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    Conservatives are trumpeting a new abortion-pill study. One problem: it’s bogus | Moira Donegan

    Almost two-thirds of US abortions are induced with pills. The drug mifepristone blocks the pregnancy hormone progesterone, ending the growth of the fetus. Mifepristone was designed for abortions: its primary purpose, from its development through its regulatory approval and now on the market, has always been to allow women to control their own bodies and lives by ending their pregnancies. Because it exists as a tool of women’s independence, mifepristone has been the object of controversy, misinformation and intense scrutiny for the entirety of its existence. Originally synthesized by French pharmaceutical researchers in 1980, the drug went through a rigorous, prolonged and heavily politicized approval process in the US, and wasn’t approved by the Food and Drug Administration (FDA) for the US market until 2000.The anti-abortion movement – including several prominent Republican lawmakers – is looking to undo that. Since the 2022 Dobbs v Jackson Women’s Health Organization decision that eliminated the nationwide right to abortion, women living in anti-choice states have relied increasingly on mifepristone, particularly pills shipped by mail from providers in pro-choice states who prescribe the drug via telehealth. It is estimated that as many as 20% of abortions in the US are now accessed via telehealth appointments, a technological marvel that has allowed many people living in anti-choice states to avert the worst consequences to their lives, health and dignity that were threatened by the Dobbs decision by circumventing the unjust abortion bans that their states have attempted to impose on them. Dobbs has already been devastating for American women, causing needless deaths, driving up maternal mortality, derailing women’s lives, constraining their prospects, and injuring their standing as equal citizens. The post-2022 explosion of telehealth abortion using mifepristone is the reason why the consequences have not been even worse.Now, Trump’s new FDA commissioner, Marty Makary, is under pressure to restrict access to the drug. Pressed by reporters at the Semafor World Economy Summit late last month, Makaray said that he had “no plans” to review the status of mifepristone. But he added a crucial caveat: that he would reconsider the drug’s accessibility if new information emerged about the drug’s safety. “If the data suggests something or tells us that there’s a real signal, we can’t promise that we’re not going to act on that data,” he said.As if on cue, a conservative thinktank published a new study just days later that purported to find that mifepristone caused serious adverse effects in more than 10% of patients. The study – which contradicts all previous tests of the drug and the resounding consensus of the medical field – was published by the Ethics and Public Policy Center, a rightwing advocacy group that aims to “apply the richness of the Jewish and Christian traditions to contemporary questions of law” and “push back against the extreme progressive agenda while building a consensus for conservatives”.The study was rapidly amplified on conservative social media, and was pushed by several Republican senators who had previously called on Makaray to ban mifepristone at his March confirmation hearing. Missouri’s Josh Hawley, the author of a book on “manhood” who once raised a fist in solidarity with the January 6 insurrectionists, declared in a statement directed at Makaray: “Well, the new data is here. And it’s a signal that can’t be missed: Mifepristone is not safe.” Hawley went on to urge the FDA to restrict access to the drug and revert to pre-pandemic regulations, in which mifepristone could only be dispensed by a doctor after multiple in-person visits: a regulatory regime that would cut off abortion access to millions of women in anti-choice states.But the study that is being proposed as a pretext for restricting abortion access has come under scrutiny from doctors and statisticians for its questionable methodology. Drawing from insurance claim data from 2017 to 2023, the EPPC study claims that 10% of women who take mifepristone experience “sepsis, infection, hemorrhaging, an emergency room visit, or another serious adverse event within 45 days”. This would be alarming if it were true, but it isn’t.Instead, the study seems to have been designed to dramatically overstate the side-effects of mifepristone, in part by counting the normal and intended functioning of the drug – such as vaginal bleeding as the pregnancy terminates and post-medication doctor visits to confirm the completion of the miscarriage – as serious adverse effects. The study also claimed that a vast range of health experiences in the 45 days following the medication – such as mental health symptoms – were caused by the drug, a claim that the data does not support. The EPPC study also seems to include those who were prescribed mifepristone for non-abortion uses, such as miscarriage management, as well as those who took it alone, without the standard misoprostol dose that accompanies it. The study is not peer-reviewed and has not been published in a medical journal, because its authors could not meet the standards that such publication requires: their work is not up to snuff. Dr Stella Dantas, the president of the American College of Obstetricians and Gynecologists, called the paper “seriously flawed” and said that it “manipulates data to drive a myth that medication abortion isn’t safe”.The truth is that abortion pills have a lower rate of serious complications than Tylenol, and that the anti-abortion movement is in fact a great danger to American women’s health. It is because of abortion bans – not abortion access – that women in America are facing dramatically rising rates of “sepsis, infection, hemorrhaging” and death in pregnancy. In Texas alone, the rate of sepsis in pregnant women experiencing second-trimester miscarriages increased by more than 50% in the years since the state’s near-total abortion ban went into effect, and experts say that the laws prohibiting abortion are the cause. The adverse effects that the anti-abortion movement sees in mifepristone’s availability is not a matter of women’s health, which they are indifferent to. It is women’s freedom.

    Moira Donegan is a Guardian US columnist More

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    How idea of charging women with murder infiltrated the anti-abortion movement

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    View image in fullscreenSo far this year, lawmakers in at least 12 states have introduced legislation that would treat fetuses as people and leave women who have abortions vulnerable to being charged with homicide – a charge that, in several of these states, carries the death penalty.Once seen as politically toxic, this kind of legislation has become more popular in the years since Roe v Wade fell, erasing the national right to abortion. This likely comes as no surprise to Mary Ziegler, a professor at the University of California, Davis School of Law and one of the foremost commentators on the US abortion wars. The anti-abortion movement, she writes in her new book Personhood: The New Civil War Over Reproduction, has really “always been a fetal-personhood movement” – one that is so emboldened, it is increasingly unconcerned with public opinion or even democratic norms.Fetal personhood is the belief that embryos and fetuses deserve the legal rights and protections afforded to people. If taken to its logical conclusion in US law, this belief would not only totally outlaw abortion, but also risk pitting the rights of fetuses against the rights of the women carrying them in all kinds of circumstances. In the first year after the US supreme court overturned Roe, at least 200 people were prosecuted for conduct relating to their pregnancies. Most of these cases involved charges of child endangerment, abuse or neglect – language that treats fetuses as children.A Guggenheim fellow who has published seven books on reproduction and abortion, Ziegler has long seen the fight for fetal personhood as the throughline in the anti-abortion movement’s centuries-long history. In recent years, with Roe gone, she grew convinced that the movement was no longer willing to pull punches in that fight. “The trajectory has been more and more punitive, more focused on saying: ‘Justice for the fetus means punishing a larger group of people that encompasses not just doctors, but people who assist them, and potentially abortion seekers themselves,’” she said in an interview.View image in fullscreenPersonhood, which was released Tuesday, argues that the anti-abortion movement did not have to be so punitive. While anti-abortion activists have never agreed on how to best implement fetal personhood, they over time started to take more cues from Republican politicians, whose own veneration of “law and order” grew alongside its antagonism toward a social safety net. Those developments ultimately paved the way for the more extreme anti-abortion activists to grab more power within the movement.After Roe legalized abortion nationwide in 1973, anti-abortion activists organized in support of an amendment to the US constitution that would recognize embryos and fetuses as people. (The effort never gained the political traction it needed to become a serious possibility.) Around the same time, some activists broke with mainstream anti-abortion groups to push for policies that would offer more support for pregnant women, rather than just ban abortion.Yet the voices advocating for better daycare and housing for mothers faded away as the anti-abortion movement tightened its alliance with the Republican party. Anti-abortion activists understood that, by portraying fetuses as defenseless victims of the ultimate crime, they could energize conservative voters – and open their pockets.“The Republican party, from the Reagan era onward, has really equated a kind of justice and equality with punishing wrongdoers,” Ziegler said. “It’s a natural fit for the anti-abortion movement: the more its fortunes relied on Republican politicians, the more it framed things the same way.”State-level bans on abortion still do not technically punish abortion patients. (Instead, it’s abortion providers, long positioned by the movement as coercing or confusing women into the procedure, and sometimes the people who help them, who are at risk of criminal consequences.) But, over the last few years, self-described “abortion abolitionists” have slowly migrated out of the fringes of the anti-abortion movement and moved towards its center. Unlike mainstream “pro-lifers”, “abolitionists” believe that, if a fetus is a person and abortion is the murder of that person, women should be punished accordingly: as murderers.Neither “pro-lifers” nor “abolitionists” are particularly popular. After Roe’s collapse enabled states to make their own abortion laws, several states – including GOP strongholds like Ohio and Missouri – passed ballot measures to protect abortion rights. According to Gallup, 85% of Americans think that abortion should be legal in all or some circumstances, while a 2024 survey from the 19th News and SurveyMonkey found that 41% of Americans think “a fetus has rights starting at conception that should be protected by the government.”Even people who support fetal personhood can have tangled, even contradictory views on the matter. Only 9% of people think that the government should restrict access to in vitro fertilization, or IVF, even though IVF as it is currently practiced frequently involves the destruction or abandonment of embryos.None of the bills that allow abortion patients to be charged with homicide are likely to pass this year, but Ziegler doesn’t think “abolitionists” are going anywhere, for two reasons. First, the anti-abortion movement maintains a strong grip in southern Republican-dominated state legislatures, where many of these bills have emerged. Second, Ziegler believes that the anti-abortion movement is embracing “a conviction that it matters less what voters think and more what judges think”.“If you don’t worry about what you’re doing being unpopular, and you believe that ideological consistency, or even logical consistency, is paramount, you would be more inclined to go with an abolitionist argument, and you might worry less about that having political fallout in a politically uncompetitive state,” Ziegler said. “You don’t need to convince most Americans you’re right. You only need to convince five justices on the supreme court.”With abortion bans proving deeply unpopular in the US, circumventing popular will has become a necessity for an increasingly hardline movement. And by relying on the courts rather than voters, the anti-abortion movement can afford to ignore voters’ misgivings.The movement has abandoned its earlier goal of amending the US constitution to recognize fetal personhood; instead, the anti-abortion movement is now seeking to convince courts that the 14th amendment, which guarantees the right of due process and equal protection, already recognizes embryos and fetuses as people from the moment of conception. It is, according to Ziegler, yet another sign of the movement’s drift away from democratic norms.View image in fullscreenThis interest in the 14th amendment is also something of an about-face for the anti-abortion movement, which is predominantly white and has had a convoluted relationship with race for more than a century. At the time that the amendment passed, as part of a post-civil war effort to recognize Black people’s rights, anti-abortion leaders “didn’t want to talk about race because they weren’t sure that people of color were persons with rights”, Ziegler said. Over time, the anti-abortion movement began using the language of civil rights and affirmative action – but primarily to argue that fetuses are the greatest victim of discrimination.“I think that’s one of the reasons fetal personhood language has been resonant for so long,” Ziegler said of the movement’s co-option of civil rights rhetoric. “It gives people a way to talk about equality and a way to elevate somebody as a victim of discrimination in a way that makes sense to a largely white group of conservatives.”As Roe recedes further into the rearview mirror, Ziegler expects the movement to become even more committed to some of the most unpopular implications of fetal personhood, such as restrictions on IVF. Although Republican politicians have shied away from limiting access to the treatment, the anti-abortion movement has grown more strident on the topic. Some of its leaders even condemned Donald Trump for his recent executive order supporting IVF.“I think the anti-abortion movement is going to be still full steam ahead,” Ziegler said. “There’s an increasing sentiment in the movement that this is not about pleasing Republicans. This is not about pleasing voters. This is about the importance of this, ideologically, to the people involved.” More

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    ‘We are failing’: doctors and students in the US look to Mexico for basic abortion training

    On paper, it should not be difficult for Dr Sebastian Ramos to learn to perform abortions. As a family medicine doctor, Ramos works in a specialty that frequently provides the procedure. He lives in deep-blue California, where it is still allowed. And the administrators running Ramos’s residency program – a kind of apprenticeship that US doctors must undergo to become full-fledged physicians – support Ramos’s desire to learn how to do it.But over the course of his three-year-long residency, Ramos is guaranteed just three days’ worth of training at Planned Parenthood. Residents get to participate in only a handful of abortions.“That’s just not enough if you want to practice abortion care,” said Ramos, who asked to go by a shortened version of his last name to protect his privacy. “I knew that if I wanted to do this, I needed more experience.”That’s why, earlier this month, Ramos traveled to a clinic in Mexico City for two weeks’ worth of training in abortion provision. During his first week at the clinic, which is run by the global organization MSI Reproductive Choices and its Mexican arm Fundación MSI, Ramos performed roughly 60 abortions.In the years since the US supreme court overturned Roe v Wade, paving the way for more than a dozen states to ban virtually all abortions, a small but growing number of would-be abortion providers have begun to leave the country in search of an education. In 2023, MSI trained nine American doctors to perform abortions at clinics in Mexico. In 2024, it trained 27. So far this year, it is on track to double that number.View image in fullscreen“On one hand, it’s a tremendous relief to know that medical students and residents aren’t going to have to forego this very important part of their training in their education,” said Pamela Merritt, executive director of Medical Students for Choice. Last year, Merritt’s organization helped eight medical students and residents receive abortion training in Mexico and the UK.Merritt continued: “It’s also incredibly sad that in the United States, we are failing to train people even to the standard of care indicated by abortion bans.”Every abortion ban in the US permits abortions to save a patient’s life. But without adequate training, doctors may not be skilled enough to perform abortions even in those dire circumstances.‘It’s a shame’Medical schools and residency programs are run by massive hospitals that are heavily dependent on public funding; such institutions tend to be, by nature, leery of anything as controversial as abortion. The Accreditation Council for Graduate Medical Education (ACGME) has required OB-GYN residencies to teach doctors how to perform abortions since the 1990s, but rather than offer training in-house, hospitals have often farmed their residents out to freestanding abortion clinics for training.Even before Roe fell, this system was faulty: a 2019 study found that, despite the ACGME requirement, just 64% of OB-GYN residency programs offered “routine training with dedicated time” for abortions. Family medicine residents who want to learn to perform abortions face a greater disadvantage, since the ACGME does not require their residency programs to offer any kind of abortion training.View image in fullscreenEven most OB-GYN residents, program directors reported in the 2019 study, did not achieve what doctors call “competency” when it came to abortion. Without competency – a qualification that’s measured through a melange of doctors’ knowledge, skills and attitudes – doctors may not be able to safely perform abortions on their own.Abortion training and competency is now even harder to come by. Since Roe’s collapse, more than 100 abortion clinics have closed. Those that are left are often besieged by patients fleeing abortion bans, leaving them without the time and space to teach everybody who wants to learn.If an OB-GYN residency program is located in a state that bans abortion, ACGME rules currently dictate that the residency “must provide access to this clinical experience in a different jurisdiction where it is lawful”. The ACGME declined to respond to a request for information about how many residency programs are currently compliant with its abortion-training requirement, although records show that no OB-GYN programs have lost their accreditation status in the last year. Patricia Lohr serves as the director of research and innovation for the British Pregnancy Advisory Service (Bpas), a UK non-profit that provides abortions up until about 24 weeks of pregnancy. Lohr trained to become an OB-GYN in the US. “Having been a resident and a medical student in the United States, I could really see the importance of having access to abortion education that wasn’t entirely reliant on what was being delivered within academic training programs,” Lohr said. “Because often, abortions weren’t being provided in those academic hospitals.”View image in fullscreenWhen Lohr moved to the UK, she quickly moved to create a two-week training program at Bpas where medical students could learn about abortions and observe – but not perform – the procedure. In the years since Roe fell, that training program has received a surge of applications from American medical students and residents.“It’s a shame that people would have to travel to learn a basic part of women’s health care,” Lohr said. “There are many trainees out there at the moment who would like to obtain abortion skills, but cannot get it locally, and so they get diverted into doing something else.”Lauren Wiener, a New Jersey medical student, had originally planned to travel to Arizona in summer 2022 to learn how to provide abortions. But when Roe’s fall led Arizona abortion providers to temporarily stop working, Wiener had to cancel her trip. Instead, she ended up undergoing a week-long training at Bpas last fall.“It is something that you need to know how to do, because there are emergency situations,” Wiener said of abortions. “You might not want to electively perform an abortion at 24 weeks, but if someone comes in and they’re miscarrying, you need to know how to evacuate that uterus. It’s a skill you need to have to save a life.”‘We will be there’While training in the US dwindles, the country’s increasingly conservative approach to abortion has also put it at odds with much of the rest of the world. Only four countries – including the US – have tightened their abortion laws over the last 30 years, while more than 60 countries and territories have loosened theirs, according to a tally by the Center for Reproductive Rights.Mexico is one of them. In 2023, its supreme court decriminalized abortion nationwide; the procedure is now available in about half of all Mexican states. And providers aren’t the only people taking advantage of Mexico’s liberalized abortion laws: last year, Fundación MSI provided first-trimester abortions to 62 women from the United States.“Training, training, training – it is key, to have less danger for actual patients,” said Araceli López-Nava, managing director of MSI Latin America. “We understand how difficult the situation is becoming in the US, so we’re happy to help.”The organization has the capacity to train up to 300 doctors a year to perform abortions, López-Nava estimated.View image in fullscreenMSI is not, however, a solution for everybody. Would-be trainees need to speak Spanish. And although the organization has in past years trained medical students, MSI’s Mexico clinics have started focusing on teaching residents who have already performed 20 abortions. Because residents have already chosen their specialties and secured berths in residency programs – which can be highly competitive – they are more likely to become abortion providers.Training in Mexico can also be pricey, especially since the program does not pay for travel and lodging. Ramos’s entire trip cost about $5,000, although a scholarship helped him cover most of the costs.“It’s a way, at least for me, to be exposed to a different medical system, learn from different providers from a different country, exchange knowledge,” Ramos said. “I feel like I’m being adequately prepared to meet the needs of my patients in the US.” More

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    Trump’s White House is filling with alleged sexual abusers … led by him

    Donald Trump was found civilly liable last year for the defamation and sexual abuse of the writer E Jean Carroll – just one of the more than 27 women who have accused him of sexual misconduct. In January 2025, he will again be president of the United States – the first to take office with a court-adjudicated history of sex crimes.And it seems he’s eager to pack the White House with people just like him.Four of president-elect Trump’s cabinet-level nominees have faced serious allegations of sexual misconduct, ranging from workplace sexual harassment to assault, and a fifth is embroiled in a sexual abuse-related lawsuit.As Americans brace themselves for Trump 2.0, it’s time to be clear-eyed about the Maga machine: a history of alleged sexual criminality isn’t a bug, it’s a central part of the hardware; an organizing principle that clarifies how Trump and those like him view their power and how they intend to wield it.Trump’s first choice for attorney general, the former representative Matt Gaetz, was concurrently under investigation by the Department of Justice and the House ethics committee for allegedly violating federal sex-trafficking laws and statutory rape. The disgraced representative also reportedly bragged about his sexual conquests and showed nude photos of women to his fellow lawmakers. On Thursday afternoon, Gaetz announced he would be withdrawing his name from consideration to avoid being a “distraction to the critical work of the Trump/Vance Transition”, just hours before CNN published a report about a second alleged sexual encounter between Gaetz and a 17-year-old. (The age of consent in Florida is 18.)Gaetz’s withdrawal provided a brief moment of relief. But, still, Trump’s would-be cabinet is filled with alleged criminals, all of whom the president-elect has vociferously defended, and all of whom deny wrongdoing.Elon Musk, whom Trump has tapped for the made-up position of “efficiency czar”, reportedly exposed his penis to a SpaceX flight attendant in 2016 and offered to buy her a horse in exchange for sex. Musk’s company SpaceX paid her $250,000 in 2018 to settle the sexual misconduct claim. He was also sued this year by eight former SpaceX employees, who alleged that the CEO treated “women as sexual objects to be evaluated on their bra size, bombarding the workplace with lewd sexual banter”.Then there’s the nominee for secretary of defense, the Fox News host Pete Hegseth, who was accused of sexually assaulting a staff member of the California Federation of Republican Women in 2017.In the police report that was filed at the time, and which was obtained by the New York Times, the unnamed woman told law enforcement that Hegseth had taken her phone and blocked her exit from his hotel room before assaulting her. Though Hegseth was never charged with a crime, he did enter into a nondisclosure agreement with the woman, which included a financial settlement.Robert F Kennedy Jr was accused of sexually assaulting Eliza Cooney, a former family babysitter, in the late 90s. Trump now wants him to run the Department of Health and Human Services.Finally, Trump’s pick for secretary of education, Linda McMahon, was recently named in a lawsuit alleging that she and her husband, Vince McMahon, failed to stop an employee from sexually abusing children in the 1980s and 90s, when the McMahons were running World Wrestling Entertainment. (An attorney for McMahon told CNN that the lawsuit is “filled with scurrilous lies.”)These picks feel comically brazen, like shots fired directly at the #MeToo movement, which erupted in the wake of Trump’s election in 2016. It’s not a stretch to imagine that Trump, a man who has threatened to sue every one of his accusers and has openly bragged about grabbing women “by the pussy” without their consent, is attempting to exact revenge on a movement designed to use the collective to force consequences for a handful of powerful predators.#MeToo was just one piece of a slate of shifting gender norms over the last decade. Now, we’re living in the middle of a backlash.Roe v Wade has fallen, a known sexual abuser is re-entering the Oval Office, and the very online far right has found a new slogan: “Your body, my choice.”In Susan Faludi’s 1991 book Backlash: The Undeclared War Against American Women,she writes that these moments of backlash are not random. They are “preemptive strikes”, which “have always been triggered by the perception – accurate or not – that women are making great strides”.The perception that women were gaining status at the expense of men’s, combined with the real ways in which many men in this country are struggling economically, socially and mentally, has seemingly helped fuel the Trump campaign.Trump sneered at “childless cat ladies”, courted Joe Rogan listeners and crypto-bros, and trotted out Hulk Hogan to perform hyper-macho drag at the Republican national convention. The campaign deployed far-right influencers to wax poetic on X – which Musk owns – about the dangers of “toxic femininity” and mock the peeing habits of men who supported Kamala Harris.On election day, Trump senior adviser and noted white nationalist Stephen Miller tweeted a very particular plea: “Get every man you know to the polls.” After Trump’s win, the far right were out in full force celebrating what they clearly perceived not just as a win for their preferred political leader, but for their gender as a whole; they flooded X and TikTok with the phrases “your body, my choice” and “get back in the kitchen” and crafted supercuts of liberal women crying.Perhaps what Trump is counting on is that people who oppose the draconian agenda of his administration will be so exhausted by the piling horrors that they’ll get overwhelmed and give up – that all of the allegations will blend together and the backlash will become the norm. And yet, we know where a backlash brews, so does a resistance to it. More

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    We’ll need to fight to protect US reproductive rights. Here’s what to expect | Sophie Brickman

    At around 10pm ET on election night, with prediction needles listing rightwards, and various friends’ group chats starting to become inundated by the river-of-tears-down-my-face emoji – even that early, we were collectively way beyond a single tear – I left Steve Kornacki frantically bobbing and weaving around a map of Georgia, and went to bed. Somehow, I slept through until the morning, when I awoke in “Trump’s America”, as news organizations were calling it, and to a torrent of emails and notes from friends bemoaning, among other things, the very real possibility of a federal abortion ban.“Are we still gonna have birth control?” one friend texted, in disbelief.“Sorry for the US you’re waking up to,” another wrote from Oxford. “Confounding,” his wife echoed, from across the pond.And so, to get a clear-eyed, postmortem picture of what might be facing women and their loved ones in America, two days after the election I called up Nancy Northup, the president and CEO of the Center for Reproductive Rights, an advocacy group with a stated mission of “using the power of law to advance reproductive rights as fundamental human rights around the world”.In practice, that means unleashing an army of seasoned litigators to fight for abortion access, among other things, in courtrooms across the country and around the world – they currently work in five continents. She began as CEO in 2003, 30 years after Roe v Wade constitutionally protected abortion rights. Twenty years later, after fighting the good fight for decades, she and her litigators are revving up for what might be the fight of their careers.“We were always accused before Roe v Wade was overturned [of] crying wolf,” Northup told me on the phone from her office in Manhattan. “People don’t need to worry about whether or not we’re crying wolf now.”There are the women who have died when denied abortions by healthcare providers who are unsure of the legal ramifications of performing abortions unless the mother’s life is at risk. There are those who have spent days in the ICU after being denied care, and emerge with their future fertility forever compromised. There are the obstetricians fleeing states with strict abortion bans (over 20% of practitioners in Idaho, and over half of high-risk obstetricians), feeling that they are unable to safely, and properly, do the job they trained years to do. There are the downstream consequences of bans in restrictive states affecting states with robust abortion protections, simply because those who can travel to receive care end up taking appointments away from local residents.The question that kept circulating among my friends in the hours after the election results became clear was: How come seven out of 10 measures to protect reproductive rights passed at the state level, and Trump still won?Northup chalks the dissonance up to two things.“There’s a difference between what policy do I want, and what candidate do I like,” she said. “Of course they should be linked, but we can see that they aren’t.”On top of that, Northup fears there are too many mental leaps to make.“Most people think, You know what, if the right to abortion is protected in my state, I’m good. They don’t realize a federal abortion ban could override their state’s rights.”While she wrote in a statement after the results came in that Trump’s first term “lead to the deaths of numerous women who are likely the tip of the iceberg”, she said it was too early to paint a picture of just how large that iceberg might loom in his second. Still, she underscored that even if a bill isn’t signed into law – something she pointed out Trump has said he wouldn’t do, though “consistency isn’t the hallmark of the president-elect” – there are ways to threaten abortion access at a national level.Northup and other colleagues at the Center held an open video meeting a few hours before we spoke, the tone of which was sober, with lots of “no way to sugarcoat what we’re facing right nows”s, and “serious situation”s and “tough road ahead”s.Among her top concerns are, first, the fear that new laws will threaten patients’ access to medication abortion – something she calls “a lifeline”, as two-thirds of patients in the US use it – either by the FDA restricting mifepristone, or states using a 1873 chastity law known as the Comstock Act, which bans “any drug, medicine, article, or thing designed, adapted, or intended for producing abortion” from being transported by a mail carrier; and, second, the targeting of populations in states with bans. She recently found herself on the phone with a woman whose family was leaving Texas to get an abortion in New York, and wasn’t sure if her husband should come with her or not.“That’s a culture, or a climate, of fear of prosecution, and intimidation, and silencing,” she said. “It has a chilling effect.”And it’s a chilling effect that the minority of American voters want to cast over the country. One exit poll noted that while voters in 10 “key states” believe by a wide margin that abortion should be legal, only 14% considered it their most important voting issue.I reached out to a friend who works in the reproductive rights space for help parsing through this disconnect.“The lack of urgency that voters placed on this issue may reflect an erroneous belief that state protections can save them; misplaced faith in Trump’s softened messaging on abortion; or simply a reality that many are struggling to make ends meet and feel abortion is an issue they can’t afford to think about today,” she wrote. “Who knows.”Whatever the reason, it means the litigators at CRR have their work cut out for them, as they fight for what the majority of Americans want.Right now, Northup is revving up for a case that will start on Tuesday in Idaho, arguing that the state, by refusing to give stabilizing care to pregnant women in emergencies, is violating the Emergency Medical Treatment and Active Labor Act (Emtala), a federal law that ensures access to emergency care. And she is gaining strength from success stories, like Missouri, which overturned its near-total abortion ban on Tuesday, despite electing Trump, something she called “stunning”. (She remembers having a conversation with a senator in Missouri years ago, and bringing up the question of just how to talk about abortion rights in the state. The senator’s advice: “Don’t.”)How does she feel?“Armored up and ready to go.”For those of us who might not feel that way, there are other ways to help. On the video call, one colleague offered three action items: First, take care of yourselves and your communities. Second: sign up for alerts from the Center. Finally, find and donate to a local abortion access fund.Godspeed.

    Sophie Brickman is a contributor to the New Yorker, the New York Times and other publications, and the author of Baby, Unplugged: One Mother’s Search for Balance, Reason, and Sanity in the Digital Age and the novel Plays Well With Others More

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    ‘Your body, my choice’: what misogynistic Trump supporters feel about sexual power | Moira Donegan

    You can’t say it was a fluke. If in 2016, Donald Trump’s novelty, combined with his loss of the popular vote, allowed liberals to retain a bit of plausible deniability about what his presidential win meant about America, this time, there is no such comfort. Donald Trump is no longer a mystery or an amusing diversion: no one can claim that they do not understand full extent of his malignant corruption, or the seriousness of his movement’s hostility to pluralist democracy. And he won the popular vote.Many postmortems of last week’s election have tried to preserve the notion that Trump’s voter’s did not endorse him and his vision – that they know not what they do. This is dishonest, and a bit patronizing toward Trump’s supporters. Trump’s voters, for the most part, know exactly what he is, and what voting for him means. They are not ignorant or mistaken about him. They endorse him and what he is.A large part of what a majority of Americans voted for last week was the Trump campaign’s virulent misogyny. Trump himself, an adjudicated rapist who has bragged about both committing sexual assault and engineering the reversal of Roe v Wade, speaks of women in vulgar, degrading terms. He picked a running mate who has denigrated childless women as “psychotic” “cat ladies”. His adviser and funder Elon Musk, who seems to have designs on becoming something of a shadow president in Trump’s second term, is a techno-fascist pro-natalist who goes around offering women insemination.The Trump campaign positioned itself as a champion of a hierarchical gender order, aiming to restore men to a place of wrongfully deprived supremacy over women. Many of his voters cast their lot in with Trump hoping that he would do just that.Now, in the wake of Trump’s victory, some of his supporters have adopted a slogan which neatly joins the movement’s twin projects of forced sex and forced pregnancy: “Your body, my choice.”“Your body, my choice,” was coined by the far-right, pro-Nazi internet troll and Trump dinner guest Nick Fuentes on the night of the election. “Your body, my choice,” Fuentes tweeted. “Forever.” It’s a taunting inversion of the pro-choice slogan “my body, my choice”, meant to assert women’s autonomy: instead, “your body, my choice” presents women’s full citizenship and freedom as laughable, asserting, in gleeful terms, the male supremacy that will now carry for the force of policy and law under a new Trump administration.In response to Fuentes’s post, pro-Trump men have adopted the slogan en masse to troll women online. An analysis from the Institute for Strategic Dialogue found that the use of the phrase soared on social media in the days following the election, along with similar misogynist phrases like “get back in the kitchen”, and the use of sexist slurs directed at liberal and progressive women like Kamala Harris and Rachel Maddow. Female TikTok users reported a flood of such comments, with “your body, my choice” chief among them on the platform. And young girls in schools, along with their teachers and parents, reported incidents of the phrase being yelled out by boys in taunting jeers of harassment and intimidation in the days following the election.“Your body, my choice” is a rejection of women’s rights to control their own bodies in more ways than one. In addition to the phrase’s sneering inversion of a pro-choice phrase, rejecting the abortion right and claiming the overturn of Roe as a victory for men, the phrase has a second, dual meaning: as a rape threat. The men and boys who use it are not merely taunting women with the threat of an unwanted, forced pregnancy. They are taunting them with the threat of forced sex.It is not always a connection that the misogynist right has made so explicit. In other eras, the anti-choice movement has adopted an overtly religious attitude of sexual repression, aiming to restrict abortion as a means of restricting sexuality across the board. But this preacherly, sexually repressed masculinity is not the masculinity of today’s misogynist rightwing movement. Rather, the Maga right is one that sees sex not as something that must be rendered shameful and pushed out of the public sphere, but as a weapon that can be used to punish, humiliate and dominate women.This new, avowedly and vulgarly sexual rightwing masculinity is what Fuentes was crystalizing in his snide little coinage of “your body, my choice”: it is one that aims to use physical and sexual force to coerce women into a degraded gendered role, one subject to men’s domination and only partial, limited and conditional in its citizenship and access to the public sphere. In this sense, their projects in joyfully celebrating rape and restricting women’s access to abortion are two sides of the same coin: the right seeks to dominate women and to commandeer the inside of their bodies so as to force them into a gendered role against their will, be that role as sex object or as mother.skip past newsletter promotionafter newsletter promotionThis is why it is fitting that Trump, who was found liable for the rape of one woman and accused of sexual assault by two dozen others, was the president to secure the overturning of Roe v Wade; it is why it is fitting that two of the justices who voted to overturn Roe, Clarence Thomas and Brett Kavanaugh, have been credibly accused of sexual misconduct, each by more than one woman. It is because the sex politics of the right is not an anti-sex, puritanical politics. It is a politics of sexual domination.There is no use pretending that this is not what the Trump movement is. And there is no use in pretending that this is not what many of the men who voted for Trump hoped to achieve when they supported him. Much of the pre-election coverage of the gender dynamics of Trump’s campaign has disappeared in the days following the election, and perhaps this unpleasant reality is why: most Americans voted for a man they have every reason to believe is a rapist. For some of them, at least, that was not a liability, but an asset.

    Moira Donegan is a Guardian US columnist More

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    ‘If Harris wins, it’s because of abortion’: election tests fallout from Roe reversal

    Leslie Lemus’s top issue in the 2024 election is probably the economy. But she has a close second: “Them fucking with abortion.”Really, for the 26-year-old Arizona native, the two issues are one and the same. On Monday, she got an abortion at Camelback Family Planning, one of the last abortion clinics in Arizona, in large part because Lemus feels like she can’t financially care for a child right now.“I look at the world and it’s not very pretty. I’m not ready for that yet, to bring a child into the world right now, where the economy is not OK,” said Lemus, who said she lived paycheck to paycheck. Some months, she has to choose between making her car payments and paying off her credit card debt. “Everybody’s struggling left and right.”View image in fullscreenLemus is registered to vote in Maricopa county, which is home to 60% of the Arizona electorate and may determine whether Kamala Harris or Donald Trump wins the valuable swing state. Harris has made access to reproductive rights a key part of her policy platform – particularly as a contrast to Trump, who appointed three of the US supreme court justices who overturned Roe v Wade and who has toggled between branding himself as a champion of reproductive rights and as “the most pro-life president”.Lemus is a passionate supporter of Harris, who she calls “my homegirl”.Majorities of Americans have backed abortion access and Roe v Wade for decades, but it was rarely their top issue in the voting booth. Now that the US supreme court has overturned Roe, permitting more than a dozen states to ban almost all abortions and several more to ban it at six, 12, or – as in Arizona – 15 weeks, abortion may become the deciding issue of the 2024 election. It is now the most important issue for women under 45, like Lemus.“If Harris wins the election, it will be because of abortion and women voting for her in large part because of that issue,” said Tresa Undem, a pollster who’s been surveying people about abortion for more than two decades.On Monday, Camelback had about 40 patients to see; at least one had traveled in from Texas, which bans almost all abortions. Visitors to the lobby were greeted by a sign urging them to register to vote while they waited for their abortion. The sign advised: “The health of our democracy is in our hands.”‘That gives me hope’On Tuesday, Arizona will become one of 10 states where voters will decide whether to amend their state constitutions to add or expand abortion protections. (In one of those states, Nebraska, voters will vote on both a ballot measure that could expand abortion rights and on the nation’s sole anti-abortion measure.) Five of those states, including Arizona, have some kind of abortion ban on the books. If any of the measures supporting abortion rights pass, it would be the first time that a state has overturned a post-Roe v Wade ban.Democrats have long hoped these measures would boost turnout among their base, but the rosy polling for the measures in steadfastly red states indicates that a significant swath of voters are essentially splitting their votes by supporting both abortion rights and Republicans, the party that helped engineer Roe’s downfall. Although the measure looks likely to pass in Arizona, for example, polling suggests that Trump will win the state.View image in fullscreenJulio Morera helped collect signatures at the Arizona state fair in order to get the measure on the ballot. His group’s booth, he recalled, was set up next to a man who was hawking rightwing memorabilia adorned with eagles, guns and the slogan “Don’t Tread On Me”. When asked to sign the petition, the man demurred. “I got customers to think about,” he said.But at the very end of the fair, Morera said, the man added his signature.“That gives me hope that this is gonna pass,” Morera said. “There are quite a few people that may not be Democrats or left-leaning who would support this access to abortion.”A vote for Trump, however, may ultimately cancel out a vote for a ballot measure. If Trump wins the presidency, he will be able to skirt Congress and use a 19th-century anti-vice law known as the Comstock Act to ban the mailing of all abortion-related materials – which would result in a de facto national abortion ban and render these measures’ successes moot.Project 2025, an influential policy playbook for the next conservative administration, suggests using the Comstock Act to at least ban the mailing of abortion pills, which account for roughly two-thirds of US abortions. It also suggests rolling back privacy protections for abortion patients and reshaping the nation’s largest family planning program, which would curtail access to contraception, among a bevy of other anti-abortion policies.Harris, meanwhile, has forcefully defended abortion rights. “Over these past two years, the impact of Trump abortion bans has been devastating,” she told a rally in Texas in October. “We see the horrific reality that women and families face every single day.”For Lemus, abortion bans all come down to one thing: “Men being in control of women.”View image in fullscreenThe economy was not the only reason that Lemus sought an abortion on Monday. She is also worried about the mental toll of having a child. At 18, Lemus gave birth to a son who was born prematurely and died just a month after birth.“I was there with all the medical stuff, seeing my child in the incubator until he passed away,” she said quietly. Eight years later, Lemus is not ready to have another one.“We fought so hard to have choices,” she said. “Why do they feel like we can’t have a choice?”Read more of the Guardian’s 2024 US election coverage

    When do polls close?

    How the electoral college works

    Where is abortion on the ballot?

    Senate and House races to watch

    Lessons from the key swing states

    Trump v Harris on key issues

    What’s at stake in this election

    What to know about the US election More