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      Michigan man charged with shooting elderly woman in abortion altercation

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      Michigan man charged with shooting elderly woman in abortion altercationRichard Harvey, 74, says he ‘accidentally’ shot Joan Jacobson, 84, as she campaigned on his doorstep but faces assault charges Michigan authorities have filed criminal charges against a man accused of shooting an elderly woman campaigning against abortion rights in the shoulder while she argued with his wife last week.Richard Alan Harvey, 74, had publicly claimed it was an accident when he shot the 84-year-old woman. But prosecutors from Ionia county, Michigan, charged him on Friday with one count each of assault with felonious assault, careless discharge of a gun causing injury, and reckless use of a firearm in a case that appears to serve as an extreme example of how heated the debate surrounding abortion in the US can become.According to investigators, the woman who was shot was volunteering with an organization named Right to Life and going door-to-door asking voters to oppose Michigan’s protecting abortion rights during a ballot measure in November when she went to Harvey’s home near Lake Odessa on 20 September.Harvey later told the local television news station WOOD that the woman, Joan Jacobson, was arguing with his wife, who supports abortion rights. The couple told Jacobson she was trespassing and she should leave, but Jacobson refused, according to what Harvey told WOOD.Harvey eventually emerged from a barn at his home with a .22-caliber rifle belonging to his wife, aimed at a pine tree out front and fired a warning shot. Then, “without thinking”, he said, he tried to use the rifle to “club” away a clipboard that the volunteer was holding, fearing she would hit Harvey’s wife with it.According to Harvey, one of his fingers accidentally pulled the rifle’s trigger, and the ensuing shot hit the volunteer in the right shoulder.“It went off,” Harvey said of the rifle he had pulled. “It was an accident.”Jacobson received medical treatment for her wound after driving herself to a nearby police department. She told WOOD that she was peaceful throughout the confrontation with Harvey and his wife, Sharon. Jacobson said she was walking away when she was alarmed to see Harvey coming up to her while holding a rifle.“The thing that I noticed the most was that he had a gun, and it was a big gun,” Jacobson said to WOOD. “It was [a] long barrel and by the time that registered in my brain, I heard a shot and I felt some pain.”Authorities did not immediately charge Harvey with a crime. But that changed after an investigation from Michigan state police and the Ionia county prosecutor’s office.The most serious of the charges against Harvey was felonious assault, which can carry up to four years in prison upon conviction.A judge arraigned Harvey on Friday. His bail was set at $10,000.The US supreme court’s 1973 decision titled Roe v Wade established federal abortion rights. But, in June, the supreme court’s current conservative majority voted to repeal those rights and let states individually decide whether abortion should be legal in their jurisdictions.The legislatures of many states have since implemented restrictive abortion bans without putting the issue to voters. Michigan, for its part, is letting voters decide on 8 November whether abortion rights should be protected in their state constitution.Michigan’s abortion referendum is coming after 730,000 of the state’s residents signed a petition requesting a vote.TopicsMichiganAbortionUS politicsUS crimenewsReuse this content More

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      In Arizona Governor’s Race, a Democrat Runs on Abortion

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      PHOENIX — Here was a debate that Katie Hobbs wanted to have.For weeks, critics heckled Ms. Hobbs as a “coward” and “chicken” for refusing to share a debate stage with her combative, election-denying Republican rival in the race to become Arizona’s next governor. Some fellow Democrats fretted it was a dodge that risked alienating undecided voters who could tip the razor-thin race.Then last Friday, a judge upended the campaign by resurrecting an 1864 law that bans nearly all abortions across Arizona, a ruling made possible by the overturning of Roe v. Wade. And Ms. Hobbs, Arizona’s Democratic secretary of state, seized what Democrats in this battleground state hoped would become a galvanizing moment.She scrapped a campaign event and scrambled to arrange a news conference outside the office of the Republican state attorney general who had argued to reimpose the Old West-era abortion law. She vowed to repeal the ban and taunted Republicans for their muted responses to the abrupt halt of all abortions across Arizona.She also spoke in starkly personal terms about how she had once had a miscarriage, and had needed a surgical procedure now being denied to women in states that have outlawed abortion. Ms. Hobbs says any abortion decisions should “rest solely between a woman and her doctor, not the government.”“It’s difficult,” Ms. Hobbs said later about sharing her own story. “But there’s too much at stake in this election not to talk about that.”The race for an open governor’s seat in Arizona has swelled into a bruising struggle over the evolving political identity of a traditionally conservative state that sends Democrats to Washington, while keeping Republicans in power at home.Abortion rights supporters protest in Phoenix, after the U.S. Supreme Court decision to overturn the constitutional right to abortion.Joel Angel Juarez/USA Today Network/Via ReutersThe question now is whether Arizona will move left with Ms. Hobbs, a soft-spoken social worker and state politician, or veer deeper into MAGA territory by electing Kari Lake, a former local news anchor running on militarizing the nation’s southwestern border and amplifying falsehoods about the 2020 election.“I really think this is a battle between two competing narratives,” said Kirk Adams, a Republican former speaker of the Arizona House and former chief of staff for the outgoing Republican governor, Doug Ducey. “Abortion rights and saving democracy on one hand and inflation and border security and a stolen election on the other.”As secretary of state during the 2020 presidential election, Ms. Hobbs became a hero to Democrats for defending Arizona’s voting system from an onslaught of false accusations of fraud. She vaulted to the front of the Democratic primary for governor while also becoming a target of death threats and protests.The State of the 2022 Midterm ElectionsWith the primaries over, both parties are shifting their focus to the general election on Nov. 8.A Focus on Crime: In the final phase of the midterm campaign, Republicans are stepping up their attacks about crime rates, but Democrats are pushing back.Pennsylvania Governor’s Race: Doug Mastriano, the Trump-backed G.O.P. nominee, is being heavily outspent and trails badly in polling. National Republicans are showing little desire to help him.Megastate G.O.P. Rivalry: Against the backdrop of their re-election bids, Gov. Greg Abbott of Texas and Gov. Ron DeSantis of Florida are locked in an increasingly high-stakes contest of one-upmanship.Rushing to Raise Money: Senate Republican nominees are taking precious time from the campaign trail to gather cash from lobbyists in Washington — and close their fund-raising gap with Democratic rivals.Her supporters cast the race against Ms. Lake as “sanity versus chaos,” and said Ms. Hobbs would take a bipartisan approach to tackling Arizona’s water shortages, meager school funding and spiraling housing costs. But even some supporters doubt whether her mild manner can stand up to Lake’s bolder one.“I don’t think she has done as well as she should have,” said Claudia Underwood, a retired lawyer and Democrat in a corner of Phoenix with enviable views of Camelback Mountain, the city’s most famous peak. “She is not coming across as strong as I think she should.”Ms. Lake has spent the race lobbing verbal grenades at Ms. Hobbs with a delivery honed during years anchoring local Fox newscasts. She has called for Ms. Hobbs to be jailed and needles her as “Katie.” Ms. Hobbs uses Ms. Lake’s full name or formally calls her “my opponent.”While Ms. Lake has given speeches in front of roaring crowds at Trump rallies, Ms. Hobbs has run a campaign centered on smaller events with local and tribal leaders and student organizers, and house parties with supporters.Supporters say she is genuine and caring, but even on the most comfortable terrain, she sometimes sticks to the script. At a recent roundtable with abortion-rights supporters, she hewed largely to prepared statements.“She’s not going to get up at a rally like Ms. Lake does and get the crowd all stirred up,” said State Senator Lela Alston, a Democrat who once ran with Ms. Hobbs and U.S. Senator Kyrsten Sinema for their state legislative seats. “She’s much more thoughtful and available to people all over the state. I’m hoping the message gets out.”Arizona Republican candidate for governor Kari Lake greets supporters at a rally in Tucson.Rebecca Noble for The New York TimesA handful of Democrats running for state legislative races said they had yet to get an invitation to campaign with her or appear together at an event. By contrast, Ms. Lake had two Republican state legislative candidates introduce themselves before she appeared at a friendly question-and-answer session with supporters.“We have a candidate who isn’t out campaigning, so it’s hard to break through and keep those issues relevant if there’s nobody out there talking about them,” said Marco Lopez, Ms. Hobbs’s Democratic primary opponent.Billy Grant, a consultant for Ms. Lake, has said that her campaign has focused on showing the clear contrasts between the two candidates and that she considered the border to be the top issue for voters in Arizona.“Katie Hobbs was convinced she could win with the Joe Biden strategy of just running TV ads and hiding out from the public,” he said. “That is just not going to happen.”Other Democrats argued Ms. Hobbs was right in running her own campaign and declining to debate an opponent who wrongly insists the 2020 election was stolen. The Republican nominees for Arizona’s most powerful statewide office this November have all made repeated false claims that the 2020 vote was fraudulent and rightfully won by Mr. Trump.Racism and discrimination have also come up in uncomfortable ways for Ms. Hobbs. In November, a jury awarded $2.75 million to a Black staff member who worked under Ms. Hobbs in the State Senate, and who was fired in 2015 after complaining about her unequal pay.The former staffer, Talonya Adams, has become a vocal critic of Ms. Hobbs, and Ms. Lake has used the lawsuit to call Ms. Hobbs a “convicted racist.” Ms. Hobbs released a statement apologizing to Ms. Adams.Now, about two weeks before ballots are mailed out, interviews with voters across Arizona suggest that people’s priorities are splintered. While many Democrats cite abortion and democracy as top concerns, others who are just now tuning into the race say they are most worried about soaring food and rent costs and an increase in migrants attempting to cross Arizona’s southern border.Jon Hernandez, 22, who says he is undecided but leaning toward voting for Ms. Lake, has spent the summer living at home with his parents and doing the “soul draining” work of a failed job hunt. He said he supported the Clinton-era pitch that abortion should be legal, safe and rare. But he said abortion was a lesser concern.“It’s nowhere near as important,” he said. “If we don’t get control of rampant inflation and gas prices, that spells disaster for much more of the population. It’s like tiers of priorities.”In an interview, Ms. Hobbs made a point of criticizing Ms. Lake’s anti-abortion stance as “extreme and out of touch.” Ms. Lake has called the 1864 ban “a great law” and has said she would support further anti-abortion measures as governor.Kari Lake supporters gather in Tucson.Rebecca Noble for The New York TimesNew polls of the governor’s race — a virtual dead heat — suggest that those laws are out of step with an electorate that is getting younger, increasingly Latino and pulling a traditionally conservative state closer to the political center.On her website, Ms. Lake pledges to support all forms of birth control, as well as state government programs to help pregnant mothers seek alternatives to abortion, such as adoption, and provide resources for parental support and guidance. She also says fathers must be “held accountable.”Some 90 percent of Arizona voters said abortion should always be legal, or should be legal in some circumstances, according to a survey conducted in early September by the Phoenix-based firm OH Predictive Insights. And 45 percent said that a candidate’s stance on abortion had a strong impact on their vote.“It’s just scary,” said Andrea Luna Cervantes, a reproductive-rights activist in Phoenix. “Because you’re a woman, because you’re a person who can give birth, your rights can be just stripped.”Ms. Cervantes said she got involved in abortion-rights activism after seeing people she knew face pregnancies with few resources or options other than carrying them to term. She said she planned to vote for Ms. Hobbs, but some family members back in Yuma were unconvinced.The ban struck a chord with some Indigenous voters, who make up 5 percent of the state’s population. Anjeanette Laban, a member of the Hopi Tribe, said reproductive health care was already dangerously scarce and distant. She saw the end of abortion access in Arizona as another colonial oppression. She said that she knew little about the candidates running, but that the abortion issue would determine her vote.“They’re still trying to dictate what we can do, how they can limit us,” she said.In recent weeks, Ms. Hobbs has been leaning into the issue of abortion in email blasts to supporters, and the Arizona Democratic Party has released a new television ad slamming Ms. Lake for saying she did not believe abortion should be legal.“Since Roe v. Wade was overturned, Arizona has reverted back to a 100-year-old law that criminalizes abortion, and Kari Lake — she supports that,” Chris Nanos, the Pima County sheriff, says in the ad.After the abortion ban ruling, Ms. Lake called Ms. Hobbs “radical” on the issue during an interview on Fox News. On Monday, she emailed supporters keeping up her critique of Ms. Hobbs on immigration. The subject line was “Open Borders Katie.” More

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      Will Abortion Turn Tide for Democrats in House Fight for NY Suburbs?

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      ROCKVILLE CENTRE, N.Y. — A year ago, Republicans staged an uprising in the Long Island suburbs, winning a slew of races by zeroing in on public safety and suggesting that Democrats had allowed violent crime to fester.Now, with the midterms approaching, Democratic leaders are hoping that their own singular message, focused on abortion, might have a similar effect.“Young ladies, your rights are on the line,” Laura Gillen, a Democrat running for Congress in Nassau County, said to two young women commuting toward the city on a recent weekday morning. “Please vote!”Long Island has emerged as an unlikely battleground in the bitter fight for control of the House of Representatives, with both Democrats and Republicans gearing up to pour large sums of money into the contests here.Nassau and Suffolk Counties, where nearly three million New Yorkers live, have become a powerful testing ground for the main campaign themes of each party, with Democrats hoping that their renewed focus on abortion rights — following the recent Supreme Court decision that overturned Roe v. Wade — will help them retain control of the House.The New York City suburbs are at a rare political crossroads: Three of the four House seats that encompass most of Long Island are open this year after their incumbents retired or stepped aside to seek higher political office, offering both parties a unique, regionally concentrated opportunity to send new faces to Congress.The two districts that are mostly situated in Nassau County, just east of Queens, are held by Democrats, while the two districts concentrated on the eastern stretch of the island in Suffolk County are held by Republicans. Both parties are vying to gain one, if not, two seats.That prospect has injected a sense of urgency and uncertainty into the races on Long Island, once a Republican stronghold that has turned more Democratic and diverse in recent decades, becoming the type of suburban swing area that could determine control of the House in November.Republicans have almost exclusively focused on blaming Democrats for rising prices as well as on public safety: They have amplified concerns about the state’s contentious bail laws and crime in nearby New York City, where many Long Islanders commute for work.“Many Democrats feel like that they don’t have a party anymore because it’s gone so far to the left,” said Anthony D’Esposito, a former New York City police detective and local councilman running against Ms. Gillen, the former Town of Hempstead supervisor who lost her seat in 2019. He suggested that police officers, firefighters and emergency medical workers who live in Nassau County but work in the five boroughs are alarmed by crime in the city.Anthony D’Esposito, a former New York City police detective, is trying to flip a Democratic seat being vacated by Kathleen Rice.Johnny Milano for The New York TimesMr. D’Esposito and Ms. Gillen are running in a tight race to replace Representative Kathleen Rice, a Democrat who announced in February that she would not run for re-election in the Fourth District in central and southern Nassau, which she has represented since 2015.“The Dobbs decision was a wake-up call that elections have consequences,” Ms. Rice said in an interview. “But for people on Long Island, they don’t want to just hear about that. They want to hear about how we’re going to get inflation under control and public safety,” she said, adding both were politically thorny issues for Democrats in New York.Republicans are looking to replicate their success from 2021, when the party used visceral ads of assaults and break-ins to help capture a slew of races across Long Island. They ousted Laura Curran, the Democratic Nassau County executive, in November, and won control of the Nassau district attorney’s office despite running a first-time candidate against a well-known Democratic state senator.Democratic operatives are quick to caution that 2021 was an off-year election, when Republicans typically are more successful in getting voters to the polls. Indeed, there are more Democrats than Republicans registered to vote in the district, and political analysts have forecast it as more favorable for Democrats.Still, almost a quarter of voters are unaffiliated with either party. Some high-ranking Democrats have privately raised concerns that the contest is being overlooked by the Democratic Congressional Campaign Committee, which did not include it in its national “Red to Blue” slate of competitive races, a designation that provides field work and helps attract financial support from national donors.Interviews this month with more than a dozen voters in Nassau County showed that public safety, inflation and immigration remained animating issues among Republicans and swing voters who typically play an outsize role in elections here..css-1v2n82w{max-width:600px;width:calc(100% – 40px);margin-top:20px;margin-bottom:25px;height:auto;margin-left:auto;margin-right:auto;font-family:nyt-franklin;color:var(–color-content-secondary,#363636);}@media only screen and (max-width:480px){.css-1v2n82w{margin-left:20px;margin-right:20px;}}@media only screen and (min-width:1024px){.css-1v2n82w{width:600px;}}.css-161d8zr{width:40px;margin-bottom:18px;text-align:left;margin-left:0;color:var(–color-content-primary,#121212);border:1px solid var(–color-content-primary,#121212);}@media only screen and (max-width:480px){.css-161d8zr{width:30px;margin-bottom:15px;}}.css-tjtq43{line-height:25px;}@media only screen and (max-width:480px){.css-tjtq43{line-height:24px;}}.css-x1k33h{font-family:nyt-cheltenham;font-size:19px;font-weight:700;line-height:25px;}.css-ok2gjs{font-size:17px;font-weight:300;line-height:25px;}.css-ok2gjs a{font-weight:500;color:var(–color-content-secondary,#363636);}.css-1c013uz{margin-top:18px;margin-bottom:22px;}@media only screen and (max-width:480px){.css-1c013uz{font-size:14px;margin-top:15px;margin-bottom:20px;}}.css-1c013uz a{color:var(–color-signal-editorial,#326891);-webkit-text-decoration:underline;text-decoration:underline;font-weight:500;font-size:16px;}@media only screen and (max-width:480px){.css-1c013uz a{font-size:13px;}}.css-1c013uz a:hover{-webkit-text-decoration:none;text-decoration:none;}How Times reporters cover politics. We rely on our journalists to be independent observers. So while Times staff members may vote, they are not allowed to endorse or campaign for candidates or political causes. This includes participating in marches or rallies in support of a movement or giving money to, or raising money for, any political candidate or election cause.Learn more about our process.Joe O’Connor, a 75-year-old Vietnam veteran from Freeport on Long Island’s South Shore, is not registered with either party. He voted against Mr. Trump in 2020 but said he was still unsure how he would vote in November, noting that chief among his concerns were education, homelessness and safety in New York City.“New York has come back great, and I’m really happy with that,” said Mr. O’Connor, a former teacher who frequently visits museums and Broadway shows in the city. “But it’s got to be cleaned up, and it’s got to be safe for people.”Democrats, for their part, have homed in on abortion rights and the threat to democracy as central campaign themes, hopeful that the recent legal setbacks that have thrust former President Donald J. Trump back into the news will also boost their chances in a state where Mr. Trump remains deeply unpopular.Delis Ortiz, 20, who said she would vote for her first time in November, said that while her top concern was keeping up with rising grocery prices, she would most likely vote Democratic in part because of the party’s stance on abortion rights.“I believe that every person has a right to their own body,” said Ms. Ortiz, a barista at an upscale coffee shop in Garden City. “Nobody should have that power over anyone else, ever.”Those themes are playing out visibly in the competitive race to replace Representative Thomas R. Suozzi, a centrist Democrat who has represented the Third District, in northern parts of Nassau County and parts of eastern Queens, since 2017 but decided not to run for re-election to pursue an unsuccessful run for governor this year.Robert Zimmerman, a small-business owner and well-known Democratic activist, has repeatedly sought to cast his Republican opponent, George Santos, as too extreme to represent the district, highlighting Mr. Santos’s apparent support of abortion bans and his attendance at the pro-Trump rally in Washington on Jan. 6.Robert Zimmerman, a Democrat, is facing George Santos, a Republican, in a contest to fill an open seat vacated by Representative Thomas Suozzi.Johnny Milano for The New York Times“Long Island can very well determine who has the majority in Congress,” Mr. Zimmerman said over coffee at a diner in Great Neck this month. “And frankly, George Santos represents the greatest threat to our democracy of any candidate running for Congress in New York State. I really can’t underscore that enough.”In a statement, Charley Lovett, Mr. Santos’s campaign manager, accused Mr. Zimmerman of trying to “distract voters from the disasters that Joe Biden and Nancy Pelosi’s policies have caused with Robert Zimmerman’s full support.”Their matchup also has history-making potential: The race appears to be the first time that two openly gay candidates for Congress have faced off in a general election.The governor’s election could also play a role in some House races on Long Island, which has emerged as a key battleground in the race between Gov. Kathy Hochul, a Democrat, and her Republican opponent, Representative Lee Zeldin, who has represented most of Suffolk County in Congress since 2015.Ms. Hochul has held a significant lead in most public polls, and she held a narrow five-point lead in the New York City suburbs in a Siena College poll released on Wednesday. Even so, Republicans are hoping Mr. Zeldin’s support on Long Island could help drive its voters to the polls, buoying the party’s House candidates, though Democrats are betting that their barrage of attack ads portraying Mr. Zeldin as a right-wing extremist will help the party animate Democrats and swing more moderate voters in their favor.Mr. Zeldin’s entry into the governor’s race paved the way for Democrats to try and flip his now-open congressional seat in the First District on the eastern end of the island, one of the few Republican-held seats in the country that is open and considered competitive. But Democrats face an uphill battle: The seat is projected to slightly favor Republicans, who have held the district since Mr. Zeldin wrestled it from Democratic control in 2014.The Democrat in the race, Bridget Fleming, a former assistant district attorney and current county legislator, has nonetheless outpaced her opponent in fund-raising and recently received the endorsement from the union that represents police officers in Suffolk County. She was also added to the Democrats’ Red to Blue program in June.A moderate, she has centered her campaign in the district, a mix of working-class and wealthy residents, on affordability and conserving the environment — a top issue for fishermen and farmers, as well as the tourism industry, on the island’s East End — but also on protecting women’s right to choose.“There’s no question that fundamental freedoms are under assault in our country,” said Ms. Fleming. “The exploitation of the extremes that we’ve seen recently is electrifying people who are standing up to fight for themselves.”In an interview, her opponent, Nicholas LaLota, brushed off Democrats’ almost singular focus on reproductive rights, saying that New York already had some of the strictest protections in the country.“Here in New York, nobody’s abortion rights are under attack or assault,” said Mr. LaLota, a former Navy lieutenant who works in the Suffolk County Legislature. “So those folks who want to campaign on abortion, they should run for state office, not federal office.”He added that voters in the district “who live paycheck to paycheck were more concerned about rising interests rates and prices.”Democrats are facing an even steeper climb to unseat Representative Andrew Garbarino, a well-funded Republican who represents the Second District on the South Shore that is among the most affluent in the country. Opposing Mr. Garbarino is Jackie Gordon, an Army veteran, who lost to Mr. Garbarino in 2020. More

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      Doug Mastriano Said in 2019 That His Pennsylvania Bill Would Treat Abortions as Murder

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      Doug Mastriano, the far-right Republican nominee for governor in Pennsylvania, indicated in 2019 that women should be charged with murder if they violated a proposed abortion ban, a comment that Democrats on Tuesday highlighted as another example of Mr. Mastriano’s embrace of policies that are well outside the political mainstream.As a state senator in October 2019, he co-sponsored a bill to ban abortion after the detection of electrical cardiac activity in the fetus, usually around six weeks.On the radio show Smart Talk, the host, Scott LaMar, asked Mr. Mastriano if a woman would be charged with murder if she were 10 weeks pregnant and knowingly had what would be an illegal abortion under the bill. Mr. Mastriano answered, “Is that a human being? Is that a little boy or girl? If it is, it deserves equal protection under the law.”“So you’re saying yes?” the host asked.“Yes, I am,” Mr. Mastriano responded.NBC News first brought attention to the interview on Tuesday. Mr. Mastriano’s team did not respond to a request for comment.The issue of abortion rights has been a central theme of the Pennsylvania governor’s race.In a state with a Republican-led Legislature, Attorney General Josh Shapiro, the Democratic nominee, has positioned himself as a bulwark against any effort to enact the kind of abortion bans that have taken hold in other states since the Supreme Court overturned Roe v. Wade.Mr. Mastriano, who is behind in polling and advertising time, more recently suggested that “the people of Pennsylvania” will “decide what abortion looks like” in the state, not the governor — but there is no question that he has long maintained hard-right views on the issue.Asked whether he believed in exceptions for rape or incest or to save the life of the mother, he replied during a primary debate, “I don’t give a way for exceptions.” Although his state bill had sought to ban abortion after a few weeks, he said in the debate that he wanted to end it completely: “I’m at conception. We’re going to have to work our way towards that.”A Monmouth University poll over the summer found that only 10 percent of Americans surveyed thought abortion should always be illegal, and 65 percent of those surveyed said they would be bothered “a lot” if “states treated illegal abortions as a felony where the woman or her doctor could be charged with murder.”“Doug Mastriano has said his No. 1 priority is banning abortion with no exceptions for rape, incest or the life of the mother — and now, it’s clear he also wants to prosecute women for murder for making personal health care decisions,” said Manuel Bonder, a spokesman for Mr. Shapiro. “Mastriano has the most extreme anti-choice position in the country.” More

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      Republican abortion bans restrict women’s access to other essential medicine

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      Republican abortion bans restrict women’s access to other essential medicine Many pharmacies and physicians are forced to deny patients access to drugs, such as methotrexate, that can be used to help induce an abortionA few weeks after the supreme court’s 24 June decision to overturn the nationwide abortion rights established by Roe v Wade, the pharmacy chain Walgreens sent Annie England Noblin a message, informing her that her monthly prescription of methotrexate was held up.Noblin, a 40-year-old college instructor in rural Missouri, never had trouble getting her monthly prescription of methotrexate for her rheumatoid arthritis. So she went to her local Walgreens to figure out why, standing in line with other customers as she waited for an explanation.When it was finally her turn, a pharmacist informed Noblin – in front of the other customers behind her – that she could not release the medication until she received confirmation from Noblin’s doctor that Noblin would not use it to have an abortion.Since the supreme court’s elimination of federal abortion rights, many states have been enacting laws which highly restrict access to abortion, affecting not only pregnant women but also other patients as well as healthcare providers.As a result, many pharmacies and physicians have been forced to deny and delay patients’ access to essential medications – such as methotrexate – that can be used to help induce an abortion.Noblin is one of the 5 million methotrexate users across the US and one of the country’s many autoimmune patients. Although she was eventually given her prescription, Noblin and other patients are now forced to grapple both with a monthly invasion of privacy at pharmacies that ask them about their reproductive choices as well as the possibility of being wholly denied the medication in the future due to restrictive laws.For 60 years, methotrexate has been considered a cheap, standard treatment for nearly 60% of rheumatoid arthritis patients. It is also widely used to treat other autoimmune diseases, including Crohn’s disease, lupus and psoriasis. And, because it inhibits certain cellular functions, it has been used to treat a variety of cancers including leukemia, breast cancer, lung cancer and lymphoma.But methotrexate also treats ectopic pregnancies, in which a fertilized egg implants outside the uterus. Although rare, with only about 100,000 occurring annually, ectopic pregnancies are fatal for fetuses and can severely jeopardize mothers’ health. Therefore, the only treatment is abortion, and methotrexate commonly is combined with other medicine to perform the procedure.Methotrexate’s versatility prompted the World Health Organization to classify it as an “essential medicine”. Yet Roe v Wade’s reversal has significantly stunted access to the drug – even for patients who are not pregnant and simply require the drug to treat other conditions.Numerous health organizations have confirmed reports of methotrexate being denied to women since the federal abortion rights were eliminated.Calling the drug “an important part” of caring for the illness it is dedicated to fighting, the Lupus Foundation of America said: “We are aware of reports that some people are having difficulty accessing methotrexate in the wake of the supreme court’s ruling [in June].”Similarly, the American College of Rheumatology said that it is aware of the “emerging concerns surrounding access to needed treatments such as #MTX [methotrexate] after the recent decision” from the supreme court in the Dobbs case that led to Roe v Wade’s reversal.In Missouri, abortion is completely banned with limited exceptions for saving the pregnant person’s life or to prevent serious risk to that person’s physical health. As a result, for someone like Noblin, being banned from getting access in Missouri to her monthly doses of methotrexate – even if temporarily – was and is still quite damaging.Methotrexate helps Noblin and others alleviate pain as well as swelling in their hands and shoulder joints that occasionally becomes so excruciating that it hinders their ability to get dressed or drive to work.“If I weren’t taking it,” Noblin told the Guardian, “I don’t know how I would be able to function.”After her pharmacy got confirmation from her doctor that she was not going to be using the drug to induce an abortion, Noblin was finally able to get her prescription for July. In August, Noblin went into the pharmacy again, expecting the process to be smoother this time around. However, to her surprise, she was required to consult with a pharmacist before getting the medication and confirm that she was not pregnant and didn’t intend to become pregnant while taking the medication.Noblin told the pharmacist it was not their business. The pharmacist then told Noblin that she would not be able to get her medication if she did not answer the question.“I’m going to have to answer [that] every single month before they will even consider giving me the medication,” Noblin said.Additionally, another problem that Noblin and many others face is potentially being forced to spend $14,000 a month without insurance for Humira as a brand-name alternative. And they are worried about prosecution by their states.Noblin said she is on birth control but frets to think if she still gets pregnant.In that case she said she would get an abortion in Illinois, which has protected abortion rights. But would she be exposed to prosecution, accused of lying because she would have told a pharmacist she didn’t intend to get pregnant?“It feels like I don’t have any control over my own body,” Noblin said. “My body belongs to Missouri.”Jennifer Crow, a 48-year-old from Tennessee, faced similar issues after the supreme court eliminated federal abortion protections. On 1 July, Crow, who has inflammatory arthritis, received an automated call from her CVS pharmacy, informing her that her refill was declined.The call came in during Friday evening on a holiday weekend. As a result, Crow was left without her weekly dose of methotrexate.Before she started methotrexate, Crow’s joints would become too stiff and sore for her to move without pain in the mornings, limiting her mobility significantly.“Methotrexate gave me back my independence,” she told the Guardian. “I knew without it, I’d be right back to limited mobility and lots of pain.”Four days later, the pain and stiffness started to return. She also began panicking, unsure if she’d ever be able to get her medication because she and her Georgia-based medical providers were both in states that implemented abortion bans after the Dobbs decision.She couldn’t understand why she was in that position, given that she’d had a hysterectomy years earlier. Eventually, Crow found out that CVS refused her refill because the chain had asked pharmacists to decline filling methotrexate prescriptions unless they indicated a diagnosis unrelated to an abortion, a practice Crow finds “invasive and unnecessary”.Crow, like Noblin, eventually got her prescription refilled. But since her treatment’s disruption she’s struggled with increased pain and decreased mobility.“The Dobbs decision has many unintended consequences, and as a middle-aged woman without a uterus, I didn’t think it would affect my care,” she said.Complicating matters: methotrexate is not the only essential medication that many are now struggling to access, despite the US health and human services department’s guidance on laws prohibiting pharmacies from rejecting patients with prescriptions for medications that may end a pregnancy.People on misoprostol – which prevents stomach ulcers for those who take aspirin, ibuprofen or naproxen – are also facing access hurdles because the drug can also be combined with other medication to induce abortion, said the Global Healthy Living Foundation’s chief legal officer, Steven Newmark. Such disruptions not only can lead to “serious health consequences”, but they violate patients’ treatment preferences, Newmark added.Nonetheless, methotrexate vividly illustrates the uncertainty created by Roe’s reversal. Texas lawmakers have made it a felony to dispense methotrexate there to someone who is past seven weeks pregnant and uses the medication to terminate a pregnancy.There have been reports from doctors that some pharmacies are refusing to carry methotrexate and other certain essential medication entirely. And some physicians have refused to prescribe those medications to patients who may become pregnant, citing concerns about prosecution.In a joint statement by multiple pharmacy organizations across the country, pharmacists and healthcare providers expressed concern towards “state laws that limit patients’ access to medically necessary medications and impede physicians and pharmacists from using their professional judgment”.The statement went on to call for clear guidance from state boards of medicine and pharmacy, agencies and other policymakers.To Rachel Rebouché, an expert in reproductive health law and dean of Temple University’s law school, the largest problem is clear.“The biggest issue is the confusion,” Rebouché said.TopicsAbortionRepublicansHealthWomenUS politicsMissourinewsReuse this content More

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      Nearly all abortions become illegal in Arizona

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      Nearly all abortions become illegal in ArizonaSeveral clinics halt procedure as dual measures, including 19th-century ban with no exception for rape or incest, take effect Almost all abortions became illegal in Arizona on Saturday, after a new law banning abortions after the 15th week of pregnancy took effect and a judge lifted an almost 50-year-old injunction that blocked a near-total ban on abortions from being enforced in the state.Judge Kellie Johnson of Pima county’s superior court released a ruling on Friday that allowed the enforcement of the decades-old ban, a day before a new law that would ban most procedures after 15 weeks was scheduled to take effect, reported the Washington Post.The law Johnson reinstated dates from 1864 and bans all abortions with no exception for rape or incest. The only exception involves a recipient whose life is in danger.The law was later updated and codified in 1901, before the 1973 US supreme court decision known as Roe v Wade that established nationwide abortion rights. Many states failed to update their laws after the provision of those federal abortion protections, which the US supreme court’s current conservative majority eliminated in June.Immediately after Johnson’s ruling, several Arizona clinics that provided abortions stopped carrying out the procedure to avoid criminal charges for their medical professionals, forcing almost all patients in need of an abortion to travel out of state.Those who have already stopped offering abortions included Planned Parenthood along with two other abortion providers, the Associated Press reported.Under Arizona’s new anti-abortion law, doctors or other healthcare professionals who terminate pregnancies could face between two and five years in prison.Abortion rights advocates and Democratic legislators condemned the new law in Arizona as well as Johnson’s ruling.The president and CEO of the Arizona branch of Planned Parenthood, Brittany Fonteno, called the ban “archaic” and said it was “sending Arizonians back nearly 150 years”, referring to when the law was first written, according to the Arizona Republic.The Arizona senator Krysten Sinema called out Johnson’s ruling on Twitter, writing in part: “A woman’s healthcare decisions should be between her, her family, and her doctor. Today’s decision removes basic rights Arizona women have relied upon for over a century and endangers their health, safety, and wellbeing.”Arizona’s other US senator, Mark Kellyposted on Twitter: “Repealing Roe v Wade set Arizona women’s rights back decades. This decision sets them back 158 years, to before Arizona was even a state. I won’t stop until we restore abortion rights so my granddaughter can have the same freedoms my grandmother did.”What’s the difference between miscarriage and abortion? For some women, it’s hard to tellRead moreJohnson’s ruling has also caused confusion statewide, with some calling for the enforcement of the harsher ban codified in 1901 and others wanting only the 15-week ban to be enforced, reported the Post.The Arizona attorney general, Mark Brnovich, who filed to have the injunction blocking the older ban lifted, has argued that the harsher of the two laws will take precedent, reports the New York Times.Meanwhile, Arizona’s governor, Doug Ducey, has stated the 15-week ban will be followed, with a representative of his office telling the Times that the governor is proud to have signed the ban. However, Ducey has not clarified whether the more restrictive law will be enforced.Johnson, for her part, has indicated that the more restrictive law should be followed versus the 15-week ban.“Most recently in 2022, the legislature enacted a 15-week gestational age limitation on abortion,” the judge wrote. “The legislature expressly included in the session law that the 15-week gestational age limitation” would not “repeal” the previous ban.Legal experts have also warned that the previously approved 15-week ban may no longer be tenable, with Loyola Marymount University family law professor Kaiponanea Matsumura telling the Post that Brnovich’s position as attorney general “opens the door to prosecutions under that law”.Arizona is now among at least 14 states which have outlawed most abortions. Several more have similar bans that are temporarily blocked amid legal wrangling over whether or not they can be enforced.TopicsArizonaAbortionUS politicsWomenHealthnewsReuse this content More