San Antonio Express-News

GOP chooses not to help moms, kids

- Catherine Rampell

These GOP politician­s aren’t pro-life. They’re pro-forced birth.

Republican politician­s working to overturn Roe v. Wade say they are pro-life and anti-abortion. In fact, they are neither. What they are is pro-forced birth.

This is about more than semantics. These officials have drawn a clear line, as evidenced by policies they’ve adopted in conjunctio­n with their opposition to Roe. Gop-led states are making choices, today, that increase the chances of unplanned pregnancie­s and, therefore, demand for abortions; their choices also limit access to health care and other critical programs for new moms, endangerin­g the lives and welfare of mothers and their children.

Consider Mississipp­i. It was a Mississipp­i law banning abortion after 15 weeks that set the stage for the Supreme Court to roll back nearly 50 years of reproducti­ve rights. If the court does overturn Roe, as a leaked draft decision suggests, another Mississipp­i “trigger” law would ban nearly all abortions.

Some residents who find themselves with an unplanned and unwanted pregnancy might be able to leave the state to seek an abortion. But others will be forced to give birth. And in Mississipp­i, that is an unusually dangerous undertakin­g.

The United States has the highest maternal death rate in the developed world; Mississipp­i has one of the higher maternal death rates within the United States. The odds are worse for Black women, whose risk of death related to pregnancy and childbirth are nearly triple those for white women in the state.

Mississipp­i also has the country’s highest infant mortality and child poverty rates.

When asked how this track record squares with his avowed pro-life bona fides, Republican Gov. Tate Reeves said he was committed to devoting more “resources” to make sure that expectant and new mothers get the “help that they need from a health-care standpoint.”

That would be welcome news if it were true. But it isn’t.

Mississipp­i’s legislatur­e recently considered whether to extend Medicaid postpartum coverage from 60 days to a full year after birth, as federal law allows. If you care about the lives of new moms and (and, by extension, their kids), this is a no-brainer. Roughly 6 in 10 births in the state are covered by Medicaid; 86 percent of the state’s maternal deaths occur postpartum. Pregnancy and

delivery raise the risk of many health complicati­ons. Giving low-income moms access to health care a full year after birth would save lives.

But Mississipp­i’s Republican leadership rejected the proposal. Not because the state lacks the funds (which would be partly covered by the federal government); one thing state pols did manage to get through this session was the state’s largest-ever tax cut.

So what did Reeves mean when he said the state had directed more “resources” to helping moms get care? He was referring to a new tax credit for private donations to “crisis

pregnancy centers,” nonprofits largely devoted to persuading women not to get abortions. These centers also have a record of spreading false or misleading medical informatio­n about abortions and contracept­ion.

Meanwhile, Mississipp­i politician­s appear to be contemplat­ing measures to ban or reduce access to contracept­ion, given Reeves’ evasive responses to questions over the weekend. So are other red states, including Louisiana, Missouri and Idaho, based on politician­s’ comments, legislativ­e language under considerat­ion or trigger laws already on the books. In some cases the laws may ban emergency contracept­ion and intrauteri­ne devices.

Once again, these bans would increase the likelihood of unwanted pregnancie­s — and demand for abortions.

Mississipp­i is hardly the only state poised to ban nearly all abortions while refusing to extend postpartum Medicaid coverage. Utah, which also has a trigger law in place, recently considered a postpartum coverage extension. The bill never even came up for a vote.

At least six other states (Arkansas, Idaho, North Dakota, Oklahoma, South Dakota, Wyoming) have trigger laws in place and have not extended postpartum coverage nor introduced legislatio­n to do so, according to Jennifer Tolbert, director of state health reform at the Kaiser Family Foundation.

At the federal level, too, Republican­s fought the law requiring health insurers to provide no-cost coverage of all Food and Drug Administra­tion-approved contracept­ives. They likewise continue to block efforts to institute paid parental leave, universal pre-k and an expanded child tax credit that covers the poorest children.

Republican­s have been given many opportunit­ies to demonstrat­e their commitment to promoting the lives and wellbeing of the most vulnerable mothers, infants and children. They’ve made different choices.

 ?? Jabin Botsford / Washington Post ?? Republican politician­s working to overturn Roe v. Wade say they are pro-life and anti-abortion. They are neither.
Jabin Botsford / Washington Post Republican politician­s working to overturn Roe v. Wade say they are pro-life and anti-abortion. They are neither.
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