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    Overlooked No More: Katharine McCormick, Force Behind the Birth Control Pill

    She used her wealth strategically to expand opportunities for women, underwriting the development of the pill and supporting the suffrage movement.This article is part of Overlooked, a series of obituaries about remarkable people whose deaths, beginning in 1851, went unreported in The Times.Katharine Dexter McCormick, who was born to a life of wealth, which she compounded through marriage, could have sat back and simply enjoyed the many advantages that flowed her way. Instead, she put her considerable fortune — matched by her considerable willfulness — into making life better for women.An activist, philanthropist and benefactor, McCormick used her wealth strategically, most notably to underwrite the basic research that led to the development of the birth control pill in the late 1950s.Before then, contraception in the United States was extremely limited, with bans on diaphragms and condoms. The advent of the pill made it easier for women to plan when and whether to have children, and it fueled the explosive sexual revolution of the 1960s. Today, the pill, despite some side effects, is the most widely used form of reversible contraception in the United States.McCormick’s interest in birth control began in the 1910s, when she learned of Margaret Sanger, the feminist leader who had been jailed for opening the nation’s first birth control clinic. She shared Sanger’s fervent belief that women should be able to chart their own biological destinies.The two met in 1917 and soon hatched an elaborate scheme to smuggle diaphragms into the United States.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Millions of Women Will Lose Access to Contraception as a Result of Trump Aid Cuts

    The United States is ending its financial support for family planning programs in developing countries, cutting nearly 50 million women off from access to contraception.This policy change has attracted little attention amid the wholesale dismantling of American foreign aid, but it stands to have enormous implications, including more maternal deaths and an overall increase in poverty. It derails an effort that had brought long-acting contraceptives to women in some of the poorest and most isolated parts of the world in recent years.The United States provided about 40 percent of the funding governments contributed to family planning programs in 31 developing countries, some $600 million, in 2023, the last year for which data is available, according to KFF, a health research organization.That American funding provided contraceptive devices and the medical services to deliver them to more than 47 million women and couples, which is estimated to have averted 17.1 million unintended pregnancies and 5.2 million unsafe abortions, according to an analysis by the Guttmacher Institute, a sexual health research organization. Without this annual contribution, 34,000 women could die from preventable maternal deaths each year, the Guttmacher calculation concluded.“The magnitude of the impact is mind-boggling,” said Marie Ba, who leads the coordination team for the Ouagadougou Partnership, an initiative to accelerate investments and access to family planning in nine West African countries.The funding has been terminated as part of the Trump administration’s disassembling of the United States Agency for International Development. The State Department, into which the skeletal remains of U.S.A.I.D. was absorbed on Friday, did not reply to a request for comment on the decision to stop funding family planning. Secretary of State Marco Rubio has described the terminated aid projects as wasteful and not aligned with American strategic interest.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Abortion Rights Advocates Hit the D.N.C.: Free Vasectomies and an Inflatable IUD

    This convention is likely to be a head-on display of a new, unbridled abortion politics.While delegates are in Chicago for next week’s Democratic National Convention, they will engage in the typical pageantry and traditions: They’ll vote for their nominee, pose for photos with elected officials, and show off their state with cool buttons or themed hats.They will also have the option of getting a free vasectomy or a medication abortion just blocks away.A mobile health center run by Planned Parenthood Great Rivers, which serves much of Missouri and part of southern Illinois, plans to park itself near the convention and offer those services early next week to anybody who makes an appointment, delegate or not. (There is so much interest in the vasectomy appointments, I’m told, there is already a waiting list.)It’s a way of showcasing how reproductive health care providers have had to get creative when operating in or near states like Missouri, which borders Illinois and has a near-total abortion ban.But it also underscores the way this convention, more than any other, is going to be a head-on display of a new, unbridled abortion politics.For years, many Democrats believed too much talk about abortion rights might drive away moderate or religious voters. Four years ago, at the Covid-dampened convention of 2020, President Biden did not utter the word abortion in his speech. Neither did Vice President Kamala Harris (although she did refer briefly to racial injustice in “reproductive and maternal health care.”)We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Women Are Paying for Birth Control When They Shouldn’t Have To

    Senator Bernie Sanders of Vermont has called on a government watchdog to investigate. Here’s what you need to know.Last week, Senator Bernie Sanders of Vermont, chair of the Senate health committee, called on a government watchdog to investigate why insurance companies are still charging women for birth control — a move that thrust access to contraceptives back into the spotlight.In a letter to the Government Accountability Office, the senator noted that insurance companies were charging Americans for contraceptives that, under federal law, should be free — and that they were also denying appeals from consumers who were seeking to have their contraceptives covered. Some experts estimate that those practices could affect access to birth control for millions of women.Since 2012, the Affordable Care Act has mandated that private insurance plans cover the “full range” of contraceptives for women approved by the Food and Drug Administration, including female sterilizations, emergency contraceptives and any new products cleared by the F.D.A. The mandate also covers services associated with contraceptives, like counseling, insertions or removals and follow-up care.That means that consumers shouldn’t have any associated co-payments with in-network providers, even if they haven’t met their deductibles. Some plans might cover only generic versions of certain contraceptives, but patients are still entitled to coverage of a specific product that their providers deem medically necessary. Medicaid plans have a similar provision; the only exception to the mandate are plans sponsored by employers or colleges that have religious or moral objections.Yet many insurers are still charging for contraceptives — some in the form of co-payments, others by denying coverage altogether.A Quarter of Women Are Paying Unnecessarily for Contraceptives In his letter, Senator Sanders cited a recent survey by KFF, a nonprofit health policy research organization, that found that roughly 25 percent of women with private insurance plans said they had paid at least some part of the cost of their birth control; 16 percent reported that their insurance plans had offered partial coverage, and 6 percent noted that their plans did not cover contraceptives at all. Additionally, a 2022 congressional investigation, which analyzed 68 health plans, found that the process to apply for exceptions and have contraceptives covered was “burdensome” for consumers and that insurance companies denied, on average, at least 40 percent of exception requests.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Biden’s Health Secretary Goes West With a Focus on Reproductive Rights

    Xavier Becerra, the secretary of health and human services, said on Friday that he would begin a national tour next week to promote the Biden administration’s efforts to preserve and expand access to abortion.The tour, which Mr. Becerra will begin on Tuesday in Washington, will take him to states across the West, including Arizona, California, Nevada and New Mexico. Mr. Becerra plans to attend round-table discussions with health care providers, family-planning groups and families who have been affected by restrictive state abortion laws.In an interview, Mr. Becerra said he would be traveling with good news after the Supreme Court this week unanimously rejected a bid to sharply curtail access to mifepristone, a widely available abortion pill. But, he added, his message would be no less urgent.“A lot of women are still confused — can they get an abortion?” he said, describing the tour as way to ensure that people have clear and accurate information. “How long are they able to do so? Who can provide it? We want women to know that women still have a lot of rights.”Mr. Becerra’s tour is not on behalf of President Biden’s re-election campaign. But he will be talking about reproductive rights in states with key races on the ballot in November.Since the Supreme Court overturned Roe v. Wade in 2022, the issue has become central to elections, and Democrats are betting abortion rights will help them drive voters to the polls. In Southwestern swing states with large Latino populations, like Arizona and Nevada, they are looking to motivate Latina voters in particular.Former President Donald J. Trump has said abortion access should be left to the states, and several Republican candidates in swing-state races have aligned himself with him, avoiding mention of a national ban and laying bare the party’s rift over the issue.The White House has given Mr. Becerra the task of helping to protect access to reproductive care since Democrats and reproductive rights advocates first pressured Mr. Biden to act in the wake of the Supreme Court’s decision. In 2022, his agency pledged to work with the Justice Department to ensure access to abortion pills. He has been meeting with patients and providers across the country since then, including stops at Planned Parenthood clinics in St. Louis and Minneapolis.In the interview on Friday, Mr. Becerra said that many women across the country were still being turned away from emergency rooms, had been forced to go to court to plead for care or had needed to travel hundreds of miles for treatment. Antiabortion activists are still seeking to curb access to contraception and fertility treatments such as in vitro fertilization.“So many people are confused or afraid right now, and it is tough to make good decisions when you are confused or afraid,” he said. More

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    Birth Control Pills Make Some Women Miserable. But Are They Stopping?

    The woman in the video looks resolute, and a little sad, as she cuts up a pack of birth control pills. “These silly little pills have literally ruined me as a person,” reads the caption. The clip, which is on TikTok, has 1.1 million likes. It’s one of thousands that have proliferated on social media in recent years with virtually the same message: The pill causes terrible, sometimes irreversible side effects, and women should free themselves from it.Anecdotal reports from news outlets have suggested that women are quitting the pill in large numbers because of this type of online post. “We’ve known for a long time that people really rely on their social circles to help them with medical decision making as it relates to contraception,” said Dr. Deborah Bartz, an obstetrician-gynecologist at Brigham and Women’s Hospital. Against a backdrop of increasingly restrictive abortion access, the idea that women might be giving up a reliable form of contraception because of social media hype has concerned researchers and doctors.But, according to initial data, prescriptions for the birth control pill are not actually declining at all. An analysis by Trilliant Health, an analytics firm that provides health care companies with industry insights, found that usage has been steadily trending upward in the United States; 10 percent of women had prescriptions in 2023, up from 7.1 percent in 2018. The analysis looked at prescriptions for the pill that were written and picked up. Even among those aged 15 to 34, who would be most likely to see negative social media posts, Trilliant found prescriptions had increased.The analysis was done at the request of The New York Times, and drew on Trilliant’s database of medical and pharmacy claims. It looked at a nationally representative sample of roughly 40 million women, aged 15 to 44, who used either Medicaid or commercial insurance. It doesn’t account for people who might get their birth control from telehealth providers that don’t take insurance, but that group most likely represents a small slice of the American population, said Sanjula Jain, chief research officer at Trilliant. Several of those telehealth companies also reported double-digit increases in birth control pill purchases in the past two years. The data also doesn’t include sales of the over-the-counter birth control pill, Opill, which has been available in stores in the U.S. since March.Ten percent of women had prescriptions for the pill in 2023, up from 7.1 percent in 2018.Source: Trilliant HealthThe pill has a reputation as a reliable, if flawed, form of birth control. Its known side effects — including blood clots, weight gain, a loss of libido and mood disruptions — have in fact been the main reason that some women do eventually quit the pill, Dr. Bartz said. When patients raise those concerns with physicians, they are often dismissed, she added, which can erode people’s trust in their doctors, and in health care institutions.

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    Harris Begins a Reproductive Rights Tour on 51st Anniversary of Roe

    The administration’s task force on reproductive rights also announced what officials said were new steps to help Americans get contraceptives and abortions under an emergency care law.Vice President Kamala Harris will travel to Wisconsin on Monday morning to host an event in support of abortion rights while President Biden brings together a task force on reproductive health care in Washington.Both events are designed to call attention to the 51st anniversary of Roe v. Wade, the landmark Supreme Court ruling that established a constitutional right to abortion, and to announce new steps that Mr. Biden’s administration has taken to support abortion access since the court struck it down in 2022.“Even as Americans — from Ohio to Kentucky to Michigan to Kansas to California — have resoundingly rejected attempts to limit reproductive freedom, Republican elected officials continue to push for a national ban and devastating new restrictions across the country,” Mr. Biden said in a statement. “On this day and every day, Vice President Harris and I are fighting to protect women’s reproductive freedom.”Ms. Harris, who has become the administration’s most vocal defender of abortion rights, chose Wisconsin as the backdrop for the first in a series of abortion rights events her office has planned around the country through the spring. Kirsten Allen, the vice president’s press secretary, said that Ms. Harris’s office had planned several more stops, over the next two to three months, in “states that have enshrined protections, restricted access and states that continue to threaten access, causing chaos and confusion.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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    Alarmed by Off-Year Losses, Mainstream Republicans Balk at Abortion Curbs

    Worried about alienating critical blocs of voters, House Republicans from competitive districts are digging in against using spending bills for abortion and contraception restrictions.Two days after Republicans across the country suffered a drubbing, dragged down by their opposition to abortion rights in the off-year elections, G.O.P. leaders on Capitol Hill appeared not to have gotten the memo.House Republicans tried on Thursday to use a financial services spending bill to chip away at a District of Columbia law aimed at protecting employees from being discriminated against for seeking contraceptive or abortion services. Tucked inside the otherwise dry bill was a line barring federal funds from being used to enforce that law.But minutes ahead of an expected vote, Republicans were forced to pull the legislation from the floor. Mainstream G.O.P. lawmakers from competitive districts — concerned that their party’s opposition to abortion rights has alienated women — appeared unwilling to support the abortion-related restriction, sapping the measure of the votes necessary to pass.It was the latest reflection of the deep divisions among Republicans that have prevented them, for the moment, from coalescing around a strategy for averting a government shutdown.But this time, it was also an illustration of yet another disconnect — between a small group of Republicans in Congress who are trying to pivot away from an anti-abortion message that voters have rejected and a much larger coalition, including the party’s leaders, who are doubling down.Tuesday’s election results drove home to some Republicans in Congress what they already know and fear — that their party has alienated critical blocs of voters with its policies and message, particularly on abortion. And the results stiffened their resolve to resist such measures, even if it means breaking with the party at a critical time in a high-stakes fight over federal spending.“The American people are speaking very clearly: There is no appetite for national abortion law,” Representative John Duarte of California, a Republican who represents a district that President Biden won in 2020, said on Thursday. “And there’s enough of us in the Republican Party that are going to stand against it.”Given Republicans’ tiny majority, which allows them to lose only four votes on their side if all Democrats show up and unite in opposition, that resistance could be decisive. Between mainstream Republicans’ resistance to the abortion provision in the financial services bill and rising discontent among the hard-right flank that the legislation did not include a measure barring funding for a new F.B.I. building, it became clear the bill did not have the votes.Mr. Duarte said he and other more center-leaning Republicans had warned party leaders that they would be inclined to oppose other spending bills that contained “abortion language not core to a bill.” He said he would prefer that those provisions be pulled out of the spending bills and voted on separately.Representative Brian Fitzpatrick, a Pennsylvania Republican who also represents a district that Mr. Biden won in 2020, told reporters that he, too, had opposed the financial services bill because of the abortion-related language.The rare pushback from members who represent the political middle of the Republican conference came two days after Ohio voters resoundingly approved a ballot measure enshrining a right to abortion in the state’s Constitution.The message that abortion remains the most potent political issue for Democrats was clear even where abortion itself was not on the ballot. In Kentucky, Gov. Andy Beshear, a Democrat, rode to victory after criticizing his Republican opponent’s defense of the state’s near-total abortion ban. And in Virginia, legislative candidates who opposed the 15-week abortion ban proposed by Gov. Glenn Youngkin, a Republican, prevailed.Ohio voters resoundingly approved a ballot measure enshrining a right to abortion in the state’s Constitution.Maddie McGarvey for The New York TimesIn the House, however, gerrymandering has made most Republican seats so safe that lawmakers routinely cater to the far-right wing of their party, and a slim majority has given hard-right lawmakers outsized influence. The result has been that House Republicans continue to draft legislation that is out of step with a vast majority of voters, including some of their own constituents, on social issues.That has forced Republicans from competitive districts to take politically perilous votes that many of them fear will cost them their seats, as well as the House majority, next year.In September, Representative Marc Molinaro, one of six New York Republicans who represent districts that Mr. Biden won in 2020, objected to an agriculture spending bill because it included language that would restrict access to mifepristone, a widely used abortion pill.That measure, which would fund the Agriculture Department and the Food and Drug Administration, ultimately collapsed on the House floor when other Republicans joined Mr. Molinaro in opposing it because of that specific restriction.Democrats had already swung into action to hammer Republicans on the issue. After the legislation was approved by the Appropriations Committee, the House Democrats’ campaign arm accused five vulnerable Republicans on the panel who voted to advance the bill of “putting the health and livelihoods of countless women at risk.”Then, after the bill failed on the floor, the House Democrats’ main super PAC hammered politically vulnerable Republicans who supported it, calling them “anti-abortion extremists.”On Thursday, Mr. Molinaro was part of the small group of Republicans who balked at supporting the financial services bill because of the anti-abortion language tucked inside.“There are approximately five to eight who aren’t supportive because of these provisions,” Mr. Molinaro said. “We must respect and love women faced with such difficult choices.”Mr. Molinaro said he opposed a national ban on abortion. While he noted that he was against late-term abortions, he said he did not want to impose any further abortion restrictions at the federal level — including through spending bills.“My constituents have reinforced my view, and results in Ohio may well confirm a position for that state,” he added.Representative Nancy Mace, Republican of South Carolina, has long railed against her party for not doing enough to show compassion to women. She has said that G.O.P. leaders are making Republicans like her from moderate districts “walk the plank” with abortion votes. Ms. Mace said on Thursday that she was part of the group of lawmakers Mr. Molinaro was referring to who would not support spending bills that quietly tried to expand abortion restrictions.“We can’t save lives, if we can’t win elections,” Ms. Mace posted on X, formerly Twitter, on Tuesday night as the election results became clear. “We need to talk about common sense abortion restrictions, while also promoting expanded access to contraception including over the counter.”Still, there are major minefields ahead. Senior House appropriators are planning as soon as next week to bring up the bill that funds the Labor Department and the Department of Heath and Human Services, which includes multiple anti-abortion measures. Democrats argue those measures are aimed at defunding Planned Parenthood and making funding for Title X, the nation’s family planning program, less accessible. The legislation also would target programs that provide referrals or information about abortion.While the bill does not single out Planned Parenthood by name, it includes a provision that would bar sending federal funds to “community providers” that are “primarily engaged in family planning services, reproductive health and related medical care.” It includes exceptions for abortions performed in the case of rape or incest, or in instances in which the mother’s life is endangered.It is exactly the type of legislation that mainstream Republicans like Mr. Duarte are warning against.“A lot of us in swing districts — a lot of us that want to be very respectful of where the American people are and aren’t on these social issues — are standing our ground,” Mr. Duarte said. More