The Imaginarium of Doctor Delgado: The Make-Believe Medicine Behind SB 1318

pillDr. George Delgado, a gynecologist based in San Diego, is probably not likely to win the Nobel Prize in Medicine any time soon — or ever. Delgado’s dubious medical claims have been one of the driving forces behind a piece of legislation, Arizona Senate Bill 1318, that pushes what physician and state Rep. Randall Friese calls “fringe medicine.”

Delgado runs a website called Abortion Pill Reversal, offering 24-hour medical advice to women who have taken the abortion drug mifepristone and regret their decision. “There is an effective process for reversing the abortion pill, called ABORTION PILL REVERSAL, so call today!” the website cheers. Most people have probably never heard that a medication abortion — that is, an abortion performed by administering two pills — can be reversed. If this medical breakthrough sounds new, it’s because it doesn’t exist — at least not within any kind of evidence-based, established medical practice.


So-called abortion reversal is untested for safety or effectiveness.


Unsafe abortions have always been the consequence of the anti-abortion movement. Now unsafe abortion reversals can likely be added to that, thanks to the procedure Delgado has performed and promoted — in spite of scant evidence of its safety and effectiveness. In the two-step process of a medication abortion, a provider first administers a dose of mifepristone and then follows it with a dose of misoprostol. Delgado claims he can intervene in a medication abortion so that the patient’s pregnancy can continue. If patients change their minds after the first step, Delgado claims, they can counteract the initial drug with a dose of progesterone.

For published medical literature, Delgado can claim a 2012 article he co-wrote in the Annals of Pharmacotherapy. The article describes six abortion reversal patients, four of whom, he claims, remained pregnant. Though published in a legitimate medical journal, Delgado’s findings were from a small sample of patients, none of whom were compared in a controlled study to patients who did not undergo the progesterone treatment. Moreover, not everything that’s published in medical journals is well received by the medical community. Dr. David A. Grimes, a physician formerly with the Centers for Disease Control and Prevention, calls the article “an incompletely documented collection of anecdotes.” Continue reading

Abortion: Don’t Ask, Don’t Tell

Gloria Steinem. Photo: Tara Todras-Whitehill

Gloria Steinem. Photo: Tara Todras-Whitehill

Anyone who has followed the dramatic reversal of public opinion about same-sex marriage in particular and LGBTQ issues in general knows that a big part of that shift has been due to people coming out of the closet. Whadayaknow — these folks, nearly 2 percent of the U.S. population, were our sons, our daughters, our co-workers, our friends and acquaintances, often people we already loved, liked, or respected. It became a lot harder to hold on to old prejudices, didn’t it?

But coming out was not an option for those serving in the military. “Don’t ask, don’t tell” was the U.S. military’s 1994 policy compromise to allow gays and lesbians to serve, so long as they stayed in the closet. When repealed in 2011, what adverse effects did our armed forces experience? A study one year later showed that military life went on as usual, national security was not compromised, and a new understanding and acceptance among soldiers and sailors ensued. The media became blissfully disinterested in the non-story.


When it comes to abortion, we’re not asking, and we’re not telling.


Noodling on this “familiarity breeds understanding” idea, I began thinking that the same might be true if those of us who have had abortions came out of the closet, too. Turns out, this idea is not my own brilliant insight, but has been around for years and is gaining traction: In 2005, Jennifer Baumgardner produced a film; in 2011, Congresswoman Jackie Speier told her story on the floor of the House of Representatives; the “1 in 3” website has published hundreds of personal abortion stories since 2011; Texas state Sen. Wendy Davis revealed her previous abortions in her 2014 autobiography; #ShoutYourAbortion appeared on Twitter in September 2015.

Mostly, though, we still live in the de facto “don’t ask, don’t tell” abortion world — yes, we know abortion happens for some women out there somewhere, but we avoid divulging the details of this reality of human reproductive life. Is abortion really too unpleasant or unfortunate or shameful or embarrassing to speak of in public? If 1 in 3 women (33 percent!) has had or will have an abortion, consider how many of your lifetime circle of female acquaintances would have had an abortion. Let’s do the math: Continue reading

Pro-Choice Friday News Rundown

  • ribbonsThe imbeciles in the state of Kentucky are trying to say that a ban on gay marriage isn’t discriminatory because it bars both gay and straight people from same-sex unions. To me, this is akin to saying you’re going to ban breastfeeding in public places, but you’re going to ban both men and women from breastfeeding, and thus, it’s not discrimination against women! See, magical thinking! No logic necessary!! (ABC News)
  • Arizona Republicans are such big fans of lying that they’ve passed a law that requires doctors to lie to women about abortions being reversible. (The Guardian)
  • Tampons may one day help detect endometrial cancer. (Smithsonian Mag)
  • Why settle for No. 3 when you can strive for No. 1? Apparently, Texas isn’t satisfied having *only* the third highest HIV infection rate in the country, so they’ve cut funding for HIV screenings in favor of abstinence education. Makes all the sense in the world, doesn’t it? #CompassionateConservatism (RH Reality Check)
  • Looks like the fate of Texas will soon be very similar to that of Scott County, Indiana. Planned Parenthood was the county’s sole provider of HIV testing, but the state cut funding and several clinics were forced to close. They’re now suffering an HIV outbreak that its governor has called “an epidemic.” (HuffPo)
  • Speaking of Indiana, their ”religious freedom” bill caused a huge ruckus this week. But instead of just repealing the stupid thing, they’ve “revised it” to ban businesses from denying services to people on the basis of sexual orientation and gender identity. (IndyStar)
  • Wow, so Indiana just keeps on delivering the worst of the worst, don’t they? Purvi Patel has been sentenced to 20 years in prison for feticide and “neglect of a dependent” for having a miscarriage that may have been caused by an abortion pill. She’s not the first woman to face such charges, and these predatory, intrusive laws pretty much guarantee she won’t be the last. (MSNBC)
  • We often hear about what miscarriages cost women emotionally, but what about the financial cost? It’s pretty steep. One woman’s miscarriage cost her tens of thousands of dollars in medical bills. (Slate)
  • Maryland has opened an abortion clinic that’s being compared to a “spa.” Naturally, women being able to receive kindness and comfort while undergoing a completely legal medical procedure has some people outraged. (WaPo)
  • The Navajo Nation is being referred to as a “condom desert.” (Al Jazeera America)
  • Hard to express how heartbreaking a read this last piece is — women in abusive relationships suffer in ways many people just can’t fully grasp. They are more likely to contract HIV and less likely to use birth control. And when they do use birth control, it often has to be done via “secret” methods. (Jezebel)

Out of Limbo: An Interview With Kent Burbank

Kent Burbank and family scaled

Kent Burbank (left) and his family

Marriage equality for same-sex couples has come about partly through court decisions finding against states that have passed laws or constitutional amendments defining marriage as between one man and one woman.

In Arizona, the case was Majors v. Jeanes (formerly Majors v. Horne), which included seven couples and two widowed members of couples. One of the couples in the case was Kent Burbank and Vicente Talanquer, who had adopted two sons. Since Arizona did not allow two “unrelated” individuals to adopt jointly, only one of the fathers — Vicente — had been able to legally adopt. And when the couple was legally married in Iowa, that marriage was not recognized in Arizona, meaning that Kent still could not be a legal father to his sons. Only after the decision in Majors v. Jeanes on October 17, 2014, was he finally able to adopt his sons. His family is one of the first in Arizona in which both parents in a same-sex couple were legally able to adopt their children jointly.


“Vicente became the legal father. I had to, essentially, be nothing.”


Kent Burbank, who was once on the board of directors of Planned Parenthood Advocates of Arizona, agreed to share his experiences with the adoption process, the lawsuit, and his marriage. I was very interested in interviewing him: I am also an adoptive parent, and since I adopted as a single mom, mine was also viewed as a non-traditional adoption. As we talked, I found we had experiences in common, but that some of what we faced was quite different.

Our meeting took place at the library in downtown Tucson, on January 5, 2015.

Arizona only allowed husband and wife to adopt jointly. Is that why you got involved with the lawsuit?

Our primary purpose for joining the lawsuit, speaking just for my husband and I, was about getting the ability to have both of us recognized as legal parents. When we went through the adoption process we had to do everything that a married, heterosexual couple would have had to have done — background checks, lengthy histories on both of us, statements about why we both want to adopt — and at the very end they said, “Oh, so sorry. Arizona doesn’t allow unmarried, gay couples to adopt.” Continue reading

Toward Improved Care for LGBTQ Patients: New Guidelines Shine Spotlight on Addressing Health Disparities

doctorsOn January 5, Florida became the 36th state in the nation to legalize same-sex marriage, joining a movement that is sweeping across the United States. With federal judges striking down same-sex marriage bans left and right, it seems inevitable that we will soon live in a country that recognizes the freedom to marry. Yet, although more Americans than ever support marriage equality, the fight for the full inclusion of lesbian, gay, bisexual, and transgender individuals in our society is not over, as they continue to face significant barriers to quality medical services.


Full equality includes access to high-quality medical care, regardless of sexual orientation or gender identity.


The obstacles that have historically prevented LGBTQ patients from obtaining medical care continue to plague our modern health care system. Sure, the American Psychiatric Association no longer considers homosexuality a mental illness. But a concerning number of health care providers still refuse to serve LGBTQ individuals, and until the passage of the Affordable Care Act, insurance companies were not required to extend domestic partner benefits to same-sex couples. Moreover, the stigma that surrounds homosexuality prevents many patients from disclosing their sexual orientation to doctors. Because the LGBTQ community faces higher rates of certain conditions, including depression and substance abuse, failing to discuss sexual activity can lead to inadequate treatment.

One of the U.S. health care system’s most serious shortcomings is its failure to prepare doctors to work with LGBTQ patients. Young doctors are emerging from medical school ill-equipped to deal with the specific needs of the LGBTQ community. A 2006 study published in Family Medicine surveyed 248 medical students, finding that the vast majority of students held positive attitudes toward LGBTQ patients and hoped to provide them top-tier care. Unfortunately, the same group of students failed spectacularly when tested on LGBTQ-specific health concerns. Another study revealed that most medical schools throughout the United States and Canada devote minimal (if any) instructional time to LGBTQ issues, and that the quality of such instruction varies drastically across institutions. And significantly, many doctors report that they feel uncomfortable discussing sexual behavior with LGBTQ patients. Continue reading

10 Things Every Voter Should Know About Catherine Miranda

Catherine Miranda croppedOn August 26, Catherine Miranda won her primary election in the 27th legislative district. In November, she faces a Republican challenger, but is expected to be handily elected to represent her solidly Democratic district in the state Senate.

A lot of us might assume that a female Democrat will be a fierce advocate for reproductive rights, but that’s not always a safe assumption. It certainly isn’t the case with Catherine Miranda, who not only won’t advocate to make abortion access a reality in Arizona, but will actively fight against it. She has been doing just that since 2011, when she first started representing her district in the House of Representatives. Next year, as a state senator, Catherine Miranda’s votes will carry even more weight.

So, without further ado, here are 10 things that every voter should know about Catherine Miranda.

1 Catherine Miranda, who has been running as a Democrat throughout her career, has endorsed Republican Michele Reagan for secretary of state, shunning Democrat Terry Goddard and his proven record as an advocate for reproductive justice and LGBTQ rights. In the 1980s, as the mayor of Phoenix, Terry Goddard helped keep Planned Parenthood patients safe from disruptive protesters, whereas just this year Michele Reagan voted in favor of HB 2284, which was designed to harass patients at clinics that provide abortions.

2 In an even more baffling move, Catherine Miranda has endorsed Doug Ducey for governor. Ducey is an odd choice, given that he is opposed to marriage equality and is expected to sign a bill similar to SB 1062 into law if it comes across his desk. He opposes abortion unless the mother’s life is at stake, and is advised by the far-right Center for Arizona Policy. Why does Catherine Miranda support Doug Ducey’s candidacy?

3 Speaking of the Center for Arizona Policy, Catherine Miranda signed their “pro-life pledge,” which denounces Roe v. Wade as unconstitutional and demands full “personhood” rights for fetuses at any stage of development. Continue reading

Meet Our Candidates: Fred DuVal for Governor of Arizona

The Arizona general election will be held on November 4, 2014, and early ballots need to go out in today’s mail! 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.” Make your voice heard in 2014!

Fred DuVal scaledIn recent years, many Arizonans have been rightly concerned by members of the Legislature passing bills that are overtly partisan, regressive, and extreme. As part of the executive branch of the government, one of the governor’s roles and responsibilities is to act as a check-and-balance on the Legislature: The governor can veto bills that are harmful. A governor who is consistently on the side of sexual and reproductive health care access could, at the very least, make it much more difficult for members of the Legislature to continue attacking women, the LGBTQ community, and organizations like Planned Parenthood.

Fred DuVal will be that governor. In addition to making education a fundamental platform in his campaign, Mr. DuVal has consistently placed himself in support of equal rights and meaningful health care access.

All of this is of vital importance, but none of it gets at the real reason I’m voting for Fred DuVal on November 4. During the course of this election, I’ve had the opportunity to speak with or meet a number of candidates, including the opportunity to meet Mr. DuVal twice through some campaign volunteer events organized by the Arizona Education Association. What struck me most about him was his willingness to listen — not just stop talking, but really step back and listen — to questions voters were asking or experiences they were sharing.

Put all of that together, and I know he’s the kind of person I want representing me.

Fred DuVal was kind enough to take some time out of his busy schedule to answer a few of our questions earlier this month.


“Extremism has dominated Arizona’s political landscape for far too long.”


Tell us a little about your background.

I grew up in Tucson, Arizona. After graduating from Occidental College, I returned to Arizona, where I earned my law degree from Arizona State University. I went on to serve in Bruce Babbit’s office, helping craft our Medicaid system and bringing the highest levels of education funding in state history. I have dedicated my life to making my state a better place to live and raise a family. I intend to continue that as Arizona’s next governor. My wife Jennifer and I live in Phoenix with our 4-year-old son. Our older son, Will, attends college and is an ROTC cadet.

Outgoing Gov. Jan Brewer had a major accomplishment when she pushed through Medicaid expansion, despite opposition from within her own party. What will you do to build upon that success and ensure that every Arizonan has access to quality health care?

I applaud Gov. Brewer’s decision to continue to fund Medicaid. Arizona’s AHCCCS system has been praised as one of the best in the country, and as governor I would keep it that way. I fully intend on keeping Medicaid expansion; ensuring all Arizonans have access to high-quality, affordable health care is one of the main goals of my administration. Continue reading