RealTime: Pope and Reuters Need A Lesson

Amie Newman

Helped along by Reuters, the Pope delivers his error-riddled opinion on pharmacists, the abortion pill, and emergency contraception.

It's bad enough that the Pope is now involving himself in the political challenges facing pharmacists and health care providers by calling on both groups to take a stand against providing emergency contraception or the abortion pill to women. But when Reuters reported on this yesterday they proved once again how severely misunderstood women's reproductive health technology truly is.

Does Reuters really care so little about whether or not we're accurately informed about the issues? This was the headline:

"Pope urges pharmacists to reject abortion pill"

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The article goes on to say:

"Pharmacists must be allowed to refuse to supply drugs that cause abortion or euthanasia, Pope Benedict said on Monday, calling on health professionals to be "conscientious objectors" against such practices."

Unless Italy has liberalized their abortion laws to such an extent that women can now access medication abortion from a pharmacy, I'm not sure why the Pope would be encouraging pharmacists to refuse to provide the abortion pill to women?! Italy has not legalized medication abortion ("the abortion pill") at all, let alone allow pharmacists to dole out prescriptions for it. Reuters is confusing the issue inexcusably with their factual errors:

"The Vatican has criticised moves by some Italian politicians who favour the pill, which blocks the action of the hormone progesterone that is needed to sustain a pregnancy." This sentence correctly defines how Mifepristone, one drug used in medication abortion, works in the body.

But then the article continues:

"The Pope told the international gathering that individual pharmacists could always choose not to prescribe such a drug."

Am I misreading this or do Reuters and the Pope not understand (or care to understand) that the medication used in the abortion pill is only available for patients through a health care provider? In some countries in Latin America, pharmacists are experimenting with providing drugs that induce abortions to women who cannot access legal abortion. However, as a rule, pharmacists do not provide medication abortion.

Abortion is a surgical or medical procedure that is legally provided only by a health care practitioner – not from your neighborhood drugstore. Women, in certain countries (including the United States), can access emergency contraception (EC) from a pharmacist (or at least according to law they can but what happens in practice is anyone's guess at times). Emergency contraception (let's say it all together now for those that haven't memorized this yet) is a form of birth control – it does not induce an abortion. EC acts by preventing the fertilization of an egg or preventing implantation of an already fertilized egg into the uterus.

I'm hoping this fires you up as much as it does me. The goal here is to ensure that our media outlets are reporting the facts. Lazy reporting can have serious consequences. Our movement would do well to keep an eye on the errors that are made consistently in the media about women's reproductive health issues. We deserve much better than this.

Write to Reuters and tell them to get their facts straight!

News Abortion

Study: Telemedicine Abortion Care a Boon for Rural Patients

Nicole Knight

Despite the benefits of abortion care via telemedicine, 18 states have effectively banned the practice by requiring a doctor to be physically present.

Patients are seen sooner and closer to home in clinics where medication abortion is offered through a videoconferencing system, according to a new survey of Alaskan providers.

The results, which will be published in the Journal of Telemedicine and Telecare, suggest that the secure and private technology, known as telemedicine, gives patients—including those in rural areas with limited access—greater choices in abortion care.

The qualitative survey builds on research that found administering medication abortion via telemedicine was as safe and effective as when a doctor administers the abortion-inducing medicine in person, study researchers said.

“This study reinforces that medication abortion provided via telemedicine is an important option for women, particularly in rural areas,” said Dr. Daniel Grossman, one of the authors of the study and professor of obstetrics, gynecology, and reproductive sciences at the University of California San Francisco (UCSF). “In Iowa, its introduction was associated with a reduction in second-trimester abortion.”

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Maine and Minnesota also provide medication abortion via telemedicine. Clinics in four states—New York, Hawaii, Oregon, and Washington—are running pilot studies, as the Guardian reported. Despite the benefits of abortion care via telemedicine, 18 states have effectively banned the practice by requiring a doctor to be physically present.

The researchers noted that even “greater gains could be made by providing [medication abortion] directly to women in their homes,” which U.S. product labeling doesn’t allow.

In late 2013, researchers with Ibis Reproductive Health and Advancing New Standards in Reproductive Health interviewed providers, such as doctors, nurses, and counselors, in clinics run by Planned Parenthood of the Great Northwest and the Hawaiian Islands that were using telemedicine to provide medication abortion. Providers reported telemedicine’s greatest benefit was to pregnant people. Clinics could schedule more appointments and at better hours for patients, allowing more to be seen earlier in pregnancy.

Nearly twenty-one percent of patients nationwide end their pregnancies with medication abortion, a safe and effective two-pill regime, according to the most recent figures from the U.S. Centers for Disease Control and Prevention.

Alaska began offering the abortion-inducing drugs through telemedicine in 2011. Patients arrive at a clinic, where they go through a health screening, have an ultrasound, and undergo informed consent procedures. A doctor then remotely reviews the patients records and answers questions via a videoconferencing link, before instructing the patient on how to take the medication.

Before 2011, patients wanting abortion care had to fly to Anchorage or Seattle, or wait for a doctor who flew into Fairbanks twice a month, according to the study’s authors.

Beyond a shortage of doctors, patients in Alaska must contend with vast geography and extreme weather, as one physician told researchers:

“It’s negative seven outside right now. So in a setting like that, [telemedicine is] just absolutely the best possible thing that you could do for a patient. … Access to providers is just so limited. And … just because you’re in a state like that doesn’t mean that women aren’t still as much needing access to these services.”

“Our results were in line with other research that has shown that this service can be easily integrated into other health care offered at a clinic, can help women access the services they want and need closer to home, and allows providers to offer high-level care to women from a distance,” Kate Grindlay, lead author on the study and associate at Ibis Reproductive Health, said in a statement.

Roundups Politics

Campaign Week in Review: Kaine Calls for Congress to End Recess to Combat Zika

Ally Boguhn

Meanwhile, Republican presidential nominee Donald Trump punted when asked about his own plan to combat Zika if he was in office today.

This week on the campaign trail, both Democrats and Republicans at the top of the ticket weighed in on combatting Zika, and the Donald Trump campaign released a list of economic advisors that failed to include a single woman.

Kaine Calls for Congress to End Recess to Combat Zika

Sen. Tim Kaine (D-VA), Hillary Clinton’s vice presidential running mate, said that “Congress should not be in recess when Zika is advancing,” during a speech in Daytona Beach, Florida, on Tuesday.

The Virginia senator reportedly went on to urge Congress to “pass a $1.1 billion bill to combat Zika without what he called the ‘poison pill’ of anti-abortion language added by House Republicans,” according to the Orlando Sentinel.

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Kaine had previously voiced support for ensuring that Zika funding could go to Planned Parenthood—something that the version of the Zika bill blocked by Democrats would have prevented. He was one of more than 40 Senate Democrats to add his name to a letter to Senate Majority Leader Mitch McConnell (R-KY) and House Speaker Paul Ryan (R-WI) this week urging “both the Senate and the House back into session to pass a real and serious response to the burgeoning Zika crisis.”

Republicans criticized Kaine for not voting through that bill, accusing him of playing politics with the vote. “With new cases of the Zika virus being reported in Florida every day it is becoming clear that with his party-line vote to block crucial Zika funding Tim Kaine put his loyalty to the Democrat Party over the health of Sunshine State residents,” said Republican National Committee spokesperson Natalie Strom in a statement to the Miami Herald. “He owes the hardworking people of Florida an explanation for his playing politics at their expense.”

Meanwhile, Republican presidential nominee Trump punted when asked by West Palm Beach’s CBS 12 about what his own plan to combat Zika would be if he was in office today.

“You have a great governor who’s doing a fantastic job, Rick Scott, on the Zika,” said Trump. “And it’s a problem. It’s a big problem. But I watch and I see. And I see what they’re doing with the spraying and everything else.” 

“And I think he’s doing a fantastic job, and he’s letting everyone know exactly what the problem is and how to get rid of it. He’s going to have it under control, he probably already does,” added Trump.

When the reporter pressed Trump to discuss whether a special session should be held by Congress to review a bill to help combat Zika, Trump again said he would leave it up to the Florida governor. “I would say that it’s up to Rick Scott. It depends on what he’s looking to do because he really seems to have it under control in Florida,” said Trump.

No Women Made Trump’s List of Economic Advisors

Trump’s campaign released a list of economic advisors Friday who had one noticeable trait in common: they were all men.

“I am pleased that we have such a formidable group of experienced and talented individuals that will work with me to implement real solutions for the economic issues facing our country,” said Trump in a press release announcing the list. “I am going to be the greatest jobs President our country has ever seen. We will do more for the hardworking people of our country and Make America Great Again.” 

According to the release, “Additional members of the Advisory Council will be added at later dates.” Many in the media have noted that in addition to the lack of women on the council, there are also very few actual economists.

The gender disparity in Trump’s current list of economic advisors mirrors a similar lack of representation of women discussing the topic in the media. According to a recent study conducted by media watchdog Media Matters for America, in the second quarter of 2016 women appeared as guests in less than 25 percent of analyzed evening and prime-time television discussions focused on the economy.

Though there is a gender gap in economics, 32.9 percent of those earning doctorates in the field are women, according to a 2014 report from the American Economic Association’s Committee on the Status of Women in the Economics Profession. 

As the Washington Post’s Jim Tankersley and Jose A. DelReal reported, in contrast, Clinton’s “economic advisers include several longtime Democratic policy hands … and several women, including Ann O’Leary, Maya Harris, Neera Tanden, Heather Boushey and Laura D’Andrea Tyson.”

The lack of women on Trump’s list, however, isn’t surprising given that the Republican nominee was also unable to name a single woman he would consider appointing to his cabinet if elected, other than his daughter, when asked about it this week.

“Well, we have so many different ones to choose,” said Trump when asked which women he would name to his cabinet. “I can tell you everybody would say, ‘Put Ivanka in, put Ivanka in,’ you know that, right? She’s very popular, she’s done very well.”

“But there really are so many that are really talented people,” he continued without offering any serious candidates.

What Else We’re Reading

Though both House Speaker Ryan and Sen. John McCain (R-AZ) have both already offered Trump their endorsements, the Republican nominee said that he is “not quite there yet” on endorsing them.  

During a CNN town hall event on Tuesday, Libertarian presidential candidate Gary Johnson admitted that his head has “been in the sand” when it comes to law enforcement “discriminating” against people of color.

Politico’s Gabriel Debenedetti reported that Kaine “is expected to play a major behind-the-scenes role on the money circuit, in addition to his public campaigning.”

Roll Call’s Simone Pathé asked whether Rep. Scott DesJarlais’ (R-TN) “abortion hypocrisy” will haunt his primary race.

The State of Texas has agreed to modify its voter identification law ahead of the November election.

The Washington Post’s Glenn Kessler fact-checkedDonald Trump’s revisionist history of mocking a disabled reporter.”

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