Kourtney’s Choice

Sarah Seltzer

In America, abortion is always a choice "someone else" makes. But this is a myth and we need to face reality. Those who choose "the other option" aren't selfish, desperate or "someone else." They are our friends, our neighbors and, often, us.

Kudos to reality TV star Kourtney Kardashian for honestly sharing the
process she went through deciding whether to keep or terminate her unexpected
pregnancy, a revelation that resulted in headlines on all the gossip
blogs. She could have played the happy "always wanted this"
mom card, and lovingly patted her bump. Instead, she admitted that she
had skipped birth control pills and considered abortion. She gave the
world a peek into the messiness of women’s reproductive lives and decisions.
Her openness may go with the reality TV territory, of course, but even in our exposed celebrity-laden
world, a glance into that particular aspect of women’s existence is
a rarity. 

However, it’s also almost needless
to say that the end result of Kardashian’s decision is that she’ll be
keeping the pregnancy. If she had decided on abortion, we would never
have heard about it, because no stories about celebrity abortions–even
though they’re allegedly having them left and right–make it to the
surface. People would not have written a long piece about her choice,
and the story wouldn’t have been picked up by CNN. So while women ostensibly
have freedom of choice, one choice brings attention and a fawning spread
in dozens of magazines, while the other choice means silence. (To be
clear, it appears that Kardashian has certainly made a decision she’s
happy with. Analyzing her story and
the coverage of it isn’t meant to criticize her decision in any
way, but to talk about the way the "choice" process is framed
in women’s lives and reflected the media.)

Here’s what Kardashian told
People in her own words:

"I definitely thought
about it long and hard, about if I wanted to keep the baby or not, and
I wasn’t thinking about adoption. I do think every woman should have
the right to do what they want, but I don’t think it’s talked through
enough. I can’t even tell you how many people just say, ‘Oh, get an
abortion.’ Like it’s not a big deal." 

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Funny, but if there are tons
of people out there saying "Oh, get an abortion," in a flip
or casual way, I’ve never seen or heard of them. Instead
of hearing about abortion being a casual choice, lately, I’ve seen more and
more stories like hers.

And that’s because Kardashian’s story fits in to the mainstream narrative
about abortion, popularized in movies like "Knocked up" and
"Juno" and even on TV shows like "90210" and "The
Secret Life of the American Teenager." Stories like these and celebrity
stories like Kardashian’s (and even, to some extent, Bristol Palin’s and
Jamie Lynn Spears’s stories, too) all pay lip service to the notion of
another option
besides carrying the pregnancy to term. The "Knocked
Up" narrative acknowledges the importance of the ultimate choice
belonging to the woman–this, at least, is a victory of the pro-choice
movement. But the flipside of this narrative is that there’s a right
choice and a wrong choice, particularly if you’re a white, middle-class
or otherwise privileged woman. In that case there appears to be no legitimate
reason not to want kids, and if you want kids, no legitimate choice other than to
carry a pregnancy to term.

In this new paradigm a woman becomes pregnant, agonizes over her options,
gets dismissively told to "get rid of it" by a callous pro-choicer
(the mom in "Knocked Up," the lollipop-sucking clinic worker
in "Juno" and Kardashian’s "oh get an abortion"
masses) and ultimately decides to go forward with the pregnancy, earning
smiles and attention. In America, abortion is always a choice that "someone
else" makes–except in this case someone else is a huge percentage of
the population. Kardashian’s story advances an
anti-choice agenda while being ostensibly pro-choice. No wonder Americans
are so
where they stand. The acceptable position is to frown on the practice
but begrudgingly insist on its legality in case "someone else"
desperately needs it.

The problem with this popular narrative is that if "the other option"
always gets presented as the bad one, how do we view the women who are
picking it? The answer is that they’re either desperate or selfish.
Here’s what Kardashian said.

For me, all the reasons why I wouldn’t keep the baby were so selfish:
It wasn’t like I was raped, it’s not like I’m 16. I’m 30 years old,
I make my own money, I support myself, I can afford to have a baby.
And I am with someone who I love, and have been with for a long time. 

If Kardashian, with all her financial advantage and a supportive relationship,
had nonetheless genuinely felt that she was not ready to have a child,
why would it have been selfish for her to have an abortion? Having children
is a risky, life-changing high-commitment. It’s not selfish
to defer it or decide not to do it. Compounding the
aspersion cast at those who may choose "the other option,"
it appears that Kardashian may
have come across some suspect information

"I looked online, and
I was sitting on the bed hysterically crying, reading these stories
of people who felt so guilty from having an abortion," she recalls.
"I was reading these things of how many people are traumatized
by it afterwards." 

According to Kardashian, her
doctor encouraged this point of view, saying that she would not regret
having a child, but might regret having an abortion. He was incorrect. Both decisions are liable for regret. Furthermore,
post-abortion syndrome has been debunked but postpartum depression is
very real. Pregnancy brings health risks, both physical and mental,
and a lifetime of commitment and concern about another human being. Asks Anna N at Jezebel,  

But is it really her
doctor’s place to tell her what she will and won’t regret? Many moms
have some occasional regrets about having children, even if they love
these children very much, and to promise Kardashian that motherhood
will be a totally uncomplicated decision seems unrealistic and irresponsible.

Kardashian’s "on again
off again" boyfriend also urged her to keep the pregnancy–and
it’s effected a reconciliation between them. So it seems like even Kardashian’s
doctor and partner are buying in to the "Knocked Up" narrative
wholesale. And that’s a problem.

While Kardashian’s forthrightness should
be praised, we need to start facing the reality. The women who choose
"the other option" aren’t selfish, desperate, or someone else.
As Lynn Paltrow reminded
, "Sixty-one
percent of women having abortions are already mothers. By the age of
45, 84% of all women in U.S. will have become pregnant and given birth
and 43% will have had an abortion."  They are our friends, our neighbors,
and often, us. 

The "Knocked Up" narrative isn’t true, but
it dominates the way we talk about abortion. And in order to win more
legal rights, we have to get rid of the stigma that spreads so quickly
it’s even reached reality TV royalty. We have to not only paint abortion
rights as a necessity, but the right to make a choice as a moral good. 

News Health Systems

Complaint: Citing Catholic Rules, Doctor Turns Away Bleeding Woman With Dislodged IUD

Amy Littlefield

“It felt heartbreaking,” said Melanie Jones. “It felt like they were telling me that I had done something wrong, that I had made a mistake and therefore they were not going to help me; that they stigmatized me, saying that I was doing something wrong, when I’m not doing anything wrong. I’m doing something that’s well within my legal rights.”

Melanie Jones arrived for her doctor’s appointment bleeding and in pain. Jones, 28, who lives in the Chicago area, had slipped in her bathroom, and suspected the fall had dislodged her copper intrauterine device (IUD).

Her doctor confirmed the IUD was dislodged and had to be removed. But the doctor said she would be unable to remove the IUD, citing Catholic restrictions followed by Mercy Hospital and Medical Center and providers within its system.

“I think my first feeling was shock,” Jones told Rewire in an interview. “I thought that eventually they were going to recognize that my health was the top priority.”

The doctor left Jones to confer with colleagues, before returning to confirm that her “hands [were] tied,” according to two complaints filed by the ACLU of Illinois. Not only could she not help her, the doctor said, but no one in Jones’ health insurance network could remove the IUD, because all of them followed similar restrictions. Mercy, like many Catholic providers, follows directives issued by the U.S. Conference of Catholic Bishops that restrict access to an array of services, including abortion care, tubal ligations, and contraception.

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Some Catholic providers may get around the rules by purporting to prescribe hormonal contraception for acne or heavy periods, rather than for birth control, but in the case of copper IUDs, there is no such pretext available.

“She told Ms. Jones that that process [of switching networks] would take her a month, and that she should feel fortunate because sometimes switching networks takes up to six months or even a year,” the ACLU of Illinois wrote in a pair of complaints filed in late June.

Jones hadn’t even realized her health-care network was Catholic.

Mercy has about nine off-site locations in the Chicago area, including the Dearborn Station office Jones visited, said Eric Rhodes, senior vice president of administrative and professional services. It is part of Trinity Health, one of the largest Catholic health systems in the country.

The ACLU and ACLU of Michigan sued Trinity last year for its “repeated and systematic failure to provide women suffering pregnancy complications with appropriate emergency abortions as required by federal law.” The lawsuit was dismissed but the ACLU has asked for reconsideration.

In a written statement to Rewire, Mercy said, “Generally, our protocol in caring for a woman with a dislodged or troublesome IUD is to offer to remove it.”

Rhodes said Mercy was reviewing its education process on Catholic directives for physicians and residents.

“That act [of removing an IUD] in itself does not violate the directives,” Marty Folan, Mercy’s director of mission integration, told Rewire.

The number of acute care hospitals that are Catholic owned or affiliated has grown by 22 percent over the past 15 years, according to MergerWatch, with one in every six acute care hospital beds now in a Catholic owned or affiliated facility. Women in such hospitals have been turned away while miscarrying and denied tubal ligations.

“We think that people should be aware that they may face limitations on the kind of care they can receive when they go to the doctor based on religious restrictions,” said Lorie Chaiten, director of the women’s and reproductive rights project of the ACLU of Illinois, in a phone interview with Rewire. “It’s really important that the public understand that this is going on and it is going on in a widespread fashion so that people can take whatever steps they need to do to protect themselves.”

Jones left her doctor’s office, still in pain and bleeding. Her options were limited. She couldn’t afford a $1,000 trip to the emergency room, and an urgent care facility was out of the question since her Blue Cross Blue Shield of Illinois insurance policy would only cover treatment within her network—and she had just been told that her entire network followed Catholic restrictions.

Jones, on the advice of a friend, contacted the ACLU of Illinois. Attorneys there advised Jones to call her insurance company and demand they expedite her network change. After five hours of phone calls, Jones was able to see a doctor who removed her IUD, five days after her initial appointment and almost two weeks after she fell in the bathroom.

Before the IUD was removed, Jones suffered from cramps she compared to those she felt after the IUD was first placed, severe enough that she medicated herself to cope with the pain.

She experienced another feeling after being turned away: stigma.

“It felt heartbreaking,” Jones told Rewire. “It felt like they were telling me that I had done something wrong, that I had made a mistake and therefore they were not going to help me; that they stigmatized me, saying that I was doing something wrong, when I’m not doing anything wrong. I’m doing something that’s well within my legal rights.”

The ACLU of Illinois has filed two complaints in Jones’ case: one before the Illinois Department of Human Rights and another with the U.S. Department of Health and Human Services Office for Civil Rights under the anti-discrimination provision of the Affordable Care Act. Chaiten said it’s clear Jones was discriminated against because of her gender.

“We don’t know what Mercy’s policies are, but I would find it hard to believe that if there were a man who was suffering complications from a vasectomy and came to the emergency room, that they would turn him away,” Chaiten said. “This the equivalent of that, right, this is a woman who had an IUD, and because they couldn’t pretend the purpose of the IUD was something other than pregnancy prevention, they told her, ‘We can’t help you.’”

Commentary Sexuality

Black Trans Liberation Tuesday Must Become an Annual Observance

Raquel Willis

As long as trans people—many of them Black trans women—continue to be murdered, there will be a need to commemorate their lives, work to prevent more deaths, and uplift Black trans activism.

This piece is published in collaboration with Echoing Ida, a Forward Together project.

This week marks one year since Black transgender activists in the United States organized Black Trans Liberation Tuesday. Held on Tuesday, August 25, the national day of action publicized Black trans experiences and memorialized 18 trans women, predominantly trans women of color, who had been murdered by this time last year.

In conjunction with the Black Lives Matter network, the effort built upon an earlier Trans Liberation Tuesday observance created by Bay Area organizations TGI Justice Project and Taja’s Coalition to recognize the fatal stabbing of 36-year-old trans Latina woman Taja DeJesus in February 2015.

Black Trans Liberation Tuesday should become an annual observance because transphobic violence and discrimination aren’t going to dissipate with one-off occurrences. I propose that Black Trans Liberation Tuesday fall on the fourth Tuesday of August to coincide with the first observance and also the August 24 birthday of the late Black trans activist Marsha P. Johnson.

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There is a continuing need to pay specific attention to Black transgender issues, and the larger Black community must be pushed to stand in solidarity with us. Last year, Black trans activists, the Black Lives Matter network, and GetEQUAL collaborated on a blueprint of what collective support looks like, discussions that led to Black Trans Liberation Tuesday.

“Patrisse Cullors [a co-founder of Black Lives Matter] had been in talks on ways to support Black trans women who had been organizing around various murders,” said Black Lives Matter Organizing Coordinator Elle Hearns of Washington, D.C. “At that time, Black trans folks had been experiencing erasure from the movement and a lack of support from cis people that we’d been in solidarity with who hadn’t reciprocated that support.”

This erasure speaks to a long history of Black LGBTQ activism going underrecognized in both the civil rights and early LGBTQ liberation movements. Many civil rights leaders bought into the idea that influential Black gay activist Bayard Rustin was unfit to be a leader simply because he had relationships with men, though he organized the 1963 March on Washington for Jobs and Freedom. Johnson, who is often credited with kicking off the 1969 Stonewall riots with other trans and gender-nonconforming people of color, fought tirelessly for LGBTQ rights. She and other trans activists of color lived in poverty and danger (Johnson was found dead under suspicious circumstances in July 1992), while the white mainstream gay elite were able to demand acceptance from society. Just last year, Stonewall, a movie chronicling the riots, was released with a whitewashed retelling that centered a white, cisgender gay male protagonist.

The Black Lives Matter network has made an intentional effort to avoid the pitfalls of those earlier movements.

“Our movement has been intersectional in ways that help all people gain liberation whether they see it or not. It became a major element of the network vision and how it was seeing itself in the Black liberation movement,” Hearns said. “There was no way to discuss police brutality without discussing structural violence affecting Black lives, in general”—and that includes Black trans lives.

Despite a greater mainstream visibility for LGBTQ issues in general, Black LGBTQ issues have not taken the forefront in Black freedom struggles. When a Black cisgender heterosexual man is killed, his name trends on social media feeds and is in the headlines, but Black trans women don’t see the same importance placed on their lives.

According to a 2015 report by the Anti-Violence Project, a group dedicated to ending anti-LGBTQ and HIV-affected community violence, trans women of color account for 54 percent of all anti-LGBTQ homicides. Despite increased awareness, with at least 20 transgender people murdered since the beginning of this year, it seems things haven’t really changed at all since Black Trans Liberation Tuesday.

“There are many issues at hand when talking about Black trans issues, particularly in the South. There’s a lack of infrastructure and support in the nonprofit sector, but also within health care and other systems. Staffs at LGBTQ organizations are underfunded when it comes to explicitly reaching the trans community,” said Micky Bradford, the Atlanta-based regional organizer for TLC@SONG. “The space between towns can harbor isolation from each other, making it more difficult to build up community organizing, coalitions, and culture.”

The marginalization that Black trans people face comes from both the broader society and the Black community. Fighting white supremacy is a full-time job, and some activists within the Black Lives Matter movement see homophobia and transphobia as muddying the fight for Black liberation.

“I think we have a very special relationship with gender and gender violence to all Black people,” said Aaryn Lang, a New York City-based Black trans activist. “There’s a special type of trauma that Black people inflict on Black trans people because of how strict the box of gender and space of gender expression has been to move in for Black people. In the future of the movement, I see more people trusting that trans folks have a vision that’s as diverse as blackness is.”

But even within that diversity, Black trans people are often overlooked in movement spaces due to anti-Blackness in mainstream LGBTQ circles and transphobia in Black circles. Further, many Black trans people aren’t in the position to put energy into movement work because they are simply trying to survive and find basic resources. This can create a disconnect between various sections of the Black trans community.

Janetta Johnson, executive director of TGI Justice Project in San Francisco, thinks the solution is twofold: increased Black trans involvement and leadership in activism spaces, and more facilitated conversations between Black cis and trans people.

“I think a certain part of the transgender community kind of blocks all of this stuff out. We are saying we need you to come through this process and see how we can create strength in numbers. We need to bring in other trans people not involved in the movement,” she said. “We need to create a space where we can share views and strategies and experiences.”

Those conversations must be an ongoing process until the killings of Black trans women like Rae’Lynn Thomas, Dee Whigham, and Skye Mockabee stop.

“As we commemorate this year, we remember who and why we organized Black Trans Liberation Tuesday last year. It’s important we realize that Black trans lives are still being affected in ways that everyday people don’t realize,” Hearns said. “We must understand why movements exist and why people take extreme action to continuously interrupt the system that will gladly forget them.”


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