Morning-After Pill Still Strong

June 20 marks the fifth anniversary of the U.S. Food and Drug Administration’s (FDA) approval of over-the-counter Plan B One-Step, a type of “morning-after pill” (itself a type of emergency contraception), without age restrictions. The first morning-after pill was approved by the FDA in 1998, but political backlash prevented easy access to it for more than a decade.

In 2011, the FDA was poised to approve over-the-counter access for Plan B for people 17 and older. The Department of Health and Human Services intervened, raising concerns that young girls might not be able to use the drug safely — even though studies have shown that Plan B is safer than taking an aspirin. The Obama administration, however, claimed that younger people still needed a prescription to ensure they understood the proper use of Plan B.


Access to Plan B gives teenagers another chance to avoid unwanted pregnancy.


The wrangling continued. In early April 2013, a federal district court judge dismissed that claim, stating that the Obama administration’s restrictions were a “politically-motivated effort to avoid riling religious groups and others opposed to making birth control available to girls.” On April 30, the FDA announced that the morning-after pill would be available without prescription to users 15 years of age and older.

The fight to expand over-the-counter access for the morning-after pill wasn’t over. Dr. Janet Woodcock, director of the FDA’s Center for Drug Evaluation and Research, stated that “over-the-counter access to emergency contraceptive products has the potential to further decrease the rate of unintended pregnancies in the United States.” It wasn’t until June 2013 — five short years ago this week — that the FDA approved Plan B One-Step for over-the-counter sale without age restrictions, after the Department of Justice dropped its appeal. In February 2014, certain generic morning-after pills were similarly approved.

Today, let’s celebrate this expanded access to the morning-after pill by reviewing what we need to know about this important form of contraception. Continue reading

Sound Science and Unsound Ideology: Sixty Years of Obstetric Ultrasound

Ultrasound image used in an anti-abortion billboard in Ireland, 2012. Photo: The Vagenda

For decades now, ultrasound technology has been a fixture in the journey from pregnancy to parenthood. It has also become a prized weapon among abortion opponents in the battle over reproductive rights.

Ultrasound, which uses high-frequency sound waves to render images of a developing fetus, had its beginning 60 years ago this week, with the publication of a seminal paper in the British medical journal The Lancet. The development of the technology has a colorful history, one involving flying mammals, German submarines, a desert-dwelling inventor, and countless medical professionals who saw a range of patient care possibilities.


Ultrasound is a powerful tool, which can benefit patients or be used as a cudgel by abortion opponents.


But that colorful history belies the drab and fuzzy appearance of most ultrasounds. That limitation, though, has never stopped it from taking on enormous significance. When the technology was first developed, it gave obstetricians an unprecedented ability to survey fetal development, making it one of the most important advances in their field during the latter half of the 20th century.

By the same token, ultrasound has not only been a valuable medical tool but also a powerful storytelling tool. Today, it is often put to use four or more times before a patient’s due date. While the FDA and other authorities advise against ultrasounds that aren’t medically necessary — recommending just two for a low-risk pregnancy — many patients opt for additional, elective ultrasounds for the sake of having keepsake images. Posting those images online has become a popular way to share their news with family and friends. Continue reading

The Clash of Population and Prejudice in Madrigal v. Quilligan

Mural (detail) in Boyle Heights, East L.A. Photo: Mictlan Murals

In August 1973, Guadalupe Acosta was admitted to the county hospital in East Los Angeles. She had been suffering from labor pain for hours, but she would soon endure even more misery in the delivery room. She recounted later how the attending physician worked aggressively to induce labor, pushing down forcefully on her abdomen — even hitting her stomach when he was caught in the swing of her flailing arms. In the end, all the torment she endured culminated in the death of her baby in birth.

Acosta later said she was “very inattentive” in the aftermath of the experience. “People sometimes have to tell me things twice. It’s not that I don’t understand them, it’s that I’m not there.” For Acosta, it was not just the loss of her baby that devastated her but also the loss of her ability to have children in the future. She found out, months later, that the hospital physician had decided to sterilize her. At the time, she had been too traumatized to understand what was happening.


Just as the right to access birth control and abortion should be defended, so should the right to have children.


The University of Southern California – Los Angeles County Medical Center (USC-LAC Medical Center), as it was officially called in the 1970s, was a hospital that many in East L.A. tried to avoid. It was a place they would only visit out of necessity if other hospitals weren’t affordable. For Dr. Bernard Rosenfeld, who worked there as a resident in obstetrics and gynecology, it was not hard to see how his own department reinforced that reputation.

Acosta’s traumatic experience was similar to other cases Rosenfeld witnessed — cases that showed a disturbing pattern of subjecting women, especially Spanish-speaking women, to sterilization without their informed consent. According to Rosenfeld, insistent medical staff would push sterilization on patients “before they go home” — often while they were still in pain or exhausted — so that they wouldn’t “change their mind by the time they come back to clinic.” Patients who had limited understanding of English were often uncertain of what was happening. Shocked by the unethical practices, Rosenfeld secretly copied hundreds of medical records to document what was happening at USC-LAC Medical Center. Continue reading

Credibility Is the First Casualty: Behind the Pro-Gun Blame-Dodging That Targets Planned Parenthood

In the wake of February’s mass shooting at Marjory Stoneman Douglas High School in Parkland, Florida, the debate over gun control reached a fever pitch in the news and on the ground. As CNN reported, in the seven days after the shooting, there were more than a thousand mentions of “gun control” by ABC, CBS, and other major broadcasters. Survivors, student activists, and gun control advocates kept the story front and center by mobilizing across the nation, organizing school walkouts and March For Our Lives events to demand smarter gun control laws and safer classrooms and communities.


To men invested in an old order of male dominance, gun culture and reproductive justice are in direct conflict with each other.


Planned Parenthood was among the many voices calling for an end to gun violence. Just two days after the shooting, Planned Parenthood Action posted a call for reform on their blog, noting that 96 lives are lost to gun violence daily. The post made its position clear: “As a health care provider, Planned Parenthood is committed to the fundamental right of all people to live safe and healthy lives without the fear of violence.”

Numerous Planned Parenthood affiliates were doing the same. On the local front, Planned Parenthood Advocates of Arizona was signal-boosting relevant articles on its Facebook page, including a profile of Emma González, who quickly became one of the most outspoken and recognized survivor activists in Parkland.

For pro-gun conservatives, on the other hand, the Parkland shooting was a call to go on the defensive and double down on their messaging. For a long while, a common tactic has been to deflect criticism by blaming access to abortion for “a culture of death,” as Rep. Kelly Townsend (R-Mesa) put it, or by peddling the notion that Planned Parenthood takes more lives than gun violence. In March, Matt Walsh dredged up that argument on the conservative website The Daily Wire. He dripped with sarcasm, stating he was “impressed [Planned Parenthood] could find time” to join the debate on gun control, “considering they’re also wrapped up in their war against babies and life itself.” To Walsh, Planned Parenthood is not in the business of promoting safe and healthy lives, because he looks past the lives of women. Continue reading

Meet Our Candidates: January Contreras for Arizona Attorney General

The time to fight back — and fight forward — for reproductive justice is fast approaching. The stakes are high in this year’s state election, with candidates for governor, secretary of state, attorney general, and other races on the ballot. The Arizona primary election will be held August 28, 2018, and voters need to be registered by July 30 to cast their ballots. Reproductive health has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who put our health and our rights first. Get to know them now in our series of “Meet Our Candidates” interviews, and make your voice heard in 2018!

Although January Contreras has never run for an elected office prior to now, she has spent her career close to politics and devoted to public service. Her experience has included advising Gov. Janet Napolitano on health policy and serving on President Obama’s White House Council on Women and Girls.

Last year, Contreras announced her bid to become the next Arizona attorney general, a position that serves as the chief legal officer of the state of Arizona. The attorney general represents and provides legal advice to the state and defends Arizona’s people and businesses in cases involving financial, civil rights, and felony criminal violations.


“We are our best when we work to protect the well-being and rights of all of us.”


During Napolitano’s tenure as attorney general, Contreras worked in the office as an assistant attorney general, with a focus on prosecuting criminal fraud cases. More recently, Contreras set her sights on leading the office, because she felt the state was at a “very important crossroads.” As she told the Arizona Republic, “for too long, the special interests have treated the office as their personal law firm.” As attorney general, Contreras wants to serve working families and small businesses and, as she told the Washington office of The Guardian, “fight hard” for “people in vulnerable positions.”

Fighting on behalf of those at risk is a cause that has been close to Contreras’ heart. Contreras has served on the board of the Arizona Coalition to End Sexual and Domestic Violence and was instrumental in establishing the Council on Combating Violence Against Women for Obama’s Department of Homeland Security. More recently, she co-founded a legal aid organization for women and children who are victims of abuse, Arizona Legal Women and Youth Services (ALWAYS). In addition, Contreras has been a lawyer and advocate for youth in the Deferred Action for Childhood Arrivals (DACA) program, which protects undocumented immigrants who arrived as children from facing deportation. Continue reading

Brothers in Arms, Part 4: The Gathering Storm of Patriots and Plainclothes Politicians

This article is our final installment in a series that explores the historical and contemporary links between racial intolerance and opposition to abortion. Previously, this series examined the connections that developed in the 1980s between white supremacists and the anti-abortion movement, which bred a growing extremism and led to the first assassination of an abortion provider in 1993. This installment looks at the threats that developed in the aftermath.

1996 Planned Parenthood publication detailing militia movement links to anti-abortion terrorism

On March 11, 1993, Michael Frederick Griffin approached Dr. David Gunn outside his Pensacola clinic and shot him in the back three times, reportedly shouting, “Don’t kill any more babies!” Griffin, who had been radicalized by former Klansman and anti-abortion crusader John Burt, committed the first assassination of an abortion provider in the U.S. The following year, 1994, saw a record four murders and eight attempted murders by anti-abortion extremists, and more than half of the estimated 1,500 abortion clinics in the U.S. were targets of anti-abortion crimes, such as arson or bombings, in the first seven months of 1994. Although the next two years would see decreases in some types of anti-abortion crimes, clinics have never been free of threats in any of the years since.


Since the 1990s, anti-government groups have stirred racial hatred and anti-abortion extremism on the right.


Just weeks after Dr. Gunn’s assassination, the FBI and the Bureau of Alcohol, Tobacco, Firearms and Explosives ended a 51-day armed standoff at a compound in Waco, Texas, the home of a religious cult known as the Branch Davidians. The standoff began in response to reports that the cult was abusing children and stockpiling illegal weapons. The siege ended on April 19, 1993 — 25 years ago this month — when the cult’s leader, David Koresh, ordered his followers to ignite fires that soon engulfed the compound in flames. By the end of the standoff, 75 people had lost their lives.

The federal government’s actions in Waco had overwhelming public support — 70 percent according to a poll conducted shortly after the siege — but to many right-wing activists, who held a deep distrust of the federal government, Waco was a gross display of heavy-handed government intrusion; tyrannical, military-style policing; and violent intolerance of religious liberty. Waco thus became a rallying cry for a growing, militant movement in the political right. Continue reading

Women Against Forced Breeding

Justice for Jane demonstration. Photo: Karen Thurston

Why are these women, awash in a sea of “pink slips,” all of whom have had abortions, standing on the steps in front of the Department of Housing and Urban Development in late February 2018, demonstrating live on YouTube? Why are they demanding the firing of the director of the Office of Refugee Resettlement, Scott Lloyd, the bureaucrat who forces young women to breed against their will?

Why are we protesting? Because we are not having it! And neither is Sen. Patty Murray, who took to the floor of the Senate to amplify our views, pointing out that, once again, our government has overstepped its authority, ignored the rule of law, and allowed one man’s ideology and/or religion to determine the rules for women in his custody. And neither is the House Pro-Choice Caucus having it, as members lined up soon after the protest to sign a “pink slip” to terminate Lloyd.

House Pro-Choice Caucus members Zoe Lofgren, Diana DeGette, and Jerrold Nadler sign “pink slip” to terminate Scott Lloyd. Photo: @RepJerryNadler

Here is the latest story in the long line of stories about our government’s disrespect for women.

Teenager Jane Doe escaped an abusive Salvadoran family and entered the United States as an undocumented, unaccompanied minor. She was detained in Texas and placed in the custody of the Office of Refugee Resettlement (ORR), which is responsible for sheltering these youth. When she discovered she was pregnant she asked for an abortion. So, imagine Jane, alone in a foreign country, uncertain of her immigration prospects, but holding onto dreams for a better future for herself. Unfortunately for her, the ORR is headed by an ideologue named Scott Lloyd. Continue reading