What happens when there is no abortion law…
There is no abortion law in Canada. It is neither legal nor illegal, it is simply a medical procedure and covered by universal health care. Universally, abortions performed at hospitals are free. Whether abortions at free-standing clinics are covered varies by province/territory. Some provinces and territories with limited providers pay travel costs when women have to go to a different province for the procedure. There are no mandatory ultrasound laws and no 24 hour waiting periods.
Abortion became legal in Canada in 1969 as part of a massive reform to “get the government out of the bedrooms of the nation.” While abortion was decriminalized, it could only be performed in cases to preserve “life and health.” Women had to prostrate themselves in front of a committee of three doctors and plead their case. Many doctors told me they rubber stamped these requests. “To see these poor women pouring out stories of misery, it just broke my heart,” one told me. However, other providers could be less understanding.
In 1988, The Supreme Court of Canada deemed this pleading for abortion to be unconstitutional and the law was struck down. A bill was introduced in 1989 to once again ban abortions unless the life and/or health of the mother were in jeopardy. While the bill was passed by the House of Commons (elected Members of Parliament), it was defeated by the Senate who are all, interestingly enough, political appointees. No political party has introduced any abortion legislation since, and so there is no abortion law.
Now contrast the American experience with complicated laws, far greater cost (the average amount paid for a 1rst trimester abortion is $451, with 60% of women paying out-of-pocket for their procedure), indignities (mandatory ultrasound), and inconveniences such as 24 hour delays and uncompensated travel.
So how does lawless Canada stack up against regulated America?
In Canada, the teen birth and abortion rate is 27.0/1,000 women between the ages of 15-19 versus 61.2/1,000 in the United States.
The abortion rate among all women of reproductive age (15-44) in Canada is 14.1/1,000 versus 20/1,000 in the United States.
Put another way, the teen birth and abortion rate is more than 50% higher in the United States versus Canada and the abortion rate is about 25% higher in the Unites States.
Canadian women also have something else. They have access to health care and sex education is widely taught in the schools.
Laws, cost, and indignities don’t reduce abortion, knowledge and contraception do.
As I’ve said before, if you’re serious about reducing the need for abortion your priorities and focus should be on preventing unintended pregnancies with comprehensive sex education and affordable, accessible contraception (like, you know, the ACA mandate). Making burdensome, medically unnecessary, unscientific abortion restrictions does nothing to curb incidence; it just makes it more expensive and less accessible thereby disproportionately affecting low-income people and people of color. Most people getting abortions say they would have liked to get their abortion even earlier and it was abortion restrictions and cost that were standing in their way. Perhaps if antis actually took the time to understand why people need abortions they’d understand that the solution would be tackling the problem of unintended pregnancies. But valid, helpful solutions have never been their aim, it’s always been about punishment, sex shaming, and embryo worship, which is why they are utterly ineffective.
Unsafe abortion poses serious threat to Rwandan women’s* health
The first national estimates of abortion incidence in Rwanda show that one in 40 women aged 15–44 had an abortion in 2009 and that virtually all of these abortions were clandestine procedures that are highly likely to be unsafe. The study, conducted by the National University of Rwanda’s School of Public Health and the U.S.-based Guttmacher Institute, in collaboration with the Ministry of Health, found that an estimated 60,000 induced abortions occurred that year, which translates to a national rate of 25 abortions per 1,000 women of reproductive age. This is lower than the abortion rate for Sub-Saharan Africa as a whole (31 per 1,000) and for Eastern Africa (36 per 1,000).
The researchers, who gathered data from a nationally representative sample of health facilities and knowledgeable key informants, found that 25,000 women—more than 40% of women who had an abortion—suffered complications that required medical treatment. However, 30% of these women did not receive the medical care they required, indicating a greater need for postabortion care than is currently being provided.
A substantial proportion of abortion complications are likely due to the actions of untrained providers, such as traditional healers, lay practitioners, pharmacists, or pregnant women themselves. Such procedures may involve ingesting dangerous substances or inserting sharp objects into the body to end a pregnancy.
[…]
Approximately 20% of Rwandan women will require treatment for complications from an unsafe abortion at some point in their lifetime. The study found that the quality of postabortion care was poor throughout the health system. While 92% of health facilities in the country provide some form of treatment for abortion complications, the majority do not use techniques recommended by the World Health Organization.
Though the number of women who die from unsafe abortions in Rwanda is not known, the World Health Organization estimates unsafe abortion accounts for 17% of all maternal deaths in Eastern Africa.
The researchers also found that despite growing modern contraceptive use in Rwanda, 47% of all pregnancies in the country are unintended.
[…]
“Abortion Incidence and Postabortion Care in Rwanda” , by Paulin Basinga, et al. appears in the March 2012 issue of the journal Studies in Family Planning.
teerreeffiiiccc submitted:
http://gianna-and-faith-prolifegirls.tumblr.com/post/19795756114
You may not know this but in 2008, PP performed over 300,000 abortions! Not only is the graph totally true and not at all a lie in anyway, whatever you say is wrong because I have god on my side.
I wish that infograph had actual sources. But I won’t argue it because there’s no point. I don’t care how many abortions Planned Parenthood performed (3% of all of its services). There’s nothing wrong with safe abortions. Beyonce is on my side and that’s all that matters. :)

I’m not really sure what they think they’re proving with a pie chart like this. Anyway, from a PolitiFact article, on a slightly different antichoice claim, they examine similar information and why it’s basically useless:
[…]
All stated that roughly 98 percent of Planned Parenthood’s services to pregnant women consist of abortion. They derived their information from a March 2011 fact sheet from Planned Parenthood. That fact sheet says the group performed 332,278 abortions in 2009, referred 977 patients to other agencies for adoptions, and provided prenatal care to 7,021 patients.
[…]
But there are problems with that calculation.
First, it assumes that pregnant women only go to Planned Parenthood for one of those three options.
Planned Parenthood representatives say that interpretation overstates the ratio of abortions among its pregnant clients. It ignores other statistics, such as the 1,158,924 pregnancy tests the group provided, and the fact that those 332,278 abortions were just 3 percent of the 11,383,900 total procedures that Planned Parenthood health centers provided that year to its 3 million patients.
Thirty five percent of its services consisted of providing contraception and another 35 percent consisted of testing for sexually transmitted diseases and treatment.
The fact sheet stats also don’t reflect the fact that only a tiny proportion of Planned Parenthood centers around the country provide prenatal care - just 63 out of more than 800, said Tait Sye, a spokesman for the organization. Those that don’t offer prenatal care refer pregnant women to other health care providers for those services, and Planned Parenthood doesn’t keep track of those referrals. And the 7,021 figure for prenatal clients that was used in the calculations doesn’t include pregnant women who went to Planned Parenthood for prenatal care and were sent to outside obstetricians.[…]
The most important part, of course, is that only a small percentage of Planned Parenthood clinics have the equipment available on site to provide prenatal care and they don’t keep track of the thousands of people they referral to other clinics. So these numbers aren’t truthful and they’re not giving the whole picture.
And in terms of adoption services, it can’t really be seen as being the fault of an organization that people go to adoption agencies for such services instead of a health clinic. They provide the services their patients need and want, they can’t force them to come to PP for adoption information to increase their numbers to your liking.
If these are the types of things you want to insinuate about PP are you also concerned about all the ob/gyns who predominantly offer prenatal care that aren’t meeting a particular quota of your liking for adoption and abortion referrals? No? Interesting. How about examining adoption agencies to see how many pregnant people they give abortion referrals to? That’s what I figured.
What the above pie chart does is make it look like these three services (abortion, adoption, and prenatal care) are the only thing PP offers and that abortion is the majority of what they do. But actually those three types of services are only a small percentage of their services, the majority of which are preventative:

And lastly, 300,000 PP abortions is next to nothing compared to the total number of abortions (1.21 million), let alone annual live births (~4.1 million) in the United States. Honestly, keep your fear mongering pie charts to yourself because 300,000 people getting safe medical care in a sterile, professional environment is not something I’m ashamed of.
P.S. You know what else is larger than the 300,000 abortions you’re crowing over? 584,000. That’s the number of unintended pregnancies PP helped prevent in 2010.
[TW RACISM and co-opting Trayvon Martin’s murder] Dear Al Sharpton,
You had your 15 minutes of fame many decades ago, please stop.
I am so sick of seeing politicians and talking heads using the death of this teenager to their benefit. Mr. Sharpton if you care about this one African American boy being killed, how come you show no interest in the MILLIONS of African American lives that have been ended by abortion? Even today, in 2012 there are hundreds of African American unborn humans being destroyed in the womb. And though there’s nothing that could make that any worse than it already is, Mr. Sharpton many of these lives are being ended by white doctors, who are making good money off of slaying what is your people.
I don’t know who you’re trying to fool. You support a president who supports abortion at ANY stage in pregnancy, including late term abortions. You support a black man, who supports the PAID MURDER OF HIS OWN PEOPLE.
Do you cry for the souls lost to abortion?
Do you protest outside of clinics that purposely target poor black communities?
Are you angered by Planned Parenthoods dark, racist past?
Are you supporting pregnancy centers, so women can access free resources for their children and families?
If Travon Martin’s life was ended for $450 dollars at an abortion clinic, would you still fight for him? Would you still hold rallies? Would you still weep and pray?
Travon Martin’s life was cut tragically short, no doubt about it. Thankfully, he got to experience life, even though he only had a short 17 years to do so. But will we turn a blind eye against the Travon’s that are still in the womb?
NO. You are complete and utter SCUM for making Trayvon Martin’s murder by a racist man and a racist society about you and your RACIST FUCKING ANTICHOICE AGENDA. You think I can’t see through you? You think PoC can’t see through you and your disingenuous lies? This is just further proof that white, christian antis don’t give a fuck about Black people once they’re born. You gotta use their deaths for propaganda so you can control pregnant Black people. Let’s get a few things straight right now:
Spell the kid’s name right, first off. TRAYVON MARTIN. Learn it, burn it into your memory, and ask yourself why you feel entitled to take such a stance against MoC like Rev. Al Sharpton and President Barack Obama.
There is no “black genocide” happening when pregnant people of color get abortions. They don’t have it in for black embryos. They aren’t aiding in the destruction of their own people. They are utilizing their reproductive rights! JFC.
Planned Parenthood was not founded by Sanger to exterminate black people.
Planned Parenthood does not “target black neighborhoods.” This idea that abortion clinics are targeting black neighborhoods is patently false and has been thoroughly debunked. Guttmacher has a report that found that fewer than 1 in 10 abortion clinics are in neighborhoods that are predominantly black. Further, they found that 63% of clinics were in neighborhoods where one half or more of residents were non-hispanic white. They also have a followup report.
Planned Parenthood doctors are not in a lucrative business. Does the term NON-profit mean nothing to you?
Black pregnant people do have higher rates of abortion, but that’s because they have higher rates of unintended pregnancy (67%). And that’s a result of INSTITUTIONALIZED RACISM, poverty, discrimination, lack of access to healthcare and contraception and sex education, among other things. In addition, in terms of total numbers Non-Hispanic Black pregnant people make up only 30% of total abortions whereas Non-Hispanic White pregnant people account for 36%. Lastly, the fertility rate of Black and White people capable of being pregnant are on par with one another and the population growth of the Black community is not in decline due to high abortion rates.
Here’s what a WoC thinks of your offensive and derogatory billboards and racist claims about black people killing their own people with abortion [again, burn it into your memory, you might learn something]:
“Billboard Babylon” by Cherisse Scott
Black Children Are An Endangered Species?
Every 21 Minutes The Next Possible Leader Is Aborted?
The Most Unsafe Place For An African American Child Is In My Womb?
I Guess You Assumed You Could Say What You Wanted In Jesus’ Name
And I Would Let It Slide
Let It Ride Like You Rode A Ship And Talked Some Shit
To Bring Me To A Land That Wasn’t Mine
Told My King I’d Be Fine And That You’d Be Kind
But As The Story Goes 500 Years Later
And You Still Lying
You Wasn’t Trying To ‘Make Me Betta’
At Night Together We Conceived That Child
Forced Me To Breed That Child
More Stock To Tend More Crops For Your Hard Labor
Back Broke, Culture Choked
Vilifying Me ‘Cause I’m Trying To Survive
Blaming Me Of Committing Genocide?
I Just Been Trying To Live Inside America And This Dream
Trying To Keep Hope Alive While You Keep The Pope Alive
And The Pedophiles Who Would Rape That Same Child And Sweep It Under Rugs
Hail Mary’s And Hugs With Hues Of Red White And Blue
With Liberty And Justice For Only You
My Womb Produced All The Leaders You Constantly Kill
Every 21 Minutes A Black Child Is Faced With The Real Deal
On 58th & State
Swallowed The Blue Pill But The Matrix Is Hate, Racial Profiling, And Rape
Prayin’ For A Clean Slate After Bargains And Pleas
Endangered In A Land Of Thieves, But A Species?
Insensitivity At Its Best
Culturally Incompetent
Civil Unrest
Misinformed
Unworthy To Lead A Charge Then Charge Me With Murder!
Where Are You After Our Babies Are Born?
You Scorn, Jack Welfare & Health Reform
Sons And Daughters Mourned Over Caskets And Graves
But Not By My Hand
Ain’t Never Been My Plan To Kill The Next Black Man
Yet You Stand Blameless As If You Really Give A Damn
You Eating Filet Mignon, Baby Eating Spam
Food Deserts, Polluted Air
Shit Schools Setting Rules For Ritalin Ridden Babies
You Take A Time Out!
And Put Some Time In
Cause You Don’t Comprehend My Beginning Or My End
Covering My Roots Like Thieves Cover Tracks
One Nation Under God
Indivisible ‘Til We Visualized A Leader
Targeting Me Again As A Breeder
With His Picture To Mock Me
Billboards To Shock Me
This Ain’t Shit But The Next Plan To Block Me
But I See You…Pharisee.
Black Preachers Gon’ Wild
Crucifying Queens
Pimpin’ King James For Fame
In Jesus’ Name Pitting Blame
Like God Is Pleased
You The Disease In The Village That We Just…Can’t…Shake
But My Back Is Something You Just…Can’t…Break
Flexible Like The Willow
Bosom Soft Like A Pillow That Was Used To Nurse
Yo Foul Ass
If I Wasn’t Spiritual I’d Curse
Yo Foul Ass
But You Already Done
Til You Do Right By Me The Race Ain’t Run, The Spin Ain’t Spun
You Think You’ve Won But It’s Only Just Begun
Like A Sucka Punch When You Least Expect It
I’ll Be There
Leading A Healthy Life In Spite Of Your Hypocrisy
I’ll Be There
Raising A Healthy Family Rooted In Democracy
I’ll Be There
Doing What Black Women Have Always Had To Do In Spite Of You
Rebuke That Shit…
And Continue.
Excerpt from Is Abortion ‘Black Genocide’? by Kathryn Joyce:
The argument leaves Black women facing the accusation that they are either fools or murderers—and either way complicit in what Mark Crutcher says is Planned Parenthood’s sinister plan for “convincing the target group to commit mass suicide.” The accusation cuts to the heart of an intersection of sexism and racism for Black women, who have historically been pressed to choose allegiance between two aspects of their beings: their gender and the race.
It continues today. Maame Mensima-Horn, an African American activist based in Miami who consulted for SisterSong, says that the “Black genocide” argument has remained a male-driven conversation that shuts out women of color and ignores the role they have played in the reproductive justice movement. MensimaHorn sees a new generation of male activists relegating women to “breeder” status and blaming them for a deficit in the Black population.
It seems a neat return to the 1920s debate in the Black community about how to best uplift the race. W.E.B. DuBois argued for “quality versus quantity,” saying that Black interests were best met by family planning that allowed parents to invest more in fewerchildren, not by simply birthing greater numbers. In 2010, Catherine Davis of Georgia Right to Life seems to take the latter position, saying that if Black women hadn’t had abortions, “we would be 59 million strong.”
The emphasis underscores a history of sexism in the Civil Rights Movement and its institutions, says Gray, in which Black women’s intellectual and physical labor was the backbone of the movement yet was rarely acknowledged. To day, “Black genocide” movement leaders, such as Childress and King, emphasize male leadership in both the movement and church—not surprising in conservative circles, but the destructive effect on women of color continues.
For Gray, this kind of sexism is a result of White fundamentalist outreach as well as a symptom of a larger problem: the breakdown of political education in Black politics.
He says, The result of it is that we have people claiming that the maafa is the abortion of black kids, instead of what it really is: the great catastrophe related to the slave trade. It means a bunch of frauds can rewrite your history and make it everything that it’s not. The freedom movement, which is what civil rights is about, is about the freedom of citizens to determine their lives for themselves and make their own opportunities.
And not, Grays says, to become a mother “because these people think you ought to be a mother. ”
How about what Sister Song thinks of your bullshit?
Our opposition research revealed how data and facts were mis-used by anti-abortionists to posit a “conspiracy theory” based on a historically racist past to claim that policymakers, black leaders, health officials, and community activists who support reproductive justice are all part of a scheme to kill off the black race. The cornerstone of their genocide theory is the fact that the black birth rate has declined over a number of years. While birthrates for all races of women have also declined for decades because of educational and economic opportunities, and increased reproductive health services, abortion opponents never mention the decision making of black women and how our improving educational and economic status influenced our reproductive choices.
Black women have always controlled our fertility when we could, even during the horrific conditions of enslavement. We brought knowledge from Africa as midwives that helped us practice birth control and have abortions. After the end of slavery, we were more determined than ever to end the forced breeding of our bodies, and we cut our birth rate in half in the first 40 years after the Civil War, 110 years before abortion or birth control was legalized. We continued this intentional decline as part of our racial uplift strategy, to have fewer children to provide more opportunities for the ones we did have. Ignorance of our history and lies about our agency malign the memories of our ancestors.
Black women, however, do have three times more abortions than white women, a statistic anti-abortionists use to demonize abortion providers. In fact, black women do have more unintended pregnancies, have less access to contraception, stay single longer, often have sex earlier, are poorer, are more vulnerable to childhood sexual abuse, and experience single motherhood much more than their white counterparts. Sixty-one percent of black women who have abortions already have children. The higher rate of abortion is an understandable outcome of the social context in which we find ourselves.
Higher unintended pregnancy rates are not a new phenomenon for black women. Before the legalization of abortion in 1973, African American women were thirteen times more likely to die from illegal abortions than white women. For reproductive justice activists, the solution to reduce the need for abortions is to help black women have fewer unintended pregnancies and to eliminate the obstacles that interfere with personal decision making.
We emphasized the agency and decision making of black women to refute their “disappearing race” narrative. Using historical data and current work by black women’s organizations, we projected the image of strong black women in defense of our own bodies, not the puppets of either the medical industry or the anti-abortion movement.
Another anti-abortion tactic was to claim that abortion clinics are “always” located in African American communities, especially by Planned Parenthood. In Georgia, we were able to easily refute this claim by presenting demographic data that proved that of the 15 abortion clinics in our state, only 4 are in predominantly black neighborhoods. Abortion opponents frequently use this “geographical” tactic against providers to bolster their conspiracy theories. While we were in the middle of the fight in Georgia, we were contacted by a Planned Parenthood clinic in Nashville that had recently relocated near an African American community for economic reasons that had nothing to do with race, but they were also accused of selecting their location to “kill black babies.” An accusatory billboard was erected directly across the street from the new clinic.
We retold the story of Margaret Sanger and her allegedly racist agenda. Left unchallenged, their narrative about genocide would powerfully echo in the black community. We decided to do our own research on Sanger and present the facts from the perspectives of black women.
We contacted Sanger’s biographer, Ellen Chesler, and asked Joyce Follet, an expert on Planned Parenthood’s archives in the Sophia Smith Collection at Smith College, to provide original source materials and information. They provided a wealth of historical evidence that belied the allegations of our opponents. Most importantly, we were able to prove that African American leaders, particularly women, had worked with Sanger in the 1930s to ask for clinics to be opened in black communities. We challenged their historical revisionism by citing famous leaders like Mary McLeod Bethune, W.E.B. Dubois, Walter White, Mary Church Terrell, Rev. Adam Clayton Powell, Sr., and Dr. Martin Luther King, Jr., and organizations like the NAACP, the National Urban League, and the National Council of Negro Women. We dared them to call these icons of the civil rights movement pawns of a racist agenda. In the eyes of the black community, our opponents had an uphill climb to prove they knew more about helping the African American community than the famous legends they were maligning.
Go read the whole thing. Seriously, I’ll wait.
Now let’s listen to Loretta Ross, “Re-enslaving African American Women”:
[…]
African American women who care about reproductive justice know that the limited membership in the Black anti-abortion movement doesn’t represent our views and we are not fooled into thinking that they care about gender justice for women. In fact, if they had their way, we would be re-enslaved once again, based on our fertility.
[…]
They tell African American women that we are now responsible for the genocide of our own people. Talk about a “blame the victim” strategy! We are now accused of “lynching” our children in our wombs and practicing white supremacy on ourselves. Black women are again blamed for the social conditions in our communities and demonized by those who claim they only want to save our souls (and the souls of our unborn children). This is what lies on steroids look like.
[…]
The sexism in their viewpoints is mind-boggling. To them, Black women are the poor dupes of the abortion rights movement, lacking agency and decision-making of our own. In fact, this is a reassertion of Black male supremacy over the self-determination of women. It doesn’t matter whether it is from the lips of a man or a woman. It is about re-enslaving Black women by making us breeders for someone else’s cause.
I am reminded of the comments of Shirley Chisholm, the first Black woman in Congress, who dismissed the genocide argument when asked to discuss her views on abortion and birth control:
To label family planning and legal abortion programs “genocide” is male rhetoric, for male ears. It falls flat to female listeners and to thoughtful male ones. Women know, and so do many men, that two or three children who are wanted, prepared for, reared amid love and stability, and educated to the limit of their ability will mean more for the future of the Black and brown races from which they come than any number of neglected, hungry, ill-housed and ill-clothed youngsters.
[…]
But mostly, we need to let the world know that they do not speak for Black women. As my mother would say, “they might be our color, but they are not our kind.”
“Rep. Moore (WI) Tells Anti-Choice GOP Where to Shove Black Genocide Lie”
Click link for transcript and background info from Colorlines^.
In conclusion:
TRAYVON MARTIN was 17 years old. He had hopes and dreams. He had friends. He had a family that loved him, a family that is grieving for him and STILL haven’t gotten justice for his brutal and cold-blooded murder. Don’t you dare compare this young man to a fucking embryo. That’s disgusting and dehumanizing and a belittling of what PoC are feeling right now. How dare you co-opt a murder and use it against Black people capable of getting pregnant to insinuate that their desire to not be pregnant is destroying their entire race and is the same as a racist piece of shit killing someone’s child?!
This is a fellow white person telling you to get off your self-righteous high horse so PoC don’t have to deal with your racist ass ever again, especially not during their time of mourning.
You.Are.Disgusting.
That is all.
Pre-abortion ultrasound: the medical evidence and why it’s important [Dr. Jen Gunter]
The growing momentum among state legislators to enact ultrasound “requirements” for abortion is an interesting tactic. Currently 20 states regulate the provision of ultrasound by abortion providers. The point appears to be twofold:
- raise the cost of the procedure to reduce the number of women who can afford an abortion
- require/offer/describe a view of the fetus to dissuade/shame pregnant women into not having the procedure
It’s interesting to me that on both sides there has been very little discussion of the medical evidence. So that’s what I’m going to do.
Issue #1: Cost
Second-trimester abortion
Let’s just take that off the table. Every second trimester abortion needs an ultrasound and often gets more than one. Second-trimester abortions are more often done for birth defects, typically diagnosed or confirmed by ultrasound (sometimes a few ultrasounds are done). In addition, these procedures require more skill the further along, so it is essential the practitioner knows the gestational age with as much accuracy as possible. Ultrasound laws will not change any procedure costs for 2nd trimester ultrasounds, but they may affect the viewing requirements (whether the woman sees/hears a description of the ultrasound). I’ll get to that in just a bit.
First-trimester abortion
Many providers already do a 1rst trimester ultrasound, especially with medical abortion. This is because a medical abortion can only be done up to 63 days (9 weeks). However, there is a growing body of literature suggesting medical abortion can safety be accomplished without an ultrasound for 98% of women. So these laws will prevent practitioners from doing away with an ultrasound (i.e. prevent them from practicing evidence based medicine) which will halt efforts to expand medical abortion into low resource settings. Ultrasound requirements will also affect many women getting a surgical procedure as and ultrasound is typically not required if the size of the uterus agrees with the dating of the pregnancy (although some providers do ultrasounds anyway, generally for medico-legal reasons).
So regarding cost, ultrasound requirements may affect a lot of women seeking a 1rst trimester abortion.
Does this accomplish anything? (Which you might want to know if you are going to spend tax payer money enacting a law). No. In fact, studies tell us that both cost and local availability of a provider has no effect on the decision to get an abortion, it simply delays the procedure while the woman figures out her resources. It is insulting to insinuate that a woman has an abortion out of convenience or cost. In Canada, where abortion is free and unencumbered by ill-informed politicians, the rate of abortion is lower than in the United States. It is sex education and widespread access to medical care and contraception that reduces abortion, not laws.
Issue #2: Viewing the image to dissuade a woman from having an abortion
A 2009 study looked at whether viewing an ultrasound image pre-abortion was something women wanted and whether it had an impact on her choice to have the procedure or her emotional experience(1). When given the option, almost 73% of women chose to view their ultrasound image and of those who did, 85% felt it was a positive experience. Not one woman changed her mind about having the abortion after viewing the image. Ten women were selected for an in-depth interview on the subject and all felt that women should be given the choice about viewing their image.
So in fact, states that require a provider to offer a view of the image to the patient are following evidence-based recommendations. Requiring a patient view the image, such as in Texas, is another matter.
We know that cost and laws do not affect the abortion rate. We also know that long acting reversible contraception lowers the abortion rate. There are some excellent studies that tell us that when women get depo-provera or an IUD post-abortion they are far less likely to have a subsequent unplanned pregnancy. But interestingly, many in the anti-choice movement also discourage birth control. If they were really pro-life (i.e. wanting to prevent every abortion possible) they would be handing out contraceptives instead of picketing clinics and clamoring for laws that restrict tobacco, as cigarettes are responsible for the deaths of 5-7% of all premature babies and cause 23-31% of SIDS).
Laws that increase barriers to abortion create hardships for the women seeking the procedure but they do nothing to lower the abortion rate. To focus on abortion restrictions and not contraception is the height of hypocrisy and a waste of taxpayer dollars, because the laws will inevitably get challenged and held up in court, as we have seen in South Carolina and Oklahoma.
Sigh. (See my recent piece, What if all the money spent fighting about abortion…).
There is no medical evidence to support ultrasound laws. They are a waste of taxpayer dollars and do nothing to accomplish the goal of reducing abortion. They also create a dangerous precedent of allowing hypocritical politicians to set unacceptably low standards of medical care based on political goals, religion, and misogyny.
Smaller government indeed.
1) Kulier R, Kapp N. Comprehensive analysis of the use of pre-procedure ultrasound for first- and second-trimester abortion. Contraception 2011; 83:30-33.
________________________________________________
*Pregnant people, not just cis women.
Here’s a link to an abstract for the study mentioned above.
Let’s add this to the studies and articles I’ve already mentioned on this blog:
- Women’s Perceptions About Seeing the Ultrasound Picture Before an Abortion
- Women’s Experience of Viewing the Products of Conception After an Abortion
- Abortion Debate: Little Evidence Sonograms Change Minds, Doctors Say
- Study: Ultrasounds Do Not Influence Women’s Decisions On Abortion
- Ultrasounds don’t change minds, people often find them reassuring for their decision to abort
- Ultrasounds don’t stop planned abortions
Anonymous asked: gianna-and-faith-prolifegirls[.]tumblr[.]com/post/19639666726 Please help. I am too angry to even begin to tear apart this awful position.
http://gianna-and-faith-prolifegirls.tumblr.com/post/19639666726
I’m sorry to hear that. This post is ridiculous and sadly, it’s a pretty common attitude. But it’s going to be okay, Anon. They are wrong and I think most people know it.
Oh, dear. I just read it.

ROCKET SCIENCE!!!!!!!!!!!!
In EVERY SITUATION (except for rape, which accounts for less than ONE PERCENT of all pregnancies), if you don’t want a baby, don’t have sex. If you aren’t ready for the results of sex (a baby), then just don’t do it. EVERYONE who is old enough to have sex knows that the very probable result of sex is a baby. Men and women who fully KNOW that they are not ready to have a baby sholudn’t be allowed to take the “easy” way out, which is abortion. If men and women think that they are men and women enough to have sex, they also must be men and women enough to deal with the possible result.

And all the pro-choice trolls would probably say to me how safe it is…that is all ROT. Since you can’t ask the child inside the mother, let’s guess what they would answer. How about…”DUH! NO!” I’ve been hit with the classic, “Abortion is so much safer than pregnancy!” Yeah…if that were true, why is the world’s population roughly 6 billion? And more people give birth every year than they do have abortions, so naturally, the fatality rate of childbirth would be higher than abortion. Just like they say, “Horseback riding is safer than driving,”…except more people drive than ride. And anyway, if pregnancy were to cause death…why are you having sex anyway?? If you fear for your life so much…GOSH.

That’s not how statistics work. At all. It is an objective fact that an individual is far more likely to experience morbidity and mortality from 10 months of pregnancy and then childbirth than they are from a single abortion, especially a first trimester abortion. That’s a fact. It has nothing to do with there being more births than abortions.
Currently, “Twenty-two percent of all pregnancies (excluding miscarriages) end in abortion.” [Jones RK and Kooistra, K., Abortion incidence and access to services in the United States, 2008,Perspectives on Sexual and Reproductive Health, 2011, 43(1):41-50.]

(source)
The risk of abortion complications is minimal: Fewer than 0.3% of abortion patients experience a complication that requires hospitalization. [Henshaw SK, Unintended pregnancy and abortion: a public health perspective, in: Paul M et al., eds., A Clinician’s Guide to Medical and Surgical Abortion, New York: Churchill Livingstone, 1999, pp. 11–22.]
The risk of death associated with abortion increases with the length of pregnancy, from one death for every one million abortions at or before eight weeks to one per 29,000 at 16–20 weeks—and one per 11,000 at 21 or more weeks. [Bartlett LA et al., Risk factors for legal induced abortion-related mortality in the United States, Obstetrics & Gynecology, 2004, 103(4):729–737.]
Perhaps you’d like even newer research. How about “The Comparative Safety of Legal Induced Abortion and Childbirth in the United States” by Elizabeth G. Raymond, MD, MPH and David A. Grimes, MD in the February 2012 edition of Obstetrics and Gynecology?
OBJECTIVE: To assess the safety of abortion compared with childbirth.
METHODS: We estimated mortality rates associated with live births and legal induced abortions in the United States in 1998–2005. We used data from the Centers for Disease Control and Prevention’s Pregnancy Mortality Surveillance System, birth certificates, and Guttmacher Institute surveys. In addition, we searched for population-based data comparing the morbidity of abortion and childbirth.
RESULTS: The pregnancy-associated mortality rate among women who delivered live neonates was 8.8 deaths per 100,000 live births. The mortality rate related to induced abortion was 0.6 deaths per 100,000 abortions. In the one recent comparative study of pregnancy morbidity in the United States, pregnancy-related complications were more common with childbirth than with abortion.
CONCLUSION: Legal induced abortion is markedly safer than childbirth. The risk of death associated with childbirth is approximately 14 times higher than that with abortion. Similarly, the overall morbidity associated with childbirth exceeds that with abortion.
LEVEL OF EVIDENCE: II
See? Apples to apples abortion is markedly safer than childbirth.
Here’s some more info on pregnancy and maternal* mortality:
- Deadly Delivery: The Maternal Health Care Crisis in the U.S
- Complications/mere “inconvenience”
- Statistics post
- The White Ribbon Alliance Global Maternal Mortality Fact Sheet
- Pregnancy Complications (CDC)
- Pregnancy Complications (Womenshealth.gov)
- Trends in Maternal Mortality: 1990 to 2008 (WHO, 2010)
- Research and Statistics on Maternal and Perinatal Health (WHO)
- Maternal Mortality Estimates (Interactive Map)
- Maternal Mortality Ratio (Interactive Map #2)
If you think that you are ready to have sex, you should be willing to sacrifice yourself or even your life for the sake of the baby that could very well be the result of your choice. It is possible! Exhibit A: Saint Gianna Beretta Molla. If you aren’t ready enough to value a child that much, don’t have sex!
WTF?

Infographic from GOOD—“The Control of Birth Control: Exploring The Debate Over Contraception and Health Care.”
Glad to live in a state with ZERO exemptions. That’s the way it should be.
OVER HALF OF WOMEN OF REPRODUCTIVE AGE LIVE IN ABORTION-HOSTILE STATES | Over half of U.S. women who are biologically able to get pregnant live in states that would be hostile to a woman seeking an abortion, according to a new study from the Guttmacher Institute. Twelve years ago, that statistic was only 31 percent. Women are not moving en masse; due to the slew of new abortion restriction laws in states across the country, they are just suddenly finding themselves in hostile territory.
Also from ThinkProgress: INTERACTIVE MAP: The Most Restrictive Abortion Measures In The States
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*People capable of getting pregnant, not just cis women.
From the Guttmacher study mentioned by ThinkProgress:
…
This article assesses how and where the volume of abortion restrictions has changed over the last decade. To do so, we analyzed whether—in 2000, 2005 and 2011—states had in place at least one provision in any of 10 categories of major abortion restrictions.* The identified categories include
• mandated parental involvement prior to a minor’s abortion;
• required preabortion counseling that is medically inaccurate or misleading;
• extended waiting period paired with a requirement that counseling be conducted in-person, thus necessitating two trips to the facility;
• mandated performance of a non–medically indicated ultrasound prior to an abortion;
• prohibition of Medicaid funding except in cases of life endangerment, rape or incest;
• restriction of abortion coverage in private health insurance plans;
• medically inappropriate restrictions on the provision of medication abortion;
• onerous requirements on abortion facilities that are not related to patient safety;
• unconstitutional ban on abortions prior to fetal viability or limitations on the circumstances under which an abortion can be performed after viability; or
• preemptive ban on abortion outright in the event Roe v. Wade is overturned†
…
For purposes of this analysis, we consider a state “supportive” of abortion rights if it had enacted provisions in no more than one of these restriction categories, “middle-ground” if it had enacted provisions in two or three categories and “hostile” if it had enacted provisions in four or more.
Overall, most states—35 in total—remained in the same category in all three years (see map); however, of the 15 states that moved from one category to another, every one became more restrictive over the period. Two of the states supportive of abortion rights in 2000 moved to the middle category by 2011, and one had become hostile. Moreover, 12 states that had been middle-ground in 2000 had become hostile to abortion rights by 2011.
As a result, the number of both supportive and middle-ground states shrank considerably, while the number of hostile states ballooned. In 2000, 19 states were middle-ground and only 13 were hostile. By 2011, when states enacted a record-breaking number of new abortion restrictions (see box), that picture had shifted dramatically: 26 states were hostile to abortion rights, and the number of middle-ground states had cut in half, to nine.
…
2011: A Year for the Record Books
Over the course of 2011, legislators in all 50 states introduced more than 1,100 provisions related to reproductive health and rights. At the end of it all, states had adopted 135 new reproductive health provisions—a dramatic increase from the 89 enacted in 2010 and the 77 enacted in 2009.1 Fully 92 of the enacted provisions seek to restrict abortion, shattering the previous record of 34 abortion restrictions enacted in 2005 (see chart). A striking 68% of the reproductive health provisions from 2011 are abortion restrictions, compared with only 26% the year before.
…
Although states on the West Coast and in the Northeast remained consistently supportive of abortion rights, the situation was very different elsewhere. A cluster of states in the middle of the country—including Idaho, Indiana, Kansas, Nebraska and South Dakota—moved from being middle-ground states in 2000 to being hostile in 2011. And of the 13 states in the South, only half were hostile in 2000, but all had become hostile by 2011.
Over a third of women of reproductive age lived in states supportive of abortion rights in both 2000 and 2011, 40% and 35%, respectively (see chart, page 18).2 However, the proportion of women living in states hostile to abortion rights increased dramatically, from 31% to 55%, while the proportion living in middle-ground states shrank, from 29% to 10%. Altogether, the number of women of reproductive age living in hostile states grew by 15 million over the period, while the number in middle-ground states fell by almost 12 million.
…
REFERENCES
1. Guttmacher Institute, Laws affecting reproductive health and rights: 2011 state policy review, 2012, <http://www.guttmacher.org/statecenter/updates/2011/statetrends42011.html>, accessed Feb. 22, 2012.
2. Guttmacher Institute, unpublished tabulations of data from the National Center for Health Statistics.
*Restrictions included for 2000 and 2005 were all in effect. Some restrictions enacted in 2011 are still being litigated.†The 19 individual restrictions include: mandating parental involvement (consent or notification); requiring misleading counseling (informing a woman that the fetus is a person, that a fetus can feel pain, that having an abortion increases the risk of breast cancer or that abortion can impair future fertility); requiring a woman to make two trips to an abortion facility; requiring ultrasound; limiting Medicaid funding for abortion; restricting private insurance coverage (in all private plans, plans sold on exchanges or plans for public employees); limiting medication abortion (telemedicine bans or requiring the use of an outdated protocol); instituting onerous requirements for abortion providers (medically unnecessary physical plant requirements or mandating that physicians have hospital admitting privileges); restricting later abortion (gestational limits or unconstitutional limits on later abortion); and banning abortion immediately if Roe is overturned.
This is downright vile. That set of three maps depicting the shrinking of supportive states really pulls the dire condition of reproductive rights into sharp focus. We’ve had some minor victories but the country as a whole is being pulled from a moderate middle to the extremist right by people that have no interest in human rights, science, or honesty. Time and again legislation is being passed due to the GOP’s ability to muddle the issue with religion and pseudo-science with the help of model bills drafted by antichoice groups. Seriously, go read the whole report, this is important.
POLL: MAJORITY DISAGREES WITH REPUBLICANS ON CONTRACEPTION DEBATE | According to a new poll from Bloomberg, more than 60 percent of Americans — and 70 percent of women — said that President Obama’s policy requiring contraception coverage in employer-provided insurance plans is a matter of women’s health, rejecting the Republican argument against the new rule. More than three-quarters of those polled said the topic should not be part of the national political debate. But with Mitt Romney, Newt Gingrich, and Rick Santorum saying Obama is violating employers’ religious freedom by mandating contraception coverage, the polls shows that the GOP presidential candidates’ views are out of sync with what voters want. “These candidates are talking to a relatively small subset even among Republicans,” J. Ann Selzer, who conducted the telephone poll of 1,002 respondents, told Bloomberg News.
Report: Plan B Access Limited in Native Communities
Compared to the rest of the United States, the rates of sexual violence among Native American women are nearly twice as high; one in three Native women will be raped in her lifetime, according to the Native American Women’s Health Education Resource Center. But in many Native communities, women have little to no access to emergency contraception, the group reports in a new paper advocating for greater access.
On many reservations, the only medical facilities are the Indian Health Service centers, which are a federally administered division of the Department of Health and Human Services. The Native American Women’s Health Education Resource Center’s research found that only 10 percent of the pharmacies in the IHS offered Plan B, or “the morning after pill”—the leading form of emergency contraception—over the counter. Forty percent only provide Plan B with a prescription, and the other half don’t provide the pill at all. The federal government approved over-the-counter sales for women over the age of 18 in 2006, and for 17-year-olds in 2009, but access has lagged in the IHS.
Reservation communities are often rural and geographically isolated, and lack any private pharmacies that carry EC, said Charon Asetoyer, chief executive officer of the Native American Women’s Health Education Resource Center in the introduction to the report. Often, the IHS service centers are closed on the weekends, and the women must wait hours or even days to see a doctor in order to obtain a prescription. This can mean the woman misses the 72-hour window during which EC is effective in preventing pregnancy. The alternative requires driving long distances to a nearby city, which can pile additional costs on top of a pill that already costs $50.
The report includes accounts of women from all over the country detailing their own experiences with the IHS health centers. They also spoke to pharmacists, who noted that there are many reasons that they don’t carry EC: the committees that decide what to stock have neglected to put the drug on approved lists; medical staff have decided that Plan B isn’t necessary; decision-makers think the drug is too expensive; doctors haven’t requested the drug. The IHS did not respond to a request for comment on the report before press time. Women in these communities should not be held to the religious, cultural, or personal beliefs of decision-makers, the report argues.
Asetoyer argues this not carrying and providing EC violates the sexual assault protocols recommended by the Department of Justice for women seeking medical attention following a rape, which include pregnancy risk evaluation and prevention measures. It also violates the Tribal Law and Order Act of 2010, said Asetoyer, which was put in place to ensure that federal laws are enforced on reservations, and the rights to self-determination protected by the United Nations Declaration on the Rights of Indigenous People.
Access to emergency contraception prevents Native women from having to deal with additional trauma of needing an abortion should she have a pregnancy resulting from rape, said Asetoyer. “Who wouldn’t want to help a woman reduce that trauma?”
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*All people who can get pregnant, not just cis women.
This is shameful. I wish I could say this surprises me, but it doesn’t in the least. This is just one more example of how race, class, gender, and geographic location intersect to suppress reproductive rights. And it’s truly a tragedy because Plan B is safe, easy to use, and would be so beneficial for reducing unwanted pregnancies, yet it is being kept out of vulnerable people’s hands because of politics and bureaucracy. It just goes to show that we can’t claim victory when we maintain the legality of things like Plan B or abortion, victory will only happen when everyone has access to them.
Weekend Reading: Birth control cost varies widely, study suggests more women choose IUD if free
Following up on our post about birth control and economics from a few days ago, this is a great summary (and not just because it mentions Bedsider, though we love that too) from Lauran Neergaard of the AP of the real costs of different types of birth control and the important part cost can play in what method women choose.
*People who use contraception, not just cis women.
Gay and Transgender Women by the Numbers [or, Today's Edition of the Silent 'T']
So today is International Women’s Day, as most people online seem to be aware of. It didn’t escape me in the slightest that trans* women were being excluded from the quick lists of facts or statistics floating around the internet, nor were they explicitly included in any of the Women’s Day discussions or critiques surrounding reproductive rights. So I was excited to see a link to a statistic roundup on Center for American Progress entitled “Gay and Transgender Women by the Numbers.” That was until I looked at the list and I saw a heavy dose of cisLGB.
Now, obviously, being a trans* woman doesn’t preclude one from also being bisexual, a lesbian, or any number of other non-het sexual orientations. Full stop. But the reports they were linking to on LGBT families to cite their statistics seemed to separate the two. I.E They had statistics and information on LGB families and the obstacles they face and statistics and information on families with transgender parents and the obstacles they face. From what I saw there was no discussion on families in which there were one or more trans* parents who happened to be non-heterosexual. So it’s pretty safe to assume that every lesbian/bisexual statistic listed is referring to cis women. Which sadly leaves us with ONLY ONE statistic (out of 16) that explicitly mentions trans* women [28 percent: The amount of transgender women in some communities who test positive for HIV].
This pitiful lip-service to the trans* community is made that much worse when you consider the intro paragraphs they provided:
Over the past century, women have made tremendous advancements in politics, family life, and culture both in the United States and throughout the world. People are celebrating these monumental achievements and pushing for further changes to level the playing field for women worldwide on the 103rd International Women’s Day on March 8. Those changes can’t come fast enough for lesbian, gay, bisexual, and transgender women in our nation.
Overall, these women are more likely to experience more socioeconomic and health inequalities than their heterosexual counterparts and even more inequalities than male gay and transgender Americans. Moreover, many of these inequalities are even worse for gay and transgender women of color. On a day dedicated to women, it is vital to remember how far gay and transgender women still have to go in the fight for equality in our country. So let’s look at some of the numbers behind these women.
So…they completely understand the situation these women are facing, particularly TWoC, and they chose to somehow reduce trans* women to one measly statistic.
I’m.shocked. >.<
[Note: I don’t believe I’m misinterpreting the data in these lengthy reports, but I’d happily stand corrected if I am.]
SEX EDUCATION LINKED TO DELAY IN FIRST SEX
Excerpt from Guttmacher press release:
Teens who receive formal sex education prior to their first sexual experience demonstrate a range of healthier behaviors at first intercourse than those who receive no sex education at all. This is particularly so when the instruction they receive includes information about both waiting to have sex and methods of birth control. These findings come from a new study, “Consequences of Sex Education on Teen and Young Adult Sexual Behaviors and Outcomes,” by Laura Duberstein Lindberg and Isaac Maddow-Zimet of the Guttmacher Institute.
The authors analyzed data from 4,691 men and women aged 15–24 who participated in the 2006–2008 National Survey of Family Growth. They found that 66% of sexually experienced females and 55% of sexually experienced males reported having received information about both abstinence and birth control prior to first intercourse. Eighteen percent of sexually experienced females and 21% of males had received only abstinence instruction, while 16% of females and 24% of males had had no instruction on either topic. However, these measures do not correlate directly with any specific “abstinence-only” or “comprehensive” sex education programs (see below).
Respondents who had received instruction on both abstinence and birth control were older at first sex than their peers who had received no formal instruction and were more likely to have used condoms or other contraceptives at first sex; they also had healthier partnerships. Those who had received only abstinence instruction were more likely to have delayed first intercourse than were those who had had no sex education, but abstinence instruction was not associated with any of the other protective behaviors at first sex. Moreover, condom use at first sex was significantly less likely among females who had had only abstinence instruction than among those who had received information about both abstinence and birth control. The study found no relationship between sex education and current sexual behaviors, suggesting the need for ongoing education after the onset of sexual activity.
…
“Consequences of Sex Education on Teen and Young Adult Sexual Behaviors and Outcomes,” by Laura Duberstein Lindberg and Isaac Maddow-Zimet, is currently available online and will appear in a forthcoming issue of the Journal of Adolescent Health.
For a comprehensive review of research findings on the effectiveness of comprehensive and abstinence-only sex education programs, click here.
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Would be interesting to know if there are any studies on sexual debut or sexual behavior which aren’t focused on cis and binary demographics. If you know of any, I’d love to read them!
MARIA: Social Justice and Abortion Access in Mexico
Eugenia Lopez, the Executive Coordinator from the organization Balance, in Mexico, is touring the US and visiting with women’s health advocates and stopped by to visit with us. IWHC first met Eugenia when she worked with our partner DECIDIR, a network of young Mexican activists committed to providing their peers with accurate and complete information on abortion. During her trip, Eugenia has been promoting the first Mexican abortion fund, MARIA, which is designed to support women in traveling from the states in Mexico where abortion is criminalized to Mexico City, where abortion is legal in the first trimester. The fund is comprehensive in that it provides for financial assistance for transportation to Mexico City, local transportation, accommodation, food, and the legal abortion service, in addition to providing emotional and moral support to women seeking safe abortion services. MARIA reaches out to women from all Mexican states, through a strong alliance with grassroots organizations and local groups, which it also helps in building stronger advocacy strategies and technical capacity.
In describing the focus of MARIA (which promotes the organization through its tagline “fondo de abortion para la justicia social,” or the abortion fund for social justice), Eugenia stressed the important role that class plays in access to safe abortion services, and reproductive health care in general. The average fee for abortion services in Mexico is equivalent to USD $500; whether abortion is legal or illegal, women who have money can buy access to safe abortions. Poor women often seek alternative methods, which range from traditional herbal remedies to ingesting poisons.
According to Eugenia, Poor women who legally should have access to abortion in states that allow abortion in cases of rape and incest are sometimes denied services. Eugenia gave an example of a 16 year-old indigenous girl who was raped and whose family was supportive of her choice to have an abortion. However, the girl was unable to secure safe and legal services locally. With the assistance of the MARIA fund, women like this teenager are able to access their rights.
Eugenia’s tour in the United States is part of MARIA’s new initiative to raise funds to continue their support for women who need abortions. She explained that in Mexico, there isn’t the same kind of donor culture as there is in the United States; individuals are accustomed to donating to churches, but not to non-profits. This is part of the reason that the conservative Catholic Church is so strong throughout the country, and is the driving force behind their plan to seek donations from individuals in the United States. Presently, most of their funding comes from international organizations, while they also receive funds from individuals in the United States and Canada, and Eugenia’s trip is part of MARIA’s initial push to create an international network.
Ultimately, though it is crucial for MARIA’s sustainability that they establish a network of individual donors, Eugenia thinks that it is important to give women support that reaches beyond money.
“Initially we found that there were women who really wanted the service but were really fragile, who thought that God would come and take their ability to have other children,” said Eugenia. As a result, MARIA has developed beyond a fund and into a true support network that connects women in need with transportation, housing, and meals during their stressful trip to Mexico City. They also provide their clients with counseling before and after the procedure, and follow-up support after they’ve returned home.
For more information, check out the recent story by the Canadian Broadcasting Corporation, The hard reality behind Mexico’s bitter abortion debate, as well as this report from the Guttmacher Institute: Estimates of Induced Abortion in Mexico: What’s Changed Between 1990 and 2006?
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*Pregnant people, not just cis women.
KaiserEDU.org Tutorial: Reproductive Health Care Policy for Women in the United States
In this narrated slide tutorial, Usha Ranji, M.S., associate director of women’s health policy at the Kaiser Family Foundation, summarizes major issues in reproductive health care policy. She discusses coverage and financing of reproductive care in public programs and private plans, as well as the key provisions in the Patient Protection and Affordable Care Act (ACA) that affect reproductive health.
[Unfortunately statistics generally only come in one flavor: cis-centric]






