choice

Being, Human, Being

Despite the abstract pseudonym, Guest of Feminist Mormon Housewives is not an abstract symbol.


Earlier this year I had my first child. He was born at 28 weeks because my life was in danger. It turned out that I had HELLP syndrome, which is basically preeclampsia turned up to 11. My blood pressure was 186/110, my organs were failing, my red blood cells were disintegrating, and my platelet count was dropping making it so that my blood wouldn’t clot. If I could manage to function with my organs failing, and if I could have avoided having a stroke or heart attack, I would have bled to death in childbirth.

After three months in the hospital, my son is fine. He’s a miracle and I would do it all over again. In fact, if I can manage to get pregnant again, I will do it again. But I will do it understanding exactly what the risks are. The odds are that I may have to lose a baby late in a pregnancy. My son was able to gestate as long as he did because, looking back, I was ignoring a lot of symptoms and I got lucky. Now that I know what I’m facing, I won’t be ignoring anything, and that may mean that I would have to terminate a pregnancy.

Please reserve your judgements here. For the sake of expediency I am skimming over all the prayers and tears and blessings and agonizing over our family planning. Please don’t think I take any of this lightly or that I still don’t sit up nights wondering what the best course of action is, and please, for the love of all that is holy, don’t anyone say, “Why don’t you just adopt?” We’ve been trying to get our family for eight years. We’re well aware of what the options are. It’s not guaranteed that I would develop this condition again, and if I did develop this condition again, that does not mean automatic abortion. However, there is a possibilty.

And as someone who needs to be able to rely on abortion existing for the sake of my very life, I cannot describe the venomous rage that overcame me when I saw McCain use those air quotes. The condescension and contempt it showed for me…the obliviousness to women’s health issues….even now it makes me sputter with incoherence.

She said this and more here.

You can unpack her story all day long for nuggets for this side, gotchas for that, for insights into wisdom, for awe and fear and admiration for such determination. In those short paragraphs there’s room for everything… except any doubt that we… any of us… can be fully-vested, grown human beings when denied our capacity to exercise choice.


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Old News, Pleasant Surprise About the Prevention-First Act

While researching an article for RHRealityCheck Amanda Marcotte of Pandagon discovered she’d bought the same primary-season fallacies I’d bought. A bit of water under the bridge perhaps (so I’ve obscured some names in the excerpt) but


I also bought the [primary-season —fl] narrative that while Obama is spotlessly pro-choice in every way, he doesn’t consider the issue a priority.  What I found was that’s not true at all.  Obama doesn’t just sign off on pro-choice legislation, but he actively introduces it.  He’s introduced the Prevention Through Affordable Access Act, and was a co-sponsor of the Prevention First Act, which reads like a wish list of pro-choice policy items.

She said it here.

No matter what happens with the elections, no matter what happens with Roe and the Supreme Court and the antics in various throwback states (one hopes the answer is “Roe gets strengthened not hollowed out), and no matter that William Saletan sees it as a reaction to 90-era fear of conservatism, I love that Prevention-First Act philosophy of preventing unplanned, unwanted pregnancy in the first place. I knew Senators Clinton and Reid were cosponsors and big supporters, I didn’t know Obama helped introduce it. Good for him.

Update: Make that a possible unpleasant surprise. According to Ann Bartow, yeeks! Prevention First may become very necessary if the five-vote anti-choice majority in the Supreme Court no longer feels constrained to prop up Bush/McCain administration.

Note: I began anticipating something like this, and the need for something like Prevention First, back in 1996.


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More Signs of Party Realignment

Emily Douglas of RHRealityCheck.org passes along word that

Republican Majority for Choice today announced that it will not issue an endorsement in this election. The organization of pro-choice Republicans cites an “outpouring of concern from members” opposed to the endorsement of candidates John McCain and Sarah Palin as the reason for its announcement.

Read the quote in context here.

Good for them! It must not have been easy for them — the Log Cabin Republicans have stayed on board despite their party’s intense and calculated homophobia — but sometimes principle has to trump partisanship and I want to acknowledge them for that.


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Last Chance to Comment On the Egregious HHS Contraception-is-Abortion "Conscience" Clause

Heather Corinna of the sex-ed site Scarleteen, and others, remind us that

September 25th is the last day to submit public comment on the proposed HHS regulations which are not only superfluous, but more importantly, would further limit access to reproductive healthcare (and other healthcare) services in the U.S., particularly for those who already have the greatest limitations to care, like teens.

It’s so important to have public comment on this, so if you have not done so yet, take a few minutes tonight and be sure to get something in.

    • *

I am writing to urge you to stop efforts to block women’s access to basic reproductive health services.

I understand that the proposed regulations that the Department of Health and Human Services released on August 21, 2008 expand existing law to allow more health care providers and institutions to refuse to provide needed care.

As written, the regulations could allow institutions and individuals — based on religious beliefs — to deny women access to birth control and permit individuals to refuse to provide information and counseling about basic heath care services. Moreover, they expand existing laws by permitting a wider range of health care professionals to refuse to provide even referrals for abortion services.

For those of us working in healthcare, the onus is on us to choose a clinic or an area of practice where we know we want to provide the healthcare services offered to clients, and which we feel is in alignment with our personal values or religious beliefs. It should not be on those seeking needed health services. It is our responsibility — and we have the greater agency as as workers — to seek out the work we want, and leave the work we do not want, or do not feel we can live with, to those who are supportive and can honor any given job description. It is also our responsibility to take a job earnestly, not disingenuously. In healthcare, we have an extra responsibility, which is to put our clients needs and their physical health — not our ideas about their spiritual health — ahead of our own, and to care for them in the way which is best for them, objectively, rather than in the ways we feel would be best for us, or feel our religion would mandate.

Read the rest of her article here. Seriously!

It’s a pretty big deal and your comments (pro or, I guess, con) can make a big difference. The reproductive-health website passes along a link to an online comments form at Physicans for Reproductive Choice and Health. You can write your own comments or just use the template letter they provide. I’ve added mine, please consider adding yours.

Thank you!

figleaf


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First they came for my belt, then they came for my suspenders

I’ve mentioned earlier my belief that Bush has won and the Supreme Court will gut Roe v. Wade. Now “to gut” is a more subtle term than “to reverse” although it means the same thing in principle.

Here’s the latest on how they’re likely to gut it from Scott Lemieux of The American Prospect Online Edition.

While one woman forced to endure a greater risk to her health for an utterly silly law is too many, one might reasonably ask — given that the case will not be used to overturn Roe — how much it actually matters whether Stenberg is affirmed. Here’s the answer: Any of the legal rationales for upholding the law contain doctrinal time bombs that could seriously undermine reproductive rights in future cases.

If the Court overturns the health exemption, this will deal a body blow to Casey, giving states hostile to abortion much more leeway to legally harass doctors and patients in ways likely to have a chilling effect on abortion providers. (Remember that D&X abortions are not limited to post-viability abortions.) If the Court gives a free pass to legislatures that make bogus medical claims to evade the health exemption requirement, as the drafters of Federal Partial-Birth Abortion Act did, this will have the same effect with an extra layer of dishonesty added on top. (It will also send a signal to legislatures that the Court will not scrutinize the motives and consequences of abortion regulations with any seriousness, further diluting the “undue burden” restriction.) If, alternatively, the Court upholds the law pending “as applied” challenges, this will make challenges to abortion laws much more difficult and expensive, exacerbating the class inequities already present in abortion access.

And irrespective of the precise rationale the Court ends up citing, the larger problem is that, because the distinction between D&X abortions and any other procedure is wholly arbitrary, legislatures can invent further distinctions and continue to tie the hands of abortion doctors. As Eve Gartner, the lawyer representing Planned Parenthood, put it during the oral argument, “to allow such an expansion of pre-viability abortions that can be banned would set the stage for continued legislative efforts to ban other iterations of the classic D&E method of abortion, until truly there would be nothing left at all of Casey’s holding that it is unconstitutional to ban second-trimester abortions.”

Read the quote in context here.

Having been passionately pro-choice since roughly 1970 this is a bitterly disappointing prospect that the 110th, nor the 111th Congress’s will be unable to mitigate directly no matter how large the True Blue majority. (That die was cast in 2000.) The composition of the court can’t begin to change back in favor of our right to choose until Inauguration Day in January, 2009 at the very earliest!

Now, some influential Texans may believe that gender equality is impossible so long as humanity exists as a species. I believe that unplanned, unwanted pregnancy is an extraordinary obstacle to gender equality on a somewhat shorter timescale. And if the radical/authoritarian minority is in a position to steal our access to contingencies in the face of contraceptive failure (or failure to use contraceptives) then…

... well, then contraception is going to have to get a lot safer, more reliable, more accessible, more affordable, and more easily used correctly.

A couple of myths I’d like to tackle early on:

1) Upholding Casey merely kicks the question back to the individual states. It doesn’t. Instead it creates enough malicious medical malpractice vulnerabilities and other roadblocks that few insurers will want to cover it, few doctors will be willing to perform it, few med schools will be comfortable teaching it, and, therefore, even in states where abortion remains legal few women will have easy access to abortion services. Casey is a big, fat, hairy deal and it’s a case, and thus a right, that Americans are almost certainly going to lose.

2) Don’t bother developing male contraceptives because men aren’t interested. Plenty of us — possibly most — are. It’s just that right now our only meaningful alternatives are (in descending order of reported reliability) vasectomy, condoms, and abstinence. Give us something else between surgery and a barrier method invented in the 16th-Century and chances are we’ll jump on it.

3) No method of contraception is 100% effective, and people won’t always use them correctly, and some people won’t be able to get access to it, so why bother trying at all? Because gender inequality is at the heart of extraordinary, life-shortening, possibility-limiting misery for men, women, and children; because reproductive self-determination is a cornerstone of gender equality; and because we’re at extreme risk of losing the reliable fallback that’s allowed us to lump along with the shitty nostrums and contraptions we like to call modern contraceptive technology.

4) Contraception isn’t a big deal because most abortions are needed for people who can’t or don’t use contraception. Not at all true. Instead 90% of abortions are necessary because contraception failed.


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