Politician Advocates Birth Control for Welfare Recipients

Elise Foreman, Resident Blogger (‘16, Emory University School of Law)

Stories depicting the regulation and subsequent criminalization of the poor are far too common, almost mundane, in a country that espouses the virtues of democracy and asserts constitutional rights in the drop of a hat. However, the recent kerfuffle in Arizona points to something even more sinister baked into America’s apple pie coating. Earlier this week, the state’s GOP vice president (rightfully) resigned his post after advocating for sterilization of the state’s Medicaid recipients. This cracker-jack reasoning was punctuated with the statement: “. . . if you want to (reproduce) or use drugs or alcohol, then get a job.” (Full story here). The debate over drug testing for government aid recipients has been dissected ad nauseum, and fortunately been struck down in the courts. (For a review of this issue, see The Huffington Post’s collection).

But this latest call for sterilization should cause hesitation in even the most conservative thinkers. In a political climate that still hotly debates abortion even 40 years following Roe v. Wade, these statements point to a dissonance in the reproductive debate. Certainly there is a difference between birth control and abortion, however the point remains centered over the control one has over his or her reproductive future. Individuals, by virtue of being human, claim the right to exercise complete autonomy over their reproductive choices; this right is not premised on his or her financial situation or employment status. Regulating the reproductive choices of an individual based upon his or her Medicaid status demonstrates that such individual should be disallowed of this inherent human right because he or she is in fact less than human. No person or entity should breach another’s bodily integrity, nor advocate for rules that do so. For once and for all, get the government out of these intimate decisions and focused on topics it should be discussing. I have a list.

Special Prosecution of Women Who Use Drugs During Pregnancy Or … Happy One Month Anniversary Tennessee SB 1391 – and Here I Forgot to Get You a Gift.

Gavin Barney, LSRJ Summer Intern (’16, University of California, Berkeley School of Law)

The start of August marked a somewhat ignominious one month anniversary this year: a short thirty-one days earlier Tennessee became the first state in the union to specifically criminalize drug use during pregnancy. On July 1st, the state enacted SB 1391, which enables prosecutors to bring assault charges on the behalf of a fetus against women who use narcotics while pregnant.  Just over a week later, 26-year-old Mallory Loyola became the first target of the law.

In a twisted kind of way, Tennessee’s approach to criminalizing pregnant women is almost refreshing.  The Volunteer State is by no means the only state to treat drug using and drug addicted pregnant women with prison sentences and loss of parental rights instead of … well … treatment. Not by a long shot. Other states prosecute pregnant women at high levels with three main methods: child abuse and endangerment laws, laws prohibiting delivery of illegal drugs to minors, and fetal murder/manslaughter statutes.

Alabama prosecutes pregnant women in a particularly roundabout and unnerving method. Since 2006, Alabama has arrested at least 100 pregnant women for the crime of “exposing their child to a meth lab” using a chemical endangerment law designed to prosecute people who bring children to dangerous locations. To make matters worse, the Alabama Supreme Court deemed it necessary to affirm this usage of the chemical endangerment laws in back to back years – holding in 2014 that the statute’s use of the word “child” “plainly and unambiguously includes unborn children.”

Medical and public health organization such as the American Medical Association (AMA) and the American Academy of Pediatrics (AAP) have criticized these punitive practices for putting both mothers and fetuses at risk by discouraging women from seeking prenatal care for fear of being turned in.* Additionally, the American College of Obstetricians and Gynecologists (ACOG) has stressed that treatment, not incarceration, must be the approach to these cases.

However, at a broader level, policies like those in Tennessee and Alabama are most horrifying and destructive because they answer the question “are pregnant women still people with full rights?” with an emphatic “hell no they’re not!” Like other personhood-type policies, special criminal prosecutions pits pregnant drug using and addicted women in conflict with their fetus, putting the full force of the law on the fetus’s side (or at least against the woman).

For more information on criminalization of pregnant women, check out LSRJ’s fact sheet on “Regulation of Pregnant Women,” and for LSRJ chapters interested in hosting an event on the issue, LSRJ is releasing an Event Toolkit on Criminalization of Pregnancy and Shackling of Incarnated Pregnant Women.

*Note that fifteen states require health care providers to report suspected drug use during pregnancy.

WHPA Revives Debate over Abortion Restrictions at Senate Judiciary Committee Hearing

Rhiannon DiClemente, Guest Blogger (’16, Temple University Beasley School of Law)

Early Thursday morning on July 15, 2014, the Senate halls were bustling with interns, staff members, and local advocates eager to witness the Senate Judiciary Committee hearing on S. 1696, also known as the Women’s Health Protection Act of 2013 (WHPA). Attendees, who managed to overflow the room, patiently awaited testimony provided by members of Congress, doctors, and activists, both for and against the bill. In light of the decisions in Hobby Lobby and McCullen, it was reassuring to see politicians taking a long over-due stand to protect a woman’s constitutional right to determine whether and when to bear a child or end a pregnancy.

The bill, sponsored by Sen. Richard Blumenthal (D-CT), addresses medically unnecessary state restrictions claimed to “protect” women’s health. It requires that state legislators prove state laws restricting abortion are in fact medically necessary, rather than politically or ideologically motivated. It also requires that states regulate abortion providers in exactly the same way they do other clinics and doctors who provide comparable services. The bill has its shortcomings, such as failing to address clinic violence, insurance prohibitions, and parental consent laws, as a March 2014 blog post highlights. However, it is an important step forward in combatting laws that have a disparate impact on low-income women, immigrant women, LGBT persons, and women of color.

Why is this bill important? As a LSRJ chapter leader at Temple University School of Law and a summer legal intern at the Center for Health and Gender Equity (CHANGE), I know that despite the fact that we have Roe , the web of state restrictions has decimated abortion access. In states like Louisiana, Texas, and Mississippi, the situation is dire. In 2012, the Mississippi legislature passed HB 1390, mandating that any physician performing abortions in the state have admitting privileges at an area hospital (an unnecessary practice). During the Senate committee hearing, Dr. Willie Parker, a board-certified OB/GYN and the last physician providing abortion care in Mississippi, testified that despite 13 attempts to gain admitting privileges at regional hospitals, not one of his requests has been granted. This is just one example of how seemingly ‘safety-oriented’ legislation is really aimed to shut down clinics and restrict abortion access.

At the hearing, Rep. Janet Chu (D-CA27) testified that between 2011 and 2013, states passed over 200 restrictions blocking access to abortion services. This translates to more restrictions on women’s health care in three years than in the entire preceding decade. Sen. Tammy Baldwin (D-WI) highlighted that these restrictions have forced women to travel greater distances and endure longer wait times to obtain an abortion. “The effect of these laws is that a woman’s constitutional right now depends on her zip code,” stated Rep. Chu, “We need laws that put women’s health and safety first – not politics.”

By speaking out against arbitrary restrictions that do not reflect medical best practice standards, supporters of S. 1696 have declared their respect for the constitutional right to access abortion services and trust in a woman’s ability to make the best choices for her own health and life.

Full testimony can be found here.

New Study Debunks Six of the Worst “Myths” About Sex-Selective Abortion

Gavin Barney, LSRJ Summer Intern (’16, University of California, Berkeley School of Law)

The documentary It’s a Girl was released in 2012 to immediate acclaim in traditionally progressive and pro-choice corners – the Amnesty International Film Festival made it an official selection and Ms. Magazine called the movie “unflinching” in its positive review. Fully titled It’s a Girl: the Three Deadliest Words in the World, the film describes the problem of son preference in India and China, telling how, tragically, as many girls are “eliminated” yearly in those countries as are born in the United States. However, the documentary was not quite what it appeared: a 2013 article in Slate uncovered that It’s a Girl was produced with strong, but well hidden, ties to an organization called Harvest Media Ministry that makes anti-choice videos. The film also has a subtle, but real anti-abortion message. The really troubling thing about It’s a Girl is not necessarily who produced it however – anti’s are not automatically incapable of producing material of worth. Rather, the problem is how films like this fit into the narrative of another issue here in the United States: the recent onslaught of “sex-selective abortion” ban legislation that impose criminal penalties on the performance of an abortion sought because of the sex of the fetus.

CaptureLast week I attended a talk coinciding with the release of a new report on the issue of sex-selective abortion bans called “Replacing Myths with Facts.” Produced by Advancing New Standards in Reproductive Health (ANSIRH), National Asian Pacific American Women’s Forum (NAPAWF), and the University of Chicago, the study identifies six common and damaging myths and misconceptions that have allowed sex-selective abortion bans to worm their way into so many legislative sessions. Chief amongst these myths is that male-biased sex ratios “are proof that sex-selective abortions are occurring,” (spoiler: there are other major factors at play) and that the “primary motivation behind laws banning sex-selective abortion in the United States is to prevent gender-based discrimination” (another spoiler: it’s really about restricting access to abortions in general).

The speakers began their presentation by introducing the room to It’s a Girl. It was suggested at the talk, and I am inclined to agree, that one of the reasons both that It’s a Girl has been a hit among pro-choice people and that anti-choice organizations and politicians have so aggressively pushed sex-selective abortion bans is that the issue of sex selection is particularly uncomfortable for pro-choice folks. The notion that people would be actively choosing boy babies over girl babies, and acting on those choices, is disturbing to any person with even the broadest feminist beliefs. Additionally, recent technological innovations that potentially open the door to allowing people to use artificial reproductive technologies to choose traits, including sex, for so-called “designer babies” make questions of sex preference more current and significant. In light of these realities, it is not terribly surprising that many normally pro-choice people may be willing to start carving out exceptions to abortion access – and it is equally unsurprising that racial stereotypes and misconceptions have played a major role.

This, of course, is where “Replacing Myths with Facts” comes in. In its introduction, “Replacing Myths” explains how proponents of sex-selective abortion bans focus on “the problem of ‘missing women’ in China and India in particular” to justify their policies. They rely on and reinforce stereotypes that people in the Asian and Pacific Island community bring these presences and practices to the US. This is myth #5 that “Replacing Myths” debunks: the most recent studies have found that foreign born Chinese, Indians, and Koreans actually “have more girls overall than white Americans.” This is a particularly important myth to debunk because the way the laws are designed – putting the onus on the health care provider to deny abortions based on son preference with the threat of criminal sanctions –opens the door to doctors generally denying API women abortions out of stereotype fueled fear.

Sex-selective abortion bans have become an extremely prevalent tactic to limit abortion access, and the fact that these policies are based heavily on racist stereotypes and spread by playing on people’s racial misconceptions make this an issue of particular import to supporters of reproductive justice. I encourage you to read “Replacing Myths with Facts” and to inoculate yourself as best you can against the lies around sex-selective abortion.

Nouns and Adjectives and Why Neither Addresses the Issue

Sasha Young, LSRJ Summer Intern (’16, Northwestern School of Law)race-391x260

Last weekend at LSRJ’s annual Leadership Convention I co-moderated the Women of Color Issue Caucus. The name struck me. I hadn’t realized that we were called “people of color” now.  Minority? Non-white? Person of color? The landscape of terms to describe race in America is full of landmines, and it looks like “people of color” is the new standard of political correctness. I find this to be problematic in some significant ways. First of all, I don’t think it’s any better or worse than most other terms. Secondly, I think it still fits into the same structure of white being the default or standard. Lastly, it prevents some people from doing the legwork of thinking about race and its complexities.

Whenever someone uses the term “person of color,” they are referring to a group of people who don’t benefit from white privilege. Many people feel like the existing terms describing a group of oppressed-and/or-marginalized-in-one-way-or-another people have been insufficient: “minority” could be technically incorrect in certain places or situations, and “non-white” defines a group by what it’s not. “Minority” might not technically be correct, but neither is “person of color” if you’re referring to a fair-skinned Asian woman who might be the same color as a white person. Race is not just about pigment.

Non-white is probably the most technically precise word to use, but it defines a group as a negative, but in another way so does “person of color.” The default “person” is not “of color” unless you specify so. The frame certainly isn’t that we have “people of color,” and then “people lacking color.” “Person of color” feels like it’s expressing the same concept—that the default is white unless expressed otherwise. Also, it doesn’t go without saying that everyone who isn’t white doesn’t have the same experience. Clumping us all together just supports the structure of supremacy.

Loretta Ross says the term “woman of color” emerged from a racially diverse group of women as a political term denoting solidarity against white supremacy. I can appreciate the political nature, but I think the phrase is often used as a safe word for white people nervous about discussing race. Race is difficult to discuss for everyone, and it’s not clear how to avoid offending anyone. But that difficulty isn’t fixed by using “color” as the object of a prepositional phrase instead of an adjective. I think that finding one word or phrase which we—persons with very different experiences not marked by white privilege—can sign off on is simplistic. There is no simple way around the question, “Who exactly am I referring to?” White people can’t hide behind “people of color” if they are actually referring to black people and Latinos defending their place in law school as more than waiters or gardeners, or Arabs and Muslims constantly being targets of suspicion, or non-white people who are allowed into a “closed” space without white people. The answer to the question “what term is ok to describe people marginalized by white privilege?” is predictable: it depends.

Race is problematic; language describing it is problematic. “People of color” belongs on the same list as “racial minorities,” “racially marginalized people,” and “non-white people.” They are all phrases that can be appropriate, inappropriate, offensive, or fine depending on how and by whom they are used.

 

See this and this for more.

The Changing Abortion Conversation in Latin America and the Caribbean

Sasha Young, LSRJ Summer Intern (’16, Northwestern School of Law)

I recently saw a film that caught me by surprise, “La Espera” (released in the States as images“Expecting”) by Chilean filmmaker Francisca Fuenzalida. The film is devoted to one night, when Natalia and Rodrigo, a teenage couple from Santiago, self-induce an abortion with Misoprostol. The film was released in 2011 to critical praise for great filmmaking and the courage to tackle the subject of abortion in a country with one of the strictest abortion bans in the world.

Earlier this year I traveled to Chile, the skinny country that lines the western coast of South America, with a bit of angst over what I would find. I wondered what a country that in the last 50 years had a socialist president, a revolution, and a dictator [who, despite his human rights violations, brought incredible economic development and one of the most oppressive abortion laws in the world] would actually look like. I’d heard stories from friends about their own botched Misoprostol abortions, and I’d read about little Belén, the 11-year-old girl who was raped by her mother’s partner and then praised by the former president for deciding to continue her pregnancy. What I found was a country where, although it’s not uncommon to see hormonal teens passionately rolling around the manicured lawns of el Cerro Santa Lucía or see street art cursing the bourgeoisie, the conversation about abortion is hard to find.

I worked in an abortion clinic in Bogotá, lived beside an abortion clinic in Mexico City, and marched to stop restrictions on reproductive rights in Atlanta. I’m from a little island where abortion is still illegal, but even there in Aruba, the conversation of abortion happens. So I was really excited a few weeks ago to hear a debate happening around new Chilean president Michelle Bachelet’s plans to introduce therapeutic abortion exceptions to Chile’s abortion law later this year. The controversial president is a physician by profession, a single mother of three children, and possibly made of steel considering the political risk she’s taking with this new initiative. Abortion is a controversial topic, but in a region with one of the highest rates of teenage pregnancy, where bad abortions are the leading killer of young women, and where criminal penalties for abortion disproportionately affect poor women, we have to at least have a conversation about what reproductive justice in our region looks like.  The winds are changing throughout Latin America and the Caribbean, and having an open and honest conversation is the first step to achieving equal access to tools that help us decide when, how, why, and if we want to parent.

 

Reproductive Oppression Comes at a Cost, Literally

Grace Ramsay, LSRJ Summer Reproductive Rights Activist Service Corps (RRASC) Intern (’16, Smith College)

In 2010, I needed emergency contraception.  Asking my moms (yes, moms) for help was out of the question. So, I waited in the CVS parking lot while my 18 year old friend bought it for me because I was sixteen and Plan B was not yet over the counter. If my friend had said no, if I couldn’t afford the $50 upfront charge, or if I lived in a different state, there’s a good chance I wouldn’t have gotten the morning after pill at all.

Contraception access should not depend on your age, your provider or pharmacist’s religious beliefs, or the employer you work for. Naturally, I was dismayed to see the Supreme Court decision that allows corporations to refuse birth control coverage on religious grounds.  Justice Ruth Bader Ginsberg  reminds us that reproductive oppression comes at a cost, literally: “It bears note in this regard that the cost of an IUD is nearly equivalent to a month’s full-time pay for workers earning the minimum wage.” 

My snarky feminist side can’t help but wonder, (as so many have already lamented,) how come Hobby Lobby still covers vasectomies and Viagra? And why are condoms are available at practically any store, to any age, but it took until last year to have OTC emergency contraception? Can it be as simple and paternalistic as men not wanting women to have control over their personal reproductive decisions? I’m trying to remain hopeful that the outpouring of negative response to the Hobby Lobby decision will translate into renewed activism for reproductive justice.  In the meantime, I have to keep remembering that progress does not move in a linear direction and we have to keep up the good fight.

It’s the World Cup Again! Time to think about RJ.

Gavin Barney, LSRJ Summer Intern (’16, University of California, Berkeley School of Law)

I adore the World Cup.  I try my very best to spare my friends and loved ones, but I could happily talk all their ears off about the tournament all day without it ever getting old. And the fact that this year’s games are taking place in Brazil – the spiritual home of futebol – has made it all the more exciting.

However, given the ludicrous scale of this kind of global sporting event, some of the most important, fascinating, moving, and upsetting stories have taken place outside the newly built stadiums and team base camps. For example, with the collective eyes of the world trained on Rio de Janeiro and São Paulo in the months preceding the games, Brazilian citizens spilled into the streets to protest their government’s allocation of massive funds to stadium building at the expense of transportation, education, healthcare, and other vital services. Events like the World Cup or the Olympics give people around the world a unique opportunity to learn about the internal issues of the host nation because mainstream news outlets give the country more in-depth coverage than they ever would otherwise.

You might be wondering, well what does the World Cup have to do with RJ? Well, several articles have been cropping up about the effects the World Cup has had on sex work in host cities around Brazil. The tone and content of articles have varied widely, and while the influx of tourists and media has created an environment of heightened exploitation, it has also given some Brazilian sex workers an opportunity to be heard on a world stage.

Sex work is legal in Brazil, so long as the worker is over the age of eighteen, but according to the Huffington Post, the World Cup is expected to cause a marked increase in child prostitution in areas near the stadiums. The HuffPo article points out that this type of phenomenon is all too common and cites an expert writing on human trafficking at this year’s Super Bowl who wrote that events that attract huge numbers of (male) fans “could never not be breeding grounds for sexual exploitation.” Apparently, the last two World Cups also saw increases in child exploitation as high as 30-40%, and this year’s tournament will once again juxtapose the vibrant celebration of the games with the tragic reality of human trafficking. As advocates for reproductive justice –or any kind of social justice for that matter – this type of pattern is unacceptable, and the notion that it is just the-way-these-things-are needs to be strongly countered.

Elsewhere, in an altogether different kind of story, RT.com reported on a public pick-up style game of soccer played between professional (adult) sex workers and a group of American Christians on a street in Belo Horizonte. The “naked match” was organized by the Prostitutes’ Association of Minas Gerais to draw attention to sex workers’ rights and to protest prejudice and stigma. Above all else, these members of the “naked Brazilian forces” called for their profession to be treated like any other legal job. In addition to providing a refreshing take on the dignity of sex work, this event has produced some of the most striking images I have seen during the World Cup. I highly recommend that you take the time to look through them.

Ultimately, I’m not entirely sure what to take from these stories or how they should color my enjoyment of the actual soccer matches. Just as the World Cup itself is complex – simultaneously a bloated and exploitative celebration of excess and an event of pure joy – this small sample size of media coverage speaks to many more complicated issues than these journalists have the time or inclination to fully flesh out. But in the end, I suppose it is just more proof that there are very few things in this world that don’t lend themselves to some thoughts on reproductive justice.

Anti-shackling Laws and Fetal Rights – Finding the Common Ground

Deodonne Bhattarai, Resident Blogger (’12, Northeastern University School of Law)

The “Birthing Justice” panel at the recent Civil Liberties and Public Policy Conference at Hampshire College celebrated Massachusetts’ recent success in passing an anti-shackling bill.  It also highlighted the dangers inherent in treating pregnant people differently from non-pregnant people. These two issues, at first seemingly at odds with each other, point to an important lesson for those pursuing the protection of pregnant people forced to give birth while in state or federal custody – as important as anti-shacking laws are, it is crucial that they be drafted using language that empowers the pregnant woman rather than in a way that protects the unborn fetus.

Fetal separateness laws ultimately convey legal rights upon the fetus, often from the moment of conception. As Lynn Paltrow, Executive Director and founder of National Advocates for Pregnant Women has explained, there is no way to grant rights to an egg, embryo, or fetus without diminishing the rights of the pregnant person. Over the last three decades, hundreds of women have been charged with crimes due to pregnancy related conduct and we have seen the application of existing criminal and civil child protection laws upon pregnant women in unprecedented ways.

For example, pregnant women who test positive for drugs have been charged with assault with a deadly weapon – the deadly weapon in these cases is the drug and the assault is the in-utero transmission of that drug from the woman to her fetus. Pregnant women have also been charged with contributing to the delinquency of a minor, unlawful child neglect, and child endangerment. Even women participating in government sponsored methadone programs have had their newborns taken away due to in-utero “abuse” when the baby tested positive for the drug. Certain conduct including attempted suicide as well as being HIV positive, has subjected pregnant women to charges of murder, feticide, and sentencing enhancement triggers. Late last month, Tennessee passed the nation’s furthest reaching law, a law that subjects any woman struggling with drug addiction to criminal prosecution based upon her pregnancy outcome.

The creative application of laws upon pregnant people is not only destructive to maintaining family unity but is also counterproductive in assisting with any mental health issues or drug addictions the pregnant person might have.  As Paltrow explained in a recent interview with NPR, “The biggest threats to life, born and unborn, do not come from mothers. They come from poverty, barriers to health care, persistent racism, environmental hazards and prosecutions like these that will frighten women away from getting help from the problems they do have.”

The shackling of pregnant, laboring, and post-natal inmates has been outlawed in eighteen states. When asked about Massachusetts’ pending legislation, Megan Amundson, executive director of NARAL Pro-Choice Massachusetts stated, “Shackling pregnant women is unsafe and inhumane, and it is shocking that this barbaric practice continues today.”  As prisoners rights advocates understand, shackling any human, pregnant or not, is inhumane and barbaric but while we wait for greater criminal justice reforms, we must remain vigilant.  As anti-shacking legislation continues to gain momentum, it is incumbent upon reproductive justice advocates to ensure that such laws are constructed carefully so as to protect women’s rights while avoiding language that would strengthen fetal separateness jurisprudence. For not only do fetal rights laws potentially curtail abortion rights by establishing dangerous precedent but they also create a maternal-fetal conflict by pitting the woman’s autonomy, right to privacy, and right to bodily integrity against those of her fetus.

Trans Sex Workers and Reproductive Justice

Candace Gibson, Resident Blogger (’12, University of Utah S.J. Quinney College of Law)

The reproductive justice and LGBTQ liberation movements share the values of bodily autonomy and sexual liberation and believe that all persons should have the resources they need to form the families they want.  However, many of these desires, including bodily autonomy, are often denied to trans persons, especially trans sex workers, many of whom are trans women of color. At a recent conference that I attended, Cyndee Clay, Executive Director of HIPS, painfully articulated the experiences of trans sex workers and their attempts to survive in our economy.  She had mentioned how trans sex workers not only faced violence from their clients but also from the police as they were arrested, how police officers often sexually harassed these individuals. In 2013, a D.C. police officer shot three transgender women in a car after one of the transwomen refused to provide sex for money.  Clay also discussed how often young trans persons were forced onto the streets because their families rejected who they were and that trans persons are excluded and erased from larger conversations on anti-trafficking efforts, unfortunately nothing new to many of us in different movements.

Clay’s comments remind me that we still live in a society hung up with gender, body parts, and the selling of sex.  Unfortunately, through our regulation and, in this case, criminalization of sexual desire for sale, we often harm and kill the most vulnerable without providing critical solutions and resources for those who are merely trying to survive.  Survival should not be the standard for some-we should all have the resources we need to thrive as persons and as members of our community.

Maybe, it’s time for the broader reproductive justice community to center the voices of sex workers, especially trans sex workers, in our conversations.  It may be hard at first but we have never shied away from a challenge.