News Abortion

Iowa Right To Life Seeks to Deny Medicaid Coverage for Pregancies with Fetal Anomalies

Robin Marty

Anti-choicers in Iowa are determined to force someone out of Medicaid-funded abortions.

Last year, 22 women in Iowa had abortions paid for by Medicaid. Of them, 7 were pregnancies as a result of rape, and 15 were due to fetal anomalies.

Iowa Right to Life, having been thwarted in their attempt to force rape victims to give birth if they can’t afford an abortion, has now chosen to come after the fetal anomaly exception instead.

Via the Sioux City Journal:

Marlys Popma of rural Kellogg, president of Iowa Right to Life, said her group “takes severe issue” with a recent decision by Charles Palmer, director of the Iowa Department of Human Services, to deny a request by 41 GOP House members seeking to rescind state rules governing pregnancies terminated in cases of rape, incest and fetal deformation.

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“Iowa is currently one of only three states that fund abortions with taxpayer dollars for fetal abnormality,” Popma said in a statement. “In no way is this consistent with the federal Hyde Amendment and funding for such abortions should be ceased immediately. We call on the administration to act accordingly.”

In an interview, Popma said “without doubt” the federal Hyde amendment “does not require the state to fund abortion for fetal abnormality,” and she planned to seek a meeting with Branstad and his staff “about what his next steps may be.” She also said she hoped to talk with Palmer about the issue as well and felt it was too early in the process to determine whether the situation might trigger any kind of legal challenge.

“We’re kind of in a holding pattern to determine what our next steps will be,” she said. “We would like to see an immediate change in the funding of abortions for fetal abnormalities.”

According to the state, abortions in the case of fetal anomaly are rare and usually due to a severe issue that makes the fetus nonviable.

The state paid for 15 of those last fiscal year, at an average cost of $638, [Roger Munns, a spokesman for the Iowa Department of Human Services] said. He said Medicaid pays for such abortions “for only the most severely deformed fetuses. In many cases, the child would not live if delivered.” Examples include fetuses that are missing large parts of their brains, he said.

The federal government does not cover abortions in these cases, so the full amount is paid by the state. And because a small fringe of Iowans think it’s compassionate to force poor women to carry a child that will not survive either pregnancy or birth, and to pay the much higher medical costs associated with labor and delivery in a complicated pregnancy, Iowa anti-choicers want to stop the state from helping women pay for these abortions.

News Politics

Zika Response ‘Sits Squarely With Congress’ After Administration’s Last-Ditch Effort

Christine Grimaldi

“Our nation’s ability to mount the type of Zika response that the American people deserve sits squarely with Congress," HHS Secretary Sylvia Mathews Burwell wrote in a letter to House Minority Leader Nancy Pelosi (D-CA).

The Obama administration’s decision to direct $81 million toward the development of a Zika vaccine pits congressional Republicans and Democrats against each other—and leaves the country no closer to a solution.

Republicans in the U.S. House of Representatives seized on the announcement Thursday afternoon to contend that federal agencies have funds at their disposal to fight Zika. The head of the U.S. Department of Health and Human Services (HHS), however, dispelled that notion as she described shifting $34 million within the National Institutes of Health and transferring $47 million to the Biomedical Advanced Research and Development Authority, both of which would have run out of Zika funds by the end of the month.

“With the actions described above, we have exhausted our ability to even provide short-term financing to help fight Zika,” HHS Secretary Sylvia Mathews Burwell wrote in an August 11 letter to House Minority Leader Nancy Pelosi (D-CA). “Our nation’s ability to mount the type of Zika response that the American people deserve sits squarely with Congress.”

The administration in April pledged $589 million, the bulk of which came from funding to halt spread of the Ebola virus, for “immediate, time-critical activities” to combat the Zika virus. Those funds have been nearly exhausted, Burwell said in an August 3 letter to congressional Democrats on the appropriations committees.

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Congress returns September 6 after a seven-week recess in which Democrats in the House and U.S. Senate repeatedly called on lawmakers to return to Washington and get a Zika deal done. Republican leaders refused, blaming Senate Democrats for obstructing a GOP-engineered $1.1 billion plan prior to the recess. The plan underfunded the administration’s $1.9 billion target and included contraception restrictions for a virus that can be sexually transmitted.

Zika causes microcephaly, an incurable neurological disorder that impairs brain and skull growth in utero, as well as other severe fetal brain defects, according to the U.S. Centers for Disease Control and Prevention (CDC). As of August 4, the CDC reported 510 cases in pregnant people living in the United States. Another 521 infections have occurred among pregnant people in U.S. territories.

Puerto Rico Faces Disproportionate Impact

Diagnoses are increasing by the day. As of August 10, the CDC reported 1,962 cases of Zika in the United States. All but seven of those cases are due to travel. That breakdown stands in sharp contrast to Puerto Rico, home to 6,475 locally acquired and just 30 travel-associated cases—in both instances, a few percentage points shy of all the Zika infections in U.S. territories.

The contraception restrictions in Republicans’ plan would hurt the people of Puerto Rico by limiting women to obtaining such services from public health departments, hospitals, and Medicaid Managed Care clinics. Such options are few and far between in the sprawling territory.

Republicans would also prohibit subgrants to outside groups “that could provide important services to hard-to-reach populations, especially hard-to-reach populations of women that want to access contraceptive services,” according to a Democratic summary Rewire obtained last month.

Nevertheless, Republicans continue to defend their plan amid criticism from Democrats and reproductive health-care groups that they’re again waging a war on Planned Parenthood. “[T]he words Planned Parenthood don’t appear anywhere in the law,” Sen. Marco Rubio (R-FL), referring to the plan, told Politico in an interview last week.

Rubio Targets Abortion Care

From the beginning, Rubio otherwise broke with his party, supporting the administration’s $1.9 billion plan without similar conditions in recognition that Zika would reach the shores of his home state. All six of the continental United States’ locally acquired Zika cases have occurred in Florida.

At the same time, Rubio had no problem with denying pregnant people infected with Zika access to abortion care.

“Obviously, microcephaly is a terrible prenatal condition that kids are born with. And when they are, it’s a lifetime of difficulties. So I get it,” he told Politico. “I believe all human life should be protected by our law, irrespective of the circumstances or condition of that life.”

Rubio’s comments put him in league with the Susan B. Anthony List, Americans United for Life, and other anti-choice groups that have framed abortion care in the context of Zika as eugenics. Anti-choice advocates have been increasingly using this argument, which hurts people with disabilities as much as pregnant people seeking abortion care, writer s.e. smith reported for Rewire.

Analysis Politics

The 2016 Republican Platform Is Riddled With Conservative Abortion Myths

Ally Boguhn

Anti-choice activists and leaders have embraced the Republican platform, which relies on a series of falsehoods about reproductive health care.

Republicans voted to ratify their 2016 platform this week, codifying what many deem one of the most extreme platforms ever accepted by the party.

“Platforms are traditionally written by and for the party faithful and largely ignored by everyone else,” wrote the New York Times‘ editorial board Monday. “But this year, the Republicans are putting out an agenda that demands notice.”

“It is as though, rather than trying to reconcile Mr. Trump’s heretical views with conservative orthodoxy, the writers of the platform simply opted to go with the most extreme version of every position,” it continued. “Tailored to Mr. Trump’s impulsive bluster, this document lays bare just how much the G.O.P. is driven by a regressive, extremist inner core.”

Tucked away in the 66-page document accepted by Republicans as their official guide to “the Party’s principles and policies” are countless resolutions that seem to back up the Times‘ assertion that the platform is “the most extreme” ever put forth by the party, including: rolling back marriage equalitydeclaring pornography a “public health crisis”; and codifying the Hyde Amendment to permanently block federal funding for abortion.

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Anti-choice activists and leaders have embraced the platform, which the Susan B. Anthony List deemed the “Most Pro-life Platform Ever” in a press release upon the GOP’s Monday vote at the convention. “The Republican platform has always been strong when it comes to protecting unborn children, their mothers, and the conscience rights of pro-life Americans,” said the organization’s president, Marjorie Dannenfelser, in a statement. “The platform ratified today takes that stand from good to great.”  

Operation Rescue, an organization known for its radical tactics and links to violence, similarly declared the platform a “victory,” noting its inclusion of so-called personhood language, which could ban abortion and many forms of contraception. “We are celebrating today on the streets of Cleveland. We got everything we have asked for in the party platform,” said Troy Newman, president of Operation Rescue, in a statement posted to the group’s website.

But what stands out most in the Republicans’ document is the series of falsehoods and myths relied upon to push their conservative agenda. Here are just a few of the most egregious pieces of misinformation about abortion to be found within the pages of the 2016 platform:

Myth #1: Planned Parenthood Profits From Fetal Tissue Donations

Featured in multiple sections of the Republican platform is the tired and repeatedly debunked claim that Planned Parenthood profits from fetal tissue donations. In the subsection on “protecting human life,” the platform says:

We oppose the use of public funds to perform or promote abortion or to fund organizations, like Planned Parenthood, so long as they provide or refer for elective abortions or sell fetal body parts rather than provide healthcare. We urge all states and Congress to make it a crime to acquire, transfer, or sell fetal tissues from elective abortions for research, and we call on Congress to enact a ban on any sale of fetal body parts. In the meantime, we call on Congress to ban the practice of misleading women on so-called fetal harvesting consent forms, a fact revealed by a 2015 investigation. We will not fund or subsidize healthcare that includes abortion coverage.

Later in the document, under a section titled “Preserving Medicare and Medicaid,” the platform again asserts that abortion providers are selling “the body parts of aborted children”—presumably again referring to the controversy surrounding Planned Parenthood:

We respect the states’ authority and flexibility to exclude abortion providers from federal programs such as Medicaid and other healthcare and family planning programs so long as they continue to perform or refer for elective abortions or sell the body parts of aborted children.

The platform appears to reference the widely discredited videos produced by anti-choice organization Center for Medical Progress (CMP) as part of its smear campaign against Planned Parenthood. The videos were deceptively edited, as Rewire has extensively reported. CMP’s leader David Daleiden is currently under federal indictment for tampering with government documents in connection with obtaining the footage. Republicans have nonetheless steadfastly clung to the group’s claims in an effort to block access to reproductive health care.

Since CMP began releasing its videos last year, 13 state and three congressional inquiries into allegations based on the videos have turned up no evidence of wrongdoing on behalf of Planned Parenthood.

Dawn Laguens, executive vice president of Planned Parenthood Action Fund—which has endorsed Hillary Clinton—called the Republicans’ inclusion of CMP’s allegation in their platform “despicable” in a statement to the Huffington Post. “This isn’t just an attack on Planned Parenthood health centers,” said Laguens. “It’s an attack on the millions of patients who rely on Planned Parenthood each year for basic health care. It’s an attack on the brave doctors and nurses who have been facing down violent rhetoric and threats just to provide people with cancer screenings, birth control, and well-woman exams.”

Myth #2: The Supreme Court Struck Down “Commonsense” Laws About “Basic Health and Safety” in Whole Woman’s Health v. Hellerstedt

In the section focusing on the party’s opposition to abortion, the GOP’s platform also reaffirms their commitment to targeted regulation of abortion providers (TRAP) laws. According to the platform:

We salute the many states that now protect women and girls through laws requiring informed consent, parental consent, waiting periods, and clinic regulation. We condemn the Supreme Court’s activist decision in Whole Woman’s Health v. Hellerstedt striking down commonsense Texas laws providing for basic health and safety standards in abortion clinics.

The idea that TRAP laws, such as those struck down by the recent Supreme Court decision in Whole Woman’s Health, are solely for protecting women and keeping them safe is just as common among conservatives as it is false. However, as Rewire explained when Paul Ryan agreed with a nearly identical claim last week about Texas’ clinic regulations, “the provisions of the law in question were not about keeping anybody safe”:

As Justice Stephen Breyer noted in the opinion declaring them unconstitutional, “When directly asked at oral argument whether Texas knew of a single instance in which the new requirement would have helped even one woman obtain better treatment, Texas admitted that there was no evidence in the record of such a case.”

All the provisions actually did, according to Breyer on behalf of the Court majority, was put “a substantial obstacle in the path of women seeking a previability abortion,” and “constitute an undue burden on abortion access.”

Myth #3: 20-Week Abortion Bans Are Justified By “Current Medical Research” Suggesting That Is When a Fetus Can Feel Pain

The platform went on to point to Republicans’ Pain-Capable Unborn Child Protection Act, a piece of anti-choice legislation already passed in several states that, if approved in Congress, would create a federal ban on abortion after 20 weeks based on junk science claiming fetuses can feel pain at that point in pregnancy:

Over a dozen states have passed Pain-Capable Unborn Child Protection Acts prohibiting abortion after twenty weeks, the point at which current medical research shows that unborn babies can feel excruciating pain during abortions, and we call on Congress to enact the federal version.

Major medical groups and experts, however, agree that a fetus has not developed to the point where it can feel pain until the third trimester. According to a 2013 letter from the American Congress of Obstetricians and Gynecologists, “A rigorous 2005 scientific review of evidence published in the Journal of the American Medical Association (JAMA) concluded that fetal perception of pain is unlikely before the third trimester,” which begins around the 28th week of pregnancy. A 2010 review of the scientific evidence on the issue conducted by the British Royal College of Obstetricians and Gynaecologists similarly found “that the fetus cannot experience pain in any sense prior” to 24 weeks’ gestation.

Doctors who testify otherwise often have a history of anti-choice activism. For example, a letter read aloud during a debate over West Virginia’s ultimately failed 20-week abortion ban was drafted by Dr. Byron Calhoun, who was caught lying about the number of abortion-related complications he saw in Charleston.

Myth #4: Abortion “Endangers the Health and Well-being of Women”

In an apparent effort to criticize the Affordable Care Act for promoting “the notion of abortion as healthcare,” the platform baselessly claimed that abortion “endangers the health and well-being” of those who receive care:

Through Obamacare, the current Administration has promoted the notion of abortion as healthcare. We, however, affirm the dignity of women by protecting the sanctity of human life. Numerous studies have shown that abortion endangers the health and well-being of women, and we stand firmly against it.

Scientific evidence overwhelmingly supports the conclusion that abortion is safe. Research shows that a first-trimester abortion carries less than 0.05 percent risk of major complications, according to the Guttmacher Institute, and “pose[s] virtually no long-term risk of problems such as infertility, ectopic pregnancy, spontaneous abortion (miscarriage) or birth defect, and little or no risk of preterm or low-birth-weight deliveries.”

There is similarly no evidence to back up the GOP’s claim that abortion endangers the well-being of women. A 2008 study from the American Psychological Association’s Task Force on Mental Health and Abortion, an expansive analysis on current research regarding the issue, found that while those who have an abortion may experience a variety of feelings, “no evidence sufficient to support the claim that an observed association between abortion history and mental health was caused by the abortion per se, as opposed to other factors.”

As is the case for many of the anti-abortion myths perpetuated within the platform, many of the so-called experts who claim there is a link between abortion and mental illness are discredited anti-choice activists.

Myth #5: Mifepristone, a Drug Used for Medical Abortions, Is “Dangerous”

Both anti-choice activists and conservative Republicans have been vocal opponents of the Food and Drug Administration (FDA’s) March update to the regulations for mifepristone, a drug also known as Mifeprex and RU-486 that is used in medication abortions. However, in this year’s platform, the GOP goes a step further to claim that both the drug and its general approval by the FDA are “dangerous”:

We believe the FDA’s approval of Mifeprex, a dangerous abortifacient formerly known as RU-486, threatens women’s health, as does the agency’s endorsement of over-the-counter sales of powerful contraceptives without a physician’s recommendation. We support cutting federal and state funding for entities that endanger women’s health by performing abortions in a manner inconsistent with federal or state law.

Studies, however, have overwhelmingly found mifepristone to be safe. In fact, the Association of Reproductive Health Professionals says mifepristone “is safer than acetaminophen,” aspirin, and Viagra. When the FDA conducted a 2011 post-market study of those who have used the drug since it was approved by the agency, they found that more than 1.5 million women in the U.S. had used it to end a pregnancy, only 2,200 of whom had experienced an “adverse event” after.

The platform also appears to reference the FDA’s approval of making emergency contraception such as Plan B available over the counter, claiming that it too is a threat to women’s health. However, studies show that emergency contraception is safe and effective at preventing pregnancy. According to the World Health Organization, side effects are “uncommon and generally mild.”

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