about you; you aren’t funding their campaigns. Anti-choice forces don’t care about you, only about your fetus. For you, there is no justice.

NARAL, however, has your back. Now we just need to get the rest of the 70% out front.,

 

Honesty in women’s healthcare? We wish.

This article first appeared on Huffington Post

A small victory for reproductive justice: Google recently removed deceptive “crisis pregnancy centers” ads that come up when users look for abortion services. (Tara Culp-Ressler has an excellent summary of the issue on ThinkProgress.) The ads imply that CPCs offer abortion services, although their primary purpose is often to dissuade women from considering abortion. NARAL Pro-Choice America, which pressured Google to take down the ads because they violate the company’s “credible and accurate” policy, found that some 79 percent of CPC ads on Google were misleading.

What would happen if we instituted a Total Honesty policy on women’s health facilities?

For instance, the finger-pointing messages about Planned Parenthood clinics being “abortion clinics”? Those clinics, which are being forced to close at an astonishing rate, do a lot more than offer occasional abortions or abortion counseling. They serve men and women alike with information about birth control, contraception, family planning and STD’s. They provide women’s health information, counseling, breast exams, mammograms and a lot of critical healthcare for people of all ages, sometimes the only such care they can access.

Then there are independent clinics such as the Feminist Women’s Health Centers in several locations and Women’s Health Specialists in others, struggling to find funding. A godsend to many, they offer a wide range of excellent services to women of all ages and financial means.

I would venture to say, at the risk of seeming to betray the reproductive rights movement, that some pregnancy centers offer good services and don’t lie. CPCs unquestionably promote misinformation they must know is untrue: Birth control causes cancer? Abortion causes infertility? Or mental illness? Enough, already. But some centers say up front they do not counsel, advocate or refer abortion.

Could they be encouraged to join a campaign for honesty? Probably not. But if all the clinics offering desperately needed healthcare to women could be allowed to do so without having to fight against lies, politics and extremism it would be a nationwide blessing.

And that’s the honest truth.

On politics, money and the death penalty

The death penalty – telecommunications money – Donald Sterling – corruption – shifting politics – even abortion access – it was all in a day’s conversation for the popular Week to Week political roundtable at San Francisco’s Commonwealth Club today. But audience members, at social gatherings before and after, spoke of how the lively discussion – fueled in part by some pointed questions from the audience – indicates the widespread nature of citizen concerns in the information age.

“You can keep up with the basics of everything through social media,” said one thirty-something woman in a chic business suit, “but that makes you want events like this to dig a little deeper.” An older woman in the same small group added, “Well, I still read newspapers. And online magazines. But having a chance to hear real, live journalists discuss what they’re writing about is important.”

The program featured Debra J. Saunders, San Francisco Chronicle columnist and “Token Conservative” blogger; author and former columnist Joan Ryan, Media Consultant for the San Francisco Giants; and Carla Marinucci, Senior Political Writer for the San Francisco Chronicle. Roundtable host is John Zipperer, Vice President of Media and Editorial for the Commonwealth Club.

Discussion of embattled, racist L.A. Clippers owner Donald Sterling quickly led to talk of what crimes and misadventures do or do not affect aspiring politicians. “Neel Kashkari is in fifth place behind a registered sex offender (Glenn Champ) who’s in third place,” Saunders commented; and Marinucci added that California Senate candidate Mary Hayashi denied having shoplifted $2,500 worth of goods from Neiman Marcus in 2011 despite having been convicted of the crime. All of which leaves open the question of whether people in public positions are, in fact, judged by what they do (Marinucci invited everyone to watch the video of Hayashi’s meeting with the Chronicle editorial board) or, as Saunders pointed out about the Sterling case, what they say.

On money and politics, the panelists were in agreement that telecommunication dollars killed the kill switch bill CA State Senator Mark Leno now plans to reintroduce. The bill would mandate software on smartphones that would enable owners to lock their devices remotely once they are lost or stolen. With smartphone theft rampant and law enforcement strongly backing the bill it might seem a win-win… except that, as Marinucci pointed out, replacement of phones and tablets is a $30 billion business for the wireless industry and no small business for replacement insurance companies.

There was less agreement on the death penalty, and the recent botched Oklahoma execution of Clayton Lockett, convicted of a horrendous crime in 1999. Saunders, who favors keeping the death penalty in California, suggested that some of the talk about individual cases and issues is not unlike abortion opponents using legal means to achieve extra-legal ends, as in passing state laws which effectively deny constitutional abortion rights. The panel did not take on that issue.

But Ryan, who strongly opposes the death penalty, stood her ground. She pointed out that the problem with securing proper drugs is that countries which could supply them have long since abandoned the death penalty and are incredulous that we still have it. “Do I mourn him (Lockett)? Not at all. But we have the ability to lock him up forever. I am against the death penalty because we are diminished by it.”

Zipperer wound up the event with the traditional Week to Week news quiz on current events ranging from local to international. In this audience, nobody answered wrong.

Introducing a new abortion provider

I’ve gotten to know the author of the following essay in recent months, and was delighted to have seen him honored with a 2014 Unsung Hero Award from the National Abortion Federation.  With re-publication of his blog (from sherights.com) it’s my pleasure to introduce Boomers & Beyond readers to a future physician — who represents the future hope of women’s rights and women’s health.

 

WHY I’M BECOMING AN ABORTION PROVIDER — by Sarp Aksel

Growing up, I was quickly labeled an ana kuzusu – Turkish for “mamma’s boy.”

This came from a love for my parents’ holiday parties. Each year, the gatherings brought promises of leftover turkey, börek, and Rus salatasi – a delightfully creamy potato salad I was only allowed to indulge during the peri-holiday period. They were also occasions for storytelling. While my dad would entertain the men with the latest happenings in Turkish futbol – a constant stream of scandalous player trades, colorful diatribes of overly glorified coaches against crooked referees, and frequently contested league rankings – I often found myself cozying up to my mother and her friends. Their tales had power and emotion, and they meant so much more to me.

Even at that young age, I recognized that it was a privilege to be allowed into their space. Those evenings weren’t to be taken for granted and I was grateful to be included. Still, I wasn’t always sure if I was welcome.

As a feminist man and future obstetrician-gynecologist, I recognize that I am not, and nor will I ever be, in a position to fully understand the myriad factors that women must consider when tackling certain challenges. This does not mean I cannot be present and supportive. It would be arrogant at best and offensively misogynistic at worst to be anything other than an observer, a supporter and a witness to the uniquely difficult decisions that women face. This means that I believe whole-heartedly in the principle of autonomy as it pertains to healthcare and women’s dominion over their bodies and healthcare decisions. It requires having a profound respect for female autonomy, particularly of bodily integrity.

The slogan “Trust Women” is well known in the reproductive rights movement. While I am an ardent supporter of Dr. George Tiller’s dictum, I have recently found myself questioning its relevance. As a pioneer and hero to #FeministMen, Dr. Tiller was steadfast in his commitment to woman-centered care. His clinic in Wichita for decades served as a beacon of hope for women who had no other options – and continues to do so to this day. And yet, I can’t help but wonder – why do we still need to be told to trust women? Why are we still suspicious of a women’s ability to govern her own healthcare decisions?

Unfortunately, across our country we see politicians legislating abortion care from mandating ultrasounds to waiting periods and counseling requirements that often contain scientifically inaccurate information. They find themselves compelled to make decisions on behalf of women about matters that they deem women incapable of resolving on their own.

But really I’d prefer to keep legislators out of the conversation entirely. For me, identifying as a feminist provider means actively rejecting the notion that anyone other than the woman is the expert of her life-defining circumstances.

This means asking a woman how she feels about an unexpected positive pregnancy test without making assumptions about what that test result means to her.

It means being there for her as an objective source of medical information regardless of what birth control method she chooses, if she chooses one at all.

And it means advocating for women on a public policy level to ensure that women have unfettered access to comprehensive reproductive healthcare, including abortion and contraception.

My interest in women’s health sprang from years of working as a teenager at a specialty-maternity hospital in upstate New York – with women, for women. On my first day, an energetic young woman was orienting me to the facilities, my responsibilities, and my colleagues. A couple hours into the day, my supervisor noticed me trailing uncomfortably behind her through the hospital’s hallways. After several attempts to get at the cause of my odd behavior, she finally stopped to ask me what was wrong. With much hesitation I answered:

“I need to use a restroom, but this is a women’s hospital.”

She gave me a reassuring grin, placed her hand on my shoulder, and pointed me down the hall.

“Of course we have a men’s restroom.”

And just as there was room for men in a women’s hospital, there is room for men in the feminist movement. After all, feminism is synonymous with humanism.

Aksel_headshotAbout the author: Sarp Aksel is a member of the M.D. Class of 2015 at the Albert Einstein College of Medicine, and is currently applying for residency training in obstetrics and gynecology. As an advocate for comprehensive medical education, he has developed tools to help students raise awareness and fill curricular gaps in sexual and reproductive health training, including abortion and contraception. He is also the immediate past president of Medical Students for Choice, where he served as chair of the international nonprofit’s board of directors,

Ahead for women: good news & bad

The years ahead could be not good times to be a woman.

Childcare support? Abortion access? Equal pay? Contraception coverage?

How we will fare in the years ahead — those of us who are females of the species — is an open question; and some of the answers being bandied about are not pretty.

Paul Ryan’s budget would repeal benefits and protections currently enjoyed by millions of women, forcing us to pay out-of-pocket for potentially life-saving things like mammograms and cervical cancer screenings. Cuts in food stamps would hit women disproportionately, cuts in Medicaid would have a similar impact: women make up 70 percent of Medicaid’s adult beneficiaries. Prescription drug costs? Up, thanks to the re-opened Medicare drug coverage gap, the late and un-lamented donut hole. The list goes on, almost as glaringly as the list of benefits to the super-rich goes up. There are not a lot of women, especially single head-of-household wage earners, among the super-rich.

At a recent Planned Parenthood Shasta Pacific (CA) gala, former Michigan Governor and Current TV host Jennifer Granholm ticked off these and other ways GOP policies take from women and give to the super-rich. But Granholm, in a conversation with CA Attorney General Kamala Harris moderated by San Francisco Chronicle columnist Carla Marinucci, framed the opposing political policies as overall good news. With the GOP’s social and economic attacks on women in such sharp focus, she said, they can be seen for what they are — and defeated.

One can hope.

There are plenty of smart, honorable registered women Republicans. Whether they will worry about senior women having to pay more for drugs, or low-income women losing health benefits, or all women continuing to have to work three months more per year just to make what men make, that’s one of the questions still open. Reproductive justice? All women lose when reproductive rights diminish.

But at another meeting last week the focus was on distaff good news. The National Abortion Federation held its annual meeting, complete with continuing medical education for physicians, nurses and all those who will enable the progress and preservation of reproductive rights in the years ahead. This writer was fortunate to be invited to the Membership and Awards Luncheon, surrounded by extraordinary men and women including several award winners I am privileged to call friends. NAF President and CEO Vicki Saporta was among the speakers, and her report was one of optimism. My own optimism about the future for women in the US.is centered in three of the award winners whom I quite fortunately happen to know. They include:

Maggie Crosby, Senior Staff Attorney with the ACLU of Northern California, honored for her decades-long fight for reproductive justice — or, more accurately, her repeatedly successful fights for reproductive justice wherever it was about to be compromised.

Beverly Whipple, an extraordinary woman whose story — at least some small snippet of it — is included in Perilous Times. Whipple was leaving immediately after the NAF meeting for an extended motorcycle trip around Europe with her partner, but they slowed down long enough for a table-full of us to celebrate at the awards luncheon. More on Beverly Whipple in a few days.

Sarp Aksel, Past president of Medical Students for Choice and current Executive Clinic Chair of the ECHO Free Clinic at Albert Einstein College of Medicine in New York City. For those of us in despair about the future of abortion rights, Sarp Aksel is the face of hope. Bright, highly skilled and highly trained, and totally committed to women’s health and autonomy, Aksel is representative of the men and women determined to protect women’s reproductive rights.

Those who would take away women’s right to choose or ability to earn might well make gains for the super-rich in the near future. But they will have to contend with people like Saporta, Granholm, Crosby, Aksel and a host of other fighters for justice… including most of the women of America.

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