What We’re Following: Threat to Last Abortion Clinic in Kentucky

Kentucky could be the first state in the nation without a single abortion clinic, depending on the outcome of a recent federal court case. The Louisville abortion clinic EMW Women’s Surgical Clinic is the only open clinic in the state and closure would severely limit safe, legal and high-quality reproductive healthcare for women.

EMW, joined by Planned Parenthood of Indiana and Kentucky, filed suit in 2016 after receiving notice that the clinic’s abortion license was to be revoked. The state cited deficiencies in transfer agreements from the clinic to local hospitals even though it was originally approved. A federal judge issued a temporary restraining order so that the case would remain open until a judge ruled on it. The groups are asking U.S. District Judge Greg Stivers to overturn regulations that they argue are medically unnecessary and create an unconstitutional barrier to abortion. The three-day trial concluded on September 8, but a ruling could take months.

Back in January this year, the Kentucky state legislature passed two new laws limiting abortion access: one making it illegal for women to get abortions at or after 20 weeks of pregnancy and the other requiring women to obtain and view an ultrasound before having an abortion.

Lawyers from the American Civil Liberties Union and Planned Parenthood, who are representing the clinic, argued that the state’s regulations “impose an undue burden” on a woman’s constitutional right to an abortion. These regulations are cited by the Kentucky government as the reason for revoking the clinic’s abortion license.

According to the Courier-Journal, during the trial a state health regulator blamed hospitals, saying they failed to provide sufficient agreements with EMW. EMW and Planned Parenthood alleged that the state pressured or intimidated hospital officials into declining to enter into these agreements.

What reproductive rights stories are you reading? Share with us on Twitter at @DCAbortionFund.

by volunteer Amy M.

You are not alone. We support you.

“The Trump administration’s decision to end Deferred Action for Childhood Arrivals (DACA) leaves 800,000 DREAMers and immigrant youth who call the US home at risk of deportation. For many of them, the US is the only home they’ve ever known. Without DACA, they don’t know what their futures hold or if they will be able to stay in this country. The DACA program provided peace of mind and a voice, including things that many of us take for granted, such as the ability to pursue higher education and hold a driver’s license.

“Rescinding DACA is yet another act of white supremacy. It is rooted in racism. The same systems that pardon people like Joe Arpaio and orchestrate mass deportations are the ones that are putting our ability to access health care at risk. We all deserve protection, health, and freedom no matter our immigration status.

“We at DCAF believe that borders shouldn’t get in the way of people’s health, education, livelihood, or family. We condemn the administration’s actions and are holding our community close during this time.

“Our community is stronger when we stand together. We will continue to serve our patients, regardless of immigration status. To our patients, volunteers, and community members who are impacted by this uncertainty: You are not alone. We support you.

“We encourage everyone to visit weareheretostay.org for resources and opportunities to take action now.”

by DC Abortion Fund Board of Directors

Anti-Choicers Won’t Stop Us.

We got some hard news this week.

Two abortion clinics in Maryland — Prince George’s Reproductive Health Services and Germantown Reproductive Health Services — will be closing because the property owners decided to sell the facilities.

Dr. LeRoy Carhart, one of the few abortion providers in the country who provides later abortions, has worked at the Germantown clinic since 2010 and has faced opposition from anti-choice protesters demanding that the clinic close. His clinic was the only place on the East Coast where patients seeking later abortion (after 26 weeks of pregnancy) could access care. The next closest clinics that serve these later cases are in Boulder, Colorado, and Albuquerque, New Mexico.

Appointments are already being cancelled. And the cost of an abortion — and the difficulty of traveling the distance to access one — is rising for patients.

Dr. Carhart said he is determined to open his own practice to continue providing care to patients who need it. But in the meantime, the old clinic is under contract to be purchased by an anti-choice group that worked for many years to shut it down.

Painful, to say the least. But anti-choicers won’t stop us.

Last week, we hosted our annual Taco or Beer Challenge fundraiser and raised over $4,000 to help patients access the abortion care they need. And when protesters showed up, our passionate supporters drowned them out and restaurant patrons unrelated to our happy hour donated to show their solidarity with us.

It’s time for us to continue to be loud and proud for abortion access. Chip in what you can today to show that we won’t be stopped. We will continue to help patients access the care they need.

Farewell From Our President

To the DC Abortion Fund Community:

After one and half amazing years serving as the President of the DCAF, I will be stepping down from my role at the end of August. Serving DCAF has truly been one of the most rewarding experiences to me both professionally and personally.

I’m in constant awe of the endless dedication and passion of our volunteers, case managers and donors, the tireless work of the brilliant Board of Directors, and the strength and conviction of our patients. It is because of you all that I am able to move in a different direction knowing that this board and this community will continue to fight, continue to win, and continue to provide abortion unapologetically.

As we move forward through challenging and difficult times in this country, I hope that the DC Abortion Fund continues to affirm that we’re in solidarity with our volunteers, donors, and patients of color, challenges the intricate and intersectional systems that keep our patients from accessing the care that they need, and centers the patients’ lived experiences in our work with the community.

I will always remain an avid supporter (and donor) of the DC Abortion Fund. I hope you’ll join me in celebrating the successes of the board and the years ahead by coming to our Taco or Beer Challenge events on August 21 at 6 p.m. at El Camino (Bloomingdale) and on August 25 at 6 p.m. at Mission (Dupont).  

by Kersha Deibel

Taco + Beer + DCAF = Perfection.

Do you love tacos, or beer, or both? Same! You should join us for the fourth annual Taco or Beer Challenge!

How does this work? Just eat a taco, drink a beer, and donate to DCAF. It’s easy (and delicious).

Taco or Beer Challenge – Night 1
Monday, Aug. 21, 6:00 p.m.
El Camino (108 Rhode Island Ave., NW)
RSVP on Facebook

Taco or Beer Challenge – Night 2
Friday, Aug. 25, 6:00 p.m.
Mission (1606 20th St., NW)
RSVP on Facebook

Please note that both spaces are wheelchair accessible.*

Bonus: at both events, we’ll be honoring our outgoing president and fearless leader Kersha Deibel and thanking her for her service over the past two years.

Can’t make it? The beauty of the Taco or Beer Challenge is that you can do it anywhere! Just grab a beer and/or a tacomake a donation, and share on social media at #ToBC17.

*Mission’s staff is trained to keep an eye out for guests needing to use the wheelchair accessible entrance. They will walk the guest around the building and in through the back kitchen door. The main floor is all one level and there is a wheelchair accessible restroom.

We Won’t Stay Silent.

We all deserve to feel safe in our communities.

We are heartbroken by the racist events led by white supremacists last weekend in Charlottesville. We’re standing strong in solidarity with the Blue Ridge Abortion Assistance Fund, clinics, and patients in the area.

As an organization, we work hard each day to help patients access the abortion care they need. And we know this fight for reproductive freedom is intrinsically intersectional — issues of economic justice, religion, the environment, criminal justice, immigrants’ rights, racial discrimination, and a host of other concerns directly affect pregnant people and their decisions.

When white supremacists engage in these public displays of hate and violence, it’s critical that we speak out and make it clear that it won’t be tolerated. Now, more than ever, it is unacceptable to remain silent. We encourage you, as a DC Abortion Fund supporter, to speak up against hate at events in the community, and support our work to make abortion access possible for everyone.

by DCAF’s Board of Directors

Engaging About Social Justice with People Who Disagree with You

This is usually a losing prospect. For most of us, our brains are already filled to the brim with years of news and commentary confirming our points of view — and getting out of that vortex is a near-impossible task. With the intermingling of the personal and the political, we so often talk past each other. This list is not about winning, but about becoming wiser about how to have productive conversations around social justice. 

The first and most critical step is to center yourself in love and mission. We seek to have these conversations with those we disagree with to advance a greater ideal for what our society can be. The ideal is to bring everyone into a new and better sense of self and community. Centering yourself in love and mission has two purposes:  it allows you to take a step back from the stresses of the day to focus on this conversation , and it shows the people you are engaging with that you love them and feel they are important. 

Engaging about social justice issues are different from normal conversation in a critical way: the process requires critical attention. So part of this work pre-engagement is to ask yourself what you’re up for. Evaluate your own energy, and know your limits. An important part of this: try to get a sense of the person you’re speaking with, and their motivations. Is it worth it? Are they also going to bring love to the table? Pick your audience and your timing. Replying to comments on a slanted news site’s comments section is an easy way to quickly drain our loving and mission-oriented energy. Conversely, you may represent a view not held by the rest of your family, but feel a responsibility to bring it up. How much are you willing to risk to meaningfully engage with them on an issue important to you? When and where is the right time to engage with them? 

When you actually begin to engage in conversation, start with the shared values that bring you to this conversation. Start sentences with “We both want…” For example, if you believe strongly in the rights of seeking abortion services, find a value that that may bring them on board — liberty (Roe v. Wade is an established civil right), or family (allowing pregnant people and their partners to dictate the number of children they raise will produce healthier, happy children and families).

Use language that fits your audience. I run into this so often. When discussing an issue, sometimes you want to parrot what you learned in your feminist theory class, or an Angela Davis speech. But sometimes, this language can be overly academic, or misconstrued. Feminism, for example, can be heard as “man-hating” by people raised to believe it is. Even though you disagree, a loving approach may be to talk about “equality,” rather than feminism…at least at the beginning. 

If discussing a population you’re not a part of, take caution. I have a lot of privileges: I’m white, male, cisgender, and middle class. I don’t truly know the daily experience of being anything else and I am not going to pretend I do. When engaging in a conversation, bring in the voices of people of you’re talking about. “I know that when I’ve talked to Sarah about this topic, she has said that…” However, you can both acknowledge your limited perspective, and speak from your experience. As a case manager for the DC Abortion Fund, I can say “While I don’t have the experience of seeking an abortion, I have talked to countless people who have, and have been witness to the immense barriers they face.”

During the conversation, be an active listener. This means NOT thinking about what you’re going to say when another person is talking, but trying your best to hear them, and then form a response. You won’t get anywhere if the person feels they are being ignored. Conversely, when you feel like you’re not being heard, take a breath, and tell the person. 

Lower your expectations. If engaging online, don’t expect to go on Breitbart’s comments board and think you can change everyone’s minds. With politics so wrapped up in people’s identities, an attack on a policy or a stance can feel like an attack on the person. When you feel yourself boiling over, recenter in love and mission. Remind yourself that you don’t have to take the conversation to the bitter end. For me, I reach my limit when I start to feel hateful, when I feel the other person isn’t really listening, or when I’ve said what I need to say, and have given the other person their time, too.

Know that you are still planting a seed. You may not have convinced anyone fully, but you may have been a small part of the person’s road to eventual acceptance. Rest assured that if you centered yourself in love and mission before you started, and spoke from your experiences, the other person will feel that commitment and genuineness. Thank them for listening. 

Post-engagement, take care of yourself. You probably feel exhausted and emotional all at once. Talk to a friend, take a walk, watch TV, read a book, or eat something delicious. You may not have done everything perfectly. That’s okay. Having conversations about social justice with those who disagree is a critical part of activism, but like anything, it’s about building a set of skills, which takes practice and patience and self-love. Live to fight another day.

CHEAT SHEET:

  1. Center and re-center yourself in love and mission.
  2. Ask yourself what you’re up for.
  3. Choose your audience and timing. 
  4. Start a conversation with common values you may share.
  5. Use appropriate language understandable by the other party.
  6. Listen attentively to the other person’s perspective.
  7. Acknowledge your limited viewpoint, but speak from your experience.
  8. Know that you are planting a seed.
  9. Take care of yourself. 

by volunteer Chris H.

Four Ways Trumpcare Would Be a Disaster for Reproductive Health

Many of us are concerned about how the Trump administration’s efforts to repeal and replace the Affordable Care Act (ACA) will impact access to sexual and reproductive health care, especially for marginalized folks. With Republican leadership drafting their bills in secret, plus attempting to rush votes on them without hearings or much floor debate, it can be difficult to understand what is going on. The numerous moving parts only add to the confusion.

I’m here to break down four ways that any effort to repeal and replace the ACA would spell disaster for full spectrum sexual and reproductive health care access:

It would gut coverage of essential health benefits, many of which include aspects of sexual and reproductive health care

The ACA includes a list of essential health benefits that all insurance plans must cover—in many cases at no cost to the insured individual. This includes FDA-approved forms of birth control and a yearly gynecological visit plus screenings for breast cancer, cervical cancer, mental health, intimate partner violence, and STIs, as well as the Hepatitis B and HPV vaccines. The list also includes pregnancy care, childbirth, and breastfeeding support. Under the new legislation, insurance plans would no longer be required to cover some or all of these services. That means we could be forced to go back to the pre-ACA era where only 12% of individual market plans covered pregnancy care and the cost of needed services such as long-acting reversible contraceptives or early cancer detection were out of reach for many. People would instead be at the mercy of state laws regarding whether or not these services must be covered. For instance, only twenty-eight of the U.S. states have laws which mandate contraception coverage and not all of these laws provide the comprehensive protections under the ACA. Thus, a GOP health care bill threatens contraception coverage under public and private insurance plans alike.

It would defund Planned Parenthood, putting its clinics’ ability to stay open in jeopardy.

When our foes talk about “defunding Planned Parenthood,” they are referring to revoking its clinics’ ability to receive Medicaid reimbursements for the services they provide. Never mind that federal funding for abortion care is already prohibited under the Hyde Amendment (states in which Medicaid does cover the procedure utilize their own funds to so do)and Planned Parenthood also offers other critical components of sexual and reproductive health care.  If Planned Parenthoods are unable to receive Medicaid reimbursements for these services, many would be forced to close. We’ve seen how defunding Planned Parenthood on the state level led to higher rates of unplanned pregnancies and already one unprecedented HIV outbreak. We also know that Planned Parenthood clinics are often the only full-service option for millions. This is especially the case for residents in states which did not expand Medicaid, as well as immigrants who are ineligible for coverage because of the clinics’ generous sliding fee scales. Don’t be fooled into believing other clinics would come even close to covering this gap. While the legislation would technically defund Planned Parenthood for one year at baseline, enough damage would be done by that year’s end.

It would leave even more people without abortion care coverage

Certainly, the ACA is a far cry from recognizing abortion as an important part of health care. If someone wants to purchase a plan covering the procedure, they must opt-in to tack the coverage on via a separate rider. Not only is this hardly transparent, but most people obtain abortions precisely because, well, they did not expect to become pregnant in the first place. Yet the new legislation is attempting to completely ban the use of tax credits towards purchasing plans which cover abortion beyond cases of rape, incest, and life endangerment. This strongly disincentivizes insurance companies from offering plans on the individual and small business employer marketplaces that provide comprehensive abortion care coverage. Not to mention that these efforts directly conflict with New York and California laws which mandate all insurance plans to provide such coverage, begging the question as to whether any residents of these states could utilize said tax credits meant to make plans more affordable. Additionally, the new plan would dismantle the ACA’s Medicaid expansion which is terrible in and of itself, though it’s also worth keeping in mind that all fifteen states where Medicaid covers abortion also opted to expand the program.

It would deeply cut Medicaid by introducing disastrous funding mechanisms

The subject of Medicaid funding is complex and occurs through several different avenues, though one important aspect is that states are guaranteed at least $1 in federal funds for each $1 of state spending. Trumpcare would replace this with a combination of funding via block grants and per capita caps. To break it down, block grants consist of a fixed amount that states may choose to allocate as they wish and per capita caps would limit spending to a fixed quantity per enrollee. Of course, neither could be altered in the face of rising health care costs and or unexpected needs like, say, another Hurricane Katrina or the HIV outbreak I mentioned above. It also doesn’t take into account how millions of people with disabilities reply on expensive, extensive, and life sustaining care which would likely be one of the first Medicaid services to be cut. This could force them into institutions, which states are required to cover in their Medicaid programs (unlike home and community-based care, which is optional).  To add to the callousness, states which accept Medicaid block grants would no longer be required to cover family planning services and states could impose work requirements on enrollees, including people who have just given birth. Make no mistake, these measures would bring less flexibility to Medicaid, not more.

While efforts to stop such a cruel bill have been working so far, we are hardly out of the woods. Even if the Republicans in Congress don’t  have the votes today or tomorrow or even for this go-around, they have made it clear they are dead set on dismantling the progress we have made under the ACA. As individuals who volunteer our time to fund abortions, we have plenty of stories to share — including our own — regarding how important comprehensive, affordable health care really is. Let’s keep up the pressure and keep telling our powerful stories! Have one to share? Email media(at)dcabortionfund.org.

by volunteer Meredith N.