The blue states are expanding who can do abortions as they prepare to flood patients

In Connecticut And MarylandDeputies passed bills this spring that allow registered nurses, nurse-midwives and physician assistants to perform medications and procedural abortions. In DelawareLawmakers recently approved a bill that would allow nurses and midwives to prescribe abortion pills. In Washington StateLawmakers have endorsed the attorney general’s view that allowing those known as “advanced-practice clinicians” to perform abortions.

Although this policy worked before the expected ruling of the Supreme Court Vs. Rowe Wade Following this term, more efforts are now being made Draft Conclusion POLITICO was published two weeks ago.

New Jersey Gov. Phil Murphy Pushes legislators Establish a Reproductive Health Access Fund with grants to train abortion providers and enact legislation that enacts existing rules that allow advanced practice clinics to perform abortions. And California Gov. Gavin Newsom Published an amended budget proposal On Wednesday, which includes an additional $ 57 million to train state clinics to capture the growth of abortion-seeking patients.

Advocates believe the policy will allow abortion-supporting countries to start strengthening their providers’ networks.

But a number of challenges remain.

Anti-abortion advocacy groups such as Students for Life of America and the American Association of Pro-Life OB / GYNs are mobilized to fight these state laws, send people to testify against them, and lobby the legislature to oppose them.

In Maryland, Republican Gov. Larry Hogan recently Vetoed The bill, which would allow non-physicians to perform abortions, argues that the policy “poses a threat to women’s health and lives” and “reduces the risk of lowering the high standard of reproductive health care.” When the legislature overcame this veto, Hogan seized $ 3.5 million, which was appropriated to the training fund of a new abortion provider, hindering efforts to start training non-physicians when the law goes into effect this summer.

The Connecticut Medical Society also criticized their state move, with the legislature saying in March that the policy would have “unintended consequences.”

“We are moving down a slippery slope to allow procedures that are actually surgical to be performed by mid-level providers, which raises patient safety concerns and is an important area of ​​practice,” they write.

Nevertheless, many individual physicians and medical groups have received an extension that can perform abortions, including the World Health Organization, the American Public Health Association, and the American College of Obstetricians and Gynecologists.

“I spent a decade training to be where I am today, but I also recognize that most abortions in the United States occur in the first trimester and are uncomplicated,” said Lauren Thaxton, an abortion provider and University of Texas researcher. In Austin. “We also have a lot of data to say that the health outcomes of people who have advanced practitioners who provide abortion care are similar to those of people who have doctors.

About 10 percent of the country’s abortion providers practice in 23 states that are ready to ban most abortions immediately, if not all, if any. Roe Canceled, according to the Gutmacher Institute’s latest census of abortions in 2017.

According to a review by Gutmacher and State Policy POLITICO, 18 of the remaining states allow non-physicians to perform abortions by law, regulation, litigation, the opinion of the Attorney General, or a decision of the Nursing Board.

While many low-income patients may not be able to travel for the procedure if the Supreme Court allows a comprehensive ban, Thaxton and other researchers worry that states are not ready to meet the number of patients who can and will travel.

Planned Parenthood, for example, reported that after Texas’s six-week ban went into effect in September, there was Increased by 800 percent In patients seeking abortion in neighboring countries. Now, many from the same states are going to ban it.

“I’m worried about what it looks like when care is limited to more than one state,” Thaxton said. “How is all this patient care absorbed? I’m sorry that this will lead to care interruptions that are dangerous. ”

Longer waiting time

These delays will affect residents of Blue State, as well as those traveling from countries that prohibit abortion, especially those living in rural areas where there are few or no clinics at all. If the provider’s workforce does not expand rapidly, progressive attorneys fear they may have patients cross a window where they can legally conduct the procedure. Abortion pills are only approved by the FDA for use during the first 10 weeks of pregnancy and in several blue states, including California and New York. Only procedural abortions are allowed To the level of fetal viability, which usually occurs at 24 weeks of gestation.

For example, Washington expects a 385 percent increase in abortion patients from Idaho and other nearby states if Roe Inverted, respectively Gutmacher Institute.

“If we are not prepared for what will happen … the inequality we see when access to reproductive care is inaccessible to everyone will be exacerbated, and this has historically ruled out communities,” said Kia Guarino, CEO of Pro-Choice. Said Washington.

Even more troubling, states like Kansas and Indiana have laws on books that say only a doctor can do an abortion. Others, such as Pennsylvania and New Jersey, have laws that nurse practitioners can only work under a doctor’s supervision – not just for abortions, but for many types of procedures.

The blue states are expanding who can do abortions as they prepare to flood patients

Source link The blue states are expanding who can do abortions as they prepare to flood patients

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