Mapping Abortion Access

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This visual representation of abortion access in the USA from The Pudding is really fantastic and informative –albeit depressing.

Since 1973, abortion has been legal (up to the third trimester of pregnancy) following the Supreme Court decision in Roe v. Wade that asserted that pregnancy termination is part of a pregnant person’s right to privacy. Prior to Roe v. Wade, death due to unsafe, illegal abortion accounted for a significant percentage of maternal deaths. Access to safe and legal abortion dramatically reduced maternal deaths and abortion is now one of the safest surgical procedures (safer than giving birth!)

The maps that The Pudding put together (a site I’d never heard of before but I love “visual essays” so goodbye to all of my free time) are really great because they help visualize the specific barriers that people seeking abortion face both in clinic location (the above screenshot) and availability of services according to location and gestation (below screenshot).

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Abortion is legal, but what is legality without access?

In the spring semester, I worked on a group project for a class about abortion access in Pennsylvania, and we plotted clinics that offer abortion services on a map. It becomes abundantly clear, when looking at the map, that the 20 or so providers are clustered in mainly urban areas. But people live in those in-between areas too! Population density is greater in those urban areas, but when you look at 2010 Census data, you can see that there are huge areas of the state where physical access is severely restricted. And these plots don’t even get into the specific restrictions each clinic may have on what types of services they offer.

As The Pudding explains, TRAP (Targeted Regulations of Abortion Providers) laws frequently limit access to abortion by instituting arbitrary rules for “safety,” but are actually medically unnecessary, political moves. It is expensive and time consuming to fight them. (If you’re interested in this – I recommend watching the documentary Trapped.)

Abortion access is an issue I care about a lot, but I think it’s really important to have these kinds of visual representations of data and access because it can succinctly and clearly translate these complicated issues. So check out the maps that The Pudding put together

Links Roundup: Opioid Addiction

Opioid abuse is a growing epidemic in the United States, and frequently makes headlines. I think it’s particularly hard to get nuanced stories about the opioid epidemic because drug use is highly stigmatized and many journalists, even sympathetic ones, frequently write stories pumped with *shocking* details and descriptions, which is less humanizing than what they’re probably hoping for.

That said, it is a significant issue, and one that is tied to the over-prescription of opioid painkillers. Prescriptions are down since 2010, but even short-term prescriptions for opioid painkillers increase one’s risk of developing an addiction. In 2015, drug overdose was the “leading cause of accidental death in the United States,” with 38% of those drug overdose deaths from prescription pain killers and 25% from heroin.

I find reading stories about the opioid crisis, especially in my home city of Philadelphia, to be particularly difficult not because of the subject matter, but because of many people’s total disdain and disgust for people who use drugs. Reading comments on the internet is always a (mentally) dangerous endeavor, but people are particularly cruel about drug addiction, and this simply does nothing to help the crisis.

The above video from Vox is a really helpful primer on one of the reasons why heroin deaths are spiking, but I also read 2 articles this week that I thought offered some really important, nuanced perspectives on what the lives of opioid drug-using women are like:

Sex Workers and Drug Users Speak Out in Philadelphia – The Fix

Establishing a sense of empowerment and community is crucial – even lifesaving –for sex workers, said Amanda Spitfire and Aisha Mohammed, Project SAFE volunteers and the evening’s organizers.

“A lot of the stories were really painful, involved a lot of pain and sadness and hardship and difficulty, and I think that that’s really important to recognize that that’s a part of it, too,” Mohammed said after the event. “But that’s not a reason to abolish the sex industry altogether. Those are the reasons to make it safer – to make conditions safer and better and more lucrative for people who are doing it.”

Getting An Abortion In Alabama Is Hard. The Opioid Crisis Is Making It Even Harder. – Huffington Post

Although the patient Parker and Johnson were talking about was from Birmingham, she was 21 weeks and 1 day pregnant, which meant her procedure would have to be a dilation and evacuation, or D&E. Parker would have to use drugs to soften her cervix to conduct the abortion procedure in order to be able to insert his instruments into her uterus and remove the fetus.

…The clinic wouldn’t be open again until the following Wednesday, by which point she would be perilously close to the 22-week cutoff. … To add to the patient’s concerns, Alabama has been aggressive about prosecuting women who use drugs while pregnant. Given the abortion restrictions in surrounding states, given the looming public holiday and given this woman’s desire not to become a mother, Parker and Johnson both knew they were her last best hope.

It’s a complicated topic, but I hope that when readings articles about opioid addiction that you look for articles that present facts in a neutral tone and with respect for the people they’re interviewing.