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    Trump rescinds Emtala guidance protecting women in need of emergency abortions

    The Trump administration on Tuesday rescinded Biden-era guidance clarifying that hospitals in states with abortion bans cannot turn away pregnant patients who are in the midst of medical emergencies – a move that comes amid multiple red-state court battles over the guidance.The guidance deals with the federal Emergency Medical Treatment and Labor Act (Emtala), which requires hospitals to stabilize patients facing medical emergencies. States such as Idaho and Texas have argued that the Biden administration’s guidance, which it issued in the wake of the 2022 overturning of Roe v Wade, interpreted Emtala incorrectly.In its letter rescinding the guidance, the Trump administration said that the Centers for Medicare and Medicaid Services (CMS) “will continue to enforce Emtala, which protects all individuals who present to a hospital emergency department seeking examination or treatment, including for identified emergency medical conditions that place the health of a pregnant woman or her unborn child in serious jeopardy. CMS will work to rectify any perceived legal confusion and instability created by the former administration’s actions.”Abortion rights supporters said on Tuesday that rescinding the Biden administration’s guidance will muddy hospitals’ ability to interpret Emtala and endanger pregnant patients’ lives. Since Roe’s collapse, dozens of women have come forward to say that they were denied medical treatment due to abortion bans. A reported five pregnant women have died after having their care denied or delayed, or being unable to access legal abortions.“This action sends a clear message: the lives and health of pregnant people are not worth protecting,” Dr Jamila Perritt, an OB-GYN and the president of Physicians for Reproductive Health, said in a statement. “Complying with this law can mean the difference between life and death for pregnant people, forcing providers like me to choose between caring for someone in their time of need and turning my back on them to comply with cruel and dangerous laws.”Last year, the US supreme court heard arguments in a case involving Idaho’s abortion ban, which at the time only allowed abortions in cases where a woman’s life was at risk. In contrast, most state abortion bans permit abortions when a patient’s “health” is in danger – a lower standard that could make it easier for doctors to intervene. Idaho’s standard, the Biden administration said, blocked doctors from providing abortions in some emergencies and thus violated Emtala’s requirement that hospitals must stabilize patients.Ultimately, the supreme court punted on the issue by ruling 6-3 on procedural grounds that the case had been “improvidently granted”, indicating they should have never taken it up in the first place.“This court had a chance to bring clarity and certainty to this tragic situation and we have squandered it,” wrote Ketanji Brown Jackson, the supreme court justice, at the time. “And for as long as we refuse to declare what the law requires, pregnant patients in Idaho, Texas and elsewhere will be paying the price.”skip past newsletter promotionafter newsletter promotionThe Trump administration’s Tuesday move is not unexpected. In March, the administration moved to drop out of the case over the Idaho abortion ban. A local Idaho hospital later filed its own lawsuit over the ban. More

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    Is ‘chic’ political? In Trump 2.0, the word stands for conservative femininity

    The idea of “chic” is a fashion-world cliche. At best it is a know-it-when-you-see-it vibe, at worst a lazy adjective chosen by a writer to describe something that reminds her of Jane Birkin. It feels inoffensive enough. But now, “chic” has become something of a lightning rod online – a shorthand for a type of conservative-coded aesthetic.It began last month, when a creator named Tara Langdale posted a video to her TikTok following of just over 30,000 in which she sipped from a long-stemmed wine glass and read off a list of things she finds “incredibly UN-chic”. Wearing stacks of gold bracelets and a ballet-pink manicure, Langdale called out fashion choices like tattoos, Lululemon, visible panty lines, baggy denim and hunting camouflage as unchic, because, to her, these choices seemed “cheap”.“Remember, money talks, wealth whispers,” Langdale said.The not-entirely-serious video racked up views and sparked a conversation about how style preferences can carry political baggage. “This is giving mean girl,” one user wrote in the comments. “Classism isn’t chic, hope this helps,” wrote another. “Voting for Trump is unchic,” went a third. Many took particular issue with Langdale’s anti-tattoo stance, which they saw as stuffy or downright rude.View image in fullscreenSuch comments came with a strong dose of projection: Langdale, a lifestyle influencer, does not post about politics, sticking to fashion, makeup or motherhood. Nevertheless, many in the fashion TikTok community felt her commentary on “chic” aligned with the feminine aesthetic of Trump 2.0, where the rigid and airbrushed beauty standards of Maga officials such as Karoline Leavitt, Kristi Noem and Nancy Mace are celebrated.“Chic is starting to feel like a conservative dogwhistle that polices women’s looks,” said Elysia Berman, a creative director and content creator based in New York who posted a takedown of Langdale’s unchic list. “What chic has come to mean to a lot of people is a very narrow definition of elegance. It’s this thin, white, blonde woman who speaks softly and is basically Grace Kelly.”The ideal vision of womanhood from Donald Trump’s first term was caked foundation and clumpy mascara, as seen on the likes of Kimberly Guilfoyle and Lara Trump. But the facial augmentation and overly sexy aesthetic tied to the president’s inner circle – see “Ice Barbie” Noem, who posts full glam videos while deporting immigrants – does not necessarily match that of the president’s more social media savvy supporters, many of whom are now opting for a sleeker presentation.Momfluencers and tradwives celebrate RFK Jr’s “Make America Healthy Again” policies while wearing breezy milkmaid dresses. Evie Magazine, a politically conservative version of Cosmo, appropriates the trending visuals of feminist magazines with headlines that decry body positivity and promote vaccine skepticism. As the New York Magazine writer Brock Colyar described young Republicans at a post-election night party: “Many are hot enough to be extras in the upcoming American Psycho remake.”The word “chic” has always been tied to a French, or francophile, sense of femininity, usually in reference to a woman who subscribes to Vogue and innately understands how to look good. But those turning it into a dirty word on TikTok, taking note of how it aligns with a changing conservative aesthetic, see it as having a more prescriptive, even oppressive, meaning for women’s fashion.Suzanne Lambert, a DC-based comedian whose “conservative girl” mock makeup tutorials went viral earlier this year, described the right’s obsession with all things ultra-feminine as “just this soulless, boring kind of fashion”.“Republicans are more focused on assimilating than we are on the left, so it makes sense that they all end up looking the same,” Lambert said.Ultimately, anyone who’s attempting to look chic – or wealthy – is probably neither of those things. Those TikTok imitators who equate chicness with pearls and a Leavitt-esque tweed shift dress? “They think it’s giving Reagan, but it’s really giving Shein,” said Lambert.(Ironically, some of the unchic pieces on Langdale’s list – Lululemon leggings, Golden Goose sneakers, a Louis Vuitton carryall bag – come with hefty price tags and could connote liberal elitism.)In an email, Langdale said that her definition of chic had nothing to do with politics. “Chic by definition means simplicity and timelessness,” she wrote. “Reading a neutral palette as ‘conservative’ conflates style choice with ideology. Conservatism as a moral or political stance varies widely across cultures and religious communities, so tagging a fitting tank top and trousers as ‘Republican’ is lazy stereotyping.”Langdale called chic “this year’s version” of “old money” dressing, a TikTok trend that prioritized subdued, luxury items over the loud, brash and individualistic. “You can own every item on my unchic list and still be considered chic,” she wrote. “Labeling an item chic or unchic speaks only to its aesthetic, not a person’s style or worth.The conversation around chic is ongoing. Other creators, inspired by Langdale’s video, posted about what they considered chic in their niches. A medical student said it was “incredibly chic” to color coordinate scrubs with personal accessories; an office worker considered not letting colleagues in on their personal lives the height of chicness.Kat Brown, a 25-year-old New Yorker who works in fashion PR, made a video talking about how it’s “not chic” to be overly trendy, with chicness coming from a more sustainable wardrobe. “Smart consumption is chic,” Brown said. “Chicness is more reflective of your resourcefulness and creativity, rather than any sort of socioeconomic element.”For all the angst on chic-Tok, true insiders probably aren’t paying much attention. Fashion editors often make lists of words they consider so dull and unspecific that they prohibit writers from using them in copy; “chic” is usually right at the top. And when a word like chic is so bland to begin with, who cares if its wielded as an insult? As a British couturier played by Daniel Day-Lewis in the 2017 period drama Phantom Thread bemoaned of “chic”: “That filthy little word. Whoever invented that ought to be spanked in public. I don’t even know what that word means.” 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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    Republicans are attacking childcare funding. Their goal? To push women out of the workforce | Moira Donegan

    Last month, the White House issued a proposed budget to Congress that completely eliminated funding for Head Start, the six-decade-old early childhood education program for low-income families that serves as a source of childcare for large swaths of the American working class.The funding was restored in the proposed budget after an outcry, but large numbers of employees who oversee the program at the office of Head Start were laid off in a budget-slashing measure under Robert F Kennedy Jr, the head of the Department of Health and Human Services. On Thursday, Kennedy said funding for the program would not be axed, but more cuts to childcare funding are likely coming: some Republicans have pushed to repeal a five-decade-old tax credit for daycare. The White House is entertaining proposals on how to incentivize and structurally coerce American women into bearing more children, but it seems to be determined to make doing so as costly to those women’s careers as possible.That’s because the Republicans’ childcare policy, like their pro-natalist policy, is based on one goal: undoing the historic gains in women’s rights and status, and pushing American women out of the workforce, out of public life, out of full participation in society – and into a narrow domestic role of confinement, dependence and isolation.The New York Times reported this week that the White House is now not only looking for ways to make more women have children, but to encourage “parents” to stay home to raise them. “Parents” here is a euphemism. Roughly 80% of stay-at-home parents are mothers: cultural traditions that encourage women, and not men, to sacrifice their careers for caregiving, along with persistent wage inequalities that make women, on the whole, lower earners than their male partners, both incentivize women, and not men, to drop out of the workforce and stay home when they have children.This state of affairs has been worsened by the dramatic rise in the cost of childcare, which is prohibitively expensive for many parents. The average cost of childcare per child per year in the US is now well north of $11,000, according to Child Care Aware of America, an industry advocacy group. In major cities such as New York, that price is significantly higher: from $16,000 to $19,000 per year. Existing tax credits need to be expanded, not eliminated, to reduce this burden on mothers and their families and to enable women to join the workforce at rates comparable to men and commensurate with their dignity and capacities. Currently, 26% of mothers do not engage in paid work, a figure that has barely budged in 40 years. Largely because of the unequally distributed burdens of childcare, men participate in the paid labor force at a rate that is more than 10% higher than women.One might think that the solution would be to invest more in high-quality childcare, so that providers could open more slots, children could access more resources, and women could go to work and expend their talents in productive ways that earn them money, make use of their gifts and provide more dignity for women and more stability for families. This is not what the American right is proposing: Brad Wilcox, a sociologist who promotes traditional family and gender relations, has called such policy initiatives “work-ist”. Conservatives are proposing, instead, that women go back to the kitchen.The Trump administration, and the American right more broadly, wants the rate of women’s employment to be even lower, because it is advancing a lie that women are naturally, inevitably, uniformly and innately inclined to caregiving, child rearing and homemaking – and not to the positions of intellectual achievement, responsibility, leadership, ingenuity or independence that women may aspire to in the public world. “We cannot get away from the fact that a child is hardwired to bond with Mom,” says Janet Erickson, a fellow at the rightwing Institute for Family Studies, who once co-authored an op-ed with JD Vance calling on “parents” to drop out of the workforce to raise children. “I just think, why should we deny that?”This kind of vague, evidence-free gesturing toward evolutionary psychology – the notion that babies are “hardwired” to prefer mothers who are not employed – is a common conservative tick: a recourse to dishonest and debunked science to lend empiricism to bigotry. There is in fact no evolutionary reason, and no biological reason, for mothers, and not fathers, to abandon independence, ambition or life outside the home for the sake of a child. The only reason is a sexist one.Over the past decade, the left launched few vigorous defenses of a feminist politics that seeks to advance and secure women’s access to public life, paid work and fair remuneration. The American left has launched vigorous criticisms of the “girlboss”, a figure of malignant female ambition who seemed to make the exploitations of capitalism more offensive by virtue of her sex, and it has instead offered critiques of women’s ambition and romantic defenses of the labor of “care” that just happens to overlap with women’s traditional – and traditionally unpaid – roles in the home. This leftwing rhetoric has at times mirrored the similar romanticization of the unpaid housewife of yesteryear from the right, which has embraced tradwives, homesteading fantasies and an aestheticized rustic simplicity that aims to contrast feminist gains in the workforce with a fantasy of women’s rest. Together, these strains of rhetorical opposition to women in the workforce have made anti-feminism into a new kind of “socialism of fools” – a misguided misdirection of anger and resentment at the rapaciousness of capitalism towards a social justice movement for the rights of an oppressed class.skip past newsletter promotionafter newsletter promotionBut what is on offer from the political right is not about the refashioning of work and life to be less extractive and exploitative for women, and particularly for mothers. It is instead about a sex segregation of human experience, an effort to make much of public life inaccessible to women. Combined with the right wing’s successful attack on the right to abortion, the Trump administration’s dramatic cuts to Title X programs that provide contraceptive access, and the rescinding of federal grants aimed at helping working women, what emerges from the rightwing policy agenda is an effort to force women out of education, out of decently paid work and into pregnancy, unemployment and dependence on men.Theirs is an effort to shelter men from women’s economic competition, to revert to the regressive cultural modes of an imagined past, and to impose an artificially narrow vision of the capacities, aspirations, talents and desires of half of the American people.Murray Rothbard, the paleoconservative 20th-century economist whose ideas have had a profound influence on the Trumpist worldview, once vowed: “We shall repeal the 20th century.” As far as the Republican right is concerned, it seems to want to repeal the gains of 20th-century feminism first.

    Moira Donegan is a Guardian US columnist More

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    Why is Maga-land so obsessed with Kai Trump turning 18? Do you really need to ask? | Arwa Mahdawi

    Kai Trump, the president’s granddaughter and the eldest of Donald Trump Jr’s five children, has just turned 18. To be clear, I do not have a list of Trump family birthdays on my fridge. But it has been forced upon my consciousness because an awful lot of people in Trumpworld are being weird about it.Fox News, for example, decided to post both an Instagram message (which got more than 87,000 likes) and a tweet wishing Kai a very happy 18th birthday. Which is a little odd considering that the high school student is not a public figure. Kai, who has a large social media following, did briefly speak at the Republican national convention last year and has posted support for her grandfather, but that doesn’t seem to justify a birthday announcement by a major media network.Especially, by the way, as Fox News doesn’t appear to have been so excited about Barron Trump when he turned 18. (Although it did put up an Instagram post on Barron’s 19th birthday, with a quote from Donald calling him a “a very smart guy”.) It’s almost – and bear with me here – as if they have some sort of weird interest in the fact that a teenage girl has turned 18.Am I accusing the folk at Fox News of being a bunch of creeps? Absolutely not! I’d never do that. Although if you look at the reactions to the Fox News posts or the comments attached to a New York Post Page Six piece about Kai’s birthday, there are plenty of people out there who should be on some sort of watchlist or registry. Particularly the people who have read far too much into the fact that Kai recently posted a TikTok video of her and three friends dancing to Promiscuous by Nelly Furtado and Timbaland with the caption: “last day being 17″.While things have moved on somewhat, there’s also a very depressing history of media figures counting down to young girls turning the age of consent. Look at British singer Charlotte Church, who got a record deal as an opera singer when she was just 12. There was a media frenzy in 2002 when she turned 16 (the age of consent in England). On her birthday, Chris Moyles, a BBC radio DJ who was 28 at the time, publicly announced he wanted to “lead her through the forest of sexuality now she had reached 16”. Making this disgusting comment didn’t ruin Moyles’s career, by the way. Just like 38-year-old Jerry Seinfeld dating a 17-year-old high schooler hasn’t hurt the billionaire comedian’s career at all either.Harry Potter star Emma Watson has also talked about being sexualized by the media when she was a teenager. Watson has said the paparazzi even took photos up her skirt, and published them in an English tabloid, the moment she turned 18 and it was “legal”.It was a similar story with twins Mary-Kate and Ashley Olsen, who have been on TV since they were tiny. In 2004 numerous websites started counting down to their 18th birthday including the “Olsen Twin Jailbait Countdown Clock” run by radio shock jocks Lex Staley and Terry Jaymes. The New York Post also crowed about the twins being “legal”.More recently, in 2018, a radio host called Patrick Connor called Olympic athlete Chloe Kim, then just 17 years old, a “little hot piece of ass”. Conner then referenced Wooderson, a character in the film Dazed and Confused who pursues high school girls. “Her 18th birthday is 23 April, and the countdown is on baby, ’cause I got my Wooderson going,” said Connor. “‘That’s what I like about them high school girls.’” In a sign that some progress has made when it comes to mainstream misogyny, Connor was forced to apologize for the remark and fired.Since we live in litigious times I would like to reiterate, once again, that while some people (not me!) have accused Fox News of being creepy about Kai, I’m sure they meant nothing sinister by their post. After all, unlike depraved liberals, the Maga crowd are an extremely wholesome bunch who live and die for family values.I will concede, however, that it is sometimes hard to wrap one’s head around the Maga definition of “family values”. The president, for example, is a legally defined sexual predator who has also been accused, by Miles Taylor, a staffer in Trump’s first administration, of sexualizing his oldest daughter Ivanka.In a book published in 2023, Taylor writes: “[Trump] said he talked about Ivanka Trump’s breasts, her backside, and what it might be like to have sex with her, remarks that once led [former chief of staff] John Kelly to remind the president that Ivanka was his daughter.”Former Fox News star Tucker Carlson also seems to have a strange definition of family values. I’m sorry to remind you of this if you’ve wiped it from your memory but last year Carlson made an extraordinary (even by Maga standards) speech at a Trump rally in which he likened the now president to an angry father spanking his daughter.“I’m not going to lie. It’s going to hurt you a lot more than it hurts me,” Carlson said. “And you earned this. You’re getting a vigorous spanking because you’ve been a bad girl. You’re only going to get better when you take responsibility for what you did. It has to be this way.’” The crowd then erupted into chants of “Daddy Don”!Maga also seems to adopt different values, depending on what sort of family they’re looking at. Conservative influencers were vile about Ella Emhoff, Kamala Harris’s stepdaughter, when Harris was running for president. Newsweek senior editor Josh Hammer wrote: “Doug Emhoff’s daughter is like something out of a horror film,” for example. Podcast host Benny Johnson also called Emhoff and her father “creepy” for having their arms around each other in a video. The right seems eager to scrutinize the family of politicians when they don’t agree with their politics. They went on the warpath, however, when a former NBCUniversal executive joked about Barron being “fair game” (meaning that it was OK for the press to criticize him) when he turned 18.Anyway, happy birthday to Kai Trump. At 18 she is still very young – but it would seem like it’s the Maga adults who have the real growing up to do. More

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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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    The Trump administration is defending abortion pill access in court. What?

    The Trump administration on Monday asked a federal court to dismiss a lawsuit that takes aim at the abortion pill mifepristone – a move that stunned many observers for what seemed a defense of the drug by a president who has overseen the most dramatic rollback of abortion rights in modern US history.At first blush, it may seem a victory for abortion access – but experts worry that, in reality, the move preserves the administration’s ability to play coy about any future plans to attack abortion rights.When Donald Trump first returned to the White House earlier this year, US anti-abortion activists had high hopes for the man who helped orchestrate the downfall of Roe v Wade. They thought he might use a 19th-century anti-vice law to effectively ban abortion nationwide. Failing that, they imagined that he might use the power of the Food and Drug Administration to roll back access to mifepristone or even yank it from the market entirely.Instead, over the last few months, the Trump administration has attempted to dodge the issue entirely. The Monday request, to a Texas judge who has become a reliable vote for abortion opponents, continued that pattern.The lawsuit seeks to roll back several FDA regulatory changes that have, over the last decade, considerably expanded access to mifepristone, one of two drugs typically used in US medication abortions. It revives a lawsuit that led to a stinging 9-0 defeat for abortion rights opponents when the court ruled the lawsuit’s plaintiffs, a group of anti-abortion doctors, did not have the legal standing to sue in the first place.Rather than let the matter die, the Republican attorneys general of Idaho, Kansas and Missouri moved to take over the case as its new plaintiffs. Judge Matthew Kacsmaryk of the US district court for the northern district of Texas, where the case is being heard, agreed to let the attorneys general move forward.However, in its Monday filing, the Trump administration argued that there is no reason why the case should proceed in Texas.“At bottom, the states cannot keep alive a lawsuit in which the original plaintiffs were held to lack standing, those plaintiffs have now voluntarily dismissed their claims, and the states’ own claims have no connection to this district,” the administration wrote.Abortion rights supporters have long pointed to one reason why the case was filed in Texas: Kacsmaryk. A Trump appointee with a track record of abortion opposition, Kacsmaryk once took the unprecedented step of ruling to reverse the FDA’s 2000 approval of mifepristone, which would lead to its removal from the market.Nicole Huberfeld, a health law professor at Boston University’s School of Public Health, found it “a little funny” that the Trump administration’s filing seemed to call out its own side for judge-shopping.It is possible that Trump, who was never exactly a true believer in the anti-abortion movement, has now soured on it. While the movement helped propel him to the White House in 2016, it became something of an albatross for him in 2024, as outrage over Roe’s collapse led abortion rights to become one of the election’s top issues.Yet Huberfeld found the filing more notable for what it did not say: namely, it shied away from revealing the Trump administration’s plans for mifepristone. She believes the administration may try to change mifepristone access through the FDA, and that the legal reasoning in Monday’s filing could be used against a future lawsuit by blue states against new restrictions.“They’re basically saying that the states don’t get to just challenge FDA policy because they want to,” Huberfeld said. “Which, in my view, is a set-up for anticipating that blue states may try to challenge any changes on mifepristone rules.”FDA Commissioner Martin Makary could, for example, move to reverse regulations that permit people to dispense abortion pills through telehealth – which accounts for about a fifth of all US abortions – or eliminate mifepristone’s approval. Project 2025, the notorious playbook of policy proposals authored by the conservative thinktank the Heritage Foundation, urged the FDA to do exactly that.Last month, Makary told the Semafor World Economy Summit that he had “no plans to take action” on mifepristone. However, he added: “There is an ongoing set of data that is coming into the FDA on mifepristone. So if the data suggests something or tells us that there’s a real signal, we can’t promise we’re not going to act on that data.”Decades of studies, conducted in more than a dozen countries, have found that mifepristone is safe and effective. However, anti-abortion groups have repeatedly pushed studies that claimed to find that mifepristone is dangerous. (Some of those studies have been retracted.)“My guess is that the Trump administration is trying to walk the fine line of not looking like it’s threatening access to mifepristone while also, potentially, through the FDA trying to limit access to mifepristone,” Huberfeld said. “In other words, I don’t think the FDA’s actually going to be hands-off.” More

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    I left behind an authoritarian state to move to the US. Now I see my new home falling to the same dark forces | Mona Eltahawy

    “What’s he done now?” My parents live in Cairo and I’m in New York City. We FaceTime once a week and that question is like a game we play. My parents ask about Donald Trump and I ask about Abdel Fatah al-Sisi, whom Trump calls “my favourite dictator”. Aren’t we Egyptian-Americans lucky – a dictator for each side of our hyphen.Tellingly, the “he” my parents ask about has dominated our conversations lately.I moved to the United States from Egypt in 2000 and I have spent the past 25 years watching the US turn into Egypt – from encroaching state power to the increasingly unchecked role of religion in politics.After each travesty – the lies used to invade Iraq, the zealotry that destroyed abortion rights, the arming and financing of Israel’s genocide of Palestinians in Gaza – I thought: “Any minute now, there’ll be a revolution, they’ll burn things down.”And here is Trump, finessing that state power into a regime that, as with the regime in Egypt, is targeting culture, education, media, judges, students and any group or entity that poses a threat or even the potential of dissent to the regime. And I’m still waiting for the revolution.I now know, having lived in the US for more than two decades, that most white people in this country would rather hear comparisons to Russia or Hungary than Egypt or a place led by Black or brown autocrats, because even autocracies are separated along racial lines.I joined an anti-Trump protest in NYC earlier this month, which along with others across the country, was said to be the largest single-day protest since Trump’s return to the White House. The signs mocking Trump and his billionaire sidekick Elon Musk were clever and there were dogs dressed in coats that had “I bite fascists” written on them, but the rage had stayed at home. Revolutions need feet on the ground, yes. But they also need rage, and lots of it.White Americans are the largest voting bloc and the group most responsible for bringing Trump to power both times – and they are the least enraged. The privilege of whiteness means that for many in the US, the loss of rights only happens to people who aren’t white, far away somewhere, in places such as Egypt. Only Black and brown people in faraway countries end up with an authoritarian ruler. But, if anything, where the Trump regime is taking the US is infinitely worse than what is happening in Egypt, because Egypt’s footprint on the world is not nearly as damaging as that of the US. This is why I’m enraged at the lack of rage.White people in the US have a delusional amount of confidence in their government and institutions. They are childishly naive in believing that institutions will save them from autocratic power. That stubborn belief in their exceptionalism undergirds the refusal to see the fascism that Trump brought when he was first elected and that he is now cementing. Black and Indigenous people and people of colour have no such delusions. They do not expect institutions to protect them because they are so often hurt by those institutions. To people like me and others who have lived in and survived autocracies, white state power and its institutions have always functioned like a regime – so we are well versed in scepticism of anything that politicians say.No matter how often those of us from authoritarian countries, who know to be suspicious of state power, and those of us who have fought fascism – whether implemented through military rule or the rule of religious fundamentalists – warned and warned, white people in the US arrogantly shook their heads and said it couldn’t happen here. Because the US is like a teenager who is stubbornly determined in their own self-destruction.In Egypt, when I interviewed officials from the Muslim Brotherhood – political Islamists who were Egypt’s most powerful opposition to the regime – about their policies, their answer would invariably be “Islam is the solution”. Their goal was the establishment of an Islamic state. Though the group briefly ruled Egypt after the 2011 revolution before being overthrown by Sisi, never in its wildest dreams would the Muslim Brotherhood have imagined holding as much power as white Christian nationalists in the US, for whom Christianity is the professed solution and who are creating a white Christian state in the most powerful country in the world.If Pete “I want a crusade and I have enough Crusader crosses to earn it” Hegseth were a Muslim, the US would have invaded his country to save the “free world” from his jihad. It is easy to see theocracy when the theocrats and zealots don’t look like you.The US media have been able to report on the ways the Muslim Brotherhood politicised and weaponised religion. But they have failed to bring that same urgency to the politicisation of Christianity in the US, especially by the white Christian nationalists who have been instrumental in bringing Trump to power. White and Christian are considered default – the harmless norm – in the white-dominated newsrooms of the US.As a feminist, I am especially enraged at the inability of US media, as well as many white people generally, to see what religion has done to women in the US. During this term, Trump has so far rowed back any diversity, equity and inclusion initiatives and blocked federal funding for abortion services. During his first term, he appointed three conservative supreme court judges, which led to the reversal of Roe v Wade and the removal of federal protection for abortion rights, meaning that individual states can ban abortions. These policies have been promoted by some white women, who serve as foot soldiers of the white supremacist Christian patriarchy. The women who helped destroy abortion rights, for example, are rarely analysed, examined and pathologised in the way that Muslim women are.Living in the US has radicalised me. Over the past 25 years my rage at the state-sponsored patriarchy in both of my countries has injected anarchism into my feminism. Anarcho-feminist conveys the “don’t mess with me” level of rage I’m at. And unless (perhaps until) the Trump regime targets naturalised citizens, NYC will remain my home.Two years before Trump was re-elected, I began strength training. I can now deadlift and squat more than my body weight. The timing had nothing to do with the occupant of the White House and more to do with my personal goals, but my journey feels apt. When fascism flexes its muscles, it’s time to make feminism dangerous again.The rage must come. It will come.

    Mona Eltahawy writes the FEMINIST GIANT newsletter. She is the author of The Seven Necessary Sins for Women and Girls and Headscarves and Hymens: Why the Middle East Needs a Sexual Revolution

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