The Supreme Court (SCOTUS) 7-2 decision 1973 Roe vs. Wade:
“The Due Process Clause of the Fourteenth Amendment
protects against state action the right to privacy, and a woman’s right to
choose to have an abortion falls within that right to privacy. A state law that
broadly prohibits abortion without respect to the stage of pregnancy or other
interests violates that right. Although the state has legitimate interests in
protecting the health of pregnant women and the “potentiality of human life,”
the relative weight of each of these interests varies over the course of
pregnancy, and the law must account for this variability.
In the first trimester
of pregnancy, the state may not regulate the abortion decision; only the
pregnant woman and her attending physician can make that decision. In the
second trimester, the state may impose regulations on abortion that are
reasonably related to maternal health. In the third trimester, once the fetus
reaches the point of “viability,” a state may regulate abortions or prohibit
them entirely, so long as the laws contain exceptions for cases when abortion
is necessary to save the life or health of the mother.”
(An all-male Supreme
Court decided this case as there were no women justices at that time.)
As many of you know, I
am a Registered Nurse. I have been one for almost 60 years, although I am now
retired from active work. But I was a hospital-based nurse in Washington, DC, before
the decision quoted above. I did not count how many patients I saw who were
treated for botched, so-called back-alley abortions, but there were more than a
few. Those were the days before easily obtained oral birth control medications.
For many years, there were no easy options for legal abortions in the United
States; although anyone who could afford to leave the country could receive
care at Swiss clinics. In
1971, New York allowed legal abortions for pregnancies up to the
gestational age of 24 weeks. A few other states also then allowed the procedure,
but some made it allowable for state residents only. Five-Thirty-Eight
wrote an analysis of the time and the difficulties when poor women had to find
the money not only for the medical procedure but also for bus or plane tickets
and lodging after they traveled to a distant site.
Sadly,
I have not only seen women severely ill from infections after illegal abortions;
I have also seen teenagers die. One I remember to this day was only 15 and had
a generalized abdominal infection because the instrument used had perforated
her uterus and bowel. Unfortunately, she died from the infection. The effects
of the law just passed in Texas sets the stage for many more women to die this
way. Most women do not know that they are pregnant at six weeks of gestation,
so the law is difficult to obey. However, the net effect is that all legal
abortion providers in Texas have shut down. Poor women in Texas with unwanted pregnancies,
even those from rape or incest, can no longer end a pregnancy in a safe medical
clinic in the Lone Star State. While medications can end pregnancies at certain
stages, even those medications ordered from mail-order pharmacies
will be off-limits under the restricted law (SB4). According to the Texas Tribune:
Alexis McGill Johnson, president, and CEO of Planned Parenthood
Federation of America,….. said her organization would exhaust every avenue to
fight the law from coming into effect. “The harm this law will cause will be
insurmountable for far too many Texans, particularly Black, Latino, Indigenous
people, those with low incomes, and Texans in rural areas who already face
significant barriers to care,” Johnson said in a statement.
I am not pro-abortion
but I am “pro-choice”. A woman needs to be able to make healthcare decisions
affecting her body and her life. As a mother of two children who were wanted
and loved, I understand how hard decisions to end a pregnancy must be. I personally
could not have made that choice, but I understand my circumstances differ from
many others. When I had children, I was educated, married, employed, and had
access to medical care. Often, women have none of these options, already have a
large family, or have no choice about becoming pregnant. Why should some nosy
zealot be able to interfere in what has been declared a woman’s right to
privacy? Why should these vigilantes be allowed to intrude on personal and
difficult decisions?
According to CDC, the
abortion rate in 2018 was 11.3 abortions per 1000 women aged 15-44. Nearly all
abortions (91.5%) were performed at a level under 13 weeks of pregnancy.
Although reporting is incomplete, in 2018 at least 50% of all abortions were
medical abortions (meaning that pills were taken to end the pregnancy). Abortions
for teenagers have decreased in numbers, so education may have helped limit pregnancies
around those ages.
So, where do we go
from here? Many abortion foes are counting on a positive decision by the
Supreme Court regarding a Mississippi law that was planned to challenge Roe v
Wade and outlawed abortions after 15 weeks-this has been followed by a six-week
heartbeat
law, also in Mississippi. Despite all Justices having said that Roe vs.
Wade is settled law, the several justices appointed during the previous 4 years
(Gorsuch,
Kavanaugh, and Barrett) are all known as conservatives who have not decided on an issue of this magnitude, but who joined the older conservatives in not
staying the Texas law. Chief Justice Roberts joined the liberal faction in calling
this law unconstitutional. Texas tried to get cute with this law and used a
provision under civil law which allows citizens to report a crime. The justices
may have deferred because no cases have yet occurred as the law just went into
effect. The law not only allows
but encourages citizens to report abortion providers, their staff, even the
taxi driver who drives a woman to a clinic where it is suspected that
she might receive an ultrasound and be declared pregnant and schedule further care.
Although the pregnant woman cannot be fined, everyone in that clinic could be. In
short, this puts women on the doorstep of their healthcare providers under the
watchful eyes of vigilantes-who in Texas, no longer need a permit to open carry
a weapon-who can harass them. In fact, one need not be a Texas resident to
challenge this law as they extended the privilege to any US citizen. If prosecuted
successfully in civil court, it carries a $10,000 bounty to the finder, with legal
fees if they uphold the court challenge. The Wild Wild West rides again!
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COVID and the Delta
variant are still with us. There are new reports about a new variant called MU which
has already been found in several states and other countries. It follows the
Alpha, Beta, Gamma, Eta, Iota, and Lambda variants that preceded it. Each has
gained a footing in countries where large numbers of people have not yet been
vaccinated. That is why it is so important to increase worldwide vaccinations. The
MU
variant is currently being watched closely as some scientists from the World
Health Organization are concerned that it may be more resistant to the vaccines
than other variants. Currently, over 102, 734 patients are hospitalized across
the country. Some numbers in the south are finally declining, but numbers in the
Mid-Atlantic are increasing. The leader is South Carolina, which is only 44%
vaccinated and is reporting a 50% increase in cases with 5.445 fresh cases.
Tennessee and Kentucky round out the top three with the highest case counts. US
cases are now topping 40 million.
Maryland, which is 62%
vaccinated, is showing a 14% increase in recent cases. Maryland students are
returning to school with a statewide
mask mandate. Authorities expect that Hurricane Ida and the flooding and
disruption it has caused from Louisiana to New England might also increase case
numbers in future weeks.
COVID stats NY Times:
US totals: Total
Cases: 40,004,444. New Cases: 161,210.
Total Deaths: 648,264. New
Deaths: 1,558.
Maryland Totals: Total
Cases: (as of 9/3/21) 501,035. New Cases: 1387.
Total deaths: 10,051. New Deaths: 11.
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Many residents in the
New Orleans area are still without power or water after the devastation from
Ida. The storm severely affected the power grid as the strength of the winds, over
150 mph, toppled all the towers which carry transmission lines. Water cannot be
pumped and they cannot distribute gasoline without power. Some areas remain
underwater. FEMA is on-site, but it cannot be as effective when mobility is so
constricted. The storm caused tornadoes up the East coast as it dumped torrents
of rain and flooded streets, subways, and basement apartments. Meanwhile, the
West continues to fight massive fires, one of which caused South Lake Tahoe to
be evacuated. There are few words to ease the pain of any of those tragic
survivors.
Climate change deniers
must find it harder to make their case these days as extreme weather has caused
turmoil from north to south and coast to coast.
The Labor Day Holiday
is tomorrow-no room to say more at this time, except to applaud all of those
city workers, union nurses, high wire linesmen, and FEMA employees who are
working over this weekend to help keep all of us safe. Cheers!
“Til next week –
Peace!
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