Birth Control and Family Planning

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

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    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

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      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

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      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?

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      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

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      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

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      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

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      John Fetterman, Hoodie and All, Is Adjusting to Life in the Senate

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      In an interview with The New York Times, the Pennsylvania senator spoke about the dysfunction in Congress, his health challenges and why he hasn’t traded his loungewear for a business suit.It has been an unusual first six months in Congress for Senator John Fetterman, the 6-foot-8, tattooed Democrat from Pennsylvania, who moved to Washington in January after suffering a near-fatal stroke on the campaign trail last year and going on to win one of the most competitive seats in the midterm elections.Mr. Fetterman arrived on Capitol Hill, signature hoodie and all, as a figure of fascination. For months, though, he kept colleagues and reporters at an arm’s length as he labored to cope with auditory processing issues that are a side effect of his stroke and a debilitating bout of depression that he now says prompted him to consider harming himself.He was treated for clinical depression at Walter Reed National Military Medical Center earlier this year, and his six-week stay there placed him at the center of a national conversation about mental health, a role he wasn’t always certain he wanted to fill.But in recent weeks, Mr. Fetterman has been adjusting to a more normal life for a lawmaker. Using a tablet that transcribes voice to text, he has started taking questions from reporters in the hallways, a staple of a senator’s life in Washington, and has begun inviting reporters into his office for informal off-the-record chats. He won approval last week of his first legislative proposal, an amendment to the annual military policy bill, which he wrote with Senator Ted Cruz, Republican of Texas, to ban the sale of strategic petroleum reserves to foreign adversaries.Mr. Fetterman questioned the chairman of the Federal Reserve during a hearing last month.T.J. Kirkpatrick for The New York TimesThis week, he sat down for an interview with The New York Times in which he spoke candidly (and sometimes profanely) about an array of topics, including his view that Congress is fixated on pointless fights, stumbling at times over his words — and noting that his political opponents were likely to attack him for it. He also spoke emotionally about the toll his new job has taken on his family.The interview has been lightly edited and condensed for clarity.You’ve now been in Congress for just over six months. What is your overall impression of how the place functions?There’s a fixation on a lot of dumb shit. Bad performance art is really what it gets down to. The debt ceiling — there should have been no drama with any of that. The fact that we’re playing with something like that is antithetical to the stability of our democracy. It really is. Everything is turning into a culture war. Not everything has to be a think piece, you know.Does all of that political posturing make you cynical about Washington?Everyone here is cynical, of course. But we can fight for things that are meaningful. That we should have no hungry. Hanger. Hangry. Hanger. Hangry.[Chuckles.]Fox News will go crazy if that makes your story.We’re fighting for women’s reproductive freedom, making sure we have resources and support our unions. I’m going to fight for what’s really important.You’ve introduced legislation to expand access to contraception, with more than a dozen Democratic co-sponsors. Is there any Republican support for that in the Senate?It’s going to be very hard. Somebody needs to tell Republicans, like in a memo, “You won on abortion. You won. Why not have a serious conversation about birth control? That’s less abortions and unwanted children.” I wish we could have an honest conversation with conservatives and Republicans that birth control is the answer for both sides. But there wouldn’t be 60 votes in the Senate for that. I still really want to keep pushing it. I want to have that conversation.Mr. Fetterman with President Biden in Philadelphia last month.Pete Marovich for The New York TimesPennsylvania is going to be critical in the 2024 presidential election. You’ll be seeing a lot of President Biden. Are you at all concerned about his age?I’m not concerned about his age. And even if I was, who cares? There’s nothing you can do about his age. I’ve spent enough time around him. He’s sharp, he’s aware, he is absolutely up to the task. I’ll be doing whatever his campaign asks of me. I know Pennsylvania, I’ve won Pennsylvania. I’ll be helping with whatever he asks.Is it difficult to keep talking about your own struggles with mental health, or do you enjoy the responsibility of that new role?It’s a burden, but a privilege, too, to talk about it. It’s also an opportunity to be very bipartisan. Red or blue, if you have depression, get help, please. Don’t ever, ever, ever harm yourself. Do not leave behind a blueprint of that.In my own situation, in my very lowest, I started thinking about that. And I realized that if I do harm myself, I will leave behind for my children a blueprint that, if something happens with you, that’s the answer. I can’t do that to anyone.Even before you checked yourself into Walter Reed for treatment for depression, you were a figure of fascination on Capitol Hill. Other senators would even stop you for selfies. Why is there so much interest in you?I don’t know; it doesn’t make any sense to me at all. I don’t get it. I’ll never understand it. I don’t know why my wife married me. In the movie “Groundhog Day,” Bill Murray’s character says something like, “You think I’m arrogant? No, I don’t even like me.” That’s me. I don’t even like me. That’s the truth.You’re living alone in Washington, separated for most of the week from your three kids and your wife, who still live in Braddock, Pa.It’s awful. In the last week or two, I came across a quote by Kevin Costner talking about his divorce. He said it hits you that you’re going to be spending 50 percent less time with the people you love the most.You realize when you become a senator, you’re going to be spending 50 percent less time with the people that you love. That breaks my heart. I get emotional thinking about it. FaceTime is much better than just a phone call, but that’s the worst part of the job.Mr. Fetterman entered the House chamber before President Biden’s State of the Union address in February.Haiyun Jiang/The New York TimesSix years is a long term. Would you consider moving your family to Washington for a sustainable work-life balance?No, that would be disrupting their lives. I can’t do that to them. It hurts. For example, my wife texted me about an hour ago that our three kids got great checkups. It’s parenting by text. I miss them a lot.Do you think David McCormick, the businessman who lost the Republican nomination to Dr. Oz in your Senate race, will run against Senator Bob Casey of Pennsylvania next year?If he was serious, he would have gotten in last January. And now it’s just really late. And there’s no anger focusing on Bob Casey. I’m supremely confident that Bob Casey is going to win. He is a buzz saw for some Republican who thinks they can hotdog it. He just keeps getting re-elected.Do you think the multiple indictments of former President Donald J. Trump will hurt him politically in your state?It doesn’t matter. I’m a senator, and I’m not sure how many times he’s been indicted. He’s been impeached twice. Has that changed anything? You’re still seeing Trump signs everywhere in Pennsylvania. You have to respect his strength in all of that. Trump would be very competitive in Pennsylvania. But Trump has to perform above his ceiling. I think there’s a hard ceiling in Pennsylvania he can’t get past.Ever think about dropping the sweatshirt-and-shorts uniform and just wearing a suit in Congress?You want to talk about joy? It was a eureka moment when I figured out I don’t have to be in a suit to stand at the threshold of the Senate chamber, going “yea” or “nay,” and it was amazing. I’ve been able to reduce my suit time by about 75 percent.Mr. Fetterman speaking to a reporter last month at the Capitol.Haiyun Jiang for The New York Times More

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      Biden Denounces Abortion Bans, Warning That Privacy Is Next

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      The president sought to galvanize supporters a year after the Supreme Court overturned Roe v. Wade as Democrats hope the issue helps them win next year’s elections.President Biden denounced on Friday new restrictions on abortion imposed in Republican-led states in the year since the Supreme Court overturned Roe v. Wade and warned that the right to privacy, which has been the foundation for other rights like same-sex marriage and access to birth control, could be at risk next if Democrats do not win next year’s elections.Marking Saturday’s anniversary of the Dobbs v. Jackson Women’s Health Organization decision eliminating a national right to abortion for women, Mr. Biden decried its “devastating effects,” telling an abortion rights rally that women had been deprived of basic health care and noting that some leading Republicans, not content to leave the issue to the states as they had long advocated, are now seeking a national ban on the procedure.“They’re not stopping here,” said Mr. Biden, who was joined at the rally by his wife, Jill Biden, as well as Vice President Kamala Harris and her husband, Doug Emhoff. “Make no mistake, this election is about freedom on the ballot.”The president collected the endorsement of the nation’s leading abortion rights groups, Emily’s List, Planned Parenthood Action Fund and NARAL Pro-Choice America. While the endorsement was hardly a surprise, the early timing underscored the role that Democrats believe abortion rights will play in next year’s election.Polls show that support for legalized abortion has risen since the Dobbs decision. Democrats argue that it helped them avoid a Republican wave during last year’s midterm elections — “you all showed up and beat the hell out of them,” as Mr. Biden put it — and could be critical to retaining the White House and recapturing the House next year. Republicans are at odds with each other over how much to emphasize the issue, with some worried that it will only hurt them in a general election. But some progressive activists have privately expressed frustration that Mr. Biden has not made it more of a public priority until now.Abortion has long been an uncomfortable issue for Mr. Biden, who has cited his Catholic faith as his views have shifted over the years. While a young senator, he declared that the Supreme Court had gone “too far” in the Roe decision and later voted for a constitutional amendment allowing states to individually overturn the ruling before reversing himself. He supported the so-called Hyde amendment prohibiting the use of federal funds for abortion, including through Medicaid, until the 2020 campaign, when he changed his mind under pressure from liberals in his party.By contrast, Ms. Harris has unabashedly joined the battle for abortion rights since Roe was reversed, becoming by all accounts the administration’s most passionate and effective voice on the issue. At Friday’s event, Laphonza Butler, president of Emily’s List, praised Mr. Biden’s team as “the most pro-choice administration we’ve ever seen” but reserved her most effusive words for Ms. Harris.The rally on Friday, organized with the Democratic National Committee, was part of a series of messaging efforts by the Biden team around the anniversary of the Dobbs ruling. Earlier this week, Dr. Biden hosted a session with women from states that have imposed limits on abortion to highlight the consequences even for those not seeking to end a pregnancy. On Saturday, Ms. Harris will deliver an address on abortion rights in Charlotte, N.C.Mr. Biden’s allies on Capitol Hill on Friday also called attention to the issue. House Democrats led by Representative Ayanna S. Pressley of Massachusetts introduced legislation to require insurance coverage to include abortion care, shield patients and providers from criminal charges, and affirm a legal right to abortion and miscarriage care. The bill has no chance of passing the Republican-controlled House but was meant as a signal to supporters.As he has over the last year, Mr. Biden sought to expand the debate to other privacy-related concerns, ideological ground where he is more comfortable, as he cast Republicans as extremists beyond the question of abortion. The White House announced Friday that in his third executive action in response to the Dobbs decision, he was ordering federal agencies to look for ways to ensure and expand access to birth control.“The idea that I had to do that — I mean, no, really, think about it, think about it,” he told supporters. “I know I’m 198 years old but all kidding aside, think about that. I never, ever thought I’d be signing an executive order protecting the right to contraceptives.”He boasted that he had done more to put women in positions of power than any of his predecessors. In addition to making Ms. Harris the first woman to serve as vice president, he noted that he is the first president to have a majority-woman cabinet, pointed to his appointment of Ketanji Brown Jackson as the first Black woman on the Supreme Court and said that he had installed more Black women to federal appeals courts than all of the previous presidents combined.“Look, we made so much progress,” Mr. Biden said. “We can’t let them take us backwards.” More

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      Clarence Thomas Decided Against the Staycation

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      Bret Stephens: Just for a change, Gail, let’s start with something other than Donald Trump. How about … Clarence Thomas’s junkets?Gail Collins: Absolutely! When Justice Thomas isn’t busy announcing that the Supreme Court could do to contraception what it did to abortion rights, he’s apparently been happily taking luxury yacht and jet trips with his great old friend the billionaire Republican megadonor and Nazi memorabilia collector Harlan Crow. Along with Thomas’s wife Ginni — I guess she was taking time off from trying to overturn the 2020 election.Bret: You know, every time I try and fail to overturn an election, a nice $500,000 vacation in Indonesia helps salve the disappointment.Gail: Bret, I presume the happy couple was having a great holiday weekend despite all the fresh publicity about their trips. They got to listen to all the reports of a Trump-appointed federal judge in Texas blocking the sale of a drug that terminates pregnancy in the first 10 weeks.Next, I guess, Thomas will be suggesting that the only acceptable form of birth control is the rhythm method. Much about him, from his judicial goals to his behavior, is a scandal. Let’s not forget that he’s the one who was confirmed despite the compelling testimony of Anita Hill about his wretched comments.Any chance of getting him tossed off the court, huh? Huh?Bret: Sorry, but the only scandal I see here is that the luxury trips don’t square with Justice Thomas’s self-portrait as a guy who likes to drive his R.V. around the country, spending nights in Walmart parking lots. Until last month, there was no rule requiring justices to disclose this kind of information about vacations with wealthy friends, assuming those friends didn’t have business before the court. Which makes the idea of trying to toss him off the court a nonstarter, not to mention a bad precedent lest some liberal justices turn out to have rich and generous friends, too.Of course, I say all this as someone who’s generally a fan of Justice Thomas, even if I’m not as conservative as he is. If people want to criticize him, it should be for his votes, not his vacations.Gail: I admit my call for a Thomas-toss was probably rhetorical. But intensely felt. I’ve been bitter ever since Mitch McConnell sat on that Supreme Court opening to keep Barack Obama from having a chance to fill it.Bret: Totally agree. I’d sooner toss out McConnell than Thomas.Gail: And while we can’t punish Thomas for his spouse’s misbehavior, Ginni Thomas’s very, very public attempts to get the last presidential election overturned are themselves quite a scandal.Bret: Agree again. But dubious taste in spouses is not an impeachable offense.Gail: So let’s go to Thomas’s opinions, especially that one on abortion.When the court overturned Roe v. Wade, Thomas urged his colleagues to go further and take on issues like the right to contraception. Presuming you weren’t on board with that one?Tasos Katopodis and Michael M. Santiago for Getty ImagesBret: As the father of three kids as opposed to, say, a dozen: no. And definitely not on board with the ruling in Texas on the abortion pill.Gail: So what is it about Thomas you find so … terrif?Bret: Ideology aside, I read his memoir, “My Grandfather’s Son.” I’d recommend it to anyone who hates him, particularly the chapters about his dirt-poor childhood in the Jim Crow South. Few public officials in America today have pulled themselves up as far as he has or against greater odds. Also, I agree with a lot of his jurisprudence, particularly when it comes to issues like eminent domain and affirmative action.But of course I part company on abortion and contraception — no small questions, especially now.Gail: I’ll say.Bret: Speaking of which, you must have been pleased to see a liberal judge in Wisconsin win her election to the state Supreme Court in a landslide, largely on the strength of her pro-choice views. As I predicted last year — and I was not alone — the Dobbs decision is going to hang around Republican necks like a millstone.Gail: Didn’t Trump blame the anti-abortion crowd for all those Republican defeats last fall? He might have been right — although his lousy choice in candidates certainly didn’t help.Bret: Sometimes even Trump has a point. And his opposition to abortion always struck me as being about as sincere as most of his other moral convictions.Gail: Back during his first presidential foray, when he was still speaking to the Times Opinion folk, I remember him telling us how amazed he was to discover you could get a conservative audience wildly excited just by saying something bad about abortion. That is exactly how Trump became anti-choice.Speaking of Trump stuff, I had the strangest experience when he went to court last week. Former president facing 34 felony counts. Nothing like that in all American history.And I found myself feeling … bored. What’s wrong with me?Bret: Nothing is wrong with you. It’s a normal reaction because none of it is news: We’ve known about the hush-money payments to Stormy Daniels for years, and we’ve been discussing this indictment for weeks.On the other hand, it reminds me of what Orson Welles supposedly said about flying — something to the effect that the only two emotions one can possibly have on an airplane are boredom and terror. Watching Trump’s speech in Mar-a-Lago later that night was the terror part for me, because he is very likely to ride this misbegotten indictment all the way to the Republican nomination, not to mention an eventual acquittal on appeal — if it even gets to an appeal.Gail: Listening to the post-indictment speech, I was sorta surprised it was pretty much just … his speech. No sense that this crisis was going to turn anything around. That goes to your point that all this is just another piece of equipment for his re-election tour.Bret: I hate to say this, but in Trump’s lizardly way his speech was masterful. His pitch has always been that he’s fighting a corrupt system — even if what he’s really doing is corrupting the system. And in the progressive district attorney, Alvin Bragg, he’s got a perfect foil. It’s why I hate the fact that this particular case is the one they’re throwing against him. The case in Georgia is so much stronger.Gail: Hey, New York gets the proverbial ball rolling. But trying to overturn the results of a presidential election — really overturn them — is a tad more serious. Once we move on to Georgia, we really move on.Bret: Assuming Trump isn’t president again by the time we get there.I also hate the fact that this case allows him to suck up all of the available political oxygen. All of us in the news media are like moths to the flame, or lambs to the slaughter, or lemmings to the cliff, or, well, pick your cliché.Gail: Hamsters to the wheel? I’d like something more … nonviolent.Speaking of elections, what did you think about the mayoral contest in Chicago? Deep liberal versus conservative Democrat, right? And guess who won.Bret: Seemed to me like a choice between a sane moderate, Paul Vallas, versus a not-so-sane progressive, Brandon Johnson. I wish Johnson well, because I love Chicago and always root for the White Sox except when they play the Yankees. But I’m fearful for its future as a city where people will want to work, invest and build. The No. 1 issue in the city is public safety, and I don’t think that Johnson’s the guy to restore it, even if he no longer supports defunding the police the way he once did.Gail: Pretty hard to combat crime in a city like Chicago unless the law-abiding folks in high-crime neighborhoods have confidence in you.Bret: Sure. Also hard to get cops to do their jobs when they feel their mayor doesn’t have their backs.Gail: Of course, the best thing anybody could do to curb crime in Chicago would be to get guns off the street. The city has very tough gun control laws, but they don’t mean a heck of a lot as long as there’s a massive flow of illegal weapons coming in from outside.Bret: Sorta demonstrating the futility of Chicago gun control …Gail: Bret, we’ve been talking about abortion rights becoming such a powerhouse election issue. Any chance we’ll ever see the same thing happen with guns?Bret: Well, you saw what happened with the state legislators in Tennessee, two of whom got expelled after they held a protest in the legislative chamber. A lot of political theater. Not a lot of legislative accomplishment.Gail: Sigh.Bret: Gail, this week’s conversation has been too depressing. So, if you haven’t already, be sure to read our colleague Esau McCaulley’s beautiful, profound meditation on the meaning of Easter. It’s not my holiday, religiously speaking, but I couldn’t help but be moved by two paragraphs in particular.First, Esau asks: “Isn’t it easier to believe that everyone who loves us has some secret agenda? That racism will forever block the creation of what Martin Luther King Jr. called the beloved community? That the gun lobby will always overwhelm every attempt at reform? That poverty is a fact of human existence? Despair allows us to give up our resistance and rest awhile.”And then: “That indestructibility of hope might be the central and most radical claim of Easter — that three days after Jesus was killed, he returned to his disciples physically and that made all the difference. Easter, then, is not a metaphor for new beginnings; it is about encountering the person who, despite every disappointment we experience with ourselves and with the world, gives us a reason to carry on.”The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips. And here’s our email: letters@nytimes.com.Follow The New York Times Opinion section on Facebook, Twitter (@NYTopinion) and Instagram. More