Category Archives: Health Care

The (Supreme Court) Case Against “Crisis Pregnancy Centers”

2018 could mark a turning point in the fight against so-called “crisis pregnancy centers” (CPCs), those fake clinics that lie to women in order to deter them from getting an abortion.

CPCs have been in the news lately, and we’ll be hearing a lot more about them in the coming months—especially with the Supreme Court set to take a closer look at CPCs during its current term.

There are at least seven CPCs spread throughout Maine. For the most part, they operate as the roughly 3,000 CPCs nationwide do: by spreading misinformation, sowing unnecessary fear, and perpetuating stigmas around abortion, birth control, and sex. Furthermore, as Hannah Ruhlin recently wrote at the Maine Beacon, “CPCs often lie about the realities of abortion clinics, painting them as cold places where abortion is the only option.”

What we know, of course, is that abortion care providers like Maine Family Planning offer a wide range of comprehensive reproductive health care services, and that our expert clinicians are anything but cold; they offer compassionate and non-judgmental care to anyone who walks through the door.

Several states and municipalities have attempted to regulate CPCs by requiring them to disclose what they are (and what they are not, namely: medical facilities) and to fully inform women about their options regarding abortion, birth control, and prenatal care.

One of those states is California, with its Reproductive FACT Act—and that’s what the US Supreme Court will be looking at this spring.

As SCOTUSblog explained in November:

[T]he justices agreed to weigh in on a challenge by “crisis pregnancy centers” – nonprofits that try to steer pregnant women away from having abortions – to a California law that requires the centers to convey specific messages. The law mandates that nonprofits that are licensed to provide medical services post notices to inform their patients that free or low-cost abortions are available and to provide the telephone number of the state agency that can put the patients in touch with providers of those abortions. The groups that are not licensed to provide medical services – but try to support pregnant women by supplying them with diapers and formula, for example – must include disclaimers in their advertisements to make clear – in up to 13 languages – that their services do not include medical help.

The nonprofits went to court, arguing that California’s law violates the First Amendment, both by requiring them to convey the messages and, because the requirements do not apply to clinics that perform abortions, by targeting them because they discourage women from seeking abortions. A federal district court rejected their arguments, and the U.S. Court of Appeals for the 9th Circuit affirmed. The nonprofits went to the Supreme Court last spring, hoping that it would agree to rule on their case. After asking the lower court to send the record in the case – a sure sign that at least one justice is looking at the case closely — today the court granted review to decide whether the disclosures required by the California law violate the First Amendment’s free speech clause; it declined to decide whether the disclosures run afoul of another part of the First Amendment that bars the government from prohibiting the free exercise of religion.

Oral arguments have not yet been scheduled. This will be the first abortion-related case with Justice Neil Gorsuch on the bench.

Back in November,  Ilyse Hogue, president of NARAL Pro-Choice America, said the decision (likely to come down at the end of June) “could set the stage for how courts treat abortion rights for decades to come. As right-wing groups increasingly spread lies about abortion and basic reproductive health care, this case is an early test of whether the Supreme Court can guarantee our rights in the Trump era, including access to abortion care.”

Indeed, Media Matters abortion rights and reproductive health researcher Julie Tulbert warned at the end of December that we can expect a right-wing PR campaign on behalf of CPCs to “ramp up” in 2018.

“As the Supreme Court debates and decides NIFLA v. Becerra in 2018, the media should call out CPCs when they use deceptive tactics, and resist promoting the inevitable right-wing spin that free speech of such organizations is being unduly impeded,” Tulbert wrote.

Constitutional law scholar Robert A. Sedler explained in an op-ed just this week why, “[i]n my opinion, the California law does not violate the First Amendment. It doesn’t compel the clinics to say or not say anything, only to post truthful information provided by the state.”

“The Constitution enables the state to require that pregnant women seeking medical advice and assistance with their pregnancy have complete and accurate information so that they can make a fully informed choice,” wrote Sedler. “That is what this case is all about.”

Maine Family Planning will be watching and we’ll keep you updated as arguments are scheduled.

What Does Net Neutrality Have to do with Reproductive Rights?

Congress can save Net Neutrality

Via BattleForTheNet.com

You may have heard that earlier this month, the Federal Communications Commission (FCC)—helmed by Trump appointee Ajit Pai—voted to gut the open internet principle known as Net Neutrality. This move is direct threat to women’s health, reproductive justice, and all movements that use the Internet to educate, organize, and fight back. But there’s still a chance to save the Internet as we know it.

Enacted in 2015, Net Neutrality prohibits internet service providers (ISPs) like AT&T, Comcast, and Verizon from speeding up, slowing down, or blocking any content, applications, or websites you want to use.

As such, “It preserves our right to communicate freely online,” says the advocacy group Free Press. “Net Neutrality means an internet that enables and protects free speech. It means that ISPs should provide us with open networks—and shouldn’t block or discriminate against any applications or content that ride over those networks. Just as your phone company shouldn’t decide who you call and what you say on that call, your ISP shouldn’t interfere with the content you view or post online.”

Experts have pointed out how dismantling Net Neutrality could impact everyone from those involved in the #MeToo movement, to communities of color, to small business owners, to low-income people.

“Particularly damning is what today’s repeal will mean for marginalized groups, like communities of color, that rely on platforms like the internet to communicate, because traditional outlets do not consider their issues or concerns, worthy of any coverage,” wrote FCC commissioner Mignon Clyburn in her dissenting opinion to the December 14 vote.

And doing away with Net Neutrality could really hurt women, the reproductive justice movement, and anyone who needs the kind of reproductive health care services we provide here at Maine Family Planning.

“Without a free and open internet, anti-choice extremists could pay to block access to accurate information about reproductive health,” NARAL Pro-Choice America recently warned. “Imagine a world where a woman searches the internet but can find no information on how to access an abortion.”

Once upon a time, that might have sounded far-fetched. But given the Trump administration’s transparent war on women, it’s a future sadly worth considering…and girding against.

What’s more, the end of Net Neutrality could spell trouble for Maine Family Planning’s groundbreaking telemedicine services, which include abortion care. Loosening the reins on mega-telecom companies and allowing them to engage in something called “paid prioritization”—establishing “fast lanes” for sites that pay, and slow lanes for everyone else—would be bad news for rural patients who access health care services at home.

As Modern Healthcare reported:

Those differing speeds could hurt telemedicine since it requires a “pretty robust connection,” said Mei Kwong, interim executive director and policy adviser for the Center for Connected Health Policy. “The last thing you want is for the interaction to suddenly freeze or the audio to go out or for the picture to be pixelated.”

Similarly, a panel of public health experts wrote in Health Affairs earlier this year:

Increasingly, telemedicine is being used to bring higher-end health care services to remote and rural areas to reduce health disparities. For telemedicine to be scalable and positively impact cost and outcomes, there must be a predictable infrastructure connecting patients, care providers, and technology. A prerequisite for telemedicine is broadband connectivity between telehealth sites. Reliable low cost service for telehealth is potentially threatened by the loss of [Net Neutrality or NN]. What happens to telehealth if Netflix traffic is preferred above medical applications? Could Internet Service Providers (ISPs) offer better services for one hospital system than another, helping them take over telehealth in a region? The undoing of NN weakens the infrastructure of reliable low cost connectivity that telehealth systems depend upon.

The American Academy of Pediatrics also declared in a letter to the FCC before the vote:

“AAP is opposed to the implementation of paid prioritization because of its detrimental effects on the elimination of health disparities, efficiency of healthcare, and access to health information by parents and caregiver. If healthcare providers do not have the financial resources necessary to purchase priority Internet access, they may not be able to provide the efficacious, patient-centered, cost effective care recommended as part of the ongoing transformation and reform of our nation’s healthcare system.”

Every day, Maine Family Planning works to increase health care access for rural and low-income women. Undoing Net Neutrality puts that access at risk.

Congress can still step in to restore the open Internet that the general public wants and deserves by overturning the FCC’s order through a joint resolution under the Congressional Review Act. Write or call your Member of Congress now.

In Maine, Rep. Bruce Poliquin in particular needs to hear from us.

Learn more at battleforthenet.com.

Weighing the Benefits (and Risks) of Birth Control

A study published last week in the New England Journal of Medicine (NEJM) found a slightly elevated breast cancer risk among women who used low-dose hormonal birth control.

The roughly 20 percent increased risk of breast cancer—similar to the extra breast cancer risk contributed by physical inactivity, excessive weight gain in adulthood, or drinking an average of one or more alcoholic drinks per day—was found to be the same no matter what method of hormonal birth control was used.

When we spoke to Maine Family Planning medical experts, they said women and teens contemplating hormonal birth control (like the Pill, or long-acting reversible contraceptives/LARCs) should not be alarmed by the new research.

For one thing, this was an observational study and therefore it does not prove conclusively that hormonal contraception is definitely the cause of the increased risk—only that it may be a factor, just like female gender or advancing age.

As Aaron Carroll, professor of pediatrics at Indiana University School of Medicine, further explained in Sunday’s New York Times: “This was a prospective cohort study, meaning it was an observational study that followed women over time and saw what happened to them naturally. The data set didn’t allow for adjusting for some factors that could also be associated with breast cancer, like age at first menstruation; whether women breast-fed; whether they consumed alcohol and how much; whether they were physically active; and more. The study found only an association, and not causal proof you might obtain from a randomized controlled trial.”

For another, the increased risk documented by the researchers is still quite small, amounting to one additional case of breast cancer in every 1,500 women. And young women bear even less of the impact.

“The absolute increase in risk [found in the study] is 13 per 100,000 women overall, but only 2 per 100,000 women younger than 35 years of age,” wrote epidemiologist David Hunter, of the University of Oxford, in an editorial accompanying the study in NEJM.

Meanwhile, hormonal contraception continues to carry well documented benefits, including its efficacy in preventing unwanted pregnancy (which carries its own significant health issues), and substantial reductions in ovarian, endometrial, and colorectal cancers later in life. The New York Times spoke with a number of doctors who cautioned against reading too much into the research findings:

While the new study’s findings about breast cancer are important, “these results are not a cause for alarm,” said Dr. JoAnn E. Manson, a professor of women’s health at Harvard Medical School and chief of preventive medicine at Brigham and Women’s Hospital.

“It’s really problematic to look at one outcome in isolation. Hormonal contraception has a complex matrix of benefits and risks, and you need to look at the overall pattern.”

“When it comes to making your own personal health choices, you need to consider the entire set of benefits and risks,” said Kohar Der Simonian, MD, Medical Services Director for Maine Family Planning. “If you have concerns, the best thing to do is to bring them to your doctor or health care provider and find the solution that’s the right fit for you, as an individual.”

Here’s more from Bedsider.

For Maine Women & Families, Susan Collins Must Vote NO on Disastrous Tax Bill

Red alert! Senator Susan Collins is caving and she needs to hear from YOU—today and every day until the Senate votes on the morally vacant tax bill.

There are myriad ways this cruel legislation would hurt low-income and middle-class folks—all in the name of giving tax breaks to corporations and the wealthy—but we are particularly concerned by how the proposal could impact women and families. Not only does the bill cut key deductions that help Mainers make ends meet, but it tries to sneak in major policy changes that have nothing to do with “tax reform,” like gutting Obamacare and inserting anti-abortion language into an obscure provision on college savings. Bottom line: The tax bill is an abomination and it must be defeated.

From eliminating the student loan interest deduction and certain childcare credits to raising taxes on families that have serious and costly medical conditions, the “Tax Cuts and Jobs Act” includes many provisions that will make it harder for lower-income women and families to get by. Multiple analyses have shown that the tax plan’s biggest beneficiaries will be Wall Street titans and the super-rich, while middle- and lower-income households will see few, if any, benefits.

And then there’s the stealth attempt to repeal the Affordable Care Act’s (ACA) individual mandate through the tax bill. Putting aside that the some members of Congress just can’t seem to accept the fact that the American public doesn’t want Obamacare to go away, this is a dangerous proposal that would result in an estimated 13 million people losing their health coverage.

According to the Maine Center for Economic Policy, without the individual mandate, Mainers could see their premiums go up by as much as $3,000 in Maine’s more economically-depressed regions and the state’s uninsured rate would go up from 6.8 percent to 11.8 percent within 10 years.

When folks lose their health insurance, it puts more pressure on organizations like ours—Title X-funded health care providers who serve low-income, uninsured patients every day. When you consider that the Trump administration is simultaneously waging war against birth control affordability and family planning providers (not to mention the “anti-abortion Easter egg” tucked into the tax bill), you have a perfect storm with women’s health and autonomy in its eye.

Call Senator Collins TODAY and urge her to vote NO on the obscene tax bill. Urge her instead to support proposals that improve the health and well-being of Maine women and families. Together, we can make our voices heard.

Call (202) 224-2523 now.

Or call one of her state offices (you can call any office, not just one near you):
Augusta – (207) 622-8414
Bangor – (207) 945-0417
Biddeford – (207) 283-1101
Caribou – (207) 493-7873
Lewiston – (207) 784-6969
Portland – (207) 780-3575

After Cyber Monday Comes #GivingTuesday

Reproductive Justice Champions support a wide range of Maine Family Planning services and programs.

Tomorrow, November 28, is Giving Tuesday, a global day of giving that offers folks the opportunity to support their favorite charities amidst holiday shopping and deal-scoring bonanzas.

We hope you’ll participate in this altruistic activity by donating to Maine Family Planning. In particular, we urge you to consider our Reproductive Justice Champion monthly giving program. By committing to a monthly donation, you help us provide comprehensive reproductive health care to women, men, and teens across Maine. You help us empower teens to make healthy decisions through our Best Practices sexuality education curriculum. You help us advocate for your rights in Augusta, in Washington, D.C., and in courtrooms. You help transgender Mainers, rural Mainers, low-income Mainers… You get the picture.

And we need your support now more than ever. With a hostile administration in Washington, D.C., family planning providers like us have a target on our backs. From affordable birth control to abortion access, the Trump administration is waging a multi-pronged attack on women’s health care. Loyal friends like like you help us fight back.

Donate here.

‘We Can’t Be Complacent’: Thoughts on Transgender Day of Remembrance

Trans Day of Remembrance vigilToday is international Transgender Day of Remembrance, a day where we honor those whose lives were lost in acts of anti-transgender violence. According to the Human Rights Campaign, 2017 has already seen at least 25 transgender people fatally shot or killed by other violent means—and the vast majority were transgender people of color. “While the details of these cases differ, it is clear that fatal violence disproportionately affects transgender women of color, and that the intersections of racism, sexism, homophobia and transphobia conspire to deprive them of employment, housing, healthcare and other necessities, barriers that make them vulnerable,” HRC declares.

GLAAD has more about the history of TDOR here; a number of vigils are taking place around Maine. A memorial was also held in Portland on Sunday evening.

Maine Family Planning offers Open Door trans health services to folks at our clinics in Waterville and Lewiston, and statewide through our groundbreaking telemedicine technology. We are thrilled to also be on the cusp of expanding in-clinic services to additional locations in 2018. Soon, clinicians in Belfast, Bangor, and Fort Kent will also be able to offer trans health care on-site. This is an important deepening of our organizational commitment to reproductive justice. As Cazembe Murphy Jackson wrote today at Rewire: “It is so important for trans people to be included in the conversations about reproductive justice. ”

Jackson said:

We must reflect on our struggles and ensure that all of us have the ability to decide if, when, and how to become a parent, on our own terms. I believe this is at the core of reproductive justice: In order for any of us to have a taste of reproductive justice, it must be available to all of us. We must honor trans people as we are, while we are here, in every expression of our gender identity and reproduction. Honoring our resilience is resistance and remembrance.

To mark TDOR, Maine Family Planning nurse practitioners (NPs) Meredith Hunt and Sara Hayes—who manage the Open Door Program in Waterville and Lewiston, respectively—offered these reflections on the transgender health services they offer and their impact in Maine communities.

Meredith Hunt:

I really enjoy providing transhealth services.  It feels good to have such a direct impact on improving people’s lives. I love when I can see the happiness in someone’s face when I say “Yeah, I can help you with that.”  I also love that my patients in the Open Door Program really like coming in.  Many of them have told me that it is the only medical appointment to which they look forward.  I think what we are doing is so important and I see the impact in the community first hand. It is not just young people coming to see us. I have several patients who are over 50 and are so happy to finally have a place to go where they are accepted as who they truly are.

I will be attending the Transgender Day of Remembrance (TDOR) services in Waterville this year.  I have attended the ceremonies in Portland in the past.  When they read all the names of the transgender people who have lost their lives in the past year, I can’t help but get emotional.  It is just so wrong and heartbreaking.  I hope that by providing the services we offer, that we in some way are making the lives of transgender people in Maine better.

Sara Hayes:

I am very proud of our trans program at MFP.  We currently have roughly 100 trans patients who Meredith and I are helping through this process and I absolutely love my trans practice.

Working with trans folk to get their inner and outer selves in balance is incredibly rewarding.  Going through puberty as a teenager is especially rough for trans people and together we go through it again, but this time getting the hormones right. I love hearing about and seeing the physical changes my trans patients go through and their excitement is catching, for sure.

I’m also pretty excited that we are expanding the number of MFP NPs doing trans care. We have patients coming to us all over the state.  Meredith and I can do visits via telehealth at any of our sites but I think it is important that we expand our on-site trans care options as well. Julie in Belfast has been getting up to speed and thanks to a MeHAF grant, we are getting Priscilla from Bangor and Christina from Fort Kent trained as well.  My dream is that before too long, trans care is going to be available at all sites with any of our NPs.

Trans folk, especially trans women, have been the targets of violence and derision for forever.  I have been doing trans care for almost 5 years and I hear from my patients that they are getting more support from their families and friends than trans folk have in the past. But for many, safety and support are not a given. The Transgender Day of Remembrance is not only a tribute to those who have tragically lost their lives because of other people’s hate and intolerance, but it is a reminder to all of us that we can’t be complacent about safety because unfortunately trans people are still and will continue to be targeted. Especially since the current administration in Washington is just adding fuel to sparks of intolerance and ignorance that will ignite into violence, not only against LGBT people. but also against minorities, women, and low-income people.

Waiting for the Title X Shoe to Drop

NFPRHA graphic on Guttmacher

Graphic via National Family Planning & Reproductive Health Association on Twitter.

Any day now, we expect the Trump administration to issue its Title X Funding Opportunity Announcement (FOA)—and to be honest, we’re a little nervous.

After all, the Department of Health and Human Services (HHS) political appointee overseeing the Title X program, Deputy Assistant Secretary for Population Affairs Teresa Manning, has publicly opposed the use of federal funds for family planning and stated that contraception is ineffective. The former anti-abortion lobbyist also opposes emergency contraception. What’s more, a memo leaked last month suggested that advisers to the Trump administration are seeking to slash Title X funding by half—and/or to promote the “fertility awareness” method of birth control in place of other, more effective forms of contraception.

The National Family Planning & Reproductive Health Association, of which we are a member, sees the likelihood of an attack on Title X as “High;” the Guttmacher Institute said in October: “Never in its history has the nation’s family planning safety net been in such jeopardy as it is today.”

You can see why we’re not exactly optimistic.

There are a few ways HHS could go after family planning providers through Title X:

  • By cutting or eliminating Title X funding altogether;
  • By altering the parameters of the grant to include so-called “crisis pregnancy centers” (which use tactics of misinformation and deception to prevent women from accessing abortion care) as eligible entities or “tiering” providers (giving preference to public health departments or primary care providers in order to shut out non-profit organizations like MFP);
  • By putting onerous conditions on Title X recipients—and their patients—such as requiring parental notification and consent for teens seeking contraceptive care, a policy repeatedly rejected by the Maine Legislature;
  • By instituting what’s known as the Domestic Gag Rule, which would bar Title X-funded health care providers from talking about abortion as one of three choices available to pregnant patients who come to us for comprehensive options counseling.

Under any of the above scenarios, the Maine Family Planning network of providers (18 MFP clinics, plus four Planned Parenthood sites, 20 Federally-Qualified Health Centers, and five school-based health centers) would be hamstrung in its ability to provide a full range of contraceptive and reproductive health care services to low-income, uninsured, and underinsured women, men, and teens around the state.

We are staying vigilant as the right wing’s latest attack on women’s health care looms. Stay tuned.

We’re Still Fighting

#ImStillFighting

I’m Still Fighting image via Physicians for Reproductive Health

Today, we celebrate Maine’s historic vote to expand Medicaid (MaineCare). The margin of victory (59 to 41 percent, as of this writing) and geographic distribution of votes (supportive communities stretched from towns bordering Canada all the way to southern Maine) clearly demonstrate that Mainers believe access to health care shouldn’t depend on where you live or how much money you earn. Tuesday’s vote means more low-income folks will benefit from a full range of critical health care services, including family planning and reproductive care, and thus brings us closer to realizing our overlapping goals of reproductive and economic justice.

But we’re still fighting. 

First, we must ensure that our elected officials act on the will of the people. Already, Gov. Paul LePage (R) is snubbing Maine voters, declaring Wednesday that his administration will block the expansion until the program “has been fully funded by the Legislature at the levels [the Department of Health and Human Services] has calculated.”

That’s not right—or legal.

According to Talking Points Memo:

Mainers for Health Care, the organization behind the campaign to expand Medicaid, said despite LePage’s bluster, he can’t stop the expansion train without violating state law.

“Under the state constitution, 45 days after the legislature reconvenes, Medicaid expansion will become the law of the state,” the group’s spokesman David Farmer told TPM. “According to the statute, the Department of Health and Human Services has 90 days after that to submit an implementation plan to the federal government, and the implementation itself will take place in mid-August of 2018.”

As Maine Family Planning community organizer Cait Vaughan reminded supporters in an email today, “we’ll need all of you to show up and make sure state legislators follow through on Medicaid expansion.”

Meanwhile, we must remember that until women can use their Medicaid coverage for all the medical services they need—including abortion—this victory remains incomplete. And so we’ll continue our battle to overturn the state’s ban on Medicaid coverage for abortions.

We’re fighting because the right to an abortion is meaningless if low-income or rural women can’t access one.

It’s appropriate that we participated today in the #ImStillFighting “tweetstorm” organized by Physicians for Reproductive Heath, marking one year since Election Day 2016—a year that has seen a wholesale assault on reproductive rights, the family planning safety net, and women’s health care.

See why other, like-minded organizations are Still Fighting, below:


Yes on Question 2 is a Vote for Women’s Health

Maine Family Planning is part of a statewide coalition working to pass Medicaid expansion on November 7th. Here, our community organizer Cait Vaughan shares a little more about why Yes on 2 is a vote for Maine women.

As the community organizer for Maine Family Planning, I’ve spent the last couple of months talking about little else but Medicaid expansion and the opportunity to vote YES on statewide ballot Question 2 on November 7th. Along with our incredible UMaine Orono intern and MFP volunteers, I have been making phone calls, speaking at events, engaging patients in the clinic waiting room, and (most importantly) knocking on doors to encourage Mainers to vote in favor of expanding this critical program. Back in May, I wrote about Medicaid as a feminist issue and how this joint federal and state-funded program is a crucial aspect of the family planning safety net. With Election Day rapidly approaching, I wanted to focus in a bit more on why we at MFP view expanding Medicaid—known as MaineCare in our state—as a vote in favor of women’s health and autonomy.

MFP serves roughly 21,000 patients each year across our 18 clinics that span 12 of the state’s 16 counties.  Roughly a quarter of our patients receive Medicaid right now, which makes sense, considering that women receiving Medicaid are more likely than those on private insurance to receive gynecological care at a family planning clinic or Federally Qualified Health Center (FQHC) instead of a private physician’s office. Women receiving Medicaid are also significantly more likely than those with private insurance or uninsured women to speak with their providers about important issues like contraceptives, sexual history, HIV, and domestic violence. Another 38% of patients who visit our clinics utilize the sliding scale payment option, largely due to a lack of access to health insurance.  This means that many women rely on us as their sole health care provider, and they are some of the folks who will be most positively impacted by expansion. While our clinicians provide excellent and compassionate care, patients need access to the full range of health care services in order to lead lives of dignity, opportunity, and self-determination. Those qualities truly encapsulate our greater mission as a health care provider and advocate in the feminist tradition of improving women’s lives.

One of our greatest contributions as a provider might be the advances we’ve made—via telehealth services—to improve access to sexual and reproductive health care in Maine’s rural and low-income communities. Voting Yes on 2 would allow us to go even farther. Half of the state’s current MaineCare recipients live in rural areas, and MaineCare provides coverage for many telehealth services (not currently inclusive of abortion care). Expanding Medicaid could complement the steps we’ve already taken to ensure that crucial health care services are available to our patients in rural towns like Fort Kent, Machias, and Rumford. MaineCare expansion can assist patients in overcoming economic barriers to health care that are compounded by geography and a sorely lacking public transportation infrastructure.

As a Title X provider, it’s also important to note that Medicaid has become the most significant public funding source for family planning services in the past decade. Medicaid’s funding for family planning outpaces even federal Title X, which is consistently targeted for cuts and has not been able to keep up with the rising costs of delivering care. We experience firsthand the many ways that access to a quality public health insurance program like Medicaid supports improvements in women’s health, the benefits of which have a ripple effect on our entire statewide community. We hope you’ll join us in voting Yes on 2 on Tuesday, November 7th and take an important step in making women’s health in Maine the way it should be.

If you’d like to volunteer a few hours of your time to support Yes on 2, you can join a special canvass of Friends of Repro Rights jointly led by Maine Family Planning & Planned Parenthood this coming Monday, October 30th in Augusta. Find full details & register here.

Sources/For More Information:

New Abortion Data: A Clarion Call to Family Planning Advocates

On Thursday, the Guttmacher Institute released a new analysis published in the American Journal of Public Health, giving insight into US abortion trends.

The data is fascinating and Maine Family Planning views it as a clarion call to continue and expand the work we’re doing in our clinics, in court, and in our communities.

The report from Guttmacher shows an overall decline in the US abortion rate between 2008-2014. Despite the 25 percent decline, abortion is still a common procedure in this country; one in four American women will have an abortion by age 45. Deep disparities remain among different demographic groups, with abortion increasingly concentrated among poor women and a long history of racism and discrimination contributing to differences in the abortion rate according to race and ethnicity.

These findings underscore the important work Maine Family Planning is doing to increase contraceptive use and abortion access around the state, as well as how much is at stake amid political attacks on reproductive health care nationwide. We see a declining abortion rate as a victory only if it is rooted in advances in comprehensive, affordable reproductive health care and the political and social conditions to support reproductive self-determination for everyone. Unfortunately, at least some of the recent decline can be attributed to politically-motivated & medically unnecessary state-level abortion restrictions that prevent women in many states from accessing care when they need it. Additionally, it’s clear that quality health care services remain financially out of reach for some Americans, rendering them unable to effectively plan pregnancies. As the hostile Trump administration continues its assault on health care, we fear these factors will only become more pronounced.

Our focus remains on empowering women to avoid unintended pregnancies via highly effective contraceptive methods, to be able to access abortion when they need to, and to make decisions based on their own visions of the families they want. Maine Family Planning is battling on many fronts to achieve full access to reproductive freedom: From offering comprehensive prevention programming in schools and long-acting reversible contraception (LARC) in our clinics; to providing innovative abortion care via telemedicine; to fighting in court to expand Medicaid coverage for abortions and overturn Maine’s burdensome law prohibiting nurse practitioners from providing abortion; to working with like-minded groups on the upcoming Yes on 2 vote to make Maine the first state to expand Medicaid by referendum. Guttmacher’s latest statistics prove that our work remains vital and necessary.