Tag Archives: maternity care

Meet Our Candidates: Athena Salman for State Representative, LD 26

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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 general election will be held November 6, 2018, and with early voting beginning on October 10. Voters need to be registered by October 9 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!

[L]egislative District 26 is a magnet for people who care about Arizona’s most pressing issues: reproductive justice, immigrants’ rights, LGBTQ equality, and strong public education. Given the deep pool of talent from which this district draws, it has a history of exciting legislators who fight for these values at the Capitol. Athena Salman is no exception. After a successful first term, she is running for reelection in order to continue representing her district, which includes Tempe, Mesa, Phoenix, and the Salt River Pima-Maricopa Indian Community.

“If we don’t remain diligent in protecting our rights, then the discrimination we see now will pale in comparison to what’s down the pipeline.”

When Salman began her first term in 2017, she soon joined women from both parties in accusing Rep. Don Shooter (R-Yuma) of sexual harassment. The story ended in February, when the House voted 56 to 3 to expel Rep. Shooter, an event that marked the first time a state lawmaker was ousted from office in the #MeToo era. Around the same time, Salman was making headlines for spearheading the #LetItFlow campaign, bringing awareness to female prisoners’ lack of adequate access to menstrual hygiene products. In both instances, Salman centered her actions on protecting the dignity of women everywhere in the state.

Thanks to her passionate advocacy for these and other issues during her first two years in office, Planned Parenthood Advocates of Arizona is pleased to endorse Rep. Salman for a second term. She took the time to respond to our questions on September 18, 2018.

Since we last spoke, how has your commitment to serving Arizona grown? What has happened during that time to give you hope, and what has happened to strengthen your convictions?

My entire life, my mother’s entire life, even my grandmother’s entire life, for as long as we can remember, women have been harassed and shamed for exercising our constitutional right to reproductive health care and self-determination.

However, from #MeToo to #TimesUp we are seeing women from all backgrounds uniting and saying “Enough is enough!” With Roe v. Wade hanging in the balance, women are raising our voices in the one place where we are truly equal, the ballot, and making sure we are being heard loud and clear. Need proof? This primary election alone saw women in Maricopa County outnumber men in early voting by 65,000. As several have already stated, the future is female. Continue reading →

Maternal Mortality: A National Embarrassment

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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 →

Bearing the Burden of Injustice: Black Maternal Mortality

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Mother and babyWhen it comes to maternal mortality, American women don’t all live in the same country. While white women live in Qatar, black women live in Mongolia.

Maternal mortality is death related to complications from pregnancy or childbirth. Most of us don’t come from a time or place where the prospect of dying in childbirth is a tangible possibility — in the past century, as medicine has advanced, maternal mortality rates have plummeted.

To raise healthy families, we need access to general and reproductive health care, including preventive care, prenatal care, and maternity care.

The United States, though, hasn’t come as far as would be expected. Although its wealth should have put it on par with other developed nations like Canada, the United Kingdom, Australia, Japan, and those in Scandinavia, women in these countries fare far better than those in the United States. So do women in Libya, Bosnia and Herzogovina, Bulgaria, and Kazakhstan, indicating that national priorities — and not necessarily national wealth — are key to ensuring maternal health.

The United States’ high maternal mortality rate is heartbreaking no matter how you look at it, but is even worse for women of color. African-American women are 3.5 times more likely to die as a result of pregnancy or childbirth than white women. Between 2011 and 2013, the maternal mortality rate for white women was 12.7 deaths per 100,000 live births. Comparing that to 2015 data from the World Health Organization (WHO), that rate puts white women’s maternal mortality on par with mothers in Qatar and Bahrain, two wealthy Persian Gulf nations. African-American women, however, suffered 43.5 deaths per 100,000 live births, putting their maternal mortality on par with those of Turkmenistan, Brazil, and Mongolia. Continue reading →

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

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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 →

Pro-Choice Friday News Rundown

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  • The wingnuts over at the Center for Arizona Policy are almost always behind every single awful anti-choice bill in on our state. This time’s no different. Senate Bill 1367, if passed, would require doctors to take measures to maintain the life of a fetus born “alive” during an abortion procedure. Arizona Republic writer E.J. Montini expounds upon why this legislation is harmful. (AZ Central)
  • The most important opinions on this subject, however? Those of the mothers whose last precious moments with their newborns would have been stolen due to this cruel, useless law. (AZ Central)
  • A bit of good news though — it’s highly unlikely we’d ever see a “bathroom bill” or other extreme/homophobic/transphobic anti-LGBTQ legislation hit Arizona. Let’s focus on the small victories, people. (AZ Central)
  • Speaking of homophobia, South Dakota has passed a bill allowing state adoption agencies to refuse to allow same-sex couples to adopt children. Now, seeing as many who are anti-LGBTQ cling fervently to the “pro-life” title, it’s interesting that they’d rather let orphan children suffer without families than allow them into loving homes, isn’t it? (Slate)
  • In case you missed it — an enormous, smelly wheelbarrow filled with excrement known as the American Health Care Act (aka Trumpcare) was rolled out last week and is a total sh*tshow that will really only benefit the rich and healthy. Everyone else will basically die. (NY Mag)
  • Pregnant women will definitely be among the hordes of “losers” under Trumpcare. Ironic considering the GOP does literally everything possible to force women to remain pregnant, whether they wish to be or not, and then they create atrocious legislation to make it financially impossible to be able to afford to have a child. (Salon)
  • Aside from pregnant women, other parents as well as millions of children would lose their vital health coverage. (Romper)
  • And I’m far from done, ’cause this plan is the gift that keeps on giving. Other losers under Trumpcare? Pumpkin-colored Pinocchio’s very supportive voter base. This is his thanks to you all, thanks for playing and helping “Make America Great Again,” folks! Better luck voting for a president and Legislature who give a damn about you next time! (WaPo)
  • Trumpcare’s provision to defund Planned Parenthood puts our patients in the loser category as well. (Planned Parenthood Action)
  • And defunding us means the number of births in the Medicaid program would increase, as well as direct spending for Medicaid — which would increase by $21 million in 2017 alone. (NPR)
  • Appallingly, some supporters of Trumpcare think the thousands of unintended pregnancies that will result from this asinine bill are a good thing. Forced birthers are elated at the possibility that more babies will be born under potentially horrendous conditions. They will ignore the fact that these babies weren’t wanted and their parents are economically disadvantaged in a country led by a party that has proven itself to be unsympathetic to the plight of the poor. More babies under those circumstances is not a win. It’s a tragedy with the potential to have long-term emotional, mental, and financial consequences for real people — especially children! (WaPo)
  • Illinois Republican John Shimkus idiotically complained about men having to pay for maternity care via their health insurance and it got a lot of women thinking. What if women didn’t have to pay for men’s health care? (Elle)
  • Florida bill HB19 would allow women to sue abortion doctors for “emotional distress” after undergoing the procedure, which is, by the way — elective and voluntary. Here’s why that’s a slippery slope — it is well known that MANY anti-choice activists have “secret” abortions (check out the riveting book, “This Common Secret: My Life As An Abortion Doctor” by Susan Wicklund, for stories about this). How horrendous would it be for them to have the power to ruin doctors’ lives under such a law? They benefit doubly — they terminated an unwanted pregnancy and then get to benefit financially. What.A.Sham. And what other elective, LEGAL medical procedures allow for lawsuits from patients over regrets or emotional distress? ZERO. (Orlando Sentinel)
  • For the billionth time, “community health centers” cannot “fill the gap” in care if Planned Parenthood is defunded. Don’t believe me? Look at Wisconsin and Texas. (Guardian)

Celebrating Motherhood — and Reproductive Freedom

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mother babyTwo months ago, a single mother’s ordeal was grabbing headlines. Shanesha Taylor, homeless and desperate for a job, landed an interview at a Scottsdale insurance office. But the 35-year-old mother of two faced a difficult dilemma when she went to her interview on March 21. She couldn’t find child care, but she also couldn’t afford to cancel.

Short on options, Taylor let her two boys, ages 6 months and 2 years, wait alone in her car for 45 minutes while she tried to secure a source of income for her family. Taylor was subsequently arrested for child abuse for leaving her sons unattended in a hot car. Her children were examined at an area hospital and released as uninjured, but Taylor nevertheless faced two felony counts.

The best gift to mothers would be the ability to choose motherhood without suffering tremendous financial blows.

Taylor endangered her children, but she did it because she faced a tough dilemma — a choice between what was best for them in the short term and what was best for them in the long term. She faced this dilemma in the richest nation in the world — a nation that is nonetheless the worst among rich nations in terms of family-friendly policies. Taylor’s unemployment didn’t help matters, but even for the employed, social programs are lacking. As Stephanie Coontz summarized in her interview with us last year, “We are the only rich, industrial country in the world that doesn’t have subsidized parental leave, limits on the work week, some form of national health insurance, and/or strong investments in child care and preschool.”

Consequently, parenting is an almost insurmountable expense for many. In the last 20 years, the cost of maternity care and delivery has swelled in the United States — in fact, tripling in the case of delivery. Pregnancy, delivery, and newborn care now come to $30,000 on average. Add another $20,000 if the delivery is by C-section. It’s far more than what people in other developed nations pay. Americans pay more than twice what people in Switzerland pay for childbirth, and more than three time what people in Britain pay. Continue reading →