This article is part of a larger series called The End of Power. Ulo Here Read more.
The U.S. Supreme Court’s decision on abortion is expected to suspend access to the procedure as we know it and leave in its place a package of states where the legal right to abortion is different and restricts patients. in areas where the procedure remains safe and accessible.
“It’s really going to be a public health crisis that no other country in the world has seen,” Drs. Colin McNickolas, medical director of Planned Parenthood or PPSLR Reproductive Health Services in the St. Louis area. Louis.
“We will now mobilize tens of thousands, possibly millions, of people for basic reproductive health,” he said of patients in 22 states who will automatically declare or severely limit abortion if a court violates Roe v. Wade – whatever the bomb escape plan suggests, the judges are planning.
McNicolas Planned Parenthood Branch operates the only remaining abortion clinic in Missouri and across the border in Illinois. Opened in 2019 After the fight for abortion in the state of Missouri began to explode. At the same time, abortion providers in Illinois are preparing to act as a so-called “abortion island” surrounded by a sea of states willing to ban the procedure once the court strikes.
“It’s definitely going to be a public health crisis like this that the country has never seen before.”
– Dr. Louis Colin McNicolas, Planned Parenthood in the St. Louis region. Louis
For the people of Missouri, where Republican Attorney General Eric Schmidt has said a total abortion ban will take effect, the closest place for abortion is.
“We believe we have a responsibility, as an abortion oasis, to preserve the Midwest in this vast desert,” said Jennifer Welch, president and CEO of Illinois Planned Parenthood. He expects 20,000 to 30,000 non-abortion patients each year if the court hits Ross-a big step forward of the approximately 60,000 people the provider sees annually for all reproductive health needs in the past. years.
A similar sensation exists with Rocky Mountain Planned Parenthood, or PPRM, which operates in several western mountainous states, including two that are set to become safe abortion shelters: Colorado and New Mexico.
Dr Christina Toche, medical director of PPRM, spoke candidly when asked if she was confident they could meet the request. “Not really,” he said. “I am sure we will provide efficient, safe and compassionate abortion care to as many patients as possible, more patients than we have in the past, but if you just look at the numbers… like exponential growth. “
ᲐRian, more than 30 million women of reproductive age and girls in the United States are at risk of losing access to legal abortion in their states, Toche said. Honestly, he said, “there are patients who can’t access help.”
If the roe falls, abortion providers in Colorado and New Mexico will be the closest abortion destination for many people in some states that will cut off access, including Utah, Arizona, Wyoming, and Nebraska. They are already seeing a huge influx of patients from Texas, which banned six -week abortions in September, and Oklahoma, which followed it with stricter legislation.
Expanding telemedicine services is important to keep pace with demand, Toche said, noting that PPRM has already started expanding these systems due to the COVID-19 pandemic in recent years. For most of the first trimester, the pregnancy can be terminated through a series of prescribed pills without having to visit the clinic.
“If we can care for as many patients as possible outside of brick and mortar facilities, it’s very important to get more patients who need personal visits to these centers,” he said.
In Illinois, Welch said, they have been preparing for Roy’s fall in 2016 since the day former President Donald Trump was elected.
“Every time the president brings another candidate to the Supreme Court, we know it’s over,” she said in favor of abortion.
Since then, the Illinois branch has launched an extensive fundraising campaign, doubled the size of some existing clinics, and built new ones on the borders of states that host abortion, including near Indiana in 2018 and near Wisconsin in 2020. Welcome to all freelance clinic staff who want to start helping with the rise of Illinois.
“Clinics make up all the available space in operating theaters and that’s not enough to meet demand.”
– Elizabeth Nash, state policy expert at the Gutmacher Institute
Additional options for abortion care have been substantial in recent years as neighboring countries have cut off access to mandatory waiting periods, unnecessary medical ultrasounds, and other barriers. Abortion bans in Texas and Oklahoma, based on a legal loophole without a Supreme Court. It came Decision -making – This need has only exacerbated in recent months.
Elizabeth Nash, a public policy expert at the Gutmacher Institute, said it’s not uncommon for clinics to make an appointment 2-4 weeks in advance, which is partly due to Texas and Oklahoma and patient absorption. Lack of national health workers.
If the court hits Ross as expected, Nash said, “I expect the influx of patients will be such that the waiting time will increase even more there.”
“Clinics make up all the available space in operating theaters, and that’s not enough to meet demand,” he said of Blue States ’efforts to take on new patients.
Waiting longer than an abortion can mean that patients require more complex procedures and longer recovery times. A clinic in Colorado, another abortion island, told Kaiser Health News in March that it had just happened. Purchased equipment Allows staff to perform abortions up to 20 weeks of pregnancy in anticipation of long waiting times.
PPSLR saw a 50% increase in miscarriages 15 weeks after pregnancy after the Texas ban took effect from last year.
Beyond staff needs, McNicolas ’biggest concern is providing practical support to patients who need to leave their homeland for abortion care.
“We could add another 150 clinics in Illinois, but if patients don’t reach them, it doesn’t matter,” he said.
According to McNicolas, key to this initiative is a Regional Logistics Center that PPSLR opened in January at the Hope Clinic, in partnership with another Illinois abortion provider near the Missouri border. There, case workers helped patients ensure that their treatment costs were covered by abortion funds and linked them to practical support organizations dedicated to helping patients travel for abortion care. .
This can be an expensive endeavor. The Texas Choice Fund group, which has been helping patients traveling to have an abortion since 2013, told HuffPost last year that traveling out of state can add at least $ 800 to the cost of an abortion. This includes transportation, shelter, food, medicine and child care.
“The health care industry is an easy part,” McNicolas said, adding that he believes the PPSLR and Hope Clinic can handle 15,000 new patients each year who are expected to come to southern Illinois to have an abortion. “But we really have to manage the navigation part and the logistics part that people have to deal with.”
The logistics center has four staff trained to manage more than 50 different abortion funds, McNicolas said, adding that he hopes to hire 14 more employees.
Even just letting people know that abortion will remain legal in case it falls in certain states is important at this point, Welch says.
“Patients called us and asked, ‘Can I still go to my appointment?’ “Is it still illegal?” He says. “It will never be illegal in Illinois; “Not if we have anything to say about it.”
Source: Huffpost

I am David Wyatt, a professional writer and journalist for Buna Times. I specialize in the world section of news coverage, where I bring to light stories and issues that affect us globally. As a graduate of Journalism, I have always had the passion to spread knowledge through writing.