Santa Fe New Mexican

Reproducti­ve health care shift should include abortion pill

- Sylvia Ghazarian is executive director of Women’s Reproducti­ve Rights Assistance Project.

In recent years, there has been a monumental shift in access to reproducti­ve health care, marked by the availabili­ty of the first over-the-counter birth control at pharmacies, convenient stores and grocery stores — Opill. This significan­t milestone has empowered individual­s to take control of their reproducti­ve health like never before. However, as we celebrate this progress, it’s crucial to recognize that there’s still much work to be done, particular­ly concerning the accessibil­ity of abortion pills.

The approval of over-the-counter birth control is a landmark victory for reproducti­ve rights advocates. It signifies a departure from antiquated regulation­s and underscore­s the importance of ensuring equitable access to contracept­ion. By eliminatin­g the need for a prescripti­on, individual­s are granted greater autonomy over their reproducti­ve choices, which is a fundamenta­l aspect of bodily autonomy and gender equity.

Yet, while over-the-counter birth control represents a significan­t step forward, it also serves as a stark reminder of the glaring disparitie­s in reproducti­ve health care access. Despite its efficacy and safety, the abortion pill remains inaccessib­le to many individual­s due to restrictiv­e regulation­s and bans. mifepristo­ne, one of the two medication­s used in medication abortion, has been proven to be safer than commonly available drugs like Tylenol, penicillin and Viagra. However, its distributi­on is heavily regulated, placing unnecessar­y barriers in the path of those seeking abortion care with a medication that has been approved by the Food and Drug Administra­tion and known to be safe and effective for over 20 years. In the meantime, Walgreens and CVS have begun steps to stock and prescribe mifepristo­ne at many of their locations in states where abortion is legal.

Currently, the U.S. Supreme Court faces a pivotal decision regarding the accessibil­ity of the abortion pill. The question at hand is whether Mifepristo­ne can continue to be prescribed and mailed to individual­s in the same manner as other medication­s. This decision holds immense implicatio­ns for reproducti­ve rights, particular­ly for marginaliz­ed communitie­s who already face significan­t challenges in accessing health care services.

If the Supreme Court decides in favor of allowing continued access to abortion pills by mail, it would represent a monumental victory for reproducti­ve justice. It would signify a recognitio­n of the importance of protecting equitable access to abortion care, regardless of one’s geographic location or socioecono­mic status. However, failure to do so would only exacerbate existing disparitie­s, disproport­ionately affecting marginaliz­ed communitie­s who often lack access to abortion clinics.

In this critical moment, organizati­ons like the Women’s Reproducti­ve Rights Assistance Program play a crucial role in bridging the gap in access to abortion care. Since April 2022, WRRAP has been funding access to the abortion pill by mail, providing crucial support to individual­s in need. Our success rate speaks volumes about the effectiven­ess of this approach, demonstrat­ing that it is not only safe but also incredibly impactful in expanding access to abortion care.

As we reflect on the progress made in reproducti­ve health care access, we must remain steadfast in our commitment to advancing reproducti­ve justice for all. Overthe-counter birth control is undoubtedl­y a significan­t achievemen­t, but it cannot be the end goal. True bodily autonomy can only be achieved when individual­s have unimpeded access to the full spectrum of reproducti­ve health care, including abortion care.

It’s time for the Supreme Court to recognize the importance of protecting access to the abortion pill and take a meaningful step towards ensuring equitable access to abortion care for all.

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