Tag Archives: ob-gyn

An Even Bigger “Big Sort”

I’ve referred previously to the important 2004 book The Big Sort, which documented the way in which Americans have been “sorting” ourselves by choosing to live in areas we find philosophically and politically compatible. The book, by Bill Bishop, cast light on one of the underappreciated reasons Americans are so culturally and politically divided.

Much more recently, a lengthy article fromThe New Republic documented a sharp increase in that sorting. Red states have been bleeding college graduates for a while now–in Indiana, the “brain drain” is a persistent source of concern at the statehouse– but there is considerable evidence that “hard-right social policies in red states are making this dynamic worse.”

Let me just quote a few paragraphs from the article, which–as I indicated–is lengthy.

The number of applications for OB-GYN residencies is down more than 10 percent in states that have banned abortion since Dobbs. Forty-eight teachers in Hernando County, Florida, fed up with “Don’t Say Gay” and other new laws restricting what they can teach, resigned or retired at the end of the last school year. A North Carolina law confining transgender people to bathrooms in accordance with what it said on their birth certificate was projected, before it was repealed, to cost that state $3.76 billion in business investment, including the loss of a planned global operations center for PayPal in Charlotte. A survey of college faculty in four red states (Texas, Florida, Georgia, and North Carolina) about political interference in higher education found a falloff in the number of job candidates for faculty positions, and 67 percent of the respondents said they would not recommend their state to colleagues as a place to work. Indeed, nearly one-third said they were actively considering employment elsewhere.

Until very recently, college graduates had split their votes between the parties. But with the arrival of Donald Trump,

college graduates left the Republican fold for the foreseeable future. Trump dropped the Republican share to 44 percent in 2016 and 43 percent in 2020. If Trump wins the nomination in 2024, the GOP’s share of college voters could drop below 40, and I don’t see any of Trump’s challengers for the Republican nomination doing much better. It isn’t clear they even want to, because today’s GOP sees college graduates as the enemy.

Then there’s the accelerating exodus of OB-GYNs from states governed by Republicans who–in Barney Frank’s memorable phase–believe life begins at conception and ends at birth.

It was hard enough for red states to hold onto their OB-GYNs even before Dobbs. A little more than one-third of all counties nationwide are “maternity care deserts,” typically in rural areas, with no hospitals or birthing centers that offer obstetric care and no individual obstetric providers (not even midwives), according to the March of Dimes.

It isn’t just OB-GYNs and the relative handful of doctors who assist transgender children. It’s also educators.

Since January 2021, 18 states have imposed restrictions on how teachers may address the subjects of race and gender, according to Education Week’s Sarah Schwartz. These include most of the Dobbs Fourteen and a few add-ons, including Florida and New Hampshire. According to a 2022 study by the RAND Corporation, legislative action not only accelerated after 2021 but also became more repressive, extending beyond the classroom to restrict professional development plans for teachers. Let’s call these teacher-harassing states the Morrison Eighteen, in honor of the late Nobel laureate Toni Morrison, whose The Bluest Eye is number three with a bullet on the American Library Association’s 2022 list of books most frequently targeted for removal. (The 1970 novel ranked eighth in 2021 and ninth in 2020.)

Taking a tour of the Morrison Eighteen, we find Texas teachers quitting at a rate that’s 25 percent above the national average. In Tennessee, the vacancy rate for all public schools is 5.5 percent, compared to a national average of 4 percent. South Carolina has teacher shortages in 17 subject areas this school year, more than any other state.

But Governor Ron DeSantis’s Florida is the undisputed champ. A 2022 study led by Tuan D. Nguyen of Kansas State University found that Florida had the most teacher vacancies in the country, followed by Georgia, Mississippi, and Alabama (all Morrison Eighteen states). Florida also logged the highest number of under-qualified teachers.

Remember John Edwards theme of “Two Americas”? He wasn’t talking about the culture wars then, but the phrase certainly seems appropriate.

In 2010, the GOP’s incredibly successful Redmap project--its “gerrymander on steroids”–installed rightwing legislators in a number of formerly competitive states. Those lawmakers proceeded to pass the culture war policies that are motivating the exodus of educated citizens and professionals–aka “smarty pants”–  resented by the angry know-nothings who are now the GOP’s base voters.

And so here we are. Click through, read the entire article, and weep….

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Another Form Of Rape

Indiana AG Todd Rokita is one of the few politicians in our polarized age who is despised on both sides of the political aisle. His naked ambition has led him into the fever swamps of the far Right, and the most recent example–reported in the linked article from Talking Points Memo–was his effort to smear the ob-gyn who terminated the pregnancy of a raped ten-year-old.

Rokita suggested that the doctor, Dr. Caitlin Bernard, had failed to file mandated reports with the state about the abuse and the abortion. At least, Rokita claimed, he could find no evidence for any reports. Bernard is an “abortion activist acting as a doctor with a history of failing to report,” Rokita told Fox News on Wednesday. “We’re gathering the information, we’re gathering the evidence as we speak and we’re going to fight this to the end, including looking at [Bernard’s] licensure, if she failed to report. In Indiana it’s a crime for … to intentionally not report.”

If Rokita weren’t shameless, he would have apologized after Indianapolis’ Fox affiliate easily ascertained–via a simple public records request– that Bernard had properly filed all required paperwork, and had also reported that the patient was a victim of abuse. (That abuse had also been reported to authorities in Ohio by the girl’s physician there.)

In other words Rokita went forward with a series of defamatory claims and accusations against Bernard and called down a nationwide campaign of harassment and vilification against her apparently without even the most cursory of records checks that were not only available to him as attorney general but members of the public in roughly 24 hours.

Rokita is one of several despicable Republicans who responded to the initial reports about a pregnant ten-year-old with accusations that the incident was manufactured–that the child didn’t exist, and that the rape and pregnancy were inventions of those hated liberals. 

Those attacks were really another form of rape.

I never doubted the accuracy of the report, but–like most Americans–assumed that a pregnancy in someone so young was a very rare situation. I was shocked to learn that it is far less rare than I had supposed.

The New York Times recently reported that  more than 1,000 girls under 15 seek abortions each year.

An article in The New Republic reported  figures from countries with total or near-total bans on abortion.

In Paraguay, where abortion is banned unless it threatens the mother’s life, health officials forced an 11-year-old girl to carry a pregnancy until she could obtain a cesarean section after she was raped by her stepfather in 2015. An 11-year-old girl in Argentina, which had similarly strict laws until recently, delivered a 23-week-old baby by cesarean section in 2019 after officials there refused to allow her to obtain an abortion. The young Argentine girl reportedly attempted suicide twice and begged doctors to “remove what the old man put inside me.”

It’s unclear exactly how often this phenomenon occurs—and even a single instance of it is heartrending—but available numbers suggest it occurs with some frequency. Amnesty International reported last year that in Paraguay, which ranks between New Jersey and Arizona in population, more than 1,000 girls who were 14 years old or younger gave birth in 2019 and early 2020. An analysis this week by The Columbus Dispatch found 50 reports of rape or sexual abuse toward girls 15 years old or younger in Columbus, Ohio, since May of this year. Using data from the Ohio Department of Health, the newspaper also reported that 306 girls who were 15 years old or younger obtained an abortion in that state between 2016 and 2020.

The article went on to quote the truly horrifying reaction to this particular incident by those who have spearheaded the forced birth movement.

Jim Bopp, an Indiana lawyer who serves as the general counsel for the National Right to Life organization, told Politico on Thursday that the model legislation he drafted for Indiana would have required the 10-year-old girl to continue the pregnancy. “She would have had the baby, and as many women who have had babies as a result of rape, we would hope that she would understand the reason and ultimately the benefit of having the child,” Bopp told the news outlet.

It seems like the denialism isn’t really about the 10-year-old girl in question but rather about obfuscating the natural consequences of overturning Roe. By eliminating the constitutional right to reproductive self-government and enacting abortion bans without rape or incest exemptions, anti-abortion activists have implicitly created a new right to take Roe’s place. Rapists can now rest assured that if they impregnate their victim, state and local governments will work tirelessly to ensure that the survivor—even if she is a 10-year-old girl—carries that pregnancy to term.

Welcome to MAGA world.
 

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