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Doctors and health professionals from every region of the world today added their voices to the growing pressure for the decriminalization of abortion, with 838 from 44 countries signing an open letter to governments published today by Amnesty International.
The letter calls on governments to stop interfering with health professionals' ability to provide care, warning that criminalizing abortion puts women and girls' health and lives at risk.
Doctors and health professionals from every region of the world today added their voices to the growing pressure for the decriminalization of abortion, with 838 from 44 countries signing an open letter to governments published today by Amnesty International.
The letter calls on governments to stop interfering with health professionals' ability to provide care, warning that criminalizing abortion puts women and girls' health and lives at risk.
"The criminalization of abortion prevents healthcare providers from delivering timely, medically indicated care in accordance with their patients' wishes," the letter says.
"It impedes and disregards sound medical judgment and can undermine the professional duty of care and confidentiality that doctors bear towards their patients."
Globally, 40% of women of childbearing age live in countries where abortion is banned, highly restricted or otherwise inaccessible. Unsafe abortion accounts for 13% of maternal deaths, resulting in 47,000 women and girls dying each year.
"So many respected health professionals speaking out reaffirms what women have been saying for years; governments can no longer claim that criminalizing abortion has no impact on the health care that women and girls receive," said Sara MacNeice, Manager of Amnesty International's My Body My Rights campaign.
"Making criminals of women for abortion violates their human rights and can endanger their lives. In numerous countries around the world, Amnesty International has documented shocking cases of women forced to continue unviable pregnancies because of restrictive laws. We have seen women and girls pregnant as a result of rape forced to carry the foetus to term and give birth.
"International law is clear: at the very least women should have access to an abortion when the pregnancy poses a risk to the life or health of a pregnant woman or girl, in cases of severe or fatal foetal impairment, and in cases of rape or incest. International law is also says that under no circumstances should a woman be made a criminal for having an abortion."
Amnesty International's global My Body My Rights campaign aims to stop the control and criminalization of sexuality and reproduction by governments. It has highlighted the situation in El Salvador, Ireland and Chile, three countries where legal barriers to abortion severely limit doctors' ability to provide women the healthcare they need.
Doctors in Ireland, El Salvador and many other countries have spoken to Amnesty International of the restrictions abortion laws place on their ability to provide care to their patients.
Health professionals in El Salvador risk prosecution and imprisonment of six to 12 years for providing abortion services, under any circumstances. As a result, they are reduced to monitoring the woman's condition for sufficient deterioration before undertaking any procedure, which could harm the foetus, according to an Amnesty International report issued in September 2014.
A doctor working in a maternal health unit in a public hospital in El Salvador told Amnesty International how the law prevents doctors from acting if complications during pregnancy threaten a woman's health:
"We're not discussing a medical question, but a purely legal one. We all know what needs to be done, but we go back to the fact that we all have our hands tied by what is written in the law."
Doctors and health care providers in the Republic of Ireland may face up to 14 years in jail if they provide, or assist in providing, an abortion other than when a woman or girl's life is at risk, even where they act to protect her health.
In a June 2015 report, doctors told Amnesty International that they face a choice of either breaking the law or providing potentially dangerous - and unethical - care to their patients.
Dr. Peter Boylan, an obstetrician, gynaecologist and former Master and Clinical Director of Ireland's National Maternity Hospital told Amnesty International about the legal and ethical tightrope medical staff are forced to walk:
"Under the [current law] we must wait until women become sick enough before we can intervene. How close to death do you have to be? There is no answer to that."
In Chile, under the Criminal Code health professionals risk prison for assisting or carrying out an abortion. Health professionals themselves often report abortions to the police.
Obstetrician Rene Castro highlighted the problems caused by having to wait until there is an imminent danger before being able to take action:
"Today there is a much greater consensus internationally when talking about quality of life. The issue is whether I wait until a woman is in intensive care because of a grave complication of a pre-existing condition before taking action, or whether I'm going to forestall this serious episode and accept it when a woman tells me "Doctor, I'd prefer to terminate the pregnancy before I get to that point" because "the focus should be on the woman's own decision"."
Amnesty International is a worldwide movement of people who campaign for internationally recognized human rights for all. Our supporters are outraged by human rights abuses but inspired by hope for a better world - so we work to improve human rights through campaigning and international solidarity. We have more than 2.2 million members and subscribers in more than 150 countries and regions and we coordinate this support to act for justice on a wide range of issues.
"We are now at a crossroads between being an authoritarian and a democratic country," said one activist.
An estimated 500,000 people took to the streets of the capital Warsaw and other Polish cities on Sunday to protest the nation's far-right government, which has assailed reproductive freedoms, attacked the rights of LGBTQ+ people, and cracked down on critical civil society groups and media outlets.
Sunday's march against the ruling Law and Justice (PiS) party—which has held power since 2015—was called by former Polish prime minister Donald Tusk, who is leading the Civic Platform opposition party into an expected October general election.
"Here's my pledge to you today: We are going to win this election and hold PiS accountable," Tusk told a crowd gathered in Warsaw.
The Associated Pressreported that "the passage of a contentious law last month seems to have mobilized greater support for Tusk."
The law, signed by right-wing President Andrzej Duda, "allows for the creation of a commission to investigate Russian influence in Poland," AP noted. "Critics argue that it would have unconstitutional powers, including the capacity to exclude officials from public life for a decade. They fear it will be used by the ruling party to remove Tusk and other opponents from public life."
Sylwia Gregorczyk-Abram, a lawyer and rights activist, toldThe Guardian ahead of Sunday's protests that the new measure "is against Tusk but we can all be targeted by this law, because they will not hesitate to use it against anyone."
"It is the culmination of the authoritarian system developed in Poland over the past eight years. We are now at a crossroads between being an authoritarian and a democratic country.”
\u201cPierwszym krokiem do zrzucenia niewoli jest by\u0107 odwa\u017cnym, aby by\u0107 wolnym. Pierwszym krokiem do zwyci\u0119stwa jest pozna\u0107 si\u0119 na w\u0142asnej sile.\n\nJeste\u015bmy tutaj dzisiaj, \u017ceby ca\u0142a Polska, ca\u0142a Europa, ca\u0142y \u015bwiat, \u017ceby wszyscy zobaczyli, jak jeste\u015bmy silni!\u201d— Donald Tusk (@Donald Tusk) 1685878134
Described as among the largest political demonstrations in Poland in decades, Sunday's march came amid growing alarm over the Polish government's ongoing assault on basic rights.
As Amnesty Internationalsummarized in its 2022 report on the country: "Access to abortion was further limited. Criminal charges were used to curtail freedom of expression. The authorities continued to erode the independence of the judiciary. Freedom of peaceful assembly was restricted. Violations of LGBTI rights persisted. Positive moves were made to accommodate between 1 and 2 million refugees from Ukraine, although official hostility continued towards refugees and migrants who arrived since 2021 via Belarus."
"One of these individuals is a seven-year-old boy in remission from Leukemia who is now unable to access follow-up—and potentially lifesaving—treatments," said local advocacy groups.
Hundreds of thousands of poor Floridians have been kicked off Medicaid in recent weeks as their Republican governor, Ron DeSantis, travels the country for his 2024 presidential bid and rakes in campaign cash from big donors.
Florida is one of more than a dozen states that have begun unwinding pandemic-era rules barring states from removing people from Medicaid during the public health emergency. Late last year, Congress reached a bipartisan deal to end the so-called continuous coverage requirements, opening the door to a massive purge of the lifesaving healthcare program.
A dozen states have released early data on the number of people removed from Medicaid as they restart eligibility checks, a cumbersome process that many people ultimately fail to navigate.
So far, the statistics are alarming: More than 600,000 people across the U.S. have been stripped of Medicaid coverage since April, according to a KFF Health Newsanalysis of the available data, and "the vast majority were removed from state rolls for not completing paperwork" rather than confirmed ineligibility.
Nearly 250,000 people who have been booted from Medicaid live in Florida, whose governor is a longtime opponent of public healthcare programs. As HuffPost's Jonathan Cohn wrote Sunday, DeSantis "has refused to support the ACA's Medicaid expansion for the state, which is the biggest reason that more than 12% of Floridians don't have health insurance."
"That's the fourth-highest rate in the country," Cohn noted.
But DeSantis, who has said he wants to "make America Florida," appears unmoved by the staggering number of people losing Medicaid in his state as he hits the campaign trail. The governor relied heavily on large contributors to bring in more than $8 million during the first 24 hours of his presidential bid.
Prior to formally launching his 2024 campaign, DeSantis traveled the country in private jets on the dime of rich and sometimes secret donors, and he is currently facing a Federal Election Commission complaint for unlawfully transferring more than $80 million from a state committee to a super PAC supporting his White House bid.
"Families with children have been erroneously terminated, and parents are having trouble reaching the DCF call center for help with this process."
Late last month, DeSantis' administration insisted it "has a robust outreach campaign" aimed at ensuring people are aware of the hoops they have to jump through to keep their Medicaid coverage, such as income verification.
In Florida, a four-person household must make less than $39,900 in annual income to qualify for Medicaid.
The state's early data indicates that 44% of those who have lost coverage in weeks were removed for procedural reasons like failing to return paperwork on time.
The figures have drawn outrage from local advocates, who urged DeSantis late last month to pause the Medicaid redetermination process after hearing reports of people losing coverage without receiving any notice from Florida's chronically understaffed Department of Children and Families (DCF).
"One of these individuals is a seven-year-old boy in remission from Leukemia who is now unable to access follow-up—and potentially lifesaving—treatments," a coalition of groups including the Florida Policy Institute and the Florida Health Justice Project wrote to DeSantis. "Families with children have been erroneously terminated, and parents are having trouble reaching the DCF call center for help with this process. Additionally, unclear notices and lack of information on how to appeal contribute to more confusion."
Citing Miriam Harmatz, advocacy director and founder of the Florida Health Justice Project, KFF Health Newsreported last week that "some cancellation notices in Florida are vague and could violate due process rules."
"Letters that she's seen say 'your Medicaid for this period is ending' rather than providing a specific reason for disenrollment, like having too high an income or incomplete paperwork," the outlet noted. "If a person requests a hearing before their cancellation takes effect, they can stay covered during the appeals process. Even after being disenrolled, many still have a 90-day window to restore coverage."
The Congressional Budget Office recently estimated that, nationwide, around 15.5 million people are likely to lose Medicaid coverage over the next year and a half—including 5 million children—as states resume eligibility checks made necessary by a system that doesn't guarantee healthcare to all as a right.
"Many people don't realize that they've been disenrolled from Medicaid until they show up at the pharmacy to get their prescription refilled or they have a doctor's appointment scheduled," Jennifer Tolbert, director of state health reform at the Kaiser Family Foundation, toldThe Washington Post last week.
Will the Democrat from West Virginia go to bat for the billionaire-backed No Labels?
Sen. Joe Manchin—the West Virginia lawmaker reviled by progressives for his climate-killing policies and many Democrats over his repeated sabotage of his own party's agenda—said Sunday he has still not decided about whether he might make a third-party run for president in 2024.
Asked by "Fox News Sunday" host Shannon Bream if he's decided on a possible run with the billionaire-backed "No Labels" or otherwise, Manchin applauded the group "pushing very hard to the centrist middle" and "making commonsense decisions," but dodged a direct answer to the question.
"If Plan A shows that we're going to the far reaches of both sides, the far left and the far right, and the people don't want to go to the far left and the far right, they want to be governed from the middle," Manchin said. "I think there is… you better have that Plan B available and ready to go."
When pressed by Bream on his consideration of a presidential run, Manchin replied, "Not ruling anything in, not ruling anything out."
\u201cSen. Joe Manchin (D-WV) hits extremism on the left and right but does not give a straight answer to Fox's Shannon Bream when she asks whether he'll run as a third-party candidate on a No Labels ticket.\u201d— The Recount (@The Recount) 1685886740
Last month, as Common Dreamsreported, journalists with More Perfect Union dove into the secretive funding of No Labels—which offers itself as a harmless, more middle-of-the-road option to the two major political parties in the U.S.—and found that much of the money behind the group comes from "a whole lot of billionaires with a history of opposing democracy."
\u201cA group calling themselves "No Labels" has suddenly emerged as a huge financial backer of Kyrsten Sinema.\n\nThey're also floating the idea of running Joe Manchin for President.\n\nWe dug into them, and found a whole lot of billionaires with a history of opposing democracy.\u201d— More Perfect Union (@More Perfect Union) 1684768082
In a 2018 column, financial industry watchdogs Porter McConnell and Rion Dennis identified No Labels as part of a cabal of so-called "centrists" who are really just "wolves of Wall Street in sheep's clothing," hiding behind their harmless-sounding name to mask very insidious intent.
"For years, the group No Labels and its close partner, the bipartisan Problem Solvers Caucus, have quietly promoted policies that are wrapped in the mantle of bipartisanship and pitched as "non-ideological," while being in the pay of corporate interests," McConnell and Dennis explained. "They produce reports, sponsor events, and weigh in on policy on behalf of unnamed corporate donors."
Critics of a No Labels' candidate in 2024 say it's strikingly obvious that the true motive for such a move would be to slice off enough gullible voters to create a path for Donald Trump's reelection.
Manchin is up for reelection this year to defend his U.S. Senate seat, but according to a poll released last week he is currently trailing the top Republican challenger, Gov. Jim Justice, by 22 points in a hypothetical general election contest.