Reproductive Choice – Informed Comment https://www.juancole.com Thoughts on the Middle East, History and Religion Tue, 17 Sep 2024 04:13:17 +0000 en-US hourly 1 https://wordpress.org/?v=5.8.10 Trump’s anti-Abortion Drive will Take Lives: Lessons from Ireland on why ‘Reasons-based’ access to Abortion doesn’t Work https://www.juancole.com/2024/09/abortion-lessons-ireland.html Tue, 17 Sep 2024 04:06:51 +0000 https://www.juancole.com/?p=220578 By Seána Glennon, L’Université d’Ottawa/University of Ottawa< | -

Donald Trump has flip-flopped on the issue of abortion for decades, from declaring himself “very pro-choice” in the 1990s and “pro-life” in 2011 to hinting this year that he’d support a national abortion ban.


“Trump Patriarchy,” Digital, Dream / Cartoon v3 / Clip2Comic, 2024

Abortion is a topic of huge importance in American politics this year: it could decide the United States presidential election, and the way states regulate abortion access will have life-or-death consequences for women.

Apart from Trump’s preposterous claim that Democrats support the execution of babies after birth — infanticide, in other words, which is illegal in all 50 American states — Trump did concede during the recent presidential debate that he supports abortion access for certain reasons: pregnancy arising from rape or incest, and to save “the life of the mother.”

American legislators should look to Ireland to understand the real-life consequences of a ban on abortion, the chilling effect on health-care professionals of an exception only in cases of a threat to the life of the pregnant woman, and the significant problems with attempting to legislate abortion access only for certain reasons, like rape and incest.

Tragic repercussions

In the early 1980s, the Irish people voted by referendum to insert a provision into the country’s constitution, known as the Eighth Amendment. In explicitly inserting, for the first time, constitutional protection for a right to life of the unborn — stated to be equal to that of the right to life of the mother — the amendment operated as a near-blanket ban on abortion for more than three decades.

This constitutional ban did not prevent abortion from taking place in Ireland: it simply drove women who could afford it to other countries to access abortion services.

Others ordered abortion medications on the internet and took them alone, without medical supervision. An unknown number of vulnerable women were forced to carry unwanted pregnancies to term.

The ban also impacted women with much-wanted pregnancies. The Savita Halappanavar case concerned a young woman who was happy to be pregnant with her first baby. But she began experiencing an inevitable miscarriage and ultimately died in hospital after her medical team hesitated to intervene while a fetal heartbeat was still being detected.

Halappanavar’s death led to an outcry for action to lift the constitutional ban on abortion and ensure that all pregnant women could have access to appropriate medical care.

Another tragic Irish case involved a pregnant woman who was looking forward to welcoming her third child but sadly suffered brain-stem death during her pregnancy. She was subjected to extraordinary life support measures in an effort to save her fetus, even as her body had already begun to decompose.

The woman’s family had to launch legal action against the Irish health service to secure an order for the withdrawal of treatment to allow their daughter to die with a measure of dignity. The court heard how medical staff felt compelled to keep the dead woman on life support, for legal reasons, as the fetus still had a heartbeat.

Making health care dangerous

In the run-up to Ireland’s 2018 abortion referendum, the public debate and opinion polls were focused on the possibilities of providing access to abortion for certain reasons, such as those identified by Trump at the debate: when the pregnancy is posing a risk to health, or the pregnancy arose from rape or incest.

The citizens’ assembly established by the Irish government to review the abortion issue in 2016 did a comprehensive examination into the provision of abortion services. It shone a light on the substantial problems of specifying reasons and developing processes for pregnant women to establish their eligibility for an abortion.

Statistics tell us that most sexual assaults go unreported; prosecutions often result in acquittals; and prosecuting a sexual offence can take years. So how can a pregnant woman prove her rape to access a legal abortion, and from a humanitarian perspective, why should she be required to?

Imposing conditions around the prescription of abortion pills and the ability of doctors to carry out certain procedures also impacts women who are miscarrying and whose lives and health may be put in grave danger by a pregnancy that is ending but will not pass naturally.

Anti-abortion measures cost lives

Politicizing the issue of abortion, instituting bans, carving out abortion from the wider reproductive experience, limiting access to abortion medication and surgeries for certain reasons that must be policed and adjudicated: Ireland’s experiences have shown that none of these actions makes health care safer for pregnant patients. Nor do they provide sensible guidance for their doctors.

In fact, anti-abortion measures make pregnancy, miscarriage, abortion and the entire spectrum of reproductive health care exponentially more dangerous, more stigmatized and much lonelier. These actions, instituted for political reasons and not for better patient care, cost lives.

Many Canadians tuning into the Trump/Harris debate — or listening to various U.S. politics over the past eight years — may feel relief that abortion is not a top political issue here and does not seem to have caused the same level of polarization.

But with a federal election looming, there’s little stopping the issue from becoming a political football in the years ahead.

It’s estimated that one in three women in Canada will have an abortion in their lifetime, so now is the time to learn lessons from other countries, especially the U.S. and Ireland, on what not to do.The Conversation

Seána Glennon, Postdoctoral Fellow, Constitutional Law, L’Université d’Ottawa/University of Ottawa

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Abortion Ban Extremists are using a Slavery-Era Texas Law against Women https://www.juancole.com/2024/02/abortion-extremists-slavery.html Mon, 26 Feb 2024 05:04:35 +0000 https://www.juancole.com/?p=217288

Texas is trying to ban the use of its roads by people seeking care outside the state — and even dispatching right-wing vigilante groups to chase them.

By Jim Hightower | –

( Otherwords.org ) – Here’s our big word of the day: extraterritoriality. It expresses a sketchy legal theory asserting that rulers in one state have a right to enforce their laws in another state.

Its most prominent was in the infamous Fugitive Slave Act of 1850, which required officials in Northern anti-slave states to capture and return escaped slaves to their plantation “owners” in the South, thus applying Southern slave laws in Northern jurisdictions. This abomination was finally repealed in 1864.

Katie Couric Video: “”I was forced to carry my child full term”: Texas abortion plaintiff”

But 160 years later, here comes another faction of right-wing zealots trying to revive the slave-law concept of extraterritoriality — this time applying it to any and all American women who dare to make their own reproductive health decisions.

I’m ashamed to say that this repressive use of the doctrine is being led by my state’s misogynistic governor, Greg Abbott, and our corrupt attorney general, Ken Paxton. These two tyrannical men have already saddled Texas women with the most draconian abortion ban in the country, including piously forbidding abortion in cases of rape and incest.

For women to exercise their inherent right to control their own bodies, they’re forced to travel to nearby states. But Texas’s brutal extremists bark that “we’ll ban that, too!” They’ve pushed a flagrantly unconstitutional scheme to outlaw the use of public roads to drive out-of-state for care. And they’ve even sanctioned right-wing vigilantes to follow suspected medical travelers to doctors beyond our borders.

And, going full-tilt totalitarian, the Abbott-Paxton posse has demanded that out-of-state-care groups hand over the names and addresses of Texas women they’ve helped outside of Texas.

Talk about government overreach! Big Brother isn’t just watching… he’s stalking you. To oppose this brutish repression — and to keep it from coming to your state — contact RewireNewsGroup.com/abortion.

 
Jim Hightower

OtherWords columnist Jim Hightower is a radio commentator, writer, and public speaker.

Via Otherwords.org

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Trump 2.0: Re-Breaking America in his Image https://www.juancole.com/2024/01/trump-breaking-america.html Mon, 22 Jan 2024 05:02:31 +0000 https://www.juancole.com/?p=216704 ( Tomdispatch.com ) – Count on one thing: Donald Trump, who seems to gain Republican support with every new indictment, is not going away. He’s managed to capitalize on his 2020 election loss, using his failed insurrection, a stream of violent threats and verbal attacks against political opponents and journalists, and the disinformation machine of Fox News and similar outlets to peddle his stories of white American victimhood (above all, of course, his own victimhood). Meanwhile, his supporters are all too happy to carry out violent attacks in his name. Regardless of whether Trump wins the 2024 election, the “Orange Jesus,” as one Republican congressman reportedly called him, is here to stay.

He’s also provided some of America’s favorite headlines and jokes, even for progressives like me. As one fictional mom quipped in a Saturday Night Live skit at the end of his term in office, “If he’s gone, what am I supposed to do? Focus on my kids?” She was also mockingly lamenting the possibility that startling headlines like “‘Grab ‘em by the pussy” would disappear from our all-American world.

It turns out she needn’t have worried! It seems the media is far more eager these days to cover the former president’s endless missteps (or are they just steps?) than highlight the investments made by President Biden’s administration, which have finally started to pay off in terms of higher wages, more jobs, and lower carbon emissions. Big as we are on short-term gratification (or gloom) and the latest polls, we seem so much less interested in examining what presidents actually do.

Among Us

With the 2024 election heading toward us the way that asteroid hurtled toward the dinosaurs, while our sensationalistic political culture shows little sign of changing anytime soon, I’d suggest that we turn the conversation from the crazy stuff “Orange Jesus” loves to say to the fact that Trump and his supporters are, for the foreseeable future, going to be among us. Isn’t it time, imagining the worst to come, to start talking about what an anti-Trump resistance would look like?

To do so, we’d first have to take a closer look at what some of his most influential supporters are planning for the next time around. You may have noticed that a set of conservative think tanks and scholars, who call themselves Project 2025, have drafted a nearly thousand-page blueprint for a hypothetical Trump second term. It’s a document labeled Mandate for Leadership: The Conservative Promise (though all it really purports to conserve is an abiding American focus on funding our military-industrial complex). The document covers everything from how a Trump administration ought to handle federal staffing to how it could restructure military and federal law enforcement agencies to its own benefit. Let me flag a few parts of that document that I find particularly concerning and suggest small ways in which you and I might act to preserve democratic values in a country that seems either to take them all too much for granted or care about them less and less.

“Taking the Reins of Government”

When it comes to the plans of Trump’s advisers to reshape the executive branch in an autocratic fashion, should he be reelected, the title in the relevant section of their document — “Taking the Reins of Government” — perfectly catches the top-down approach to power they envision. For years now, the Orange Jesus has made no secret of his urge to launch retribution against those in the Washington bureaucracy who opposed him and ensure that tens of thousands of career public service positions in federal agencies and the White House will, in (his) future, be held by people vetted for their loyalty to him (and only him!). So reads the first major section of that Mandate, which outlines how a second Trump administration would assert far more direct White House control over this country through the federal bureaucracy.

In fact, the document’s authors advocate that an incoming Trump administration circumvent the Vacancies Reform Act, which establishes standards for congressional vetting of temporarily appointed federal personnel. They suggest instead indefinitely using acting personnel in vacant positions, particularly ones the first Trump administration was hostile to like State Department diplomatic posts.

Notably, the document is remarkably explicit about its recommendation to appoint acting personnel in departments already known for their abuse of American civil rights. (Think: Department of Homeland Security (DHS) officials kidnapping Black Lives Matter protesters in Portland during the summer of 2020.) A chilling example is the Mandate’s discussion of how a Trump White House could appoint acting personnel at DHS from scratch to “guarantee implementation of a Day One agenda.” I can’t help thinking: Is this what Trump meant when he told a Fox News Town Hall that he would be a “dictator” only on day one? Ostensibly, he could make many of the worst decisions immediately and then leave his goons to carry out the rest of the dirty work, Putin-style.

Given such a topsy-turvy reality, if you were hoping that journalists would still be close at hand to help call out any disastrous lapses in integrity, think again. Because count on something else: serious journalists wouldn’t be allowed within a country mile of Donald Trump and his closest advisers. In fact, I’m sure you won’t be surprised to learn that the authors of the Mandate suggest the White House should have a very different relationship with its press pool, if there even were to be one at all. In describing a future Trumpian White House Office of Communications, the Mandate reads, “No legal entitlement exists for the provision of permanent space for media on the White House campus, and the next Administration should reexamine the balance between media demands and space constraints on the White House premises.”

Right! A Trump White House undoubtedly wouldn’t have space for all too much. At another point, in a paragraph on how Trump’s future communications director would need to “navigate the mainstream media” to advance the president’s agenda, the authors write, “The new Administration should examine the nature of the relationship between itself and the White House Correspondents Association and consider whether an alternative coordinating body might be more suitable.”

An “alternative coordinating body” organized by Donald Trump and crew? What could possibly go wrong?

In fact, just imagine a Trumpian future in which those with the president’s ear on every topic will be chosen by and aligned with that very same unhinged person, while his administration attempts to transform the media into its own propaganda arm, while repressing anything that might prove hostile to him in any way. In a second Trump White House, supporting an independent media would mean more than just subscribing to the Washington Post, the Atlantic, and local newspapers that will undoubtedly come under existential threats. It’s also going to mean providing an actual safe space for journalists whose exposés of government abuse will make them prime targets for the Orange Jesus’s followers. Think, for an analogous example, of murdered Russian war correspondent Anna Politkovskaya, who exposed abuse by Russian security forces against Muslim minority communities in the south of that country.

Now imagine, in an unhinged second Trump presidency, what sorts of doxing and other nightmares writers and their families might have to endure. We’ll all have to be ready to let such figures (or their threatened children and spouses) into our homes, lock the doors, and tell no one that they’re there. Meanwhile, the rest of us would have to protest — and get others to join us – when journalists and other oppositional figures start to be arrested under bogus charges or attacked by thugs. In a second Trump era, it will be of crucial importance for the rest of us to stand with those who continue to insist on telling the truth, even if you don’t agree with them politically.

It will be no less important to elevate and celebrate the writing of people who describe acts of resistance and heroism, be it their own or of others. I’m thinking about people like Washington Post columnist and author Jennifer Rubin or former Republican politico (and truthteller) Liz Cheney, who have made a point not just of critiquing the fascists aligned with Trump but of describing how to build life-affirming new policies that would serve the very constitution a second Trump term would undoubtedly try to toss into the gutter.

“The Common Defense”

Those would-be Trump presidential advisers have been remarkably detailed in describing their hopes for how a second Trump presidency could transform the U.S. military, and that section of their Mandate, I must admit, initially sounded okay to me. After all, they seemed to want to keep this country out of yet more foreign conflicts, while making the Pentagon accountable for how it spends its money. They also want more employment and financial support to be offered to military families (like mine!). In other words, many of the things I’ve been writing about at TomDispatch for years.

I was even initially impressed that they claimed to want the military to deprioritize “manufactured extremism” — until I realized that what they’re evidently referring to is the Pentagon’s plan (largely stalled at this point) to screen new and existing servicemembers for alignment with Nazi-style and white supremacist ideologies. In fact — I’m sure you won’t be surprised to learn — their blueprint goes on to describe a military remade in the very image of those Project 2025 leaders as white, cisgender, and heterosexual men, and they want to start ’em young, too. The Mandate recommends standardized testing in all federally funded schools to check kids’ aptitude for military service. They want, in other words, to offer the Pentagon increased access to children for the purpose of recruitment. And the proposal only gets “better” after that. In fact, Trump’s future would-be advisers go on to support expelling people with gender dysphoria from that very military.

How are we then to trust that the Department of Defense won’t be used against the American people, if our troops are distinctly shaped not to reflect our exploding diversity? In fact, The Donald has called the 2024 election “the final battle” and has already suggested that he might take out after his foes (“vermin”), even possibly invoking the Insurrection Act to use the military to do so. And then, it seems, the rest of us would have to live with a military that embraced the very types who sought to tear down our elected government on January 6, 2021.

Oh, and even better news! The Mandate writers also propose increasing the number and size of American companies producing munitions here in the U.S., funding arms acquisition and training at more universities, and increasing the power of the arms production industry even further.

They also propose — and what could possibly go wrong here? — that the government should enhance its ability to deploy special forces and conduct irregular (nonstate) warfare “across the spectrum of competition, crisis, and conflict.” Hmmmm…. It’s hard for me not to recall a recent response by a Trump lawyer to a question by a federal judge in which he claimed that a president should be immune from prosecution for ordering a special forces unit to assassinate a political opponent. Welcome to 2025 and Trump 2.0!

All You Need Is Love

If former President Trump listens to his all-too-well-prepared advisers — and many think he would be more disciplined in doing so a second time around — there would be far less of a buffer of reasonable civil servants loyal to the Constitution between him and the rest of us. Given that, I’m suggesting that those of us in military communities tell our loved ones to defy any orders to brutalize other Americans who pose no violent threat to the rest of us — those exercising freedom of assembly and speech, running for public office, writing the truth. And even though this may sound counterintuitive to some of you, get rid of your guns! If the Trumpian security state that might arise did everything its would-be advisers advocate, there would be no point in taking up arms against it. After all, civil wars are the bloodiest forms of human conflict, with the worst impact on civilians.

But don’t give up either. Make sure in every way you can that elections continue, and show up to vote. Volunteer to get people to the polls and inform them of their rights as voters. Become an election worker or volunteer. Do your damnedest to keep a non-Trumpian world alive.

Change is afoot, and it could be bad, but who knows? It’s also possible that election 2024 will prove to be white supremacy’s dying gasp. Think of how readily Trump’s supporters scuttle away when the candidates he endorses lose elections. And if our very own Orange Jesus is more decisively denied access to power through a jail sentence or another big election loss, maybe all the planning of his toadies won’t mean a tinker’s damn. But that will only be true if we all show up and act, starting now.

Via Tomdispatch.com

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Speaker MAGA Mike Johnson is the Face of the Republican Party: Election Denialist, Forced Birth Enforcer, Homophobe and Christian Zionist https://www.juancole.com/2023/11/republican-homophobe-christian.html Fri, 17 Nov 2023 05:15:00 +0000 https://www.juancole.com/?p=215420 Chicago (Special to Informed Comment; Feature) – Disguised as a mild-mannered Clark Kent, Mike Johnson is a raging theocrat under his tailored suit, who believes his ascension to the speakership was ordained by God. The formerly invisible but now made manifest Christian Nationalist from Louisiana was elevated to power unanimously, following three weeks of vindictive, internecine warfare in the GOP-controlled House. The vote shows that all Republicans are the same — MAGA extremists and craven capitulators who all voted to be led by an abortion-banning, xenophobic, Trump-blessed Christian bigot who wants to foist his extreme religious beliefs on everyone.

Staunchly against bodily autonomy for women, Johnson supports a nationwide ban on abortion which he considers, “a holocaust.” This inexperienced, soft-spoken Ned Flanders suggested that abortion activists want to kill babies that are “half way out of the birth-canal,” and voted against Americans having access to purchase legal contraception. The most powerful Republican in Washington insisted that, if only women would bear more “able-bodied workers,” he wouldn’t be forced to cut trillions of dollars from Medicare, Medicaid, and Social Security.

Hostile towards gay and transgender people, Johnson called them “dangerous” and “deviant” threats to the American way of life and defended laws that criminalized homosexual relations between consenting adults that he called “inherently unnatural.” He warned that same-sex marriage was a “dark harbinger of chaos and sexual anarchy that could doom even the strongest republic.”

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Last year, Johnson introduced legislation that would prohibit the use of federal funds for providing education to children under 10 that included LGBTQ topics — a national version of Florida’s “Don’t Say Gay” law. He also is working to overturn Obergefell v. Hodges, the Supreme Court decision that legalized same-sex marriage nationwide in 2015.

Johnson is a virulent Christian Nationalist, an ideology modeled on Hungarian president Victor Orbán’s program of “illiberal democracy,” and defense of Christendom against Muslims, progressives, and the “LGBTQ lobby.” Johnson “pushed all kinds of hateful anti-LGBTQ bigotry while at Alliance Defending Freedom (ADF), a Christian Nationalist legal outfit that wants to drag this country back to the 5th century,” warns Andrew L. Seidel, civil rights attorney and author of The Founding Myth: Why Christian Nationalism Is Un-American. For nearly twenty years, Johnson served as senior legal counsel and spokesman for the ADF.

Designated as a hate group by the Southern Poverty Law Center, the ADF is a legal advocacy organization that not only supported “re-criminalization of sexual acts between consenting LGBTQ adults,” but has also defended state-sanctioned sterilization of trans people and contended that LGBTQ people are more likely to engage in pedophilia. Johnson and the ADF claim that a “homosexual agenda” will destroy Christianity and society.

Politicon: “James Carville explains everything about Mike Johnson”

The ADF, according to the New York Times, is the “largest legal force of the religious right.” They would go on to successive Supreme Court victories, most notably rolling back abortion rights in the Dobbs decision, undermining LGBTQ rights in the (purported) same-sex wedding website case 303 Creative, allowing employer-sponsored health insurance to exclude birth control, and twelve other cases related to curtailing the civil rights of women and LGBTQ people.

Johnson’s rise to the speakership is best understood in terms of the ongoing white Christian nationalist takeover of the American government through MAGA rather than, as the mainstream press suggested, the quirky, exhausted and embarrassed result of a bickering caucus. Since the rise of the Tea Party, the primary driver for both the GOP’s dysfunction and its incipient fascism is the political might of organized right-wing Christianity, successfully redeployed especially in primaries, to wrest control from establishment “Republicans in Name Only” (“RINOs”).

As the former political director of the AFL-CIO Michael Podhorzer wrote, “the political muscle provided by white Christian nationalism’s extensive church-based infrastructure in congressional districts, and its national reach through Christian broadcasting and national organizations, has turned MAGA into a ruthlessly successful RINO-hunting machine.”

Still, Johnson’s loathsome ideology and religious zealotry were not the main reasons for his elevation to the speakership — most Republicans share his repulsive worldview. Rather, the MAGA cult embraced his tireless advocacy on behalf of despotic Donald’s seditious attempt to subvert the 2020 presidential election. Most House Republicans voted to back the Fabricator’s lies about the election; but few had worked as diligently as Johnson to foist fraudulent conspiracy theories, such as “rigged Dominion voting machines,” on Americans. A constitutional lawyer who uses the law to subvert democracy, Johnson enlisted dozens of fellow-members to support a sham Texas court case seeking to cancel the election results in battleground states.

Johnson’s role, neglected at the time, was such that the Times later called him “the most important architect” of the campaign to block congressional certification of the Electoral College results and thus overturn Trump’s defeat. Circulating his hollow rationale to the party, Johnson reminded them that Trump “anxiously awaited” their support. Proudly exhibiting a bizarre religious devotion to the Un-Christian Trump, Johnson helped plot the Jan. 6 attempted coup while calling the insurrection a “peaceful protest” and defending the Seditionist at both of his impeachment hearings.

At a time when Trump’s co-conspirators, probably including his Chief of Staff, admitted they lied about the election being stolen, House Republicans handed the reins of power to someone who showed no hesitation to help overturn American democracy. Johnson was given a powerful government position by people in the government who don’t believe in government — and installed an unrepentant election-denier leader two heartbeats away from the presidency.

In his first major initiative as House speaker, Johnson pushed through a bill to provide $14 billion in military assistance to Israel. Before the vote, he declared, “Israel doesn’t need a cease-fire.” However, Palestinians do. Israel’s aerial and ground offensive, ostensibly targeting Hamas infrastructure, has killed over 11,000 people while those who managed to flee Israel’s attack in northern Gaza now encounter a scarcity of food and medicine in the south. “Residents wait hours for a gallon of brackish water that makes them sick,” reported the Times of Israel. Scabies, diarrhea and respiratory infections rip through overcrowded shelters.” 

In addition, Johnson engineered the House censure of Rep. Rashida Tlaib, the only Palestinian serving in Congress. The censure resolution is “rife with propaganda, fake history, and racism,” said Juan Cole on Informed Comment

In his first public appearance, the newly-elected Christian Zionist told a crowd of Jewish Republicans in Las Vegas: “We are going to stand like a rock with our friend and ally, Israel.” He boasted that his first act as speaker was passing the pro-Israel resolution in spite of “no” votes from several democrats, including Rashida Tlaib, Alexandra Ocasio-Cortez, and Ilhan Omar. Their opposition was due to the bill’s failure to recognize Palestinian victims and call for a cease-fire. Johnson maliciously and deceitfully blamed their defiance on an “alarming trend of antisemitism” enabled by “academia and the mainstream media, and fringe government figures.”

The evangelical Christian’s rise to power is the biggest political victory for the evangelical movement to date and his connections to Israel reflect the movement’s deep ties to the Israeli far right. “God is not done with Israel,” said Johnson cryptically. He gushed that his 2020 visit to Jerusalem’s Temple Mount was the “fulfillment of a biblical prophecy.”

This remark references the Christian Zionist end-times belief, derived from a literal reading of the Bible, that Israel is God’s chosen nation and that its 1948 creation will lead to the Second Coming of Christ. In the real world, they rabidly support the state of Israel and its policies, especially regarding the expansion of settlements, the annexation of territories in the West Bank, Gaza, and East Jerusalem, and the ethnic cleansing of Palestinians.

In the biblical narrative, Christ will defeat Evil, or the Antichrist, in an apocalyptic battle that will take place in Israel at Har Megiddo, or Armageddon. Along with Christian believers and converts who have ascended to heaven in the Rapture, Christ will rule from the Temple Mount in Jerusalem for a thousand years. Fueled by these fantasies of a cataclysmic war in the Middle East, Christian Zionists maintain that literal war is not something to be avoided, but inevitable, desired by God, and celebrated. These zealots condemn those that oppose Israeli occupation as being evil, aligned with the “Antichrist.”

The Bible becomes a script for those millennial Christians in power, like Mike Johnson — a self-fulfilling prophesy of violence and destruction that portends an apocalyptic foreign policy. In some warped minds, the current battle in Israel may be hastening the coveted dooms-day of reckoning. In a bizarre twist to the end-times prophecy, those Christian Zionists who are the most passionately pro-Israel also believe that those Jews who do not convert to Christianity will not be raptured, and if they don’t convert during the horrific cataclysm at Har Megiddo, they will be condemned to suffer eternally in the “lake of fire.”

Eager to visit the Christian holy land, Johnson traveled to Israel with his pal Gym Jordan. Jordan, who was considered an aggressive and confrontational jerk, was rejected by his party for the speakership. Yet Jordan apparently served as a spiritual mentor to Johnson, who has guest-hosted Jordan’s national radio show Washington Watch, and praised Jordan as a “great friend and leader” and “a guiding light” on his podcast Truth be Told with Mike and Kelly Johnson.

Along with their wives, Jordan and Johnson’s week-long pilgrimage was sponsored by the New York-based 12Tribes Film Foundation, a small outfit that that describes itself as “online warriors for truth about Israel and the Jewish people.” The organization’s CEO Avi Abelow — an arch-Zionist — lives in the West Bank settlement of Efrat.

Johnson’s first stop on his Abelow-organized visit was to receive a briefing from the Kohelet Policy Forum, a far-right Israeli think tank that would later help cultivate the Netanyahu administration’s despised plan to weaken the country’s judiciary. The itinerary included meetings with Israeli military officials, business owners, and political leaders including Netanyahu, current Israeli U.N. envoy Gilad Erdan, and other members of the far right Likud Party.

At the Golan Heights, the pair posed and smiled in front of a sign for “Trump Heights,” the name of an Israeli settlement honoring Trump for moving the U.S. embassy to Jerusalem. Located in occupied territory claimed by Israel, it is widely considered to violate international law.

Johnson also visited the Temple Mount compound — the Palestinian Aqsa Mosque complex — alongside Abelov, a Temple Mount activist, and Yehudah Glick — an Orthodox rabbi and former Likud lawmaker, who has led the fight to change the legal status quo and permit Jewish prayer at this Palestinian national symbol, the third holiest shrine in the Muslim world, and one of the most sensitive flashpoints in the world. In 2023 during Ramadan, Israeli forces repeatedly invaded the sacred al-Aqsa Mosque, in an act of “state terrorism,” where they beat and expelled Palestinian worshipers on behalf of Jewish extremists.

This visit to Israel, led by right-wing extremists, influenced the future speaker’s views regarding the Israeli-Palestinian conflict. During a video made of the trip, Johnson declares — without traveling to Gaza or meeting with Palestinian leaders or activists — that the Palestinian and Israeli people were “working well together” and that there was a “great cohesion of the people” in the West Bank. He blamed “activists and the leftist groups” for “pushing” the narrative that there was conflict, implying that Palestinians enjoyed life under Israeli occupation.

Johnson called Netanyahu, in his first talk with a foreign leader, during which he echoed the premier’s comments that Israel’s war is one of good vs. evil and light vs. darkness. “I assured the prime minister of our own unwavering support of Israel and the people in our Congress and under my leadership, we will be there until the end, we will be there until the end of this conflict.” He opposes basic human rights for Palestinians as well as many Americans.

In an appearance with Fox News’ Sean Hannity, Johnson described himself as “a Bible-believing Christian” and said that to understand his politics, one only need to “pick up a Bible off your shelf and read it. That’s my worldview.” This is cultish nonsense that threatens democracy.

Democracy means that the candidate ordained by God, in Johnson’s view, lost an election, so he forsook his oath to the Constitution to keep a corrupt, seditious demagogue in power. Democracy also leads to abortions and gay marriage. Under democracy, Johnson also believes that white Christians are being “replaced”— by immigrants, by Muslims, by trans kids, by drag queens, and by a whole litany of scapegoats. So, perhaps, the only way to save the U.S. and white Christians is to end democracy.

In a potentially horrifying scenario, suppose Trump loses the 2024 election but again claims he won and the GOP demands his “victory” to be certified, House speaker Johnson is positioned to do so. A devout apostle to the Pagan Coup Plotter, MAGA Mike is prepared to subvert democracy in deranged obedience to Trump and his biblical fanaticism.

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The SCOTUS Dobbs Decision Causes Moral Injury to Abortion Patients and Providers Alike https://www.juancole.com/2023/07/decision-abortion-providers.html Mon, 24 Jul 2023 04:02:26 +0000 https://www.juancole.com/?p=213429
Dr. Jenna Beckham
Dr. Jenna Beckham
Dr. Erica Pettigrew
Dr. Erica Pettigrew

Health care providers face similar confusion also. We are now having to constantly wonder if the evidence-based, standard of care we know we should provide to our patients is, in that moment, legal and/or if it fits within the narrow yet often vague confines of poorly written legislation. We are having to call our hospital and clinic attorneys, consult with ethics committees, and at worst times, turn patients away or defer care.  Some are even unable to refer or transfer patients elsewhere for care due to concerns for repercussions of “aiding and abetting”. As physicians, we completed numerous years of education and training in order to take care of patients. We did not go to medical school and complete residency training to find ourselves spending hours in meetings with lawyers about patient care, but that is what hundreds of doctors have had to do over the last year since the Dobbs decision has allowed states to further interfere with reproductive healthcare.

The past year has felt somehow simultaneously long and grueling as well as one that has moved at lightning speed with constant blindsides of legislative restrictions, court cases, and worst of all, tragic stories of patient suffering. Abortion is now completely banned in 13 states, numerous other states have enacted new laws with extremely strict restrictions, and on a federal level there are ongoing attempts to revoke the FDA’s approval of mifepristone, one of two drugs in the most common medication abortion regimen in the United States.

In a post-Roe United States, the effects of each state’s abortion policy extends beyond its borders, with broad reaching impacts on abortion access regionally and even nationally. Here in North Carolina, we have seen firsthand the effects of increasing abortion bans and restrictions in many of our neighboring states, and much of the southeast region.  As reported by the New York Times, the “Fall of Roe Turned North Carolina Into an Abortion Destination”.  The Society of Family Planning’s #WeCount project, a national abortion reporting effort that aims to capture the shifts in abortion access, reports that the average difference in abortions post-Dobbs in North Carolina has been an increase of 881 abortions per month, ranking us 3rd of the states with the greatest increase. We now commonly see desperate patients from states like Tennessee, Georgia, and Florida as a direct result of their respective abortion bans.

Come July 1, North Carolina will no longer be a refuge for those in dire need for basic health care, and for doctors who wish to practice in a state that respects the medical profession. Our new abortion ban restricts abortions prior to 12 weeks with medically unnecessary barriers and bans most abortions after 12 weeks. It became law on May 16th, a short 14 days after the public and most members of the legislature were first able read the bill that was introduced late in the night on May 2.

Just two weeks. That’s a shockingly short window of time for any bill to become law, let alone a 46-page monster bill that so negatively affects the practice of medicine. The NC Medical Society, NC Society of OBGYNs, and the NC Academy of Family Physicians are all against the law. The bill did not go through the typical process of vetting and debate which is how confusion over vague wording, contradictions, and uncertain intersections with other laws ended up as statute. And now we are having to do our best to interpret what the law says so that we are not criminally charged or do not lose our licenses for providing the best evidence-based medicine to our patients. A lawsuit filed on June 16 by North Carolina health care professionals highlights a few of the most egregious aspects of the law, but even a successful outcome there will not stop most of the law’s harmful effects.

So what are the consequences of these hastily passed, poorly drafted, medically dangerous laws? Patients are unable to receive the best possible care, or at times any care at all.  Doctors have to choose between medical malpractice and criminal prosecution. Some patients who can come up with transportation and hotel costs, childcare, and time off work are forced to become health care refugees when they have to  leave their own state for less restrictive states. There will also be many who are unable to jump through the hoops and travel to access care, therefore being forced to carry a pregnancy against their will or resort to self-managed abortion (a safe option in some situations but not one that is universally preferred.).

Medical professionals are burned out by the moral injury of turning patients away, and soon new abortion ban states like North Carolina are no longer desirable places to practice medicine. OBGYN applications are down 10% in abortion ban states, and that is only the beginning of this phenomenon. Doctors and medical students look for other places to practice when state politicians interfere with the practice of medicine. This healthcare provider shortage goes far beyond abortion care. Family physicians and OBGYNs providing abortion care often do so as a part of their practice. We also provide prenatal care, deliver babies, and serve as primary care providers. When we move away, those services become harder to find. Maternity care deserts grow, the struggle to find a PCP for diabetes and hypertension care becomes even more difficult, and overall accessibility to high quality, full scope medical care suffers. These harmful laws need to be repealed. Leave the practice of medicine to health care professionals, not politicians.

SUPPORT NEWS YOU TRUST.

 
 

 
 
Dr. Jenna Beckham
Dr. Jenna Beckham

Dr. Jenna Beckham, MD, MSPH, FACOG, is a board-certified obstetrician and gynecologist and abortion provider in North Carolina. She also serves as the chair of the board of ProChoiceNC and board vice president of the ACLU of NC. A North Carolina native, Dr. Beckham completed her education and training at the University of North Carolina at Chapel Hill. Her views are her own.

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Dr. Erica Pettigrew
Dr. Erica Pettigrew

Dr. Erica Pettigrew is a North Carolina primary care physician, who is board-certified in both family medicine and preventive medicine. She is an associate professor, serves as the medical director of a county health department as well as medical director of Occupational Health Services. She earned her medical and law degrees at the University of North Carolina and a master of public health degree from Portland State. Her views are her own.

Via AZ Mirror

Published under Creative Commons license CC BY-NC-ND 4.0 .

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Extremists Want to Ban Discussing Their Abortion Bans https://www.juancole.com/2023/07/extremists-discussing-abortion.html Sun, 23 Jul 2023 04:02:49 +0000 https://www.juancole.com/?p=213402

Sensing just how unpopular their agenda is, anti-choice extremists are attacking reporters for calling their abortion bans “bans.”

 

( Otherwords.org) – Unfortunately, it’s 1984 again in America.

Not the year. The book. George Orwell’s classic novel tells of a far-right totalitarian clique that uses “newspeak” and “doublethink” to impose their rigid, anti-democratic doctrine on society. 

Their regime held power through mind control — they had a “Ministry of Truth” for perverting language and manipulating facts, while their “Thought Police” enforced ideological purity and suppressed dissent.

Thirty-nine years later, here comes a clique of theocratic extremists in our country using Orwellian manipulation in its crusade to take control over every woman’s personal reproductive rights. 

Having seized the Supreme Court and practically the entire Republican Party, these present-day autocrats are now demanding that state and national lawmakers enforce the group’s ultimate dictate: A total ban on abortions, even in cases of rape and incest.


Image by Mike Ljung from Pixabay

To their amazement, however, the great majority of Americans — including many Republican voters — think abortion ought to be generally available, with each woman deciding what’s best for her. Moreover, the idea of Big Brother imposing a federal ban is massively unpopular.

No problem, say today’s Orwellian newspeakers, we’ll just ban the word “ban” from our PR campaigns. Thus their harsh abortion ban has magically morphed linguistically into a “pro-life plan.” There — feel better?

Doubling down on their propaganda ploy, the abortion truth twisters are also plotting to ban reporters from using what one called “the big ban word.” Anti-abortion agents are now barraging news outlets with warnings that any use of that verb will be considered proof of political bias. 

Sure enough, rather than risk right-wing fury, some scaredy-cat reporters are already caving in, meekly describing bans as “restrictions on procedures.” How nice — a kinder, gentler tyranny!

To keep up with the 2023 version of Orwell’s Thought Police, follow journalist Jessica Valenti’s diligent tracking of anti-abortion trickery at Jessica.substack.com.

 
Jim Hightower

OtherWords columnist Jim Hightower is a radio commentator, writer, and public speaker.

Via Otherwords.org

 

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Iowa Passes Harsh anti-Abortion Law that Imperils Women, Physicians and Nurses https://www.juancole.com/2023/07/abortion-exceptions-victims.html Thu, 13 Jul 2023 04:06:52 +0000 https://www.juancole.com/?p=213182 By: and – J
 

Iowans who oppose abortion rights rally July 11, 2023 in the Iowa Capitol rotunda. (Photo by Kathie Obradovich/Iowa Capital Dispatch)

 
( Iowa Capital Dispatch) – The Republican-controlled Iowa Legislature, in a daylong special legislative session, passed legislation late Tuesday to outlaw most abortions in Iowa after six weeks of gestation.

The House adjourned just after 9 p.m. Tuesday after sending House File 732 to the Senate with a vote of 56-34. Rep. Zach Dieken, R-Granville, and Rep. Mark Cisneros, R-Muscatine, voted no and 10 House members were absent. 

About two hours later, the Senate voted 32-17 to pass the bill, with one Republican, Sen. Mike Klimesh of Spillville, voting no. Abortion-rights supporters shouted from the gallery, causing the Senate president to ask troopers to eject them.

Gov. Kim Reynolds said in a statement she would sign the bill Friday, after which it will take effect immediately. She called the special session after the Iowa Supreme Court, split 3-3, left in place an injunction that blocked enactment of a nearly identical 2018 law.

“The Iowa Supreme Court questioned whether this legislature would pass the same law they did in 2018, and today they have a clear answer,” Reynolds said in a statement. “The voices of Iowans and their democratically elected representatives cannot be ignored any longer, and justice for the unborn should not be delayed.”

The bill would prohibit abortion after embryonic cardiac activity can be detected, usually as early as six weeks after conception. The bill contains exceptions for rape or incest reported within a certain period of time to law enforcement or a medical professional, or for the life of the pregnant patient.

State Sen. Amy Sinclair is a Republican from Allerton. (Photo courtesy of Iowa Legislature)

 

“Mr. President, this bill ensures all life is protected when a heartbeat is detected,” Sen. Amy Sinclair, R-Allerton, said in opening remarks on the bill. “The child in her mother’s womb has her own heartbeat, her own DNA. She’s a baby, and she deserves the same protections as any other baby in the state.”

Democrats in both chambers offered amendments and argued in favor of broadening the exceptions, without success.

Republicans defeated amendments to eliminate the requirement that rape or incest must be reported to authorities and to create an exception for pregnant patients age 12 or younger or with mental health conditions or a developmental disability.

Although the bill does include exceptions for rape and incest, the bill specifies a 45-day limit for a rape to be reported or 140 days for incest to be reported for the crime to qualify as an exception to the abortion prohibition.

Democrats in both chambers tried to eliminate the reporting limit.

“I am appreciative that the current bill acknowledges that the survivors of rape and incest have an option, I would just like it to be a little less restrictive,” House Minority Leader Jennifer Konfrst D-Polk, said during floor debate.

Women who become pregnant as a result of rape or incest often do not feel safe reporting it, lawmakers said.

State Rep. Austin Baeth is a Democrat from Des Moines. (Photo courtesy of the Iowa Legislature)

 

“We know, folks, that women who are the survivors of rape and incest, for a myriad of reasons, including fear for their own safety, are not able to safely report rape or incest and therefore, the law as it is currently written, would be forcing these women to carry out their pregnancy because they were not able to safely report what happened,” Rep. Austin Baeth, D-Des Moines, a physician, said. 

Democrats in both chambers also attempted, unsuccessfully, to include mental health concerns as an exception.

“The number one cause of pregnancy-related death in the United States is related to mental health, suicide or substance overdose,” Baeth said. 

Rep. Shannon Lundgren, R-Dubuque, the bill’s floor manager, responded by saying, “I would like to recognize that abortion isn’t a treatment for mental illness. Obviously if we have someone whose life is in danger, a doctor should take an approach to make sure they immediately refer them to inpatient care.”

Debate in the Senate was contentious almost from the beginning.

“Senator Sinclair, don’t piss down my back and tell me it’s raining,” Sen. Liz Bennett, D-Cedar Rapids, said at one point during debate, prompting a call for decorum from Sen. Brad Zaun, who was presiding.

At another point, a Democratic senator objected to Sinclair repeatedly referring to their talking points as “lies.”

“I would love to not use the word ‘lie,’” Sinclair responded, to derisive laughter from the opposite side of the chamber.

Later, Zaun threatened to remove anyone causing a disturbance in the public gallery.

In the House, Speaker Pat Grassley, R-New Hampton, said he was impressed with the camaraderie shown by the representatives. Even so, Rep. Jeff Cooling, D-Cedar Rapids, drew an objection when he suggested on the House floor that the session was a result of special interests. 

“We’re here today because special interests, some would say, are running the state and controlling the governor, some would say that. So this special interest session…,” Cooling said before a point of order was called.

“So it’s my belief that our time here today is neither fiscally responsible to the taxpayer, nor will the result of what we do here today lead to responsible government,” Cooling continued. “I believe that this session is all about power and politics, and I believe I was elected to represent people, not special interests.”

 

Lawmakers get personal

 

Lawmakers of both parties brought their personal stories to the debate. 

Rep. Luana Stoltenberg, R-Davenport, said she was standing up for mothers who have died or are infertile as a result of an abortion.

State Rep. Luana Stoltenberg is a Republican from Davenport. (Photo courtesy of the Iowa Legislature)

 

“I’d like to speak up for my three children who lost their life and died by abortion,” Stoltenberg said. “I’d like to speak up for the 65 million plus other children that died by abortion and will never get to speak. I’d like to speak up for the women who have been hurt by abortion and are too ashamed and too filled with guilt to be able to speak.

“I was told that it was just a blob of tissue, that it was easy and it was safe. That was a lie. Those abortions caused me not to be able to have children. Every day I live with the reality that I killed the only children I would ever have,” she said.

Stoltenberg said uterine damage and infertility can happen as a result of abortions and shared stories of other mothers who have been harmed by abortions. “We do not have a constitutional right in the state of Iowa to kill our children,” she concluded.

Weiner, arguing that exceptions should be expanded to include mental health conditions, said she is raising her 5-year-old grandchild because her daughter has a mental health condition.

“She’s an addict, and she has serious mental health challenges and diagnosis so the irony is that right now under this bill, based on her addiction, based on her purposely and knowingly ingesting or injecting something, she would have a choice. Based on the mental health challenges that most likely led to and exacerbated her addiction, she would not have a choice,” Weiner said.

Senate Minority Leader Pam Jochum, D-Dubuque, whose late daughter had developmental disabilities, offered an amendment seeking to expand the exceptions under the bill to pregnant patients with a developmental disability. She said sexual abuse victims with developmental disabilities are taught to trust their abusers.

“That was one of my biggest fears as a mom – biggest fear — that so many of the adults with disabilities are such trusting people,” Jochum said. “And no, they don’t understand what’s going on. And yes, we have a duty to protect them.”

Sinclair said because people with severe developmental disabilities are unable to consent to sex, they would be covered under the exception for rape. But Jochum said that was a “flimsy excuse.”

She said the abuse is unlikely to be reported. “If you can’t consent, how can you report?”

One Republican, Sen. Carrie Koelker of Dyersville, voted in favor of the amendment, which failed on a vote of 17-32.

 

What’s the penalty?

 

The bill specifies that women who obtain an abortion in violation of the law would face no civil or criminal penalties. But lawmakers in both chambers argued over whether the bill was clear or vague and what might happen to doctors who violate the law.

Hundreds of Iowans rallied for and against abortion restrictions on July 11, 2023 in the Capitol rotunda. (Photo by Kathie Obradovich/Iowa Capital Dispatch)

 

Baeth said, as a doctor, he does not know where to draw the line on the definition of “medical emergency.” The law is not specific enough to give doctors confidence they will be free from punishment from the Board of Medicine, he said.

Baeth said he was worried a patient would have to be already in critical condition to receive an abortion, because doctors are concerned they will break the law if they provide care too soon. 

“I have great concerns that the current exceptions are actually extremely narrow and strict because they only apply to somebody in whom because of pregnancy they would develop potentially, and quickly,” Baeth said. “It’s critical illness and death, actually they must be in critical illness and near death to receive those services.”

The bill states the Board of Medicine is directed to adopt administrative rules to administer the bill. Normally, administrative rules have to be enacted within 90 days after a bill is signed into law. Since the bill is effective immediately upon enactment, rules are not yet established. 

Rep. Brian Meyer, D-Des Moines, asked Lundgren multiple times how the bill will be enforced, considering its quick passage.

In multiple instances, Lundgren was asked what would happen to a doctor if the law is violated. 

Lundgren responded each time that “the Board of Medicine will determine those rules,” providing no more information to the body.

In the Senate, Sinclair said repeatedly she could not predict what rules the board would enact, but said she believes the bill text is clear enough that rules may not be needed. “Rules are not necessary for this bill to go into effect,” she said.

Rep. John Forbes, D-Urbandale, a pharmacist, said the Board of Medicine will have a hard time creating rules. 

“I think they’re [the Board of Medicine] going to have a difficult time interpreting really what type of action should be taken if a physician does make a mistake and not make the right decision he thinks is proper for that patient,” Forbes said.

 

Iowans pack the Capitol

 

Hundreds of Iowans rally in the Iowa Capitol rotunda July 11, 2023 during a special legislative session on abortion. (Photo by Kathie Obradovich/Iowa Capital Dispatch)

 

Hundreds of Iowans packed the State Capitol on Tuesday to express their views on the legislation.

The Iowa House Health and Human Services Committee hosted a public hearing on House Study Bill 255 and the Senate State Government Committee heard public comments during a subcommittee meeting on its identical version of the bill, Senate Study Bill 1223.

As hearings were underway in two meeting rooms, hundreds gathered in the Capitol rotunda with signs and participated in chants, muffling the voices of those speaking inside. Chants of “Vote them out” and “Hey hey, ho ho, abortion bans have got to go” rang in the halls outside of the room. 

Republican presidential candidate Vivek Ramaswamy joined the crowd after meeting with Reynolds.

GOP presidential candidate Vivek Ramaswamy, right, chats with pro-choice Iowan Lori Van Lo of West Des Moines on July 11, 2023 at the Capitol outside the Iowa House’s public hearing on abortion. (Photo by Kathie Obradovich/Iowa Capital Dispatch)

 

“The judicial branch here got it wrong but the people of this country – people of this state – put Kim Reynolds in office and put those legislators in both chambers of the Legislature to actually reflect the will of the people. And that’s what we’re celebrating,” Ramaswamy said.

 Lori Van Lo of West Des Moines, who was standing nearby, interjected that 60% of Iowans don’t agree with an abortion ban.

“So, look, if you want to vote for somebody else, you have the power to do that,” Ramaswamy responded.

During both hearings, advocates from both sides of the issue shared their stories, citing religion, bodily autonomy and clarity of the bill’s enforcement. 

Maggie DeWitte, executive director of Pulse Life Advocates, said during the House hearing that she testified in front of legislators to prevent abortions in 2018. 

“This has been a long time coming,” DeWitte said. “I testified at our heartbeat bill in 2018, and here we are again. It is beyond time to once and for all have this heartbeat law passed, for the second time, signed into law for the second time, but now will be able to be enforced.”

Advocates that have spoken out against the passing of this bill have threatened to take the law to court if enacted. 

Francesca Turner, a doctor of osteopathic medicine, asked lawmakers for better guidance from the bill.  

“Using medically inaccurate language is confusing and dangerous,” Turner said. “The words in the bill should be very specific and accurate. These words matter and facts are important.”

Turner asked the committee members: “At what point will your wife or your daughter, who is having a medical emergency related to pregnancy, do I get to save her life? At what point do I get to intervene? It is unclear in this bill.”

“Pregnancy is too complicated to legislate,” Turner said. “I support the rights of patients to choose medical care that is best for them, and help them access care without government interference.”

Speakers cite religion

Pastor Michael Shover of Christ the Redeemer Church in Pella reads his Bible outside a public hearing on abortion in the state Capitol on July 11, 2023. (Photo by Kathie Obradovich/Iowa Capital Dispatch)

 

A majority of speakers in favor of the bill referred to their religion. John Lamb, a pastor speaking for Lutheran Family Service, emphasized during the Senate hearing that he believes life begins at conception. “A new and unique human being comes into existence,” he said. “… So I want to remind everyone that when we talk about heartbeat, we’re not talking about the heartbeat of something, but the heartbeat of someone.”

 Some who opposed the bill also cited their religion. 

Sally Frank, who said she was an active member of the Jewish community, said that the law does not allow her to practice religion. 

“Under Jewish life, human life begins at birth. While the fetus has value, its value is far below the human lives of the living people, including those who are pregnant.”

“Abortion is part of good health care and forced birth is not,” Frank said.

Rev. Brigit Stevens, a regional minister for the United Church of Christ, spoke on behalf of Black, indigenous people of color and LGBTQ Iowans. 

“Abortion will not go away, it will go underground, and let’s be frank, straight white men with money will still be able to get abortions for their wives, their daughters and their girlfriends,” Stevens said. “And other people of color, Black, indigenous folks and LGBTQ Iowans will continue to die at exponentially higher rates than white Iowans. Mothers will die and babies will die.”

Loras College student Grace Van Petten said she used to be pro-choice and she now believes women her age are misinformed about abortion. “We have many young women like my younger self convinced that abortion is needed or necessary,” she said, and that abortion is “the removal of just a clump of cells.”

House Democrats presented four amendments in committee regarding extending postpartum Medicaid, testing and treatment for sexually transmitted infections and access to contraception and accessibility to child care. They all failed on party-line votes. Both bills passed their respective committees on party-line votes.

Both the House and Senate majority parties passed rules for the special session that limited debate in committees and on the floor. House leadership planned to halt debate at 10 p.m. and move immediately to a vote. The Senate’s debate was set to end at 11 p.m.

Democrats in the House and Senate objected to limiting debate on the legislation.

“When you make a decision, Senator Whitver, to change the rules and democracy, to cut and muzzle the voices of Iowa women and those who love them and stand for them, you’re showing what Iowa looks like. That’s a dictatorship,” Sen. Janet Petersen, D-Des Moines, said, addressing Senate Majority Leader Jack Whitver during debate of chamber rules for the special session.

Sinclair pushed back at the criticism that the process has been rushed, saying during the subcommittee meeting the language was identical to the legislation debated at length and passed in 2018. “We are not here for one day, we are here for five years,” she said during opening comments of the Senate’s subcommittee meeting on the bill. “In fact, I would suggest that perhaps this has gone on too long, given the nature of the contents of the law.”

 

What’s in the bill

 

The 2018 bill made most abortions after six weeks illegal. Under current law, abortions up to 20 weeks are legal in Iowa.

Medical professionals would be mandated to check for a “detectable fetal heartbeat” under the proposed bill, and then must inform the pregnant woman that an abortion is prohibited if embryonic cardiac activity is detected. The woman then must sign the document confirming her ineligibility for an abortion.

The bill allows exceptions for abortions after detected embryonic cardiac activity in a case of rape if the case was reported to law enforcement or a health agency within 45 days and within 140 days for cases of incest.

The only way to receive an abortion after the 20-week mark is if a physician determines there is a medical emergency.

The bill defines a medical emergency as “a situation in which an abortion is performed to preserve the life of the pregnant woman whose life is endangered by a physical disorder, physical illness or physical injury including a life-endangering physical condition caused by or arising from the pregnancy, but not including psychological conditions, emotional conditions, familial conditions or the woman’s age; or when continuation of the pregnancy will create a serious risk of substantial and irreversible impairments of a major bodily function of the pregnant woman.”

Liability for an abortion does not fall on the mother, according to the proposed bill.

“The bill is not to be construed to impose civil or criminal liability on a woman upon whom an abortion is performed in violation of the division. The board of medicine is directed to adopt administrative rules to administer the bill.”

The legislation takes effect immediately upon enactment by the governor’s signature, which means rules to administer the bill would not yet be established.

 
Jay Waagmeester
Jay Waagmeester

Jay is an intern based in Ames and is currently a senior majoring in journalism and marketing at Iowa State University. He has interned at New Century Press and contributed to the Iowa State Daily.

MORE FROM AUTHOR

Kathie Obradovich
Kathie Obradovich

Editor Kathie Obradovich has been covering Iowa government and politics for more than 30 years, most recently as political columnist and opinion editor for the Des Moines Register. She previously covered the Iowa Statehouse for 10 years for newspapers in Davenport, Waterloo, Sioux City, Mason City and Muscatine.

 
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Not so Pro-Life? As US Maternal Mortality Rates Surge, Idaho Abolishes Panel Investigating Deaths in Pregnancy https://www.juancole.com/2023/07/mortality-abolishes-investigating.html Mon, 03 Jul 2023 04:08:23 +0000 https://www.juancole.com/?p=212997 By:
( Florida Phoenix ) – On July 1, Idaho becomes the only state without a legal requirement or specialized committee to review maternal deaths related to pregnancy.

The change comes after state lawmakers, in the midst of a national upsurge in maternal deaths, decided not to extend a sunset date for the panel set in 2019, when they established the state’s Maternal Mortality Review Committee, or MMRC.

The committee is composed of a family medicine physician, an OB-GYN, a midwife, a coroner, and a social worker, in addition to others who track deaths in Idaho that occur from pregnancy-related complications. Wyoming studies its maternal deaths through a shared committee with Utah. All other states, as well as Washington, D.C., New York City, Philadelphia, and Puerto Rico, have an MMRC, according to the Guttmacher Institute, a reproductive rights research group.

A majority of the state committees were established within the past decade as federal officials scrambled to understand state and local data to address gaps in maternal care. The committees review deaths that occur within a year of pregnancy and identify trends, share findings, and suggest policy changes.

Liz Woodruff, executive director of the Idaho Academy of Family Physicians, said she was “incredibly disappointed” by the Legislature’s decision to scuttle the committee. “It seems relevant that the state of Idaho supports a committee that works toward preventing the deaths of pregnant women,” she said. “This should be easy.”

The committee will disband despite a high rate of maternal mortality in the United States that exceeds those of other high-income countries. The U.S. recorded 23.8 maternal deaths per 100,000 live births in 2020, compared with 8.4 in Canada and 3.6 in Germany, according to the Organization for Economic Cooperation and the Centers for Disease Control and Prevention.

And the U.S. rate is sharply rising. In March, a few weeks before Idaho lawmakers adjourned their 2023 session, the CDC released data that showed the maternal mortality rate in the U.S. climbed in 2021 to 32.9 deaths per 100,000 live births.

Idaho has a particularly acute problem. Its pregnancy-related mortality ratio was 41.8 pregnancy-related deaths per 100,000 live births in 2020, according to the Maternal Mortality Review Committee report from that year.

Consistent data

Hillarie Hagen of Idaho Voices for Children, a nonprofit focused on low- and moderate-income families, said that the committee used the Idaho-specific data to do deep-dive analyses and that an information void would be left by shuttering the board.

“How do we make decisions and policy decisions to improve the health of mothers and their babies if we’re not tracking the data?” she asked. “From our perspective, having consistent data and trends shown over time helps make more sound policy decisions.”

The decision to disband the board came as two hospitals that serve rural areas announced they would stop providing services for expectant mothers. One of the hospitals cited trouble recruiting and retaining OB-GYNs after the state last summer enacted one of the strictest abortion bans in the country.

The committee, tasked with investigating deaths both individually and collectively, found that almost half of the maternal deaths in Idaho in 2020 occurred after delivery.

Amelia Huntsberger, an OB-GYN and a member of the committee, noted also that patients covered by Medicaid during pregnancy are overrepresented in maternal death rates, which led the panel to recommend expansion of postpartum Medicaid coverage to 12 months rather than the current 60 days.

Huntsberger made national headlines this year when she announced plans to leave both her job and the state, citing the state’s abortion ban and the move to dissolve the MMRC.

But in their legislative session, Idaho lawmakers decided not to advance a bill that would have embraced the committee’s recommendation to expand postpartum Medicaid coverage.

The legislation creating the review committee included a “sunset clause” to dissolve the committee on July 1, 2023. Following a contentious session by the Health and Welfare Committee of the Idaho House of Representatives in February, however, House Bill 81, which would have renewed the committee, failed to advance.


Image by Carolyn Booth from Pixabay

Republican state Rep. Dori Healey said she sponsored the bill because of her work as an advanced practice registered nurse when the Legislature is out of session. “For me being in the health care field, I think it’s always important to understand the why behind anything. Why is this happening? What can we do better?” Healey said. “I feel like in health care we can only improve with knowledge.”

Healey said she didn’t anticipate the strong opposition to the bill. In declining to advance it, lawmakers cited costs of running the panel, although some, like Huntsberger, say its operation thus far has been covered by a federal grant.

The MMRC has been funded by the federal Title V Maternal and Child Health Block Grant program, aimed at improving the health of mothers, infants, and children. Idaho has received more than $3 million annually in Title V funds in recent years, according to statistics cited by Huntsberger.

The MMRC, whose members say annual operation costs stand at about $15,000, has been deemed budget-neutral, running at no cost to the state.

Budget cutting

In an interview with KFF Health News, Marco Erickson, vice chair of the Health and Welfare Committee, said Idaho’s Republican Party has been focused on reducing government spending. He said the same maternal data could be adequately culled through epidemiology reports already published by the Department of Health and Welfare.

“Anytime that there is a death of a mother and child, there is value in evaluating why it occurred,” Erickson said. “The whole committee saw the importance but saw there was another way to do it. It wasn’t that they didn’t think it was valuable.”

Erickson, who previously oversaw elements of maternal and child health in his role as a health program manager for Nevada’s Division of Public and Behavioral Health, said that information could become siloed in government, but it was worthwhile to improve existing bodies rather than creating a committee anew.

“I think it could be covered elsewhere, and if it’s not being done, they need to make a loud voice to cover it in the existing programs,” he said. “We’re happy to sit down together to find a solution that works.”

The lobbying group Idaho Freedom Foundation celebrated the end of the committee, contending it was a “vehicle to promote more government intervention in health care,” citing the group’s recommendation to extend Medicaid coverage to mothers for 12 months postpartum.

Elke Shaw-Tulloch, public health administrator at the Idaho Department of Health and Welfare, said the department will “continue to collect raw data on maternal deaths and gather as much data as possible through limited, existing sources.” But, she said, it will not have the ability to compel reporting on cases or convene committee members to investigate deaths.

“We are currently assessing what actions we can take and working with stakeholders to address solutions moving forward,” she said.

A group to do so has not yet convened since the legislative session ended in April, although stakeholders say they will focus on bringing another bill before the Idaho Legislature to reinstitute the committee in the 2024 session.

Stacy Seyb, a maternal-fetal specialist who grew up in rural western Kansas and will continue to chair the committee until its dissolution, said that supporting medical providers in more rural areas was part of his lifelong mission, and that the work won’t necessarily stop.

“We knew once it didn’t get out of committee, that ‘Oh well, we’re sunk,’” Seyb said. “I know one thing we want to do is collect as much information as we can over the year. Whether it will get reviewed or not, I don’t know.”

KFF Health News, formerly known as Kaiser Health News (KHN), is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism. KFF is a partner with the States Newsroom network, which includes the Phoenix.

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Natalie Schachar

Natalie Schachar is an award-winning journalist and former editor for The Associated Press in Mexico City. Her stories have been featured in The New York Times, The Washington Post Magazine, Rolling Stone, The Los Angeles Times and other publications.

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California Police Must stop sharing Drivers’ Location Data with Police in Anti-Abortion States: Civil Liberty Groups https://www.juancole.com/2023/05/california-location-abortion.html Tue, 30 May 2023 04:04:09 +0000 https://www.juancole.com/?p=212304

This sharing by 71 CA police agencies violates state law and could be used by other states to identify and prosecute abortion seekers and providers.

( Electronic Frontier Foundation ) – SAN FRANCISCO—Seventy-one California police agencies in 22 counties must immediately stop sharing automated license plate reader (ALPR) data with law enforcement agencies in other states because it violates California law and could enable prosecution of abortion seekers and providers elsewhere, three civil liberties groups demanded Thursday in letters to those agencies.

The letters from the Electronic Frontier Foundation (EFF), the American Civil Liberties Union of Northern California (ACLU NorCal), and the American Civil Liberties Union of Southern California (ACLU SoCal) gave the agencies a deadline of June 15 to comply and respond. A months-long EFF investigation involving hundreds of public records requests uncovered that many California police departments share records containing detailed driving profiles of local residents with out-of-state agencies.

ALPR camera systems collect and store location information about drivers, including dates, times, and locations. This sensitive information can reveal where individuals work, live, associate, worship—or seek reproductive health services and other medical care.

“ALPRs invade people’s privacy and violate the rights of entire communities, as they often are deployed in poor and historically overpoliced areas regardless of crime rates,” said EFF Staff Attorney Jennifer Pinsof. “Sharing ALPR data with law enforcement in states that criminalize abortion undermines California’s extensive efforts to protect reproductive health privacy.”

The letters note how the nation’s legal landscape has changed in the past year.

“Particularly since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization, which overturned Roe v. Wade, ALPR technology and the information it collects is vulnerable to exploitation against people seeking, providing, and facilitating access to abortion,” the letters say. “Law enforcement officers in anti-abortion jurisdictions who receive the locations of drivers collected by California-based ALPRs may seek to use that information to monitor abortion clinics and the vehicles seen around them and closely track the movements of abortion seekers and providers. This threatens even those obtaining or providing abortions in California, since several anti-abortion states plan to criminalize and prosecute those who seek or assist in out-of-state abortions.”


Image by Simon from Pixabay

Idaho, for example, has enacted a law that makes helping a pregnant minor get an abortion in another state punishable by two to five years in prison.

The agencies that received the demand letters have shared ALPR data with law enforcement agencies across the country, including agencies in states with abortion restrictions including Alabama, Idaho, Mississippi, Oklahoma, Tennessee, and Texas. Since 2016, sharing any ALPR data with out-of-state or federal law enforcement agencies is a violation of the California Civil Code (SB 34). Nevertheless, many agencies continue to use services such as Vigilant Solutions or Flock Safety to make the ALPR data they capture available to out-of-state and federal agencies.

California law enforcement’s sharing of ALPR data with law enforcement in states that criminalize abortion also undermines California’s extensive efforts to protect reproductive health privacy, specifically a 2022 law (AB 1242) prohibiting state and local agencies from providing abortion-related information to out-of-state agencies.

 

Via Electronic Frontier Foundation

Published under Creative Commons License 3.0.

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