FROLITICKS

Satirical commentary on Canadian and American current political issues

State Bans on Legal Abortion Having Other Effects on Affected Women and Their Doctors

In 1969, the federal court of appeals (Third District, California) in Jessin v. County of Shasta ruled that “voluntary sterilization is legal when informed consent has been given, that sterilization is an acceptable method of family planning, and that sterilization may be a fundamental right requiring constitutional protection.”  The increasing number of restrictions and effectively bans on abortions by certain states is having a major impact on remaining choices by women, including increasing the number of requests by women for voluntary sterilization.  Since Roe v. Wade was overturned by the Supreme Court, some women have considered or are considering permanent sterilization.  Sterilization is a serious matter which is not easily chosen by women who do not want children, often considered by women who believe strongly that they want autonomous control over her body.  Moreover, as the future of medication abortion remains uncertain, more and more women are opting for surgical fertilization.

Considering sterilization is however very expensive without private health insurance.  In addition, it has been reported that some people seeking sterilization procedures across the U.S. are being turned away.  Patients who don’t have children and are in their childbearing years are reporting difficulties finding physicians willing to sterilize them.  Some reluctance by physicians may stem from studies that suggest patients who are sterilized at age 30 or younger are about twice as likely as those over 30 to express regret after getting the procedure. However, other studies had mixed results and found that some women feel less regret over time.

Believe it or not, some observers are even anticipating that there’s going to be attacks on other forms of “contraception”.  In 1965, the Supreme Court ruled in the Griswold v. Connecticut decision that banning contraceptives violates a married couple’s right to privacy. However, Justice Clarence Thomas opened that door by suggesting in his concurring opinion in Dobbs that other precedents, such as this ruling, should be revisited.  Where does it all end?

More recently, Republicans used their new power in the House of Representatives to push through legislation that could subject doctors who perform abortions to criminal penalties, underscoring their opposition to abortion rights even as they stopped short of trying to completely ban the procedure.  Fortunately, the bill has no chance of passage in the Democratic-controlled Senate.  However, in several states there are already laws which could end up in doctors being charged with a criminal activity when an abortion is performed, even in cases where the pregnant woman’s life in jeopardy.  In the past, the vast majority of abortions in the U.S. occurred in the first trimester, before the point of fetal viability, which is currently at about 23 weeks.  Now, several states, including more recently Florida, have passed legislation prohibiting abortions after six weeks of pregnancy.  In the case of Florida, the law ends Florida’s long-held role as a destination for women from across the Deep South seeking abortions and will force them to travel farther, to states such as North Carolina or Illinois, for care.

According to the Kaiser Family Foundation, the new Florida law also prohibits doctors from prescribing medication abortions through telehealth and prevent the dispensing the pills by mail. This makes Florida’s six-week ban even more restrictive than Georgia’s.  The law also bars state funds from being used for a person to travel outside of Florida for an abortion, except for when it is a medical emergency or when federal law requires it.

Horrendous impacts are being revealed daily on women being denied access to abortion.  There is little doubt that the “right to choose” in under attack in America, literally taking away the rights of women wanting autonomous control over their bodies.  The latest impact, somewhat more extreme than others, is one where young women are increasingly choosing surgical fertilization due to this evident lost in choice.  Doctors who base their decisions on the needs of their female patients are also caught up in this environment, trying to discern what is legal or not instead of what’s best for the patient’s health, both physical and mental.

Leave a comment »

America Wanted to be Great Again.  Now It’s Just Sick!

I know what I’m about to write is controversial.  However, it is true and the facts bear it out.  During and after the pandemic, the U.S. like a lot of countries went through very difficult times.  Over a million Americans died due to COVID and many more were ill and now face what has become known as long COVID.  The rate for COVID-related deaths was the highest on a per-capita basis among industrialized countries.  Although a vaccine existed, a large number of Americans refused to get immunized and even prevented their children from being protected against this horrific disease.  Now, corporate giants are buying up primary care practices at a rapid pace in order to institute what is now referred to as corporate medicine.  In order to take advantage of the growing privatization of Medicare and an aging population, deals are being made which will risk shifting the balance in health care from quality treatment to profits.  Today, nearly seven in ten of all American doctors are either employed by a hospital or a corporation, with primary care doctors increasing simply becoming employees.  It’s all tied to billing.  As for Medicaid coverage, as pandemic protection expires, states are again determining which people are eligible for the health insurance program.  Millions could potentially lose access to their current coverage. 

Then there is the issue of abortion.  More and more states have placed either greater restrictions on legal abortions or have effectively banned abortions within their states.  Anti-abortion factions have even initiated lawsuits aimed at questioning the safety of medication abortion, the method used in more than half of abortions in the U.S.  They are trying to block legal access to mifepristone, a drug approved years ago by the Food and Drug Administration (F.D.A.) as being safe.  The Justice Department strongly disputed the claims in these lawsuits The F.D.A.’s rigorous reviews of mifepristone over the years repeatedly reaffirmed its decision to approve mifepristone, which blocks a hormone that allows a pregnancy to develop.  In addition, where states have placed strict prohibitions on abortions, doctors are complaining that the health of pregnant women can be seriously endangered due to their inability to perform an abortion for medical reasons, resulting in needless suffering.

Then there is the record number of mass shootings so far this year in the U.S.  To date, there have been 22 mass killings in 2023, defined as four or more people killed, not including the perpetrator.  According to the Gun Violence Archive, a non-profit publicly sourced database, there have also been at least 202 mass shootings in the U.S. so far this year, leaving 792 victims injured and 276 dead.  The archive defines a mass shooting as at least four victims struck by gunfire.  Military-styled assault weapons, used in most of these shooting are everywhere, and apparently easily purchased by anyone without stringent background checks.  As usual, Republicans and gun owners offer their condolences and prayers, often alluding to some form of mental illness as the primary cause.  While mental illness is a concern, studies have shown that the majority of the shooters acted because of other motivations, including hate and anger directed at particular groups and individuals.  There appears to be no end to these tragedies in sight.

Then there are the growing actions by certain states over transgender youth.  Over the past three years, Republican state lawmakers have put forward a barrage of bills to regulate the lives of transgender youths, restricting the sports teams they can play on, bathrooms they can use and medical care they can receive.  The people pushing these laws include Christian conservatives — among them some of the same figures who fought the legalization of gay marriage.  Medical groups have overwhelmingly rejected arguments by conservative activists emphasizing parental control and child protection and calling transition care harmful.  They note that transgender people have higher rates of depression and suicide.  Research shows that transition care — which can involve puberty blockers, hormones or surgery, though minors rarely receive surgery — can improve mental health.

Over all, the list goes on and on and on.  I have not even touched on issues related to climate change which several state governments continue to ignore and disavow.  I used to look up to the U.S., but no more.  Its policies now represent the elements of one very sick society.

Leave a comment »

Republicans Facing Several Major Serious Issues Within Party Before Mid-Terms

Well, I just learned from a Washington Post report that former President Trump’s actions are now being investigated by Justice Department prosecutors as part of an inquiry into efforts to overturn the results of the 2020 election.  Recent testimony before the January 6th House committee also appears to suggest that there is enough evidence to conclude that the former president and some of his allies might have conspired to commit fraud and obstruction by misleading Americans about the outcome of the 2020 election and attempting to overturn the result.  The Republican Party establishment must be greatly disturbed by what is coming out of the committee’s public hearings, although many Republicans in Congress are still boohooing the hearings as a Democrat plot to malign Trump’s reputation.

However, Trump is not helping his case by his recent speeches where he continues to claim that the election was stolen.  What’s worst is the fact that a recent poll of Republican voters taken by the New York Times/Siena College showed that 49 percent said they would back Trump if he ran for the 2024 Republican presidential nomination.  This compared with just 6 percent who said they would vote for former Vice-President Mike Pence and 25 percent who supported Gov. Ron DeSantis of Florida.  The Trump vs. Pence public squabbles has caused many Republicans’ to have frustrations and reservations about a possible 2024 Trump campaign, suggesting that it could cause large numbers of Republican voters to defect from the party in a general election.  Donald Trump and his rowdy supporters won’t just go away!

In addition, it has been reported that online fundraising has slowed across much of the Republican Party in recent months, an unusual pullback of small donors that has set off a mad rush among Republican political operatives to understand why — and reverse the sudden decline before it damages the party’s chances this fall.  Exacerbating the fundraising problems for Republicans is that Trump continues to be the party’s dominant fundraiser.  Indeed, pro-Trump super PACs had amassed more than $100 million by last summer.  Yet virtually none of the tens of millions of dollars he raised has gone toward defeating Democrats.  The money has instead funded his political team and retribution agenda against Republicans who have crossed him.  Of course, money alone does not win political races, but any lack of funds can hamper party campaigns.

Then there has been the recent decision by the primarily conservative Supreme Court in overturning Roe v. Wade that has set off an array of attacks by women’s groups over the withdrawal of abortion services and the banning of abortion practices in Republican governed states.  Take this issue into consideration and the potential attack by Republicans on LGBTQ+ issues, including same sex marriages, there is a growing movement against what are being depicted as extremist right-wing policies.  The Democrats may be able to use the far right Republican platforms in their mid-term campaign to galvanize their rank and file and to secure the support of frustrated interest groups.  Much will depend on how Congressional Republicans handle certain initiatives in the coming months, including that which would protect the legitimacy of same sex marriages.

At the state level, there is little doubt that in those governed by Republicans there are still enough conservative votes to win the day and maintain their power.  However, at the federal level, the Republicans definitely appear to be in trouble, especially if Donald Trump is capable of riling up his base.  It will be interesting to see if the Republicans can resolve their evident split within the party before the mid-terms and most certainly in time for the next presidential election.  To the distress of the Republican establishment, Donald Trump and his allies are continuing to schedule events and are raising money for initiatives intended to make the former president a central player in the midterm elections, and possibly to set the stage for another run for the White House. 

One would love to be a fly on the wall at behind-the-scene discussions among leading Republican strategists.  I’m certain that they have a lot of serious issues to talk about!

Leave a comment »

Incredible Scenes of Democratic Representatives in Congress Being Arrested During Protests

Earlier this past week during an abortion rights protest over the Supreme Court’s recent decision to overturn Roe v. Wade, at least 17 Democratic lawmakers were among the 35 people arrested by the Capitol Police for blocking traffic outside the courthouse.  The arrest of lawmakers in this manner is something almost unheard of in Canada.  Canadian legislators tend to be somewhat docile when outside the House of Commons in Ottawa.  The most that Members of Parliament (MP) will do is to attend peaceful protests on the front lawn of Parliament’s centre block, sometimes to speak in support of some cause or another.  I can’t remember the last time that an MP was arrested as part of any protest in Ottawa.  However, back in March 2018, two federal politicians, including Green Party Leader Elizabeth May and New Democratic Party (NDP) MP Kennedy Stewart, were arrested at a protest against Kinder Morgan’s Trans Mountain federally approved pipeline expansion in Burnaby, British Columbia.

On the other hand, in Washington, such incidences among House Representatives appear to have happened in other cases.  Indeed, it was reported that Rep. Judy Chu, D-Calif., was arrested last month outside the Supreme Court for protesting.  In July 2021, Rep. Joyce Beatty, D-Ohio, chairwoman of the Congressional Black Caucus, was arrested at the Hart Senate Office Building for protesting in favor of voting rights legislation.

Protests are protected by the First Amendment of the American Constitution, but like in Canada, there is still the need for protesters to abide by laws.  In the most recent incident, the U.S. Capitol Police tweeted about the situation: “Demonstrators are starting to block First Street, NE. It is against the law to block traffic, so officers are going to give our standard three warnings before they start making arrests.”  In light of the minor violation, those arrested were later released at the scene, with police telling the ABC News they were likely to face a $US50 ($72.48 Canadian) fine.  Among those arrested was Alexandria Ocasio-Cortez, D-NY, who became the youngest woman elected to the House of Representatives, and has rocketed to political notoriety.  The arrests of Rep. Ocasio-Cortez and the other Democrats resulted in coverage by a large number of news media outlets and extensively by social media sources.  There is little doubt that this type of media coverage involving lawmakers gives a protest a good deal of press, good and bad.

Former charismatic Prime Minister Pierre Elliott Trudeau, who was PM from 1968 to 1979 and from 1980 to 1984, once exclaimed to the house speaker that opposition MPs were nobodies once they were “50 yards from Parliament Hill”.  Of course, that was before social media and daily digital news.  Most recently, several opposition Conservative MPs, including leadership contender Pierre Poilievre, met with the illegal Trucker Convoy which had occupied the streets in front of Parliament for over three weeks in February of this year.  The New York Times wrote that the Conservatives, the only other party to form a government in Canada, were readying for a fight and saw the truckers and their followers not as outcasts but as political currency that can bring in votes — and money.  With his photo-op, Poilievre was depicted as the protesters’ political champion at the time, although as the illegal occupation continued Conservative support was condemned by many Canadians, and most certainly by those living in Ottawa at the time.  No other party MPs met with the protesters, viewing the occupation as being unlawful, eventually being removed by the police and leading to the arrests of dozens of protesters.  The social and economic impact of the occupation ultimately led to the federal government’s invocation of the Emergencies Act to facilitate the removal of occupying vehicles from streets within the Parliamentary precinct in Ottawa.

In general, Canadian legislators tend to avoid participation in protests, many of which occur in the capital on a daily basis.  Even members of the left-wing NDP are normally careful not to participate in protests outside of the legislature, particularly those involving extremists.  The one big difference in Canada is the more apolitical system used for appointing federal justices, including those appointed to the Supreme Court.  With the highly politicized recent decisions of the U.S. Supreme Court — comprised of four conservative-leaning justices who were appointed during the Trump administration — it is not surprising that protests have erupted outside the Supreme Court.  What’s surprising is the participation by members of Congress in such protests and their subsequent arrests by Capitol Police!  This is something that is unheard of in Canada — perhaps somewhat regrettably in certain cases.  However, time will tell for our “nobodies”.

Leave a comment »

How Bans On Abortions Have Implications For American Companies And Canadian Health Care

The recent overturning of Roe v. Wade by the U.S. Supreme Court has wide-reaching implications for major American corporations and for the health care system in Canada.

The New York Times reports that American employers are scrambling to prepare for possible legal challenges to their health care policies, as well as responding to scrutiny of their past political donations to politicians who supported abortion bans.  Some companies are exploring whether abortion-related travel costs would be reimbursed through medical plan providers, and employees can use their time off without noting the reason.  In addition to travel for primarily surgical abortions, new health care policies could also cover lodging, meals and child care.  Companies mentioned in the article include Disney, Macy’s, H&M, Nordstrom, Nike, Dick’s Sporting Goods, Goldman Sachs, Bank of America, Snap, Starbucks and Yelp.  Salesforce and Google have both said they would even move employees who want to leave states where abortion is banned.  In some states, companies providing such assistance will most likely face political backlash from anti-abortion groups and possibly from state governments themselves.

For these companies, besides the extra expenses, what their support for employees seeking an abortion implies is that the potential impact on a woman’s privacy is a great concern and one possibly affecting her future employment.  Medical plan providers are certainly aware of privacy concerns, as they would be for any other personal health matters.  In addition, while there are currently no states with bans prosecuting women who travel out of state for an abortion, some legal experts think that those laws could be possible in the future.  As well, companies will have to be aware of state government attempts to use existing laws to prosecute abortion travel.  Apparently, Republican legislators in Texas have already said they plan to introduce legislation penalizing companies that pay for out-of-state abortion travel. 

In Canada, although we have legalized abortion under the federal Health Act, access to abortions services is limited in certain provincial and territorial jurisdictions which are responsible for the actual provision of health services.  For Canadians, the costs of an abortion are covered under Canada’s universal health insurance.  It is anticipated that many American women will be forced to travel across state lines to access abortion — barring those who can’t leave family, jobs or can’t afford to.  Some will even travel across international borders to Canada or Mexico in order to have the medical procedure done.  It is uncertain whether the health insurance providers of American companies will pay for surgical abortions performed in other countries such as Canada.  According to Action Canada for Sexual Health and Rights, the three provinces that may be most affected are Québec, Ontario and British Columbia.  Other provinces and the territories are less able to accept Americans for abortion-related services.  Any foreign increase in demand for such services will no doubt put a major strain on existing services.

According to the U.S. Centers for Disease Control and Prevention (CDC), abortions using medications made up about 42% of procedures in 2019, while surgical abortions accounted for 49%.  In addition, American women with family incomes less than 100% of the federal poverty level accounted for almost half of all abortion patients in 2014.  It is therefore very unlikely that these women, especially poorer Black and Hispanic women, would hold good paying jobs in any of the American companies noted above.  The additional problem for American women is that abortion medications are much harder for women to access, and unaffordable unless covered by health insurance providers.  It has been reported by one of Canada’s primary abortion pill manufacturers that it is increasing supplies of Mifegymiso amid growing demand in this country and questions over what the impact of overturning Roe v. Wade will be.

In general, it is suggested that Canada should prepare for what is referred to as an increase in ‘abortion tourism’ out of the U.S.  There is little doubt that there will greater costs to American companies and Canadian abortion services, not to forget the tremendous physical and mental health costs to affected American women.

Leave a comment »