WEBVTT - Abortion: The Body Politic, Part 1

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<v Speaker 1>I consider my abortion the greatest act of self love

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<v Speaker 1>that I did. I chose my life like I chose Michaels.

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<v Speaker 1>And the reason why I get so emotional is it's

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<v Speaker 1>just thinking back and like wishing I could go back

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<v Speaker 1>and hug myself and um and tell myself that that

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<v Speaker 1>it's okay to have an abortion. And that's what I

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<v Speaker 1>want every wants to know. It's May eleven, eight ten

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<v Speaker 1>in the morning, and we are here at the last

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<v Speaker 1>standing abortion clinic in the entire state of Missouri. It's

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<v Speaker 1>a great, pretty nondescript building with a very large royal

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<v Speaker 1>blue Planned Parenthood sign in the front. What has been

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<v Speaker 1>like for the people working here? What has been like

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<v Speaker 1>for the people coming here? That's what we're here to

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<v Speaker 1>find out. Hi, ladies, good morning, How are you good.

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<v Speaker 1>Nice to see you. My name is Nicky and I'm

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<v Speaker 1>a registered nurse at the Planned Parenthood location in St.

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<v Speaker 1>Louis also though in Fair Behinds, Illinois. There's twelve recovery

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<v Speaker 1>chairs in this area, and there was a time where

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<v Speaker 1>it was packed and we were super busy and um,

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<v Speaker 1>we would see fifty patients in a day. But because

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<v Speaker 1>of the restrictions, it just is not worth it for

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<v Speaker 1>patients to jump through this many hoops. I have all

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<v Speaker 1>these activist friends in St. Louis that are are in

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<v Speaker 1>Missouri that are panicking about you know, the ROVERSUS wade

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<v Speaker 1>news in Texas and Oklahoma and whatever, and I'm like, guys,

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<v Speaker 1>we're ahead of them. It's like this is already happened here,

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<v Speaker 1>Like they just don't know that. They don't understand. But

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<v Speaker 1>this has been going on since late so we, I mean,

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<v Speaker 1>we effectively are I almost feel like it's symbolic U

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<v Speaker 1>to do abortions here just to be able to say

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<v Speaker 1>we can still provide that service. But it doesn't make

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<v Speaker 1>sense staffing wise, it doesn't make sense for the patients.

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<v Speaker 1>It's just too many restrictions. The dominoes keep falling in

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<v Speaker 1>the push to overturn Roe V. Waing the abortion flashboard

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<v Speaker 1>all across the country, the Ohio governor signing today the

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<v Speaker 1>most restrictive abortion law in the country, Alabama passing the

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<v Speaker 1>nation's most restrictive abord Today, Missouri became the latest state

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<v Speaker 1>to pass what Oklahoma passing a near total Texas law

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<v Speaker 1>that would face up to fifteen years in prison nine

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<v Speaker 1>years in prison for performing an abortion immediately. Hi everyone,

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<v Speaker 1>I'm Katie Kuric and this is Abortion The Body Politic,

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<v Speaker 1>a six part series from Katie CURRK Media and I

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<v Speaker 1>Heart Media. Good fifty years ago this January, the landmark

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<v Speaker 1>ro VERSUS Way decision guaranteed the right to a safe

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<v Speaker 1>and legal abortion. In just a few weeks, the Supreme

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<v Speaker 1>Court is expected to reverse that decision. This could be

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<v Speaker 1>the most consequential opinion in decades. Hundreds of protesters rallied

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<v Speaker 1>outside the Supreme Court Monday evening afternoons of the Court's

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<v Speaker 1>draft opinion broke. While the US is taking away that right,

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<v Speaker 1>the rest of the world is riding a wave of

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<v Speaker 1>abortion law liberation. Mexico's Supreme Court unanimously ruled on Tuesday

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<v Speaker 1>that penalizing abortion is unconstitutional action. This is my friends,

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<v Speaker 1>This is a time to act that This is not

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<v Speaker 1>the time to be silent. How did we get here?

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<v Speaker 1>And what will abortion access look like in a post

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<v Speaker 1>row world. Over the course of the next six episodes,

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<v Speaker 1>we're going to try to answer those questions by digging

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<v Speaker 1>into our country's complicated reproductive history, by tracing abortion storylines

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<v Speaker 1>in pop culture, and by looking abroad for potential role models.

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<v Speaker 1>But first we need to start here in the present

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<v Speaker 1>because for so many we're already living in a post

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<v Speaker 1>row world. A lot of the conversations around access right

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<v Speaker 1>now have been concentrated on the legality of rome and

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<v Speaker 1>so one of the things that I keep like saying

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<v Speaker 1>over and over is yes, Rob Wade made abortion legal,

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<v Speaker 1>but not necessarily pessible. My name is Oriaku and Jaku

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<v Speaker 1>Yi and they pronounced and I'm co founder and executive

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<v Speaker 1>director of Access Reproductive Care Southeast. We've been funding abortion

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<v Speaker 1>since July of and every single year there has been

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<v Speaker 1>some sort of abortion banner restriction in every one of

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<v Speaker 1>the states that we work in. About of folks in

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<v Speaker 1>our region live in a county without an abortion provider. Um.

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<v Speaker 1>When we're thinking about the Southeast, the state of Georgia

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<v Speaker 1>has more abortion clinics than Mississippi, Alabama, Tennessee, and South

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<v Speaker 1>Carolina combined. The reality is that people are traveling hours,

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<v Speaker 1>crossing state lines just to get simple healthcare. Oriaki Najaku's

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<v Speaker 1>organization AR Southeast is an abortion fund. Abortion funds have

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<v Speaker 1>become a key part of accessing abortions in today's increasingly

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<v Speaker 1>restrictive climate. In fact, there are more than ninety grassroots

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<v Speaker 1>organizations across the country working to help people get the

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<v Speaker 1>abortions they need. Abortion funds are like mutual aid funds,

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<v Speaker 1>and so essentially we're making sure the material conditions of

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<v Speaker 1>folks who are seeking abortions are being met. And so

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<v Speaker 1>what that looks like is providing rides, lodging, childcare, translation

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<v Speaker 1>and interpretation services. Um. You know, there's like a whole

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<v Speaker 1>range of things as far as things that might be

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<v Speaker 1>barriers for people to get to the appointment, where abortion

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<v Speaker 1>funds step in to support people in their community. According

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<v Speaker 1>to the Goopmaker Institute, one was the worst year for

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<v Speaker 1>abortion rights in almost half a century. Conservative led state legislators,

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<v Speaker 1>emboldened by the Supreme court six to three anti abortion majority,

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<v Speaker 1>enacted one d eight abortion restrictions in nineteen states. That's

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<v Speaker 1>the most of any year since Roe was established. The

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<v Speaker 1>thing is, restrictions don't stop people from seeking out and

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<v Speaker 1>getting abortions. Just look at Texas. After it's six week

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<v Speaker 1>abortion BAM went into effect in September, abortions in that

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<v Speaker 1>state dropped by only much less than expected. Instead, more

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<v Speaker 1>Texans traveled out of state or ordered abortion pills online.

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<v Speaker 1>Once again, here's Oreaku. You know, I think that we're

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<v Speaker 1>prepared for this moment that we're in. Um, We've gotten

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<v Speaker 1>a lot of practice, getting people across state lines, getting

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<v Speaker 1>people out of the region to get care. And for me,

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<v Speaker 1>you know, I'm not taking a doomsday approach and doing

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<v Speaker 1>this work. And it's not to not honor the realness

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<v Speaker 1>you know, of the situation that we're in, but it's like,

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<v Speaker 1>what are we what are we doing? Like, what are

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<v Speaker 1>we building power for? That? Future? To me is like

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<v Speaker 1>so dreamy and so amazing that I'm like, I will

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<v Speaker 1>do whatever it takes to try to get people to

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<v Speaker 1>be like, come on, this is for our collective liberation.

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<v Speaker 1>So how far are you willing to go? What risks

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<v Speaker 1>are you willing to take? Because personally, I don't want

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<v Speaker 1>to be here fifty years from now, still talking about

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<v Speaker 1>the legality of Rome, still trying to figure out how

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<v Speaker 1>to overcome all of these barriers, and I want to

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<v Speaker 1>experience reproductive justice in my lifetime, you know, not only

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<v Speaker 1>for me, but for future generations too. Would you be

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<v Speaker 1>open to sharing your abortion story? Wow? Like, I love

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<v Speaker 1>telling my story. Actually, one of the things that was

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<v Speaker 1>important to us and making this series was sharing first

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<v Speaker 1>person abortion stories because these restrictions, this Supreme Court reversal

0:08:51.200 --> 0:08:56.360
<v Speaker 1>affects real people, real lives, and real families. The stories

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<v Speaker 1>will share over the course of this series span generations,

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<v Speaker 1>socioeconomic status, is gender identities, and the country itself. When

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<v Speaker 1>I had told him that I was pregnant, he was

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<v Speaker 1>kind of like, Okay, we'll go get an abortion, like

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<v Speaker 1>it was going to be so easy, like one too right.

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<v Speaker 1>I found out I was pregnant a week before sp

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<v Speaker 1>E went into effect. All I could think when I

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<v Speaker 1>called planned parenthood was I will not die because of

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<v Speaker 1>this pregnancy and because no one will listen to me

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<v Speaker 1>and no one will help me. We went home that

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<v Speaker 1>day knowing that our pregnancy likely would need to be terminated,

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<v Speaker 1>but with no real clear answer on when we would

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<v Speaker 1>know exactly what was causing the issue. But there's a

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<v Speaker 1>lot of like big abortion clinics um around me where

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<v Speaker 1>they disguised themselves as oh, come here to seek you know,

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<v Speaker 1>you're pregnancy crisis, like abortion care, and they're not really

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<v Speaker 1>there to help you get an abortion. I just remember

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<v Speaker 1>walking in and seeing so many people boll there. So

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<v Speaker 1>we're still in the pandemic and there's at least fifty

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<v Speaker 1>people in that waiting room. And so that alone gave

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<v Speaker 1>me anxiety. And I called my insurance and I was confused,

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<v Speaker 1>and they explained that, oh, actually, only medically necessary abortions

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<v Speaker 1>are covered. I can't afford an abortion. I was a

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<v Speaker 1>Medicaid recipient and because of the Height Amendment that you

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<v Speaker 1>can't medicate recipients, can't you know, use their Medicaid to

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<v Speaker 1>cover abortion costs. It was also a full time student

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<v Speaker 1>at the time a couple of years emancipated from the

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<v Speaker 1>foster care system, so I was essentially like on my own.

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<v Speaker 1>I didn't have any money at the time. I was

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<v Speaker 1>working at like Planet Fitness, so a gym for like

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<v Speaker 1>ten dollars an hour. Despite this being the largest public

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<v Speaker 1>university in the state, the nearest clinic was over an

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<v Speaker 1>hour and a half away. I didn't have a car.

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<v Speaker 1>Public transit in Georgia is questionable at best. I almost

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<v Speaker 1>missed the twelve week mark down her because of how

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<v Speaker 1>it back up. But there is there's only one clinic

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<v Speaker 1>in my area that, um, you know, manages abortion here.

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<v Speaker 1>She refused to give me the medication because she was

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<v Speaker 1>afraid that I would change my mind. I didn't know

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<v Speaker 1>if it was actually gonna work. I didn't know if

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<v Speaker 1>I was going to bleed out. I didn't know what

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<v Speaker 1>to expect, even though I knew an abortion was what

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<v Speaker 1>I wanted. I had spent so many years having shame

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<v Speaker 1>about abortion like instilled an ingrained into me that I

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<v Speaker 1>was too scared to ask any of my friends for help.

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<v Speaker 1>I think that was just like the hardest part of

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<v Speaker 1>it was the feeling that like internalized shame when I

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<v Speaker 1>knew there was nothing to be ashamed about. More than

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<v Speaker 1>thirty people and county have shared their experiences for this project.

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<v Speaker 1>It's my producer, Lauren Hansen, who's been on the listening

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<v Speaker 1>end of most of these stories. Each person's story is unique.

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<v Speaker 1>Sometimes they're totally uneventful, and sometimes they're wrapped up in

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<v Speaker 1>so much trauma and like this raw emotion. But then

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<v Speaker 1>a lot of them have these threads. Like every single

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<v Speaker 1>person I have spoken to, no matter if they had

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<v Speaker 1>a support system around them, no matter if they were

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<v Speaker 1>completely alone and scared, they all felt in some way

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<v Speaker 1>alone and they felt a lot of shame. And it's

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<v Speaker 1>remarkable to me that across decades, across race and class,

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<v Speaker 1>that is true with abortion stories, and it's crazy. And

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<v Speaker 1>that's what all those shout your abortion and we testify

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<v Speaker 1>groups are trying to do, is like this does not

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<v Speaker 1>need to be the case. You yourself had an abortion

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<v Speaker 1>and it's something that you're willing to talk about now,

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<v Speaker 1>perhaps something that you didn't feel comfortable talking about before

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<v Speaker 1>you really explored this whole subject. What has made you

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<v Speaker 1>more willing to tell your story? I mean, it's so funny,

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<v Speaker 1>it's so true. I really hadn't told many people, and

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<v Speaker 1>then I started reporting this and I literally just started

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<v Speaker 1>saying the word abortion. It was like the word abortion

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<v Speaker 1>made me like talk smaller, you know, And by just

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<v Speaker 1>having these conversations, I would want more comfortable and someone

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<v Speaker 1>would share their story and I'd be like, well, actually,

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<v Speaker 1>I had an abortion too, and I felt like it

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<v Speaker 1>helped make us be more on the same page and

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<v Speaker 1>make it like a safe space and to some degree

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<v Speaker 1>I understood what they went through. So I actually, through reporting,

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<v Speaker 1>shared my story just one on one with a few people.

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<v Speaker 1>And I certainly felt that if I was asking others

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<v Speaker 1>to come to the table and share their story, that

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<v Speaker 1>I should absolutely do the same. So yeah, I was like, well,

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<v Speaker 1>I might as well share my abortion story and tell me,

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<v Speaker 1>can you share it with me? Now? Yeah, it's well,

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<v Speaker 1>it's funny. It's definitely one of those that's not it's

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<v Speaker 1>not much of a story because I was so privileged

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<v Speaker 1>to live in New York at the time, have insurance,

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<v Speaker 1>and I had a support system my boyfriend who became

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<v Speaker 1>my husband. We got pregnant. How old were you at

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<v Speaker 1>the time. I was twenty four and I've been out

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<v Speaker 1>of school for a few years. I had just gotten

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<v Speaker 1>what I considered like a real job. Um. I was

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<v Speaker 1>a publicist at an art book company and I was

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<v Speaker 1>being asked to like fly to London for this publicity

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<v Speaker 1>conference and I go to have what I thought was

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<v Speaker 1>my abortion. So I'm already like calling it my boss

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<v Speaker 1>and saying, I have a root canal. I can't come

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<v Speaker 1>in because I know nothing, you know nothing about the process.

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<v Speaker 1>And so I go in and I was really early.

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<v Speaker 1>I was so early that you couldn't see it in

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<v Speaker 1>the the sonogram that goes inside. And at that time,

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<v Speaker 1>which would have been two thousand and four, UM, I

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<v Speaker 1>guess you did have to see it, even in New York.

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<v Speaker 1>And so they were like, you have to come back.

0:15:00.080 --> 0:15:03.560
<v Speaker 1>So I made an appointment, but in between my I

0:15:03.560 --> 0:15:05.600
<v Speaker 1>had a week three weeks, so I was pregnant for

0:15:05.680 --> 0:15:08.760
<v Speaker 1>like three more weeks, which felt crazy to me. I

0:15:08.800 --> 0:15:10.680
<v Speaker 1>flew to London on that trip that I was so

0:15:10.800 --> 0:15:14.600
<v Speaker 1>excited about my first time abroad, and then I was

0:15:14.680 --> 0:15:18.200
<v Speaker 1>out at dinner with like the more senior women and

0:15:18.240 --> 0:15:21.080
<v Speaker 1>they were also cool, like they're editors of these art

0:15:21.120 --> 0:15:24.200
<v Speaker 1>books and I just loved everything about them. And one

0:15:24.240 --> 0:15:26.360
<v Speaker 1>of them was like, Lauren, how was that flight for you?

0:15:26.440 --> 0:15:28.280
<v Speaker 1>And I was like it was fine. They're like, you know,

0:15:28.320 --> 0:15:31.960
<v Speaker 1>because of the the root canal and I was like, yes, yes,

0:15:32.160 --> 0:15:34.880
<v Speaker 1>it actually now that you say it, and stopping to

0:15:34.960 --> 0:15:37.520
<v Speaker 1>eat and you know, just like falling over my lives

0:15:37.560 --> 0:15:40.160
<v Speaker 1>and we get I get back to New York and

0:15:40.200 --> 0:15:44.880
<v Speaker 1>my my appointment is coming up, and I went to

0:15:45.000 --> 0:15:49.440
<v Speaker 1>the Brooklyn based Planned Parenthood and I had my abortion.

0:15:49.560 --> 0:15:52.320
<v Speaker 1>It was unbelievably easy, I think it. I was there

0:15:52.360 --> 0:15:55.520
<v Speaker 1>for maybe like an hour, like remember like being given

0:15:55.560 --> 0:15:57.960
<v Speaker 1>cookies afterward and sitting in this room and there were

0:15:58.040 --> 0:16:01.640
<v Speaker 1>other women in this room and it felt like easy

0:16:01.760 --> 0:16:04.280
<v Speaker 1>and safe, and my boyfriend came and picked me up

0:16:04.320 --> 0:16:07.160
<v Speaker 1>and we walked. I remember walking back to his apartment

0:16:07.640 --> 0:16:10.359
<v Speaker 1>and we watched the OC the rest of the afternoon

0:16:11.000 --> 0:16:13.560
<v Speaker 1>and it was so easy. But I what's crazy to

0:16:13.640 --> 0:16:15.640
<v Speaker 1>me looking back on how easy that was. And I

0:16:15.640 --> 0:16:18.800
<v Speaker 1>felt supported by my boyfriend. There was no question that

0:16:18.880 --> 0:16:21.520
<v Speaker 1>this was my decision, and we were both like a duh,

0:16:21.560 --> 0:16:23.400
<v Speaker 1>Like I just got this job, I had this whole

0:16:23.440 --> 0:16:26.880
<v Speaker 1>life ahead of me. But I never told anyone. I

0:16:27.080 --> 0:16:29.440
<v Speaker 1>lived with like four roommates at the time, and I

0:16:29.480 --> 0:16:32.120
<v Speaker 1>had the light of them or keep it quiet, and

0:16:32.120 --> 0:16:34.880
<v Speaker 1>and it was not for judgment. I mean maybe I

0:16:34.920 --> 0:16:36.720
<v Speaker 1>just didn't know. I didn't know how to share it.

0:16:36.720 --> 0:16:39.280
<v Speaker 1>It felt weird to share, so we just kept it

0:16:39.320 --> 0:16:42.640
<v Speaker 1>between us. And I never told my parents, and then,

0:16:42.880 --> 0:16:46.400
<v Speaker 1>you know, in preparation for this podcast, I was like,

0:16:46.440 --> 0:16:49.160
<v Speaker 1>I couldn't tell my parents. Like my parents are very

0:16:49.200 --> 0:16:52.240
<v Speaker 1>supportive people. So I was on vacation with them just

0:16:52.280 --> 0:16:56.320
<v Speaker 1>the other month and talking about doing this series, and

0:16:56.840 --> 0:16:59.720
<v Speaker 1>it was after dinner and I was like, well, actually

0:16:59.880 --> 0:17:02.800
<v Speaker 1>been meeting to tell you guys that twenty years ago

0:17:02.840 --> 0:17:05.960
<v Speaker 1>I had an abortion. And my mom goes, oh, I

0:17:06.000 --> 0:17:10.359
<v Speaker 1>actually had an abortion too, And I was like what

0:17:13.080 --> 0:17:16.640
<v Speaker 1>And if we just talk about these things, you realize

0:17:16.680 --> 0:17:19.720
<v Speaker 1>like how common it is that thing of you know me?

0:17:19.800 --> 0:17:22.600
<v Speaker 1>Like everybody does know someone who has an abortion and

0:17:22.640 --> 0:17:24.679
<v Speaker 1>it doesn't have to be a story, or it can

0:17:24.720 --> 0:17:28.159
<v Speaker 1>be traumatic, but it exists and it's necessary for that person,

0:17:28.280 --> 0:17:42.080
<v Speaker 1>whatever their reason is. We'll be right back. It's an

0:17:42.119 --> 0:17:47.680
<v Speaker 1>extremely hot day here in Illinois. I am walking into

0:17:47.720 --> 0:17:55.280
<v Speaker 1>the Fairview Heights Planned Parenthood Facility and Regional Logistics Center

0:17:56.040 --> 0:18:01.080
<v Speaker 1>to talk to staff members, hopefully a uple of patients,

0:18:01.920 --> 0:18:05.520
<v Speaker 1>to really get a look at what life is like

0:18:06.480 --> 0:18:21.000
<v Speaker 1>in a clinic that provides abortion care. Let's go. This

0:18:21.080 --> 0:18:25.760
<v Speaker 1>is a new facility and it's really beautiful, supermodern, clean

0:18:27.560 --> 0:18:32.560
<v Speaker 1>and very cool. I might add, this Planned Parenthood clinic

0:18:32.720 --> 0:18:36.119
<v Speaker 1>is buzzing with activity compared to the Missouri clinic we

0:18:36.280 --> 0:18:40.400
<v Speaker 1>visited just across the state line. And on the day

0:18:40.400 --> 0:18:44.840
<v Speaker 1>we're here, a patient is willing to share her story. Hi.

0:18:45.119 --> 0:18:48.880
<v Speaker 1>How are you? Hi? I'm Katie. I'm Hannah. It's nice

0:18:48.880 --> 0:18:51.360
<v Speaker 1>to Hannah, very nice to meet you too. Who's this?

0:18:51.880 --> 0:18:58.679
<v Speaker 1>That's Azrael Hi? He is sixteen months. Anna and I

0:18:58.720 --> 0:19:02.159
<v Speaker 1>meet in the clinics family room, a bright, sunlit space

0:19:02.359 --> 0:19:06.399
<v Speaker 1>with toys being bag strewn about and a giant blackboard

0:19:06.480 --> 0:19:10.360
<v Speaker 1>with chalk and some leftover scribbles from other families who

0:19:10.359 --> 0:19:13.479
<v Speaker 1>have also used the space. Hannah and I sit on

0:19:13.480 --> 0:19:16.800
<v Speaker 1>one of the great couches. Her son plays next to her.

0:19:17.320 --> 0:19:20.679
<v Speaker 1>Tell me about yourself, Hannah. How old you are? And

0:19:21.560 --> 0:19:25.520
<v Speaker 1>you're thirty years old? Yes, God, it took thirty years

0:19:25.560 --> 0:19:27.520
<v Speaker 1>to get here, but I guess we're here now. And

0:19:27.560 --> 0:19:31.359
<v Speaker 1>you have a little boy obviously sixteen months, Yes, I do.

0:19:31.480 --> 0:19:33.399
<v Speaker 1>And I also have twin girls that are eight there

0:19:33.400 --> 0:19:36.840
<v Speaker 1>will be nine in June. Yes, so we have. We

0:19:36.960 --> 0:19:40.080
<v Speaker 1>got a full house at home, like, it's very full.

0:19:40.200 --> 0:19:43.439
<v Speaker 1>Our family is. So it's not that I don't want kids,

0:19:44.000 --> 0:19:48.240
<v Speaker 1>I really do, but uh, this this time around was

0:19:48.320 --> 0:19:51.320
<v Speaker 1>just a bit different. We had some big plans and

0:19:51.720 --> 0:19:55.320
<v Speaker 1>so that those big plans really didn't include a little

0:19:55.320 --> 0:19:57.760
<v Speaker 1>bity one. Do you have a partner? I do? Yes,

0:19:57.800 --> 0:20:00.439
<v Speaker 1>I have a boyfriend. We've been together for now almost

0:20:00.440 --> 0:20:03.200
<v Speaker 1>two years. And how do How does he feel about

0:20:03.240 --> 0:20:07.119
<v Speaker 1>your decision to terminate the pregnancy. He doesn't know, He

0:20:07.160 --> 0:20:10.920
<v Speaker 1>doesn't know the plot thickens. He doesn't know what kind

0:20:10.960 --> 0:20:15.119
<v Speaker 1>of hardship would it be for you to have another baby?

0:20:15.160 --> 0:20:19.720
<v Speaker 1>At this point? The more the merrier is what I've

0:20:19.760 --> 0:20:25.280
<v Speaker 1>always said, but I don't know with all the time

0:20:25.359 --> 0:20:28.800
<v Speaker 1>that I lost, I felt like I didn't lose the

0:20:28.840 --> 0:20:31.080
<v Speaker 1>time because I got to raise him, you know, for

0:20:31.119 --> 0:20:33.960
<v Speaker 1>the first year of his life. But I want my

0:20:34.119 --> 0:20:37.879
<v Speaker 1>job back. I want a career, and I want my

0:20:38.000 --> 0:20:41.160
<v Speaker 1>children to know, like mommy went to school and mommy

0:20:41.200 --> 0:20:46.960
<v Speaker 1>does this now, and mommy makes money. You're here, You're

0:20:47.040 --> 0:20:51.800
<v Speaker 1>here to pick up a till to have a medication abortion? Yes,

0:20:52.800 --> 0:20:58.000
<v Speaker 1>why did you choose that? It was less invasive? And

0:20:58.040 --> 0:21:01.520
<v Speaker 1>it was also less time. I you that if we

0:21:01.600 --> 0:21:04.960
<v Speaker 1>had we had to take care of this, so to speak,

0:21:05.119 --> 0:21:09.119
<v Speaker 1>in a god this sounds horrible, but in a in

0:21:09.160 --> 0:21:13.439
<v Speaker 1>a more secretive way, this was the best option. And

0:21:13.480 --> 0:21:15.440
<v Speaker 1>we were early enough. You know, I caught it at

0:21:15.480 --> 0:21:20.160
<v Speaker 1>like five weeks, so it was extremely early, and I

0:21:20.200 --> 0:21:23.560
<v Speaker 1>was like, I took probably about two two and a

0:21:23.600 --> 0:21:26.080
<v Speaker 1>half weeks to think about it, and then the rest

0:21:26.080 --> 0:21:29.560
<v Speaker 1>of the time was scheduling it. You couldn't get this

0:21:29.640 --> 0:21:33.159
<v Speaker 1>in the state of Missouri, and so you had to

0:21:33.320 --> 0:21:35.800
<v Speaker 1>How far did you come? It's a three and a

0:21:35.800 --> 0:21:40.080
<v Speaker 1>half hour drive, but we took our time. We stopped

0:21:40.080 --> 0:21:42.240
<v Speaker 1>off with a candy story, you know, and stuff like that.

0:21:42.359 --> 0:21:46.840
<v Speaker 1>So yeah, I know. So it took took about five hours.

0:21:47.800 --> 0:21:50.440
<v Speaker 1>Took about five hours about that, Yeah, because we took

0:21:50.480 --> 0:21:53.680
<v Speaker 1>our time. Did the people in front of the clinic

0:21:54.000 --> 0:21:58.000
<v Speaker 1>try to pressure you or approach you? Yes? So that

0:21:58.080 --> 0:22:00.360
<v Speaker 1>was as scary I thought they worked here. What did

0:22:00.359 --> 0:22:03.360
<v Speaker 1>they say? They were talking about? How? She said, did

0:22:03.400 --> 0:22:06.600
<v Speaker 1>you have an ultrasound yet? Have you gone and seen

0:22:06.600 --> 0:22:10.400
<v Speaker 1>the doctor? Every question under the sun. Hey, I'll adopt

0:22:10.440 --> 0:22:13.040
<v Speaker 1>your baby. She wanted to adopt my baby, and I

0:22:13.080 --> 0:22:15.320
<v Speaker 1>was like, you have no idea who I am. Would

0:22:15.359 --> 0:22:18.120
<v Speaker 1>it be easier if you could do this near your

0:22:18.160 --> 0:22:23.240
<v Speaker 1>home in Missouri? Yes? Oh gosh, yes, so much easier

0:22:23.280 --> 0:22:24.800
<v Speaker 1>if I didn't have to travel. I mean, do you

0:22:24.840 --> 0:22:29.119
<v Speaker 1>know that I have had eleven dollars okay, eleven, and

0:22:29.119 --> 0:22:31.320
<v Speaker 1>it was gonna get me lodging, It's gonna get the

0:22:31.320 --> 0:22:34.480
<v Speaker 1>five dollars for the pill, and then it's gonna get

0:22:34.520 --> 0:22:38.320
<v Speaker 1>me my gas. I drive a Yukon. It's the nineties.

0:22:39.480 --> 0:22:45.399
<v Speaker 1>It's a gas guzzler. So it's it's extremely extremely costly

0:22:45.720 --> 0:22:48.200
<v Speaker 1>to have to not be in my own stamped and

0:22:48.440 --> 0:22:50.320
<v Speaker 1>to have to not be near anybody that I know.

0:22:50.560 --> 0:22:53.600
<v Speaker 1>It like, I don't know anybody here you know, so

0:22:53.760 --> 0:22:56.080
<v Speaker 1>last night, and I didn't get to bring anybody either.

0:22:56.240 --> 0:22:59.160
<v Speaker 1>So last night, you know, I had like a probably

0:22:59.200 --> 0:23:01.120
<v Speaker 1>about an hour and a half off of just bawling,

0:23:02.000 --> 0:23:05.200
<v Speaker 1>you know, so not being near my home. That also

0:23:05.240 --> 0:23:09.200
<v Speaker 1>stuff that I didn't have my best friend, my god,

0:23:09.359 --> 0:23:15.440
<v Speaker 1>you know, so it sucked perfect finding your medicine here

0:23:15.440 --> 0:23:18.399
<v Speaker 1>for you are writing my drugs man. Okay, so the

0:23:18.440 --> 0:23:19.960
<v Speaker 1>doctor has to be the one to give you the

0:23:20.000 --> 0:23:22.480
<v Speaker 1>first dose of medicine. Okay, this is the medicine that

0:23:22.520 --> 0:23:24.679
<v Speaker 1>you're going to take home. Put all four tablets in

0:23:24.720 --> 0:23:28.239
<v Speaker 1>between your teeth and your cheek, okay, and they need

0:23:28.280 --> 0:23:30.119
<v Speaker 1>to be in there for at least thirty minutes, and

0:23:30.160 --> 0:23:33.760
<v Speaker 1>it's the exact twenty four or forty eight hours between

0:23:33.840 --> 0:23:40.080
<v Speaker 1>twenty four I'm just making sure I get this, okay, Okay, awesome.

0:23:45.640 --> 0:23:49.400
<v Speaker 1>There's two types of abortion. There's medication abortion, and then

0:23:49.640 --> 0:23:53.240
<v Speaker 1>there's what we call procedural abortion. I know it's commonly

0:23:53.280 --> 0:23:56.159
<v Speaker 1>referred to as surgical, but I think that can be

0:23:56.160 --> 0:23:58.960
<v Speaker 1>really scary for patients to hear because it's, you know,

0:23:59.000 --> 0:24:01.919
<v Speaker 1>a surgery. Sounds gets really intense, and we're not actually

0:24:01.920 --> 0:24:05.479
<v Speaker 1>doing any cutting. We're not using a scalpel. We're actually

0:24:05.560 --> 0:24:08.680
<v Speaker 1>using an opening that already exists in the body to

0:24:08.720 --> 0:24:12.200
<v Speaker 1>remove the pregnancy from the uterus. My name is Dr

0:24:12.320 --> 0:24:15.240
<v Speaker 1>Mira Shaw and I am a family medicine physician. I

0:24:15.280 --> 0:24:18.960
<v Speaker 1>am the chief medical officer of Planned Parenthood Heads of

0:24:19.040 --> 0:24:22.320
<v Speaker 1>Mechanic in New York. I'm also the medical director of

0:24:22.359 --> 0:24:26.040
<v Speaker 1>Whole Women's Health Alliance in South Bend, Indiana. So the

0:24:26.080 --> 0:24:30.080
<v Speaker 1>other method of abortion is medication abortion. It's a process

0:24:30.119 --> 0:24:34.359
<v Speaker 1>where patients take first one pill called Mifie prestone. And

0:24:34.400 --> 0:24:38.040
<v Speaker 1>what Miffi pristone does is it stops the pregnancy from

0:24:38.080 --> 0:24:41.919
<v Speaker 1>growing and from thriving in the uterus. It is safe

0:24:42.160 --> 0:24:46.600
<v Speaker 1>up to eleven weeks gestational age. And what patients do

0:24:46.720 --> 0:24:49.720
<v Speaker 1>is they first take the Miffie prestone and then they

0:24:49.800 --> 0:24:54.240
<v Speaker 1>follow up with four pills of a medication called missa Prostel.

0:24:54.640 --> 0:24:57.720
<v Speaker 1>What missa Prostel does is that it induces cramping and

0:24:57.840 --> 0:25:01.960
<v Speaker 1>bleeding and expulsion of the pregnancy from the uterus. We

0:25:02.040 --> 0:25:05.040
<v Speaker 1>have patients typically take one set of four pills if

0:25:05.040 --> 0:25:09.840
<v Speaker 1>they're below nine weeks, if they're between nine and eleven weeks,

0:25:09.840 --> 0:25:12.359
<v Speaker 1>and we'll have them take two sets of those four

0:25:12.400 --> 0:25:16.280
<v Speaker 1>pills four hours apart from one another. We provide them

0:25:16.280 --> 0:25:20.520
<v Speaker 1>with anti nausea medication because they may already be nauseous

0:25:20.520 --> 0:25:23.800
<v Speaker 1>from being pregnant, but sometimes the mesa prostyl can induce

0:25:23.880 --> 0:25:27.520
<v Speaker 1>nausea if they weren't already nauseous before um. And we

0:25:27.600 --> 0:25:31.679
<v Speaker 1>also give them high dose ibprofen to help ease the

0:25:31.800 --> 0:25:35.080
<v Speaker 1>cramping that they that they will feel um while they're

0:25:35.119 --> 0:25:38.639
<v Speaker 1>expelling the pregnancy. The way that the f d A

0:25:39.000 --> 0:25:42.679
<v Speaker 1>has regulated NiFi pristone is it's kept it on the

0:25:42.720 --> 0:25:47.199
<v Speaker 1>REMS list, which means that it is highly regulated and

0:25:47.240 --> 0:25:52.000
<v Speaker 1>restricted from being freely accessible to patients, and it makes

0:25:52.000 --> 0:25:56.520
<v Speaker 1>it harder for physicians to prescribe the medication. That said,

0:25:56.560 --> 0:25:58.840
<v Speaker 1>there's been a few changes in the in the past

0:25:58.840 --> 0:26:01.120
<v Speaker 1>few years. So when I first started out, it used

0:26:01.119 --> 0:26:03.920
<v Speaker 1>to be that the patient had to take the medication

0:26:04.560 --> 0:26:06.600
<v Speaker 1>in the office and we had to watch them swallow

0:26:06.640 --> 0:26:10.800
<v Speaker 1>the pill. There's no reason for this medically speaking, but

0:26:10.920 --> 0:26:13.000
<v Speaker 1>that was the case, and that you know, we follow

0:26:13.040 --> 0:26:15.280
<v Speaker 1>all the rules and so we were doing that. The

0:26:15.320 --> 0:26:19.119
<v Speaker 1>FDA changed the labeling around Miffi pristone several years ago,

0:26:19.520 --> 0:26:22.520
<v Speaker 1>and New York State interpreted it in a way. That

0:26:23.000 --> 0:26:27.240
<v Speaker 1>made it so that the physician could just administer the

0:26:27.960 --> 0:26:31.680
<v Speaker 1>Miffi pristone, but the patient could take it home and

0:26:31.880 --> 0:26:36.200
<v Speaker 1>start the process when they felt most comfortable. Another more

0:26:36.280 --> 0:26:40.120
<v Speaker 1>recent change is that abortion medication can now be mailed

0:26:40.119 --> 0:26:43.160
<v Speaker 1>to patients instead of them having to come into their

0:26:43.160 --> 0:26:47.760
<v Speaker 1>local health center. This was a temporary pandemic allowance that

0:26:47.880 --> 0:26:53.520
<v Speaker 1>became permanent. The patient receives an appointment through a teleconferencing

0:26:53.680 --> 0:26:59.920
<v Speaker 1>platform through our protected electronic medical record. We date the

0:27:00.080 --> 0:27:04.480
<v Speaker 1>pregnancy based on their last menstrual period, and if we

0:27:04.520 --> 0:27:07.400
<v Speaker 1>feel confident in their dates and that they meet criteria

0:27:08.160 --> 0:27:11.120
<v Speaker 1>um of less than eleven weeks and they have no

0:27:11.280 --> 0:27:15.680
<v Speaker 1>medical contra indications, which you know most people don't, then

0:27:15.720 --> 0:27:18.439
<v Speaker 1>we can mail the Miffi perstone and the MISO to

0:27:18.600 --> 0:27:22.760
<v Speaker 1>their home. That said, this is the case in New York,

0:27:23.000 --> 0:27:27.560
<v Speaker 1>this is not the case everywhere. So in Indiana, for example,

0:27:27.920 --> 0:27:30.160
<v Speaker 1>um where I'm a medical director of a clinic, there

0:27:31.040 --> 0:27:35.840
<v Speaker 1>there is an outright ban on telemedication abortion, not telemedicine,

0:27:35.840 --> 0:27:41.480
<v Speaker 1>but telemedication abortion. In Indiana, the individual still has to

0:27:41.560 --> 0:27:44.840
<v Speaker 1>go to a health center in order to get the medication.

0:27:45.760 --> 0:27:48.200
<v Speaker 1>So whenever they come in for the appointment is when

0:27:48.320 --> 0:27:52.320
<v Speaker 1>the process is initiated. The government has essentially taken that

0:27:52.440 --> 0:27:57.720
<v Speaker 1>autonomy out of the patient's hands. It's really hard for

0:27:57.800 --> 0:28:02.000
<v Speaker 1>me to see restrictions just get worse over time. But

0:28:02.119 --> 0:28:04.840
<v Speaker 1>last time I was in Indiana, I was told that

0:28:05.080 --> 0:28:08.240
<v Speaker 1>we now have to give a copy of the ultrasound

0:28:08.280 --> 0:28:11.440
<v Speaker 1>image to the patient, whether they ask for it or not.

0:28:12.160 --> 0:28:14.199
<v Speaker 1>In some states they have to actually look at it

0:28:14.520 --> 0:28:19.720
<v Speaker 1>or hear the sounds of the cardiac activity, but in Indiana,

0:28:19.800 --> 0:28:22.520
<v Speaker 1>we have to actually give them a copy of the ultrasound.

0:28:23.200 --> 0:28:25.800
<v Speaker 1>I just tell them that this is a law, and

0:28:26.119 --> 0:28:28.560
<v Speaker 1>I put the image in a Manila envelope and then

0:28:28.600 --> 0:28:30.560
<v Speaker 1>give it to them and say, you can do what

0:28:30.600 --> 0:28:32.520
<v Speaker 1>you want with this, but it is required by law

0:28:32.560 --> 0:28:35.000
<v Speaker 1>that I give it to you. And I apologize for

0:28:35.080 --> 0:28:39.120
<v Speaker 1>that because I don't think that it's medically necessary. Every

0:28:39.160 --> 0:28:42.320
<v Speaker 1>time I go to Indiana, I'm shocked it hasn't become

0:28:42.360 --> 0:28:47.479
<v Speaker 1>normalized for me because I am able to provide a

0:28:47.600 --> 0:28:50.440
<v Speaker 1>very different type of care to my patients in New York.

0:28:51.120 --> 0:28:53.040
<v Speaker 1>And you know, the zip code in which you live

0:28:53.080 --> 0:28:56.040
<v Speaker 1>should not determine the type of healthcare that you receive,

0:28:56.200 --> 0:29:13.040
<v Speaker 1>but unfortunately that is the case, we'll be right back. Alright,

0:29:13.080 --> 0:29:15.120
<v Speaker 1>So we're gonna walk to the back um, which is

0:29:15.160 --> 0:29:17.320
<v Speaker 1>in our recovery area, so you can meet Dr Bomb,

0:29:17.360 --> 0:29:20.120
<v Speaker 1>which is one of our A B providers and he's

0:29:20.120 --> 0:29:24.520
<v Speaker 1>also our medical director. All right, follow me this way.

0:29:24.760 --> 0:29:28.000
<v Speaker 1>Back at the Missouri Clinic, I met with Dr Margaret Bomb.

0:29:29.400 --> 0:29:33.760
<v Speaker 1>Dr Bomb, how are you very nice to meet? Since

0:29:33.800 --> 0:29:36.880
<v Speaker 1>there weren't any patients there, we sat in two chairs

0:29:36.960 --> 0:29:41.240
<v Speaker 1>in the recovery room. How difficult or challenging has it

0:29:41.320 --> 0:29:45.000
<v Speaker 1>been for you to work in the state of Missouri. Oh,

0:29:45.080 --> 0:29:48.440
<v Speaker 1>that's a good question. You are in the only freestanding

0:29:48.440 --> 0:29:52.800
<v Speaker 1>abortion providing facility in Missouri, and we are, as you know,

0:29:53.000 --> 0:29:56.280
<v Speaker 1>right at the Illinois border. And that is an advantage

0:29:56.400 --> 0:29:58.959
<v Speaker 1>for us, but not an advantage for everyone else. Right,

0:29:59.040 --> 0:30:02.760
<v Speaker 1>the vast majority of oriens don't live right here in St. Louis.

0:30:03.480 --> 0:30:06.880
<v Speaker 1>Missouri has some of the strictest restrictions on abortion in

0:30:06.920 --> 0:30:11.320
<v Speaker 1>the country. So we have a seventy two hour waiting period,

0:30:11.640 --> 0:30:15.000
<v Speaker 1>means patients have to come twice correct, And in fact

0:30:15.080 --> 0:30:17.360
<v Speaker 1>what that means is right now, there are only two

0:30:17.440 --> 0:30:20.040
<v Speaker 1>of us that provide abortions here at this facility in

0:30:20.040 --> 0:30:23.040
<v Speaker 1>the entire state, myself and my partner, and so we

0:30:23.120 --> 0:30:26.280
<v Speaker 1>do other things too, which I'm not available to be

0:30:26.360 --> 0:30:29.680
<v Speaker 1>here to do abortions every seventy two hours. So if

0:30:29.720 --> 0:30:32.640
<v Speaker 1>you want an abortion in Missouri, you either have to

0:30:32.640 --> 0:30:34.920
<v Speaker 1>see myself or my partner. So part of the law

0:30:35.040 --> 0:30:38.440
<v Speaker 1>is that actually for your first visit, the consent visit

0:30:39.160 --> 0:30:42.000
<v Speaker 1>has to be done by a physician, which is certainly

0:30:42.000 --> 0:30:44.280
<v Speaker 1>not the case in most places, and it has to

0:30:44.320 --> 0:30:47.760
<v Speaker 1>be done by the physician who will then perform the abortion.

0:30:48.200 --> 0:30:52.120
<v Speaker 1>So today I have four patients who are scheduled to

0:30:52.160 --> 0:30:55.000
<v Speaker 1>see me to just do a consent process. I don't

0:30:55.000 --> 0:30:57.040
<v Speaker 1>know where they're coming from. They could be coming from,

0:30:57.080 --> 0:30:59.160
<v Speaker 1>you know, five hours away in Missouri, they could be

0:30:59.200 --> 0:31:01.479
<v Speaker 1>coming from St. Louis, I don't know. And then they

0:31:01.520 --> 0:31:03.760
<v Speaker 1>will be scheduled for their procedure in a week. So

0:31:03.840 --> 0:31:05.480
<v Speaker 1>that means number one, they have to wait a week

0:31:05.640 --> 0:31:09.600
<v Speaker 1>to have their procedure and have their pregnancy progress another week, well,

0:31:09.680 --> 0:31:12.200
<v Speaker 1>because that's the next time I am here providing services.

0:31:12.640 --> 0:31:15.680
<v Speaker 1>And if something happens, so if they get sick, or

0:31:15.920 --> 0:31:18.160
<v Speaker 1>they don't have childcare, or their work says you can't

0:31:18.160 --> 0:31:20.280
<v Speaker 1>be off next Wednesday, or I get sick and I

0:31:20.360 --> 0:31:23.560
<v Speaker 1>can't come in. They can't have their procedure with my partner.

0:31:23.880 --> 0:31:26.960
<v Speaker 1>They would have to recome back and consent with her

0:31:27.600 --> 0:31:31.400
<v Speaker 1>or consent with me, wait another week and have their procedure.

0:31:32.760 --> 0:31:36.600
<v Speaker 1>What other obstacles have they put up in this um? So?

0:31:36.960 --> 0:31:41.719
<v Speaker 1>Missouri has mandated pelvic exams with abortions, and so for

0:31:41.760 --> 0:31:44.880
<v Speaker 1>a surgical abortion, we do pelvic exams. That's part of

0:31:44.880 --> 0:31:47.160
<v Speaker 1>the procedure. I'm going to be instrumenting your pelvis and

0:31:47.160 --> 0:31:48.800
<v Speaker 1>your uterus. I'm going to do an exam before I

0:31:48.840 --> 0:31:53.200
<v Speaker 1>do it. Completely normal. They also mandated pelvic exams with

0:31:53.280 --> 0:31:57.760
<v Speaker 1>medication abortions, so that is completely unindicated. So if I

0:31:57.840 --> 0:32:01.320
<v Speaker 1>see someone in Illinois for a medication an abortion, uh,

0:32:01.360 --> 0:32:04.560
<v Speaker 1>typically they get an ultrasound. I review the ultrasound. I

0:32:04.640 --> 0:32:07.320
<v Speaker 1>talked to them. Nobody takes any clothes off. I give

0:32:07.360 --> 0:32:09.400
<v Speaker 1>them the pill, they take the second pill at home.

0:32:09.480 --> 0:32:12.520
<v Speaker 1>They have their medication abortion at home. There's no need

0:32:12.600 --> 0:32:15.800
<v Speaker 1>to do a pelvic exam. And in fact, we really

0:32:15.840 --> 0:32:19.520
<v Speaker 1>have equated this to your dermatologists saying I'm going to

0:32:19.640 --> 0:32:21.760
<v Speaker 1>take that mole off your arm, let me do a

0:32:21.800 --> 0:32:26.120
<v Speaker 1>pelvic exam first. It's completely inappropriate right to insist that

0:32:26.160 --> 0:32:28.680
<v Speaker 1>someone takes off their pants that I touched their genitals

0:32:29.000 --> 0:32:31.560
<v Speaker 1>when it is not indicated. So we as a practice

0:32:31.600 --> 0:32:34.240
<v Speaker 1>decided that medication abortions will not be offered in Missouri.

0:32:34.280 --> 0:32:37.120
<v Speaker 1>You can't get a pill abortion in Missouri. So what

0:32:37.280 --> 0:32:42.720
<v Speaker 1>is the rationale by lawmakers to mandate that. Well, that's

0:32:42.720 --> 0:32:45.200
<v Speaker 1>a good question. I mean, this is where where you

0:32:45.280 --> 0:32:49.120
<v Speaker 1>really see that they do not understand the process that

0:32:49.160 --> 0:32:52.800
<v Speaker 1>we're doing. Right, there is there is. I can't imagine

0:32:52.800 --> 0:32:55.280
<v Speaker 1>why I would need to do a pelvic exam before

0:32:55.280 --> 0:32:58.040
<v Speaker 1>a medication abortion. It would not give me any information

0:32:58.320 --> 0:33:00.360
<v Speaker 1>that would make me say, yes, the patient should have

0:33:00.360 --> 0:33:03.360
<v Speaker 1>a medication abortion. No, they shouldn't. I should recommend some

0:33:03.440 --> 0:33:06.600
<v Speaker 1>alternative alternative procedure. I can't imagine this in a medical

0:33:06.920 --> 0:33:09.560
<v Speaker 1>correct scenario in which that would happen. It is a

0:33:09.600 --> 0:33:13.160
<v Speaker 1>barrier to care. They are putting up additional barriers to

0:33:13.240 --> 0:33:15.960
<v Speaker 1>make it harder and harder for patients in Missouri to

0:33:16.000 --> 0:33:23.120
<v Speaker 1>access abortion services. So, speaking of things that make things

0:33:23.160 --> 0:33:27.880
<v Speaker 1>difficult in Missouri, this is Missouri's in form consent booklet.

0:33:28.160 --> 0:33:30.440
<v Speaker 1>We have to give this to every patient presenting for

0:33:30.480 --> 0:33:32.400
<v Speaker 1>an abortion of Missouri. Now what I say is I

0:33:32.440 --> 0:33:34.040
<v Speaker 1>have to give this to you. You don't have to

0:33:34.080 --> 0:33:36.040
<v Speaker 1>read it, and you can leave it, you know, on

0:33:36.080 --> 0:33:37.840
<v Speaker 1>the table, but we have to give this to you.

0:33:40.040 --> 0:33:43.000
<v Speaker 1>This is how it starts the life of each human

0:33:43.000 --> 0:33:45.600
<v Speaker 1>being begins a conception. Abortion will terminate the life of

0:33:45.600 --> 0:33:49.320
<v Speaker 1>a separate, unique, living human being. I mean, that's that's

0:33:49.320 --> 0:33:54.280
<v Speaker 1>not medical information, correct. Um. So this is full of

0:33:54.680 --> 0:33:57.880
<v Speaker 1>all kinds of misleading facts that we are required to

0:33:58.000 --> 0:34:02.720
<v Speaker 1>give to patients. This is the informed consent form that um,

0:34:02.800 --> 0:34:04.600
<v Speaker 1>we have to fill out again that the physician has

0:34:04.600 --> 0:34:06.600
<v Speaker 1>to fill out most of with a patient seven two

0:34:06.640 --> 0:34:10.480
<v Speaker 1>hours at least before their procedure. So some of this,

0:34:10.840 --> 0:34:12.760
<v Speaker 1>you know, you have to know the name of the physician,

0:34:12.920 --> 0:34:16.200
<v Speaker 1>Ask questions, okay, and then the nurse does most of this.

0:34:16.760 --> 0:34:19.680
<v Speaker 1>And then I am required to read this paragraph to

0:34:19.760 --> 0:34:24.800
<v Speaker 1>every patient that says the immediate and long term medical

0:34:24.880 --> 0:34:27.840
<v Speaker 1>risks to me associated with the proposed abortion, including but

0:34:27.880 --> 0:34:31.279
<v Speaker 1>not limited to, infection, hemorrhage, cervical tear, or uterine perforation,

0:34:31.719 --> 0:34:34.440
<v Speaker 1>harm to subsequent pregnancies or the ability to carry a

0:34:34.440 --> 0:34:38.640
<v Speaker 1>subsequent child to term, and possible adverse psychological effects. That

0:34:38.719 --> 0:34:41.920
<v Speaker 1>sounds really scary, doesn't it? And it's not true. No,

0:34:42.080 --> 0:34:44.160
<v Speaker 1>I mean there are with any procedure, there are risks.

0:34:44.200 --> 0:34:47.400
<v Speaker 1>The risks are very minimal with abortion. But this maximizes

0:34:47.920 --> 0:34:51.560
<v Speaker 1>the risks and minimizes how actually safe that abortion is

0:34:51.960 --> 0:34:57.120
<v Speaker 1>and doesn't minimize your your chances of getting pregnant. So

0:34:57.320 --> 0:34:59.600
<v Speaker 1>some of the some of these are just blatant correct,

0:34:59.640 --> 0:35:01.880
<v Speaker 1>And I I always say, I didn't you know, doctors

0:35:01.880 --> 0:35:04.560
<v Speaker 1>did not write this. This was written by legislators. But

0:35:04.600 --> 0:35:08.040
<v Speaker 1>I am required to read this and give this information

0:35:08.840 --> 0:35:13.279
<v Speaker 1>to a patient when this clinic closes, because Missouri has

0:35:13.320 --> 0:35:16.920
<v Speaker 1>a trigger law right if ROW is overturned, like I

0:35:16.960 --> 0:35:21.200
<v Speaker 1>believe twenty six other states, they will make abortion illegal

0:35:21.320 --> 0:35:25.160
<v Speaker 1>in those states. So this clinic will, I guess the

0:35:25.200 --> 0:35:28.400
<v Speaker 1>abortion care part of this clinic will have to shut down.

0:35:28.840 --> 0:35:32.360
<v Speaker 1>That is correct, abortion services we will only provide at

0:35:32.400 --> 0:35:36.040
<v Speaker 1>our Illinois location. What will that mean for the women

0:35:36.080 --> 0:35:41.120
<v Speaker 1>of Missouri? So it's it's a little bit additional travel.

0:35:41.320 --> 0:35:43.680
<v Speaker 1>And so you know, if you're already coming three or

0:35:43.719 --> 0:35:47.240
<v Speaker 1>four hours from Springfield, Missouri, you know is another twenty

0:35:47.239 --> 0:35:51.440
<v Speaker 1>minutes into Illinois, you know, so much bigger? Um? Maybe not?

0:35:51.680 --> 0:35:54.839
<v Speaker 1>But also I do feel like there is there that's

0:35:54.880 --> 0:35:57.479
<v Speaker 1>a barrier, right to say you have to leave your state,

0:35:57.600 --> 0:35:59.840
<v Speaker 1>the state in which you live and pay taxes and

0:36:00.040 --> 0:36:02.640
<v Speaker 1>send your children to school, to go to another state

0:36:03.120 --> 0:36:07.279
<v Speaker 1>to have again a legal, normal medical procedure, that that

0:36:07.440 --> 0:36:10.040
<v Speaker 1>is a barrier. It feels like that we are not

0:36:10.120 --> 0:36:12.880
<v Speaker 1>taking care of the patients that I live in Missouri.

0:36:12.920 --> 0:36:15.000
<v Speaker 1>I grew up here in Missouri, I have a family here,

0:36:15.520 --> 0:36:18.920
<v Speaker 1>and I wanted to work here and provide care, and

0:36:19.239 --> 0:36:22.800
<v Speaker 1>certainly this has become a Missouri has made it extremely

0:36:22.840 --> 0:36:30.719
<v Speaker 1>difficult to do so. Meanwhile, other states like New York, California,

0:36:30.880 --> 0:36:35.080
<v Speaker 1>and Illinois are expanding their services and preparing for the

0:36:35.200 --> 0:36:40.120
<v Speaker 1>upcoming influx of out of state abortion patients. Attached to

0:36:40.160 --> 0:36:43.200
<v Speaker 1>the clinic that I visited in Illinois is the brand

0:36:43.200 --> 0:36:47.680
<v Speaker 1>new Regional Logistics Center. It's kind of like an abortion

0:36:47.760 --> 0:36:52.840
<v Speaker 1>fund meets travel agent meets doctor's office. It's abortion Care

0:36:52.960 --> 0:36:57.480
<v Speaker 1>of the future. The center's president, joem Elci Rodriguez, shows

0:36:57.480 --> 0:37:02.680
<v Speaker 1>me around. This is the our facility that we just

0:37:02.880 --> 0:37:06.480
<v Speaker 1>open in January. So this is the hard where we're

0:37:06.520 --> 0:37:10.120
<v Speaker 1>doing all of the navigation work, on the scheduling, providing

0:37:10.160 --> 0:37:15.759
<v Speaker 1>financial assistance, traveling um and other logistics accommodations. So this

0:37:15.840 --> 0:37:20.080
<v Speaker 1>is like air traffic control for people who want to

0:37:20.080 --> 0:37:23.520
<v Speaker 1>get abortions but don't have the money or don't know

0:37:23.560 --> 0:37:27.520
<v Speaker 1>where to go, maybe need transportation, hotel rooms. Before it

0:37:27.600 --> 0:37:30.279
<v Speaker 1>was very piecemeal. You just had to kind of try

0:37:30.320 --> 0:37:32.799
<v Speaker 1>to put put the pieces of the puzzle together to

0:37:32.840 --> 0:37:35.520
<v Speaker 1>allow you to be able to do this correct and

0:37:35.520 --> 0:37:37.680
<v Speaker 1>and that that was a whole vision behind this. Right,

0:37:37.719 --> 0:37:40.399
<v Speaker 1>what if we can have just one the patient will

0:37:40.440 --> 0:37:43.560
<v Speaker 1>just have to make one phone call to one place,

0:37:43.680 --> 0:37:46.359
<v Speaker 1>and we could connect them to all of the resources,

0:37:46.719 --> 0:37:49.879
<v Speaker 1>not just the abortional appointment, but all of the wraparound

0:37:49.920 --> 0:37:52.920
<v Speaker 1>really support that they were going to need to make

0:37:52.960 --> 0:37:55.640
<v Speaker 1>it to an appointment. And we build it thinking, you know,

0:37:55.880 --> 0:37:57.200
<v Speaker 1>we know that there's going to be a lot of

0:37:57.200 --> 0:38:00.239
<v Speaker 1>women from Missouri that are going to come here. But

0:38:00.400 --> 0:38:03.239
<v Speaker 1>what we've seen in the patient that the support person

0:38:03.280 --> 0:38:06.359
<v Speaker 1>I was talking to just came from Texas, you all

0:38:06.400 --> 0:38:09.720
<v Speaker 1>are going to be very busy. We have been very busy.

0:38:10.120 --> 0:38:13.680
<v Speaker 1>Certainly after the Texas abortion man. There has been this

0:38:13.840 --> 0:38:17.960
<v Speaker 1>ripple effect or patients are been displaced right from their

0:38:18.000 --> 0:38:21.040
<v Speaker 1>home state and everybody has been forced to travel x

0:38:21.040 --> 0:38:25.600
<v Speaker 1>amount of time because there's just not enough providers out there.

0:38:26.200 --> 0:38:31.759
<v Speaker 1>This facility. It's expecting fourteen thousand additional patients a year

0:38:33.080 --> 0:38:41.040
<v Speaker 1>if Row falls. What is the impact of this decision.

0:38:41.960 --> 0:38:45.680
<v Speaker 1>It's hard to overstand. This is Mary Ziggler, she's one

0:38:45.719 --> 0:38:50.160
<v Speaker 1>of the country's pre eminent abortion legal scholars. We spoke

0:38:50.200 --> 0:38:54.000
<v Speaker 1>after the Supreme Court draft was leaked, a draft Politico

0:38:54.160 --> 0:38:59.680
<v Speaker 1>called a full throaded, unflinching repudiation of the ninety three

0:38:59.800 --> 0:39:03.160
<v Speaker 1>just viition. Oh yeah, there's no question. I mean it's

0:39:04.440 --> 0:39:06.799
<v Speaker 1>I don't know how much more full throated or repudiation

0:39:06.880 --> 0:39:09.440
<v Speaker 1>you could have, so that that characterization of the draft

0:39:09.480 --> 0:39:12.520
<v Speaker 1>is absolutely right. I mean, they're going to be impacts

0:39:12.600 --> 0:39:17.880
<v Speaker 1>on on lots of people's lives, people who can be pregnant, um,

0:39:17.960 --> 0:39:19.880
<v Speaker 1>just as was the case with the War on drugs.

0:39:19.880 --> 0:39:22.560
<v Speaker 1>We would expect those impacts to be felt the most

0:39:22.560 --> 0:39:25.719
<v Speaker 1>acutely by people who are in the most heavily policed communities,

0:39:25.719 --> 0:39:27.319
<v Speaker 1>who are the people are most likely to be found

0:39:27.320 --> 0:39:30.680
<v Speaker 1>out if they're having abortions. There will be people impacts

0:39:30.680 --> 0:39:34.480
<v Speaker 1>on people who never seek abortions, because doctors will be

0:39:34.520 --> 0:39:38.120
<v Speaker 1>reluctant to treat ectopic pregnancies or incomplete miscarriages or other

0:39:38.160 --> 0:39:41.120
<v Speaker 1>things that may be perceived as abortion because they're unwilling

0:39:41.160 --> 0:39:43.759
<v Speaker 1>to lose their licenses or go to prison. Um. It's

0:39:43.760 --> 0:39:46.279
<v Speaker 1>going to affect people in blue states who are going

0:39:46.320 --> 0:39:49.520
<v Speaker 1>to see people traveling from out of state to seek abortions. Um.

0:39:49.520 --> 0:39:51.719
<v Speaker 1>It's going to affect doctors in blue states who may

0:39:51.719 --> 0:39:55.360
<v Speaker 1>be potentially sued or charged with a crime in red states.

0:39:55.680 --> 0:39:58.040
<v Speaker 1>It's going to shake up the two mid terms, it's

0:39:58.040 --> 0:40:01.239
<v Speaker 1>going to shake up the presidential elections, and you know

0:40:01.280 --> 0:40:03.040
<v Speaker 1>as a historian, and it also is going to have

0:40:03.120 --> 0:40:06.040
<v Speaker 1>unpredictable effects. Right. I think the Supreme Court felt very

0:40:06.040 --> 0:40:08.759
<v Speaker 1>confident in nine three that it knew what would happen

0:40:08.760 --> 0:40:11.279
<v Speaker 1>after Robie Wade was reversed. And of course we know

0:40:11.400 --> 0:40:14.279
<v Speaker 1>fifty years later that they were absolutely wrong. Um. And

0:40:14.320 --> 0:40:17.200
<v Speaker 1>there's no reason to think that we can absolutely predict

0:40:17.239 --> 0:40:19.560
<v Speaker 1>what's going to happen after this decision in much the

0:40:19.600 --> 0:40:22.080
<v Speaker 1>same way. How were they wrong? Can you give us

0:40:22.080 --> 0:40:25.600
<v Speaker 1>some insight into that? Yeah, I mean Justice Blackman had

0:40:25.640 --> 0:40:27.960
<v Speaker 1>a clipping in his files that said, essentially, you know,

0:40:28.040 --> 0:40:30.480
<v Speaker 1>seventy something percent of Americans think of Worshi should be

0:40:30.480 --> 0:40:32.560
<v Speaker 1>a decision between a woman and her doctor. The numbers

0:40:32.560 --> 0:40:35.480
<v Speaker 1>were very similar then as now, and so he thought, okay, well,

0:40:35.520 --> 0:40:37.439
<v Speaker 1>if if the Court says it worshions a decision between

0:40:37.480 --> 0:40:39.640
<v Speaker 1>a woman and her doctor, and there's a sound constitutional

0:40:39.680 --> 0:40:42.200
<v Speaker 1>foundation for that, people are going to just accept that

0:40:42.280 --> 0:40:44.880
<v Speaker 1>and move on. And we know that didn't happen. This

0:40:44.960 --> 0:40:47.160
<v Speaker 1>Supreme Court somehow seems to think that if it sends

0:40:47.200 --> 0:40:49.640
<v Speaker 1>this back to the States with lots of winks and nudges,

0:40:49.880 --> 0:40:52.719
<v Speaker 1>that maybe other precedents can be overturned and maybe if

0:40:52.760 --> 0:40:55.520
<v Speaker 1>petal personhood is going to be recognized, this is going

0:40:55.560 --> 0:40:58.440
<v Speaker 1>to go away when that opinion will be running against

0:40:58.640 --> 0:41:01.759
<v Speaker 1>popular opinion that it's insane. Right, So people are sort

0:41:01.800 --> 0:41:04.799
<v Speaker 1>of like this is all over, just really whether their

0:41:04.800 --> 0:41:07.080
<v Speaker 1>appro choice or per life or not paying attention, like

0:41:07.120 --> 0:41:08.960
<v Speaker 1>this is going to just be the opening salvo in

0:41:08.960 --> 0:41:11.759
<v Speaker 1>a much much longer battle. Um, and people I would

0:41:11.800 --> 0:41:13.799
<v Speaker 1>imagine who support abortion rates are going to be in

0:41:13.800 --> 0:41:15.440
<v Speaker 1>this for the long haul. Two And we may be

0:41:15.560 --> 0:41:17.840
<v Speaker 1>looking at, you know, decades down the road, a Supreme

0:41:17.840 --> 0:41:21.799
<v Speaker 1>Court decision reinstituting abortion rates. So if the Court thinks

0:41:21.840 --> 0:41:23.800
<v Speaker 1>it can put an end to this one way or another,

0:41:23.920 --> 0:41:26.279
<v Speaker 1>or it can remove itself from the conversation. It has

0:41:26.320 --> 0:41:34.400
<v Speaker 1>another thing coming. This is called why We Hold Our

0:41:34.440 --> 0:41:40.839
<v Speaker 1>Tongues Finally, a poem by Sonya Renee Taylor. To say

0:41:40.880 --> 0:41:43.440
<v Speaker 1>I had an abortion is to join the blood covered

0:41:44.080 --> 0:41:47.200
<v Speaker 1>to be sister with the worst of our ilk, sister

0:41:47.280 --> 0:41:50.480
<v Speaker 1>with the one who strapped hers and seatbelts, sit the

0:41:50.520 --> 0:41:54.600
<v Speaker 1>car skipping like rocks, to drop in a lake. Sister

0:41:54.680 --> 0:41:57.360
<v Speaker 1>with the hand that pressed her five children to the

0:41:57.400 --> 0:42:01.400
<v Speaker 1>liquid casket of a bathtub. This is to say, I

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<v Speaker 1>know how people will clutch their grace until I bring

0:42:04.320 --> 0:42:07.799
<v Speaker 1>them an amulet of sorrow. How this hive expects my

0:42:07.920 --> 0:42:11.759
<v Speaker 1>sales turn regret. If not a baby, at least bring

0:42:11.920 --> 0:42:15.600
<v Speaker 1>us the seregacy of your shame. To say the word

0:42:15.680 --> 0:42:20.040
<v Speaker 1>abortion is to say I am ashamed thing a womb

0:42:20.080 --> 0:42:24.520
<v Speaker 1>turned earned. It is to say I killed, died, and dead.

0:42:24.600 --> 0:42:26.680
<v Speaker 1>As I speak to you now, it is to say,

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<v Speaker 1>even my teeth wish to flee my mouth, the leper

0:42:29.760 --> 0:42:33.120
<v Speaker 1>of my gums. I must be liar, Please be liar.

0:42:33.200 --> 0:42:36.040
<v Speaker 1>If I say I'm not sad, to say I'm not

0:42:36.160 --> 0:42:39.080
<v Speaker 1>sad is to say I am monster. I am heartless

0:42:39.120 --> 0:42:42.600
<v Speaker 1>as tile a physician's claw is to say I am

0:42:42.680 --> 0:42:46.879
<v Speaker 1>receptacle food made rancid by my own hands. Can you

0:42:46.960 --> 0:42:51.840
<v Speaker 1>smell my stink? The rotting of me? To say I

0:42:51.880 --> 0:42:55.239
<v Speaker 1>called the clinic on a Tuesday night, made an appointment

0:42:55.280 --> 0:42:59.640
<v Speaker 1>for Wednesday morning, It's never to say I was nineteen,

0:43:00.360 --> 0:43:04.480
<v Speaker 1>he was nineteen. Our teenage mothers began dissolving our futures

0:43:04.480 --> 0:43:07.279
<v Speaker 1>and crack pipes when we were five. Never that he

0:43:07.360 --> 0:43:11.000
<v Speaker 1>washed the dishes of American dreamers till his hands callous.

0:43:11.239 --> 0:43:13.919
<v Speaker 1>Never my wins at their touch. Never that a black

0:43:13.960 --> 0:43:16.600
<v Speaker 1>girls to wish him for a better life is fourteen

0:43:16.640 --> 0:43:20.600
<v Speaker 1>hour work days plus classes. Less the glass slipper fairy

0:43:20.600 --> 0:43:24.520
<v Speaker 1>tale of a stripper's pole, an old man Semen find her?

0:43:25.080 --> 0:43:29.239
<v Speaker 1>Never that I almost chose an old man Semen To

0:43:29.400 --> 0:43:33.400
<v Speaker 1>say when the nurse handed me a photo a marble

0:43:33.480 --> 0:43:37.040
<v Speaker 1>of tissue growing, I only asked if I would feel

0:43:37.080 --> 0:43:40.759
<v Speaker 1>better when it was done. Is never to say we

0:43:40.800 --> 0:43:43.400
<v Speaker 1>would have just been another thing for you to hate.

0:43:44.080 --> 0:43:48.280
<v Speaker 1>A food stamp, tick, fat lazy breeder, did be prison number,

0:43:48.520 --> 0:43:51.680
<v Speaker 1>a white trash trailer hitch, a rape, a black boy

0:43:51.719 --> 0:43:54.759
<v Speaker 1>with a gun and no daddy, A bitter, exhausted nail

0:43:55.080 --> 0:43:59.000
<v Speaker 1>holding up our own crucifixion a thing to pity, promote,

0:43:59.360 --> 0:44:03.200
<v Speaker 1>donate to a poverty gutter. To gather your own reigning

0:44:03.280 --> 0:44:08.080
<v Speaker 1>self esteem in To say I cried from my best

0:44:08.120 --> 0:44:10.920
<v Speaker 1>friend as I took my panties down and laid on

0:44:10.960 --> 0:44:14.440
<v Speaker 1>the table is to sever the stitch of shame, To

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<v Speaker 1>let the milk of this choosing spill from me until

0:44:17.560 --> 0:44:20.600
<v Speaker 1>I am fresh vessel. It is to unlatch my wrist

0:44:21.000 --> 0:44:24.279
<v Speaker 1>bound in penance to the unhelpful, to the watchers with

0:44:24.320 --> 0:44:27.560
<v Speaker 1>only birds to give. To say the doctor's face was

0:44:27.600 --> 0:44:30.360
<v Speaker 1>a blur of soft cotton, but his voice was a

0:44:30.440 --> 0:44:34.200
<v Speaker 1>crisp still speculum is to free the pigeon of truth

0:44:34.280 --> 0:44:37.719
<v Speaker 1>from its cage, so that it might return dove. To say,

0:44:37.760 --> 0:44:40.759
<v Speaker 1>in the recovery room, I smelled the twenty shades of

0:44:40.800 --> 0:44:44.600
<v Speaker 1>Crimson escape fleeing down all the women's thighs is to

0:44:44.719 --> 0:44:48.960
<v Speaker 1>say I am seer and to story and conqueror and

0:44:49.080 --> 0:44:53.759
<v Speaker 1>scared teenage girl thirteen credits shy of statistic to say

0:44:53.800 --> 0:44:56.520
<v Speaker 1>that I have never spent three hundred and fifty dollars

0:44:56.560 --> 0:44:59.560
<v Speaker 1>more wisely is to hang my two degrees in a

0:44:59.640 --> 0:45:03.319
<v Speaker 1>house whose shoulders refused to slump. To stare down the

0:45:03.320 --> 0:45:06.640
<v Speaker 1>brick and backhand of this world without reproach in the

0:45:06.719 --> 0:45:09.799
<v Speaker 1>land that would sooner fuck or forget us, that would

0:45:09.880 --> 0:45:13.120
<v Speaker 1>rather see me orphan than owner of my own flesh.

0:45:13.160 --> 0:45:16.239
<v Speaker 1>To say that I did not choose to keep that

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<v Speaker 1>which I know would have been beautiful and brutal, is

0:45:20.440 --> 0:45:24.680
<v Speaker 1>to say unashamedly that I did choose life. To say

0:45:24.760 --> 0:45:30.040
<v Speaker 1>unapologetically that I did choose life. I did choose life

0:45:31.200 --> 0:45:50.600
<v Speaker 1>mine abortion. The Body Politic is executive produced by me

0:45:50.840 --> 0:45:55.080
<v Speaker 1>Katie Couric and was created by small team led by

0:45:55.160 --> 0:46:00.200
<v Speaker 1>our intrepid supervising producer Lauren Hansen. Editing and say ound

0:46:00.239 --> 0:46:04.759
<v Speaker 1>designed by Derrick Clements and Jessica krin Chich, researched by

0:46:04.840 --> 0:46:09.040
<v Speaker 1>Nina Perlman, and a special thanks to case Um producers

0:46:09.280 --> 0:46:11.760
<v Speaker 1>Courtney Litz and Adriana Fasio