Showing posts with label medical abortion. Show all posts
Showing posts with label medical abortion. Show all posts

Thursday, 3 November 2016

Ruckus Raising Time. Again.

Up here in smug Canada -- and getting smugger by the minute as the US election approaches -- it's not often that the US has us beaten on any aspect of abortion care.

Well, they've got us all beat to hell on medical abortion.

Although many limitations remain, innovative dispensing efforts in some states, restricted access to surgical abortions in others and greater awareness boosted medication abortions to 43 percent of pregnancy terminations at Planned Parenthood clinics, the nation's single largest provider, in 2014, up from 35 percent in 2010, according to previously unreported figures from the nonprofit.

To recap, the abortion pill, aka mifepristone or RU486, was just approved in Canada in July 2015, a mere three decades after France approved it and two decades after the US did.

Juxtapose this. A year later, in July 2016 the assisted dying bill became law.

Estimated number of assisted deaths in the three months since, about 200.

Number of medical abortions in the fifteen months since the abortion pill's approval: ZERO.

There has been unconscionable fuckery associated with the abortion pill.

Looooong approval process, stupid dispensing requirements, mandated online training for physicians, weird bureaucratic hurdles for its inclusion in provincial drug plans.

But assisted dying? No such rigamarole. Law is passed. Doctors offer it. Patients want it. So.

In sensible places with universal healthcare, medical abortion is recognized for the boon it is -- both to patients and to the system. Like Australia.

But here, the regulators and politicians are kow-towing to the minuscule -- but LOUD -- anti-choice fringe who call the abortion pill "human pesticide".

It's time to do something about this idiotic situation.

An NDP MLA in Manitoba is calling for the province to cover the abortion pill.
A new resolution from St. Johns MLA Nahanni Fontaine describes the Mifegymiso pill as an essential medicine for women that should be easily accessible.

And it's not just Ms Fontaine who describes it as essential medicine. The World Fucking Health Organization listed it on its List of Essential Medicines in 2005.

Action Canada for Sexual Health and Rights has a new campaign to help persuade the powers that be to get the damned lead out and make this essential medicine available.

Check it out.

Under Take Action there are five steps you can take.

1. Write and/or meet with your local MPP, MP, Provincial/Territorial Minister of Health, and/or Federal Minister of Health.
2. Write an op-ed or pitch the story to local news outlets.
3. Take to social media! 
4. Engage your community: host an event, share information through your networks. 
5. Encourage your physician to become a medical abortion provider of Mifegymiso.

After all, provincial healthcare plans fund surgical abortion. Why would they not embrace this earlier, quicker, less expensive alternative?

Wednesday, 10 August 2016

BREAKING! Feminist™ PM Declares "What's Sauce for the Goose. . ."



DAMMIT JANET! has learned that Canada's feminist Prime Minister has taken note that just about nobody is pleased with Health Canada's idiotic rigorous dispensing rules for the so-called abortion pill, Mifegymiso.

From Newfoundland and Labrador, to Prince Edward Island's pharmacists and physicians, to Manitoba and British Columbia, just about everybody who has anything to do with reproductive healthcare is pissed off.

Heck, even the Globe and Mail's editorial writers are miffed.
If this restrictive handling of the abortion pill is meant to reflect safety concerns, it is misguided. Many prescription drugs, used wrongly, have the potential to do harm and yet we trust pharmacists to dispense them, because that is their specialty. Why should Mifegymiso be any different? The damage done by preventing women from obtaining the abortion pill they need will outdo any good that comes from excessive caution about patient safety.

But if these restrictions stem from residual nervousness about easier access to abortion, even in pill form, that is completely wrong. Women have a right to this drug and they should be able to get it without further obstruction.
Among the many objections to the regime are requirements that doctors -- not pharmacists -- maintain an up-to-date supply of the drug, set up billing systems for it, and watch the patient take the first dose.

Responding to criticism that absolutely NO OTHER drug -- not even powerful, potentially lethal chemotherapy drugs -- is treated like this, feminist™ PM Trudeau reportedly said: "All righty then. We'll change the rules on erectile dysfunction drugs like Viagra. Physicians will control dispensing and patients will be required to take the pill in their presence. What's sauce for the goose should be sauce for the gander.

"Happy now?"

Um, no. We are not happy, Justin.



Inspiration from Abortion Rights Coalition of Canada's Facebook page
‪Pudgy Quast‬ Perhaps more people would understand this if men were forced to visit their Doctors to take their viagra pills in the doctor's presence rather the filling their prescriptions at a pharmacy! Women have been dispensing medication to their families forever…I think we can manage to fill a prescription and take a pill ourselves!

Friday, 31 July 2015

RU486: Game. Set. Match.

Further to the long overdue approval by Health Canada of RU486 or mifepristone, the 'gold standard' of medical abortion: an explanation and a clarification. (And some gloating.)

Medical -- non-surgical -- abortion is not new to Canada. But the protocol doctors have been forced to follow up to now is outmoded, unreliable, and subject to screw-ups.

Here, an expert explains:
"We're absolutely thrilled," Jill Arkles, from the Sexual Health Centre in Saskatoon, told CBC News Thursday.

According to Arkles, some doctors in the province were already providing an alternative to surgical abortion, using a combination of an injection and medication to induce a miscarriage.

She called RU-486 a welcome advancement. The injection-and-tablet method can take up to five weeks to complete, and involve up to five medical appointments, while RU-486 is two pills taken a day or two apart.

"It's more cost-effective than other current medications that we're using, as well it requires less time overall," she said.
So, quicker, easier, more cost-effective. Not to mention less time and stress for patients.

Thus: gold standard.

The news story I based my blogpost yesterday was less than clear on how widely available the new protocol will be.
[Vicki] Saporta [president and CEO of National Abortion Federation] said initially the drug will probably only be available through health-care professionals who already provide abortion services.
It seems that Saporta's judgement was not based on any Health Canada requirement, but on training issues and individual doctors' inclinations.

Here's part of the Society of Obstetricians and Gynecologists of Canada's statement.
The SOGC is working with the College of Family Physicians of Canada (CFPC), using the expertise of our members to develop clinical practice guidelines on the use of mifegymiso [Canadian brand name] and to provide educational opportunities to physicians to ensure that they are well-prepared to counsel and care for women requesting medical abortion.

More on the inclinations of doctors:

Canadian doctors who were wary of the makeshift cocktail [injection and tablets] will likely be more willing to prescribe an abortion drug that’s approved by Health Canada for that purpose, said Jennifer Blake, the CEO of the Society of Obstetricians and Gynaecologists of Canada. She expects the society to provide formal training around the drug and its side effects to doctors who want to offer it, and said family doctors and obstetricians will both be able to qualify. Doctors’ approaches to abortion “depends on the community,” Dr. Blake said.

“I think if you look at physicians in general as coming from the fabric of Canadians society, Canadian society on the whole feels this is a decision that is best made by a woman herself, and I would expect that to be the same among health-care providers.”
We'll have to wait and see how many doctors -- and as critically, where they are located -- will decide to offer this solution.

Now for the gloating. CBC notes that as we head into a protracted election campaign, this might not be the best timing for CONservatives wanting to placate the fetus freaks among their base.

Indeed, the initial reaction among cabinet ministers was to run like hell.
[Health Minister Rona] Ambrose told reporters in St. Albert, Alta., that the decision did not rest with her.

“It’s out of my hands and the decision is final,” she said.

“Any of those details you would have to speak to the officials at Health Canada and the scientists that actually manage the regulatory approval process. I’m not involved in it.”

Ambrose cancelled two events scheduled for Thursday afternoon and Friday in Edmonton and area. No reason was given.
Except for one CON MP (so far), David Anderson, who issued a foot-stomper of a press release demanding Ambrose roll back the clock to the 1950s.

To sum up, yes, medical abortion has been available in Canada but not very widely offered or actually undertaken, precisely because it was arduous for all involved.

The fetus freaks are particularly pissed over RU486, precisely because it is easier and more effective.

And they have good reason to be pissed. As SUZY ALLCAPS herself admits.

http://www.bigbluewave.ca/2014/10/will-collapse-of-planned-parenthood.html

The problem with this [medical abortion] model, from the pro-life perspective, is that it's a little harder to protest the GP who does abortions, when he treats the community's ear infections, sore throats, STD's and so on.

If you make life hard on this person, it won't just be abortion clients who'll be unhappy. It will be all the patients this doctor sees.
When GPs, nurse practitioners, midwives, and hopefully, eventually pharmacists are able and willing to help end an early pregnancy, it's not just a game-changer. It's a game-ender.

Game. Set. And soon, the whole fucking shooting match.


ADDED: Health Canada Regulatory Decision Summary.

Thursday, 30 July 2015

FINALLY

Nearly 30 years after much of the world's women got access to the "gold standard" of medical abortion, Health Canada has finally approved RU486 for Canadian women. (Remarkably, the news story does not "balance" the news by getting SHRIEKY quotes from fetus fetishists.)

This is great, if long overdue, news for safety, privacy, cost, and convenience.

Big Fetus® hates it, of course. Their long campaign, verging on the farcical at times (see Godwin's law), against it always was futile.

SUZY ALL-CAPS repeats the usual lies about it: http://www.bigbluewave.ca/2015/07/ru-486-approved-in-canada.html

So does We Need a Law Like a Hole in the Head.

And here's LieShite rabbiting on about "human pesticide."

Amusingly, to accompany their extremely dodgy claim that medical abortion is "reversible," The Hole in the Head gang is encouraging fetus freaks to write to MPs to reverse Health Canada's decision. Good luck with that.

While they may have hopes of the misogynist Harper government, it seems not even proponents of 1950s morality could withstand the overwhelming evidence that mifepristone is safe and effective.

Rona Ambrose was tight-lipped about it.
Federal Health Minister Rona Ambrose had little to say Wednesday night about her department's decision.

"Drug approval decisions are arms-length decisions made by Health Canada officials based on analysis by Health Canada scientists," a spokesperson for Ambrose said in an email.
Shorter: Don't blame me, fetus freaks.

And while RU486 represents an advance in abortion care, one of its main advantages, it seems, will not be implemented for a while yet.

It was expected that its approval would greatly improve access for women in rural and remote areas by allowing GPs and other healthcare professionals to dispense it.

But no. Or not yet. (My emphasis.)


Reproductive medicine experts have called the drug the best known option for abortion and have been advocating for its approval in Canada.

While some countries allow the drug to be dispensed by pharmacists, Health Canada has opted not to go that route.
[Vicki] Saporta [president and CEO of National Abortion Federation] said initially the drug will probably only be available through health-care professionals who already provide abortion services. But she said it's hoped that over time more doctors will agree to prescribe the drug — especially those serving remote communities or working in areas where women have to travel long distances to see a doctor who will perform an abortion.

"Mifepristone holds the promise of improving access to abortion care for women in more rural communities where there isn't a current abortion provider," she said.

Saporta said it is likely the drug will only become available in Canada in early 2016.

So, Canada, long a world leader in sensible abortion policy, has finally joined the 21st century in offering a full range of options to patients.

DJ! has been writing about medical abortion in general and RI486/mifepristone in particular for fucking years. Some past blogposts.

ADDED: CBC does an explainer.

Sunday, 24 May 2015

Turned Away in PEI

This is so fucked up, it's hard to know where to begin.

One rendition: A person waits 5 hours for treatment at a Canadian emergency department then is turned away with the words "we are not comfortable dealing with this situation."

Or: A person is turned away from a hospital emergency department and told to go to a clinic in ANOTHER PROVINCE.

Or: The Minister of Health looks into the situation and is satisfied that all protocols were followed.

Here's the story as reported in the media.

Here's the story as told by the woman herself, Courtney Cudmore, to As It Happens (at 9:50 mark), or from her Facebook page.

In Prince Edward Island, while it is part of Canada where abortion is legal, abortion is simply not done.

A PEI woman was unwillingly pregnant, found a doctor to prescribe LEGAL abortion drugs, listened carefully to the instructions, and took the drugs. The instructions included what to do if the drugs did not seem to be performing as expected: Go to a hospital.

The drugs did not perform as expected, and so the woman took herself to the Queen Elizabeth Hospital emergency department.

Well, they didn't seem to know quite what to do with her. A nurse got her to give a urine sample and that was it for about 5 hours.

Finally 7:00 pm.. I get called in... The nurse gives me a johnnyshirt to put on, Obviously Im getting examined. 45 minutes later Dr. Lantz comes in. With my chart ... Looks at my chart then looks at me and says... What would you like me to do.. Ohh I don't know check me out?! I told him why I came in. "Well I will go talk to the gynecologist and see what they say" 10 minutes later... "Well we are not comfortable dealing with this situation" What really... not comfortable... What the hell is going on inside of me... I'm thinking this in my head.... and staring at him. I ask ok what did my urine sample tell you?? Are my levels dropping?? "I don't know.. all I can tell you is you are still pregnant" ok so in that breath right there his job was to do a full examination on me. If I didn't pass everything which I'm sure I didn't .. Tha'ts going to cause bigger issues for me. But he did let me know I could go to a clinic in Halifax, They would have no issue helping me. After totally getting he wasn't going to help or find me help I asked him to leave so I could put my clothes back on. But I did thank him for wasting my time.

There just was an election held on the Island, where abortion was an issue.
P.E.I.’s four male political leaders provided their party’s policy on abortion services Tuesday during a forum on women’s issues where the last remaining variable was finally clarified. Liberal Premier Wade MacLauchlan said P.E.I. would continue to provide abortion services but only at a Halifax hospital. It’s the same policy followed by Premier Robert Ghiz so there is no change to the status quo.

When this story broke on social media on Thursday, the media got on it and the Health Minister was asked for a comment.

Health Minister Doug Currie says he was initially highly concerned when he received messages on social media, but after following up with officials at the hospital, says he feels all proper protocols were followed.

“I was reassured that no one was denied or turned away from the emergency room (Thursday) night,” Currie said.

“I was reassured that the standard quality of care was followed and I continue to be even more motivated to work with stakeholders to continue to remove current barriers that are facing Island women that are looking to access this service.”
No one denied or turned away? Is he calling Ms Cudmore a liar?

Standard quality of care followed? Being told "we are are not comfortable" and "go to Halifax" is "standard quality of care"?

Do PEI physicians not know how to treat miscarriage? Would a woman miscarrying "normally" also be refused treatment and sent to a clinic in Nova Scotia?

Is this not dangerous, patronizing, and, well, simply OUTRAGEOUS?

Not to mention a human rights violation and a pretty prima facie case of malpractice?

The reaction was swift. PEI Abortion Rights Network wrote an open letter.

A petition was begun to have Health Minister Doug Currie removed from his position.

Ms Cudmore plans to contact a lawyer.

What else can we do?

How about alerting potential PEI patients about the patronizing asshole doctor? Ms Cudmore names a "Dr. Lantz". It seems pretty clear that this is Chris Lantz, member of a "prominent" PEI family, and -- hey, look at this -- brother of the leader of the PC party, Rob Lantz.

And how does Rob Lantz feel about abortion?

PC Leader Rob Lantz did meet the group and assured them he will maintain the status quo. … Abortion is not on the PC radar, not in the platform and there are no plans to re-open the debate.

And we'd like to know the name of the gynecologist supposedly consulted by Dr. Lantz.

Here's Ms Cudmore from her Facebook page again:
I have gone to the media as most of you already know and I will be contacting a lawyer to take legal action against the hospital. I urge ALL women who have come across difficulty in support/access to proper health care regarding abortions to take a stand now!! Don't be silent anymore.. We have a right we have a choice. All we see and hear are people slamming abortion if we stand now just maybe we might get the access and rights we deserve. This is legal and as women living on PEI we have a right to choose what we do with our bodies. ‪#‎statusquonomore‬

In other momentous news from the Gentle Island, there is a bit of panic going on over metal objects found in potatoes.

Precious PEI potatoes VIOLATED!!!!!

Last word to unexpectedly prochoice Stats Can (which is a parody account just to forestall any idiotic screeching):





Image from @ProChoicePEI.


UPDATE (May 25/15): Statement from Abortion Rights Coalition of Canada.

UPDATE (May 26/15): Another harrowing story of being turned away. How many more are there? How many more will there have to be?

UPDATE (May 30/15): A new blog, The Sovereign Uterus is collecting abortion stories from PEI women. To answer the question: How many more? A: Lots.

UPDATE (May 31/15): Halifax woman opens her home to PEI women needing abortion.

Wednesday, 1 April 2015

Carafem: Just Another Day at the Abortion-Spa



Big props to the new abortion clinic Carafem in Washington, DC.

It's got ALL the fetus freaks' knickers knotted.

With its natural wood floors and plush upholstery, Carafem aims to feel more like a spa than a medical clinic. But the slick ads set to go up in Metro stations across the Washington region leave nothing to doubt: “Abortion. Yeah, we do that.”

The Maryland clinic, opening this week in Montgomery County’s tony Friendship Heights area, specializes in the abortion pill. The advertising reflects its unabashed approach — and a new push to de-stigmatize the nation’s most controversial medical procedure by talking about it openly and unapologetically.
Website.

It's hard to say what has the freaks most outraged -- that women could be treated decently, that abortion could be treated like any other medical procedure, or that a business, yes, a business, could aim to help destigmatize a common life event.

The Dominionist Astroturf Gang, We Need a Law (Like a Hole in the Head), is appalled that the furniture is comfy.

SUZY ALL-CAPS is SHRIEEKING that abortion will be destigmatized OVER HER DEAD BODY!!!!!!!!

http://www.bigbluewave.ca/2015/03/abortion-will-never-be-de-stigmatized.html

Kay Mère, as befits her very limited cognitive processing ability, is all over the map in her objections.

She cites a "left-leaning think tank" that points out that destigmatization worked for the LBGT community by sharing stories and coming out to friends and families.

But this is an untenable comparison. Gays are human beings with a minority sexual orientation.
As opposed to people who have abortions who are not human beings but amoral, irresponsible baby-killing sluts.

Ultimately, what bugs her the most is that Carafem is a business and this new and humane approach to a common procedure may make them money!!!!

The Focus on the Family Astroturf Gang, as usual, takes its cue from Kay, considered to be among the more "reasonable" of anti-choicers, and squeals about the profit.

Well, shut my mouth. I thought all these right-wing nut-jobs worshipped at the altar of the Free Market.

These are the same people eager to label any efforts by government to regulate contraception and abortion services as Communist! Fascist! Maoist! (You get the idea.)

Yet, these are also the people who revelled in the gore and filth of Kermit Gosnell's totally unregulated predatory racket.

But who insisted that there must be Gosnells in Canada. We just haven't caught them yet.

This Carafem development has them shoved back in that terrible pickle again.

HORRORS! People needing abortions are being treated decently.

HORRORS! People needing abortions (in the US) must pay for them and so will prompt entrepreneurs to cater to them.

HORRORS! If people needing abortions are treated decently, there will be no more Gosnells, no more stigma, no more needless suffering.

Ha. I say again -- props to Carafem.

By the way, the cost of a medical abortion at Carafem is below average.
The average pharmaceutical abortion cost about $500 in the United States in 2011, Guttmacher figures show; [Carafem President Christopher] Purdy plans to charge around $400.


Saturday, 14 February 2015

Sanctioned Doctor, Outmoded Abortion Protocol

The good news: An incompetent Ontario abortion provider, Dr Michel Prevost, was compelled to resign after documentation of poor practices.

The details (we'll get to the bad news in a minute): Because Health Canada is about 30 years behind the rest of the world in approving the "gold standard" of medical abortion, mifepristone, or RU486, doctors are forced to use the less effective protocol of combined methotrexate and misoprostol.

Methotrexate is used not just for abortion but also for the treatment of cancer and autoimmune diseases.

The dosage needs to be calculated.
Methotrexate is given by injection the amount of which is individually calculated by each woman’s weight and height. As the medication takes effect, MTX interferes with folic acid and stops fetal cell duplication, and disrupts pregnancy at the stage of implantation in the uterine wall. When given early in pregnancy, it is effective in ending the pregnancy. (If a pregnancy were to continue after taking this drug, the fetus has a high risk of deformities.)

Which is where Prevost screwed up.
"He displayed a lack of judgment and patients were exposed to harm or injury in his failure to properly screen patients for medical terminations, in his failure to calculate doses of methotrexate on the basis of his patients' respective body surface areas, and in his failure to follow up with patients, including when he was aware that patients had ongoing gestations after the administration of methotrexate," the decision said.
Despite Prevost's treatment, two pregnancies went to term with fetal anomalies -- anomalies whose cause(s) were not investigated by the College of Physicians and Surgeons.

Now for the (totally predictable) bad news. The fetus freaks are doing wild happy dances in celebration of "botched" abortions resulting in harm.

See? See? See? they're SHRIEKING. Abortion is terrible.

Here's SUZY ALLCAPS: http://www.bigbluewave.ca/2015/02/ottawa-valley-gynecologist-resigns.html
And people wonder why we oppose RU486.

It's one thing to have an RU486 abortion in a big city. In a remote location, it can carry far greater risks…
Two teensy problems there. 1) The drugs used were NOT RU486. 2) The supposed "remoteness" of Almonte, ON (46 km from downtown Ottawa), had nothing to do with the outcomes.

But for the mis- or uninformed, the sanctioning of this doctor will be seen as a blow to medical abortion in general and the as-yet unapproved (and uninvolved) RU486/mifepristone.

In January 2014, the Canadian Medical Association Journal published a commentary, titled "Medical abortion in Canada: behind the times."

In it, the authors specifically address the difference between the method Prevost -- and all other Canadian practitioners -- have no choice but to use and the "gold standard".
Unfortunately, Canadian women who want a medical abortion (assuming they can find a provider) must resort to a more cumbersome method that uses the cytotoxic drug methotrexate, followed 5–7 days later by misoprostol. Although the methotrexate–misoprostol approach provides a nonsurgical option, it is the second-best method. If allowed to take its course, the regimen is as effective as mifepristone and misoprostol for abortions at up to 7 weeks’ gestation, but its time course is longer and less predictable, with some abortions delayed several weeks after administration of methotrexate. Because methotrexate is teratogenic, the World Health Organization does not recommend it for abortion because of its association with serious deformities in the infant if the abortion fails and the pregnancy continues.
Takes longer, is less predicable, associated with serious deformities if the abortion fails.

Yup. And in the hands of a lesser practitioner, prone to fucked-up outcomes.

On Twitter the other day, I asked Dr. Jen Gunter, Canadian-trained, San Francisco-based OB/GYN, whether such outcomes would be less likely using RU486/mifepristone.

She was a tad busy at the time, dealing with her characterization by Heather Mallick as the dismissible "rural doctor" in The Star's flustercluck over the "dark side" of Gardisil.

She had time for only this reply.



Upshot: Far from being a condemnation of RU486/mifepristone, this sad episode should serve as an incentive for Health Canada to hurry up and approve the 21st-century medical abortion protocol.

Sunday, 18 January 2015

Anti-Choice Should Support Approval of RU486

Many questions are being raised over the delay in Health Canada's expected announcement on mifepristone, aka RU486.

While we and others remain confident that the overwhelming evidence of its safety and efficacy will convince scientists (!) at Health Canada to approve it, some are wondering about the politics and secrecy of the process.

Many pro-science/pro-choice people have a very dim view of the Harper government's dismissal of science and evidence and its repeated meddling in supposedly arm's-length agencies, so it's rather odd to see Official Fetus Freakdom speculating on political interference.
The timing of the delay is noteworthy. Making a decision prior to the upcoming federal election could have drastic consequences for the reigning Conservatives. An approval of the drug could potentially result in the party alienating itself from its natural base of people who respect life and think it wrong for a mother to end the life of her pre-born child. Denying the drug, however, could potentially give left-leaning institutions, politicians, and especially mainstream media added firepower to accuse it of being against ‘reproductive rights,’ and ultimately against women.

We know why the Freaks are dead set against medical abortion *cough* privacy/access/cost/end of clinic harassment *cough* but really, they should welcome it.

For the past few months, they've been trumpeting a new "pro-life" treatment that can "reverse" medical abortions.

And look at the new opportunities it offers them.


Gerard Nadal, Ph.D., a pro-life scientist, breaks down the process further.

“Unlike surgical abortions which are immediately lethal, RU-486 (mifepristone) works over a period of 36-72 hours,” he notes.
So, if they can get their hands on someone part-way through the procedure, they have the chance to make another "save" as they call it and interfere with the right to abortion. Again.

Wheeee! Wot fun! More manipulation! More guilt-tripping! More martyrgasms!

Oh. Wait. They'd have to be able to identify people who are partway through a medical abortion in order to intervene. I wonder how they'd do that?

Maybe by launching another anti-choice mole willing to breach patient privacy by snooping into hospital records.

Seriously, we're glad this treatment exists. It represents everything we stand for. Choice above all. If a person is having second thoughts, by all means, stop and reconsider.

Who knew that anti-choice was really so pro-choice?

Friday, 31 October 2014

Of Course There is Do-It-Yourself Abortion in New Brunswick

Well, who didn't see this coming?
Because abortions are nearly impossible to access in New Brunswick, people in need of the procedure have begun terminating their pregnancies themselves.

Whenever and wherever women have found it impossible to continue a pregnancy and to find competent help to end it, they have resorted to whatever is handy and has the slightest chance of working. And, it is to be hoped, not kill or maim them.

Right now, for example:

A woman in Morocco looking for help is considering drinking bleach to end her pregnancy. In Poland, a rape victim says she’s thinking about hitting her stomach with a stick to induce a miscarriage. Another woman desperately emails, “I am not a monster, I just cannot have the baby.”

These are the distressed messages that Women on Waves receive every day from women who live in countries where abortion is illegal. The organisation, an activist group famous for providing abortions on a ship in international waters, has recently been chronicled in the award-winning film, Vessel. The movie follows the work of Dutch doctor Rebecca Gomperts and her crew as they work around various countries’ abortion laws – and sometimes just flout them – to help women end their pregnancies.

While watching the film, which has its New York premiere next month, it’s hard not think about the current hostile climate for reproductive rights here in the US and wonder: How long until illegal abortion is the norm here, too?
If the Women on Waves ship visits North America, a period anchored in Northumberland Strait would be useful to the women of PEI and New Brunswick who are denied -- for purely political reasons -- access to a common medical procedure available to the rest of Canadian women.

In the meantime, here's some advice from the organization's website, Women on Web.
The best and safest way a woman can do an abortion herself until the 12th week of pregnancy is with the use of two medicines called Mifepristone (also known as the abortion pill, RU 486, Mifegyn, Mifeprex), and Misoprostol (also known as Cytotec, Arthrotec, Oxaprost, Cyprostol, Mibetec, Prostokos or Misotrol). If you live in a country where there is no access to safe abortion services and you would like to obtain a medical abortion with Mifepristone and Misoprostol, please go to Women on Web (www.womenonweb.org).
While women may be just as desperate as ever, the (semi-) good news is that DIY abortion is safer.
Although abortion is still illegal in many countries around the world, "do-it-yourself" (DIY) medical abortion means that it has become much safer compared to traditional methods such as inserting foreign objects in the uterus or ingesting poisons. However, there are still dangers when women buy dubious medication on the black market and take it without any instructions or medical supervision -- hence, the urgent need for groups like [new international foundation called Women Help Women] WHW, as well as Women on Web. The latter group courageously piloted the online provision of medical abortion in 2006, proving the viability and safety of this model.

And speaking of politics, the newly elected Liberal Premier of New Brunswick is already walking back one of his major promises. He seems to be changing his tune on fracking.

Gee, I wonder how the fetus fetishists of the province will respond to that news, given recent research showing that fracking increases the risk of fetuses developing congenital heart problems?

Reproductive Justice New Brunswick is keeping track of Gallant's shilly-shallying on his abortion review promise with its Days of Inaction Timer.

New Brunswick women who can afford it and have a passport will continue to contribute to the spike in abortions provided in Maine. But women who can't afford it will resort to other means, necessarily less safe than medical abortion.

Any less-than-ideal consequences of that will be on you, Premier Gallant.


Thursday, 2 October 2014

SHE Has Seen the Future

SUZY ALLCAPS has seen the future and it's a ginormous anti-choice LOSS. (plain-text url for the usual reason)

http://www.bigbluewave.ca/2014/10/will-collapse-of-planned-parenthood.html

SHE links to a couple of posts by Big Nurse Stanek, Head Chef of the Sweet-and-Sour Fried Fetus Emporium, crowing about the demise of Planned Parenthood -- and therefore, ipso fatso, of abortion, in the US.

SHE doesn't think the situation in Canada is comparable -- and thank gord, she's right about that too.

SHE understands that the future of abortion is -- as we've said here many, many times -- medical abortion.

SHE says (her italics):
A general practitioner, or a nurse practitioner, the same professional who treats your kid's ear infection, can anonymously fill out a prescription for abortion pills, without raising any hackles.

And nobody has to know.

I can see this happening in private offices. Ultrasound are no longer huge machines costing tens of thousands of dollars. You can get a smartphone version, and for the purposes of a medical abortion, it can do the job.

If Planned Parenthood collapses, there will still be abortions. Only the model will change. It will be much less visible. It will probably be handled by lone providers hiding behind their "general practice".

And maybe these abortions are somewhat more troublesome than surgical abortions, but they get the job done.

The problem with this model, from the pro-life perspective, is that it's a little harder to protest the GP who does abortions, when he treats the community's ear infections, sore throats, STD's and so on.

If you make life hard on this person, it won't just be abortion clients who'll be unhappy. It will be all the patients this doctor sees.
DINGDINGDING! Give that woman a kewpie fetus!

Medical abortion is safe, effective, and much cheaper than surgical abortion. It offers women who want to get the deed over with a quick and private solution.

Which is why the fetus fetishists hate hate hate medical abortion.

And, as SHE rightly points out, fetus freaks can't protest ordinary GPs providing this service without pissing off even more people than they piss off now.

The future is on its way.

As soon as fucking Health Canada gets off its ass and approves the "gold standard" of medical abortion, RU486.
Women in 57 countries have access to the drug, according to [Dr. Sheila] Dunn. It has been available in France since 1988, in Britain since 1991 and in the United States since 2000.
But not yet in benighted Canada.

Last we heard, this momentous decision -- over 25 years in the making -- is expected sometime next year.

And Health Canada? If you're reading, be prepared for the Mother of All Ruckuses should you fail to approve it under duress from fetus freaks like SUZY.

Thursday, 8 May 2014

Why They March: Because We're Winning

Fetus fetishists are marching again today on Parliament Hill.

This year's theme is #RU4Life, a play on the abortion drug RU486's name, which is now up for approval by Health Canada.

I find this choice perplexing.

Last year's theme was gendercide. It was in the news at the time, largely thanks to Warawa's Wank, a private member's motion condemning gender-selective abortion (as if anything could be done about it). And the issue was garnering some media attention as many "conditional pro-choicers" needed to express their ambivalence -- "I'm pro-choice but. . . "

Warawa's motion blew up real good, providing the necessary victim-fuel for last year's efforts.

But why RU486 this year?

It is but one method of abortion and not well known. It is used very early -- up to 9 weeks' gestation only -- avoiding the fetishists' beloved gore of late abortion.

While the zygote zealots try to characterize it as particularly nasty, calling it "human pesticide", and dangerous, it is safe, effective, and has been widely used around the world for nearly 30 years.

Of course antis really really hate all medical abortion. It's quick and relatively cheap. Any physician can prescribe it, making it especially useful for rural and remote access.

But what they really hate is that it's private. Women don't need to run the gauntlet of clinic harassers to get and use it.

No invigorating slut-shaming opportunities for them.

Perhaps they expected RU486 to be in the news as gendercide was last year. Last fall there were reports that Health Canada was, then wasn't, then was too considering its approval. (Now we hear that there will be no decision until 2015.)

So a miscalculation on their part?

Even so, it's hardly the barn-burner that gendercide can be in a skilful spinmeister's hands.

This is what I think. Consciously or unconsciously, the fetus fetishists recognize that they've lost the war.

Canada is a staunchly pro-choice country with 90% of us supporting abortion in all or some cases.

There is no way that abortion will be recriminalized and they know it.

So they've fallen back on fighting rear-guard skirmishes like this one on RU486 -- "this far, no further."

As more and more Canadians support abortion rights and a new generation rises up to take on the battle for equal access, the choice of this year's theme is an outright admission of defeat.

We'll continue to oppose their every effort of course, but we may be closer to total victory than we realize.



Public Service Announcement Section
First, links to counter claims that RU486 is dangerous. Some fact sheets on its safety: here, here (pdf), and my favourite, pointing out that it's safer than Tylenol.

Here's Campaign Lie's fact sheet. Note that there are five sub-heads, one given over to its "macabre lineage" to Nazi Germany -- yep, they went there -- and that one is placed higher than safety concerns. That's how little they've got in the way of actual "facts."

I like this comparison on safety. In its first year of use, Viagra was linked to 522 deaths, while fetus fetishists themselves can link RU486 to 15 deaths over nearly 30 years of use. There are risks associated with anything of course, but it's telling, isn't it, that antis show such cavalier disregard for owners of wayward willies compared to their solicitous protection for owners of vagrant vaginas.

They're planning a Tweet-fest today using the hashtag #WhyWeMarch. I'm planning on doing a little geurrilla co-option with offerings like: "Because it's mandatory at my Catholic school" and "Because my Ontario tax-payer funded Catholic school pays for a day-trip to the Hill. Day off! Yay!"

I will also be reporting, as usual, on their inflated attendance claims.

So, whether you're going to the Hill, participating in a local event (there's a rally in PEI today), snarking from your keyboard, or just watching the fun, take heart.

The good gals and guys are winning.

deBeauxOs chirping in: I'm investigating if the obnoxious gotcha that the StunTV moppet tried to spring upon the Radical Handmaids at the March4Lies made it onto their network. Will blog that tomorrow.

Tuesday, 7 January 2014

RU-486 Is Back, Now With Godwin's Law

Health Canada is an odd organization, isn't it?

Back in November, the Canadian Medical Association Journal published a commentary advocating for the approval of RU-486, the preferred medical abortion drug, unaccountably not yet sanctioned in pro-choice Canada.

It explained:
A manufacturer must apply to bring the drug to market in Canada. Health Canada, citing confidentiality laws, would not confirm whether it is currently studying such an application.

However, [Dr. Sheila] Dunn said an application had been made within the last year. She said it may have taken time for a manufacturer to apply, owing to the expense and Canada’s relatively small population.

When the inevitable shit hit the fan from the fetus fetishists, Health Canada denied there was an application pending.

But now LifeShite reveals that the abortion activists did know what the hell they were talking about.
Health Canada has admitted that its deputy health minister misspoke when he told a parliament health committee in November that there is no pending application to have the controversial abortion drug RU-486 (mifepristone) approved in Canada. 

“An application has indeed been filed with Health Canada and is under review,” Health Canada’s Bureau of Metabolism, Oncology and Reproductive Sciences wrote on January 2 in an email obtained by LifeSiteNews.com.
So, the antis are revving up again, citing old bullshit studies and stats from The Way Back Machine, before treatment regimes were find-tuned.

And ya gotta love this from CampaignLie's petition page.
And whereas RU-486 has ties to the Nazi death camps of WWII, given it was designed by the same company (Hoechst AG, formerly IG Farben) which supplied Hitler with the Zyklon-B gas used to kill millions of Jews, Poles and others in the gas chambers of Auschwitz;
Yep. That's how desperately short of actual facts and arguments they are. They went for the Nazi supplier! shriek.

Ja, like Kodak, Coca-Cola, IBM etc.

For background and more info, check out DJ's previous posts on RU-486.




Tuesday, 3 December 2013

R U able to buy RU486 in Canada? Why not?*

Medical or chemical abortion is back in the news. We've written about it here often, most recently here.

It's a mystery why prochoice Canada has not approved RU-486 or Mifepristone.

The Canadian Medical Association is on the case.
Health Canada is being urged to approve a drug that is considered the “gold standard” of medical abortion and is already available in most other developed countries.

The drug mifepristone, commonly known as RU-486, is not available in Canada despite being the best known option for abortion, says a commentary published in the Canadian Medical Association Journal.

“This is the choice that many women actually want to have,” said one of the authors, Dr. Sheila Dunn of Women’s College Hospital in Toronto. “Canadian women don’t have it, and it’s unacceptable that we don’t.”

Medical abortion uses drugs rather than surgery to induce an early abortion, similar to a miscarriage. Mifepristone is taken orally and ends a pregnancy within one or two days.

Women in 57 countries have access to the drug, according to Dunn. It has been available in France since 1988, in Britain since 1991 and in the United States since 2000.
As we've noted here before, the fetus fetishists really really really hate medical abortion. It's private, safe, and cheap(er). It allows women to act quickly on an unwanted pregnancy. Any doctor can prescribe the pills, so one doesn't have to go to a clinic targetted by screaming nutbars.

So, here they are again with a petition against approving it.

The petition cites old data, now largely irrelevant because of changed protocols, but we really like this Godwinism.
And whereas RU-486 has ties to the Nazi death camps of WWII, given it was designed by the same company (Hoechst AG, formerly IG Farben) which supplied Hitler with the Zyklon-B gas used to kill millions of Jews, Poles and others in the gas chambers of Auschwitz;
Yep. They went there.

(The petition has a whopping 862 signatures at the moment.)

As we've said before, the government of Canada has a duty to provide top-drawer medical choices to patients. But it also has a duty to try to keep costs down. Which is exactly what bulk buying of RU-486 would achieve.

Look at Australian PM Julia Gillard's last act as prime minister.

Julia Gillard's last act as prime minister included signing off on cabinet approval for slashing the cost of abortion pill RU486 to as little as $12.

Listing the abortion drug on the taxpayer-funded Pharmaceutical Benefits Scheme (PBS) will see the price of a medical abortion in Australia drop from up to $800 to just $12 for concession card holders from August 1.

Women not eligible for concessions will pay around $70 under the PBS.
Safe, effective, private, cheap.

What's not to like?

So, will Health Canada do the sensible and responsible thing? Or will Rona Ambrose stick a base-appeasing spaniard in the works?

*Title taken from a comment by Alison suggesting a bumper sticker here.

Saturday, 7 September 2013

It's the 'telemed' part, not the 'abortion' part they object to

What do you do when you are a fetus fetishizing tea bagger but governor of a fairly progressive state? Or at least one that was the first in the US to offer medical abortions by teleconferencing?

When you're Iowa ReThuglican Governor Terry Branstad, this is what you do.

First, appoint all ten members of the Iowa Board of Medicine. Check.

Then, hold hearings into the 'safety' of the procedure. Check.

Make sure the former anti-choice legislator and chair of the board is an idiot. Check.

Dr. Greg Hoversten, the state board’s chairman, suggested that the system amounted to an experiment on Iowa women.

Have the board listen to the evidence -- all good -- then have them vote 8-2 to effectively ban the procedure on the basis of safety. Check.

Now let board members ignore a 2010 report written by a board investigator after several months of looking into safety concerns of the regime (presumably raised by fetus fetishists). Check.
The board’s chairman, Dr. Greg Hoversten, told the Register last week that he and his colleagues did not read the report before voting Friday to effectively ban use of the video system.

(I mean, who knows what that report might have said? That telemed abortion was JUST as evil and dangerous and life-threatening as fetus fetishists contend?)

Pay attention. The next part is key.

When two doctors request a copy of that damning report, refuse to release it. Check.

Oh, they had a good reason of course.
The board’s executive director, Mark Bowden, said in an email to The Des Moines Register on Wednesday that state law says such investigative reports are confidential. If the board files formal charges against a doctor, he said, the doctor would have a right to a copy. But since no charges were filed in 2011, he said, the report must be kept under wraps, even from the agency and doctors it concerns.
Got that? No charges were laid, so the report must be kept confidential.

Nah. That doesn't stink at all.

But it does demonstrate the essence of current conservatism: Remain wilfully ignorant, make decisions on pure ideology, then keep everyone else just as ignorant.

The doctors are considering a lawsuit to get the report.

Here's a long and thoughtful blogpost by Kelly Bourdet about telemed abortion in Iowa. Bourdet goes on to make the obvious point. Telemedicine is used in all kinds of situations, for all kinds of treatments. It's already used in the US military, for example.

But it is ONLY in this application of the new tech does anyone 'worry' about its safety or appropriateness or whatever.

Odd, eh wot?

Thursday, 25 July 2013

Beware the Mouthy Minority

This poll released today has USian fetus fetishists stoked.

While a majority -- 55% -- still think that abortion should be legal in all or most cases, that number is shrinking, down from 60% in 1995.

But what has the zygote zealots really revved is the answer to the time-limit question. As more and more states ban abortion past 20 weeks, the poll asks whether people support such a limit as opposed to the current 24 weeks.

A majority -- 56% -- prefer the lower limit.

OK. That is the Excited States where they are simply insane on the subject.

In Canada 94% of us think abortion should be legal in all or some cases according to a poll the National Post* and we reported on in July last year.

Some 60% of us also support the introduction of a law that places limits on when a woman can have an abortion, with an example: 'such as during the last trimester'.

Our fetus fetishists ignored the tiny minority who want to recriminalize abortion and instead cottoned onto that 60% as proof that a majority of Canadians are 'pro-life'. (Hint to FFs: I'd betcha that 99.99% of us are prolife, just not as you twist define it.)

What a majority of us are NOT is anti-choice. In fact, 49% believe that 'abortion should be permitted whenever a woman decides she wants one', in other words, 'on demand'.

By contrast,the new USian poll shows that only 20% of Merkins think that abortion should be legal 'in all cases'. Also, their nutbar fringe, as represented by the 'illegal in all cases' segment, is much bigger than ours at 15%. Oddly, though, a majority (54%) oppose making it more difficult for abortion clinics to function.

The state of abortion insanity in the US matters to us in Canada for two reasons: when their FFs get stoked, so do ours, and because we've still got a lot of work to do on access.

The NatPo* reported today on a new study on rural access in BC.

Bottom line: women in rural BC have way less access.

The author, Dr. Wendy Norman, said:
“What concerns us is that all surgical abortions in rural B.C. communities are performed in a hospital operating room setting, often under general anesthesia,” says Norman, one of the lead scientists on the Canadian Contraception Access Research Team (@cartgrac). “And half of the abortion providers reported difficulty booking time for abortion procedures due to conflict in operating room scheduling, or nurses or anesthesiologists who refuse to work with abortion cases.”
Bottom line there: Stigma and opposition.

But a hopeful note:
“One encouraging trend we noticed is that almost half of the rural cases are done medically, which is safe and affords women more privacy. This is much higher ratio than previously thought,” says Norman. “But we need to better educate women about this option as it is only available to women within the first seven weeks of pregnancy.”

As we've argued here repeatedly, medical abortion is the way of the future -- private, quick, and cheaper.

And now let's hear from the other coast, where there are significant barriers to women in Newfoundland and Labrador.

Again, there's access in St John's, but not so much elsewhere and the province does not cover all travel expenses.

Robin Whitaker argues that the procedure can and should be carried out in local clinics and doctor's office and medical abortion should be more widely available. But she points out that the preferable drug, RU486, is not approved in Canada.
In this province, RU486 could make early pregnancy termination locally accessible to many more women while saving public money. In addition to family doctors, there is no medical reason that these drugs could not be administered by nurse practitioners, midwives and even via telemedicine, provided that backup medical care was available. (It would also be vital to ensure that government did not download costs onto women by requiring them to pay for the drugs themselves.)
Our fetus fetishists will take anything a pandering CONservative government might offer: defunding, regulations based on spurious claims like sex-selective abortion, continued foot-dragging on the approval process for RU486.

In Ontario, panty-sniffer and amateur statistician, Patricia Maloney, is asking the courts to intervene in her quest for abortion statistics.

Make no mistake. Our fetus fetishists may be small in number, but they're LOUD and relentless. Right now they're sniffing some heady anti-choice emanations from the south.

And by SHRIEEEEKING and fomenting stigma, they have an undemocratically large influence on our private medical business.

Just look at what they're doing in the US with only 15% support.

Canadian women demand expanded, not restricted reproductive options.


*Fuck the National Post. They've just instituted a hit-and-miss paywall. Some stories I can read but can't get back to. Others have an immediate paywall. I'm not linking to them anymore and I apologize to readers of older posts that have links to them.








Thursday, 9 May 2013

Expanded, NOT Restricted, Abortion Options

Canada's lawless abortion regime rightfully stands as a beacon to progressive countries struggling to escape patriarchal attitudes to women's health and reproductive freedom.

But as we've noted recently (here and here), Australia has grabbed the patriarchal bull by the RU486 (aka 'home abortion pill') horns.

Pioneered by Dr Caroline de Costa, the medication is set to be added to Australia's Pharmaceutical Benefits Advisory list, which would lower the cost from $300-400 to $36 for woman who can pay and $12 for women on benefits.

(For those interested, there is -- of course -- a political angle. When Tony Abbott, former seminarian nicknamed the Mad Monk, was Minister of Health in a previous government, he fought tooth and nail to keep RU486 out of the country. Now that he is Liberal leader of the opposition, feminists and pro-choicers are dredging up that unsavory past to paint him in a light unfriendly to women.)

Meanwhile, in Canada, RU486, or mifepristone, remains unapproved by Health Canada.

In fact, the most recent reference I can find to it in medical literature is a paper from 2005 by Jennifer LaLiberté.

Mifepristone has been around for more than 20 years. It is considered to be very safe and is the preferred method of medical abortion in many countries, most notably France.
Use of mifepristone (Mifeprex®) has been associated with fewer deaths than Tylenol or Viagra, and is safer than full term pregnancy.
Antis love to cite the rare instances of complications and really really love to cite the ickyness of the process. In fact, some like Big Nursie Stanek, absolutely revel in descriptions of cramps, bleeding, and pain.

But, frankly, only people who believe women's reproductive organs mirror Barbie's smooth plastic parts, think that being female is all sugar and spice.

Who among us hasn't has a narsty bloody crampy period and wondered just what was happening? Is this a miscarriage, we wonder? We don't know, do we? We just deal with it.

Today, on March of the Feti Day, as hundreds (of bussed-in Catholic schoolchildren) gather on Parliament Hill to shriek abuse and hatred at women, it seems appropriate to ask: just what the hell is going on with RU486 in Canada?

It has many benefits: safety, lower complication rates than other medical abortions, privacy, and -- in particular -- cost. In a universal healthcare system, it is the duty of policy makers to satisfy patients while minimizing cost.

A recent news story about Health Canada may shed some light on our federal health regulatory body.

In mid-April this year, there was a badly bungled recall of birth control pills.

Apotex, the maker, discovered that some lots of pills contained not one week of sugar-pills (included to insure that women take a pill every day) but TWO weeks, significantly raising the chances of unintended pregnancy in women who thought they had that covered.

Apotex informed Health Canada of the problem last Thursday. However, Health Canada and Apotex failed to inform the general public of the problem until last Monday, nearly a week after the problem was first identified. A Health Canada spokeswoman explained that an urgent recall was not issued immediately because the problem with the pill was not considered life-or-death. Instead, the department and Apotex issued a “Class II” recall, reserved for products that may cause temporary health issues, or where the probability of a serious health impact is low.

In other words, risk of accidental pregnancy was not deemed serious enough to trigger an urgent product recall.

The department upgraded the recall on Monday to a Class I recall after realizing some women who shouldn’t become pregnant for medical reasons could be affected.

Health Canada spokeswoman Blossom Leung said in an e-mail the recall assessment takes health impacts into account, not “lifestyle impacts” such as unplanned pregnancy, which is why the urgent product recall was only issued Monday.
A department that considers an unplanned pregnancy a 'lifestyle impact' and not, for some women, a devastating health risk, is -- one might say -- a tad tone-deaf to the reproductive needs of Canadian women.

And we're not the only ones wondering what's up. Here, pharmacist and lawyer, John Griess, writing about OxyContin compares the US FDA's approach to Health Canada's. The FDA would not approve a generic form of OxyContin, considered to be hella more dangerous to addicts than the reformulated version, while Health Canada saw no problemo with it.
Health Canada’s focus on bioequivalence with no mention of its duty to “protect the public by minimizing risks” highlights the difference between the two organizations, and indicates why clinicians and Canadians should be concerned about what’s going on at Health Canada.
So, as fetus fetishists stomp their widdle feet on Parliament Hill today, we ask: What is Health Canada doing to provide Canadian women and families with the widest possible choice of legal, safe, preferred, and cost-effective medications to terminate pregnancy?

After all, isn't that the most rational (i.e. non-religious) argument fetus fetishists have? That they don't want to pay for 'lifestyle issues' of slutty women?

Seems Health Canada doesn't want to either, even at a greatly reduced cost to taxpayers.

We at DJ! suggest that women raise the issue with their doctors and OB/GYNs. Also, we should inform ourselves about the safety and efficacy of mifepristone. We will need to counter the lies of the antis if/when this issue ever comes up in Canada.

ADDED: Gail of ROAR in PEI has some trenchant thoughts.

ADDED: Jarrah of Gender Focus adds her thoughts. There is no reason this is not available to Canadian women.

Wednesday, 1 May 2013

Way of the Future: Medical Abortion, Private, Safe, Cheap

This TIME writer has the right idea (my bold).
As both pro-choice and pro-life forces attempt to put Kermit Gosnell to use to argue the moral rectitude of their position, and the jury in his trial continues to deliberate, there is a danger that we will lose sight of what Kermit Gosnell really is — an anachronism.
. . .
Gosnell was a stop of last resort for woman late in their pregnancies. They sought an abortion past the point of fetal viability — a choice illegal in Pennsylvania and throughout the United States. For these women, Gosnell and his ilk are their only option.

But regardless of the outcome of Gosnell’s trial, the need for late trimester abortion is going to disappear. Even surgical abortion will be a thing of the past, as the abortion clinic slowly gives way to pharmaceutical abortion.
I'm not so sanguine that the need for surgical abortion will disappear altogether, but he certainly has an excellent point.

Medical abortion, as we've noted here before, is safe, effective, and much cheaper than surgical abortion. It offers women who want to get the deed over with a quick and private solution.

Which is why the fetus fetishists hate hate hate medical abortion.

What? Give women control over their own reproductive lives?

What? Allow any doctor to prescribe and oversee the process, not just at clinics targetted for harassment?

What? Provide a cheaper alternative to a procedure intended to financially punish wayward women?

Just today, another idiotic law was passed in the Excited States.
Indiana Gov. Mike Pence, a Republican, signed on Wednesday a pro-life bill into law that targets abortion drugs by tightening the regulations governing their distribution, and requiring clinics with such practices to meet the same standards as facilities that perform surgeries.
Because that makes so much sense.

While TIME marches backwards in the US, as we reported earlier, Australia is moving ahead to make medical abortion more available and cheaper.

The Pharmaceutical Benefits Advisory Committee, made up of medical experts and health economists, recommended listing mifepristone and misoprostol - the two drugs known together as RU486 - for termination of a pregnancy of up to 49 days' gestation.
The committee found the effectiveness of the drugs was similar to that of surgical termination, but was less costly.

Health Minister Tanya Plibersek welcomed the committee's recommendation, noting the drug was on the World Health Organisation's list of essential medicines and had been used successfully by tens of millions of women around the world.

She said the committee's recommendation was only a ''first step'' in listing the drug, but added she expected it to be listed ''sooner rather than later''.

''I would expect this process to take a few weeks. I would expect that a decision would be made before the election,'' she said.

Ms Plibersek said her department would need to ensure there was a steady and good quality supply of the drug and reach agreement on price before the government decided whether to list it.

If it was listed on the PBS [Pharmaceutical Benefits Advisory Committee], women would pay $36.10 for each of the two pills, while those with concessions would pay only $5.90 per pill. Currently, the drugs cost between $250 and $350, while surgical abortion generally costs between $300 and $500.
Women 'with concessions' -- presumably on some sort of benefits -- would pay about $12.

Which does make total sense, given that Australia also has universal healthcare.

It is in the state's interest to keep costs down, as well as to accommodate the wishes of its people.

So, why the hell is RU486 not approved yet in Canada?
The most common form of medical abortion is called RU-486 (or Mifepristone). . . .To date, RU-486 has not been approved for use in Canada.
. . .
The only form of medical abortion that is available in Canada is a conjunction of methotrexate and misoprostol. Methotrexate is usually given by injection. Misoprostol tablets are placed in the vagina five to seven days after the methotrexate injection is given. It causes the muscles of the uterus to contract, pushing out the contents. In most cases the uterus will be emptied within 24 hours but in about 35 percent of cases, it can take several days or weeks. Pain medication can be used to ease the pain of the cramps, which occur when the pregnancy tissue comes out of the uterus.
RU486 is a better alternative.

So? Canada? Why the hell not approve it?

More evidence of that hidden agenda Harper doesn't have?

Wednesday, 30 January 2013

Home Abortion: Quick and Cheap

Fetus fetishists really really hate medical abortion.

First, it's done very early -- up to 9 weeks -- so women can act quickly and get it over with.

It's private. One doesn't necessarily have to go to a special clinic. Any doctor can prescribe the pills. One can even buy them over the Internet to get around idiotic laws.

It's safe and effective.

And it's cheaper than surgical abortion, but still quite a lot of dough to find on short notice.

For all those reasons, zygote zealot are pushing hard to demonize and/or place unnecessary restrictions on the procedure.

Today, there are three stories about medical abortion.

From Prince Edward Island, which anti-choicers like to style as 'North America's lone life sanctuary' because no abortions are done there, comes a story of -- SHRIEEEEEK!-- a woman who had a medical abortion right there in the green little sanctuary.

She found a doctor who wrote the prescription.

So, while the Fetus Lobby is working to out the damn doctor (PEI is a pretty small place after all), the provincial health authority shows no interest in it.
Richard Wedge, acting CEO of Health PEI, said the agency does not track this kind of procedure in the province, but he believes it is uncommon.

"I'm not aware of actually any physicians that are actively promoting this kind of treatment," said Wedge.

"It's quite likely that somebody could learn about it, keep the medications in their office or provide prescriptions for women to go to the stores, but we don't track it and we don't have any organized clinic for medical abortions."
(By the way, there's a poll at that last link, now running 86% in favour of both surgical and medical abortions being done on the Island.)

In Ireland, where the Catlick church is having paroxysms over the possible loosening of abortion law in the case of imminent death of the woman, there comes this sad, infuriating tale.
In fact, Claire’s dire financial situation is such that, having decided to end her pregnancy, she quickly discovered that she couldn’t afford the €1,000 cost of travelling to the UK to get one. The only other option for previous generations would have been a backstreet abortion but Claire searched online for a website from which she could buy drugs to induce a medical abortion, and stumbled across a website of a non-profit group that offers assistance to women in countries where abortion is illegal. Completing the online consultation, which is then forwarded to a licensed doctor who makes a decision about whether the drugs (which can only be taken up to nine weeks’ gestation) are a suitable treatment, Claire encountered another problem.

The website no longer posts drugs to Ireland because of the number of seizures by customs officials. Instead, women are advised to have the drugs sent to nearby jurisdictions where they can be collected.

Claire, who was seven weeks’ pregnant, ordered the drugs for €100 [$135 CAD] and had them sent to the North. She collected them on Wednesday and took them at home the next day.

“I felt awful for about three hours — severe cramp and nausea — but then it was over and I felt instant relief,” she said.
Yup. Officials in Ireland go through the mail to seize drugs.
In 2009, 1,216 tablets were discovered while this figure dropped to 671 tablets in 2010 and 635 in 2011, although it remains unclear if this fall coincided with the decision of the website to stop delivering to Ireland.
That price seems pretty reasonable. In the US, Planned Parenthood says costs range from $300 to $800. That would include consultation and after-care, but still, rather a lot.

So, the Fetus Lobby will go nuts if this proposal in Australia is successful.
The federal government will consider subsidising controversial abortion drugs - allowing women to end pregnancies for as little as $12 [$12 CAD].
. . .
Reproductive health group Marie Stopes International Australia has lodged an application with the Pharmaceutical Benefits Scheme (PBS) Advisory Committee in the hope the drugs will become taxpayer funded.

Only 187 authorised medical clinics were approved to distribute the two drugs, and campaigners claim the current $300 cost has been prohibitive for many women on lower incomes seeking a non-surgical abortion.
Twelve bucks.

SHRIEEEEEEK!



Image source.

Thursday, 11 October 2012

Progresss Comes to Ireland

This is great news for Ireland but there's a heckuva long way to go yet.

The first private abortion clinic will open in Belfast next week.
Northern Ireland is the only part of the UK where the Abortion Act 1967 does not apply, owing to opposition from the churches and almost all the parties at the Stormont assembly. Like their counterparts in the Republic, where abortions are illegal, women from Northern Ireland have to travel to elsewhere in Britain for terminations.
But the clinic will provide only medical abortions and the National Health Service won't cover the pretty hefty price.
Terminations will only be offered to women in the first nine weeks of pregnancy and will cost £450. The new city centre clinic, which opens next Thursday, also offers a range of sexual and reproductive services including short and long-term contraceptive options, emergency contraception and HIV testing.
Irish women needing abortions past nine weeks will still have to travel, find a place to stay overnight, and pay for all that.

There is definitely a need for the service.
Last year, 4,149 women from Ireland travelled to England or Wales for an abortion, as did 1,007 women from Northern Ireland.
In one respect, however, it is fabulous thing. As this piece puts it: Finally we can be open about Irish abortions.

Fetus fetishists always point to Ireland where abortion is outlawed and where maternal and infant mortality is very low as proof that banning abortion does NOT cause dangerous illegal procedures done by dodgy operators.

Not when there's a country where it's legal just a short hop away.

Irish women do have abortions. The truth can now be told.

Well. Maybe not just yet. Expect more of this: 'Marie Stopes: the clinics named after a Jew-baiting racist', written by a 'priest of the Church of England' yet.

Like Margaret Sanger, Marie Stopes was a progressive and controversial woman of her time.

But progress is progress. Even in Ireland, it seems, women's rights cannot be held back forever.

Tuesday, 24 April 2012

When Legislators Practise Medicine

I'm going to a dermatologist this afternoon to get my various bumps and spots looked at. And there's a thingy on my collar bone I want removed. I know what it is -- a spot of unpleasantly named bother called senile keratosis. The doc will blast it with liquid nitrogen and it will burn, then itch for a few days, then fall off.

Let's say there's a pill instead that will accomplish the same thing.

I go to the doctor (walk, streetcar, subway, more walk) to get the pill. Doc inspects, measures, tells me what to expect, answers questions. He also ensures I wasn't 'coerced' into wanting the thingy gone. I sign forms. Then I'm told to come back in 24 hours to get the pill.

Next day, I walk, streetcar, subway, more walk back. The same doctor has to see me to give me the pill. He gives me the pill and watches me take it.

Then 12 to 18 days later, I have to come back to get it checked out by the same doctor again.

If the doc does not follow this rigamarole, he or she can be charged with a felony, pay a fine of $10,000 and/or spend three-and-half years in jail.

Ridiculous, yes?

But this is what happens when legislators meddle in health care. It is what will happen now in Wisconsin when a woman wants a medical abortion.

RH Reality Check talked to a doc in Wisconsin about this new law. He said: 'If we follow the FDA rules and follow protocol, we would violate this law. And we have no ability to defend ourselves.'
By making failure to follow the new law a felony, Act 217 has made it nearly impossible for doctors to defend themselves legally without considerable expense. Although a doctor would be covered for potential malpractice under malpractice insurance, he or she would need to pay all court fees out of pocket if charged with a felony, as the insurance would not cover it.  "What we do would be 'defensible,' but we'd have to pay to defend it."

Dr. Broekhuizen is nearly certain that the law is unenforceable, and too vague to not be enjoined.  But who as a doctor wants to put his or her career in jeopardy, as well as shoulder the entirety of the legal costs, just to test it out? It's that unwillingness that anti-choice legislators are capitalizing on with their regulations, and it's one that doctors and pro-choice advocates didn't really expect to see. "We were a little naive," he admitted.
And how about the patients? Three visits, three round-trip expenses, loss of pay, childcare costs, etc., etc., etc.

So Planned Parenthood abruptly suspended performing medical abortions in the state.
By suspending medical abortions, Planned Parenthood of Wisconsin has taken a bill that was signed quietly, quickly, and right before a major holiday as an attempt to pass it mostly unnoticed, and turned it into a huge public policy debate over who should be creating medical protocol -- the FDA or the state legislature. 

Calling Act 217 a set of "minimum safety standards" for patient care and ending the potential for "tele-med" abortions, anti-choice legislators likely assumed the bill would go into effect without fanfare, Dr. Broekhuizen surmised. Then later, an "overzealous prosecutor" could charge a doctor based off of one of the vague, legally-ambiguous points in the law, putting medical abortion availability for the entire state at risk.

But instead, Planned Parenthood of Wisconsin has acted first. Perhaps anti-choice politicians were a little naive, as well.

Thursday, Canada's legislators are going to debate whether the Criminal Code definition of 'human being' should be extended to include fetuses.

What could possibly go wrong with that?

The Radical Handmaids have some ideas.