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    Planned Parenthood CEO warns Trump bill will lead to $700m loss and ‘backdoor abortion ban’

    Planned Parenthood stands to lose roughly $700m in federal funding if the US House passes Republicans’ massive spending-and-tax bill, the organization’s CEO said on Wednesday, amounting to what abortion rights supporters and opponents alike have called a “backdoor abortion ban”.“We are facing down the reality that nearly 200 health centers are at risk of closure. We’re facing a reality of the impact on shutting down almost half of abortion-providing health centers,” Alexis McGill Johnson, Planned Parenthood Federation of Americas’s CEO, said in an interview Wednesday morning. “It does feel existential. Not just for Planned Parenthood, but for communities that are relying on access to this care.”Anti-abortion activists have longed to “defund” Planned Parenthood for decades. They are closer than ever to achieving their goal.That $700m figure represents the loss that Planned Parenthood would face from a provision in the spending bill that would impose a one-year Medicaid ban on healthcare non-profits that offer abortions and that received more than $800,000 in federal funding in 2023, as well as the funding that Planned Parenthood could lose from Title X, the nation’s largest family-planning program. In late March, the Trump administration froze tens of millions of dollars of Title X funding that had been set aside for some Planned Parenthood and other family-planning clinics.“Essentially what you are seeing is a gutting of a safety net,” said McGill Johnson, who characterized the bill as a “backdoor abortion ban” in a statement.Medicaid is the US government’s insurance program for low-income people, and about 80 million people use it. If the latest version of the spending-and-tax bill passes, nearly 12 million people are expected to lose their Medicaid coverage.Donald Trump has said that he would like the bill to be on his desk, ready for a signature, by 4 July.The provision attacking Planned Parenthood would primarily target clinics in blue states that have protected abortion rights since the overturning of Roe v Wade three years ago, because those blue states have larger numbers of people on Medicaid. Although not all Planned Parenthood clinics perform abortions, the reproductive healthcare giant provides 38% of US abortions, according to the latest data from Abortion Care Network, a membership group for independent abortion clinics.Among the clinics at risk of closure, Planned Parenthood estimated, more than 90% are in states that permit abortion. Sixty percent are located in areas that have been deemed “medically underserved”.In total, more than 1.1 million Planned Parenthood patients could lose access to care.“There’s nowhere else for folks” to go, McGill Johnson said. “The community health centers have said they cannot absorb the patients that Planned Parenthood sees. So I think that we do need to just call it a targeted attack because that’s exactly how it is.”Nationally, 11% of female Medicaid beneficiaries between the ages of 15 and 49 and who receive family-planning services go to Planned Parenthood for a range of services, according to an analysis by the non-profit KFF, which tracks healthcare policy. Those numbers rise in blue states like Washington, Oregon and Connecticut.In California, that number soars to 29%. The impact on the state would be so devastating that Nichole Ramirez, senior vice-president of communication and donor relations at Planned Parenthood of Orange and San Bernardino counties, called the tax-and-spending package’s provision “a direct attack on us, really”.“They haven’t been able to figure out how to ban abortion nationwide and they haven’t been able to figure out how to ban abortion in California specifically,” said Ramirez, who estimated that Planned Parenthood of Orange and San Bernardino counties stands to lose between $40m and $60m. Ramirez continued: “This is their way to go about banning abortion. That is the entire goal here.”skip past newsletter promotionafter newsletter promotionIn a post on X, the prominent anti-abortion group Live Action reposted an image of a Planned Parenthood graphic calling the provision “backdoor abortion ban”. “They might be onto us,” Live Action wrote.The Planned Parenthood network is overseen by Planned Parenthood Federation of America, but it also consists of dozens of independent regional affiliates that operate nearly 600 clinics across the country. In June, as the spending-and-tax bill moved through Congress, Autonomy News, an outlet that focuses on threats to bodily autonomy, reported that Planned Parenthood Federation of America’s accreditation board had sent waivers out to affiliates to apply for approval to cease providing abortions in order to preserve access to Medicaid funding. On Wednesday, the New York Times reported that a memo sent to the leadership of one California affiliate suggests that leaders there had considered ending abortion services.McGill Johnson said that there have been discussions within Planned Parenthood’s network about what it would mean to stop offering abortions. But no affiliates, to her knowledge, are moving forward with plans to stop performing the procedure.“Educating our volunteers and teams around hard decisions to stand and understand the impact of that is different than weighing and considering a stoppage of abortion,” McGill Johnson said.The budget bill and Title X funding freeze aren’t the only sources of pressure on the group. The US supreme court last week ruled in favor of South Carolina in a case involving the state’s attempt to kick Planned Parenthood out of its state Medicaid reimbursement program – a ruling that will likely give a green light to other states that also want to defund Planned Parenthood.At least one other organization that provides abortion and family-planning services, Maine Family Planning, will be affected by the provision, according to the organization’s CEO, George Hill. Maine Family Planning directly operates 18 clinics, including several that provide primary care or are in rural, medically underserved areas. If the provision takes effect, Hill estimates, the organization would lose 20% of its operating budget.“It’s dressed up as a budget provision, but it’s not,” Hill said. “They’re basically taking the rug out from under our feet.” More

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    Trump is using his assault on government to retaliate against women | Judith Levine

    Last week, a federal judge blocked the justice department from canceling $3.2m in federal grants to the American Bar Association (ABA). The court agreed with the ABA’s claim that the administration was retaliating against it for taking public stances against Donald Trump.But how had the US president retaliated? Which grants had he clawed back? Those supporting programs that train lawyers to defend victims of domestic and sexual violence.It was just one of Trump’s many acts of aggression against perceived enemies that just happen to – or quite deliberately – target women.During the 2016 presidential campaign, after the release of the “grab ’em by the pussy” tape, Vox’s Libby Nelson noted that there was something fundamentally different about Trump’s sexism from the sexism of his predecessors. “Usually, the critique of Republican candidates has been based on policy – healthcare access and abortion rights – or on attitudes heavily influenced by religion,” she wrote. But “Trump’s anti-feminism owes more to the gleeful vulgarity and implicit threats of violence of 4chan than the traditional debate over what a woman’s role should be in the public square.”Trump II is both a personal and a political misogynist – a chimera with the soul of a snake and the brains of a policy wonk, transplanted from the authors of the Heritage Foundation’s Project 2025.The widest target of Trump’s aggression is the universe of people capable of having babies. Four days after the inauguration, his administration directed the justice department’s civil rights division to cease enforcing the Freedom of Access to Clinic Entrances (Face) Act, which prohibits harassment or blockage of patients entering abortion clinics. His administration dismissed three ongoing cases, pardoned 23 convicted violators of the law, and limited future prosecutions to “cases presenting significant aggravating factors, such as death, serious bodily harm, or serious property damage”.In March, he began withholding tens of millions of dollars from Title X, the only federal program supporting reproductive healthcare. The move was not explicitly anti-abortion – the Hyde Amendment banned federal funding for abortion 50 years ago – but it was surely aimed at pleasing religious fundamentalists who oppose all interference with “natural” baby-making. Lots of providers, including some Planned Parenthood affiliates, immediately collapsed, leaving millions of people with no family planning, cancer screening or prenatal services. Now, having failed repeatedly to defund Planned Parenthood through legislation, Republicans are trying to hide the dirty deed in the budget. And like much of the “waste, fraud, and abuse” targeted by the so-called “department of government efficiency” (Doge), these cuts would cost taxpayers far more than they would save: according to the Congressional Budget Office, the cost will be $300m over the next 10 years in unwanted births and shifts of reproductive services to other providers.Trump isn’t sparing mothers who want to be mothers, either. A week ago, funding to study maternal mortality was rescinded and most of the workers who monitor and improve maternal and child health at the Centers for Disease Control and Prevention were placed on leave. The cuts came just after researchers at the National Institutes of Health published a paper documenting a huge rise in mothers’ deaths in childbirth or within a year afterward, most notably among Native American and Black women; the authors urged the government to make combatting these deaths “an urgent public health priority”.Where women’s bodies are now subject to harm by intentional neglect, they will also be more vulnerable to harm by violence. Before his inauguration, Trump called for the execution of rapists. A few months later, the justice department suspended grant applications from non-profits providing emergency shelter, legal assistance, and crisis services to victims of domestic and sexual violence under the Violence Against Women Act. The agencies were caught promoting “woke” agendas – evident from the word “gender”, as in “gender-based violence”, in their mission statements. The grant program appears to be back up on the justice department website, but no one knows for how long.In late April, the administration zeroed out all funding for training, auditing, data collection and victim support under the Prison Rape Elimination Act (Prea), which Congress passed unanimously in 2003. Prea does not protect migrants in detention, but the Department of Homeland Security was nevertheless subject to oversight, and that included investigating sexual abuse by Ice employees. Not any more. In spite of thousands of complaints of sexual violence against detained women and children, the Trump administration closed the department’s three watchdog agencies, including the offices through which detainees could lodge complaints.As part of its elimination of anything suggestive of diversity, equity and inclusion (DEI), the administration halted the military’s sexual assault prevention training. The defense department reported in 2023 that nearly a quarter of active-duty women were subject to sexual harassment – and they are just the ones who risked coming forward.The policies that smash the legal bulwarks against sexual violence and those that put pregnant people’s lives at risk make for the most compelling subject lines on fundraising emails from advocates for women, people of color and other legally protected classes hardest.But the disproportionate harm these folks are suffering from the decimation of the federal workforce by Doge is possibly most consequential, because it may not be reversible. Women and Black people are more likely to work in government jobs than in the private sector; a recent McKinsey analysis found that women, particularly women of color, are promoted at higher rates in public institutions than in private corporations. But government jobs also provide union representation, job security, pensions and other benefits that lift people of color into the middle class and allow them to accumulate the property and wealth denied them since slavery – benefits that do not accrue to home health aides, chambermaids and workers in the other low-paid, precarious occupations where women and people of color predominate.“For those who have been wronged and betrayed, I am your retribution,” vowed candidate Trump at the Conservative Political Action Conference early in 2023. But it is Trump himself who feels most wronged and betrayed, with women – the pussy-hatted protesters who overran Washington on the second day of his first administration, the sex worker Stormy Daniels, who publicly poked fun at his self-celebrated endowment, the magazine writer E Jean Carroll, awarded tens of millions of dollars in damages for his sexual assault and defamation – perhaps the greatest wrongdoers and traitors. Even Melania is no longer pretending to like him.Like his woman-hating followers, this man, who has used his wealth and his body to impose his will on women, feels sorely victimized by them. Now he has more power than any other man in the world to exact his revenge.

    Judith Levine is a Brooklyn journalist and essayist, a contributing writer to the Intercept and the author of five books. Her Substack, Today in Fascism, is at judithlevine.substack.com More

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    Missouri abortion rights in legal limbo after constitutional protections take effect

    An amendment to Missouri’s constitution protecting the right to abortion took effect late on Thursday, two years after the state banned the procedure – but abortions have not yet resumed in the state.The day after Missouri voters supported the measure to amend the constitution, Planned Parenthood affiliates in the state filed a lawsuit asking the court to strike down the state’s near-total abortion ban as well as a raft of other restrictions that, Planned Parenthood said, make it impossible to perform the procedure. In a hearing on Wednesday, the groups asked the Jackson county circuit judge Jerri Zhang to quickly issue an order to freeze the restrictions and allow abortions in the state to resume on Friday.However, the judge has not acted, and Missouri abortion providers remain in legal limbo, caught between contradictory provisions in the state’s constitution and its statutes. Under the new amendment 3, Missouri residents possess a “fundamental right to reproductive freedom”, including access to abortions until fetal viability.“I think it’s a simple case. I don’t think we are asking for something particularly extraordinary,” said Emily Wales, president of Planned Parenthood Great Plains in Missouri. “We have Missouri providers who travel to Kansas currently to provide care. It’s absolutely their hope to provide abortion services in their home state. So as soon as we get notice, we will rearrange our plans to ensure that Missourians have access to care.”Even before the US supreme court overturned Roe v Wade in 2022, paving the way for Missouri to ban abortion outright, abortions in Missouri had dwindled dramatically. One Planned Parenthood affiliate had stopped offering the procedure altogether, while the other could only do so at a single clinic, according to Planned Parenthood’s lawsuit. This decline was due, the lawsuit alleges, to a series of “impenetrable, onerous and medically unnecessary restrictions” that are still technically in place – such as requiring medication abortion patients to undergo a vaginal exam or mandating that abortion patients visit a clinic for counseling, wait 72 hours and then return for the procedure.Without a favorable court order from Zhang, Wales said: “There will be too many restrictions on the books that we just can’t actually comply with.”Andrew Bailey, Missouri attorney general, has said that amendment 3 means its near-total abortion ban is unenforceable. However, other restrictions can remain in place, including the requirement of a “72-hour reflection period”, Bailey argued in a recent court filing. Removing those requirements would infringe on women’s right to choose childbirth, he said, which is also included in amendment 3’s guarantee of “reproductive freedom”.“Regulations that ensure individuals have adequate time to choose between options – and will not be racked by regret – do not ‘delay’ rights under amendment 3; those regulations foster those decisions,” he wrote.Bailey argued that, rather than issuing a court order that would impact numerous abortion restrictions, Zhang should instead let these restrictions’ futures be decided over the course of litigation.With amendment 3’s impact in question, Missouri state legislators this week proposed a number of potential new restrictions. Lawmakers pre-filed at least 11 anti-abortion bills, according to a tally by the Kansas City Star. The state legislature may take up these bills when it reconvenes in January 2025. Republicans will control the state house, senate and governor’s mansion.skip past newsletter promotionafter newsletter promotionOne pre-filed bill would once again ask Missouri voters to amend the state constitution – this time to outlaw all abortions except in medical emergencies or in cases of rape. Another would endow embryos and fetuses with full rights and protections – a measure that, if enacted, would grant them a status known as “fetal personhood” and in effect ban all abortion.Yet another would ask voters to amend the Missouri constitution to, in the future, make it more difficult to pass ballot measures. Under that proposal, ballot measures would have to win both a simple majority of voters and win a majority of voters in more than half of the state’s congressional districts. (Right now, Missouri ballot measures must only win most voters in the state.)Mallory Schwarz, executive director of Abortion Action Missouri, remains committed to fighting these new efforts.“I think these attacks are only going to further enrage voters who just made a very clear decision,” Schwarz said. More

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    Kamala Harris puts abortion front and center with visit to Minnesota clinic

    Kamala Harris visited a Planned Parenthood abortion clinic on Thursday, becoming what is believed to be the first vice-president ever to do so.Harris stopped by a clinic in Minnesota, a state where abortion remains legal following the overturning of Roe v Wade, as part of her nationwide tour to highlight the impact of Roe’s downfall. Harris also toured the clinic, which remained open to patients as the nation’s first female vice-president made her historic visit.“Walking through this clinic, that’s what I saw, … people who have dedicated their lives to the profession of providing healthcare in a safe place that gives people dignity,” Harris told reporters after her tour. “And I think we should all want that for each other.”Protesters had already assembled outside the clinic by the time of Harris’s arrival. They carried signs with messages such as “Planned Parenthood = abortion” and “abortion is not healthcare”.Harris and Joe Biden are banking on outrage over Roe to help propel them to a second term in the White House come November. Anger over the landmark decision’s demise was credited with helping stop a much-promised “red wave” of Republican victories in the 2022 midterms, as well as leading abortion rights to triumph in multiple ballot initiatives, including in red states such as Kentucky, Kansas and Ohio.One in eight voters now say that abortion is their top issue in the 2024 elections, according to a KFF poll released last week. Harris and Biden have said that they would like to codify Roe’s protections into law – legislation that is unlikely to move anytime soon, given the degree of inaction and polarization in the US Congress.Biden’s record on and ability to talk about abortion rights dims in comparison to his running mate’s. Biden, a devout Catholic, has said that he is personally “not big” on abortion. And while Biden highlighted the threat to “reproductive freedom” in his State of the Union address to Congress last week, he did not say the word “abortion”.In contrast, Harris has spoken far more openly about the issue. On Thursday, she mentioned “abortion care” and said that the overturning of Roe has led to a “healthcare crisis”.“Elections matter,” Harris told reporters. “When it comes to national elections and who sits in the United States Congress, there’s a fundamental point on this issue that I think most people agree with, which is that one does not have to abandon their faith or deeply held beliefs to agree the government should not be telling women what to do with her body.”Asked about her role in this issue, Harris said: “My role is to do what I just did, which is to articulate exactly these points and to continue to articulate them, and to organize folks around what I know is an issue that is impacting more people than you will ever really know.” More