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Dr. Tiller was my abortion provider and he changed my life

31 May

A guest post by an author who wishes to remain anonymous.

I remember waking up on my 23rd birthday and deciding today was the day I had to acknowledge the pregnancy I had been carrying since February — my birthday is in August. Although I had been raised in a solidly pro-choice family, I was incredibly ashamed of myself for getting pregnant and found that denial was the easy out. I tried everything I could in the beginning to force miscarriage; I remember hitting myself in the stomach, getting so drunk I would hold a trash bag to throw up into and then drink more, and taking every medication I had in my little apartment in the hopes that something would work. Nothing did.

My boyfriend was living in another state and I will never forget the phone call I made from our little apartment to tell him the news. I’m lucky today that I can call him husband; it was this pregnancy situation that helped me see what a wonderful man he is. After hearing about the pregnancy, he resigned his internship and jumped on a plane the next day to come home. We went to our local clinic and, of course, were told I was too far along for them to help. 24 weeks pregnant. 24 weeks.

We went to see a later abortion provider 70 miles away and were again told no. We traveled three hours to another clinic, but I was just days beyond their limit. Another no. But they had one last little tiny bit of hope. As we left the clinic one of the women behind the counter handed me a card with a name and a phone number written on it: Dr. George Tiller, 316-684-5108. Little did I know, this card would change my life.

My boyfriend and I made the long drive back home and made the phone call. The woman on the other end of the line was one of the kindest, most caring individuals I had ever spoken with. She didn’t start the call asking how far along I was or how much money I had, she asked if I was okay. She walked me through the scheduling process with care and love, and checked in with me multiple times in the days before we again made the long trip to Dr. Tiller’s clinic.

I was terrified as I rode in the car, couldn’t sleep the night before we went to the clinic for the first time, and watched my hands shake as we walked into the clinic for the first time. We couldn’t afford to pay the cost of the abortion on our own but were lucky my parents agreed to help us with funding; many women don’t have this luxury. Later I would learn of many funds throughout the United States who exist solely to help women pay for their abortions.

From the moment we checked in it was clear this was the place I was supposed to be. Looking across the room at the faces of the people who were there with us: husbands and wives, boyfriends and girlfriends, mother and fathers with their daughters, I felt less alone; I wasn’t the only one. As Dr. Tiller walked into the room, everyone silenced. He smiled. “Welcome,” he said. His first word was exactly how I felt.

I was lucky to have Dr. Tiller provide my abortion. I was lucky to have been taken care of by his incredible staff. I was lucky to be part of the program he had built for his clients, including counseling, care, and love that was needed during a very difficult time. When it was time for us to return home, I remember feeling conflicted. I didn’t want to leave this safe space. I wanted to stay here with the people who understood and supported what I had just been through, but I knew it was time to go home, and I knew I had support in Wichita whenever I needed it. I was ready to move on and not let this experience hold me back. Thank you Dr. Tiller for your wonderful care. You are missed every day.

Remembering Dr. Tiller: A Call for Collective Remembrance

29 May

This Friday, May 31, 2013 marks the 4th anniversary of Dr. George Tiller’s murder. One year ago, we at the Abortion Gang and the Provider Project hosted a collective blog call for remembrance in his honor, and we’d like to make this an annual tradition. Unfortunately, threats against abortion providers are still all too real and we are fighting an ongoing battle against abortion restrictions across the United States. This year has seen a surge particularly in laws banning abortion after certain points in pregnancy, from a 12-week ban in Arkansas to the recent proposal to ban abortion nationwide after 20 weeks. Dr. Tiller was widely known for his 2nd and 3rd trimester abortion care, and it was ultimately his unwavering commitment to providing these services that was the reason for his assassination four years ago.

In light of that, we’d like for posts this year to address the question of later abortions, specifically those performed in the 2nd and 3rd trimester. Your post could use some of the following questions as a jumping-off point:

  • Why are there so few later abortion providers in this country? How can we improve the situation so that more doctors provide this care?
  • Why is it so important that abortion remain legal past 20 weeks?
  • How would a nationwide 20-week ban affect the country, or your community? How might it affect your personal reproductive health decisions?

In your post, please link back to this blog post so that folks can come here and find links to other reflections on Dr. Tiller.

The Abortion Gang and The Provider Project will post links to pieces written answering this question, starting Friday, May 31 through the following Friday, June 7. Please feel free to forward this call for posts to anyone who you think would be interested in honoring Dr. Tiller’s legacy. Send the links to your posts to info@iamdrtiller.com and lily@theproviderproject.org, tweet them to @AbortionGang and @Provider Project, or leave them in the comments.

Respect, strength and courage

2 Apr

“Life’s most difficult choices don’t always have easy answers. There are no free passes, no tap outs, and no do-overs. One thing’s for sure, the answers you’re looking for start with asking the tough questions. And you’re stronger than you think you are.” – From DifficultChoices.org

Though powerful, a quick dig into DifficultChoices.org reveals itself to be the work of a Colorado Springs based Crisis Pregnancy Center (CPC).  The twist is it is couched as a forum for young people to share their reproductive health stories.  Now, the stories posted may indeed be real, but they most certainly don’t capture the scope of a young perople’s experiences, as in the land of CPC sponsored  adolescent abortion stories, no one actually has an abortion.

The site frames the stories through labels of respect, strength, or courage.  It’s not often such empowered language is used in respect to young people’s reproductive decisionmaking.  I liked it so much I thought that what they really needed was to expand the vision to the full true scope, including the respect, strength and courage it takes to have an abortion.  As such, I reached out to the Women’s Center at the University of Colorado at Boulder to see if they would put me in-touch with any young people willing to share their abortion stories, so that Colorado could be more adequately represented. Below are two abortion stories written by folks from Colorado who graciously shared a small part of themselves with us.  One older, one younger, both so incredibly honest and brave, perhaps Difficult Choices would like to recognize their strength and courage and add these stories to their website?

Strength

Dear Baby,

This is the week I gave you up. It’s been two years. You would have been a year and four months old. You would have been walking. You might even be calling me “Mom”. But Baby, as much as I yearn for those memories, I am so glad that I don’t have them. Rather I will have the memory of deciding to apply to the London School of Economics. Baby, if you had been here, I don’t think graduate school would have even crossed my mind. I probably would not be graduating in May. Yes, it is selfish to have let you go, but as I have told you many times, I have all the right to be selfish. If not now, when?

I am listening to the song that reminds me of you. “Las Simples Cosas” by Martirio. The singer says that one always says goodbye without much feeling to simple things. I want you to know that it hurt me to let you go. It was one of the hardest decisions of my life. This year I decided to stop loving who would have been your father. That was harder. Baby, he would have loved you so much. He is a great man. Unfortunately, he was not a great man to me. I always think of what could have been if you had been here. Maybe he wouldn’t have betrayed me like he did. Maybe he would have hurt me even more. I’m afraid he has forgotten about you. But that’s ok. You’ll always have me. I will always talk to you, even when I start to have…I guess, real children. You will hold a special place in my heart forever.

On Friday, I am going up to the mountains, where we buried what could have been. It’s beautiful and Orion is always so spectacular up there. I’ve told you before, but I think that’s where I fell in love with him. Last year, we went up there. We weren’t together, yet he took me up there, held me while I cried for you. I am so sorry Baby. I wish life had been different. I wish I could have been strong enough to have carried you and raised you. But Baby, you are in a wonderful place now. You are so much better there than here.

Baby, my world is crumbling around me. I feel so alone. I wouldn’t have wanted you to see me this way. I am trying so hard to keep it all together Baby. And it kills me to say this, but because you aren’t here I know I will be able to carry the weight of the world on my shoulders. Because you aren’t here, I have the courage and strength to strive for more. Because you aren’t here, I will overcome.

I let go of you, and you will never know how much pain that caused me. Be assured that I will never forget you. I keep telling myself that I never loved you, but a bit of me did. I loved you enough to let you go. You were not a simple thing Baby, no you made me love life more, you allowed me to choose what I wanted and respect who I am, you gave me the power to see how valuable I am. I hope you understand that you gave me so much more than I lost. Baby, do me a favor, look at the star he gave me, the one left of Orion’s belt and ask it to twinkle a little brighter on Friday. Baby, I hope you are happy up there with all those magnificent lights and I hope one day you can forgive me. Know that instead of giving you life, I gave you an eternity up in the skies.

Courage

My name is Katherine and I am 41 years old. A year and a half ago, newly married, I had an abortion. It would have been a shot gun wedding, had I known I was pregnant, but because I was unaware it was a simple elopement in a junkyard.

I believe strongly in adoption and my first husband had a vasectomy during a time when I was angered by life and by myself. The idea of creating more children angered me. Many children of divorce don’t want the burden of creating a healthy outcome. But what is healthy? I was not ashamed of my abortion nor do I now feel the need to keep it private, a dirty secret. Let us call out the stigma that damages women in an irrevocable way.

I was 10 weeks pregnant when I was finally able to make it to the clinic. My breasts were magnificent, my belly plump and my alcohol consumption continued at a steady pace, an attempt at killing whatever joy could have come from this growing baby. My husband and I were married just four months after meeting, and along with my husband came a lovely 7 year old boy. Knowing that we were going to be caring for this child with the help of his mother for the rest our lives is the harsh reality we live with everyday. My stepson’s autism paired with our cynicism left no room for a new child, and I had accepted this.

I never wanted to be 40 and pregnant. However, as a caregiver of children, I was saddened to miss this opportunity to have my own child because in the face of a fucked up world there stares back the faces of justice. I often thought of my mother, long deceased and yet I ached for her and I to care for this baby together.

On the day of the procedure, I cried uncontrollably because my husband could not be there to support me. He had to care for his son at a time when no one else could be there, and so I pushed away everyone’s offers to take his place and went alone. I chose to rely on memories, the stories of close friends rowing the same boat, and the gracious, utterly kind women at the clinic.

What I had needed most was to cease being pregnant and return to my life again. As I write this, the beautiful 4 month old baby girl of my dearest friend plays next to me. I held her legs during the birth and have started working as her child’s caregiver giving her much needed support and friendship at a wonderful and challenging time in her life. This child makes me calm and insanely happy.

As women, it can still feel as if we are alone, certainly we are still victimized and subjugated, but as women we are fierce and capable as well. I do not shy away from the choice I made to be a mother to others peoples children, to help mother my stepson and to now love and help care for the child next to me. I fight everyday to be as strong as my mother and to keep strong the women in my life through honesty and compassion. And I am fortunate to have men in my life who give me hope and who fight for us, for a healthy future. Erasing the stigma of abortion or any of the choices we make as women is a healthy beginning.

______________________________

Clearly evidenced from these powerful stories, emotional resilience among people who have abortions is no small feat. In fact, I would go so far to say that these women display respect AND courage AND strength.

Supporting abortion as birth control

29 Mar

Last week, I got into a conversation (as I often do) on access to abortion. The exchange was pleasant and informative, but in the course of the conversation the other party expressed she did not support free choice if  “someone is using abortion as birth control.” In my experience (and other abortion ganger’s experiences as well), conversations about abortion often come to this same limit, or some version of ‘abortion is not an acceptable if’ statement.

And when the ‘if statements’ start flying I wonder: Why are we so afraid of liberating the use of abortion for whatever means an individual may choose? Why is it that when abortion comes up, some “moral limit” (within the legal limit) must be placed on the procedure? When society is not being harmed, these arguments against abortion as birth control become moral high-ground arguments that hurt the prochoice movement.

Of the approximate 6.7 million pregnancies a year in the US,  about half or 3.2 million are unintended pregnancies (Guttmacher, 2012). Once an unintended pregnancy occurs, even if a person chooses not to use birth control daily/during sex and becomes pregnant, isn’t abortion is the only form of birth control that can be used to control birth? Literally?

Honestly: If we consider that approximately 11% of all unintended pregnancy are a result of sex without contraception (Guttmacher, 2007).  The real concern is the US women/couples who are underserved or disserved by the contraceptives and/or reproductive health system available in the US. As KushielsMoon clearly explains here, contraceptives are scientifically different from birth control. Abortion, biologically is birth control, in every case, regardless of if contraception was used during sex or not.

Furthermore, safe, legal abortion is one of the most effective forms of birth control; in the US, abortion procedures only “fail” or need to be re-administered less than .5% of the time (NAF source).  Abortion is a safe reproductive experience, and repeating the procedure multiple times has not shown to have negative impacts on future reproductive abilities (See Ms. myth buster article & abortion support blog). However, advocating that using abortion for birth control is totally 100% OK/kosher/great/moral usually terrifies people.

Why? When we think about the burden an individual’s choice places on a society we usually think in terms of financial implications, public health burdens, and how the individual’s choice interacts with social morality.

Depending on how often it is needed, abortion is a relatively expensive form of birth control, but US Governments (unfortunately) are, in most cases, not paying for the procedure. The financial burden of an abortion falls more on the individual, and therefore is unlikely to negatively affect the financial solvency of the state or society. We need to respect the individual’s right to choose to spend their money on whichever birth control they may choose.

In terms of public health concerns, in the US, abortion is a safe and legal procedure. Sure, using condoms to prevent the transmission of STDs would be a better public health approach, but using abortion as birth control is no less acceptable than the IUD or the patch when it comes to concern for STD transmission. The only argument that remains for saying abortion control shouldn’t be birth control is a moral judgment that relying on abortion as birth control is unacceptable.

If someone wants to use abortion as birth control, let him or her do so. Let them because it is immoral to judge and shame a free choice behavior that is non-society-harming. Do it because you radically believe that abortion is moral every time it is done safely and legally. Abortion is birth control. Any time a person draws a moral line about abortion’s acceptability as a reproductive health decision they stunt our movement against stigma and toward free, safe choice.

Sharing Abortion Stories: Similar Experiences, but Never the Same

22 Jun

A guest post by Renee Bracey Sherman. Originally posted at Exhale, cross-posted with permission.

Indifferent. As I rode home from the abortion clinic and the days after the procedure, I felt indifferent. I had been told to expect overwhelming feelings of sadness and physical pain, yet I felt none. I felt fine. Not better than normal, but also not worse than normal. Indifferent. It was not at all what I was told to expect, by the doctors, the nurses, or what I had heard from friends.

I grew up in what many would call a ‘liberal’ family. We were middle class; my parents are both nurses, college educated, we lived in the suburbs of a major city, and we were a very open family. My parents are both ‘pro-choice’ and would have supported my decision when I was 19 years old to have an abortion, yet, why did it take me six years to tell them about it?

My experience wasn’t unlike other women’s; I had a steady boyfriend, I was on birth control, but I missed a few weeks of pills and became pregnant. At sixteen, when I told my mom about a friend’s abortion decision, she told me that it was a personal choice and one she supported. So, I should have been able to go to my parents when I needed support, right?

It just wasn’t that easy for me. Many of my cousins had children in their teens and were unable to finish high school and college, yet I was on track to do both. I didn’t want to disappoint my mother, I felt that if I told her that I was pregnant, I would let her down, make her mad. I felt that she and my father would be disappointed, even though they would have supported my decision.

Even until recently, I was afraid to tell anyone, for fear of the reaction that I would get, or the way they would view me. I felt that if I told my story, I would be wearing the scarlet ‘A’ forever. I felt that I would be one of the vicious women that senators and representatives talk about who ‘abort their babies to fit into a prom dress’. That kind of rhetoric hurts me because that wasn’t what happened. How could I make others understand without having to share the whole story of the abuse I had endured during that relationship, how to say that it was my choice and it was a way to get out of a really bad situation. It’s hard to justify your actions without giving away a huge part of yourself every time.

Even though some people may see me differently after knowing I had an abortion,  I’ve chosen to share my story to let others in the community know that abortion shouldn’t be a taboo subject. We can comfort one another and change the conversation. We can shape what people hear about our lives and our stories.

After talking to many of my friends, family members and co-workers, I found out that almost everyone has an experience with abortion; whether they themselves had one, a partner, a parent or a sibling, it is not uncommon. It is an experience that crosses all racial lines, the gender spectrum, class backgrounds and sexual orientations; yet, we don’t talk about it. I understand that there are many reasons some folks won’t want to share about their experience. Even if I don’t hear their story, I want them to know they are not alone. We’ve been through a similar experience and there is love and support available to you.

I recently told my mother about my abortion experience and she cried, not because she was mad, but because she was proud of me for having the strength to make a tough decision on my own. She wished she could have been there to support me. When I asked her if she was disappointed in me, she said, “No honey, I am proud of who you have become. You made a decision for you.”

Abortion is different for everyone. Each abortion is like stripes on a zebra; while on the surface they may seem similar, no two experiences are exactly the same. I hope that in the future, the abortion debate moves from above the heads of the people it affects, down to a conversational level, where women and family members who have experienced abortion can talk about how to best support each other. Our voices matter. Let’s listen.

Renee is from Chicago, Illinois where she graduated from Northeastern Illinois University, studying economics and sociology. Renee found a passion in working to break down barriers of multiple oppressions that women/people of color/LGBT/low income/immigrant folks face each day by sharing stories. Renee currently lives in San Francisco and volunteers with the Bay Area Doula Project, Exhale and ACCESS. Renee hopes that by sharing her personal abortion experience, she can help move the conversation past partisan lines and to a compassionate level.

Honoring Dr. Tiller: A Collective Remembrance

31 May

May 31 marks the third year since Dr.  Tiller, an abortion provider in Wichita, Kansas, was brutally murdered while serving as an usher in his church. Dr. Tiller was known worldwide as a provider of compassionate, kind, respectful later abortion services that focused on preserving the dignity and integrity of his patients.

To honor his legacy, we and the Provider Project asked folks to respond to this question: How can the pro-choice and reproductive justice movements better support the people who have later abortions and providers who perform them? Below is a list of posts taking on this topic and thinking about Dr. Tiller. This list will be updated as the day goes on:

Patient First 
May 31, 2009: Welcome to America
What Would George Tiller Do?
Honor Dr. Tiller: Keep Late-Term Abortions Available
The Good Samaritan
Dr. Tiller Would Trust Women
Thoughts on the Anniversary of Dr. Tiller’s Death
Thinking About Dr. Tiller
I Write Letters
Anniversary of Loss
We Are the Moral Side: Honoring Dr. Tiller
Remembering Dr. George Tiller
The Terrorism That Killed Dr. Tiller Remains a Threat

This Clinic Stays Open: Remembering Dr. Tiller
Three Years Later
Honoring Dr. Tiller ~ by fml and Servalbear

If you’ve written a post for the collective remembrance and don’t see it above, please email the URL to info@iamdrtiller.com or tweet the link to @IAmDrTiller.

 

Remembering Dr. Tiller: The Good Samaritan

30 May

When Dr. Tiller was murdered I was working at a small, progressive non-profit in Washington, D.C., where our job was to watch the news all day, every day. Our office contained dozens of televisions; we would watch the same 24 hour news cycle on an endless loop. I watched coverage of Dr. Tiller’s assassination the way people once watched President Kennedy’s. I cried. My boss was sympathetic but unhelpful. I had no way to explain.

In this battle for “women’s rights,” where the battleground is our very bodies and the enemy is within and without, I see our futures: mine, my friends, my aunts, my sisters and cousins, my future someday daughters. Dr. Tiller once said, “Make no mistake, this battle is about self-determination by women of the direction and course of their lives and their family’s lives. Abortion is about women’s hopes and dreams. Abortion is a matter of survival.” He said “survival for women;” I say survival for us all.

It was rare to hear of a doctor who performed later abortions before Dr. Tiller’s murder, rarer to hear from them, and now, since his death, rarer still to discover people still do this work. But they do. A doctor came forward recently to talk about it. He said he was inspired by Dr. Martin Luther King, Jr., who, in telling the fable of The Good Samaritan, said that what made the Samaritan “Good” was that his concern wasn’t, “What will happen to me if I stop to help this person?” but rather, “What will happen to this person if I do not stop to help them?” The question of what would happen to the women he saw in desperate need of later abortions was powerful enough to eventually bring this Christian over from staunch anti-choice beginnings to a practice in extremely rare and personally dangerous later abortions.

When we talk about later abortions, we so often tell stories. We talk about the woman who wanted her child and discovered a severe fetal abnormality and waited, waited, hoping the tests would tell her everything was all right, until it was too late, and she needed an abortion when only a few people would perform one. We tell the story of the very young girl who needed one after her rape, or the women – so many women – who were too poor to pay for one until they were past their second trimester, women tripped up by the stumbling blocks put up by state legislatures with that very goal in mind. And these stories are true, and I would, personally, love to hear these women tell them. But they don’t tell them; we do.

They don’t tell their stories because it’s dangerous and someone might hurt them and people will certainly harass them, their children, and their families. We tell their stories so people will understand, so someday, other women won’t face the same stigma. And so we create sides: the people the stories happened to, and the people fighting for new stories by telling the old ones.

To change it, we have to take it all apart.

Another highly controversial question is the so-called “sex-selective” abortion: specifically aborting a female fetus in order to try and get pregnant with a boy. Anti-choice activists decry this as sexism, and want to pass laws to prevent these abortions, the idea apparently being that restricting women’s right to independent family planning will, ultimately, fight sexism (?).

The fight against later abortions and sex-selective abortion is the same; the fight against all abortions is the same. The fight against abortion is about limiting people’s choices – not just women’s, but all people’s choices – about such highly, intensely personal things as how to create a family. The fight for abortion, at every level, in every instance, is the fight to allow people to dream whatever they wish; to create families in the time and way they determine is best for them; to subsequently create and live lives in the context of free will and self-power. To fight for abortion is to fight for a worldworth bringing children into.

The question we begin from today is, “How can we support providers of later abortions and people who have later abortions?” I believe we must start by eliminating the qualifier. It calls for stories, you see. It says, “tell me why youdeserve this, when your abortion is different than other abortions, when the abortion you provide is different, maybe worse, than other abortions.” But every abortion is an act of free will. Every provider of every abortion puts themselves in danger to consider the needs of another human being over their own. Every decision to parent or not to parent is an act of thought and bravery when done with awareness of the consequences and support from community. Stripping away access to things that allow for an informed decision is a step towards creating an unequal and imprisoned life; providing access is a step towards a world that offers far more freedom and requires far more responsibility.

Make no mistake, reproductive decisions are thoughtful ones, whether they are made by thoughtful people or not. It requires thought and care to prevent an unplanned pregnancy, it requires thought and care to choose to parent, it requires thought and care to decide to terminate. And when none of those things are your problem, when you could blithely proceed down the road, it requires not only thought and care, but compassion to stop and ask a stranger, “How can I help?”

S.E. Cupp, Hustler, and Reproductive Justice

24 May

A guest post by Gwen Emmons.

Those of us who don’t read Hustler regularly miss out on the monthly misogynistic gems they throw out.  But this month’s print edition is notable for an image of conservative commentator S.E. Cupp…with a penis Photoshopped in her mouth.

Hustler writes:

S.E. Cupp is a lovely young lady who read too much Ayn Rand in high school and ended up joining the dark side.  Cupp, an author and media commentator who often shows up on Fox News programs, is undeniably cute.  But her hotness is diminished when she espouses dumb ideas like defunding Planned Parenthood.  Perhaps the method pictured here is Ms. Cupp’s suggestion for avoiding an unwanted pregnancy.

They’re right – defunding Planned Parenthood is a dumb idea.  For many, Planned Parenthood clinics are the only place to turn to for accurate sexual health information, cancer screenings, contraception, and STI tests.  Attacks on Planned Parenthood aren’t just about restricting access to abortion — they’re about shutting down access to health care services for the least advantaged among us. See how I just refuted Cupp’s argument without resorting to childish and offensive Photoshopping?

When sexual insults are used to denigrate someone for their intellectual or political views, all of us lose.  Make no mistake, Hustler isn’t defending reproductive justice here – if they wanted to stand up for funding Planned Parenthood, they would have engaged in a real conversation about funding, instead of focusing on faux oral sex shots.  They’re attacking a woman for being outspoken, plain and simple.

I agree with Cupp on virtually nothing, but an attack like this is just as terrible, just as out-of-place, and just as menacing as the months of innuendo-laced attacks piled on Sandra Fluke a few months ago.  And the Cupp image should be condemned as resolutely as the attacks on Fluke were, because sexually based attacks like these are a reproductive justice issue.  They’re made to shame women into staying quiet, into staying complicit, and to standing on the sidelines of a debate that belongs to us.  It’s not “satire,” as Hustler publisher Larry Flynt is claiming.  It’s silencing. 

As reproductive justice activists, we should stand by Cupp – not because we agree with what she says, but because we understand that these attacks are made with an attempt to devalue and silence the passion of intelligent women on both sides of this issue. Make your voice heard: Stand with S.E. Cupp.

Lying about abortion: Accurate information without exception

16 May

As some of you know, lawmakers in Kansas have been attempting to pass an execrable anti-abortion bill that, among other things, would seriously interfere with the private relationship between a woman and her doctor.  The bill, which currently appears to be stalled in the Kansas Senate, would have allowed physicians to deliberately withhold information regarding a woman’s pregnancy if they thought such information might lead the woman to choose abortion.  In addition, it would have required abortion providers to tell their patients that abortion is linked to breast cancer, although that theory has been debunked by multiple scientists and organizations, including the National Cancer Institute.

As egregious as this is, it is not the topic of my post.  Instead, I would like to focus on an email I got from Planned Parenthood about the bill.  I truly appreciate the work Planned Parenthood does.  I contribute money to them (as well as to smaller reproductive rights organizations, including local abortion funds) and often call my legislators when prompted by their informative emails.  But this part of the email gave me pause:

“What would this law do? First, it will force doctors to lie to their patients. Despite a complete lack of evidence, state lawmakers will require doctors to tell women seeking to end a pregnancy that an abortion will increase their risk of breast cancer.

Even though this will create additional stress for women who are already making what is, for many, a difficult decision. Even if the woman seeking abortion is a victim of rape or incest, her doctor will lie to her about her risk of breast cancer on the orders of Kansas lawmakers.

Why does this upset me?  I and others on this blog, as well as on other blogs, have written recurrently about this concept of “exceptions” in abortion care, and how it ultimately works against us and against all women who need services.  The idea that giving misinformation to women who are survivors of rape or incest is somehow worse than giving misinformation to other people is ludicrous.  As a doctor, I will always do everything in my power to tell the truth to every single one of my patients.  It doesn’t matter if that person is a murderer, a saint, the CEO of a Fortune 500 company, or a high school student.  If I’m seeing someone who has chosen to have an abortion, I will provide the same factually correct information to everyone, regardless of how she became pregnant or why she wants and/or needs to terminate her pregnancy.

Our allies need to stop using language that reinforces the false dichotomy of “Good Abortions” and “Bad Abortions.”  By creating a separate “class” of women needing abortions (in this case, those who are victims of rape or incest; but women who have health problems or have non-viable pregnancies are often similarly singled out for “exceptional” status), Planned Parenthood is unintentionally validating a deeply-ingrained societal belief that some abortions are more justified, more necessary, even better than others.  The final effect is to strengthen the stigma and shame attached to abortion for all women.

The bottom line: there is never any medical reason to lie to a patient, regardless of her circumstances.  That message by itself is powerful and strong, no exceptions required.

The Adoption Process is Actually Really, Really Hard

12 Apr

This posts starts with a story – the story of a quote I found one day that became the story of how I concluded that not only is adoption really hard and complicated as a process, but that the ways we have of conceiving of and talking about adoption and the process of adoption are in and of themselves problematic.

The other day I found what I felt was one of the most inspiring, moving stories I have ever read. It’s about Mariska Hargitay, star of “Law and Order: SVU.” Go with me on this.

Ms. Hargitay has two children, both of whom are adopted. However, in this article, she speaks about the adoption process and the early pain she experienced when trying to bring a child home. During their first adoption attempt, she and her husband brought a child home, and named them, clearly considered them a part of their family and were ready to settle in to a life together – when the mother of the child changed her mind.

When we brought my cousins home from the hospital, we had the whole extended family together, aunts and uncles and cousins and grandparents, and that moment of becoming a family was so special. If someone had come back and taken that child away from us, I can’t help but feel like it would left a hole that might never have been filled. It would have been so indescribably painful. And in the long-term, I wouldn’t have my cousins, and I cannot imagine that life.

But this is what Ms. Hargitay, who is now one of my role models, had to say about the experience of having the person who gave birth come back to reclaim the child she was ready to raise as her own:

“But … this is what I’ve come to understand about life: It was probably the greatest, happiest ending. I mean, it was so painful for us, but it was deeply joyful and deeply right for her.”

I think Ms. Hargitay is absolutely right. For the mother to ultimately be able to make the decision that raising her own child was the best thing for both of them is “both deeply joyful and deeply right.” I am of the (possibly permanently) childless variety that thinks having a child and/or raising a child is always an act of untold bravery. But I also think it’s valid to discuss the ways in which this decision caused pain for the couple trying to adopt. The fact that the decision caused Ms. Hargitay and her husband pain does not make the decision any less the mother’s decision to make. It doesn’t make it wrong or bad in any way. But it was obviously difficult and hurtful, painful enough for Ms. Hargitay to describe it and remember it years later. I can still remember and describe the exact process of adopting my cousins as well. Bringing them into the family was an emotional investment, and it involved a series of ups and downs. We were told one of the adoptions wouldn’t go through, then that it would, then that it wouldn’t – and then, finally, we brought my cousin home. I think it is good and right to conceive of a child you are bringing into the family as your daughter, your son, your niece or nephew, your grandchild – but it is incredibly emotionally stressful to then be told that no, maybe not. Maybe. Maybe not. Invest emotionally – oh no, don’t do that. You’re waiting for another child. This one is not yours.

This situation highlights something that, in terms of reproductive choice, gets a lot less play than prevention and abortion: adoption is really, really hard. Lately, as anti-choice rhetoric filters through our culture, you see ladies in the media who get pregnant and have “two choices”: keep the baby or give it up for adoption. Really, that’s it. Examples of this now-pervasive notion that “choice” means only the choice between keeping the baby or giving it up for adoption, with abortion never even getting a mention, include: most episodes of “Sixteen and Pregnant” (there was recently a beautiful and poignant episode highlighting the challenges of abortion, but we were excited to watch it because it’s so damn rare), all conversations about Bristol Palin’s pregnancy, anything on the ABC family channel, including “The Secret Life of the American Teenager,” and recently, most especially, ABC’s “Once Upon a Time,” which has incredibly problematic portrayals of motherhood, choice, and adoption all-around. All of these fervent claims that adoption is a primary option for pregnant people who cannot parent or do not want to parent obscure the reality of the process. And while pro-choice advocates often mention that the world is overcrowded and adoption is an expensive, raced and classed process to which not everyone has access, which leaves many children world-wide without homes, there are so many more dimensions to this decision.

Carrying a child and giving birth are no joke. While there are certainly situations such as that of the oft-critiqued Juno in which someone knows that carrying a baby to term and giving it to a loving family is exactly the right choice for them, more often the process is fraught with a range of less easily packaged emotions. Many people who give a child up for adoption want to raise them, but simply feel they can’t. When they want to raise their child but cannot offer them what they believe they need or deserve, it can be wrenching, and can certainly lead to feelings of inadequacy and resentment. Ultimately, what they are giving is an incredible gift, and more and more adoptions are very open, allowing them contact with their biological child as it grows up. But someone else parents that child, provides them with a home, attends school functions, spends holidays with them, and has a life with them. And that is an intense decision to make. Were I to ever get pregnant, my options are abortion or parenting. Adoption is off the table. That is not something I could ever go through, and not a decision my large extended family, whom I love very much, would be alright with. It wouldn’t be their decision, but I am close to my family, and in a decision so big, what they want does matter to me.

In writing this post, I ran into a number of difficulties. One of our abortion gangsters objects to the term “birth mother.” I use it because I personally think it’s a sign of respect. I believe that parenting makes you a parent, and gendering the process of parenting makes you a “mother” or father” – I believe that giving birth makes you someone that has given birth. But if someone has been pregnant or given birth and thus conceives of themselves as a mother, I would certainly be the last person to tell them that they’re wrong. I don’t really get to decide who’s a mother, or what makes a mother – but I do have to make decisions about how I will discuss these things from my own perspective, or we cannot open up these conversations. And then, for me, even using the term “mother,” in any of these contexts, is problematic, and I would prefer “birth parent,” since I don’t know how the person in question identifies. They may not prefer those gender pronouns.

What I am saying here, then, is that the process of writing this post demonstrated to me the extremely problematic nature of the discursive framework of adoption and the adoption process. And while all of the issues raised with my drafts of this post, and, I am sure, whatever issues are raised in the comments, were valid and had their own reasoning, I found many of them problematic as well, mostly because I feel like the discursive framework within which we’re working is problematic.

As a member of a family in which other members are adopted, passionately hate the qualifier “adopted.” I absolutely hate when people refer to someone’s child as their “adopted child,” their sister as their “adopted sister,” etc. No disclaimer or qualifier is needed. The word “adopted” is a way of making that relation other, different. As someone who has that relation, let me please tell you, IT IS NOT OTHER OR DIFFERENT. IT IS THE EXACT SAME. It doesn’t matter how someone became family, once they’re in, they’re in. In a way, I find the relationship between my biological family members and adopted family members even more significant and beautiful, because we chose and found one another.

This assertion raised yet another issue with the post – that being adopted is different. Let me clarify. I don’t believe there is a “normal” family, or a normal or regular way of creating a family, so I don’t believe that qualifiers of this kind, when discussing familiar relations, are ever necessary, unless someone requests them. Many of my friends refer to people as parents who are not their biological parents, and they require neither the words “adopted” nor “step.” If they prefer them, I’m happy to use them, but I continue to go qualifier-free until otherwise requested. This is not to invisibilize adoption or the other processes that go into making biological and non-biological, “normative” and “non-normative” family units – it is to instead suggest that all family units are non-normative, and each process of creating and living within them different and unique in ways visible and invisible, requiring its own set of challenges and negotiations. I keeping with my general concerns about the discursive framework, I believe the net-terms of “adopted,” “biological,” and “step,” when used as qualifiers in these contexts, may mask they many differences contained within these constructed categories, and lead to a false set of assumptions or understandings about what is always, contained therein, a universe of individual differences, samenesses, and experiences.

Another of our gangsters pointed out to me that in earlier versions of this post I used the phrase “keep the baby” as opposed to “continue the pregnancy” and “choose to parent.” I think these corrections were totally spot on. She also pointed out that I used the phrase “give up for adoption” when “choose adoption” might be better. There, my feelings are more complicated. Yes, “choose adoption” is absolutely a less loaded, and even, given the context, less judgmental phrase than “give up for adoption,” and for that reason, I infinitely prefer it. I am judging no one here. I think choosing to adopt is brave, choosing to parent is brave, choosing not to parent is brave, choosing to discuss birth control options with your partner so you don’t get pregnant is brave. In short, I believe learning about your options as a reproducing human being of any gender and making conscious decisions regarding those options is a brave and admirable undertaking. But I also believe that putting a child up for adoption is giving up the idea of parenting that child, and choosing instead not to parent, choosing that someone else should parent instead.

I believe, when it works out, that adoption is one of the most beautiful, amazing ways to make a family, but it is not foolproof. As it stands, to decide to give a child up for adoption, and to decide to adopt, are flipsides of the same very challenging coin, and not everyone can do it. That is why I believe a holistic approach to reproductive justice is so very necessary. It is so important that people be made to understand that they have many choices to prevent pregnancy, and then they must be educated about them, and given access to them. Then, if they do get pregnant, whether intended or unintended, they must understand their choices, and again, have access to them. And then, all of these decisions have to be acknowledged as taking place within already-problematic, raced, classed, and gendered structures of power, and those frameworks need to be constantly challenged and examined. We must move towards a framework in which all of the “choices” are structured with the ultimate goal in mind of creating loving family units, however traditionally or non-traditionally, however normative or non-normative those “units” might be. It sounds utopian, but really, how wild and crazy is it to want people to be able to make families?