Roundup: World AIDS Day, FOCA and the Fallout, South Dakotans in the Common Ground, Personal Takes on Adoption and Surrogacy

Emily Douglas

More on FOCA and Obama; South Dakotans took the common ground on abortion; take action on the HPV vaccine requirement for immigrant women; personal takes on surrogacy and adoption.

World AIDS Day ‘Round the Web
Today is World AIDS Day, and in addition to Rewire’s features
addressing many different aspects of the epidemic and the opportunities
President-Elect Obama has to turn around our nation’s response, a couple more posts from around the web:

At Feministing, Miriam Perez wonders whether the Product (RED)-ification of HIV/AIDS advocacy is for the better.

At OnTopMag, a look at the history of the epidemic and those who have fought back.

More on FOCA and Obama
Last week Melinda Hennenberger suggested that passage of the Freedom of Choice Act would force Catholic hospitals to provide abortion services, a claim I argued was patently falseDana Goldstein followed up
with more on what passage of FOCA would mean for President-Elect Obama
— whether it would cost him the political capital and Catholic support
Hennenberger claims it would.  Dana says it wouldn’t cost Obama nearly
as much as Hennenberger and, on Sunday, Washington Times columnist Jeffrey T. Kuhner said it would.  Writes Dana,

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…there is no evidence that lay Catholics are as incensed about
Obama’s pro-choice stance as the all-male priesthood and church
leadership is. Polls show
that, like most Americans, a majority of Catholics believe abortion
should remain generally legal. Only about a quarter of Catholics agree
with the bishops that all abortions should be outlawed. And 52 percent
of Catholic women — the voters who swung from George W. Bush to Obama — say they prefer a hospital that provides abortion to one that doesn’t. I think Henneberger has overstated the potential political fall-out
of Obama signing FOCA into law. Undoubtedly, religious conservatives
and hardened abortion opponents will be outraged. But those aren’t the
folks who brought Obama to power, and they aren’t the folks who’ll keep
him there if he wins reelection in four years.

South Dakotans Took the Common Ground

By rejecting a near-total
ban on abortion in the state, South Dakota voters took a moderate,
common ground approach on abortion, says a Minneapolis Star-Tribune editorial:

Earlier this month, South Dakotans weighed in again after months of
rallies, get-out-the-vote efforts and TV ads. Again, they decisively
rejected an abortion ban, this time by a margin of 10.4 percent. The
measure was likely one of the best opportunities for overturning Roe
for some time, particularly now that President-elect Barack Obama’s
choices will shape the court going forward. The state’s political
experts are still analyzing this latest defeat. But it’s clear that the
ban’s opponents ran a different and highly effective campaign —
University of South Dakota political science professor emeritus Don
Dahlin called it "masterful.” It not only connected with voters, but
it suggests that future debates in South Dakota and elsewhere can and
should move beyond absolutes and old rhetoric.

Take Action on HPV Vaccine Requirement for Immigrant Women
In September, Jessica Gonzalez Rojas and Emily Alexander wrote on Rewire
about a new Citizenship and Immigration Services requirement that
immigrant women seeking an adjustment of status must obtain the HPV
vaccine. At Our Bodies Our Blog, Rachel Walden points to a National Women’s Health Network
call for individuals to contact their
Senators and Representatives to request that they support “removing the
HPV vaccine from the U.S. Citizenship and Immigration Services (USCIS)
requirements for the adjustment of status” and suggesting a core
message that “I, along with the National Women’s Health Network,
support providing women with all possible tools to prevent cervical
cancer but strongly oppose the USCIS HPV vaccine mandate.”

Personal Takes on Surrogacy and International Adoption

In the New York Times Sunday Magazine,
Alex Kuczynski talks openly and personally (and problematically) about
her experience working with a surrogate mother to bring a
genetically-related child into her life.

At the Minnesota Women’s Press, Katie Leo talks about her decision not to seek a child through international adoption.

Analysis Law and Policy

Here’s Why 2016 Could Be the Biggest Year for Reproductive Rights and the Courts in Decades

Jessica Mason Pieklo & Imani Gandy

The next year promises to be an eventful one on the legal front—though we feel like we say that every December.

The next year promises to be an eventful one on the legal front—though we feel like we say that every December. After all, 2015 brought challenges to the Pregnancy Discrimination Act; a case on whether not hiring an employee because she wears a hijab is employment discrimination; the historic and successful challenge to same-sex marriage bans; the failed challenge to federal subsidies in the Affordable Care Act; and a failed attempt to gut the Fair Housing Act. Meanwhile, 2014 was the year the Roberts Court gave the green light to governments embracing prayer at civic functions; it also struck most abortion clinic buffer zones as unconstitutional in McCullen v. Coakley. And who could forget Hobby Lobby v. Burwell, the case in which the Roberts Court created a constitutional corporate right to object to contraception coverage?

Even so, 2016 is still shaping up to be an important year for reproductive rights and justice. Some cases on the list to watch—like yet another challenge to the birth control benefit in the Affordable Care Act—we anticipated. Other cases, like the trial in Colorado of Robert Lewis Dear Jr., who is accused of launching a siege at a Planned Parenthood health-care center in Colorado Springs that killed three, injured nine, and terrorized many others, we wish were not here at all. But given the violent rhetoric targeting abortion doctors, providers, and patients that increased over the course of 2015, we can’t say we were surprised to put it there.

The Roberts Court

Whole Woman’s Health v. Cole

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Whole Woman’s Health v. Cole is the Roberts Court’s first substantive dive back into abortion-rights law since Gonzales v. Carhart, which banned so-called partial-birth abortions in 2006. But unlike Gonzales, which focused on the constitutionality of a procedure-specific abortion ban, Whole Woman’s Health v. Cole takes on the porous “undue burden” standard of 1992’s Planned Parenthood v. Casey decision by tackling just how rigorously courts should apply that standard when reviewing abortion restrictions that purport to advance patient health and safety. That makes Whole Woman’s Health v. Cole the Court case with the most potential to affect abortion rights in nearly 25 years.

Little Sisters and the Rest of the Nonprofit Contraception Cases

Another Roberts Court term brings another challenge to some portion of the Affordable Care Act. This time, the Court returns to the ACA’s birth control benefit and the question of whether the government’s process for allowing religiously affiliated nonprofits to opt out from providing health insurance plans that offer contraception is too burdensome under the federal Religious Freedom Restoration Act (RFRA). The Court consolidated seven cases filed by hospitals, nursing homes, and other kinds of businesses that are religiously run and affiliated; all object to filling out the opt-out form. The cases represent not just a test to the administration’s opt-out provision for the birth control benefit, but the strength of the majority decision in Hobby Lobby v. Burwell, which relied on the accommodation process now before the Court to rule that for-profit businesses should have a similar opt-out option available. A ruling that would allow these nonprofits to be exempted from the coverage would have enormous implications, as 10 percent of larger nonprofits have asked the Obama administration for an accommodation to the rule already.

Friedrichs v. California Teachers Association 

The Roberts Court has not been kind to workers’ rights generally, making it harder for employees harassed by supervisors to sue and drastically reducing employees’ abilities to raise class-action lawsuits. This term is no exception with Friedrichs v. California Teachers Association, a case that takes on the way public employee unions are funded. Currently, if a union represents a group of workers, that company’s entire workforce, or at least a defined portion of it, pays a fee designed to compensate the union for its bargaining activities. The argument supporting these fees is that the union’s actions benefit the entire workforce—not just union members—and the fee is nominal in the face of the influence of management and corporate owners. But anti-union interests argue those fees violate the First Amendment. Should the Roberts Court agree, the result would severely limit unions’ abilities to raise money for their operations and to effectively bargain on behalf of their members. Women and people of color, who make up the majority of public employee union membership, would feel the most severe effects in this scenario.

Evenwel v. Abbott

Evenwel is the latest in a series of “representation” cases dreamed up by Edward Blum, director of the Project on Fair Representation—which was behind Shelby County v. Holder, the 2013 case that gutted the Voting Rights Act. Blum is also responsible for Fisher v. University of Texasthe case challenging the admissions policy at the University of Texas on the grounds that it discriminates against white studentsEvenwel challenges “one person, one vote”; though it concerns the drawing of state senate districts in Texas, the case has potential national implications. Under the 14th Amendment, states are allocated seats in the House of Representatives by “counting the whole number of persons in each state.” States follow this process when determining their own statewide districts, carving up districts based on U.S. Census Bureau population data and irrespective of the total number of registered voters in each. The plaintiffs in Evenwel argue that by counting children, documented and undocumented immigrants, many prisoners, and other non-voters, Texas denies “eligible voters their fundamental right to an equal vote.” If they win, legislative districts would become older, whiter, more rural, and more conservative. Political power would shift from urban areas to rural areas. Our elected officials would be even older and whiter than they already are. In other words, the gains made by the civil rights era in diversifying our elected bodies would be rolled back, the same way Shelby County v. Holder rolled back the voting participation gains made by the the Voting Rights Act.

Fisher v. University of Texas 

Race-based affirmative actions are again before the Roberts Court in Fisher v. University of Texas. Abigail Fisher applied to UT for admission into the undergraduate class of 2012. When UT rejected her application, she sued the university, alleging that it discriminated against her because she is white, even though of the 47 equally or “less” qualified students who were admitted over Fisher, 42 were white—only five were Black or Latino. Her case has made it up to the Roberts Court once before. The justices punted on the ultimate question of whether or not the University of Texas’ plan violated the Constitution, instead sending the case back to the conservative Fifth Circuit. After the Fifth Circuit ruled in favor of the University’s admission plan, again, conservatives ran the case back up to the Roberts Court.

During oral arguments, it became apparent that the conservative wing of the court is prepared to decimate affirmative action. Justice Scalia wondered whether admitting Black students into schools that might be too hard for them was doing them a disservice. Justice Roberts appeared frustrated that affirmative action still exists at all, and wondered what unique perspective a student of color brings to a physics class and whether diversity serves any purpose in that context. Given the Roberts Court’s palpable hostility toward any acknowledgement that race continues to be a decisive factor in the oppression of people of color in the United States, proponents of affirmative action are right to be concerned about the fate of race-conscious admissions policies at colleges and universities.

Courts of Appeals

Purvi Patel Conviction for Feticide 

Purvi Patel is an Indian-American woman who in July 2013 entered an emergency room in South Bend, Indiana, while suffering heavy vaginal bleeding. She initially denied to doctors that she had been pregnant, but eventually acknowledged she had miscarried. Patel told hospital staff the fetus was stillborn and that she had placed it in a bag in a dumpster. Doctors then alerted the police, who questioned her and searched her cell phone—all while she was in the hospital and under the influence of pain medication. During the search of her cell phone, police saw a series of text messages, which prosecutors later claimed made the case Patel had attempted an illegal abortion by ordering abortion-inducting medications and taking them. Police charged Patel with felony feticide and neglect of a dependent. The feticide charge presumed the fetus was stillborn, while the neglect of a dependent charge presumed a live birth. Despite this apparent conflict, a jury convicted Patel on both counts. Patel, who has no criminal record, was ordered to serve 20 years in prison. Attorneys have appealed her case, arguing there was no evidence she took any abortion-inducing medication. Attorneys for the State of Indiana have doubled down on Patel’s prosecution and defended their case, arguing as if it is good public health policy to radically restrict contraception and abortion access in the state and then criminally prosecute women whose pregnancies end in anything other than a successful live birth. 

Second-Trimester Abortions in Kansas

In 2015, Kansas became the first state to pass a ban on the most commonly used method of ending pregnancy in the second trimester, setting the stage for the next big legal showdown over specific abortion procedures. SB 95 bans dilation and evacuation (D and E) abortions—what anti-choicers like to call “dismemberment abortions”—and is based on legislation drafted by the radically anti-choice National Right to Life Committee. Oklahoma passed a similar version just one day after Kansas did, and copycat legislation has been introduced in both Missouri and South Carolina. Shortly before it was set to take effect in Kansas, reproductive rights advocates sued to block it. But instead of challenging the measure in federal court like most abortion-related challenges, advocates sued in state court, arguing the law violates Sections 1 and 2 of the Kansas Bill of Rights, which they say provide due process guaranteeing the government cannot infringe on personal liberties.

Because due process rights have been used at the federal level to protect the right to an abortion, pro-choice advocates argue the same should be the case under the Kansas Constitution. In December, the entire panel of judges on the Kansas Court of Appeals heard arguments as to whether a temporary order currently blocking the ban should be affirmed as the legal challenge proceeds. Regardless of how the court ultimately rules on the temporary order, the Kansas case is an important one to watch because it is in state court. Almost all of our abortion rights law comes from federal court challenges, but those have become increasingly hostile thanks to decades of conservative judicial appointments. State courts could, therefore, prove to be those rights’ final protectors.

Catholic Hospitals’ Refusal of Services

In 2010, a then-18 weeks pregnant Tamesha Means showed up at Mercy Health Partners in Muskegon, Michigan, in the middle of having a miscarriage. Mercy Health, a Catholic-sponsored facility, sent Means home twice, saying there was nothing it could do for her. It wasn’t until Means, a mother of three, returned to Mercy Health a third time—this time suffering from a significant infection as her miscarriage persisted untreated—that the hospital decided to treat her by offering her some aspirin for her fever. As Mercy Hospital was preparing to discharge Means once more, she started to deliver. The hospital decided at that point to admit Means and to treat her condition. Means eventually delivered a baby, who died within hours of birth.

Means sued Mercy Health, arguing that its adherence to the “Ethical and Religious Directives“—which, among other regulations, prohibit a pre-viability pregnancy termination—resulted in medical malpractice in her case. The lower court dismissed Means’ claims, ruling it did not have the power to interpret Catholic doctrine directly. Means appealed, and her case is currently before the Sixth Circuit Court of Appeals. Meanwhile, hospitals in California and Michigan face allegations similar to those in the Means case: that adherence to the directives has resulted in malpractice when treating reproductive health-care conditions. So far, courts have not taken this question of whether or not Catholic doctrine can override the medical community’s standard of care. But it is a fight they won’t be able to stay out of long, since one in nine hospital beds in this country are at a Catholic or Catholic-sponsored facility, and they appear to be turning away women in need at a pretty rapid pace.

Trial Courts

The Legal Battle Over the Planned Parenthood Tapes

Perhaps the biggest controversy to emerge from 2015 is the video smear campaign waged against Planned Parenthood by David Daleiden and his anti-choice front group, the Center for Medical Progress (CMP). Daleiden’s months-long sting operation, which saw him infiltrate under false pretenses private meetings held by the National Abortion Federation (NAF), resulted in the release of video footage purporting to show that Planned Parenthood is in the grisly business of harvesting fetal “body parts” and profiting from their sale. This, despite the fact that there’s nothing illegal about fetal tissue donation programs and Planned Parenthood has been repeatedly cleared of wrongdoing by several state and federal investigations. Within weeks of the release of the first video, the NAF sued Daleiden and CMP in federal court. The court granted NAF’s request for an order blocking the further release of any video footage recorded at NAF’s private events. It also ordered CMP and Daleiden to turn over to NAF the names of Daleiden’s associates, accomplices, and funders. The information they gave is under protective order, but should the court decide to make that list public, we’ll find out which Republican operatives and politicians, if any, Daleiden worked with to perpetrate this deception.

Anti-Abortion Terrorism in Colorado Springs 

Robert Lewis Dear Jr. is accused of opening fire at a Planned Parenthood reproductive health-care facility in late November, killing three people and injuring nine, in Colorado Springs, Colorado. He has been charged in state court with 179 felony counts, including first-degree murder. If convicted, Dear could face the death penalty. Federal prosecutors are also investigating Dear for possible violations of federal law, including the Federal Access to Clinic Entrances (FACE) Act, the federal statute that makes it a felony to target for harassment abortion clinics, doctors, patients, and staff. Dear’s charges came after a summer of escalating violent anti-choice rhetoric following the CMP’s release of its deceptively edited footage. Conservatives insist their claims about “Planned Parenthood selling baby parts” had nothing to do with the Colorado Springs shooting, despite Dear reportedly telling officers “no more baby parts” when he was arrested and calling himself a “warrior for the babies” in court. Just how much influence did conservative anti-choice rhetoric and politicking influence Dear? We’ll find out during his trial in 2016.

Anna Yocca’s Trial for Attempted Self-Induced Abortion

Police arrested Anna Yocca, a 31-year-old woman from Murfreesboro, Tennessee, in December after she allegedly tried to end her pregnancy using a coat hanger at home in her bathtub. During the attempt, Yocca began bleeding heavily and her boyfriend rushed her to the hospital, where doctors delivered a 1.5-pound baby boy. Yocca, who was approximately 24 weeks pregnant when she attempted to terminate her pregnancy, allegedly made “disturbing” statements to hospital staff, including admitting that she tried to self-abort. Her statements led a Rutherford County grand jury to indict her for attempted murder and imprison her in the Rutherford County Adult Detention Center. Should she be convicted, she faces life in prison.

The return of coat-hanger abortions is an alarming indicator of the repressive reproductive rights environment in Tennessee and around the country. Although prominent abortion opponents have claimed they are not interested in prosecuting women who try to self-induce an abortion, the increasing number of women—who include Jennie Lynn McCormackJennifer Ann Whalen, and the aforementioned Purvi Patel—who have been thrown in jail for allegedly doing so tells a different story. Prosecutors charged Yocca under the state’s general homicide statute, which opens the constitutional question of whether or not general homicide laws in Tennessee can be used to prosecute women who self-induce an abortion or who otherwise have a failed pregnancy outcome.

In other words, Anna Yocca is a test case for anti-choice prosecutors who want to find a legal hook to charge women who abort with murder.

Anything Else?

There’s always something else on the horizon when it comes to reproductive autonomy. We didn’t even include the many other legal challenges to the wave of anti-choice laws passed in 2015, or the explosion of “religious liberties” claims in response to marriage equality and the expanding protection of rights for transgender people. But don’t worry, folks. It may be shaping up to be one helluva year for reproductive rights and justice in the courts, but we’ve got you covered.

Roundups Sexual Health

This Week in Sex: New York Takes on Condoms-as-Evidence, and the FDA Approves New Use for HPV Test

Martha Kempner

This week, New York state lawmakers took on a policy of using condoms as evidence of prostitution, a plan to sell condoms in middle and high schools in China met some skepticism, and the FDA approved a panel suggestion about HPV test. Plus, happy Masturbation Month!

This Week in Sex is a weekly summary of news and research related to sexual behavior, sexuality education, contraception, STIs, and more.

An End to New York’s Condoms-as-Evidence Policy?

As Rewire has reported in the past, New York City police officers have historically used possession of condoms—especially a large number of condoms—as proof of prostitution, as is the case in some other cities as well. Officers would even confiscate condoms from people suspected of selling sex. From a public health perspective, this policy makes no sense; it discourages sex workers from carrying condoms and, in some instances, takes them away, thereby preventing sex workers from protecting themselves. Thankfully, a new law working its way through the state legislature would get rid of this policy once and for all.

Since the practice made headlines, in part because of reports written by the Sex Workers Project of the Urban Justice Center, some law enforcement officials have tried to back away from it. Last June, Brooklyn District Attorney Charles J. Hynes sent a letter to then-Police Commissioner Ray Kelly explaining that his office would no longer use the possession of condoms as evidence of prostitution or “loitering for the purpose of prostitution.” He asked that police in Brooklyn stop confiscating condoms. Prosecutors in Manhattan, Queens, and the Bronx did not go that far but did tell the New York Times last year that they rarely use condoms as evidence of prostitution.

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Efforts to abolish the practice through state law, however, have been unsuccessful, in part because the New York City Police Department, which makes about 2,500 arrests for prostitution each year, has been opposed to such legislation. But this time the bill has some traction. It was passed by the assembly last year, and advocates hope it will be passed by the state senate when that body reconvenes this month. The current version of the bill is sponsored by Assembly member Barbara Clark (D-Queens Village) and Sen. Velmanette Montgomery (D-Brooklyn). A spokesperson for Sen. Montgomery was optimistic about the bill’s chances, saying it “has buzz.” She told BuzzFeed, “The bill has been introduced now for probably over 15 years. Little by little by little, the momentum picked up on this through education. Most people are astounded that this practice is even occurring.”

According the Associated Press, the New York City Police Department announced last Friday that it would review the proposed law as well as its own condoms-as-evidence policy.

China Contemplates Condom Availability in High School

Here in the United States, making condoms available in high school remains controversial, despite years of research that suggests access to condoms does not increase sexual activity among students but does increase condom use. Recently, the American Academy of Pediatrics came out strongly in favor of making condoms available to young people, including in schools. As Rewire has reported, however, even with such professional support, condoms in schools can be a tough sell with parents.

It turns out that this is something parents in the United States share with some parents in China, who are concerned about a move to sell condoms in middle and high schools in Xi’an, the capital of Shaanxi province. The plan, which was approved by provincial officials in February and city officials in April, will allow students in middle schools, which start at age 12, and high schools, which start at age 15, to buy condoms either from the school store or from vending machines that the school would have to install. A city health official who was not named told the local paper, “We’re not going distribute condoms at schools, but we want them to be sold on the premises.”

The official went on to say that the measure was designed to prevent the spread of HIV. The rates of HIV in Xi’an have gone up dramatically in the last few years, with more than 1,100 infections reported between January and October 2013 alone. The local newspaper says that most infections are in young people and manual laborers, and 90 percent of transmission is through sexual behavior.

According to the New York Times, reaction to the proposal has been mixed, with some fearing that having condoms for sale in school will lead to promiscuity. It is unclear, however, if anyone is objecting to the fact that the condoms are only available to students who buy them. This seems to be an unnecessary obstacle, especially if some students can’t afford them or have to ask their parents for spending money. Thankfully, in all of the debate over whether condoms should be available in high schools in the United States, the idea of selling them, as opposed to giving them away, seems to have never come up.

FDA Approves Alternative to Pap Test

As Rewire recently reported, at the beginning of April a committee of the Food and Drug Administration (FDA) voted unanimously to change the recommendations around testing for cervical cancer. Though the Pap test had long reigned as the best screening tool, clinicians have been relying more and more on human papillomavirus (HPV) tests—either in conjunction with the Pap or after an abnormal Pap result. The test in question, called the cobas test, uses samples of cervical cells to detect DNA from 14 high-risk strains of HPV, including types 16 and 18, which are known to cause 70 percent of all cervical cancers.

This week, the FDA voted to accept the panel’s recommendations. According to an FDA press release, the approval expands the use of the cobas test so that clinicians can use it along with the Pap test or on its own as a primary screening tool for cervical cancer. The announcement does not, however, change the guidelines for testing, which are produced by groups other than the FDA.

May Is Masturbation Month!

Finally, here at This Week in Sex, we want to remind you that May is Masturbation Month. We believe that masturbation is one of the best sexual behaviors because it feels good and relieves stress, and can’t get you pregnant or get a sexually transmitted disease. Even better, you don’t have to think about anyone but yourself—as long as you’re having fun, all is good. We hope everyone enjoys this month-long celebration!


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