As a young woman, I was always pretty secure in my pro-choice and feminist values. But before becoming involved in the DC Abortion Fund as a case manager, the debate over abortion rights felt a bit abstract—despite the fact that 1 in 4 women get an abortion in her lifetime.

State legislatures are racing to make it harder to access our constitutional right to abortion, and women continue to bear the brunt of the financial and emotional aspects of abortion. I’ve found abortion is still an uncomfortable discussion topic—even with those closest to us.

Because it’s an uncomfortable discussion to bridge with friends and loved ones, DCAF case managers can really be lifelines. Some women who call in haven’t told anyone else, or very few people. There’s such a persistent sense of shame—you can’t talk about socially it in the way you talk about other procedures like getting your tonsils taken out or a root canal. Instead, it can be an incredibly scary and hard topic to broach.

What I like about being a case manager is that I’m helping with the logistics. Women come to DCAF after making the decision to get an abortion, for a wide variety of reasons. We don’t ask about that. We aren’t here to be emotional counsel. We are tasked with putting together the puzzle pieces of funding. We’re there to talk through it with patients, and to assure them we can help find a way to pay for it. We’re in it together—we’re with them.

That said, you can’t truly separate the financial case manager work from emotions. It’s really compassionate work. And it’s not always easy. While we’re super lucky to have amazing donors to so many different abortion funds, including DCAF, navigating everything is often exhausting for patients and is an added stress. Sometimes patients are sick and tired of making calls to different organizations, to the clinic—and receiving calls back when they’re at work, at a restaurant, or with family. I understand how hard it would be to keep fielding calls about your abortion and to be constantly reminded of it and the barriers involved.

Before case managing, I didn’t know that it could cost between a few hundred dollars (first trimester) to upwards of $10,000 (third trimester). Some women have to trek across their state, or across state lines to have the procedure. We want to be sure that all women can pay for their abortion.

Why I DCAF comes down to two things:

  1. Abortion is health care. Everyone has a right to health care, and when someone needs a procedure, we should do everything we can to make sure they can get it.
  2. As a case manager, we can help navigate the logistics so that our patients aren’t set back too far financially from an unexpected pregnancy—something that is no one’s fault. DCAF and other funds continue to change lives because they make sure no one is punished financially or emotionally. If getting the procedure comes down to a difference of fifty, a few hundred, a few thousand dollars, the very least I can do is help solve the puzzle.

By volunteer Annie W.