Maternal Mortality: A National Embarrassment

Americans spend more money on childbirth than any other country, but we’re not getting a good return on our investment.

Less than a century ago, approximately one mother died for every 100 live births — an occurrence so common that nearly everyone belonged to a family, or knew of one, that was devastated by such a loss. Fortunately, in most nations, those tragedies have declined over the years. In fact, in the decade between 2003 and 2013, only eight countries saw their maternal mortality rates rise.

Unfortunately, the United States was one of those eight countries, joining a club that also includes Afghanistan and South Sudan. Within the 31 industrialized countries of the Organization for Economic Cooperation and Development, an American woman is more likely to die as a result of pregnancy than a citizen of any other country besides Mexico. Among developed countries, the United States has one of the highest maternal mortality rates — and those rates are only getting worse.

Graph: CDC

U.S. maternal mortality has attracted the attention of organizations whose oversight you wouldn’t expect. Amnesty International, which most Americans associate with the fight against human rights abuses in far-flung authoritarian regimes, considers our high maternal mortality rates to be a violation of human rights. Additionally — and pathetically — one of the biggest sources of funding for maternal health in the United States comes not from taxpayers but from the pharmaceutical company Merck. The Economist quoted a Merck spokesperson as saying, “We expected to be doing all our work in developing countries.” Continue reading

Pro-Choice Friday News Rundown

  • New Jersey’s new governor, Phil Murphy, undid the damage of his awful predecessor by restoring funding to Planned Parenthood. Yay!  (The Hill)

  • Democrats in the U.S. Senate are pressuring Health and Human Services Secretary Alex Azar to reverse a strategy coordinated with a prominent hate group to undermine family-planning access for people with low incomes. (Rewire)
  • The Department of Justice is appealing a California judge’s decision to temporarily block new Trump administration rules allowing more employers to opt out of providing no-cost birth control in their insurance plans. (ABC News)
  • South Carolina is trying to ban ALL abortions by granting legal rights to fertilized eggs from the moment of conception. Literally the worst idea ever. Eggs are not sentient beings. Period. (Salon)
  • Hmm … What to think of those who call themselves “pro-life” but sit quietly and idly by while gun violence steals the lives of innocent bystanders? (WaPo)
  • The abhorrent goons in the Trump administration are quietly helping states defund Planned Parenthood. (Vox)
  • This is unbelievable! Some states — including Michigan, North Carolina, Ohio, Pennsylvania, and Texas — directly divert public funds allocated to feed hungry children to fake women’s health centers. (Rewire)
  • Get a load of this bull: The Trump administration created a new HHS office just to discriminate against people — and they housed it under the Office of Civil Rights. (The Hill)
  • A man crashed a stolen bakery truck into a Planned Parenthood clinic on Valentine’s Day in East Orange, New Jersey, injuring three people, including two staff members and a pregnant woman. Thankfully none of the injuries were life-threatening. (Southern Poverty Law Center)
  • Hey, North Carolina, maybe strapping female inmates to beds during childbirth isn’t the most compassionate protocol? (News & Observer)

Pro-Choice Friday News Rundown

  • I love to start the rundowns off with happy news, and the departure of an anti-choice zealot from office is always a happy occasion!

    When news broke last week that AZ Rep. Trent Franks was resigning from Congress, it sent shock waves through the state of Arizona. To hear that he had reportedly been hounding female members of his staff to serve as pregnancy surrogates for him and his wife was stunning for many reasons:

    1. Ewwwww, this is your boss asking you to have his baby. ACK! NOT NORMAL! AND GROSS!

    2. Surrogacy contracts are illegal in Arizona.

    3. Trent Franks is “pro-life” and surrogacy is almost surely not in line with “pro-life ideals.”

  • All of that aside, we should mark the demise of this horrible man by reminding you all of just how terrible he truly was. The one instance that sticks out most in my mind? When he said that more black babies are “devastated” by abortion than slavery. What a repulsive, malicious, and sickening thing to suggest. That blacks are better off suffering through a lifetime of brutality, torture, and subjugation than never having been born. Adios, Trent, you will NOT BE MISSED, fella! (Rewire)
  • We think this is great news, but for some reason, the teen abortion rate dropping in Colorado by 64 percent isn’t causing jubilation among the anti-choice crowd. Anyone else find that weird? (HuffPo)
  • I don’t know about you, Dear Readers, but yesterday’s plea from that creepy little GOP weasel, Paul Ryan, for Americans to “have more babies” for economic reasons REALLY ticked me off.

    This rich pipsqueak (who whines incessantly about people sometimes needing to draw upon government “entitlements”) sits in total opposition to EVERY policy that would entice people to have more children: universal health care, free or low-cost access to higher education, better funding for public schools, paid family leave, extended social services, a livable minimum wage for all, subsidized childcare, etc. … He and his Republican cohorts are literally opposed to ALL of that which makes having a family less insurmountable.

    It’s hypocritical and callous to try to shame people into having “more babies” when he and his party go to extreme lengths to ensure people have NO financial safety net or governmental aid to rely on when they need it. Let’s hope the rumors of this jerk leaving the Senate in 2018 are true. Maybe he can find it in his icy heart to fund the Children’s Health Insurance Program before he goes. It’s in danger of leaving millions of children without insurance otherwise. I mean, come on. The health of all the babies he wants us to have has to matter to him, right? (Splinter News)
  • There have been a lot of headlines lately about the correlation between birth control pills and cancer. But left out of many of these news stories is the fact that hormonal birth control can also protect against certain cancers. Like everything, have conversations with actual medical professionals to figure out what’s best for you! (NY Times)
  • There may be hope that 45’s attempts to overturn Obamacare’s birth control mandate will fail! (Reuters)
  • As an Ohio native, I must say I’m horrified at how virulently anti-choice the state seems to have become in the 12 years since I left. Currently, a bill is headed to the governor’s desk that would ban abortion in the event a fetus is diagnosed with Down syndrome. Doctors who perform an abortion while aware of the diagnosis would lose their medical licenses in the state and face a fourth-degree felony charge. Is there any chance that maybe the men behind this bill are parents or adoptive parents of children with Down syndrome? I’m guessing no, but it’s nice to know they value the lives of these children. We can only hope that since they are taking families’ choices away, they will somehow provide meaningful support each time one is born rather than adopted. (Scientific American)
  • Remember how all the lying liars in the GOP claimed that they could defund Planned Parenthood and  “community health centers” could easily absorb our clientele and do our work better than us? Welp, the lie detector determined that was a lie. Planned Parenthood will have to start taking on more patients in a suburb near St. Louis because St. Charles County will no longer offer treatment and exams for sexually transmitted diseases through its public health department. And mind you, this is despite increasing STD rates in that county. Unfortunately, the county’s clinic is closing now and re-opening in 2018 with a reorganized clinic model “formulated to reduce expenditures and generate opportunities to increase revenues …” So basically, STD testing and treatment, while a public good, hasn’t been good for their bank account so they’re giving the job to us. Planned Parenthood is here and ready for you STL folks. (STL Today)
  • And lastly, I just want to shout out to my peers and fellow black women in Alabama. They turned OUT in the special election this week and helped Democrat Doug Jones win a seat in the Senate! To quote Cosmo, “White women preferred the accused child molester.” And I have nothing further to add. (Cosmopolitan)

Pro-Choice Friday News Rundown

  • John McCainJohn McCain, Lisa Murkowski, and Susan Collins broke from the degenerate cretins of the GOP and helped DEFEAT the repeal of Obamacare. I can’t believe I’m typing this. (CNN)
  • As we’ve all said umpteen times, the GOP succeeding at defunding Planned Parenthood would have overwhelmed other clinics and left women with few options — which is the opposite of what anyone with a heart should want. (WaPo)
  • An interesting new study of 358 gay male couples showed that HIV-positive men who are on treatment that makes the virus undetectable do not transmit HIV to their partners during condomless anal intercourse. (NBC News)
  • ICYMI: No. 45’s administration is cutting funding for teen pregnancy prevention and 148 members of Congress are demanding answers. I doubt they’ll get them, but appreciate the effort. (Rewire)
  • As a black woman, this broke my heart and seared my soul: The No. 1 cause of death among black women under 35 is intimate partner violence. Men are killing us. Frequently. Brutally. (The Root)
  • Proenza Schouler did a video love note to Planned Parenthood. I dig it. (The Cut)
  • Did you know that since since January, 49 states have introduced almost 600 pieces of legislation to protect and advance access to reproductive health care services?! (Elle)
  • The controversy over the effects of Essure (a permanent method of sterilization for women) continues to rage on. (WaPo)
  • When it comes to trying to undercut women’s access to reproductive heath care, Texas will not S T O P. (Guttmacher)
  • They also passed their unconscionable “bathroom bill.” Ugh. (The Daily Beast)
  • Another state choosing to burden women with more abortion restrictions? Missouri. Like Texas, they’re becoming notorious for this crap. (Jezebel)

Pro-Choice Friday News Rundown

  • The Congressional Budget Office just released its scoring of “Trumpcare.” As anyone with half a wit about them presumed, it’s not favorable. And it’s not a good look for the GOP. Twenty-three million Americans stand to lose their health care coverage over a 10-year period. Others, with chronic illnesses and preexisting conditions, would pay much, much more for health care OR lose it altogether. But hey, at least rich, healthy people would be OK and premiums for some will drop in price simply because the plans cover less. Tell me again how this is a win for the majority of Americans? The health and welfare of MILLIONS of people are being sacrificed so the wealthy can have even MORE of a financial advantage? (WaPo)
  • Also in the headlines re: “Trumpcare Is Astronomically Bad”: “GOP health-care bill could cost women $1,000 more per month for ‘maternity’ insurance coverage — and even more when they have kids.” And again I’ll remind you, this is all being done so rich people can be more rich. Please don’t ever forget that important fact. (CNBC)
  • Not only should the left NOT abandon so-called “identity politics,” women of color should lead the identity politics movement. OUR issues represent the future direction of progressive politics! (Salon)
  • Why does the gender pay gap persist? Motherhood. (NY Times)
  • Planned Parenthood Arizona allowed an Allure Magazine writer to spend three days following staff and patients at our Maryvale clinic in Phoenix serving Title X and Medicaid patients. Women’s stories are so powerful. (Allure)
  • Meanwhile, Iowa has cut Planned Parenthood off from federal Medicaid reimbursements and we are being forced to close four clinics there. So disappointing and disheartening for the people who rely on our care. (Mother Jones)
  • If you thought 45’s administration couldn’t get any crueler, buckle up. The budget he released earlier this week would cut off food for poor people who have too many kids. So let’s put this into perspective. They want to make it harder to prevent pregnancy by eliminating poor people’s access to Planned Parenthood by cutting us off from federal Medicaid dollars. They want to make it impossible to abort a pregnancy a woman does not want or cannot afford. And then if you have the misfortune of being economically disadvantaged but have multiple children, they want to starve them to death. Wow. Could these people BE any more pro-life? (WaPo)
  • The administration is cool with wasting $277 million on abstinence-only education though — despite tons of evidence it’s ineffective! (Bustle)
  • There’s Been a Huge Increase in Campus Sex Assaults. Why?! (The Daily Beast)
  • Danielle Ofri, a physician at Bellevue Hospital in New York, wrote a terrific piece for Slate about the history of our broken health care system and how times and opinions about health care being a basic human right in this country are a’changing. Universal health care, here we come? (Slate)
  • The GOP attacks on Planned Parenthood in Iowa are hitting low-income women especially hard. (Salon)
  • For more than 10 years, women around the world have had access to online abortion. It’s time for the U.S. to catch up. (HuffPo)
  • We’ve said it a million times and we’re going to continue to say it as the evidence mounts: Federally qualified health centers CANNOT step in seamlessly to provide the care Planned Parenthood does. Our absence would harm millions of people for the foreseeable future. To quote the great Beyonce, we are IRREPLACEABLE.  (Guttmacher)
  • Even in a state as “blue” as California, abortion can be hard to come by for many women. (Rewire)
  • 45’s administration has done everything under the sun to wage war against women’s health, our economic livelihoods, and our futures. (WaPo)
  • Let’s end this on a funny note. An anonymous “fetus” wrote a letter to Mick Mulvaney — 45’s penny-pinching budget director who thinks the rich should get to pay obscenely low taxes while “the poors” suffer without medical care and food stamps. Nothing like satire from the unborn! Ha! (Slate XX Factor)

The Handmaid’s Tale: Dystopian Fiction or a Blueprint for the Future?

Photo: Fiona

When Hulu announced Margaret Atwood’s dystopian classic The Handmaid’s Tale was being adapted for a TV series, so many people involved refused to call it a feminist story — even though the entire plot centers on a society that has stripped every right away from women. The book’s female characters are forced to take the name of the man who possesses them, changing it as they are passed between men. Their worth is based solely on their ability to produce children, having been turned into “hosts,” or breeding units for the elite. And if you think that terminology originated in Atwood’s head, you’d be wrong — that term wasn’t from the book or show. It was from Rep. Justin Humphrey of the Oklahoma House of Representatives, just last February.


If they can take away our agency over our bodies, the rest doesn’t matter.


Ms. Atwood has stated that nothing in the book is new. Every degradation, every dehumanization is something that has happened, or is currently happening, to women somewhere in the world. And many people were quick to point to the parallels between the dystopian society painted by Atwood decades ago and the vision of a society idealized by many of our most conservative lawmakers.

Case in point: The Republican Administration recently signed an executive order allowing states to deny funding to Planned Parenthood, which will make it difficult for many low-income women to access contraception — an invaluable tool in asserting control over one’s fertility and destiny. (Vice President Pence should have known better; after all, his home state of Indiana is still fighting one of the worst outbreaks of HIV in decades, which was caused in part by defunding a major provider of HIV testing and treatment.) And attacks on access to contraception are just the tip of the iceberg.

But still, this was not really something I was going to write about, until late last month when I was listening to NPR. They talked to a young woman who stated that if Planned Parenthood would “just stop giving abortions,” then they could keep their funding. Although she liked the health care that Planned Parenthood provided, she wondered, “at what cost?

I am going to tell you the cost of not having access to the services Planned Parenthood provides — including contraception, screening for domestic violence, and, yes, abortion. Continue reading

What’s in a Name: Repealing the Affordable Care Act

Supporters drop off petitions and rally at Rep. Martha McSally’s Tucson office, March 15, 2017

As this post goes to press, word has come that Speaker Paul Ryan has pulled the American Health Care Act, being unable to muster enough votes to pass it. So we have escaped that disaster, and it appears no attempt to repeal the Affordable Care Act will proceed in the near future. But the fight is not over. Aspects of this bill will come up in other forms and we will have to be vigilant. But this is a victory for activism, so many thanks to all of you who made phone calls, demonstrated, told your stories, and reminded the Republicans that destroying something is not the same as governing.

So as you read this, realize what we have escaped, and what we need to watch out for as we proceed.


People were going to die. But the free market would have triumphed.


Republicans called it Obamacare, and used that name as a slur to run against President Obama in 2012. It didn’t win that race for them, but there are enough people in this country for whom the name Obama is enough to damn a program. One woman, whose son lost his job and had his monthly insurance premium fall from $567 to $88, attributes that decrease to the tax credits in Trump and Ryan’s new American Health Care Act. You know, the bill that never passed. In actuality, her son became eligible for a subsidy under Obamacare — the Affordable Care Act — which is still the law.

Paul Ryan and his cronies in the House of Representatives hated the Affordable Care Act before it was written. They hated it even more when it passed and more than that when it was implemented.

What did they hate about it? Continue reading