Tom Price, Secretary Against Health and Human Services?

Protesters at Sen. McCain's Tucson office, December 20, 2016.

Protesters at Sen. McCain’s Tucson office, December 20, 2016.

On December 20, I took part in a demonstration opposing changes to Medicare, Medicaid, and the Affordable Care Act (ACA). We gathered outside Sen. John McCain’s Tucson office and told our health care stories. Almost all of us were women, but our stories included issues like the cost of diabetic testing supplies and insulin, the difficulties with employer-provided health plans that don’t allow specialized testing and care outside of their network, the prohibitive cost of medication for chronic conditions like AIDS, and my story of a CT scan (which I could only afford with government assistance) for something unrelated that found my kidney cancer. We were unable to meet with anyone from the office, but the written stories were given to staff and a later meeting was set up.


Tom Price is among those who could do the most harm to the greatest number of Americans.


I begin with this story because Tom Price, Donald Trump’s nominee for secretary of health and human services, doesn’t think the government has any place in our health care system. He fits very well among Mr. Trump’s choices to head government departments and agencies, a group of people who don’t believe in the work of their respective departments: Jeff Sessions for attorney general, who was denied a federal judgeship because of his racist comments and judicial overreach as Alabama’s attorney general; Scott Pruitt, who has sued the Environmental Protection Agency 13 times because he opposes regulations and doesn’t believe in climate science, to head that agency; Betsy DeVos for secretary of education, who has no background in education and has spent millions of dollars lobbying to get money away from public schools; and Rex Tillerson, who worked all his life for Exxon, which had a large deal with Russia put on hold by sanctions imposed after Russia annexed Crimea, as secretary of state, with the ability to lift those sanctions. And that’s just a sample.

Since 2009, Price, an orthopedic surgeon, has been a member of the American Association of Physicians and Surgeons (AAPS), a group whose members sign a “declaration of independence” renouncing payments from third-party payers, whether government or private insurers. Their journal has published articles opposing taxes on cigarettes, linking abortion and breast cancer, doubting whether HIV causes AIDS, and opposing mandatory vaccinations. They oppose regulating medical practice even as far as hospital peer reviews, and are fiercely for free-market medicine. Continue reading

Meet Our Candidates: Martín Quezada for State Senator, LD 29

The Arizona primary election will be held on August 30, 2016. Reproductive health care access has been under attack, both nationally and statewide, but Planned Parenthood Advocates of Arizona has endorsed candidates who have shown strong commitment to reproductive justice. To acquaint you with our endorsed candidates, we are running a series called “Meet Our Candidates.” In order to vote in the primary election, you must register to vote by August 1 — and can even register online. Make your voice heard in 2016!

Quezada-2015The West Valley is home to the 29th legislative district, where our endorsed candidate for Arizona Senate has deep roots. Martín Quezada is a staunch defender of reproductive rights, the LGBTQ community, and comprehensive sex education. He has consistently earned our endorsement since 2010, when he first ran for a seat in the House. As a state representative and then a senator, he has both talked the talk and walked the walk, including most recently when he introduced SB 1019, which would have dismantled the “No Promo Homo” statute that effectively blocks Arizona teachers from mentioning LGBTQ people in sex education curricula.


“Since being first elected I have earned the respect of my colleagues, my constituency, even my opposition.”


Compare his record to that of his challenger in August’s Democratic primary election. Lydia Hernández, his Democratic opponent, made her opposition to reproductive rights known in 2013 when she signed the Center for Arizona Policy’s statement denouncing Roe v. Wade. The stark contrast between Sen. Quezada and Ms. Hernández highlights the critical importance of registering to vote and participating in every election — including the primaries!

With no Republican challengers, the race for the LD 29 Senate seat will be decided in August, so if you skip the primary election and wait until November’s general election to cast your ballot, it will have been too late to throw your support behind Sen. Quezada. We need him in the Senate to continue to stand strong against the bad bills introduced by the opposition — and to continue introducing legislation that would make Arizona a healthier and safer place to live.

Sen. Quezada generously took the time to answer our questions on July 1, 2016.

Two years ago, you prevailed over Lydia Hernández in a very tight primary race, and she is challenging you again this year. How did you do a better job representing your constituents over these past two years than Ms. Hernández would have, and how will you continue to do so?

To be clear, I have prevailed over Lydia Hernández in each attempt she has made to challenge me. I knocked her off the ballot in 2010 after discovering nomination petition forgeries, I defeated her in the 2012 appointment process to fulfill the LD 13 House vacancy. I defeated her in the 2012 Primary, finishing in first place in the House race, and I defeated her in 2014 as you mentioned above.

Since being first elected I have earned the respect of my colleagues, my constituency, even my opposition in the political world. I have remained true to the values of the people of LD 29 and been a consistent voice for the issues most important to them at the Capitol. Hernández has gone further down a path of being an outsider and an agitator and has grown more and more extreme in her views and has openly and proudly betrayed the values of our constituency by endorsing such extreme politicians as Gov. Doug Ducey and Secretary of State [Michele] Reagan. Continue reading

Telling the Truth About Abortion Politics

Sens. Yee and Barto asked. We answered. It’s Our Turn to share the truth behind abortion politics. We have submitted the following op-ed to the Arizona Republic, but they have not (yet?) published it.

Thank You PP croppedAs a medical professional, I am dismayed at the recent “Our Turn” published in the Arizona Republic titled, “Make doctors tell the truth on abortion drug.” I would like to do just that — tell the truth and correct the record, because the opinion by legislators Barto and Yee was laden with revisionist history, misstatements of legal fact, and most important, non-medical junk science.

Doctors practice up-to-date, evidence-based medicine. I appreciate lawmakers repealing their intrusive foray into the practice of medicine, SB 1324. This law attempted to mandate how doctors dispense abortion medication according to an outdated, 16-year-old protocol contained in the original drug label. SB 1324 was an attempt to re-start a legal case that Arizona was losing. Despite the FDA’s update of the drug label to reflect current medical practice, policymakers and the governor stubbornly insisted on enacting SB 1324. Why, I cannot imagine. The repeal of this legislation was certainly welcome.

Real doctors reject junk science. More disturbing than the FDA label issue is Sens. Yee and Barto’s assertion that “at least 170 healthy babies have been born when medication abortions were reversed.” There is no scientific support for this assertion, just as there is no peer-reviewed medical evidence for the whole notion of “abortion reversal.” A handful of doctors with a moral agenda have attempted to use progesterone to “stop” a medication abortion. However, there is nothing in the literature to justify this practice, save for one report of six informal clinical anecdotes. No significant sample size, no control group, no oversight, no peer review. Regardless, last year these same legislators passed SB 1318, violating physicians’ and patients’ constitutional rights by forcing physicians to inform their patients that it is possible to reverse a medication abortion, which is untrue. Continue reading

STD Awareness: Mycoplasma genitalium

Image of Mycoplasma genitalium adapted from American Society for Microbiology.

“I’m not small, I’m just streamlined!” Image of Mycoplasma genitalium adapted from American Society for Microbiology.

In November and December of last year, headlines touting a “new” STD made an ever-so-minor flurry across the Internet. CNN referred to it as “mycoplasma genitalium, or MG” — Mycoplasma genitalium is the name of the teardrop-shaped bacteria that can cause several diseases in the urinary or reproductive tracts, such as urethritis and pelvic inflammatory disease.

M. genitalium is the smallest living organism known to science, having “devolved” from more complex organisms — but that doesn’t mean it can’t pack a punch! While these bacteria have surely been around for millennia, we only discovered them in the 1980s. Since then, we’ve known that M. genitalium fits the profile of a sexually transmitted pathogen — the only reason it made the news last year was that a team of British researchers published further evidence that this bug is indeed sexually transmitted and capable of causing disease.


Genital mycoplasmas can be cured — but a doctor needs to know what she’s looking for in order to prescribe the correct antibiotic!


An infection with M. genitalium could more generally be called a “genital mycoplasma.” The term “genital mycoplasmas” refers to a category of several different species of sexually transmitted bacteria, most notably Mycoplasma genitalium, but also less common species, such as Mycoplasma hominis, Ureaplasma urealyticum, and Ureaplasma parvum. M. genitalium is considered an “emerging pathogen,” because it is only over the past couple of decades that technology has allowed us to study these bacteria, along with other genital mycoplasmas.

Risk factors for infection include multiple sexual partners and not using condoms during sex. It is thought that most people with an M. genitalium infection don’t have immediate symptoms — 94 percent of infected men and 56 percent of infected women won’t notice anything amiss. That doesn’t mean it can’t do damage. Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 25: Lost Tampons

Welcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl never knew about.

tamponPlanned Parenthood Arizona offers a wide variety of services, and someday we hope to cover every last one of them in this series. But today, I’d like to talk about one of the odder services: helping you with a lost tampon.

OK, so “lost” might be a weird word. I mean, you probably know the general area where that tricky tampon is lurking … But it happens even to the best of us: Sometimes, when you go to retrieve a tampon, you just … can’t find it. Maybe it was forgotten about, and then pushed farther up the vaginal canal by a subsequent tampon, or smooshed against the cervix during intercourse, and now you can’t find the string to remove it.


The presence of a certain strain of bacteria in one’s vagina can increase risk for toxic shock syndrome, especially when absorbent tampons are used.


The vagina can be a hiding place for all kinds of things — not just tampons, but sex toys, the remnants of broken condoms, and other foreign objects. And vaginas aren’t the only cavity with magical, or possibly just embarrassing, powers of concealment. When I worked at a medical journal, I came across ample (and very, very detailed!) documentation of all sorts of things getting “lost” in people’s rectums, urethras, ears, and throats. Believe me, a seasoned health care provider has probably seen it all, so if you can’t for the life of you remove something from your vagina on your own, don’t be afraid to ask Planned Parenthood for help. (You might ask about making an emergency, same-day appointment.)

Tampons aren’t designed to be used in a vagina for more than a few hours, and leaving them in for too long might increase risk for certain infections. For example, you might have heard of toxic shock syndrome (TSS), which is probably the No. 1 condition that comes to people’s minds when they think of tampons being left in for way too long. While it’s true that TSS is associated with tampons, tampons aren’t the only cause — they play just one role in the infection process. Continue reading

STD Awareness: Can I Use Plastic Wrap as a Dental Dam During Oral Sex?

plastic wrapIf you read this blog — or any sexual health website, really — you’ll probably see dental dams getting a lot of props. A dental dam (not to be confused with a female condom) is a square piece of latex that can cover the vaginal opening or the anus. Anyone wishing to avoid the oral transmission of STDs like herpes, gonorrhea, HPV, syphilis, chlamydia, and intestinal parasites, dental-dam advocates say, should use a latex barrier. Most people, however, have probably never even seen a dental dam, and they are not widely used. Perhaps their unpopularity is related to myths about oral sex being safe sex (it’s not!); perhaps it’s due to dental dams being expensive or difficult to find.


Plastic wrap hasn’t been evaluated by the FDA for STD prevention, and no studies have assessed its effectiveness in reducing disease risk during oral sex.


Some safer-sex aficionados have found ways around that, though. They might cut the tips off of condoms and make incisions along the sides, creating little latex rectangles. An even easier and cheaper option lies in plastic wrap, which many people use as a barrier while performing cunnilingus (oral contact with the female genitalia) or rimming (oral contact with the anus). It is inexpensive, easy to find, odorless, and tasteless, and can be purchased without even a hint of embarrassment (unless perhaps your other purchases include duct tape, cucumbers, and clothes pins). And it can be pulled off the roll in sheets as long as your heart desires!

Planned Parenthood endorses the use of plastic wrap for oral sex when dental dams aren’t available. The Centers for Disease Control and Prevention and AIDS.gov both recommend plastic wrap for use during rimming. Health authorities, such as AIDS.gov and the Idaho Department of Health & Welfare, recommend non-microwavable Saran Wrap, because microwave-safe Saran Wrap has tiny pores to let out steam — which might also let viruses and bacteria through. Continue reading

Will St. John’s Wort Affect Birth Control?

st-johns-wortHerbal remedies are very popular around the world. Many people prefer them to pharmaceuticals because they believe herbs can elicit positive results without serious side effects. However, plants produce a wide variety of chemicals at varying concentrations, and might have a number of effects on your body, both good and bad. Furthermore, since herbal supplements are not evaluated by the FDA for safety or effectiveness, consumers often don’t have ready access to evidence about herbal products. We can’t even be sure that they contain the ingredients that are listed on the label!


St. John’s wort might decrease the effectiveness of birth control pills, and might be unsafe during pregnancy.


One popular herb is St. John’s wort, or Hypericum perforatum. While the scientific evidence is mixed at best, many people believe that St. John’s wort can be used as an antidepressant. However, people often treat themselves with herbal supplements without guidance from a medical doctor or pharmacist — and without knowing whether or not these herbs are safe to use with any medications they might be taking.

Over the millennia, plants have evolved all sorts of powerful chemicals, such as toxins, to defend themselves against insects and other predators. For this reason, we can’t assume that plants only contain inert chemicals that won’t affect us or interact with the chemicals in other drugs and supplements we use. St. John’s wort, in fact, contains chemicals that interfere with other medications. It has been banned in France, and other countries require or are considering warning labels on St. John’s wort products so consumers can be aware of possible drug interactions. Continue reading