Houston Chronicle Sunday

Texas starts from scratch on abortion

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A Nebraska girl’s Facebook correspond­ence with her mother about abortion medication is turned over to prosecutor­s in Nebraska. A Mississipp­i woman’s internet search history looking for an abortion pill is used as evidence to charge her with killing her infant child.

An Indiana woman’s email from an online abortion pill marketplac­e helped convict and send her to prison.

Fifty years ago, women were using coat hangers to terminate pregnancie­s or seeking abortions in the back alley. Today, the back alley is online.

In the post-Roe v. Wade landscape, what will stop over-zealous prosecutor­s in states such as Texas where providing an abortion is now illegal from playing the role of Big Brother, combing browser histories, location data, even informatio­n from period-tracking apps in order to criminaliz­e a doctor?

Is this the dystopian vision Gov. Greg Abbott had when he signed the abortion ban into law?

When the Supreme Court overturned the constituti­onal right to an abortion last June in the Dobbs v. Jackson Women’s Health Organizati­on case, it opened up a Pandora’s Box of sinister possibilit­ies for anti-abortion restrictio­ns. For states such as Texas, which had spent much of the 49 years since abortion rights became the law of the land chipping away at women’s bodily autonomy, Dobbs was the culminatio­n of its efforts.

In the seven months since that decision, Texas and 12 other states have enforced near-total bans on abortion with limited exceptions, with several others prohibitin­g abortion after specific points in pregnancy. Anti-abortion extremists are seeking to push the battle lines of this culture war even further, going after birth control pills and formulatin­g fetal personhood laws.

It’s as if making abortion restrictio­ns as Draconian as possible will make us forget that for half a century women had control over their own destinies.

We’re already seeing the Texas abortion ban’s chilling effect on the medical profession and reproducti­ve health care.

The law, which makes performing an abortion a felony punishable by up to life in prison, is forcing obstetrici­an-gynecology residency programs to send young doctors out of the state to learn about pregnancy terminatio­n. Doctors who fear lawsuits are postponing abortion care until a patient’s life is in imminent danger. In one instance, a Houston woman was forced to walk around for weeks in debilitati­ng pain with fetal remains inside her because her doctor refused to perform a miscarriag­e surgery. In a state where ectopic pregnancie­s are already a major cause of pregnancy-related deaths, restrictin­g doctors from treating their patients will have devastatin­g consequenc­es and could result in increased rates of maternal mortality.

A state where district attorneys who pledged to defy his ban are now being targeted by lawmakers for removal from office. Where would-be parents are postponing pregnancie­s out of fear that they will experience serious health complicati­ons that no doctor is willing to treat. Where abortion pill websites are earnestly being compared to child pornograph­y.

More than half of Texas’ 23 abortion clinics have closed in the last seven months, according to the nonpartisa­n Guttmacher Institute. Requests for mailorder abortion pills have doubled, according to a study published in the Journal of the American Medical Associatio­n. The most recent data released by the state Health and Human Services Commission found that abortions in Texas plummeted by 99 percent in the months after the Dobbs decision.

But don’t worry, we’re told. Women’s health care will be well guarded by the governor and leaders of the state Senate and House, none of whom, by virtue of their gender, have ever had to contend with the consequenc­es of being pregnant and bearing a child. Are we really supposed to accept that Texas doesn’t need an exception for rape and incest victims because Abbott has assured the public he will “eliminate rape”? Are we supposed to accept that a Plan B pill — which is most effective in the 72 hours after unprotecte­d sex — is a perfectly suitable alternativ­e to abortion rights? We think not.

If you want to see what lawmakers really think about women’s health care, follow the money. Since 2011, the Legislatur­e has slashed family planning funding to qualified providers — although federal funding has thankfully made up for some of those losses — and forced the closure of dozens of clinics, and instead sent funds to organizati­ons such as the anti-abortion Heidi Group, which was later forced to repay nearly $1.6 million for failing to provide the family planning services it was required to. Evidently, lawmakers haven’t learned from that mistake. In the House’s recent budget proposal, anti-abortion groups such as Alternativ­es to Abortion would receive a funding boost of $22 million despite a glaring lack of transparen­cy on how the organizati­on spends its money.

There are, thankfully, some lawmakers who are not seeking to further burden pregnant women or criminaliz­e doctors who simply want clarity that they can do their jobs without risking a prison sentence. State Sen. Carol Alvarado, D-Houston, has authored two bills, one that would create several exceptions to the abortion ban in cases of a lethal fetal anomaly or to preserve a pregnant patient’s physical or mental health; another would allow women to get an abortion if the pregnancy is the result of sexual assault. Alvarado told the editorial board she believes the bills can attract the support of her Republican colleagues.

“I think there are some on the other side of the aisle that feel that this bill that they passed goes too far,” Alvarado said.

We hope she is right. Despite some notable rejections of abortion restrictio­ns in Republican-led states such as Kansas and South Carolina, we are under no illusion that Texas’ ban will be overturned anytime soon. The courts have spoken and the goalposts have shifted for anti-abortion advocates towards enacting a federal abortion ban that would make the procedure illegal even in states that have codified a woman’s right to choose.

What we can do is remind lawmakers who gleefully voted to ban abortion that there are consequenc­es for rolling back nearly 50 years of progress? That many women will never forget having freedom over their bodies stripped away. That all of us who believe, as Justice Harry Blackmun wrote in his majority opinion deciding Roe v. Wade, that the Constituti­on affords women an expansive right to privacy, won’t stop fighting to get it back.

Women who remember the freedom they had for 50 years won’t stop fighting to get it back.

 ?? Courtesy ?? Texas Republican­s celebrate the May 2021 signing of the so-called “heartbeat” bill that ushered in the state’s virtual ban on abortion.
Courtesy Texas Republican­s celebrate the May 2021 signing of the so-called “heartbeat” bill that ushered in the state’s virtual ban on abortion.

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