Nursing: Inspiring women leaders in health care

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Like many Americans, I’ve spent the last week or so sifting through the media banter over the Obama administration’s 2012 Fiscal year budget proposal. One piece of the proposal that caught my attention was the 28% increase in funding to Title VIII, the Nursing Workforce Development Programs.

Like many Americans, I’ve spent the last week or so sifting through the media banter over the Obama administration’s 2012 Fiscal year budget proposal. One piece of the proposal that caught my attention was the 28% increase in funding to Title VIII, the Nursing Workforce Development Programs. This increase will help address the critical shortages plaguing the profession. I applaud the administration’s commitment to supporting nursing, a profession that not only is essential to health care delivery but also a profession that inspires women leaders in health care.

Now some may think, aren’t nurses just bedpan jockeys or physicians’ helpers. Better yet, turn on virtually any popular medical television show (Grey’s Anatomy, House) and nurses are portrayed as a male physician’s play thing or too incompetent to perform the simplest tasks. How is that inspiring?

The truth is nursing has been producing women leaders in health care for centuries.  Lillian Wald was a public health nurse who played a significant role in developing the public health nursing profession and made important contributions to maternal and child health care in the United States. Clara Barton, a nurse who cared for soldiers during the Civil War, was the founder of the American Red Cross.  Margaret Sanger, the founder of the National Birth Control League (now known as Planned Parenthood), was a nurse in New York before beginning her work as an advocate for women’s access to birth control. 

Nursing has in fact, inspired me.  Included in my nursing education, mixed in with IV starts, and vital signs, were courses on advocacy and research. I learned how to contact my political leaders and to be a patient advocate.  In my career, I contribute to developing the plan of care for my patients’ and can challenge any physicians’ opinion if necessary. My voice is not subordinate because the letters behind my name are R.N or because I am a woman. On the contrary, being a nurse has given me a unique authority in health care and much like Barton or Sanger before me, working on the frontlines as a nurse has inspired to pursue a degree in public health and make even greater contributions to health care.

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 With the ever changing health care landscape one thing is certain, nurses will play a significant role in leading the country through those changes. While the demographic of nurses is constantly changing, the vast majority of the profession is made up of women. Nursing will produce many of the emerging women leaders in health care. Kudos to President Obama and his administration in continuing to support the nursing profession, this is one area of the budget I can’t argue with.

Elysia Jordan

Culture & Conversation Media

Filmmaker Tracy Droz Tragos Centers Abortion Stories in New Documentary

Renee Bracey Sherman

The film arrives at a time when personal stories are center stage in the national conversation about abortion, including in the most recent Supreme Court decision, and rightly so. The people who actually have and provide abortions should be driving the narrative, not misinformation and political rhetoric.

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

A new film by producer and director Tracy Droz Tragos, Abortion: Stories Women Tell, profiles several Missouri residents who are forced to drive across the Mississippi River into Illinois for abortion care.

The 93-minute film features interviews with over 20 women who have had or are having abortions, most of whom are Missouri residents traveling to the Hope Clinic in Granite City, Illinois, which is located about 15 minutes from downtown St. Louis.

Like Mississippi, North Dakota, South Dakota, and Wyoming, Missouri has only one abortion clinic in the entire state.

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The women share their experiences, painting a more nuanced picture that shows why one in three women of reproductive age often seek abortion care in the United States.

The film arrives at a time when personal stories are center stage in the national conversation about abortion, including in the most recent U.S. Supreme Court decision, and rightly so. The people who actually have and provide abortions should be driving the narrative, not misinformation and political rhetoric. But while I commend recent efforts by filmmakers like Droz Tragos and others to center abortion stories in their projects, these creators still have far to go when it comes to presenting a truly diverse cadre of storytellers if they really want to shift the conversation around abortion and break down reproductive stigma.

In the wake of Texas’ omnibus anti-abortion law, which was at the heart of the Whole Woman’s Health v. Hellerstedt Supreme Court case, Droz Tragos, a Missouri native, said in a press statement she felt compelled to document how her home state has been eroding access to reproductive health care. In total, Droz Tragos interviewed 81 people with a spectrum of experiences to show viewers a fuller picture of the barriersincluding legislation and stigmathat affect people seeking abortion care.

Similar to HBO documentaries about abortion that have come before it—including 12th & Delaware and Abortion: Desperate ChoicesAbortion: Stories Women Tell involves short interviews with women who are having and have had abortions, conversations with the staff of the Hope Clinic about why they do the work they do, interviews with local anti-choice organizers, and footage of anti-choice protesters shouting at patients, along with beautiful shots of the Midwest landscape and the Mississippi River as patients make road trips to appointments. There are scenes of clinic escorts holding their ground as anti-choice protesters yell Bible passages and obscenities at them. One older clinic escort carries a copy of Living in the Crosshairs as a protester follows her to her car, shouting. The escort later shares her abortion story.

One of the main storytellers, Amie, is a white 30-year-old divorced mother of two living in Boonville, Missouri. She travels over 100 miles each way to the Hope Clinic, and the film chronicles her experience in getting an abortion and follow-up care. Almost two-thirds of people seeking abortions, like Amie, are already a parent. Amie says that the economic challenges of raising her other children make continuing the pregnancy nearly impossible. She describes being physically unable to carry a baby and work her 70 to 90 hours a week. Like many of the storytellers in the film, Amie talks about the internalized stigma she’s feeling, the lack of support she has from loved ones, and the fear of family members finding out. She’s resilient and determined; a powerful voice.

The film also follows Kathy, an anti-choice activist from Bloomfield, Missouri, who says she was “almost aborted,” and that she found her calling in the anti-choice movement when she noticed “Anne” in the middle of the name “Planned Parenthood.” Anne is Kathy’s middle name.

“OK Lord, are you telling me that I need to get in the middle of this?” she recalls thinking.

The filmmakers interview the staff of the Hope Clinic, including Dr. Erin King, a pregnant abortion provider who moved from Chicago to Granite City to provide care and who deals with the all-too-common protesting of her home and workplace. They speak to Barb, a talkative nurse who had an abortion 40 years earlier because her nursing school wouldn’t have let her finish her degree while she was pregnant. And Chi Chi, a security guard at the Hope Clinic who is shown talking back to the protesters judging patients as they walk into the clinic, also shares her abortion story later in the film. These stories remind us that people who have abortions are on the frontlines of this work, fighting to defend access to care.

To address the full spectrum of pregnancy experiences, the film also features the stories of a few who, for various reasons, placed their children for adoption or continued to parent. While the filmmakers interview Alexis, a pregnant Black high school student whose mother died when she was 8 years old, classmates can be heard in the distance tormenting her, asking if she’s on the MTV reality show 16 and Pregnant. She’s visibly distraught and crying, illustrating the “damned if you do, damned if you don’t” conundrum women of color experiencing unintended pregnancy often face.

Te’Aundra, another young Black woman, shares her story of becoming pregnant just as she received a college basketball scholarship. She was forced to turn down the scholarship and sought an adoption, but the adoption agency refused to help her since the child’s father wouldn’t agree to it. She says she would have had an abortion if she could start over again.

While anti-choice rhetoric has conflated adoption as the automatic abortion alternative, research has shown that most seeking adoption are personally debating between adoption and parenting. This is illustrated in Janet’s story, a woman with a drug addiction who was raising one child with her partner, but wasn’t able to raise a second, so she sought an adoption. These stories are examples of the many societal systems failing those who choose adoption or students raising families, in addition to those fighting barriers to abortion access.

At times, the film feels repetitive and disjointed, but the stories are powerful. The range of experiences and reasons for having an abortion (or seeking adoption) bring to life the data points too often ignored by politicians and the media: everything from economic instability and fetal health, to domestic violence and desire to finish an education. The majority of abortion stories featured were shared by those who already had children. Their stories had a recurring theme of loneliness and lack of support from their loved ones and friends at a time when they needed it. Research has shown that 66 percent of people who have abortions tend to only tell 1.24 people about their experience, leaving them keeping a secret for fear of judgment and shame.

While many cite financial issues when paying for abortions or as the reason for not continuing the pregnancy, the film doesn’t go in depth about how the patients come to pay for their abortions—which is something my employer, the National Network for Abortion Funds (NNAF), directly addresses—or the systemic issues that created their financial situations.

However, it brings to light the hypocrisy of our nation, where the invisible hand of our society’s lack of respect for pregnant people and working parents can force people to make pregnancy decisions based on economic situations rather than a desire to be pregnant or parent.

“I’m not just doing this for me” is a common phrase when citing having an abortion for existing or future children.

Overall, the film is moving simply because abortion stories are moving, especially for audiences who don’t have the opportunity to have someone share their abortion story with them personally. I have been sharing my abortion story for five years and hearing someone share their story with me always feels like a gift. I heard parts of my own story in those shared; however, I felt underrepresented in this film that took place partly in my home state of Illinois. While people of color are present in the film in different capacities, a racial analysis around the issues covered in the film is non-existent.

Race is a huge factor when it comes to access to contraception and reproductive health care; over 60 percent of people who have abortions are people of color. Yet, it took 40 minutes for a person of color to share an abortion story. It seemed that five people of color’s abortion stories were shown out of the over 20 stories, but without actual demographic data, I cannot confirm how all the film’s storytellers identify racially. (HBO was not able to provide the demographic data of the storytellers featured in the film by press time.)

It’s true that racism mixed with sexism and abortion stigma make it more difficult for people of color to speak openly about their abortion stories, but continued lack of visual representation perpetuates that cycle. At a time when abortion storytellers themselves, like those of NNAF’s We Testify program, are trying to make more visible a multitude of identities based on race, sexuality, immigration status, ability, and economic status, it’s difficult to give a ringing endorsement of a film that minimizes our stories and relegates us to the second half of a film, or in the cases of some of these identities, nowhere at all. When will we become the central characters that reality and data show that we are?

In July, at the progressive conference Netroots Nation, the film was screened followed by an all-white panel discussion. I remember feeling frustrated at the time, both because of the lack of people of color on the panel and because I had planned on seeing the film before learning about a march led by activists from Hands Up United and the Organization for Black Struggle. There was a moment in which I felt like I had to choose between my Blackness and my abortion experience. I chose my Black womanhood and marched with local activists, who under the Black Lives Matter banner have centered intersectionality. My hope is that soon I won’t have to make these decisions in the fight for abortion rights; a fight where people of color are the backbone whether we’re featured prominently in films or not.

The film highlights the violent rhetoric anti-choice protesters use to demean those seeking abortions, but doesn’t dissect the deeply racist and abhorrent comments, often hurled at patients of color by older white protesters. These racist and sexist comments are what fuel much of the stigma that allows discriminatory laws, such as those banning so-called race- and sex-selective abortions, to flourish.

As I finished the documentary, I remembered a quote Chelsea, a white Christian woman who chose an abortion when her baby’s skull stopped developing above the eyes, said: “Knowing you’re not alone is the most important thing.”

In her case, her pastor supported her and her husband’s decision and prayed over them at the church. She seemed at peace with her decision to seek abortion because she had the support system she desired. Perhaps upon seeing the film, some will realize that all pregnancy decisions can be quite isolating and lonely, and we should show each other a bit more compassion when making them.

My hope is that the film reaches others who’ve had abortions and reminds them that they aren’t alone, whether they see themselves truly represented or not. That we who choose abortion are normal, loved, and supported. And that’s the main point of the film, isn’t it?

Abortion: Stories Women Tell is available in theaters in select cities and will be available on HBO in 2017.

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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