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Abortion rights advocates carry signs supporting medication abortions.

Abortion rights advocates gather in front of the J Marvin Jones Federal Building and Courthouse in Amarillo, Texas, on March 15, 2023.

(Photo: Moisés Ávila/AFP via Getty Images)

Medication Abortion Is Safe—Political Attacks on Healthcare Are Not

If the FDA further restricts access to abortion pills, more people, especially those in marginalized communities, will die.

Next to the abortion pills in my medicine cabinet lies a potentially risky drug: Tylenol. Ironically, while this common pain reliever is widely accepted, safer, life-saving drugs like mifepristone and misoprostol have been under relentless attack by Republican lawmakers.

For decades, these pills, Food and Drug Administration-approved after rigorous testing and proven safe through extensive studies, have been trusted by millions of physicians and pregnant people to treat miscarriages, carry out abortions, or address various medical issues. Yet, the necessity and widespread use of abortion pills seem to elude the wisdom of lawmakers and health secretaries, and highlight a troubling disconnect between the realities faced by patients and the decisions made by lawmakers.

For example, Robert F. Kennedy Jr. recently directed the FDA to review regulations based on a demonstrably flawed study funded by the organization responsible for overturning Roe v. Wade. This study has not undergone peer review or been published in any medical journal, highlighting its misguided methodology and analysis. For instance, it inappropriately cites bleeding and follow-up exams as adverse effects when, in reality, bleeding is an intended effect, and experts recommend follow-up exams.

The science and testimonies are clear: Abortion pills are normal, safe, and necessary.

My abortion saved my life. I am at high risk of death during pregnancy, and my sister, who shares the same medical syndromes, nearly died in childbirth. Mentally, I would have preferred to end my life rather than continue a pregnancy with my then-abusive boyfriend or pass down incurable, painful medical conditions. Emotionally, I could not handle the responsibilities of motherhood. I believe it is the most demanding and beautiful role on Earth, but it must remain a choice.

Every day that the government forces someone to remain pregnant against their will is another day the United States commits a crime against humanity, according to the United Nations. One in four people who can get pregnant will have at least one abortion in their lifetime, with nearly two-thirds of them relying on abortion pills.

I advocate for abortion patients daily and hear their harrowing stories of reproductive and medical distress. For many of them who want to save their life, preserve their liberty, or pursue happiness, abortion pills are their only option, solely due to their address and station in life. For example, consider two women who look down at a positive pregnancy test weeks after being diagnosed with cancer. One is an Oregonian; the other is a Floridian. The Oregonian can access abortion pills or have a D&C within a day or two, well past an unreasoned “heartbeat” law. Meanwhile, the Floridian may have no choice but to rely on abortion pills to protect her life, risking a future where her children could become orphans, as the majority of people who have an abortion are already parents.

If the FDA further restricts access to abortion pills, more people, especially those in marginalized communities, will die. Victims of abuse will be forced to carry pregnancies resulting from incest and rape. More people will drop out of college, and more unwanted children will be born into neglect. These are not mere possibilities; they are certainties based on the experiences of hundreds of thousands of people.

People in blue states may mistakenly believe the FDA’s decision wouldn’t impact their rights, but they would be wrong. Revoking or restricting access to abortion pills would have a ripple effect, overwhelming health centers in blue states with patients from red states. Worse yet, it could eliminate access to abortion pills entirely, effectively reducing abortion resources by 66%. Extremist Republican lawmakers are banking on rolling back our right to abortion pills as a stepping stone to enacting a nationwide abortion ban, followed by the restriction of contraception rights and the falsification or elimination of sex education. This “review” is all part of a plan to control our reproductive rights, finances, health, education, autonomy, and destiny.

Reproductive restrictions for anyone create reproductive restrictions for everyone. The science and testimonies are clear: Abortion pills are normal, safe, and necessary. More than 7 in 10 Americans support access to medication abortion, including half of Republicans.

Just as we should have been more vocal when the Trump administration withdrew from the World Health Organization and defunded cancer research, we must be vigilant about their strategy to roll back reproductive rights. I urge you to share your opinion, call your representatives, and demand that they use their leverage, platform, and influence to speak out and pressure the Department of Health and Human Services to end its misguided review of these safe and vital medications. Together, we can push back against these unjust restrictions and protect the human rights, health, and dignity of the people.

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